Role In Mental Health Problems Research Articles

The role of mental health problems in out-of-home care youths' educational pathways: Quantitative and qualitative analysis of Danish longitudinal data

BackgroundWhile the low educational attainment of out-of-home care youth (OHC youth) has been well established, less is known about the role mental health problems play in shaping their educational pathways. ObjectiveThis paper examines how mental health problems influence OHC youths' educational pathways and how this influence can be understood. Participants and settingThe paper draws on a mixed-methods longitudinal study of OHC youth in Denmark. MethodsSequence and cluster analyses and logistic regressions of survey data (n = 525) and administrative registries were used and combined with narrative analyses of two qualitative cases. ResultsWe identified four educational pathways: 1) the typical academic pathway, 2) the typical vocational pathway, 3) the disrupted pathway, and 4) the non-completion pathway. Moreover, mental health problems were found to be an essential predicting factor of entrance into the disrupted pathway (3) or the non-completion pathway (4). For youths who entered the disrupted pathway (3), mental health problems appeared to be the key predicting factor. Even though mental health problems also played a fundamental role in entrance into the non-completion pathway (4), we also found a more complex intersection of predictive factors, such as care history, lack of social support, and other social problems, such as cannabis abuse and homelessness. ConclusionsThe findings showed a need for a stronger focus on how mental health problems among OHC youths impact their educational pathways. Mental health problems played a key role in OHC youths' transition to independent adulthood and, consequently, their chances for a better life.

Cultural Adaptation and Validation of the Urdu Version of the Cognitive Emotion Regulation Questionnaire (CERQ) in Male Patients With Substance Use Disorders (SUDs) in Pakistan.

BackgroundAdults with substance use disorders (SUDs) often have co-occurring mental health problems. Emotion regulation may play a vital role in mental health problems. The Cognitive Emotion Regulation Questionnaire (CERQ) is a widely used measure for assessing cognitive emotion regulation. However, it has not been used in Pakistan on patients with co-occurring SUDs and mental health issues. The present study aims to translate and adapt the CERQ into the Urdu language and to determine its reliability and convergent validity in a sample of male patients with SUDs in Pakistan.MethodParticipants completed a demographic information form, the CERQ, the Depression, Anxiety, and Stress Scale Short Form [DASS-21)], and the Rosenberg Self-Esteem Scale [RSES)] in Urdu.ResultsMale participants (N = 237) 18–50 years of age (M = 29.8, SD = 8.1) were recruited from four substance use disorder treatment centers and hospitals in Karachi. The reliability of the Urdu version of the CERQ was based on an examination of its internal consistency reliability (Cronbach's α) and test–retest reliability for both the total scale and its subscales. Internal consistency for the CERQ total (α = 0.80) was adequate, as it was for subscales of self-blame, (0.76) acceptance (0.78), rumination (0.72), positive refocusing (0.79), focus on planning (0.89), positive reappraisal (0.81), putting into perspective (0.83), catastrophizing (0.73), and other blame (0.70). The 10–14 day test–retest reliability of the CERQ total score was 0.86. Higher CERQ scores were significantly (ps < 0.001) negatively associated with DASS-21depression (r = –0.24), anxiety (r = –0.23), and stress (r = –0.27) subscales, as well as the DASS-21 total score (r = –0.26) and positively associated with the RSES self-esteem score (r = 0.30).ConclusionThe Urdu version of the CERQ is a reliable measure for investigating cognitive emotion regulation strategies related to mental health and SUDs in Pakistan.

Examination of the Japanese version of the Fear of COVID‐19 Scale among Adults Using Classical Test Theory and Item Response Theory1,2

AbstractGlobally, the COVID‐19 pandemic has impaired every aspect of life, especially causing much psychological damage—for instance, increasing the risk of suicide. Intense fear and anxiety are considered to play a central role in mental health problems. This study examined the psychological properties of the Japanese version of the Fear of COVID‐19 Scale (FCV‐19S) using classical test theory (CTT) and item response theory (IRT). Five hundred fifty participants aged 18–69 years and from across Japan completed questionnaires, including the Japanese FCV‐19S, the Japanese Depression Anxiety Stress Scales‐15 (DASS‐15), and the Japanese version of the Kessler 6 (K6). CTT showed that each item of the Japanese FCV‐19S had no ceiling and floor effect and was close to the normal distribution, and IRT revealed that each item had an appropriate parameter of discrimination and difficulty. Finally, the Japanese FCV‐19S was shown to have an acceptable reliability and moderate good concurrent validity. Consequently, the Japanese FCV‐19S has robust psychometric properties and can be useful for early detection of adults impacted by the COVID‐19 pandemic.

