Mental Well-being Research Articles

The Mediating Role of Health Empowerment in the Relationship Between Social Support and Loneliness Among Nursing Home Residents: A Correlational Study.

Loneliness is a significant public health problem due to the physical, cognitive and psychosocial changes that occur with ageing. Social support and empowerment can be particularly important for older people, alleviating loneliness and improving mental well-being. The present study aimed to investigate the mediating role of health empowerment in the relationship between perceived social support and loneliness among nursing home residents. The study was conducted with a correlational design and reported based on STROBE checklist. The study was completed with 277 older adults aged 65 years and over residing in nursing homes. Process Macro Model 4 was conducted to verify the mediating role. The response rate was 95.6%. Most older adults experienced a feeling of loneliness, and the level of social support and empowerment perceived by most of them was high. The study found a mediating role of health empowerment in the relationship between social support and loneliness. Social support was significantly positively correlated with health empowerment and negatively correlated with loneliness. The significant standardised indirect effect of health empowerment on loneliness evidenced a partial mediating role. This study concluded that health empowerment has a partial mediating role in the effect of perceived social support and loneliness. Nurses could develop effective strategies for preventing psychosocial problems in nursing home residents. Nurses could contribute significantly as educators, counsellors and leaders in planning interventions to empower older adults. By empowering older adults regarding healthcare, nurses could increase their perception of social support, improving mental health by increasing effective coping with loneliness. Nurses could design intervention programmes to increase perceived social support, as well as health empowerment levels, and reduce older adults' loneliness in nursing homes. Older adults completed the instruments.

Mental health literacy in German teachers – What do they know? What do they need?

Abstract Background Preventing mental health problems and promoting mental wellbeing is the aim of school-based mental health literacy (MHL) programs. Previous research suggests that good MHL (knowledge and skills regarding mental health, resilience, and help-seeking) helps people to take good care of their own and others’ mental health and use support-services. In this context the MHL of teachers is highly relevant, as they act as role models and interact with affected pupils on a regular basis, for which certain knowledge and skills are necessary. In this study, we therefore seek to investigate the level of MHL in German high-school teachers as well as their exposure to impaired students and their desire for further education on pupils’ mental health. Methods The data are collected as part of an effectiveness study of a school-based intervention to strengthen MHL (BEWARE), which was developed by our working group. We collect data from teachers who are involved in BEWARE as coaches as well as from those not directly involved (n ≈ 300). Data collection takes place online at three measurement timepoints (6 months apart each). For the analysis presented here, data of the first measurement timepoint with respect to MHL, skills in handling affected students and wishes for additional education on pupils’ mental health are included. Results As the data collection is still ongoing, statistical analyses are not yet completed. We will present data on the current state of knowledge on MHL in German teachers as well as their abilities to deal with affected pupils and their wish for further education. In addition, we will relate the number of affected pupils they teach to depict the relevance in their daily life at school to the above-mentioned measures. Conclusions The acquired data and respective analyses will give us important insights about the objective and subjective need of MHL training in schoolteachers (based on assessed knowledge and their reported wish of additional education). Key messages • Our study will give us important insights about the objective need of MHL training in high-school teachers based on assessed knowledge. • Our results will depict which formats of training teachers would prefer for additional education on pupils’ mental health, which will be a valuable basis for the development of future programs.

Arts and Mental health

Abstract Art includes performing arts, visual arts, literature, culture, and online/digital products. Its interventions are multimodal, combining a variety of activities, such as evoking emotions, emotional and cognitive stimulation, and imagination. Depending on the type of art, they may also involve social interaction, physical activity and communication. There is a large body of research suggesting that art engagement can enhance different dimensions of mental well-being (eudaimonic well-being, life satisfaction, evaluative well - and positive emotions). Some or all of these benefits have been found in individuals who participate in art activities. Based on these findings, art on prescription has been used in some European countries, including the United Kingdom, and Scandinavian countries. Art on prescription is mostly delivered in partnership with art organizations. The aim of this talk is give an overview on art on prescription in different countries in Europe and enhance understanding of the mechanism for whom art on prescription is a promising intervention in the field of mental health. Building on the mapping and review of reviews challenges of art interventions will be discussed such as study design or evaluating effectiveness and identifying population groups for whom art interventions work best.

