Internalizing Symptoms in Children Being Reared by Grandparents in Rural Appalachia: Risk and Protective Factors

2021 ◽  
pp. 0192513X2110484
Author(s):  
Peggy S. Keller ◽  
Shuang Bi ◽  
Nancy Schoenberg

The present study investigates factors associated with anxiety, depression, and stress in children being reared by their grandparents in rural Appalachia. Grandparent-headed households, in which grandparents have primary responsibility for care of children, are increasing in number. However, research is needed on child risk for internalizing symptoms in this context. Participants included 35 children aged 5–18 years and one of their custodial grandparents. Interviewers read questionnaires to grandparents and children assessing family functioning and child mental health and participants indicated their answers. Mean scores for child internalizing symptoms and stress were on the higher end of the scale of measurement. Lower grandparent positive parenting, grandparent not having formal custody of children, greater grandparent mental health issues, lower grandparent education, and lower financial status were correlated with greater child anxiety, depression, and stress. Results also indicated that correlates of children’s internalizing symptoms differed based on child sex and age.

2020 ◽  
Vol 8 (2) ◽  
pp. 201-220 ◽  
Author(s):  
Jarrod Walczer ◽  
Derek E. Baird

Dear Evan Hansen (DEH) is a social media-centric musical that has been widely celebrated by a show-specific online fan community, known as ‘Fansens’, on Instagram and Tumblr, having won the Tony Award for Best Musical in 2017. The growth of this fandom, on these platforms, is unique as Fansens have adopted plot points and thematic elements from the musical relating to how social media affects social anxiety, depression and suicide to create fan art and fanfictions that, in turn, result in a community of care on social media where fans can discuss their own encounters with social anxiety, teen suicide and cyberbullying. Though most Fansens would not have been able to see the musical performed on Broadway or live in-person, their fanfictions, personal posts and fan art reflect and refract the difficulties that young people have with mental health, social anxiety and suicide. Using both digital methods and post-structuralist textual analysis, this article analyses numerous fan cultural artefacts collected from DEH-specific hash-tagged posts on Tumblr and Instagram. In doing so, this article provides a new perspective on the role that fan communities, their artefacts, their use of digital medi, and their fan activist and upstanding techniques can play in providing avenues of self-care and modelling positive online support for those dealing with mental health issues.


Author(s):  
Rohmah Najihah Misran ◽  
Jamilah Hanum Abdul Khaiyom ◽  
Zul Azlin Razali

Religiosity is a construct that has interesting implications in the mental health issues of youths. This study examines the role of religiosity on anxiety, depression, and stress using 148 Muslim students studying Islamic studies at undergraduate provision in an Islamic University as sample. Results indicated that the level of religiosity among the participants ranged from moderately religious to highly religious. The mean levels of anxiety, depression, and stress among the participants were moderate, and a significant number of students suffered from severe psychological distress. Female students were reported to experience significantly slightly more stress than male students. Furthermore, the relationship between religiosity, anxiety, and depression was significantly negative but not stressful. Further analysis found that religiosity serves as a protective factor for depression. Meanwhile, some religiosity components (i.e., avoidance of sinful acts and frequent conduct of recommended acts) were found to be a significant protective factor against anxiety and depression, respectively. Thus, in retrospect, mental health and religion appear to converge on managing psychological distress. As so to speak, this is a vital point in the emerging mental health services in which the incorporation of religious components into clinical practice may show good promising results in aiding the recovery process of psychological health issues. Likewise, embedding religiosity in one’s life, or being religiously minded, reflected in daily life manifestation, is linked with better mental health outcomes.


2020 ◽  
pp. 002076402095076 ◽  
Author(s):  
Adrija Roy ◽  
Arvind Kumar Singh ◽  
Shree Mishra ◽  
Aravinda Chinnadurai ◽  
Arun Mitra ◽  
...  

