Mental Health Of Young People Research Articles

Role of the arts in the life and mental health of young people that participate in artistic organizations in Colombia: a qualitative study

BackgroundAdolescents and young adults are vulnerable to developing mental distress. However, evidence suggests that more than half of the young people with symptoms of depression and anxiety overcome their distress within a year. However, there is little research on the exact resources that young people use and help them to recover. The aim of this study was to explore how arts activities can support the recovery of young people engaged with arts organizations in Bogota.MethodsWe recruited 38 participants from two arts organizations in Bogotá and conducted six focus groups embedded within artistic workshops. The type of activities in the workshops varied reflecting the different teaching methods of the two organizations. The focus group discussions were recorded and analyzed using thematic analysis.ResultsFive themes explained how arts activities can help young people participating in artistic organizations to overcome mental distress: i) allowing the expression of emotions; ii) helping to manage and transform emotions; iii) distracting from problems; iv) facilitating social support and relationships; and v) contributing to the identity of young people.ConclusionsFor young people who participate in artistic organizations, the arts are a resource for overcoming negative emotions such as anxiety, depression, and sadness. The beneficial role of arts activities includes different process of managing, expressing, and distracting from distress, and it differs depending on whether arts are perceived as a professional vocation or a hobby.

Socio-economic inequalities in adolescent mental health in the UK: Multiple socio-economic indicators and reporter effects

There are socio-economic inequalities in the experience of mental ill-health. However, less is known about the extent of inequalities by different indicators of socio-economic position (SEP). This is relevant for insights into the mechanisms by which these inequalities arise. For young people's mental health there is an additional layer of complexity provided by the widespread use of proxy reporters. Using data from the UK Millennium Cohort Study (N ​= ​10,969), we investigated the extent to which five SEP indicators (parent education, household income, household wealth, parent occupational status, and relative neighbourhood deprivation) predict adolescent internalising mental health (at ages 14 and 17 years) and how this varies as a function of reporter. Both parent report and adolescent self-report were considered. Regression models demonstrated that whilst greater disadvantage in all five SEP indicators were associated with greater parent-reported adolescent mental health symptoms, only income, wealth, and occupational status were associated with self-reported mental health symptoms at ages 14 and 17 years. The magnitude of these effects was greater for parent-reported than self-reported adolescent internalising symptoms: SEP indicators jointly predicted 4.73% and 4.06% of the variance in parent-reported symptoms at ages 14 and 17 compared to 0.58% and 0.60% of the variance in self-reported internalising mental health. Household income predicted the most variance in parent reported adolescent internalising symptoms (2.95% variance at age 14 & 2.64% at age 17) and wealth the most for self-reported internalising symptoms (0.42% variance at age 14 & 0.36% at age 17). Interestingly, the gradient and variance explained of parent-reported adolescent mental health across SEP indicators mirrors that of parent's own mental health (for example, income explained 4.89% variance at the age 14 sweep). Our findings highlight that the relevance of different SEP indicators to adolescent internalising mental health differs between parent and adolescent reports. Therefore, it is important to consider the various perspectives of mental health inequalities gained from different types of reporters.

Stress, Depression and/or Anxiety According to the Death by COVID-19 of a Family Member or Friend in Health Sciences Students in Latin America during the First Wave

The COVID-19 pandemic generated high mortality in various countries, which may have had an impact on the mental health of young people. The objective of the study was to evaluate whether the death of a family member or close friend due to COVID-19 generated a higher prevalence of depression, anxiety, or moderate/severe stress in university health sciences students in Latin America. This is an analytical cross-sectional study, with secondary data; depression, anxiety, and stress were measured with a validated survey. In addition, data were obtained on the deaths by COVID-19 of family members or close friends, illness and other socio-economic variables. Descriptive and analytical statistics were obtained. It was found that, of the 3304 students, 5.9% (190) had a close relative who had died, 11.2% (363) a distant relative, and 19.8% (641) a friend. According to the multivariate analysis, those students who had a close family member who had died had greater depression (RPa: 1.48; CI 95%: 1.20–1.84; value p < 0.001) and stress (RPa: 1.41; CI 95%: 1.11–1.79; p value = 0.005), in addition, those who had a friend who died had higher levels of anxiety (RPa: 1.20; 95% CI: 1.06–1.36; p value =0.005); also, the respondents who suffered from COVID-19 had greater depression (RPa: 1.49; CI 95%: 1.05–2.11; value p = 0.024) and stress (RPa: 1.55; CI 95%: 1.05–2.28, p-value = 0.028). An association was found between suffering from depression, anxiety, or stress, and having suffered the death of a family member or close friend from COVID-19. This finding is an important one for places of education to consider, suggesting a need to generate psychological support programs for students who have lost a loved one during the pandemic, since this could have academic and social repercussions. An association was found between the three mental illnesses studied and the death of a family member or close friend from COVID-19.

