Validity and reliability of the Self-administered-Psycho-TherApy-SystemS (SELFPASS) item pool for the daily mood tracking of depressive symptoms: a cross-sectional online survey (Preprint)

BACKGROUND Adolescence and young adulthood is a period of heightened risk of mental disorders onset. The Covid-19 pandemic may have impacted the daily lives and learning of students, exposing them to risks of emotional distress. Understanding factors associated with individual differences in distress can inform remedial strategies for schools. OBJECTIVE To investigate the impact of Covid-19 on undergraduate students’ lifestyle and learning, and explore relationship between depressive symptoms, resilience, and optimism/pessimism bias in undergraduate students in Hong Kong. METHODS Cross-sectional online survey of undergraduate students in a university (n=1020) before and during the third wave of Covid-19 outbreak in Hong Kong between May and August 2020. Changes in habits and family conflicts, depressive symptoms (measured using Patient Health Questionnaire-9), resilience (measured using Connor-Davidson Resilience Scale), optimism/pessimism towards Covid-19 risks, and knowledge about Covid-19 were recorded. Multivariable linear regression and mediation analyses were used to explore relationships with depressive symptoms. RESULTS 61.7% of respondents have mild to severe depressive symptoms. The regression model found that 18.5% of the variance in depressive symptoms was explained by resilience, pessimism bias, changes in sleep, decrease in study at home, and increase in family conflict. Mediation analysis showed that resilience is indirectly related to depressive symptoms through its relationship with pessimism (ab = -0.042, CI = -0.057 to -0.013). Higher resilience was associated with lower depressive symptoms even after accounting for resilience’s indirect effect through pessimism (c’ = 0.311, P < .001). CONCLUSIONS The findings highlight the mental health vulnerability of undergraduate students. Measures to reduce family conflict, maintain healthy daily habits, adjust optimism/pessimism bias, and enhance resilience may be useful for improving the mental wellbeing of undergraduate students during the pandemic.

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Perceptions of Study Conditions and Depressive Symptoms During the COVID-19 Pandemic Among University Students in Germany: Results of the International COVID-19 Student Well-Being Study

Frontiers in Public Health ◽

10.3389/fpubh.2021.674665 ◽

2021 ◽

Vol 9 ◽

Author(s):

Paula Mayara Matos Fialho ◽

Franca Spatafora ◽

Lisa Kühne ◽

Heide Busse ◽

Stefanie M. Helmer ◽

...

Keyword(s):

Depressive Symptoms ◽

University Students ◽

Online Survey ◽

Positive Association ◽

Well Being ◽

Cross Sectional ◽

German Student ◽

The University ◽

The Impact ◽

Mental Well Being

Background: Results of previous studies examining the impact of the SARS-CoV-1 epidemic in 2003 on university students' mental well-being indicated severe mental health consequences. It is unclear how the current COVID-19 pandemic and the changes in study conditions due to federal regulations affected mental well-being in the German student population. We examined university students' perceptions of study conditions during the COVID-19 pandemic and investigated associations between study conditions and depressive symptoms.Methods: A cross-sectional online survey was conducted in Germany in May 2020 at four universities (N = 5,021, 69% female, mean age: 24 years, SD: 5.1). Perceived study conditions, as well as sociodemographic information, were assessed with self-generated items and the CES-D 8 scale was used to determine depressive symptoms. Associations between perceived study conditions (academic stress and academic satisfaction), in general, and confidence to complete the semester, in particular, and depressive symptoms were analyzed using generalized linear regressions.Results: Fifty-four percent of survey participants felt that the university workload had significantly increased since the COVID-19 pandemic; 48% were worried that they would not be able to successfully complete the academic year; 47% agreed that the change in teaching methods caused significant stress. Regarding depressive symptoms, the mean score of the CES-D 8 scale was 9.25. Further, a positive association between perceived study conditions and depressive symptoms was found (p < 0.001), indicating that better study conditions were associated with fewer depressive symptoms. Results of the generalized linear regression suggest that better student mental well-being was related to higher confidence in completing the semester.Conclusions: This study provides first insights into perceived study conditions and associations with depressive symptoms among students during the COVID-19 pandemic in Germany. Findings underline the need for universities to provide intervention strategies targeting students' mental well-being during the course of the pandemic.

