Importance of living arrangements and coparenting quality for young children’s mental health after parental divorce: a cross-sectional parental survey

BackgroundParental separation has been associated with adverse child mental health outcomes in the literature. For school-aged children, joint physical custody (JPC), that is, spending equal time in both parents’ homes after a divorce, has been associated with better health and well-being than single care arrangements. Preschool children’s well-being in JPC is less studied. The aim of this study was to investigate the association of living arrangements and coparenting quality with mental health in preschool children after parental separation.MethodsThis cross-sectional population-based study includes 12 845 three-year-old children in Sweden. Mental health was measured by parental reports of the Strength and Difficulties Questionnaire and coparenting quality with a four-item scale. The living arrangements of the 642 children in non-intact families were categorised into JPC, living mostly with one parent and living only with one parent.ResultsLinear regression models, adjusted for sociodemographic confounders, showed an association between increased mental health problems and living mostly and only with one parent (B=1.18; 95% CI 0.37 to 2.00, and B=1.20; 95% CI 0.40 to 2.00, respectively), while children in intact families vs JPC did not differ significantly (B=−0.11; 95% CI −0.58 to 0.36). After adjusting the analyses for coparenting quality, differences in child mental health between the post divorce living arrangements were, however, minimal while children in intact families had more mental health problems compared with JPC (B=0.70; 95% CI 0.24 to 1.15). Factorial analysis of covariance revealed that low coparenting quality was more strongly related to mental health problems for children in intact families and JPC compared with children living mostly or only with one parent.ConclusionsThis study suggests that coparenting quality is a key determinant of mental health in preschool children and thus should be targeted in preventive interventions.

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Association of Child Mental Health with Child and Family Characteristics in Rural China: A Cross-Sectional Analysis

International Journal of Environmental Research and Public Health ◽

10.3390/ijerph18105107 ◽

2021 ◽

Vol 18 (10) ◽

pp. 5107

Author(s):

Huan Wang ◽

Cody Abbey ◽

Xinshu She ◽

Scott Rozelle ◽

Xiaochen Ma

Keyword(s):

Mental Health ◽

Child Mental Health ◽

Primary Schools ◽

Mental Health Problems ◽

Rural China ◽

Health Problems ◽

Social Contexts ◽

Family Characteristics ◽

Contributing Factors ◽

Cross Sectional

Assessing the mental health problems encountered by school children and understanding the contributing factors are crucial to inform strategies aimed at improving mental health in low-resource contexts. However, few studies have investigated the mental health problems among disadvantaged children in poorer countries. This study examines the prevalence of mental health problems in rural China and their association with child and family characteristics. The study uses survey data from 9696 children in 120 rural primary schools and measures child mental health using the Strengths and Difficulties Questionnaire (SDQ). Overall, 17.9% of the sample children were found to be in the abnormal range of the SDQ total difficulties scores. The mean score was 12.93 (SD = 4.94). Abnormal scores were associated with child and family characteristics, including older child age (Odds Ratio, OR = 0.704, 95% CI: 0.611, 0.810; p < 0.001), gender (OR = 1.235, 95% CI: 1.112, 1.371; p < 0.001), and academic performance (OR = 0.421, 95% CI: 0.369, 0.480; p < 0.001). Reading time was found to be protective for mental health. Risk factors include excessive screen time (OR = 1.685, 95% CI: 1.409, 2.016; p < 0.001) and being bullied (OR = 3.695, 95% CI: 3.301, 4.136; p < 0.001). Our study suggests that future mental health illness prevention programs in rural China should consider targeting different aspects of children’s social contexts.

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Study of correlation between social determinants on mental health status of adolescent school students of Patna, Bihar, India

International Journal of Contemporary Pediatrics ◽

10.18203/2349-3291.ijcp20202617 ◽

2020 ◽

Vol 7 (7) ◽

pp. 1561

Author(s):

Anil Kumar Tiwari ◽

Anil Kumar Jaiswal

Keyword(s):

Mental Health ◽

Social Determinants ◽

Mental Health Problems ◽

Well Being ◽

Health Problems ◽

School Students ◽

Cross Sectional ◽

The Status ◽

Teachers And Parents ◽

Mental Well Being

Background: The status of mental well-being is a function of emotional well-being, psychological well-being and social well-being, and includes aspects like cognitive and social skills, emotional capacity, empathy, ability to cope with adverse events, and capability to function within a society. Various studies have found strong correlations between a person’s immediate surroundings to how they perceive their well-being as well as their actual status of mental health. On one hand, social determinants affect the causation, severity and outcome of mental well-being, on the other hand the state of mental well-being affects the social determinants by affecting personal freedom, ability to make healthy life choices etc. This makes the study of social determinants of mental health very significant.Methods: A cross-sectional, exploratory study of qualitative nature was undertaken in Patna among School going students between the ages 13-17. A self-administered peer reviewed questionnaire was used for data collection.Results: Of 400 participants 19% have features of depression and other mental health problems. Females were more affected. Students of low socioeconomic group (41.6%) and of single parent family (40%) were affected.Conclusions: Mental health problems are very common in adolescent school students. Active steps must be taken to increase awareness about depression among teachers and parents. Early intervention can help prevent worsening of depression and its impact on life.

