Selling Sleep: A Qualitative Study of Infant Sleep Coaching in Western Canada

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This article theorizes the experience of using a coach to assist with a baby or young child’s sleep “training” as occurring at the intersection of three broader phenomena: the increasing use of paid experts to advise on intimate life; the porosity of the domestic sphere; and ideologies of mothering that impact sleep. It draws on the vernacular of a growing critical literature on children’s sleep, which understands its practice and representation as symptomatic of culturally and historically specific demands on the organization of space and time, as well as understandings of the child as a site of future potential and human capital. To do so, it draws on a qualitative study of sleep coaches and the mothers who hire them. The authors conducted semi-structured, open-ended interviews with thirty women in Western Canada. The interview data revealed that the sleep deprivation entailed in having a new baby is both a dramatic (and often under-estimated) feature of human facticity and a socially mediated crisis. Paradoxically, the overabundance of expert advice on children’s sleep made mothers more likely to recruit a coach for customized support. The advice coaches provided, and how mothers interpreted it, balanced the pragmatic and the ideological, among other things, revealing poorly evidenced but pervasive anxieties about attachment, independence, mental health, and future well-being.

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  • Research Article
  • Cite Count Icon 2
  • 10.4314/ajsw.v13i6.5
Leveraging Ubuntu values and principles as cultural strength to overcome mental health and emotional wellbeing issues
  • Dec 30, 2023
  • African Journal of Social Work
  • Frieda Kagola + 1 more

There is a need for African people living in Australia to consider leveraging Ubuntu values as a cultural strength to address mental health and emotional wellbeing issues. for African people living in Australia. This paper is a systematic review research which employed key terms such as mental health, emotional wellbeing, African Australian, Young people. There were no participants involved, however the research articles that were reviewed in the study only focused on the African Australian community. Mental health issues among African Australian youth need to be better understood, as studies have shown they are at a higher risk for mental health, yet there has been insufficient research on the topic. In this study, most articles we employed highlighted that the extensive research on that reported migrants to be at ten times higher risk of experiencing mental health issues compared to the general population. Many studies carried out in the African Australian community have drawn more attention to the African Australian culture. This raises the need for research to be conducted on African Australian young people aged 15-29 years which is the Australian age range of a young person, to sensitize the African Australian community on mental health issues, and factors leading to young people's mental health problems in African Australian society. The aim of the study was to raise awareness about mental health issues facing the African, Australian young people and suggesting ways forward to support young people. The finding of the study demonstrates significance and values to address mental health issues in African-Australian Community groups. Research asserted that young immigrants are at greater risk of developing mental illness due to resettlement, cultural transition, and separation from extended family members. Young people lacking a secure base for emotional support from their families are more likely to face mental health issues in their lives. Mental health issues in the African context may not be categorized as a vast problem, but instead identified as life circumstances that every individual encounter. Since mental health subject is a taboo in the African culture, the study encouraged young people to pair up with other African youths to create awareness and advocate to access mental health services should need arise. This study encourages young people and their families from African heritage to leverage Ubuntu values and principles as their cultural strengths in dealing with challenging issues such as mental health and emotional wellbeing issues. How to reference using ASWNet style: Kagola F. & Abur W. (2023). Leverage Ubuntu values and principles as cultural strength to overcome mental health and emotional well-being issues. African Journal of Social Work, 13(6), 312-324. https://dx.doi.org/10.4314/ajsw.v13i6.5 Visit journal website: https://ajsw.africasocialwork.net

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  • Cite Count Icon 29
  • 10.1186/s13031-020-00323-8
Exploring the mental health and psychosocial problems of Congolese refugees living in refugee settings in Rwanda and Uganda: a rapid qualitative study
  • Nov 16, 2020
  • Conflict and Health
  • Anna Chiumento + 12 more