Introduction: Mental health concerns and treatment usually take a backseat when the limited resources are geared for pandemic containment. In this global humanitarian crisis of the COVID-19 pandemic, mental health issues have been reported from all over the world. Objectives: In this study, we attempt to review the prevailing mental health issues during the COVID-19 pandemic through global experiences, and reactive strategies established in mental health care with special reference to the Indian context. By performing a rapid synthesis of available evidence, we aim to propose a conceptual and recommendation framework for mental health issues during the COVID-19 pandemic. Methods: A search of the PubMed electronic database and google scholar were undertaken using the search terms ‘novel coronavirus’, ‘COVID-19’, ‘nCoV’, SARS-CoV-2, ‘mental health’, ‘psychiatry’, ‘psychology’, ‘anxiety’, ‘depression’ and ‘stress’ in various permutations and combinations. Published journals, magazines and newspaper articles, official webpages and independent websites of various institutions and non-government organizations, verified social media portals were compiled. Results: The major mental health issues reported were stress, anxiety, depression, insomnia, denial, anger and fear. Children and older people, frontline workers, people with existing mental health illnesses were among the vulnerable in this context. COVID-19 related suicides have also been increasingly common. Globally, measures have been taken to address mental health issues through the use of guidelines and intervention strategies. The role of social media has also been immense in this context. State-specific intervention strategies, telepsychiatry consultations, toll free number specific for psychological and behavioral issues have been issued by the Government of India. Conclusion: Keeping a positive approach, developing vulnerable-group-specific need-based interventions with proper risk communication strategies and keeping at par with the evolving epidemiology of COVID-19 would be instrumental in guiding the planning and prioritization of mental health care resources to serve the most vulnerable.


2020 ◽  
pp. 002076402096600
Author(s):  
Uttara Seshu ◽  
Homam A Khan ◽  
Manish Bhardwaj ◽  
C Sangeetha ◽  
G Aarthi ◽  
...  

Background: Perinatal depression (PND) is one of the most common psychiatric illnesses in women, with a prevalence around 22% in India. Leveraging mobile-based technologies could help in the prevention and treatment of perinatal depression even in remote places. Understanding the experiences and barriers of using such technology interventions by perinatal mothers could help in the better design and in delivery of these interventions. We aimed to study the experiences of the perinatal women using a mobile phone-based intervention, Interactive Voice Response System (IVRS), for the prevention and management of perinatal depression in a rural district of Bihar, India. Materials and methods: A total of 12 in-depth interviews (IDIs) and one focus group discussion (FGD) with eight participants were conducted with perinatal mothers using the mobile-based IVRS to explore the experiences and perspectives of women receiving mobile phone-based interventions for the treatment of PND. Thematic analysis was done to identify major themes. Results: Five major themes emerged from the study around accessibility, usability, community participation, cost and preference to either intervention. Women found the mobile-based intervention useful as it made them feel lighter. They considered mental health as a health issue and wanted help to address their problems. They became familiar with terms like anxiety, depression, helplessness and burden and bean using them in their conversations. The patients used therapeutic strategies such as breathing, coping and relaxation. They even agreed to take up sessions for their peer group. Conclusion: Women in rural Bihar seemed satisfied with the technology-based intervention. It has made mental health issues more visible and acceptable even in the rural hinterlands of Bihar.


2021 ◽  
Vol 9 (09) ◽  
pp. 01-04
Author(s):  
Khan Zeenat Muzaffar ◽  

Anorexia nervosa, a type of eating disorder is commonly seen in teenagers. An intense fear of gaining weight and distorted body image compels the teenagers to go on diet, which is resulting in eating less and skipping the meal and ultimately making the teenagers more prone to stress,anxiety,depression and other mental health issues. The study was taken with an intention to find the association of anorexia and mental health. A sample of 913 adolescents from junior college were selected as sample and a standardized test was administered. The findings showed that there is a positive correlation between eating disorder and mental health among adolescents.


2020 ◽  
Vol 10 (1) ◽  
Author(s):  
Nian-Sheng Tzeng ◽  
Chi-Hsiang Chung ◽  
Chuan-Chia Chang ◽  
Hsin-An Chang ◽  
Yu-Chen Kao ◽  
...  

Abstract There were several studies about the psychiatric and mental health issues related to the severe adult respiratory syndrome (SARS) outbreak in 2003, however, the association between SARS and the overall risk of psychiatric disorders and suicides has, as yet, to be studied in Taiwan. The aim of this study is to examine as to whether SARS is associated with the risk of psychiatric disorders and suicide. A total of 285 patients with SARS and 2850 controls without SARS (1:10) matched for sex, age, insurance premium, comorbidities, residential regions, level of medical care, and index date were selected between February 25 and June 15, 2003 from the Inpatient Database Taiwan’s National Health Insurance Research Database. During the 12-year follow-up, in which 79 in the SARS cohort and 340 in the control group developed psychiatric disorders or suicide (4047.41 vs. 1535.32 per 100,000 person-years). Fine and Gray’s survival analysis revealed that the SARS cohort was associated with an increased risk of psychiatric disorders and suicide, and the adjusted subdistribution HR (sHR) was 2.805 (95% CI: 2.182–3.605, p < 0.001) for psychiatric disorders and suicide. The SARS cohort was associated with anxiety, depression, sleep disorders, posttraumatic stress disorder/acute stress disorder (PTSD/ASD), and suicide. The sensitivity analysis revealed that the SARS group was associated with anxiety, depression, sleep disorders, PTSD/ASD, and suicide after the individuals with a diagnosis of psychiatric disorders and suicide were excluded within the first year, and with anxiety, depression, and sleep disorders, while those in the first five years were excluded. In conclusion, SARS was associated with the increased risk of psychiatric disorders and suicide.


