Mental Health Scale Research Articles

A social network analysis: mental health scales used during the COVID-19 pandemic.

The focus on psychological issues during COVID-19 has led to the development of large surveys that involve the use of mental health scales. Numerous mental health measurements are available; choosing the appropriate measurement is crucial. A rule-based named entity recognition was used to recognize entities of mental health scales that occur in the articles from PubMed. The co-occurrence networks of mental health scales and Medical Subject Headings (MeSH) terms were constructed by Gephi. Five types of MeSH terms were filtered, including research objects, research topics, research methods, countries/regions, and factors. Seventy-eight mental health scales were discovered. The findings provide insights on the scales used most often during the pandemic, the key instruments used to measure healthcare workers' physical and mental health, the scales most often utilized for assessing maternal mental health, the tools used most commonly for assessing older adults' psychological resilience and loneliness, and new COVID-19 mental health scales. Future studies may use these findings as a guiding reference and compass.

Sociodemographic Factors Associated with Positive Mental Health in the Peruvian Population

Introduction: Positive mental health is a construct associated with the subject's well-being in the community, so its study should include the sociodemographic characteristics where it develops. The objective of the research was to analyze positive mental health according to sociodemographic variables in residents of Arequipa, Peru. Method: A non-probabilistic sample of 3,932 participants was used. The Positive Mental Health Scale developed by Lluch and adapted to the Arequipa population by Calizaya and others was used. Generalized linear models (GLM) were used to associate Positive Mental Health factor scores with sociodemographic variables. Results: It was found that the sociodemographic factors of occupation, marital status, family type, age, educational level, work, and belonging to a nuclear or single-parent family were significantly associated with the factors: adaptability, personal satisfaction - autonomy and frustration tolerance, as well as with the global score of Positive Mental Health. Conclusion: Positive mental health is associated with sociodemographic factors linked to marital status, family structure, and education.

Automated Digital Counseling Program (ODYSSEE-Kidney Health): A Pilot Study on Health-Related Quality of Life.

In-person counselling programs promote self-care behaviour and health-related quality of life (HRQoL). ODYSSEE Kidney Health (ODYSSEE-KH) is an automated, scalable, digital counselling program for patients with CKD. This open-label, single-arm pilot study tested the efficacy potential of ODYSSEE-KH to improve HRQoL in patients with CKD. Adults with categories G3b to 5D CKD were recruited from nephrology clinics in Toronto, Canada. Patients (n=29) received access to ODYSSEE-KH in conjunction with usual care. Generalized linear models and pairwise comparisons of mean change scores were conducted to assess the primary outcome: Mental Component Score (MCS) of the Kidney Disease Quality of Life - Short Form (KDQoL-SF) instrument. Secondary outcomes included: MCS mental health scale, 36-item KDQoL-SF, Generalized Anxiety Disorder scale (GAD-7), Patient Health Questionnaire for depression (PHQ-9), Enhancing Recovery in Coronary Heart Disease Social Support Instrument (ESSI), and 3-item Revised UCLA Loneliness (RULS-3) scale. Mean age was 53.5 years (SD=18.3); 35% women; 56% White; 93% completed ≥ post-secondary education; patients came from the Multi-Care Kidney Clinic (n=9), the Home Peritoneal Dialysis Unit (n=12), and the Home Hemodialysis Unit (n=8); and 24 participants completed the 4-month end of study questionnaires. Outcomes were assessed according to tertiles of program logon minutes: median (range) = 67 (62-108), 212 (119-355), and 500 (359-1573) minutes. Patients in the highest tertile of engagement showed significant improvements on the MCS vs. the moderate tertile group (p = 0.01). Significant dose-response associations were observed for MCS Mental Health (p<0.05), KDQoL Burden on Kidney Disease (p<0.01), KDQoL Effect of Kidney Disease on Everyday Life (p<0.01), aggregated KDQoL summary (p<0.05), GAD-7 (p<0.01), PHQ-9 (p<0.05), ENRICHD-SSI (p<0.01), and RULS-3 (p<0.01). ODYSSEE-KH demonstrated feasibility as an automated, scalable, digital self-care program for patients with CKD. There is evidence of efficacy potential to improve HRQoL. Further evaluation with a larger sample is warranted.

