School climate and mental health among Swedish adolescents: a multilevel longitudinal study

Abstract Background School is one of the most formative institutions for adolescents’ development, but whether school environment affects mental health is uncertain. We investigated the association between the school’s pedagogical and social climate and individual-level mental health in adolescence. Methods We studied 3416 adolescents from 94 schools involved in KUPOL, a longitudinal study conducted in eight regions in Sweden. School climate was reported by the school’s teaching personnel and by the final year students using the teacher and the student versions of the Pedagogical and Social Climate Questionnaire, respectively. Index persons’ mental health was assessed with the Center for Epidemiological Studies Depression Scale for Children and the Strengths and Difficulties Questionnaire. We performed multilevel logistic regression models adjusted for individual, familial and school-level confounders measured in grade 7 and exposure and outcome measured in grades 8 and 9. Results The adjusted odds ratios and 95% confidence intervals comparing the middle and the high to the lowest tertile of the total teacher school climate score were 1.47 (1.10–1.97) and 1.52 (1.11–2.09) for depressive symptoms and 1.50 (1.08–2.08) and 1.64 (1.16–2.33) for the total strengths and difficulties score. In contrast, there was no association between total student school climate score and mental health. Conclusions We found that teacher-, but not student-rated school climate was associated with an increased risk of poor mental health at the student level; the association was most pronounced for internalizing problems. Given schools’ importance for adolescents’ development, further studies are needed to clarify the mechanisms underlying the observed association.

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A longitudinal study of the bi-directional relationship between tobacco smoking and psychological distress in a community sample of young Australian women

Psychological Medicine ◽

10.1017/s0033291711002261 ◽

2011 ◽

Vol 42 (6) ◽

pp. 1273-1282 ◽

Cited By ~ 24

Author(s):

J. Leung ◽

C. Gartner ◽

W. Hall ◽

J. Lucke ◽

A. Dobson

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Young Women ◽

Tobacco Smoking ◽

Structural Equation ◽

Short Form ◽

Community Sample ◽

Depression Scale ◽

Poor Mental Health ◽

Smoking History

BackgroundTobacco smoking and poor mental health are both prevalent and detrimental health problems in young women. The temporal relationship between the two variables is unclear. We investigated the prospective bi-directional relationship between smoking and mental health over 13 years.MethodParticipants were a randomly selected community sample of 10 012 young women with no experience of pregnancy, aged 18–23 years at baseline (1996) from the Australian Longitudinal Study on Women's Health. Follow-up surveys over 13 years were completed in 2000, 2003, 2006 and 2009, allowing for five waves of data. Measures included self-reported smoking and mental health measured by the Mental Health Index from the 36-item short-form health questionnaire and the 10-item Center for Epidemiologic Studies Depression Scale. Sociodemographic control variables included marital status, education level and employment status.ResultsA strong cross-sectional dose–response relationship between smoking and poor mental health was found at each wave [odds ratio (OR) 1.41, 95% confidence intervals (CI) 1.17–1.70 to OR 2.27, 95% CI 1.82–2.81]. Longitudinal results showed that women who smoked had 1.21 (95% CI 1.06–1.39) to 1.62 (95% CI 1.24–2.11) times higher odds of having poor mental health at subsequent waves. Women with poor mental health had 1.12 (95% CI 1.17–1.20) to 2.11 (95% CI 1.68–2.65) times higher odds of smoking at subsequent waves. These results held after adjusting for mental health history and smoking history and sociodemographic factors. Correlation analysis and structural equation modelling results were consistent in showing that both directions of the relationship were statistically significant.ConclusionsThe association between poor mental health and smoking in young women appeared to be bi-directional.

