scholarly journals The Long-Term Impact of Parental Mental Health on Children’s Distress Trajectories in Adulthood

2020 ◽  
pp. 215686932091252
Author(s):  
Christina Kamis
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Panel Study ◽  
Health Problems ◽  
Poor Mental Health ◽  
Parental Mental Health ◽  
Childhood Experiences ◽  
Health Trajectories ◽  
Long Term Impact

Using six waves of data from the Panel Study of Income Dynamics (2007-2017) and the Childhood Retrospective Circumstances Study (2014) (N = 3,240), this paper estimates how childhood experiences with parental mental health problems shape trajectories of children’s distress in adulthood. Findings indicate that those who experience poor parental mental health have consistently greater distress than their non-exposed counterparts throughout adulthood. More severe and longer exposures to parental mental health problems correspond to even greater distress in adulthood. The gender of the parent afflicted does not predict differences in adult mental health, but those individuals exposed to both maternal and paternal poor mental health have the greatest distress in adulthood. Together, results suggest that parental mental health during children’s formative years is a significant predictor of life course distress and that heterogeneity in this experience corresponds to unique mental health trajectories.

scholarly journals The Clustering of Adverse Childhood Experiences in the Avon Longitudinal Study of Parents and Children: Are Gender and Poverty Important?

2020 ◽  
pp. 088626052093509 ◽  
Author(s):  
Rebecca E. Lacey ◽  
Laura D. Howe ◽  
Michelle Kelly-Irving ◽  
Mel Bartley ◽  
Yvonne Kelly
Keyword(s):  
Mental Health ◽  
Mental Health Problems ◽  
Health Problems ◽  
Parental Mental Health ◽  
Childhood Experiences ◽  
Close Family Member ◽  
Parents And Children ◽  
Adverse Childhood ◽  
Avon Longitudinal Study ◽  
Close Family

Previous research has demonstrated a graded relationship between the number of Adverse Childhood Experiences reported (an ACE score) and child outcomes. However, ACE scores lack specificity and ignore the patterning of adversities, which are informative for interventions. The aim of the present study was to explore the clustering of ACEs and whether this clustering differs by gender or is predicted by poverty. Data on 8,572 participants of the Avon Longitudinal Study of Parents and Children (ALSPAC) were used. ALSPAC is a regionally representative prenatal cohort of children born between 1991 and 1992 in the Avon region of South-West England. ACEs included parental divorce, death of a close family member, interparental violence, parental mental health problems, parental alcohol misuse, parental drug use, parental convictions, and sexual, emotional, and physical abuse, between birth and 19 years. Latent class analysis was used to derive ACE clusters and associations between poverty, gender, and the derived classes tested using multinomial logistic regression. Five latent classes were identified: “Low ACEs” (55%), “Parental separation and mother’s mental health problems” (18%), “Parental mental health problems, convictions and separation” (15%), “Abuse and mental health problems” (6%), and “Poly adversity” (6%). Death of a close family member and sexual abuse did not cluster with other adversities. The clustering did not differ by gender. Poverty was strongly related to both individual ACEs and clusters. These findings demonstrate that ACEs cluster in specific patterns and that poverty is strongly related to this. Therefore, reducing child poverty might be one strategy for reducing ACEs.

scholarly journals 2.L. Workshop: Poor parental mental health and impacts on early child health in the context of Danish welfare state

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
◽  
Keyword(s):  
Mental Health ◽  
Child Health ◽  
Pregnant Women ◽  
Socioeconomic Position ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Parental Mental Health ◽  
Early Child ◽  
The Impact

