Unintended Birth and Children’s Long-term Mental Health

2017 ◽  
Vol 58 (3) ◽  
pp. 357-370 ◽  
Author(s):  
Jessica Houston Su
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Fixed Effects ◽  
Early Adulthood ◽  
Ordinary Least Squares ◽  
Poor Mental Health ◽  
Least Squares Regression ◽  
Pregnancy Intentions ◽  
Unintended Birth ◽  
Unintended Pregnancies

Research has examined the proximate effects of unintended birth on infants and young children, but we know relatively little about the longer-term effects. Given that unintended birth is associated with several childhood risk factors, it might set the stage for poor mental health in adulthood. Drawing on rich intergenerational survey data from the National Longitudinal Survey of Youth, 1979 ( N = 3,742), this study used a variety of statistical techniques to examine whether maternal pregnancy intentions are associated with children’s depressive symptoms during early adulthood. Results from ordinary least squares regression suggest that children resulting from unintended pregnancies experienced more depressive symptoms in their 20s than children resulting from intended pregnancies, controlling for a host of characteristics. Results from propensity-weighted and sibling fixed-effects models suggest that there is little to no causal relationship, however. Much of the initial association between maternal fertility intentions and children’s depressive symptoms is attributed to the mother’s sociodemographic characteristics.

scholarly journals The Influence of Masculine Norms and Mental Health on Health Literacy Among Men: Evidence From the Ten to Men Study

2019 ◽  
Vol 13 (5) ◽  
pp. 155798831987353 ◽  
Author(s):  
Allison Milner ◽  
Marissa Shields ◽  
Tania King
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Health Literacy ◽  
Healthcare Providers ◽  
Ordinary Least Squares ◽  
Poor Mental Health ◽  
P Value ◽  
Least Squares Regression ◽  
Conformity To Masculine Norms ◽  
Masculine Norms

Background: Adherence to masculine norms, such as self-reliance, has been thought to predict lower health literacy. Additionally, males with poor mental health may have low health literacy. Using two waves of the Ten to Men cohort, the current study examined whether masculinity and depressive symptomology explained three aspects of health literacy among men. Methods: Three subscales of the Health Literacy Questionnaire were used as the outcomes: Ability to find good health information; Ability to actively engage with healthcare providers, and Feeling understood and supported by healthcare providers. Exposures were masculine norms, measured by the Conformity to Masculine Norms Inventory (CMNI-22), and depressive symptoms, measured by the Patient Health Questionnaire (PHQ). We controlled for confounders of the relationship between exposure and outcome. Ordinary least squares regression was used to assess the CMNI and depressive symptoms (measured in Wave 1) on health literacy (measured in Wave 2). Results: Across all three health literacy scales, increased global conformity to masculine norms was associated with a decrease in health literacy. Moderate-to-severe depressive symptoms were likewise associated with a decrease in health literacy on all three scales, with the effects particularly strong for “Ability to engage with healthcare providers” (coef. −1.54, 95% CI [−1.84, −1.24], p value < .001). Conclusions: The results of this article highlight that both conformity to masculine norms and depressive symptoms may be predictors of health literacy among men. The results of this study suggest the need for health literacy media campaigns that address the complexities of gendered help-seeking behaviors. Trial registration: Not applicable.

scholarly journals Mental health, coping, and social support among people living with HIV in the Americas: A comparative study between Argentina and the USA during the SARS-CoV-2 pandemic

2020 ◽  
Author(s):  
Deborah L. Jones ◽  
Jamile Ballivian ◽  
Violeta J. Rodriguez ◽  
Claudia Uribe ◽  
Diego Cecchini ◽  
...  
Keyword(s):  
Mental Health ◽  
Social Support ◽  
Depressive Symptoms ◽  
Significant Risk ◽  
Ordinary Least Squares ◽  
People Living With Hiv ◽  
Least Squares Regression ◽  
Coping With Stress ◽  
Living With Hiv ◽  
The Impact

Abstract Background: The COVID-19 pandemic pose significant risk to mental health and may disproportionately affect people living with HIV (PLWH). This study examined the interaction of social support and resilient coping in predicting depressive symptoms among PLWH.Methods: PLWH residing in Buenos Aires, Argentina and in Miami, Florida (US) were asked to complete an anonymous survey on the impact of COVID-19. Statistical analysis included ordinary least squares regression.Results: A total of 1,554 participants were included. Mean age was 47.30 years; 63.7 % were men. A test of three-way interaction of social support resilient coping study site indicated differences by site (b = -0.63.862, p = .043010, 95% CI [-1.24, -0.02.205, 1.52]). In Argentina, at higher social support and resilient coping, depressive symptoms were lowest. At lower social support and resilient coping, depressive symptoms were highest.Discussion: The impact of COVID-19 on mental health illustrates the need to develop innovative strategies to support resilience and to enhance coping with stress and adversity among PLWH.

