scholarly journals Measuring mental wellness among adolescents living with a physical chronic condition: a systematic review of the mental health and mental well-being instruments

2021 ◽  
Vol 9 (1) ◽  
Author(s):  
Zaida Orth ◽  
Brian van Wyk

Abstract Background Globally, promoting mental health and well-being among adolescents has become a public health priority, especially for adolescents living with a physical chronic condition (CC), as research suggests they may be more at risk of developing mental health co-morbidities. Valid and reliable instruments are needed to measure and better understand mental health and mental well-being among adolescents living with a CC. To this end, we reviewed studies reporting on mental health and well-being instruments used in adolescent populations living with a chronic physical condition/disease globally. Methods We used a systematic review method guided by PRISMA to identify assess mental health and mental well-being instruments used in adolescents living with a CC. In this instance, mental health instruments were defined as those representing negative domains of mental health (i.e. depression and anxiety) while mental well-being instruments included positive aspects of mental health (i.e. self-concept and resilience). Results We identified 22 articles, which included 31 instruments that were used to measure either mental health (n = 8) or mental well-being (n = 15) or both (n = 8) in adolescents living with a CC. Of these, thirteen studies used a Health-Related Quality of Life (HRQoL) scale to measure mental health and/or mental well-being. The KIDSCREEN questionnaires and the Strengths and Difficulties Questionnaire were identified as being frequently used across the 22 studies. Additionally, 7 out of the 31 instruments were disease specific, with 3 focusing on adolescents with diabetes. All the instruments were developed in high income countries and adapted for use in lower- and middle-income countries (LMICs). Adolescents with Type 1 Diabetes (n = 7) and HIV (n = 4) were researched in 11 out of 22 studies. Only eight studies were conducted in LMIC, of which four were in Africa. Conclusions HRQoL instruments are useful in measuring mental health and well-being in adolescents living with a CC. However, relatively few valid measures of mental health and mental well-being for adolescents living with a CC exist, which accentuates the paucity of research on mental health and mental well-being of adolescents who are living with a CC. Specific measures need to be developed in and for LMICs where cultural contexts affect mental well-being in unique ways. Systematic review registration: PROSPERO CRD42020186707.

2021 ◽  
Author(s):  
Zaida Orth ◽  
Brian van Wyk

Abstract Background: Globally, promoting mental health and wellbeing among adolescents has become a public health priority, especially for adolescents living with a chronic condition (CC) as research suggests they may be more at risk of developing mental health co-morbidities. Valid and reliable instruments are needed to measure and better understand mental health and mental wellbeing among adolescents living with a CC. To this end, we reviewed studies reporting on mental health and well-being instruments used in adolescent populations living with a chronic physical condition/disease globally.Methods: We used a systematic review method guided by PRISMA to identify assess mental health and mental wellbeing instruments used in adolescents living with a CC. In this instance, mental health instruments were defined as those representing negative domains of mental health (i.e. depression and anxiety) while mental wellbeing instruments included positive aspects of mental health (i.e. self-concept and resilience). Results: We identified 22 articles, which include 31 instruments that were used to measure either mental health (n= 8) or mental wellbeing (n= 15) or both (n=8) in adolescents living with a CC. Of these, thirteen studies used a Health-Related Quality of Life (HRQoL) scale to measure mental health and/or mental well-being; and three studies used. The KIDSCREEN questionnaires and the Strengths and Difficulties Questionnaire were identified as being frequently used across the 22 studies. Additionally, 7 out of the 31 instruments were disease specific, with 3 focusing on adolescents with diabetes. All the instruments were developed in high income countries and adapted for use in lower- and middle-income countries (LMICs). Adolescents with Type 1 Diabetes (n=7) and HIV (n=4) were researched in 11 out of 22 studies. Only eight studies were conducted in LMIC, of which four were in Africa. Conclusions: The findings suggest that HRQoL instruments seem to be useful in measuring mental health - and wellbeing in adolescents living with a CC. Relatively few valid measures of mental health and mental wellbeing for adolescents living with a CC exist generally, which confirms the paucity of research on mental health and mental well-being of adolescents who are living with a CC. There is a need for measures to be developed in LMIC where cultural contexts differ greatly and affects well-being in unique ways.Systematic review registration: PROSPERO CRD42020186707


2019 ◽  
Vol 21 (3) ◽  
pp. 148-162
Author(s):  
Iris Wainiqolo ◽  
Bridget Kool ◽  
Vili Nosa ◽  
Shanthi Ameratunga

