Mental Health Research Articles

Determinants of sexual and reproductive health concerns among youngsters in Albania during COVID-19 pandemic

The COVID-19 pandemic has affected all communities, including youngsters. Our aim was to assess the key sexual and reproductive health (SRH) concerns of young people in Albania during the pandemic as well as the factors associated with the main health concern. A cross-sectional study was carried out in Albania in 2021. Multivariable logistic regression analysis was used to assess the association of being concerned about mental health & psychological well-being, urgency for mental health information, and difficulty in getting mental health information with independent variables. In total 340 youngsters aged 14-30 years participated (66% female, 89% Albanian ethnicity, about 20% belonging to the LGBT community). Mental health & psychological well-being were the main SRH topics youngsters were concerned about, reported by 48% of them. About 37% of youngsters had an urgent need for mental health information during the pandemic and 18% experienced difficulty in getting this information. Being part of the LGBT community was associated with a significantly higher likelihood of being concerned about mental health (OR=3.15;95%CI:1.36-7.33), being in urgent need of mental health information (OR=3.68;95%, CI:1.63-8.32) and experiencing difficulties in getting mental health information (OR=3.48;95% CI:1.49-8.13). Higher household income levels also increased the likelihood of being concerned about mental health (OR=4.28;95%CI:1.55-11.77) and being in urgent need of mental health information (OR=4.15;95%CI:1.43- 12.01). In conclusion, young people in Albania have been concerned about various SRH topics during the COVID-19 pandemic, but the major concern was mental health & psychological well-being, especially for the LGBT community. The findings should guide future interventions for addressing youth mental health concerns in emergency situation.

Psychological Resilience and Related Factors among Primary Care Workers in Wuhan, China: A Cross-Sectional Study

PurposePrimary medical workers constitute a high-risk group for mental health problems, and psychological resilience might protect them from the negative psychological impacts of their work. Therefore, this study aimed to investigate the current situation of psychological resilience among primary care workers in Wuhan, China, as well as related factors. MethodsIn this cross-sectional study, a total of 417 primary care workers (30.0% men; 38.5±8.5 years old) were randomly selected to complete a questionnaire. The brief version of the National Mental Health Literacy Questionnaire and the Psychological Resilience Scale were used to assess participants’ mental health literacy and psychological resilience, respectively. Multiple linear regression was performed to identify factors associated with the psychological resilience of primary care workers. ResultsMore than four-fifths of the primary care workers included in this study exhibited appropriate levels of mental health knowledge. In terms of mental health skills, participants’ attainment rates, ranging from high to low, were 60.9% for distracting attention, 45.3% for interpersonal support and 43.9% for cognitive reappraisal. The average psychological resilience score obtained by primary care workers was 27.81±5.71, and the factors associated with increased psychological resilience included being male, being older, and possessing higher mental health skills, including skills pertaining to interpersonal support and distracting attention. ConclusionThe psychological resilience of primary care workers in Wuhan is at a moderate level and thus requires further improvement. Although these medical staff exhibit appropriate levels of mental health knowledge, their mental health skills are relatively poor, despite the fact that interpersonal support and distracting attention are significantly associated with psychological resilience. Hence, interventions targeting mental health skills are recommended to promote psychological resilience among primary care workers.

The impact of bullying and cyberbullying on mental health: a systematic review

Bullying, including cyberbullying, has a devastating impact on mental health, particularly among adolescents. This literature study aims to identify mental health issues caused by bullying and cyberbullying. A systematic review was conducted in the last five years using the keywords "bullying, cyberbullying, mental health, adolescent" and the population, intervention, comparison, outcome, study design (PICOS) framework within Scopus (29 articles), ProQuest (187 articles), Science Direct (193 articles), and SAGE (58 articles) published databases in the last five years using the keywords of “bullying, cyberbullying, mental health, adolescent”. The selected articles are those applying quantitative and longitudinal studies published in 2018-2022 in which study participants were adolescents who had experiences as victims of bullying and cyberbullying. The 25 articles met the inclusion criteria for review. Based on the results of the review of the article, it was found that mental health problems can occur in all roles in bullying and cyberbullying, but the highest is in the role of victim. Mental health problems that occur in victims include anxiety, stress, depression, low self-esteem, suicidal ideation, and suicide attempts. Based on these results, different interventions are needed for the roles involved in bullying and cyberbullying, especially for victims, because psychological problems are more common in victims.