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Depressive Risk among Italian Socioeconomically Disadvantaged Children and Adolescents during Covid-19 Pandemic: A Cross-Sectional Online Survey

10.21203/rs.3.rs-451360/v1 ◽

2021 ◽

Author(s):

Maria Serra ◽

Anna Presicci ◽

Luigi Quaranta ◽

Maria Rosaria Erminia Urbano ◽

Lucia Marzulli ◽

...

Keyword(s):

Mental Health ◽

Depressive Symptoms ◽

Children And Adolescents ◽

Low Income ◽

Online Survey ◽

Self Report ◽

Socioeconomically Disadvantaged ◽

Cross Sectional ◽

Disadvantaged Children ◽

Parent Version

Abstract Background Children and adolescents and low-income individuals are considered particularly vulnerable for mental health implications during the current COVID-19 pandemic. Depression is one of the most frequent negative emotional responses during an epidemic outbreak, mainly due to the imposed restriction of social contacts. We aimed to assess depressive symptomatology in a sample of Italian low-income minors and to determine if pandemic-related stressors and pre-existing neuropsychiatric diagnoses would behave as risk factors for depressive symptoms. Methods We performed a cross-sectional study during July 2020, at the end of the Italian first wave of COVID-19 pandemic. We recruited 109 Italian socioeconomically disadvantaged children and adolescents, from 7 to 17 years. We used an online survey to collect socio-demographic and clinical data and information about pandemic-related stressors, and to assess depressive symptoms with the Children’s Depression Inventory 2 (CDI 2), Parent Version (Emotional Problems subscale) and Self-Report Short Form. We performed logistic regression analysis to assess the association between depressive symptoms and potential risk factors for mental health. Results 22% and 14% of participants showed depressive symptoms at the CDI 2 Parent Version and Self-Report, respectively. Participants coming from families experiencing a lack of basic supplies during the pandemic (34.9%) were more expected to show depressive symptoms at CDI 2 Parent Version. Participants with a pre-existing neuropsychiatric diagnosis (26.6%) were more likely to exhibit depressive symptoms measured by CDI 2 Parent Version. Conclusions The results of our study may be representative of a particular group of frail subjects, the socioeconomically disadvantaged children and adolescents, who were more vulnerable to depressive symptoms if they suffered from a paucity of essential supplies during the pandemic or had pre-existing neurodevelopmental disorders. The promotion of educational and child-care programs and activities could be crucial in sustaining the prevention of mental distress in those frail subjects who particularly need support outside the family.

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Drinking to Cope Motivations as a Mediator of the Relationship Between Sexual Coercion Victimization and Alcohol Use Among College Women: The Role of Depressive Symptoms

Violence Against Women ◽

10.1177/1077801218796334 ◽

2018 ◽

Vol 25 (6) ◽

pp. 721-742 ◽

Cited By ~ 1

Author(s):

Sarah J. Ehlke ◽

Michelle L. Kelley

Keyword(s):

Depressive Symptoms ◽

Alcohol Use ◽

Sexual Coercion ◽

Online Survey ◽

Cross Sectional Study ◽

Cross Sectional ◽

Drinking To Cope ◽

Regulation Strategies ◽

The Relationship

This cross-sectional study examined whether depressive symptoms strengthened the relationship between different forms of sexual coercion victimization and drinking to cope motivations, which was hypothesized to influence alcohol use. Participants were 214 female undergraduates who completed an online survey. Participants who experienced any lifetime sexual coercion and reported higher depressive symptoms were the most likely to report drinking to cope motivations, which in turn were associated with alcohol use. Depressive symptoms did not strengthen the relationship between specific forms of sexual coercion, drinking to cope, and alcohol use. Increasing emotion regulation strategies among sexual coercion victims may reduce drinking.

