Poor Mental Well-being Research Articles

Where should health system investments be made to protect the mental health of healthcare workers?

Abstract Background This study explores trends and work-related determinants of mental health and wellbeing among health and care workers in Europe since the COVID-19 pandemic. The aim is to determine where investments can best be made to protect and support mental health and wellbeing among health and care workers to improve retention and recruitment. Methods Data are analysed from the National Health Service staff survey in England and the Health Service Executive ‘Your Opinion Counts’ survey in Ireland to explore trends in mental health and wellbeing and burnout. Evidence is then taken from a series of European Observatory policy briefs, based on expert-led literature reviews, to explore determinants of poor mental health and wellbeing and to identify potential areas for investment. Results Rates of burnout and poor mental health and wellbeing have increased in England and Ireland since the start of the pandemic among all professional groups. Workplace-based factors are important determinants of poor mental health and wellbeing, and can be grouped into: macro-level structural factors such as staff shortages, poor working conditions and low pay; meso-level organisational factors including poor leadership, and insufficient education, training and support; micro-level individual factors such as insufficient self-care or not seeking support. However, determinants at the micro-level, especially seeking support from others, are largely shaped by structural or organisational factors. Conclusions Increased financing to address structural and organisational determinants of mental health and wellbeing contributes to improved patient care, better staff experience, lower rates of absenteeism, and enhanced recruitment and retention. It is therefore one of the best health system investments that can be made.

Work-related factors affecting mental well-being of young construction workers in South Australia

PurposeMany work-related factors particularly affect the mental well-being of young construction workers and subsequently affect their productivity at work. Young construction workers in South Australia are more vulnerable than other workers because they consider the distress arising from work-related factors to be part of adapting to a new work life. Therefore, this study seeks to draw out the work-related factors that affect the mental well-being of young construction workers.Design/methodology/approachThe study employed a sequential mixed method approach including a preliminary qualitative case study and a quantitative survey. Around 20 interviews across two organisations were conducted in the initial case study and content analysis was used to contextualise the factors and identify new factors. Then, the outcome of the case study was fed into a questionnaire survey for further analysis. The survey received 43 valid responses. Principal component analysis (PCA) was performed on the survey outcome to assess and categorise the work-related factors.FindingsThe findings indicate ten prominent work-related factors contributing to poor mental well-being of young construction workers related to three main categories of factors, namely “nature of work”, “task-related stress” and “unsupportive behaviour”. The work-related factors that have the greatest impact on mental well-being are the machoism culture of industry, work overload and workplace bullying.Originality/valueThe outcome from this study enhances the understanding of key work-related factors affecting the mental well-being of young construction workers. Research findings would also help inform the development of clear, industry-informed initiatives tailored to protect and support young construction workers.

Perception on body image and its associated factors among undergraduates in selected faculties of a state university in Sri Lanka

Background: Perception on body image; the way individuals see or feel about their physical appearance, can influence one's mental well-being, self-esteem and lifestyle. Since there is a dearth of research on this in Sri Lanka, the perception of body image among undergraduates, who are an active social group, demands a com-prehensive understanding.Objective: To describe the perception on body-image and its associated factors among undergraduates in selected faculties of a state university in Sri Lanka.Method: A descriptive cross-sectional study was conducted among 389 undergraduates selected through convenience sampling from the faculties of Applied Sciences, Medical Sciences, Management and Commerce and Humanities and Social Sciences of the University of Sri Jayewardenepura. Data was collected through a validated, pre-tested, self-administered questionnaire circulated as a Google form via social media. Perception on body image, mental well-being and self-esteem were assessed using the Body-focused shame and guilt scale (minimum 0, maximum 88, cut-off 37), WHO-5 well-being index (minimum 0, maximum 100, cut-off 40) and Rosenberg self-esteem scale (minimum 10, maximum 40, cut-off 28) respectively. All attributes were dichotomized using the means obtained from the pilot test.Results: Majority of the participants were females (n=270, 69.4%). Median age was 23 years (IQR=4). Majority (n=242, 62.2%) showed normal BMI (18.5-24.9). Two of every five undergraduates tend to have a negative perception on their body image.Among the participants who had negative per-ceptions on their body image, 69.0% had poor mental well-being, 72.3% had low self-esteem and 61.3% were highly concerned about fashion and cosmetics to improve their appearance.Conclusions: TNegative perception on body image is a hidden problem among undergraduates in Sri Lanka. The association of one’s gender, mental well-being, self-esteem and fashion with body-image perception is significant.

