Questionnaires Assessing Adolescents’ Self-Concept, Self-Perception, Physical Activity and Lifestyle: A Systematic Review

Introduction: Adolescence is considered a fundamental time to promote change. During this time, young people consolidate their social and individual identity. By influencing positive changes, chronic diseases can be avoided, delayed or modified in the future. The use of valid and reliable questionnaires is an optimal resource for gathering information and thus useful for this study. Objectives: The objectives of the study were to: (1). identify the questionnaires that assess self-esteem/self-concept, self-perception, physical exercise and lifestyle of adolescents; (2). analyse the psychometric measures of the questionnaires used to assess the self-esteem/self-concept, self-perception, physical exercise and lifestyle of adolescents; and (3). determine which questionnaires are the most reliable and valid for assessing the self-esteem/self-concept, self-perception, physical exercise and lifestyle of adolescents. Method: A bibliographic search was carried out in the following databases: Virtual Health Library, Cochrane, Medline, Cuiden, Scielo, Dialnet, PubMed and Ministry of Health, Consumption and Social Welfare following the PICO method. The recommendations of the PRISMA statement were followed. Results: A total of 71 scientific articles were collected. Within the self-perception/self-concept questionnaires, the Rosenberg Self-Esteem Scale stands out for being an optimal and widely used resource in adolescents. Regarding the questionnaires that evaluate self-perception, the General Health Questionnaire is the most used; it is used in numerous national health surveys in different countries. The Physical Activity Questionnaire for Adolescents ranks first with respect to the rest of the tools. It is a widely used resource internationally and provides enough information on the physical activity carried out by the subject in a given week. Although there are several questionnaires that measure lifestyle, the Health Behavior in School-aged Children instrument was selected. This instrument is at the European level and involves the collaboration of 48 countries and allows us to compare the lifestyle habits of adolescents from different countries. Discussion: The questionnaire that stands out in the assessment of self-esteem/self-concept is the Rosenberg Self-Esteem Scale. The General Health Questionnaire has been selected as the best tool for assessing self-perception. To measure physical exercise, the Physical Activity Questionnaire for Adolescents is identified as the ideal instrument because it is widely used and can be completed quickly. Regarding lifestyle, the Health Behavior in School aged Children is shown to be an effective instrument in assessing lifestyle.

Impaired emotional intelligence is related to symptoms severity and suicidal attempts in depression

Objective: Few studies demonstrated the impairment of perceived emotional intelligence ‘EI’ among depressed patients. This study aimed to assess the perceived EI in a group of depressed patients, and its association with different clinical characteristics. Methods: Forty-five patients diagnosed with depression were assessed by the Hamilton Depression Rating Scale and compared to 45 controls that were assessed by the Arabic version of General Health Questionnaire to exclude Psychiatric disorders. The Arabic version of Trait Meta-Mood Scale (TMMS) is used to evaluate EI in both groups. Results: Patients with depression showed significantly lower EI scores in the three parts of TMMS (repair, clarity and attention) compared to the controls ( p < .001). Patients showed significant difference in clarity subscale ( p = .005) and attention regarding severity of depression ( p < .001). Clarity of feelings was significantly higher in patients who suffered more than two episodes ( p = .012). Depressive patients with suicidal attempts showed significantly lower scores of repair ( p = .044) and attention ( p = .016) subscales. There were no significant differences of TMMS subscales between patients with and without suicidal ideation, sleep disturbance and somatic symptoms. Conclusions: The current study demonstrates impaired perceived EI among patients with depression that is correlated with symptom severity and suicidal attempts.

