Short Warwick-Edinburgh Mental Well-being Scale Research Articles

Supporting a mentally healthy place of study: Examining the relationship between mental well-being, stress, and protective factors among university students.

Students can expect to experience stressors associated with their studies that can have detrimental effects on their mental well-being if not properly managed. Drawing on a positive psychology paradigm, protective factors can help students to counter study-related stressors and contribute to their mental well-being and academic success. The relationship between protective factors, such as maintaining perspective and building networks, with stress severity and positive mental well-being was examined in a sample of Australian university students undertaking postgraduate coursework. Students completed a survey measuring stress from the Depression, Anxiety and Stress Scale (DASS), positive mental well-being from the Short Warwick-Edinburgh Mental Well-being Scale (SWEMWBS), and seven protective factors from the Resilience at University (RAU) scale. Bivariate correlations were calculated for the RAU protective factors with stress and mental well-being. ANOVA examined the RAU protective factors in relation to mental well-being and stress severity groupings. All seven protective factors had a positive and significant relationship with positive mental well-being, and six of the seven protective factors had a negative and significant relationship with stress. A statistically significant difference was found for six of the seven RAU protective factors according to mental well-being group, and three of the seven RAU protective factors group according to stress severity group. A linear effect emerged between level of protective factor and mental well-being group, with participants in the high well-being group having the highest level of protective factors. Universities should focus on the development of protective factors to support students' well-being and help them to flourish in their studies.

Prevalence and co-occurrence of cognitive impairment in children and young people up to 12-months post infection with SARS-CoV-2 (Omicron variant)

BackgroundCognitive impairment is often reported after SARS-CoV-2 infection, yet evidence gaps remain. We aimed to (i) report the prevalence and characteristics of children and young people (CYP) reporting “brain fog” (i.e., cognitive impairment) 12-months post PCR-proven SARS-CoV-2 infection and determine whether differences by infection status exist and (ii) explore the prevalence of CYP experiencing cognitive impairment over a 12-month period post-infection and investigate the relationship between cognitive impairment and poor mental health and well-being, mental fatigue and sleep problems. MethodsThe Omicron CLoCk sub-study, set up in January 2022, collected data on first-time PCR-test-positive and PCR-proven reinfected CYP at time of testing and at 3-, 6- and 12-months post-testing. We describe the prevalence of cognitive impairment at 12-months, indicating when it was first reported. We characterise CYP experiencing cognitive impairment and use chi-squared tests to determine whether cognitive impairment prevalence varied by infection status. We explore the relationship between cognitive impairment and poor mental health and well-being, mental fatigue and trouble sleeping using validated scales. We examine associations at 3-, 6- and 12-months post-testing by infection status using Mann-Whitney U and chi-square tests. ResultsAt 12-months post-testing, 7.0 % (24/345) of first-positives and 7.5 % (27/360) of reinfected CYP experienced cognitive impairment with no difference between infection-status groups (p = 0.78). The majority of these CYP experienced cognitive impairment for the first time at either time of testing or 3-months post-test (no difference between the infection-status groups; p = 0.60). 70.8 % of first-positives experiencing cognitive impairment at 12-months, were 15-to-17-years-old as were 33.3 % of reinfected CYP experiencing cognitive impairment (p < 0.01). Consistently at all time points post-testing, CYP experiencing cognitive impairment were more likely to score higher on all Strengths and Difficulties Questionnaire subscales, higher on the Chalder Fatigue sub-scale for mental fatigue, lower on the Short Warwick-Edinburgh Mental Wellbeing Scale and report more trouble sleeping. ConclusionsCYP have a fluctuating experience of cognitive impairment by 12-months post SARS-CoV-2-infection. Cognitive impairment is consistently correlated with poorer sleep, behavioural and emotional functioning over a 12-month period. Clinicians should be aware of cognitive impairment post-infection and its co-occurring nature with poorer sleep, behavioural and mental health symptoms.

Evaluating the impact of a UK recovery college on mental well-being: pre- and post-intervention study.

