scholarly journals Evaluating the effect of change in the built environment on mental health and subjective well-being: a natural experiment

2020 ◽  
pp. jech-2019-213591 ◽  
Author(s):  
Bina Ram ◽  
Elizabeth S Limb ◽  
Aparna Shankar ◽  
Claire M Nightingale ◽  
Alicja R Rudnicka ◽  
...  

BackgroundNeighbourhood characteristics may affect mental health and well-being, but longitudinal evidence is limited. We examined the effect of relocating to East Village (the former London 2012 Olympic Athletes’ Village), repurposed to encourage healthy active living, on mental health and well-being.Methods1278 adults seeking different housing tenures in East village were recruited and examined during 2013–2015. 877 (69%) were followed-up after 2 years; 50% had moved to East Village. Analysis examined change in objective measures of the built environment, neighbourhood perceptions (scored from low to high; quality −12 to 12, safety −10 to 10 units), self-reported mental health (depression and anxiety) and well-being (life satisfaction, life being worthwhile and happiness) among East Village participants compared with controls who did not move to East Village. Follow-up measures were regressed on baseline for each outcome with group status as a binary variable, adjusted for age, sex, ethnicity, housing tenure and household clustering (random effect).ResultsParticipants who moved to East Village lived closer to their nearest park (528 m, 95% CI 482 to 575 m), in more walkable areas, and had better access to public transport, compared with controls. Living in East Village was associated with marked improvements in neighbourhood perceptions (quality 5.0, 95% CI 4.5 to 5.4 units; safety 3.4, 95% CI 2.9 to 3.9 units), but there was no overall effect on mental health and well-being outcomes.ConclusionDespite large improvements in the built environment, there was no evidence that moving to East Village improved mental health and well-being. Changes in the built environment alone are insufficient to improve mental health and well-being.

2020 ◽  
Author(s):  
Murat Yıldırım ◽  
Gökmen Arslan

During the pandemic, people may experience various mental health problems. Psychological strengths may help them to cope with emerging challenges and foster mental health and well-being. This study examined the associations between resilience, dispositional hope, preventive behaviours, subjective well-being, and psychological health among adults during early stage of COVID-19. A total of 220 participants from general public participated this study completing a battery of measures (134 men [M age = 42.36 years, SD = 8.99, range = 18 to 60] and 86 women [M age = 36.73 years, SD = 7.44, range = 18 to 51]). This cross-section study indicated that resilience mediated the relationship between hope and psychological health and subjective well-being. Results also showed that hope, and resilience had significant direct effects on psychological health, and subjective well-being while preventive behaviours did not manifest a significant effect on these two variables except on resilience. Preventive behaviours mediated the relationship between hope and resilience. The results suggest that we should more pay attention to hope and resilience for the development and improvement of well-being and psychological health during the times of crisis.


2019 ◽  
Vol 38 (1) ◽  
pp. 127-142
Author(s):  
Danielle S. Molnar ◽  
Fuschia M. Sirois ◽  
Gordon L. Flett ◽  
Stanley Sadava

Advances in understanding of the perfectionism construct have been limited by an almost exclusive reliance on a variable-centered approach. This study utilized a person-oriented approach to examine Hewitt and Flett’s conceptualization of multidimensional perfectionism in relation to health and well-being. Levels of conscientiousness, extraversion, and neuroticism were also assessed. Cluster analyses were employed to examine within-person configurations of self-oriented, other-oriented, and socially prescribed perfectionism (SPP) in university students ( n = 538) and adults with chronic illness ( n = 773). Five unique configurations were found in both samples and three clusters replicated across samples. “Extreme perfectionists” with high scores across all perfectionism dimensions reported relatively poor physical health, psychological health, psychosocial resources, and well-being along with elevated neuroticism and conscientiousness. A group distinguished by elevated SPP also reported relatively poorer outcomes along with elevated neuroticism and lower conscientiousness. In contrast, “nonperfectionists” reported relatively elevated levels of health and well-being. These profiles differed in their links with health and well-being even after taking into account key differences in conscientiousness and neuroticism. Our results illustrate the importance of employing a person-oriented approach to the study of multidimensional perfectionism, especially as it relates to physical health, mental health, and subjective well-being.