Art and Cooking Therapies on Mental Health and Well-Being: A Narrative Review

Mental health is relevant to every individual. Poor mental health and well-being contribute significantly to personal suffering and a substantial burden on society. Art and cooking therapies in complementary and alternative medicine (CAM) are flexible approaches that emphasize engagement and growth to promote mental health and well-being, are easy to perform, accessible when needed, and can be self-administered. This review aims to explore art and cooking therapies focusing on intervention protocols, target populations, underlying mechanisms, limitations, and areas for future research. The literature search was conducted in PubMed, Google Scholar, and Semantic Scholar databases using predefined search terms. A total of 26 randomized controlled trials, 19 in art therapy, and seven in cooking therapy were included. Art and cooking therapies are promising interventions to improve mental health and well-being. They promote mindfulness and provide opportunities for self-expression and social support which can be explored in future studies and therapeutic settings.

Lifetime trauma, mental well-being, alcohol and help-seeking; the phenomenological experience of veterans residing in Northern Ireland

BackgroundVeteran residents in Northern Ireland (NI) are an under-researched population. Little is known about their experiences of trauma and mental health management. The overall mental well-being of veterans living in NI may be poorer than other veteran populations, due to the challenges presented by the unique landscape. Understanding their experiences is crucial for providing appropriate, targeted support.MethodSix male veterans, who had received a mental health diagnosis, living in NI and all aged > 40 years participated. Semi-structured interviews, using open-ended questions, were conducted over the telephone. Interpretative phenomenological analysis was used to explore their experiences.ResultsTwo experiential themes were identified each containing three experiential statements. Statements for ‘an extreme lack of’ included: lack of mental health literacy/awareness; lack of expectations of official support; lack of a sense of perceived appreciation. Statements for ‘an extreme abundance of’ included: exacerbated exposure to a range of extreme environments; high levels of ruled-based living; high levels of engaging with informal/local level support.ConclusionsSeveral experiential statements aligned with existing literature, including having poor mental health literacy and problem recognition, and heavily utilising social support versus formal help-seeking. Some novel findings included bouncing between extreme positive and negative environments which could be as detrimental to mental health as experiencing conflict trauma. Heavy alcohol use was just another rule soldiers followed. Positive help-seeking experiences failed to improve poor opinions of support organisations. Finally, poor self-perceptions connected to military status are pertinent in NI, which seems to fuel self-marginalisation and distrust. A combination of factors likely contributes to many veterans living in NI having poorer mental well-being. Novel findings would benefit from further exploration as understanding how NI veterans interpret their experiences is key to providing adequate healthcare.

Role of Psychosocial Factors and Mental Well-Being for Baby WASH- and Nutrition-Related Behaviors in Lao PDR.