2017 ◽  
Vol 8 (3) ◽  
pp. 231-247 ◽  
Author(s):  
Lisa Strohschein ◽  
Anne H. Gauthier

Although the detrimental effects of poverty on child mental health are well established, questions remain as to which aspects of poverty matter most and which mechanisms account for the association. This study tested the relative influence of depth of current poverty and poverty duration on child anxiety/depression and antisocial behavior, then evaluated whether parenting practices mediated observed associations. Data come from four waves of the Canadian National Longitudinal Survey of Children and Youth (1994–2000), with analysis restricted to children who were aged 2 to 5 at initial interview and lived with both biological parents throughout (n = 1,901). Depth of current poverty was associated with child anxiety/depression, whereas persistent poverty was associated with child antisocial behavior. Parenting behaviors were significant predictors but did not mediate the association between poverty dynamics and child mental health. The research and policy implications of these findings are discussed.


2021 ◽  
Vol 8 (Supplement_1) ◽  
pp. S335-S335
Author(s):  
Katherine Kricorian ◽  
Karin Kricorian

Abstract Background The COVID-19 pandemic has been associated with a decline in mental health status in the US, as well as reduced ability to seek mental health treatment. This study analyzed undertreatment of mental health during the pandemic to identify possible disparities and assess the need for interventions. Methods Data were collected from Wave 3 (January 6-February 15, 2021) of the US Census COVID-19 Household Pulse online survey, designed to measure the ongoing impact of the pandemic. Microdata files were downloaded from the Census website and included N=185,201 respondents. Data was collected in both English and Spanish and consisted of a representative sample of US residents. Data were analyzed using χ 2 tests, with z-tests for more granular between-group comparisons. Results When asked if they needed and received therapy due to mental health concerns, 81% of respondents did not need therapy and did not receive it. Some (2%) reported receiving therapy but needing more. However, 9% reported needing therapy but not receiving it. A similar proportion, 9%, reported having received adequate therapy from a mental health professional. Those who needed therapy but did not receive it were more likely than adequately treated respondents to express debilitating worry, anxiety, depression, and lack of interest/pleasure in doing things (all p&lt; .05). These respondents were also more likely (vs. adequately treated respondents) to be younger, lower-income, racial/ethnic minorities, without health insurance, and food-insecure (all p&lt; .05). Conclusion Inadequate mental health treatment is a critical challenge, especially in the wake of COVID-19; Just as many respondents reported adequate mental health treatment as did needing additional mental health treatment. Respondents reporting undertreated mental health issues in this study were more likely to be vulnerable populations, many of whom have already been disproportionately impacted by the pandemic. Methods to expand accessible counseling capacity in economically feasible ways to limit these disparities should be further explored. Disclosures All Authors: No reported disclosures


Author(s):  
Paolo Ruffino

Game workers and reports on the videogame industry frequently document cases of anxiety, depression, burnout and impostor syndrome. Mental health issues are exacerbated among independent developers and freelancers. The article draws on interviews with four London-based independent videogame developers who have been producing 'deep games' about mental health. The article argues that conceiving, producing and releasing these videogames is understood by their makers as a strategy to establish new and 'deeper' relations with consumers, participants and other developers. Developers seek relations with other game workers and players through the process of making, researching, testing, and showing their videogames. Their responses draw on biographical self-reflexivity and are articulated within a network sociality that conceives the individual developer as the agent of change. The development of videogames about mental health is interpreted by the participants as facilitating exchanges of autobiographical experiences that are otherwise regulated by the norms of professional networking. At the same time, these exchanges aim at the establishment of new forms of sociality and at a fairer and more inclusive videogame industry.


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