Calidad de vida y salud mental en el ictus juvenil

IntroductionStroke has a significant impact on mental health and health-related quality of life (HRQoL); these aspects have not been sufficiently studied in young stroke. ObjectivesTo evaluate HRQoL, mental health, and the relationship between these variables and the incorporation of young adults into working life after stroke. Material and methodsWe conducted a prospective descriptive study of patients with JS between 2016 and 2017, using such questionnaires and scales as EuroQol-5D, the 36-item Short Form Health Survey, National Institutes of Health Stroke Scale (NIHSS), modified Rankin Scale (mRS), 12-item General Health Questionnaire, Hamilton Anxiety and Depression Rating Scales, and BURQOL-meter; tests were administered at 2 interviews, held 6 and 12 months after stroke. ResultsWe analysed 41 patients, with a mean age of 41.8 years. At one year, the mean NIHSS score was 0.54 and mRS score was 0-2 in 95.1%. No differences were observed over time in quality of life or mental health scales. Prevalence rates for depression and anxiety at one year were 46.3% and 41.5%, respectively. Male sex and active employment were associated with better HRQoL. A total of 41.5% of patients were in work at one year after the stroke. Statistically significant associations were observed between quality of life, mental health, and incorporation into working life. ConclusionsYoung stroke affects HRQoL, and patients are at high risk of anxiety and depression, underdiagnosed and undertreated disorders that affect quality of life and the return to work, which decreases after stroke in young adults.

Validation of the German Version of the P4 Suicidality Tool.

For general practitioners (GPs), it may be challenging to assess suicidal ideation (SI) in patients. Although promising instruments exist for the use in primary care, only a few have been validated in German. The objectives of this study were to examine the validity of the brief P4 screener for assessing SI in a cross-sectional study including outpatients. Inclusion criteria were a PHQ-9 score ≥ 10 or an affirmative answer to its SI item. Construct validity of the P4 was examined by comparison with the four-item Suicide Behaviors Questionnaire-Revised (SBQ-R), the PHQ-9 (convergent), and the positive mental health (PMH) scale (divergent). The study sample included 223 patients (mean age 47.61 ± 15 years; 61.9% women) from 20 primary care practices (104 patients) and 10 psychiatric/psychotherapeutic clinics (119 patients). The first three items of the P4 correlate positively with most of the four items of the reference standard SBQ-R (convergent validity); the fourth item of the P4 (preventive factors) correlates significantly with the PMH scale. The most common preventive factor (67%) is family or friends. The German P4 screener can be used to assess SI in outpatient care. It explores preventive or protective factors of suicide, which may support the GP's decision on treatment. We recommend a further clinical interview for patients flagged by P4 assessment in order to more formally assess suicidal risk.

Relationship between family risk factors and adolescent mental health.

