scholarly journals Development of a dual-factor measure of adolescent mental health: an analysis of cross-sectional data from the 2014 Canadian Health Behaviour in School-aged Children (HBSC) study

BMJ Open ◽  
2021 ◽  
Vol 11 (9) ◽  
pp. e041489
Author(s):  
Nathan King ◽  
Colleen M Davison ◽  
William Pickett

IntroductionStudies of adolescent mental health require valid measures that are supported by evidence-based theories. An established theory is the dual-factor model, which argues that mental health status is only fully understood by incorporating information on both subjective well-being and psychopathology.ObjectivesTo develop a novel measure of adolescent mental health based on the dual-factor model and test its construct validity.DesignCross-sectional analysis of national health survey data.Setting and participantsNationally weighted sample of 21 993 grade 6–10 students; average age: 14.0 (SD 1.4) years from the 2014 Canadian Health Behaviour in School-aged Children study.MeasuresSelf-report indicators of subjective well-being (life satisfaction, positive and negative affect), and psychopathology (psychological symptoms and overt risk-taking behaviour) were incorporated into the dual-factor measure. Characteristics of adolescents families, specific mental health indicators and measures of academic and social functioning were used in the assessment of construct validity.ResultsProportions of students categorised to the four mental health groups indicated by the dual-factor measure were 67.6% ‘mentally healthy’, 17.5% ‘symptomatic yet content’, 5.5% ‘asymptomatic yet discontent’ and 9.4% ‘mentally unhealthy’. Being mentally healthy was associated with the highest functioning (greater social support and academic functioning) and being mentally unhealthy was associated with the worst. A one-unit increase (ranges=0–10) in peer support (OR 1.19; 95% CI 1.15 to 1.22), family support (OR 1.32; 95% CI 1.28 to 1.36), student support (OR 1.20; 95% CI 1.17 to 1.24) and average school marks (OR 1.18; 95% CI 1.10 to 1.27) increased the odds of being symptomatic yet content versus mentally unhealthy. Mentally healthy youth were the most likely to live with both parents (77% vs ≤65%) and report their family as well-off (62% vs ≤53%).ConclusionsWe developed a novel, construct valid dual-factor measure of adolescent mental health. This potentially provides a nuanced and comprehensive approach to the assessment of adolescent mental health that is direly needed.

2017 ◽  
Vol 64 (05) ◽  
pp. 1371-1395
Author(s):  
CHANTAL HERBERHOLZ ◽  
NATTAYA PRAPAIPANICH

Empirical evidence of the conspicuous consumption theory is limited and ambiguous. It has been shown, however, that the consumption of life experiences makes people happier than the consumption of material goods. Yet, these studies typically conduct dichotomous comparisons and do not distinguish between conspicuous and inconspicuous consumption. Conspicuous and inconspicuous online social networking devices (OSND) are experiential goods and as such fall between life experiences and material goods. The objective of this paper, thus, is to examine the relationship between conspicuous consumption of OSND and subjective well-being, which is proxied by happiness and mental health. Cross-sectional data ([Formula: see text]) were collected in 2015 using probability sampling. The ordered logistic regression results reveal that conspicuous consumption of OSND is negatively related with happiness and mental health in all regressions as hypothesized, while the coefficient on inconspicuous consumption of OSND is positive. Also, the number of virtual friends is negatively associated with happiness. Among the control variables, it is noteworthy that respondents with high blood pressure, used to capture physical health, have lower happiness and mental health, while respondents with higher education and high own monthly income exhibit higher happiness and mental health. Respondents, whose personality can best be characterized as “agreeable”, have lower happiness and mental health which is in line with the old saying that “nice guys finish last”.


