Symptoms Of Mental Ill-health Research Articles

Measuring mental ill-health in the veterinary industry: Asystematic review.

Many instruments have been developed to examine and quantify symptoms of psychopathology. The main objective of this systematic review was to examine the instrument choice employed to measure mental ill-health in professionals working in the veterinary industry and reporting of psychometric testing of these instruments by researchers. 78 papers were reviewed. A total of 73 different instruments used to measure 19 symptoms of mental ill-health were identified. Quality assessment of included papers indicated 9 were low, 63 were moderate, and 6 were high quality. Reliability testing was conducted and reported in 36 papers and validity testing was reported in 23 papers. There is considerable heterogeneity in instrument choice measuring symptoms of mental ill-health in this population and inconsistency in conducting and reporting psychometric testing of instruments across studies. Adopting commonly employed instruments that yield high quality data in psychometric testing of instruments would be beneficial at advancing understanding in this field.

Mental ill-health in semi-elite women’s soccer in England: a mixed-methods approach

ABSTRACT Despite the growth in women’s soccer globally, there remains sparse research in this population, especially outside of elite levels and in relation to mental health. Limited research has examined the lived experiences of mental health within sub-elite women’s sport. Within this mixed-methods study, we aimed to provide insight into both the prevalence of mental ill-health and the complexities of how mental health is perceived, interpreted, and experienced in a unique and under-researched population. Footballers competing in tier three of the UK women’s leagues completed a survey to assess mental ill-health symptoms. Follow-up semi-structured interviews were completed with six players. A total of 103 players completed the questionnaire: 49.5% (n = 51) displayed distress symptoms (Kessler-10); 44.7% (n = 46) displayed depression symptoms (CES-D); 20.4% (n = 21) displayed anxiety symptoms (GAD-7); and 22.3% (n = 23) displayed eating disorder symptoms (SCOFF). Using reflexive thematic analysis three themes were developed: “Navigating Tier 3 women’s football: a balancing act”, “Football: is it good for my mental health?” and “Speaking out about my mental health: the confusion and the cost”. Overall, prevalence of symptoms associated with mental ill-health ranged from 20.4% to 49.5% among semi-elite female footballers, which are shaped by individual experiences. The female footballers reported athlete-specific risk factors for mental ill-health at the individual level as well as the sporting environmental level. The findings and implications for sub-elite women’s soccer are discussed.

Adaptation and implementation of an employee mental health disclosure decision aid tool in a real-world sample.

Making decisions about disclosing mental health conditions in the workplace is complicated. A previous randomized controlled trial showed that web-based decision aid tool (READY?) helped employees make decisions and improved mental health. We aimed to evaluate the implementation of this tool and its outcomes when scaled up by a governmental health and safety agency. We used website analytics and event data of those using the decision aid tool, and self-report stage of decision-making, distress, engagement, and usability data from consenting users of READY? over the first year of it being made publicly available. Over the year 2021, 100 adults opted in to be involved in the research evaluation of the program. This study replicated the previous Randomised Controlled Trial (RCT) that showed at post-intervention; a later stage of decision-making (t1,99 = 6.308, P < .001) with a large effect size (d = 0.87), and psychological distress was significantly reduced (t1,99 = 3.088, P < .001) with a moderate effect size (d = 0.41). READY? facilitated disclosure with 36.3% deciding to disclose after use. Disclosure was associated with a greater reduction in mental ill-health symptoms than non-disclosure [F(2,31) = 18.67, P < .001] with a moderate effect size (d = 0.64). Engagement, usage, and attrition rates were favourable when compared with other digital mental health approaches in community samples. This study shows that READY? is successfully implemented in a real-world sample. Aligning with the RCT results, for many, disclosure can be positive, research should continue to focus on developing organization-wide tools to create better supported and safe workplaces that promote disclosure.