Family risk factors are crucial to adolescent mental health. Few studies have investigated the complex relationship between family risk factors and adolescent mental health. This study aims to investigate the complex relationship between family cumulative risk (FCR) and adolescent mental health, and to clarify the factors contributing to adolescent mental health problems. This study recruited 903 junior high school students and 991 senior high school students in Changsha, Hunan and was conducted through an offline computer-based questionnaire survey using the Middle School Student Mental Health Scale (MSSMHS) and the Family Cumulative Risk Questionnaire (FCRQ) to assess the mental health status and FCR factors, respectively. Statistical analyses were conducted to clarify the demographic factors influencing MSSMHS total and factor scores, and to analyze the relationship between FCRQ and MSSMHS total and factor scores. Females exhibited more mental health problems than males in various MSSMHS factors (all P<0.05); adolescents were prone to different mental health problems at different stages (junior high school first-grade vs. senior high school first-grade); senior high school first-grade students were more likely to experience academic pressure and maladjustment than junior high school first-grade students (P<0.01), and junior high school first-grade students were more likely to exhibit obsessive, paranoia, and hostility symptoms than senior high school first-grade students (all P<0.01); adolescents with low family intimacy and high family conflict reported more symptoms in every dimension of MSSMHS (all P<0.05); adolecents with poor parent-child separation reported higher obsessive-compulsive symptoms, interpersonal sensitivity, anxiety, academic pressure, maladjustment, emotional instability, and unbalanced mind than those with good parent-child separation (all P<0.05). Female, low family intimacy, high family conflict, and poor parent-child separation are risk factors of adolescent mental health problems. Higher-grade middle school students are prone to exhibit academic pressure and maladjustment, while lower-grade middle school students are prone to exhibit obsessive, paranoia, and hostility symptoms.

Altered gut microbiota–host bile acid metabolism in IBS-D patients with liver depression and spleen deficiency pattern

BackgroundDysregulation of gut microbiota–host bile acid (BA) co-metabolism is a critical pathogenic factor of diarrhea-predominant irritable bowel syndrome (IBS-D). Traditional Chinese Medicine (TCM), instructed by pattern differentiation, is effective in treating IBS-D, in which liver depression and spleen deficiency (LDSD) is the most prevalent pattern. Still, it is unclear the linkage between the LDSD pattern and the BA metabolic phenotype.PurposeThis study aimed to uncover the biological basis of the LDSD pattern from the BA metabolic perspective.MethodsPatients with IBS-D completed questionnaires regarding the irritable bowel severity scoring system (IBS-SSS), stool frequency, Stool Bristol scale, and Self-Rating Scales of mental health. Fasting blood and morning feces were collected to analyze the gut metagenome and BA-related indices/metabolites.ResultsIBS-D patients with LDSD had a higher incidence of BA overexcretion (41% vs. 23% non-LDSD) with significant elevations in fecal total BAs and serum BA precursor 7α-hydroxy-4-cholesten-3-one levels. Compared to controls or non-LDSD patients, LDSD patients had a featured fecal BA profile, with higher proportions of deoxycholic acid (DCA), 7-ketodeoxycholic acid, and lithocholic acid. It is consistent with the BA-metabolizing genomic changes in the LDSD gut microbiota characterized by overabundances of 7-dehydroxylating bacteria and BA-inducible genes (baiCD/E/H). The score of bowel symptoms (stool frequency and abdominal pain) showing greater severity in the LDSD pattern were positively correlated with bai-expressing bacterial abundances and fecal DCA levels separately.ConclusionWe clarified a differed BA metabolic phenotype in IBS patients with LDSD, which closely correlates with the severity of bowel symptoms. It demonstrates that gut microbiota and host co-metabolism of BAs would provide crucial insight into the biology of the LDSD pattern and its internal relationship with IBS progression.

Risk Factors of Musculoskeletal Disorders (MSDs) among Kota Kinabalu, Sabah Firefighters: A Preliminary Study

This study examined the relationship between predictors such as demographical aspect, task characteristics, physical demands, work-life balance, workstyle, psychosocial factors, and MSD among firefighters that was conducted at four fire stations under Kota Kinabalu Zone in Sabah (n=130 firefighters participated). The questionnaires used in the present study consist of a demographical aspect, task characteristics scale, physical demands scale, work-life balance scale, workstyle scale, Work Organization Assessment Questionnaire, Mental Health Scale, and musculoskeletal disorders (MSDs). The data was analysed with the use of SPSS version 22.0. The results show that task characteristics, physical demands, work-life balance, workstyle, and Mental Health Scale were significantly related to MSDs among Kota Kinabalu, Sabah firefighters. Firefighters did experience MSD due to overweighted equipment, lack of rest, accidents, and traumatic events like death among victims or teammates, which lead to depression and stress.

