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Cerna-Turoff I, Casey JA, Keyes K, Rudolph KE, Malinsky D. Longitudinal patterns of natural hazard exposures and anxiety and depression symptoms among young adults in four low- and middle-income countries. Sci Rep 2024; 14:10538. [PMID: 38719874 PMCID: PMC11078992 DOI: 10.1038/s41598-024-60106-6] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 10/10/2023] [Accepted: 04/18/2024] [Indexed: 05/12/2024] Open
Abstract
We estimated the effect of community-level natural hazard exposure during prior developmental stages on later anxiety and depression symptoms among young adults and potential differences stratified by gender. We analyzed longitudinal data (2002-2020) on 5585 young adults between 19 and 26 years in Ethiopia, India, Peru, and Vietnam. A binary question identified community-level exposure, and psychometrically validated scales measured recent anxiety and depression symptoms. Young adults with three exposure histories ("time point 1," "time point 2," and "both time points") were contrasted with their unexposed peers. We applied a longitudinal targeted minimum loss-based estimator with an ensemble of machine learning algorithms for estimation. Young adults living in exposed communities did not exhibit substantially different anxiety or depression symptoms from their unexposed peers, except for young women in Ethiopia who exhibited less anxiety symptoms (average causal effect [ACE] estimate = - 8.86 [95% CI: - 17.04, - 0.68] anxiety score). In this study, singular and repeated natural hazard exposures generally were not associated with later anxiety and depression symptoms. Further examination is needed to understand how distal natural hazard exposures affect lifelong mental health, which aspects of natural hazards are most salient, how disaster relief may modify symptoms, and gendered, age-specific, and contextual differences.
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Affiliation(s)
- Ilan Cerna-Turoff
- Mailman School of Public Health, Department of Environmental Health Sciences, Columbia University, New York City, NY, USA.
| | - Joan A Casey
- Mailman School of Public Health, Department of Environmental Health Sciences, Columbia University, New York City, NY, USA
- School of Public Health, Department of Environmental and Occupational Health Sciences, University of Washington, Seattle, WA, USA
| | - Katherine Keyes
- Mailman School of Public Health, Department of Epidemiology, Columbia University, New York City, NY, USA
| | - Kara E Rudolph
- Mailman School of Public Health, Department of Epidemiology, Columbia University, New York City, NY, USA
| | - Daniel Malinsky
- Mailman School of Public Health, Department of Biostatistics, Columbia University, New York City, NY, USA
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Huang Y, Lou H, Song Y, Cui L, Li R, Gao G, Lou X, Hao C, Wang X. The association between various dimensions of sleep parameters and mental health: A large cross-sectional study of 13554 Chinese students. J Psychosom Res 2023; 170:111356. [PMID: 37178473 DOI: 10.1016/j.jpsychores.2023.111356] [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: 08/07/2022] [Revised: 04/04/2023] [Accepted: 05/04/2023] [Indexed: 05/15/2023]
Abstract
OBJECTIVES We aimed to investigate the association between multiple sleep variables and mental health among Chinese students aged 9-22. METHOD We stratified the included 13,554 students by educational levels. Sleep parameters contained sleep duration on school days and weekends, napping time, chronotype and social jetlag (SJL), which were calculated via questionnaires. Individual psychological well-being and distress were assessed by Warwick-Edinburgh mental Well-being scale and the Kessler Psychological Distress Scale 10 respectively. The multiple linear and binary logistic regression were applied to analyze the association of sleep with mental health. RESULTS Short sleep on school days showed significantly positive association with psychological problems. While among senior high school students, we found reverse result that sleeping less might negatively associated with more severe distress (7-8 h: aOR = 0.67, 95% CI: 0.46, 0.97). The association of sleep duration with mental health was attenuated a lot on weekends. The chronotype was significantly related with mental health in primary and junior high school: intermediate chronotype (vs late chronotype) was associated with greater wellbeing (β = 1.03, 95% CI: 0.09, 1.96; β = 1.89, 95% CI: 0.81, 2.97) and less distress (aOR = 0.78, 95% CI: 0.60, 1.00; aOR = 0.73, 95% CI: 0.58, 0.91). The relationship between SJL, napping duration and psychological health problems were also observed in some educational levels. CONCLUSION Sleep deprivation on school days, late chronotype and SJL were positively associated with worse mental health in our study, which differed among various educational stages.
