Positive Aspects Of Mental Health Research Articles

The Stability of Mental Health During War: Survey Data from Ukraine

Identifying psychological resources that can protect against the impact of war on mental health is an important endeavor. The aim of this study was to determine the stability of correlations between positive and negative indicators of mental health in a sample of Ukrainian citizens during the ongoing war, and to assess possible gender differences. A total of 359 respondents aged 18–61 from all regions of Ukraine completed self-reported surveys at two time points eight months apart (June–July 2022 and February–March 2023). Surveys included three scales reflecting positive aspects of mental health (resilience, self-efficacy, and hardiness) and two reflecting negative aspects (PTSD symptoms and pressure of physical complaints). Significant negative correlations (r values ranged from −.23 to −.47; p < .001) between two positive indicators (resilience and self-efficacy) and the two negative indicators remained practically unchanged over the eight-month period. These relationships were almost equally stable in men and women. Findings expand current knowledge on the consequences of war for mental health and highlight resilience and self-efficacy as potential protective factors against the deterioration of civilian mental health during war.

The Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) - A psychometric evaluation of adolescents in Sweden during the COVID-19 pandemic

The Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS) is effective in assessing positive aspects of mental health. Despite its advantages, little is known about group differences in the interpretation of SWEMWBS items across age groups, especially during the adolescence period. Hence, this study examined the psychometric properties of the SWEMWBS through Confirmatory Factor Analysis (CFA), Rasch analysis and network analysis of Swedish adolescents during the COVID-19 pandemic. A total of 5548 participants from the south of Sweden (i.e., Jönköping County) took part in this cross-sectional study through an online platform between September 2020 and October 2020. The CFA, Rasch (including differential item functioning, DIF) analysis and network analysis were used to examine the psychometric properties and measurement invariance of the SWEMWBS. The SWEMWBS had a unidimensional structure with robust psychometric properties. The CFA demonstrated measurement invariance across gender, school year and country of birth, which was also confirmed by Rasch DIF. Furthermore, considerable associations between the items of the SWEMWBS, general health and COVID-19 impact items were observed in network analysis. The SWEMWBS showed robust psychometric properties capable of assessing positive aspects of mental health and well-being among adolescents.

Trajectories of positive attributes from childhood to young adulthood and its associations with threat and deprivation.

The aims of this study are to investigate the trajectory of positive attributes from childhood to early adulthood and to explore how those trajectories can be modified by two domains of childhood adversity - threat and deprivation. A large prospective school-based community cohort of youths (n=2,511, 6-14 years of age, 45% female) was assessed and followed up for 3 years (80% retention) and 6 years (71% retention). Positive attributes were assessed by the Youth Strength Inventory (YSI). Childhood exposure to threat and deprivation were assessed by a composite measure using multiple indicators. Trajectories of YSI scores were non-linear and distinct for boys and girls. While boys presented a more stable trajectory; girls showed higher levels of positive attributes early in life that decrease over time around adolescence. Both exposure to threat and deprivation presented negative linear association with YSI over time. Furthermore, we found interactions between developmental stage and both adversity domains meaning that the effects of exposure to adversity were stronger at earlier developmental stages and almost non-significant closer to early adulthood. Our findings provide new evidence on trajectories of positive attributes in youth and reveal and how experiences of adversity in early life impact not only mental disorder but also positive aspects of mental health.

Identifying disparities in Mental Illness and Well-Being across Non-Risk, Risk, and Intersectional Groups during COVID-19 and the Sociodemographic's Role in Mental Health Outcomes.