Poster 277: Return to Sport after Multi-Ligament Knee Injury in Young Athletes

Objectives: While return to sport (RTS) has been well studied in young athletes after anterior cruciate ligament (ACL) reconstruction, there is a paucity of literature on RTS following reconstructive surgery for multi-ligament knee injury (MLKI). The purpose of this study is to assess level of RTS following MLKI in athletes 23 years old or younger at the time of injury and evaluate the factors associated with RTS. Methods: This was a retrospective study. We identified 116 patients at our Level 1 referral center who sustained MLKI at an age of 23 years old or younger. All 116 patients underwent operative reconstruction. Patients were contacted via mail and then completed surveys by telephone if willing to participate. Our primary outcome variable was self-reported ability to return to sport at their preoperative level or higher following surgery. Secondary variables included 2000 International Knee Documentation Committee Subjective Form (2000 IKDC-SF), ACL Return to Sport After Injury (ACL-RSI), and Short-Form 12 (SF-12) physical and mental health scales. Dependent variables included age, participation in cutting sports, number of and specific ligaments injured, and any concurrent mental health diagnoses. Results: A total of 30 (25.9%) patients completed surveys at an average follow-up of 7.8 years postoperatively (24 male, 6 female, 18.1±2.5 years old at time of injury). Of this cohort, 90% of patients returned to sport at some level, while 43.3% returned to their preoperative level or higher. Participation in cutting sports was associated with significantly lower rate of RTS at the same level or higher (p=0.017). Higher 2000 IKDC-SF and ACL-RSI scores were associated with significantly higher rate of RTS at the same level or higher (p=0.001 and 0.002, respectively). Patients who participated in higher level of sport preoperatively demonstrated a higher odds ratio (OR) of returning to their same athletic level or higher following MLKI (OR=3.516 [1.034-11.955]; p=0.044). Number of ligaments injured, age at time of injury, concurrent mental health diagnosis, and SF-12 scores were not associated with a statistically significant change in RTS at the same level or higher. Patients with concurrent ACL and MCL injuries trended toward higher rate of RTS at the same level or higher than two- or three-ligament injuries involving the ACL and PCL and/or LCL, but this was not statistically significant (50% vs. 25%, p=0.225). Conclusions: While a high percentage of young athletes return to some level of sport following MLKI, less than half return to their previous level. Those participating in cutting sports were significantly less likely to return to their pre-injury level of sport following MLKI. Participation in higher level of sport preoperatively was associated with a higher OR of return to sport at the same level or higher. Those who returned to the same level or higher reported significantly higher scores on the ACL-RSI and the 2000 IKDC-SF. There was no significant difference in those returning to sport at their previous level or higher based on SF-12 physical or mental scores, number of ligaments injured, presence of a mental health diagnosis, or age at injury. Future studies will focus on larger cohorts and any modifiable variables to obtain a functional return to sport. [Table: see text][Table: see text][Table: see text][Table: see text]

Psychological Profiles of Positive Mental Health of Women in Situation of Confinement Due to COVID-19

Background: The world health organization has indicated that the problem of COVID-19 and confinement generated strong psychological impacts on the world population. Much of the research has focused on studying mental health in different population groups, leaving aside a positive mental health perspective. Objective: The present research intended to establish positive mental health profiles in confined women due to COVID-19 during 2020. Method: The factors of personal satisfaction, prosocial attitude, self-control, autonomy, problem- solving, self-actualization, and interpersonal relationships were assessed through the application of Lluch's positive mental health scale, in a sample of 202 confined women in the Department of Sucre, Colombia, selected by non-probabilistic convenience sampling. In addition, cluster analysis models were applied to identify psychological profiles of positive mental health and characterize sociodemographic variables, the selected model was evaluated and validated using the statistical technique of discriminant analysis using Minitab 18 software. Results and Discussion: a positive mental health differentiation in women is shown from which four psychological profiles of positive mental health could be identified, with scores of 14.10 in profile 1, 11.41 in profile 2, 9.15 in profile 3, and 7.56 in profile 4. The positive mental health factors used showed an ability to discriminate in 92.6% of the cases in the profiles. Conclusion: the identified profiles are significant and important to characterize psychometric profiles of positive mental health of confined women, which are important results for their diagnosis and the development of public policies for their treatment.

