1
|
Stefana A, Mirabella F, Gigantesco A, Camoni L. The screening accuracy of the Edinburgh Postnatal Depression Scale (EPDS) to detect perinatal depression with and without the self-harm item in pregnant and postpartum women. J Psychosom Obstet Gynaecol 2024; 45:2404967. [PMID: 39319392 DOI: 10.1080/0167482x.2024.2404967] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/11/2024] [Revised: 08/28/2024] [Accepted: 09/08/2024] [Indexed: 09/26/2024] Open
Abstract
BACKGROUND This study aims to examine whether the Edinburgh Postnatal Depression Scale (EPDS), excluding the self-harm item (EPDS-9), performs as effectively as the full EPDS in identifying depression among perinatal women. METHODS A total of 3571 pregnant women and 3850 postpartum women participated in this observational study. Participants who scored ≥ 9 on the EPDS underwent further diagnostic evaluations by a clinical psychologist and/or psychiatrist. RESULTS The EPDS-9 and full EPDS demonstrated a near-perfect correlation in both the antepartum (r = 0.996) and postpartum (r = 0.998) cohorts. EPDS-9 showed exceptional precision in identifying depression as screened by the full EPDS at cutoff points ranging 9-14, with areas under the curve ≥0.998. The sensitivity of EPDS-9 and full EPDS to detect depression that requires psychotropic medications was poor. The highest accuracy for both versions was at a cutoff score of 9: sensitivity of 0.579 for the full EPDS and 0.526 for the EPDS-9. At the cutoff point of 9, EPDS-9 performed adequately in predicting the response of the participants to the self-harm item. CONCLUSION The EPDS-9 represents a solid and effective replacement for the full EPDS in clinical settings. If the presence of suicidal thoughts needs to be assessed, specialized scales should be used.
Collapse
Affiliation(s)
- Alberto Stefana
- Department of Psychiatry and Behavioral Health, Ohio State University, Columbus, OH, USA
- Department of Brain and Behavioral Sciences, University of Pavia, Pavia, Italy
| | - Fiorino Mirabella
- Center for Behavioural Sciences and Mental Health, National Institute of Health, Rome, Italy
| | - Antonella Gigantesco
- Center for Behavioural Sciences and Mental Health, National Institute of Health, Rome, Italy
| | - Laura Camoni
- Center for Behavioural Sciences and Mental Health, National Institute of Health, Rome, Italy
| |
Collapse
|
2
|
Haslam SA, Fong P, Haslam C, Cruwys T. Connecting to Community: A Social Identity Approach to Neighborhood Mental Health. PERSONALITY AND SOCIAL PSYCHOLOGY REVIEW 2024; 28:251-275. [PMID: 38146705 PMCID: PMC11193917 DOI: 10.1177/10888683231216136] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/27/2023]
Abstract
ACADEMIC ABSTRACT Integrative theorizing is needed to advance our understanding of the relationship between where a person lives and their mental health. To this end, we introduce a social identity model that provides an integrated explanation of the ways in which social-psychological processes mediate and moderate the links between neighborhood and mental health. In developing this model, we first review existing models that are derived primarily from a resource-availability perspective informed by research in social epidemiology, health geography, and urban sociology. Building on these, the social identity model implicates neighborhood identification in four key pathways between residents' local environment and their mental health. We review a wealth of recent research that supports this model and which speaks to its capacity to integrate and extend insights from established models. We also explore the implications of the social identity approach for policy and intervention. PUBLIC ABSTRACT We need to understand the connection between where people live and their mental health better than we do. This article helps us do this by presenting an integrated model of the way that social and psychological factors affect the relationship between someone's neighborhood and their mental health. This model builds on insights from social epidemiology, health geography, and urban sociology. Its distinct and novel contribution is to point to the importance of four pathways through which neighborhood identification shapes residents' mental health. A large body of recent research supports this model and highlights its potential to integrate and expand upon existing theories. We also discuss how our model can inform policies and interventions that seek to improve mental health outcomes in communities.
Collapse
Affiliation(s)
| | - Polly Fong
- The University of Queensland, Brisbane, Australia
| | | | - Tegan Cruwys
- The Australian National University, Canberra, Australian Capital Territory, Australia
| |
Collapse
|
3
|
An S, Lee H, Lee J. How people react to suicidal ideation: The effect of suicide literacy, suicide stigma, and expressive suppression. J Clin Psychol 2024; 80:1949-1961. [PMID: 38742986 DOI: 10.1002/jclp.23703] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/31/2023] [Revised: 04/16/2024] [Accepted: 04/30/2024] [Indexed: 05/16/2024]
Abstract
INTRODUCTION The purpose of this study is to understand the role of suicide literacy and suicide stigma in laypeople's intention to recommend professional help in Korea. Additionally, the study focuses on the role of expressive suppression as a sociocultural factor. METHODS Participants read vignettes depicting either subclinical distress or suicidal ideation and answered questions measuring suicide literacy, stigma, and expressive suppression. Mediated moderation analyses were used to examine the interactions between these factors. RESULTS The result found the significant effect of expressive suppression. The mediating effect of suicide stigma on the relationship between suicide literacy and recommendation of professional help was significant for those who do not suppress their emotions. This result indicates that when individuals were not hesitant to express negative emotions, high suicide literacy lowered suicide stigma and led to more willingness to recommend professional help. CONCLUSIONS The results showed that expressive suppression acts as a barrier deterring Koreans from professional help for their mental health. The findings underscore the importance of sociocultural factors such as expressive suppression in developing suicide prevention strategies.
Collapse
Affiliation(s)
- Soontae An
- Department of Communication and Media, Ewha Womans University, Seoul, South Korea
| | - Hannah Lee
- Ewha Institute for Age Integration Research, Ewha Womans University, Seoul, South Korea
| | - Jiyoon Lee
- Department of Communication and Media, Ewha Womans University, Seoul, South Korea
| |
Collapse
|
4
|
Shim EJ, Park SJ, Im GH, Hackett RA, Zaninotto P, Steptoe A. Trajectories of depressive symptoms in Korean adults with diabetes: Individual differences and associations with life satisfaction and mortality. Br J Health Psychol 2024. [PMID: 39048530 DOI: 10.1111/bjhp.12742] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/07/2023] [Accepted: 07/09/2024] [Indexed: 07/27/2024]
Abstract
OBJECTIVE We examined trajectories of depressive symptoms and their predictors in adults with diabetes. We assessed whether these trajectories were related to life satisfaction and mortality. DESIGN Longitudinal, prospective observational study. METHODS We analysed data from 1217 adults with diabetes (aged ≥45 years) in the Korean Longitudinal Study of Aging (2006-2018). RESULTS Three trajectories of depressive symptomology were identified in growth mixture models: low/stable (i.e., low and stable levels of symptoms; 85.56%), high/decreasing (i.e., high levels of symptoms with a decreasing trajectory; 7.47%), and moderate/increasing (i.e., moderate levels of symptoms with an increasing trajectory; 6.98%). Participants with poor perceived health status at baseline were more likely to be in the moderate/increasing or high/decreasing classes than in the low/stable class. The moderate/increasing class had the lowest satisfaction with quality of life, followed by the high/decreasing and low/stable classes. The moderate/increasing and the high/decreasing classes had lower satisfaction with relationships with spouse and children than the low/stable class. The high/decreasing class had a higher mortality risk than the low/stable class. CONCLUSIONS Long-term monitoring of depressive symptoms in adults with diabetes is warranted given their potential adverse impact on life satisfaction and mortality.
Collapse
Affiliation(s)
- Eun-Jung Shim
- Department of Psychology, Pusan National University, Busan, Korea
| | - Sang Jin Park
- Department of Psychology, Pusan National University, Busan, Korea
| | - Gyu Hyeong Im
- Department of Psychology, Pusan National University, Busan, Korea
| | - Ruth A Hackett
- Health Psychology Section, Institute of Psychiatry, Psychology and Neuroscience, King's College London, London, UK
| | - Paola Zaninotto
- Department of Epidemiology and Public Health, University College London, London, UK
| | - Andrew Steptoe
- Department of Behavioural Science and Health, University College London, London, UK
| |
Collapse
|
5
|
Dingle GA, Han R, Alhadad SSJ, Beckman E, Bentley SV, Gomersall SR, Hides L, Maccallum F, McKimmie BM, Rossa K, Smith SS, Walter ZC, Williams E, Wright O. Data from four consecutive cohorts of students in Australia (2019-2022) show the impact of the COVID-19 pandemic on domestic and international university students' mental health. Aust N Z J Psychiatry 2024; 58:528-536. [PMID: 38383969 PMCID: PMC11128135 DOI: 10.1177/00048674241233111] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/23/2024]
Abstract
INTRODUCTION COVID-19 and related travel and social restrictions caused significant stress for university students in Australia and globally. Learning quickly moved online and many students (particularly international students) were separated from social and economic support. This study examined the impact of the pandemic from pre-pandemic (2019) to the COVID-19 Omicron wave (2022) on domestic and international students' mental health. METHODS Participants were 1540 students (72% females, 28% international) in four first-year cohorts (2019, 2020, 2021, 2022). We screened for mental health concerns (% positive) and symptom scores for depression, anxiety and somatic distress using the PsyCheck, and general wellbeing using the Warwick-Edinburgh Mental Well-being scale. RESULTS From pre-COVID (2019) to the first wave of COVID-19 (2020), the proportion of students screening positive for mental health problems rose in both domestic students (66-76%) and international students (46-67%). Depression symptoms and wellbeing were worse in 2020 than in 2019, 2021 and 2022. Anxiety symptoms increased from 2019 to 2020 and continued to rise in 2021 and 2022. Somatic symptoms did not show an effect of cohort. Contrary to expectations, domestic students reported higher distress and lower wellbeing than international students across cohorts. CONCLUSION The pandemic was associated with a marked increase in psychological distress in first-year university students, not all of which settled with the easing of restrictions. Post-pandemic recovery in the Australian university sector must include university-wide access to mental health information and support for incoming students.
