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Merino-Soto C, Cuba-Canales Y, Rojas-Aquiño L. [Mental Health Inventory - 5 (MHI-5) in peruvian adolescents: preliminary validation study]. Rev Salud Publica (Bogota) 2023; 21:439-443. [PMID: 36753267 DOI: 10.15446/rsap.v21n4.66357] [Citation(s) in RCA: 2] [Impact Index Per Article: 2.0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 07/17/2017] [Accepted: 05/12/2019] [Indexed: 11/09/2022] Open
Abstract
OBJECTIVE Given the evidence missing from validity studies that replicate the internal structure of the Mental Health Inventory - 5 (MHI-5) in Peruvian adolescents, this study performs a preliminary evaluation of the psychometric properties of MHI-5, specifically its internal structure. METHODS The sample was 75 students of both sexes from a private high school-level educational institution, in the Casma city (Lima, Peru). The analysis was performed by applying a confirmatory factor analysis approach within the modeling of structural equations. RESULTS A single significant dimension was found to be viable for interpreting the scores, but the fit was substantially improved when a factor was introduced that represented the effect of two item negative phrasing. On the other hand, the internal consistency was greater than .70, and it is considered satisfactory given its brevity. CONCLUSIONS It is concluded that the MHI-5 maintains the essential one-dimensionality, but it is required to introduce the possible effect of the method due to the content of some of its items. Consistency reliability was acceptable for screening purposes. The following steps are discussed to accumulate more validity evidence, suggesting to develop a shorter version without the problematic items, to reduce the potential response bias.
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Affiliation(s)
- César Merino-Soto
- CM: Psicólogo. M. Sc. Psicología. Instituto de Investigación de Psicología. Universidad de San Martín de Porres. Lima, Perú. ;
| | - Yvette Cuba-Canales
- YC: Psicóloga. Facultad de Humanidades. Universidad César Vallejo - Filial Chimbote. Chimbote, Perú.
| | - Lucía Rojas-Aquiño
- LR: Psicóloga. Facultad de Humanidades. Universidad César Vallejo - Filial Chimbote. Casma, Perú.
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Rajkumar E, Julia GJ, Sri Lakshmi K NV, Ranjana PK, Manjima M, Devi RR, Rukmini D, Christina G, Romate J, Allen JG, Abraham J, Jacob AM. Prevalence of mental health problems among rural adolescents in India: A systematic review and meta-analysis. Sci Rep 2022; 12:16573. [PMID: 36195719 PMCID: PMC9532445 DOI: 10.1038/s41598-022-19731-2] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 03/03/2022] [Accepted: 09/02/2022] [Indexed: 11/12/2022] Open
Abstract
Adolescent mental health problems have been recognised as a major issue in low-income countries including India. Through a meta-analytic approach, the present review delineate the overall prevalence of each of the most discussed mental health problems among rural adolescents in India, comprising depression, anxiety disorders, generalised anxiety disorder, panic disorder, separation anxiety, social anxiety disorder, suicidality, hyperactivity, emotional problems, conduct problems and peer problems. The review also presents the potential determinants of such mental health problems. Using PRISMA guidelines, a total of thirty-five studies were finalized from databases such as PubMed, Science Direct, JSTOR, Web of Science, Google Scholar and ProQuest. From the findings, it is observed that male and female adolescents does not differ significantly in the prevalence of most mental health problems. However, social anxiety was found to be more prevalent among females when compared to males. In meta-regression, factors like tools used (screening tools vs diagnostic interviews), sample size, setting (school-based vs community-based), sampling technique and year of publication were found to influence the prevalence rates of certain mental health problems, reported in the studies. Major determinants influencing the prevalence of mental health problems in rural adolescents were age, socio-economic status, academic and family environment. Individual factors such as social media usage, physical activity, and substance use also contribute to mental health problems. As India accounts for one-fifth of the world's adolescent population, the findings of this review can have global implications.