Public health prevention programmes for mental illness in school-age children and adolescents

Abstract Background Psychiatrists, psychotherapists and other mental health professionals have long stated the importance of adequate social groups and early intervention for the prevention of severe mental diseases. With psychiatric illness incidence increasing most in the adolescent and young adult populations, we propose the use of school-age directed public mental health initiatives to combat remaining social stigma and promote mental wellbeing, as well as educate children and adolescents in how to recognise symptoms and ask for help. Methods We conducted a systematic review on PubMed as well as government and NGO websites to identify public health initiatives in the prevention and early identification of mental illness among young individuals. Results Preliminary results show that, while certain countries have delineated guidelines on how to support students’ mental health, very few have implemented nation-wide, or even region-wide programmes that directly target prevention and education. A particular note should be made regarding substance abuse and addiction, one of the few illnesses for which many countries have already enacted in-school programmes, that however often overlook the medical aspect of such diseases. Of further note are certain local programmes aimed at offering quality and accessible care to adolescents struggling with mental diseases. Conclusions With psychiatric diseases projected to become one of the greatest contributors to the global burden of disease by 2030, and the importance of early intervention in preventing severe psychiatric illness, we advocated for European public health initiatives implemented in schools, which could be crucial in curbing the spread of mental illness. Key messages • Adolescent and young adults are those most affected by the rising prevalence of mental illness. Consequently, we advocate for in-school programmes to aid in early identification and intervention. • Early identification of mental diseases is crucial in the prevention of severe psychiatric illness, but little has been done so far in terms of public health interventions to tackle such problems.

11.F. Scientific session: If we build it, will they come? Evaluation of citywide park redesign and renovation in NYC

Abstract Urban environments, such as parks, play a crucial role in shaping the health of their residents. However, the relationship between parks and health remains inconclusive. This workshop will present findings from the Physical Activity and Redesigned Community Spaces (PARCS) Study that examined the community health impacts of the Community Parks Initiative (CPI), a citywide park equity initiative of the New York City Department of Parks and Recreation (NYC Parks) that led to citywide park redesign and renovation across 67 low-income neighborhoods in NYC. Using a quasi-experimental design with socio-demographically matched control parks, we evaluated longitudinal changes in park use, physical activity, and psychosocial well-being as a result of CPI. There will be a total of 3 presentations. The first presentation will focus on the impact of CPI on park use before and after park renovation, relative to control parks, using data collected from the System for Observing Play and Recreation in Communities (SOPARC). Results showed that CPI led to a significant net increase in park use, especially among adults. The second presentation will report on changes in perceived stress pre- and post-renovation among adults. Results showed that a greater decrease in perceived stress was associated with a sustained high or increased park use frequency in the context of high-quality CPI intervention parks. In contrast, the same association was not found in lower quality control parks. The third presentation will showcase a study that demonstrated a significant increase in children’s physical well-being, a dimension of quality of life, at CPI vs. control sites. The analysis also showed that children in the lowest socio-economic group might have benefited the greatest from CPI. PARCS is one of the largest intervention studies on the effects of park renovation on health. This workshop will engage participants in considering how these insights can be translated into actionable programs and policies in service of community health and health equity. Findings from PARCS will help inform future public health and urban planning interventions in the use of the built environment to promote population well-being. Key messages • Urban park renovations may contribute significantly to community health, demonstrating a vital link between the built environment and public health. • Investments in green spaces may enhance the physical and mental well-being of low-income urban communities, promoting social equity.

