Subjective Mental Health Research Articles

Subjective Social Status and Mental Health in Black Adolescents Living in Poverty

Subjective Social Status and Mental Health in Black Adolescents Living in Poverty

Subjective well-being and mental health during the COVID-19 pandemic in Hungary

Purpose This study aims to examine the impact of COVID-19 pandemics on subjective well-being (SWB) and mental health in Hungary, with a particular focus on the roles of socioeconomic and COVID-19-related factors in shaping these outcomes. Design/methodology/approach A cross-sectional online survey was conducted among 2,000 Hungarian adults from May 25 to June 8, 2021. The data was collected using standardized questionnaires, including the SWLS, GAD-7 and PHQ-9. Correlation analysis, one-way ANOVA and linear regression were used. Findings The study found significant anxiety (41.5%), depression (48.1%) and life dissatisfaction (41.9%) among 2,000 participants. Females reported higher anxiety and depression than males. Single individuals had the lowest life satisfaction. Higher income levels are correlated with greater life satisfaction. Quarantine and vaccination were linked to higher life satisfaction and lower psychological distress. The regression showed that older age, being married and higher income were linked to lower depression and anxiety. Severity of infection and quarantine increased both depression and anxiety. Infection reduced life satisfaction, but severe cases showed a slight improvement in satisfaction, highlighting complex health and well-being relationships. Practical implications The findings reveal complex relationships, including unexpected resilience in severe COVID-19 cases. Originality/value This study offers insights into the impact of the COVID-19 pandemic on SWB and mental health in Hungary. By analyzing socioeconomic, demographic and pandemic-related factors in a large sample, it highlights complex relationships between quarantine, infection severity, vaccination and well-being. The findings contribute to understanding how these factors influence mental health, informing targeted interventions during health crises.

Fairness, Trust, and Well-Being Among Young Adults: Evidence from 2021 Chinese General Social Survey (CGSS).

Background. As China has undergone tremendous socioeconomic and demographic changes during and after the pandemic, it is crucial to enhance youth well-being and facilitate their transition into the workforce. This study aims to explore the multi-dimensional features of well-being and examine their relationships with fairness and trust. Methods. Using the nationally representative data from the 2021 Chinese General Social Survey (CGSS), this study analyzes the well-being of 1726 young adults aged 18 to 34 years old living in 19 provinces in China. Results. The research findings generate five latent factors of well-being and reveal the multi-faceted nature of subjective well-being, including physical and mental health challenges, positive outlook, sense of purpose, personal growth, and self-fulfillment. Physical and mental health is the cornerstone for well-being and happiness. Young people with poor physical and mental health conditions are less likely to perceive that society is fair or that people are trustworthy. Additionally, a positive outlook and future orientation are strongly associated with high fairness and/or trust. Discussion and Conclusions. By investigating the differential domains of well-being, this study contributes to the literature with the new conceptualization of well-being sub-measures and their application to youth. Furthermore, this study identifies that well-being is not only an individual-level characteristic but also a group-level attribute that can contribute to fairness and trust at the societal level. As China continues to expand its infrastructure on education, health, and technology, it is expected that sustainable economic growth and development should boost young people's career development and promote their upward mobility.

Urban Care for Unpaid Caregivers: Community Voices in the Care Block Program, in Bogotá, Colombia.

The Care Block of Bogotá, Colombia, is an urban program that offers services for low-income unpaid caregivers. This study aimed to (i) characterize unpaid caregivers' subjective well-being, mental health symptoms, physical activity levels, and use of public spaces linked to the Care Block; (ii) identify caregivers' perceived built and social environment facilitators and barriers to accessing the Care Block facility; and (iii) document the community-led advocacy process to improve the Care Block program. The quantitative component included a subjective well-being and mental health symptoms survey, and the System for Observing Play and Recreation in Communities (SOPARC) instrument. The qualitative component included the Our Voice citizen science method augmented with portable virtual reality equipment to engage participants in advocacy for changes. Participants (median age of 53years) dedicated a median of 13.8h a day to unpaid caregiving, had an average subjective well-being score of 7.0, and 19.1% and 23.8% reported having depression and generalized anxiety symptoms respectively. Caregivers reported that the program fosters their perception of purpose, enjoyment, resilience, and cognitive and emotional awareness. SOPARC evaluation showed that most women engaged in moderate to vigorous physical activity. The caregivers highlighted education, physical activity services, and integration of facilities as facilitators to accessing the Care Block program. Poor quality and lack of sidewalks and roads, limited personal safety, and the risk of pedestrian-vehicle collisions were identified as barriers. Virtual Reality sparked compelling dialogue between participants and stakeholders, allowing stakeholders to reflect on an urban program facilitating unpaid care work.