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Affiliation(s)
- Eslavath Rajkumar
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India.
| | - Grace Jacob Julia
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India.
| | - N V Sri Lakshmi K
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | - P K Ranjana
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | - Mahesh Manjima
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | | | - Dubey Rukmini
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | - George Christina
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | - John Romate
- Department of Psychology, Central University of Karnataka, Kalaburagi, Karnataka, India
| | - Joshua George Allen
- Humanities & Applied Sciences, Indian Institute of Management Ranchi, Ranchi, Jharkhand, India
| | - John Abraham
- Department of Family Medicine/Geriatrics, St. John's Medical College, Academy of Medical Science, Bangalore, Karnataka, India
| | - Anieta Merin Jacob
- Department of Oral Medicine and Radiology, Sri Venkateshwara Dental College and Hospital, Bangalore, Karnataka, India
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Devey A, Turner MJ, Artiran M, Hobson J. Adolescent Soccer Athletes’ Irrational Beliefs About Basic Psychological Needs are Related to Their Emotional Intelligence and Mental Health. JOURNAL OF RATIONAL-EMOTIVE AND COGNITIVE-BEHAVIOR THERAPY 2022. [DOI: 10.1007/s10942-022-00464-0] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/16/2022]
Abstract
AbstractThere has been a scarcity of research regarding the unique mental health risk factors that adolescent athletes face. The recently proposed Rational Emotive Self Determination Scale for Adolescents (RESD-A) has been suggested to understand some of the antecedent and associative factors of adolescent athlete mental health. The principal aim of this study is to examine the structural and criterion validity of the RESD-A in an athlete sample for the first time. To achieve this aim, two hundred and forty-two club level soccer athletes participated in the study. Confirmatory factor analysis (CFA) was conducted to test the validity of the RESD-A’s factor structure. Partial correlation analyses with the subscales of RESD-A, emotional intelligence, and mental health scores were used to examine criterion validity. Initial results for the structural and criterion validity of the RESD-A with an athlete population are promising. The potential importance, limitations and directions for future research are discussed.
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Piqueras JA, Garcia-Olcina M, Rivera-Riquelme M, Martinez-Gonzalez AE, Cuijpers P. DetectaWeb-Distress Scale: A Global and Multidimensional Web-Based Screener for Emotional Disorder Symptoms in Children and Adolescents. Front Psychol 2021; 12:627604. [PMID: 33658965 PMCID: PMC7917214 DOI: 10.3389/fpsyg.2021.627604] [Citation(s) in RCA: 2] [Impact Index Per Article: 0.7] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 11/09/2020] [Accepted: 01/11/2021] [Indexed: 12/22/2022] Open
Abstract
Emotional disorder symptoms are highly prevalent and a common cause of disability among children and adolescents. Screening and early detection are needed to identify those who need help and to improve treatment outcomes. Nowadays, especially with the arrival of the COVID-19 outbreak, assessment is increasingly conducted online, resulting in the need for brief online screening measures. The aim of the current study was to examine the reliability and different sources of validity evidence of a new web-based screening questionnaire for emotional disorder symptoms, the DetectaWeb-Distress Scale, which assesses mood (major depression and dysthymic disorder), anxiety (separation anxiety, generalized anxiety, social phobia, panic disorder/agoraphobia, and specific phobia), obsessive-compulsive disorder, post-traumatic stress disorder, suicidality (suicidal ideation, plans, and attempts), and global distress. A total of 1,499 participants (aged 8-18) completed the DetectaWeb-Distress Scale and specific questionnaires for emotional disorder symptoms, suicidal behaviors, and well-being through a web-based survey. Results indicated that a structural model of 10 correlated factors fits reasonably better in comparison to the remaining models; measurement invariance for age and gender; good internal consistency (McDonald's ω ranging from 0.65 to 0.94); and significant positive correlation with other measures of anxiety, depression, PTSD, or distress, and negative correlation with well-being measures, displaying support for convergent-discriminant validity. We also found that girls scored higher than boys on most of the subscales, and children had higher scores for social anxiety, specific phobia, panic disorder, and obsessive-compulsive symptoms, whereas adolescents scored higher on depressive symptoms, suicidality, and generalized anxiety, but the effect sizes were small to medium for all comparisons. The DetectaWeb-Distress Scale is a valid, innovative, and useful online tool for the screening and evaluation of preventive programs for mental health in children and adolescents.