The Impact of Resilience on the Psychological Health of Disadvantaged Children: The Mediating Role of Coping Styles and Core Self-evaluation

Objective: Based on the environment-individual interaction model and the "evaluation-coping" theory, the relationship between Resilience, Coping Style, Core Self-evaluation and psychological health of disadvantaged children was explored to provide some theoretical support for psychological health intervention research. Methods: Resilience Scale for Chinese Adolescent (RSCA), core self-evaluation Scale (CSES), Simplified Coping Style Questionnaire (SCSQ), General Health Questionnaire (GHQ-12) were used to conduct a questionnaire survey among 618 middle school students in South Xinjiang. Results: First, GHQ-12 scores were negatively correlated with RSCA, CSES, and SCSQ scores (r=-0.57/r=-0.56/r=-0.49, P <0.001), and positively correlated with the level of psychological health; second, coping styles is a mediator between resilience and psychological health (mediator effect value is -0.04); third, core self-evaluation is a mediator between coping styles and psychological health, there is "resilience — coping styles — core self-evaluation — psychological health" path. Conclusion: Resilience can directly predict the psychological health of disadvantaged children, and indirectly predict psychological health level through chain mediation of coping styles — core self-evaluation.

Mental health status of informal waste workers during the COVID-19 pandemic in Bangladesh

The deadliest coronavirus disease 2019 (COVID-19) is taking thousands of lives worldwide and presents an extraordinary challenge to mental resilience. This study assesses mental health status during the COVID-19 pandemic and its associated factors among informal waste workers in Bangladesh. A cross-sectional survey was conducted in June 2020 among 176 informal waste workers selected from nine municipalities and one city corporation in Bangladesh. General Health Questionnaire (GHQ-12) was used to assess respondents’ mental health. The study found that 80.6% of the individuals were suffering from psychological distress; 67.6% reported anxiety and depression, 92.6% reported social dysfunction, and 19.9% reported loss of confidence. The likelihood of psychological distress (Risk ratio [RR]: 1.23, 95% confidence interval [CI]: 1.02–1.48) was significantly higher for female than male. Multiple COVID-19 symptoms of the family members (RR: 1.20, 95% CI: 1.03–1.41), unawareness about COVID-19 infected neighbor (RR: 1.21, 95% CI: 1.04–1.41), income reduction (RR: 1.60, 95% CI: 1.06–2.41) and daily household meal reduction (RR: 1.34; 95% CI: 1.03–1.73) were also found to be associated with psychological distress. These identified factors should be considered in policy-making and support programs for the informal waste workers to manage the pandemic situation as well as combating COVID-19 related psychological challenges.

DUbbing Language-therapy CINEma-based in Aphasia post-Stroke (DULCINEA): study protocol for a randomized crossover pilot trial

Background Communication is one of the most important predictors of social reintegration after stroke. Approximately 15–42% of stroke survivors experience post-stroke aphasia. Helping people recover from aphasia is one of the research priorities after a stroke. Our aim is to develop and validate a new therapy integrating dubbing techniques to improve functional communication. Methods The research project is structured as three work packages (WP). WP1: development of the dubbed language cinema-based therapy: Two research assistants (a speech therapist and a dubbing actor) will select the clips, mute specific words/sentences in progressive speech difficulty, and guide patients to dub them across sessions. Words to be dubbed will be those considered to be functionally meaningful by a representative sample of aphasic patients and relatives through an online survey. WP2: a randomized, crossover, interventional pilot study with the inclusion of 54 patients with post-stroke non-fluent aphasia. Patients will be treated individually in 40-min sessions twice per week for 8 weeks. Primary outcomes will be significant pre/post differences in scores in the Communicative Activity Log (CAL) questionnaire and Boston Diagnostic Aphasia Examination (BDAE) administered by a psychologist blinded to the patients’ clinical characteristics. Secondary outcomes: General Health Questionnaire (GHQ)-12, Stroke Aphasia Quality of Life Scale (SAQOL-39), Western Aphasia Battery Revised (WAB-R), and the Stroke Aphasic Depression Questionnaire (SADQ10). WP3: educational activities and dissemination of results. WP3 includes educational activities to improve public knowledge of aphasia and dissemination of the results, with the participation of the Spanish patients’ association Afasia Activa. Discussion This pilot clinical trial will explore the efficacy of a new therapeutic tool based on dubbing techniques and computer technology to improve functional communication of patients suffering from post-stroke aphasia with the use of standardized test assessment. Trial registration ClinicalTrials.govNCT04289493. Registered on 28 February 2020.