Recovery colleges provide personalised educational mental health support for people who self-refer. The research evidence supporting them is growing, with key components and the positive experiences of attendees reported. However, the quantitative outcome evidence and impact on economic outcomes is limited. To evaluate the impact of attending a UK recovery college for students who receive a full educational intervention. This is a pre- and post-intervention study, with predominantly quantitative methods. Participants recruited over an 18-month period (01.2020-07.2021) completed self-reported well-being (Short Warwick-Edinburgh Mental Wellbeing Scale (SWEMWBS)) and recovery (Process of Recovery (QPR)) surveys, and provided details and evidence of employment and educational status. Descriptive statistics for baseline data and Shapiro-Wilk, Wilcoxon signed-rank and paired t-tests were used to compare pre- and post-intervention scores, with Hedges' g-statistic as a measure of effect size. Medical records were reviewed and a brief qualitative assessment of changes reported by students was conducted. Of 101 student research participants, 84 completed the intervention. Well-being (mean SWEMWBS scores 17.3 and 21.9; n = 80) and recovery (mean QPR scores 27.2 and 38.8; n = 75) improved significantly (P < 0.001; Hedges' g of 1.08 and 1.03). The number of economically inactive students reduced from 53 (69%) to 19 (24.4%). No research participants were referred for specialist mental health support while students. 'Within-self' and 'practical' changes were described by students following the intervention. Findings detail the largest self-reported pre-post data-set for students attending a recovery college, and the first data detailing outcomes of remote delivery of a recovery college.

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.

The impact of the Covid-19 pandemic on mental health in Danish school children in 5th to 7th grade.

We wanted to examine the impact of the Covid-19 pandemic on mental health in Danish school children in 5th to 7th grade (11 to 15 years), and whether the impact differed across age and sex. We included 793 and 391 school children from winter 2020 and winter 2021, respectively. Mental health was measured using the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), Strengths and Difficulties Questionnaire (SDQ), and Brief Resilience Scale (BRS). Data were analyzed by sex using linear regression models adjusting for grade (age), cohabitation, geographical region, employment status of parents, and schools as clusters. Girls in 5th grade and boys in 6th grade during Covid-19 had statistically significant lower well-being (SWEMWBS) compared with before Covid-19. Girls in 5th and 6th grade during Covid-19 had non-statistically significant lower scores on all subscales of SDQ compared with girls before Covid-19. Girls in 7th grade during Covid-19 had statistically significant lower total difficulty score (SDQ) and fewer conduct problems (SDQ) compared with girls before Covid-19. Boys in 5th grade during Covid-19 had statistically significant fewer conduct problems (SDQ) compared with boys before Covid-19. This study indicates that the Covid-19 pandemic impacted Danish school children differently across sex and grade (age). During Covid-19, mental health tended to be better among the oldest girls and worse among the youngest girls compared with girls before Covid-19. Boys in 6th grade had poorer mental well-being, and boys in 5th grade had fewer conduct problems during Covid-19 compared with before Covid-19.

Adaptation of Short Warwick-Edinburgh Mental Well-being Scale: Its Relationship with Loneliness, Emotional Flexibility and Resilience Among Adolescents

Understanding and measuring mental well-being among adolescents has recently become a priority. The validity and reliability study of the 7-item short version of the Warwick Edinburgh Mental Well-Being Scale (SWEMWBS) has not been examined in Turkish adolescents. Therefore, this study aims to adapt the 7-item Warwick Edinburgh Mental Well-Being Scale to Turkish and examine the relationships between loneliness, emotional flexibility, resilience, and mental well-being. The data were collected by convenience sampling method from 820 adolescents aged 14-18 from 73 city of Turkey. During the adaptation process of SWEMWBS, confirmatory factor analysis, concurrent validity, and reliability analysis were performed. The findings confirmed the one dimensionality of the 7-item scale on the Turkish adolescent sample. In addition, a significant positive relationship was found between mental well-being and emotional flexibility and resilience. However, there was a significant negative correlation between mental well-being and loneliness. The results showed that the Turkish version of SWEMWBS had strong psychometric properties in adolescents.