Introduction:  Health-related quality of life (HRQoL) is an important aspect to consider when assessing the non-fatal impact of injuries.  The aim of this review was to critically appraise the range of generic instruments employed in the assessment of HRQoL following injury in low-and middle-income countries (LMICs). As a prelude to subsequent research examining longer-term outcomes following motor vehicle crash injuries in Fiji, we also examined how commonly used measures align with the List of All Deficits (LOAD) framework for injury and the Fonofale model of Pacific health and well-being.  Methods:  A systematic search of four databases was conducted to identify injury outcome studies undertaken in low-and middle-income countries (LMICs) that used a generic health status outcome measure(s).  Two separate content analyses were undertaken, to assess how identified HRQoL measures aligned with the LOAD framework and the Fonofale model. Findings:  Thirty two studies from thirteen LMICs examined variably defined aspects of HRQoL following a range of traumatic injuries (e.g. spinal cord, brain). The measures most commonly focused on the ‘impact on individual’ aspect of the LOAD framework and the ‘physical and mental’ aspects of the Fonofale model.  While the emerging literature from LMICs provides valuable information about the HRQoL of trauma patients, the commonly used generic measures provided limited insights regarding societal impacts, culture and spirituality, domains of relevance to injury research and Pacific health and well-being.  Conclusion: Theoretical frameworks relevant to Pacific contexts should be considered when selecting appropriate outcome measures for injury studies in the region.


2021 ◽  
Vol 11 (3) ◽  
pp. 267-270
Author(s):  
Grace Zurielle C. Malolos ◽  
Maria Beatriz C. Baron ◽  
Faith Ann J. Apat ◽  
Hannah Andrea A. Sagsagat ◽  
Pamela Bianca M. Pasco ◽  
...  

The coronavirus disease 2019 (COVID-19) pandemic has subjected the mental health and wellbeing of Filipino children under drastic conditions. While children are more vulnerable to these detriments, there remains the absence of unified and comprehensive strategies in mitigating the deterioration of the mental health of Filipino children. Existing interventions focus on more general solutions that fail to acknowledge the circumstances that a Filipino child is subjected under. Moreover, these strategies also fail to address the multilayered issues faced by a lower middle-income country, such as the Philippines. As the mental well-being of Filipino children continues to be neglected, a subsequent and enduring mental health epidemic can only be expected for years to come.


2019 ◽  
Vol 9 (1) ◽  
pp. 1-12 ◽  
Author(s):  
Peter D. Hart ◽  
Diona J. Buck

Background: Resistance training (RT) is recommended as part of our national physical activity guidelines which includes working all major muscle groups on two or more days a week.Older adults can gain many health benefits from RT, such as increased muscle strength,increased muscle mass, and maintenance of bone density. Additionally, certain dimensions of health-related quality of life (HRQOL) have been shown to improve in older adults due to RT intervention. The purpose of this study was to use systematic review and meta-analytic techniques to examine the effect of RT on HRQOL in older adults. Methods: A systematic review of current studies (2008 thru 2017) was conducted using PubMed. Studies were included if they used a randomized controlled design, had RT as an intervention, measured HRQOL using the SF-36/12 assessment, and included adults 50+ years of age. Eight dimension scores (physical functioning, bodily pain, physical role function, general health, mental health, emotional role function, social function, and vitality) and two summary scores (physical component and mental component) were extracted. Ten meta-analyses were performed using standardized mean effect sizes and random effects models. Study quality,moderator and sensitivity analyses were conducted. Results: A total of 16 studies were included in the analyses with a mean Physiotherapy Evidence Database (PEDro) score of 4.9 (SD=1.0). Among the mental health measures, RT had the greatest effect on mental health (Effect size [ES]=0.64, 95% CI: 0.30-0.99, I2=79.7). Among the physical health measures, RT had the largest effect on body pain (ES=0.81, 95% CI: 0.26-1.35, I2=85.9).Initially, RT did not significantly affect measures of emotional role function, social function or physical role function. However, after removing a single study, RT significantly increased all HRQOL measures. Conclusion: The meta-analytic evidence presented in this research clearly supports the promotion of RT in improving HRQOL in older adults.


2011 ◽  
Vol 19 (3) ◽  
pp. 451-457 ◽  
Author(s):  
Viviane Martinelli Pelegrino ◽  
Rosana Aparecida Spadoti Dantas ◽  
Alexander Michael Clark

This descriptive and exploratory study analyzed variables associated with health-related quality of life among 130 outpatients. Health-related quality of life was measured through the Minnesota Living with Heart Failure Questionnaire. Significant associations were found between patients’ health-related quality of life and their age (r=-0.177; p=0.044), vitality (r=-0.625; p=<0.001) as well as mental health (r=-0.672; p=<0.001), which are both SF-36 domains. The linear regression showed that heart failure symptom severity, vitality and mental health explained 54% of HRQOL measurement variation. To control symptoms and preserve good mental well-being are important to maintain health-related quality of life and to deliver effective heart failure care.


