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Pang X, Feng C, Xue H, Rozelle S, Wang H. Associations of parental divorce with student mental health and academic outcomes: A quantitative study in rural China. J Affect Disord 2024; 363:579-588. [PMID: 39025442 DOI: 10.1016/j.jad.2024.07.059] [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: 09/20/2023] [Revised: 06/28/2024] [Accepted: 07/14/2024] [Indexed: 07/20/2024]
Abstract
BACKGROUND This paper examines the prevalence, correlates, and developmental consequences of divorce among junior high school students in rural China. Specifically, we investigate the connections between parental divorce and student mental health and academic performance, while also examining whether a student's living arrangement after divorce influences these outcomes. METHODS Data were collected from 17,955 students across 122 rural junior high schools in China on their mental health, characteristics, and academic performance. Mental health was measured using the self-reported Strengths and Difficulties Questionnaire. RESULTS About 8.35 % of the students had divorced parents, with increased risk observed for students who were only children, had migrant mothers, or had higher educated mothers (ORs = 4.35, 29.94, and 1.78, respectively; Bonferroni-adjusted p < 0.05). Students with divorced parents exhibited a higher likelihood of internalizing (0.032), externalizing (0.052) abnormality (Bonferroni-adjusted p < 0.001) and scored 0.203 SD lower on the math test (Bonferroni-adjusted p < 0.001). Living arrangements post-divorce, either with a mother or a father, equally negatively impacted student mental health and academic performance, with a mitigating effect observed when grandparental childcare was provided. LIMITATIONS Our study faced limitations in assessing the influence of grandparental childcare on coping with parental divorce due to challenges in gauging the extent of such support for students residing with a parent after divorce. This study did not empirically find differences by ethnicity; further in-depth case study is needed to better illuminate the findings. CONCLUSIONS Parental divorce among young students in rural China is associated with adverse developmental outcomes. These findings underscore the importance of implementing targeted programs in rural China to mitigate these risks and provide support for young students with divorced parents.
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Affiliation(s)
- Xiaodong Pang
- College of Education, Capital Normal University, Beijing, China
| | - Cindy Feng
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Haiping Xue
- College of Education, Capital Normal University, Beijing, China
| | - Scott Rozelle
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA
| | - Huan Wang
- Stanford Center on China's Economy and Institutions, Stanford University, Stanford, CA, USA.
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Wang L, Zou HO, Liu J, Hong JF. Prevalence of Adverse Childhood Experiences and Their Associations with Non-Suicidal Self-Injury Among Chinese Adolescents with Depression. Child Psychiatry Hum Dev 2024; 55:1441-1451. [PMID: 36811752 DOI: 10.1007/s10578-023-01508-x] [Citation(s) in RCA: 3] [Impact Index Per Article: 3.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 02/09/2023] [Indexed: 02/24/2023]
Abstract
The presence of adverse childhood experiences (ACEs) in adolescents diagnosed with depression has been associated with an extensive range of mental health issues, including non-suicidal self-injury (NSSI). However, there has been a dearth of research into the prevalence of ACEs and their associations with NSSI among depressed adolescent populations in China. This study aimed to investigate the prevalence of different types of ACEs and their associations with NSSI in depressed Chinese adolescents. Utilizing Chi-squared tests, latent class analysis (LCA), and multinomial logistic regression, the prevalence of different types of ACEs and their associations with NSSI were determined in a sample of 562 adolescents with depression. Among depressed adolescents. 92.9% of depressed adolescents reported ACEs, and the prevalence of emotional neglect, physical abuse, caregiver treated violently, and bullying was relatively high. ACEs, including sexual abuse (OR = 5.645), physical abuse (OR = 3.603), emotional neglect (OR = 3.096), emotional abuse (OR = 2.701), caregiver divorce/family separation (OR = 2.5), caregiver treated violently (OR = 2.221), and caregiver substance abuser (OR = 2.117), were associated with increased odds of exposure among depressed adolescents with NSSI. The high ACEs class (19%), the moderate ACEs class (40%), and the low ACEs class (41%) were identified as latent classes. NSSI was more prevalent in the high/moderate ACEs class compared to the low ACEs class, particularly in the high ACEs class. The situation of the prevalence of ACEs among adolescents with depression was unsatisfactory, and certain types of ACEs were associated with NSSI. Eliminating potential risk factors for NSSI requires the early prevention and targeted intervention of ACEs. Moreover, additional large-scale longitudinal studies are necessary to assess the different development trajectories associated with ACEs, such as the relationships between the different development periods of ACEs and NSSI, and to ensure the adoption of evidence-based prevention and intervention strategies.
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Affiliation(s)
- Lu Wang
- School of Nursing, Anhui Medical University, No. 81 Mei Shan Road, Shu Shan District, He Fei, 230032, Anhui Province, China
| | - Hai-Ou Zou
- School of Nursing, Peking Union Medical College, No. 33 Ba Da Chu Road, Shi Jing Shan District, 100144, Beijing, China
| | - Jun Liu
- Department of Nursing, Beijing Anding Hospital, Capital Medical University, No. 5 An Kang Hutong, Xi Cheng District, 100088, Beijing, China
| | - Jing-Fang Hong
- School of Nursing, Anhui Medical University, No. 81 Mei Shan Road, Shu Shan District, He Fei, 230032, Anhui Province, China.
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3
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Shao L, Zhao C, Yu G. The Long-Term Effect of Early-Life Uncertainty on Mental Health in Adolescence and Adulthood: A Meta-Analysis. TRAUMA, VIOLENCE & ABUSE 2024; 25:3211-3225. [PMID: 38551176 DOI: 10.1177/15248380241241028] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 09/03/2024]
Abstract
Turbulent changes in early life are a hidden source of childhood trauma, increasing potential risks for mental illness. Many studies have identified the link between childhood uncertainty and mental health. However, research on the long-term effect of early-life uncertainty (EU) on mental health has not been systematically synthesized. This meta-analysis aims to provide a quantitative estimate of the association between EU and subsequent mental health outcomes. Eight electronic databases and gray literature were searched. Twenty-eight studies met our inclusion criteria: samples of non-clinical adolescents or adults and clear and valid assessments. Random-effect models were used to calculate the pooled effect sizes of EU on internalizing problems, externalizing problems, and well-being. Meta-regression and subgroup analysis were used to explore potential moderators. Results indicated small to moderate associations involving EU and internalizing problem (r = .28; 95% confidence interval [CI] [0.228, 0.326]) and externalizing problem (r = .16; 95% CI [0.102, 0.220]). EU was not significantly associated with well-being (r = -.41; 95% CI [-0.738, 0.071]). Furthermore, moderator analyses found that composite uncertain experiences in childhood had a stronger negative effect than single experiences. EU was a stronger predictor of mental health problems in adults than in adolescents. Cross-sectional studies would amplify the correlation between EU and mental illness compared to longitudinal studies. In the future, childhood uncertain and unpredictable risks should receive more attention. More research needs to focus on positive psychological indicators and samples from non-Western countries.
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Affiliation(s)
- Lei Shao
- School of Education, Renmin University of China, Beijing, China
| | - Chengjia Zhao
- School of Education, Renmin University of China, Beijing, China
| | - Guoliang Yu
- Institute of Psychology, Renmin University of China, Beijing, China
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Vettore MV, Stea TH, Zahl-Olsen R, Faerstein E. Longitudinal evidence of the influence of early life circumstances, family characteristics, social ties and psychological distress on healthy behaviours of Brazilian adults: The Pro-Saude cohort study. PLoS One 2024; 19:e0306565. [PMID: 39141669 PMCID: PMC11324140 DOI: 10.1371/journal.pone.0306565] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/04/2024] [Accepted: 06/19/2024] [Indexed: 08/16/2024] Open
Abstract
BACKGROUND This study examined the influence of early life circumstances, family characteristics, social ties and psychological distress in adulthood on adult's health-related behaviours. METHODS A cohort study (Pro-Saúde Study) involving technical and administrative civil servants at university campuses in Rio de Janeiro State, Brazil was conducted in Rio de Janeiro, Brazil. Data from 2155 adults were collected at baseline (1999) and after a 13-year period (2012-13). Family characteristics at 12 years of age were assessed retrospectively in 1999. Gender, marital status, living situation, social support, social networks of relatives and psychological distress were also measured in 1999. Data collection in 2012-13 included information about marital status, social networks of relatives, cigarette smoking, fruit and vegetable consumption and physical exercise. A conceptual model testing the relationships between variables was assessed through structural equation modelling. RESULTS Female gender (β = 0.043), better social networks of relatives in 1999 (β = 0.053) and 2012-13 (β = 0.069) and low psychological distress (β = -0.048) directly predicted less smoking. Better social networks of relatives in 2012-13 was directly linked to higher consumption of fruits (β = 0.045) and vegetables (β = 0.051) and being physically active (β = 0.070). Low psychological distress directly predicted higher fruit consumption (β = -0.040). Family characteristics at 12 years-old, marital status and living with other people were linked indirectly with health behaviours through social networks, social support and psychological distress. CONCLUSIONS Adults with better early life family and social circumstances, and those who were married reported positive health behaviours through indirect pathways. Stronger social ties and lower psychological distress represented the pathways by which early life circumstances and relationship status influenced positive health behaviours.
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Affiliation(s)
- Mario V. Vettore
- Department of Dentistry and Oral Health, Aarhus University, Aarhus, Denmark
| | - Tonje H. Stea
- Department of Health and Nursing Sciences, University of Agder, Kristiansand, Norway
| | - Rune Zahl-Olsen
- Department of Child and Adolescent Mental Health, Soerlandet Hospital, Kristiansand, Norway
| | - Eduardo Faerstein
- Department of Epidemiology, Institute of Social Medicine, State University of Rio de Janeiro, Rio de Janeiro, Brazil
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Rouleaux M, Peters-Scheffer N, Lindauer R, Mevissen L, Didden R. Stressful life events, post-traumatic stress disorder symptoms and mental health in individuals with intellectual disabilities: a scoping review. JOURNAL OF INTELLECTUAL DISABILITY RESEARCH : JIDR 2024. [PMID: 39129191 DOI: 10.1111/jir.13178] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/20/2023] [Revised: 07/10/2024] [Accepted: 07/19/2024] [Indexed: 08/13/2024]
Abstract
BACKGROUND Stressful life events are events that do not fulfil the A criterion of PTSD in the DSM-5(TR) but are perceived as negative by the person. There is an ongoing debate about the usefulness of the A criterion as a gate criterion for PTSD, and especially regarding which events qualify as traumatic or stressful life events. This debate is particularly important for individuals with intellectual disabilities (ID) or borderline intellectual functioning (BIF), as they seem to be more likely to experience traumatic and stressful life events than their peers without ID-BIF and appear to be more susceptible to the disruptive effects of these events. As a result, people with ID-BIF are more likely to develop mental health and behavioural problems. There is insufficient knowledge about how the relationship between stressful life events and PTSD symptoms should be interpreted, how traumatic and stressful life events are defined and distinguished in people with ID, and whether the A criterion should be broadened for individuals with ID-BIF. The aim of this scoping review was to understand stressful life events and their relationship with PTSD symptoms, other mental health and/or behavioural problems in individuals with ID-BIF. METHODS The scoping review was conducted in accordance with the JBI methodology for scoping reviews and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR). RESULTS Thirty-eight studies were included. Five studies focused on stressful life events and PTSD symptoms. The other studies examined associations between stressful life events and other mental health and/or behavioural problems. Most of the studies did not clearly differentiate between stressful and traumatic events according to the A criterion of PTSD in the DSM-IV (TR) or DSM-5(TR). Of the six studies in which stressful life events were specified and could be distinguished from traumatic events, one found a positive association between PTSD symptoms and stressful life events and five showed weak to strong positive associations with other mental health and/or behavioural problems. CONCLUSIONS PTSD symptoms following stressful life events in individuals with ID-BIF are underrepresented in the literature. The lack of a clear definition of stressful life events leads to a gap in the knowledge on whether and how stressful life events may lead to PTSD symptoms, other mental health and/or behavioural problems in individuals with ID-BIF. Therefore, no general conclusions or recommendations can be made regarding the appropriateness of the PTSD A criterion for individuals with ID-BIF. Further research is needed to establish the role of stressful life events in relation to PTSD symptoms and to inform the assessment and effective treatment in people with ID-BIF, as expert clinical experience studies suggest that broadening the PTSD A criterion should be considered for people with ID-BIF.
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Affiliation(s)
- M Rouleaux
- Department of Advisium, 's Heeren Loo Advisium, Amersfoort, The Netherlands
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
| | - N Peters-Scheffer
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
- Driestroom, Elst, The Netherlands
| | - R Lindauer
- Department Child and Adolescent Psychiatry, Levvel, Amsterdam, The Netherlands
- Department Child and Adolescent Psychiatry, Amsterdam UMC, University of Amsterdam, Amsterdam, The Netherlands
| | - L Mevissen
- Liesbeth Mevissen Psychotrauma Practice, Rha, The Netherlands
| | - R Didden
- Behavioural Science Institute, Radboud University, Nijmegen, The Netherlands
- Department of Research and Development, Trajectum, Zwolle, The Netherlands
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Fridel EE, Zimmerman GM, Arrigo SR. Examining the Impact of Minimum Handgun Purchase Age and Background Check Legislation on Young Adult Suicide in the United States, 1991-2020. Am J Public Health 2024; 114:805-813. [PMID: 38870430 PMCID: PMC11224627 DOI: 10.2105/ajph.2024.307689] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 04/05/2024] [Indexed: 06/15/2024]
Abstract
Objectives. To examine the independent and joint effects of state legislation on minimum age for purchasing handguns and background checks on the suicide of young adults aged 18 to 20 years. Methods. We used negative binomial regressions with fixed effects for year and generalized estimating equations for state to estimate the effects of state legislation on annual counts of firearm, nonfirearm, and total young adult suicides in all 50 US states from 1991 to 2020. Results. Minimum age laws decreased the incidence rate of firearm suicide among young adults, an effect that was amplified in states with permit to purchase laws; there was no effect on the nonfirearm or total suicide rate. Permit to purchase laws significantly decreased the young adult firearm suicide incidence rate by 39% (incidence rate ratio [IRR] = 0.61; 95% confidence interval [CI] = 0.51, 0.74) and the overall suicide incidence rate by 14% (IRR = 0.86; 95% CI = 0.75, 0.99), with no effect on the nonfirearm suicide rate. Conclusions. Permit to purchase laws are a more promising avenue for reducing young adult suicides than are age-based restrictions. (Am J Public Health. 2024;114(8):805-813. https://doi.org/10.2105/AJPH.2024.307689).