Association between friendship quality and subjective wellbeing in adolescents: a cross-sectional observational study

BackgroundFriendships play a vital role in the social lives of teenagers, and friendship quality can substantially impact the adolescents’ overall health and wellbeing. This study aimed to investigate the association between friendship quality and subjective wellbeing in Northern Irish adolescents. MethodsIn this cross-sectional observational study, we used data from the second wave of the Wellbeing in Schools Survey, conducted in Northern Ireland from April 2 to May 31, 2018. This survey used a clustering sampling method and included students aged 15–19 years. The survey was approved by the School of Social Sciences, Education and Social Work's Research Ethics Committee, with pupil opt-in and parental opt-out consents. Participants from the survey's initial wave in 2016 were considered eligible. Data on friendship quality and classroom friendships were gathered. Subjective wellbeing was assessed using the 7-item Short Warwick-Edinburgh Mental Wellbeing Scale. Metrics for psychological wellbeing (6 items), mood (7 items), and friendship quality (6 items) were taken from the KIDSCREEN-52 questionnaire. All items were rated on a 1–5 point Likert scale. We examined the association between friendship network quality and subjective wellbeing outcomes through social network analysis and network autocorrelation modelling. FindingsOf 1542 students invited, 1189 (77%) from 83 schools responded to the friendship network queries. Slightly more than half of these participants were female (609 [51%] girls and 580 [49%] boys), and the median age was 16 years (range 14–19, IQR 16–16). The median overall friendship score stood at 20 (IQR 18–26, with possible scores ranging from 6 to 30). Adjusted network autocorrelation models indicated that higher friendship quality scores were significantly associated with improved psychological wellbeing (β=0·3448, p<0·0001), subjective wellbeing (β=0·3075, p<0·0001), and a reduction in negative mood (β=–0·1934, p<0·0001). InterpretationThe study found that friendship quality had a significant association with mood, psychological wellbeing, and subjective wellbeing in adolescents. The results emphasise the value of fostering positive social relationships among adolescents, with a particular focus on the quality of their friendships. Next stages of this research include longitudinal analysis to test these associations more robustly. FundingTaibah University.

The social value and financial benefits of providing preventive and timely counselling to people with sight loss in Wales, UK

AbstractBackgroundAlmost 2 million people in the UK live with sight loss, and this number is predicted to double by 2050. There is increasing recognition of the need to provide counselling services to people living with sight loss.AimThe aim of this research was to assess whether there is an unmet need for counselling services for people living with sight loss in North Wales and to estimate the social value and budget impact of the potential roll‐out of counselling services to this population.MethodBetween December 2020 and May 2021, a telephone survey was completed by 192 people living with sight loss in North Wales, UK. The survey instrument was a 19‐item questionnaire, which included the Short Warwick–Edinburgh Mental Well‐being Scale (SWEMWBS). Using data from the SWEMWBS and published statistics, a social return on investment (SROI) and budget impact analysis were conducted.ResultsMost respondents (84%, n = 161) had never been offered counselling in relation to sight loss. Thirty‐nine per cent (n = 74) stated that they would use a new counselling service if it were available. Fifty‐one per cent (n = 97) indicated that counselling could be especially beneficial for people who have recently been registered or diagnosed with sight loss (the timely window). Of those who completed the SWEMWBS, approximately 25% reported low mental well‐being or probable depression. Social return on investment analysis estimated that providing counselling services for people with sight loss in North Wales could generate a social value of £3.42 for every £1 invested.ConclusionTimely counselling may improve an individual's ability to cope with sight loss and improve their quality of life over time.