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The Self-Efficacy of Certified Athletic Trainers in Assessing and Managing Sport-Related Concussions

Journal of Athletic Training ◽

10.4085/1062-6050-394-17 ◽

2018 ◽

Vol 53 (10) ◽

pp. 983-989 ◽

Cited By ~ 2

Author(s):

Jennifer L. Savage ◽

Tracey Covassin

Keyword(s):

High School ◽

Self Efficacy ◽

Online Survey ◽

Athletic Trainers ◽

School Setting ◽

Cross Sectional Study ◽

The Self ◽

Return To Play ◽

Cross Sectional ◽

Certified Athletic Trainers

Context: Diagnostic and return-to-play assessments of athletes with sport-related concussions (SRCs) have changed dramatically over the past decade. Currently, SRC assessment and management has taken a multifaceted approach, with new SRC measures being developed yearly. However, to date, no researchers have examined certified athletic trainers' (ATs') self-efficacy in assessing and managing a patient with an SRC. Objective: To examine the self-efficacy of ATs in assessing and managing athletes with SRCs, with a secondary purpose of examining job setting (high school and college). Design: Cross-sectional study. Setting: Web-based questionnaire. Patients or Other Participants: A total of 94 ATs (high school setting = 54.3%, n = 51; collegiate setting = 45.7%, n = 43) completed an online survey, for a response rate of 9.2%. Main Outcome Measure(s): The survey contained 3 primary subsections: demographics, self-efficacy in assessing SRCs, and self-efficacy in managing SRCs. Possible self-efficacy ratings for SRC assessment and management in the survey ranged from 0 to 100. Multivariate analyses of variance were performed to identify differences in the self-efficacy of high school and collegiate ATs in assessing and managing athletes with SRCs. Results: The self-efficacy of all 94 participants in their assessment of SRCs was 60.34 ± 14.5 and in their management of SRCs was 55.30 ± 14.1. Collegiate ATs reported higher self-efficacy in the assessment of SRCs using balance (P < .001) and the King-Devick test (P = .04), and their responses approached significance for vestibular-ocular motor screening (P = .05). Additionally, their self-efficacy in the management of SRCs was greater using balance (P < .001) and vestibular-ocular therapy (P = .01) compared with high school ATs. Conclusions: Athletic trainers had moderate self-efficacy regarding their assessment and management of SRCs. Collegiate ATs had higher self-efficacy in newer SRC assessment and management tools than high school ATs.

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Depressive symptoms associated with COVID-19 preventive practice measures, daily activities in home quarantine and suicidal behaviors: Findings from a large-scale online survey in Bangladesh

BMC Psychiatry ◽

10.1186/s12888-021-03246-7 ◽

2021 ◽

Vol 21 (1) ◽

Author(s):

Md. Saiful Islam ◽

Rafia Tasnim ◽

Md. Safaet Hossain Sujan ◽

Most. Zannatul Ferdous ◽

Md. Tajuddin Sikder ◽

...

Keyword(s):

Depressive Symptoms ◽

Large Scale ◽

Online Survey ◽

Daily Activities ◽

Hierarchical Regression ◽

Suicidal Behaviors ◽

Health Issues ◽

Cross Sectional Survey ◽

Cross Sectional ◽

Preventive Practice

Abstract Background The world is facing a public health emergency situation caused by the COVID-19 pandemic. Psychological wellbeing among individuals worldwide has been negatively affected by the pandemic especially in low- and middle-income countries such as Bangladesh. The present study aimed to assess the estimate of depressive symptoms and investigated its associations with COVID-19 preventive practice measures, daily activities in home quarantine, and suicidal behaviors in a large-scale Bangladeshi online survey. Methods An online-based cross-sectional survey was widely distributed to Bangladeshi citizens. A total of 13,654 participants (61.0% male; mean age = 24.0 years [SD = 6.0]; age range 18–65 years) completed the survey between May and June (2020). The survey included socio-demographics and COVID-19-related questions, along with lifestyle, suicidal, and psychometric measures. Hierarchical regression was performed to determine significant associations between depression and examined variables. Results The estimate of depressive symptoms during the COVID-19 pandemic was 43.5%. Based on hierarchical regression analysis, depression was significantly associated with not engaging in COVID-19 preventive measures, daily activities in home quarantine (e.g., playing videogames), and suicidal behaviors. Conclusions Depressive symptoms appeared to be high during the COVID-19 pandemic in Bangladesh. To fight against the pandemic, mental health issues as well as physical health issues need to be taken into consideration.