BackgroundRefugees fleeing conflict often experience poor mental health due to experiences in their country of origin, during displacement, and in new host environments. Conditions in refugee camps and settlements, and the wider socio-political and economic context of refugees’ lives, create structural conditions that compound the effects of previous adversity. Mental health and psychosocial support services must address the daily stressors and adversities refugees face by being grounded in the lived reality of refugee’s lives and addressing issues relevant to them.MethodsWe undertook a rapid qualitative study between March and May 2019 to understand the local prioritisation of problems facing Congolese refugees living in two refugee settings in Uganda and Rwanda. Thirty free list interviews were conducted in each setting, followed by 11 key informant interviews in Uganda and 12 in Rwanda.ResultsResults from all interviews were thematically analysed following a deductive process by the in-country research teams. Free list interview findings highlight priority problems of basic needs such as food, shelter, and healthcare access; alongside contextual social problems including discrimination/inequity and a lack of gender equality. Priority problems relating to mental and psychosocial health explored in key informant interviews include discrimination and inequity; alcohol and substance abuse; and violence and gender-based violence.ConclusionsOur findings strongly resonate with models of mental health and psychosocial wellbeing that emphasise their socially determined and contextually embedded nature. Specifically, findings foreground the structural conditions of refugees’ lives such as the physical organisation of camp spaces or refugee policies that are stigmatising through restricting the right to work or pursue education. This structural environment can lead to disruptions in social relationships at the familial and community levels, giving rise to discrimination/inequity and gender-based violence. Therefore, our findings foreground that one consequence of living in situations of pervasive adversity caused by experiences of discrimination, inequity, and violence is poor mental health and psychosocial wellbeing. This understanding reinforces the relevance of feasible and acceptable intervention approaches that aim to strengthening familial and community-level social relationships, building upon existing community resources to promote positive mental health and psychosocial wellbeing among Congolese refugees in these settings.

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  • Cite Count Icon 11
  • 10.1186/s40359-021-00680-w
Measuring mental wellness among adolescents living with a physical chronic condition: a systematic review of the mental health and mental well-being instruments
  • Nov 8, 2021
  • BMC Psychology
  • Zaida Orth + 1 more

BackgroundGlobally, promoting mental health and well-being among adolescents has become a public health priority, especially for adolescents living with a physical chronic condition (CC), as research suggests they may be more at risk of developing mental health co-morbidities. Valid and reliable instruments are needed to measure and better understand mental health and mental well-being among adolescents living with a CC. To this end, we reviewed studies reporting on mental health and well-being instruments used in adolescent populations living with a chronic physical condition/disease globally.MethodsWe used a systematic review method guided by PRISMA to identify assess mental health and mental well-being instruments used in adolescents living with a CC. In this instance, mental health instruments were defined as those representing negative domains of mental health (i.e. depression and anxiety) while mental well-being instruments included positive aspects of mental health (i.e. self-concept and resilience).ResultsWe identified 22 articles, which included 31 instruments that were used to measure either mental health (n = 8) or mental well-being (n = 15) or both (n = 8) in adolescents living with a CC. Of these, thirteen studies used a Health-Related Quality of Life (HRQoL) scale to measure mental health and/or mental well-being. The KIDSCREEN questionnaires and the Strengths and Difficulties Questionnaire were identified as being frequently used across the 22 studies. Additionally, 7 out of the 31 instruments were disease specific, with 3 focusing on adolescents with diabetes. All the instruments were developed in high income countries and adapted for use in lower- and middle-income countries (LMICs). Adolescents with Type 1 Diabetes (n = 7) and HIV (n = 4) were researched in 11 out of 22 studies. Only eight studies were conducted in LMIC, of which four were in Africa.ConclusionsHRQoL instruments are useful in measuring mental health and well-being in adolescents living with a CC. However, relatively few valid measures of mental health and mental well-being for adolescents living with a CC exist, which accentuates the paucity of research on mental health and mental well-being of adolescents who are living with a CC. Specific measures need to be developed in and for LMICs where cultural contexts affect mental well-being in unique ways.Systematic review registration: PROSPERO CRD42020186707.