Pain and associated functional impairment in the Danish general population: the role of mental well-being

PurposePrior research on relations between mental health and pain has focused on negative mental health aspects (e.g. depression), while the literature is scarce in terms of positive aspects, such as mental well-being. This study aims to investigate prospective associations of mental well-being at baseline with pain and functional impairment due to pain in the following year.Design/methodology/approachData stem from a Danish nationally representative survey of 5,000 adults (aged 15+) conducted in 2019 and 2020, which was linked to register data. The Short Warwick–Edinburgh Mental Well-being Scale was used to assess mental well-being, both continuously (range 7–35) and categorically (low, moderate, high). Logistic regressions were conducted to assess associations between mental well-being in 2019 and pain and functional impairment due to pain (among those reporting any pain) in 2020.FindingsIn the fully adjusted models, each point increase in mental well-being was inversely associated with pain (OR = 0.97, 95%CI 0.95–0.99) and functional impairment due to pain (OR = 0.96, 95%CI 0.94–0.99). As compared to low mental well-being, moderate mental well-being was associated with an OR of 0.76 (95%CI 0.58–0.99) for pain and an OR of 0.63 (95%CI 0.46–0.87) of functional impairment due to pain, while high mental well-being was associated with an OR of 0.56 (95%CI 0.40–0.77) for pain and an OR of 0.53 (95%CI 0.34–0.79) for functional impairment due to pain.Originality/valueHigher mental well-being levels may be protective against pain and functional impairment due to pain. Wider mental health promotion may be considered to prevent pain and associated functional impairments in the general population.

Does mindfulness-based wellbeing training increase self-reported and perceived health among teachers?

Abstract Background Teachers are reporting increased stress, burnout, and workload at schools. Previous studies have shown that mindfulness-based (MF-based) programs are potential interventions to decrease stress and improve wellbeing among teachers. The aim of this Healthy Learning Mind -teacher study was to investigate the effects of a MF-based wellbeing training on several dimensions of wellbeing among teachers in Finnish comprehensive schools. Methods We developed a MF-based wellbeing training tailored for teachers (8 weeks) and organized the training by three teaching methods: 1) contact teaching; 2) online teaching and 3) combination of both contact and online teaching. Outcome variables are: wellbeing (The Short Warwick-Edinburgh Mental Well-Being Scale), work ability (Work Ability Index) and perceived stress (Single Item Measure of Stress). A total of 50 teachers answered to both baseline and follow-up questionnaires. Additionally perceived health benefits were reported. Results MF-based wellbeing training showed beneficial effects on teachers’ perceived health: better ability to calm down, relax, regulate emotions and to manage difficult situations as well as better tools for stress management in classrooms. Additionally teachers reported that their own mindfulness practice had a beneficial effect on students’ calmness, attention and kindness as well as on interaction with students. Analysed results on outcome variables will be presented at the conference. Conclusions First results suggest that MF-based wellbeing training has several perceived health benefits among teachers in strengthening teachers’ ability to regulate emotions and decrease stress and to adopt tools for solving challenging situations with students. Furthermore, teachers reported that their own mindfulness practice had a favorable effect on students’ wellbeing and social-emotional competence. Enhancing teachers’ wellbeing is beneficial for both teachers themselves and for students. Key messages • MF-based wellbeing training can be seen as a potential intervention to decrease perceived stress and increase perceived health benefits among teachers and to support teachers in their profession. • More research is needed to understand how teachers’ own mindfulness practice affects wellbeing among students and interaction in classrooms.

