Increase In Mental Health Problems Research Articles

The impact of the covid 19 pandemic on eating disorders in Slovenia

Abstract Introduction Eating disorders are an important public health problem of adolescents. The purpose of the research was to examine the impact of the covid 19 pandemic on eating disorders, as adolescents were one of the most affected groups. Methods Data from the databases of the National Institute of Public Health (Outpatient Health Statistics and Database of Hospital Treatments for Diseases for the period from 2010 to 2021 and the Database of Deaths for the period from 2000 to 2021 were used for typical (F50.0) and atypical (F50.1) anorexia nervosa, typical (F50.2) and atypical (F50.3) bulimia nervosa and unspecified eating disorders (F50.9)) and the web portal To sem jaz.net for the period from 2012 to 2022. Data on of first visits and hospital treatments were processed for a twelve-year period and crude rates were calculated according to time, gender and diagnoses. Results Data showed that rates of first visits at the primary level and rates of hospital treatment did not change statistically significantly between 2010 and 2019 for women and for men. In 2020 and 2021, both rates increased for women and men. Based on the 10-year average for the period from 2010 to 2019, in 2021 the rate of first visits at primary level increased by 119 % for women and 91 % for men, and the rate of inpatient treatment increased by 50% for women and 80% for men. Girls predominated among treated at primary and secondary levels. The increase in first visits and hospital treatments was mainly due to anorexia nervosa. In the period from 2000 to 2021, eating disorders were the main cause of death for 24 people in Slovenia. In 2022, there were 3.7 times more questions in the field of eating disorders at web portal To sem jaz.net than in 2019. Conclusions Eating disorders are chronic diseases that develop over many years. The increase in mental health problems associated with the covid 19 pandemic may be reflected in the increase in eating disorders in the following years as well. Key messages • Eating disorders are an important public health problem of adolescents. • The increase in mental health problems associated with the covid 19 pandemic may be reflected in the increase in eating disorders in the following years as well.

Diagnoses of mental health disorders among Norwegian youth and young adults with immigrant parents

Abstract Introduction Adolescence and early adulthood are associated with an increase in mental health problems. Migration is also a risk factor for mental disorders. Yet, there is a notable gap in research concerning the mental well-being of descendants of immigrants. This study investigates the risk of a diagnosis of a mental health disorder among those aged 16-30 years, born in Norway with at least one immigrant parent. Methods Data were sourced from the Medical Birth Registry of Norway, the Norwegian Patient Register, and Statistics Norway. Cox proportional hazard regressions were used to estimate hazard ratios (HR) of being diagnosed with different mental disorders, in total and by parental region of origin, compared to individuals of Norwegian background. Analyses were adjusted for sex, year of birth, and parental education. Results Individuals with two immigrant parents had a lower risk of most mental disorder diagnoses, while those of one immigrant parent had a higher risk. With the exception of schizophrenia, individuals with two immigrant parents had a lower risk of most mental disorder diagnoses compared to those with Norwegian-born parents. The HR for the risk of a diagnosis of anxiety for those with two immigrant parents was: 0.79 [95% CI 0.76 - 0.81], with immigrant mother: 1.07 [95% CI 1.04-1.10], with immigrant father: 1.28 [95% CI 1.24 -1.30]. Similarly, for depression, two immigrant parents: 0.85 [95% CI 0.82-0.88], immigrant mother: 1.13 [95% CI 1.09 - 1.17], immigrant father: 1.31 (95% CI 1.28-1.37). Bipolar disorders, two immigrant parents: 0.67 [95% CI 0.60-0.76], immigrant mother: 1.19 [95% CI 1.07 - 1.31], immigrant father: 1.47 [95% CI 1.35-1.61]. The pattern was relatively consistent across parental regions of origin. Conclusions Those with one immigrant parent are more likely to use specialist mental health services, while those with two immigrant parents are not. These need special attention in adulthood. Key messages • Differences in risk of diagnosis for mental disorders could be due to differences in the utilization of mental health services. • Early prevention of mental health issues seems to be especially important among children and youth raised in families with one immigrant parent.