Few pandemic studies explored positive aspects of mental health and employed an intersectional perspective, which considers the concomitant action of different risk conditions. Our intersectional investigation aimed to identify possible mental illness and well-being differences between groups identified as psychologically vulnerable in the pandemic by the WHO (immigrants, minorities, and people with psychiatric diagnoses) and people without pre-existing risk factors while controlling for sociodemographic variables. A cross-sectional survey involved 1,134 participants (76.1% women) aged 18 to 76. We utilized the Depression, Anxiety, and Stress Scales (DASS-21) for mental disorder assessment and the Life Satisfaction and Positive and Negative Affects Scales for well-being evaluation. Since a variable-centered approach, multivariate analysis revealed significant differences between the groups in the variables of mental health, depression [F(2.1131)=72.7, p<.001], anxiety [F(2.1131)=78.0, p<.001], stress [F(2.11 1)=85.9, p<.001], and subjective well-being [F(2.1131)=53.6, p<.001]. The groups also differed when we employed a person-centered approach to analyze the variables jointly using Latent Profile Analysis. We identified six mental profiles composed of different levels of depression, anxiety, stress, and well-being. Risk and intersectional groups were more likely to be characterized by Generalized Suffering [ORrisk=0.85, ORintersec=0.93] and Profound Anguish [ORrisk&intersec=0.97] profiles. Control of demographic variables indicated that mental health disparities were partially attributed to participant risk conditions.

Bereaved Parents’ Change in Mental Health during a Dyadic Diary

Recent years have seen a shift in the number of bereavement studies examining daily grief processes, but our knowledge is still limited due to the lack of dyadic research. In this paper, we explored the change in mental health in the course of a seven-day dyadic diary with bereaved couples who lost their child during pregnancy, labor, or afterward. We conducted dyadic latent growth curve analyses. In the bereaved parents who experienced a pregnancy loss, we found reduced grief (for both partners) and anxiety symptoms (only for women) and no changes in depression symptoms or personal strength levels across the diary days. In the bereaved parents who lost their child during labor or afterward, both partners’ grief and depression symptoms and women’s anxiety symptoms stayed stable, men’s anxiety symptoms decreased, but women experienced a decline in their personal strength. Overall, negative aspects of mental health showed no sign of a dyadic diary’s harm to the bereaved parents and even pointed to increased mental health in some respects during the study. However, a feeling of reduced capacity to deal with difficulties during the diary was also observed in women. Our findings indicated that both negative and positive aspects of mental health should be considered to evaluate the impact of diary studies on the participants.

Relationship between teacher and student psychological well-being in a Japanese context

ABSTRACT Psychological well-being (PWB) encompasses the positive aspects of mental health, such as hedonic wellbeing (experience of enjoyment and pleasure), eudaimonic wellbeing (experience of self-actualization), and life satisfaction (global evaluation of quality of life). Japanese teachers suffer from poor PWB with a high incidence of mental health problems. Despite the potentially significant impact of poor Japanese teachers’ PWB on their students’ PWB, these associations have remained largely unexplored. The present study investigated if teacher PWB has any relationship with student PWB and if teacher-student relationship, students’ abilities for resilience, and classroom climate mediate the teacher and student PWB relationship, with 46 teachers and 1,256 children aged 8–12 years from Japanese schools. A multilevel mediation analysis revealed an indirect positive relationship between Japanese teacher life satisfaction and Japanese student hedonic and eudaimonic wellbeing mediated by students’ abilities for resilience. There was no relationship between teacher and student hedonic and eudaimonic wellbeing. Nonetheless, the findings still imply that promoting teacher life satisfaction may contribute to the promotion of student hedonic and eudaimonic wellbeing. Future researchers could investigate if a school-based intervention targeted at both Japanese teachers and students would more effectively promote PWB among students than would such interventions aimed only at students.

