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Casares MÁ, Díez-Gómez A, Pérez-Albéniz A, Lucas-Molina B, Fonseca-Pedrero E. Screening for anxiety in adolescents: Validation of the Generalized Anxiety Disorder Assessment-7 in a representative sample of adolescents. J Affect Disord 2024; 354:331-338. [PMID: 38490592 DOI: 10.1016/j.jad.2024.03.047] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 11/06/2023] [Revised: 02/28/2024] [Accepted: 03/09/2024] [Indexed: 03/17/2024]
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Pérez-Esteban A, Díez-Gómez A, Pérez-Albéniz A, Al-Halabí S, Lucas-Molina B, Debbané M, Fonseca-Pedrero E. The assessment of transdiagnostic dimensions of emotional disorders: Validation of the Multidimensional Emotional Disorders Inventory (MEDI) in adolescents with subthreshold anxiety and depression. J Affect Disord 2024:S0165-0327(24)00693-1. [PMID: 38685278 DOI: 10.1016/j.jad.2024.04.081] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 09/26/2023] [Revised: 03/27/2024] [Accepted: 04/21/2024] [Indexed: 05/02/2024]
Abstract
BACKGROUND The transdiagnostic approach to psychopathology has emerged as an alternative to traditional taxonomic approaches. The Multidimensional Emotional Disorders Inventory (MEDI) is a specifically designed self-report to measure the transdiagnostic dimensions proposed by Brown and Barlow. This study aims to analyse the psychometric properties of the MEDI scores in adolescents with subthreshold anxiety and depression. METHOD The sample consisted of a total of 476 students. The mean age was 13.77 years (SD = 1.43) (range 10 to 18 years), 73.9 % were females. Several questionnaires assessing positive affect, negative affect, mental health difficulties, and quality of life were used. RESULTS The original 9-factor structure of the MEDI was confirmed with good fit indices. Satisfactory levels of internal consistency were observed in most of the MEDI scores using McDonald's Omega, ranging from 0.58 to 0.87. The MEDI dimensions were associated with psychopathology, positive affect, negative affect, and quality of life. LIMITATIONS Reliance on self-reported data, a cross-sectional design limiting temporal assessment, and a 73.9 % female gender imbalance. CONCLUSION The MEDI scores showed adequate psychometric properties among adolescents with subclinical emotional symptoms. The results found might have potential clinical implications for conceptualization, assessment, intervention, and prevention emotional disorders at both clinical and research levels.
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Affiliation(s)
| | | | | | | | | | - Martin Debbané
- Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Switzerland; Research Department of Clinical, Educational and Health Psychology, University College London, United Kingdom
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Fonseca-Pedrero E, Díez-Gómez A, de la Barrera U, Sebastian-Enesco C, Ortuño-Sierra J, Montoya-Castilla I, Lucas-Molina B, Inchausti F, Pérez-Albéniz A. Suicidal behaviour in adolescents: A network analysis. Span J Psychiatry Ment Health 2024; 17:3-10. [PMID: 32493673 DOI: 10.1016/j.rpsm.2020.04.007] [Citation(s) in RCA: 6] [Impact Index Per Article: 6.0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Subscribe] [Scholar Register] [Received: 04/06/2019] [Revised: 03/20/2020] [Accepted: 04/01/2020] [Indexed: 12/11/2022]
Abstract
OBJECTIVE Suicidal behaviour has not yet been analysed from a network approach in adolescent samples. It is imperative to incorporate new psychological models to understand suicidal behaviour from a different perspective. The main objective of this work was twofold: (a) to examine suicidal behaviour through network analysis and (b) to estimate the psychological network between suicidal behaviour and protective and risk factors in school-age adolescents. METHOD Participants were 443 students (M=14.3 years; SD=0.53; 51.2% female) selected incidentally from different schools. Different instruments were administered to assess suicidal behaviour, emotional and behavioural difficulties, prosocial behaviour, subjective well-being, emotional intelligence, self-esteem, depressive symptomatology, empathy, positive and negative affect, and emotional regulation. RESULTS The resulting network of suicidal behaviour was strongly interconnected. The most central node in terms of strength and expected influence was "Consider taking your own life". In the estimated psychological network of suicidal behaviour and risk and protective factors, the nodes with the highest strength were depressive symptomatology, positive affect, and empathic concern. The most influential nodes were those related to emotional intelligence abilities. Suicidal behaviour was positively connected to depression symptoms and negative affect, and negatively connected to self-esteem and positive affect. The results of the stability analysis indicated that the networks were accurately estimated. CONCLUSIONS Suicidal behaviour can be conceptualized as a dynamic, complex system of cognitive, emotional, and affective characteristics. The new psychopathological and psychometric models allow us to analyse and understand human behaviour and mental health problems from a new perspective, suggesting new forms of conceptualization, evaluation, intervention, and prevention.