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The Strengths and Difficulties Questionnaire Predicts Concurrent Mental Health Difficulties in a Transdiagnostic Sample of Struggling Learners

Frontiers in Psychology ◽

10.3389/fpsyg.2020.587821 ◽

2020 ◽

Vol 11 ◽

Author(s):

Annie Bryant ◽

Jacalyn Guy ◽

Joni Holmes ◽

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Depression Scale ◽

Health Problems ◽

Strengths And Difficulties Questionnaire ◽

Anxiety And Depression ◽

Developmental Problems ◽

Increased Risk ◽

Mental Health Difficulties ◽

Strengths And Difficulties

Children and adolescents with developmental problems are at increased risk of experiencing mental health problems. The Strengths and Difficulties Questionnaire (SDQ) is widely used as a screener for detecting mental health difficulties in these populations, but its use thus far has been restricted to groups of children with diagnosed disorders (e.g., ADHD). Transdiagnostic approaches, which focus on symptoms and soften or remove the boundaries between traditional categorical disorders, are increasingly adopted in research and practice. The aim of this study was to assess the potential of the SDQ to detect concurrent mental health problems in a transdiagnostic sample of children. The sample were referred by health and educational professionals for difficulties related to learning (N = 389). Some had one diagnosis, others had multiple, but many had no diagnoses. Parent-rated SDQ scores were significantly positively correlated with parent ratings of mental health difficulties on the Revised Child Anxiety and Depression Scale (RCADS). Ratings on the SDQ Emotion subscale significantly predicted the likelihood of having concurrent clinical anxiety and depression scores. Ratings on the Hyperactivity subscale predicted concurrent anxiety levels. These findings suggest the SDQ could be a valuable screening tool for identifying existing mental health difficulties in children recognized as struggling, as it can be in typically developing children and those with specific diagnoses.

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Do Maternal Stress and Depressive Symptoms in Perinatal Period Predict the Lactation Mastitis Occurrence? A Retrospective Longitudinal Study in Greek Women

Diagnostics ◽

10.3390/diagnostics11091524 ◽

2021 ◽

Vol 11 (9) ◽

pp. 1524

Author(s):

Maria Dagla ◽

Calliope Dagla ◽

Irina Mrvoljak-Theodoropoulou ◽

Dimitra Sotiropoulou ◽

Aikaterini-Taxiarchoula Kavakou ◽

...

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Depression Scale ◽

Binary Logistic Regression ◽

Perinatal Period ◽

Poor Mental Health ◽

Emotional Factors ◽

History Of ◽

Anxiety Screening ◽

D 12

Background: The aim of this study is to investigate whether symptoms of anxiety and depression disorders in women during the perinatal period predict the occurrence of lactation mastitis. Methods: This is a retrospective longitudinal study of 622 Greek women who were monitored from pregnancy until the first year postpartum (during the period January 2015–May 2018). The Edinburgh Postnatal Depression Scale (EPDS) and the Perinatal Anxiety Screening Scale (PASS) were administered at four time points: (a) 24th–28th gestation week, (b) 34th–38th gestation week, (c) 6 weeks postpartum, and (d) 12 months postpartum. Multivariate binary logistic regression analyses were performed. Results: Results showed that (a) increased EPDS (p < 0.02) and PASS (p < 0.05) scores during the last period before birth, (b) increased EPDS score at 6 weeks postpartum (p < 0.02), (c) PMS symptoms (p < 0.03), (d) traumatic life events during the last year (p < 0.03), and (e) the existence of a history of psychotherapy (before pregnancy) (p = 0.050) appear to be the psycho-emotional factors that can predict the possible occurrence of lactation mastitis in a breastfeeding mother. Conclusions: The association between women’s poor mental health and the occurrence of a physical health problem, such as lactation mastitis, is recognized. This study highlights the important role of early and timely detection of perinatal mental health disorders.

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Are volunteering and caregiving associated with suicide risk? A Census-based longitudinal study

BMC Psychiatry ◽

10.1186/s12888-019-2255-8 ◽

2019 ◽

Vol 19 (1) ◽

Cited By ~ 2

Author(s):