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  • Cite Count Icon 5
  • 10.1080/13607863.2022.2078790
Trends, heterogeneity, and correlates of mental health and psychosocial well-being in later-life: study of 590 community-dwelling adults aged 40–104 years
  • May 18, 2022
  • Aging & Mental Health
  • Jordan N Kohn + 5 more

Objective The goal of this study was to examine if mental health and psychosocial well-being differed between middle-aged (MA; 40–59 years), younger-old (YO; 60–79 years), and older-old (OO; 80+ years) adults with respect to their trends, heterogeneity, and correlates. Methods Eighteen mental health and psychosocial well-being instruments were administered to 590 adults over age 40. Cross-sectional data also included self-report-based measures of sociodemographics, cognitive functioning, physical health and activity, and body mass index. Results Age trends across instruments varied in magnitude and shape, but generally supported an inverted U-shaped trend in mental health and psychosocial well-being, with small increases from MA to YO age (d = 0.29) and smaller declines from YO to OO age (d = −0.17). A U-shaped association between age and mental health heterogeneity was also observed. The strongest correlates of mental health and psychosocial well-being differed by age (MA: perceived stress; YO: successful aging; OO: compassion toward others), as did the associations of a flourishing versus languishing mental health and well-being profile. Conclusions Our findings support the “paradox of aging,” whereby declines in physical and cognitive health co-occur with relatively preserved mental health and well-being. Our findings indicate that variance in mental and psychosocial health does not increase linearly with age and support careful consideration of heterogeneity in mental health and aging research. Our findings also suggest that mental health and psychosocial well-being decouple from stress-related dimensions in MA and become increasingly associated with positive, other-oriented emotions in OO, broadly supporting socioemotional theories of aging.

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  • Cite Count Icon 36
  • 10.1186/s12889-015-2590-8
Individual factors and perceived community characteristics in relation to mental health and mental well-being
  • Dec 1, 2015
  • BMC Public Health
  • Helen Mcaneney + 6 more

BackgroundIt has been argued that though correlated with mental health, mental well-being is a distinct entity. Despite the wealth of literature on mental health, less is known about mental well-being. Mental health is something experienced by individuals, whereas mental well-being can be assessed at the population level. Accordingly it is important to differentiate the individual and population level factors (environmental and social) that could be associated with mental health and well-being, and as people living in deprived areas have a higher prevalence of poor mental health, these relationships should be compared across different levels of neighbourhood deprivation.MethodsA cross-sectional representative random sample of 1,209 adults from 62 Super Output Areas (SOAs) in Belfast, Northern Ireland (Feb 2010 – Jan 2011) were recruited in the PARC Study. Interview-administered questionnaires recorded data on socio-demographic characteristics, health-related behaviours, individual social capital, self-rated health, mental health (SF-8) and mental well-being (WEMWBS). Multi-variable linear regression analyses, with inclusion of clustering by SOAs, were used to explore the associations between individual and perceived community characteristics and mental health and mental well-being, and to investigate how these associations differed by the level of neighbourhood deprivation.ResultsThirty-eight and 30 % of variability in the measures of mental well-being and mental health, respectively, could be explained by individual factors and the perceived community characteristics. In the total sample and stratified by neighbourhood deprivation, age, marital status and self-rated health were associated with both mental health and well-being, with the ‘social connections’ and local area satisfaction elements of social capital also emerging as explanatory variables. An increase of +1 in EQ-5D-3 L was associated with +1SD of the population mean in both mental health and well-being. Similarly, a change from ‘very dissatisfied’ to ‘very satisfied’ for local area satisfaction would result in +8.75 for mental well-being, but only in the more affluent of areas.ConclusionsSelf-rated health was associated with both mental health and mental well-being. Of the individual social capital explanatory variables, ‘social connections’ was more important for mental well-being. Although similarities in the explanatory variables of mental health and mental well-being exist, socio-ecological interventions designed to improve them may not have equivalent impacts in rich and poor neighbourhoods.

  • Research Article
  • Cite Count Icon 2
  • 10.1093/geroni/igab046.2689
Online Leisure Activities for Sustained Mental Health Well-being in Older Adults with COVID-19 Mitigation
  • Dec 17, 2021
  • Innovation in Aging
  • Solymar Rivera-Torres + 3 more