Work functioning among young adults: the role of mental health problems from childhood to young adulthood

ObjectivesMental health problems (MHPs) during childhood and adolescence are negatively associated with having a paid job in young adulthood. Yet, little is known about how young adults function at work,...

Intergenerational transmission of out-of-home care and the role of mental health problems: Findings from Stockholm birth cohort multigenerational study

Out-of-home care (OHC) experiences are associated with poor long-term outcomes throughout life. However, the continuity of OHC over generations is not fully explored, and the influence of mental health problems (MHP) and socioeconomic conditions on such transmission is still unclear. We therefore assessed the extent to which MHP affect the intergenerational transmissions of OHC as well as whether there are differential patterns depending on the socioeconomic conditions of the family of origin. We used a prospective data from the Stockholm Birth Cohort Multigenerational Study (SBC Multigen) on 11,333 cohort members (Generation 1; G1), their parents (Generation 0; G0), and 24,905 children (Generation 2; G2). Multivariate regressions and path models were used to examine the associations between OHC and MHP across generations; stratified analysis by occupational class in G0 was performed to explore potentially differential patterns. Our findings support the existence of an intergenerational transmission of OHC, particularly in the working class group (OR 4.70); MHP was only transmitted across generations in this group (OR 1.51). While the results indicated a stronger role of MHP among the middle/upper class (OR 5.59) compared to working class (OR 3.52) in part of the pathway (MHP G1→OHC G2), this patter was not consistent throughout the whole pathway (e.g. OHC G1→MHP G1). We conclude that there is a tendency for OHC and MHP experiences to continue across generations, particularly among families with more disadvantageous socioeconomic conditions. MHP seem to play an important role in the transmission of OHC irrespective of socioeconomic conditions.

OP0259-HPR THE EFFECT OF OSTEOARTHRITIS ON HEALTHY WORKING LIFE EXPECTANCY AT AGE 50 IN ENGLAND

Background:Retirement ages are rising in many countries due to population ageing and increasing life expectancy. However, poor health, comorbidity and workplace factors are major reasons for work absence and it is unclear if people in later working-age life (age ≥50) are able to work for longer. Osteoarthritis (OA), the most common joint condition in adults, is the fastest increasing major health condition globally and is a leading cause of disability (especially in adults age ≥50).Objectives:We aimed to estimate healthy working life expectancy (HWLE; defined as the average number of years that adults from age 50 can expect to be healthy and in paid work) for adults with and without osteoarthritis and investigate the role of mental health problems as a comorbidity and the role of workplace factors through examining whether there is a sense of having any control over what happens at work.Methods:Longitudinal survey data of adults aged ≥50 years were used from six waves (2002-2013) of the English Longitudinal Study of Ageing with linked mortality data from the National Health Service Central Register. HWLE was defined using two self-report variables; health was defined as no long-standing illness or no activity limitation if long-standing illness was present, and work was defined being in employment or self-employment. OA status was identified by self-report of ever receiving a diagnosis from a doctor. Mental health and control of work were measured by self-report. Continuous-time multistate models with three states (healthy and working [state 1], other alive [2], dead [3]) were fitted in R (version 3.6.1) to investigate factors driving transitions out of the healthy and working state. Models included age and combinations of sex, OA, control at work, and mental health problems. Age-adjusted hazards of transitions between states were estimated using the ‘msm’ R package. HWLE for adults with different factors (OA, control of work, mental health) was estimated with the ‘elect’ R package using models fitted with ‘msm’. Missing data was handled using multiple imputation by predictive mean matching.Results:There were 11,540 adults with at least two observations (including survey and mortality data) for the study period (5251 males, 6289 females). Life expectancy at age 50 was 29.7 years for men and 33.4 years for women with HWLE being 9.9 years (men) and 8.3 years (women). HWLE at age 50 for adults with osteoarthritis was 7.3 years (men: 8.2, women: 6.8), and for adults without osteoarthritis was higher at 9.9 years (men: 10.6, women: 9.1). After adjusting for age, the instantaneous risk of ceasing to be both healthy and in work (not due to death) for people with OA was 1.5 times that of people without OA (hazard rate ratio 1.5 with 95% CI [1.3, 1.6]). For adults without OA, HWLE at age 50 was 13.2 years if they felt they had control at work and 4.1 years without control at work, whilst for adults with OA, HWLE was 10.4 years if they felt they had control at work and 3.1 years without. The effect of mental health problems as a comorbidity on HWLE was smaller; for adults without OA, HWLE at age 50 was 11.0 years for those without mental health problems and 8.3 years for those with, whilst for adults with OA, HWLE was 8.6 years for those without mental health problems and 6.2 years with.Conclusion:While the average HWLE for men and women in England is lower than State Pension age, HWLE at age 50 is even lower (by approximately 25%) in adults with OA compared to adults without OA. Poor mental health further reduces HWLE. However, good quality work environments significantly lessen the impact of osteoarthritis (there is a 7.3 year difference in HWLE for those with OA who do and do not experience control at work). These results suggest that interventions and policies that create appropriate job opportunities and supportive workplaces for older workers with health conditions are key to the feasibility and success of extended working life policies.Disclosure of Interests:None declared