Effectiveness of Community-Based Outreach Interventions for Individuals Living with Mental Ill-Health in Australia: A Systematic Review

Objective. Mental ill-health is a common occurrence globally and represents a significant burden of disease. In Australia, the development and improvement of programs that connect individuals earlier in their mental ill-health journey is a national health priority. However, there are current informational gaps on community-based initiatives and their associated mental health outcomes. This review aimed to systematically identify, assess, and analyse studies reporting on community-based outreach interventions for individuals experiencing mental ill-health. Method. A systematic review of the literature was conducted across 6 electronic databases and Google Scholar on 01 November 2021 and 12 June 2022. The National Health and Medical Research Council Evidence Hierarchy was used to assess study quality, and the PAGER framework was used to synthesise and analyse the results of included studies. Results. Eighty-three studies met the inclusion criteria; 51% (n = 42 studies) incorporated digital technology, and 49% (n = 41 studies) involved nonclinical light-touch interventions. Individuals with severe mental ill-health were likely to benefit from targeted interventions, and individuals with mild to moderate symptoms of mental ill-health were likely to benefit from interventions involving high levels of engagement from participants. Conclusion. Results from this review provide an understanding of patterns related to the effectiveness of community-based outreach interventions. Knowledge from this review will inform the implementation of targeted strategies to enhance the proactive provision of mental health services in the community. Standardised outcome measures are needed to strengthen the evidence base for community-based outreach interventions, by enabling researchers and service providers to explore which type of intervention and with what intensity is best suited for participants with varying levels of mental ill-health.

A national longitudinal cohort study of factors contributing to UK medical students’ mental ill-health symptoms

BackgroundThe mental health of current medical students is predictive of their mental health as future doctors. The prevalence of anxiety, depression and burnout is high among medical students, but less...

Empirical evidence for climate concerns, negative emotions and climate-related mental ill-health in young people: A scoping review.

Climate change represents a serious threat to human health, including mental health, due to both the traumatizing effects of extreme climate events and the psychological effect of worry about climate change. This scoping review aims to search the literature for original research investigating mental health and climate-related negative emotions in young people. Findings will help to understand the current landscape, gaps in the literature, and provide recommendations for future youth mental health research and practice. A scoping review of the literature examining negative emotions associated with climate change in young people was undertaken. Studies published prior to March 2022 were included if they examined mental ill-health (e.g., symptoms of depression or anxiety) or negative emotions (e.g., distress, worry, concern) associated with the threat of climate change. Of 3939 articles screened, 26 met the inclusion criteria. Together, studies show that young people are worried about climate change. Negative emotions about climate change were correlated with symptoms of mental ill-health. Studies also explored coping strategies young people use to manage their distress caused by climate change. The limited literature in this area indicates a key gap in youth mental health research. While available evidence suggests that young people are concerned about climate change, more research is needed on the relationship between climate-related negative emotions and mental ill-health. Clinicians should assess for and address climate-related negative emotions in young people. Mental health leaders are urged to advocate for actions to mitigate the mental health impact of climate change.

Surf therapy for improving child and adolescent mental health: A pilot randomised control trial

The aim of this pilot randomised control trial (RCT) was to test, 1) feasibility and acceptability of a surf therapy program to improve symptoms of mental ill-health among children and adolescents, and 2) the design and procedures of an evaluative study. This pilot RCT compared a 6-week mentor-supported surf therapy program with a wait list control group, in Australian children and adolescents aged 8–18yrs (M age = 11.28, SD = 2.34; 15 females), who were help seeking for issues relating to their mental health. Exclusion criteria included if an individual was actively suicidal or experiencing a psychotic episode or being unavailable for program dates. The primary outcome was the feasibility and acceptability of the intervention and study design assessed via 11 pre-defined criteria. A secondary outcome was to investigate the effectiveness signal of the intervention on child indicators of depression and anxiety, assessed via the Revised Children’s Anxiety and Depression Scale-Short Form and the Strengths and Difficulties Questionnaire. Random allocation was computer generated and while it was not possible to blind participants, researchers collecting assessments were blinded to group allocation. Thirty-six youth were randomised (intervention = 18; wait list controls = 18), representing an 84% participation rate among eligible youth. Of the 11 a priori feasibility and acceptability criteria, 4 of 5 relating to the intervention, and 4 of 6 addressing the study design were fully met, with the unmet factors guiding program revision. At the completion of the intervention, children and adolescents receiving the intervention reported reductions in symptoms of depression (ES = 0.57), anxiety (ES = 0.43), emotional problems, (ES = 0.79), peer problems (ES = 0.56), hyperactivity/inattention (ES = 0.28), and overall difficulties (ES = 0.64). These reductions were not sustained 6-weeks after completion of the intervention. Surf therapy is an acceptable and feasible intervention for addressing symptoms of mental ill-health among children and adolescents. Preliminary evidence suggests that surf therapy improves symptoms of mental ill-health in the short-term but that these improvements were not sustained after the intervention is ceased.

