scholarly journals The social gradient in stress and depressive symptoms among adolescent girls: A systematic review and narrative synthesis

2019 ◽  
Vol 28 (1-2) ◽  
Author(s):  
Janne Lund ◽  
Anders J.W. Andersen ◽  
Siri H. Haugland

Aim: Socioeconomic inequality is found to negatively influence mental health, but studies investigating the relationship between socioeconomic status (SES) and specific common mental health problems such as stress and depressive symptoms in the general adolescent population are needed. Moreover, gender gaps in mental health among adolescents are evident, but there is a lack of studies that investigate socioeconomic differences in mental health within genders. As girls report consistently more depressive symptoms than do boys, this systematic review specifically investigates whether socioeconomic status is associated with stress and depressive symptoms among adolescent girls in the general population.Methods: Eligible studies according to predefined inclusion criteria were identified from Medline, PsycINFO, ISI Web of Science, Svemed+ and Idunn. Eight studies were identified, whereby only two measured stress; hence, the evidence base for stress was too limited to perform an analysis. A narrative synthesis was conducted of the six studies that measured depressive symptoms.Results: A significant inverse social gradient in depressive symptoms among adolescent girls was revealed in all studies that applied parental employment status and perceived financial difficulties as SES measures, while parental educational level and Family Affluence Scale (FAS) gave inconsistent results. The relatively low number of studies may limit interpretation.Conclusions: Depressive symptoms were more common among adolescent girls with low SES compared to girls with higher SES. SES measures should be applied with care in studies of populations of adolescent girls, as the results can vary based on the chosen indicator. Actions to reduce depressive symptoms among adolescent girls in the general population should include targeting socioeconomic inequalities.

2000 ◽  
Vol 28 (4) ◽  
pp. 379-391 ◽  
Author(s):  
Karina Lovell ◽  
David Richards

Mental health problems contribute 23% to the global burden of disease in developed countries (WHO, 1999). In the U.K., recent legislation attempts to address this by modernizing mental health services so that they provide evidence based, accessible and non-discriminatory services for both serious and common mental health problems. Cognitive behaviour therapy (CBT) has a robust evidence base that fits very well with the thrust of policy. However, CBT's delivery systems are rooted in traditional service models, which pay little attention to the growing evidence base for brief and single-strand treatments over complex or multi-strand interventions. Services characterized by 9-5 working, hourly appointments and face-to-face therapy disenfranchise the majority of people who would benefit from CBT. In this paper we argue that the evidence exists for service protocols that promote equity, accessibility and choice and that CBT services should be organized around multiple levels of entry and service delivery rather than the more usual secondary care referral systems.


2016 ◽  
Vol 22 (5) ◽  
pp. 301-310 ◽  
Author(s):  
Puffn O'Hanlon ◽  
Golnar Aref-Adib ◽  
Andres Fonseca ◽  
Brynmor Lloyd-Evans ◽  
David Osborn ◽  
...  

SummaryThere is now an established evidence base for the use of information and communication technology (ICT) to support mental healthcare (‘e-mental health’) for common mental health problems. Recently, there have been significant developments in the therapeutic use of computers, mobile phones, gaming and virtual reality technologies for the assessment and treatment of psychosis. We provide an overview of the therapeutic use of ICT for psychosis, drawing on searches of the scientific literature and the internet and using interviews with experts in the field. We outline interventions that are already relevant to clinical practice, some that may become available in the foreseeable future and emerging challenges for their implementation.


2021 ◽  
pp. 026540752110330
Author(s):  
Frederick Anyan ◽  
Odin Hjemdal

To expand evidence for the nature and related mechanisms underlying loneliness measured by Social and Emotional Loneliness Scale for Adults (SELSA-S), several hypotheses were developed and tested to map the nomological network of loneliness. Tests included examining the structure of the multidimensional experiences of loneliness, concurrent and prospective relations between loneliness, sociodemographic variables, worry, rumination, metacognition, symptoms of anxiety and depression. This study also sought to determine how resilience is involved in the protection against loneliness and depressive symptoms. Four hundred and eighty-two students with a mean age of 25.84 years ( SD = 5.74) participated ( N = 482; 59% females). Structural and temporal stability analyses supported the multidimensional experiences of loneliness, including family, romantic and social loneliness. Psychological network analysis identified especially strong connections (i.e., edges) between indicators belonging to loneliness in family and social relationships. At the general level, older participants and those who were single reported more loneliness. Loneliness was concurrently and prospectively associated with worry, rumination and metacognitions and predicted vulnerabilities in levels of anxiety and depressive symptoms. At follow-up, the effect of loneliness on depressive symptoms was lower when scoring high on resilience. Interventions for loneliness may address improving family relationships and metacognitive processes underlying loneliness, which may in turn improve mental health. Interpersonal and intrapersonal protective factors involved in resilience may compensate for deficits in social relationships thereby buffering negative effects of loneliness on common mental health problems.


2020 ◽  
Vol 9 (2) ◽  
pp. 761-771
Author(s):  
Fakhrun Nisa' Fiddaroini ◽  
Ah. Yusuf ◽  
Praba Diyan Rachmawati

Depression is a common mental health disorder. The main symptoms of depression are a lack of interest in the activities of daily life and suicidal thoughts. Mindfulness-based cognitive therapy (MBCT) is effective in preventing or reducing symptoms of depression. This study aimed to determine the effectiveness of mindfulness-based cognitive therapy in reducing symptoms of depression. This systematic review was based on Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Five databases included in this study This systematic review uses 10 articles that fit the inclusion criteria outcome. The result showed mindfulness-based cognitive therapy intervention from the research was reviewed significantly and has been shown to be an effective psychological intervention for reducing depressive symptoms in various populations. Mindfulness-based cognitive therapy has better results for reducing depressive symptoms and has a positive impact on reducing mental health problems and can be used by nurses and other mental health practitioners.


2021 ◽  
Author(s):  
Priscila Marconcin ◽  
André O. Werneck ◽  
Miguel Peralta ◽  
Andreas Ihle ◽  
Élvio Gouveia ◽  
...  

Abstract Introduction: Coronavirus disease-19 (COVID-19) pandemic affected countries worldwide and has changed peoples’ lives. A reduction in physical activity and an increase in mental health problems were observed. Thus, this systematic review aims to examine the association between physical activity and mental health during the COVID-19 pandemic.Methods: In January 2021, a search was applied to PubMed, Scopus, and Web of Science. Eligibility criteria included cross-sectional, prospective, longitudinal study design and studies published in English; outcomes included physical activity and mental health (e.g., depressive symptoms, anxiety, positive and negative effects, well-being). Results: Nineteen studies were included in this review. Overall, the studies suggested that higher physical activity is associated with higher well-being, quality of life as well as lower depressive symptoms, anxiety, and stress, independently of age. There was no consensus for the optimal physical activity level for mitigating negative mental symptoms, neither for the frequency nor for the type of physical activity. Women were more vulnerable to mental health changes and men were more susceptive to physical activity changes. Conclusion: Physical activity seems to be a good and effective choice to mitigate the negative effects of the COVID-19 pandemic on mental health. Public health policies should alert for alternatives to increment physical activity during the stay-at-home orders in many countries.


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