Children and youth’s perceptions of mental health—a scoping review of qualitative studies

BackgroundRecent research indicates that understanding how children and youth perceive mental health, how it is manifests, and where the line between mental health issues and everyday challenges should be drawn, is complex and varied. Consequently, it is important to investigate how children and youth perceive and communicate about mental health. With this in mind, our goal is to synthesize the literature on how children and youth (ages 10—25) perceive and conceptualize mental health.MethodsWe conducted a preliminary search to identify the keywords, employing a search strategy across electronic databases including Medline, Scopus, CINAHL, PsychInfo, Sociological abstracts and Google Scholar. The search encompassed the period from September 20, 2021, to September 30, 2021. This effort yielded 11 eligible studies. Our scoping review was conducted in accordance with the PRISMA-ScR Checklist.ResultsAs various aspects of uncertainty in understanding of mental health have emerged, the results indicate the importance of establishing a shared language concerning mental health. This is essential for clarifying the distinctions between everyday challenges and issues that require treatment.ConclusionWe require a language that can direct children, parents, school personnel and professionals toward appropriate support and aid in formulating health interventions. Additionally, it holds significance to promote an understanding of the positive aspects of mental health. This emphasis should extend to the competence development of school personnel, enabling them to integrate insights about mental well-being into routine interactions with young individuals. This approach could empower children and youth to acquire the understanding that mental health is not a static condition but rather something that can be enhanced or, at the very least, maintained.

Scoping Review of Positive Mental Health Research for Students in Vocational Education and Training

Context: In this scoping review, we examine the knowledge base concerning positive mental health studies for students in vocational education and training (VET). The VET student population embraces approximately 30-52% of secondary school students in the Nordic countries, and 40% of the global student population. The risk of early school leaving (ESL) is substantially higher in VET than in general education and mental health may be a relevant factor in this matter. Yet, an overview of mental health studies in VET is lacking and therefore, this article aims to map empirical research studies that have explored positive mental health in VET students. The positive mental health framework, with its origin in Antonovsky's (2002) salutogenesis and positive psychology, focuses on factors that promote mental health and wellbeing rather than taking on a pathological perspective.  Methods: For our scoping review, we searched four databases, and 19 articles were found eligible for inclusion. These articles were systematically screened by means of a coding scheme to identify the following information: Country of origin of the study, its aim, research design, measures, conceptualization of mental health, and main findings.  Results: The evidence suggests that positive mental health is understood as a multifaceted concept, and wellbeing is the dimension that is explored most often, followed by resilience and quality of life. The majority of the included studies used a validated questionnaire to assess various aspects of positive mental health, and most of them sought to explore correlations between different dimensions of positive mental health. Main findings of the studies suggest that a supportive school environment, physical activity, and a strong vocational identity may contribute to positive mental health for students in VET. Furthermore, correlations have also been identified between environmental factors and positive mental health. Finally, findings from the review illustrate how even small-scale interventions may have far-reaching effects, due to the interrelatedness of the different dimensions within the positive mental health construct.  Conclusion: Findings from this review illustrate that numerous factors may affect the wellbeing of students in VET. In particular, a strong vocational identity, a supportive school environment, and physical activity may contribute to positive mental health. These findings suggest that VET teachers may promote the wellbeing of their students by providing a supportive psychosocial learning environment at school. 

Validation and psychometric properties of the Bangla version of positive mental health scale (PMH-scale)

Positive mental health is crucial to individuals’ total well-being and especially to their emotional, psychological, and social functioning. To assess the positive aspects of mental health, the Positive Mental Health Scale (PMH-scale) is being used as one of the most significant and practical short unidimensional psychological tools. However, the PMH-scale has not yet been validated for the Bangladeshi population nor has it been translated into Bangla. Therefore, the purpose of this study was to investigate the psychometric properties of the Bangla version of PMH-scale and validate it with the Brief Aggression Questionnaire (BAQ) and Brunel Mood Scale (BRUMS). The sample of the study consisted of 3145 university students (61.8% men) aged from 17 to 27 (M = 22.07, SD = 1.74) and 298 general population (53.4% men) aged from 30 to 65 (M = 41.05, SD = 7.88) of Bangladesh. The factor structure of the PMH-scale as well as measurement invariance for sex and age (age ≤30 years; age >30 years) were tested, using the confirmatory factor analysis (CFA). The CFA revealed that the originally proposed unidimensional model of PMH-scale had a good fit in the current sample which confirms factorial validity of the Bangla version of PMH-scale. The value of Cronbach’s alpha (for both groups combined α = 0.85; for the student sample α = .85; and for the general sample α = .73) ensured the high internal consistency of the items. Concurrent validity of the PMH-scale was confirmed through the expected correlation with aggression (BAQ) and mood (BRUMS). The PMH-scale was also partially invariant over groups (student, general, men and women) indicating that the PMH-scale is equally applicable to student, general, men and women population. Therefore, this study tells us that the Bangla version of PMH-scale is a quick and easy-to-administer tool for assessing positive mental health in different groups of people in Bangladeshi culture. This work will also be useful for mental health studies in Bangladesh.

