Depression, optimism, and positive health practices in young adolescents

Optimism, pessimism, and physical health among youth: a scoping review

OBJECTIVE

High levels of optimism (and low levels of pessimism) are associated with improved physical health in adults. However, relatively less is known about these relations in youth. The present study aimed to review the literature investigating optimism, pessimism, and physical health in children and adolescents from populations with and without health conditions.

METHODS

We conducted a scoping review up until February 2024. Studies were included if they sampled youth (average age ≤18 years) and treated optimism or pessimism as predictors of health behaviors or outcomes. Data on study and sample characteristics, health outcome, optimism construct, and findings were extracted from eligible papers and results were synthesized.

RESULTS

Sixty studies were retained. Most studies were conducted in North America, with adolescents, and used cross-sectional designs and self-reported measures of health. Measures of optimism and pessimism differed across studies. Roughly one-third of studies sampled medical populations. Health categories included substance use, diet and physical activity, sexual health practices, medical adherence, other health behaviors, cardiometabolic health, subjective health/health-related quality of life, pain, sleep, and oral health. Generally, we observed adaptive associations between optimism and health. Higher optimism and lower pessimism were most consistently associated with lower rates of substance use and lower cardiometabolic risk.

CONCLUSIONS

The presence of optimism or the absence of pessimism appears to be associated with various adaptive health outcomes among youth with and without health conditions. Developmental, methodological, and clinical considerations for future research are discussed, such as conducting longitudinal studies with objective measures of health and psychometrically validated instruments.

A new measure for dispositional optimism and pessimism in young children

We describe here a new test for dispositional optimism and pessimism in young children, the Parent‐rated Life Orientation Test of children (the PLOT) and assess its psychometric properties. Two hundred and twenty one mother–father pairs rated their children's (mean age = 8.1, SD = 0.3 years) dispositional optimism and pessimism using a new scale, the PLOT, including four optimism and four pessimism items. We associated the PLOT with parent‐rated self‐esteem (Behavioral Rating Scale of Presented Self‐Esteem in Young Children), social competence (Social Competence and Behaviour Evaluation Scale, the SCBE‐30), psychiatric symptoms (Child Behaviour Checklist, the CBCL) and temperament (Children's Behaviour Questionnaire, the CBQ) of the child. A confirmatory factor analysis (CFA) of the mother‐ and father‐rated PLOT revealed a significantly better fit for a two‐ over a one‐factor solution (p < 0.001). The optimism and pessimism subscales displayed good reliabilities, inter‐parental agreement and modest to moderate associations, in the expected direction, with the measures of self‐esteem, social competence, temperament and behaviour problems. To conclude, the PLOT shows good construct and convergent validity and reliability. The findings encourage its use to assess early emerging generalized expectancies of positive and negative outcomes in young children. Copyright © 2009 John Wiley & Sons, Ltd.

Psychological Problems of Pneumothorax According to Resilience, Stress, and Post-Traumatic Stress

OBJECTIVE

The aims of the study were to investigate psychological distress in pneumothorax patients.

METHODS

A cohort study was performed in 101 patients with spontaneous pneumothorax. They were divided into three groups: (A) under 19 years old, (B) those of an intermediate age, and (C) over 45 years old. General well-being [Psychological Wellbeing Index-Short Form (PWI-SF)], traumatic event [Impact of Event Scale (IES)], and resilience [Life Orientation Test-Revised (LOT-R)] were assessed.

RESULTS

There were 35 patients in Group A, 51 in B, and 15 in C. The mean length of hospital stay was five days in all patients. The overall recurrence rate after surgery was 8%. All patients were under severe stress and reported an average PWI-SF score of 39. The IES score was 27, which did not meet the criteria for post-traumatic stress disorder but was higher in Group C than in the other groups (p=0.02). Age and operation were significant factors for a high IES, but age was the only significant factor according to multivariate analysis.

CONCLUSION

Pneumothorax patients may be at high risk for severe stress. Moreover, post-traumatic stress was higher in elderly patients. Actions to reduce the psychological problems in these patients are required.

