DetectaWeb Project: study protocol of a web-based detection of mental health of children and adolescents

IntroductionTraditionally, research and practice addressing mental health has been conducted within a unidimensional model, explaining mental health as the presence/absence of psychological problems (distress or psychopathological symptoms). More recently, accumulative evidence has supported a bi-dimensional model, which conceptualises psychological problems and psychological strengths (well-being) as related-yet-distinct continua that, when considered together, yields a more comprehensive understanding of individuals. The DetectaWeb Project is a web-based early detection assessment of the mental health continuum (MHC) for children and adolescents and aims to: develop a web-based platform for screening of the MHC, including both psychological problems (anxiety, depression and suicidality) and personal strengths (emotional, cognitive/psychological and social aspects); examine the prevalence of the MHC among children and adolescents; and analyse key determinants (risk and protective factors) of the MHC.Methods and analysisWe will conduct an ongoing, multicentre observational, cross-sectional study of Spanish children and adolescents. Participants will be assessed through a web-based platform. In order to validate the web-based screening system, a clinical reappraisal will be completed among a subsample of respondents. To elucidate youth’s levels of subjective distress and well-being, we will include measures of anxiety, depression, suicidality, well-being, externalising problems and socio-demographic variables.Ethics and disseminationEthical approval has been obtained at all sites. All participants will sign a free and informed consent form before the assessment. Results of the study will be communicated during national and international meetings in the field of clinical and health psychology with children and adolescents. Publications will be sought in journals usually read by psychologists or psychiatrists involved in the development of epidemiological studies and interventions for mental health promotion based on resilience building for children and adolescents.

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Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

10.1101/2020.05.04.20088625 ◽

2020 ◽

Cited By ~ 2

Author(s):

Sonja Weilenmann ◽

Jutta Ernst ◽

Heidi Petry ◽

Monique C. Pfaltz ◽

Onur Sazpinar ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Network Analysis ◽

Health Care Workers ◽

Well Being ◽

Perceived Support ◽

Independent Effect ◽

Cross Sectional ◽

Care Workers ◽

Anxiety Depression

AbstractBackgroundThe current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs), which may impair their mental health. First evidence from China suggests that HCWs are at risk for anxiety and depression. However, generalizability to western countries is limited. The current study aimed at exploring HCWs’ mental health during the SARS-CoV-2 pandemic in Switzerland. In addition, we conducted a network analysis to investigate the independent effect of risk and protective factors on HCWs’ mental health and their interplay.MethodsIn an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 857 physicians and 553 nurses during the pandemic in Switzerland. At the time of data collection, Switzerland had among the highest per capita rate of COVID-19 cases in the world.ResultsOverall symptom levels of anxiety, depression, and burnout were elevated. Women, nurses, frontline staff and HCWs exposed to COVID-19 patients reported more symptoms than their peers. However, these effects were all small and, in the network analysis, most of them did not remain significant after controlling for the other factors. Whereas COVID-19 exposure was only partially associated with mental health, perceived support by the employer independently predicted anxiety and burnout.ConclusionsOur finding that HCWs had elevated levels of anxiety, depression, and burnout underscores the importance to systematically monitor HCWs’ mental health during this ongoing pandemic. Because perceived support and mental health impairments were negatively related, we encourage the implementation of supportive measures for HCWs’ well-being during this crisis.

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Prevalence of Anxiety and Depression in General Population of Iran during the COVID-19 Pandemic: A Web-Based Cross-Sectional Study

10.21203/rs.3.rs-39082/v1 ◽

2020 ◽

Author(s):

Saman Maroufizadeh ◽

Majid Pourshaikhian ◽

Ali Pourramzani ◽

Farzaneh Sheikholeslami ◽

Mohammad Taghi Moghadamnia ◽

...