Child maltreatment, cognitive functions and the mediating role of mental health problems among maltreated children and adolescents in Uganda

BackgroundChild maltreatment poses high risks to the mental health and cognitive functioning of children not only in childhood but also in later life. However, it remains unclear whether child maltreatment is directly associated with impaired cognitive functioning or whether this link is mediated by mental health problems. Our study aimed at examining this research question among children and adolescents in Uganda.MethodsA sample of 232 school-going children and adolescents with a mean age of 14.03 (SD = 3.25) was assessed on multiple forms of maltreatment using the Maltreatment and Abuse Chronology Exposure—Pediatric Version (pediMACE). Executive functions were assessed by the Tower of London task and working memory by the Corsi Block Tapping task, while mental health problems were assessed using the Child PTSD Symptom Scale for PTSD and the Center for Epidemiological Studies Depression Scale for Children (CES-DC).ResultsIn total, 232 (100%) of the participant reported to have experienced at least one type of maltreatment in their lifetime including emotional, physical, and sexual violence as well as neglect. We found a negative association between child maltreatment and executive functions (β = − 0.487, p < 0.001) and working memory (β = − 0.242, p = 0.001). Mental health problems did not mediate this relationship.ConclusionsChild maltreatment seems to be related to lower working memory and executive functioning of affected children and adolescents even after controlling for potential cofounders. Our study indicates that child maltreatment the affects children’s cognitive functionality beyond health and well-being.

Peran Spiritual Dalam Penyembuhan Skizofrenia : A Literature Review

Mental health is one of the health problems in the world, including in Indonesia, one of which is schizophrenia. Management of schizophrenia not only uses pharmacological therapy but also with non-pharmacological therapy. Spirituality is believed to have a role in the treatment of schizophrenia. Purpose: This article aims to identify and analyze research articles about the spiritual role in healing in schizophrenic patients. This article search uses a literature study approach from several ProQuest, Ebsco ScienceDirect databases, and Google Scholar databases, using the keywords "Spiritual OR Spirituality AND Mental disorder OR Mental Illness OR Schizophrenia". Based on the screening process of 509,589 journals, 9 articles were obtained by selecting inclusion criteria. The results obtained are summarized in 2 theme forms including the spiritual role in mental health problems where the importance of health professionals involves the spiritual dimension in health services as well as the spiritual concepts that play a role in handling mental problems; the second theme is about the spiritual role in schizophrenia healing, which is that spiritual can affect active and adaptive coping in schizophrenia patients. Social support activities, age, service satisfaction, spiritual well-being, and symptom severity are identified as aspirators in the quality of life of patients with schizophrenia. Conclusion: Four things that are felt to have a significant effect on healing schizophrenic patients include interactions or therapeutic relationships with health care providers, increased self-awareness of disease, social support, and the use of psychotropic drugs to reduce symptoms that arise.

Has the role of mental health problems in mass shootings been significantly underestimated?

Has the role of mental health problems in mass shootings been significantly underestimated?