Testing theoretical relationships: factors influencing positive health practices (PHP) in Filipino college students

OBJECTIVE

To examine variables influencing the positive health practices (PHP) of Filipino college students to gain a better understanding of health practices in this ethnic/racial group. Cross-sectional study tested theoretical relationships postulated among (a) PHP, (b) social support (SS), (c) optimism, and (d) acculturation.

PARTICIPANTS

A sample of Filipino college students (N = 226) aged 18 to 21 was obtained in June 2009.

METHODS

Participants completed 4 instruments. Statistical analyses were performed using SPSS 16.0.

RESULTS

Positive correlations were found between PHP and SS (r = .39, p = .01) and optimism and PHP (r = .36, p = .01). No correlation was found between PHP and acculturation. Optimism and SS predicted performance of PHP (R (2) = .18, F[2, 221] = 24.927, p < .001). A difference was found in acculturation levels between participants who grew up in the United States (t[223] = 4.5, p < .001) and those who did not.

CONCLUSIONS

Findings help health practitioners and educators to better understand the underlying factors that influence PHP in this population.

Social Support, Acculturation, and Optimism

Purpose:

This study developed and tested a theory to better understand positive health practices (PHP) among Asian Americans aged 18 to 21 years. It tested theoretical relationships postulated between PHP and (a) social support (SS), (b) optimism, and (c) acculturation, and between SS and optimism and acculturation. Optimism and acculturation were also tested as possible mediators in the relationship between SS and PHP.

Design:

A correlational study design was used. A convenience sample of 163 Asian college students in an urban setting completed four questionnaires assessing SS, PHP, optimism, and acculturation and one demographic questionnaire.

Findings:

There were statistically significant positive relationships between SS and optimism with PHP, between acculturation and PHP, and between optimism and SS. Optimism mediated the relationship between SS and PHP, whereas acculturation did not.

Discussion/Conclusion:

Findings extend knowledge regarding these relationships to a defined population of Asian Americans aged 18 to 21 years.

Implications for Further Research:

Findings contribute to a more comprehensive knowledge base regarding health practices among Asian Americans. The theoretical and empirical findings of this study provide the direction for future research as well. Further studies need to be conducted to identify and test other mediators in order to better understand the relationship between these two variables.

Optimismus und Pessimismus bei Vorschulkindern

Zusammenfassung. Ziel der vorliegenden Studie ist die Untersuchung der psychometrischen Eigenschaften, faktoriellen Struktur und konvergenten Validität der deutschsprachigen Version des Parent Rated Life Orientation Test of Children (PLOT) zur Messung von Optimismus und Pessimismus bei 4 bis 6-jährigen Vorschulkindern. Eltern von 145 Kindergartenkindern (77 Mädchen; Alter: M = 5.0, SD = 0.6 Jahre) schätzten Optimismus und Pessimismus sowie Emotionsregulation der Kinder ein. Außerdem wurde das Problemverhalten der Kinder (Eltern- und Erzieherinneneinschätzung) erfasst. Konsistent zu Studien mit Schulkindern und Jugendlichen zeigte sich eine zweidimensionale Faktorenstruktur mit einem Optimismus- und einem Pessimismusfaktor. Die Ergebnisse ergaben theoriekonforme Zusammenhänge mit Problemverhalten und Emotionsregulation der Kinder. Insgesamt weisen die gefundenen Reliabilitäts- und Validitätswerte auf eine gute Verwendbarkeit des PLOT bei Vorschulkindern hin. Das neue Messverfahren kann einen Beitrag zum besseren Verständnis von Zukunftserwartungen bei Vorschulkindern leisten und als Screening-Instrument zur Identifikation von Kindern mit einem Entwicklungsrisiko dienen.

Mediational models of health practices in early adolescents

The purpose of this study was to examine the relationship between social support and positive health practices in early adolescents and to test two variables, depression and optimism, that mediate this relationship. The final sample included 128 adolescents, ages 12 to 14, who responded to instruments measuring social support, depression, optimism, and positive health practices in classroom settings. Correlational analysis supported the five hypothesized relationships. A series of regression analyses indicated that depression and optimism each were weak mediators of the relationship between social support and positive health practices. The application of findings to nursing is addressed, using the ACE Star Model for evidence-based practice.