scholarly journals Comorbidity of Physical and Anxiety Symptoms in Adolescent: Functional Impairment, Self-Rated Health and Subjective Well-Being

Author(s):  
Judit Balázs ◽  
Mónika Miklósi ◽  
Agnes Keresztény ◽  
Christina Hoven ◽  
Vladimir Carli ◽  
...  

Physical disorders and anxiety are frequently comorbid. This study investigates the characteristics of physical disorders, self-rated heath, subjective well-being and anxiety in adolescents. Data were drawn from the Saving and Empowering Young Lives in Europe cohort study. From 11 countries 11,230 adolescents, aged 14–16 years were included. Zung Self-Rating Anxiety Scale (SAS), WHO-5 Well-Being Index and five questions prepared for this study to evaluate physical illnesses and self-rated heath were administered. Anxiety levels were significantly higher in adolescents who reported having physical disability (p < 0.001, Cohen’s d = 0.40), suffering from chronic illnesses (p < 0.001, Cohen’s d = 0.40), impairments associated to health conditions (p < 0.001, Cohen’s d = 0.61), or reported poor to very poor self-rated health (p < 0.001, Cohen’s d = 1.11). Mediational analyses revealed no direct effect of having a chronic illness/physical disability on subjective well-being, but the indirect effects through higher levels of anxiety were significant. Functional impairment related to health conditions was both directly and indirectly (through higher levels of anxiety) associated with lower well-being. The co-occurrence of anxiety and physical disorders may confer a greater level of disability and lower levels of subjective well-being. Clinicians have to screen anxiety, even in a subthreshold level in patients with choric physical illness or with medically unexplained physical symptoms.

Author(s):  
Shaul Kimhi ◽  
Yohanan Eshel ◽  
Hadas Marciano ◽  
Bruria Adini

Considering the potential impact of COVID-19 on the civil society, a longitudinal study was conducted to identify levels of distress, resilience, and the subjective well-being of the population. The study is based on two repeated measurements conducted at the end of the pandemic’s “first wave” and the beginning of the “second wave” on a sample (n = 906) of Jewish Israeli respondents, who completed an online questionnaire distributed by an Internet panel company. Three groups of indicators were assessed: signs of distress (sense of danger, distress symptoms, and perceived threats), resilience (individual, community, and national), and subjective well-being (well-being, hope, and morale). Results indicated the following: (a) a significant increase in distress indicators, with effect sizes of sense of danger, distress symptoms, and perceived threats (Cohen’s d 0.614, 0.120, and 0.248, respectively); (b) a significant decrease in resilience indicators, with effect sizes of individual, community, and national resilience (Cohen’s d 0.153, 0.428, and 0.793, respectively); and (c) a significant decrease in subjective well-being indicators with effect sizes of well-being, hope, and morale (Cohen’s d 0.116, 0.336, and 0.199, respectively). To conclude, COVID-19 had a severe, large-scale impact on the civil society, leading to multidimensional damage and a marked decrease in the individual, community, and national resilience of the population.


2020 ◽  
pp. 016327872097965
Author(s):  
Kui Wang ◽  
Xin-yang Yu ◽  
Chao-ran Yu ◽  
Ya-fei Liu ◽  
Min-yi Chu ◽  
...  

The Body Image Concern Inventory (BICI) was developed to assess dysmorphic appearance concern and has been found to be a reliable and valid instrument in Western societies. To examine the psychometric properties of a new Chinese BICI, the BICI was administered to 1,231 Chinese young adults (Study 1) and 47 female patients with eating disorders and 56 matched controls (ED; Study 2). In study 1, Cronbach’s alpha of .92 and test-retest reliability of .73 over a 6-month interval was observed for the total scale. Confirmatory factor analysis supported a 3-factor model for the BICI: avoidant behaviors (AB), safety behaviors against perceived flaws (SB), and negative appearance evaluation (NE). In study 2, ED patients scored significantly higher on the BICI total and three subscale scores than controls. In addition, AB best differentiated ED patients and matched controls (Cohen’s d = 1.52); SB best differentiated between the non-clinical female and male groups (Cohen’s d = 0.75); NE was most closely associated with level of negative affect and subjective well-being (inverse relationship) in both clinical and non-clinical groups. In conclusion, the Chinese BICI is a reliable and valid tool for evaluating dysmorphic appearance concern among Chinese speakers.