Psychometric evaluation of the Brief Resilient Coping Scale (BRCS) over the course of the pandemic in a large German general population sample.

The Brief Resilience Coping Scale (BRCS) is a brief instrument suitable for epidemiological studies. The aims of this paper were to analyze changes in BRCS depending on time, sex, age group, relationship status, as well as risk of poverty, to test the psychometric properties including test-retest reliability and measurement invariance, and to determine associations with psychosocial stress, depressiveness, anxiety, social support, as well as subjective mental and physical health. As the data from this study was collected during the pandemic, an additional sensitivity analysis was performed with pre-pandemic data. A longitudinal study of resilience and distress in a large-sized community sample was performed at one pre-pandemic (T0) and three pandemic time points (T1-3). Resilient coping was assessed by the 4-Item short form of the BRCS, distress by the PHQ-9 and GAD-2. BRCS decreased between the first and the second and increased at the third pandemic time point. The scale had a good internal consistency. Test-retest correlation coefficients ranged from 0.527 to 0.589. Higher resilient coping was found in younger participants, participants not at-risk-of-poverty and in males. Stability was higher in those with a partner, and at-risk-of-poverty. Significant negative associations with psychosocial stress, loneliness, depressiveness, anxiety, social support, as well as subjective and physical health and SES underscored the construct validity. Overall, findings underscore that resilient coping is a dynamic construct with considerable stability. The scale showed good psychometric properties including test-retest reliability over four months to two years. We found that it is not only important to describe the level of resilient coping, but also its stability.

Exploring Subjective Mental Health Change in Older Adults after Experiencing an Immersive Virtual Reality (IVR) -Based Natural Environment.

The study explored subjective mental health change in adults aged 60 to 100 by experiencing immersive virtual reality (IVR)-based on the natural environment. It investigated changes in thinking, behaviour, and emotions from a socioecological perspective. The study conducted quantitative surveys of 540 older adults via IVR who lived in 20 longevity villages in South Korea from Dec. 2022 to Nov. 2023. It also paralleled a qualitative study with 38 of the 540. Study results predicting subjective mental health changes after experiencing IVR in those over 70 showed the highest gladness and happiness. In over 70 compared with 60 to 69 ages, the study found that relieving stress and depression, gladness and happiness, and relaxing the mind have about two-fold subjective mental health changes after experiencing IVR. The study suggests that it can be utilized to promote subjective mental health through the experience of an IVR-based natural environment for older adults.

The high costs of freedom: subjective well-being and mental health in prisoners in Chile

The high costs of freedom: subjective well-being and mental health in prisoners in Chile

Objective and subjective cognitive outcomes one year after COVID-19.

This study aimed to evaluate subjective cognitive, physical, and mental health symptoms as well as objective cognitive deficits in COVID-19 patients 1 year after infection. This was a cross-sectional study. Seventy-four patients, who contracted a SARS-CoV-2 infection in 2020, underwent an in-person neuropsychological assessment in 2021. This included standardized tests of memory, attention, and executive functions. In addition, participants also responded to scales on subjective attention deficits, mental health symptoms, and fatigue. Patients' scores were compared to published norms. Patients (N = 74) had a median age of 56 years (42% female). According to the initial disease severity, they were classified as mild (outpatients, 32%), moderate (hospitalized, non-ICU-admitted, 45%), or severe (ICU-admitted, 23%). Hospitalized patients were more often affected than outpatients. In general, deficits were most common in attention (23%), followed by memory (15%) and executive functions (3%). Patients reported increased levels of fatigue (51%), anxiety (30%), distractibility in everyday situations (20%), and depression (15%). An additional analysis suggested an association between lower scores in an attention task and hyperferritinemia. As indicated by a hierarchical regression analysis, subjective distractibility was significantly predicted by current anxiety and fatigue symptoms but not by objective attention performance (final model, adj-R2 = 0.588, P < 0.001). One year after infection, COVID-19 patients can have frequent attention deficits and can complain about symptoms such as fatigue, anxiety, and distractibility. Anxiety and fatigue, more than objective cognitive deficits, have an impact on the patients' experienced impairments in everyday life.