2020 ◽  
pp. jech-2020-214578
Author(s):  
Jaquelyn L Jahn ◽  
Madina Agenor ◽  
Jarvis T Chen ◽  
Nancy Krieger

BackgroundNational monitoring of police–public contact does not extend below age 16 and few studies have examined associations with adolescent mental health.MethodsWe describe the distribution of police stops in a nationally representative cross-sectional sample of adolescents ages 12 to 18 years in the Panel Study of Income Dynamics Child Development Supplement 2002 and 2007 (n=2557). We used survey-weighted race/ethnicity-stratified and gender-stratified regression models to examine associations between the frequency of police stops and both depressive symptoms and subjective well-being (emotional, psychological and social). We adjusted for several socioeconomic covariates and evaluated effect modification by parental incarceration.ResultsWe estimated that 9.58% of adolescents were stopped two or more times. Despite fewer police stops compared with boys, Black and White girls who were stopped at least two times in the last 6 months had higher average depression scores relative to girls who were not stopped (Black: 2.13 (95% CI: 0.73 to 3.53), White: 2.17 (95% CI: 1.07 to 3.27)) and these associations were stronger among girls whose parents had been incarcerated. Police stops were significantly associated with higher depressive scores for White, but not Black, boys (2+ vs 0 stops: White: 1.33 (95% CI: 0.31 to 2.36, Black: 0.53 (95% CI: –0.28 to 1.34)). Associations between subjective well-being and police stops were stronger among non-Hispanic Black relative to White girls, whereas for boys, associations varied across subjective well-being subscales.ConclusionNational monitoring data and public health research should examine adolescent police contact at younger ages stratified by both race/ethnicity and gender in order to better understand its relationship with adolescent mental health.


2020 ◽  
Vol 19 (1) ◽  
Author(s):  
Nour Hammami ◽  
Scott T. Leatherdale ◽  
Frank J. Elgar

Abstract Background Youth who go hungry have poorer mental health than their counterparts – there are gender differences in this relationship. This study investigated the role of social support in the association between hunger and mental health among a nationally representative sample of youth in Canada in gender-specific analyses. Methods We used a probability-based sample of 21,750 youth in grades 6–10 who participated in the 2017–2018 Canadian Health Behaviour in School-aged Children. Self-report data were gathered on hunger, mental health (measured via the World Health Organization-5 well-being index) and five sources of support – peer, family and teacher support as well as the school climate and neighborhood support. We conducted adjusted, gender-specific, multilevel regression analyses assessing the association between mental health, social support and hunger. Results We found that youth who reported lower support were more likely to experience going to bed hungry (relative to never hungry) across all support factors. As for the social support factors, all the social support factors were associated with a higher mental health score, even after controlling for hunger. Despite these results our final set of models showed that our measures of social support did not alleviate the negative association between hunger and mental health. As for gender-specific findings, the negative association between hunger and a mental health was more pronounced among females relative to their male counterparts. We also found that certain social support factors (i.e., family, teacher and neighborhood support) were associated with a higher mental health score among females relative to males while controlling for hunger status. Conclusions We find that five social support factors are associated with a higher mental health score among ever hungry youth; however, social support did not overpower the negative association between hunger and mental health. Food insecurity is a challenge to address holistically; however, hungry youth who have high social support have higher odds of better mental health.


2020 ◽  
Vol 12 (4) ◽  
pp. 786-800
Author(s):  
Kimberly J. Petersen ◽  
Neil Humphrey ◽  
Pamela Qualter

Abstract Mental health is complex, comprising both mental distress and well-being. This study used latent class analysis to identify common combinations of mental distress and well-being (‘mental health classes’) among schoolchildren aged 8–9 years (N = 3340). Thirteen items, measuring a range of conduct problems, emotional symptoms, and subjective well-being, were included in the analysis. Four mental health classes were identified: (1) complete mental health (n = 1895, 57%), (2) vulnerable (n = 434, 13%), (3) emotional symptoms but content (n = 606, 18%), and (4) conduct problems but content (n = 404, 12%). The classes were reliably identified across different datasets, and for males and females. Differential relations with covariates indicated that mental health classes were distinct and externally valid. The results supported the dual-factor model of mental health, suggesting that mental distress and subjective well-being are separate continua. Three of the four possible combinations of high and low distress and subjective well-being posited by the dual-factor model were found using this inductive statistical method. Importantly, our analysis also revealed two ‘symptomatic but content’ groups, differentiated by symptom domain (internalising/externalising). The covariate analyses between mental health classes and sociodemographic factors, prior academic attainment, school connectedness, and peer support, indicated that there are nuanced relations between those variables and particular constellations of mental distress and well-being. As one of the few dual-factor studies to focus on middle childhood, the current study adds important new evidence that contributes to our understanding of the complexities of mental health among schoolchildren.