JOBS Program Germany for health promotion among the unemployed

Abstract Aim The unemployed suffer from poorer health than the employed, especially in terms of mental health. At the same time, health promotion reaches unemployed less than employed. The “JOBS Program” is an intervention for the unemployed to promote health. It has shown positive effects in the USA and Finland. The aim of this confirmatory study (Hollederer & Jahn, 2023; Jahn & Hollederer, 2024) was to investigate whether the JOBS Program produces similar effects in Germany. Methods A multicenter randomized controlled trial was applied to compare an intervention group (IVG) with a waiting control group (WCG) before (T0; n = 94), shortly after (T1; n = 65) the intervention and about 6 months after the intervention (T2; n = 43). Fourteen JOBS Program trainings have been conducted. Additionally, JOBS Program trainers were interviewed via voluntary computer-assisted web interviews (resulting in 28 interviews). Results JOBS Program Germany was beneficial. Following changes in the primary outcomes were identified from T0 to T1: Compared to the WCG, a multivariate regression estimated that the IVG had (1) a 0.34 scale point higher level of self-rated general health (p = 0.025; scale range: 1-5 points), (2) a 14.52 scale point higher level of mental well-being (p = 0.004), and (3) a 2.74 scale point higher level of life satisfaction (p = 0.049). About 6 months after the training had been conducted (T2), participants in the JOBS training showed better general health status (0.41-point; p = 0.016) compared to the WCG. Furthermore, 78.5% of the JOBS Program trainers were rather or very satisfied with the theoretical contents and 85.7% with the practical implementation. A central obstacle to the implementation was the COVID-19 pandemic. Conclusions This study provides evidence for the effectiveness of the JOBS Program with respect to the above outcomes, and for older and long-term unemployed, suggesting the benefit of regular implementation for different groups of unemployed in Germany. Key messages • The results of the confirmatory study show positive effects of the JOBS Program on the general health status and unemployment-related mental burden among unemployed people in Germany. • The introduction of the JOBS Program as a nationwide intervention in Germany could be an intervention approach for the unemployed to achieve better health.

The Influence of Emotional Instability on Weight Fluctuations

This study examines the relationships between psychological factors, specifically mood fluctuations, short temper, and feelings of negativity, and their impact on weight gain or loss among individuals. The objective is to determine how these emotional states individually and collectively influence weight changes, focusing on understanding their predictive power. A quantitative, cross-sectional design was employed. The analysis involved correlation and multiple regression techniques to explore the relationships between the variables. Results revealed that moodiness has the strongest positive correlation with weight changes and is the most significant predictor, explaining a substantial portion of the variance. Short temper and feelings of negativity also contributed to body weight variations, though to a lesser extent. The model explained the variance in weight outcomes, highlighting the meaningful role of psychological factors in weight management. This study contributes to the growing body of research emphasizing the need to integrate mental health support in weight management programs and policy interventions, recognizing the critical role of mental well-being in influencing physical outcomes such as weight fluctuations. The findings have important implications for healthcare providers, policymakers, and wellness programs aiming to address health's psychological and physical aspects.

WeCare – Mental healthcare for health professionals

Abstract Issue/Problem Health professionals face physical and mental stressors (risk factors) due to challenging working conditions. Description of the Problem Despite high levels of health literacy among healthcare workers, maintaining healthy habits is challenging due to variable shifts, including nights, high workloads, and intense emotional and mental demands. Adopting a healthier lifestyle requires personal changes that can be difficult to implement, particularly in nursing and caregiving. This is critical, as retaining and attracting new staff in these fields is essential for the healthcare sector. Results/Effects/Changes To address these challenges, it’s crucial to boost intrinsic motivation and provide healthcare workers with practical tools to support their well-being and encourage them to remain in the sector. The WeCare project offers a mobile app designed as a ‘pocket coach,’ accessible at any time. Healthcare professionals can use the app to assess their current mental well-being through self-evaluation. With built-in assessments and predefined thresholds, the app tracks stress levels and quality of life. Depending on the outcomes, users are automatically guided to appropriate information, gamified activities, and exercises tailored to their specific needs. The project, running from 2022 to 2024, is co-funded by the European Union’s Erasmus+ programme. Lessons The app is beta-tested during 2024 in five countries: Germany, Austria, Serbia, Poland, and Italy, with local language support. The test group will consist of healthcare professionals and related professions. The results, including user engagement and motivational factors are analyzed. As the project concludes in autumn, comprehensive recommendations and lessons learned will be compiled and presented at the European Public Health (EPH) Conference. This will also include sharing the app and its solution with the broader healthcare community. Key messages • The WeCare app supports healthcare workers’ mental health with a mobile “pocket coach” that provides personalized exercises. Through gamification, it promotes healthy habits and boosts job motivation. • It is critical to support healthcare workers, as retaining and attracting new persons is essential for the healthcare sector.