Correlation between the Oral and Mental Health of University Students in Serbia-A Cross-Sectional Study.

This cross-sectional study aimed to assess the correlation between subjective oral health status and mental health in a group of university students in Serbia. The study included 948 students, aged between 18 and 27, from the Faculty of Medical Sciences, University of Kragujevac, Serbia, and was conducted in 2020. The World Health Organization's Oral Health Questionnaire for Adults was utilized to evaluate the respondents' self-perceived oral health and oral hygiene practices. The existence of depressive symptoms was evaluated using the Beck Depression Inventory-II (BDI-II), and the Zung self-rating anxiety scale (SAS) was used for determining anxiety symptoms. It is observed that 28.9% of respondents exhibit symptoms of depression and 42.3% showed symptoms of anxiety. Results show that students with severe depression and anxiety symptoms very often reported lower self-perceived oral health and oral health problems. Although the nature of this relationship has not been thoroughly evaluated, several studies have shown a mutually dependent connection between oral health and mental health. The results suggest that some aspects of oral health are associated with higher risks of developing symptoms of depression or anxiety, and vice versa.

Bullying experiences in childhood and health outcomes in adulthood.

This study examines whether the experience of being bullied at school has a long-term impact on three health outcomes in adulthood in Japan: subjective health, mental health, and activity restriction due to health conditions. We employed a random effects model and the Karlson-Holm-Breen method to decompose the total effect of being bullied at school on health inequality into a direct effect and an indirect effect working through intervening factors including education, marriage, economic well-being, and social networks. We used the Japanese Life Course Panel Surveys 2007-2020 (waves 1-14), a nationally representative panel data set that includes 2,260 male and 2,608 female respondents. The results demonstrate that for both men and women, the direct effect of being bullied at school was strong and significant. Bullying experiences in childhood had a long-term impact on health outcomes in adulthood, regardless of social background and mediating factors of education, marriage, economic well-being, and social networks. Bullying victimization increased the risk of poor subjective health, low mental health scores, and activity restriction due to health conditions. Intervening factors (especially economic well-being and friendship) mediated the association between bullying experiences and all health outcomes, but their contributions were modest. Policy measures not only to prevent bullying during childhood but also to alleviate its negative consequences in adulthood should be considered to help people who have encountered adverse childhood experiences.

COVID-19 olfactory dysfunction: associations between coping, quality of life, and mental health.

Persistent olfactory dysfunction (OD) is a common symptom following SARS-CoV-2 infection that can greatly impact quality of life (QoL). Because coping strategies have been shown to moderate the effect of disease symptoms on functional and affective outcomes, this study aims to determine whether specific coping strategies are associated with and moderate QoL outcomes. Participants with prior SARS-CoV-2 infection underwent psychophysical olfactory testing with Sniffin’ Sticks and completed questionnaires to elicit subjective olfactory function, coping strategies, olfactory-specific QoL, general QoL, and mental health. There were 93 participants included in the study. Olfactory specific QoL scores were significantly worse among individuals with subjective and psychophysically measured OD compared to those with subjective and psychophysically confirmed normosmia. Olfactory-specific QoL, general QoL, and anxiety symptom scores were positively correlated with avoidant and disengagement coping among individuals with subjective and psychophysically measured OD. Depression symptom scores were positively correlated with avoidant and disengagement coping and negatively correlated with approach and engagement coping. There were no significant moderating effects on the association between olfactory performance and QoL or mental health screening assessment. Approach and engagement coping mechanisms are associated with improved depression, whereas avoidant and disengagement coping tracks with worse QoL and mental health screening assessment, offering an opportunity to counsel patients accordingly.

