Family stress and youth mental health problems: Self-efficacy and future orientation mediation.

Abstract Background The importance of breastfeeding in low- and middle- income countries is well recognized, yet the importance of postnatal mental health on breastfeeding practices and beliefs in these settings has been understudied. This study investigates the associations between maternal mental health problems and breastfeeding beliefs as well as practices in rural China. Methods Cross-sectional data were collected from 742 mothers of infants under six months old in rural Sichuan Province, China. Surveys collected data on maternal mental health problems (depression, anxiety, and stress symptoms), breastfeeding beliefs (attitudes and self-efficacy), and breastfeeding practices. Ordinary least squares regression, multiple logistic regression and heterogeneous effect analyses were used to determine the associations between maternal mental health and breastfeeding outcomes. Results Among all respondents, 13% showed symptoms of depression, 16% anxiety, and 9% stress. The prevalence of full breastfeeding was 59.3%. Breastfeeding attitude was significantly associated with symptoms of depression (p = 0.023) and breastfeeding self-efficacy with symptoms of depression (p = 0.001) and symptoms of stress (p = 0.020). However, there were no significant associations between symptoms of mental health problems and full breastfeeding. The heterogeneous effects analyses revealed that full breastfeeding was negatively associated with stress symptoms when the infant was from a high-income family (p = 0.011). In addition, full breastfeeding was negatively associated with the father having a higher education level (p = 0.026, p = 0.048, and p = 0.020) and the infant being older than 2 months old (p = 0.000, p = 0.000, p = 0.00), regardless of maternal mental health problem symptoms. Conclusion Symptoms of maternal mental health problems are significantly associated with breastfeeding attitude and self-efficacy, yet has less of an association with breastfeeding practices. To improve breastfeeding practices, interventions need a multi-dimensional approach that should not only focus on improving maternal mental well-being but also consider demographic background characteristics.

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A Developmentally Informed Approach to Characterizing, Staging, and Intervening in Youth Mental Health Problems: From the Population to the Clinic

Youth Mental Health ◽

10.7551/mitpress/13412.003.0006 ◽

2020 ◽

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Youth Mental Health ◽

Health Problems

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Identifying Return to Work Self-Efficacy Trajectories in Employees with Mental Health Problems

Journal of Occupational Rehabilitation ◽

10.1007/s10926-021-09979-2 ◽

2021 ◽

Author(s):

Lena Horn ◽

Maitta Spronken ◽

Evelien P. M. Brouwers ◽

Renée S. M. de Reuver ◽

Margot C. W. Joosen

Keyword(s):

Mental Health ◽

Return To Work ◽

Self Efficacy ◽

Latent Class ◽

Mental Health Problems ◽

Strong Predictor ◽

Health Problems ◽

Moderate Increase ◽

Work Characteristics ◽

Class 1

AbstractPurpose Return to work self-efficacy (RTW-SE) is a strong predictor of return to work (RTW) in employees with mental health problems (MHPs). However, little is known about the development of RTW-SE during the RTW process. In this study, we aimed to identify RTW-SE trajectories in the year following sick leave in employees with MHPs and provided a description of the trajectories in terms of personal and work characteristics, and RTW status. Methods This multi-wave study included 111 employees with MHPs. RTW-SE was measured at baseline, and at 3, 6, and 12 months follow-up with the RTW-SE scale for employees with MHPs. Results Latent class growth analysis revealed six trajectories. In three trajectories employees had increasing RTW-SE scores, namely (class 1) low start, moderate increase, (class 3) moderate start, small increase and (class 5) moderate start, steep increase. The other trajectories were defined by (class 2) persistently high, (class 6) persistently low, and (class 4) decreasing RTW-SE scores over time. Employees across the various trajectories differed significantly with respect to RTW status, and personal and work characteristics measured at baseline, including age, gender, and type of MHP. Less favorable trajectories (class 4 and 6) were characterized by higher age, a higher prevalence of anxiety disorder and lower RTW rates. The most favorable trajectory (class 2) was characterized by a higher proportion of stress-related disorders and less major depression diagnoses. Conclusions Large heterogeneity exists in terms of RTW-SE trajectories in employees with MHPs and significant differences were found across the trajectories regarding personal and work characteristics, and RTW status. Insights into RTW-SE trajectories and their attributes are important to advance more effective and personalized RTW treatment for employees with MHPs.

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Sociocultural Factors and Parent–Therapist Agreement on Explanatory Etiologies for Youth Mental Health Problems

Administration and Policy in Mental Health and Mental Health Services Research ◽

10.1007/s10488-015-0684-3 ◽

2015 ◽

Vol 43 (5) ◽

pp. 693-702 ◽

Cited By ~ 4

Author(s):

May Yeh ◽

Kristen McCabe ◽

Sawssan Ahmed ◽

Duyen Trang ◽

William Ganger

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Youth Mental Health ◽

Health Problems ◽

Sociocultural Factors

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Canadian Adolescents’ Mental Health and Substance Use during the COVID-19 Pandemic: Associations with COVID-19 Stressors

10.31234/osf.io/kprd9 ◽

2020 ◽

Author(s):

Stephanie Craig ◽

Megan E. Ames ◽

Bianca C. Bondi ◽

Debra Pepler

Keyword(s):

Mental Health ◽

Substance Use ◽

Online Survey ◽

Mental Health Problems ◽

Family Stress ◽

Health Impact ◽

Health Problems ◽

Post Traumatic Stress ◽

Positive Coping ◽

At Home

Objective: There have been significant concerns regarding the mental health impact of coronavirus disease 2019 (COVID-19), due to isolation, anxiety around the pandemic, and increased conflict in the home. The purpose of this study was to examine the rates of mental health problems and substance use, and to assess which COVID-19 related stressors were predictors of mental health and substance use in a large Canadian sample of adolescents, with comparisons across genders. Method: Participants (N = 809, Mage = 15.67, SD = 1.37) identified as a girl (56.2%), boy (38.7%), or trans/non-binary individual (TNBI; 5.1%) and were recruited via social media to complete an online survey. Results: A high proportion of adolescents met clinical cut-offs for depression (51%), anxiety (39%), and post-traumatic stress disorder (45%). Other mental health problems ranged from 9%-20%. Adolescents were mainly concerned with the health of family members and vulnerable populations, as well as the increased family stress at home during COVID-19. Rates of substance use were higher than expected, with over 50% of youth engaging in some form of substance use in the past 90 days, and almost 20% engaging in substance use at least once a week. TNBI and girls reported higher rates of mental health problems compared to boys. Family stress due to confinement and violence at home predicted higher rates of mental health, but not substance use problems. Conclusions: Increased rates of mental health problems and substance use necessitate targeted supports that encourage positive coping amidst the additional stresses of COVID-19.

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