Mental health professionals as influencers on TikTok and Instagram: What role do they play in mental health literacy and help-seeking?

BackgroundMental disorders are recognised as the leading causes of disability worldwide. Despite high rates of incidence, few young people pursue formal help-seeking. Low levels of mental health literacy have been identified as a contributing factor to the notable lack of formal help-seeking by young people. Social media offers a potential means through which to engage and improve young people's mental health literacy. Mental health influencers could be a means through which to do this. ObjectiveThe objectives of this study were two-fold: (1) to systematically identify the most popular mental health professionals who could be classified as ‘influencers’; and (2) to determine whether their content contributed to mental health literacy. MethodsThe search function of Instagram and TikTok was used to generate a list of accounts owned by mental health professionals with over 100,000 followers. Accounts not in English, in private, with no posts in the last year or with content unrelated to the search terms were excluded. Accounts were assessed for number of followers, country of origin, verified status and whether a disclaimer was included. Using content analysis, the five most recent posts dating back from 15 November 2021 were analysed for purpose and dimensions of mental health literacy as outlined by Jorm (2000) by three separate reviewers. ResultsA total of 28 influencer accounts were identified on TikTok and 22 on Instagram. Majority of the accounts on both TikTok and Instagram originated from the United States (n = 35). A greater number of accounts included disclaimer and crisis support information on Instagram (12/22, 54.55 %) than on TikTok (8/22, 36.36 %). A total of 140 posts were analysed on TikTok and 110 posts on Instagram. When addressing elements of mental health literacy from this sample, 23.57 % (33/140) TikTok posts and 7.27 %. (8/110) posts on Instagram enhanced the ability to recognise specific difficulties. ConclusionsThese platforms and accounts provide a potential means through which to make mental health information more accessible, however, these accounts are not subjected to any credibility checks. Careful consideration should be given to the impact of content created by mental health professionals and its role in supporting help-seeking.

Leaving child and adolescent mental health services in the MILESTONE cohort: a longitudinal cohort study on young people's mental health indicators, care pathways, and outcomes in Europe

The configuration of having separate mental health services by age, namely child and adolescent mental health services (CAMHS) and adult mental health services (AMHS), might be a barrier to continuity of care that adversely affects young people's mental health. However, no studies have investigated whether discontinuity of care in the transition period affects mental health. We aimed to discern the type of care young people receive after reaching the upper age limit of their CAMHS and examine differences in outcomes at 24-month follow-up between young people receiving different types of care. To assess mental health in young people from 39 CAMHS in eight European countries (Belgium, Croatia, France, Germany, Italy, Ireland, the Netherlands, and the UK), we did a longitudinal cohort study. Eligible young people were CAMHS users up to 1 year younger than the upper age limit of their CAMHS or up to 3 months older, if they were still in CAMHS. Information on mental health service use, mental health problems (ie, using the Health of the Nation Outcome Scale for Children and Adolescents, Youth Self-Report and Adult Self-Report, DSM-5, and ICD-10), and sociodemographic characteristics were collected using self-reported, parent-reported, and clinician-reported interviews and questionnaires. Mixed models were applied to assess relationships between baseline characteristics, mental health service use, and outcomes. The MILESTONE cohort included 763 young people. The participants were 60·0% female (n=458) and 40·0% male (n=305), 90·3% White (n=578), and had a mean age of 17·5 years (range 15·2-19·6 years). Over the 24-month follow-up period, 48 young people (6·3%) actively withdrew from the study. For young people, the higher their scores on the Health of the Nation Outcome Scale for Children and Adolescents (p=0·0009) and Youth Self-Report and Adult Self-Report (p=0·046), and who had a clinical classification of severe mental illness (p=0·0033), had suicidal thoughts or behaviours or self-harm (p=0·034), used psychotropic medication (p=0·0014), and had a self-reported or parent-reported need for continued treatment (p<0·0001) at baseline, were more likely to transition to AMHS or stay in CAMHS than to have care end. Overall, over the 24-month follow-up period, the mental health of young people improved, but 24·4% of young people reported an increase in problems calculated using the reliable change index, of whom 5·3% had a clinically relevant increase in problems. At 24-month follow-up, no differences in change in mental health problems since baseline were found between young people who used different types of care (CAMHS, AMHS, or no care). Although approximately half of young people reaching the upper age limit of their CAMHS stop using mental health services, this was not associated with a deterioration in their mental health. Young people with the most severe mental health problems are more likely to receive continued care. If replicated, our findings suggest investments in improving transitional care for all CAMHS users might not be cost-effective in times of rising health-care costs, but might be better targeted at a subgroup of young people with increasing mental health problems who do not receive continued treatment. European Commission's 7th Framework Programme.