Rasch validation of the Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) in community-dwelling adults

BackgroundWith the ongoing global COVID-19 pandemic and the recent political divide in the United States (US), there is an urgent need to address the soaring mental well-being problems and promote positive well-being. The Warwick-Edinburgh Mental Well-Being Scale (WEMWBS) measures the positive aspects of mental health. Previous studies confirmed its construct validity, reliability, and unidimensionality with confirmatory factor analysis. Six studies have performed a Rasch analysis on the WEMWBS, and only one evaluated young adults in the US. The goal of our study is to use Rasch analysis to validate the WEMBS in a wider age group of community-dwelling adults in the US.MethodsWe used the Rasch unidimensional measurement model 2030 software to evaluate item and person fit, targeting, person separation reliability (PSR), and differential item functioning (DIF) for sample sizes of at least 200 persons in each subgroup.ResultsAfter deleting two items, the WEMBS analyzed in our 553 community-dwelling adults (average age 51.22 ± 17.18 years; 358 women) showed an excellent PSR = 0.91 as well as person and item fit, but the items are too easy for this population (person mean location = 2.17 ± 2.00). There was no DIF for sex, mental health, or practicing breathing exercises.ConclusionsThe WEMWBS had good item and person fit but the targeting is off when used in community-dwelling adults in the US. Adding more difficult items might improve the targeting and capture a broader range of positive mental well-being.

“We're opening 20 doors!“: Exploring the collective dimensions of Shared Reading as mental health promotion among newly retired men in Denmark

Retirement is a significant life transition, bringing with it structural and social alterations in everyday life. For older men, work life is an important source of identity and meaning, and retirement may therefore lead to diminished well-being due to loss of occupational attachments. This calls for a need to address men's life transitions in health-promoting interventions and to explore how to introduce positive changes in retired men's mental health. Studies have investigated mental health effects of Shared Reading (SR) with promising results, but the impact of a collective reading experience on the positive mental health of male retirees has not been investigated. This study explores the mental health-promoting potential of SR among newly retired men in Denmark through an investigation of collective dimensions of the SR experience. The study identified three central collective dimensions of the SR experience: awareness and presence, sense-making, and social connectivity. Through these dimensions, SR provides a space for 1) affective, existential, and social stimulation; 2) shared reflection on both real and imagined past, present, and future lives; and 3) the (re)establishment or maintenance of senses of engagement, meaning, and community. On this basis, it is concluded that SR holds a potential to promote different aspects of positive mental health, i.e., affective well-being, meaning-making, and a sense of community for newly retired men.

Using Rasch Analysis to Assess the Psychometric Properties of a Five-Item Version of the General Self-Efficacy Scale in Adolescents.

The aim of the present study was to use Rasch analysis to assess the psychometric properties of the five-item version of the General Self-Efficacy Scale (GSES) amongst adolescents aged 13 to 19. In this cross-sectional study, 6265 adolescents responded to a web-based questionnaire. Data collected from lower and upper secondary schools in Norway, during 2018, were analysed using the partial credit parameterisation of the unidimensional Rasch model. The five-item version of the GSES was found to be unidimensional and to have acceptable reliability. The targeting of the scale could have been better. All items had ordered thresholds, indicating that the response categories worked quite well. The five-item version of the GSES has potential for measuring self-efficacy in a general population of adolescents. In surveys concerning adolescents’ mental health, it is important to include aspects of positive mental health and health-promoting factors, such as self-efficacy.