Author(s):  
Rosalba Company-Córdoba ◽  
Diego Gómez-Baya ◽  
Francisca López-Gaviño ◽  
Joaquín A. Ibáñez-Alfonso

Growing up in vulnerable conditions has an impact on children and adolescents’ mental health and well-being outcomes. However, this evidence has rarely been obtained in middle and low-income countries like Guatemala, where food insecurity and exposure to violence frequently threaten childhood development. The aim of this study was to analyse the relations that sociodemographic and socioeconomic factors have with psychological adjustment of low-socioeconomic status (SES) Guatemalan children and adolescents, and how these relations were mediated by food insecurity and exposure to violence. A total of 185 participants (50.8% girls; aged between 6 to 17, M = 11.82, SD = 3.7) from three vulnerable schools located in rural and urban areas of Guatemala were assessed. The results indicated that exposure to violence significantly moderates the effect of sociodemographic and socioeconomic variables in measures of depression, anxiety and health-related quality of life. Adolescents more exposed to violence reported higher levels of depression and anxiety, as well as lower levels of health-related quality of life. In contrast, food insecurity did not seem to influence psychological adjustment outcomes in this low-SES sample. These findings highlight the relevance of exposure to violence for mental health and well-being, and is a factor that should be considered when designing public health policies to promote children and adolescents’ welfare.


2019 ◽  
Vol 29 (Supplement_4) ◽  
Author(s):  
R Rodrigues ◽  
K Nicholson ◽  
P Wilk ◽  
G Guaiana ◽  
S Stranges ◽  
...  

Abstract Background Global studies have demonstrated consistent associations between sleep problems and mental health and well-being in older adults, however Canadian data are lacking. We investigated associations between sleep quantity and quality with both mental illness symptoms and well-being among older adults in Canada. Methods We used cross-sectional baseline data from the Canadian Longitudinal Study on Aging, a national survey of 30,097 community-dwelling adults aged 45 years and older. Self-reported sleep measures included average past-week sleep duration (short [&lt;6h], normal [6-8h], long [&gt;8h]), and sleep quality (satisfied or dissatisfied vs neutral). Mental illness outcomes included depressive symptoms and psychological distress. Mental well-being outcomes included self-rated mental health and satisfaction with life. We used modified Poisson regression models with adjustment for sociodemographic, behavioural, and clinical factors, and stratification by sex and age to explore effect modification. Results In the unadjusted analysis, short and long sleep duration and sleep dissatisfaction were associated with higher mental illness symptoms and lower well-being across all outcomes. Sleep satisfaction was associated with a lower likelihood of mental illness symptoms and better well-being. Short sleep duration was associated with the largest effects on mental health outcomes. Self-rated mental health and depressive symptoms had the largest associations with sleep measures. Effects were larger in males and the 45 to 54 year age group. Conclusions Preliminary evidence suggests sleep duration and quality are associated with symptoms of depression, psychological distress, and poor mental well-being among older adults. We are unable to determine whether sleep problems are a cause or consequence of poor mental health. Nonetheless, sleep may be an important target for public health initiatives to improve mental health and well-being among older adults. Key messages Our findings contribute further evidence that sleep difficulties are associated with adverse health outcomes including higher mental illness symptoms and lower well-being among older adults. Sleep disturbances are an unmet public health problem, and may be an important target for public health initiatives to improve mental health and well-being among older adults.


2018 ◽  
Vol 72 (10) ◽  
pp. 958-966 ◽  
Author(s):  
Suzanne Tillmann ◽  
Danielle Tobin ◽  
William Avison ◽  
Jason Gilliland

BackgroundIt is commonly believed that nature has positive impacts on children’s health, including physical, mental and social dimensions. This review focuses on how accessibility to, exposure to and engagement with nature affects the mental health of children and teenagers.MethodsTen academic databases were used to systematically search and identify primary research papers in English or French from 1990 to 1 March 2017. Papers were included for review based on their incorporation of nature, children and teenagers (0–18 years), quantitative results and focus on mental health.ResultsOf the 35 papers included in the review, the majority focused on emotional well-being and attention deficit disorder/hyperactivity disorder. Other outcome measures included overall mental health, self-esteem, stress, resilience, depression and health-related quality of life. About half of all reported findings revealed statistically significant positive relationships between nature and mental health outcomes and almost half reported no statistical significance.ConclusionsFindings support the contention that nature positively influences mental health; however, in most cases, additional research with more rigorous study designs and objective measures of both nature and mental health outcomes are needed to confirm statistically significant relationships. Existing evidence is limited by the cross-sectional nature of most papers.


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