In Lao PDR, 30% of children under age 5 years are affected by stunting. Stunting in childhood is associated with poorer outcomes for both physical and cognitive development. Baby WASH is a focused approach to water supply, sanitation, and hygiene for infants and children that targets numerous contextual and psychosocial factors including child handwashing, food hygiene, clean play spaces, and management of animal feces in the household environment. Using the risks, attitudes, norms, abilities, and self-regulation approach to behavior change (BC), the objective of this study was to investigate psychosocial factors of Baby WASH and nutrition related-behaviors, considering caregivers mental well-being, to design evidence-based BC interventions. A cross-sectional survey of 616 caregivers of a child under 2 years was conducted in Lao PDR. Caregivers well-being was significantly associated with handwashing before feeding a baby, controlling "mouthing," and the intention to exclusively breastfeed for the first 6 months. All psychosocial factors of the three behaviors were correlated with mental well-being. Results suggest that attitudinal and ability factors underlying handwashing with soap before feeding a child should be the primary focus of BC interventions. For controlling mouthing factors, interventions should target attitude and norm factors. To increase the intention of exclusive breastfeeding for the first 6 months attitude, ability, and self-regulation factors should be targeted through BC interventions. The findings of this study can be used to support the inclusion of vulnerable caregivers with poor mental well-being with BC interventions designed to improve child health and prevent stunting.

The unequal impacts of the COVID-19 pandemic on young adults' mental health. Predictors of vulnerability and resilience using longitudinal birth cohort data in the UK.

Previous studies have demonstrated deteriorations in young adult mental health during the COVID-19 pandemic, but evidence suggests heterogeneity in the mental health impacts of the pandemic. We sought to identify factors which may predict changes in psychological distress and wellbeing during the COVID-19 pandemic in UK young adults. A total of 2607 young adults from the Millennium Cohort Study were included. Psychological distress and mental wellbeing were measured using the Kessler-6 and Short Warwick-Edinburgh Mental Wellbeing Scale, respectively. Assessment occurred at three timepoints between the ages of 17-19: 2018/19 (pre-COVID Baseline), May 2020 (COVID Wave 1) and September/October 2020 (COVID Wave 2). Latent change score models were used to study change in distress and wellbeing across the study period, as well as the impact of sex, relative family poverty, parental education, preexisting mental health difficulties and perceived social support on these changes. The latent change score models suggested both distress and wellbeing tended to increase across the study period. Being female and in relative poverty predicted greater increases in distress and/or poorer wellbeing. Higher levels of parental education and greater perceived social support were protective against increased distress and associated with improved wellbeing. The impact of the COVID-19 pandemic on UK young adult mental health is complex. We provide further evidence for a distinction between symptoms of poor mental health and wellbeing. Research is urgently needed to assess the long-term impacts of the COVID-19 pandemic on the mental health and wellbeing of young people, particularly in more vulnerable groups.

Teachers’ mental health and well-being in education: What can be improved for the education system in Indonesia?

This article is based on a review of teachers' mental health, and well-being is closely linked to student outcomes and the overall school environment. Teachers' mental health and well-being are essential components of the educational landscape, profoundly influencing not only their personal lives but also the well-being and academic achievements of their students. This article explores the intricate connections between teachers' mental health, student-teacher relationships, educational experiences, and the surrounding environment. Research shows that when teachers experience poor mental well-being, it can negatively impact students' mental health, resulting in adverse effects on the teaching and learning process. Consequently, it is crucial to implement interventions that bolster teachers' mental health, which can subsequently improve student learning outcomes. The article advocates for a holistic approach to enhancing teachers' mental health in Indonesia, which includes mental health literacy training, continuous professional development, and the establishment of supportive school environments. Training that emphasizes understanding mental health issues and the significance of seeking assistance can shift teachers' perspectives on mental health, promoting a more inclusive and supportive school culture. Furthermore, social support from colleagues and the broader community is highlighted as a vital element in improving teachers' mental health literacy. By adopting support systems akin to those found in other countries, such as Japan, Indonesia can foster a more conducive environment for both teachers and students. The article underscores the importance of structural and cultural transformations within schools to enhance the mental health of both educators and students. Through the implementation of evidence-based strategies, Indonesia can cultivate a healthier and more supportive educational atmosphere, ultimately benefiting the well-being of the entire school community.

