1
|
Gustafsson J, Lyyra N, Jasinskaja-Lahti I, Simonsen N, Lahti H, Kulmala M, Ojala K, Paakkari L. Mental health profiles of Finnish adolescents before and after the peak of the COVID-19 pandemic. Child Adolesc Psychiatry Ment Health 2023; 17:54. [PMID: 37120557 PMCID: PMC10148589 DOI: 10.1186/s13034-023-00591-1] [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: 01/03/2023] [Accepted: 03/15/2023] [Indexed: 05/01/2023] Open
Abstract
BACKGROUND The COVID-19 pandemic has had implications for adolescents' interpersonal relationships, communication patterns, education, recreational activities and well-being. An understanding of the impact of the pandemic on their mental health is crucial in measures to promote the post-pandemic recovery. Using a person-centered approach, the current study aimed to identify mental health profiles in two cross-sectional samples of Finnish adolescents before and after the peak of the pandemic, and to examine how socio-demographic and psychosocial factors, academic expectations, health literacy, and self-rated health are associated with the emerging profiles. METHODS AND FINDINGS Survey data from the Health Behaviour in School-aged Children (HBSC) study conducted in Finland in 2018 (N = 3498, age M = 13.44) and 2022 (N = 3838, age M = 13.21) were analyzed. A four-profile model using cluster analysis was selected for both samples. In Sample 1, the identified profiles were (1) "Good mental health", (2) "Mixed psychosocial health", (3) "Somatically challenged", and (4) "Poor mental health". In Sample 2, the identified profiles were (1) "Good mental health", (2) "Mixed psychosomatic health", (3) "Poor mental health and low loneliness", and (4) "Poor mental health and high loneliness". The results of the mixed effect multinomial logistic regression analysis showed that in both samples, being a girl and reporting lower maternal monitoring; lower family, peer, and teacher support; higher intensity of online communication; a less positive home atmosphere and school climate; and poor self-rated health were most strongly linked to belonging to a poorer mental health profile. In addition, in Sample 2, low subjective health literacy was a key factor associated with poorer mental health profiles, and teacher support was more important than before COVID. CONCLUSIONS The current study stresses the importance of identifying those vulnerable to developing poor mental health. To maximize post-pandemic recovery, the role of schools, especially teacher support and health literacy, along with the factors that remained important over time should be taken into account in public health and health promotion interventions.
Collapse
Affiliation(s)
- Jasmine Gustafsson
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland.
- Faculty of Social Sciences, University of Helsinki, Helsinki, Finland.
- Public Health Research Program, Folkhalsan Research Center, Helsinki, Finland.
| | - Nelli Lyyra
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | | | - Nina Simonsen
- Public Health Research Program, Folkhalsan Research Center, Helsinki, Finland
- Department of Public Health, University of Helsinki, Helsinki, Finland
| | - Henri Lahti
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | - Markus Kulmala
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | - Kristiina Ojala
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| | - Leena Paakkari
- Faculty of Sport and Health Sciences, University of Jyvaskyla, Jyvaskyla, Finland
| |
Collapse
|
2
|
Erden ZŞ, Aliyev R. Anxiety and psychological needs of high school students: COVID-19 period. PSYCHOLOGY IN THE SCHOOLS 2022; 60:PITS22767. [PMID: 35942394 PMCID: PMC9350253 DOI: 10.1002/pits.22767] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/19/2021] [Revised: 05/09/2022] [Accepted: 06/15/2022] [Indexed: 11/09/2022]
Abstract
The study aims to examine the relationship between anxiety and psychological needs of high school students during the COVID-19 pandemic period. The fact that the COVID-19 virus poses a threat to mental health as well as physical health, the effects of the pandemic period on the psychological needs and anxiety level of adolescents, especially in a critical developmental stage, and the scarcity of studies concerning adolescent mental health in this period, constituted the purpose of the current study. The quantitative (N = 502) and qualitative data (N = 29) of the study, in which triangulation design was used, were collected from high school students studying in the Southeast of Turkey. In the quantitative part of the research Multiple Linear Regression was implemented and content analysis was used in the qualitative part. The results indicate that love, belonging and power, which are subdimensions of basic psychological needs, are significant predictors of anxiety level. Additionally, it is seen that the need for freedom subdimension is the least predictive variable for the anxiety level. It is concluded that there are moderate negative and significant relationships between the general and subdimensions of basic psychological needs and the level of state anxiety. In this sense, it has been found that the level of anxiety tends to decrease as the level of the satisfaction of basic psychological needs increases. The results in the qualitative analysis part largely overlap with the results in the quantitative part. Suggestions based on the findings of the study are made to researchers.