Michael Rosato ◽

Foteini Tseliou ◽

David M. Wright ◽

Aideen Maguire ◽

Dermot O’Reilly

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Record Linkage ◽

Suicide Risk ◽

Linkage Study ◽

Poor Mental Health ◽

Cox Models ◽

Good Mental Health ◽

Increased Risk

Abstract Background Opposing risks have been identified between different prosocial activities, with volunteering having been linked to better mental health while caregiving has been associated with higher prevalence and incidence of depression. This study explored suicide risk of people engaged in prosocial activities of caregiving and/or volunteering. Methods A Census-based record linkage study of 1,018,000 people aged 25–74 years (130,816 caregivers; 110,467 volunteers; and 42,099 engaged in both) was undertaken. Caregiving (light: 1–19; intense: ≥20 h/week), volunteering and mental health status were derived from 2011 Census records. Suicide risk (45 months follow-up) was assessed using Cox models adjusted for baseline mental health. Results Intense caregiving was associated with worse mental health (ORadj = 1.15: 95%CI = 1.12, 1.18) and volunteering with better mental health (OR = 0.87: 95%CI = 0.84, 0.89). For those engaged in both activities, likelihood of poor mental health was determined by caregiving level. There were 528 suicides during follow-up, with those engaged in both activities having the lowest risk of suicide (HR = 0.34: 95%CI = 0.14, 0.84). Engaging in either volunteering or caregiving was associated with lower suicide risk for those with good mental health at baseline (HR = 0.66: 95%CI = 0.49, 0.88) but not for their peers with baseline poor mental health (HR = 1.02: 95%CI = 0.69, 1.51). Conclusions Although an increased risk of poor mental health was identified amongst caregivers, there was no evidence of an increased risk of suicide.

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Common Occupational Trauma: Is There a Relationship with Workers’ Mental Health?

Trauma Care ◽

10.3390/traumacare1020007 ◽

2021 ◽

Vol 1 (2) ◽

pp. 66-74

Author(s):

Nicola Magnavita ◽

Ilaria Capitanelli ◽

Gabriele Arnesano ◽

Angela Iuliano ◽

Igor Mauro ◽

...

Keyword(s):

Mental Health ◽

Health Outcomes ◽

Major Trauma ◽

Depression Scale ◽

Poor Mental Health ◽

Mental Health Outcomes ◽

Anxiety And Depression ◽

Minor Trauma ◽

Cross Sectional ◽

Increased Risk

Exposure to major trauma can have significant consequences for workers’ mental health, but common trauma may also result in poor mental health outcomes. This cross-sectional study retrospectively investigated the occurrence of common physical or psychological workplace trauma in 901 health, social service, and trading company workers and studied these experiences in relation to occupational stress, anxiety, and depression. Stress was measured with the effort/reward imbalance (ERI) model while anxiety and depression were evaluated with the Goldberg Anxiety and Depression Scale (GADS). Healthcare workers reported a high frequency of trauma and significantly higher levels of stress, anxiety, and depression than other workers. Even in the entire population of workers of the various professional categories, verbal violence (harassment and threats), traffic accidents, home injuries, and family bereavement were significantly associated with high levels of stress, anxiety, and depression. Major trauma survivors are known to be at increased risk of mental disorders and require support in the workplace, however, even minor repeated emotional trauma and injuries can affect mental health. During mandatory health surveillance, the occupational physician should systematically collect information on minor trauma and mental health outcomes when assessing the occupational fitness of the workers assigned to him.

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The Strengths and Difficulties Questionnaire predicts mental health difficulties in a transdiagnostic sample of struggling learners

10.31234/osf.io/wpj8y ◽

2019 ◽

Cited By ~ 2

Author(s):

Annie Bryant ◽

Jacalyn Guy ◽

the CALM Team ◽

Joni Holmes

Keyword(s):

Mental Health ◽

Mental Health Problems ◽

Depression Scale ◽

Health Problems ◽

Strengths And Difficulties Questionnaire ◽

Anxiety And Depression ◽

Developmental Problems ◽

Increased Risk ◽

Mental Health Difficulties ◽

Strengths And Difficulties

Children and adolescents with developmental problems are at increased risk of experiencing mental health problems. The Strengths and Difficulties Questionnaire (SDQ) is widely used as a screener for detecting mental health difficulties in these populations, but its validity thus far has been restricted to groups of children with diagnosed disorders (e.g. ADHD). Transdiagnostic approaches, which focus on symptoms and soften or remove the boundaries between traditional categorical disorders, are increasingly adopted in research and practice. The aim of this study was to assess the potential of the SDQ to detect mental health problems in a transdiagnostic sample of children. The sample were referred by health and educational professionals for difficulties related to learning (N=389). Some had one diagnosis, others had multiple, but many had no diagnoses. Parent-rated SDQ scores were significantly positively correlated with parent ratings of mental health difficulties on the Revised Child Anxiety and Depression Scale (RCADS). Ratings on the SDQ Emotion subscale significantly predicted the likelihood of having clinical anxiety and depression scores. Ratings on the Hyperactivity subscale predicted anxiety levels. These findings suggest the SDQ could be a valuable screening tool for identifying mental health difficulties in children recognised as struggling, as it can be in typically developing children and those with specific diagnoses.