Online dating apps and the association with emotional reactions: A survey on the motivations, compulsive use, and subjective online success of Chinese young adults in online dating

Dating applications, such as Momo, have become trendy among the young population in China. While there have been some studies on online dating applications, limited research has explored the association between these applications and adolescents’ mental health, and how they are related. This study investigates the motivations behind Chinese youth using online dating applications, the relationship between motivations and compulsive use, and their associations with subjective online success and mental health. Specifically, this study surveyed from February 2022 to March 2022, involving 451 young Chinese adults aged 18 to 35 (mean age = 25.17 years, SD = 4.25, and the biological sex distribution was 49.45% male and 50.55% female). The results indicate that motivations, including social approval, relationship seeking, sexual experiences, and socializing, were associated with adolescents’ compulsive use of online dating apps. The compulsive use of online dating apps was associated with higher reports of feelings such as joviality, sadness, and anxiety. Furthermore, the association between compulsive use and young adults’ mental health appeared to be mediated by subjective online success. The findings of this study provide a better understanding of the behavior and consequences of using online dating apps within the youth population.

Sedentary Behaviors, Light-Intensity Physical Activity, and Healthy Aging

Sleep duration and moderate-to-vigorous physical activity (MVPA) are associated with healthy aging, but the associations of sedentary behaviors and light-intensity physical activity (LPA) with healthy aging are still unclear. To examine the independent association of sedentary behaviors and LPA with healthy aging, and to estimate the theoretical association of replacing sedentary behavior with LPA, MVPA, or sleep with healthy aging. In this cohort study using data from the Nurses' Health Study, participants aged 50 years or older and free of major chronic diseases in 1992 were prospectively followed up for 20 years. Data were analyzed from January to May 2022. Three measures for sedentary behaviors (hours watching television, sitting at work, and other sitting at home) and 2 measures for LPA (hours of standing or walking around at home [LPA-Home] and at work [LPA-Work]). Healthy aging was defined as survival to at least age 70 years with maintenance of 4 health domains (ie, no major chronic diseases and no impairment in subjective memory, physical function, or mental health). The isotemporal substitution model was used to evaluate the potential impact on healthy aging of replacing 1 hour of 1 behavior with equivalent duration of another. Among 45 176 participants (mean [SD] age, 59.2 [6.0] years), 3873 (8.6%) women achieved healthy aging. After adjustment for covariates including MVPA, each increment of 2 hours per day in sitting watching television was associated with a 12% (95% CI, 7%-17%) reduction in the odds of healthy aging. In contrast, each increase of 2 hours per day in LPA-Work was associated with a 6% (95% CI, 3%-9%) increase in the odds of healthy aging. Replacing 1 hour of sitting watching television with LPA-Home (OR, 1.08; 95% CI, 1.05-1.12), LPA-Work (OR, 1.10; 95% CI, 1.07-1.14), or MVPA (OR, 1.28; 95% CI, 1.23-1.34) was associated with increased odds of healthy aging. Among participants who slept 7 hours per day or less, replacing television time with sleep was also associated with increased odds of healthy aging. In this cohort study, longer television watching time decreased odds of healthy aging, whereas LPA and MVPA increased odds of healthy aging and replacing sitting watching television with LPA or MVPA, or with sleep in those who slept 7 hours per day or less, was associated with increased odds of healthy aging, providing evidence for rearranging 24-hour behavior to promote overall health.