Sănătatea mintală şi stima de sine corelate cu performanţele academice ale tinerilor din învăţământul din Sri Lanka

Objectives. This research investigation was done to study the relationship between mental health and self-esteem with academic achievement among Sri Lankan youths. Method. The sample for this study was selected using purposive sampling from educational institutions of Ampara District, Sri Lanka. The total number of samples was 516. The age range of the participants in this study was from 16 to 24 years old (mean age: 19.2 years old). Standard tools were used for data processing, such as the Mental Health Scale developed by Kamlesh Sharma and the Rosenberg’s Self-Esteem Scale. Further, academic achievement was measured using secondary data, such as semester marks list of youth from schools, colleges and universities. The personnel information plan created by the researcher was used to collect information along with relevant demographic and social data. The pretested questionnaire was reliable, being validated before the final data collection. The data analysis method was developed in this study. The informants were contacted individually by the investigator, and the data were obtained through questionnaires. Data retention is limited to a period of three months. Results. A statistical analysis, using the t-test, ANOVA, correlations and regressions, was performed. The result revealed that, out of eight demographic variables in this study, five variables (i.e., age, locality, father’s education, parent’s income and type of family) were in a significant correlation with mental health of youths and, also, only two variables (i.e., locality and type of family) were in significant correlation with the self-esteem of the youths. Further results revealed that, out of eight demographic variables in this study, seven variables (i.e., age, gender, locality, father’s education, mother’s education, parent’s income and type of family) had a significant correlation with the academic achievement of youths. Conclusions. The results indicated that there is a significant positive relationship between mental health and self-esteem with the academic achievements of youths.

A comparative analysis of clinical, functional and radiographic outcomes of patients with and without fusion between the first and second metatarsals after the lapidus procedure

BackgroundThe aim of this study was to compare the clinical, functional and radiographic outcomes in patients who underwent the original Lapidus procedure (OLP) with fusion and undesired non-fusion between the first (M1) and second (M2) metatarsals. MethodsA retrospective and comparative analysis of 29 patients (38 feet) who underwent the OLP was performed. They were divided in two groups: (1) 23 feet in which fusion occurred and (2) 15 with undesired non-fusion. Clinical and functional data were assessed with the VAS for pain, AOFAS, LEFS and SF-12. SF-12 comprises physical and mental health scales (PCS-12 and MCS-12). Radiographic parameters assessed were bony and soft tissue forefoot widths (BSFW), intermetatarsal-angle (IMA) and HV-angle (HVA). ResultsSeparately, the groups presented significant improvements in all questionnaires (p < 0.001), except on MCS-12 (fusion p = 0.08 and non-fusion p = 0.27). When comparing both groups, patients with fusion had higher AOFAS scores (p < 0.05). Both groups presented the same improvements on BSFW, IMA and HVA (p = 0.09, p = 0.16, p = 0.52 and p = 0.63). ConclusionExcellent results were observed, even when without fusion between M1 and M2. Patients who evolved with fusion between the M1 and M2 showed greater improvements in the AOFAS score. Level of evidenceIII, retrospective comparative study.

