Mental Health Well-Being and Attitudes on Mental Health Disorders among Family Physicians during COVID-19 Pandemic: A Connection with Resilience and Healthy Lifestyle

Family physicians (FPs) are exposed to high amounts of stress, and could be susceptible to the development of mental health disorders (MHD), especially after the emergence of the COVID-19 pandemic. The aim of the current study was to assess MHD history, attitudes toward MHDs and stress‑coping strategies in FPs. An additional goal was to estimate their comprehensive well-being and investigate connections with resilience and a healthy lifestyle. A total of 483 FPs submitted their responses via online survey. MHD attitudes were assessed with the according questionnaires, while burnout levels, healthy lifestyle, resilience, job and life satisfaction were estimated with validated scales. Results have shown that 32.5% of FPs disclosed positive MHD history, while 68.7% used professional help. Resilience and healthy lifestyle levels were significantly higher in MHD negative FPs (p < 0.001), while burnout levels were lower (p < 0.001). Moreover, healthy lifestyle (β = 0.03, p < 0.001) was an independent correlate of resilience, while healthy lifestyle (β= −0.35, p < 0.001, and resilience (β= −1.82, p < 0.001) were of burnout levels. Finally, resilience (OR = 0.387, p < 0.001) and healthy lifestyle (OR = 0.970, p = 0.021) were shown as independent predictors of positive MHD history status. Strong promotion and education of FP population regarding resilience and healthy lifestyle should be utilized in practice in order to alleviate the possibility of mental health disturbances and the according consequences.

Use of a Mobile Peer Support App Among Young People With Nonsuicidal Self-injury: Small-scale Randomized Controlled Trial

Background Nonsuicidal self-injury (NSSI) is a widespread behavior among adolescents and young adults. Although many individuals who self-injure do not seek treatment, there is evidence for web-based help-seeking through web-based communities and mobile peer support networks. However, few studies have rigorously tested the efficacy of such platforms on outcomes relevant for NSSI recovery. Objective The aim of this small-scale preregistered randomized controlled trial is to provide preliminary insight into the shorter- and longer-term efficacy of the use of a peer support app, TalkLife, in reducing NSSI frequency and urges and increasing readiness to change. In addition, we explore contact with informal support, interest in therapy, and attitudes toward professional help–seeking. Methods Individuals aged 16-25 years with current (within 3 months) and chronic (>6 episodes in the past year) NSSI history were eligible to participate in this study. After baseline assessments, the intervention group was instructed to use the app actively (eg, post or comment at least three times per week) and the control group received weekly psychoeducational materials through email, for 8 weeks. Follow-up was assessed at 1 month and 2 months. Linear mixed modeling was used to evaluate condition and time point effects for the primary outcomes of NSSI frequency and urges, readiness to change, contact with informal support, interest in therapy, and attitudes toward professional help–seeking. Results A total of 131 participants were included in the analysis. We evidenced a significant effect of condition on NSSI frequency such that the participants using the peer support app self-injured less over the course of the study (mean 1.30, SE 0.18) than those in the control condition (mean 1.62, SE 0.18; P=.02; η2=0.02). We also evidenced a significant condition effect of readiness to change such that the treatment participants reported greater confidence in their ability to change their NSSI behavior (mean 6.28, SE 0.41) than the control participants (mean 5.67, SE 0.41; P=.04; η2=0.02). No significant differences were observed for contact with informal support, interest in therapy, or attitudes toward professional help–seeking. Conclusions Use of the peer support app was related to reduced NSSI frequency and greater confidence in one’s ability to change NSSI behavior over the course of the study period, but no effects on NSSI urges, contact with informal support, interest in therapy, or attitudes toward professional help–seeking were observed. The findings provide preliminary support for considering the use of mobile peer support apps as a supplement to NSSI intervention and point to the need for larger-scale trials. Trial Registration Open Science Foundation; https://osf.io/3uay9