Measuring mental wellness among adolescents living with a physical chronic condition: a systematic review of the mental health and mental well-being instruments

BackgroundGlobally, promoting mental health and well-being among adolescents has become a public health priority, especially for adolescents living with a physical chronic condition (CC), as research suggests they may be more at risk of developing mental health co-morbidities. Valid and reliable instruments are needed to measure and better understand mental health and mental well-being among adolescents living with a CC. To this end, we reviewed studies reporting on mental health and well-being instruments used in adolescent populations living with a chronic physical condition/disease globally.MethodsWe used a systematic review method guided by PRISMA to identify assess mental health and mental well-being instruments used in adolescents living with a CC. In this instance, mental health instruments were defined as those representing negative domains of mental health (i.e. depression and anxiety) while mental well-being instruments included positive aspects of mental health (i.e. self-concept and resilience).ResultsWe identified 22 articles, which included 31 instruments that were used to measure either mental health (n = 8) or mental well-being (n = 15) or both (n = 8) in adolescents living with a CC. Of these, thirteen studies used a Health-Related Quality of Life (HRQoL) scale to measure mental health and/or mental well-being. The KIDSCREEN questionnaires and the Strengths and Difficulties Questionnaire were identified as being frequently used across the 22 studies. Additionally, 7 out of the 31 instruments were disease specific, with 3 focusing on adolescents with diabetes. All the instruments were developed in high income countries and adapted for use in lower- and middle-income countries (LMICs). Adolescents with Type 1 Diabetes (n = 7) and HIV (n = 4) were researched in 11 out of 22 studies. Only eight studies were conducted in LMIC, of which four were in Africa.ConclusionsHRQoL instruments are useful in measuring mental health and well-being in adolescents living with a CC. However, relatively few valid measures of mental health and mental well-being for adolescents living with a CC exist, which accentuates the paucity of research on mental health and mental well-being of adolescents who are living with a CC. Specific measures need to be developed in and for LMICs where cultural contexts affect mental well-being in unique ways.Systematic review registration: PROSPERO CRD42020186707.

Physical Activity Level and Self-Esteem in Middle-Aged Women.

Background: Physical activity (PA) is a behavioral modality that may help decrease negative symptoms of menopause and enhance some positive aspects of mental health, including self-esteem. Reduced self-esteem may put menopausal women at higher risk of negative outcomes of menopause and result in a more unpleasant and stressful menopausal experience. The objective of this study was to examine the role of physical activity level on self-esteem in middle-aged women. Methods: Women aged 45–60 from Poland took part in this study. The Rosenberg Self-Esteem Scale, the International Physical Activity Questionnaire, the Menopause Rating Scale and Beck Depression Inventory were used in this study. Results: Among the 111 women, the mean age was 51.7 ± 4.7. The most severe symptoms among studied women concerned sexual problems (1.71 ± 1.5), irritability (1.58 ± 1.37) and joint and muscular discomfort (1.56 ± 1.55). Women with higher total PA level had better self-esteem (p = 0.001). Conclusions: The results of this study showed that physical activity levels can be associated with self-esteem. Most middle-aged women reported high physical activity levels. These results have clinical implications for the inclusion of PA in the lives of middle-aged women to improve self-esteem and mental health.

Brain microstructural properties related to subjective well-being: diffusion tensor imaging analysis.

Although it is known that health is not merely the absence of disease, the positive aspects of mental health have been less comprehensively researched compared with its negative aspects. Subjective well-being (SWB) is one of the indicators of positive psychology, and high SWB is considered to benefit individuals in multiple ways. However, the neural mechanisms underlying individual differences in SWB remain unclear, particularly in terms of brain microstructural properties as detected by diffusion tensor imaging. The present study aimed to investigate the relationship between measurements of diffusion tensor imaging [mean diffusivity (MD) and fractional anisotropy] and the degree of SWB as measured using a questionnaire. Voxel-based analysis was used to investigate the association between MD and SWB scores in healthy young adults (age, 20.7 ± 1.8 years; 695 males and 514 females). Higher levels of SWB were found to be associated with lower MD in areas surrounding the right putamen, insula, globus pallidus, thalamus and caudate. These results indicated that individual SWB is associated with variability in brain microstructural properties.