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Affiliation(s)
- Ye Huang
- Department of Children, Adolescents and Women Health, College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou 450001, Henan, PR China; Department of Epidemiology & Health Statistics, School of Public Health, School of Medicine, Zhejiang University, Hangzhou 310058, China
| | - Hao Lou
- The First Affiliated Hospital of Zhengzhou University, Zhengzhou 450052, Henan, PR China
| | - Yalin Song
- Department of Children, Adolescents and Women Health, College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou 450001, Henan, PR China
| | - Lina Cui
- Luohe Central Hospital, Luohe 462300, Henan, PR China
| | - Ran Li
- Zhengzhou Station for Students' Health, Zhengzhou 450007, Henan, PR China
| | - Genli Gao
- The Education Department of Henan Province, Zhengzhou 450018, Henan, PR China
| | - Xiaomin Lou
- Department of Children, Adolescents and Women Health, College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou 450001, Henan, PR China
| | - Changfu Hao
- Department of Children, Adolescents and Women Health, College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou 450001, Henan, PR China
| | - Xian Wang
- Department of Children, Adolescents and Women Health, College of Public Health, Zhengzhou University, No.100 Science Avenue, Zhengzhou 450001, Henan, PR China.
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Zhang X, Yue H, Hao X, Liu X, Bao H. Exploring the relationship between mental health literacy and psychological distress in adolescents: A moderated mediation model. Prev Med Rep 2023; 33:102199. [DOI: 10.1016/j.pmedr.2023.102199] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 12/10/2022] [Revised: 03/30/2023] [Accepted: 03/31/2023] [Indexed: 04/03/2023] Open
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Anyanwu MU. Psychological distress in adolescents: prevalence and its relation to high-risk behaviors among secondary school students in Mbarara Municipality, Uganda. BMC Psychol 2023; 11:5. [PMID: 36624544 PMCID: PMC9830719 DOI: 10.1186/s40359-023-01039-z] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 09/03/2021] [Accepted: 01/03/2023] [Indexed: 01/11/2023] Open
Abstract
BACKGROUND Psychological distress among adolescents negatively affects their academic performance, relationships with family and friends, and ability to participate fully in the community. Stressful life events in low-income countries and risk-taking behavior of adolescents have raised concerns regarding the impact of psychological distress among adolescents. Therefore, the present study estimated the prevalence of psychological distress and examined the high-risk behaviors associated with psychological distress among Ugandan adolescents. METHODS A community based cross-sectional study was conducted among secondary school students in Mbarara Municipality, Uganda. Multistage cluster sampling was used to recruit 921 adolescents from 12 schools. Psychological distress was assessed using the 10-item Kessler Psychological Distress Scale (K10). Logistic regression was used with p-value estimating regression coefficient and 95% confidence interval for odds ratio and adjusted odds ratio (AOR). RESULTS The prevalence of psychological distress using the K10 was 57%. Logistic regression analyses showed that risky sexual behavior [AOR = 1.52; 95% confidence interval (CI) 1.02-2.28], substance use (AOR = 2.06; 95% CI 1.49-2.84) were associated with psychological distress. Students in mixed schools (comprising both sexes) (AOR = 1.94; 95% CI 1.19-3.15) and adolescents with chronic illness (AOR = 1.68; 95% CI 1.18-2.38) were more likely to report psychological distress. CONCLUSION The prevalence of psychological distress among school-going adolescents is high. Risky sexual behavior, substance use as well as chronic illness were associated with psychological distress. In addition, the type of school was significantly associated with psychological distress. The findings suggest the need for policy makers and stakeholders in health and education sectors to institute measures that will address mental health issues among adolescents.