Children’s screen time and psychosocial symptoms at 5 years of age – the role of parental factors

Background and objectivesElectronic media (e-media) has become a universal part of young children’s daily lives. Previous studies have found an association between increased screen time and children’s psychosocial symptoms. We investigated whether parents’ psychological distress and parenting style dimensions explain the association between children’s screen time and psychosocial symptoms. Moreover, we investigated whether parents’ mental well-being and parenting style dimensions moderate this association.MethodsWe used data from the Finnish CHILD-SLEEP birth cohort study. Parents and the child were assessed when the child was 5 years old (N = 671). The measure of screen time included program viewing from TV and other devices. Child’s psychosocial problems and parents’ depression, stress and parenting style dimensions were assessed by self-reports.ResultsA high level of screen time in children was associated with attention and concentration difficulties, hyperactivity and impulsivity symptoms as well as internalizing and externalizing symptoms among 5-year-olds. For the most part, the associations remained significant despite controlling for parents’ mental health, parenting style dimensions and multiple background factors, especially associations relating to attention and concentration difficulties and hyperactivity symptoms were robust. Maternal stress and depression moderated the association between children’s screen time and psychosocial symptoms, indicating a more pronounced association among stressed or depressed mothers.ConclusionThere is an independent association between children’s screen time and psychosocial symptoms which is especially pronounced among those children whose mothers had poorer mental well-being. In clinical practice, the length of screen time should be inquired already at a young age and parents should be offered guidance to reduce the possible ill effects of excessive screen time, as well as help with their own mental health problems.

Screen viewing patterns and their association with mental wellbeing and psychological distress: a cross-sectional study amongst university students

BackgroundDependency on screen viewing (SV) has reached unprecedented levels, and mental health issues are becoming a major public health concern. However, the associations between SV, including variations in purposes, devices, and timing, and mental health remain unclear. This study aims to provide insights into these associations among university students.MethodsThis analysis used baseline data from a longitudinal cohort study among first-year university students matriculating in the 2021–2022 academic year. Self-reported data on sociodemographics, health behaviors and mental health outcomes alongside anthropometric measurements were collected. Unadjusted and adjusted logistic regression analyses were conducted.ResultsThe average age of the 997 valid students was 20.2 years, with 59.6% being female and 41.4% male. Students spent 14.3 h daily on SV, with females reporting higher SV than males. Daily SV was predominant for study purposes (7.6 h/day). Computer usage was the highest (7.0 h/day), while TV usage was the lowest (1.7 h/day). Poor mental wellbeing was reported by 33.6% of students, while 13.9% experienced psychological distress. Compared to students with low total SV, those with high levels were more likely to have poor mental wellbeing [OR (95% CI): 1.40 (0.99, 1.98)] and psychological distress [1.56 (1.00, 2.44)]. High levels of recreational and study related SV were significantly associated with poor mental wellbeing [1.81 (1.27, 2.56)] and psychological distress [1.75 (1.11, 2.83)], respectively. Those with high levels of computer time were more likely to have poor mental wellbeing [1.44 (1.01, 2.06)], and high weekend day SV was associated with greater odds of psychological distress [2.16 (1.17, 4.06)].ConclusionsSV among university students was high, as was the high prevalence of poor mental wellbeing and psychological distress. Greater SV was associated with poor mental wellbeing and psychological distress. Differences according to purpose of SV were noted. Although recreational SV was associated with poor mental wellbeing, study related SV was associated with psychological distress. Variations across different devices and timing were also noted. This highlights the need for further longitudinal research to understand the impact of SV on mental health and to guide interventions for promoting mental health of university students globally.