Collapse
Affiliation(s)
- Genevieve A Dingle
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Rong Han
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Sakinah SJ Alhadad
- School of Education and Professional Studies, Griffith University, Nathan, QLD, Australia
| | - Emma Beckman
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD, Australia
| | - Sarah V Bentley
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Sjaan R Gomersall
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD, Australia
- School of Health and Rehabilitation Sciences, The University of Queensland, St Lucia, QLD, Australia
| | - Leanne Hides
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
- Lives Lived Well Research Group, The University of Queensland, St Lucia, QLD, Australia
| | - Fiona Maccallum
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Blake M McKimmie
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Kalina Rossa
- Institute for Social Science Research, The University of Queensland, St Lucia, QLD, Australia
- ARC Centre of Excellence for Children and Families Over the Life Course, Indooroopilly, QLD, Australia
| | - Simon S Smith
- Institute for Social Science Research, The University of Queensland, St Lucia, QLD, Australia
- ARC Centre of Excellence for Children and Families Over the Life Course, Indooroopilly, QLD, Australia
| | - Zoe C Walter
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Elyse Williams
- School of Psychology, The University of Queensland, St Lucia, QLD, Australia
| | - Olivia Wright
- School of Human Movement and Nutrition Sciences, The University of Queensland, St Lucia, QLD, Australia
| |
Collapse
|
6
|
Wang Y, He Q, Li X. The Effect of Information Exposure on Stigma Toward the COVID-19 Patient Mediated by Perceived Risk, Attribution of Blame and Protection Norm Conformity. HEALTH COMMUNICATION 2024:1-13. [PMID: 38600660 DOI: 10.1080/10410236.2024.2335424] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 04/12/2024]
Abstract
This study employed the model of stigma communication (MSC) to analyze how exposure to COVID-19-related information affected stigma-related information sharing about people who contracted COVID-19 during the pandemic and examined the cognitive process of the MSC in a collectivist culture. Based on a survey of 526 social media users during the COVID-19 pandemic in China, the study found that exposure to contact tracing information and pandemic control information had different impact on stigma-related information sharing through a series of cognitive variables. A dual-path model showed that perceived personal risk influenced stigma-related information sharing through attribution of blame toward the infected (the personal path), while perceived social risk influenced stigma-related information sharing through protection norm conformity (the social path). Compared to the personal path, the social path is more salient in shaping stigmatized attitudes and behaviors. The findings and discussions added to our understanding of the intricate stigma communication process in a collectivist culture.
Collapse
Affiliation(s)
- Yaru Wang
- School of Journalism and Communication, Shanghai University
| | - Qijun He
- School of Journalism and Communication, Shanghai University
| | - Xigen Li
- School of Journalism and Communication, Shanghai University
| |
Collapse
|
7
|
Finell E, Tolvanen A, Shuttleworth I, Durrheim K, Vuorenmaa M. The identification environment matters: Students' social identification, perceived physical school environment, and anxiety - A cross-level interaction model. BRITISH JOURNAL OF SOCIAL PSYCHOLOGY 2024; 63:429-452. [PMID: 37747119 DOI: 10.1111/bjso.12686] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/07/2022] [Accepted: 08/23/2023] [Indexed: 09/26/2023]
Abstract
The social identity approach to health argues that well-being depends on the psychosocial circumstances of the groups to which individuals belong. However, little is known about how the average level of identification in the group - 'the identification environment' - buffers the negative health consequences of stressors. We used multilevel modelling to investigate whether identification environment in a school modified the association between the students' perceptions of the quality of their school's physical environment and their reported levels of anxiety. In two representative samples of Finnish school students (N = 678 schools/71,392 students; N = 704 schools/85,989 students), weak identification environment was related to increased anxiety. In addition, in schools where identification environment was weaker, the student level relationship between perceived physical environment and anxiety was stronger, and students were more anxious. Our results provide evidence that identification environment needs to be considered when we analyse how group membership affects well-being.
Collapse
Affiliation(s)
- Eerika Finell
- Faculty of Social Sciences and Business Studies, University of Eastern Finland, Kuopio, Finland
| | - Asko Tolvanen
- Methodology Centre for Human Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Ian Shuttleworth
- School of Natural and Built Environment, Queen's University Belfast, Belfast, UK
| | - Kevin Durrheim
- Faculty of Humanities, University of Johannesburg, Johannesburg, South Africa
| | - Maaret Vuorenmaa
- Public Health and Welfare, Knowledge Management and Co-Creation, Finnish Institute for Health and Welfare, Helsinki, Finland
| |
Collapse
|
8
|
He Y, Wu C, LeMoult J, Huang J, Zhao Y, Liang K, Chen S, Wang E, Huang L, Chi X. Exploring symptom-level associations between anxiety and depression across developmental stages of adolescence: a network analysis approach. BMC Psychiatry 2023; 23:941. [PMID: 38093232 PMCID: PMC10720222 DOI: 10.1186/s12888-023-05449-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 06/27/2023] [Accepted: 12/07/2023] [Indexed: 12/17/2023] Open
Abstract
BACKGROUND Anxiety and depression often co-occur during adolescence, but the associations between symptoms of these two disorders in this developmental period are not yet fully understood. Network analysis provides a valuable approach to uncover meaningful associations among symptoms and offers insights for prevention and intervention strategies. This study aimed to investigate symptom-level associations between anxiety and depression using network analysis and to identify core symptoms, bridge symptoms, and differences in network structure across different stages of adolescence. METHODS The cross-sectional study was conducted in March 2022 in Shenzhen, China. Participants completed the Generalized Anxiety Disorder Scale-7 and Patient Health Questionnaire Depression Scale, along with demographic questionnaires assessing age and gender. Chinese adolescents aged 10 to 17 who were in Grades 5 or 6 of elementary school, Grades 1 or 2 of middle school, or Grades 1 or 2 of high school, and who could comprehensively understand and read Chinese were recruited as participants. Students in Grade 3 of middle and high schools were excluded due to their upcoming high school or college entrance examinations. Based on age, participants were categorized into early, middle, and late developmental stages of adolescence. RESULTS "Loss of control" was among the most central symptoms in the comorbidity network throughout all three developmental stages; "excessive worry" and "anhedonia" emerged as the core symptoms in early adolescence, and "restlessness" as the core symptom in late adolescence. "Anhedonia," "sad mood," and "fatigue" were identified as bridge symptoms between anxiety and depression across all three developmental stages of adolescence. The global strength of the network in middle adolescence was significantly higher compared to the other two stages. CONCLUSION These findings highlight the core and bridge symptoms that require special attention and intervention at each stage of adolescence. Moreover, significantly higher network connectivity in middle adolescence suggests this is a critical period for intervention to prevent the development of comorbid mental disorders.
Collapse
Affiliation(s)
- Yunhan He
- School of psychology, Shenzhen University, No. 3688, Nanhai Avenue, Nanshan District, Shenzhen, Guangdong, 518060, China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen, China
| | - Chengrui Wu
- Graduate School of Education, University of Pennsylvania, Philadelphia, PA, USA
- Department of Applied Social Science, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Joelle LeMoult
- Department of Psychology, University of British Columbia, Vancouver, Canada
| | - Jiasheng Huang
- Department of Psychology, Sun Yat-sen University, Guangzhou, China
| | - Yue Zhao
- School of psychology, Shenzhen University, No. 3688, Nanhai Avenue, Nanshan District, Shenzhen, Guangdong, 518060, China
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen, China
| | - Kaixin Liang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau, China
| | - Shiyun Chen
- Department of Applied Social Science, The Hong Kong Polytechnic University, Hong Kong SAR, China
| | - Enna Wang
- School of Psychology, Northwest Normal University, Lanzhou, China
| | - Liuyue Huang
- Department of Psychology, Faculty of Social Sciences, University of Macau, Macau, China
| | - Xinli Chi
- School of psychology, Shenzhen University, No. 3688, Nanhai Avenue, Nanshan District, Shenzhen, Guangdong, 518060, China.
- The Shenzhen Humanities & Social Sciences Key Research Bases of the Center for Mental Health, Shenzhen, China.
| |
Collapse
|
9
|
Watanabe DK, Pourmand V, Lai J, Park G, Koenig J, Wiley CR, Thayer JF, Williams DP. Resting heart rate variability and emotion regulation difficulties: Comparing Asian Americans and European Americans. Int J Psychophysiol 2023; 194:112258. [PMID: 37875190 DOI: 10.1016/j.ijpsycho.2023.112258] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/03/2023] [Revised: 07/21/2023] [Accepted: 10/20/2023] [Indexed: 10/26/2023]
Abstract
Asian Americans and European Americans differ in emotion regulation (ER), particularly regarding strategies utilized to adaptively engage in ER. Resting heart rate variability (HRV), a biomarker of ER ability, is suggested to differ between Asian Americans and European Americans, but evidence for such differences has been inconsistent. Yet, research has not considered how Asian Americans and European Americans might differ in the well-established link between resting HRV and ER difficulties, which might lend a better understanding of such inconsistencies. In 374 college-aged individuals (66 Asian Americans; 311 European Americans; 190 women; mean age = 19.3 years [Min. 18, Max 38]), we examined if ethnicity moderated the link between resting HRV and self-reported ER difficulties. Resting HRV was obtained during a 5-min resting-baseline period, and ER difficulties were assessed using the Difficulties in ER Scale, which contained six facets of ER difficulties. Adjusting for gender and body mass index, moderation analyses showed a stronger association between resting HRV and ER difficulties in Asian Americans compared to European Americans. When examining facets of ER, ethnicity moderated only the link between resting HRV and difficulties in accessing ER strategies when facing negative emotions. At lower levels of HRV, Asian Americans reported greater difficulties in ER relative to European Americans. This effect diminished and trended in the opposite direction among those with higher HRV. In sum, these results provide novel evidence that higher resting HRV might be particularly important for adaptive ER among Asian Americans - a marginalized ethnic group - in the U.S.