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Affiliation(s)
- Eduardo Fonseca-Pedrero
- Departamento de Ciencias de la Educación, Universidad de La Rioja, Logroño, Spain; Departamento de Psiquiatría, Universidad de Oviedo, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), Oviedo, Spain; Programa Riojano de Investigación en Salud Mental (PRISMA), Logroño, Spain.
| | - Adriana Díez-Gómez
- Departamento de Ciencias de la Educación, Universidad de La Rioja, Logroño, Spain; Programa Riojano de Investigación en Salud Mental (PRISMA), Logroño, Spain
| | - Usue de la Barrera
- Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universidad de Valencia, Valencia, Spain
| | - Carla Sebastian-Enesco
- Departamento de Ciencias de la Educación, Universidad de La Rioja, Logroño, Spain; Programa Riojano de Investigación en Salud Mental (PRISMA), Logroño, Spain
| | - Javier Ortuño-Sierra
- Departamento de Ciencias de la Educación, Universidad de La Rioja, Logroño, Spain; Programa Riojano de Investigación en Salud Mental (PRISMA), Logroño, Spain
| | - Inmaculada Montoya-Castilla
- Departamento de Personalidad, Evaluación y Tratamientos Psicológicos, Facultad de Psicología, Universidad de Valencia, Valencia, Spain
| | - Beatriz Lucas-Molina
- Psicología Evolutiva y de la Educación, Universidad de Valencia, Valencia, Spain
| | - Félix Inchausti
- Departamento de Salud Mental, Servicio Riojano de Salud, Spain
| | - Alicia Pérez-Albéniz
- Departamento de Ciencias de la Educación, Universidad de La Rioja, Logroño, Spain; Programa Riojano de Investigación en Salud Mental (PRISMA), Logroño, Spain
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Fonseca-Pedrero E, Díez-Gómez A, Pérez-Albéniz A, Al-Halabí S, Lucas-Molina B, Debbané M. Youth screening depression: Validation of the Patient Health Questionnaire-9 (PHQ-9) in a representative sample of adolescents. Psychiatry Res 2023; 328:115486. [PMID: 37738682 DOI: 10.1016/j.psychres.2023.115486] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/17/2023] [Revised: 09/14/2023] [Accepted: 09/15/2023] [Indexed: 09/24/2023]
Abstract
BACKGROUND Depression symptoms and mood disorders constitute one of the major public health challenges among youths. Thus, early prevention and intervention for depression should be a priority. The main goal of the present study was to validate the Patient Health Questionnaire-9 (PHQ-9) scores in a school-based sample of non-clinical adolescents. METHOD Stratified random sampling was conducted. Participants were 2235 students (M = 14.49, SD =1.76, range= 12-18 years), 52.9 % were female, from 34 secondary schools in Spain. Several previously validated self-reported questionnaires of mental health and psychopathology were administrated. RESULTS The unidimensional factorial model of the PHQ-9 items showed adequate goodness of fit indices. Strong measurement invariance across gender was found. Omega for the PHQ-9 total score was 0.87. The PHQ-9 total score was positively associated with anxiety symptoms and emotional and behavioral problems, and negatively associated with prosocial behavior and quality of life. CONCLUSIONS The PHQ-9 is a brief, easy, and reliable tool for assessing self-reported depressive symptoms in both clinical and school settings. PHQ-9 may be used as a screening tool for universal early detection and monitorization of depression symptoms during adolescence.