Collapse
Affiliation(s)
- Zehra Şeyda Erden
- Psychological Counselling DepartmentMinistry of National EducationDiyarbakırTurkey
| | - Ramin Aliyev
- Department of Educational SciencesHasan Kalyoncu UniversityGaziantepTurkey
| |
Collapse
|
3
|
Rentala S, Thimmajja SG, Tilekar SD, Nayak RB, Aladakatti R. Impact of holistic stress management program on academic stress and well-being of Indian adolescent girls: A randomized controlled trial. JOURNAL OF EDUCATION AND HEALTH PROMOTION 2019; 8:253. [PMID: 32002425 PMCID: PMC6967204 DOI: 10.4103/jehp.jehp_233_19] [Citation(s) in RCA: 3] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/27/2019] [Accepted: 07/25/2019] [Indexed: 06/10/2023]
Abstract
CONTEXT Academic stress among adolescents is a significant contributor to a variety of mental and behavioral disorders. Holistic stress management interventions equip adolescents with good mental health and improve academic performance. AIM The aim of the study is to evaluate the effectiveness of holistic group-based stress management program in reducing academic stress, depression, anxiety, and improving well-being among adolescent girls. SETTINGS AND DESIGN Randomized control trial was adopted and the study was conducted at selected colleges of Dharwad city, Karnataka, India. MATERIALS AND METHODS Two hundred and thirty adolescent girls were randomly selected and assigned to either experimental (n = 115) or control group (n = 115). Both group participants were initially assessed for academic stress, depression, anxiety, general stress, and well-being. The experimental group participants participated in eight sessions of holistic group-based stress management program over a period of 1 month. The intervention comprises of body-mind-spirit strategies focusing on techniques to handle stressful situations, accept responsibility for their own well-being, and take charge of self-health. Control group participants did not receive any intervention. Postintervention assessments were conducted for all the participants on monthly intervals for 6 months. RESULTS Over 6 months follow-up compared to control group, the experimental group participants showed statistically significant decrease in academic stress (F = 131.60, P < 0.01, n2 G = 0.14), depression (F = 156.70, P < 0.01, n2 G = 0.13), anxiety (F = 190.50, P < 0.01, n2 G = 0.16), general stress (F = 166.10, P < 0.01, n2 G = 0.16), and improvement in well-being (F = 156.40, P < 0.01, n2 G = 0.13). CONCLUSIONS These findings indicate that holistic stress management program has a positive effect on reducing stress, anxiety, depression, and improving well-being.
Collapse
Affiliation(s)
- Sreevani Rentala
- Department of Nursing, Dharwad Institute of Mental Health and Neurosciences, Dharwad, Karnataka, India
| | | | - Swanand Dattatraya Tilekar
- Department of Biostatistics, Indian Red Cross Society Bel-Air College of Nursing, Panchgani, Maharastra, India
| | | | | |
Collapse
|
4
|
Rentala S, Lau BHP, Aladakatti R, Thimmajja SG. Effectiveness of holistic group health promotion program on educational stress, anxiety, and depression among adolescent girls - A pilot study. J Family Med Prim Care 2019; 8:1082-1089. [PMID: 31041255 PMCID: PMC6482794 DOI: 10.4103/jfmpc.jfmpc_378_18] [Citation(s) in RCA: 5] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/29/2022] Open
Abstract
BACKGROUND Academic stress is one of the major stresses among adolescents and it has been associated with poor mental health. AIM Evaluate effectiveness of holistic intervention on educational stress among adolescent girls. MATERIALS AND METHODS Randomized controlled design was adopted and study was conducted at selected colleges of Dharwad city, India. 60 adolescent girls were randomly assigned to either experimental or control group. All subjects were initially assessed for educational stress, depression and anxiety. The experimental group subjects received 8 sessions of holistic intervention. No intervention was given to control group subjects. Post intervention assessments were done at the end of 1st, 2nd and 3rd months. RESULTS Experimental group subjects showed statistically significant decrease in educational stress, depression and anxiety over 3 months follow-up compared to control group subjects. CONCLUSION This study provided evidence of integrating a holistic intervention in reducing stress.
Collapse
Affiliation(s)
- Sreevani Rentala
- Department of Psychiatric Nursing, Dharwad Institute of Mental Health and Neuroscience, Dharwad, Karnataka, India
| | - Bobo Hi Po Lau
- Department of Counseling and Psychology, Hong Kong Shue Yan University, 10 Wai Tsui Crescent, Braemar Hill Road, North Point, Hong Kong
| | - Rajashree Aladakatti
- Department of Psychiatric Nursing, Shreya College of Nursing, Dharwad, Karnataka, India
| | - Sunanda Govinder Thimmajja
- Department of Psychiatric Nursing, Dharwad Institute of Mental Health and Neuroscience, Dharwad, Karnataka, India
| |
Collapse
|
5
|
Ahn JA, Lee S. Peer Attachment, Perceived Parenting Style, Self-concept, and School Adjustments in Adolescents with Chronic Illness. Asian Nurs Res (Korean Soc Nurs Sci) 2016; 10:300-304. [PMID: 28057318 DOI: 10.1016/j.anr.2016.10.003] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.1] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/22/2015] [Revised: 10/13/2016] [Accepted: 10/13/2016] [Indexed: 02/06/2023] Open
Abstract
PURPOSE The purpose of this study was to identify how peer attachment and parenting style differentially affect self-concept and school adjustment in adolescents with and without chronic illness. METHODS A cross-sectional study using multiple group analysis on the Korean panel data was used. A nationwide stratified multistage cluster sampling method was used and the survey was conducted in 2013 on 2,092 first-year middle school students in Korea. We used standardized instruments by the National Youth Policy Institute to measure peer attachment, parenting style, self-concept, and school adjustment. Multiple-group structural equation modeling was used to evaluate the difference of relations for peer attachment, parenting style, self-concept, and school adjustment variable between adolescents with chronic illness and those without chronic illness. RESULTS The model fit of a multiple-group structural equation modeling was good. The difference of the path from negative parenting style to self-concept between the two groups was significant, and a significant between-group difference in the overall path was found. This indicated that self-concept in adolescents with chronic illness was more negatively affected by negative parenting style than in adolescents without chronic illness. CONCLUSIONS Healthcare providers can promote the process of school adjustment in several ways, such as discussing this issue directly with adolescent patients, along with their parents and peers, examining how the organization and content of the treatment can be modified according to the adolescents' school life.