scholarly journals Long work hours, weekend working and depressive symptoms in men and women: findings from a UK population-based study

2019 ◽  
Vol 73 (5) ◽  
pp. 465-474 ◽  
Author(s):  
Gillian Weston ◽  
Afshin Zilanawala ◽  
Elizabeth Webb ◽  
Livia A Carvalho ◽  
Anne McMunn
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Ordinary Least Squares ◽  
Population Based ◽  
Work Hours ◽  
Least Squares Regression ◽  
Work Patterns ◽  
Men And Women ◽  
Nationally Representative ◽  
The Uk

BackgroundGlobalised and 24/7 business operations have fuelled demands for people to work long hours and weekends. Research on the mental health effects of these intensive temporal work patterns is sparse, contradictory or has not considered gender differences. Our objective was to examine the relationship between these work patterns and depressive symptoms in a large nationally representative sample of working men and women in the UK.MethodThe current study analysed data from Understanding Society, the UK Household Longitudinal Study, of 11 215 men and 12 188 women in employment or self-employment at the time of the study. Ordinary least squares regression models, adjusted for potential confounders and psychosocial work factors, were used to estimate depressive symptoms across categories of work hours and weekend work patterns.ResultsRelative to a standard 35–40 hours/week, working 55 hours/week or more related to more depressive symptoms among women (ß=0.75, 95% CI 0.12 to 1.39), but not for men (ß=0.24, 95% CI −0.10 to 0.58). Compared with not working weekends, working most or all weekends related to more depressive symptoms for both men (ß=0.34, 95% CI 0.08 to 0.61) and women (ß=0.50, 95% CI 0.20 to 0.79); however, working some weekends only related to more depressive symptoms for men (ß=0.33, 95% CI 0.11 to 0.55), not women (ß=0.17, 95% CI −0.09 to 0.42).ConclusionIncreased depressive symptoms were independently linked to working extra-long hours for women, whereas increased depressive symptoms were associated with working weekends for both genders, suggesting these work patterns may contribute to worse mental health.

Perfectionism in the transition to university: Comparing diathesis-stress and downward spiral models of depressive symptoms

2019 ◽  
Author(s):  
Shelby L. Levine ◽  
Marina Milyavskaya
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Poor Mental Health ◽  
First Year ◽  
First Year Students ◽  
Personal Standards ◽  
Downward Spiral ◽  
Personal Standards Perfectionism ◽  
Spiral Model ◽  
Diathesis Stress Model

Transitioning to university may be especially difficult for students who expect perfection from themselves. Self-critical perfectionism has consistently been linked to poor mental health. The current study compares a diathesis-stress and a downward spiral model, to determine why self-critical perfectionism is detrimental for mental health during this transition. First-year students (N=658) were recruited prior to beginning university in August and contacted again in October, January, and April. Participants completed measures on perfectionism, stress and depressive symptoms. Evidence was found for a downward spiral model with self-critical perfectionism, but not a diathesis-stress model. Students higher in self-critical perfectionism were more likely to experience increased stress and depressive symptoms in a circular and additive manner. Conversely, students higher in personal standards perfectionism experienced less stress and subsequent depressive symptoms. This research provides a theoretical model for why self-critical perfectionism is related to poor mental health outcomes which become sustained over time.

scholarly journals Shame Mediates the Relationship Between Pain Invalidation and Depression

2021 ◽  
Vol 12 ◽  
Author(s):  
Brandon L. Boring ◽  
Kaitlyn T. Walsh ◽  
Namrata Nanavaty ◽  
Vani A. Mathur
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Social Withdrawal ◽  
Well Being ◽  
Poor Mental Health ◽  
Future Research ◽  
Internalized Shame ◽  
Self Worth ◽  
The Impact ◽  
The Relationship

The experience of pain is subjective, yet many people have their pain invalidated or not believed. Pain invalidation is associated with poor mental health, including depression and lower well-being. Qualitative investigations of invalidating experiences identify themes of depression, but also social withdrawal, self-criticism, and lower self-worth, all of which are core components of shame. Despite this, no studies have quantitatively assessed the interrelationship between pain invalidation, shame, and depression. To explore this relationship, participants recounted the frequency of experienced pain invalidation from family, friends, and medical professionals, as well as their feelings of internalized shame and depressive symptoms. As shame has been shown to be a precursor for depression, we further explored the role of shame as a mediator between pain invalidation and depressive symptoms. All sources of pain invalidation were positively associated with shame and depressive symptoms, and shame fully mediated the relationship between each source of pain invalidation and depression. Relative to other sources, pain invalidation from family was most closely tied to shame and depression. Overall, findings indicate that one mechanism by which pain invalidation may facilitate depression is via the experience of shame. Future research may explore shame as a potential upstream precursor to depression in the context of pain. Findings provide more insight into the harmful influence of pain invalidation on mental health and highlight the impact of interpersonal treatment on the experiences of people in pain.