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Affiliation(s)
- Emma E Fridel
- Emma E. Fridel and Shayna R. Arrigo are with the College of Criminology and Criminal Justice, Florida State University, Tallahassee. Gregory M. Zimmerman is with the School of Criminology and Criminal Justice, Northeastern University, Boston, MA
| | - Gregory M Zimmerman
- Emma E. Fridel and Shayna R. Arrigo are with the College of Criminology and Criminal Justice, Florida State University, Tallahassee. Gregory M. Zimmerman is with the School of Criminology and Criminal Justice, Northeastern University, Boston, MA
| | - Shayna R Arrigo
- Emma E. Fridel and Shayna R. Arrigo are with the College of Criminology and Criminal Justice, Florida State University, Tallahassee. Gregory M. Zimmerman is with the School of Criminology and Criminal Justice, Northeastern University, Boston, MA
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7
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Enami K, Kondo T, Kajiwara K, Kawaguchi R, Kato T. Mothers' parental divorce experience in childhood and their children's mental health: Mediating role of maternal education. J Affect Disord 2024; 358:483-486. [PMID: 38703908 DOI: 10.1016/j.jad.2024.05.004] [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: 08/22/2023] [Revised: 04/27/2024] [Accepted: 05/01/2024] [Indexed: 05/06/2024]
Abstract
BACKGROUND Adverse childhood experiences (ACEs) of mothers have been shown to be associated with children's mental health and behavior problems. It is important to identify effective intervention points to prevent negative consequences among children. This study aimed to investigate whether mothers' education is protective against children's depressive symptoms in families with mothers who experienced parental divorce in childhood. METHODS Data from a cross-sectional study of 5th and 8th grade children and their caregivers in a prefecture in Japan were used. Final analytic sample consisted of 9666 child-caregiver pairs. Mediation analyses using inverse odds weighting were performed where the exposure was maternal experience of parental divorce in childhood, outcome was child depressive symptoms, and potential mediators were maternal education beyond high school, maternal mental health, and household income. RESULTS Maternal experience of parental divorce was associated with an elevated risk of child depressive symptoms (risk ratio: 1.22, 95 % confidence interval (CI): 1.07-1.39). Mediation analyses indicated that the combination of maternal education, maternal depression and household income mediated about half of the total effect. In the model where maternal education was the sole mediator, maternal education mediated nearly half of the total effect (risk ratio: 1.10, 95 % CI: 1.01-1.20). LIMITATIONS Results should be cautiously interpreted given observational and cross-sectional nature of the data. CONCLUSIONS Maternal education beyond high school may be protective against negative mental health consequences among children due to mothers' experience of parental divorce. Further studies are needed regarding potential mechanisms and the roles of other potential mediators.
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Affiliation(s)
- Kohei Enami
- Department of Social Medicine, National Center for Child Health and Development, Tokyo, Japan.
| | - Takayuki Kondo
- Research Center for Child and Adolescent Poverty, Tokyo Metropolitan University, Tokyo, Japan
| | - Katsuhito Kajiwara
- Faculty of Welfare and Health Science, Fukuyama Heisei University, Hiroshima, Japan
| | - Ryo Kawaguchi
- Graduate School of Humanities, Tokyo Metropolitan University, Tokyo, Japan
| | - Tsuguhiko Kato
- Department of Social Medicine, National Center for Child Health and Development, Tokyo, Japan
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Mc Carthy D, Watson S, Galbally M. The role of parental divorce in the later vulnerability to perinatal depression and early parenting stress. Australas Psychiatry 2024; 32:224-229. [PMID: 38411444 DOI: 10.1177/10398562241230196] [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] [Indexed: 02/28/2024]
Abstract
OBJECTIVE This study will examine the role of childhood experience of parental divorce on later perinatal depression and parenting stress. METHODS 546 women were recruited at less than 20 weeks pregnancy into an ongoing pregnancy cohort study and followed up in pregnancy and the postpartum. Depression at recruitment was measured using the Structured Clinical Interview for the DSM and the Edinburgh Postnatal Depression Scale repeated in pregnancy and the postpartum. Parenting stress was measured at 12 months postpartum using Parenting Stress Index. RESULTS This study found 33% of women had experienced parental divorce. While we did not find a statistically significant relationship between the experience of parental divorce and perinatal depression, there was a higher rate of perinatal depression when parental divorce occured at a younger age. There was no association with parental divorce and parenting stress. Childhood divorce was significantly associated with other adverse childhood experiences. CONCLUSIONS Our findings did not support an impact of parental divorce on either maternal perinatal depression or on parenting stress, suggesting the experience of parental divorce for children may not inevitably impact their later experiences as parents. Further research on the association with age of parental divorce and later perinatal mental health is warranted.
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Affiliation(s)
- Drew Mc Carthy
- Psychiatry Training, Post Graduate Training in Psychiatry, Graylands Hospital, Graylands, WA, Australia
| | - Stuart Watson
- Health Futures Institute, Murdoch University, Murdoch, WA, Australia; and School of Clinical Sciences, Monash University, Clayton, VIC, Australia
| | - Megan Galbally
- Health Futures Institute, Murdoch University, Murdoch, WA, Australia; and School of Clinical Sciences, Monash University, Clayton, VIC, Australia
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Kim JK, Arpawong TE, Klopack ET, Crimmins EM. Parental Divorce in Childhood and the Accelerated Epigenetic Aging for Earlier and Later Cohorts: Role of Mediators of Chronic Depressive Symptoms, Education, Smoking, Obesity, and Own Marital Disruption. JOURNAL OF POPULATION AGEING 2024; 17:297-313. [PMID: 39131698 PMCID: PMC11313353 DOI: 10.1007/s12062-023-09434-5] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/13/2023] [Accepted: 10/23/2023] [Indexed: 08/13/2024]
Abstract
We examine effects of parental divorce on epigenetic aging in later adulthood for two birth cohorts: one born in the early 20th century and the other born in the later 20th century. Using data from the Health and Retirement Study (n = 1,545), we examine the relationship between parental divorce in childhood and accelerated epigenetic aging in older adulthood as indicated by the Dunedin methylation Pace of Aging score. We assess how this relationship is mediated by chronic depressive symptoms, education, lifetime smoking, body mass index (BMI), and an older adult's own divorce. The mean age of the earlier cohort is 85.8 (SD = 3.9) and that of the later cohort is 60.2 (SD = 2.8). We find that parental divorce was related to faster aging in the later-born cohort, and that 56% of this relationship (b = 0.060) was mediated by chronic depressive symptoms (b = 0.013), lower education levels (b = 0.005), and smoking (b = 0.019). For the earlier cohort, there was no effect of parental divorce on epigenetic aging. Parental divorce in childhood may have lasting effects on later-life health, as reflected in the rate of epigenetic aging. However, the effects and mechanisms of this relationship differ across cohorts living in different social environments.
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Affiliation(s)
- Jung Ki Kim
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089-0191, USA
| | - Thalida Em Arpawong
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089-0191, USA
| | - Eric T. Klopack
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089-0191, USA
| | - Eileen M. Crimmins
- Leonard Davis School of Gerontology, University of Southern California, Los Angeles, CA 90089-0191, USA
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Claussen AH, Holbrook JR, Hutchins HJ, Robinson LR, Bloomfield J, Meng L, Bitsko RH, O'Masta B, Cerles A, Maher B, Rush M, Kaminski JW. All in the Family? A Systematic Review and Meta-analysis of Parenting and Family Environment as Risk Factors for Attention-Deficit/Hyperactivity Disorder (ADHD) in Children. PREVENTION SCIENCE : THE OFFICIAL JOURNAL OF THE SOCIETY FOR PREVENTION RESEARCH 2024; 25:249-271. [PMID: 35438451 PMCID: PMC9017071 DOI: 10.1007/s11121-022-01358-4] [Citation(s) in RCA: 19] [Impact Index Per Article: 19.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 02/17/2022] [Indexed: 12/15/2022]
Abstract
Parenting and family environment have significant impact on child development, including development of executive function, attention, and self-regulation, and may affect the risk of developmental disorders including attention-deficit/hyperactivity disorder (ADHD). This paper examines the relationship of parenting and family environment factors with ADHD. A systematic review of the literature was conducted in 2014 and identified 52 longitudinal studies. A follow-up search in 2021 identified 7 additional articles, for a total of 59 studies that examined the association of parenting factors with ADHD outcomes: ADHD overall (diagnosis or symptoms), ADHD diagnosis specifically, or presence of the specific ADHD symptoms of inattention and hyperactivity/impulsivity. For parenting factors that were present in three or more studies, pooled effect sizes were calculated separately for dichotomous or continuous ADHD outcomes, accounting for each study's conditional variance. Factors with sufficient information for analysis were parenting interaction quality (sensitivity/warmth, intrusiveness/reactivity, and negativity/harsh discipline), maltreatment (general maltreatment and physical abuse), parental relationship status (divorce, single parenting), parental incarceration, and child media exposure. All factors showed a significant direct association with ADHD outcomes, except sensitivity/warmth which had an inverse association. Parenting factors predicted diagnosis and overall symptoms as well as inattentive and hyperactive symptoms when measured, but multiple factors showed significant heterogeneity across studies. These findings support the possibility that parenting and family environment influences ADHD symptoms and may affect a child's likelihood of being diagnosed with ADHD. Prevention strategies that support parents, such as decreasing parenting challenges and increasing access to parent training in behavior management, may improve children's long-term developmental health.
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Affiliation(s)
- Angelika H Claussen
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA.
| | - Joseph R Holbrook
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Helena J Hutchins
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
- Oak Ridge Institute for Science and Education, Centers for Disease Control and Prevention Research Participation Programs, Atlanta, GA, USA
| | - Lara R Robinson
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Jeanette Bloomfield
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Lu Meng
- Covid-19 Response Health System and Worker Safety Task Force, National Center for Immunization and Respiratory Diseases, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | - Rebecca H Bitsko
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
| | | | | | - Brion Maher
- Department of Mental Health, Johns Hopkins Bloomberg School of Public Health, Baltimore, MD, USA
| | | | - Jennifer W Kaminski
- Division of Human Development and Disability, National Center on Birth Defects and Developmental Disabilities, Centers for Disease Control and Prevention, Atlanta, GA, USA
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Tay-Karapas K, Guzmán-González M, Gómez F, Comino P, Salaberria K, Bahamondes J. An attachment-based pilot program to promote adolescent adjustment to parental divorce. Child Adolesc Psychiatry Ment Health 2024; 18:44. [PMID: 38555447 PMCID: PMC10981801 DOI: 10.1186/s13034-024-00729-9] [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: 12/29/2023] [Accepted: 03/11/2024] [Indexed: 04/02/2024] Open
Abstract
The study aimed to assess the impact of an attachment-based intervention on adolescent adaptation to parental divorce. The Adolescent Adjustment Pilot Program to Parental Divorce (AAPPD) employed an experimental group format, targeting improvements in various adaptation indicators (life satisfaction, positive affect, and negative affect). The sample comprised 30 Chilean adolescents aged 12 to 16 (M = 13.6, SD = 1.35), with 60% females and 40% males. After the intervention, the adolescents showed a decrease in negative affect at 6 and 12 months. However, no differences were identified in other dimensions of subjective well-being considered as indicators of divorce adaptation. The findings prompt discussion on theoretical and clinical implications.
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Affiliation(s)
- Karla Tay-Karapas
- Escuela de Psicología, Facultad de Psicología, Departamento de Psicología Clínica y de la Salud y Metodología de Investigación, Karla Tay-Karapas, Universidad Católica del Norte, Universidad del País Vasco, Avenida Angamos 0610, Antofagasta, San Sebastián, España, Chile.
| | - Mónica Guzmán-González
- Escuela de Psicología, Mónica Guzmán-González, Universidad Católica del Norte, Antofagasta, Chile
| | - Fabiola Gómez
- Fabiola Gómez, Facultad de Psicología, Universidad de Talca , Talca , Chile
| | - Priscila Comino
- Departamento de Psicología Evolutiva y de la Educación, Facultad de Educación y Deporte, Universidad del País Vasco, Vitoria-Gasteiz, España
| | - Karmele Salaberria
- Karmele Salaberria, Facultad de Psicología, Departamento de Psicología Clínica y de la Salud y Metodología de Investigación, Universidad del País Vasco, San Sebastián, España
| | - Joaquín Bahamondes
- Joaquín Bahamondes, Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
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Bala J, Newson JJ, Thiagarajan TC. Hierarchy of demographic and social determinants of mental health: analysis of cross-sectional survey data from the Global Mind Project. BMJ Open 2024; 14:e075095. [PMID: 38490653 PMCID: PMC10946366 DOI: 10.1136/bmjopen-2023-075095] [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] [Received: 05/02/2023] [Accepted: 02/16/2024] [Indexed: 03/17/2024] Open
Abstract
OBJECTIVES To understand the extent to which various demographic and social determinants predict mental health status and their relative hierarchy of predictive power in order to prioritise and develop population-based preventative approaches. DESIGN Cross-sectional analysis of survey data. SETTING Internet-based survey from 32 countries across North America, Europe, Latin America, Middle East and North Africa, Sub-Saharan Africa, South Asia and Australia, collected between April 2020 and December 2021. PARTICIPANTS 270 000 adults aged 18-85+ years who participated in the Global Mind Project. OUTCOME MEASURES We used 120+ demographic and social determinants to predict aggregate mental health status and scores of individuals (mental health quotient (MHQ)) and determine their relative predictive influence using various machine learning models including gradient boosting and random forest classification for various demographic stratifications by age, gender, geographical region and language. Outcomes reported include model performance metrics of accuracy, precision, recall, F1 scores and importance of individual factors determined by reduction in the squared error attributable to that factor. RESULTS Across all demographic classification models, 80% of those with negative MHQs were correctly identified, while regression models predicted specific MHQ scores within ±15% of the position on the scale. Predictions were higher for older ages (0.9+ accuracy, 0.9+ F1 Score; 65+ years) and poorer for younger ages (0.68 accuracy, 0.68 F1 Score; 18-24 years). Across all age groups, genders, regions and language groups, lack of social interaction and sufficient sleep were several times more important than all other factors. For younger ages (18-24 years), other highly predictive factors included cyberbullying and sexual abuse while not being able to work was high for ages 45-54 years. CONCLUSION Social determinants of traumas, adversities and lifestyle can account for 60%-90% of mental health challenges. However, additional factors are at play, particularly for younger ages, that are not included in these data and need further investigation.
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Lolk K, Rytgaard HCW, Madsen MG, Arteaga-Henríquez G, Madsen KB, Dreier JW, Munk-Olsen T. Duration and timing of depression and risk of family dissolution: A register-based cohort study of newly-formed Danish families. J Affect Disord 2024; 349:420-430. [PMID: 38199414 DOI: 10.1016/j.jad.2024.01.022] [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: 06/08/2023] [Revised: 11/30/2023] [Accepted: 01/03/2024] [Indexed: 01/12/2024]
Abstract
BACKGROUND Depression is detrimental to partnership stability. However, it remains unclear if and how the duration and timing of depression affect the risk of family dissolution. METHODS We conducted a Danish register-based cohort study of newly-formed cohabiting and married couples in 2008 and 2009, who were followed from the second year after family formation. Depressive episodes were defined by individual-level prescription patterns of antidepressant drugs (ATC codes N06A) in either partner. Family dissolution was characterized by the discontinuation of a shared residential address. Using Longitudinal Targeted Minimum Loss-based Estimation, we estimated the risk of family dissolution after 5 years of follow-up under various lengths and timings of depressive episodes. RESULTS There were 102,335 families included. The covariate-adjusted risk of family dissolution in families without depressive episodes was 30.0 % (95 % CI 29.6-30.4 %) and 35.5 % (95 % CI 29.5-41.5 %) in families with at least one depressive episode during follow-up. The risk of family dissolution increased with the duration of depressive episodes to 42.2 % (95 % CI 40.8-43.6 %) for five coherent years of depression. Depression shortly after family formation carried higher risk of family dissolution; this risk was 42.3 % (95 % CI 38.4-46.3 %) for depression experienced in the first year of family formation versus 32.9 % (95 % CI 31.8-34.0 %) in the fifth year of family formation. LIMITATIONS Proxy measures of depression by antidepressant prescriptions fails to identify milder depression. Annual measures of family dissolution precluded more fine-grained analyses of time-intervals. CONCLUSIONS Depression is disruptive to family stability, particularly with longer duration and early onset after family formation.