Alexithymic and autistic traits: Relevance for comorbid depression and social phobia in adults with and without autism spectrum disorder

High alexithymic traits and psychiatric comorbidities such as depression and social phobia are frequently observed among adults with autism spectrum disorder. In this study, we tested whether alexithymic and/or autistic traits are risk factors for depressive and social phobic symptoms in adults with autism spectrum disorder (n = 122), patients with social interaction difficulties other than autism (n = 62), and neurotypical participants (n = 261). Multiple regression analyses of these three groups demonstrated that both traits explained considerable variance of depressive and social phobic symptoms. In adults with autism spectrum disorder, alexithymic traits were predictive of depressive symptoms, while autistic traits predicted social phobic symptoms. In patients with social interaction difficulties other than autism, alexithymic and autistic traits were identified as predictors of social phobic symptoms, while no variable predicted depressive symptoms. In neurotypicals, both alexithymic and autistic traits were predictive of depressive and social phobic symptoms. Our results, therefore, highlight the importance of assessing both alexithymic and autistic traits in patients with and without autism spectrum disorder for identifying comorbid psychopathology. Depending on the underlying core symptomatology, alexithymic and/or autistic traits increase the risk of depressive and social phobic symptoms calling for therapeutic strategies to prevent or at least reduce comorbid psychopathology.Lay abstractAdults with autism often develop mental health problems such as depression and social phobia. The reasons for this are still unclear. Many studies found that alexithymia plays an important role in mental health problems like depression. People with alexithymia have difficulties identifying and describing their emotions. Almost every second person with autism has alexithymia. Therefore, we explored in this study whether alexithymia is linked to worse mental health in autistic people. We looked at two common diagnoses, depression and social phobia. We found that alexithymia increased symptoms of depression, while autistic traits increased symptoms of social phobia. Our results suggest that alexithymia and autistic traits can increase the risk of mental health problems. An early assessment could help prevent mental health problems and improve quality of life.

Social capital and students’ health: results of the splash study

Abstract Background Universities around the world are challenged with rising rates of mental health problems among their students. Cumulative evidence demonstrated that aspects of the social environment, including social capital, play an important role in mental health. This study aimed to determine the prevalence of depressive symptoms among university students from across the globe and to investigate whether social capital was associated with depressive symptoms in university students. Methods A cross-sectional study was conducted in Albania, Brazil, Germany, Italy, Malaysia Oman, South Korea, Switzerland, Taiwan and the USA in 2018/2019. Data were obtained through self-administered questionnaire, including questions on sociodemographic characteristics and depressive symptoms. The BDI-S was used to assess the presence of depressive symptoms. Multilevel analyses were conducted to assess the relationship between social capital and depressive, adjusting for individual covariates (e.g. perceived stress and health behaviours) and country-level characteristics (e.g. democracy type). Results A total 3894 students participated. Out of all participants almost 47% presented clinically relevant depressive symptoms. The prevalence of depressive symptoms was highest among students identifying as other than male or female (48.7%), among students with low socioeconomic status (59.5%) and among students with low levels of cognitive (65.3%) and behavioural social capital (57.0%). Even after adjustment in multilevel logistic regression analyses, depressive symptoms remained significantly associated with low levels of cognitive social capital (OR = 1.49, 95% CI: 1.06 to 2.10) and low level of behavioural social capital (OR = 1.36, 95% CI: 1.08 to 1.71). Conclusions Social capital may play an important role in mental health problems in the university setting. The study identified significant opportunities for future research and health promotion strategies among students. Key messages Key factors associated with depressive symptoms among university students were low levels of behavioural and cognitive social capital. Health promotion programs targeting young persons with depressive symptoms should include effective components of social epidemiology such as social capital.

Relationship between borderline personality symptoms and Internet addiction: The mediating effects of mental health problems.

AimTo examine the relationship between borderline personality symptoms and Internet addiction as well as the mediating role of mental health problems between them.MethodsA total of 500 college students from Taiwan were recruited and assessed for symptoms of Internet addiction using the Chen Internet Addiction Scale, borderline personality symptoms using the Taiwanese version of the Borderline Symptom List and mental health problems using four subscales from the Symptom Checklist-90-Revised Scale (interpersonal sensitivity, depression, anxiety, and hostility). Structural equation modeling (SEM) was used to test our hypothesis that borderline personality symptoms are associated with the severity of Internet addiction directly and also through the mediation of mental health problems.ResultsSEM analysis revealed that all paths in the hypothesized model were significant, indicating that borderline personality symptoms were directly related to the severity of Internet addiction as well as indirectly related to the severity of Internet addiction by increasing the severity of mental health problems.ConclusionBorderline personality symptoms and mental health problems should be taken into consideration when designing intervention programs for Internet addiction.