2020 ◽  
Vol 2020 ◽  
pp. 1-10 ◽  
Author(s):  
Solange Núñez-González ◽  
J. Andrés Delgado-Ron ◽  
Christopher Gault ◽  
Adriana Lara-Vinueza ◽  
Denisse Calle-Celi ◽  
...  

Good mental health is related to mental and psychological well-being, and there is growing interest in the potential role of the built environment on mental health, yet the evidence base underpinning the direct or indirect effects of the built environment is not fully clear. The aim of this overview is to assess the effect of the built environment on mental health-related outcomes. Methods. This study provides an overview of published systematic reviews (SRs) that assess the effect of the built environment on mental health. We reported the overview according to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) guidelines. Databases searched until November 2019 included the Cochrane Database of Systematic Reviews, EMBASE, MEDLINE (OVID 1946 to present), LILACS, and PsycINFO. Two authors independently selected reviews, extracted data, and assessed the methodological quality of included reviews using the Assessing Methodological Quality of Systematic Reviews-2 (AMSTAR-2). Results. In total, 357 records were identified from a structured search of five databases combined with the references of the included studies, and eleven SRs were included in the narrative synthesis. Outcomes included mental health and well-being, depression and stress, and psychological distress. According to AMSTAR-2 scores, the quality assessment of the included SRs was categorized as “high” in two SRs and as “critically low” in nine SRs. According to the conclusions of the SRs reported by the authors, only one SR reported a “beneficial” effect on mental health and well-being outcomes. Conclusion. There was insufficient evidence to make firm conclusions on the effects of built environment interventions on mental health outcomes (well-being, depression and stress, and psychological distress). The evidence collected reported high heterogeneity (outcomes and measures) and a moderate- to low-quality assessment among the included SRs.


BMJ Open ◽  
2021 ◽  
Vol 11 (1) ◽  
pp. e042815
Author(s):  
Rhiannon Evans ◽  
Maria Boffey ◽  
Sarah MacDonald ◽  
Jane Noyes ◽  
G.J. Melendez-Torres ◽  
...  

IntroductionThe mental health and well-being of children and young people who have been in care (ie, care-experienced) are a priority. There are a range of interventions aimed at addressing these outcomes, but the international evidence-base remains ambiguous. There is a paucity of methodologically robust systematic reviews of intervention effectiveness, with few considering the contextual conditions under which evaluations were conducted. This is important in understanding the potential transferability of the evidence-base across contexts. The present systematic review will adopt a complex systems perspective to synthesise evidence reporting evaluations of mental health and well-being interventions for care-experienced children and young people. It will address impact, equity, cost-effectiveness, context, implementation and acceptability. Stakeholder consultation will prioritise a programme theory, and associated intervention, that may progress to further development and evaluation in the UK.Methods and analysisWe will search 16 bibliographic databases from 1990 to June 2020. Supplementary searching will include citation tracking, author recommendation, and identification of evidence clusters relevant to included evaluations. The eligible population is children and young people (aged ≤25 years) with experience of being in care. Outcomes are (1) mental, behavioural or neurodevelopmental disorders; (2) subjective well-being; (3) self-harm; suicidal ideation; suicide. Study quality will be appraised with methodologically appropriate tools. We will construct a taxonomy of programme theories and intervention types. Thematic synthesis will be used for qualitative data reporting context, implementation and acceptability. If appropriate, meta-analysis will be conducted with outcome and economic data. Convergent synthesis will be used to integrate syntheses of qualitative and quantitative data.Ethics and disseminationWe have a comprehensive strategy for engagement with care-experienced children and young people, carers and social care professionals. Dissemination will include academic and non-academic publications and conference presentations. Ethical approval from Cardiff University’s School of Social Sciences REC will be obtained if necessary.PROSPERO registration numberCRD42020177478.


2021 ◽  
Vol 11 (1) ◽  
Author(s):  
Roger Yat-Nork Chung ◽  
Gary Ka-Ki Chung ◽  
Siu-Ming Chan ◽  
Yat-Hang Chan ◽  
Hung Wong ◽  
...  