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Affiliation(s)
- Kasper Lolk
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark; Centre for Integrated Register-based Research, CIRRAU, Aarhus University, Aarhus, Denmark.
| | | | - Malene Galle Madsen
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark
| | - Gara Arteaga-Henríquez
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark; Department of Psychiatry, Hospital Universitari Vall d'Hebron, Vall d'Hebron Research Institute (VHIR), Vall d'Hebron Barcelona Hospital Campus, Barcelona, Spain; Biomedical Network Research Centre on Mental Health (CIBERSAM), Madrid, Spain
| | - Kathrine Bang Madsen
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark
| | - Julie Werenberg Dreier
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark; Centre for Integrated Register-based Research, CIRRAU, Aarhus University, Aarhus, Denmark
| | - Trine Munk-Olsen
- National Centre for Register-based Research, Aarhus BSS, Aarhus University, Denmark; Department of Clinical Research, Odense University Hospital, Odense, Denmark
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14
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Gautam N, Rahman MM, Hashmi R, Lim A, Khanam R. Socioeconomic inequalities in child and adolescent mental health in Australia: the role of parenting style and parents' relationships. Child Adolesc Psychiatry Ment Health 2024; 18:28. [PMID: 38383394 PMCID: PMC10882797 DOI: 10.1186/s13034-024-00719-x] [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: 08/01/2023] [Accepted: 02/05/2024] [Indexed: 02/23/2024] Open
Abstract
BACKGROUND Socioeconomic inequalities in health and their determinants have been studied extensively over the past few decades. However, the role of parenting style and parents' couple relationships in explaining mental health inequalities is limited. Therefore, this study aims to investigate the distributional impact of parenting style (angry parenting, consistent parenting, and inductive parenting) and parents' couple relationships (e.g., argumentative, happy relationships) on socioeconomic inequalities and by extension on mental health status of Australian children and adolescents. METHODS This study utilized data from the Longitudinal Study of Australian Children (Waves 1-7), specifically focusing on intact biological parent families, while excluding single-parent and blended-family households. We applied the decomposition index and the Blinder Oaxaca method to investigate the extent of the contribution and temporal impact of parenting style and parents' couple relationships on the mental health status of Australian children and adolescents. RESULTS This study revealed that poor parenting style is the single most important factor that leads to developing mental health difficulties in children and adolescents, especially from low socioeconomic status, and it contributes almost 52% to socioeconomic inequalities in mental health status. Conversely, household income, maternal education, employment status, and parents' couple relationships contributed 28.04%, 10.67%, 9.28%, and 3.34%, respectively, to mental health inequalities in children and adolescents. CONCLUSION Overall, this study underscores the importance of parenting style and parents' couple relationships as significant predictors of mental health outcomes in children and adolescents. These results highlight the need for targeted interventions to support families from low socioeconomic backgrounds to address the significant mental health inequalities observed in the study population.
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Affiliation(s)
- Nirmal Gautam
- School of Business, University of Southern Queensland, Toowoomba, Queensland, 4350, Australia.
- The Centre for Health Research, The University of Southern Queensland, Toowoomba, Queensland, 4350, Australia.
| | - Mohammad Mafizur Rahman
- School of Business, University of Southern Queensland, Toowoomba, Queensland, 4350, Australia
- The Centre for Health Research, The University of Southern Queensland, Toowoomba, Queensland, 4350, Australia
| | - Rubayyat Hashmi
- School of Business, University of Southern Queensland, Toowoomba, Queensland, 4350, Australia
- The Australian Centre for Housing Research, The University of Adelaide, Adelaide, SA, 5005, Australia
- NGRN, The ALIVE National Centre for Mental Health Research Translation, The University of Melbourne, Parkville, VIC, 3052, Australia
| | - Apiradee Lim
- Department of Mathematics and Computer Science, Faculty of Science and Technology, Prince of Songkla University, Pattani, 94000, Thailand
| | - Rasheda Khanam
- School of Business, University of Southern Queensland, Toowoomba, Queensland, 4350, Australia
- The Centre for Health Research, The University of Southern Queensland, Toowoomba, Queensland, 4350, Australia
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15
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van Berkel SR, Prevoo MJL, Linting M, Pannebakker F, Alink LRA. What About the Children? Co-Occurrence of Child Maltreatment and Parental Separation. CHILD MALTREATMENT 2024; 29:53-65. [PMID: 36154718 PMCID: PMC10720258 DOI: 10.1177/10775595221130074] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 06/16/2023]
Abstract
The aim of this study was to investigate (a) the extent to which child maltreatment co-occurs with parental separation and (b) associations between different types of child maltreatment and various types of separation-associated interparental conflict. Professionals working with children (N = 785) reported each case of suspected child maltreatment they observed during a 3-month period and indicated whether parental divorce or separation was about to take place or had taken place. This resulted in 530 reported cases that matched the definitions of child maltreatment for which information on parental relationship status was available. Most of the maltreated children (60%) also experienced (impending) parental separation. In 69% of these cases child maltreatment was associated with parental separation. Particularly, cases of emotional neglect, and emotional abuse co-occurred with parental separation. In addition, four clusters of separation-associated interparental conflict were distinguished- No observed conflict, Non-physical conflict, Verbal and physical conflict, and Multiple conflict-which were associated with child and family characteristics and specific types of child maltreatment. The results of this study suggest that child maltreatment often co-occurs with parental separation, especially when there is a considerable amount of interparental conflict.
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Affiliation(s)
- Sheila R. van Berkel
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
| | - Mariëlle J. L. Prevoo
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
- Research Support and Development, University Library, Maastricht University, The Netherlands
| | - Mariëlle Linting
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
| | | | - Lenneke R. A. Alink
- Institute of Education and Child Studies, Leiden University, Leiden, The Netherlands
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16
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Kowal M, Sorokowski P, Dinić BM, Pisanski K, Gjoneska B, Frederick DA, Pfuhl G, Milfont TL, Bode A, Aguilar L, García FE, Roberts SC, Abad-Villaverde B, Kavčič T, Miroshnik KG, Ndukaihe ILG, Šafárová K, Valentova JV, Aavik T, Blackburn AM, Çetinkaya H, Duyar I, Guemaz F, Ishii T, Kačmár P, Natividade JC, Nussinson R, Omar-Fauzee MSB, Pacquing MCT, Ponnet K, Wang AH, Yoo G, Amin R, Pirtskhalava E, Afhami R, Arvanitis A, Duyar DA, Besson T, Boussena M, Can S, Can AR, Carneiro J, Castro R, Chubinidze D, Čunichina K, Don Y, Dural S, Etchezahar E, Fekih-Romdhane F, Frackowiak T, Moharrampour NG, Yepes TG, Grassini S, Jovic M, Kertechian KS, Khan F, Kobylarek A, Križanić V, Lins S, Mandzyk T, Manunta E, Martinac Dorčić T, Muthu KN, Najmussaqib A, Otterbring T, Park JH, Pavela Banai I, Perun M, Reyes MES, Röer JP, Şahin A, Sahli FZ, Šakan D, Singh S, Smojver-Azic S, Söylemez S, Spasovski O, Studzinska A, Toplu-Demirtas E, Urbanek A, Volkodav T, Wlodarczyk A, Yaakob MFMY, Yusof MR, Zumárraga-Espinosa M, Zupančič M, Sternberg RJ. Validation of the Short Version (TLS-15) of the Triangular Love Scale (TLS-45) across 37 Languages. ARCHIVES OF SEXUAL BEHAVIOR 2024; 53:839-857. [PMID: 37884798 PMCID: PMC10844340 DOI: 10.1007/s10508-023-02702-7] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/17/2022] [Revised: 09/04/2023] [Accepted: 09/05/2023] [Indexed: 10/28/2023]
Abstract
Love is a phenomenon that occurs across the world and affects many aspects of human life, including the choice of, and process of bonding with, a romantic partner. Thus, developing a reliable and valid measure of love experiences is crucial. One of the most popular tools to quantify love is Sternberg's 45-item Triangular Love Scale (TLS-45), which measures three love components: intimacy, passion, and commitment. However, our literature review reveals that most studies (64%) use a broad variety of shortened versions of the TLS-45. Here, aiming to achieve scientific consensus and improve the reliability, comparability, and generalizability of results across studies, we developed a short version of the scale-the TLS-15-comprised of 15 items with 5-point, rather than 9-point, response scales. In Study 1 (N = 7,332), we re-analyzed secondary data from a large-scale multinational study that validated the original TLS-45 to establish whether the scale could be truncated. In Study 2 (N = 307), we provided evidence for the three-factor structure of the TLS-15 and its reliability. Study 3 (N = 413) confirmed convergent validity and test-retest stability of the TLS-15. Study 4 (N = 60,311) presented a large-scale validation across 37 linguistic versions of the TLS-15 on a cross-cultural sample spanning every continent of the globe. The overall results provide support for the reliability, validity, and cross-cultural invariance of the TLS-15, which can be used as a measure of love components-either separately or jointly as a three-factor measure.
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Affiliation(s)
- Marta Kowal
- IDN Being Human Lab, University of Wrocław, Dawida 1, 50-529, Wrocław, Poland.
| | | | - Bojana M Dinić
- Department of Psychology, Faculty of Philosophy, University of Novi Sad, Novi Sad, Serbia
| | - Katarzyna Pisanski
- Institute of Psychology, University of Wrocław, Wrocław, Poland
- ENES Bioacoustics Research Lab, Centre de Recherche en Neurosciences de Lyon, University of Jean Monnet Saint Étienne, Saint Étienne, France
- Centre National de la Recherche Scientifique, Laboratoire Dynamique du Langage, University of Lyon, Lyon, France
| | - Biljana Gjoneska
- Macedonian Academy of Sciences and Arts, Skopje, North Macedonia
| | - David A Frederick
- Crean College of Health and Behavioral Sciences, Chapman University, Orange, CA, USA
| | - Gerit Pfuhl
- Department of Psychology, Norwegian University of Science and Technology, Trondheim, Norway
| | | | - Adam Bode
- School of Archaeology and Anthropology, ANU College of Arts and Social Sciences, The Australian National University, Canberra, Australia
| | - Leonardo Aguilar
- School of Psychology, Central University of Venezuela, Caracas, Venezuela
| | - Felipe E García
- Division of Psychology, University of Stirling, Stirling, UK
| | - S Craig Roberts
- IDN Being Human Lab, University of Wrocław, Dawida 1, 50-529, Wrocław, Poland
- Departamento de Psiquiatría y Salud Mental, Facultad de Medicina, Universidad de Concepción, Concepción, Chile
| | - Beatriz Abad-Villaverde
- Faculty of Humanities and Education, Universidad Nacional Pedro Henríquez Ureña, Santo Domingo, Dominican Republic
| | - Tina Kavčič
- Department of Psychology, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia
| | - Kirill G Miroshnik
- Faculty of Psychology, Saint Petersburg State University, Saint Petersburg, Russia
| | | | - Katarína Šafárová
- Institute of Psychology, Czech Academy of Sciences, Brno, Czech Republic
| | - Jaroslava V Valentova
- Department of Experimental Psychology, Institute of Psychology, University of Sao Paulo, Sao Paulo, Brazil
| | - Toivo Aavik
- Institute of Psychology, University of Tartu, Tartu, Estonia
| | - Angélique M Blackburn
- Department of Psychology and Communication, Texas A&M International University, Laredo, TX, USA
| | | | - Izzet Duyar
- Department of Anthropology, İstanbul University, İstanbul, Turkey
| | - Farida Guemaz
- Department of Psychology and Educational Sciences, University Mohamed Lamine Debaghine Setif2, Setif, Algeria
| | - Tatsunori Ishii
- Department of Psychology, Japan Women's University, Tokyo, Japan
| | - Pavol Kačmár
- Department of Psychology, Faculty of Arts, Pavol Jozef Šafárik University in Košice, Košice, Slovakia
| | - Jean C Natividade
- Department of Psychology, Pontifical Catholic University of Rio de Janeiro, Rio de Janeiro, Brazil
| | - Ravit Nussinson
- Department of Education and Psychology, The Open University of Israel, Raanana, Israel
- Institute of Information Processing and Decision Making, University of Haifa, Haifa, Israel
| | | | | | - Koen Ponnet
- Faculty of Social Sciences, Ghent University, Ghent, Belgium
| | - Austin H Wang
- Department of Political Science, University of Nevada, Las Vegas, Las Vegas, NV, USA
| | - Gyesook Yoo
- Department of Child & Family Studies, Kyung Hee University, Seoul, Republic of Korea
| | - Rizwana Amin
- Department of Professional Psychology, Bahria University, Islamabad, Pakistan
| | - Ekaterine Pirtskhalava
- Department of Psychology, Ivane Javakhishvili Tbilisi State University, Tbilisi, Georgia
| | - Reza Afhami
- Department of Art Studies, Tarbiat Modares University, Tehran, Iran
| | | | | | - Théo Besson
- Laboratoire de Psychologie Sociale, Université Paris Cité, Paris, France
| | - Mahmoud Boussena
- Department of Psychology and Educational Sciences, University Mohamed Lamine Debaghine Setif2, Setif, Algeria
| | - Seda Can
- Department of Psychology, İzmir University of Economics, İzmir, Turkey
| | - Ali R Can
- Department of Anthropology, Hatay Mustafa Kemal University, Hatay, Turkey
| | - João Carneiro
- Center for Psychology at the University of Porto, University of Porto, Porto, Portugal
| | - Rita Castro
- Center for Psychology at the University of Porto, University of Porto, Porto, Portugal
| | - Dimitri Chubinidze
- Institute of Psychiatry, Psychology & Neuroscience (IoPPN), Department of Psychological Medicine, King's College London, London, UK
| | | | - Yahya Don
- School of Education, Universiti Utara Malaysia, Sintok, Malaysia
| | - Seda Dural
- Department of Psychology, İzmir University of Economics, İzmir, Turkey
| | - Edgardo Etchezahar
- Department of Psychology, University of Buenos Aires, Buenos Aires, Argentina
- Department of Psychology, Centro Interdisciplinario de Psicología Matemática y Experimental, Buenos Aires, Argentina
- Department of Education, International University of Valencia, Valencia, Spain
| | - Feten Fekih-Romdhane
- Department of Psychiatry Ibn Omrane, Razi Hospital, Manouba, Tunisia
- Faculty of Medicine of Tunis, Tunis El Manar University, Tunis, Tunisia
| | | | | | - Talía Gómez Yepes
- Department of Psychology, University of Buenos Aires, Buenos Aires, Argentina
- Department of Education, International University of Valencia, Valencia, Spain
| | - Simone Grassini
- Department of Psychosocial Science, University of Bergen, Bergen, Norway
- Cognitive and Behavioral Neuroscience Laboratory, University of Stavanger, Stavanger, Norway
| | - Marija Jovic
- Department of Marketing Management and Public Relations, Faculty of Organizational Sciences, University of Belgrade, Belgrade, Serbia
| | - Kevin S Kertechian
- Department of Organization, Management, and Human Resources, ESSCA School of Management, Paris, France
| | - Farah Khan
- Institute of Education & Research, Women University Mardan, Mardan, Pakistan
| | | | - Valerija Križanić
- Department of Psychology, Faculty of Humanities and Social Sciences, J.J. Strossmayer University of Osijek, Osijek, Croatia
| | - Samuel Lins
- Center for Psychology at the University of Porto, University of Porto, Porto, Portugal
| | - Tetyana Mandzyk