Trends in Distress‐Free Life Expectancy in Japan, 2010–2022

ABSTRACTExtensive literature exists on the physical health of the Japanese population whereas relatively little is known about their mental health. Moreover, most studies have assessed physical and mental health separately, and this further confounds the relationship between the two. Using the concept of health expectancy, this study investigated the trends in the relationship between physical and mental health among Japanese men and women aged 20 years or more between 2010 and 2022. Psychological distress, based on the Comprehensive Survey of Living Conditions, was used as an indicator of mental health. We employed Sullivan's method to estimate the length of life with or without distress of varying degrees. Our results showed substantial improvements in distress‐free life expectancy for both genders during the study period. Younger people have gained more distress‐free years than their older counterparts, placing older individuals, especially men, at an increased risk of psychological distress. These findings contribute to the literature on longevity in Japan by quantifying the role of mental health in the population's overall health. Given the recent increase in mental health problems, greater policy emphasis on the relationship between physical and mental health status is required.

"Out and about": relationships between children's independent mobility and mental health in a national longitudinal study

ABSTRACT Children's independent mobility (CIM) represents their freedom to travel in their neighborhood without adult supervision. Secular declines in CIM coincided with a major increase in mental health problems among children. We investigated relationships between two indicators of CIM and parent-perceived child distress in a national longitudinal study involving 2,291 Canadian parents of 7- to 12-year-olds at baseline (December 2020) with up to four follow-ups, every six months. We assessed mobility licenses (i.e. children's permission to do certain activities on their own) with 6 items, and home range (i.e. how far [in minutes] children can roam with friends and/or siblings) with a 4-point item. We used generalized estimating equations controlling for children's age and gender, household income, study wave, school attendance, and COVID-19 isolation in the week preceding the survey. At each successive time point, 51.8%, 44.0%, 43.2% and 42.4% of children experienced clinically elevated distress. Compared to children allowed to roam for 15 minutes (OR = 0.61; 95% CI: 0.51-0.72) had lower odds of elevated distress. However, CIM licenses were not associated with distress. Our findings underscore the need to support extending children's home range.

Mental health profiles of 15-year-old adolescents in the Nordic Countries from 2002 to 2022: person-oriented analyses

BackgroundStudies of time trends in Nordic adolescents' mental health have often relied on analyses of adolescents’ psychosomatic symptoms. In this study, we examine adolescents' self-reports on mental health in the context of the dual factor model, which encompasses both overt manifestations of mental health symptoms and subjective perception of one's health status.MethodThe objective of this study was to employ a person-oriented approach utilizing cluster analysis to discern time trends in mental health profiles of Nordic adolescents, using their psychosomatic complaints and their perception of their overall health as cluster variables. The resulting health profiles were then subjected to a comparative analysis with regard to different measures of psychological and social adjustment. The mental health profiles were based on data from the Health Behaviour in School-aged Children (HBSC) survey, which was conducted among almost 50000 15-year-olds in five Nordic countries (Denmark, Finland, Iceland, Norway, and Sweden) between 2002 and 2022.ResultsMental health profiles exhibiting comparable content were observed in all Nordic countries, including profiles indicating adequate health, perceived good health, perceived poor health, high psychosomatic complaints, and dual health problems (defined as both high psychosomatic complaints and perceived poor health). These health profiles showed similar trends over time in the Nordic countries. Significant gender differences were observed. In 2002, adequate health was the dominant profile for both sexes. After 20 years, however, the high psychosomatic profile became the most common profile among girls. Among the three risk profiles, namely perceived poor health, high psychosomatic complaints and dual health problems, adolescents in the dual problems profile had the most psychological and social adjustment problems.ConclusionsThe comparatively lower incidence of adjustment problems among adolescents in the high psychosomatic profile relative to the dual mental health group challenges the prevailing view that there has been a sharp increase in mental health problems among Nordic adolescents. This view was largely based on the observed rise in psychosomatic symptoms. Indeed, there was a doubling in the proportion of adolescents in the high psychosomatic complaints profile between 2002 and 2022. This increase was considerably more pronounced than that observed for the dual health problems profile which exhibited most problems.

A study of the effects of four reading styles on college students' mental health and quality of life based on positive psychology-A first-of-its-kind study.