When UK academics decide to disclose mental distress to employers in the HEI workplace: identity conflict, organisational context and the need for systemic change

ABSTRACT UK academics currently report increased workplace stress and workload, with decreased work-life balance, but often feel reluctant to disclose mental distress. We distributed an anonymous online qualitative survey to explore factors which lead academics to decide whether to disclose mental distress in the workplace. Thirty-one participants responded, providing qualitative data about institutional and psychosocial factors that informed academics’ decision to disclose, supplemented by information on role position. Data was analysed thematically. Our study reports the individual struggles of academics as they manage their professional identity alongside the demands of the HEI workplace and explores the individual processes of identity conflict that leads to a re-construction of the professional identity after disclosing mental distress. Our findings reinforce the evidence that this decision occurs within the context of an increasingly business-focussed work culture of over-commitment and strain in this sector in which academics are made responsible for their own wellbeing. These findings lead us to recommend further research into disclosure using the lens of identity integration. We endorse important systemic changes by suggesting that universities need to consider factors contributing to poor mental wellbeing as structural issues, which require institutional action. Furthermore, we highlight the need for HEIs to value the hybrid identity of those who are both academics and experts-by-experience. Finally, we advocate for universities to adopt the social model of disability, which promotes inclusion and equality of opportunity for people who experience mental distress. The small study sample size makes the findings tentative, but they are nevertheless significant and intriguing.

How loss of nature through clear-cutting forestry affects well-being.

The United Nations declares that the global degradation of ecosystems represents a danger to human health. Deterioration of forests is one of several threats against the natural systems. The aim of this exploratory study was to investigate people's experiences with clear-cutting and how it had affected their health and well-being. Qualitative data from six people who valued forest ecosystems were collected through semi-structured interviews and analyzed in accordance with Graneheim and Lundman's qualitative content analysis (Graneheim, U. H. and Lundman, B. (2004) Qualitative content analysis in nursing research: concepts, procedures and measures to achieve trustworthiness. Nurse Education Today, 24, 105-112). Clear-cutting was not regarded as an environment-friendly forestry method. The interviewees described emotional reactions such as grief and poor mental well-being when beloved forests were clear-felled. The grief was partly because of a personal loss of place and recreation area that was important for their physical and emotional well-being. Another part was grief on behalf of nature itself, that is, the loss of habitats of animals and plants and a worsening of the global climate. The interviewees held that emotions related to loss of nature were insufficiently communicated in public discourse. They felt powerless and unable to influence forestry because of what they experienced as an impenetrable industry. Clear-cutting of forests may result in poor well-being among people who value forest ecosystems. More focus on planetary health is needed, including healthy public policy promoting forest management that considers people's need for nature experiences and possible ecological grief when forests are totally and abruptly cleared.

Leprosy and lymphatic filariasis-related disability and psychosocial burden in northern Mozambique.

Leprosy and lymphatic filariasis (LF) are among the most disabling neglected tropical diseases (NTDs) that affect the citizens of Mozambique, especially in the Northern provinces. The irreversible impairments caused by these NTDs often lead to psychosocial consequences, including poor mental wellbeing, stigma and reduced social participation. Limited data on these consequences are available for Mozambique, which are urgently needed to better understand the true disease burden and support advocacy for scaling up interventions. A cross-sectional mixed-methods study was conducted. Mental distress was assessed with the Self Reporting Questionnaire (SRQ-20), participation restriction was assessed with the Participation Scale Short (PSS) and perceived stigma was assessed with the Explanatory Model Interview Catalogue affected persons stigma scale (EMIC-AP). Additionally, semi-structured interviews were conducted with persons affected by leprosy or LF. In total, 127 persons affected by leprosy and 184 persons affected by LF were included in the quantitative portion of the study. For the qualitative portion, eight semi-structured interviews were conducted. In both disease groups, mental distress was found in 70% of participants. Moreover, 80% of persons affected by leprosy and 90% of persons affected by LF perceived stigma. Moderate to extreme participation restriction was found in approximately 43% of persons affected by leprosy and in 26% of the persons affected by LF. Persons affected by leprosy and LF felt excluded from society and experienced financial problems. More severe disabilities were associated with more severe outcomes for mental wellbeing, participation restriction and stigma. By contrast, participation in a self-care group was suggested to have a positive impact on these outcomes. The findings provide evidence that persons affected by leprosy and LF must not only confront physical impairments but also experience significant disability in the psychosocial domain, including mental distress, participation restriction and stigma. These challenges must be urgently addressed by NTD programmes to promote the inclusion and wellbeing of persons affected by NTDs.