AbstractThe COVID-19 pandemic exposes and amplifies pre-existing inequalities even in places with relatively well-controlled outbreaks such as Hong Kong. This study aimed to explore whether the socioeconomically disadvantaged fare worse via various types of worry in terms of their mental health and well-being. Between September and October 2020, 1067 adults in Hong Kong were recruited via a cross-sectional population-wide telephone survey. The inter-relationship between deprivation, types of worry, mental health disorders, and subjective well-being was assessed using structural equation modelling. Results showed significant total effects of deprivation on worries about being infected (p = 0.002), economic activities and livelihood (p < 0.001), and personal savings (p < 0.001), as well as mental health disorders (p < 0.001) and subjective well-being (p < 0.001). Specifically, worry about economic activities and livelihood partly mediated the total effect of deprivation on mental health disorders (p = 0.004), whereas worry about personal savings and worry about economic activities and livelihood partially mediated the total effect of deprivation on subjective well-being (p = 0.007 and 0.002, respectively). Socioeconomic inequality, particularly in mental health and well-being, could be exacerbated via people’s economic concerns during the pandemic, which was largely induced by the COVID-19 containment measures rather than the pandemic per se given the relatively low COVID-19 incidence in Hong Kong.


Author(s):  
Аnna Khaleeva

The article defines terms on mental health and emotional well-being of adolescents and adolescents, and outlines major trends in mental health and emotional well-being of young people over the past decades. The aim of the article is to highlight and establish the importance of emotional and subjective well-being in adolescence and youth, to identify their further influence on the formation of the personality and its full life. Adolescence is seen as a critical period of development with long-term effects on the health and well-being of the individual. It is stated that the central factor in the health and well-being of adolescents is the interaction of young people with their environment, with people and attitudes in their daily lives. The most important determinants of adolescents' health are in their environment, as well as the choices and opportunities for improving the health or adverse behaviors of today's society. Factors that influence on the subjective and emotional well-being (sleep deprivation, increased stress, social relationships, the impact of violence) have been taken into account. The components and characteristics that support emotional and subjective well-being are identified, such as: self-esteem, motivation, stability, self-efficacy, hope and optimism, while high levels of anxiety, depression and stress can interfere with emotional health and well-being. In determining the factors that affect the emotional and subjective well-being of adolescents and youths, it is important to take into account the multidimensional nature of well-being and what sources and factors form it. The main sources affecting the sense of self and overall well-being of a person in adolescence and youth are family, community, peers, school environment and teachers. The modern world and the environment of human development are constantly changing, which has a significant impact on the well-being of the individual and its further development. Such changes are important elements for the continued successful interaction of adolescents and young people and their integration in society.


2020 ◽  
Author(s):  
Asteria Brylka ◽  
Dieter Wolke ◽  
Sebastian Ludyga ◽  
Ayten Bilgin ◽  
Juliane Spiegler ◽  
...  

Preprint manuscriptVery preterm birth is a risk factor for later mental health problems. This study examined whether physical activity is associated with better mental health and well-being among very preterm (≤32 weeks) and term born (≥37 weeks) adolescents alike or whether the associations are stronger in either of the groups. Physical activity was measured with accelerometry in children born very preterm and at term in two cohorts, the Basel Study of Preterm Children (BSPC; 40 adolescents born ≤ 32 weeks of gestation and 59 term born controls aged 12.3 years) and the Millennium Cohort Study (MCS; 45 adolescents born ≤ 32 weeks of gestation and 3,137 term born controls aged 14.2 years). In both cohorts, emotional and behavioural problems were mother-reported using the Strengths and Difficulties Questionnaire. Subjective well-being was self-reported using the Kidscreen-52 Questionnaire in the BSPC and single items in the MCS. Hierarchical regressions with ‘preterm status x physical activity’-interaction effects were subjected to individual participant data (IPD) meta-analysis. IPD meta-analysis showed that higher levels of physical activity were associated with lower levels of emotional symptoms and peer problems, higher levels of psychological well-being, better self-perception/body image, and school related well-being, but also higher levels of hyperactivity/inattention. Overall the effect-sizes were small and the associations did not differ significantly between very preterm and term born adolescents. Physical activity was associated with lower levels of emotional and peer problems and higher levels of subjective well-being among adolescents, irrespective of whether they were born very preterm or at term.


2018 ◽  
Vol 53 ◽  
pp. 237-257 ◽  
Author(s):  
T.H.M. Moore ◽  
J.M. Kesten ◽  
J.A. López-López ◽  
S. Ijaz ◽  
A. McAleenan ◽  
...  

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