Domestic Violence Policy, Forensic Mental Health, and the Revival of Rehabilitation: Crossroads or Cross Purposes

Current domestic violence policy was shaped both by second wave feminist initiatives formulated in the 1970s and 1980s and by the culturally conservative concerns of the emerging punitive era. The policy framework that has emerged from the intersection of the seemingly incompatible positions of conservative views of crime and progressive feminist views of liberation in fact has come to resemble more conservative social control than progressive feminism. In spite of known empirical links between domestic violence and psychological disorders, this policy framework ignores many of the principles of forensic mental health practice. Growing awareness of the costs and failures of mass incarceration and the overcriminalization of certain behaviors is leading to a reconsideration of the role of mental health problems in crime overall. These trends may foreshadow a return to a more rehabilitative view of crime and corrections, presenting domestic violence policy with an opportunity to move toward a standpoint more scientific, more compassionate, and more effective.

Mental health among smokers in the U.S. from 2008 to 2013: Diverging trends by socioeconomic status

Aims: To investigate the prevalence of depression and psychological distress among daily smokers in the US population from 2008 to 2013 annually and to examine whether trends in the prevalence of depression/psychological distress among smokers and non-smokers differ by socioeconomic status. Methods: Data were drawn from the National Survey on Drug Use and Health (NSDUH), which includes cross-sectional data on cigarette smoking, depression and psychological distress among a nationally representative sample of adults in the US annually from 2008 to 2013. Results: From 2008 to 2013, the prevalence of depression in the last year among smokers with family incomes of $75,000 or more per year did not change significantly (from 6.5% to 7.1%, p=0.70) nor did the prevalence of psychological distress (from 6.1% to 6.3%, p=0.90). Among smokers with family incomes below $20,000 per year, the prevalence of depression did not change (14.2–15.0%, p=0.64) while psychological distress increased (14.5–18.6%, p=0.06). Conclusions: There appears to be a trend toward increasing psychological distress among smokers of lower socioeconomic status from 2008 to 2013. Our results demonstrate the importance of taking a more fine-grained approach to understanding the role of socioeconomic status in trends in mental health and smoking over time. Greater attention should be devoted to understanding the role of various mental health problems in the stagnation in smoking decline in the general population and particularly among low SES groups, and future research should focus on understanding the potentially differing role ofmental health problems in smoking persistence among various SES groups in the population. Financial support:Workwas supportedbygrant#DA20892-A1 from NIDA (Dr. Goodwin).

Childhood Adversities and Educational Attainment in Young Adulthood: The Role of Mental Health Problems in Adolescence

PurposeThe aims of this study were to examine whether the association between childhood adversities and educational attainment in young adulthood can be explained by mental health problems in adolescence and whether associations and pathways differ for boys and girls. MethodsData were used of 2,230 participants from the Tracking Adolescents' Individual Lives Survey, a Dutch prospective cohort study with a 9-year follow-up. Childhood adversities were measured at age 11 years, mental health problems (i.e., externalizing, internalizing and attention problems with Youth Self-Report) at age 16 years, and educational attainment at age 19 years. Structural equation modeling was performed to analyze the data, overall and stratified by gender. ResultsOnly among boys, childhood adversities were associated with low educational attainment in young adulthood. Externalizing problems in adolescence explained 5% of the association between childhood adversities and educational attainment. Furthermore, for both boys and girls, externalizing problems in adolescence had a direct effect on educational attainment in young adulthood. ConclusionsAmong boys, childhood adversities are associated with poorer educational outcomes of young adults. A part of this association runs via adolescent externalizing problems. The results suggest that boys, compared with girls, are less capable to cope with childhood adversities. Monitoring of exposed boys to childhood adversities is of utmost importance.