- Department of Psychology, Ivan Franko National University of Lviv, Lviv, Ukraine
| | - Efisio Manunta
- Cognition, Langues, Langage, and Ergonomie, University of Toulouse, Toulouse, France
| | - Tamara Martinac Dorčić
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
| | - Kavitha N Muthu
- Department of Psychology and Counselling, Universiti Tunku Abdul Rahman, Kampar, Malaysia
| | - Arooj Najmussaqib
- Department of Applied Psychology, National University of Modern Languages, Islamabad, Pakistan
| | | | - Ju Hee Park
- Department of Child and Family Studies, Yonsei University, Seoul, Korea
| | - Irena Pavela Banai
- Department of Psychology, Faculty of Humanities and Social Sciences, J.J. Strossmayer University of Osijek, Osijek, Croatia
| | - Mariia Perun
- Department of Psychology, Ivan Franko National University of Lviv, Lviv, Ukraine
| | - Marc Eric S Reyes
- Department of Psychology, University of Santo Tomas, Manila, Philippines
| | - Jan P Röer
- Department of Psychology and Psychotherapy, Witten/Herdecke University, Witten, Germany
| | - Ayşegül Şahin
- Department of Anthropology, İstanbul University, İstanbul, Turkey
| | - Fatima Zahra Sahli
- Institute of Sport Professions, University of Ibn Tofail, Kenitra, Morocco
| | - Dušana Šakan
- Department of Psychology, Faculty of Law and Business Studies Dr Lazar Vrkatić, Union University, Novi Sad, Serbia
| | - Sangeeta Singh
- Department of Strategy and Management, University of Agder, Kristiansand, Norway
| | - Sanja Smojver-Azic
- Department of Psychology, Faculty of Humanities and Social Sciences, University of Rijeka, Rijeka, Croatia
| | - Sinem Söylemez
- Department of Psychology, Manisa Celal Bayar University, Manisa, Turkey
| | - Ognen Spasovski
- Department of Psychology, University of Ss. Cyril and Methodius, Trnava, Slovakia
- Department of Psychology, Ss. Cyril and Methodius University in Skopje, Skopje, Republic of North Macedonia
| | - Anna Studzinska
- Department of Humanities, Icam School of Engineering, Toulouse Campus, Toulouse Cedex, France
| | | | | | - Tatiana Volkodav
- Department of Pedagogy and Psychology, Kuban State University, Krasnodar, Russia
| | - Anna Wlodarczyk
- Escuela de Psicología, Universidad Católica del Norte, Antofagasta, Chile
| | | | - Mat Rahimi Yusof
- School of Education, Universiti Utara Malaysia, Sintok, Malaysia
| | | | - Maja Zupančič
- Department of Psychology, Faculty of Arts, University of Ljubljana, Ljubljana, Slovenia
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17
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Wen L, Yang K, Cao Y, Qu M, Xiu M. Parental marital status and anxiety symptoms in adolescents: the mediating effect of childhood maltreatment. Eur Arch Psychiatry Clin Neurosci 2023:10.1007/s00406-023-01717-4. [PMID: 38060034 DOI: 10.1007/s00406-023-01717-4] [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: 03/16/2023] [Accepted: 10/29/2023] [Indexed: 12/08/2023]
Abstract
Although previous studies have established the association between parental marital status and mental health problems in adolescents, however, the adverse effects of incomplete family settings and childhood maltreatment on adolescent anxiety symptoms have not been fully investigated. Moreover, whether childhood maltreatment can mediate the relationship between parental marital status and anxiety symptoms remains unclear. A population-based cross-sectional study was performed among 35,573 adolescents in elementary schools across 17 provinces in China. And childhood maltreatment, resilience, and anxiety symptoms were assessed among adolescents, respectively. The parental marital status was self-reported as having two married biological parents, divorced parents, stepparents, and single-parent. We found that the rates of anxiety symptoms among adolescents were 35.1% in intact families, 48.8% in divorced families, 49% in stepparent families, and 48% in single-parent families. Divorced parents (aOR = 1.191, 95% CI [1.060-1.337]) was an independent risk factor for adolescents' anxiety symptom while having stepparents and single-parent were not. In addition, emotional abuse (aOR = 1.300, 95% CI [1.285-1.316]), sexual abuse (aOR = 1.088, 95% CI [1.063-1.114]), and physical neglect (aOR = 1.019, 95% CI [1.007-1.031]) were all independent risk factors for anxiety symptoms in adolescents, while physical abuse and emotional neglect were not. The negative impacts of divorced and remarried parents on adolescent anxiety symptoms were mediated by childhood maltreatment partially (64.9% and 72.2%), while childhood maltreatment completely mediated the adverse impacts of single-parent on adolescent anxiety symptoms. Childhood maltreatment intervention strategies could be necessary for anxiety symptoms of adolescents in divorced/stepparent/single-parent families.
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Affiliation(s)
- Lulu Wen
- Neurology Department, Xuanwu Hospital of Capital Medical University, Xicheng District, Beijing, 100053, China
| | - Kun Yang
- Evidence-Based Department, Xuanwu Hospital of Capital Medical University, Beijing, China
| | - Yujia Cao
- Neurology Department, Third Affiliated Hospital, Beijing University of Chinese Medicine, Beijing, China
| | - Miao Qu
- Neurology Department, Xuanwu Hospital of Capital Medical University, Xicheng District, Beijing, 100053, China.
| | - Meihong Xiu
- Peking University Huilongguan Clinical Medical School, Beijing Huilongguan Hospital, Changping District, Beijing, 100096, China.
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18
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Askelund AD, Ask H, Ystrom E, Havdahl A, Hannigan LJ. Exploring the differentiation of behavioural and emotional problems across childhood: A prospective longitudinal cohort study. JCPP ADVANCES 2023; 3:e12176. [PMID: 38054063 PMCID: PMC10694541 DOI: 10.1002/jcv2.12176] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/21/2022] [Accepted: 04/05/2023] [Indexed: 12/07/2023] Open
Abstract
Background An individual's overall burden of behavioural and emotional problems across childhood is associated with increased likelihood of later mental health conditions. However, the relative extent of behavioural versus emotional problems - that is, the extent to which the domains are differentiated from one another - may provide additional information about who is at risk of developing a mental health condition. Here, we seek to validate differentiation as an independent predictor of later mental health conditions, and to explore its aetiology. Methods We analysed data from ~79,000 children in the population-based Norwegian Mother, Father, and Child Cohort Study, and linked health-care registries. In preregistered analyses, we modelled the extent and rate of differentiation of behavioural and emotional problems between ages 1.5-5 years, and estimated associations with later symptoms (age 8) and diagnoses (after age 8). We also explored the aetiology of differentiation by estimating associations with early life exposures and, in a subset of 23,945 full siblings, assessing the impact of accounting for unobserved familial confounding. Results Differentiation of behavioural and emotional problems was associated with later symptoms and diagnoses of mental health conditions, independent of total problems. Maternal at-risk drinking (β = 0.04 [0.02, 0.06]) and parental relationship problems (β = 0.04 [0.02, 0.05]) were associated with higher behavioural relative to emotional problems at age 5. Maternal prenatal distress (|β| = 0.04 [0.03, 0.06]), concurrent distress (|β| = 0.04 [0.02, 0.06]) and parental education (|β| = 0.05 [0.04, 0.07]) predicted higher emotional relative to behavioural problems at age 5. Estimates for maternal prenatal distress and at-risk drinking were consistent across both unadjusted and adjusted analyses accounting for unobserved familial risk. Conclusions Differentiation of behavioural and emotional problems in early childhood represents a valid source of inter-individual variability linked to the later emergence of psychopathology and may be relevant for early detection and prevention strategies for mental health.
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Affiliation(s)
- Adrian Dahl Askelund
- Department of PsychologyUniversity of OsloOsloNorway
- Nic Waals InstituteLovisenberg Diaconal HospitalOsloNorway
| | - Helga Ask
- Center for Genetic Epidemiology and Mental HealthNorwegian Institute of Public HealthOsloNorway
- Department of PsychologyPROMENTA Research CenterUniversity of OsloOsloNorway
| | - Eivind Ystrom
- Center for Genetic Epidemiology and Mental HealthNorwegian Institute of Public HealthOsloNorway
- Department of PsychologyPROMENTA Research CenterUniversity of OsloOsloNorway
| | - Alexandra Havdahl
- Nic Waals InstituteLovisenberg Diaconal HospitalOsloNorway
- Center for Genetic Epidemiology and Mental HealthNorwegian Institute of Public HealthOsloNorway
- Department of PsychologyPROMENTA Research CenterUniversity of OsloOsloNorway
- MRC Integrative Epidemiology UnitBristol Medical SchoolUniversity of BristolBristolUK
| | - Laurie J. Hannigan
- Nic Waals InstituteLovisenberg Diaconal HospitalOsloNorway
- Center for Genetic Epidemiology and Mental HealthNorwegian Institute of Public HealthOsloNorway
- MRC Integrative Epidemiology UnitBristol Medical SchoolUniversity of BristolBristolUK
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19
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Ulvøy DE, Åvik Persson H, Kristensson Hallström I, Sollesnes R. Parents' experiences of their child's participation in divorce groups in Norway: A phenomenological study. Scand J Caring Sci 2023; 37:991-1000. [PMID: 37050849 DOI: 10.1111/scs.13173] [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: 10/18/2022] [Revised: 03/15/2023] [Accepted: 04/01/2023] [Indexed: 04/14/2023]
Abstract
BACKGROUND Children and youth who experience divorce are found to have increased risk of emotional and behavioural adjustment problems. Different prevention programmes have been developed to help and support children. Previous studies have focused on the child or the group leader's experience with divorce groups, but studies describing parent's experience are missing. The aim of this study was to explore parents' experiences of their child's participation in divorce groups. METHODS An inductive, qualitative and descriptive design was applied with philosophical orientation in naturalistic inquiry based on the outlines of a phenomenological perspective. Two fathers and three mothers from two different counties in Norway participated whereof four of them were interviewed twice. Systematic text condensation was used for the analysis. RESULTS Three themes emerged from the analysis: encouraging the child, missing communication and challenging situations. Parents described how they encouraged the child to attend divorce groups and hoped they would gain a deeper understanding of their parents' divorce and their own feelings. Missing communication relates to lack of information about the groups from the school, the group leader and from the child. Missing information was found to be a challenge for the parents and made them think that the divorce group was beneficial for the child but maybe not always for the family. Parents described challenging situations due to the divorce, and they struggled to understand their child and their own behaviour. CONCLUSIONS The opportunity for the child to talk to other children in the same situation in divorce groups was positive for the parents. To be beneficial for both children and their parents, structured information and cooperation among the school, the child and both parents are important. The knowledge from this study can support the development and use of intervention programmes in the future.
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Affiliation(s)
- Dagny-Elise Ulvøy
- Department of Health and Caring Science, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
| | - Helene Åvik Persson
- Department of Health Sciences, Faculty of Medicine, Lund University, Lund, Sweden
| | | | - Ragnhild Sollesnes
- Department of Health and Caring Science, Faculty of Health and Social Sciences, Western Norway University of Applied Sciences, Bergen, Norway
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20
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Glaser F, Pruckner GJ. A hard pill to swallow? Parental health shocks and children's mental health. HEALTH ECONOMICS 2023; 32:2768-2800. [PMID: 37670414 DOI: 10.1002/hec.4752] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/05/2023] [Revised: 07/08/2023] [Accepted: 08/12/2023] [Indexed: 09/07/2023]
Abstract
Based on comprehensive administrative health record data from Austria, this study examines how children's mental health responds to a severe parental health shock. To account for the endogeneity of a serious parental illness, our sample is restricted to children who experience the health shock of a parent at some point in time and we exploit the timing of shocks in a dynamic DID setting. We find a positive causal effect of parental health shocks on children's mental health care utilization. Affected children have higher medical attendance for the treatment of mental illnesses, consume more psychotropic drugs, and are more likely to be hospitalized with mental and behavioral disorders. A significant increase in the utilization of antidepressants, anxiolytics, and sedatives can be observed for older children, girls and children with a white-collar family background. Our findings have important policy implications for children's access to psychotherapies and mental health care after experiencing a traumatic household event.
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Affiliation(s)
- Felix Glaser
- Department of Economics, Johannes Kepler University Linz, Linz, Austria
- Christian Doppler Laboratory for Aging, Health, and the Labor Market, Linz, Austria
| | - Gerald J Pruckner
- Department of Economics, Johannes Kepler University Linz, Linz, Austria
- Christian Doppler Laboratory for Aging, Health, and the Labor Market, Linz, Austria
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21
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AL-shahrani HF, Hammad MA. Impact of emotional divorce on the mental health of married women in Saudi Arabia. PLoS One 2023; 18:e0293285. [PMID: 37948408 PMCID: PMC10637691 DOI: 10.1371/journal.pone.0293285] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/08/2023] [Accepted: 10/10/2023] [Indexed: 11/12/2023] Open
Abstract
Emotional divorce occurs when physical, psychological, mental, and spiritual separation occurs between spouses despite the fact that they live in the same house and exercise their marital duties. Emotional divorce has adverse effects on the mental health of those involved, as evidenced by the higher incidence of depression, anxiety, and loneliness among such couples. Saudi women are particularly vulnerable to emotional divorce owing to social, legal, economic, and cultural factors. Therefore, it is important to examine the relationship between emotional divorce and mental health issues (depression, anxiety, and loneliness) in married women in Saudi Arabia. Using scales that assess emotional divorce, depression, anxiety, and loneliness, data were collected from 241 married Saudi women (Mage = 34.41 years; SDage = 5.23 years). Findings revealed a statistically significant correlation between emotional divorce, depression, anxiety, and loneliness. One-way ANOVA confirmed that those with high levels of emotional divorce concurrently scores higher on the depression, anxiety, and loneliness tools, followed by those with moderate and low emotional divorce scores, respectively. Linear regression analysis indicated that depression, anxiety, and loneliness were strong predictors of emotional divorce, explaining 61% of the variance in the emotional divorce scores in this sample. These findings highlight the need to focus on the mental health outcomes of individuals experiencing emotional divorce, especially in societies where legal divorce may not be acceptable or encouraged. The need for regular evaluation and timely interventions for individuals struggling with mental health problems, and for restoring a healthy marital relationship is also highlighted.