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A Longitudinal Study of Mental Health in Emerging Adults

Swiss Journal of Psychology ◽

10.1024/1421-0185/a000132 ◽

2014 ◽

Vol 73 (3) ◽

pp. 135-141 ◽

Cited By ~ 1

Author(s):

Monica S. Bachmann ◽

Hansjörg Znoj ◽

Katja Haemmerli

Keyword(s):

Mental Health ◽

Longitudinal Study ◽

Emerging Adults ◽

Poor Mental Health ◽

Need Satisfaction ◽

Computer Assisted ◽

Consistency Model ◽

Negative Effect ◽

The Cross ◽

Health Model

Emerging adulthood is a time of instability. This longitudinal study investigated the relationship between mental health and need satisfaction among emerging adults over a period of five years and focused on gender-specific differences. Two possible causal models were examined: (1) the mental health model, which predicts that incongruence is due to the presence of impaired mental health at an earlier point in time; (2) the consistency model, which predicts that impaired mental health is due to a higher level of incongruence reported at an earlier point in time. Emerging adults (N = 1,017) aged 18–24 completed computer-assisted telephone interviews in 2003 (T1), 2005 (T2), and 2008 (T3). The results indicate that better mental health at T1 predicts a lower level of incongruence two years later (T2), when prior level of incongruence is controlled for. The same cross-lagged effect is shown for T3. However, the cross-lagged paths from incongruence to mental health are marginally associated when prior mental health is controlled for. No gender differences were found in the cross-lagged model. The results support the mental health model and show that incongruence does not have a long-lasting negative effect on mental health. The results highlight the importance of identifying emerging adults with poor mental health early to provide support regarding need satisfaction.

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Association of source country gender inequality with experiencing assault and poor mental health among young female immigrants to Ontario, Canada

BMC Public Health ◽

10.1186/s12889-021-10720-0 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Michael Lebenbaum ◽

Therese A. Stukel ◽

Natasha Ruth Saunders ◽

Hong Lu ◽

Marcelo Urquia ◽

...

Keyword(s):

Mental Health ◽

Violence Against Women ◽

Gender Inequality ◽

Poor Mental Health ◽

Sub Saharan Africa ◽

Source Country ◽

Community Based Research ◽

Increased Risk ◽

Female Immigrants ◽

Self Harm

Abstract Background Gender inequality varies across countries and is associated with poor outcomes including violence against women and depression. Little is known about the relationship of source county gender inequality and poor health outcomes in female immigrants. Methods We used administrative databases to conduct a cohort study of 299,228 female immigrants ages 6–29 years becoming permanent residence in Ontario, Canada between 2003 and 2017 and followed up to March 31, 2020 for severe presentations of suffering assault, and selected mental health disorders (mood or anxiety, self-harm) as measured by hospital visits or death. Poisson regression examined the influence of source-country Gender Inequality Index (GII) quartile (Q) accounting for individual and country level characteristics. Results Immigrants from countries with the highest gender inequality (GII Q4) accounted for 40% of the sample, of whom 83% were from South Asia (SA) or Sub-Saharan Africa (SSA). The overall rate of assault was 10.9/10,000 person years (PY) while the rate of the poor mental health outcome was 77.5/10,000 PY. Both GII Q2 (Incident Rate Ratio (IRR): 1.48, 95% Confidence Interval (CI): 1.08, 2.01) and GII Q4 (IRR: 1.58, 95%CI: 1.08, 2.31) were significantly associated with experiencing assault but not with poor mental health. For females from countries with the highest gender inequality, there were significant regional differences in rates of assault, with SSA migrants experiencing high rates compared with those from SA. Relative to economic immigrants, refugees were at increased risk of sustaining assaults (IRR: 2.96, 95%CI: 2.32, 3.76) and poor mental health (IRR: 1.73, 95%CI: 1.50, 2.01). Higher educational attainment (bachelor’s degree or higher) at immigration was protective (assaults IRR: 0.64, 95%CI: 0.51, 0.80; poor mental health IRR: 0.69, 95% CI: 0.60, 0.80). Conclusion Source country gender inequality is not consistently associated with post-migration violence against women or severe depression, anxiety and self-harm in Ontario, Canada. Community-based research and intervention to address the documented socio-demographic disparities in outcomes of female immigrants is needed.