Collapse
Affiliation(s)
| | - Vida Pourmand
- Department of Psychological Science, University of California, Irvine, CA, USA
| | - Jocelyn Lai
- Department of Psychological Science, University of California, Irvine, CA, USA
| | - Gewnhi Park
- Department of Psychology, Westmont College, Santa Barbara, CA, USA
| | - Julian Koenig
- University of Cologne, Faculty of Medicine and University Hospital Cologne, Department of Child and Adolescent Psychiatry, Psychosomatics and Psychotherapy, Cologne, Germany
| | - Cameron R Wiley
- Department of Psychological Science, University of California, Irvine, CA, USA
| | - Julian F Thayer
- Department of Psychological Science, University of California, Irvine, CA, USA
| | - DeWayne P Williams
- Department of Psychological Science, University of California, Irvine, CA, USA.
| |
Collapse
|
10
|
Osmani V, Hörner L, Klug SJ, Tanaka LF. Prevalence and risk of psychological distress, anxiety and depression in adolescent and young adult (AYA) cancer survivors: A systematic review and meta-analysis. Cancer Med 2023; 12:18354-18367. [PMID: 37559504 PMCID: PMC10523984 DOI: 10.1002/cam4.6435] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/14/2023] [Accepted: 08/01/2023] [Indexed: 08/11/2023] Open
Abstract
BACKGROUND Adolescent and young adult (AYA) cancer survivors (CS) face unique psychosocial challenges, which may affect their mental health. However, there are inconsistencies in AYA definitions and varying prevalence data on psychological distress, anxiety, and depression. We aimed to synthesize published literature on prevalence, risk, longitudinal changes, and predictors for these outcomes and estimate pooled prevalences. METHODS We searched for observational studies published in English before June 1 2022, in PubMed, PsycINFO, Scopus, and Web of Science. Two researchers extracted independently information on study characteristics, prevalence, and risk. The pooled prevalence (PP) of psychological distress, anxiety, and depression was estimated using random-effects models. Geographical region, treatment status, and assessment instruments were considered in stratified meta-analyses. RESULTS Sixty-eight studies were included in the systematic review and 57 in the meta-analyses. We estimated an overall prevalence of 32% (n = 30; 4226/15,213 AYAs; 95% CI, 23%-42%; I2 = 99%) for psychological distress, 29% for anxiety (n = 24; 2828/8751 AYAs; 95% CI, 23%-36%; I2 = 98%), and 24% (n = 35; 3428/16,638 AYAs; 95% CI, 18%-31%; I2 = 98%) for depression. The range of PP of psychological distress varied across geographical regions, treatment status, and assessment instruments. The PP of anxiety varied significantly across continents, while no variations were seen for depression. Studies found higher risks for psychological distress, anxiety, and depression in AYAs compared to older cancer survivors or cancer-free peers. CONCLUSIONS Our research found that one in three AYA-CS experience psychological distress or anxiety and one in four are affected by depression, highlighting the need for specialized psychological services for AYA-CS in oncology settings and AYA-focused interventions.
Collapse
Affiliation(s)
- Vanesa Osmani
- Chair of Epidemiology, TUM Department of Sport and Health SciencesTechnical University of MunichMunichGermany
| | - Lucy Hörner
- Chair of Epidemiology, TUM Department of Sport and Health SciencesTechnical University of MunichMunichGermany
| | - Stefanie J. Klug
- Chair of Epidemiology, TUM Department of Sport and Health SciencesTechnical University of MunichMunichGermany
| | - Luana Fiengo Tanaka
- Chair of Epidemiology, TUM Department of Sport and Health SciencesTechnical University of MunichMunichGermany
| |
Collapse
|
11
|
Wazir MNK, Kakakhel S, Gul AN, Awan Q, Khattak AF, Yousaf N, Wahid F. Psychiatric Illnesses, Somatic Complaints, and Treatments in a Tertiary Care Hospital in Khyber Pakhtunkhwa, Pakistan: A Cross-Sectional Study. Cureus 2023; 15:e43151. [PMID: 37692647 PMCID: PMC10484353 DOI: 10.7759/cureus.43151] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/08/2023] [Indexed: 09/12/2023] Open
Abstract
BACKGROUND Psychiatric disorders differ in frequency and symptoms based on the cultural and ethnic background of patients. This can make diagnosing and treating patients challenging globally. In Pakistan, most psychiatric patients report multiple somatic complaints. Our goal was to investigate the causes of these complaints, identify common psychiatric conditions, and analyze their various manifestations in clinical practice. We also aimed to identify ways to improve the quality of care provided to our patients. METHODOLOGY We collected and organized data by utilizing predetermined tables from a sample of 231 patients who visited the outpatient clinics. Inpatients were not included in this study because of the absence of a psychiatric unit at our facility. Patients' past medical and psychiatric records were thoroughly examined, and pertinent information was extracted. The most common psychiatric disorders within the studied population were diagnosed based on the International Classification of Diseases, Tenth Revision (ICD-10) diagnostic criteria. RESULTS In this study, a sample size of 231 was examined to determine the most common diseases (ICD-10) in males and females. In males, the most prevalent diseases were mixed anxiety and depression (MAD), depression, generalized anxiety disorder (GAD), bipolar affective disorder (BPAD), social phobia, and obsessive-compulsive disorder (OCD). Females, on the other hand, presented more with depression, GAD, mixed anxiety and depression, conversion or dissociative disorder, OCD, and panic attacks. Headaches were the most frequently reported symptom, experienced by 61.9% the of participants, followed by lethargy, extremity pains, palpitations, loss of appetite, heartburn or acidity, heaviness on the head, shoulder pains, bloating, dizziness, chest pains, hot flashes or shivering, and constipation. Meanwhile, a quarter of the males did not complain of any somatic symptoms, compared to 10% of the females. Additionally, 7.3% of females reported more than six somatic symptoms, compared to 5.7% of males. When it came to treatment preferences, 73.6% of the participants preferred medication over psychotherapy and over a combination of both. The Statistical Product and Service Solutions (SPSS) Statistics version 22 (IBM SPSS Statistics, Armonk, NY, USA) was used to conduct a chi-square test of independence to analyze the obtained data. For post hoc analysis of quantitative data (i.e., the number of somatic symptoms reported by participants), one-way analysis of variance (ANOVA) was applied, followed by Tukey's honestly significant difference (HSD) test. CONCLUSIONS This is the first comprehensive study of its kind for this population and region. It emphasizes that clinicians should be aware of the variety of somatic symptoms and psychiatric presentations among this population. Such awareness can improve clinical practices and reduce the burden on health services.
Collapse
Affiliation(s)
| | | | - Aqsa N Gul
- Psychology, Islamia College, Peshawar, PAK
| | | | - Almas F Khattak
- Community Medicine and Research, Northwest School of Medicine, Peshawar, PAK
| | - Nowsher Yousaf
- Occupational Health Safety and Environment (OHS&E), Northwest General Hospital and Research Center, Peshawar, PAK
| | - Fakhria Wahid
- Occupational Health Safety and Environment (OHS&E), Northwest General Hospital and Research Center, Peshawar, PAK
| |
Collapse
|
12
|
Ocho ON, Moorley C, Richardson Sheppard C, Caesar-Greasley LA, Hardy S. Cultural Influences on Mental Health Provision in the Caribbean: How Do Contemporary Perceptions and Beliefs About Persons With Mental Illness Inform Workforce Transformation? J Transcult Nurs 2023; 34:14-23. [PMID: 36082626 DOI: 10.1177/10436596221121329] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/02/2023] Open
Abstract
INTRODUCTION Mental illness is a global phenomenon in society, including trained health professionals, often responding to people with mental illness based on perceptions and beliefs. The research examined "contemporary perceptions and beliefs about mental illness held by stakeholders" attending a mental health symposium in Trinidad. METHODS Data were collected using a 43-item questionnaire and analyzed using SPSS Version 22. Overall, 84 attendees working directly or experienced in mental health completed the survey. RESULTS Respondents believed mental illness should be treated within local community settings. Participants who were more comfortable sharing their mental health diagnosis with friends were more likely to share with others, including their employers. There was a relationship between perception of the superstitious causes of mental illness and its effects on healing. DISCUSSION Qualifications and experience in mental health do not reduce stigma associated with mental illness which has implications for addressing mental health literacy among health professionals.