BMJ Open ◽  
2019 ◽  
Vol 9 (4) ◽  
pp. e027289 ◽  
Author(s):  
Amy Mizen ◽  
Jiao Song ◽  
Richard Fry ◽  
Ashley Akbari ◽  
Damon Berridge ◽  
...  

IntroductionStudies suggest that access and exposure to green-blue spaces (GBS) have beneficial impacts on mental health. However, the evidence base is limited with respect to longitudinal studies. The main aim of this longitudinal, population-wide, record-linked natural experiment, is to model the daily lived experience by linking GBS accessibility indices, residential GBS exposure and health data; to enable quantification of the impact of GBS on well-being and common mental health disorders, for a national population.Methods and analysisThis research will estimate the impact of neighbourhood GBS access, GBS exposure and visits to GBS on the risk of common mental health conditions and the opportunity for promoting subjective well-being (SWB); both key priorities for public health. We will use a Geographic Information System (GIS) to create quarterly household GBS accessibility indices and GBS exposure using digital map and satellite data for 1.4 million homes in Wales, UK (2008–2018). We will link the GBS accessibility indices and GBS exposures to individual-level mental health outcomes for 1.7 million people with general practitioner (GP) data and data from the National Survey for Wales (n=~12 000) on well-being in the Secure Anonymised Information Linkage (SAIL) Databank. We will examine if these associations are modified by multiple sociophysical variables, migration and socioeconomic disadvantage. Subgroup analyses will examine associations by different types of GBS. This longitudinal study will be augmented by cross-sectional research using survey data on self-reported visits to GBS and SWB.Ethics and disseminationAll data will be anonymised and linked within the privacy protecting SAIL Databank. We will be using anonymised data and therefore we are exempt from National Research Ethics Committee (NREC). An Information Governance Review Panel (IGRP) application (Project ID: 0562) to link these data has been approved.The research programme will be undertaken in close collaboration with public/patient involvement groups. A multistrategy programme of dissemination is planned with the academic community, policy-makers, practitioners and the public.


2007 ◽  
Vol 10 (4) ◽  
pp. 364-370 ◽  
Author(s):  
Michal Molcho ◽  
Saoirse Nic Gabhainn ◽  
Colette Kelly ◽  
Sharon Friel ◽  
Cecily Kelleher

AbstractObjectivesTo investigate the relationships between food poverty and food consumption, health and life satisfaction among schoolchildren.DesignAnalysis of the 2002 Health Behaviour in School-aged Children (HBSC) study, a cross-sectional survey that employs a self-completion questionnaire in a nationally representative random sample of school classrooms in the Republic of Ireland.SubjectsA total of 8424 schoolchildren (aged 10–17 years) from 176 schools, with an 83% response rate from children.ResultsFood poverty was found to be similarly distributed among the three social classes (15.3% in the lower social classes, 15.9% in the middle social classes and 14.8% in the higher social classes). It was also found that schoolchildren reporting food poverty are less likely to eat fruits, vegetables and brown bread, odds ratio (OR) from 0.66 (95% confidence interval (CI) 0.45–0.87) to 0.81 (95% CI 0.63–0.99); more likely to eat crisps, fried potatoes and hamburgers, OR from 1.20 (95% CI 1.00–1.40) to 1.62 (95% CI 1.39–1.85); and more likely to miss breakfast on weekdays, OR from 1.29 (95% CI 0.33–1.59) to 1.72 (95% CI 1.50–1.95). The risk of somatic and mental symptoms is also increased, OR from 1.48 (95% CI 1.18–1.78) to 2.57 (95% CI 2.33–2.81); as are negative health perceptions, OR from 0.63 (95% CI 0.43–0.83) to 0.52 (95% CI 0.28–0.76) and measures of life dissatisfaction, OR from 1.88 (95% CI 1.64–2.12) to 2.25 (95% CI 2.05–2.45). Similar results were found for life dissatisfaction in an international comparison of 32 countries. All analyses were adjusted for age and social class.ConclusionsFood poverty in schoolchildren is not restricted to those from lower social class families, is associated with a substantial risk to physical and mental health and well-being, and requires the increased attention of policy makers and practitioners.