In Case You Haven't Heard…

Eighteen‐year‐old Norah Carter from Gibsonia, Pennsylvania, has made national headlines after being one of four teens in the country to win the 4‐H Youth in Action Award for Healthy Living, reported WESA 90.5 FM, Pittsburgh's NPR News station, Oct. 31. Carter has been helping hundreds of other young people on their mental health journeys. Her programming, which focuses on mindfulness, positive coping skills, decision‐making, depression and anxiety, earned her title of 4‐H spokesperson for their Healthy Living Pillar. Her virtual weekly workshops were offered to students from cities, suburbs and even incarcerated youth. Having grown up with a disability, Norah's advocacy stems from her life experiences and she is able to help others facing similar challenges. Norah has been in 4‐H since she was eight years old. She started taking horseback riding lessons as an alternative to physical therapy. President and CEO of the National 4‐H Council, Jennifer Sirangelo, said that the organization was impressed with her initiative and leadership while helping 4‐H make young people's mental health a priority. Norah will be continue to year engage with young people and meeting community leaders as a spokesperson for 4‐H during 2023.

Pelatihan Keseimbangan Emosi Di Masa Pandemi Covid-19 (SMPN 88 Jakarta Barat)

The world has changed a lot since 2020. Covid-19, whose presence was unexpected, has become afrightening pandemic and has changed the world to this day. The number of changes that occur certainly hasa lot to do with mental health. There are articles reporting signs of depression, anxiety, PTSD and otherpsychological illnesses in the global community during the Covid-19 pandemic. Entering the third year of theCovid-19 pandemic, the impact of the pandemic on children and young people's mental health and well-beingis also being felt and continues to worsen. Disruptions to routines, education, recreation, and anxiety aroundfamily finances and health make many young people feel afraid, angry, and worried about their future. Mentalhealth is related to a person's emotional state. A person's emotional balance plays an important role for thatperson to live well and effectively. This training is aimed at improving emotional balance during the COVID-19 pandemic, especially for the teenage students of SMPN 88 West Jakarta. The selection of training subjectsis considered to be in accordance with the characteristics of the adolescent age which is full of turmoil andemotional instability

The longitudinal effect of social media use on adolescent mental health in the UK: findings from the UK Longitudinal Household Study

BackgroundCross-sectional studies have suggested an association between the use of social media and depression and anxiety in young people. We examined the longitudinal relationship between social media use and young people's mental health, and the role of self-esteem and social connectedness as potential mediators. MethodsAdolescents (aged 10–15 years) from the UK Longitudinal Household Study (2009–19) were included. Mental health was measured by the Strengths and Difficulties Questionnaire Total Difficulties score. The number of hours spent on social media was measured on a 5-point scale, from zero to ≥7 h. Self-esteem and social connectedness were measured at ages 13–14 years. Covariates included demographic and household variables. Unadjusted and adjusted multilevel linear regression models explored whether social media use at ages 12–13 years predicted mental health at ages 14–15 years (expressed as beta values and 95% CIs). Path analysis with structural equation modelling was used to investigate the mediation pathways. FindingsWe included 3228 adolescents (1659 [51·4%] girls and 1569 [48·6%] boys) for whom social media and mental health data at ages 12–13 years and 14–15 years were available. In adjusted analysis, no association between time spent on social media and poorer mental health was identified (n=2603; b=0·21 [95% CI –0·43 to 0·84]; p=0·52). In adjusted path analysis, there was no mediation of self-esteem (indirect effect; n=2316; b=0·24 [95% CI –0·12 to 0·66]; p=0·22) or social connectedness (indirect effect; –0·03 [–0·20 to 0·12]; p=0·74), but in unadjusted analysis, 68% of the effect of social media use on mental health was mediated by self-esteem (indirect effect; n=2569; 0·70 [0·15 to 1·30]; p=0.016) but not by social connectedness. Similar results were found when the analysis was re-run on a multiply imputed dataset that filled in missing values using multiple imputation. InterpretationOur data show the importance of longitudinal evidence. We found there was little evidence to suggest a causal relationship between the use of social media and mental health issues 2 years later. Interventions that address social media use alone might not improve young people's mental health, and considering factors such as self-esteem might be more effective. FundingUK National Institute for Health Research School for Public Health Research (grant reference PD-SPH-2015). The views expressed are those of the authors and not necessarily those of the National Institute for Health Research or the UK Department of Health and Social Care.