Association of depressive symptoms with Geriatric Locomotive Function Scale score in community-dwelling older adults living in the state of emergency

BackgroundUnder the state of emergency, it has been reported that the amount of physical activity among community-dwelling older adults has decreased significantly due to refraining from going out, and there are strong concerns about the Geriatric Locomotive Function Scale and deterioration of mental health. Therefore, this study aimed to investigate whether the depressive state before the coronavirus disease 2019 (COVID-19) pandemic affected the 25-Geriatric Locomotive (GLFS) score during the COVID-19 pandemic among community-dwelling older adults.MethodsThe participants were 194 community-dwelling older adults (45 men, 149 women) with an average age of 75.5 ± 5.5 years who responded to a self-administered survey conducted three times (preliminary, second, and third) from before the 2018 COVID-19 pandemic to March 2021. Individuals with a score of ≥ 10 on the Geriatric Depression Scale 15 (GDS 15) were excluded. The survey items included the 25-question Geriatric Locomotive Function Scale (GLFS25), GDS 15, and other basic attributes. Those with scores of 5 to 9 on the GDS 15 and those with scores of 0 to 4 were assigned to the depressive symptoms (DS) group and the non-DS group, respectively. Statistical analysis was performed using two-way analysis of variance. The Mann–Whitney U test was used for comparisons between the groups.ResultsIn total, 187 patients were included in the analysis, excluding 7 patients. GLFS 25 showed a significant increase in scores at the second and third time points compared with baseline, and a main effect was confirmed in both groups, with no interaction effect. The second time, the score was 10.0 ± 8.5 and 13.7 ± 10.5 in the non-DS and DS groups, respectively. The third time, the non-DS and DS groups scored 10.8 ± 10.5 and 14.9 ± 10.1 points, respectively, indicating a significant difference.ConclusionsOur results revealed that the increase in the GLFS 25 score in community-dwelling older adults during the COVID-19 pandemic was related to their DS during normal times before the pandemic. Evaluating such individuals and providing social support may effectively reduce the deterioration of the GLFS 25 score.

Research on the Correlation between College Students’ Sports Participation and Mental Health

In order to study the correlation between college students’ sports participation and mental health, this paper compiles a questionnaire based on the situation of college students’ sports participation, “activity and Meter comparison table” and “Chinese college students’ mental health scale”. Taking college students in Henan Province as the survey object, this paper studies the correlation between college students’ mental health and sports participation. It is found that the Pearson correlation coefficient between college students’ mental health and sports participation is 0.659. There are different degrees of correlation between college students’ sports participation and various factors of mental health. There are gender differences between male and female college students. College students who often participate in sports have better mental health.

The Scrooge Group Therapy: A Meaning-Centered Group Therapy for Outpatients Following CBT

Perceiving one’s own life as meaningful is associated with mental health and well-being. Yet, psychotherapeutic interventions to enhance the experience of meaning have not been sufficiently evaluated in the context of cognitive behavioral therapy (CBT). The aim of this study was to pilot a group therapy to increase meaning and to evaluate its feasibility and effectiveness. A small ( N = 8) study was conducted with patients after or near the end of their CBT treatment. The intervention was evaluated with a mixed-methods design that utilized qualitative interviews as well as quantitative questionnaires (Satisfaction with Life Scale, Well-being Scale) at pre- and post-treatment as well as after 8-week follow-up. Additional measures (Depression Anxiety Stress Scale, Positive Mental Health Scale, and the existential subscale of the McGill Quality of Life Scale) were administered after each session. Findings indicate that the group therapy was feasible and effective. Participants benefited from the therapy to a moderate to high extent, both in terms of symptom reduction and in terms of an improvement in general psychological well-being. Participants reported positive emotional and behavioral changes. Based on our findings, we conclude that existential interventions are meaningful extensions to CBT.

Positive Mental Health Scale (PMHS) in Parents of Children with Cancer: A Psychometric Evaluation Using Item Response Theory.