Collapse
Affiliation(s)
- Oscar Noel Ocho
- University of the West Indies (UWISoN), St Augustine, Trinidad and Tobago
| | | | | | | | - Sally Hardy
- University of East Anglia, Norwich, Norfolk, UK
| |
Collapse
|
13
|
Wong M, Power TG. Parental Depressive Symptoms, Parent Attributional Style, and Child Coping as Predictors of Depressive Symptoms in Children of Parents with Anxiety or Mood Disorders. Child Psychiatry Hum Dev 2023; 54:352-364. [PMID: 34546466 PMCID: PMC9977699 DOI: 10.1007/s10578-021-01248-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 09/08/2021] [Indexed: 11/27/2022]
Abstract
Few studies have examined the effects of parental depressive symptoms on children in China. The present study examined the relationships between parental depression, parental attributional style, children's coping strategies and 5-12-year-old children's depressive symptoms in a sample of Chinese children whose parents had been diagnosed with an anxiety or a mood disorder. The present study confirmed that children of parents with anxiety or mood disorders would show high levels of depressive symptoms. Parents with an optimistic or neutral attributional style rated their children as showing fewer depressive symptoms than parents with a pessimistic style. This study showed a significant positive relationship between children's disengagement coping and children's reports of depressive symptoms. The findings highlight the need for early identification of, and support and intervention programs for, parents suffering from depression and children of depressed parents as a means of protecting the psychological well-being of both parents and children.
Collapse
Affiliation(s)
- Mun Wong
- Department of Early Childhood Education, The Education University of Hong Kong, 10 Lo Ping road, Tai Po, New territories, Hong Kong.
| | - Thomas G Power
- Department of Human Development, Washington State University, Pullman, WA, USA
| |
Collapse
|
14
|
Frings D, Albery IP, Kim A. When ingroup identities “clash”: The influence of beliefs about incompatibilities between being a Christian and a drinker affect motivation to change drinking behaviour. JOURNAL OF COMMUNITY & APPLIED SOCIAL PSYCHOLOGY 2022. [DOI: 10.1002/casp.2670] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/03/2022]
Affiliation(s)
- Daniel Frings
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Ian P. Albery
- Centre for Addictive Behaviours Research London South Bank University London UK
| | - Anne Kim
- Centre for Addictive Behaviours Research London South Bank University London UK
| |
Collapse
|
15
|
Kazdin AE. Expanding the scope, reach, and impact of evidence-based psychological treatments. J Behav Ther Exp Psychiatry 2022; 76:101744. [PMID: 35738691 DOI: 10.1016/j.jbtep.2022.101744] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/08/2022] [Revised: 03/18/2022] [Accepted: 04/09/2022] [Indexed: 10/18/2022]
Abstract
The development and evaluation of evidence-based treatments (EBTs) for mental disorders represent an enormous advance with continued progress designed to understand the techniques and increase their use in clinical practice. This article suggests ways of expanding research along several fronts including the extension of the types of randomized controlled trials that are conducted, the use of more diverse samples to encompass different cultures and countries, the expansion of assessments to better reflect client functioning in everyday life, consideration of the impact of treatments for mental disorders on physical health, the careful evaluation of exceptional responders, the use of mixed-methods research, and the development of versions of EBTs that can be scaled. EBTs have been studied in well-controlled settings and extended to clinical settings, albeit less often. The least attention has been accorded their evaluation on a large scale to reach a greater portion of people in need of services but who do not receive any treatment.
Collapse
Affiliation(s)
- Alan E Kazdin
- Department of Psychology, Yale University, 2 Hillhouse Avenue, New Haven, CT, 06520-8205, USA.
| |
Collapse
|
16
|
Kimong PJ, Erford BT, DeCino DA. Psychometric Synthesis of the Center for Epidemiologic Studies Depression Scale – Revised English and Translated/Adapted Versions. MEASUREMENT AND EVALUATION IN COUNSELING AND DEVELOPMENT 2022. [DOI: 10.1080/07481756.2022.2099900] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/15/2022]
|
17
|
Lee JH, Sato N, Yano K, Miyake Y. Universal association between depressive symptoms and social-network structures in the workplace. Sci Rep 2022; 12:10170. [PMID: 35715481 PMCID: PMC9205889 DOI: 10.1038/s41598-022-14366-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/22/2022] [Accepted: 06/06/2022] [Indexed: 11/09/2022] Open
Abstract
An unhealthy communication structure at a workplace can adversely affect the mental health of employees. However, little is known about the relationship between communication structures in the workplace and the mental health of employees. Here, we evaluated the face-to-face interaction network among employees (N = 449) in a variety of real-world working environments by using wearable devices and investigated the relationship between social network characteristics and depressive symptoms. We found that the cohesive interaction structure surrounding each individual was negatively correlated with depressive symptoms: a universal relationship regardless of occupation type. This correlation was evident at the group scale and was strongly related to active interactions with abundant body movement. Our findings provide a quantitative and collective perspective on taking a systematic approach to workplace depression, and they suggest that the mental health of employees needs to be addressed systematically, not only individually.
Collapse
Affiliation(s)
- Jong-Hyeok Lee
- Department of Computer Science, Tokyo Institute of Technology, Yokohama, Kanagawa, 226-8502, Japan.
| | - Nobuo Sato
- Happiness Planet, Ltd., Kokubunji, Tokyo, 185-8601, Japan
| | - Kazuo Yano
- Department of Computer Science, Tokyo Institute of Technology, Yokohama, Kanagawa, 226-8502, Japan.,Happiness Planet, Ltd., Kokubunji, Tokyo, 185-8601, Japan.,Hitachi, Ltd., Kokubunji, Tokyo, 185-8601, Japan
| | - Yoshihiro Miyake
- Department of Computer Science, Tokyo Institute of Technology, Yokohama, Kanagawa, 226-8502, Japan
| |
Collapse
|
18
|
Liu J, Chan C, Leung PWL. Youth psychopathology: Universal or culture-specific? Testing the syndrome models of youth self-report in Chinese population. JOURNAL OF CHILD AND ADOLESCENT PSYCHIATRIC NURSING 2022; 35:126-141. [PMID: 34595782 PMCID: PMC10082997 DOI: 10.1111/jcap.12353] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/09/2021] [Revised: 08/10/2021] [Accepted: 09/05/2021] [Indexed: 11/30/2022]
Abstract
PROBLEM The debate on whether psychiatric symptoms are universal and to what extent they are affected by culture is generally divided between the universalist and relativist approaches. METHODS This study compared Achenbach/Rescorla's model and Weisz's model of youth self-report in 2521 Chinese adolescents (mean age = 12 years). Indigenous exploratory factor analyses were conducted to explore the factor structure of youth self-report (YSR), and the derived models were tested with confirmatory factor analysis. FINDINGS These analyses indicated good support of the Chinese YSR models for males and females. Further analyses revealed three syndromes, namely anxious/depressed, somatic complaints, and aggressive behaviors, which represented broad internalizing and externalizing factors. These syndromes consistently demonstrated high correlations across the different models, indicating their universal nature. Conversely, some unique factors emerged in the Chinese YSR model, such as weight concern and rule-breaking behavior, which may reflect underlying culture-bound factors. CONCLUSIONS Our findings support a combined perspective to the universalist and relativist approaches, which argues that some syndromes including Anxious/Depressed, Somatic Complaints, Aggressive Behavior and Attention Problems are more likely to be universal in male adolescents, while a new emerging syndrome like Weight Concern may reflect the socioeconomic, culture, and lifestyle changes that are currently emerging in China.
Collapse
Affiliation(s)
- Jianghong Liu
- University of Pennsylvania School of Nursing, Philadelphia, Pennsylvania, USA
| | - Clare Chan
- Chinese University of Hong Kong, Hong Kong, China
| | | |
Collapse
|
19
|
Hsu CH, Tung HH, Wu YC, Wei J, Tsay SL. Demoralization syndrome among cardiac transplant recipients. J Clin Nurs 2021; 31:2271-2286. [PMID: 34523181 DOI: 10.1111/jocn.16045] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/27/2020] [Revised: 06/13/2021] [Accepted: 07/15/2021] [Indexed: 11/28/2022]
Abstract
AIMS AND OBJECTIVES To investigate the characteristics and prevalence of demoralisation syndrome among heart transplantation patients in Taiwan. BACKGROUND Patients with end-stage heart failure who have undergone cardiac transplantation are at risk of demoralisation syndrome. Demoralisation syndrome has been studied in cancer populations, but our understanding of the syndrome among heart transplant recipients is limited. DESIGN AND METHODS The study adopted a cross-sectional design and analysed the baseline data from a longitudinal study with cardiac transplant patients at a heart centre in northern Taiwan. A structured questionnaire, namely the Demoralization Scale-Mandarin Version (DS-MV), was used to assess demoralisation syndrome. Hierarchical regression was applied to determine the predictors of demoralisation. Reporting was consistent with the STROBE checklist. RESULTS There were a total of 84 participants with an average age of 51.9 years and a time since heart transplantation of around 4.1 years. Among them, the prevalence of demoralisation syndrome was 35.8%, and 57.1% coped well with stress. In addition, on the DS-MV, participants tended to choose sentences with positive rather than negative wording. Our data showed that cardiac transplant recipients with stress have higher possibility suffering from demoralisation syndrome; poor renal function and those who cannot relive from stress are predictors for loss of meaning. CONCLUSIONS Chinese individuals tend to hide their weaknesses; nevertheless, demoralisation syndrome among cardiac transplant recipients, as related to stress status and kidney function, is still remarkable. RELEVANCE TO CLINICAL PRACTICE Since demoralisation is preventable, further research on this phenomenon in the cardiac transplant population is warranted and needs to be developed.