Smartphone addiction and adolescent mental health: a cross-sectional study in West Sumatra province

In West Sumatra Province, Indonesia, approximately 13.01% of individuals aged 15 years or older are affected by mental and emotional disorders, ranking it as the third highest among the 34 provinces. Excessive smartphone use has emerged as a potential influencer of mental health, associated with social networking addiction, shyness, and low self-esteem. This study aimed to examine the relationship between smartphone addiction and mental health issues in adolescents using a cross-sectional design. The sample included 283 randomly selected students aged 15-17 years. Smartphone addiction was measured using the smartphone addiction scale-short version (SAS-SV), and mental health was assessed using the strength and difficulties questionnaire (SDQ). The study revealed a significant association (p<0.001) between smartphone addiction and mental health problems among adolescents, with 72.1% of respondents experiencing smartphone addiction and 26.9% classified as having abnormal mental health. These findings emphasize the need for increased awareness regarding the negative impact of excessive smartphone use on adolescent mental health. Schools should play a vital role in addressing this issue through the provision of guidance and counseling services. Future research should investigate causal relationships using longitudinal designs and consider diverse populations to enhance the generalizability of the results.

Mental health after the COVID-19 pandemic among Finnish youth: a repeated, cross-sectional, population-based study

High levels of mental health problems among young people were reported during the COVID-19 pandemic, but studies of the post-pandemic period are scarce. We assessed mental health problems among Finnish youth before, during, and after the COVID-19 pandemic using nationwide population-based samples. Our aim was to examine in which direction the heightened levels of adolescent mental health problems have developed after the pandemic. In this national, repeated cross-sectional, population-based study in Finland, we recruited students at lower and upper secondary level (aged 13-20 years) who were taking part in the Finnish School Health Promotion (SHP) survey in 2015-23 (119 681-158 897 participants per round). The SHP is based on total sampling and conducted biennially between March and May. Self-reports covered the seven-item Generalized Anxiety Disorder Scale; the two-item Patient Health Questionnaire for depression; the Mini Social Phobia Inventory for social anxiety; the Short Warwick-Edinburgh Mental Wellbeing Scale for mental wellbeing; loneliness; the Sick, Control, One Stone, Fat, Food measure for disordered eating; and suicidality (suicidal ideation, deliberate self-harm, and suicide attempts). Scales were dichotomised using validated cutoffs. Presence of any and comorbid mental health problems was assessed. Logistic (for dichotomised outcomes) and linear (for Short Warwick-Edinburgh Mental Wellbeing Scale) mixed effects models were used to analyse the effect of survey year on mental health, controlling for sociodemographic background factors and stratified by gender and school level. Cisgender and transgender youth were compared. Between 2015 and 2023, the SHP study recruited 722 488 students (371 634 [51·6%] girls and 348 857 [48·4%] boys) with a mean age of 15·8 years (SD 1·3) who were either in the eighth and ninth grades of comprehensive school or the first and second years of general and vocational upper secondary schools in Finland. The proportion of participants with generalised anxiety, depression, and social anxiety symptoms above the cutoff increased from pre-COVID-19 levels to 2021 and remained at these higher levels in 2023 among all study groups. Among girls in lower secondary education, prevalence of generalised anxiety, depression, and social anxiety symptoms increased from 2021 to 2023, as did social anxiety among girls in upper secondary education. Among boys, the proportion with social anxiety symptoms decreased between 2021 and 2023. Mental wellbeing scores decreased in all groups between 2021 and 2023, and disordered eating increased in girls, and in boys in lower secondary education. Suicidality increased in girls but not in boys. Loneliness was the only measure to show improvement in all groups from 2021 to 2023. In 2023, 55 895 (72·6%) of 76 994 girls and 22 718 (32·8%) of 69 205 boys reported at least one mental health problem, and 37 250 (48·4%) girls and 9442 (13·6%) boys reported comorbid mental health problems. Among both transfeminine and transmasculine youth, the prevalence of generalised anxiety and depression symptoms decreased from 2021 to 2023, but compared with cisgender youth, the proportions were significantly higher throughout. The effects of the COVID-19 pandemic on youth mental health could be long lasting. In this study, the substantial change for the better among transgender youth was a positive exception. Providing adequate support and treatment for young people with poor mental health is essential, but solutions to the mental health crisis need to address a wider societal perspective and should be developed in partnership with young people. NordForsk, Research Council of Finland. For the Finnish and Swedish translations of the abstract see Supplementary Materials section.