Keyword(s):

Mental Health ◽

General Population ◽

Family Members ◽

Cross Sectional Study ◽

Anxiety And Depression ◽

Sectional Study ◽

Middle Aged ◽

Cross Sectional ◽

Web Based ◽

Anxiety Depression

Abstract Background: Coronavirus disease 2019 (COVID-19) is a global public health emergency and may result in psychological problems such as anxiety and depression in general population. Therefore, this study aimed to determine the prevalence of anxiety and depression and their associated factors in general population of Iran during the COVID-19 pandemic.Methods: We conducted this web-based cross-sectional study on 5328 individuals in Iran, between 17 and 29 April 2020. Data were collected through an anonymous online questionnaire via social media like WhatsApp and Telegram. The online survey collected information on demographic characteristics, COVID-19-related variables, and anxiety and depression. Anxiety and depression were assessed using the Generalized Anxiety Disorder-7 (GAD-7) and the Patient Health Questionnaire-9 (PHQ-9), respectively. Simple and multiple logistic regression analyses were performed to determine independent predictors of anxiety and depression.Results: The mean GAD-7 and PHQ-9 total scores were 7.17 (SD=5.42) and 7.80 (SD=6.68), respectively. The prevalence of anxiety, depression, and comorbid anxiety-depression were 30.1%, 33.4%, and 22.1%, respectively. According to the adjusted analysis, anxiety was significantly associated with being female, being young and middle-aged, being unemployed or housewife, having chronic diseases, long time thinking about COVID-19, having family members, friends, and/or relatives infected with COVI-19, and death of family members, relatives or friends due to COVID-19. Same results were also found for depression. Furthermore, depression was associated with being single, being resident in urban area, and having high risk individual in family. Conclusion: The prevalence of anxiety and depression were considerably high in general population of Iran during the COVID-19 pandemic. In addition, the findings suggest that more attention needs to be paid to vulnerable groups such as women, young/middle-aged adults, unemployed people, people with chronic disease. Thus, a holistic approach, including management policies, psychosocial interventions, training, support, and tele-mental health, is absolutely crucial to reduce mental health problems of the COVID-19 and any outbreaks of other infectious diseases.

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The Epidemiological Assessment of Lifestyle Impact on Childhood and Adolescence Psychiatric Disorders in Kohgiloyeh and Boyer-Ahmad Province, Iran

Shiraz E-Medical Journal ◽

10.5812/semj.97902 ◽

2020 ◽

Vol 21 (9) ◽

Author(s):

Rahim Ostovar ◽

Nourrollah Yadegari ◽

Mohammad Reza Mohammadi ◽

Ali Khaleghi ◽

Seyed-Ali Mostafav ◽

...

Keyword(s):

Mental Health ◽

Children And Adolescents ◽

Psychiatric Disorders ◽

Weight Control ◽

Demographic Data ◽

Well Being ◽

P Value ◽

Childhood And Adolescence ◽

Cross Sectional ◽

Children And Adolescent

Background: Children and adolescents are potentially at risk of different psychiatric disorders, and it is important to consider their health, especially their mental health. Objectives: We aimed to design a cross-sectional study to investigate the association between lifestyle-related components with the psychiatric disorders in children and adolescents in Kohgiloyeh and Boyer-Ahmad province (Iran) and to determine its association with different lifestyle-related variables. Methods: In this study, about 1000 children and adolescents aged 6 to 18 years in Kohgiloyeh and Boyer-Ahmad province were selected using stratified cluster random sampling. The reliable Persian version of Kiddie-Sads-Present and Lifetime Version (K-SADS-PL) and the Life Style Questionnaire (LSQ) were instructed using interviewing with participants by our clinical psychologists or, if they were under 14 years, with their parents. Besides, demographic data (i.e., gender, age, location, race, nation, and religion) of participants were also collected. Results: The results showed that, except for the physical activity and well-being, other remaining factors have a significant correlation with psychiatric disorders (P < 0.05). The exact p-value for each factor was as follow: physical health (P = 0.007), sports and well-being (P = 0.057), weight control and nutrition (P = 0.001), prevention of diseases (P = 0.04), mental health-cognitive (P = 0.05), spiritual health (P = 0.008), social health (P = 0.05), drug avoidance (P = 0.001), accident prevention (P = 0.02), and environmental health (P = 0.001). Also, we found that the overall effect of lifestyle was significantly associated with children and adolescent mental disorders (P < 0.05). Conclusions: Our findings show a significant role for lifestyle in the children and adolescents psychiatric disorders. So it should be considered in more detail in future studies.