The increase in mental health problems among college students has become a global challenge, with anxiety and depression in particular becoming increasingly prevalent. Positive psychology has gained attention as an important psychological intervention that emphasizes improving mental health by promoting positive emotions and mindfulness. However, with the diversity of reading styles, however, there is a lack of systematic research on these effects. Therefore, this study aims to explore the specific effects of different reading styles on college students' mental health and quality of life based on positive psychology, with the aim of providing more effective interventions and recommendations for improving college students' mental health. This study used a two-round questionnaire to select students with mental health problems and divided them into four experimental groups with a control group. The study was conducted by distributing questionnaires and experimental interventions, and a total of 2860 valid questionnaires were collected. The study used the Self-Assessment Scale for Anxiety (SAS) and the Self-Depression Scale (SDS) to assess the participants' anxiety and depression levels. In addition, the study used the Physical Composite Score (PCS) and the Mental Composite Score (MCS) to assess the participants' quality of life. SPSS 26.0 was used for data statistics and repeated measures ANOVA was used. Paper text reading and audio reading methods were effective in reducing anxiety levels and improving sleep quality. However, the electronic text reading approach was less effective compared to paper text reading and audio reading, and the video reading approach was not effective in improving depression. In addition, the positive psychology literature reading intervention showed significant improvements in college students' quality of life scores. The results of this study suggest that paper text reading and audio reading modalities have a positive impact on the mental health and quality of life of college students, while e-text reading and video reading modalities are less effective. These findings provide suggestions for college students to choose appropriate reading styles and further demonstrate the effectiveness of positive psychology reading on mental health. These results have important academic and practical implications for promoting mental health and improving quality of life among college students.

Annual Alaska survey of teens finds increase in mental health problems

Annual Alaska survey of teens finds increase in mental health problems

Effect of Universal Credit on young children’s mental health: quasi-experimental evidence from understanding society

BackgroundChild mental health has become an increasingly important issue in the UK, especially in the context of significant welfare reforms. Universal Credit (UC) has introduced substantial changes to the UK’s...

Positive life changes during the COVID-19 pandemic moderate the association between mothers’ COVID-related stressors and psychopathology

BackgroundAmple research has documented the potential of both negative and positive impacts secondary to the COVID-19 pandemic on global mental health in adults and families, but less work has focused on mothers who experience economic marginalization. This longitudinal study aims to assess the impact of positive changes from the pandemic on the association between COVID-related stressors and psychopathology before and after the start of the pandemic. MethodsSeventy-five mothers from low income, economically marginalized backgrounds (mean age=30 years, 80 % Black) completed a pre-pandemic visit (T1;2015-2019) and an online survey (T2;2020-2021) mid-pandemic. The study assessed mother's depressive and posttraumatic stress symptoms and lifetime adversity, COVID-19 related stressors, and positive changes associated with the pandemic. ResultsControlling for pre-pandemic psychopathology symptoms, lifetime adversity and educational attainment, there was a significant, positive association between exposure to COVID-19 related stressors and risk for T2 psychopathology. Positive life changes buffered this association, however, such that exposure to COVID-19 related stressors and psychopathology were unrelated for mothers who reported a moderate to high level of positive changes associated with the pandemic. LimitationsThe sample was small and generalizability of results is limited. ConclusionsThe pandemic was associated with an increase in mental health problems and unique stressors, especially among caregivers who are low-income. These findings shine light on how both material and psychological access to positive experiences (e.g., more time with family) can buffer the impact of stressors on mental health symptoms.

The impact of climate change on mental health

AbstractClimate change has a profound impact on mental health, supported by meta analytic evidence. For every degree temperature increase, there is a statistical increase in mental health problems by about 0.9%. The direct association between catastrophic events such as hurricanes or flooding and traumatization or negative mood states is evident. However, there are also interactions between pollution or heat islands in urban contexts and stress associated mental disorders, and there are indirect interactions e.g. between loss of agricultural space, poverty, displacement and mental health challenges. We provide an overview regarding direct and indirect effects of climate change on mental health and discuss possible interventions on the health care system.Disclosure of InterestNone Declared

The relationship between sense of coherence and emotional intelligence as individual health assets for mental health promotion in students and healthcare professionals: a scoping review.

Workplace Mental health promotion in healthcare sector, is a global priority due to the stress associated with caregiving environments and the increase of mental health problems among health professionals and students. The role of emotional intelligence (EI) and sense of coherence (SOC) have been identified as critical health protectors. However, the relationship between them as well as the underlying mechanisms of these relationships on health benefits in this population is still unclear. To synthetize the existing literature on the relationship between emotional intelligence and sense of coherence, as well as their mutual impact on healthcare workers' and student's well-being. A scoping review was conducted following the Joanna Briggs Institute guidelines. A systematic search was conducted in PsyCINFO, CINHAL, SCOPUS and PUBMED databases, using key-terms such as students, health professionals, emotional intelligence, and sense of coherence. A total of 11 articles were included, with a range of years from 2014 to 2022. Evidence was found to support the positive relationship between sense of coherence and emotional intelligence. The use of EI as a training pathway to improve SOC and health promoting behaviors is suggested. The benefits of intervening on these factors contribute to improved health professionals' and students' general well-being and motivation for a better performance, either in their studies or clinical work. The positive relationship between emotional intelligence and a sense of coherence has direct and indirect benefits on students' and healthcare professionals' well-being. Future studies should address longitudinal and experimental analysis to confirm these findings.