Older adults (OA) experience psychosocial distress from the COVID-19 pandemic mitigations. While their participation in leisure and recreation activities (LRA) would be ameliorating, we do not know how LRA OA engages for their mental health (MH) well-being with COVID-19 mitigation. This scoping review aimed to trend the evidence on the types of LRA OA engage for their MH well-being across the young-old continuum (60-69 years) through to older-old (80 years and above) in the COVID-19 pandemic. We searched the following electronic databases (PubMed, EMBASE, CINAHL, Cochrane, JBI-ES, and Epistemonicos for LRA studies by OA with COVID-19 mitigation. To be included, we considered empirical articles published in English on LRA of OA 55+ years-old. Another criterion required articles describing those activities' qualities and the impact of LRA on MH and well-being during the COVID-19 pandemic. We resulted in seven empirical studies, two of which implemented in the USA and one from the USA and Canada, Spain, Israel, and Japan. Findings following narrative synthesis revealed trending evidence on OA to engage in online LRA for social, cognitive /intellectual, and emotional health. Leisure-time physical activity reduced negative MH symptoms as anxiety and depression in OA under COVID-19 threat. In conclusion, the present review's trending evidence suggests that OA engagement in social, physical, mental, and cognitive LRA enhanced their MH and overall well-being. Activities delivered by way of the Internet and television provided a cluster of beneficial opportunities for the OA mental health needs under the COVID-19 pandemic.

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  • Cite Count Icon 50
  • 10.5539/ies.v14n3p82
The Effect of Occupational Stress and Coping Strategies on Mental Health and Emotional Well-Being Among University Academic Staff During the COVID-19 Outbreak
  • Feb 24, 2021
  • International Education Studies
  • Panshuo Shen + 1 more

The level of stress among academics in higher education institutions has significantly increased over the past decade. Mental health and well-being of academics can be affected once they are exposed to stressful work conditions and use negative coping strategies. This study was set against the backdrop of the pandemic disease, COVID-19, which has challenged the daily work of academics and risen to the various new stressors. This study aims to investigate the current status of occupational stress, coping styles, mental health and emotional well-being of university academics during the COVID-19 outbreak in Northern Ireland, and examine the effect of stress and coping strategies on mental health and emotional well-being. A cross-sectional online survey was conducted using a sample size of 87 academic staff working in a university in Northern Ireland. SPSS version 25 was used to analyse the collected data. The results showed academics experienced moderate stress levels, and distraction behaviours were the most common form of coping mechanism. Academics were in the moderate status of mental health and poor emotional well-being. Occupational stress has a significant effect on mental health and emotional well-being. Positive reframing and acceptance coping styles have an impact on emotional well-being. This study contributes to the understanding of occupational stress, coping strategies, mental health and emotional well-being of academics in higher education in Northern Ireland. The findings can help to develop reliable methods to inform policy on health and well-being for university academics, which in turn lead to increased productivity at work.

  • Research Article
  • Cite Count Icon 5
  • 10.5923/j.ijpbs.20120201.06
Ongoing Health Inequality in Aboriginal and Torres Strait Islander Population in Australia:Stressful Event, Resilience, and Mental Health and Emotional Well-Being Difficulties
  • Aug 31, 2012
  • International Journal of Psychology and Behavioral Sciences
  • Jing Sun + 3 more

This study aims to examine psychosocial factors associated with mental health and emotional well-being difficulties in a group of Aboriginal and Torres Strait Islander adults. A self-reported survey was administered to 155 participants aged 18–80 from five Indigenous communities, who were recruited through local Aboriginal Community Controlled Health Services. Stress, resilience, mental health and emotional well-being were measured. Structural Equation Modelling was used to analyse the association of stress and resilience with mental health and emotional well-being difficulties. Seventy-eight participants had no mental health or emotional well-being difficulties but 77 participants were at risk. Low levels of resilience emerged as a key psychosocial factor associated with mental health and emotional well-being difficulties while high levels of resilience were associated with a reduced risk. High levels of stress was related to an increased risk of experiencing mental health and emotional well-being difficulties. Improving our understanding of psychological characteristics associated with resilience in the face of stress can inform prevention and treatment interventions for stress-exposed individuals.