Psychiatric Mental Health Nurse Practitioner Job and Patient Outcomes: A Scoping Review

Psychiatric–mental health nurse practitioners (PMHNPs) offer a solution to the shortage of mental health care providers in a time of increased mental health demand. However, little is known about their job and patient outcomes. This scoping review aimed to explore PMHNP job outcomes, including satisfaction, burnout, and quality of work life, and patient mental health outcomes of PMHNP-delivered care. Twenty-four articles met the inclusion criteria and were published from January 2002 through October 2023. The existing research suggests that PMHNP-delivered care results in positive patient mental health outcomes for a variety of mental health conditions. For job outcomes, further research is warranted.

Patterns of adverse childhood experiences and mental health symptoms among young adults

It is well known that adverse childhood experiences (ACEs) are linked with mental health problems. Identifying different patterns of exposure to adverse childhood experiences can provide information regarding what types of adversity may place individuals at most risk for poor mental health. The aims of our study were to identify underlying patterns of 10 types of ACEs in a sample of young adults (i.e., 18–21 years) and to examine relations between the ACEs classes and mental health symptoms (i.e., somatization, depression, anxiety, overall psychological stress). We found that a three-class model fit the data best: low ACEs, high emotional abuse only, and high multiple ACEs. We found significant differences across classes for all mental health symptoms. The high multiple ACEs class had significantly higher mean somatization, anxiety, and overall psychological stress scores than both the high emotional abuse only and low ACEs classes, and the high emotional abuse only class had higher mean anxiety and overall psychological stress scores in comparison to the low ACEs class. In contrast, our results suggest that the low ACEs and high emotional abuse only classes had higher mean levels of depression symptoms than the high multiple ACEs class. Our findings highlight the importance of examining the unique effects of different patterns of exposure to ACEs on mental health to inform prevention and intervention efforts that mitigate the harmful effects of ACEs on mental health.

Ecoanxiety and mental health unveiled: a bibliometric analysis

Ecoanxiety, which encompasses the psychological impacts of environmental change, has emerged as a pressing global concern. However, the complex interrelationship between environmental factors and mental health in the context of ecoanxiety remains underexplored. This bibliometric analysis examines the evolution of international research on ecoanxiety and mental health using the Scopus and Web of Science databases. Parameters analyzed include publication trends over time, contributing countries, research foci, and keyword frequencies related to climate change, ecoanxiety, mental health, and solastalgia. The findings reveal surging scholarship in recent years, exponential publication growth, and increasing international collaborations. The total of 214 documents initially retrieved, 122 peer-reviewed publications met the inclusion criteria after pre-processing. The analysis provides a comprehensive overview of the current state of ecoanxiety and mental health research. It elucidates patterns in the emergence and progression of this burgeoning field to inform future research directions. Specifically, the elucidated features regarding keyword usage and research trends establish a foundation to advance investigations on the nexus between environmental issues and psychological well-being. This bibliometric study synthesizes existing knowledge and unveils fruitful avenues to progress understanding of the psychological ramifications of ecological crises.

The psychological impact of the COVID-19 epidemic among healthcare workers at the grassroots level in Vietnam

The COVID-19 pandemic has significantly affected the mental health of healthcare workers (HCWs). Therefore, an immediate priority is to monitor rates of mental health issues to understand related factors and inform interventions. The main purpose of this study was to evaluate the psychological and mental health impact of COVID-19 and some related factors among HCWs at the grassroots level in Vietnam. A cross-sectional study was conducted on 675 HCWs working at health facilities through questionnaires. The finding showed the rate of HCWs who were psychologically affected by the COVID-19 pandemic was 37.2%, of which 64.1% of HCWs were afraid to tell their families about the risk of exposure to COVID-19 at work. The 31.0% of HCWs had difficulty sleeping deeply/insomnia due to the COVID-19 epidemic. No statistically significant differences were found in the psychological impact of COVID-19 between HCW groups by age, gender, seniority, and professional qualifications. Some groups of HCWs were found to have poor psychological health. Our research suggests that during the COVID-19 pandemic, HCWs working in healthcare facilities experienced an increased psychological burden; psychological interventions for those at high risk and with common mental disorders should be included to reduce this burden and protect HCWs' mental health.