Mental health is currently a public health issue worldwide. However, evidence is lacking regarding the validity of the instruments used to measure and assess positive mental health in specific populations. The objective of this study was to evaluate the psychometric properties of the PMHS using IRT. A cross-sectional retrospective study with non-probabilistic convenience sampling was conducted with 623 parents of children undergoing cancer treatment at the National Institute of Health in Mexico City. The participants responded to a battery of tests, including a sociodemographic questionnaire, the PMHS, Measurement Scale of Resilience, Beck Depression Inventory, Inventory of Quality of Life, Beck Anxiety Inventory, an interview regarding caregiver burden, and the World Health Organization Well-Being Index. PMHS responses were analyzed using Samejima's graded response model. The PMHS findings indicated that the IRT-based graded response model validated the single latent trait model. The scale scores were independent of depression, anxiety, well-being, caregiver burden, quality of life, and resilience. The PMHS scores were associated with low subjective well-being. The PMHS findings reveal that from an IRT-based perspective, this scale is unidimensional and is a valid, reliable, and culturally relevant instrument for assessing positive mental health in parents of children with chronic diseases.

Semantic and sentiment similarities contribute to construct overlaps between mindfulness, Big Five, emotion regulation, and mental health

Psychological measurement and theories face a constant proliferation of allegedly new constructs and scales, leading to numerous semantic overlaps between these. Additionally, common-method variance can be responsible for construct overlap, which itself can be influenced by respondents' affectivity and mood. The construct of mindfulness may also be affected by such phenomena, as its boundaries are not yet clearly defined and because it shows noticeable conceptual overlap with other constructs, like the Big Five, emotion regulation, or mental health. This study examined semantic and sentiment similarities between widely used scales assessing mindfulness (FFMQ, FFMQ-S, KIMS, MAAS), the Big Five (NEO-PI-R, NEO-FFI, BFI), emotion regulation (ERQ, CERQ, PANRS), and mental health (SCL-90, BSI-53, BSI-18, STAI, PANAS, BDI-2, PSS, PSWQ). Construct overlap was assessed via latent semantic analysis, sentiment analysis, and a qualitative content analysis. Mindfulness scales showed high construct overlap among each other (semantic and sentiment similarity: 0.93 and 0.63) and the Big Five (0.85 and 0.64), as well as substantial construct overlap with emotion regulation (0.84 and 0.51) and mental health scales (0.74 and 0.42). These findings suggest that semantic and sentiment similarities contribute to the high correlations of mindfulness measures with these other measures observed in extant research.

Investigating the role of mental and spiritual health with the social behavior of adolescents Abstract

Background: The present study was conducted in order to determine the role of spiritual and mental health in the social behaviors of adolescents in Tabriz city. Methods: The research method was descriptive and correlational. The statistical population of the research was made up of all the teenagers of Tabriz who were studying in the second semester of 2019-2018. A multi-stage random cluster method was used for sampling. The number of sample people was 379 people. Subjects were tested using the 20-question spiritual health scale of Palutzian and Ellison (1982), Keys and Hiller's mental health scale (2002), and the 25-question social tendency scale of Carlo et al. (2003). In order to analyze the data, multiple regression analysis was used. Results: The results of multiple regression analysis showed that the components of spiritual health have a positive and significant relationship with social behaviors. And the results of the regression analysis showed that among the components of mental health, mental health has a negative relationship with social behaviors, and the components of social health and emotional-well-being have a positive and significant relationship. Conclusion: According to the results, it can be concluded that by improving spiritual health and mental health in adolescents, desirable social behaviors in them will also increase.