"I could easily get professional help if I wanted to": Professional help-seeking intentions and the Theory of planned behaviour

This study used path analysis to evaluate the ability of the Theory of planned behaviour to predict professional help-seeking intentions in an adult community sample (N = 470, 51% female, age range: 18-64 years). The results showed that perceived behavioural control was the most significant antecedent of help-seeking intentions, positive attitudes increased the likelihood to seek professional help, however, their effect was small, while subjective norms were not relevant. Past help-seeking had a small direct effect on intentions, yet equally strong as the total indirect effect via attitudes and perceived behavioural control. Psychological distress affected intentions only indirectly. Difficulties with self-disclosure were the only barrier that had a partially mediated effect on intentions through perceived behavioural control. The findings are discussed with respect to the utility of the TPB model, as well as in the wider context of professional help-seeking and interventions to encourage the utilization of mental health services.

Attitudes toward Seeking Professional Psychological Help: Adaptation and Evaluation of ATSPPH-SF using the Rasch Model

The availability of instruments for seeking professional help is crucial in identifying potential delays and failures to seek mental health help. The current study aims to adapt an Indonesian version of the Attitudes toward Seeking Professional Psychological Help-Short Form (ATSPPH-SF) scale and evaluate its psychometric properties using a Rasch modeling approach. Adaptation of the Indonesian scale was carried out in collaboration with a panel of experts under the guidelines of the International Translating Commission. The psychometric evaluation involved 951 respondents (M = 243, F = 708) who participated through an online survey. The results of the Rasch modeling showed that the items of the Indonesian ATSPPH-SF had a good fit with the model. The response categories worked well and reliability was sufficient (item=1, respondent=.59, Cronbach's alpha=.67). This paper highlighted that the ATSPPH-SF Indonesia version is suggested to be valid and reliable. We concluded that ATSPPH-SF can be used in mental health professional help-seeking research in Indonesia.

Young People’s Coping Strategies When Dealing With Their Own and a Friend’s Symptoms of Poor Mental Health: A Qualitative Study

Young people struggle to seek help for their mental health, despite having different resources available. As the coping process is very complex, and elements such as trust and availability of resources have been said to influence it, this study aimed to understand how young people cope with their own or a friend’s symptoms of poor mental health. Eleven young people (13–15 years old) were interviewed. Thematic Analysis of the interviews showed that participants reported different coping strategies for dealing with their own hypothetical symptoms and those of a friend. Participants identified the social impact of experiencing symptoms of poor mental health and choice of resources as the main factors influencing their coping strategies. For their own symptoms, young people expressed concern about being judged and that they would only disclose to someone they trust. Participants would not disclose a friend’s symptoms because they did not want to break their trust. Finally, choice of resources was mainly influenced by the severity of symptoms being experienced, especially when it comes to asking for professional help. This study contributes to a better understanding of the different ways in which young people cope with their own symptoms and symptoms experienced by a friend.