Employment quality, past unemployment, mental health and wellbeing in the UK

Abstract Background Low employment quality (EQ) has been associated with adverse mental health. Past unemployment may also be linked to reduced mental health and wellbeing later on and may influence subsequent EQ. However, understanding of the role (past) unemployment history may play in the association of (present) EQ and mental health and well-being is limited. This paper aims to fill this gap. Methods We drew on a subsample of employees aged 25 to 60 from wave 4 of the UK Household Longitudinal Study. We applied Latent Class Analysis (LCA) to derive typologies of EQ within 6 dimensions. We fitted logistic regressions to assess the links between EQ, lifetime unemployment, and mental well-being and psychological distress (measured using the Short Warwick-Edinburgh Mental Wellbeing Scale and the 12-item General Health Questionnaire, respectively). Results The LCA yielded an optimal solution of 6 EQ clusters, with some similarities to previous typologies. Men and women in precarious employment forms characterised by unfavourable employment conditions including lower labour income and potential underemployment reported higher odds for low mental well-being (men OR:1.54, 95% CI:1.06-2.24; women OR:1.37, 95% CI:1.04-1.81), and so did women in precarious forms characterised by, amongst others, lower labour income and more prevalent long and irregular hours (OR:1.44, 95% CI:1.08-1.93), compared to those in the most standard and favourable arrangement. Some further well-being inequalities were observed across the EQ spectrum. Simultaneously, prior unemployment (of length) was also linked to reduced well-being among both genders, with no dose-response relationship. Precarious clusters were, however, not linked to increased odds of psychological distress. Conclusions Men and women in low EQ or with prior unemployment experience had higher odds of low mental well-being in the UK. Our analysis shows the need to consider employment trajectories regarding mental health outcomes. Key messages • Low multidimensional EQ and past unemployment experience of length are both related to reduced mental well-being in the UK. • No links were observed with regards to low employment quality and elevated psychological distress.

Exploring the Relationship Between Self-Compassion and Compassion for Others: The Role of Psychological Distress and Wellbeing.

We addressed construct validity and explored the relationship between self-compassion and compassion for others using the two main current operationalizations of compassion (Neff's and the Sussex-Oxford Compassion Scales, SOCSs). Relationships with psychological distress and wellbeing, and potential differences in the association between self-compassion and compassion for others by level of psychological distress and wellbeing were also explored. Participants (n = 811) completed the Spanish adaptations of the Self-Compassion Scale (SCS), the Compassion Scale (CS), the SOCSs (for the self/others), the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS), and the Depression Anxiety Stress Scales-21 (DASS-21). We fitted bifactor models to estimate the general factor of each construct for the different operationalizations, and calculated correlations between them. Relationships between self-compassion and compassion for others from the same operationalization were intermediate, while those between the same constructs from different operationalizations were large. Both constructs showed positive associations with wellbeing, while only self-compassion was associated with decreased psychological distress. Participants with good mental health showed higher associations between self-compassion and compassion for others than those with poorer mental health. Self-compassion and compassion for others appear to be dimensional constructs that can converge or diverge. When they converge, it is associated with better mental health.

A randomized controlled trial on the effectiveness of the abridged illness management and recovery program for people with schizophrenia spectrum disorders.

This study aimed to investigate the effectiveness of an abridged version of the Illness Management and Recovery Programme (AIMR) that was modified and developed in Hong Kong through a mult-centre randomized controlled trial for patients with schizophrenia spectrum disorders. This study was implemented in 10 occupational therapy departments, psychiatric day hospitals of 7 Hospital Authority clusters in Hong Kong. A total of 211 patients with schizophrenia or schizoaffective disorder was recruited and randomized into either the experimental or the control condition. In the control group, the subjects went through conventional occupational therapy programmes. In the experimental group, the subjects went through an additional 10-session programme of AIMR. were measured at baseline, completion of the AIMR, and 3-month after the AIMR programme. Measures include the expanded version of the Brief Psychiatric Rating Scale (BPRS-E), the client version of the Illness Management and Recovery Scale (IMRS), the Snyder Hope Scale, the Social and Occupational and Occupational Functioning Assessment Scale (SOFAS), the WHO Quality of Life Scale (WHOQOL-BREF), and the Chinese Version of the Short Warwick-Edinburgh Mental Well-Being Scale (C-SWEMWBS). Both the experimental and control cohorts had comparable clinical and socio-demographic characteristics except years of education and duration of illness. These two variables were entered as covariates in the linear mixed model which showed that the experimental group had significantly higher improvement than the control group in terms of illness management (F = 4.82; p = .03; Cohen's d = .45), functional (F = 10.65; p = .001; Cohen's d = .58), and hope (F = 5.52; p = .02; Cohen's d = .08) measures after the completion of treatment. The results supported the effectiveness of the AIMR programm which would be important in the recovery oriented practices in psychiatry.