Abstract Globally, the prevalence of mental health problems is high and seems to be increasing and it estimated that 10-20% of pregnant women experience poor perinatal mental health. In the future, more children may grow up in families where one or both parents are struggling with mental health problems. Poor mental health is linked to wider determinants of health as low social position increase the risk of poor mental health and may limit access to care. Moreover, poor mental health can negatively impact the social position and resources of individuals and families as well as child health, thus representing an important public health challenge. The foundation of life-long health is laid before birth and in early childhood, and a better understanding of the impact of poor parental health and other determinants of early child health is crucial. This workshop aims to A) offer new insights on the impact of early child health of poor parental health in the context of Denmark, a Nordic welfare state with strong principles of free and equal access to health care services. Also, B) it encourages a discussion about the main challenges and new ways to support families and through this improve short- and long-term child health and potentially also parental health. The knowledge presented as point of departure for discussions, derives from two new Danish studies. One is a qualitative study of the experiences of pregnant women/new parents receiving targeted, community-based perinatal services due to mental health problems. This gives voice to parents' own perspectives of the services they have offered and their lived experiences with poor mental health and parenthood. The other study is the epidemiological CoVer-P project (Children of Vulnerable Parents) based on a cohort of all live-born children born in Denmark 2000-2016 and their parents and a large range of data from Danish nationwide registers. This large cohort have allowed studies that address existing knowledge gabs by examining different severity levels of parental mental health problems, the impact of also the father's mental health and the interaction between mental health and socioeconomic position. The workshop will start with a short introduction and invitation to share thoughts it's topic from the chair (5 min) followed by four 10-minut presentations. First, Frederiksen shares her insights on pregnant women/new parents with mental health problems and their lived experiences. Secondly, Knudsen & Christesen analyse the effect of maternal mental health and socioeconomic position on the risk of preterm birth. Thirdly, Christensen reports new knowledge about perinatal outcomes of infants born to mothers with poor mental health. Fourth, Heuckendorff describes the impact of the mental health as well as socioeconomic position of both mother and father on child morbidity, age 1-6. In the final part of the workshop (15 min), the chair will introduce and moderate a general discussion of aim B with the audience Key messages Share knowledge on how poor parental mental health may affect perinatal and child negatively, presenting an important public health challenge. Raise awareness about the needs and perspective of parents with poor mental health and raise discussion about how to improve services and support.

scholarly journals Prevalence and correlates of common mental health problems and recent suicidal behaviour among female sex workers in Nairobi, Kenya: findings from the Maisha Fiti study

BJPsych Open ◽  
2021 ◽  
Vol 7 (S1) ◽  
pp. S238-S238
Author(s):  
Alicja Beksinska ◽  
Zaina Jama ◽  
Rhoda Kabuti ◽  
Mary Kungu ◽  
Hellen Babu ◽  
...  
Keyword(s):  
Mental Health ◽  
Substance Use ◽  
Sex Workers ◽  
Suicidal Behaviour ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Childhood Experiences ◽  
Harmful Alcohol ◽  
Common Mental Health Problems

AimsAdverse childhood experiences (ACEs), poverty, violence and harmful alcohol/substance are associated with poor mental health outcomes in the general population. These risks are likely to be exacerbated among Female Sex Workers (FSWs), however there are few studies examining risks factors for mental health problems among FSWs. We examine the prevalence and correlates of common mental health problems including suicidal behaviour among FSWs in Kenya.MethodMaisha Fiti is a longitudinal study among FSWs randomly selected from Sex Worker Outreach Programme (SWOP) clinics across Nairobi. Baseline data were collected from June-December 2019. Mental health problems were assessed using the Patient Health Questionnaire (PHQ-9) for depression, the Generalised Anxiety Disorder tool (GAD-7) for anxiety, and the Harvard Trauma Questionnaire (HTQ-17) for Post-Traumatic Stress Disorder (PTSD). Recent suicidal behaviour was defined as reported suicide attempt or suicidal ideation in the past 30 days. Other measurement tools included the WHO Adverse Childhood Experiences (ACE) score, WHO Violence Against Women questionnaire, and the WHO ASSIST tool (to measure harmful alcohol/substance use in the past 3 months). Descriptive statistics and multivariable logistic regression were conducted in Stata 16.1.ResultOf 1039 eligible FSWs, 1003 FSWs took part in the study (response rate: 96%) with a mean age of 33.7 years. The prevalence of moderate/severe depression was 23.2% (95%CI: 20.7–25.9%), moderate/severe anxiety 11.0% (95%CI: 9.3–13.1%), PTSD 14.0% (95% CI: 12.2–16.5%) and recent suicidal behaviour 10.2% (95%CI: 8.5–12.2%) (2.6% suicide attempt; 10.0% suicidal ideation). Among women with any mental health problem 63.0% also had a harmful alcohol/substance use problem. One in four women (25%; 95%CI: 22.5–27.8%) had depression and/or anxiety and this was independently associated with higher ACE scores, hunger (skipped a meal in last week due to financial difficulties), death of a child, perceived sex work stigma and recent sexual/physical violence. PTSD was associated with higher ACE scores, hunger, increased STI prevalence (chlamydia trachomatis) and recent violence. Recent suicidal behaviour was associated with higher ACE scores, low literacy, hunger, and recent violence. Mental health problems and suicidal behaviour were less prevalent among women reporting social support.ConclusionThe high burden of mental problems among FSWs indicates a need for accessible services tailored for FSWs alongside broader structural interventions addressing poverty, harmful alcohol/substance use and violence. High rates of ACEs among this population indicates the need to consider early childhood and family interventions to prevent poor mental health outcomes.Funding: Medical Research Council and the UK Department of International Development

scholarly journals Prevalence and correlates of common mental health problems and recent suicidal thoughts and behaviours among female sex workers in Nairobi, Kenya