  • Abstract
  • Cite Count Icon 1
  • 10.1093/geroni/igab046.2684
Online Leisure Activities for Sustained Mental Health Well-being in Older Adults with COVID-19 Mitigation
  • Dec 17, 2021
  • Innovation in Aging
  • Solymar Rivera-Torres + 3 more

Older adults (OA) experience psychosocial distress from the COVID-19 pandemic mitigations. While their participation in leisure and recreation activities (LRA) would be ameliorating, we do not know how LRA OA engages for their mental health (MH) well-being with COVID-19 mitigation. This scoping review aimed to trend the evidence on the types of LRA OA engage for their MH well-being across the young-old continuum (60-69 years) through to older-old (80 years and above) in the COVID-19 pandemic. We searched the following electronic databases (PubMed, EMBASE, CINAHL, Cochrane, JBI-ES, and Epistemonicos for LRA studies by OA with COVID-19 mitigation. To be included, we considered empirical articles published in English on LRA of OA 55+ years-old. Another criterion required articles describing those activities' qualities and the impact of LRA on MH and well-being during the COVID-19 pandemic. We resulted in seven empirical studies, two of which implemented in the USA and one from the USA and Canada, Spain, Israel, and Japan. Findings following narrative synthesis revealed trending evidence on OA to engage in online LRA for social, cognitive /intellectual, and emotional health. Leisure-time physical activity reduced negative MH symptoms as anxiety and depression in OA under COVID-19 threat. In conclusion, the present review's trending evidence suggests that OA engagement in social, physical, mental, and cognitive LRA enhanced their MH and overall well-being. Activities delivered by way of the Internet and television provided a cluster of beneficial opportunities for the OA mental health needs under the COVID-19 pandemic.

  • Research Article
  • Cite Count Icon 12
  • 10.1111/hex.13836
Peer supporters' mental health and emotional wellbeing needs: Key factors and opportunities for co-produced training.
  • Aug 10, 2023
  • Health Expectations
  • Laura Kane + 6 more

Peer supporters are a valuable asset to mental health and support services, but their own mental health needs are often overlooked in research and practice. This study explored peer supporters'perceived challenges of maintaining their mental health and emotional wellbeing and co-produced training needs. A qualitative approach was used to explore factors affecting peer supporters' mental health and emotional wellbeing. Semi-structured interviews and focus groups were conducted online with 11 peer supporters across North East England. A thematic analysis identified: 'Lack of training and support', 'Role ambiguity'and 'Emotional labour' as challenges experienced by peer supporters in relation to maintaining their mental health and emotional wellbeing. Peer supporters' own lived experiences had the potential to act as a barrier towards providing support to others. Conflict with peer 'supportees' sometimes negatively impacted on the peer supporter experience. Participant responses emphasised a need for person-centred, co-produced training. This work highlights the need for targeted training for peer supporters, including both role-specific education and strategies to support their mental health and emotional wellbeing. Participants were contacted and asked to provide feedback on finalised themes to ensure the analysis was congruent with their experiences, further enabling the future development of an emotional wellbeing training programme for peer supporters.

  • Research Article
  • Cite Count Icon 174
  • 10.2196/jmir.5642
Changing Mental Health and Positive Psychological Well-Being Using Ecological Momentary Interventions: A Systematic Review and Meta-analysis
  • Jun 27, 2016
  • Journal of Medical Internet Research
  • Anke Versluis + 4 more

BackgroundMental health problems are highly prevalent, and there is need for the self-management of (mental) health. Ecological momentary interventions (EMIs) can be used to deliver interventions in the daily life of individuals using mobile devices.ObjectivesThe aim of this study was to systematically assess and meta-analyze the effect of EMI on 3 highly prevalent mental health outcomes (anxiety, depression, and perceived stress) and positive psychological outcomes (eg, acceptance).MethodsPsycINFO and Web of Science were searched for relevant publications, and the last search was done in September 2015. Three concepts were used to find publications: (1) mental health, (2) mobile phones, and (3) interventions. A total of 33 studies (using either a within- or between-subject design) including 43 samples that received an EMI were identified (n=1301), and relevant study characteristics were coded using a standardized form. Quality assessment was done with the Cochrane Collaboration tool.ResultsMost of the EMIs focused on a clinical sample, used an active intervention (that offered exercises), and in over half of the studies, additional support by a mental health professional (MHP) was given. The EMI lasted on average 7.48 weeks (SD=6.46), with 2.80 training episodes per day (SD=2.12) and 108.25 total training episodes (SD=123.00). Overall, 27 studies were included in the meta-analysis, and after removing 6 outliers, a medium effect was found on mental health in the within-subject analyses (n=1008), with g=0.57 and 95% CI (0.45-0.70). This effect did not differ as function of outcome type (ie, anxiety, depression, perceived stress, acceptance, relaxation, and quality of life). The only moderator for which the effect varied significantly was additional support by an MHP (MHP-supported EMI, g=0.73, 95% CI: 0.57-0.88; stand-alone EMI, g=0.45, 95% CI: 0.22-0.69; stand-alone EMI with access to care as usual, g=0.38, 95% CI: 0.11-0.64). In the between-subject studies, 13 studies were included, and a small to medium effect was found (g=0.40, 95% CI: 0.22-0.57). Yet, these between-subject analyses were at risk for publication bias and were not suited for moderator analyses. Furthermore, the overall quality of the studies was relatively low.ConclusionsResults showed that there was a small to medium effect of EMIs on mental health and positive psychological well-being and that the effect was not different between outcome types. Moreover, the effect was larger with additional support by an MHP. Future randomized controlled trials are needed to further strengthen the results and to determine potential moderator variables. Overall, EMIs offer great potential for providing easy and cost-effective interventions to improve mental health and increase positive psychological well-being.