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Affiliation(s)
- Hend Faye AL-shahrani
- Social Planning Department, Faculty of Social Services, Princess Nourah Bint Abdulrahman University, Riyadh, Saudi Arabia
| | - Mohammad Ahmed Hammad
- Mohammad Ahmed Hammad, Faculty of Education, Najran University, Najran, Saudi Arabia
- Assiut University, Assiut Governorate, Egypt
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22
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Pierce M, Bai Y, Nevriana A, Dalman C, Hope HF, Kosidou K, Ohlis A, Wicks S, Abel KM. Prevention of Childhood Adversities and Children's Common Mental Disorders and School Grades. JAMA Netw Open 2023; 6:e2336408. [PMID: 37796502 PMCID: PMC10556962 DOI: 10.1001/jamanetworkopen.2023.36408] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/02/2023] [Accepted: 08/10/2023] [Indexed: 10/06/2023] Open
Abstract
Importance Adversity during childhood can limit children's chances of achieving their optimal developmental and psychological outcomes. Well-designed observational studies might help identify adversities that are most implicated in this, thereby helping to identify potential targets for developing interventions. Objective To compare the association between preventing childhood poverty, parental mental illness and parental separation, and the population rate of offspring common mental disorders (ages 16-21 years) or average school grades (age 16 years). Design, Setting, and Participants A population-based, longitudinal cohort study using Swedish registries was conducted. A total of 163 529 children born in Sweden between January 1, 1996, and December 31, 1997, were followed up until their 21st birthday. They were linked to registries using Sweden's national personal identification number. Children were linked to birth parents, hospital records, and school data. Parents were linked to registries containing health, income, sociodemographic, and obstetric data. Analyses were conducted between January 10, 2021, and August 26, 2022. Exposures Childhood adversities of relative poverty (household disposable income <50% of the median), parental inpatient admission for a mental illness, or parental separation. Adversities were categorized into developmental periods: ages 0 to 3, 4 to 7, 8 to 11, and 12 to 16 years. Main Outcomes and Measures The main outcomes were children's hospital records with a diagnosis of anxiety or depression between ages 16 and 21 years and school grades at the end of compulsory education (age 16 years). The parametric g-formula modeled population changes in outcomes associated with the counterfactual, hypothetical preventing adversity exposures, accounting for fixed and time-varying confounders. Adjustments were made for parental demographic characteristics, obstetric variables, and socioeconomic data at birth. Results A total of 163 529 children were included in the cohort (51.2% boys, 51.4% born in 1996). Preventing all adversities was associated with an estimated change in the prevalence of offspring common mental disorders from 10.2% to 7.6% and an improvement in school grades with an SD of 0.149 (95% CI, 0.147-0.149). Preventing parental separation provided for the greatest improvement, with an estimated 2.34% (95% CI, 2.23%-2.42%) fewer children with a common mental disorder and an improvement in school grades by 0.127 SDs (0.125-0.129). Greater improvements were shown by hypothetically targeting adolescents (age 12-16 years) and those whose parents had a mental illness when the child was born. Conclusions and Relevance The results of this cohort modeling study suggest that preventing childhood adversity could provide notable improvements in the rates of common mental disorders and school grades. Many children might achieve better life outcomes if resources are properly allocated to the right adversities (parental separation), the right groups (children with parental mental illness), and at the right time (adolescence).
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Affiliation(s)
- Matthias Pierce
- Centre for Women’s Mental Health, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom
| | - Yushi Bai
- Centre for Women’s Mental Health, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom
| | - Alicia Nevriana
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- Unit of Occupational Medicine, Institute of Environmental Medicine, Karolinska Institutet, Stockholm, Sweden
| | - Christina Dalman
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- The Center for Epidemiology and Community Medicine, Stockholm, Sweden
| | - Holly F. Hope
- Centre for Women’s Mental Health, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom
| | - Kyriaki Kosidou
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- The Center for Epidemiology and Community Medicine, Stockholm, Sweden
| | - Anna Ohlis
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- The Center for Epidemiology and Community Medicine, Stockholm, Sweden
| | - Susanne Wicks
- Department of Global Public Health, Karolinska Institutet, Stockholm, Sweden
- The Center for Epidemiology and Community Medicine, Stockholm, Sweden
| | - Kathryn M. Abel
- Centre for Women’s Mental Health, Division of Psychology and Mental Health, Faculty of Biology, Medicine and Health, University of Manchester, Manchester, United Kingdom
- Greater Manchester Mental Health NHS Foundation Trust, Manchester, United Kingdom
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23
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Chen C, Okubo R, Okawa S, Hagiwara K, Mizumoto T, Higuchi N, Nakagawa S, Tabuchi T. Broad impact of adverse childhood experiences on postpartum maternal mental health, child-rearing behaviors, and child development in Japan. Psychiatry Clin Neurosci 2023; 77:569-571. [PMID: 37534759 DOI: 10.1111/pcn.13581] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 04/13/2023] [Revised: 06/27/2023] [Accepted: 07/30/2023] [Indexed: 08/04/2023]
Affiliation(s)
- Chong Chen
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Ryo Okubo
- Department of Psychiatry, National Hospital Organization Obihiro Hospital, Obihiro, Japan
| | - Sumiyo Okawa
- Institute for Global Health Policy Research, Bureau of International Health Cooperation, National Center for Global Health and Medicine, Tokyo, Japan
| | - Kosuke Hagiwara
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Tomohiro Mizumoto
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Naoko Higuchi
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Shin Nakagawa
- Division of Neuropsychiatry, Department of Neuroscience, Yamaguchi University Graduate School of Medicine, Ube, Japan
| | - Takahiro Tabuchi
- Cancer Control Center, Osaka International Cancer Institute, Osaka, Japan
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Thurston C, Murray AL, Franchino-Olsen H, Meinck F. Prospective longitudinal associations between adverse childhood experiences and adult mental health outcomes: a protocol for a systematic review and meta-analysis. Syst Rev 2023; 12:181. [PMID: 37777785 PMCID: PMC10541707 DOI: 10.1186/s13643-023-02330-1] [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] [Received: 02/03/2022] [Accepted: 08/18/2023] [Indexed: 10/02/2023] Open
Abstract
BACKGROUND Research cites a strong, dose-response relationship between adverse childhood experiences (ACEs) and poor adult mental health outcomes including anxiety, depression, post-traumatic stress disorder (PTSD), self-harm, suicidality, and psychotic-like experiences. AIM To systematically investigate the existence and strength of association between ACEs and adult mental health outcomes in prospective longitudinal studies. The review will focus on the outcomes: anxiety, depression, PTSD, self-harm, suicidal ideation, and psychotic-like experiences. METHODS Twelve electronic databases will be searched: Embase, PsycINFO, MEDLINE, and Global Health through the OVID interface. ProQuest will be used to search Public Affairs Information Service (PAIS), Dissertations and Theses, Sociology Database (including Sociological Abstracts and Social Services Abstracts), PTSDpubs (formerly The Published International Literature on Traumatic Stress (PILOTS) Database) and Applied Social Sciences Index and Abstracts (ASSIA). CINAHL, World Health Organisation (WHO) Global Index Medicus, and WHO Violence Info will also be searched. Eligible studies will be double screened, assessed, and their data will be extracted. Any disagreement throughout these processes will be settled by a third reviewer. If enough studies meet the criteria and the methodological quality of each study is sufficient, a meta-analysis will be conducted. ANALYSIS A narrative synthesis of included studies and the associations between ACEs and adult mental health will be completed. If the number of studies included per mental health outcome is two or more, a multi-level meta-analysis will be completed using odds ratio effect sizes as outcomes. DISCUSSION This review will contribute to the existing body of literature supporting the long-term effects of ACEs on adult mental health. This review adds to previous reviews that have either synthesised cross-sectional associations between ACEs and mental health outcomes, synthesised longitudinal studies exploring the effect of ACEs on different physical and mental health outcomes or synthesised longitudinal studies exploring the effect of ACEs on the same mental health outcomes using different methods. This review aims to identify methodological weaknesses and knowledge gaps in current literature that can be addressed in future primary studies. SYSTEMATIC REVIEW REGISTRATION This protocol has been registered in PROSPERO (CRD42021297882).
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Affiliation(s)
- Christina Thurston
- School of Social and Political Science, University of Edinburgh, Chrystal Macmillan Building, 15a George Square, Edinburgh, EH8 9LD, UK.
| | | | - Hannabeth Franchino-Olsen
- School of Social and Political Science, University of Edinburgh, Chrystal Macmillan Building, 15a George Square, Edinburgh, EH8 9LD, UK
| | - Franziska Meinck
- School of Social and Political Science, University of Edinburgh, Chrystal Macmillan Building, 15a George Square, Edinburgh, EH8 9LD, UK
- School of Public Health, University of the Witwatersrand, Johannesburg, South Africa
- Faculty of Humanities, North-West University, Potchefstroom, South Africa
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25
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Van Schalkwyk J, Gentz S. Factors affecting resilience in Namibian children exposed to parental divorce: a Q-Methodology study. Front Psychol 2023; 14:1221697. [PMID: 37701873 PMCID: PMC10493287 DOI: 10.3389/fpsyg.2023.1221697] [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: 05/12/2023] [Accepted: 07/25/2023] [Indexed: 09/14/2023] Open
Abstract
Introduction Divorce is a contributor to family instability within sub-Saharan Africa, and specifically within Namibia, an increasing number of children are exposed to its impact. However, not all children react uniformly to the impact of parental divorce, and many children may be resilient. Understanding what promotes resilience in children post-divorce in African contexts is vital, given the unique socio-cultural context. Therefore, this study aimed to understand how some children are capable of resilience despite exposure to parental divorce in Namibia. Methods A multiple case study design was employed to assess the lived experiences of children aged 9-12 post-parental divorce in Windhoek. Using the Child and Youth Resilience Measurement (CYRM-12) scale, 24 children exposed to parental divorce were screened for resiliency. The Q-Methodology, with visual material, was utilized with a sub-sample of 12 children who scored high on the CYRM (50% girls, mean age = 11) to eliminate some of the challenges associated with gathering qualitative data from younger children. The PQ Method 2.35 software program was used for data analysis. Results By-person factor analysis identified four statistically significant profiles. A third (33%) of participants loaded on a factor emphasizing "quality parent-child relationships" and a further 33% emphasizing "effective parent conflict resolution." The final two factors emphasized "healthy school attachment" (17%) and "strong community attachment" (17%). All children emphasized a stable, loving familial environment, and frequent visitation with the non-custodial father. Discussion Our findings suggest that multiple social ecologies nurture resilience in children exposed to parental divorce in Namibia. Support should be extended beyond the perimeters of the nuclear family, and relationships with extended family members, peer groups, school, and the wider community can play an important role in children's adjustment. The study highlights the importance of contextually grounded resilience as some factors that are emphasized for children from more Western communities do not reflect as strongly in the results of this study. Other factors, including a stronger reliance on community and factors such as the school, peers, and extended family members, may play a bigger role in child resilience post-divorce in Namibia.
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Affiliation(s)
| | - Shelene Gentz
- Department of Psychology and Social Work, University of Namibia, Windhoek, Namibia
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26
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Tran BT, Nguyen MT, Nguyen MT, Nguyen TG, Duc VNH, Tran TTM. Mental health and its determinants among adolescents living in families with separated or divorced parents in an urban area of Vietnam. Osong Public Health Res Perspect 2023; 14:300-311. [PMID: 37652685 PMCID: PMC10493697 DOI: 10.24171/j.phrp.2023.0110] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/27/2023] [Revised: 06/07/2023] [Accepted: 06/08/2023] [Indexed: 09/02/2023] Open
Abstract
BACKGROUND We assessed the prevalence of stress, anxiety, and depression among adolescents living in families with separated or divorced parents in Hue City, Vietnam and identified factors associated with these conditions. METHODS This cross-sectional study enrolled 309 adolescents, aged 12 to 17 years, living in families with separated or divorced parents in Hue City, Vietnam. The depression anxiety stress scale-21 (DASS-21) was used to measure stress, anxiety, and depression. Predictors of overall and individual mental health problems were identified using ordered and binary logistic regression, respectively. RESULTS The DASS-21 scale revealed a 49.2% prevalence of stress, while anxiety and depression had s prevalence rates of 61.5%. Among participants, 42.4% experienced all 3 mental health issues. Several factors were identified as significant predictors of mental health problems, including poor to average economic status (adjusted odds ratio [aOR], 2.00; 95% confidence interval [CI], 1.21-3.31; p=0.007); being in high school (aOR, 5.02; 95% CI, 2.93-8.60; p<0.001); maternal occupation of teacher, healthcare professional, or official (aOR, 2.39; 95% CI, 1.13-5.03; p=0.022); longer duration of family separation or divorce (aOR, 1.24; 95% CI, 1.05-1.45; p=0.009); living with one's mother (aOR, 1.69; 95% CI, 1.03-2.76; p=0.04); alcohol consumption (aOR, 1.70; 95% CI, 0.99-2.92; p=0.050); and being bullied (aOR, 5.33; 95% CI, 1.10-25.69; p=0.037). Most of these factors were associated with stress, anxiety, and depression. Additionally, smoking was associated with stress. CONCLUSION Adolescents with separated or divorced parents were at increased risk of stress, anxiety, and depression. The findings of this study provide important implications for prevention programs.
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Affiliation(s)
- Binh Thang Tran
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Minh Tu Nguyen
- Undergraduate Training Office, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Minh Tam Nguyen
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
- Family Medicine Department, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Thanh Gia Nguyen
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Vo Nu Hong Duc
- Faculty of Public Health, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
| | - Thi Tra My Tran
- Department of Psychiatry, Hue University of Medicine and Pharmacy, Hue University, Hue, Vietnam
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27
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van de Weijer SGA, Kroese J. Parental Divorce and Adolescent Offending: A Comparison Between Children of Discordant Siblings. INTERNATIONAL JOURNAL OF OFFENDER THERAPY AND COMPARATIVE CRIMINOLOGY 2023:306624X231188235. [PMID: 37464781 DOI: 10.1177/0306624x231188235] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 07/20/2023]
Abstract
Various studies have found that parental divorce is associated with offspring offending during adolescence. Less is known, however, about the mechanisms underlying this association, and it may be possible that this association is spurious rather than causal. In this study, register data on 1,883,794 individuals, who were born in the Netherlands between 1991 and 2001, and their parents were used to examine to what extent parental divorce is associated with offspring adolescent offending. Moreover, a genetically-informed research design, in which children of discordant siblings (N = 59,102) were compared, was applied to examine whether unmeasured familial confounders (i.e., genetic and shared environment confounders) account for this association. Our findings suggest a positive relationship between parental divorce and adolescent offending, yet we find a weaker relationship when comparing offspring of discordant siblings. This suggests that previous studies may have overestimated the strength of the association, as they do not control for unmeasured familial confounders.