Collapse
Affiliation(s)
- Jeong-Ah Ahn
- College of Nursing, Institute of Nursing Science, Ajou University, Suwon, South Korea
| | - Sunhee Lee
- College of Nursing, The Catholic University of Korea, Seoul, South Korea.
| |
Collapse
|
6
|
Ottová-Jordan V, Smith ORF, Augustine L, Gobina I, Rathmann K, Torsheim T, Mazur J, Välimaa R, Cavallo F, Jericek Klanscek H, Vollebergh W, Meilstrup C, Richter M, Moor I, Ravens-Sieberer U. Trends in health complaints from 2002 to 2010 in 34 countries and their association with health behaviours and social context factors at individual and macro-level. Eur J Public Health 2015; 25 Suppl 2:83-9. [PMID: 25805796 DOI: 10.1093/eurpub/ckv033] [Citation(s) in RCA: 37] [Impact Index Per Article: 4.1] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/12/2022] Open
Abstract
BACKGROUND This article describes trends and stability over time in health complaints in adolescents from 2002 to 2010 and investigates associations between health complaints, behavioural and social contextual factors at individual level and economic factors at macro-level. METHODS Comprising N = 510 876 11-, 13- and 15-year-old children and adolescents in Europe, North America and Israel, data came from three survey cycles of the international Health Behaviour in School-aged Children (HBSC) study. Age- and gender-adjusted trends in health complaints were examined in each country by means of linear regression. By using the country as the random effects variable, we tested to what extent individual and contextual variables were associated with health complaints. RESULTS Significant associations are stronger for individual level determinants (e.g. being bullied, smoking) than for determinants at macro-level (e.g. GDP, Gini), as can be seen by the small effect sizes (less than 5% for different trends). Health complaints are fairly stable over time in most countries, and no clear international trend in health complaints can be observed between 2002 and 2010. The most prominent stable determinants were being female, being bullied, school pressure and smoking. CONCLUSION Factors associated with health complaints are more related to the proximal environment than to distal macro-level factors. This points towards intensifying targeted interventions, (e.g. for bullying) and also targeting specific risk groups. The comparably small effect size at country-level indicates that country-level factors have an impact on health and should not be ignored.
Collapse
Affiliation(s)
- Veronika Ottová-Jordan
- 1 Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | - Otto R F Smith
- 2 Department of Health Promotion and Development, University of Bergen, Bergen, Norway 3 Department of Public Mental Health, Division of Mental Health, Norwegian Institute of Public Health, Oslo, Norway
| | - Lilly Augustine
- 4 Public Health Agency of Sweden, Holna, Sweden 5 Department of Human Sciences, Kristianstad University, Kristianstad, Sweden
| | - Inese Gobina
- 6 Department of Public Health and Epidemiology, Riga Stradins University, Riga, Latvia
| | - Katharina Rathmann
- 7 Institute of Medical Sociology, Medical Faculty, Martin-Luther University Halle-Wittenberg, Halle, Germany
| | - Torbjørn Torsheim
- 8 Department of Psychosocial Science, University of Bergen, Bergen, Norway
| | - Joanna Mazur
- 9 Department of Child and Adolescent Health, Institute of Mother and Child, Warsaw, Poland
| | - Raili Välimaa
- 10 Department of Health Sciences, University of Jyväskylä, Jyväskylä, Finland
| | - Franco Cavallo
- 11 Department of Public Health and Pediatrics, University of Turin, Turin, Italy
| | | | - Wilma Vollebergh
- 13 Faculty of Social and Behavioral Sciences, Department of Interdisciplinary Social Science, University of Utrecht, Utrecht, Netherlands
| | - Charlotte Meilstrup
- 14 National institute of Public Health, University of Southern Denmark, Copenhagen, Denmark
| | - Matthias Richter
- 7 Institute of Medical Sociology, Medical Faculty, Martin-Luther University Halle-Wittenberg, Halle, Germany
| | - Irene Moor
- 7 Institute of Medical Sociology, Medical Faculty, Martin-Luther University Halle-Wittenberg, Halle, Germany
| | - Ulrike Ravens-Sieberer
- 1 Department of Child and Adolescent Psychiatry, Psychotherapy, and Psychosomatics, University Medical Center Hamburg-Eppendorf, Hamburg, Germany
| | | |
Collapse
|