Secular trends in mental health problems among young people in Norway: a review and meta-analysis.

There is a growing concern that the mental health of recent generations of youth is deteriorating, yet the etiology of these secular changes is not fully understood. We aimed to review the evidence on trends in mental health problems among young people in Norway. Seven large-scale repeated cross-sectional studies were included in this study, comprising 35 cross-sectional data collections between 1992 and 2019, with a total sample of 776,606 young people. Our study found a clear increase in mental health problems among young females in Norway over the past few decades, while the trends were less marked for males. The proportion of individuals scoring above the problematic symptom score threshold increased on average by 11.2% (range 2.2% to 21.9%) for females and 5.2% (range - 0.9% to 11.1%) for males, based on data from the individual studies. The results from a meta-regression analysis showed that across all surveys, mean symptom scores increased by 17% (95% CI 12 to 21%) among females and 5% (95% CI 1 to 9%) among males from 1992 to 2019. Overall, mental health problems have increased continually since the early 1990s among young people, especially among young females. The cause of these secular changes remains unknown but likely reflect the interplay of several factors at the individual and societal level.Protocol registration: Open science framework, November 8, 2021 ( https://osf.io/g7w3v ).

Social work undergraduate curriculum and the readiness of the students to practice in the field of mental health

ABSTRACT With the growing economic and sociopolitical challenges, coupled with the COVID-19 pandemic and the increasing use of social media, Nigeria is recording a continuous increase in mental health problems. Social workers are expected to be at the forefront of mental health management, which begs the question of whether student social workers are ready for mental health practice. This paper sets out to find out the extent to which the content of the undergraduate curriculum of the Department of Social Work, University of Nigeria, Nsukka, prepares the students to practice in the field of mental health. In-depth interviews were used to collect data from 20 purposively selected undergraduate social work students. Thematic analysis was used to analyze the generated data. Findings show that the students who participated in the study believed that the curriculum has sufficient mental health courses to prepare them to practice in the field of mental health. Highlighting the paramount role of educators, the participants also indicated a need to improve the delivery of the course contents by educators. With this, it is necessary to introduce practical context-based and innovative delivery methods like the recent use of video simulations for mental health service delivery training.

Mental health is just an Addendum: Assessing stakeholder's perceptions on COVID-19 and mental health services provision in Malawi.

The World Health Organization declared COVID-19 as a pandemic in March 2020. COVID-19 has since caused a significant increase in mental health problems at national and global levels. This study assessed the views of key mental health stakeholders regarding the state of mental health service provision in Malawi and the pandemic's impact on the sector. The study utilised a qualitative approach through key informant interviews (KIIs) conducted using a semi-structured interview guide. The interviews were audio recorded in English language and were manually transcribed for thematic analysis by generating codes re-classified into themes, sub-themes and quotes. The results are categorised into five themes. Firstly, the availability of mental health services. All experts confirmed the lack of availability of the mental health services especially at the lower levels of care. Currently, only 0.3% of facilities offer mental health services in Malawi. Moreover, although mental health services are part of the essential health care package and, therefore, are supposed to be provided for free in public facilities at all levels, the services are centralised and only functional at a tertiary level of care in public facilities. Secondly, funding sources for mental health in public and private facilities. We learnt that public facilities depend on donor sources and there is lack of prioritisation in budget allocation for mental health services. Whereas private facilities, their major source of funding is user fees. Thirdly, government's response in the provision of mental health services during COVID-19. Almost all experts echoed that government took a proactive approach to address the mental health needs of its population during the pandemic. There was increased collaboration between the government and the private sector to provide psychosocial and counselling services to health workers working directly with COVID-19 patients in isolation centres. Furthermore, to increase awareness of the general population on where to seek counselling services. Lastly, challenges in the provision of mental health services were highlighted and how the pandemic acerbated the challenges including shortage in human resources for health and inadequate funding. This study underscores the urgency of addressing mental health challenges in Malawi. Policymakers must prioritize the decentralization of mental health services, explore funding opportunities, and build on the successful collaboration with the private sector. These measures will not only enhance the accessibility and quality of mental health services but also ensure that mental well-being is a central component of public health efforts in Malawi.