Collapse
Affiliation(s)
- Ching-Hwa Hsu
- College of Nursing, National Yang Ming Chiao Tung University, Heart Center of Cheng-Hsin General Hospital, Taipei, Taiwan
| | - Heng-Hsin Tung
- College of Nursing, National Yang Ming Chiao Tung University, Tungs' Taichung MetroHarbor Hospital, Taipei, Taiwan
| | - Yi-Chen Wu
- College of Nursing, National Yang Ming Chiao Tung University, Fu Jen Catholic University Hospital, Fu Jen Catholic University, New Taipei City, Taiwan
| | - Jeng Wei
- Heart Center of Cheng-Hsin General Hospital, Taipei, Taiwan
| | - Shiow-Luan Tsay
- College of Nursing and Health Sciences, Da-Yeh University, Changhua, Taiwan
| |
Collapse
|
20
|
Osborn TL, Kleinman A, Weisz JR. Complementing standard western measures of depression with locally co-developed instruments: A cross-cultural study on the experience of depression among the Luo in Kenya. Transcult Psychiatry 2021; 58:499-515. [PMID: 33818199 DOI: 10.1177/13634615211000555] [Citation(s) in RCA: 11] [Impact Index Per Article: 3.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/16/2023]
Abstract
Our present understanding of depression relies on a Western nosology that might not be generalizable across diverse cultures around the world. As a consequence, current clinical research and practice may not capture culturally salient features of depression. Expanded cross-cultural research that uses ethnographic methods and local instruments may yield information of clinical utility to enhance culturally sensitive research and practice. In this mixed methods study, we used ethno-semantic interview procedures based on the DSM-5's cultural formulation process to elicit a broad range of depression features reported by the Luo people of western Kenya. We identified how the Luo conceptualize depression, including idioms of depressive distress, moods associated with persistent negative affect, and other features including context, stressors and support systems. This information informed the co-development of a Luo Depression Questionnaire (LDQ-17). We used the LDQ-17 in a cross-sectional community survey (N = 116) to investigate its association with a standard Western instrument (Patient Health Questionnaire-9; PHQ-9). Factor analysis revealed a one-factor model for the PHQ-9 but not the LDQ-17 for which exploratory factor analysis suggested a three-factor model including cognitive, affective, and physical symptoms. Psychological, environmental/social, and even supernatural causes (i.e., ancestors, God and devil) of these symptoms were identified, as were support systems. Finally, visualizations through multidimensional scaling approaches showed some overlap between the LDQ-17 and the PHQ-9, but the local LDQ-17 identified salient features the Luo associated with depression that the PHQ-9 missed. Our findings illustrate how simple ethnographic procedures may guide the development of local instruments to complement current standardized instruments, potentially enhancing cultural relevance.
Collapse
Affiliation(s)
- Tom L Osborn
- Shamiri Institute, Nairobi, Kenya.,Department of Psychology, Harvard University, Cambridge, MA, USA
| | - Arthur Kleinman
- Department of Anthropology, Harvard University, Cambridge, MA, USA.,Department of Global Health and Social Medicine, Harvard Medical School, Boston, MA, USA
| | - John R Weisz
- Department of Psychology, Harvard University, Cambridge, MA, USA
| |
Collapse
|
21
|
¡No me duele cuando me deprimo!: An Examination of Ethnic Differences in Depression Symptoms Among Latinx and Non-Latinx Primary Care Patients. J Immigr Minor Health 2021; 23:917-925. [PMID: 34297317 DOI: 10.1007/s10903-021-01238-z] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 07/12/2021] [Indexed: 10/20/2022]
Abstract
The research on ethnic differences in prevalence rates of depression is mixed. Additionally, culture has been hypothesized to impact symptom manifestation. The purpose of this study was to examine prevalence rates of depression among Spanish-speaking Latinx and non-Latinx White (NLW) primary care patients and explore ethnic differences in how depression symptoms manifest. Participants were 240 primary care patients who completed a demographic questionnaire and the Beck Depression-Inventory-2 (BDI-II). Latinx primary care patients had lower prevalence rates of depressive symptoms and less severe depressive symptoms than NLW primary care patients. Holding total BDI-II score constant, Latinxs also endorse pessimism, past failures, feelings of being punished, agitation, and problems with sleeping less than their NLW counterparts. This study adds support to research that indicates that Latinxs have lower rates of depression than NLWs and suggests that Latinxs are not more likely to endorse somatic complaints.
Collapse
|
22
|
Wills C, Ghani S, Tubbs A, Fernandez FX, Athey A, Turner R, Robbins R, Patterson F, Warlick C, Alfonso-Miller P, Killgore WDS, Grandner MA. Chronotype and social support among student athletes: impact on depressive symptoms. Chronobiol Int 2021; 38:1319-1329. [PMID: 34039131 DOI: 10.1080/07420528.2021.1927072] [Citation(s) in RCA: 12] [Impact Index Per Article: 4.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/21/2022]
Abstract
Previous studies have shown individuals with evening chronotype to have a greater likelihood for depression (self-reported and clinical ratings), especially in young adults. However, the mechanisms for this relationship remain unknown. Low levels of social support may be a plausible mechanism: young adults with evening chronotypes are awake when others are sleeping, which may lead to feelings of isolation or low support. This study examined links between chronotype, depression, and social support in relationship subtypes within a group of university student athletes. Data were obtained from 189 NCAA Division-I student athletes across all sports. Chronotype was assessed with the Circadian Energy Scale and ranged from -2 (definitely morning type) to +2 (definitely evening type). Depressive symptoms were assessed with Center for Epidemiological Studies Depression scale. Social support was assessed with the Multidimensional Scale of Perceived Social Support, which included subscales for Family, Friends, and Significant Other. A subscale for Team was created using the items from the Friends subscale (changing the word "friends" to "teammates"). Regression analyses adjusted for age, sex, and minority status. More evening chronotype was associated with higher reported depressive symptoms (p = .018), lower overall perceived social support (p = .001), and lower perceived social support specifically provided by family (p < .0001), friends (p < .0001), and teammates (p = .014). However, more evening chronotype was associated with higher depressive symptoms for higher, but not lower perceived social support from significant other. Moreover, chronotype-by-support interactions on depressive symptoms were observed; the statistical relationship between chronotype and depression was evident only in those with low (but not high) social support from friends and teammates. These data suggest that having a more evening chronotype may be associated with social isolation, and decreased opportunities for interactions with friends and teammates. This may contribute to the long-standing circadian association seen with depression in college student-athletes. Interventions aimed at increasing university support networks may reduce the impact of depression in students self-identifying with later chronotypes and sleep schedules.
Collapse
Affiliation(s)
- Chloe Wills
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA
| | - Sadia Ghani
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA
| | - Andrew Tubbs
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA
| | - Fabian-Xosé Fernandez
- Light Algorithms Laboratory, Department of Psychology, University of Arizona, Tucson, Arizona, USA
| | - Amy Athey
- Department of Athletics, University of Arizona, Tucson, Arizona, USA
| | - Robert Turner
- Department of Clinical Research and Leadership, George Washington University, Washington, DC, USA
| | - Rebecca Robbins
- Division of Sleep and Circadian Disorders, Harvard Medical School, Boston, Massachusetts, USA
| | - Freda Patterson
- Department of Behavioral Health and Nutrition, University of Delaware, Newark, Delaware, USA
| | - Chloe Warlick
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA.,Department of Psychiatry and Behavioral Sciences, Northwestern University, Evanston, Illinois, USA
| | - Pamela Alfonso-Miller
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA.,Northumbria Sleep Research, Northumbria University, Newcastle upon Tyne, UK
| | | | - Michael A Grandner
- Sleep and Health Research Program, University of Arizona, Tucson, Arizona, USA
| |
Collapse
|
23
|
Tuck NL, Khuvtsagaan B, Rashid U, Aamir T, Goucke R, Regjii B, Dorjbal EA, Lundeg G, Bean DJ. The Adaptation of Pain Assessment Tools from High-Income to Low- and Middle-Income Countries: Psychometric Properties of a Set of Chronic Pain Questionnaires in Mongolian and New Zealand Patient Samples. PAIN MEDICINE 2021; 22:948-960. [PMID: 33001213 DOI: 10.1093/pm/pnaa267] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/13/2022]
Abstract
OBJECTIVE Chronic pain is a leading cause of disability in low- and middle-income countries; however, pain assessment tools have generally been developed and validated in high-income countries. This study examines the psychometric properties of a set of translated pain (and distress) questionnaires in Mongolia and documents the characteristics of people seeking treatment for chronic pain in Mongolia, compared with those in New Zealand, which is representative of high-income countries. DESIGN Cross-sectional, observational. SETTING Hospital-based pain treatment centers in New Zealand and Mongolia. SUBJECTS People seeking treatment for chronic pain in Mongolia (N = 142) and New Zealand (N = 159). METHODS The Brief Pain Inventory, the Depression Anxiety Stress Scale-21, the Pain Catastrophizing Scale, and the Pain Self-Efficacy Questionnaire were translated into Mongolian and administered to patients attending a hospital-based pain service. Questionnaires that were completed by patients in New Zealand were used for comparisons. Internal reliability, convergent validity, and factor structure were assessed in both groups. RESULTS Patients in Mongolia were older and reported lower pain intensity, interference, and distress and higher pain self-efficacy than those in New Zealand. The translated questionnaires had good internal consistencies, and the relationships between pain variables were similar across both groups. The factor structure for the Pain Catastrophizing Scale was consistent across both groups, but this was not the case for the Brief Pain Inventory or the Depression Anxiety Stress Scale-21. CONCLUSIONS Findings indicate that some pain outcome measures may be appropriate for use in Mongolia and should be investigated in other low- and middle-income countries.