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The influence of workplace stress and coping on depressive symptoms among registered nurses in Bangladesh

Belitung Nursing Journal ◽

10.33546/bnj.1959 ◽

2022 ◽

Author(s):

Reva Mondal ◽

Yajai Sitthimongkol ◽

Nopporn Vongsirimas ◽

Natkamol Chansatitporn ◽

Kathy Hegadoren

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Coping Strategies ◽

Registered Nurses ◽

Depression Scale ◽

Workplace Stress ◽

Unique Contribution ◽

Workplace Stressors ◽

Increased Risk ◽

The Relationship

Background: Nurses report high levels of workplace stress, which has been linked to an increased risk for experiencing depressive symptoms.Nurses’ workplace stress is also linked to increased absenteeism and decreased job satisfaction. Objectives: The objectives of this study were to examine: (1) the incidence of depressive symptoms among hospital-based registered nurses in Bangladesh; (2) common sources of workplace stress and their relationships to individual characteristics and depressive symptom scores; and (3) the potential mediating roles of coping strategies in the relationship between workplace stress and depressive symptoms. Methods: A cross-sectional study design involved three hundred and fifty-two registered nurses. Data were collected using a demographic questionnaire and three standardized tools measuring sources of nurses’ workplace stress, coping strategies, and depressive symptoms. Results: More than half of the participants scored ≥ 16 on the CES-D, which was associated with a major depression episode. Total NSS scores had a small but significant influence on scores on the depression scale. Coping strategies had no mediated effect on the relationship between workplace stress and scores on the depression scale. Low-reliability coefficients for subscales of two of the standardized tools highlight the challenge for researchers in developing countries to address contextual differences that may influence the meanings attached to individual items. Conclusion: Findings suggest that the mental health of registered nurses in Bangladesh requires immediate attention in part by attending to workplace stressors. Further research should focus on a deeper understanding of Bangladeshi registered nurses’ work experiences and the unique contribution that workplace stressors have on their physical and mental health.

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Young Parents’ Experiences of Pregnancy and Parenting During the COVID-19 Pandemic: A Qualitative Study in the United Kingdom

10.21203/rs.3.rs-1028241/v1 ◽

2021 ◽

Author(s):

Bettina Moltrecht ◽

Louise J. Dalton ◽

Jeffrey R. Hanna ◽

Clare Law ◽

Elizabeth Rapa

Keyword(s):

Mental Health ◽

United Kingdom ◽

Perinatal Care ◽

Good Practice ◽

Poor Mental Health ◽

Mental Wellbeing ◽

Young Parents ◽

The United Kingdom ◽

Increased Risk ◽

Parents Experiences

Abstract Young parents (aged 16-24 years) in the perinatal period are at an increased risk of poor mental health especially during the COVID-19 pandemic, due to multiple risk factors including social and economic instability. COVID-19 related restrictions had profound implications for the delivery of perinatal care services and other support structures for young parents. Investigating young parents’ experiences during the pandemic, including their perceived challenges and needs, is important to inform good practice and provide appropriate support for young parents. Qualitative interviews were conducted with young parents (n=21) during the COVID-19 pandemic in the United Kingdom from February – May 2021. Data were analysed using thematic analysis. Three key themes were identified to describe parents’ experiences during the COVID-19 pandemic. Parents reported specific COVID-19 related anxieties and stressors, including worries around contracting the virus and increased feelings of distress due to uncertainty created by the implications of the pandemic. Parents described feeling alone both at home and during antenatal appointments and highlighted the absence of social support as a major area of concern. Also, parents felt their perinatal care had been disrupted by the pandemic and experienced difficulties accessing care online or over the phone. This study highlights the potential impact of the COVID-19 pandemic on young parents, including their mental wellbeing and the perinatal support they were able to access. Insights from this study can inform the support and services offered to families going forward. Specifically, the findings emphasise the importance of (a) supporting both parents during perinatal appointments, (b) providing parents with mental health support early on and (c) finding ways to facilitate communication pathways between professionals and parents.

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