The health and wellbeing of cardiology trainees in the united kingdom

Abstract Background Cardiology is a rewarding medical speciality. However, the intense workload can burden cardiologists with physical and psychological demands, and risks contributing to ill health. Cardiologists suffering poor health may increase absenteeism, stretching a workforce, and potentially reduce quality of patient care. Purpose We sought to describe the prevalence of physical and mental health conditions of cardiology trainees within the United Kingdom. We also aimed to identify factors associated with risk of burnout and negative drivers of psychological wellbeing. Methods The British Junior Cardiologists Association (BJCA) is a professional body which represents cardiology trainees in the UK. The BJCA conducts an annual survey of trainees, covering various aspects of working lives and all UK cardiology trainees are eligible to participate. For the 2023 survey, in addition to demographics and training questions, we asked questions on ill health, burnout, support for wellbeing, and invited responders to complete validated screening questionnaires for anxiety (GAD-7) and depression (PHQ-9). Responders were eligible for inclusion if they consented to take part in the health and wellbeing questions, and if they had completed four demographic questions. Anxiety and depression were deemed significant if scoring in the moderate or severe range (PHQ-9≥10; GAD7≥10). Significant burnout was defined as responders indicating being "somewhat" or "very" close to burnout. Logistic regression was used to determine odds ratios (OR) between univariate predictors of burnout, anxiety, and depression. Results Of the 398 responders, 212 fulfilled inclusion criteria (66% male, age 34±4 years, 42% had dependents). A physical health condition was reported by 11% of trainees, and 9% a reported a mental health condition. Significant burnout was reported by 76% of trainees. Those with dependents reported lower rates of burnout compared to those without (OR 0.35, 95% CI 0.18-0.67, p<0.01). Significant depression scores were reported by 25%, significant anxiety scores in 18%, and significant scores of either depression or anxiety in 29% (Fig 1). Scores from 17% of trainees were consistent with significant depression or anxiety and yet not known to have a mental health condition. Less Than Full Time trainees reported higher rates of anxiety (OR 4.38, 95% CI 1.37-14.10, p=0.01) and depression (OR 10.31, 95% CI 2.98-35.71, p<0.01). Training was reported to have a negative impact on physical health by 43% of trainees, and 47% reported a negative impact on mental health. Principal drivers of negative wellbeing included the amount of service provision; curriculum requirements, and lack of training opportunities (Fig 2). Conclusions The prevalence of anxiety, depression and burnout is high amongst cardiology trainees. Urgent action is needed by training bodies and employers to ensure training programmes consider the physical and mental wellbeing of trainees.Depression and Anxiety ScreeningNegative Drivers of Wellbeing

Involuntary commitment and medical education on mental health diseases across Europe

Abstract Background Psychiatric diseases are projected to become one of the greatest contributors to the global burden of disease by 2030, already presenting as one of the principal causes of DALYs lost in Europe. Given the particular nature of psychiatric disorders, national legislatures have been enacted by each European country regarding the possibility of involuntary psychiatric treatment. As practical implementations vary greatly from country to country, we wish to analyse how different attitudes to involuntary treatment affect health outcomes, so as to propose a uniform guideline for European medical practitioners. We also wish to analyse whether medical education targeted at communication with psychiatric patients has an effect on involuntary treatment rates and general mental well-being. Methods We conducted a systematic review on PubMed to identify studies pertaining to how legislature on involuntary commitment varies between European countries, as well as to what extent it is utilised. We also looked at the extent of medical education on psychiatric diseases. Results Preliminary results show that involuntary hospitalisation rates vary greatly within Europe, with certain countries being almost 20 times more likely to utilise such measures than others, notwithstanding similar mental illness prevalence. Results do not seem correlated to legislation types. Conclusions Given the vastly different use of involuntary commitment, a more standardised European approach should be implemented, especially in sight of the growing prevalence and burden of disease of psychiatric illnesses. Furthermore, an often-overlooked aspect of medical education is how to understand and communicate effectively with patients dealing with mental diseases: we advocate for continuous education, regardless of medical specialty. Key messages • Involuntary hospitalisation rates vary greatly across Europe, but the effects of this phenomenon have been poorly studied. We propose a more unified approach to maximise the efficacy of such a law. • We advocate for a more thorough education of health professionals on mental illnesses, regardless of medical specialty, in sight of the growing prevalence of such diseases.

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.