Collapse
Affiliation(s)
- Natalie L Tuck
- The Auckland Regional Pain Service, Auckland District Health Board, Auckland, New Zealand.,The Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.,The Waitematā District Health Board (WDHB) Chronic Pain Service, Department of Anesthesiology and Perioperative Medicine, Auckland, New Zealand
| | | | - Usman Rashid
- The Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand
| | - Tipu Aamir
- The Auckland Regional Pain Service, Auckland District Health Board, Auckland, New Zealand
| | - Roger Goucke
- Medical School University of Western Australia, Nedlands, Western Australia, Australia
| | | | | | - Ganbold Lundeg
- The Mongolian National University of Medical Sciences, Ulaanbatar, Mongolia
| | - Debbie J Bean
- The Health and Rehabilitation Research Institute, Auckland University of Technology, Auckland, New Zealand.,The Waitematā District Health Board (WDHB) Chronic Pain Service, Department of Anesthesiology and Perioperative Medicine, Auckland, New Zealand
| |
Collapse
|
24
|
Evidence that loneliness can be reduced by a whole-of-community intervention to increase neighbourhood identification. Soc Sci Med 2021; 277:113909. [PMID: 33866082 DOI: 10.1016/j.socscimed.2021.113909] [Citation(s) in RCA: 20] [Impact Index Per Article: 6.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Revised: 01/28/2021] [Accepted: 04/02/2021] [Indexed: 02/07/2023]
Abstract
RATIONALE Social identification with the people in one's neighbourhood has a wide variety of benefits for individual and community health and wellbeing. In particular, previous research shows that residents' social identification with their neighbourhood is protective of mental health. However, researchers are only just beginning to design and evaluate interventions that directly target social identification on health grounds. OBJECTIVE This longitudinal study evaluated a whole-of-community intervention at scale (Neighbour Day, 2019), in which Australian residents were encouraged to build social connections in their local community. Neighbour Day is a campaign that seeks to raise public awareness of the importance of connecting with neighbours and had a reach of approximately 300,000 people in 2019. METHODS Participants were 437 hosts of neighbourhood events held across 276 diverse suburbs across Australia. Participants were surveyed at three-time points; before and after Neighbour Day, as well as at six-month follow up. RESULTS Hosting a Neighbour Day event led to a significant increase in neighbourhood social identification, which was sustained six months later. This increase in social identification predicted increased social cohesion, reduced loneliness and improved wellbeing. CONCLUSIONS This study provides evidence that neighbourhood identification is an effective target mechanism to curb loneliness and social fragmentation in the community. Implications are discussed with a focus on how social identity-building interventions can be effectively implemented in community settings to benefit public health.
Collapse
|
25
|
Lin Y, Payne H. Effectiveness of the BodyMind Approach® for women with depression and medically unexplained symptoms in Taiwan. ARTS IN PSYCHOTHERAPY 2021. [DOI: 10.1016/j.aip.2021.101764] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/26/2022]
|
26
|
Hierarchical Cluster Analysis of Human Value Priorities and Associations with Subjective Well-Being, Subjective General Health, Social Life, and Depression across Europe. SOCIAL SCIENCES 2021. [DOI: 10.3390/socsci10020074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022] Open
Abstract
Human values are a central component in understanding individuals’ choices. Using the Schwartz’s Values instrument, this study aimed to identify patterns of human value priorities of 35,936 participants across 20 European countries and analyse their relations with subjective well-being (SWB), subjective general health (SGH), social life, and depression indices in Europe. A hierarchical cluster analysis of data from the seventh European Social Survey (ESS) round 7, based on the higher order dimensions of the Schwartz values model, allowed identifying four European groups with distinct indicators. Indices of SWB, SGH, social life, and depression showed statistically significant differences among the four different sociodemographic groups. The graphical representation of the monotonic correlations of each of these indices with the value priorities attributed to the ten basic human values was ordered according to the Schwartz circumplex model, yielding quasi-sinusoidal patterns. The differences among the four groups can be explained by their distinct sociodemographic characteristics: social focus, growth focus, strong social focus, and weak growth focus. The results of this study suggest a rehabilitation of the notion of hedonism, raising the distinction between higher and lower pleasures, with the former contributing more to well-being than the latter.
Collapse
|
27
|
Abou-Hanna JJ, Leggett AN, Andrews CA, Ehrlich JR. Vision impairment and depression among older adults in low- and middle-income countries. Int J Geriatr Psychiatry 2021; 36:64-75. [PMID: 32749746 PMCID: PMC8009049 DOI: 10.1002/gps.5394] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/07/2020] [Revised: 06/09/2020] [Accepted: 07/30/2020] [Indexed: 11/10/2022]
Abstract
OBJECTIVES To investigate the association between visual impairment (VI) and depression in low- and middle-income countries (LMICs) and the mediating role of disability and social participation. METHODS/DESIGN The World Health Organization Study on global AGEing and adult health (SAGE) provided data on objective and subjective visual function, depression, disability (WHODAS-12), and social participation for nationally representative samples of adults 50 years and older in China, India, Ghana, Mexico, Russia, and South Africa. Multivariable logistic and linear models were used to test the association between VI and depression and the indirect pathways through disability and social participation. Analyses were adjusted for sociodemographics, medical comorbidities, and complex survey design features. RESULTS Visual acuity was worse in respondents with depression compared to those without depression in China (0.32 vs 0.23 logMAR; P < .001), Ghana (0.26 vs 0.18 logMAR; P < .001), and India (0.36 vs 0.30 logMAR; P < .001); self-reported vision was also significantly worse in these three countries, but not in Mexico, Russia, or South Africa. Greater disability significantly mediated the association of both objective and self-reported VI with depression in China and India. Social participation significantly mediated the association between subjective vision and depression in Ghana. CONCLUSIONS There is variability in the association between VI and depression across LMICs and in the mediating role of disability and social participation. Culture-specific instruments may be needed to better characterize the association between VI and depression and further research is needed to assess causality.
Collapse
Affiliation(s)
| | - Amanda N. Leggett
- Department of Psychiatry, University of Michigan Medical School, Ann Arbor, MI, USA
| | - Chris A. Andrews
- Department of Ophthalmology and Visual Sciences, Center for Eye Policy and Innovation, University of Michigan, Ann Arbor, MI, USA,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
| | - Joshua R. Ehrlich
- Department of Ophthalmology and Visual Sciences, Center for Eye Policy and Innovation, University of Michigan, Ann Arbor, MI, USA,Institute for Healthcare Policy and Innovation, University of Michigan, Ann Arbor, MI, USA
| |
Collapse
|
28
|
Paton D. Disaster risk reduction: Psychological perspectives on preparedness. AUSTRALIAN JOURNAL OF PSYCHOLOGY 2020. [DOI: 10.1111/ajpy.12237] [Citation(s) in RCA: 42] [Impact Index Per Article: 10.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Affiliation(s)
- Douglas Paton
- College of Health and Human Sciences, Charles Darwin University, Darwin, Northern Territory, Australia,
| |
Collapse
|
29
|
An S, Cruwys T, Lee H, Chang MXL. Cultural Differences in Reactions to Suicidal Ideation: A Mixed Methods Comparison of Korea and Australia. Arch Suicide Res 2020; 24:415-434. [PMID: 31159683 DOI: 10.1080/13811118.2019.1624668] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 10/26/2022]
Abstract
There is evidence for cultural differences in mental health symptoms and help-seeking, but no past research has explored cultural differences in how people react to suicidal ideation communicated by others. Layperson reactions are critical, because the majority of people who experience suicidal ideation disclose to friends or family. Participants were 506 people aged 17-65 recruited from Australia and Korea who completed an experiment in which they responded to a friend who was experiencing either subclinical distress or suicidal ideation. Korean participants did not differentiate between the subclinical and suicidal targets, whereas Australian participants showed more concern for the suicidal target. For both targets, Korean participants were more likely to recommend passive coping strategies ("Time will solve everything" or "Cheer up"), while Australian participants were more likely to recommend active coping strategies ("Let's talk" or "See a doctor"). This study provides the first evidence of cultural differences in the way people typically respond to disclosures of suicidal ideation, and suggests that unhelpful and inappropriate recommendations are commonplace.
Collapse
|
30
|
Nagulendran A, Jobson L. Exploring cultural differences in the use of emotion regulation strategies in posttraumatic stress disorder. Eur J Psychotraumatol 2020; 11:1729033. [PMID: 32158518 PMCID: PMC7048195 DOI: 10.1080/20008198.2020.1729033] [Citation(s) in RCA: 21] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/18/2019] [Revised: 01/13/2020] [Accepted: 01/31/2020] [Indexed: 11/02/2022] Open
Abstract
Background: Emotion regulation difficulties are central to posttraumatic stress disorder (PTSD). While cultural differences exist in the ways in which individuals regulate their emotions, researchers have not examined cultural differences in emotion regulation in PTSD.Objective: This study explored emotion regulation in individuals from European and East Asian cultures with and without PTSD. Method: Emotion regulation measures were administered to Caucasian Australian (n = 31) and East Asian Australian (n = 38) trauma survivors with and without PTSD. Results: Caucasian Australians with PTSD scored significantly higher on measures of worry, expressive suppression, thought suppression, rumination, experiential avoidance, and general emotion dysregulation compared to Caucasian Australians without PTSD. Similarly, East Asian Australians with PTSD scored significantly higher on measures of rumination and experiential avoidance than East Asian Australians without PTSD. However, worry, expressive suppression, thought suppression and general emotion dysregulation did not differentiate between East Asian Australians with and without PTSD. Conclusion: These findings suggest that there may be cultural differences in emotion regulation difficulties in PTSD and highlight the need for further research in this area.