‘Heavy’ life satisfaction: Unveiling the intricate relationships between obesity and well-being in Abu Dhabi

The study investigates the intricate relationship between obesity and well-being among residents in Abu Dhabi. Obesity is recognized as a significant public health concern worldwide, with potential implications for individuals' overall well-being. Understanding the complex associations between obesity and various aspects of well-being is essential for developing effective interventions to promote healthier lifestyles and improve overall quality of life. The research employs path analysis to explore the direct associations between obesity and multiple well-being indicators. Data is collected from residents in Abu Dhabi, focusing on subjective health, subjective mental health, life satisfaction, physical exercise, and satisfaction with social relationships. Path analysis allows for a comprehensive examination of the relationships between obesity and well-being indicators, providing valuable insights into the potential impacts of obesity on individuals' overall well-being. The path model reveals significant direct associations between self-perceived obesity and various well-being indicators. Specifically, obesity demonstrates direct impacts on life satisfaction, subjective mental health, subjective health, physical exercise, and satisfaction with social relationships. Notably, obesity is negatively associated with life satisfaction (-0.017) but positively associated with mental health (0.111), albeit within a negatively framed context. This suggests that obesity may adversely affect mental health despite its positive association. The findings underscore the complexity of the relationship between obesity and well-being among residents in Abu Dhabi. While obesity negatively impacts life satisfaction, it paradoxically shows a positive association with mental health, albeit within a negatively framed context. These results emphasize the importance of addressing obesity as part of efforts to promote overall well-being and improve quality of life among residents in Abu Dhabi. Future interventions should focus on promoting healthier lifestyles and addressing the psychological impacts of obesity to enhance residents' overall well-being and happiness.

Sibling Availability, Sibling Sorting, and Subjective Health Among Chinese Adults

Despite rising numbers of only children in China, little is known about their family dynamics and well-being in adulthood—for example, how often they marry other only children and whether those in siblingless families have worse or better health than others. Theoretical expectations produce opposing predictions: siblings might provide social and emotional support and reduce parental caregiving pressures, but only children might receive more support from parents and grandparents. Using the 2010 China Family Panel Study, we examine marital sorting on Chinese adults’ number of siblings and test whether sibling availability and sibling sorting are associated with subjective physical and mental health. Despite general perceptions that China has an exceedingly high prevalence of adults with no siblings that might produce very small families, results demonstrate a low prevalence of siblingless couples (i.e., both spouses are only children). Married adults with no siblings or siblings-in-law have better subjective physical health but similar levels of subjective mental health relative to their counterparts with siblings. The health advantages of siblingless marital unions are greater for rural and female adults. Declining sibling prevalence in China will shape future family demographic dynamics but appears less detrimental to population health than sometimes assumed.

A longitudinal perspective to migrant health: Unpacking the immigrant health paradox in Germany

Previous research finds that recent immigrants are healthier than the native-born, while more established immigrants exhibit worse health, suggesting a process of unhealthy assimilation. However, previous literature is mostly based on cross-sectional data or on longitudinal analyses similarly failing to disentangle individual-level variation from between-individual confounding. Moreover, previous longitudinal studies are often limited in their study of different health outcomes (few and mostly subjective health), populations (sometimes only elderly individuals), time periods (short panels) and geographical contexts (mostly Australia, Canada and USA). We address these limitations by comparing the health trajectories of adult immigrants and natives in Germany over extended periods, using data from years 2002–2021 of the German Socio-Economic Panel (SOEP), and investigating a wide range of health outcomes, including self-assessed physical and mental health measures, diagnosed illnesses, and health behaviors. We employ a longitudinal approach that stratifies immigrants by age at arrival, and compares them to natives of the same age. This allows us to estimate both Hierarchical Linear Models and more rigorous Fixed Effects models to further address confounding. Cross-sectionally, we confirm previous literature's findings: recent immigrants are healthier than natives and established immigrants. Longitudinally, we find support for the unhealthy assimilation hypothesis concerning subjective health and mental health, but not for the others health indicators or behaviors. We interpret these findings as possible evidence of immigrants' reduced access to timely health care and emphasize the need for greater longitudinal research investigating migrant gaps in various health outcomes.