scholarly journals Depressive Symptoms, Help-Seeking, and Barriers to Mental Healthcare Among Healthcare Professionals in Lithuania

2021 ◽  
Vol 28 (1) ◽  
pp. 3
Author(s):  
Daniel Rogoža ◽  
Robertas Strumila ◽  
Eglė Klivickaitė ◽  
Edgaras Diržius ◽  
Neringa Čėnaitė
Keyword(s):  
Mental Health ◽  
Depressive Symptoms ◽  
Help Seeking ◽  
Healthcare Professionals ◽  
Mental Health Problems ◽  
Mental Healthcare ◽  
Health Problems ◽  
Poor Mental Health ◽  
Work Related ◽  
Patient Health

Background: Previous research suggests that healthcare professionals (HCPs) experience high levels of work-related psychological distress, including depressive symptoms. Due to the stigma of mental health problems and other barriers, HCPs are likely to be hesitant to seek appropriate mental healthcare. We aimed to explore these phenomena among HCPs in Lithuania.Methods: A web survey inquiring about depressive symptoms, help-seeking, and barriers to mental healthcare was conducted. Depressive symptoms were measured using the Patient Health Questionnaire-9 (PHQ-9). 601 complete questionnaires were included in the analyses. The barriers to help-seeking were identified using the inductive content analysis approach. Descriptive, non-parametric, and robust statistical analysis was performed using SPSS software.Results: Most of the respondents have reported depression-like symptoms over the lifetime, although only about a third of them sought professional help. Of those, roughly half preferred a private specialist. The stigma and neglect of mental health problems were the most common barriers to help-seeking. Around half of the HCPs believed that seeking mental healthcare can imperil their occupational license. About a quarter of the HCPs screened positive for clinically relevant depressive symptoms. Statistically significant differences in the PHQ-9 score were found between categories of healthcare specialty, marital status, religious beliefs, workplace, and years of work as a HCP. Fewer years of work and younger age were associated with the higher PHQ-9 score.Conclusions: Our findings suggest that HCPs in Lithuania may be inclined not to seek appropriate mental healthcare and experience poor mental health, although stronger evidence is needed to verify these findings. 

The Association Between Post-Traumatic Stress and Depressive Symptoms Among Older Puerto Ricans in Boston: How Does Loneliness Matter?

2021 ◽  
pp. 089826432110641
Author(s):  
Kaipeng Wang ◽  
Anao Zhang ◽  
Adolfo G. Cuevas ◽  
Carson M. De Fries ◽  
Ladson Hinton ◽  
...  
Keyword(s):  
Depressive Symptoms ◽  
Mental Health Professionals ◽  
Traumatic Stress ◽  
Health Professionals ◽  
Puerto Ricans ◽  
Ordinary Least Squares ◽  
Least Squares Regression ◽  
Post Traumatic Stress ◽  
Comorbid Depression ◽  
Post Traumatic

Objectives To examine the association between post-traumatic stress and depression and whether such an association differs by level of loneliness among older Puerto Ricans. Methods Data were collected from 304 Puerto Ricans aged 60 and above living in the Greater Boston area who responded to questionnaires. We used ordinary least squares regression to examine the association between post-traumatic stress, loneliness, and depressive symptoms. Results Post-traumatic stress was significantly associated with higher levels of depression. The association between post-traumatic stress and depression was stronger for those experiencing a higher degree of loneliness. Discussion In working with older Puerto Ricans experiencing post-traumatic stress, it is important for mental health professionals to incorporate the assessment of loneliness and to prevent and reduce comorbid depression by addressing loneliness through improving social skills, enhancing social support, and reducing maladaptive social cognition.

Does precarious employment ruin youth health and marriage? Evidence from Egypt using longitudinal data

2020 ◽  
Vol 19 (3) ◽  
pp. 391-406
Author(s):  
Mesbah Fathy Sharaf ◽  
Ahmed Shoukry Rashad
Keyword(s):  
Mental Health ◽  
Longitudinal Data ◽  
Fixed Effects ◽  
Job Insecurity ◽  
Well Being ◽  
Poor Mental Health ◽  
Youth Workers ◽  
Fixed Effects Model ◽  
Precarious Employment ◽  
Content Type