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Affiliation(s)
- Jose A Piqueras
- Department of Health Psychology, Faculty of Social and Health Sciences, Center for Applied Psychology, Miguel Hernandez University, Elche, Spain
| | - Mariola Garcia-Olcina
- Department of Health Psychology, Faculty of Social and Health Sciences, Center for Applied Psychology, Miguel Hernandez University, Elche, Spain
| | - Maria Rivera-Riquelme
- Department of Health Psychology, Faculty of Social and Health Sciences, Center for Applied Psychology, Miguel Hernandez University, Elche, Spain
| | - Agustin E Martinez-Gonzalez
- Department of Developmental Psychology and Didactics, Faculty of Education, University of Alicante, San Vicente del Raspeig, Spain
| | - Pim Cuijpers
- Department of Clinical Psychology, Vrije Universiteit Amsterdam, Amsterdam, Netherlands.,The Netherlands & EMGO Institute for Health and Care Research, Amsterdam, Netherlands
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Occupational Stress and Employees Complete Mental Health: A Cross-Cultural Empirical Study. INTERNATIONAL JOURNAL OF ENVIRONMENTAL RESEARCH AND PUBLIC HEALTH 2020; 17:ijerph17103629. [PMID: 32455763 PMCID: PMC7277686 DOI: 10.3390/ijerph17103629] [Citation(s) in RCA: 29] [Impact Index Per Article: 7.3] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 04/19/2020] [Revised: 05/13/2020] [Accepted: 05/18/2020] [Indexed: 11/17/2022]
Abstract
Given the shortcomings of previous research on occupational stress and mental health (e.g., predominantly in Western, educated, industrialized, rich and democratic (WEIRD) societies, based on the traditional mental health model and a lack of comparative studies), this study aimed to (a) examine the relationship between occupational stress and complete mental health among employees in Cabo Verde and China, and also explored the mediation and moderation roles of burnout and optimism in accounting for the empirical link. Mental health was defined as comprised of two distinguishable factors: positive and negative mental health. The Pearson correlation test, structural equation modeling (SEM) analysis, bootstrap analysis, hierarchical moderated regression and an independent t-test were used to analyze the data. The results indicated that, in both countries, occupational stress showed a negative relation to positive mental health and lower psychopathology symptoms—and job burnout mediated the relation between occupational stress and mental health. Optimism moderated the relation between occupational stress and burnout, but not the relation between occupational stress and complete mental health. The results are interpreted in light of the comparative framework.
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Rivera-Riquelme M, Piqueras JA, Cuijpers P. The Revised Mental Health Inventory-5 (MHI-5) as an ultra-brief screening measure of bidimensional mental health in children and adolescents. Psychiatry Res 2019; 274:247-253. [PMID: 30818147 DOI: 10.1016/j.psychres.2019.02.045] [Citation(s) in RCA: 40] [Impact Index Per Article: 8.0] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/20/2018] [Revised: 01/19/2019] [Accepted: 02/19/2019] [Indexed: 12/21/2022]
Abstract
The Mental Health Inventory-5 (MHI-5) is a brief, valid, and reliable international instrument for assessing mental health in adults. The aim of the present study is to examine the psychometric properties of the MHI-5 in children and adolescents. A sample of 595 students (10-15 years old) completed the MHI-5 Spanish version adapted for this study, as well as another measure of anxiety and depression symptoms, and a clinical interview as a gold standard. The overall coefficient obtained indicate good internal consistency. A unique factor solution explaining a 53.70% and a two-factor structure explaining 69.20% of the total variance were obtained. The correlations with total and subscale scores of anxiety and depression were significant. A ROC analysis showed good properties as a screening test to predict anxiety and depressive diagnoses in children and adolescents. The Revised MHI-5 presents two essential changes: a simplified 4-point response format and a new factor solution including distress and well-being. These outcomes show that the Revised MHI-5 is a brief, valid, and reliable measure to bidimensionally assess mental health and screening emotional disorders in children and adolescents.
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Affiliation(s)
- María Rivera-Riquelme
- Department of Health Psychology, Miguel Hernández University of Elche, Avda. de la Universidad s/n, Alicante 03202, Spain.
| | - Jose A Piqueras
- Department of Health Psychology, Miguel Hernández University of Elche, Avda. de la Universidad s/n, Alicante 03202, Spain.