Suicidal Thoughts, Depression, Post-Traumatic Stress, and Harmful Alcohol Use Associated with Intimate Partner Violence and Rape Exposures among Female Students in South Africa.

While ample evidence from high-income country settings indicates the prevalence and risk factors for multiple mental ill-health symptoms in student populations, evidence from low- and middle-income higher education settings remains limited. We determined the frequency, associations, and structural pathways between mental health outcomes and possible risk factors among a sample of 1292 predominantly Black African and female students ages 18–30 years, enrolled at nine purposefully selected public universities and Technical Vocational Education and Training (TVET) campuses. We measured and created a mental ill-health latent outcome consisting of depressive symptoms, post-traumatic stress disorder (PTSD), and suicidal thoughts. We also measured traumatic exposures including childhood trauma, recent intimate partner violence (IPV), non-partner rape, and other life traumatic events. We used structural equation modelling to analyse data. We found that 50% of the surveyed students binge drank, 43% reported depressive symptoms, 9% reported PTSD symptoms, and 21% had suicidal thoughts. Students’ experiences of childhood trauma, food insecurity, other traumatic events, non-partner rape, and IPV impacted the mental ill-health latent. IPV experiences mediated the relationships between experiences of childhood trauma or other trauma and the mental ill-health latent, and the relationship between binge drinking and other life traumatic events. Non-partner rape mediated the relationship between food insecurity and the mental ill-health latent. Binge drinking directly impacted non-partner rape experience. The findings substantiate the need for campus-based mental health promotion, psychosocial services and treatments, and implementation of combined interventions that address the intersections of violence against women and mental health among students in South Africa.

The relationship between ambivalence towards supervisor's behavior and employee’s mental health

Ambivalence in social interactions has been linked to health-related outcomes in private relationships and recent research has started to expand this evidence to ambivalent leadership at the workplace by showing that ambivalent supervisor-employee relationships are related to higher stress levels in employees. However, the mental health consequences of ambivalent leadership have not been examined yet. Using a multilevel approach, this study estimated associations of ambivalent leadership with mental health indicators (depression, anxiety, vital exhaustion, fatigue) in 993 employees from 27 work groups. A total effect of ambivalent leadership was found for all four mental health measures, as well as within-group and between-group effects. The consistent relationships of ambivalent leadership with higher symptoms of mental ill-health at the individual- (i.e., within-group) and the group-level (i.e., between-group) support the existence of an un-confounded association, as well as group effects of collective ambivalence.

Elite female footballers in England: an exploration of mental ill-health and help-seeking intentions