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Alicja Beksinska ◽  
Zaina Jama ◽  
Rhoda Kabuti ◽  
Mary Kungu ◽  
Hellen Babu ◽  
...  
Keyword(s):  
Mental Health ◽  
Sex Workers ◽  
Mental Health Problems ◽  
Health Problems ◽  
Poor Mental Health ◽  
Suicidal Thoughts ◽  
Childhood Experiences ◽  
Harmful Alcohol ◽  
Adverse Childhood ◽  
Common Mental Health Problems

Abstract Background Adverse childhood experiences (ACEs), poverty, violence and harmful alcohol/substance use are associated with poor mental health outcomes, but few studies have examined these risks among Female Sex Workers (FSWs). We examine the prevalence and correlates of common mental health problems including suicidal thoughts and behaviours among FSWs in Kenya. Methods Maisha Fiti is a longitudinal study among FSWs randomly selected from Sex Worker Outreach Programme (SWOP) clinics across Nairobi. Baseline behavioural-biological survey (n = 1003) data were collected June–December 2019. Mental health problems were assessed using the Patient Health Questionnaire (PHQ-9) for depression, the Generalised Anxiety Disorder tool (GAD-7) for anxiety, the Harvard Trauma Questionnaire (HTQ-17) for Post-Traumatic Stress Disorder (PTSD) and a two-item tool to measure recent suicidal thoughts/behaviours. Other measurement tools included the WHO Adverse Childhood Experiences (ACE) score, WHO Violence Against Women questionnaire, and the Alcohol, Smoking and Substance Involvement Screening Test (ASSIST). Descriptive statistics and multivariable logistic regression were conducted using a hierarchical modelling approach. Results Of 1039 eligible FSWs, 1003 FSWs participated in the study (response rate: 96%) with mean age 33.7 years. The prevalence of moderate/severe depression was 23.2%, moderate/severe anxiety 11.0%, PTSD 14.0% and recent suicidal thoughts/behaviours 10.2% (2.6% suicide attempt, 10.0% suicidal thoughts). Depression, anxiety, PTSD and recent suicidal thoughts/behaviours were all independently associated with higher ACE scores, recent hunger (missed a meal in last week due to financial difficulties), recent sexual/physical violence and increased harmful alcohol/substance. PTSD was additionally associated with increased chlamydia prevalence and recent suicidal thoughts/behaviours with low education and low socio-economic status. Mental health problems were less prevalent among women reporting social support. Conclusions The high burden of mental health problems indicates a need for accessible services tailored for FSWs alongside structural interventions addressing poverty, harmful alcohol/substance use and violence. Given the high rates of ACEs, early childhood and family interventions should be considered to prevent poor mental health outcomes.

scholarly journals Long-Term Impact of Economic Downturn and Loneliness on Psychological Distress: Triple Crises of COVID-19 Pandemic

2021 ◽  
Vol 10 (19) ◽  
pp. 4596
Author(s):  
Shuyan Liu ◽  
Matthias N. Haucke ◽  
Stephan Heinzel ◽  
Andreas Heinz
Keyword(s):  
Mental Health ◽  
Psychological Distress ◽  
Federal Government ◽  
Low Income ◽  
Mental Health Problems ◽  
Global Mental Health ◽  
Government Debt ◽  
Health Problems ◽  
Long Term Impact

Background: The COVID-19 crisis poses global mental health and global economy challenges. However, there is a lack of longitudinal research investigating whether financial instability and social disruption may increase the risk of developing mental health problems over time that may potentially outlast the pandemic. Methods: We conducted an online survey for members of the general population (n = 2703) in Germany during the twelve months spanning from April 2020 to March 2021. We investigated the development of COVID-19 related psychological distress, the number of unemployed people, federal government debt, income distribution, and loneliness over the time period. Results: Over a period of twelve months, 53.6% of respondents in Germany reported experiencing psychological distress, varying from mild levels, 34.2%, to severe levels, 19.4%, of distress. High federal government debt, high incident COVID-19 cases, low incomes, and the prevalence of loneliness were found to be associated with increased long-term mental health problems. Psychological distress scores were most strongly increased in female and young respondents as well as those who reported fewer years of education, low income, and higher loneliness. Conclusions: Our study highlights factors that have a long-term impact on mental health amid the COVID-19 pandemic. We suggest that specific mental-health services could be offered to support high-risk groups experiencing financial fragility and loneliness. For purposes of safeguarding their mental health there is a need to monitor and track such risk factors in real time.