Samenspel tussen jongerenwerk en specialistische jeugdzorg

Een deel van de jongeren die in het jongerenwerk partici- peert ontvangt specialistische jeugdzorg, vanuit bijvoorbeeld verslavingszorg, jeugdreclassering, jeugd-ggz of intensieve gezinsbehandeling. Hoewel profes- sioneel jongerenwerk voor een brede groep jongeren in kwetsbare situaties positief bijdraagt aan hun persoonlijke ontwikkeling en maatschappelijke participatie, is er weinig bekend over de betekenis van het jongerenwerk voor jongeren die specialistische jeugdzorg ontvangen. Voor dit verkennende onderzoek zijn interviews afgenomen met: 1) zeven jongeren (16+) die specialistische jeugdzorg ontvangen en in jongerenwerk participeren; 2) zeven jongerenwerkers en 3) zes jeugdhulpverleners werk- zaam in specialistische jeugdzorg. Een thematische analyse maakt inzichtelijk dat het jongerenwerk op vijf manieren van betekenis is voor jongeren in specialistische jeugdzorg. Jonge- renwerkers zijn ten eerste toegankelijke gesprekspartners die deze jongeren motiveren om problemen serieus te nemen en daarbij professionele hulp te accepteren. Het jongerenwerk biedt deze jongeren daarnaast een omgeving om 2) betekenisvolle relaties op te bouwen, 3) hun zelfbeeld en eigenwaarde te versterken, 4) hun maatschappelijke participatie te vergroten en 5) onder- steuning te vinden om hun zelfstandigheid te vergroten. De resultaten maken inzichtelijk dat het jongerenwerk ook voor deze specifieke groep jongeren groeikansen biedt voor hun persoonlijke ontwik- keling en maatschappelijke participatie. Daarnaast leert dit onderzoek dat participatie van deze doelgroep in het jongerenwerk een positieve invloed kan hebben op de jeugdhulpverleningsprocessen en -resultaten. Hiermee bieden de resultaten gemeenten en de jeugdzorg een beter begrip van hoe het jongerenwerk als preventieve voorziening van betekenis is voor jongeren in specialistische jeugdzorg en een bijdrage kan leveren om de druk op de jeugdzorg te verlichten. Engelstalige versie van de samenvatting A substantial share of all young people who participate in professional youth work settings receive specialised youth-care services, such as addiction care, mental healthcare or intensive family treatment. Nevertheless, little is known about the unique value of youth work settings for young people who are receiving specialised youth-care services. In this exploratory study, we investigated the unique value of youth work for young people in specialised youth-care programmes. Interviews were conducted with: 1) seven young people (16 years of age and older) who were receiving specialised youth-care services and participating in youth-work settings; 2) seven youth workers and 3) six professionals working in specialised youth-care services. Thematic analysis demonstrates that participation in youth-work settings is significant for this group in five ways. First, youth workers provide these young people with accessible dialogue partners who can motivate them to take problems seriously and accept professional help for their vulnerabilities. Youth workers also offer an environment within which to 2) build meaningful relationships; 3) strengthen self-concept and self-esteem; 4) enhance social participation and 5) receive support that helps to increase independence. These findings thus suggest that youth work offers growth opportunities for this specific group. They further indicate that participation in youth work settings can reduce the duration and intensity of the youth-care services provided. The results can help municipalities and youth-care professionals to enhance their understanding of the importance of professional youth work to young people who are receiving specialised youth-care services and how youth work can contribute to reducing high healthcare costs.

Dysmenorrhea : Alternative and Complementary Approach

Dysmenorrhea is a common ailment among women that can cause substantial physical and emotional suffering as well as life disruption. Women, on the other hand, may not seek professional help in order to alleviate this ailment. It is usually primary (functional) in teens and young adults, and is linked with normal ovulatory cycles and no pelvic disease. Reproductive age. Pelvic abnormalities such as endometriosis or uterine anomalies are observed in about 10% of adolescents and young adults with severe dysmenorrhea symptoms. Dysmenorrhea is the most prevalent cause of recurring short-term school absence in adolescent girls and a common condition in reproductive-age women.

Management and Analysis of Large Qualitative Data Sets: Lessons Learned From Daily Journals for a Behavioral RCT

As part of a national RCT of a resourcefulness skills training intervention, 342 grandmother caregivers, completed daily online journals for 4 weeks, reporting “challenges or difficulties you faced today with your grandchildren or other family members and how you handled them.” In this paper, we describe the challenges and benefits of using an entirely online design for the distribution and collection of daily journals. We used NVIVO-12 Plus to perform directed content analysis to assess intervention enactment fidelity and compare content between intervention (trained in and prompted to discuss skills) and control groups. Over 92%(n=317) of participants completed daily journals. There was variation in reporting of skill use between groups: 36% of controls spontaneously used the skill “seek professional help” whereas only 4% of the control group reported the skill “change from usual reaction”. With careful management, qualitative data from large samples can be obtained and effectively analyzed for fidelity.