ABSTRACT Objectives Mental health research in sport is almost entirely focused on elite male athletes. However, recent research suggests that elite female athletes are at higher risk for mental ill-health when compared to their male counterparts. Given the recent growth of women’s football in England and lack of research surrounding mental health in this population, this study sought to explore the prevalence of, and factors associated with depression, anxiety, and eating disorder symptoms in females competing in the top two tiers of English football. Methods An anonymous online questionnaire pack, which measured personal and player characteristics and included the Patient Health Questionnaire (PHQ-9), Generalised Anxiety Disorder scale (GAD-7), Brief Eating Disorder Questionnaire (BEDA-Q), and General Help-Seeking Questionnaire (GHSQ), was completed between November 2020 and March 2021 by elite female footballers competing in the Women’s Super League (WSL) and Women’s Championship. Results A total of 115 players completed the questionnaire (63 from the WSL; 52 from the Women’s Championship). 36% displayed eating disorder symptoms (BEDAQ) 11% displayed moderate to severe anxiety symptoms (GAD-7), and 11% displayed moderate to severe depression symptoms (PHQ-9). Significant associations emerged between starting status, want for psychological support, student-athlete status, help-seeking intentions score, and mental ill-health symptoms. Conclusion In summary, elite female footballers in England reported significant mental health symptoms, particularly disordered eating symptoms. Further research should explore the experiences of mental ill-health in this population, focusing on the factors that were important in this study.

Evaluation of ReachOut.com, an Unstructured Digital Youth Mental Health Intervention: Prospective Cohort Study.

BackgroundYoung people experience a disproportionate burden associated with mental illness that Australia’s mental health care system is ill-equipped to handle. Despite improvements in the provision of mental health services, the rates of service utilization among young people remain suboptimal, and there are still considerable barriers to seeking help. Digital mental health services can overcome a number of barriers and connect young people requiring support; however, the evidence base of digital interventions is limited.ObjectiveThe aim of this study is to examine the effectiveness of a brief, self-directed, unstructured digital intervention, ReachOut.com (hereafter ReachOut), in reducing depression, anxiety, stress, and risk of suicide.MethodsA cohort of 1982 ReachOut users participated in a 12-week longitudinal study, with a retention rate of 81.18% (1609/1982) across the duration of the study. Participants completed web-based surveys, with outcome measures of mental health status and suicide risk assessed at 3 time points across the study period.ResultsThe results demonstrated that over the 12-week study period, young people using ReachOut experienced modest yet significant reductions in symptoms of depression, anxiety, and stress. Significant, albeit modest, reductions in the proportion of participants at high risk of suicide were also observed.ConclusionsThe findings of this research provide preliminary evidence of the promise of an unstructured digital mental health intervention, ReachOut, in alleviating symptoms of mental ill-health and promoting well-being in young people. These findings are particularly important given that digital services are not only acceptable and accessible but also have the potential to cater to the diverse mental health needs of young people at scale, in a way that other services cannot.

Social Media and Mental Health Among Early Adolescents in Sweden: A Longitudinal Study With 2-Year Follow-Up (KUPOL Study)

PurposeThe aim of this study is to assess the longitudinal associations between the frequency of social media use and symptoms of mental ill-health among Swedish adolescents. MethodsData came from KUPOL, a Swedish school-based longitudinal cohort accrued in 101 participating schools in 8 regions of Sweden. The study sample consisted of 3,501 adolescents in grade 8 (14–15 years, 51.5%, n = 1,765 girls) followed for 2 consecutive years. Daily social media use was measured as weighted average of self-reported use in weekdays and weekend days. Mental health was measured with the Strength and Difficulties Questionnaire (SDQ). A Random-Intercept Cross-Lagged Panel Model was applied to distinguish between-person from within-person associations between social media use and symptoms of mental ill-health. ResultsMedian SDQ score at baseline was 9 (interquartile range [IQR] 6–14). Median social media use was 1.7 hours at baseline (interquartile range .6–3.0) and increased over the 3-year period. Adolescents with more social media use also reported higher SDQ scores, B (95% confidence interval [CI]) = 2.40 (2.03–2.77). On a within-person level, no cross-lagged associations were found between changes in social media use and subsequent changes in symptoms of mental ill-health after 1 year, B (95% CI) = .02 (−.12 to .16) or vice versa B (95% CI) = .00 (−.02 to .02). Weak cross-sectional associations were found between changes in social media use and concurrent changes in symptoms of mental ill-health, B (95% CI) = .24 (.00–.48). ConclusionsAdolescents with higher use of social media report more symptoms of mental health problems, but there is no evidence for a longitudinal association between increased use and mental health problems. This suggests that social media may be rather an indicator than a risk factor for symptoms of mental ill-health.