Do Personality Traits Predict Mental Well-being in the Context of Erroneous Subjective Estimation of Smartphone Screen Time?: Findings from a Cross-sectional Observational Study Among College Students

Background: The current article reports on the findings from a cross-sectional survey conducted among college students on a subjectively reported and objectively measured smartphone screen time (ST) and its relation to mental well-being. Methods: We explored the magnitude of discrepancy between subjectively reported and objectively measured smartphone ST. Moreover, we assessed the interaction of mental well-being with personality traits among subjects with a discrepancy between the subjectively reported and objectively measured smartphone ST. The mental health of study participants was assessed using the WHO well-being index. Personality was assessed using the Big Five Inventory (BFI)- 10. A total of 202 students shared screenshots of the phone ST function and were included in the analysis. Results: A total of 145 (71.8%) participants underestimated their daily smartphone ST, whereas 56 (27.7%) of them overestimated ST. In the regression analysis, the predicted odds of poor mental well-being were 1.43 times greater for subjects with higher neuroticism scores in the overall sample. Moreover, the predicted odds of poor mental well-being were 1.593 times greater for subjects with higher neuroticism scores among the study subjects who underestimated their ST. Conclusions: The findings of the current study suggested that the magnitude of discrepancy between the subjectively estimated and objectively estimated ST varies across college students, with the discrepancy being significantly higher among those who overestimated their ST. The predicted odds of poor mental well-being were about one and a half times greater for subjects with higher neuroticism scores among college students who underestimated their ST.

Precarious work on the rise

Precarious employment (PE) is non-standard employment with uncertain and unstable contract duration, low wages, and limited labour protections and rights. Research has associated PE with workers’ poor mental health and well-being; however, this association has been studied primarily using quantitative methods. This qualitative study seeks to examine the mechanisms between PE and mental health in the context of the COVID-19 pandemic in Ontario, Canada. Specifically, it aims to address: (Benach J, Muntaner C. Precarious employment and health: developing a research agenda. J Epidemiol Community Health. 2007;61(4):276.) How do PE and working conditions impact the mental well-being of workers and members of their close families or households?; and (Kreshpaj B, Orellana C, Burström B, Davis L, Hemmingsson T, Johansson G, et al. What is precarious employment? A systematic review of definitions and operationalizations from quantitative and qualitative studies. Scand J Work Environ Health. 2020;46(3):235–47.) How has the COVID-19 pandemic shaped these relationships? Semi-structured interviews were conducted with a sample of 40 individuals aged 25–55 engaged in PE during the first wave of the COVID-19 pandemic or whose employment was terminated due to the pandemic. Results showed that PE amplified mental health symptoms and illnesses for workers and their families. These experiences were described as chronic, where impacts were exerted on precariously employed workers through systemic discrimination and racism, colonialism, workplace hierarchies, and gendered ideologies. PE negatively impacted mental health through emotional stress about employment and income instability, insecurity, and loss; added pressure for households where both partners are engaged in PE; impacted ability to maintain or improve overall health and well-being; and barriers to social connectedness. Overall, this study characterizes multiple dimensions of PE and the consequences they have on the mental health of workers and their families.

Rationale, Design, and Baseline Characteristics of Participants in the Health@NUS mHealth Augmented Cohort Study Examining Student-to-Work Life Transition: Protocol for a Prospective Cohort Study.