Pandemic-related PTSD and associated risk factors in the general adult population in the Netherlands

Abstract Introduction The COVID-19 pandemic introduced widespread stressors and shocking events, impacting mental well-being. Understanding posttraumatic stress disorder (PTSD) prevalence during the pandemic is crucial, yet existing studies on this topic vary widely in methodological quality. This study aims to fill this gap using a large-scale national survey study to examine PTSD prevalence during the pandemic and compare pandemic-related and traditional shocking events. Methods This study uses data from the Dutch Public Health Monitor Adults and Elderly 2022, consisting of 365,000 Dutch adults representative for the general adult population. Pandemic-related and traditional events were assessed and anchored to a screening instrument for PTSD: the Dutch version of the PCL-5. Results Two-thirds of participants reported experiencing a shocking event during the pandemic. Exposure to pandemic-related events was reported more frequently than traditional events. Overall probable PTSD prevalence due to these events was 2.4%, evenly split between pandemic-related and traditional events. Among exposed individuals, probable PTSD prevalence was 3.7%. This was higher for traditional than for pandemic-related events. Risk factors for developing probable PTSD after exposure to an event during the pandemic were younger age, financial difficulties, loneliness, low resilience and experiencing multiple events. Discussion Exposure to shocking events during the pandemic influenced the prevalence of probable PTSD. Despite the lower relative impact of pandemic-related shocking events compared to traditional events, exposure to pandemic-related shocking events accounted for the same amount of probable PTSD cases in the Dutch general population as 5 common traditional events. This emphasizes the need to address mental health consequences of prolonged crises and the demand for healthcare, and the importance of mitigation strategies based on risk and protective factors. Key messages • Exposure to pandemic-related events accounted for approximately the same amount of probable PTSD cases as 5 frequently occurring traditional events. • Despite pandemic-related events being reported more frequently, traditional events were associated with a relatively higher prevalence of PTSD.

Excessive Editing of Selfies on Social Media: The Illusion of Sustainability in Mental Health among Female Adolescents

The advent of social media has transformed how female adolescents perceive and present themselves, leading many to engage in excessive editing of their selfies. This practice is often seen as a means to boost their mental well-being by enhancing their self-image. However, this reliance on edited images may create a false sense of sustainability regarding their mental health. This study aims to explore the relationship between excessive selfie editing on social media and appearance-related anxiety in female adolescents. Employing a quantitative descriptive correlational design, the research involved 150 high school students, selected through a snowball sampling method, to examine the connection between their photo editing behaviors and psychological outcomes. Two validated instruments were utilized for data collection: the Selfie Editing Behavior Scale and the Appearance Anxiety Scale. Results indicated a significant positive correlation between the frequency of selfie editing and the levels of appearance anxiety experienced by the participants. These findings suggest that while adolescents may seek satisfaction through image enhancement, such practices can exacerbate insecurities and adversely affect their mental health over time.

Investigating The Factors Influencing Employees’ Psychological Capital and Mental Well-Being At Multinational Companies (MNCs) in Beijing

This study utilizes the job demands-resources model to examine the relationship between job resources (like organizational climate, co-worker support, authentic leadership, knowledge diversity, and work-life support practices), burnout, psychological capital, and mental health among employees at multinational companies in Beijing. An online survey was filled out by 173 people, and the data were analyzed with PLS-SEM. The results suggest that authentic leadership and work-life support practices had no impact on psychological capital, whereas a positive work environment, helpful co-workers, and a broad range of expertise did. In addition to having direct effects on mental health, psychological capital also indirectly affects mental health through burnout. This study adds to the current literature by examining the mental well-being of employees working for multinational firms in Beijing.

Can self-guided colouring improve university student wellbeing, mental health, and mindfulness?

ABSTRACT Background Mindfulness-based interventions can successfully improve wellbeing in young adults. Mindful colouring is an applied mindfulness practice and improves short-term wellbeing. Less evidence is available about the effectiveness of regular, self-guided colouring. We investigated a self-guided two-week colouring intervention for university student wellbeing. Methods One-hundred and forty university students completed a minimum of 10-min self-guided colouring, six times over two weeks. Participants were assessed at baseline and two-week follow-up using self-report measures of wellbeing, relating to quality of life, perceived stress, anxiety, depression, and mindfulness. Results Colouring significantly improved all measures of mental health, wellbeing and mindfulness in students who completed at least six sessions of self-guided colouring. Conclusion Colouring is an accessible activity that can improve student wellbeing when carried out regularly over two weeks. Future research should investigate the impact of longer-term colouring practice on wellbeing, and the effect of this intervention in the general adult population.