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Affiliation(s)
- S G A van de Weijer
- Netherlands Institute for the Study of Crime and Law Enforcement (NSCR), Amsterdam, The Netherlands
| | - J Kroese
- Department of Criminal Law and Criminology, Vrije Universiteit Amsterdam, Amsterdam, The Netherlands
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28
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Sanwald S, Montag C, Kiefer M. Association between parental separation, childhood trauma, neuroticism, and depression: a case control study. Front Psychiatry 2023; 14:1112664. [PMID: 37229385 PMCID: PMC10204799 DOI: 10.3389/fpsyt.2023.1112664] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/30/2022] [Accepted: 04/17/2023] [Indexed: 05/27/2023] Open
Abstract
Background Parental separation has been suggested to be associated with depression development in offspring. The new family constellation subsequent to separation could be associated with elevated scores of childhood trauma, shaping more emotionally instable personalities. This could ultimately be a risk factor for mood disorders and particularly the development of depression in life. Methods To test this hypothesis, we investigated the associations between parental separation, childhood trauma (CTQ) and personality (NEO-FFI) in a sample of N = 119 patients diagnosed with depression and N = 119 age and sex matched healthy controls. Results While parental separation was associated with elevated scores of childhood trauma, there was no association between parental separation and Neuroticism. Furthermore, in a logistic regression analysis, Neuroticism and childhood trauma were found to be significant predictors for depression diagnosis (yes/no), but not parental separation (yes/no). Conclusion Parental separation might be associated with depression only indirectly via childhood trauma. Childhood trauma or Neuroticism seem more directly related to the development of depression. However, it is worthwhile to install prevention programs helping parents and children to cope with parental separation in order to minimize the impact of separation and associated stressors.
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Affiliation(s)
- Simon Sanwald
- Department of Psychiatry and Psychotherapy III, Ulm University, Ulm, Germany
| | | | - Christian Montag
- Department of Molecular Psychology, Institute of Psychology and Education, Ulm University, Ulm, Germany
| | - Markus Kiefer
- Department of Psychiatry and Psychotherapy III, Ulm University, Ulm, Germany
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Bellis MA, Hughes K, Cresswell K, Ford K. Comparing relationships between single types of adverse childhood experiences and health-related outcomes: a combined primary data study of eight cross-sectional surveys in England and Wales. BMJ Open 2023; 13:e072916. [PMID: 37068903 PMCID: PMC10111913 DOI: 10.1136/bmjopen-2023-072916] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/17/2023] [Accepted: 03/29/2023] [Indexed: 04/19/2023] Open
Abstract
OBJECTIVES Adverse childhood experiences (ACEs) show strong cumulative associations with ill-health across the life course. Harms can arise even in those exposed to a single ACE type but few studies examine such exposure. For individuals experiencing a single ACE type, we examine which ACEs are most strongly related to different health harms. DESIGN Secondary analysis of combined data from eight cross-sectional general population ACE surveys. SETTING Households in England and Wales. PARTICIPANTS 20 556 residents aged 18-69 years. MEASURES Ten self-reported outcomes were examined: smoking, cannabis use, binge drinking, obesity, sexually transmitted infection, teenage pregnancy, mental well-being, violence perpetration, violence victimisation and incarceration. Adjusted ORs and percentage changes in outcomes were calculated for each type of ACE exposure. RESULTS Significance and magnitude of associations between each ACE and outcome varied. Binge drinking was associated with childhood verbal abuse (VA), parental separation (PS) and household alcohol problem (AP), while obesity was linked to sexual abuse (SA) and household mental illness. SA also showed the biggest increase in cannabis use (25.5% vs 10.8%, no ACEs). Household AP was the ACE most strongly associated with violence and incarceration. PS was associated with teenage pregnancy (9.1% vs 3.7%, no ACEs) and 5 other outcomes. VA was associated with 7 of the 10 outcomes examined. CONCLUSION Exposure to a single ACE increases risks of poorer outcomes across health-harming behaviours, sexual health, mental well-being and criminal domains. Toxic stress can arise from ACEs such as physical and SA but other more prevalent ACEs (eg, VA, PS) may also contribute substantively to poorer life course health.
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Affiliation(s)
- Mark A Bellis
- Faculty of Health, Liverpool John Moores University, Liverpool, UK
- WHO Collaborating Centre for Investment in Health & Well-being, Public Health Wales, Wrexham, UK
| | - Karen Hughes
- WHO Collaborating Centre for Investment in Health & Well-being, Public Health Wales, Wrexham, UK
- Public Health Collaborating Unit, School of Medical and Health Sciences, Bangor University, Bangor, UK
| | - Katie Cresswell
- Public Health Collaborating Unit, School of Medical and Health Sciences, Bangor University, Bangor, UK
| | - Kat Ford
- Public Health Collaborating Unit, School of Medical and Health Sciences, Bangor University, Bangor, UK
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Kuo SIC, Thomas NS, Aliev F, Bucholz KK, Dick DM, McCutcheon VV, Meyers JL, Chan G, Kamarajan C, Kramer JR, Hesselbrock V, Plawecki MH, Porjesz B, Tischfield J, Salvatore JE. Association of parental divorce, discord, and polygenic risk with children's alcohol initiation and lifetime risk for alcohol use disorder. ALCOHOL, CLINICAL & EXPERIMENTAL RESEARCH 2023; 47:724-735. [PMID: 36807915 PMCID: PMC10149624 DOI: 10.1111/acer.15042] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Subscribe] [Scholar Register] [Received: 11/06/2022] [Revised: 01/25/2023] [Accepted: 02/14/2023] [Indexed: 02/21/2023]
Abstract
BACKGROUND Parental divorce and discord are associated with poorer alcohol-related outcomes for offspring. However, not all children exposed to these stressors develop alcohol problems. Our objective was to test gene-by-environment interaction effects whereby children's genetic risk for alcohol problems modifies the effects of parental divorce and discord to predict alcohol outcomes. METHODS The sample included European (EA; N = 5608, 47% male, Mage ~ 36 years) and African (AA; N = 1714, 46% female, Mage ~ 33 years) ancestry participants from the Collaborative Study on the Genetics of Alcoholism. Outcomes included age at initiation of regular drinking and lifetime DSM-5 alcohol use disorder (AUD). Predictors included parental divorce, parental relationship discord, and offspring alcohol problems polygenic risk scores (PRSALC ). Mixed effects Cox proportional hazard models were used to examine alcohol initiation and generalized linear mixed effects models were used to examine lifetime AUD. Tests of PRS moderation of the effects of parental divorce/relationship discord on alcohol outcomes were examined on multiplicative and additive scales. RESULTS Among EA participants, parental divorce, parental discord, and higher PRSALC were associated with earlier alcohol initiation and greater lifetime AUD risk. Among AA participants, parental divorce was associated with earlier alcohol initiation and discord was associated with earlier initiation and AUD. PRSALC was not associated with either. Parental divorce/discord and PRSALC interacted on an additive scale in the EA sample, but no interactions were found in AA participants. CONCLUSIONS Children's genetic risk for alcohol problems modifies the impact of parental divorce/discord, consistent with an additive model of diathesis-stress interaction, with some differences across ancestry.
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Affiliation(s)
- Sally I-Chun Kuo
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, New Jersey, USA
| | - Nathaniel S. Thomas
- Department of Psychology, Virginia Commonwealth University, Richmond, Virginia, USA
| | - Fazil Aliev
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, New Jersey, USA
| | - Kathleen K. Bucholz
- Department of Psychiatry, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Danielle M. Dick
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, New Jersey, USA
| | - Vivia V. McCutcheon
- Department of Psychiatry, School of Medicine, Washington University in St. Louis, St. Louis, Missouri, USA
| | - Jacquelyn L. Meyers
- Department of Psychiatry and Behavioral Sciences, SUNY Downstate Health Sciences University, Brooklyn, New York, USA
| | - Grace Chan
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Chella Kamarajan
- Department of Psychiatry and Behavioral Sciences, SUNY Downstate Health Sciences University, Brooklyn, New York, USA
| | - John R. Kramer
- Department of Psychiatry, University of Iowa, Iowa City, Iowa, USA
| | - Victor Hesselbrock
- Department of Psychiatry, University of Connecticut School of Medicine, Farmington, Connecticut, USA
| | - Martin H. Plawecki
- Department of Psychiatry, Indiana University, Indianapolis, Indiana, USA
| | - Bernice Porjesz
- Department of Psychiatry and Behavioral Sciences, SUNY Downstate Health Sciences University, Brooklyn, New York, USA
| | - Jay Tischfield
- Department of Genetics, Rutgers University, Piscataway, New Jersey, USA
| | - Jessica E. Salvatore
- Department of Psychiatry, Robert Wood Johnson Medical School, Rutgers University, Piscataway, New Jersey, USA
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Herrero M, Roca P, Cormenzana S, Martínez-Pampliega A. The efficacy of postdivorce intervention programs for children: A meta-analytical review. FAMILY PROCESS 2023; 62:74-93. [PMID: 36054156 DOI: 10.1111/famp.12807] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/06/2021] [Revised: 06/10/2022] [Accepted: 07/02/2022] [Indexed: 06/15/2023]
Abstract
Preventive postdivorce interventions aim to help children cope with divorce and promote their adjustment. Nevertheless, questions remain regarding the concrete outcomes of these interventions and the intervention characteristics that influence them. This meta-analysis of 30 studies analyzes the efficacy of postdivorce interventions on children's symptomatology, personal resources, and adaptation to divorce. Likewise, it explores whether the intervention impacts the putative mediators from the family context and whether the characteristics of the studies themselves also influence the results. Using a data set of N = 4344 individuals, 258 effect sizes were calculated. Random effects analyses evidenced the impact of the interventions on specific variables instead of on children's global adjustment. There were no significant effects on children's mental health outcomes, and none of these effects were qualified by the moderators that were examined. Preventive postdivorce interventions had significant effects, specifically on children's divorce adjustment and self-esteem. The study of the moderators found that the interventions were generally homogeneous, and only one of the 20 moderators examined had a significant effect. Based on children's age, the interventions had an impact on family functioning only when they involved younger children, but this result should be interpreted with caution due to the small sample of studies. This meta-analysis provides evidence of the relevance of postdivorce interventions to critical variables as well as information about the role of the intervention characteristics in the effects and makes suggestions for future research on divorce interventions that encompass both practical and empirical developments.
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Affiliation(s)
- Marta Herrero
- Department of Social and Developmental Psychology, Deusto University, Bilbao, Spain
| | - Patricia Roca
- Department of Social and Developmental Psychology, Deusto University, Bilbao, Spain
| | - Susana Cormenzana
- Department of Social and Developmental Psychology, Deusto University, Bilbao, Spain
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Rony MKK, Md Numan S, Alamgir HM. The association between work-life imbalance, employees' unhappiness, works impacts on family, and family impacts on work among nurses: A Cross-sectional Study. INFORMATICS IN MEDICINE UNLOCKED 2023. [DOI: 10.1016/j.imu.2023.101226] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 03/29/2023] Open
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Chen C, Liu P, Wu F, Wang H, Chen S, Zhang Y, Huang W, Wang Y, Chen Q. Factors associated with test anxiety among adolescents in Shenzhen, China. J Affect Disord 2023; 323:123-130. [PMID: 36427651 DOI: 10.1016/j.jad.2022.11.048] [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: 04/13/2022] [Revised: 11/10/2022] [Accepted: 11/19/2022] [Indexed: 11/27/2022]
Abstract
BACKGROUND Test anxiety is prevalent among adolescents and may have long-term negative consequences on their physical and mental health. The aim of this study was to assess the prevalence of test anxiety and its related attributing factors among adolescents in Shenzhen, China. METHODS A cross-sectional study was conducted from November 18, 2020 to January 12, 2021 in Shenzhen, China. Test anxiety symptoms were measured by using the Test Anxiety Scale. Descriptive statistics and multivariate logistic regression were used to assess test anxiety and risk factors. RESULTS In total, 7047 students aged 10 to 19 were included for this survey. The prevalence of test anxiety was found to be 46.7 %. In multivariate analysis, gender, age, frequency of feeling lonely, parents' marital status, family functioning, emotional abuse, physical abuse, sexual abuse, academic performance level, relationship with classmates, school bullying and Internet addiction were positive related to test anxiety. LIMITATIONS This cross-sectional design limits the establishment of causal relationships. Reporting bias and recalling bias may be possible. CONCLUSIONS Our study suggested that a significant number of adolescents in Shenzhen had test anxiety symptoms. Also, we found some risk factors, which might help to provide new guidance of psychological interventions to promote adolescents' mental health.
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Affiliation(s)
- Caiyun Chen
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China
| | - Peiyi Liu
- Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China
| | - Fei Wu
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China
| | - He Wang
- Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China
| | - Siqi Chen
- Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China
| | - Yingjie Zhang
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China; Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China
| | - Weikang Huang
- Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China
| | - Yueyun Wang
- Department of Healthcare, Affiliated Shenzhen Maternity and Child Healthcare Hospital, Southern Medical University, Shenzhen 518048, Guangdong, China.
| | - Qing Chen
- Department of Epidemiology, School of Public Health, Southern Medical University, Guangzhou 510515, Guangdong, China.
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A mediated moderation model of negative life events, self-esteem, rumination and parental divorce on depression among Chinese juvenile delinquents. Sci Rep 2023; 13:1793. [PMID: 36720911 PMCID: PMC9889766 DOI: 10.1038/s41598-023-28626-9] [Citation(s) in RCA: 1] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 06/15/2022] [Accepted: 01/20/2023] [Indexed: 02/02/2023] Open
Abstract
Little attention was paid to the prevalence of depression in Chinese juvenile delinquents who are studied in correctional work-study schools. Hence, the present study aimed to test the unique, mediating and moderating effects of negative life events, self-esteem, rumination and parental divorce on depression among Chinese juvenile delinquents. A total of 236 juvenile delinquents aged between 12 and 17 years old (M = 14.68 SD = 1.30) were recruited to accomplish a battery of self-report questionnaires concerning their negative life events, self-esteem, rumination, depression and demographic profile. The descriptive analysis showed that there was a positive correlation between negative life events and depression in Chinese juvenile delinquents. Moreover, the results from the structural model indicated that self-esteem and rumination played separate and sequential mediating roles between negative life events and depression. In addition, parental divorce had a moderating effect between negative life events and self-esteem in the model. These results suggest that the prevalence of depression among Chinese juvenile delinquents can be reduced through modification of the ruminative way of thinking, improving their self-esteem when they encounter a number of negative life events. Furthermore, more attention should be paid to the juvenile delinquents who experienced parental divorce.
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Islam MM. Child marriage, marital disruption, and marriage thereafter: evidence from a national survey. BMC Womens Health 2022; 22:485. [PMID: 36460994 PMCID: PMC9716153 DOI: 10.1186/s12905-022-02088-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/18/2022] [Accepted: 11/21/2022] [Indexed: 12/03/2022] Open
Abstract
BACKGROUND This study examines the relationship between women's ages at their first marriages and the marital disruption among those who experienced child marriages and those who did not as well as identifies some compromises that women make in their remarriages after previous marital disruptions. METHODS The data of 57,476 women from the 2019 Bangladesh Multiple Indicator Cluster Survey were analysed using multivariable logistic and linear regressions. Women's compromises in their remarriages were examined by determining the age differences with their current husbands, whether the current husband has another wife and their attitudes toward the justification of intimate partner violence by husbands. RESULTS Almost 65% of women experienced child marriage, and its prevalence is higher in rural (66.5%) than in urban areas (59.2%). The probability of marital disruptions decreases as the ages at the first marriages rise among women who experienced child marriages and increase among women who did not. Women living in rural areas are less likely than those living in urban areas to report marital dissolution (AOR 0.81, 95% CI 0.73-0.90). Also, women who completed relatively more years of education or have greater wealth are less likely to report marital disruptions and those who never gave birth are more likely to report these (AOR 3.54, 95% CI 3.14-3.99). Women who remarried after previous disruptions are more likely to report that their new husbands are, on average, almost 12 years older than they are, and have another wife. Also, those who experienced marital disruptions are more likely than others to believe that husbands are justified in beating their wives in certain circumstances. CONCLUSION The odd of marital disruption decreases with the ages at first marriage among women who experienced child marriage and increase among women who did not. There is a curvilinear relationship between women's ages at their first marriages and the probability of marital disruptions. Making compromises in remarriages after disruptions is common. Because marital disruption is increasing, appropriate policies are needed to address the adverse outcomes of divorces that ensue.