Integration of mobile health data collection methods into cohort studies enables the collection of intensive longitudinal information, which gives deeper insights into individuals' health and lifestyle behavioral patterns over time, as compared to traditional cohort methods with less frequent data collection. These findings can then fill the gaps that remain in understanding how various lifestyle behaviors interact as students graduate from university and seek employment (student-to-work life transition), where the inability to adapt quickly to a changing environment greatly affects the mental well-being of young adults. This paper aims to provide an overview of the study methodology and baseline characteristics of participants in Health@NUS, a longitudinal study leveraging mobile health to examine the trajectories of health behaviors, physical health, and well-being, and their diverse determinants, for young adults during the student-to-work life transition. University students were recruited between August 2020 and June 2022 in Singapore. Participants would complete biometric assessments and questionnaires at 3 time points (baseline, 12-, and 24-month follow-up visits) and use a Fitbit smartwatch and smartphone app to continuously collect physical activity, sedentary behavior, sleep, and dietary data over the 2 years. Additionally, up to 12 two-week-long bursts of app-based ecological momentary surveys capturing lifestyle behaviors and well-being would be sent out among the 3 time points. Interested participants (n=1556) were screened for eligibility, and 776 participants were enrolled in the study between August 2020 and June 2022. Participants were mostly female (441/776, 56.8%), of Chinese ethnicity (741/776, 92%), undergraduate students (759/776, 97.8%), and had a mean BMI of 21.9 (SD 3.3) kg/m2, and a mean age of 22.7 (SD 1.7) years. A substantial proportion were overweight (202/776, 26.1%) or obese (42/776, 5.4%), had indicated poor mental well-being (World Health Organization-5 Well-Being Index ≤50; 291/776, 37.7%), or were at higher risk for psychological distress (Kessler Psychological Distress Scale ≥13; 109/776, 14.1%). The findings from this study will provide detailed insights into the determinants and trajectories of health behaviors, health, and well-being during the student-to-work life transition experienced by young adults. ClinicalTrials.gov NCT05154227; https://clinicaltrials.gov/study/NCT05154227. DERR1-10.2196/56749.

Screen Use Time and Its Association With Mental Health Issues in Young Adults in India: Protocol for a Cross-Sectional Study.

Screen use time has increased in the past decade owing to the increased availability and accessibility of digital devices and the internet. Several studies have shown an association between increased screen use time and mental health issues such as anxiety and depression. However, studies in the young adult population-a demographic with high screen use-and in low- and middle-income country settings are limited. This protocol describes a study that aims to measure self-reported screen use times and patterns in young adults (18-24 y) in India and assess if increased screen use time is associated with poorer mental well-being. This protocol describes a cross-sectional study of a pan-India, web-based convenience sample of young adults (18-24 y) with access to digital devices with a screen and a minimum of secondary school education. Participants will be recruited through people in the professional networks of the investigators, which includes pediatricians. The survey will also be distributed via the social media pages of our organization (X [X Corp], Instagram [Meta], Facebook [Meta], etc). Sociodemographic details will be collected through a questionnaire designed by the authors; screen use time and patterns will be assessed using an adaptation of the Screen Time Questionnaire to include data on different apps and websites used on digital devices; and mental health parameters will be gauged using the Warwick-Edinburgh Mental Well-Being Scale, Generalized Anxiety Disorder Scale, Perceived Stress Scale, and Patient Health Questionnaire. For statistical analysis, we will consider the following variables: (1) the primary independent variable is screen use time; (2) other independent variables include age, gender, residence: rural or urban, educational qualifications, employment status, stress associated with familial financial status, average sleep time, number of people living in a house or rooms in that house, BMI, substance use, and past psychiatric history; and (3) dependent variables include mental well-being, depression, anxiety, and perceived stress. To quantify the association between screen use time and mental health, we will perform a Bayesian multivariate multiple regression analysis that models the possibility of multiple alternative hypotheses while accounting for relevant sociodemographic covariables. The survey instrument has been designed, and feedback has been obtained from the domain experts and members of our organization whose profile is similar to the potential study participants. The final data received after this study has been conducted will be analyzed and shared. As of January 2023, we have not yet initiated the data collection. Based on the findings of this study, we will be able to establish a correlation between device- and use-specific screen use time and various mental health parameters. This will provide a direction to develop screen use time and mental health guidelines among young adults. PRR1-10.2196/39707.