AUMENTO DO USO DE ANSIOLÍTICOS APÓS A PANDEMIA – REVISÃO DA LITERATURA

Introduction: Anxiety disorders are significant areas of research due to the high incidence of anxiety being diagnosed in the population, leading to temporary or permanent disability. Investigations conducted on the mental health of Brazilian residents during the COVID-19 outbreak indicate an increase in diagnoses of anxiety, depression, and stress. The deterioration of mental well-being was influenced by multiple factors, including the absence of proper funeral ceremonies, the escalation of unemployment, and the decline in financial capacity, which heightened tension and anguish among those needing a source of income to support their families. This scenario significantly contributed to the increase in the use of anxiolytics, as many individuals resorted to these medications as a form of immediate relief for the symptoms of anxiety and stress exacerbated by the pandemic, highlighting the need for a broader and more integrated approach to mental health treatment in the current context. Objectives: To analyze the increase in the use of anxiolytics after the COVID-19 pandemic and its implications for public health. Methodology: This study is structured as a literature review, aiming to compile and analyze existing information on the topic. Additionally, the research is exploratory and descriptive, with the objective of mapping existing knowledge on the subject and outlining its nuances. The platforms Scielo, Portal de Periódicos CAPES, and Medline were used. The period considered was from 2018 to 2023, with texts fully available online, in Portuguese. Results: The results indicate a significant increase in the use of anxiolytics during and after the COVID-19 pandemic, especially among more vulnerable groups, such as the elderly and people with pre-existing health conditions. The use of medications like Alprazolam increased by 35% in 2020, reflecting the intensification of anxiety in the population. Conclusion: The pandemic exposed the fragility of mental health systems, highlighting the need for public policies that combine pharmacological treatment with continuous support. Future research is essential to monitor the long-term effects of anxiolytic use in the post-pandemic period.

Validation of the Warwick-Edinburgh Mental Well-Being Scale for the Mental Health Surveillance (MHS) of German adults

BackgroundMental health encompasses more than just the absence of mental disorders. Thus, a Mental Health Surveillance (MHS) and reporting system for Germany should monitor mental well-being in addition to psychopathology to capture a more complete picture of population mental health. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) is an internationally established inventory for the integrated assessment of different aspects of mental well-being (i.e., hedonic and eudaimonic) in population samples that has not yet been validated for Germany.MethodsUsing data from a cross-sectional online survey of a convenience sample of N = 1.048 adults aged 18–79 years (51% female) living in Germany, the factorial structure, measurement invariance (age, sex) and psychometric properties of the WEMWBS in its long (14 items) and short (7 items) versions were analyzed. Additionally, correlations to relevant factors (e.g., health-related quality of life, psychological distress) were investigated as indicators of criterion validity.ResultsMeans of model fit indices did not confirm a unidimensional factor structure for either version. The three-factor-correlative models showed moderate to good fit while the bifactor model with one general mental well-being factor and three grouping factors fitted the data best. The full range of possible responses was used for all items, and the distribution of both scales was approximately normal. Moreover, the results revealed measurement invariance across sex and age groups. Initial evidence of criterion validity was obtained. Internal consistencies were α = 0.95 and α = 0.89, respectively. Average mental well-being was comparable to that of other European countries at 3.74 for the long version and 3.84 for the short version. While there were no differences by sex, comparisons between age groups revealed higher mental well-being among the older age groups.ConclusionsBoth versions of the WEMWBS showed sound psychometric characteristics in the present German sample. The findings indicate that the instrument is suitable for measuring mental well-being at the population level due to its distributional properties. These results are promising, suggesting that the scale is suitable for use in a national MHS that aims to capture positive mental health in the population as a foundation for prevention and promotion efforts within public mental health.