Changing and unfinished narratives of the mental health impact of HIV in the UK

The mental health impacts of HIV have evolved significantly over the last four decades, in parallel with changes in the virus's overall health consequences. This study charts transformation in narratives about mental health problems associated with HIV over the course of the epidemic, as outlined by people with HIV (40%), professional carers (45%) and activists (25%) in the UK. In particular, our study examines evolving mental health impacts and changing service provision during three key periods: The early days of the epidemic; after the introduction of effective antiretroviral therapy (ART) in 1996; and in more recent times as HIV came to be regarded as a chronic manageable condition. Fifty-three participants were recruited: Male (68%), female (32%), White (90%), African/Afro Caribbean (6%) and South Asian (4%). Results indicate that despite important changes in the severity and nature of the mental health impact of HIV, there were persistent challenges, related to the long-term mental health consequences of HIV among earlier generations of people with HIV. There were additional challenges associated with ageing with HIV; the development of sexual dysfunction; and the possibility of neurocognitive impairment. The organization of mental health care for people with HIV moved from specialist teams to general practice, presenting challenges of mainstreaming care. The commissioning and delivery of mental health services need to be sensitive to this ever-changing social context and the potential for ‘left behind’ people living with HIV, despite the overall ‘naturalisation’ of HIV.

The relationship between leisure activities and mental health disorders among higher education students in Malaysia

This study investigates the association between leisure activities (recreation, sports, social contact, artistic, cultural, religious, and rest) and mental health disorders among Malaysian university students. There were 332 respondents enrolled in the public and private universities, polytechnics and other higher academic institutions in Malaysia were surveyed using a quantitative questionnaire. The study performed multiple regression and correlation analyses on the data using the statistical package for social science (SPSS). The findings indicated that six out of seven categories of leisure activities were significantly linked to mental health issues. The six types of leisure time activities were recreation, sports, social interaction, cultural, religious, and rest. Cultural activities have the highest impact on mental health, with the highest beta value. The universities and polytechnics should consider launching several types of leisure activities and tailor specific activities that may reduce mental health issues.

Beyond the pandemic: understanding the perceived changes in mental health of the elderly population

This study aimed to describe the mental health of the elderly before and after the COVID-19 outbreak using a qualitative approach. Ten elderly people volunteered to participate in offline semi-structured interviews. The data was analyzed using the interpretative phenomenological analysis (IPA) technique. The results of our study mentioned the differences in the mental health of the elderly during the COVID-19 outbreak and after the COVID-19 outbreak. The elderly felt the difference in emotional terms, such as being more relieved and happier because activities returned to normal. The elderly feel calmer when using religion as religious coping to overcome psychological problems that arise during the COVID-19 outbreak. During the COVID-19 outbreak, elderly people still working also feel the impact on the family's economy, which compounds the problem. Excessive coverage on social media also helped make the elderly more afraid of COVID-19. The study's results can help improve older people's mental health after COVID-19 by understanding their experiences and finding good ways to cope. It suggests that future research should look at specific ways to support older people's mental health, taking into account their special challenges and the role of social media in causing fear and worry about COVID-19.

Development of a school-based programme for mental health promotion and prevention among adolescents in Nepal and South Africa

IntroductionAdolescence is a critical time for mental health promotion and prevention and establishing healthy behaviours. Implementing universal, school-based psychosocial interventions can improve short- and long-term health trajectories for adolescents. While these interventions may offer important opportunities for fostering skills and relationships, few school-based interventions have been developed for and tested in low- and middle-income countries (LMICs) where adolescent mental health needs may be significant and under-served. This manuscript details the development of a multi-component, universal school-based intervention, Health Action in ScHools for a Thriving Adolescent Generation (HASHTAG), for adolescents aged 12–15 years in Nepal and South Africa. Methods and resultsWe describe HASHTAG's development over four phases, combining methods and results as each phase was iteratively conducted between 2018 and 2021. Phase 1 included a systematic review and components analysis, building from WHO guidelines for adolescent mental health. Seven components were strongly supported by the evidence: emotional regulation, stress management, mindfulness, problem-solving, interpersonal skills, assertiveness training, and alcohol and drug education. Phase 2 encompassed site selection, theory of change development, and formative research engagements; research teams in each site engaged adolescents and key adult stakeholders to identify priorities for intervention. Stakeholders voiced preferences for external facilitators and key content and delivery for intervention sessions. These findings informed Phase 3, a draft manual of HASHTAG, including a whole-school component, called Thriving Environment in Schools, and a classroom-based, six-session component, Thrive Together. In Phase 4, participants engaged in consultative workshops to review and contextualise content by country, preparing HASHTAG for implementation in a feasibility trial. Minor adaptations were made in Nepal, including using school nurses and adjusting take-home materials; both country's workshops identified practical considerations for implementing activities. ConclusionsHASHTAG was designed around core evidence-based components to increase translatability across LMICs, while enabling country-specific tailoring to enhance feasibility. Future research will test whether this multi-component, whole-school approach can improve adolescent mental health.

