scholarly journals A multi-cohort consortium for GEnder-Sensitive Analyses of mental health trajectories and implications for prevention (GESA) in the general population in Germany

BMJ Open ◽  
2020 ◽  
Vol 10 (2) ◽  
pp. e034220 ◽  
Author(s):  
Juliane Burghardt ◽  
Ana Nanette Tibubos ◽  
Danielle Otten ◽  
Elmar Brähler ◽  
Harald Binder ◽  
...  
Keyword(s):  
Mental Health ◽  
Gender Differences ◽  
Protective Factors ◽  
Medical Training ◽  
Risk And Protective Factors ◽  
Population Based ◽  
Health Study ◽  
North East ◽  
Health Trajectories ◽  
Secondary Outcomes

IntroductionMental health is marked by gender differences. We formed a multi-cohort consortium to perform GEnder-Sensitive Analyses of mental health trajectories and study their implications for prevention (GESA). GESA aims at (1) identifying gender differences regarding symptoms and trajectories of mental health over the lifespan; (2) determining gender differences regarding the prevalence, impact of risk and protective factors; and (3) determining effects of mental health on primary and secondary outcomes (eg, quality of life, healthcare behaviour and utilisation).Methods and analysisWe plan to perform secondary analyses on three major, ongoing, population-based, longitudinal cohorts (Gutenberg Health-Study (GHS), Study of Health in Pomerania (SHIP), Cooperative Health Research in the Augsburg Region (KORA)) with data on mental and somatic symptoms, medical assessments and diagnoses in north-east, middle and southern Germany (n>40 000). Meta-analytic techniques (using DataSHIELD framework) will be used to combine aggregated data from these cohorts. This process will inform about heterogeneity of effects. Longitudinal regression models will estimate sex-specific trajectories and effects of risk and protective factors and secondary outcomes.Ethics and disseminationThe cohorts were approved by the ethics committees of the Statutory Physician Board of Rhineland-Palatinate (837.020.07; GHS), the University of Greifswald (BB 39/08; SHIP) and the Bavarian Chamber of Physicians (06068; KORA). Together with stakeholders in medical care and medical training, findings will be translated and disseminated into gender-sensitive health promotion and prevention.

scholarly journals Stress, development and mental health study, the follow-up study of Finnish TAM cohort from adolescence to midlife: cohort profile

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e046654
Author(s):  
Noora Berg ◽  
Olli Kiviruusu ◽  
Jenna Grundström ◽  
Taina Huurre ◽  
Mauri Marttunen
Keyword(s):  
Mental Health ◽  
Cohort Study ◽  
Protective Factors ◽  
Risk And Protective Factors ◽  
Self Esteem ◽  
Health Study ◽  
Stress Development ◽  
Longitudinal Associations ◽  
Mental Health Study

PurposeThis cohort profile describes the Stress, development and mental health study (TAM), which is a cohort study investigating risk and protective factors as well as longitudinal associations regarding mental health and well-being from adolescence to midlife. This interdisciplinary cohort study operates, for example, in the fields of public health, social medicine, psychiatry and the life course perspective.ParticipantsIn 1981 (n=2242, 98.0% of the target population), 1982 (n=2191, 95.6%) and 1983 (n=2194, 96.7%) during school classes, surveys were conducted to all Finnish-speaking pupils (mostly born 1967) in the Tampere region in Finland. Participants of the school study at age 16 in 1983 (n=2194) comprised the base population for the longitudinal data and were followed-up using postal questionnaires in the years 1989, 1999, 2009 and 2019 at ages 22 (n=1656, 75.5% of the age 16 participants), 32 (n=1471, 67.0%), 42 (n=1334, 60.8%) and 52 (n=1160, 52.9%).Findings to dateThe self-reported questionnaires include information on physical and mental health (eg, depression and mood disorders, anxiety disorders), health behaviour and substance misuse (eg, alcohol, tobacco and exercise), socioeconomic conditions, psychosocial resources (eg, self-esteem), social relationships and support, life events, etc. The numerous studies published to date have examined mental health and various factors from several perspectives such as risk and protective factors, individual developmental paths (eg, trajectories) and pathway models (mediation and moderation).Future plansCurrent and future research areas include, for example, longitudinal associations between mental health (eg, depressive symptoms, self-esteem) and (1) substance use (alcohol and tobacco), (2) family transitions (eg, parenthood, relationship status) and (3) retirement. Next follow-up is planned to be conducted at the latest at age 62 in 2029. Before that it is possible to link the data with cause-of-death register.