The Effectiveness of Play Therapy Intervention in Developing Social Skills for Children with Autism Spectrum Disorder: Meta-Analysis

The mental health of young people is an issue of public health and sustainable development that is still underestimated in the countries of the South, particularly in sub-Saharan Africa, even though demographic and health transitions make it a major challenge. The overview of mental health in developing countries highlights the absence of a specific policy, the lack of resources allocated to this health sector, and the scarcity of research, even though mental illnesses have decisive and growing morbid, social, and economic impacts. The insufficient production of data contributes to the invisibilities of this issue. Based on the literature and the experiences of the authors on mental health in Senegal, they illustrate how the psychological health of young people is interwoven into the societal context.

Exploring young people's perspectives on mental health support: A qualitative study across three geographical areas in England, UK.

Improving young people's (YP) mental health and well-being is a global public health priority. Despite continued commitment within the UK policy agenda to improve the mental health and well-being of YP, the incidence of mental health issues continues to rise. This has been further compounded by the outbreak of COVID-19 which has disproportionately affected YP in the most socioeconomically disadvantaged areas. Understanding YP's perspectives on what supports their mental health is important to develop policies that meet their needs. We conducted focus groups (n= 18 with 42 YP aged 13-21) in three geographical areas with high levels of deprivation in England, UK. Recruited through six local youth organisations, each group of YP took part in three interlinked focus groups designed to explore their perceptions of what impacts their health in their local area, and their understandings of health inequalities through participatory methods. Throughout their discussions, YP foregrounded the significance of mental health and mental health support structures. YP perceived challenges to accessing mental health provision and an unmet need for support within their local communities. Alongside this, YP consistently highlighted the importance of youth groups for promoting good mental health and mitigating challenges to poor mental health. However, ongoing cuts to the voluntary sector and universal services continue to impact areas and individuals in the greatest need. In the face of deficits in formal mental health support, our findings highlight the pressing need for increased investment in services focused on prevention (such as youth groups) in areas of high deprivation.

Association between worries about climate change and mental health in Norwegian adolescents

Abstract Background Climate change has a great impact on the future of children and young people. Since the global climate strike movement, many adolescents expressed worries about climate change. But do these worries lead to declined mental health and future optimism? Thus, we aim to explore associations between prevalence of worries about climate change, leisure activities and mental health problems in a representative sample of Norwegian adolescents. Methods In 2021, the youth survey Ungdata collected data from 139,841 Norwegian adolescents, which corresponds to a response rate of 75%. Descriptive analysis was used to calculate the prevalence of worries about climate change cannabis use and bi- and multivariate logistic regression analysis to examine the association between worries about climate change and mental health, leisure activities and alcohol and cannabis use, controlled for sociodemographics. Results Around 37% of Norwegian adolescents are worried about climate change. Worries increased with age and are more prevalent among girls. There is a relationship between mental health problems and worries about climate change (OR = 1.80 (CI:1.75-1.86)) still after adjusting for sociodemographic variables, leisure activities and alcohol and cannabis use (OR = 1.71 (1.10-1.42)). Conclusions The results indicate a real connection between mental health problems and worries about climate change, but the causal relationship needs further study. This knowledge makes it important for all profession, working with adolescents, paying special attention to possible negative effects of worries about climate change on the mental health of young people. Key messages • Worries about climate change has an impact on mental health of young people. • Adolescent’s worries about climate change should be taken seriously.