Critical analysis of mental health research among construction project professionals

Purpose Mental ill-health among construction project professionals (CPPs) is a significant, persistent and unresolved problem that sparked the proliferation of literature worldwide. Despite the diverse research publications, a systematic review to reveal forms of mental ill-health, cause of mental ill-health and coping is lacking. Design/methodology/approach This paper aims to systematically reviews the existing body of knowledge on mental health in the construction project by analyzing 60 papers published between 1989 and 2020 (years inclusive) using the preferred reporting item for systematic reviews and meta-analysis. Academic journals between 1989 and 2020 were selected for this study because the first published paper on the mental health of construction managers commenced in 1989 and current studies are published in 2020. Findings The findings show that stress, job burnout, depression, anxiety and substance use disorder (SUD) are prominent forms of mental ill-health among CPPs, with an absence of project-related measuring scales for evaluating the mental ill-health symptoms. Moreover, generic stressors including long working hours, time pressure and work overload were used to establish the root causes of mental ill-health by ignoring construction project related stressors for mental ill-health. Problem-focused coping is more efficient than emotional focused coping in mitigating work stress, job burnout, depression, anxiety, but little is known on the influence of coping strategies on SUD. Knowledge gaps and future research directions were identified. This research contributes to a comprehensive understanding of the implications of mental health management on construction projects. Originality/value The findings of this study contribute toward understanding the need to investigate individual mental ill-health as against the existing practices of considering all forms of mental ill-health as one umbrella. It also challenges limitations in the utilization of generic stressors to determines factors for mental ill-health by the introduction of the Swisse cheese theoretical model.

Evaluation of the CORE-10 to assess psychological distress in pregnancy

ABSTRACT Background Women experience diverse symptoms of mental ill-health in pregnancy, yet measures usually only assess depression or anxiety. Measures may, therefore, miss out on identifying women experiencing distress. Objective We aimed to examine the validity and reliability of the CORE-10: a short measure with broad coverage of symptoms of distress and associated functioning, in pregnant women. Methods 366 women 26–38 weeks pregnant completed online measures of distress (CORE-10), depression (Whooley questions), anxiety (Generalised Anxiety Disorder-2), and a single item measuring worry about psychological health. We examined convergent and factorial validity and concordance rates of the measures. Results Levels of distress were high, with anxiety the most reported symptom. The CORE-10 showed good convergent validity. A two-factor structure representing ‘symptoms’ and ‘ways of coping’ best fit this sample. Internal reliability of the symptoms' factor was good. Discussion The self-selected online sample may not be representative of pregnant women in the third trimester and a diagnostic interview was not used. Based on this validation study, the CORE-10 potentially offers an assessment of a broad range of symptoms of postnatal distress within the confines of a measure brief enough to be usable in clinical settings. Further validation is needed.

Supporting and promoting good mental health in the workplace: a service user perspective.

Many people with mental health issues are workless; and of the minority who do work, many are in elementary occupations. Despite this, good quality work is often promoted as beneficial for mental wellbeing. The discussion in this article explores my reflections about my experiences encountered as a person with schizophrenia managing mental distress in the workplace in the UK, whilst working as a senior lecturer in social work. The importance of a working identity is considered as central to my sense of wellbeing and recovery, although it is acknowledged that for some people, other activities that promote meaningful activity, rather than working, can best support their recovery. This first person narrative reflects on the difficulties caused by mental ill-health symptoms that impact on my wellbeing at work. The potential of Acceptance and Commitment Therapy (ACT), a form of Cognitive Behaviour Therapy, to support the improvement of my mental wellbeing in the work place is discussed alongside the central role of the therapist in delivering this intervention. The opportunities ACT offers to support a person with mental health issues to manage the disabling impact of mental health symptoms in the workplace are highlighted, and its potential for wider implementation across mental health services is considered.