A model to explain suicide by self-immolation among Iranian women: A grounded theory study

IntroductionSelf-immolation is a common method of suicide among Iranian women. There are several contributing motives for attempting self-immolation, and exploration of the process of self-immolation incidents will help interventionists and clinicians develop prevention programs. MethodsA grounded theory study using face-to-face, recorded interviews was conducted with surviving self-immolated patients (n=14), their close relatives (n=5), and medical staff (n=8) in Kermanshah, Iran. Data were analyzed using constant comparison in open, axial, and selective coding stages. ResultsA conceptual model was developed to explain the relationships among the main categories extracted through the grounded theory study. Family conflicts emerged as the core category. Cultural context of self-immolated patients offered a contextual condition. Other important categories linked to the core category were mental health problems, distinct characteristics of the suicidal method, and self-immolation as a threat. The role of mental health problems as a causal condition was detected in different levels of the self-immolation process. Finally, adverse consequences of self-immolation emerged as having important impact. ConclusionThe conceptual model, derived through grounded theory study, can guide design of prevention programs. The pivotal role of family conflicts should be emphasized in mental health interventions. The impact of adverse consequences of self-immolation on further suicidal processes necessitates post-suicide prevention programs. Further research to design specific interventions is recommended.

The role of mental health problems and common psychotropic drug treatments in accidental injury at work: a case–control study

ObjectivesMental illness and psychotropic drugs have been linked with workplace injury, but few studies have measured exposures and outcomes independently or established their relative timings. To address this shortcoming, we...

299 The role of mental health problems and psychotropic drug treatments in accidental injury at work

Objectivessome evidence exists that mental health problems and drugs with psychotropic effects may raise risks of accidental injury at work. To confirm this and to quantify risks we undertook a...

OA01.45. Study of manas prakriti as a risk factor in mental adjustment disorders of young adults and role of sattvavajaya chikitsa (rational emotive behavioural therapy)

Purpose: In Ayurveda, physical and mental status of a person is described in terms of Prakriti. Manas prakriti is divided in three types as Satvik, Rajasik, Tamasik. Further these manas prakritis are divided as Satvik 7 types, Rajasik 6 & Tamasik of 3 types. (Su.sha.4/63).Though considerable body of research work is available on Deha prakriti, not much research work is available on Manas Prakriti. Rational Emotive Education is a preventive-interventionist approach by which a person can be taught sane mental health concepts and skills. REBT is based on a valid educational model which emphasises positive self-acceptance, critical thinking, the application of the scientific method to self-understanding, and behavioural change. Experiments with the program have shown that person can be taught to guide their actions through positive directed thought. Method : Phase I: Literary search - carried out by compiling & analysing work done on Mental Adjustment disorders. PHASE II: Nidanatmaka (Epidemiological) study. Survey based on the CRF prepared on the basis of phase one compilations incorporating Nidan, samrapti. More than 500 subjects were studied and analysed for pattern of Nidana Panchaka of Mental adjustment in Young Adults w.s.r. to Manas prakriti. PHASE III: UPASHYATMAKA (CLINICAL STUDY): About 100 Patients identified as suffering from Mental Adjustment Disorders in the Nidanatmaka study to be selected for the upashayatmaka Study after due process of Informed consent. These Patients to be divided into two groups: Group A (Rajasika): ‑ Sattvavajaya Chikitsa (REBT), Counselling as per the guide-lines of Rational Emotive Behavioural Therapy along with Yashtimadhu Ghan Vati. Group B (Tamasika): Sattvavajaya Chikitsa (REBT), Counselling as per the guide-lines of Rational Emotive Behavioural Therapy along with Tagar Ghan Vati. Result: Sattvavajaya chikitsa and drugs taken for trial were found to be effective. Conclusion: Manas prakriti has definite role in mental health problems

Marital Breakdown, Shame, and Suicidality in Men: A Direct Link?

The influence of feelings of shame originating from marital breakdown on suicidality is examined. The role of mental health problems as probable mediating factors is also considered. Internalized shame, state (related to separation) shame, and mental health problems were significantly correlated with the score for suicidality during separation in both genders. Tested structural equation model indicated that internalized shame was not directly linked to suicidality, but was mediated either by state shame or mental health problems in males in the context of separation. Our findings seem to indicate that separated males are more vulnerable to the experience of state shame in the context of separation, which might lead to the development of suicidality.