Impact of a Free Anti-seizure Medication Intervention on Anxiety and Depression in People Living with Epilepsy in the Republic of Guinea (S1.001)

<h3>Objective:</h3> To quantify anxiety and depression in people living with epilepsy (PLWE) in Guinea before and after anti-seizure medication (ASM) intervention. <h3>Background:</h3> Little is known about mental health in PLWE in Sub-Saharan Africa and how seizure freedom could improve outcomes. <h3>Design/Methods:</h3> PLWE were prospectively recruited in Conakry (March 2022) to receive free clinical consultations with neurologists to implement/augment treatment regimens with free ASMs. Inclusion criteria were: &gt;12 years old and &gt;=2 unprovoked seizures. As part of a broader interview, participants reported seizure frequency and completed scales screening for depression (PHQ-9) and anxiety (GAD-7). 90-day follow-up assessed adherence to ASMs and re-assessed seizure frequency and mental health scales. <h3>Results:</h3> Of 148 participants enrolled (mean age=27.3 years, range 12–72; 45% female), 53.3% regularly took ASMs. Average seizure frequency over the 30 days pre-enrollment was 3.2 (SD=5.9; 28% seizure-free during this period). Treatment regimens were modified for 95% of participants, mostly consisting of new levetiracetam provision (n=115). At 90 days, retention was 78.4% (n=116). Average adherence was 87.0%. Average seizure frequency over the prior 30 days was 1.5 (SD=5.7; 66% seizure-free during this period). At baseline, average PHQ-9 score was 21.2 (95%CI [20.2,22.2]), indicating severe depressive symptoms, and average GAD-7 score was 16.5 [15.6,17.4], indicating severe anxious symptoms. At 90-days, average PHQ-9 was 17.5 [16.4,18.5] and significantly lower than baseline (p&lt;.001). Average GAD-7 was 14.4 [13.6,15.3] and significantly lower than baseline (p=.002). Seizure frequency was not correlated with PHQ-9 (p=.50) nor GAD-7 (p=.10) scores at baseline but was at 90-days (PHQ-9: r=.24, p=.01; GAD-7: r=.22, p=.02). <h3>Conclusions:</h3> High levels of anxiety and depression occur in PLWE in Guinea, underscoring the unmet psychiatric needs in un- and under-treated epilepsy and the need for collaboration between neurologists and psychiatrists. Medication intervention may positively impact mental health, highlighting seizure control in addition to psychiatric intervention for this population. <b>Disclosure:</b> Mr. Rice has nothing to disclose. Guelngar Carlos Othon has nothing to disclose. Dr. Traore has nothing to disclose. Mohamed Lamine Conde has nothing to disclose. Miss Diallo has nothing to disclose. Dr. Lee has nothing to disclose. Fode Abass Cisse has nothing to disclose. Dr. Mateen has received personal compensation in the range of $5,000-$9,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Horizon Therapeutics. Dr. Mateen has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for Genentech. Dr. Mateen has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for TG Therapeutics. Dr. Mateen has received personal compensation in the range of $500-$4,999 for serving on a Scientific Advisory or Data Safety Monitoring board for EMD Serono. Dr. Mateen has received personal compensation in the range of $0-$499 for serving as an Editor, Associate Editor, or Editorial Advisory Board Member for Neurology. The institution of Dr. Mateen has received research support from Genentech. The institution of Dr. Mateen has received research support from NIH. The institution of Dr. Mateen has received research support from Sumaira Foundation. The institution of Dr. Mateen has received research support from EMD Serono. Dr. Mateen has received research support from Biogen.

Psychometric Properties of the Positive Mental Health Scale in a Spanish Population

Background. Positive mental health can be defined as the presence of emotional, psychological, and social well-being. The original version of the Positive Mental Health (PMHs) scale appears to have good psychometric properties. This study aims to validate the Spanish version for the general population. Methods. A sample of 845 participants (425%–50.30% women) aged between 14 and 70 years ( M = 32.1; SD = 4.2) was used. Descriptive analyses were performed on the items, as well as confirmatory factor analysis, convergent validity with protective factors and with risk factors. Results. Factor analysis confirmed a unidimensional structure with excellent model fit indices, high positive convergent validity especially with resilience to suicide attempts and optimism, and high negative convergent validity mainly with anxiety. Conclusions. The PMH is a scale with the necessary reliability and validity to be used in different psychosocial contexts, especially in the health care of the Spanish population.