Trauma Risk Management (TRiM): Promoting Help Seeking for Mental Health Problems Among Combat-Exposed U.K. Military Personnel

Objectives: Trauma Risk Management (TRiM) is a peer-led, occupational mental health support process that aims to identify and assist U.K. military personnel with persistent mental ill health related to potentially traumatic events (PTEs). This study compared help seeking, mental disorder symptoms, and alcohol use between TRiM recipients and personnel experiencing similar combat events who did not receive TRiM; an unexposed group provided context. Methods: Records of TRiM activity during a U.K. military deployment in Afghanistan were linked to contemporaneous survey data assessing mental health and combat experiences. The resulting deployment data set was amalgamated with mental health, alcohol use, and help-seeking data collected within 12 weeks of homecoming and again one to two years later. Mental health and help-seeking outcomes were compared between a nonexposed, non-TRiM sample (n = 161), an exposed, non-TRiM sample (n = 149), and an exposed, TRiM-recipient sample (n = 328) using logistic regression analyses. Results: At follow-up, TRiM recipients were significantly more likely to seek help from mental health services than exposed, non-TRiM personnel. At baseline, TRiM recipients had significantly greater adjusted odds of reporting possible posttraumatic stress disorder (PTSD) symptoms than exposed non-TRiM personnel; the difference was not significant at follow-up. TRiM recipients were significantly more likely to report persistent mental disorder and alcohol misuse caseness over the follow-up period. Conclusions: TRiM recipients were significantly more likely to seek help from mental health services than a similar PTE-exposed group that did not receive TRiM; however, TRiM recipients experienced more persistent mental ill-health symptoms and hazardous alcohol use over the period of follow-up despite seeking help.

Association of physical activity with future mental health in older, mid-life and younger women

Background: Mental ill-health, particularly depression and anxiety, is a leading and increasing cause of disability worldwide, especially for women. Methods: We examined the prospective association between physical activity and symptoms of mental ill-health in younger, mid-life and older working women. Participants were 26 913 women from the ongoing cohort Finnish Public Sector Study with complete data at two phases, excluding those who screened positive for mental ill-health at baseline. Mental health was assessed using the 12-item General Health Questionnaire. Self-reported physical activity was expressed in metabolic equivalent task (MET) hours per week. Logistic regression models were used to analyse associations between physical activity levels and subsequent mental health. Results: There was an inverse dose–response relationship between physical activity and future symptoms of mental ill-health. This association is consistent with a protective effect of physical activity and remained after adjustments for socio-demographic, work-related and lifestyle factors, health and body mass index. Furthermore, those mid-life and older women who reported increased physical activity by more than 2 MET hours per week demonstrated a reduced risk of later mental ill-health in comparison with those who did not increase physical activity. This protective effect of increased physical activity did not hold for younger women. Conclusions: This study adds to the evidence for the protective effect of physical activity for later mental health in women. It also suggests that increasing physical activity levels may be beneficial in terms of mental health among mid-life and older women. The alleviation of menopausal symptoms may partly explain age effects but further research is required.

EPA-1480 – Suicide prevention by internet and media based mental health promotion (supreme)