scholarly journals Longitudinal Changes in Life Satisfaction and Mental Health in Emerging Adulthood During the COVID-19 Pandemic. Risk and Protective Factors

2021 ◽  
pp. 216769682110421
Author(s):  
Richard Preetz ◽  
Andreas Filser ◽  
Ana Brömmelhaus ◽  
Tim Baalmann ◽  
Michael Feldhaus
Keyword(s):  
Mental Health ◽  
Life Satisfaction ◽  
Protective Factors ◽  
Emerging Adults ◽  
Risk And Protective Factors ◽  
Change Score ◽  
Financial Strain ◽  
Longitudinal Changes ◽  
Daily Routines ◽  
Health Trajectories

The COVID-19 pandemic has disrupted emerging adults’ daily routines due to social distancing, stay-at-home orders, and public and educational facilities’ closure. This article uses longitudinal panel data from Germany ( N = 625) to explore how the COVID-19 pandemic affects emerging adults’ mental health and life satisfaction. Specifically, we investigate risk and protective factors for within-person changes in life satisfaction and mental health using change score models. Our analysis reveals three main findings. First, we find a significant decline in emerging adults’ life satisfaction and mental health compared to pre-pandemic levels. Second, results show heterogeneity in life satisfaction and mental health trajectories. Third, limited peer contacts, financial strain, and returning to the parental home act as risk factors for longitudinal changes. Social integration, having an intimate partner, and self-efficacy act as protective factors. We discuss the implications of our findings for the consequences of the pandemic for emerging adults.

Longitudinal courses of suicidal ideation in U.S. military veterans: a 7-year population-based, prospective cohort study

2021 ◽  
pp. 1-10
Author(s):  
Sarah Herzog ◽  
Jack Tsai ◽  
Brandon Nichter ◽  
Lorig Kachadourian ◽  
Ilan Harpaz-Rotem ◽  
...  
Keyword(s):  
Suicidal Ideation ◽  
Protective Factors ◽  
Physical Health ◽  
Social Connectedness ◽  
Risk And Protective Factors ◽  
Population Based ◽  
Baseline Risk ◽  
Relative Risk Ratio ◽  
National Probability Sample ◽  
New Onset

Abstract Background Varied longitudinal courses of suicidal ideation (SI) may be linked to unique sets of risk and protective factors. Method A national probability sample of 2291 U.S. veterans was followed over four assessments spanning 7 years to examine how a broad range of baseline risk and protective factors predict varying courses of SI. Results Most veterans (82.6%) denied SI at baseline and all follow-ups, while 8.7% had new onset SI, 5.4% chronic SI, and 3.3% remitted SI. Compared to the no-SI group, chronic SI was associated with childhood trauma, baseline major depressive and/or posttraumatic stress disorder (MDD/PTSD), physical health difficulties, and recent traumatic stressors. Remitted veterans had the highest risk of a prior suicide attempt (SA) compared to no-SI [relative risk ratio (RRR) = 3.31] and chronic SI groups (RRR = 4.65); and high rates of MDD/PTSD (RRR = 7.62). New onset SI was associated with recent stressors and physical health difficulties. All symptomatic SI groups reported decrements in protective factors, specifically, social connectedness, trait curiosity/exploration, and purpose in life. Conclusion Nearly one-in-five veterans reported SI over a 7-year period, most of whom evidenced new onset or remitted SI courses. Chronic and remitted SI may represent particularly high-risk SI courses; the former was associated with higher rates of prospective SA, and psychiatric and physical distress, and the latter with increased likelihood of prior SA, and isolation from social and mental health supports. Physical disability, MDD/PTSD, and recent stressors may be important precipitating or maintaining factors of SI, while social connectedness may be a key target for suicide prevention efforts.

scholarly journals Self-harm and suicidal behaviour in Ghana: a systematic review protocol

BMJ Open ◽  
2021 ◽  
Vol 11 (12) ◽  
pp. e053144
Author(s):  
Emmanuel Nii-Boye Quarshie ◽  
Kwaku Oppong Asante ◽  
Johnny Andoh-Arthur
Keyword(s):  
Mental Health ◽  
Systematic Review ◽  
Global Health ◽  
Protective Factors ◽  
Suicide Prevention ◽  
Suicidal Behaviour ◽  
Observational Studies ◽  
Risk And Protective Factors ◽  
Prevalence Estimates ◽  
Self Harm