Examining Self-Compassion, Social Support, And Mental Well-Being Among Fast Track Students at UIN Malang

This study explores the relationship between self-compassion, perceived social support, academic stress, and mental well-being among Fast Track students at UIN Malang. Adopting a quantitative approach, the research employs a correlational design to examine the interactions of these variables in a high-pressure academic environment. Data were collected from a 61% sample of Fast Track students using a structured questionnaire, incorporating validated scales for self-compassion, social support, academic stress, and mental well-being. The findings reveal that Fast Track students generally exhibit high self-compassion, significantly correlated with their mental well-being. High levels of self-kindness, mindfulness, and an awareness of shared humanity were prominent among the students, suggesting a solid psychological resilience. Perceived social support from family and friends significantly impacted overall well-being, though its direct influence on academic stress was more complex. The research did not find a significant direct relationship between self-compassion and academic stress, indicating that self-compassion aids in managing emotional responses to stress rather than reducing it.The study underscores the need for a holistic approach to supporting students in accelerated academic programs. The findings suggest that enhancing self-compassion and strengthening social support networks can improve students' academic performance and mental well-being. This research contributes to understanding students' psychological dynamics in high-pressure academic settings. It provides insights for developing targeted interventions and support systems to foster a balanced and supportive educational environment.

Iron Deficiency and Internalizing Symptoms Among Adolescents in the National Health and Nutrition Examination Survey

Background: Iron Deficiency (ID) affects two billion people worldwide, predominantly adolescent girls, and may be associated with increased psychopathology. The associations between ID and symptoms of depression and anxiety in adolescents were examined using data from the National Health and Nutrition Examination Survey (NHANES), a cross-sectional survey of a nationally representative sample of non-institutionalized Americans. Methods: The current analysis included survey cycles where both iron-related markers and mental health-related outcomes were collected in adolescents 12 to 17 years old. Acute and serious medical conditions, acute inflammation, and abnormal birth weight led to exclusion. Linear multivariable regression analyses examined the association between ID status (defined based on the total body iron model) and (1) total Patient Health Questionnaire (PHQ-9) score, (2) one item examining anxiety severity, and (3) one item examining overall mental well-being. Covariates included age, sex, race and ethnicity, body mass index, household income, head-of-household marital status, and psychotropic medication use. Sensitivity analyses examined the robustness of the findings when ID was defined based on the ferritin model. Results: In 1990 adolescents (age [mean ± SD]: 14.5 ± 1.7 years; 85.7% females), ID with and without anemia was significantly associated with a higher PHQ-9 score in multiracial adolescents (Cohen’s d = 1.09, p = 0.0005 for ID without anemia; d = 0.92, p = 0.0395 for ID with anemia). Moreover, ID with anemia was associated with more severe anxiety (d = 3.00, p = 0.0130) and worse mental well-being (d = 2.75, p = 0.0059) in multiracial adolescents. The findings remained significant after adjusting for psychotropic use and in the sensitivity analyses. Conclusions: Iron deficiency is associated with poorer mental health in adolescents of multiracial background. Future studies should confirm these findings prospectively and examine the underlying mechanism.

Changes in health, lifestyle, and wellbeing of children with type 1 diabetes and their parents during the pandemic

ObjectiveThe COVID-19 pandemic restrictions have substantially affected people’s health and rapidly changed their daily routines. This is a prospective study that investigated the impact of the pandemic on primary school children with Type 1 diabetes and their parents during the first lockdown in Kuwait.MethodsA questionnaire battery related to mental health, well-being, and lifestyle was administered at baseline in Summer 2019 (face-to-face, at a diabetes outpatient clinic) and at follow-up during lockdown in Summer 2020 (via telephone, in adherence with COVID-19 restrictions). Data were collected for 70 dyads with children aged 9–12 years.ResultsSignificant differences were found in most scores for both children and parents. Their mental health worsened to a higher level of depression, anxiety, stress, and a poor level of wellbeing. The average scores on the follow-up tests fell within a clinical range on these measures. Significant differences in their lifestyle, compared to before the lockdown, included decreased levels of physical activity and lower healthy core nutritional intake.ConclusionsOur findings indicate that the COVID-19 lockdown has had a significant psychological and possibly physiological impact on children with Type 1 diabetes and their parents. We conclude that there is a need for mental health support services focusing on these groups. Although full lockdown restrictions will have stopped in the past year, post-pandemic stressors may be expected to continue to adversely affect this cohort.