Item response theory-based psychometric analysis of the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS) among adolescents in the UK

BackgroundMiddle and late adolescence is the period in a person's life that is most vulnerable to mental health problems. To enable an evidence base that can support policies to prevent such problems, it is crucial to have good quality, reliable, and accurate measurement tools for mental well-being. One of them is the Short Warwick-Edinburgh Mental Well-Being Scale (SWEMWBS). This study aimed to test the psychometric properties of the SWEMWBS on a large sample of adolescents aged 16 to 19 from the United Kingdom (UK) (N = 8,090). Data were from four waves of the longitudinal panel study Understanding Society.MethodsThe analysis was conducted using Item Response Theory (IRT), which is the most appropriate method for testing psychometric properties. The Graded Response Model (GRM) was applied to the data. The reliability and criterion validity of the SWEMWBS were also examined.ResultsThe presented results confirm the very good psychometric properties of the SWEMWBS amongst adolescents aged 16 to 19 years. The assumptions for the use (unidimensionality, local non-independence, monotonicity) of IRT were met. The results of GRM showed very high discriminant power for all items. The five-category response scale performed optimally; however, differences were found between points on the response scale both between and within items. In general, the scale as a whole showed very good functioning, but particularly in the negative values of mental well-being.ConclusionsThe SWEMWBS was confirmed as a concise, reliable, and valid instrument for measuring mental well-being among older UK adolescents.

Being more satisfied with romantic relationship status is associated with increased mental wellbeing in people with experience of psychosis.

Romantic relationships represent one of the most salient sources of social support. In general population studies, they are associated with both physical and psychological benefits. Research suggests that for people with psychosis, romantic relationships may also have a positive impact on a range of outcomes, but the reasons for these associations are still unclear. This study aims to investigate whether satisfaction with romantic relationships status is associated with better wellbeing outcomes in people with experience of psychosis and explore three possible psychological mediators of this relationship. Participants who had previously sought support for psychosis (n = 190) completed an online survey including measures of relationship status satisfaction (the Satisfaction with Relationship Scale) as well as measures of psychotic symptoms (the CAPE-42), general well-being (Short Warwick-Edinburgh Mental Wellbeing Scale) and several psychological variables relevant to the pathway between romantic relationships and well-being outcomes, namely loneliness, internalised stigma, self-esteem and attachment. Fearful attachment and partner criticism were negatively associated with relationship status satisfaction. Having a partner was positively associated with relationship status satisfaction. Higher levels of relationship status satisfaction were associated with lower psychotic symptoms and higher mental wellbeing. This relationship was mediated by loneliness, internalised stigma, and self-esteem. Mental health services should be mindful of the associations between romantic relationship satisfaction and wellbeing. Service users with a fearful attachment style may particularly benefit from support in this area.

Exploring mental well-being, the emotional impact of visual impairment and experiences of prejudice and discrimination among adults from minority ethnic communities in the UK.