Physical activity, problematic gaming behavior, and quality of life prior and during the first 9 months of the COVID-19 pandemic: Findings from a longitudinal study among university students.

Generally, there is limited information on longitudinal trends and the interrelations between physical activity (PA), problematic gaming behavior (PGB), described as a dysfunctional pattern of videogame activities, and quality of life (QoL) based on data that include measurements from both pre- and postpandemic onset. This is also the case for university students. As society faced unprecedented restrictions during this period, these aspects may have developed unfavorably. To examine PA, PGB, and QoL among Norwegian University students prior to and during the initial stages of the pandemic and assess their temporal interrelations. The data are derived from the "Students' Psychological Health Over Time" study (SPOT). Linear mixed models were used to examine the development from January 2020 to November 2020 over three time points for the total sample and across gender. A traditional cross-lagged panel model analysis was used to estimate temporal associations. Age, gender, socioeconomic status, and partner status were included as covariates. PA and QoL decreased linearly over time (Cohen's d = 0.12 and 0.35, respectively), while only male students reported a small reduction in PGB (Cohen's d = 0.03). PA levels decreased considerably more for male students than female students (Cohen's d = 0.17 and 0.09, respectively). There was a small reciprocal negative temporal association between PA and PGB (standardized β = -0.04 and -0.05, respectively). All other temporal associations were not statistically significant in the adjusted analysis. The findings highlight gender-variant negative developments in PA and QoL and suggest a negative reciprocal interrelation between PA and PGB. The findings point to potential adverse health effects that should be taken into account when restrictive pandemic measures are considered.

The impact of psychospiritual program on state of depression, anxiety and stress among female juvenile delinquents

The participation of teenagers in inappropriate social actions is linked to the disregard for their mental health. This research was carried out to assess how a psychospiritual program impacts the reduction of depression, anxiety, and stress among delinquent adolescents. The study employed a quasi-experimental design, utilizing a single group for pretest-posttest evaluation. In this study, 36 delinquent adolescents who were females (N=36) and were enrolled in an Approved School in Terengganu, Malaysia, participated. The analysis was conducted through paired sample t-tests. The level of depression, anxiety, and stress before and after the psychospiritual program was assessed using the clinical scale for depression, anxiety, and stress (DASS-21). The results showed that the level of depression, anxiety and stress had decreased as much as 0.7619, 1.4643 and 0.7937 respectively after joining the program which was less than 0.05 (p=0.000 ≤0.05). This implies that the psychospiritual program exerts a significant influence in reducing depression, anxiety, and stress levels among adolescent delinquents. As a result, it is prudent to explore the psychospiritual approach as a potential alternative to the conventional allopathic intervention for addressing depression, anxiety, and stress problems especially among female delinquent adolescents at approved schools who have similar criterion.

A smart KPI system for reinforcing Sustainable Urban Mobility Plans under pandemic crises

The latest worldwide application of social distancing measures highlighted dramatic effects on the daily life, mobility, well-being, mental health, and economic activity of citizens during the pandemic. Unfortunately, societies were unprepared to confront a pandemic and applied movement restriction measures, often harsh and unbalanced, creating confusion, uncertainty, and annoyance to communities. In this paper, we reviewed a wide array of databases to categorise the mobility management measures implemented internationally in response to the social distancing restrictions that had to be taken during the first wave of the COVID-19 pandemic. Furthermore, to comprehensively assess the measures implemented to contain the COVID-19 pandemic from the perspective of the local community, we conducted focus group interviews with specific population groups that may have been affected to a greater extent. These groups consisted of vulnerable road users, such as mobility-impaired people and people who are facing severe health problems, representatives of the local economy and businesses and representatives of institutional stakeholders and policymakers. Our research showed that in the post-pandemic era, accessibility and not mobility should be at the heart of economic and social welfare. At the same time, the assurance of physical activity, which is strongly associated with the mental health of citizens, and the protection of the local economy are issues of outermost importance. However, local authorities were unprepared to manage these issues and often made fragmented and punitive decisions. By recognising the need for a regional or metropolitan emergency mechanism, this study aims to introduce a new system of indicators specifically adapted to the particularities and challenges encountered during the pandemic, accounts for local communities' unique needs and requirements, and complies with the general principles of Sustainable Urban Mobility Plans (SUMPs). In the future, the SUMP methodology should be revised to be able to handle and manage mobility systems under pandemic conditions.