| | - Pim Cuijpers
- Department of Clinical, Neuro and Developmental Psychology, Vrije Universiteit Amsterdam, Amsterdam, the Netherlands
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Al Mutair A, Al Mohaini M, Fernandez R, Moxham L, Lapkin S, Ham‐Baloyi WT. Psychometric testing of the mental health inventory in an Arabian context: Cross-cultural validation study. Nurs Open 2018; 5:376-383. [PMID: 30062032 PMCID: PMC6056453 DOI: 10.1002/nop2.149] [Citation(s) in RCA: 9] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Received: 01/08/2018] [Accepted: 03/07/2018] [Indexed: 11/08/2022] Open
Abstract
AIM The aim of this study is to establish a valid and reliable culturally adapted instrument which can be used in the Arabian context to measure emotional well-being. DESIGN The Mental Health Inventory tool was used to investigate the emotional well-being of Saudi nursing students. The instrument was originally developed in English and in a western cultural setting. As such, there was a need to translate and validate the instrument in Arabic for use in the Arabian setting. METHODS The Arabic version MHI 38 (AV-MHI-38) was translated, reviewed and revised, then evaluated with a sample of Arabic-speaking nursing students from Saudi Arabia using cross-sectional multicentre survey approach. An iterative forward-backward-forward sequence of item translation and review by a bilingual and bicultural expert panel was then completed. The psychometric properties of the AV-MHI-38 were examined through an exploratory factor analysis, confirmatory factor analysis, correlation among factors and reliability assessment. RESULTS The sample consisted of 252 nursing students from two different universities located in different geographic regions in Saudi Arabia. The mean age was 20.93 years, made up of 230 female and 22 male participants. An a priori two-factor model showed satisfactory fit with modifications. Results indicated two component AV-MHI-38 with 46.09% of the total variance and excellent internal consistency. The AV-MHI-38 had good psychometric properties and the two subscales had good internal consistency with Cronbach's and acceptable reliability measures. The AV-MHI can be used to assess emotional well-being among Arabic-speaking populations of nursing students, nurses and other healthcare providers. The instrument can be used to identify the emotional well-being of students and initiating strategies to support them to decrease their study and work-related stress, anxiety and depression.
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Affiliation(s)
| | - Mohammed Al Mohaini
- King Abdullah International Medical Research CenterKing Saud bin Abdulaziz University for Health SciencesCAMS‐HSMNGHAAlahsaSaudi Arabia
| | - Ritin Fernandez
- School of NursingFaculty of Science Medicine & HealthUniversity of WollongongWollongongNSWAustralia
- Centre for Research in Nursing and HealthSt George HospitalKogarahNSWAustralia
| | - Lorna Moxham
- Faculty of Science Medicine & HealthSchool of NursingUniversity of WollongongWollongongNSWAustralia
| | - Samuel Lapkin
- School of NursingFaculty of Science Medicine & HealthUniversity of WollongongWollongongNSWAustralia
- Centre for Research in Nursing and HealthSt George HospitalKogarahNSWAustralia
| | - Wilma ten Ham‐Baloyi
- Faculty of Health SciencesNelson Mandela Metropolitan UniversityPort ElizabethSouth Africa
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Increased Substance Use and Poorer Mental Health in Adolescents With Problematic Musculoskeletal Pain. J Orthop Sports Phys Ther 2017; 47:705-711. [PMID: 28967339 DOI: 10.2519/jospt.2017.7441] [Citation(s) in RCA: 6] [Impact Index Per Article: 0.9] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 02/07/2023]
Abstract
Study Design Cross-sectional study. Background Adolescents with musculoskeletal pain are thought to be at greater risk of modifiable health risk behaviors, but little is known about these behaviors in adolescents with problematic pain. Objective To describe the prevalence of substance use (tobacco smoking, alcohol consumption, and illicit drugs) and poor mental health in adolescents with problematic musculoskeletal pain, compared to those without such pain. Methods Data on self-reported pain, substance use, and poor mental health were collected from 1831 year 9 students (age range, 14-16 years). Participants were considered to have problematic pain if they reported experiencing pain at least monthly over a 6-month period that also required medication or impacted 1 or more of the following: school or work, daily activities, and leisure or sporting activities. Results Almost half (46%) of the participants experienced problematic pain. Adolescents with problematic pain, compared to those without pain, reported higher substance use and poorer mental health: tobacco smoking in the last 4 weeks, 12% versus 7% (odds ratio [OR] = 1.76; 95% confidence interval [CI]: 1.25, 2.28); alcohol consumption in the last 4 weeks, 30% versus 20% (OR = 1.68; 95% CI: 1.34, 2.11); illicit drug use, 13% versus 6% (OR = 2.18; 95% CI: 1.55, 3.07); lower Mental Health Inventory scores (β = -11.43; standard error [SE], 0.96; P<.05), indicating poorer mental health; and higher Strengths and Difficulties Questionnaire total scores (β = 3.67; SE, 0.29; P<.05), indicating greater difficulties. Conclusion Adolescents with problematic pain report higher smoking, alcohol use, and use of illicit drugs and poorer mental health than adolescents without problematic pain. The experience of problematic pain could be an important consideration for substance use and chronic disease prevention. This trial is registered with the Australian New Zealand Clinical Trials Registry (reference number ACTRN12611000606987). J Orthop Sports Phys Ther 2017;47(10):705-711. doi:10.2519/jospt.2017.7441.