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Affiliation(s)
- M. Mofizul Islam
- grid.1018.80000 0001 2342 0938Department of Public Health, La Trobe University, Room 410; Health Sciences Building 2, Melbourne, VIC 3086 Australia
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Lannoy S, Mars B, Heron J, Edwards AC. Suicidal ideation during adolescence: The roles of aggregate genetic liability for suicide attempts and negative life events in the past year. J Child Psychol Psychiatry 2022; 63:1164-1173. [PMID: 35766310 PMCID: PMC9912194 DOI: 10.1111/jcpp.13653] [Citation(s) in RCA: 9] [Impact Index Per Article: 4.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Accepted: 04/27/2022] [Indexed: 12/26/2022]
Abstract
BACKGROUND Suicidal thoughts and behaviors (STB) constitute a central public health concern in adolescence. Previous studies emphasized the difficulty to cope with negative life events during adolescence as a risk factor for STB. Familial and genetic liability has also been documented to explain STB risk. Nevertheless, less is known about aggregate genetic liability and its possible interaction with negative life events. Moreover, information is needed to understand how these factors differently affect STB in boys and girls. METHODS We evaluated suicidal ideation at 17 years old and examined the role of aggregate genetic liability, negative life events, and their interaction in a sample of 2,571 adolescents. Aggregate genetic liability was measured using a polygenic score (PGS) for suicide attempts. Negative life events were assessed in the past year and included parental divorce and hospitalizations, death of friends and relatives, bullying, failure-related events, and involvement with drugs. We conducted univariable and multivariable general linear models stratified by sex and evaluated the interactions between PGS and negative life events in subsequent models. RESULTS Analyses showed that suicidal ideation in boys is associated with failure to achieve something important (estimate = 0.198), bullying (estimate = 0.285), drug use (estimate = 0.325), and parental death (estimate = 0.923). In girls, both aggregate genetic liability (estimate = 0.041) and negative life events (failure at school [estimate = 0.120], failure to achieve something important [estimate = 0.279], drug use [estimate = 0.395], and bullying [estimate = 0.472]) were associated with suicidal ideation. Interaction analyses suggested that PGS interacted with drug use and failures at school, though this would need additional support. CONCLUSIONS These findings represent significant contributions to the fundamental understanding of STB in adolescence, suggesting to monitor the impact of negative life events during adolescence to better prevent suicide risk. Genetic liability is also of importance in girls and might influence the way they respond to environmental threats.
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Affiliation(s)
- Séverine Lannoy
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral GeneticsVirginia Commonwealth University School of MedicineRichmondVAUSA
| | - Becky Mars
- Population Health SciencesUniversity of BristolBristolUK
| | - Jon Heron
- Population Health SciencesUniversity of BristolBristolUK
| | - Alexis C. Edwards
- Department of Psychiatry, Virginia Institute for Psychiatric and Behavioral GeneticsVirginia Commonwealth University School of MedicineRichmondVAUSA
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Koslouski JB, Skubel A, Zaff JF, Porche MV. “My Story Started When I was Younger. . .”: A Qualitative Analysis of Youth’s Differential Journeys Away From School. JOURNAL OF ADOLESCENT RESEARCH 2022. [DOI: 10.1177/07435584221115893] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/16/2022]
Abstract
Adverse childhood experiences (ACEs) increase youths’ risk for leaving high school before graduating. However, to our knowledge, no one has examined how youth themselves conceptualize the role of ACEs in their journeys away from school. In this exploratory qualitative study, we used narrative analysis to examine (1) whether youth (n = 27) described ACEs leading them away from school, (2) how early these trajectories began, from youth’s own perspectives, and (3) if this varied by elements of identity and social position. Focus groups were conducted with youth ages 18-25 from 13 communities across the U.S. We found that youth described their journeys away from school as starting with early ACEs. We also found that youths’ narratives reflected intersectional gender differences in the pathways away from school that youth described. Girls articulated how ACEs influenced subsequent non-academic priorities; they eventually left or were kicked out due to a lack of credits. Boys expressed that early ACEs were followed by risk behaviors, punishment, and dropout. Implications for healing-centered engagement across settings and targeted dropout prevention are discussed.
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Juwariah T, Suhariadi F, Soedirham O, Priyanto A, Setiyorini E, Siskaningrum A, Adhianata H, Fernandes ADC. Childhood adversities and mental health problems: A systematic review. J Public Health Res 2022; 11:22799036221106613. [PMID: 36052096 PMCID: PMC9425896 DOI: 10.1177/22799036221106613] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/19/2022] [Accepted: 05/19/2022] [Indexed: 11/30/2022] Open
Abstract
The number of mental health problems in children and adolescents has been increasing. One of the causes of mental health problems is trauma in the family, such as childhood adversities. The aim of this study was to review the relationship between childhood adversities and mental health problems. The method in this study was a systematic review using three databases: CINAHL, PubMed, and SCOPUS. The results of the review were reported according to the PRISMA guidelines. The keywords used in this study were mental health or mental illness or mental disorder or psychiatric illness AND adolescents or teenagers or teenagers or youth AND parental divorce or parental separation OR parental death or parental loss or parentally bereaved. The inclusion criteria for the articles were English language and published from 2017 to 2021. This study recorded 477 articles, screened according to the topic, and then the final articles were 35. The results of the systematic review showed evidence that childhood adversities were related to mental health problems according to the ICD-10 diagnosis, ADHD and personality disorders, depression, post-traumatic, smoking behavior, and alcohol abuse, and distress. Interventions for children with childhood adversities were needed to prevent mental health disorders.
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Affiliation(s)
- Titik Juwariah
- Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Fendy Suhariadi
- Faculty of Psychology, Universitas Airlangga, Surabaya, Indonesia
| | - Oedojo Soedirham
- Faculty of Public Health, Universitas Airlangga, Surabaya, Indonesia
| | - Agus Priyanto
- Nursing Study Program, Ganesha Husada College of Health, Kediri, Indonesia
| | - Erni Setiyorini
- Nursing Study Program, Patria Husada College of Health, Blitar, Indonesia
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Schobin J. Loneliness and Emancipation: A Multilevel Analysis of the Connection between Gender Inequality, Loneliness, and Social Isolation in the ISSP 2017. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:7428. [PMID: 35742677 PMCID: PMC9224510 DOI: 10.3390/ijerph19127428] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 05/13/2022] [Revised: 06/09/2022] [Accepted: 06/10/2022] [Indexed: 02/04/2023]
Abstract
The present article analyzes the connection between, on the one hand, gender equality and, on the other hand, loneliness and social isolation. It hypothesizes that modern relational institutions that support gender equality, such as no-fault divorce laws, reduce loneliness in close relationships. This hypothesis is put to the test through a multilevel analysis of the International Social Survey Program (ISSP) 2017. The analysis reveals that the data agree, to a large extent, with the theoretical arguments. The prevalence of loneliness is higher in countries with higher levels of gender inequality (as measured by the Gender Inequality Index (GII)). This can be attributed to a moderation effect; at lower levels of gender inequality, partnerships provide better protection from loneliness. These results are robust to controls for demographic composition, level of health, educational attainment, income poverty, and interview mode. Last, the analyses show that the threat of emotional isolation is more widespread in countries with low gender inequality. These findings, however, are only significant before controlling for demographic composition, level of health, educational attainment, income poverty, and interview mode, and they require further analysis. The concluding section relates these findings to the popular tendency to argue that modern society has created a "loneliness epidemic" and discusses policy implications.
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Affiliation(s)
- Janosch Schobin
- Macrosociology, Department of Social Sciences, Universität Kassel, 34109 Kassel, Germany
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Wang D, Chen H, Chen Z, Liu W, Wu L, Chen Y, Sun M, Fan F. Current psychotic-like experiences among adolescents in China: Identifying risk and protective factors. Schizophr Res 2022; 244:111-117. [PMID: 35661996 DOI: 10.1016/j.schres.2022.05.024] [Citation(s) in RCA: 19] [Impact Index Per Article: 9.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 12/12/2021] [Revised: 04/22/2022] [Accepted: 05/21/2022] [Indexed: 10/18/2022]
Abstract
OBJECTIVE This study aim to explore the prevalence of current PLEs over past month and relevant influential factors among adolescents. METHODS A total of 67,538 students completed one online survey between April 21st and May 12th, 2021. Current PLEs were assessed using the 8-item Positive Subscale of the Community Assessment of Psychic Experiences (CAPE-P8). Participants were defined as having frequent PLEs if they selected "often" or "nearly always" on one or more items of CAPE-P8. Family function, school climate and a series of socio-demographic were also evaluated. RESULTS In this sample, 49.3% adolescents reported having at least one PLE over the past month, while 15.4% experienced high frequent PLEs. Alcohol intake was positively associated with high frequent PLEs (OR = 2.61, 95% CI = 2.37-2.88). Adolescents with chronic physical illness (OR = 1.94, 95% CI = 1.73-2.18) or family history of psychiatric illness (OR = 2.61, 95% CI = 2.22-2.77) were more likely to suffer from high frequent PLEs. Dysfunction family function (OR moderate = 1.98, 95% CI = 1.98-2.09; OR severe = 6.98, 95% CI = 6.48-7.53) or poor school climate (OR = 3.14, 95% CI = 2.93-3.37) was associated with elevated high frequent PLEs. CONCLUSIONS Several factors of socio-demographics, unhealthy lifestyle, family and school environments are found to be related to frequent PLEs. These factors should also be taken into consideration for effective psychosocial intervention in adolescents.
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Affiliation(s)
- Dongfang Wang
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
| | - Huilin Chen
- Department of Psychology, University of Bath, UK
| | - Zihao Chen
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
| | - Wenxu Liu
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
| | - Lili Wu
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
| | - Yao Chen
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China
| | - Meng Sun
- Department of Social Psychiatry, The Affiliated Brain Hospital of Guangzhou Medical University (Guangzhou Huiai Hospital), Guangzhou, China
| | - Fang Fan
- School of Psychology, Centre for Studies of Psychological Applications, Guangdong Key Laboratory of Mental Health and Cognitive Science, Ministry of Education Key Laboratory of Brain Cognition and Educational Science, South China Normal University, Guangzhou, China.
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van Velzen LS, Toenders YJ, Kottaram A, Youzchalveen B, Pilkington V, Cotton SM, Brooker A, McKechnie B, Rice S, Schmaal L. Risk Factors for Suicide Attempt During Outpatient Care in Adolescents With Severe and Complex Depression. CRISIS 2022. [PMID: 35548884 DOI: 10.1027/0227-5910/a000860] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 11/23/2022]
Abstract
Background: Young people receiving tertiary mental health care are at elevated risk for suicidal behavior, and understanding which individuals are at increased risk during care is important for treatment and suicide prevention. Aim: We aimed to retrospectively identify risk factors for attempted suicide during outpatient care and predict which young people did or did not attempt during care. Method: Penalized logistic regression analysis was performed in a small high-risk sample of 84 young people receiving care at Orygen's Youth Mood Clinic (age: 14-25 years, 51% female) to predict suicide attempt during care (N = 16). Results: Prediction of suicide attempt during care was only moderately accurate (Area Under the Receiver Operating Curve range 0.71; sensitivity 0.57) using a combination of sociodemographic, psychosocial, and clinical variables. The features that best discriminated both groups included suicidal ideation during care, history of suicide attempt prior to care, changes in appetite reported on the PHQ-9, history of parental separation, and parental mental illness. Limitation: Replication of findings in an independent validation sample is needed. Conclusion: While prediction of suicide attempt during care was only moderately successful, we were able to identify individual risk factors for suicidal behavior during care in a high-risk sample.
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Affiliation(s)
- Laura S van Velzen
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Yara J Toenders
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Akhil Kottaram
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Belinsha Youzchalveen
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Vita Pilkington
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Sue M Cotton
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Abi Brooker
- School of Psychological Sciences, University of Melbourne, VIC, Australia
| | | | - Simon Rice
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
| | - Lianne Schmaal
- Orygen, Parkville, VIC, Australia.,Centre for Youth Mental Health, University of Melbourne, VIC, Australia
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Tetzner J, Bondü R, Krahé B. Family risk factors and buffering factors for child internalizing and externalizing problems. JOURNAL OF APPLIED DEVELOPMENTAL PSYCHOLOGY 2022. [DOI: 10.1016/j.appdev.2022.101395] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.5] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 01/01/2023]
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Gatta M, Raffagnato A, Iannattone S, Mistrorigo C, Fasolato R, Traverso A, Zanato S, Miscioscia M. Hospitalisation in Child Neuropsychiatry: A Case Study Along a Five-Year Epidemiological-Clinical Trend. CLINICAL NEUROPSYCHIATRY 2022; 19:72-83. [PMID: 35601249 PMCID: PMC9112988 DOI: 10.36131/cnfioritieditore20220201] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Indexed: 11/29/2022]
Abstract
OBJECTIVE In Italy, the number of patients admitted to child and adolescent neuropsychiatry services has almost doubled in the last 10 years. Despite this significant increase in demand, there is still a paucity of literature on mental disorders in the paediatric population. Therefore, we investigated and described the clinical and socio-demographic characteristics of a sample of young Italian inpatients with psychiatric disorders. The aim was to contribute to the jet scarce literature on this topic, while also providing useful information for the clinical-care organisation of mental health services dedicated to children and adolescents. METHOD In this retrospective cohort study, data were collected from 361 hospitalised patients aged̀ 1 to 18 who had been admitted to a Child Neuropsychiatry Unit in Northern Italy, from January 2016 to December 2020. Descriptive analyses, Univariate Analysis of Variance (ANOVA), and Chi-square tests were applied. RESULTS During a five-year timeline, a higher admission rate for females was recorded, and the average age of inpatients was 13.4 years (SD = 3.01). Most of the admissions occurred through the Paediatric Emergency Department, and suicidal behaviour was the most frequent reason for admission. At discharge, affective disorders were the main diagnoses, which were also found to be the most frequent in patients with self-injurious behaviours. Non-suicidal self-injury, which was mainly reported as occurring in order to obtain relief from suffering, regarded 40.8% of the total sample. Almost half of the subjects reported suicidal ideation, and 21.1% attempted suicide. The mean hospitalisation length significantly decreased from 2016-2018 to 2019-2020. In general, patients with psychotic disorders had the longest stays. CONCLUSIONS Ad hoc diagnostic-therapeutic protocols should be developed for psychiatric emergencies, and health personnel should be adequately trained to manage acute psychiatric conditions in developmental age. Primary and secondary prevention programs should be implemented to promptly recognise and treat mental health issues in this age group.