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Usefulness of Antenatal Care Handbook: A Cross-Sectional Study of Mother’s Perspective

10.21203/rs.3.rs-627529/v1 ◽

2021 ◽

Author(s):

Queenita Luta ◽

Khadizah Haji Abdul Mumin ◽

Hjh Roslin Haji Sharbawi ◽

Hanif Abdul Rahman ◽

Sarena Haji Hashim

Keyword(s):

Antenatal Care ◽

Healthcare Workers ◽

Online Survey ◽

Cross Sectional Study ◽

The Self ◽

Sectional Study ◽

Cross Sectional ◽

Brunei Darussalam ◽

And Child Health ◽

Over Time

Abstract Introduction: The Maternal and Child Health (MCH) Handbook was introduced by the Ministry of Health Brunei Darussalam in 2016 to replace a card-type record. Since its introduction, its usefulness has not been evaluated. The purpose of the study was to determine the usefulness of the MCH Handbook contents in delivering information on antenatal care to Bruneian women. Methods: A cross-sectional study using an online survey to women who came for their routine antenatal checkup at 32-week gestation. Results: 73 mothers returned the self-administered online questionnaires. Participants had time to read the handbook (95.9%), were familiar with content (89.0%), and satisfied with the usage (93.2%). Major reasons for not using the handbook included “same information available online” (20.5%), “some words difficult to understand” (17.8%), “like more pictures than words” (12.3%), and “less encouragement from healthcare workers” (12.3%).Conclusions: Majority of mothers find the handbook useful. However, further study is required to explore mother’s perception on the utilization of the handbook to continue improving the content and ensure relevance of its usage over time.

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Impaired mentalizing in depression and the effects of borderline personality disorder on this relationship

Borderline Personality Disorder and Emotion Dysregulation ◽

10.1186/s40479-021-00153-x ◽

2021 ◽

Vol 8 (1) ◽

Author(s):

R. P. Rifkin-Zybutz ◽

◽

P. Moran ◽

T. Nolte ◽

Janet Feigenbaum ◽

...

Keyword(s):

Depressive Symptoms ◽

Borderline Personality Disorder ◽

Personality Disorder ◽

Multivariate Regression ◽

Mental States ◽

Borderline Personality ◽

The Self ◽

Clinical Settings ◽

Cross Sectional ◽

Regression Modelling

Abstract Background Mentalizing, the ability to understand the self and others as well as behaviour in terms of intentional mental states, is impaired in Borderline Personality Disorder (BPD). Evidence for mentalizing deficits in other mental disorders, such as depression, is less robust and these links have never been explored while accounting for the effects of BPD on mentalizing. Additionally, it is unknown whether BPD symptoms might moderate any relationship between depressive symptoms and mentalizing. Methods Using multivariate regression modelling on cross-sectional data obtained from a sample of 274 participants recruited from clinical settings, we investigated the association between mentalizing impairment and depression and examined whether this was moderated by the presence and number of concurrent BPD symptoms, while adjusting for socio-demographic confounders. Results Impaired mentalizing was associated with depressive symptoms, after adjustment for socio-demographic confounders and BPD symptoms (p = 0.002, β = − 0.18). BPD symptoms significantly moderated the association between impaired mentalizing and depressive symptoms (p = 0.003), with more severe borderline symptoms associated with a stronger effect of poor mentalization on increased depressive symptoms. Conclusion Mentalizing impairments occur in depression even after adjusting for the effect of BPD symptoms. Our findings help further characterise mentalizing impairments in depression, as well as the moderating effect of BPD symptoms on this association.. Further longitudinal work is required to investigate the direction of association.