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Association of Birth Order With Mental Health Problems, Self-Esteem, Resilience, and Happiness Among Children: Results From A-CHILD Study

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.638088 ◽

2021 ◽

Vol 12 ◽

Author(s):

Yoshifumi Fukuya ◽

Takeo Fujiwara ◽

Aya Isumi ◽

Satomi Doi ◽

Manami Ochi

Keyword(s):

Mental Health ◽

Public Schools ◽

Birth Order ◽

Child Mental Health ◽

Mental Health Problems ◽

Self Esteem ◽

Health Problems ◽

Cross Sectional ◽

Only Children ◽

Child Study

Objective: This study aimed to investigate the association of birth order with mental health problems, self-esteem, resilience, and happiness among children aged 9–10 years.Methods: This was a cross-sectional study using data from the Adachi Child Health Impact of Living Difficulty (A-CHILD) study, which was a population-based study of children in fourth grade in public schools in Adachi City, Tokyo, Japan in 2018 (N = 3,744). Parent-rated Strengths and Difficulties Questionnaire (SDQ) and self-rated resilience, happiness, and self-esteem score were used to assess child mental health. Multiple regression analysis for continuous outcomes and logistic regression for dichotomous outcomes were used to examine the association of birth order with mental health problems, resilience, happiness, and self-esteem. The analysis was controlled for child sex, mother's age, mother's education, caregiver's depressive symptoms, household income, and living with grandparents.Results: Last-borns showed the lowest total difficulties score in the SDQ, while only children showed the highest (p < 0.001). The highest prosocial behaviors score was found among last-borns (p < 0.001). Resilience score was also highest among last-borns, followed by first-borns, middle-borns, and only children. The lowest happiness score was found among middle-borns. Self-esteem score did not differ by sibling types. These associations were similar in the adjusted model and dichotomized outcomes model.Conclusions: Differential impacts of birth order on child mental health, for both positive and negative sides, were found. Further research is warranted to elucidate the mechanism of the association between birth order and the development of behavior problems and the positive aspects such as resilience, happiness, and self-esteem among children.

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Mental Health of Parents and Preschool-Aged Children During the COVID-19 Pandemic: The Mediating Role of Harsh Parenting and Child Sleep Disturbances

Frontiers in Psychiatry ◽

10.3389/fpsyt.2021.746330 ◽

2021 ◽

Vol 12 ◽

Author(s):

Peiyao Wang ◽

Xiaoning Sun ◽

Wen Li ◽

Zijing Wang ◽

Shan He ◽

...

Keyword(s):

Mental Health ◽

Child Mental Health ◽

Sleep Disturbances ◽

Mental Health Problems ◽

Sleep Problems ◽

Well Being ◽

Health Problems ◽

Harsh Parenting ◽

Child Sleep ◽

Mediating Role

In the context of the coronavirus disease-2019 (COVID-19) pandemic, mental health problems of parents and children have become a public issue. Herein, we explored the association between parental well-being index and child mental health problems during the pandemic and the mediating role of harsh parenting and child sleep disturbances. An online survey was conducted among 16,398 parents of children aged 3–6 years (48.1% girls, Mage = 4.69 years, SDage = 0.75 years) from March 15 to 29, 2020. Child mental health (Strengths and Difficulties Questionnaire, SDQ), sleep problems (Children's Sleep Habits Questionnaire, CSHQ), and parental well-being index (World Health Organization-Five Well-Being Index, WHO-5), and harsh parenting were reported by parents. The results revealed that a higher parental well-being index was associated with lower child mental health problems. Harsh parenting and child sleep problems were significant mediators within the association. This study indicates the association between parental well-being index and child mental health during the pandemic and underlying mechanism, and has important implications for reducing parental and child mental health problems.

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Do Parenting Style and Adolescents’ Self-esteem Contribute to Mental Health Problems among Young Adolescents in Malaysia? An Adolescents’ Perspective

IIUM Medical Journal Malaysia ◽

10.31436/imjm.v19i2.1568 ◽

2020 ◽

Vol 19 (2) ◽

Author(s):

I.D. Noordin ◽

I.B. Idris ◽

R. Hod ◽

N.A. Muhammad ◽

H. Mohd Yusoff ◽

...