  • Research Article
  • 10.30574/ijsra.2026.18.2.0202
Path-analytic investigation on moderating impact of cyberbullying on mental Health and academic wellbeing of teenagers’ in Owerri Municipal Imo State, Nigeria
  • Feb 28, 2026
  • International Journal of Science and Research Archive
  • Okoiye Emmanuel Ojaga + 3 more

This study used path-analytical methods in investigating moderating impact of cyberbullying on mental health and academic wellbeing of teenagers’ in Owerri Municipal Imo State Nigeria. The study adopted ex-post facto research design. Participants for this study were seven hundred and fifteen (715) purposively selected cyberbullied teenage students from 20 public secondary schools who have undergone counselling therapeutic session with their school counsellors. Ten questionnaires were used for data collection and three research questions answered. Data were analyzed using a causal modeling technique that involved multiple regression, backward solution and path analysis at 0.05 level of significance. Result revealed that cyberbullying has 43% moderating impact on the mental health and academic wellbeing of cyberbullied teenagers. The beta (β) weights of the paths (Paths coefficients) give the estimates of the strengths of the causation of moderating impact of cyberbullying on relationship anxiety as (β = 0.21; <0.001), self-esteem (β = 0.19; p<0.001), interest in schooling (β = 0.09, p<.05), sleep disturbance (β = 0.08; p>.05), substance abuse (β = 0.07; p>.05), suicidal ideation (β = -0.05; p>.05), readiness to learn (β = -0.04; p>.05), study habit (β = --0.03; p>.05) and truancy (β = -0.01; p>.05). Cyberbullying has a total direct effect of 63.05% and indirect effect of 36.95% on the mental health and academic wellbeing of teenagers. Students should be given appropriate orientation of the negative implication of cyberbullying on their mental health and academic wellbeing

  • Research Article
  • Cite Count Icon 28
  • 10.1080/13607863.2022.2060184
Rural/urban differences in mental health and social well-being among older US adults in the early months of the COVID-19 pandemic
  • Mar 29, 2022
  • Aging & Mental Health
  • Carrie Henning-Smith + 3 more

Objectives This study seeks to identify differences in mental health and social well-being during the early months of the COVID-19 pandemic among older adults by rural/urban location. Methods We use data from the COVID-19 Coping Study, a nation-wide online study of U.S. adults aged 55 and older (n = 6,873) fielded during April-May, 2020. We investigated rural/urban differences in mental health (depressive symptoms and anxiety symptoms) and social well-being (loneliness and social isolation); concern about COVID-19; and types of social participation (e.g. phone/video calls, visits). We also used multivariable logistic regression models to assess the relationship of rurality with mental health, adjusting for socio-demographic correlates, COVID-19 history, and COVID-19 concern. Results We found similar prevalence of mental health and social well-being outcomes for rural and urban respondents. Rural respondents reported lower concern about COVID-19 and more frequent use of social media than urban respondents. Conclusion Mental health and social well-being did not differ by rural/urban location in the early months of the COVID-19 pandemic. However, rural residents reported less concern about COVID-19 and more use of social media, potentially leading to greater risk of illness from the pandemic in later months.