2021 ◽  
pp. 0192513X2199413
Author(s):  
Yuko Hara

Research in Western countries has demonstrated that marriage is associated with improved well-being, and parenthood with decreased well-being, for both men and women. However, less is known about whether the associations are universal for both genders across countries. Using nine waves of panel data and fixed effects models, this study examines the relationship between changes in family roles and subjective well-being of men and women in the highly gendered social context of Japan. Well-being was assessed across two domains: self-rated health and mental health. The results broadly support the protective effect theory, which posits that marriage itself has a positive effect on well-being; however, no association was observed between becoming a wife and self-rated health. Contrary to what previous research predicts, only men’s self-rated health negatively responds to transition to parenthood. These findings highlight the importance of country context and gender differences in the significance of family obligations.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Takashi Oshio ◽  
Hiromi Kimura ◽  
Toshimi Nishizaki ◽  
Takashi Omori

Abstract Background Area-level deprivation is well known to have an adverse impact on mortality, morbidity, or other specific health outcomes. This study examined how area-level deprivation may affect self-rated health (SRH) and life satisfaction (LS), an issue that is largely understudied. Methods We used individual-level data obtained from a nationwide population-based internet survey conducted between 2019 and 2020, as well as municipality-level data obtained from a Japanese government database (N = 12,461 living in 366 municipalities). We developed multilevel regression models to explain an individual’s SRH and LS scores using four alternative measures of municipality-level deprivation, controlling for individual-level deprivation and covariates. We also examined how health behavior and interactions with others mediated the impact of area-level deprivation on SRH and LS. Results Participants in highly deprived municipalities tended to report poorer SRH and lower LS. For example, when living in municipalities falling in the highest tertile of municipality-level deprivation as measured by the z-scoring method, SRH and LS scores worsened by a standard deviation of 0.05 (p < 0.05) when compared with those living in municipalities falling in the lowest tertile of deprivation. In addition, health behavior mediated between 17.6 and 33.1% of the impact of municipality-level deprivation on SRH and LS, depending on model specifications. Conclusion Results showed that area-level deprivation modestly decreased an individual’s general health conditions and subjective well-being, underscoring the need for public health policies to improve area-level socioeconomic conditions.


2014 ◽  
Vol 12 (1) ◽  
pp. 61 ◽  
Author(s):  
Mengjun Wu ◽  
John Brazier ◽  
Clare Relton ◽  
Cindy Cooper ◽  
Christine Smith ◽  
...  

2021 ◽  
Author(s):  
Anietie Andy

BACKGROUND Loneliness is a threat to the well-being of individuals and in older adults is associated with increased risk of early mortality. Studies have shown that some individuals seek support around loneliness on online forums/social media platforms. A common challenge in online forums is that some posts do not receive comments. In some non-health related forums, posts not receiving comments may not be a serious concern, however, in an online health forum such as those focused on discussions around loneliness, posts not receiving comments could translate to individuals seeking support around loneliness not receiving adequate support. OBJECTIVE The aim of this work is to analyze posts published on an active online forum focused on discussions around loneliness (loneliness forum) to determine the language features associated with posts that elicit comments from members of the forum. METHODS For the analysis in this work, 15,012 posts published on an online loneliness forum by 9,956 users were analyzed. Of these posts, 6,450 received five or more comments, 13,221 received one or more comments, and 1,791 received no comments. Using the natural language processing method, latent dirichlet allocation (LDA) and a psycholinguistic dictionary, Linguistics Inquiry and Word Count (LIWC), the language features expressed in posts that elicit comments from members of the forum were determined. RESULTS The findings from this work show that posts related to topics themes on relationships (Cohen’s D = 0.319) and the use of negation words (Cohen’s D = 0.149) tend to receive one or more comments. Also, posts associated with LIWC categories on first person singular pronouns (Cohen’s D = 0.264) tend to elicit one or more comments. Posts on topic themes related to spending time around holidays/birthdays/year/time of day or week (Cohen’s D = 0.79) and affection relative to relationships (Cohen’s D = 0.102) tend to receive five or more comments. CONCLUSIONS This work identifies language features expressed in loneliness forum posts that elicit comments. The findings from this work can provide members of online loneliness forums tips on how to write posts that potentially elicit comments from members of the forum.