Psychological Protective and Risk Factors for Depression, Anxiety and Mental Well-Being in Social Workers

Abstract Social workers worldwide experience high rates of depression, anxiety and deficits in well-being. Depression, anxiety or poor mental well-being can have a significant effect on the individual social worker, and the quality of care they can provide. There have been limited attempts to examine and understand the underlying psychological protective and risk factors for depression, anxiety and poor well-being amongst social workers. Using the clinically modified Buddhist psychological model (CBPM) as a theoretical framework, this cross-sectional study examined a range of potential psychological protective and risk factors for depression, anxiety and mental well-being of 121 social workers in Northern Ireland, using structural equation modelling, and conditional process analyses. Mindfulness, acceptance, attention regulation/decentering skills, self-compassion, non-attachment and non-aversion could act as protective factors against depression, anxiety and poor mental well-being in social workers. Results also indicate that each of these variables could reduce the extent to which social workers worry and ruminate, further reducing the risk that social workers might experience depression, anxiety, or poor mental well-being. This study offers promising preliminary evidence that the CBPM is a useful explanatory framework which helps to explain variation in depression, anxiety and mental well-being amongst social workers.

Mental wellbeing of student paramedics before and after first ambulance placement

Background: Emergency ambulance workers are at risk of poor mental wellbeing. Student paramedics in the UK attend ambulance placements, which expose them to the same stresses; they also have their own stress factors. Little research has explored how these placements affect student mental wellbeing. Aim: This pilot study aims to address this gap into the ways in which students'mental wellbeing may be affected by ambulance placements. Methods: A mixed-method approach, using the Warwick-Edinburgh Mental Wellbeing Scale (WEMWBS), with two questionnaires including wellbeing scores and open questions, was used to collect quantitative and qualitative data on first-year student paramedics before and after their first ambulance placement. Results: Twenty participants were included in the final analysis, three-quarters of whom witnessed at least one traumatic event during their placement. There was a statistically insignificant difference between wellbeing scores before and after the placement. There were five themes: positive learning experience; theory-practice gap; student-mentor relationship; student resilience; and career consolidation. Conclusion: Mental wellbeing did not change significantly after the first ambulance placement. Placement was overall a positive experience that confirmed career choice and narrowed the theory-practice gap. Mentor support was protective during traumatic events. A similar, larger study could track student wellbeing throughout their course and identify factors that may protect or damage wellbeing.

Disciplinary behaviour management strategies in schools and their impact on student psychosocial outcomes: A systematic review.

Disciplinary behaviour management strategies are implemented in schools to manage pupil behaviour. There is limited evidence of their intended impact on behaviour but there is growing concern around the potential negative impacts on pupil wellbeing. We carried out a systematic review to examine the impact of these strategies on psychosocial outcomes in pupils (PROSPERO Registration: CRD42021285427). We searched multiple sources and double-screened titles, abstracts, and full texts. Data extraction and risk of bias assessment were done by one reviewer and checked by another. Results were narratively synthesised. We included 14 studies, from 5375 citations, assessing temporary suspension (n=10), verbal reprimand (n=2), and mixed strategies (n=2). Depression was the most common outcome (n=7), followed by academic grades (n=4) and behaviour in class (n=4). All except one study were at high risk of bias. We found a recurring pattern in the evidence of disciplinary strategies associated with poor mental wellbeing and behaviour in pupils. The effect on academic attainment was unclear. Disciplinary behaviour management strategies may have negative impact on pupil mental wellbeing and class behaviour. These important consequences should be assessed in better designed studies before these strategies are implemented.