  • Research Article
  • Cite Count Icon 6
  • 10.1017/gmh.2024.65
The effects of climate change on mental health and psychological well-being: Impacts and priority actions.
  • Jan 1, 2024
  • Global mental health (Cambridge, England)
  • Shazia Soomro + 2 more

Climate anxiety has a negative impact on the mental health and psychological well-being of the vulnerable population. The goal is to assess many factors that affect mental health and psychological well-being, as well as how climate change affects mental health in Pakistan's vulnerable population. This study provides evidence-based insights into the long- and medium-term impacts of extreme weather events on mental health. To obtain information on these variables, this research uses a quantitative approach and a cross-sectional survey design with a multivariate regression model for empirical tests on a sample of parents and children with an impact on mental health from climate change anxiety. Results indicate that individuals who experience shock climate change anxiety and its effects on mental health and psychological well-being. Climate change can have detrimental effects on children's mental health. (1) Children's Stress Index (CSI): (2) climate change anxiety (CCA), (3) generalised anxiety disorder (GAD) and (4) major depression disorder (MDD), as reported by the children with mental health outcomes. The findings of this study show that climate change has a stressful effect on mental health. The article concludes with a discussion on strategies to address the anticipated mental health issues among children due to climate change.

  • Research Article
  • Cite Count Icon 5
  • 10.2196/50239
A Spiritual Self-Care Mobile App (Skylight) for Mental Health, Sleep, and Spiritual Well-Being Among Generation Z and Young Millennials: Cross-Sectional Survey.
  • Sep 27, 2023
  • JMIR formative research
  • Susanna Y Park + 4 more

Generation Z (Gen Z) and young millennials (GenZennials) (ages 18-35 years) are unique in that they either have no memory of or were born shortly after the internet "explosion." They are constantly on the internet, face significant challenges with their mental health and sleep, and are frequent users of digital wellness apps. GenZennials also uniquely identify with and practice spirituality, which has been linked to better mental health and sleep in adult populations. Research has not examined digital approaches to spiritual self-care and its relationship to mental health and sleep in GenZennials. The purpose of this study was to describe a sample of adult GenZennials who use a spiritual self-care app (ie, Skylight), describe how users engage with and perceive the app, and assess the relationship between frequency of using the app with mental health, sleep, and spiritual well-being. Participants were 475 adult Gen Z (ages 18-28 years) and young millennial (ages 29-35 years) Skylight app users who responded to an anonymous survey on the web. The survey asked about demographics, spiritual self-care and practice, and user engagement and perceptions of the app. Outcome measures included 4 validated surveys for mental health (ie, depression, anxiety, and stress) and sleep disturbance, and one validated survey on spiritual well-being. Mean scores were calculated for all measures, and linear regressions were conducted to examine the relationship between the frequency of app use and mental health, sleep, and spiritual well-being outcomes. Participants were predominantly White (324/475, 68.2%) and female (255/475, 53.7%), and approximately half Gen Z (260/475, 54.5%) and half young millennials (215/475, 45.3%). Most users engaged in spiritual self-care (399/475, 84%) and said it was important or very important to them (437/475, 92%). Users downloaded the app for spiritual well-being (130/475, 30%) and overall health (125/475, 26.3%). Users had normal, average depressive symptoms (6.9/21), borderline abnormal anxiety levels (7.7/21), slightly elevated stress (6.7/16), and nonclinically significant sleep disturbance (5.3/28). Frequency of app use was significantly associated with lower anxiety (Moderate use: β=-2.01; P=.02; high use: β=-2.58; P<.001). There were no significant relationships between the frequency of app use and mental health, sleep, and spiritual well-being outcomes except for the personal domain of spiritual well-being. This is the first study to describe a sample of adult GenZennials who use a spiritual self-care app and examine how the frequency of app use is related to their mental health, sleep, and spiritual well-being. Spiritual self-care apps like Skylight may be useful in addressing anxiety among GenZennials and be a resource to spiritually connect to their personal spiritual well-being. Future research is needed to determine how a spiritual self-care app may benefit mental health, sleep, and spiritual well-being in adult GenZennials.

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