Visual impairment (V.I.) has been associated with a negative impact on mental health outcomes, including a process of grief among those who lose their sight. Older adults with V.I. who had experienced discrimination have been found to be at increased risk of depression, loneliness, poorer life satisfaction and poorer quality of life. Adults from minority ethnic communities (MEC) may be at increased risk of V.I. and yet, research on the experiences of MEC adults with V.I. remains limited. This article forms part of a series which explores issues and status among MEC adults living with V.I. in the UK. A secondary analysis of V.I. Lives survey data was performed to explore mental well-being assessed by the short Warwick-Edinburgh Mental Well-being scale (SWEMWBS), the emotional impact of V.I., and prejudice and discrimination among a matched control sample of 77 MEC and 77 adults from white communities (WC). Participants were matched by age, gender, UK region and urban/rural setting. Subgroup analyses were also conducted for the two largest MEC subgroups, Asian (n = 46) and black participants (n = 22). There were few statistically significant differences between the groups. MEC participants were significantly more likely than WC participants to rate emotional support to come to terms with their V.I. as important and to feel optimistic about their V.I. but they were significantly less likely to agree that they were receiving the level of emotional support they needed to get on with their life. Within the MEC group, participants from Asian communities had significantly poorer mental well-being, and they were also significantly more likely to agree that the general public were often prejudiced against people with V.I. and less likely to feel optimistic about their V.I. than black participants. Although there were few statistically significant differences, participants from Asian communities were more likely to report poor mental and emotional well-being, and experiences of discrimination, than black and white participants. In contrast, participants from black communities fared the same as, or in some cases better than, white participants. Future research will need to confirm these findings and explore reasons for these.

O.6.2-7 “Virtual Surf Booth”: assessment of a novel tool and data collection process to measure the impact of a 6-week surf programme on wellbeing

Abstract Purpose Practicing physical activity in blue space (i.e. forms of natural and manmade surface water) is shown to be associated with an improvement in wellbeing. Surfing is a popular blue space activity with surf therapy increasingly used as a health intervention. However, the mechanisms through which surfing leads to an improvement in wellbeing remain unclear. One reason for this is the challenges with collecting data related to acute and chronic wellbeing outcomes. The purpose of this study was to evaluate the usability of an online digital tool to measure wellbeing outcomes, and the usefulness of the data collected. Methods Participants of a 6-week surf programme, delivered at The Wave Bristol, were invited to partake. Each participant was asked to complete the online digital tool on weeks 1, 2, 4 and 6. Qualitative (video recording and word association) and quantitative (Short Warwick-Edinburgh Mental Well-Being scale) responses were collected. Usability and acceptability of the tool were evaluated through focus groups with participants and engagement data. Descriptive analysis and paired samples t-tests were used to assess differences in wellbeing during the surf programme. A reflexive thematic analysis was used to assess video and word association responses. Results Participants (n = 15, 100% female, age=43.0±5 years) perceived the tool as easy to use due to the short completion time, range of tool functionalities, and useful because it provided time for reflection. Aspects such as increasing privacy when using the tool, accessibility of the tool, and incentivisation with completing the questions were seen as aspects that can increase future engagement. From a research perspective, the data collected allowed for the assessment of acute and chronic wellbeing, and demonstrated a positive relationship between surfing and wellbeing. Conclusions The study provides support that the tool can be a usable and useful process of collecting wellbeing data within surfing. Such a tool may allow us to understand the mechanisms through which surfing and other activities impact wellbeing. However this area of research is still new and more work needs to be done to assess the reliability and validity of the tool. Funding Source University of Bristol Grant Capture Fund.

Assessment of Factors Associated With Mental Well-Being Among Chinese Youths at Individual, School, and Province Levels