Advanced machine learning models for Depression level categorization using DSM 5 and personality traits

The COVID-19 pandemic has led to an increase in mental health problems, such as depression. Depression is a major cause of disability and can affect anyone. It is important to seek early detection and treatment for depression, as it can have a significant impact on a person’s life. This research paper explores the complex and multifaceted nature of human personality using the Diagnostic and Statistical Manual of Mental Disorders (DSM-5) criteria and Eysenck’s personality traits questionnaire. The paper then outlines the methodology employed, involving the collection of data through surveys consisting of 66 questions divided into six forms. DSM-5 criteria are applied to assess depressive episodes, while Eysenck’s questionnaire evaluates personality traits. The paper’s approach involves two stages: predicting personality traits and estimating stress levels. Multiple machine learning models are utilized for these predictions. The results of this study highlight the effectiveness of the Support Vector Machine (SVM) classifier, which consistently outperforms other models, achieving impressive accuracy in predicting both personality traits, such as extroversion and neuroticism, and stress levels. Notably, SVM demonstrates its prowess with an accuracy of 91.43% in predicting stress levels.

Nature-Based Education for Facilitating Resilience and Well-Being among Youth—A Nordic Perspective

This article provides a brief overview of current research regarding well-being among youth to find factors that may have influenced an increase in mental health problems among children and young people and to clarify the current state of knowledge. Research highlighting protective factors that seem to promote resilience is put forward, which includes factors regarding interactions between youth and their families, friends and education providers. An insight into the development of the Finnish education system is also provided in the search for factors that affect students learning and engagement in school. To provide a possible pathway forward, the article will highlight some existing studies on resilience building from nature-based activities, indicating a possibility to help youth and children with mental illness or problematic school absences develop socio-emotional skills, confidence in themselves and a belief in the future.

Mental health in all policies: How does an effort for mental health in all policies impact the battle against increasing mental unwell-being across society?

The worldwide pandemic caused by the covid-19 virus led to interventions in personal freedom of citizens that were never seen before. These measures limiting freedom caused an enormous impact on people’s mental health, which is largely dependant on social, economic and environmental factors. Mainly in young people a strong increase in mental health problems could be observed. Specific sanitary measures heavily affected their social lives, education, hobbies and other areas in their lives. This crisis showed us the interconnectedness of many areas of life with mental health policy and the need for a holistic approach. Therefore we mustn’t focus solely on expanding mental health care and making it more accessible if we want a general improvement of the population’s mental health. On top of the important and necessary increase in accessibility and availability, there is a need to prevent additional mental health problems of our citizens. For this reason we want to make a case for a mental health in all policies. There is a need for high quality integrated mental health care, as well as generally a policy of integrated care that addresses mental health as part of the larger health system, which fortifies resilience. In this presentation we want to demonstrate this need by showing local examples and research which makes the case for a mental health in all policies for all.

How to improve the capacity of general practitioners? – a Flemish approach

“Barely any region left with freely accessible primary health care in Flanders.” This is one of the many newspaper headlines that was recently published to emphasize the fact that more and more general practitioners refuse to take in new patients, because they run out of capacity to provide patients with proper health care. Where does it go wrong? 
 Accessibilty to general practitioners is a hot topic for the Flemish policymakers. An aging population and an increase of mental health problems asks a lot from the general practitioners, as well as the shift of tasks from hospitals towards primary health care and the growing attention for prevention. However, is there a real shortage in general practitioners? Looking abroad learns that the number of general practitioners might not be the major cause of the capacity problem, but that the true bottleneck might lie in the way of organizing primary health care capacity and accessibility. Embedded in a landscape of health care where general practitioners mostly work on a self-employed base, and the fragmented governmental structure in Belgium as an extra obstacle makes this a major challenge for the near future.
 A dialogue between policy makers from all Belgian governments was opened to create a common approach: each government will take actions within their own authorities. The Flemish government worked out a plan to counter this massive challenge in primary health care through different initiatives, in cooperation with representatives of the general practitioners on the field, local authorities and umbrella organizations.
 Flanders commits itself by installing three major fundaments which can create change in the way general practitioners are organized: a first step is to create an accurate and up-to-date database of the current available general practitioners health care services compared with the local care need; in parallel the funding of general practitioners will be expanded in a way which stimulates interdisciplinary collaboration and optimizes health care capacity; on top of that the Flemish government is experimenting with new forms of primary care practices in which integrated care is the keystone and which are supported by local authorities and in close connection with welfare services. 
 These projects described above are in full development. On the working field more and more general practitioners are willing to put their shoulders under these initiatives to create solid solutions for the future. 
 The international audience of this lecture might recognize similar issues they encounter in their own countries and will be able to see similarities and differences compared to the Flemish context. By drawing these parallels one can have a broader view on the approach of improving health care capacity and accessibility. 
 These Flemish projects will be brought together with the initiatives from the other Belgian governments at a roundtable discussion to align all the initiatives on primary health care capacity and create a future proof primary health care capacity in Belgium.