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The Influence of Illness Perception, Anxiety and Depression Disorders on Students Mental Health during COVID-19 Outbreak in Pakistan: A Web-Based Cross-Sectional Survey

10.21203/rs.3.rs-30128/v1 ◽

2020 ◽

Author(s):

Muhammad Aqeel ◽

Kanwar Hamza Shuja ◽

Jaffar Abbas ◽

Tasnim Rehna ◽

Arash Ziapour

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Illness Perception ◽

Well Being ◽

Health Problems ◽

Anxiety And Depression ◽

Depression Symptoms ◽

Cross Sectional ◽

Web Based ◽

Depression Disorders

Abstract Background: Since the emergence of a coronavirus disease (2019-nCoV) in December 2019, the whole world is in a state of chaos. Isolation strategy with quarantine is a useful model in controlling transmission and rapid spread. As a result, people remained at homes and disrupted their outside daily activities. It led to the closure of educational institutes, which is a source of many students to cope with numerous personal and familial issues. This study focuses on exploring the relationships and potential mediational pathways between mental health problems, illness perception, anxiety, and depression disorders.Method: The study incorporated snowball sampling techniques through a cross-sectional, web-based survey and recruited 500 students from different public and private universities from twin cities, Rawalpindi, and Islamabad from March 23 to April 15, 2020, during the coronavirus outbreak lockdown. The study used four instruments, Beck Depression Scale, Beck Anxiety Inventory, Revised Illness Perception Questionnaire, and The Warwick-Edinburgh Mental Well-being Scale for assessing depression, anxiety, illness perception, and mental health disorders.Results: The findings indicated normal (43.2%) mild (20.5%), moderate (13.6%), and severe (22.7%) level of anxiety prevalence in students. Results specified a normal (65.9%), mild (9.10%), moderate (9.12%), and severe (15.90%) depression prevalence, and findings stipulated that anxiety disorder prevalence was higher than the depression disorder. The correlational results specified a negative and significant relationship between mental health, illness perception, anxiety, and depression symptoms. The multiple regression analysis stated that anxiety and depression disorders mediated the relationship between mental health and present illness perception. The perception of illness exhibited a relation to depression and anxiety disorders.Conclusion: The study proposed a model to address mental health problems during the lockdown. The (2019-nCoV) illness perception developed mental disorders, including anxiety and depression, which has declined individuals' mental health. There is an urgent need for ongoing clinical examination and management to address psychological disorders, and findings suggest assessing mental health to combatting the pandemic worldwide. Findings recommend developing strategies to promote mental healthcare facilities during COVID-19 wide-ranging disasters. These results highlight the impending importance of devising strategies to treat mental health problems.

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Assessing Changes in Lifestyle and Health-Related Behaviors During the COVID-19 Pandemic: A Cross-Sectional Web-Based Survey Among Lebanese Adults

10.21203/rs.3.rs-376219/v1 ◽

2021 ◽

Author(s):

Danielle Saadeh ◽

Aline Hajj ◽

Diana Malaeb ◽

Hala Sacre ◽

Chadia Haddad ◽

...

Keyword(s):