2020 ◽  
pp. 016402752097514
Author(s):  
Sunwoo Lee

This study examined the relationship between material adversities due to pandemic crisis, institutional trust, and subjective well-being and mental health among middle-aged and older adults aged 50+ in Europe. The study used a cross-sectional design to examine Eurofound COVID-19 survey data collected from 27 European countries in April 2020. A total of 31,757 European middle aged and older adults aged 50 + were analyzed (Mean = 59.99, SD = 7.03). Analysis focused on the financial impact and material security in relation to pandemic lockdown, institutional trust (news media, police, national government, European Union, and healthcare system), and subjective well-being and mental health. Regression analysis indicated perceived insecurity in employment and housing, worsening finances, and difficulty paying for basic necessities were significantly related to respondents’ life satisfaction, happiness, self-rated health, mental health index, and psychological distress. Institutional trust partially mediated the relationship between perceived adversities and subjective well-being and mental health.


PLoS ONE ◽  
2021 ◽  
Vol 16 (9) ◽  
pp. e0255940
Author(s):  
Lucas Monzani ◽  
Gerard H. Seijts ◽  
Mary M. Crossan

We investigated the relationship between self-ratings of leader character and follower positive outcomes—namely, subjective well-being, resilience, organizational commitment, and work engagement—in a public-sector organization using a time-lagged cross-sectional design involving 188 leader—follower dyads and 22 offices. Our study is an important step forward in the conceptual development of leader character and the application of character to enhance workplace practices. We combined confirmatory factor analysis and network-based analysis to determine the factorial and network structure of leader character. The findings revealed that a model of 11 inter-correlated leader character dimensions fit the data better than a single-factor model. Further, judgment appeared as the most central dimension in a network comprising the 11 character dimensions. Moreover, in a larger network of partial correlations, two ties acted as bridges that link leader character to follower positive outcomes: judgment and drive. Implications for theory and practice are discussed.


BMJ Open ◽  
2020 ◽  
Vol 10 (1) ◽  
pp. e030354 ◽  
Author(s):  
Fiona McNicholas ◽  
Sonita Sharma ◽  
Cliodhna Oconnor ◽  
Elizabeth Barrett

Physician burnout has reached epidemic levels in many countries, contributing to adverse personal, patient and service outcomes. Adverse socioeconomic conditions, such as the economic downturn in the Ireland post 2008, contribute to a situation of increased demand but inadequate resources. Given a recent unprecedented increase in referrals to Irish child and adolescent mental health services (CAMHS), coupled with a fragmented and poorly resourced service, it is important to reflect on consultant child psychiatrists’ well-being.ObjectivesTo report on the level of burnout among consultants working in CAMHS in Ireland using a cross-sectional design.SettingCommunity CAMHS in Ireland.ParticipantsAn online questionnaire was sent to all consultant child psychiatrists registered with the Irish Medical Council (n=112). Fifty-two consultants replied (46% response rate).Primary outcome measuresQuestions assessed demographic and occupational details, career satisfaction and perceived management, government and public support. The Copenhagen Burnout Inventory measured personal, work and patient-related burnout.ResultsThe prevalence of moderate or higher levels of work-related and personal burnout was 75% and 72.3%, respectively. Fewer (n=14, 26.9%) experienced patient-related burnout. There was a strong correlation between work burnout and personal (r=0.851, n=52, p<0.001) and patient-related burnout (r=0.476, n=52, p<0.001). Lack of confidence in government commitment to investment in CAMHS (p<0.001) and perceived ineffective management by health authorities (p=0.002) were associated with higher burnout scores. Few consultants (n=11, 21%) felt valued in their job. The majority (n=36, 69%) had seriously considered changing jobs, and this was positively associated with higher burnout (p<0.001). Higher burnout scores were present in those (n=15, 28.8%) who would not retrain in child psychiatry (p=0.002).ConclusionThe high level of burnout reported by respondents in this study, and ambivalence about child psychiatry as a career choice has huge professional and service implications. Urgent organisational intervention to support consultant psychiatrists’ well-being is required.


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