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Freitas DF, Coimbra S, Marturano EM, Marques SC, Oliveira JE, Fontaine AM. Resilience in the face of peer victimisation and discrimination: The who, when and why in five patterns of adjustment. J Adolesc 2017; 59:19-34. [PMID: 28551199 DOI: 10.1016/j.adolescence.2017.05.009] [Citation(s) in RCA: 4] [Impact Index Per Article: 0.6] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 05/24/2016] [Revised: 05/12/2017] [Accepted: 05/15/2017] [Indexed: 01/07/2023]
Abstract
Victimisation has a negative effect on psychosocial functioning. Based on the resilience theory, and with a sample of 2975 Portuguese students, the present study aims to: i) identify patterns of adjustment in the face of peer victimisation and perceptions of discrimination; ii) explore the association between the patterns of adjustment and the characteristics of participants (the who) and of the victimisation (the when and why). Cluster analysis revealed five patterns of adjustment: Unchallenged; Externally Maladjusted; Internally Maladjusted; Resilient, and At-Risk. The results suggest that there is no complete resilience in the face of social victimisation. Group differences were found regarding: i) gender, type of course, sexual orientation, ethnicity, nationality, parental educational level and religious beliefs; ii) the age at which peer victimisation was more frequent, and; iii) the motives underlying discrimination. Globally considered, peer victimisation is representative of the wider cultural environment and interventions should also target social prejudices.
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Affiliation(s)
| | - Susana Coimbra
- Faculty of Psychology and Education Sciences, University of Porto, Portugal.
| | | | - Susana C Marques
- Faculty of Psychology and Education Sciences, University of Porto, Portugal
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Abstract
The purposes of this study were to identify predictors of hope in the literature reviewed, to use meta-analysis to determine the mean effect size (ES) across studies between each predictor and hope, and to examine four moderators on each predictor–hope relationship. Using preferred reporting items for systematic reviews and meta-analyses (PRISMA) guidelines for the literature reviewed, 77 published studies or doctoral dissertations completed between 1990 and 2012 met the inclusion criteria. Eleven predictors of hope were identified and each predictor in relation to hope was subjected to meta-analysis. Five predictors (positive affect, life satisfaction, optimism, self-esteem, and social support) of hope had large mean ESs, 1 predictor (depression) had a medium ES, 4 predictors (negative affect, stress, academic achievement, and violence) had small ESs, and 1 predictor (gender) had a trivial ES. Findings are interpreted for the 11 predictors in relation to hope. Limitations and conclusions are addressed; future studies are recommended.
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11
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Marques SC, Lopez SJ, Fontaine AM, Coimbra S, Mitchell J. Validation of a Portuguese Version of the Snyder Hope Scale in a Sample of High School Students. JOURNAL OF PSYCHOEDUCATIONAL ASSESSMENT 2014. [DOI: 10.1177/0734282914540865] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.3] [Reference Citation Analysis] [Abstract] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 11/17/2022]
Abstract
C. R. Snyder conceptualized hope as a cognitive construct that reflects people’s motivation and capacity to strive toward personally relevant goals. Using this definition, Snyder and colleagues developed and validated the Hope Scale (HS). This study is the first study to examine the psychometric properties of the HS in a sample of high school students ( N = 1,012 Portuguese students). Reliability, factor structure, and criterion-related validity were investigated. The results support the psychometric properties of the scale, as well as the two-factor structure of Agency and Pathways. Findings from this study suggest that the HS can be used with high school students and Portuguese-speaking samples.