The longitudinal impact of social media use on adolescent mental health in the UK

Abstract Background Cross-sectional studies have suggested a relationship between social media use and depression and anxiety in young people. We examined the longitudinal relationship between social media use and young people's mental health and the role of self-esteem and social connectedness as potential mediators. Methods The sample comprised 3,228 young people from the UK Longitudinal Household Study (waves 1-10). Mental health at age 14 or 15 was measured by the SDQ Total Difficulties score. The number of hours spent on social media was measured at age 12 or 13. Self-esteem at age 13 or 14 was measured via eight questions and social connectedness was measured by two questions. Multilevel linear regression models explored whether social media use at age 12 or 13 predicted mental health at age 14 or 15. Path analysis with structural equation modelling investigated the mediation pathways. Results In unadjusted analysis, for those who spent 7 or more hours on social media vs none, their mental health problems trended upwards by 3.87 (95% CI, 0.71-7.03) but this relationship was attenuated after including covariates. In unadjusted path analysis, more social media use was associated with lower self-esteem (b=-0.10, p < 0.05), which in turn was associated with more mental health problems (b=-6.80, p < 0.001). The indirect effect (b = 0.70, p < 0.05) showed that 68% of the effect of social media use on mental health two years later was mediated by self-esteem. This relationship was attenuated after adjusting for covariates and in imputed data, and social connectedness was not associated. Conclusions This study shows the importance of longitudinal evidence, as we found there was little evidence to suggest a causal relationship between social media use and mental health issues two years later. Interventions that address social media use alone may not improve young people's mental health but those that consider factors like self-esteem may be more effective. Key messages • Longitudinal data suggests there is limited evidence that high social media use causes poorer mental health in adolescents despite indications from cross-sectional analyses. • Policy makers should consider that targeting social media use alone is unlikely to prevent poor adolescent mental health and factors like self-esteem may be more important prevention targets.

Challenges in school-to-work transition for marginalized groups - the need to strengthen structures for vulnerable youth (post pandemics) Findings from the German project “Co*Gesund”

Abstract Objective The transition from school to work is a challenge for young people which is closely correlated with health and well- being. Promoting resilience factors contributes to adolescents’ mental health and social and educational success. The aim of this study is to examine how especially vulnerable youth cope with the transition during the pandemic to identify which structural measures are helpful and which are a hindrance and to develop recommendations for action. Methods First, a rapid review on the subject of young people's mental health during the pandemic was conducted. Based on this 30 interviews with professionals from schools and vocational education and two focus groups with young people from participating institutions follow in spring and summer 2022. Finally, recommendations for action will be developed together with both groups. Results The results of the literature research illustrate the strong influence of the pandemic on the mental health of adolescents and, in particular, the increase in health inequalities along the social gradient. In relation to school and education, it is clear that young people lacked contact persons during this time. It is expected that the interviews and focus groups give insight, which resources of the young people can be strengthened in a low- threshold way and will provide further concrete indications on what structural development is needed to strengthen the resilience of young people. Conclusions For the promotion of mental health it is necessary to rely not only on the resources of young people themselves, but especially on the resources available in their environment. Only in this way transition processes can be managed successfully by the young people and they can be strengthened for the future. To this end, solutions should be developed jointly and support systems should be improved

Experiences of Using the Digital Support Tool MeeToo: Mixed Methods Study.

Digital peer support is an increasingly used form of mental health support for young people. However, there is a need for more research on the impact of digital peer support and why it has an impact. The aim of this research is to examine young people's experiences of using a digital peer support tool: MeeToo. After the time of writing, MeeToo has changed their name to Tellmi. MeeToo is an anonymous, fully moderated peer support tool for young people aged 11-25 years. There were two research questions: (1) What impacts did using MeeToo have on young people? (2) Why did using MeeToo have these impacts on young people? A mixed methods study was conducted. It involved secondary analysis of routinely collected feedback questionnaires, which were completed at two time points (T1 and T2) 2-3 months apart. Questionnaires asked about young people's (N=876) experience of using MeeToo, mental health empowerment, and well-being. Primary data were collected from semistructured interviews with 10 young people. Overall, 398 (45.4%) of 876 young people completed the T1 questionnaire, 559 (63.8%) completed the T2 questionnaire, and 81 (9.2%) completed both. Descriptive statistics from the cross-sectional analysis of the questionnaires identified a range of positive impacts of using MeeToo, which included making it easier to talk about difficult things, being part of a supportive community, providing new ways to help oneself, feeling better, and feeling less alone. Subgroup analysis (paired-sample t test) of 58 young females who had completed both T1 and T2 questionnaires showed a small but statistically significant increase in levels of patient activation, one of the subscales of the mental health empowerment scale: time 1 mean=1.83 (95% CI 1.72-1.95), time 2 mean=2.00 (95% CI 1.89-2.11), t59=2.15, and P=.04. Anonymity and the MeeToo sense of community were identified from interviews as possible reasons for why using MeeToo had these impacts. Anonymity helped to create a safe space in which users could express their feelings, thoughts, and experiences freely without the fear of being judged by others. The MeeToo sense of community was described as a valuable form of social connectedness, which in turn had a positive impact on young people's mental health and made them feel less isolated and alone. The findings of this research showed a range of positive impacts and possible processes for young people using MeeToo. Future research is needed to examine how these impacts and processes can be sustained.