Collapse
Affiliation(s)
- Amanda Nagulendran
- Turner Institute of Brain and Mental Health, Monash University, Melbourne, Australia
| | - Laura Jobson
- Turner Institute of Brain and Mental Health, Monash University, Melbourne, Australia
| |
Collapse
|
31
|
Investigating Emotion in Malay, Australian and Iranian Individuals with and without Depression. Sci Rep 2019; 9:18344. [PMID: 31797979 PMCID: PMC6892853 DOI: 10.1038/s41598-019-54775-x] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/14/2019] [Accepted: 11/19/2019] [Indexed: 01/29/2023] Open
Abstract
This study investigated the influence of culture and depression on (1) emotion priming reactions, (2) the recall of subjective experience of emotion, and (3) emotion meaning. Members of individualistic culture (Australia, n = 42) and collectivistic culture (Iran, n = 32, Malaysia, n = 74) with and without depression completed a biological motion task, subjective experience questionnaire and emotion meaning questionnaire. Those with depression, regardless of cultural group, provided significantly fewer correct responses on the biological motion task than the control group. Second, the collectivistic control groups reported greater social engaging emotion than the Australian control group. However, the three depressed groups did not differ culturally. The Australian depressed group reported significantly greater interpersonally engaging emotion than the Australian control group. Third, the collectivistic groups reported significantly greater social worth, belief changes and sharing of emotion than the individualistic group. Depression did not influence these cultural effects. Instead we found that those with depression, when compared to controls, considered emotions as subjective phenomena, that were qualifying for relationships with others, and associated with greater agency appraisals. The applicability of the biocultural framework of emotion in depression was considered.
Collapse
|
32
|
Ramos RM, Cheng PGF, Jonas SM. Validation of an mHealth App for Depression Screening and Monitoring (Psychologist in a Pocket): Correlational Study and Concurrence Analysis. JMIR Mhealth Uhealth 2019; 7:e12051. [PMID: 31538946 PMCID: PMC6754681 DOI: 10.2196/12051] [Citation(s) in RCA: 11] [Impact Index Per Article: 2.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 08/30/2018] [Revised: 03/21/2019] [Accepted: 07/28/2019] [Indexed: 12/30/2022] Open
Abstract
Background Mobile health (mHealth) is a fast-growing professional sector. As of 2016, there were more than 259,000 mHealth apps available internationally. Although mHealth apps are growing in acceptance, relatively little attention and limited efforts have been invested to establish their scientific integrity through statistical validation. This paper presents the external validation of Psychologist in a Pocket (PiaP), an Android-based mental mHealth app which supports traditional approaches in depression screening and monitoring through the analysis of electronic text inputs in communication apps. Objective The main objectives of the study were (1) to externally validate the construct of the depression lexicon of PiaP with standardized psychological paper-and-pencil tools and (2) to determine the comparability of PiaP, a new depression measure, with a psychological gold standard in identifying depression. Methods College participants downloaded PiaP for a 2-week administration. Afterward, they were asked to complete 4 psychological depression instruments. Furthermore, 1-week and 2-week PiaP total scores (PTS) were correlated with (1) Beck Depression Index (BDI)-II and Center for Epidemiological Studies–Depression (CES-D) Scale for congruent construct validation, (2) Affect Balance Scale (ABS)–Negative Affect for convergent construct validation, and (3) Satisfaction With Life Scale (SWLS) and ABS–Positive Affect for divergent construct validation. In addition, concordance analysis between PiaP and BDI-II was performed. Results On the basis of the Pearson product-moment correlation, significant positive correlations exist between (1) 1-week PTS and CES-D Scale, (2) 2-week PTS and BDI-II, and (3) PiaP 2-week PTS and SWLS. Concordance analysis (Bland-Altman plot and analysis) suggested that PiaP’s approach to depression screening is comparable with the gold standard (BDI-II). Conclusions The evaluation of mental health has historically relied on subjective measurements. With the integration of novel approaches using mobile technology (and, by extension, mHealth apps) in mental health care, the validation process becomes more compelling to ensure their accuracy and credibility. This study suggests that PiaP’s approach to depression screening by analyzing electronic data is comparable with traditional and well-established depression instruments and can be used to augment the process of measuring depression symptoms.
Collapse
Affiliation(s)
- Roann Munoz Ramos
- Department of Medical Informatics, RWTH Aachen University Hospital, Aachen, Germany.,College of Education, Graduate Studies, De La Salle University-Dasmarinas, Dasmarinas City, Cavite, Philippines
| | - Paula Glenda Ferrer Cheng
- Vivech System Solutions Inc, Manila, Philippines.,Department of Psychology, College of Science, University of Santo Tomas, Manila, Philippines
| | - Stephan Michael Jonas
- Department of Medical Informatics, RWTH Aachen University Hospital, Aachen, Germany.,Department of Informatics, Technical University of Münich, Münich, Germany
| |
Collapse
|
33
|
Mihailova S, Jobson L. The impact of depression and culture on responses to intrusive autobiographical memories: Cognitive appraisals, cognitive avoidance, and brooding rumination. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2019; 59:66-79. [PMID: 31364774 DOI: 10.1111/bjc.12232] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/25/2019] [Revised: 07/10/2019] [Indexed: 11/29/2022]
Abstract
OBJECTIVES Those with depression ascribe more negative appraisals to intrusive autobiographical memories and use maladaptive strategies to regulate intrusive memory distress. However, it is unknown whether these patterns extend to East Asian samples. This study investigated the influence of culture and depression on intrusive remembering. DESIGN The study used a 2 (group: European Australian, East Asian) × 2 (depression: depressed, control) cross-sectional design, with an online intrusive memory diary. METHODS European Australian (n = 46) and East Asian (n = 45) participants living in Australia, with and without depression, reported two intrusive memories in real-time and completed self-report measures indexing their appraisals of the memories, and their use of cognitive avoidance and brooding rumination in response to the memories. RESULTS East Asian participants reported significantly greater negative, control, and responsibility appraisals than European Australian participants. Regardless of cultural group, depressed participants endorsed greater maladaptive memory appraisals and brooding compared to controls. Additionally, among East Asian participants, those with depression cognitively avoided memories significantly more than controls. When comparing the two depressed groups, East Asians reported significantly greater brooding and avoidance in response to intrusive memories than Australians. CONCLUSIONS The findings suggest that depression may be associated with some similar maladaptive responses to intrusive autobiographical memories across cultural groups. Clinical interventions targeting unhelpful responses may, therefore, be beneficial for those with depression, regardless of cultural background. PRACTITIONER POINTS Across both European Australian and East Asian cultures, depressed participants endorsed higher maladaptive intrusive memory appraisals and brooded more in response to memories. Clinical interventions targeting appraisals and emotion regulation in response to intrusive memories may be beneficial for those with depression across both cultural groups. Language and acculturation may have impacted findings, as measures were administered in English and in Australia. Replication using a cross-country design and larger sample would be beneficial to confirm findings.
Collapse
Affiliation(s)
- Stella Mihailova
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
| | - Laura Jobson
- School of Psychological Sciences, Turner Institute for Brain and Mental Health, Monash University, Melbourne, Victoria, Australia
| |
Collapse
|
34
|
Park HS, Lee HE, Kingsley Westerman CY, Guan X. We Want a Team Player: A Formative Cross-Cultural Investigation in the United States, China, and South Korea. JOURNAL OF CROSS-CULTURAL PSYCHOLOGY 2019. [DOI: 10.1177/0022022119863884] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
The term “team player” originated in a Western cultural context and can be summarized in the form of five task and two social roles. Yet, can these roles be replicated outside of a U.S. context and will their endorsement vary across cultures and employment status? To answer this exploratory question, we collected data from a total of 483 participants comprising 269 U.S. Americans, 110 Chinese, and 104 Koreans. Participants were asked to describe a team player in their native languages. Three coders per cultural group found more than 3,000 coding units based on the seven predetermined team player roles. The results, based on chi-square tests, show that participants from all three cultural groups consider a team player’s responsibilities to be multidimensional, possessing both task competencies and social skills. Nevertheless, the extent to which each culture emphasizes these two dimensions differs. Both U.S. American and Chinese participants prefer a balance between task roles and social roles, whereas Korean participants prioritize task roles over social roles. These findings provide empirical evidence that across the three cultural groups, broadly the same roles are expected of a team player; however, the U.S. and Chinese understandings were more similar than across the two Asian samples, questioning the often simplistic view of Asian cultures as being homogeneous and of Western and Asian cultures being at different ends of a spectrum of difference. Finally, findings suggest that incorporating explicit discussion about what being a team player entails is a necessary step in multicultural workplaces.