Purpose This study aims to analyze whether precarious employment is associated with youth mental health, self-rated health and happiness in marriage and whether this association differs by sex. Design/methodology/approach This paper uses longitudinal data from the Survey of Young People in Egypt conducted in 2009 and 2014 and estimates a fixed-effects model to control for time-invariant unobserved individual heterogeneity. The analysis is segregated by sex. Findings The results indicate that precarious employment is significantly associated with poor mental health and less happiness in marriage for males and is positively associated with poor self-reported health for females. The adverse impact of precarious work is likely to be mediated through poor working conditions such as low salary, maltreatment at work, job insecurity and harassment from colleagues. Social implications Governmental policies that tackle job precariousness are expected to improve population health and marital welfare. Originality/value Egypt has witnessed a significant increase in the prevalence of precarious employment, particularly among youth, in recent decades, yet the evidence on its effect on the health and well-being of youth workers is sparse. This paper adds to the extant literature by providing new evidence on the social and health repercussions of job precariousness from an understudied region.

scholarly journals Changes in millennial adolescent mental health and health-related behaviours over 10 years: a population cohort comparison study

2019 ◽  
Vol 48 (5) ◽  
pp. 1650-1664 ◽  
Author(s):  
Praveetha Patalay ◽  
Suzanne H Gage
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Depressive Symptoms ◽  
Mental Health Problems ◽  
Poor Mental Health ◽  
Poor Sleep ◽  
Birth Cohorts ◽  
Health Related ◽  
Self Harm ◽  
Social Behaviours

Abstract Background There is evidence that mental health problems are increasing and substance use behaviours are decreasing. This paper aimed to investigate recent trends in mental ill health and health-related behaviours in two cohorts of UK adolescents in 2005 and 2015. Methods Prevalences in mental health (depressive symptoms, self-harm, anti-social behaviours, parent-reported difficulties) and health-related behaviours (substance use, weight, weight perception, sleep, sexual intercourse) were examined at age 14 in two UK birth cohorts; Avon Longitudinal Study of Parents and Children (ALSPAC, N = 5627, born 1991–92) and Millennium Cohort Study (MCS, N = 11 318, born 2000–02). Prevalences and trend estimates are presented unadjusted and using propensity score matching and entropy balancing to account for differences between samples. Results Depressive symptoms (9% to 14.8%) and self-harm (11.8% to 14.4%) were higher in 2015 compared with 2005. Parent-reported emotional difficulties, conduct problems, hyperactivity and peer problems were higher in 2015 compared with 2005 (5.7–8.9% to 9.7–17.7%). Conversely, substance use (tried smoking, 9.2% to 2.9%; tried alcohol, 52.1% to 43.5%, cannabis, 4.6% to 3.9%), sexual activity (2% to 0.9%) and anti-social behaviours (6.2–40.1% to 1.6–27.7%) were less common or no different. Adolescents in 2015 were spending less time sleeping (&lt;8 h 5.7% to 11.5%), had higher body mass index (BMI) (obese, 3.8% to 7.3%) and a greater proportion perceived themselves as overweight (26.5% to 32.9%). The findings should be interpreted bearing in mind limitations in ability to adequately harmonize certain variables and account for differences in attrition rates and generalizability of the two cohorts. Conclusions Given health-related behaviours are often cited as risk factors for poor mental health, our findings suggest relationships between these factors might be more complex and dynamic in nature than currently understood. Substantial increases in mental health difficulties, BMI and poor sleep-related behaviours highlight an increasing public health challenge.

scholarly journals Exploring the Association between Life Perceptions and Emotional Profiles in Taiwan: Empirical Evidence from the National Well-Being Indicators Survey

2020 ◽  
Vol 17 (12) ◽  
pp. 4209
Author(s):  
Mei-Yin Kuan ◽  
Jiun-Hao Wang ◽  
Yu-Chang Liou ◽  
Li-Pei Peng
Keyword(s):  
Mental Health ◽  
Emotional Regulation ◽  
Positive Emotions ◽  
Negative Emotion ◽  
Pearson Correlation ◽  
Well Being ◽  
Ordinary Least Squares ◽  
Subjective Well Being ◽  
Life Domains ◽  
Least Squares Regression

Most of the studies on subjective well-being have focused on positive emotions. The adverse effect of negative emotions on mental health has been overlooked. This study investigates the extent to which specific life perceptions are associated with emotional profiles, and explores relevant factors that effectively enhance subjective well-being. The data were drawn from 4656 respondents in the 2015 National Well-being Indicators Survey in Taiwan. T-test, ANOVA, Pearson correlation, and ordinary least squares regression were conducted. The results reveal that perceptions of all life domains are positively associated with life satisfaction and happiness. Depression and worry are negatively associated with most of the life perceptions, except for environmental quality. These results demonstrate that the emotional profile approach sheds light on current literature on subjective well-being, and suggests that strategies to increase well-being should take positive and negative emotion into account simultaneously. The findings contribute by confirming which life domains can produce the best or worst outcomes in emotional regulation and positively influence mental health. Given that personal safety and the future security of external types is the most crucial factor within the emotional profiles, social welfare and protection programs would be an important strategy to increase subjective well-being.

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