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Affiliation(s)
- Michela Gatta
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Alessia Raffagnato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Sara Iannattone
- Department of General Psychology, University of Padua, 35131 Padua, Italy,Corresponding author Sara Iannattone Department of General Psychology–University of Padua Via Venezia, 8, 35131, Padua (PD), Italy E-mail:
| | - Claudia Mistrorigo
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Rachele Fasolato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Annalisa Traverso
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Silvia Zanato
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy
| | - Marina Miscioscia
- Department of Woman and Child's Health, Padua University Hospital, 35128 Padua, Italy,Department of General Psychology, University of Padua, 35131 Padua, Italy,Department of Developmental Psychology and Socialization, University of Padua, 35131 Padua, Italy
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Alcaniz L, Martínez-Pampliega A, Herrero M. Cost-Benefit Analysis of an Intervention in Divorced Parents: Implications for Society, Public Administrations and Family Visitation Centers. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2022; 19:ijerph19063484. [PMID: 35329168 PMCID: PMC8955351 DOI: 10.3390/ijerph19063484] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 12/20/2021] [Revised: 03/06/2022] [Accepted: 03/12/2022] [Indexed: 02/04/2023]
Abstract
Families going through conflictive divorce processes are at increased risk of developing mental health problems. The Egokitzen program is a group intervention for parents who have undergone a divorce process, funded by the public administration. Budgetary constraints cause funding institutions to be interested in the effectiveness and economic efficiency of these programs. Therefore, the objective of this research is to carry out an efficiency analysis of the Egokitzen program, implemented by family visitation centers in Spain, through a cost-benefit analysis, to determine whether the positive impact on symptomatology (measured using CBCL and SCL-90 instruments) is translated into a positive economic impact for society. A sample of 382 parents participated. Costs will be first identified and valued; secondly, benefits achieved with the program will be identified through a prevalence analysis and, finally, the cost-benefit comparative analysis will be carried out. Additionally, a sensitivity analysis will be performed. The results obtained in the analysis indicate that for every euro spent on this program, the public administration and society save 3.10 euros in future interventions through medical costs and productivity losses. The study has practical implications for public administration, organizations, and the family visitation centers that implement the program.
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Affiliation(s)
- Leire Alcaniz
- Department of Finance and Economics, Deusto Business School, University of Deusto, 48007 Bilbao, Spain
- Correspondence:
| | - Ana Martínez-Pampliega
- Department of Psychology, Faculty of Health Science, University of Deusto, 48007 Bilbao, Spain; (A.M.-P.); (M.H.)
| | - Marta Herrero
- Department of Psychology, Faculty of Health Science, University of Deusto, 48007 Bilbao, Spain; (A.M.-P.); (M.H.)
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Sanayeh EB, Iskandar K, Fadous Khalife MC, Obeid S, Hallit S. Parental divorce and nicotine addiction in Lebanese adolescents: the mediating role of child abuse and bullying victimization. Arch Public Health 2022; 80:79. [PMID: 35287735 PMCID: PMC8919634 DOI: 10.1186/s13690-022-00848-9] [Citation(s) in RCA: 7] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/15/2021] [Accepted: 03/07/2022] [Indexed: 11/10/2022] Open
Abstract
BACKGROUND Lebanon ranks first amongst Middle-Eastern countries in terms of cigarette and waterpipe smoking. Understanding the mediating factors for nicotine addiction in adolescents who have experienced parental divorce is vital to take effective measures that will help in lowering its prevalence in our community. The objective of this study was to investigate the association between the increasingly concerning parental divorce and nicotine addiction in Lebanese adolescents while taking into consideration the plausible mediating effect of abuse and bullying victimization. METHODS This was a cross-sectional survey-based study that was conducted between January and May 2019. A total of 1810 adolescents aged between 14 and 17 years was enrolled from 16 Lebanese schools. Linear regressions taking the cigarette and waterpipe dependence scores as dependent variables were conducted respectively, using the SPSS software. PROCESS v3.4 model 4 was used for mediation analysis. RESULTS A total of 11.9% of the enrolled participants had divorced parents. Higher cigarette and waterpipe dependence were found in adolescents whose parents were divorced compared to those living together. More child psychological abuse, having divorced parents vs living together, and more child physical abuse were significantly associated with higher cigarette dependence. More child psychological and physical, and having divorced parents vs living together were significantly associated with more waterpipe dependence. In addition, all forms of abuse (except neglect) and bullying victimization had a partially mediating effect in the associations between parental divorce and nicotine dependence (cigarette and waterpipe) in adolescents. CONCLUSION This study results may serve as a first step towards enrolling separated parents and their children in special prevention programs to help them create a protective and supportive environment.
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Affiliation(s)
- Elie Bou Sanayeh
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon
| | - Katia Iskandar
- Department of Mathématiques Informatique et Télécommunications, Université Toulouse III, Paul Sabatier, INSERM, UMR 1027, F-31000, Toulouse, France
| | - Marie-Claude Fadous Khalife
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon.,Department of Pediatrics, Notre Dame des Secours University Hospital Center, Street 93, Byblos, Postal Code 3, Lebanon
| | - Sahar Obeid
- School of Arts and Sciences, Social and Education Sciences Department, Lebanese American University, Jbeil, Lebanon.
| | - Souheil Hallit
- School of Medicine and Medical Sciences, Holy Spirit University of Kaslik, P.O. Box 446, Jounieh, Lebanon. .,Research Department, Psychiatric Hospital of the Cross, Jal Eddib, Lebanon.
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Giano Z, Ernst CW, Snider K, Davis A, O'Neil AM, Hubach RD. ACE domains and depression: Investigating which specific domains are associated with depression in adulthood. CHILD ABUSE & NEGLECT 2021; 122:105335. [PMID: 34592672 DOI: 10.1016/j.chiabu.2021.105335] [Citation(s) in RCA: 18] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 02/19/2021] [Revised: 08/18/2021] [Accepted: 09/14/2021] [Indexed: 06/13/2023]
Abstract
BACKGROUND The study of adverse childhood experiences (ACEs) has shown deleterious effects throughout adulthood. Little attention, however, is given to specific ACE domains as they relate to mental health outcomes, as most studies use cumulative ACE score models. OBJECTIVE The current study disaggregates ACEs domains to investigate their independent effect (while controlling for each other and other demographic covariates) on receiving a depression diagnosis as an adult. PARTICIPANTS AND SETTING Data were obtained from the Behavioral Risk Factor Surveillance Survey (BRFSS; N = 52,971). METHODS To control and account for the numerical number of ACEs, separate models were run among each ACE score (e.g., those with an ACE score of exactly two, three, etc.). An aggregate model with all participants is also included. RESULTS Across all ACE scores, those with a history of family mental illness had the highest likelihood of receiving a depression diagnosis. The second strongest association were those with sexual abuse. No other trends were found among the six other domains. Further, those with a combination of family mental illness and sexual abuse had the highest odds of depression. CONCLUSIONS Mental health providers should consider the numerical number of ACEs as well as the specific ACE domains (specifically, family mental illness and sexual abuse). Additionally, this provides evidence for a possible weighting schema for the ACEs scale.
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Affiliation(s)
- Zachary Giano
- Department of Biostatistics and Infomatics, University of Colorado Anschutz Medical Campus, Aurora, CO, 80045, USA.
| | - Campbell W Ernst
- Center for Rural Health, Oklahoma State University-Center for Health Sciences, Tulsa, OK, 74107, USA.
| | - Kelsey Snider
- Center for Rural Health, Oklahoma State University-Center for Health Sciences, Tulsa, OK, 74107, USA.
| | - Abby Davis
- Center for Rural Health, Oklahoma State University-Center for Health Sciences, Tulsa, OK, 74107, USA.
| | - Andrew M O'Neil
- Institute for Health & Equity- Medical College of Wisconsin, Milwaukee, WI, 53226, USA.
| | - Randolph D Hubach
- Department of Public Health, Purdue University, West Lafayette, IN, 47907, USA.
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Wang F, Lu J, Lin L, Cai J, Xu J, Zhou X. Impact of parental divorce versus separation due to migration on mental health and self-injury of Chinese children: a cross sectional survey. Child Adolesc Psychiatry Ment Health 2021; 15:71. [PMID: 34836541 PMCID: PMC8626960 DOI: 10.1186/s13034-021-00424-z] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/11/2021] [Accepted: 11/18/2021] [Indexed: 11/25/2022] Open
Abstract
BACKGROUND There has been an increasing prevalence of parental separation in China due to divorce or migration for work in recent decades. However, few studies have compared the impacts of these two types of separation on children's mental health. This study aimed to investigate how parental divorce and parental migration impact children's mental health and self-injurious thoughts and behaviors (SITB), while considering positive factors, including parent-adolescent communication and psychological resilience. METHODS We randomly recruited participants in grades 5-8 from 18 schools in 2 counties in Anhui Province. A self-administered questionnaire was conducted to measure children's mental health, SITB, parent-adolescent communication, psychological resilience, and socio-demographic characteristics. RESULTS Data from 1026 children with both parents migrating (BLBC), 1322 children with one parent migrating (SLBC), 475 children living in a divorced family (DC) and 1160 children with non-migrating parents (NLBC) were included. Regression model results showed that, compared to the other three groups (BLBC, SLBC, NLBC), DC exhibited higher internalizing problems (p < 0.05), higher externalizing problems (p < 0.01), less prosocial behaviors (p < 0.05), and higher rates of suicidal ideation (SI) (p < 0.05) and non-suicidal self-injury (NSSI) behaviors (p < 0.05) when adjusting for social-demographic variables. However, when further adjusting for parent-adolescent communication and psychological resilience, DC no longer had higher levels of internalizing problems, externalizing problems, NSSI and SI than left-behind groups (BLBC, SLBC). CONCLUSIONS The experience of separation from divorced parents had stronger negative effects on the mental health of children than was observed in LBC. The Chinese government should design special policy frameworks that provide support to DC.
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Affiliation(s)
- Feng Wang
- grid.13402.340000 0004 1759 700XThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang People’s Republic of China
| | - Jingjing Lu
- grid.13402.340000 0004 1759 700XThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang People’s Republic of China
| | - Leesa Lin
- grid.8991.90000 0004 0425 469XDepartment of Infectious Disease Epidemiology, London School of Hygiene & Tropical Medicine, Kings Cross, London, UK
| | - Jingjing Cai
- grid.13402.340000 0004 1759 700XThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang People’s Republic of China
| | - Jiayao Xu
- grid.13402.340000 0004 1759 700XThe Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang People’s Republic of China
| | - Xudong Zhou
- The Institute of Social and Family Medicine, School of Medicine, Zhejiang University, Hangzhou, Zhejiang, People's Republic of China.
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Vocational Personality in Romantic Relationships: How Vocational Similarity Contributes to Couple Functioning. CONTEMPORARY FAMILY THERAPY 2021. [DOI: 10.1007/s10591-021-09620-7] [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]
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Kinge JM, Øverland S, Flatø M, Dieleman J, Røgeberg O, Magnus MC, Evensen M, Tesli M, Skrondal A, Stoltenberg C, Vollset SE, Håberg S, Torvik FA. Parental income and mental disorders in children and adolescents: prospective register-based study. Int J Epidemiol 2021; 50:1615-1627. [PMID: 33975355 PMCID: PMC8580274 DOI: 10.1093/ije/dyab066] [Citation(s) in RCA: 29] [Impact Index Per Article: 9.7] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 03/15/2021] [Indexed: 01/30/2023] Open
Abstract
BACKGROUND Children with low-income parents have a higher risk of mental disorders, although it is unclear whether other parental characteristics or genetic confounding explain these associations and whether it is true for all mental disorders. METHODS In this registry-based study of all children in Norway (n = 1 354 393) aged 5-17 years from 2008 to 2016, we examined whether parental income was associated with childhood diagnoses of mental disorders identified through national registries from primary healthcare, hospitalizations and specialist outpatient services. RESULTS There were substantial differences in mental disorders by parental income, except for eating disorders in girls. In the bottom 1% of parental income, 16.9% [95% confidence interval (CI): 15.6, 18.3] of boys had a mental disorder compared with 4.1% (95% CI: 3.3, 4.8) in the top 1%. Among girls, there were 14.2% (95% CI: 12.9, 15.5) in the lowest, compared with 3.2% (95% CI: 2.5, 3.9) in the highest parental-income percentile. Differences were mainly attributable to attention-deficit hyperactivity disorder in boys and anxiety and depression in girls. There were more mental disorders in children whose parents had mental disorders or low education, or lived in separate households. Still, parental income remained associated with children's mental disorders after accounting for parents' mental disorders and other factors, and associations were also present among adopted children. CONCLUSIONS Mental disorders were 3- to 4-fold more prevalent in children with parents in the lowest compared with the highest income percentiles. Parents' own mental disorders, other socio-demographic factors and genetic confounding did not fully explain these associations.
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Affiliation(s)
- Jonas Minet Kinge
- Norwegian Institute of Public Health, Oslo, Norway
- University of Oslo, Oslo, Norway
| | - Simon Øverland
- Norwegian Institute of Public Health, Oslo, Norway
- University of Bergen, Bergen, Norway
| | - Martin Flatø
- Norwegian Institute of Public Health, Oslo, Norway
| | - Joseph Dieleman
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | | | - Maria Christine Magnus
- Norwegian Institute of Public Health, Oslo, Norway
- MRC Integrative Epidemiology Unit at the University of Bristol, Bristol, UK
- Population Health Sciences, Bristol Medical School, Bristol, UK
| | | | - Martin Tesli
- Norwegian Institute of Public Health, Oslo, Norway
- NORMENT, Oslo University Hospital, Oslo, Norway
| | - Anders Skrondal
- Norwegian Institute of Public Health, Oslo, Norway
- University of Oslo, Oslo, Norway
- GSE, University of California, Berkeley, CA, USA
| | - Camilla Stoltenberg
- Norwegian Institute of Public Health, Oslo, Norway
- University of Bergen, Bergen, Norway
| | - Stein Emil Vollset
- Institute for Health Metrics and Evaluation, University of Washington, Seattle, USA
| | - Siri Håberg
- Norwegian Institute of Public Health, Oslo, Norway
| | - Fartein Ask Torvik
- Norwegian Institute of Public Health, Oslo, Norway
- University of Oslo, Oslo, Norway
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Kim H, Lee W, Lee Y. Association of Long Working Hours With Marital Status Changes in South Korea: A Cohort Study. J Occup Environ Med 2021; 63:e689-e693. [PMID: 34325438 DOI: 10.1097/jom.0000000000002338] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/25/2022]
Abstract
OBJECTIVE This study investigated the relationship between long working hours and the incidence of divorce or separation among Korean female and male workers. METHODS A cohort study was conducted in 125,108 Korean workers, married at baseline, who attended health examinations between 2012 and 2017 and had been followed annually or biennially until December 31, 2018. The weekly working hours and marital status changes were measured using self-administered questionnaires. This study was performed using sex stratification. RESULTS In a multivariable-adjusted model, by comparing working hours->52 hours/week with 35 to 40 hours/week-the hazard ratios (95% confidence intervals) for incidents of divorce or separation were 1.60 (1.03-2.49) and 0.86 (0.66-1.12) in females and males, respectively. CONCLUSIONS This study showed that long working hours could contribute to marital status changes in Korean female workers.
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Affiliation(s)
- Hyunil Kim
- Department of Occupational and Environmental Medicine, Kangbuk Samsung Hospital, Sungkyunkwan University School of Medicine, Seoul, Republic of Korea
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