Mental Health and Attitude toward Substance use among Medical Students

Introduction: Medical students are important and vulnerable populations. High levels of stress, financial dependency, easy access to substances, and lack of adequate support increase their mental health problems and substance use. In this study, we aimed to investigate the relationship between their mental health status and attitude toward substances. Methods: In this cross-sectional study, a total of 157 medical students were enrolled using the convenient sampling method, to answer the Drug Attitude Scale test and General Health Questionnaire. Data were analyzed using the SPSS. Results: Mental health is significantly correlated with the attitude toward substance use. The participants in this study had mental health problems in general. Half of them also had a positive attitude and tendency to use substances. Conclusion: Mental health problems and tendency to use the substances were prevalent among medical students. More investigations and designation of therapeutic and preventive programs are necessary especially for vulnerable populations.

Assessment of Shift Work and Its Health Related Behaviors Among Employees of Petrochemical Company, Saudi Arabia, 2021 (Preprint)

BACKGROUND Shift work has been reported to lead to adverse health effects and is receiving increased attention. OBJECTIVE The study aimed to understand the relationship between shift work schedules and health behaviours among day-shift workers and rotating day-evening-shift workers and to detect the difference between day-shift work or fixed day-shift and rotating day-evening-shift employees. METHODS A cross-sectional study was conducted among employees of Petrochemical Company during 2021. A self-administered questionnaire was used to collect the data. It consisted of two parts demographic data and General Health Questionnaire (GHQ-28). RESULTS Out of 126 employees, 58 (46.0%) were from group age 41-50 years, 55 (43.7%) were overweight and 41 (32.5%) were obese, 38 (30.2%) were smokers, 99 (78.6%) worked in fixed shift. Two thirds 94 (74.6%) reported 6-8 sleeping hours per day, where 41 (32.5%) reported that they were satisfactory about overall quality of sleep and 40 (31.7%) were somewhat unsatisfactory, 62 (49.2%) reported “playing regular moderate to vigorous exercise”. There was no significant relation between shifts type and general health status (p =0.122). There was a significant association between shift types and the following ; age, BMI, education, nationality, household income, Working experience, Chronic diseases, Frequency of shift work, and Overall amount of sleep per day (p<0.0001, p0.017, p=0.027, p<0.0001, p0.042, p=0.002, p=0.024, p<0.0001, and p=0.044). CONCLUSIONS In the current study, rotating shifts were associated with extra sleeping hours, normal weight and having exercise. There was no significant differences in general health between workers in different shift schedules. Further studies need to be conducted to gather more information in order to decrease the additional health burden allied to non-standard work-schedules.

Association of the Meta-Emotion Structure with the Dimensions of Emerging Adulthood Identity Mediated by Mental Health in University Students