Health Behaviors ◽

Dietary Habits ◽

Well Being ◽

Lifestyle Changes ◽

Psychological Problems ◽

Urban Region ◽

Cross Sectional ◽

Web Based ◽

Health Related Behaviors ◽

Health Related

Abstract Background The novel coronavirus disease 2019 (COVID-19) has quickly become a worldwide threat to human health and has significantly impacted peoples’ lives and changed their lifestyle and health behaviors (LHB). This study aims to assess changes in lifestyle and health-related behaviors such as daily habits, dietary habits, physical activity, sleep patterns, psychological problems, and sexual behaviors among the general population in Lebanon during the COVID-19 pandemic. Methods A cross-sectional web-based survey conducted between January 9 and January 28, 2021, enrolled 403 Lebanese adults. The study questionnaire was developed on Google forms in English and Arabic. It included questions about sociodemographic characteristics, COVID-19, and behavior changes (smoking, alcohol consumption, sexual and hygiene behaviors, and intake of nutritional supplements and immunity-boosting foods), in addition to three scales, i.e., the Lifestyle and Health Behaviors Changes (LHBC-17), WHO-5 Well-being Index, and Fear of COVID-19 scale (FCV-19S). Data analysis was done on SPSS software version 21. Results The mean age of participants was 29.74 ± 10.81 years, with 51.2% of females. Most participants reported that COVID-19 has profoundly affected their LHBs, whether positively or negatively. Female gender (Beta=-2.336), living in Lebanon (Beta=-7.502), smoking nargileh (Beta=-3.433), having a high BMI (Beta=-0.263), and spending more hours per day using electronic devices during the COVID-19 lockdown (Beta=-0.853) were significantly associated with lower LHBC-17 scores (negative LHB changes). Whereas, living in an urban region (Beta = 2.464), having a job (Beta = 1.920), good overall health (Beta = 3.543), a higher quality of life (Beta = 0.204), and having physical (Beta = 2.101) and mental (Beta = 1.586) health unaffected by the COVID-19 lockdown were all significantly associated with higher LHBC-17 scores (positive LHB changes). Conclusions Lebanese adults reported several unfavorable lifestyle changes and psychological problems during the lockdown due to COVID-19. Health-promotion strategies are needed to assess negative changes both on physical or mental health and maintain as much as possible positive health-related behaviors among the Lebanese population.

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Mental Strength and Challenges among Thai Medical Students in Their Clinical Years—Study Protocol

Healthcare ◽

10.3390/healthcare9030305 ◽

2021 ◽

Vol 9 (3) ◽

pp. 305

Author(s):

Tanrin Hiranwong ◽

Patipan Sitthiprawiat ◽

Sirinut Siritikul ◽

Jiraphat Jiwtrakul ◽

Sirilux Klaychaiya ◽

...

Keyword(s):

Mental Health ◽

Medical Students ◽

Mental Health Problems ◽

Character Strengths ◽

Well Being ◽

Health Problems ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Anxiety Depression ◽

Mental Well Being

(1) Background: Mental well-being and mental health problems are both important, especially among medical students who will be future doctors. The proposed study aimed to explore both positive and negative mental health experiences, especially mistreatment, occurring among medical students in their clinical years. (2) Methods/design: The study will conduct a cross-sectional survey between January 2021 and December 2021, among medical students studying in their clinical years across 23 medical schools throughout Thailand. Measurements regarding character strengths related to medical professionalism as well as other positive mental health strengths and negative mental health problems, e.g., anxiety, depression and experience of mistreatment will be completed. Both medical students and faculty members will be invited to participate in the study. (3) Discussion: this survey will provide an overall picture of medical students’ mental well-being, positive and negative aspects of mental health and the magnitude of mistreatment and perspectives they experience. The limitations of the survey will be discussed.

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Health Care Workers' Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland—A Cross-Sectional Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.594340 ◽

2021 ◽

Vol 12 ◽

Author(s):

Sonja Weilenmann ◽

Jutta Ernst ◽

Heidi Petry ◽

Monique C. Pfaltz ◽

Onur Sazpinar ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Health Care Workers ◽

Well Being ◽

Perceived Support ◽

Independent Effect ◽

Cross Sectional ◽

Frontline Staff ◽

Care Workers ◽

Anxiety Depression

Objective: The current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs). This may affect their mental health, which is crucial to maintain high quality medical care during a pandemic. Existing evidence suggests that HCWs, especially women, nurses, frontline staff, and those exposed to COVID-19 patients, are at risk for anxiety and depression. However, a comprehensive overview of risk and protective factors considering their mutual influence is lacking. Therefore, this study aimed at exploring HCWs' mental health during the SARS-CoV-2 pandemic in Switzerland, investigating the independent effect of various demographic, work- and COVID-related factors on HCWs' mental health.Methods: In an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 1,406 HCWs during the beginning of the SARS-CoV-2 pandemic in Switzerland. Network analysis was used to investigate the associations among the included variables.Results: Women (compared to men), nurses (compared to physicians), frontline staff (compared to non-frontline workers), and HCWs exposed to COVID-19 patients (compared to non-exposed) reported more symptoms than their peers. However, these effects were all small. Perceived support by the employer independently predicted anxiety and burnout after adjustment for other risk factors.Conclusion: Our finding that some HCWs had elevated levels of anxiety, depression, and burnout underscores the importance to systematically monitor HCWs' mental health during this ongoing pandemic. Because perceived support and mental health impairments were negatively related, we encourage the implementation of supportive measures for HCWs' well-being during this crisis.