Collapse
Affiliation(s)
| | - Hye Eun Lee
- Ewha Womans University, Seoul, Republic of Korea
| | | | | |
Collapse
|
35
|
Çam MO, Uğuryol M. Ruhsal Hastalıktan İyileşmeye Kültürel Etki. PSIKIYATRIDE GUNCEL YAKLASIMLAR - CURRENT APPROACHES IN PSYCHIATRY 2019. [DOI: 10.18863/pgy.391783] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/20/2022]
|
36
|
Supporting Post-secondary Youth Mental Health Through Inclusive Practices Attuned to Culture. CULTURE, DIVERSITY AND MENTAL HEALTH - ENHANCING CLINICAL PRACTICE 2019. [DOI: 10.1007/978-3-030-26437-6_13] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.2] [Reference Citation Analysis] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 12/14/2022]
|
37
|
Jiang L, Wang Y, Zhang Y, Li R, Wu H, Li C, Wu Y, Tao Q. The Reliability and Validity of the Center for Epidemiologic Studies Depression Scale (CES-D) for Chinese University Students. Front Psychiatry 2019; 10:315. [PMID: 31178764 PMCID: PMC6537885 DOI: 10.3389/fpsyt.2019.00315] [Citation(s) in RCA: 120] [Impact Index Per Article: 24.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/27/2019] [Accepted: 04/24/2019] [Indexed: 01/30/2023] Open
Abstract
Aims: Depression is prevalent among university students worldwide, and the prevalence appears to be increasing. As an intermediate stage between being healthy and having depression, students with subthreshold depression could develop worsening depression or recover with intervention to prevent depression. The Center for Epidemiologic Studies Depression Scale (CES-D) is a useful tool to assess subthreshold depression. The primary purpose of the current study was to evaluate the psychometric characteristics of CES-D in Chinese university students. Secondly, we aimed to describe the prevalence of subthreshold depression among the student sample and examine its demographic correlates. Methods: A total of 2,068 university students participated in the study, and they were asked to respond to the Chinese CES-D, Beck Depression Inventory-II (BDI-II), and Positive and Negative Affect Schedule (PANAS). The factor structure was evaluated by conducting exploratory (EFA) and confirmatory factor analysis (CFA) using a structural equation modeling approach. The reliability was assessed by calculating Cronbach's alpha, inter-item correlation, and item-total correlation coefficients. The prevalence of subthreshold depression was calculated and demographic correlates of gender, grade, and major were examined by multiple regression. Results: The final sample included 1,920 participants. The EFA results suggested extraction of three factors (somatic symptoms, negative affect, and anhedonia) that account for 52.68% of total variance. The CFA results suggested that the newly derived model with 14 items was the best fit for our data. Six items were removed from the original scale (item 9, 10, 13, 15, 17, and 19). The Cronbach's alpha of the 14-item CES-D was 0.87. The prevalence of subthreshold depression among university students reached 32.7% for the 20-item CES-D and 31% for the 14-item CES-D, although there was no significant difference of prevalence in gender, grade, and major. Conclusions: The CES-D has good reliability and validity for assessing subthreshold depression in Chinese university students.
Collapse
Affiliation(s)
- Lijun Jiang
- Department of Public Health and Preventive Medicine, School of Basic Medicine, Jinan University, Guangzhou, China.,Division of Medical Psychology and Behavior Science, School of Basic Medicine, Jinan University, Guangzhou, China
| | - Ying Wang
- Medical Imaging Center, First Affiliated Hospital of Jinan University, Guangzhou, China
| | - Yining Zhang
- International School, Jinan University, Guangzhou, China
| | - Rui Li
- International School, Jinan University, Guangzhou, China
| | - Huailiang Wu
- International School, Jinan University, Guangzhou, China
| | - Chenyi Li
- International School, Jinan University, Guangzhou, China
| | - Yunlin Wu
- International School, Jinan University, Guangzhou, China
| | - Qian Tao
- Division of Medical Psychology and Behavior Science, School of Basic Medicine, Jinan University, Guangzhou, China.,Center for Brain Science and Brain-Inspired Intelligence, Guangdong-Hong Kong-Macao Greater Bay Area, Guangzhou, China
| |
Collapse
|
38
|
Mordeno IG, Carpio JGE, Mendoza NB, Hall BJ. The latent structure of major depressive symptoms and its relationship with somatic disorder symptoms among Filipino female domestic workers in China. Psychiatry Res 2018; 270:587-594. [PMID: 30368165 DOI: 10.1016/j.psychres.2018.10.029] [Citation(s) in RCA: 16] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Revised: 07/04/2018] [Accepted: 10/09/2018] [Indexed: 12/24/2022]
Abstract
Emerging research have investigated the factor structure of major depressive disorder (MDD) symptoms based on DSM-5 nomenclature. However, to date, results have been inconsistent on what symptom-structure best represent MDD. This study examines the best fitting MDD among four competing models in a sample of overseas Filipino domestic helpers (N = 232). The results show that a two-factor model (Model 2b; Krause et al., 2010) provided the best fit. The model consist of two factors: somatic and non-somatic/affective symptoms. Somatic component includes sleep difficulties, fatigue, appetite changes, concentration difficulties, and psychomotor agitation/retardation while non-somatic/affective component covers anhedonia, depressed mood, feelings of worthlessness, and thoughts of death. Further, the results reveal a pattern where PHQ-15 somatic symptom-items have a higher significant relationship with MDD's somatic symptoms than with the MDD's non-somatic/affective symptoms. These findings suggest that the items of model 2b are appropriately embedded in their respective factors. Differentiating MDD factors have important clinical implications, particularly in the diagnosis and treatment of depression among overseas Filipino domestic helpers.
Collapse
Affiliation(s)
- Imelu G Mordeno
- Department of Professional Education, Mindanao State University-Iligan Institute of Technology, Philippines.
| | - Jennifer Gay E Carpio
- Department of Psychology, Mindanao State University-Iligan Institute of Technology, Philippines
| | - Norman B Mendoza
- Department of Psychology, Holy Angel University, Angeles City, Philippines
| | - Brian J Hall
- Global and Community Mental Health Research Group, Department of Psychology, Faculty of Social Sciences, The University of Macau, Avenida da Universidade, Taipa, Macau (SAR), People's Republic of China; Department of Health, Behavior and Society, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| |
Collapse
|
39
|
|
40
|
Postmes T, Wichmann LJ, van Valkengoed AM, van der Hoef H. Social identification and depression: A meta-analysis. EUROPEAN JOURNAL OF SOCIAL PSYCHOLOGY 2018. [DOI: 10.1002/ejsp.2508] [Citation(s) in RCA: 38] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/08/2022]
Affiliation(s)
- Tom Postmes
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| | - Lenka J. Wichmann
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| | | | - Hanneke van der Hoef
- Department of Social Psychology; University of Groningen; Groningen The Netherlands
| |
Collapse
|
41
|
Jobson L, Miskon N, Dalgleish T, Hitchcock C, Hill E, Golden AM, Zulkefly NS, Mukhtar F. Impact of culture on autobiographical life structure in depression. BRITISH JOURNAL OF CLINICAL PSYCHOLOGY 2018; 57:382-396. [PMID: 29572886 DOI: 10.1111/bjc.12181] [Citation(s) in RCA: 7] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/26/2017] [Revised: 02/20/2018] [Indexed: 11/27/2022]
Abstract
OBJECTIVES Distortions in autobiographical memory have been implicated in major depressive disorder (MDD). Those with MDD demonstrate a 'depressogenic' autobiographical life structure. Research has not examined how culture influences this process. We investigated whether Malay individuals (members of an interdependent culture) with MDD demonstrated a 'depressogenic' autobiographical life structure similar to that of British individuals (members of an independent culture) with MDD. DESIGN A 2 (Culture; Malay, British) × 2 (Mood; depressed, control) cross-sectional design using a card sort task and self-report measures was used. METHODS Malay individuals with MDD or no history of MDD completed the life-structure card-sorting task, which provided a novel method for investigating organizational structure of the life narrative. These data were compared to previously collected data in which British individuals with MDD or without MDD had completed the same task within the same experimental protocol. RESULTS Pan-culturally those with MDD had greater negativity (i.e., used more negative attributes), negative redundancy (i.e., used the same negative attributes repeatedly across life chapters) and negative emodiversity (i.e., had greater variety and relative abundance of negative attributes), and reduced positive redundancy (i.e., used the same positive attributes repeatedly across chapters) in their structuring relative to controls. While the British MDD group had greater compartmentalization (i.e., the negative and positive attributes were clustered separately across different chapters) than British controls, the Malay MDD group had lower levels of compartmentalization than Malay controls. CONCLUSIONS The findings suggest culture may shape aspects of the autobiographical life structure in MDD. PRACTITIONER POINTS The majority of the literature investigating depression pertains to individuals from European Western cultures, despite recognition that depression ranks as one of the most debilitating diseases worldwide. This raises questions as to whether current depression models and interventions can be applied universally or whether they are limited to European Western groups. The current study found that pan-culturally those with MDD had similar structuring of their life story relative to controls. However, there were some cultural differences that need to be considered (e.g., Malay individuals provided less detailed, less elaborate and less emotionally diverse life stories and while the British MDD group had greater compartmentalization than British controls, the Malay MDD group had lower levels of compartmentalization than Malay controls). Limitations of the study included group differences in gender and mood at the time of testing. Cultural differences in the number of attributes used may have influenced findings. Only the Malay group completed the individualism-collectivism measure.
Collapse
Affiliation(s)
- Laura Jobson
- Monash Institute of Cognitive and Clinical Neuroscience and School of Psychological Sciences, Monash University, Clayton, Victoria, Australia
| | | | - Tim Dalgleish
- Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK
| | - Caitlin Hitchcock
- Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK
| | - Emma Hill
- Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK
| | - Ann-Marie Golden
- Medical Research Council Cognition and Brain Sciences Unit, Cambridge, UK
| | | | | |
Collapse
|
42
|
Cruwys T, Wakefield JRH, Sani F, Dingle GA, Jetten J. Social Isolation Predicts Frequent Attendance in Primary Care. Ann Behav Med 2018; 52:817-829. [DOI: 10.1093/abm/kax054] [Citation(s) in RCA: 32] [Impact Index Per Article: 5.3] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/13/2022] Open
Affiliation(s)
- Tegan Cruwys
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | | | - Fabio Sani
- School of Social Sciences, University of Dundee, Dundee, UK
| | - Genevieve A Dingle
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| | - Jolanda Jetten
- School of Psychology, University of Queensland, St Lucia, Queensland, Australia
| |
Collapse
|
43
|
The Social Situation of Sickness: an Evolutionary Perspective on Therapeutic Encounters. EVOLUTIONARY PSYCHOLOGICAL SCIENCE 2017. [DOI: 10.1007/s40806-017-0086-8] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.4] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 12/17/2022]
|