Physical and Psychological Benefits of Written Emotional Expression

2015 ◽  
Vol 20 (4) ◽  
pp. 242-251 ◽  
Author(s):  
Éva Kállay
Keyword(s):  
Mental Health ◽  
Expressive Writing ◽  
Mental Health Problems ◽  
Cost Effective ◽  
Health Problems ◽  
Future Research ◽  
Psychological Benefits ◽  
Cost Effective Treatment ◽  
Meta Analyses

Abstract. The last several decades have witnessed a substantial increase in the number of individuals suffering from both diagnosable and subsyndromal mental health problems. Consequently, the development of cost-effective treatment methods, accessible to large populations suffering from different forms of mental health problems, became imperative. A very promising intervention is the method of expressive writing (EW), which may be used in both clinically diagnosable cases and subthreshold symptomatology. This method, in which people express their feelings and thoughts related to stressful situations in writing, has been found to improve participants’ long-term psychological, physiological, behavioral, and social functioning. Based on a thorough analysis and synthesis of the published literature (also including most recent meta-analyses), the present paper presents the expressive writing method, its short- and long-term, intra-and interpersonal effects, different situations and conditions in which it has been proven to be effective, the most important mechanisms implied in the process of recovery, advantages, disadvantages, and possible pitfalls of the method, as well as variants of the original technique and future research directions.

Comparing the social networks of service users with long term mental health needs living in community with those in a general adult in-patient unit

2021 ◽  
pp. 002076402110175
Author(s):  
Roberto Rusca ◽  
Ike-Foster Onwuchekwa ◽  
Catherine Kinane ◽  
Douglas MacInnes
Keyword(s):  
Mental Health ◽  
Social Networks ◽  
Social Network ◽  
Patient Group ◽  
Mental Health Problems ◽  
Well Being ◽  
Health Problems ◽  
Practical Support ◽  
The Social

Background: Relationships are vital to recovery however, there is uncertainty whether users have different types of social networks in different mental health settings and how these networks may impact on users’ wellbeing. Aims: To compare the social networks of people with long-term mental illness in the community with those of people in a general adult in-patient unit. Method: A sample of general adult in-patients with enduring mental health problems, aged between 18 and 65, was compared with a similar sample attending a general adult psychiatric clinic. A cross-sectional survey collected demographic data and information about participants’ social networks. Participants also completed the Short Warwick Edinburgh Mental Well-Being Scale to examine well-being and the Significant Others Scale to explore their social network support. Results: The study recruited 53 participants (25 living in the community and 28 current in-patients) with 339 named as important members of their social networks. Both groups recorded low numbers in their social networks though the community sample had a significantly greater number of social contacts (7.4 vs. 5.4), more monthly contacts with members of their network and significantly higher levels of social media use. The in-patient group reported greater levels of emotional and practical support from their network. Conclusions: People with serious and enduring mental health problems living in the community had a significantly greater number of people in their social network than those who were in-patients while the in-patient group reported greater levels of emotional and practical support from their network. Recommendations for future work have been made.

scholarly journals Teacher Mental Health Literacy: Results from a State-wide Survey in Schools

2020 ◽  
Vol 30 (Supplement_5) ◽  
Author(s):  
U Bauer ◽  
O Okan ◽  
F Faulbaum
Keyword(s):  
Mental Health ◽  
Health Promotion ◽  
Health Literacy ◽  
Mental Health Literacy ◽  
Mental Health Problems ◽  
School Mental Health ◽  
Health Problems ◽  
Mental Health Promotion ◽  
Parental Mental Health ◽  
Whole School

Abstract Background Teachers have an important role to play in context of mental health literacy (MHL) promotion of school-aged children. Their MHL is seen as the counterpart of student`s health literacy. Especially vulnerable schoolchildren such as those affected by adverse life events (e.g. parental mental health problems) can benefit from programs. In addition, the whole school environment has impact on school mental health promotion. Yet, only little evidence is available on teachers MHL in Europe. The aim is to provide evidence from a state-wide survey on the state of MHL of teachers in Germany. Methods Based on semi-structured interviews with school teachers from all school types in one federal state, including primary and secondary schools, a MHL online questionnaire was developed. The survey was conducted in in 2017 in N = 2500 teachers in Germany. Descriptive and regression analyse have been performed. Results Teachers feel considerable uncertainties when working with children affected by adversities related to parental mental health problems. Dealing with the social family background seems hard. Teachers state that they don`t feel comfortable when aiming at mental health promotion of affected children or children in general. Data also show that they may tend to make misjudgements, and that they are not sufficiently trained to address mental health issues in the classrooms. Regression models show that the degree and quality of teaching mental health is affected by differences across school forms, satisfaction with and engagement of school principals in mental health action, learned strategies to respond to parents, and experienced stress, burden and exposure during their work. Conclusions Increasing teacher MHL and the environmental capacities and responsiveness towards school mental health promotion should be an important capacity building strategy. Policy support for school mental health promotion is a critical means to sustain effective whole-school approaches.

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