A Comparison of Loneliness and Social Support among South African Older Persons during a Pandemic

Pandemics, such as the outbreak of the novel coronavirus (Covid-19) in March 2020, have a negative impact on older persons’ (60 years and older) physical and mental health. Research on the effects of Covid-19 on older persons’ experience of loneliness and self-reported social support has predominately originated from the Global North. Applying the strengths perspective, the present study aimed to determine and compare the loneliness and social support among South African older persons during a pandemic. A cross-sectional survey was operationalised to collect data from community-dwelling older persons (n = 139) and older persons residing in residential care facilities (n = 99) through purposive sampling across five South African provinces. A loneliness scale was used to measure the respondents’ overall loneliness, including emotional and social loneliness. A social support scale was used to measure the availability of social support across four domains. The survey focused on social contact, number of close friends/relatives, socio-demographics, and subjective physical and mental health, respectively. Independent samples t-tests were run to explore any statistically significant differences between the two groups. Community-dwelling older persons were found to present with marginally higher levels of loneliness. No statistically significant differences were identified between the two groups. Community-dwelling older persons measured higher on social support than their peers in residential care. Two domains of social support, namely, affectionate support and positive social interaction, were found to be significantly different (p &lt; 0.01). Based on the study’s results, implications for strengths-based gerontological social work services in resource-constrained settings during a pandemic were delineated.

The Precarity of Progress: Implications of a Shifting Gendered Division of Labor for Relationships and Well-Being as a Function of Country-Level Gender Equality

The onset of the COVID-19 pandemic saw a shift toward a more traditional division of labor–one where women took greater responsibility for household tasks and childcare than men. We tested whether this regressive shift was more acutely perceived and experienced by women in countries with greater gender equality. Cross-cultural longitudinal survey data for women and men (N = 10,238) was collected weekly during the first few months of the pandemic. Multilevel modelling analyses, based on seven waves of data collection, indicated that a regressive shift was broadly perceived but not uniformly felt. Women and men alike perceived a shift toward a more traditional division of household labor during the first few weeks of the pandemic. However, this perception only undermined women’s satisfaction with their personal relationships and subjective mental health if they lived in countries with higher levels of economic gender equality. Among women in countries with lower levels of economic gender equality, the perceived shift predicted higher relationship satisfaction and mental health. There were no such effects among men. Taken together, our results suggest that subjective perceptions of disempowerment, and the gender role norms that underpin them, should be considered when examining the gendered impact of global crisis.

Subjective Experience on Virtual Reality-Assisted Mental Health Promotion Program.

Mental health promotion programs using virtual reality (VR) technology have been developed in various forms. This study aimed to investigate the subjective experience of a VR-assisted mental health promotion program for the community population, which was provided in the form of VR experience on a bus to increase accessibility. Ninety-six people participated in this study. The relationship between the subjective experience and mental health states such as depression, anxiety, perceived stress, and quality of life was explored. The subjective experience on depression and stress before and after VR program treatment was compared using the Wilcoxon signed-rank test. The satisfaction with the VR-assisted mental health promotion program was examined after using the VR program. The VR-assisted mental health promotion program on a bus significantly improved subjective symptoms such as depression (p=0.036) and perceived stress (p=0.010) among all the participants. Among the high-risk group, this VR program significantly relieved subjective depressive feeling score (p=0.033), and subjective stressful feeling score (p=0.035). In contrast, there were no significant changes in subjective depressive feelings (p=0.182) and subjective stressful feelings (p=0.058) among the healthy group. Seventy-two percent of the participants reported a high level of satisfaction, scoring 80 points or more. The findings of this study suggest that the VR-assisted mental health promotion program may effectively improve the subjective depressive and stressful feelings. The use of VR programs on buses to increase of accessibility for the community could be a useful approach for promoting mental health among the population.

Young adults from disadvantaged groups experience more stress and deterioration in mental health associated with polycrisis.

The recent polycrisis (COVID-19, Ukraine war, climate change, economic crisis) has been associated with mental health through cumulative stress, with young people being particularly vulnerable. We surveyed 403 college students from Poland to examine their psychological responses to the experienced crises. The results showed that polycrisis was associated with worse mental health of college students from disadvantaged groups (based on gender, sexual orientation, and financial situation) compared to other college students, in four areas: sense of proximity to the crises, stress caused by the crises, sense of responsibility for mitigating the crises, and experiencing everyday moral dilemmas regarding the crises. These young adults also suffered more in terms of negative affectivity, depressive symptoms, and subjective physical and mental health. Our findings suggest that when discussing public mental health perspectives, it is important to consider consequences of cumulative stress and its greater impact on young people from disadvantaged groups.