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Affiliation(s)
- Michael U. Anyanwu
- grid.33440.300000 0001 0232 6272Department of Community Health, Mbarara University of Science and Technology, P.O Box 1410, Mbarara, Uganda
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Bullying victimization and its associated factors among adolescents in Illu Abba Bor Zone, Southwest Ethiopia: a cross-sectional study. BMC Psychol 2022; 10:260. [PMCID: PMC9648434 DOI: 10.1186/s40359-022-00967-6] [Citation(s) in RCA: 2] [Impact Index Per Article: 1.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/11/2022] [Accepted: 10/29/2022] [Indexed: 11/11/2022] Open
Abstract
Background Bullying victimization is a repetitive exposure to negative actions from one or more students over time. Bullying victim adolescents have higher levels of mental health problems, worse mental health outcomes, and lowered social status than non-victim adolescents. Literature on bullying among adolescents in Ethiopia is limited. This study aimed to assess the magnitude of bullying victimization and its associated factors among adolescents. Methods A community-based cross-sectional study was carried out among 847 adolescents in Mettu town. A Stratified sampling technique was used to select eligible Study participants from September, 1 to 30, 2020. Linear regression analysis model was used; first bivariate analysis was performed to see the association of each independent variable with bullying victimization. Variables with (P < 0.25) in bivariate analysis were entered into a multivariate linear regression model to identify the association of each independent variable with bullying victimization. The statistical significance was considered at P value < 0.05. Results From the total of 847 adolescents 819 were voluntarily involved in the study giving the response rate of 96.7%. The prevalence of bullying victimization in this study was 30.4%. Being male (β = 1.135, p = 0.001), physical abuse (β = 0.622, p ≤ 0.001), emotional abuse (β = 0.512, p ≤ 0.001), current substance use (β = 1.153, p = 0.005), psychological distress (β = 0.406, p ≤ 0.001) and having medical illness (β = 3.500, p ≤ 0.001) were significantly associated with bullying victimization. Conclusions Bullying victimization is quite common among adolescents and has both short- and long-term consequences. Bullying prevention treatments should focus on male adolescents and those who report being bullied. Anti-bullying policies in schools are critical for educating teachers, parents, and students about bullying.
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Melkam M, Nenko G, Demilew D. Common mental disorders and associated factors among high school students in Debre Markos Town, Northwest Ethiopia: an institutional-based cross-sectional study. BMJ Open 2022; 12:e059894. [PMID: 36332965 PMCID: PMC9639070 DOI: 10.1136/bmjopen-2021-059894] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 11/06/2022] Open
Abstract
BACKGROUND Common mental disorders include anxiety, depression and somatic symptoms. These pose significant public health problems because of their serious effects on personal well-being, social and occupational functions. They also can affect the health and quality of life of people in adolescence, because this age group has been vulnerable to different factors. According to the American Psychiatry Association, more than 60% of adolescents fulfil the criteria for at least one common mental disorder. Despite the high burden of the disorders, there are limited studies in Ethiopia; therefore, this study provided the prevalence of common mental disorders among students in Ethiopia. METHODS From 5 May to 30 May 2021, an institutional-based cross-sectional study was undertaken. Simple random sampling was used to select study participants from each class level across all high schools. A self-administered survey was used that included Self-Reporting Questionnaire 20, Oslo Social Support Scale-3 and other semistructured instruments for the screening of common mental disorders. Data were checked, coded and entered into Epi-Data V.4.6.0, then exported to SPSS V.20 for analysis. Bivariable and multivariable logistic regression analyses were done to identify factors associated with common mental disorders. Adjusted ORs with 95% CIs were calculated and variables with a p value of <0.05 were considered as significantly associated with common mental disorders. RESULTS A total of 600 high school students were recruited with a response rate of 93.2%. The overall prevalence of common mental disorders among the participants was 181 (32.4%). Being female (adjusted OR (AOR)=1.93; 95% CI: 1.27 to 2.99), a family history of mental illness (AOR=2.23; 95% CI: 1.15 to 4.35), poor social support (AOR=3.14; 95% CI: 1.51 to 6.54), a history of non-physical sexual abuse (AOR=2.09; 95% CI: 1.21 to 3.62) and a history of physical sexual abuse (AOR=2.43; 95% CI: 1.29 to 4.59) were significantly associated with common mental disorders. CONCLUSION AND RECOMMENDATION The prevalence of common mental disorders was 32.4% among students; therefore, it is recommended facilitating institutional-based intervention services in the school to decrease the contributing factors for the common mental disorders.