A method to determine a personalized set of online exercises for improving the positive mental health of a caregiver of a chronically ill patient

BackgroundTaking care of chronic or long-term patients at home is an arduous task. Non-professional caregivers suffer the consequences of doing so, especially in terms of their mental health. Performing some simple activities through a mobile phone app may improve their mindset and consequently increase their positivity. However, each caregiver may need support in different aspects of positive mental health. In this paper, a method is defined to calculate the utility of a set of activities for a particular caregiver in order to personalize the intervention plan proposed in the app.MethodsBased on the caregivers’ answers to a questionnaire, a modular averaging method is used to calculate the personal level of competence in each positive mental health factor. A reward-penalty scoring procedure then assigns an overall impact value to each activity. Finally, the app ranks the activities using this impact value.ResultsThe results of this new personalization method are provided based on a pilot test conducted on 111 caregivers. The results indicate that a conjunctive average is appropriate at the first stage and that reward should be greater than penalty in the second stage.ConclusionsThe method presented is able to personalize the intervention plan by determining the best order of carrying out the activities for each caregiver, with the aim of avoiding a high level of deterioration in any factor.

Adolescent movement behaviour profiles are associated with indicators of mental wellbeing

Recent work has demonstrated the collective impact of daily movement behaviours on mental health outcomes, however, positive aspects of mental health have received much less attention. The purpose of this study was to identify unique adolescent movement behaviour profiles and determine whether profile membership is associated with differences in mental wellbeing. This study used data from the baseline assessment of the ADAPT study. A total of 1166 Canadian adolescents enrolled in grade 11 classes (Mage = 15.91 ± 0.48; 54% female) self-reported their movement behaviours – moderate-to-vigorous physical activity (MVPA), recreational screen time (ST) and sleep – and completed three measures of mental wellbeing: flourishing, self-esteem and resiliency. Latent profile analysis with distal outcomes comparisons were conducted. Four distinct profiles were identified: one healthy profile (high MVPA/low ST), two mixed behavioural profiles (low MVPA/low ST and high MVPA/high ST), and one profile considered to be the least healthy (low MVPA and high ST). Sleep patterns were similar across the profiles. The healthiest profile was consistently associated with better mental wellbeing, followed by the mixed behaviour profiles, and the least healthy profile had the poorest scores for mental wellbeing. These findings highlight the additive benefits of engaging in a full complement of healthy movement behaviours. Moving forward, behavioural interventionists should consider adopting an integrated approach to promoting mental wellbeing through targeting each of the movement behaviours concurrently.

Nurse Home Visiting and Maternal Mental Health: 3-Year Follow-Up of a Randomized Trial.

Poor mental health is recognized as one of the greatest global burdens of disease. Maternal mental health is crucial for the optimal health of mothers and their children. We examined the effects of an Australian Nurse Home Visiting (NHV) program (right@home), offered to pregnant women experiencing adversity, on maternal mental health and well-being at child age 3 years. A randomized controlled trial of NHV delivered via universal child and family health services (2013-2016). Pregnant women experiencing adversity (≥2 of 10 risk factors) were recruited from 10 antenatal clinics across 2 states. Intervention comprised 25 home visits until child age 2 years. The outcomes assessed 1-year postintervention completion were maternal self-report of mental health symptoms (Depression Anxiety Stress Scales) and positive aspects of mental health (personal well-being and self-efficacy). Of the 722 women enrolled in the trial, 255 of 363 (70%) intervention and 240 of 359 (67%) control group women provided data at 3 years. Compared with controls, the intervention group reported better mental health (reverse Depression Anxiety Stress Scales scores): effect sizes of 0.25 (depression; 95% confidence interval [CI]: 0.08 to 0.32), 0.20 (anxiety; 95% CI: 0.05 to 0.30), 0.17 (stress; 95% CI: 0.09 to 0.37), and 0.23 (total score; 95% CI: 0.12 to 0.38); 0.16 (95% CI: 0.04 to 0.29) for personal well-being; and an odds ratio of 1.60 (95% CI: 1.19 to 2.16) for self-efficacy. An NHV designed to support mothers experiencing adversity can lead to later maternal mental health benefits, even after the program ends.