Changes in child and adolescent mental health across the COVID‐19 pandemic (2018–2023): Insights from general population and clinical samples in the Netherlands

AbstractBackgroundThe COVID‐19 pandemic negatively affected child and adolescent mental health and at the end of the pandemic (April 2022) child mental health had not returned to pre‐pandemic levels. We investigated whether this observed increase in mental health problems has continued, halted, or reversed after the end of the pandemic in children from the general population and in children in psychiatric care.MethodsWe collected parent‐reported and child‐reported data at two additional post‐pandemic time points (November/December 2022 and March/April 2023) in children (8–18 years) from two general population samples (N = 818–1056 per measurement) and one clinical sample receiving psychiatric care (N = 320–370) and compared these with data from before the pandemic. We collected parent‐reported data on internalizing and externalizing problems with the Brief Problem Monitor and self‐reported data on Anxiety, Depressive symptoms, Sleep‐related impairments, Anger, Global health, and Peer relations with the Patient‐Reported Outcomes Measurement Information System (PROMIS®).ResultsIn the general population, parents reported no changes in externalizing problems but did report higher internalizing problems post‐pandemic than pre‐pandemic (p < 0.001). Children also reported increased mental health problems post‐pandemic, especially in anxiety and depression, to a lesser extent in sleep‐related impairment and global health, and least in anger (all ps < 0.01). In the clinical sample, parents reported higher internalizing (p < 0.001), but not externalizing problems post‐pandemic compared to the start of the pandemic. Children reported greatest increases in problems in anxiety, depression, and global health, to a lesser extent on sleep‐related impairment, and least on anger (all ps < 0.05).ConclusionsChild mental health problems in the general population are substantially higher post‐pandemic compared to pre‐pandemic measurements. In children in psychiatric care mental health problems have increased during the pandemic and are substantially higher post‐pandemic than at the start of the pandemic. Longitudinal and comparative studies are needed to assess what the most important drivers of these changes are.

Mental health and decision-making participation of adolescent orphans: A pilot study

Background: Mental health has been brought to attention lately, with the increase of mental health problems during adolescence. In Indonesia, it is reported that one-third of adolescents develop mental health disorders. Childhood grief, separation from the family, child labor, or abuse affect the orphans’ mental health, including their decision-making participation. Purpose: As a pilot study, this study would like to investigate the mental health conditions and decision-making participation among orphans in one orphanage in Mojokerto district, East Java, Indonesia.Methods: This cross-sectional study utilizes the Depression Anxiety Scale Youth version (DASS-Y) and Child and Adolescent Participation in Decision Making Questionnaire (CAP-DMQ). Thirty-five adolescent orphans of one orphanage in Mojokerto were recruited using convenience sampling. The frequency of respondents’ mental health and decision-making participation were measured, and the mean differences between each group of sociodemographic factors were measured using the Mann-Whitney U test or the Kruskal Wallis test. Association between mental health and decision-making participation was calculated using Chi-square test.Results: The results show that 40% of respondents were categorized as having mild mental health problems, including depression, anxiety, and stress. Mental health problems are mostly found in males (22.90%) and elementary school (20%). The participation of the orphans in decision-making is considered good, with a median of 25.5. The bivariate analysis concludes the association between anxiety, age, grade, and decision-making participation (p= 0.024, p= 0.029, p=0.029, respectively).Conclusion: Taken together, attention to orphans, especially adolescents, and their problems are necessary to reduce the health discrepancies within these vulnerable groups. Broader respondents are needed to understand the complete picture of mental health conditions among Indonesian adolescent orphans, including late adolescents.