Well-Being during the Pandemic–Insights from a Rapid Review on the Mental Health of Disadvantaged Youth and Young Adults

The spread of the COVID-19 pandemic had a wide range of impacts on living conditions, opportunities and mental health. As discussed by society and supported by some studies, young people were particularly affected. The aim of this review was to provide an overview of research that explicitly addressed the mental health outcomes of adolescents’ and young adults’ transition. A systematic literature search in PubMed, PsycInfo, PSYNDEX, Embase and LIVIVO was conducted in February 2022. 42 of 2562 screened publications from industrialized/high-income countries were included and analyzed. All included publications show that the mental health of young people worsened during the pandemic. Several studies suggest(ed) that youths with less education and low socioeconomic status were affected most. Regarding different stages of adolescence, study results are heterogeneous. Evidence indicates that schools as institutions are important settings for everyday lives, personal development and education of young people. The review shows that there is a need for research and scientifically validated recommendations for practice. Further consideration should focus on the implementation of sustainable structures on the local level to strengthen resilience, minimize risk factors for young people’s mental health and create opportunities for valuable transitions.

The emotional state of young people in northern Spain after one year and a half of the COVID-19 pandemic

Background and objectives: Since the beginning of the COVID-19 pandemic, the young population has been suffering from an accumulation of psychological symptoms in northern Spain. The main objectives of this study were (1) to assess whether psychological symptoms persisted after one year and a half of the COVID-19 pandemic in northern Spain sample of young people, and (2) to analyze whether pandemic-specific variables (having a chronic illness, living with a person who has a chronic illness, having been infected with COVID-19, having a close person who has died or believing that people are respecting the measures imposed) are related to psychological symptomatology.Methods: Symptoms of stress, anxiety, and depression were measured using the Depression and Stress Anxiety Scale-21 (DASS-21). An ad hoc online questionnaire was used to collect socio-demographical information related to chronic illnesses of the participants, living with a chronically ill person, contact with a person diagnosed with COVID-19, having people close to them who have died of COVID-19, and their perception of whether or not people respect the health measures.Results: Young people have suffered higher stress, anxiety, and depression levels than at the beginning of the pandemic.Conclusions: The present study highlights the importance of addressing young people's mental health, and ensure that future adults emerge from the COVID-19 pandemic in a psychologically strong state.

Young people's mental health in a changing climate

BackgroundThe climate is changing more rapidly than anticipated, making it the greatest existential threat of our time. Evidence suggests that climate change can be a source of poor mental health among young people. A variety of mental health issues, including anxiety and post-traumatic stress disorder (PTSD), are related to the anticipation and consequences of climate change-related events. Currently, there is a paucity of evidence regarding these effects on young people who are vulnerable to the mental health impacts of climate change. MethodsWe used a quantitative approach to explore the mental health impacts of climate change among young people aged 18–24 years. A secondary analysis of data from an Australian nationwide survey (n=5483) on the mental health impacts of climate change was completed. The survey included demographic questions and measures of the impact of climate change on mental health. Hierarchical regression, ANCOVA, and logistic regression were used to examine the relationship between age and the dependent variables (eco-anxiety, pre-trauma, and PTSD). An ANCOVA was run to identify significant differences in eco-anxiety between those who have and have not had a direct experience of the effects of climate change. FindingsAge was a significant predictor of eco-anxiety, pre-trauma, and PTSD, and young people (aged 18–24 years) reported significantly higher rates of eco-anxiety (odds ratio 8·31, 95% CI 4·83–14·28; p<0·0001), pre-trauma symptoms (10·38, 4·73–22·76; p<0·0001), and PTSD symptoms (2·54, 1·46–4·41; p=0·0010) than other age groups. Furthermore, there was a significant relationship between the effects of direct experiences of climate change events and eco-anxiety (F=21·12; p<0·0001). InterpretationClimate-related poor mental health is a planetary health issue for young people in Australia. This research provides evidence of a significant link between climate change and young people's mental health. The health sector must re-orient mental health practice to manage the mental health impacts of climate change on young people. FundingInstitute for Health Transformation, Deakin University, Australia.