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Nair MKC, Russell PSS, Mammen P, Abhiram Chandran R, Krishnan R, Nazeema S, Chembagam N, Peter D. ADad 3: the epidemiology of Anxiety Disorders among adolescents in a rural community population in India. Indian J Pediatr 2013; 80 Suppl 2:S144-8. [PMID: 24043513 DOI: 10.1007/s12098-013-1097-5] [Citation(s) in RCA: 17] [Impact Index Per Article: 1.5] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 02/13/2013] [Accepted: 05/20/2013] [Indexed: 11/26/2022]
Abstract
OBJECTIVES Despite being the most common mental health concern, there is paucity of literature on the epidemiology of anxiety disorders among the adolescent population in India. This study aimed to estimate the period prevalence of Anxiety Disorders (AD) among 11 to 19 y old adolescents in India. METHODS A representative sample of adolescents (N = 500) from a rural community in Southern India was assessed for the period prevalence of all and specific Anxiety Disorders using Screen for Child Anxiety Related Emotional Disorders (SCARED), and confirmed in a subsequent interview with Schedule for Affective Disorders and Schizophrenia for School-Age Children/Present and Lifetime Version (K-SADS-PL). RESULTS The prevalence for all AD using the international, Indian SCARED cut-offs and DSM-IV-TR criteria was 8.6 % (boys = 2%; girls = 6.6%), 25.8% (boys = 6.6%; girls = 19.2%) and 14.4 % (boys = 4.8%; girls = 9.6%) respectively. There were significant gender differences in the prevalence for all Anxiety Disorders (χ (2) = 3.61, df = 1; P < 0.05), Separation Anxiety Disorder (χ (2) = 22.27, df = 1; P < 0.001) and Social Anxiety Disorder (χ(2) = 4.29, df = 1; P < 0.03). Significant age difference in the prevalence of Panic Disorder (χ(2) = 10.32; df = 1; P = 0.00) and Generalized Anxiety Disorder (χ(2) = 5.87; df = 1; P = 0.05) was noted. CONCLUSIONS The prevalence of Anxiety Disorders in South Indian adolescents was higher than found in the western literature. Prevalence of specific AD was age and gender specific. Adolescent and mental health policies must integrate anxiety disorder of public health significance.
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Affiliation(s)
- M K C Nair
- Child Development Centre, Thiruvananthapuram Medical College, Thiruvananthapuram, 695 011, Kerala, South India,
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Mumford EA, Liu W, Hair EC, Yu TC. Concurrent trajectories of BMI and mental health patterns in emerging adulthood. Soc Sci Med 2013; 98:1-7. [PMID: 24331875 DOI: 10.1016/j.socscimed.2013.08.036] [Citation(s) in RCA: 9] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Received: 02/25/2013] [Revised: 08/27/2013] [Accepted: 08/28/2013] [Indexed: 12/15/2022]
Abstract
Affective disorders and weight status have been consistently linked in childhood and adult research, and this comorbidity has synergistic effects leading to more severe health consequences. We map the co-development of these developmental processes in the U.S. National Longitudinal Survey of Youth - 1997 (NLSY97) cohort ages 15 to 27 to inform the targeting of public health interventions. We estimate profiles of youth mental health and weight status through parallel process growth mixture modeling within a person-centered framework controlling for race/ethnicity, gender, and poverty status. Fit statistics indicate a 5-class parallel process model for the concurrent trajectories of BMI and mental health. The concurrent trajectories model reveals latent class trajectories of "stable normal weight, stable good mental health" (82.2%); "consistently obese, stable good mental health" (6.8%); "overweight becoming obese, declining mental health" (5.6%); "stable normal weight, improving mental health" (3.3%); and "morbid obesity, stable good mental health" (2.1%). The risk of developmental trajectories of poor mental health and BMI outcomes is greater for females, blacks, Hispanics, and individuals living below the poverty line. These results should help public health professionals to better target subpopulations approaching or already experiencing developmental pathways of risk for poor mental health and weight comorbidities. Multilevel investigation of lifestyle and contextual factors will foster further refinement of public health interventions.
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Affiliation(s)
- Elizabeth A Mumford
- NORC at the University of Chicago, 4350 East-West Highway, Suite 800, Bethesda, MD 20814, USA.
| | - Weiwei Liu
- NORC at the University of Chicago, 4350 East-West Highway, Suite 800, Bethesda, MD 20814, USA.
| | - Elizabeth C Hair
- NORC at the University of Chicago, 4350 East-West Highway, Suite 800, Bethesda, MD 20814, USA.
| | - Tzy-Chyi Yu
- NORC at the University of Chicago, 4350 East-West Highway, Suite 800, Bethesda, MD 20814, USA.
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