SUPREME is a mental health promotion programme, which comprises a multi-language, culturally adapted, highly interactive website accessible to the general public that is particularly aimed at adolescents. The general objective of the programme is to enhance and improve the mental health and well-being of European adolescents through developing, strengthening and sustaining Europe's scientific community. Subsequently, the contribution of the proposed project to European society is multifaceted: it provides a common goal amongst leading research centres across Europe to improve the mental health and well-being of its adolescent citizens; it supports the utilization of state-of-the-art technology for mental health promotion; and significantly enhances mental health research and collaboration amongst Europe's leading scientific centres. The project will started in 2010 and has a duration of 42 months. NASP at Karolinska Institutet is the leading center. Associated partners are based in Italy, England, Spain, Lithuania, Estonia and Hungary. The project is cofunded by DG SANCO (60%) and the consortium (40%). The long-term benefits realized by this project comprise evidence-based information on the most effective methods in Internet-based mental health promotion to reach the most vulnerable adolescents in need; and ultimately improve adolescents’ mental health and well-being by reducing depression, anxiety, conduct disorder, and other mental ill-health symptoms. The objectives of the programme are developed to be efficient and practical for successful implementation in authentic and real-life settings. The target group for the project are adolescents and young adults aged 14-24 years. This population was chosen on account that mental health problems identified in adulthood are often developed and progress during childhood and adolescent years. Research suggests that mental health problems are rapidly increasing, from being 12% of the total burden of disease, with projections of up to 15% by 2020 (WHO 2003). Mental health problems, such as depression, anxiety, and conduct disorder that persist without treatment establish a foundation for adolescents’ pattern of behaviour and life choices. The transition between adolescence and adulthood is a fundamental period for ascertaining current and future health status for an individual. Therefore, targeting vulnerable adolescents and promoting mental health is vital in preventing future mortality and morbidity associated with mental health problems. During the presentations the main results of the SUPREME project will be described.

Preliminary investigation into subjective well-being, mental health, resilience, and spinal cord injury

ObjectivesTo undertake a pilot investigation into whether individuals whose subjective well-being had returned to the normal homeostatic range after a spinal cord injury (SCI) may be more resilient and therefore, at less risk of emotional distress over time. To consider the relative stability of subjective well-being in individuals with chronic SCI whose subjective well-being had previously returned to the normative homeostatic range.Study designLongitudinal study: Time 1 (T1) 2004 and Time 2 (T2) 2009.SettingVictoria, Australia.ParticipantsParticipants were adults living in the community with chronic SCI, who had no mental ill-health symptoms at T1.Outcome measuresScales include: Comprehensive Quality of Life Scale – Adult v5 (COMQoL-A5) at T1, Personal Well-being Index (PWI – the successor to the COMQol-A5) at T2, and Depression, Anxiety & Stress Scale – short form (DASS-21) at T1 and T2.ResultsTwenty-one adults participated at T1 and T2. Subjective well-being was stable for 57% of the cohort. However, 19% presented with symptoms of emotional distress by T2. There was no significant difference in age (P = 0.94) or time since injury (P = 0.51) between those reporting significant emotional symptoms and those without; nor was there any systematic change in health status.ConclusionThis study yielded two important findings. First, individuals with chronic SCI may be vulnerable to mental health issues even after they have previously exhibited good resilience. Second, subjective well-being after SCI may not be as stable as suggested by the general quality of life literature that have examined genetic and personality connections to subjective well-being.

Mental Health Literacy of Depression: Gender Differences and Attitudinal Antecedents in a Representative British Sample

BackgroundPoor mental health literacy and negative attitudes toward individuals with mental health disorders may impede optimal help-seeking for symptoms of mental ill-health. The present study examined the ability to recognize cases of depression as a function of respondent and target gender, as well as individual psychological differences in attitudes toward persons with depression.MethodsIn a representative British general population survey, the ability to correctly recognize vignettes of depression was assessed among 1,218 adults. Respondents also rated the vignettes along a number of attitudinal dimensions and completed measures of attitudes toward seeking psychological help, psychiatric skepticism, and anti-scientific attitudes.ResultsThere were significant differences in the ability to correctly identify cases of depression as a function of respondent and target gender. Respondents were more likely to indicate that a male vignette did not suffer from a mental health disorder compared to a female vignette, and women were more likely than men to indicate that the male vignette suffered from a mental health disorder. Attitudes toward persons with depression were associated with attitudes toward seeking psychological help, psychiatric skepticism, and anti-scientific attitudes.ConclusionInitiatives that consider the impact of gender stereotypes as well as individual differences may enhance mental health literacy, which in turn is associated with improved help-seeking behaviors for symptoms of mental ill-health.