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Affiliation(s)
- Mamaru Melkam
- Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Addis Ababa, Ethiopia
| | - Goshu Nenko
- Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Addis Ababa, Ethiopia
| | - Demeke Demilew
- Psychiatry, University of Gondar College of Medicine and Health Sciences, Gondar, Addis Ababa, Ethiopia
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Zhang X, Yue H, Sun J, Liu M, Li C, Bao H. Regulatory emotional self-efficacy and psychological distress among medical students: multiple mediating roles of interpersonal adaptation and self-acceptance. BMC MEDICAL EDUCATION 2022; 22:283. [PMID: 35421953 PMCID: PMC9011952 DOI: 10.1186/s12909-022-03338-2] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 12/28/2021] [Accepted: 04/04/2022] [Indexed: 06/14/2023]
Abstract
BACKGROUND Psychological distress (depression, anxiety and stress) is more common among medical students than in the general population, and is an important cause of insomnia, internet addiction, substance abuse, decreased academic performance and increased suicidality in medical students. METHODS To examine the mechanism by which regulatory emotional self-efficacy affects medical students' psychological distress, a questionnaire of 539 medical students using an interpersonal adaptability scale, regulatory emotional self-efficacy scale, self-acceptance scale and depression-anxiety-stress scale was conducted. RESULTS ① Regulatory emotional self-efficacy, interpersonal adaptability and self-acceptance are positively correlated, but they are negatively correlated with psychological distress. ② The mediation model shows that interpersonal adaptation and self-acceptance are the mediation variables of the effect of regulatory emotional self-efficacy on psychological distress, and the total mediation effect value is -0.37, accounting for 86.05% of the total effect (-0.43). Specifically, the effect involves three paths: first, regulatory emotional self-efficacy indirectly affects psychological distress through interpersonal adaptation (effect value-0.24); second, regulatory emotional self-efficacy indirectly affects psychological distress through interpersonal adaptation and self-acceptance (effect value-0.08); and third, regulatory emotional self-efficacy indirectly affects psychological distress through self-acceptance (effect value -0.05). CONCLUSIONS Interpersonal adaptation and self-acceptance have a significant mediating effect between regulatory emotional self-efficacy and psychological distress, and the chain mediating effect of interpersonal adaptation and self-acceptance is also significant.
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Affiliation(s)
- Xuemin Zhang
- School of Psychology, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot, 010022, China
- School of Humanity, Baotou Medical College, No.31 Jianshe Road, East District, Baotou, 014040, China
| | - Heng Yue
- School of Psychology, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot, 010022, China
| | - Junfang Sun
- School of Psychology, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot, 010022, China
| | - Min Liu
- School of Psychology, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot, 010022, China
| | - Cuiyun Li
- School of Psychology, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot, 010022, China
| | - Hugejiletu Bao
- School of Physical Education, Inner Mongolia Normal University, 81 Zhaowuda Road, Saihan District, Hohhot010022, China.
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Li Y, Sun Q, Sun M, Sun P, Sun Q, Xia X. Physical Exercise and Psychological Distress: The Mediating Roles of Problematic Mobile Phone Use and Learning Burnout among Adolescents. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2021; 18:ijerph18179261. [PMID: 34501851 PMCID: PMC8430986 DOI: 10.3390/ijerph18179261] [Citation(s) in RCA: 19] [Impact Index Per Article: 6.3] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 07/23/2021] [Revised: 08/26/2021] [Accepted: 08/28/2021] [Indexed: 01/23/2023]
Abstract
Psychological distress among adolescents adversely affects their development and negatively impacts them later in life. The aim of the present study was to determine whether an association exists between physical exercise and psychological distress and to explore the roles of problematic mobile phone use and learning burnout with respect to this association. A total of 2077 Chinese adolescents were evaluated by using the Physical Exercise Questionnaire, the Self-rating Questionnaire for Adolescent Problematic Mobile Phone Use, the Learning Burnout Questionnaire, and the Depression Anxiety Stress Scale-21. A serial multiple mediation model was constructed using the SPSS PROCESS macro. The results showed that physical exercise was negatively associated with psychological distress in this Chinese adolescent population. Serial multiple mediation analysis revealed that problematic mobile phone use and learning burnout both independently and serially mediated the association between physical exercise and psychological distress. These findings provide evidence suggesting that increased attention should be given to problematic mobile phone use and learning burnout when establishing and implementing specific strategies that leverage greater participation in physical exercise to decrease psychological distress in adolescents.
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Affiliation(s)
- Yansong Li
- School of Kinesiology, Shanghai University of Sport, Shanghai 200438, China;
| | - Qilong Sun
- Liaocheng Infant Normal School, Liaocheng 252699, China; (Q.S.); (M.S.); (P.S.); (Q.S.)
| | - Mingzhe Sun
- Liaocheng Infant Normal School, Liaocheng 252699, China; (Q.S.); (M.S.); (P.S.); (Q.S.)
| | - Peishuai Sun
- Liaocheng Infant Normal School, Liaocheng 252699, China; (Q.S.); (M.S.); (P.S.); (Q.S.)
| | - Qihui Sun
- Liaocheng Infant Normal School, Liaocheng 252699, China; (Q.S.); (M.S.); (P.S.); (Q.S.)
| | - Xue Xia
- School of Psychology, Shanghai University of Sport, Shanghai 200438, China
- Correspondence:
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