Keyword(s):

Mental Health ◽

Health Status ◽

Parenting Style ◽

Family Income ◽

Mental Health Problems ◽

Well Being ◽

Self Esteem ◽

Health Problems ◽

Mental Health Status ◽

Cross Sectional

Introduction: Adolescence is a crucial phase in life, as this is the time when they are developing their identity, while at the same time forming relationships with others, including their family members. This study investigated adolescents’ mental health status in Malaysia and its associated factors including self -esteem and parenting style that are experienced by them. Materials and Methods: A cross-sectional study was conducted among 248 school-going adolescents aged 13 and 14 years in Selangor, Malaysia. The validated Malay version of the Strengths and Difficulties Questionnaire (SDQ) was utilized to assess adolescents’ mental health status. In addition, the adolescents’ self-esteem was also assessed using the Rosenberg Self-Esteem Scale Questionnaire while the Parental Bonding Instrument was used to assess their parent’s parenting style. Results: Almost 20% of the adolescents were found to have mental health problems such as emotional and conduct problems, hyperactivity disorder and peer problems. Using multivariate analysis, factors that were associated with mental health problems were family income (AOR=2.788, 95% CI=1.397, 5.563), adolescents’ self-esteem (AOR=0.799, 95% CI=0.668, 0.955) and their perception on parental control (AOR=1.175, 95% CI=1.020, 1.353). Conclusion: This study shows that one fifth of these adolescents had mental health problems. Low socio-economic factors, over controlling parents and poor self-esteem were associated with these problems. In conclusion, it is important to educate parents on effective parenting style, as improper parenting may cause psychological distress among adolescents. Improving families’ socioeconomic status and adolescents’ self-esteem can also enhance their mental health and well-being.

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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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Well-being and Mental Health Impact of Household Flooding in Guyana, the Caribbean

Marine Technology Society Journal ◽

10.4031/mtsj.52.2.3 ◽

2018 ◽

Vol 52 (2) ◽

pp. 18-22 ◽

Cited By ~ 4

Author(s):

Muge Akpinar-Elci ◽

Shanomae Rose ◽

Michele Kekeh

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Well Being ◽

Health Impact ◽

Cross Sectional Study ◽

Health Problems ◽

Cross Sectional ◽

The Caribbean ◽

Study Participants ◽

Personal Behavior

AbstractGuyana has annually experienced excessive rainfall and flooding since 2005. This study investigated the general well-being and mental health problems among occupants of households affected by the December 2008 flooding in Guyana. A cross-sectional study design was used to administer validated questionnaires, which included sections on demographics, environmental exposure, general health, and personal behavior. The response rate to the survey was 70% (130/185). The findings indicate an increased self-reported poor health for study participants who smelled moldy odors inside of their home (OR: 4.1, 95% CI: 2.0‐12.0) and for individuals who had mold or mildew inside of their homes (OR: 3.0, 95% CI: 1.2‐7.5). Individuals whose homes had flooded previously were also shown to be slightly more at risk for experiencing diminished interest in daily activities (OR: 1.3, 95% CI: 0.5‐2.9) as well as diminished involvement in social activities (OR: 1.9, 95% CI: 0.7‐4.8). Also, participants who had their houses previously flooded reported an increased difficulty in concentrating (OR: 2.4, 95% CI: 0.9‐6.4). Flooding might be a possible risk factor for well-being and mental health problems among the occupants of affected households.

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Mental health problems and COVID-19 – which came first, the chicken or the egg?

European Journal of Public Health ◽

10.1093/eurpub/ckab164.293 ◽

2021 ◽

Vol 31 (Supplement_3) ◽

Author(s):

A Belscak Colakovic

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Public Mental Health ◽

Well Being ◽

Health Problems ◽

Poor Mental Health ◽

World Health ◽

Cross Sectional ◽

Downward Spiral ◽

The Impact

Abstract It was very clear that the COVID-19 pandemic will have an impact on mental health from the first day that it was declared.However, the scale and magnitude of the impact changed as the pandemic persisted, progressed, and transformed. After a year of social distancing, distance education, and virtual concerts, the societal fabric has changed to such an extent that it will most likely produce a long lasting impact on public mental health. The presentation will focus on the indicators of public mental health obtained from the SI-PANDA research, a bi-weekly web panel survey with a nationally representative sample of 1000 respondents per each wave of the survey. The 5-item World Health Organization Well-Being Index (WHO-5) was used to measure mental health. A cut-off score of ≤ 50 was used to screen for mental health problems, and a cut-off score ≤28 to screen for major depression. Results of the repeated cross-sectional surveys indicate continuation of trends that were present pre-pandemic. Namely, higher prevalence of mental health problems among people with lower education, adolescents and young adults, people with pre-existing chronic conditions, and people experiencing worsening financial situation during the pandemic. Trends from SI-PANDA research show that the differences (or inequities) in mental health are deepening as the pandemic progresses. People with mental health problems are at greater risk of experiencing worsening mental health during the pandemic as well as experiencing other adverse health outcomes - which are themselves a risk factor for worsening mental health. Is the downward spiral of poor mental health and COVID-19 the story of health inequities or is it a new phenomenon built on top of inequitable society?

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