Background: Meta-emotion is a crucial developmental task to maintain internal balance, provide compatible relations, and improve mental health. Objectives: The present study aimed to investigate the association of the meta-emotion structure with the dimensions of emerging adulthood identity mediated by mental health in university students. Methods: This descriptive-correlational study was conducted on male and female university students aged 18 - 25 years who were selected from the public universities of Tehran, Iran during 2020 - 2021. The research sample consisted of 178 participants selected via convenience, quota, and nonrandom sampling. Data were collected using Arnett’s inventory of the dimensions of emerging adulthood (IDEA), Goldberg’s general health questionnaire-12 (GHQ-12), and Mitmansgruber’s Meta-Emotion scale (MES). Data analysis was performed using structural equation modeling in the SmartPLS-3 software. Results: The meta-emotion structure had a significant negative association with possibilities/optimism (r = -0.14) and significant positive associations with the components of feeling in-between, identity explorations, self-focus, and possibilities/optimism. Mental health had a negative association with possibilities/optimism (r = -0.17) and positive associations with the other four identity dimensions. In terms of the direct influence coefficients, the meta-emotion structure had a direct and significant influence only on mental health (r = 0.68). Furthermore, mental health had a direct effect only on instability/negativity. Among the identity dimensions of emerging adulthood, mental health had a mediating role only for instability/negativity (β = 0.21; t = 3.23). Conclusions: According to the results and considering the structure of meta-emotion and mental health as an influential factor in characteristics such as instability/negativity among identity dimensions, emphasizing mental health as a mediating factor for the association between meta-emotion and components such as instability/negativity could help acquire a better understanding of the association between these variables.

Comparison of Mental Health Status between Two Periods during Coronavirus Disease 2019 Pandemic in Iranian Adult Population

Background: One unprecedented year after the coronavirus disease 2019 (COVID-19), the pandemic is no longer a short-term stressor; the unremitting/chronic effects of COVID-19 disease is likely to cause impaired physical and mental health upon population and the implemented public health and social measures to limit transmission and reduce mortality and morbidity from COVID-19 expose many people to social isolation, job loss, and economic recession. This study aims to compare mental status and four mental symptoms (somatization, anxiety, depression, and social functions) between two periods during the first year of the COVID-19 pandemic. Materials and Methods: Current study consists of two cross-sectional mental health surveys on the Iranian adult population carried out in two periods of March to April 2020 and December 2020 to February 2021 in two important Provinces of Iran (Fars and Khorasan Razavi). In the first survey, 1337 individuals participated in the study and completed the General Health Questionnaire-28, while in the second survey, 1205 participants completed the same questionnaire. Results: Among 1337 participants of the first survey, there were 876 (65.5%) females and 461 (34.5%) males with an average age of 37.41±10.58 years. In the second survey, there were 1205 participants with mean age of 33.79±19.57 years. The rates of females and males were 57.7% and 42.3%, respectively. Compared to the first survey, the second one showed that poor mental health condition that was 1.40 (95% confidence interval: 1.17-1.67) times higher based on the age, sex, education, marital status, economic, alcohol, cigarette, water-pipe, and sedative (P<0.001). Conclusion: Poor mental health status has increased during the first year of the COVID-19 pandemic. These results revealed that the COVID-19 pandemic was a chronic stressor faced by people every day; therefore, more robust mental health-related considerations must be implemented. [GMJ.2021;10:e2199]

Comparison of the psychological health of students at the higher institutes of nursing and health techniques: A Moroccan multicentre study

Background: Mental health is essential to students’ academic success as well as their ability to participate fully and meaningfully throughout all aspects of their lives and throughout their lifespan. Aims: This study aims to determine the psychological health status of Moroccan nursing and technique health students. In doing so, it also seeks to compare differences based on sociodemographic factors. Method: A multicenter cross-sectional study with a convenience sample was conducted with 2,054 participants in the academic year of 2018/2019. A set of socio-demographic information were collected, and The General Health Questionnaire-12 (GHQ-12) was used. Results: The mean GHQ-12 score was 4.33 ± 2.61, and 58.7% respondents scored 4 and above in the GHQ-12 scores and thus were considered to be in psychological distress. Students’ psychological distress was associated with female gender (60.4% for female compared to 52.4% for men, p = .003); living in parental residence (61.6% compared to 54.7% living away parental residence; p = .02 ), the second and the third training level year respectively (64.6%; 59.2%) compared to first-year (55.2%, p = .001), and midwifery and nursing students (61.6%; 60.3%) as compared to technique health students (43.6%, p = .001). Conclusions: It appears that a substantial number of students have psychological distress and this is likely to have negative effects on students’ educational attainment and wider wellbeing.