Cross-Sectional and Longitudinal Associations Between Psychosocial Well-Being and Cardiometabolic Markers in European Children and Adolescents.

Research examining aspects of positive mental health as potential predictors of cardiometabolic health in young populations is scarce. We investigated the associations between psychosocial well-being and waist circumference (WAIST), blood pressure (BP), the homeostasis model assessment for insulin resistance, triglycerides, and high-density lipoprotein cholesterol considering life-style factors as mediators. Data of European children and adolescents participating in the baseline (2007/2008), first follow-up (FU1; 2009/2010) and second follow-up (FU2; 2013/2014) examinations of the IDEFICS/I.Family study were used (ncross-sectional = 6519; nlongitudinal = 1393). A psychosocial well-being score was calculated from 16 items on emotional well-being, self-esteem, and social relationships (0-48 points). Cardiometabolic markers were transformed to age- and sex-specific and, in case of BP, also height-specific z scores. Life-style factors included diet, physical activity, sleep, and electronic media use. Applying path analysis, we obtained unstandardized estimates of direct and indirect effects of well-being on cardiometabolic markers. Cross-sectionally, well-being score showed a negative direct and a negative indirect effect through life-style factors on WAIST z score (estimate per 4-point increase, -0.051 [p = .001] and -0.014 [p < .001], respectively). Longitudinally, positive changes in well-being score between baseline and FU1 and between FU1 and FU2, respectively, demonstrated negative indirect effects through life-style factorsFU2 on WAIST z scoreFU2. Both cross-sectionally and longitudinally, higher levels of well-being showed lowering indirect effects on homeostasis model assessment, BP, and triglyceride z scores and an increasing indirect effect on high-density lipoprotein cholesterol z score through both life-style factors and WAIST z score. These results supported our hypothesis that a healthier life-style may be one mechanism through which higher well-being is linked with lower abdominal obesity and fewer other cardiometabolic disorders in young populations. Pan-European IDEFICS/I.Family children cohort, ISRCTN registry number: ISRCTN62310987 (http://www.isrctn.com/ISRCTN62310987).

The Interactive Effect of Positive Mental Health and Subjective Sleep Quality on Depressive Symptoms in High School Students

ABSTRACTObjective/Background: The objective of this study was to observe the effect of positive mental health (PMH) and subjective sleep quality (SQ) on depressive symptoms in high school students. Participants: This cross-sectional study evaluated 2,186 students (55% female and 45% male) with a mean age of 16.8 years (SD ± 0.7) at 20 private high schools in Mexico City. Methods: An electronic survey was used, which included a questionnaire on sleep habits that is a Spanish-language adaptation of Rosenthal’s Sleep-Wake Activity Inventory, the Pittsburgh Sleep Quality Index (PSQI), the Morningness-Eveningness Scale for Children and Adolescents (MESC), the combined scales to evaluate positive aspects of mental health, and the Patient Health Questionnaire (PHQ–9). Results: Main and interaction effects of PMH and SQ were observed, demonstrating that students with high-PMH (p ≤ .0001) or good-SQ (p ≤ .0001) had fewer depressive symptoms. Thus, the students with both high-PMH and good-SQ had the lowest depressive symptomatology (p ≤ .01). Conclusion: Depressive symptoms are associated with a combination of sleep quality and positive mental health.