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Health Care Workers’ Mental Health During the First Weeks of the SARS-CoV-2 Pandemic in Switzerland – A Cross-Sectional Study

10.31219/osf.io/zs4tp ◽

2020 ◽

Author(s):

Sonja Weilenmann ◽

Jutta Ernst ◽

Heidi Petry ◽

Monique Pfaltz ◽

Onur Sazpinar ◽

...

Keyword(s):

Mental Health ◽

Health Care ◽

Network Analysis ◽

Health Care Workers ◽

Well Being ◽

Perceived Support ◽

Independent Effect ◽

Cross Sectional ◽

Care Workers ◽

Anxiety Depression

Background: The current SARS-CoV-2 pandemic poses various challenges for health care workers (HCWs), which may impair their mental health. First evidence from China suggests that HCWs are at risk for anxiety and depression. However, generalizability to western countries is limited. The current study aimed at exploring HCWs’ mental health during the SARS-CoV-2 pandemic in Switzerland. In addition, we conducted a network analysis to investigate the independent effect of risk and protective factors on HCWs’ mental health and their interplay.Methods: In an exploratory, cross-sectional, nation-wide online survey, we assessed demographics, work characteristics, COVID-19 exposure, and anxiety, depression, and burnout in 857 physicians and 553 nurses during the pandemic in Switzerland. At the time of data collection, Switzerland had among the highest per capita rate of COVID-19 cases in the world.Results: Overall symptom levels of anxiety, depression, and burnout were elevated. Women, nurses, frontline staff and HCWs exposed to COVID-19 patients reported more symptoms than their peers. However, these effects were all small and, in the network analysis, most of them did not remain significant after controlling for the other factors. Whereas COVID-19 exposure was only partially associated with mental health, perceived support by the employer independently predicted anxiety and burnout. Conclusions: Our finding that HCWs had elevated levels of anxiety, depression, and burnout underscores the importance to systematically monitor HCWs’ mental health during this ongoing pandemic. Because perceived support and mental health impairments were negatively related, we encourage the implementation of supportive measures for HCWs’ well-being during this crisis.

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Special Issue on Mental Health and Well-Being in Adolescence: Environment and Behavior

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18062975 ◽

2021 ◽

Vol 18 (6) ◽

pp. 2975

Author(s):

Javier Ortuño-Sierra ◽

Beatriz Lucas-Molina ◽

Félix Inchausti ◽

Eduardo Fonseca-Pedrero

Keyword(s):

Mental Health ◽

Well Being ◽

Psychological Problems ◽

Special Issue ◽

Children And Adolescent ◽

Environment And Behavior ◽

And Behavior ◽

Health And Well Being

Psychological problems in children and adolescent populations range from 10% to 20% [...]

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Mediation of Coping Strategies among Patients with Advanced Cancer

Clinical Nursing Research ◽

10.1177/10547738211003276 ◽

2021 ◽

pp. 105477382110032

Author(s):

Nurul Huda ◽

Yun-Yen ◽

Hellena Deli ◽

Malissa Kay Shaw ◽

Tsai-Wei Huang ◽

...

Keyword(s):

Psychological Distress ◽

Coping Strategies ◽

Advanced Cancer ◽

Well Being ◽

Cross Sectional ◽

Correlational Research ◽

Resampling Procedure ◽

Relationship Of ◽

Anxiety Depression ◽

The Relationship

The purpose of this study was to test the mediating effects of coping on relationships of psychological distress and stress with anxiety, depression, and quality of life. A cross-sectional and correlational research study was used to recruit a sample of 440 patients with advanced cancer in Indonesia. A bootstrap resampling procedure was used to test the significance of the total and specific indirect effects of coping. Data analysis showed that problem-focused coping (PFC) mediated relationships of psychological distress and stress on depression, anxiety and functional well-being. PFC also mediated the relationship between stress and social well-being. Emotional-focused coping (EFC) mediated the relationship of stress with physical and emotional well-being. EFC also mediated the relationships between psychological distress and physical well-being. Thus, proper assessments and interventions should be tailored and implemented for patients in order to facilitate their use of coping strategies when needed in stressful situations.

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