Exercise preferences for young people at-risk for and living with HIV: a short report

ABSTRACT Exercise can improve physical and mental health for young people at risk for and with HIV, but prevalence rates remain low. This study explored exercise preferences and barriers among young people at risk for and with HIV, and potential gender differences. A total of 129 participants (66.7% male, mean age = 23.8 [SD = 2.1; range: 19–28], 35.7% Black/African American) at-risk for or with HIV were recruited from a larger study and completed an online survey of exercise preferences and barriers. Overall, participants preferred an exercise program that takes place at a fitness center, occurs alone, has a coach/instructor present, is between 30 and 60 minutes, lasts longer than 8 weeks, and includes aerobic and resistance exercises. The fatiguing nature of exercise and cost were common barriers among all genders. Few gender differences emerged. These results should be used to design exercise programs for young adults at risk for and with HIV.

Associations between knowledge level and attitudes towards cyber-dating abuse and dating violence in nursing students

BackgroundDating violence is an increasing issue among young people and affects them psychologically. It also includes characteristics like controlling and/or monitoring. Cyber-dating abuse is dating violence characterized as harassing another person in a romantic connection via texting or online emails to control, threaten, or stalk them. ObjectivesThis study was conducted to investigate nursing students' knowledge of and attitudes towards dating, dating violence, and cyber-dating violence. DesignThis is a descriptive cross-sectional study. ParticipantsThe sample consisted of 448 nursing students from three universities in Istanbul, Turkey. MethodsData were collected using a Personal Information Form, the Dating Violence Knowledge Form (DVKF), the Dating Violence Scale (DVS), and the Cyber-Dating Abuse Questionnaire (CDAQ). ResultsParticipants had a mean age of 20.9 ± 1.9 years. Most participants were women (83.7 %). More than a quarter of the participants were involved in romantic relationships (30.6 %). Participants had a mean DVKF score of 82.0 ± 9.1. One in ten participants was subjected to dating violence (11.2 %). Participants had a mean DVS score of 4.69 ± 0.25. There was no significant difference in CDAQ scores between participants who used violence (28.3 ± 11.5) and those subjected to violence (27.0 ± 8.9). There was a negative correlation between participants' DVKF and CDAQ scores (p < 0.05). The results showed that participants had a high DVKF score and disapproved of dating violence. Participants with a higher DVKF score were less likely to use or be exposed to cyber violence. ConclusionsIn conclusion, we should develop interventions to strengthen young people's mental health because they are subjected to dating violence. Nurse educators and nurses should also plan interventions to protect young people's mental health and raise their awareness of cyber violence.

A co-produced online cultural experience compared to a typical museum website for mental health in people aged 16-24: A proof-of-principle randomised controlled trial.

We aimed to compare a co-produced online intervention encompassing the diverse human stories behind art and artefacts, named Ways of Being (WoB), with a typical museum website, the Ashmolean (Ash) on negative affect (NA), positive affect (PA) and psychological distress (K10). In this parallel group RCT, 463 YP aged 16-24 were randomly assigned, 231 to WoB and 232 to Ash. Over the intervention phase (an aggregate score including all post-allocation timepoints to day-five) a group difference was apparent in favour of WoB for NA (WoB-Ash n=448, NA -0.158, p=0.010) but no differences were detected for PA or K10 and differences were not detected at week six. Group differences in NA in favour of WoB were detected in specific subgroups, e.g. ethnic minorities and males. Across participants (from both groups) mean K10 and NA improved between baseline and six weeks despite increased COVID-19 restrictions. Trial recruitment was rapid, retention high and feedback positive with broad geographical, occupational and ethnic diversity. Online engagement with arts and culture has the potential to impact on mental health in a measurable way in YP with high unmet mental health needs.