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Depression during COVID-19 Pandemic in India: Findings from an Online Survey

International Journal of Preventive Curative & Community Medicine ◽

10.24321/2454.325x.202008 ◽

2020 ◽

Vol 06 (02) ◽

pp. 16-21

Author(s):

Tanu Anand ◽

Keyword(s):

Depressive Symptoms ◽

Online Survey ◽

Protective Factor ◽

Family Income ◽

Severe Depression ◽

Female Gender ◽

Cross Sectional Study ◽

Cross Sectional ◽

Symptoms Of Depression ◽

Coronavirus Infection

Introduction: Unprecedented crisis of COVID-19 pandemic has generated uncertainties in minds of people thereby impacting their mental health. Global evidence supports rising trend of symptoms of depression among general population during the pandemic. Material and Method: It was a cross-sectional study conducted between April 15 and May 01, 2020. Data were collected using pre-structured questionnaire that was circulated through a web-based link via messages and mails. Depressive symptoms were assessed using Patient Health Questionnaire-9 (PHQ-9). Data were analyzed using SPSS version 23. Result: Out of the total 500 telephonic contacts who were sent the survey link, 478 had (95.6%) responded. There were 114 (23.8%), 64 (13.4%), 40 (8.4%) and 29 (6.1%) participants who were classified as having mild, moderate, moderately severe and severe depression respectively. Female gender, religion, education status, unemployment and professional occupation, income less than Rs. 20000 and more than Rs. 40000, ‘scare for coronavirus infection’ were found to be significantly associated with severity of depression (p<0.05). Adjusted analysis revealed that age was protective factor where as those who were scared from coronavirus infection were found to be two times more at risk of having symptoms of depression. Increasing family income was also associated with presence of depressive symptoms. Conclusions: The proportion of participants with depressive symptoms was 51.7%. There is a need for assessing psychosocial impact of COVID-19 among populations and communities in varied settings over a long period of time.

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Screening of Depressive Symptoms in a Russian General Population Sample: A Web-based Cross-sectional Study

Clinical Practice and Epidemiology in Mental Health ◽

10.2174/1745017902117010205 ◽

2021 ◽

Vol 17 (1) ◽

pp. 205-211

Author(s):

Andrey Alexandrovich Kibitov ◽

Alexander Sergeevich Rakitko ◽

Evgeniy Dmitirevich Kasyanov ◽

Grigoriy Viktorovich Rukavishnikov ◽

Kira Alexandrovna Kozlova ◽

...

Keyword(s):

Depressive Symptoms ◽

Online Survey ◽

Linear Regression Analysis ◽

Population Sample ◽

Depression Scale ◽

Older Age ◽

Clinical Population ◽

Cross Sectional ◽

Web Based ◽

Male Sex

Background and Objective: Web-based screening of depressive symptoms in general non-clinical population can provide better insights into actual prevalence of depressive symptoms and associated risk factors. To study the current prevalence of depressive symptoms in Russian non-clinical population we conducted screening using an online survey based on Depression subscale of Hospital Anxiety and Depression Scale (HADS-D). Methods: The online survey covered 2610 Russian-speaking respondents and included HADS-D, questions about sex, age and presence of cardiovascular diseases (CVD) diagnoses or symptoms in respondents. Results: The proportion of respondents with depressive symptoms, estimated by online HADS-D, was 14.4% (11.5% - at subclinical level, 2.9% - at clinical level). The overall HADS-D score was higher in women (p=0.003), in young individuals under 30 y.o vs. participants over 42 y.o. (p=0.004) and in individuals with self-reported CVD symptoms (p=0.00002). Linear regression analysis showed that self-reported CVD symptoms increase HADS-D score (p<0.001), but male sex (p=0.002) and older age (p<0.001) decrease it. Logistic regression showed that CVD symptoms increase the risk of depressive symptoms by HADS-D (p=0.033, OR=1.29), but older age (p=0.015, OR=0.87) and male sex (as a trend, p=0.052, OR=0.80) decrease this risk. Conclusion: Online survey based on HADS-D showed new patterns of depressive symptoms prevalence in Russian non-clinical population. Depressive symptoms prevalence did not differ between men and women and was higher among young people. The reported association between depressive symptoms and CVD was confirmed.

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