2021 ◽  
Vol 9 (3) ◽  
pp. 19-34
Author(s):  
Kevin M. Cloninger ◽  
Alexandre Granjard ◽  
Nigel Lester ◽  
Erik Lindskär ◽  
Patricia Rosenberg ◽  
...  

Background: Migration is one of the major challenges of the 21st century with many refugees being victims of torture and experiencing war and the collapse of their society. Sweden, for example, received about 169,520 refugees during 2015 and 20–30% of them were estimated to suffer from mental illness. Nevertheless, research shows that about 66.40% of refugees never reveal their traumatic experiences to a doctor and a majority refuse psychiatric help. Hence, we need innovative methods to promote the physical, mental, and social health of refugees. Objective: We examined the effects of Anthropedia’s Well-Being Coaching (i.e., a biopsychosocial approach to coaching) and Well-Being Spa (i.e., modern version of age-old Spa interventions) on the personality and health of a sample of refugees living in Sweden. Methodology: Participants were recruited as part of a health and employment project in Blekinge, Sweden. A total of 70 Syrian refugees were randomly assigned to a six-month intervention comprising either Well-Being Coaching, or Well-Being Spa, or both (i.e., Mind–Body). The participants reported personality (temperament and character), well-being (positive and negative affect, life satisfaction, and harmony in life), and ill-being (defeat and entrapment, and anxiety and depression) at the beginning and at the end of the six-month intervention period. Results: Participants assigned to the Well-Being Coaching intervention showed increases in self-directedness (Cohen’s d = 0.84), cooperativeness (Cohen’s d = 0.36), positive affect (Cohen’s d = 0.43), and life satisfaction (Cohen’s d = 0.56), and decreases in both negative affect (Cohen’s d = 0.38) and defeat (Cohen’s d = 0.89). Participants assigned to the Well-Being Spa intervention showed decreases in harm avoidance (Cohen’s d = 0.55), reward dependence (Cohen’s d = 0.69), negative affect (Cohen’s d = 0.82), anxiety (Cohen’s d = 0.53), defeat (Cohen’s d = 0.34), and external entrapment (Cohen’s d = 0.42). Participants assigned to the Mind–Body intervention showed significant decreases in harm avoidance (Cohen’s d = 0.47), anxiety (Cohen’s d = 0.61), depression (Cohen’s d = 0.34), defeat (Cohen’s d = 0.56), external entrapment (Cohen’s d = 0.44), and internal entrapment (Cohen’s d = 0.79) and increases in persistence (Cohen’s d = 0.27), self-directedness (Cohen’s d = 0.28), cooperativeness (Cohen’s d = 0.43), self-transcendence (Cohen’s d = 0.51), positive affect (Cohen’s d = 0.42), and harmony in life (Cohen’s d = 0.36). Conclusions: The results of the present study suggest that Well-Being Coaching strengthens refugees’ character, while the Well-Being Spa treatments reduced participants’ tendency to worry and anxiety. Finally, the combination of these two interventions seems to promote the development of health-related traits, reduce ill-health, and stress, and increase well-being in a wider biopsychosocial perspective.


2020 ◽  
Author(s):  
Fan Zhang ◽  
Peggy Pui-Lai Or ◽  
Joanne Wai-Yee Chung

Abstract Background. Health literacy, the ability to access, understand, evaluate, and apply health information, was found to contribute to positive health outcomes, possibly via promoting healthy behaviors. However, the specific pathways linking different health literacy skills to health and well-being has remained unclear. Methods. A cross-sectional survey with structural questionnaires was administered among 2236 community-based adults in Hong Kong (mean age = 46.10 ±19.05). Health literacy was measured by HLS-Asian-47. Participants' health behavior, physical conditions, and subjective well-being were reported.Results. With structural modeling path analysis, health literacy in finding and understanding information showed a direct effect on enhancing physical health. While applying information capacity had an indirect positive effect via promoting health behaviors, which was moderated by sex. Only among women, this indirect effect predicting fewer physical symptoms and better well-being was significant.Conclusions. Although similar patterns were found in physical condition and well-being, distinct direct and indirect pathways were found of different health literacy dimensions for men and women. Based on the findings, by targeting specific health literacy skills, education programs should be developed to enhance women’s health knowledge, and men's application of the knowledge in healthy lifestyle.


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