Although rapid urbanization in China provided improved economic prosperity and educational opportunities, it was associated with increased internalizing and externalizing problems among youths, with negative outcomes for mental well-being. Previous studies suggested that factors in individual, school, and regional levels were associated with mental well-being, and comprehensively examining these factors may provide evidence for policies for improving youth mental health. To investigate factors associated with mental well-being at individual, school, and province levels among Chinese youths. This cross-sectional study analyzed nationally representative data collected December 1, 2021, to January 1, 2022, from schools in China. Among 435 schools, 144 institutions had primary school students, 107 institutions had middle school students, 95 institutions had primary and middle school students, and 89 institutions had high school students. A total of 398 520 students were included. Characteristics at individual, school, and province levels. The main outcome was mental well-being, assessed by the Short Warwick-Edinburgh Mental Well-being Scale. Linear mixed-effects models were used to investigate individual, school, and regional disparities in mental well-being among youths. There were 398 520 participants (194 460 females [48.80%]; mean [SD; range] age, 13.78 [2.40; 9-20] years). At the school level, 352 443 students (88.44%) were in public school and 291 354 students (73.11%) were in urban schools. Drinking (coefficient = -1.08; 95% CI, -1.12 to -1.05; P < .001), smoking (coefficient = -0.89; 95% CI, -0.96 to -0.83; P < .001), and increased age (coefficient per 1-year increase in age = -0.02; 95% CI, -0.03 to -0.01; P < .001) were associated with worse mental well-being. Male sex (coefficient = 1.01; 95% CI, 0.98 to 1.04; P < .001), being in a 1-child family (coefficient = 0.17; 95% CI, 0.13 to 0.20; P < .001), being in the Han group (coefficient vs other ethnic groups = 0.20; 95% CI, 0.14 to 0.26; P < .001), a higher frequency and coverage of psychological courses (eg, ≥2/wk for all students vs none: coefficient = 1.02; 95% CI, 0.36 to 1.69; P = .003), and a higher level of self-rated popularity in school (coefficient per 1-unit increase in score = 0.89; 95% CI, 0.88 to 0.89; P < .001) were associated with improved mental well-being. However, age (eg, age and 1 courses/2 wk for all students: coefficient per 1-year increase in age = -0.047; 95% CI, -0.089 to -0.005; P = .03) and sex (eg, female sex and ≥2 courses/wk for some students: coefficient = -0.184; 95% CI, -0.323 to -0.046; P = .009) had interactions with the association between psychological courses and mental well-being. This study found that social disparities in mental well-being existed and that various factors at different levels were associated with mental well-being among Chinese youths. These findings suggest that public mental health programs may be recommended for associated improvements in regional disparities in mental health resources.

“Make it the done thing”: an exploration of attitudes towards rest breaks, productivity and wellbeing while working from home

ObjectiveTaking regular rest breaks while working positively impacts productivity and wellbeing. While home and hybrid working styles have become a popular choice for employees, the impact of, and perceptions towards, taking breaks while working at home is poorly understood. The current research aimed to explore attitudes towards taking rest breaks while working from home and capture levels of breaks taken, wellbeing and productivity in a sample of UK white-collar workers.MethodsA mixed method approach was applied where self-report data from an online survey were gathered from individuals (N = 140) from one organisation. Open-ended questions regarding attitudes and perceptions towards rest break behaviours were obtained. Further quantitative measures included the number of breaks taken while working from home, levels of productivity (measured by the Health and performance Presenteeism subscale) and mental wellbeing (measured by the Short Warwick-Edinburgh Mental wellbeing scale). Both quantitative and qualitative analysis approaches were applied.ResultsQualitative responses indicated two overarching themes (1) Personal and (2) Organisational sat above four further themes including Movement outside, Structure of home working, Home environment and Digital presence. Additionally, quantitative findings indicated that the number of breaks taken outside was associated with positive changes in wellbeing.ConclusionEmployers could aim to support employees working from home in taking outside breaks through flexible working patterns, authentic leadership, and a change in company social norms around break behaviours. Such organisational changes could help to improve workforce productivity and wellbeing.

A school-based cross-sectional study to understand the public health measures needed to improve the emotional and mental wellbeing of young carers aged 12 to 14 years

The emotional and mental wellbeing of young carers is known to be poorer than their peers. Data from a large cross-sectional school survey of 7,477 12 to 14 year olds (72 per cent response rate) living in Cornwall, South West of England, were analysed to assess whether existing school-based interventions support the wellbeing of young carers. Outcome measures were derived from the Short Warwick-Edinburgh Mental Wellbeing Scale and the Strengths and Difficulties Questionnaire. Young carers experienced greater emotional and mental wellbeing problems than their peers. Being eligible for free school meals did not attenuate these higher needs, indicating that broader support other than financial measures are needed, such as education, health and care plans which were associated with higher mental wellbeing among young carers. Early community and school-based interventions that consider the complex needs of young carers, especially emotional wellbeing, are needed.