Postpartum depression: Impact on pregnant women and the postnatal physical, emotional, and cognitive development of their children. An ecological perspective.

Maternal mental health problems during pregnancy, childbirth, and the postpartum period are a challenge for public health. Not recognizing them hinders a timely diagnosis and treatment and has an impact on the mother and the establishment of the fundamental bond of the mother-child dyad. We must recognize the risk factors (age, socioeconomic status, mental health history, family dysfunction, unfavorable environment), clinical manifestations, and screening tools. There is evidence that the effect of stress, anxiety, and depression during pregnancy negatively affect fetal neurodevelopment and condition child developmental outcomes. Here we describe the negative impact of postpartum depression during the first months of life, which affects mother-child bonding, postnatal development (emotional, behavioral, cognitive, language), and the maintenance of breastfeeding. We also recognize protective factors that mitigate its effects. It is essential to establish preventive strategies and interdisciplinary diagnostic and therapeutic approaches to minimize the risks to the mother and her children.

Metformin Improves Sarcopenia-Related Quality of Life in Geriatric Adults: A Randomized Controlled Trial

ObjectivesMetformin protects against age-related muscle decline, termed sarcopenia. However, the effects on sarcopenia quality-of-life (SarQoL) are unknown. We investigated the effects of metformin on SarQoL and associated mechanisms in older adults. MethodThis double-blind randomized, placebo-controlled trial included geriatric adult men, divided into non-sarcopenic controls (age = 72.2 ± 4.3 years, n = 52) and two groups of patients with sarcopenia randomized into placebo (age at baseline = 74.4 ± 5.7 years, n = 54) and metformin (age at baseline = 71.2 ± 3.9 years, n = 47) groups. Patients in the metformin group received 1.7 grams twice daily for four months. We evaluated SarQoL, handgrip strength (HGS), plasma zonulin, c-reactive protein (CRP), and 8-isoprostanes. ResultsPatients with sarcopenia had lower HGS and SarQoL than controls (both p <0.05). Metformin improved the HGS and the SarQoL domains related to physical and mental health, locomotion, and leisure activities, as well as cumulative SarQoL scores (all p <0.05). Metformin also prevented the decline in the SarQoL domains for functionality and fear. Among plasma biomarkers, metformin reduced the levels of zonulin, CRP, 8-isoprostanes, and creatine kinase. We also found a significant correlation of plasma zonulin with cumulative SarQoL in patients with sarcopenia taking metformin, suggesting a role for intestinal repair in improving SarQoL. Finally, metformin did not affect body composition and gait speed. ConclusionOverall, metformin improved HGS and SarQoL by repairing intestinal leakage. Our data have clinical relevance for improving the quality of life in older adults with sarcopenia.

Navigating the intersection: minority stress, mental health, and HIV care in the Philippines.

Navigating the intersection: minority stress, mental health, and HIV care in the Philippines.

Fine tuning attribute weighted naïve Bayes model for detecting anxiety disorder levels of online gamers

This research applies the fine tuning attribute weighted naïve Bayes (FTAWNB) model using ordinal data. It is known that in previous research, the FTAWNB model outperformed its competitors on the dataset used. However, the FTAWNB model has not been applied in the mental health domain that uses ordinal data. Therefore, this research used the anxiety gamers dataset to test the fine-tuning attribute weighted Naïve Bayes (FTAWNB) model. Anxiety disorders are mental health disorders that can indicate the emergence of a gaming disorder. Gamers can experience anxiety disorders classified into four classes, namely minimal, mild, moderate, and severe anxiety. Then compare the results by FTAWNB obtained with three other naïve Bayes algorithms, namely Gaussian naïve Bayes, multinomial naïve Bayes, and categorical naïve Bayes, using the same dataset. Model performance is measured based on accuracy, precision, recall, and processing time. The test results show that the FTAWNB outperforms the other three models' accuracy, precision, and recall, with an accuracy value of 99.22%. While the accuracy of Gaussian NB is 91.132%, Categorical is 91.592%, and multinomial naïve Bayes is 61.104%. However, the FTAWNB takes slightly longer than the other three models' processing time. The FTAWNB takes 0.07 seconds to build the model and 0.05 seconds to test the model on training data.