IntroductionSelf-harm and suicidal behaviour represent major global health problems, which account for significant proportions of the disease burden in low-income and middle-income countries, including Ghana. This review aims to synthesise the available and accessible evidence on prevalence estimates, correlates, risk and protective factors, the commonly reported methods and reasons for self-harm and suicidal behaviour in Ghana.Methods and analysisWe will conduct a systematic review reported according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses statement (2009) recommendations. Regional and global electronic databases (African Journals OnLine, African Index Medicus, APA PsycINFO, Global Health, MEDLINE and PubMed) will be searched systematically up to December 2021 for observational studies and qualitative studies that have reported prevalence estimates, correlates, risk and protective factors, methods and reasons for self-harm and suicidal behaviour in Ghana. The electronic database searches will be supplemented with reference harvesting and grey literature searching in Google Scholar and ProQuest Dissertations & Theses Global for postgraduate dissertations. Only records in English will be included. The Mixed Methods Appraisal Tool (2018) will be used to assess the methodological quality of included studies. Meta-analysis or narrative synthesis or both will be used, contingent on the extent of heterogeneity across eligible observational studies.Ethics and disseminationConsidering that this is a systematic review of accessible and available literature, we will not seek ethical approval. On completion, this review will be submitted to a peer-reviewed journal, be disseminated publicly at (mental) health conferences with focus on self-harm and suicide prevention. The important findings would also be shared with key national stakeholder groups in Ghana: Ghana Association for Suicide Prevention, Ghana Mental Health Authority, Ghana Psychological Association, Centre for Suicide and Violence Research, Accra and the Parliamentary Select Committee on Health.Prospero registration numberCRD42021234622.

Gender Differences in the Risk and Protective Factors Associated With PTSD: A Prospective Study of National Guard Troops Deployed to Iraq

Psychiatry ◽  
2013 ◽  
Vol 76 (3) ◽  
pp. 256-272 ◽  
Author(s):  
Anna Kline ◽  
Donald S. Ciccone ◽  
Marc Weiner ◽  
Alejandro Interian ◽  
Lauren St. Hill ◽  
...  
Keyword(s):  
Gender Differences ◽  
Protective Factors ◽  
Prospective Study ◽  
National Guard ◽  
Risk And Protective Factors ◽  
Factors Associated ◽  
A Prospective Study

scholarly journals A systematic review of risk and protective factors of mental health in unaccompanied minor refugees

2020 ◽  
Author(s):  
Edgar Höhne ◽  
Anna Swantje van der Meer ◽  
Inge Kamp-Becker ◽  
Hanna Christiansen
Keyword(s):  
Mental Health ◽  
Protective Factors ◽  
Predictive Factors ◽  
Mental Health Problems ◽  
Risk And Protective Factors ◽  
Poor Mental Health ◽  
Qualitative Synthesis ◽  
Cross Sectional ◽  
Unaccompanied Minor Refugees ◽  
Minor Refugees

Abstract In recent years, there has been a rising interest in the mental health of unaccompanied minor refugees (UMR), who are a high-risk group for mental disorders. Especially the investigation of predictive factors of the mental health of young refugees has received increasing attention. However, there has been no review on this current issue for the specific group of UMR so far. We aimed to summarize and evaluate the existing findings of specific risk and protective factors to identify the most verified influences on the mental health of UMR. Therefore, we conducted a systematic literature search. Study designs were limited to quantitative cross-sectional and longitudinal designs. Eight databases were searched in four different languages and article reference lists of relevant papers were screened. 27 studies were included (N = 4753). Qualitative synthesis revealed the number of stressful life events to be the most evaluated and verified risk factor for mental health of UMR. A stable environment and social support, on the other hand, can protect UMR from developing poor mental health. Besides that, several other influencing factors could be pointed out, such as type of accommodation, family contact, gender and cultural competences. Because of the large heterogeneity of outcome measures, quantitative synthesis was not possible. This review helps to improve our understanding of determinants of UMRs mental health and thus to provide more targeted treatment. Furthermore, it provides information on how to prevent the development of mental health problems by specifying factors that can be modified by different health and immigration sectors in advance. Further research is needed focusing on the interaction between the various predictive factors.

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