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Affiliation(s)
| | | | | | | | | | - Martin Debbané
- Developmental Clinical Psychology Research Unit, Faculty of Psychology and Educational Sciences, University of Geneva, Switzerland; Research Department of Clinical, Educational and Health Psychology, University College London, United Kingdom
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Fonseca-Pedrero E, Pérez-Albéniz A, Al-Halabí S, Lucas-Molina B, Ortuño-Sierra J, Díez-Gómez A, Pérez-Sáenz J, Inchausti F, Valero García AV, Gutiérrez García A, Aritio Solana R, Ródenas-Perea G, De Vicente Clemente MP, Ciarreta López A, Debbané M. PSICE Project Protocol: Evaluation of the Unified Protocol for Transdiagnostic Treatment for Adolescents with Emotional Symptoms in School Settings. Clínica y Salud 2023. [DOI: 10.5093/clysa2023a3] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Track Full Text] [Subscribe] [Scholar Register] [Indexed: 01/25/2023]
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Pérez-Albéniz A, Gil M, Díez-Gómez A, Martín-Seoane G, Lucas-Molina B. Gambling in Spanish Adolescents: Prevalence and Association with Mental Health Indicators. Int J Environ Res Public Health 2021; 19:129. [PMID: 35010388 PMCID: PMC8750538 DOI: 10.3390/ijerph19010129] [Citation(s) in RCA: 1] [Impact Index Per Article: 0.3] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 11/01/2021] [Revised: 12/20/2021] [Accepted: 12/22/2021] [Indexed: 06/14/2023]
Abstract
Concern about the development of behavioral addictions in adolescence, including gambling, has increased in recent years. Evidence shows that problem gambling can lead to personal, social, or health problems. However, even though gambling is an illegal activity, studies on this problem are quite limited in Spain. The main objective of this study was to analyze the prevalence of gambling in adolescents in Spain. Moreover, gambling behaviors were examined according to gender and age, and their possible relationship with several mental health indicators was analyzed. The results showed that 20.6% of the adolescents who participated in the study had gambled money in the past year. The highest gambling prevalence was found in boys and in adolescents from the age of 16 years old. Moreover, the results showed that gambling behavior was related to different mental health indicators.
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Affiliation(s)
- Alicia Pérez-Albéniz
- Department of Educational Sciences, University of La Rioja, 26002 Logrono, Spain; (M.G.); (A.D.-G.)
| | - Mario Gil
- Department of Educational Sciences, University of La Rioja, 26002 Logrono, Spain; (M.G.); (A.D.-G.)
| | - Adriana Díez-Gómez
- Department of Educational Sciences, University of La Rioja, 26002 Logrono, Spain; (M.G.); (A.D.-G.)
| | - Gema Martín-Seoane
- Department of Research and Psychology Education, Complutense University of Madrid, 28223 Pozuelo de Alarcon, Spain;
| | - Beatriz Lucas-Molina
- Department of Developmental and Educational Psychology, University of Valencia, 46010 Valencia, Spain
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Díez-Gómez A, Pérez-Albéniz A, Ortuño-Sierra J, Fonseca-Pedrero E. SENTIA: An Adolescent Suicidal Behavior Assessment Scale. Psicothema 2021; 32:382-389. [PMID: 32711674 DOI: 10.7334/psicothema2020.27] [Citation(s) in RCA: 8] [Impact Index Per Article: 2.7] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Subscribe] [Scholar Register] [Indexed: 11/09/2022]
Abstract
BACKGROUND The main objective of this work was to design and validate a new measuring instrument, called SENTIA, for assessing suicidal behavior in Spanish adolescents. METHOD a total of 1790 randomly selected students participated in the survey. The average age was 15.70 ( SD =1.26), 53.7% of the sample were girls. RESULTS The results of exploratory factor analyses suggested that the dimensional structure that best explained the SENTIA scores was a bifactor model, specified in a general suicidal behavioral factor plus three specific factors (Ideation, Communication, and Act/Planning). SENTIA scores demonstrated adequate levels of reliability. None of the SENTIA items showed differential functioning by gender. SENTIA scores were positively associated with suicidal ideation, symptoms of depression, emotional and behavioral problems, and psychotic-like experiences. CONCLUSIONS SENTIA is a useful, easy, brief measuring instrument that has been specifically constructed and validated for the assessment of suicidal behavior in Spanish adolescents. As a screening tool, SENTIA can help the analysis, evaluation, understanding, and intervention in a the major socio-health problem that is suicide.
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Díez-Gómez A, Sebastián Enesco C, Pérez-Albéniz A, Fonseca Pedrero E. Suicidal behavior assessment in adolescents: Validation of the SENTIA-Brief scale. Actas Esp Psiquiatr 2021; 49:24-34. [PMID: 33533016] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [MESH Headings] [Subscribe] [Scholar Register] [Received: 01/01/2021] [Accepted: 01/01/2021] [Indexed: 06/12/2023]
Abstract
Suicide is a social-health problem in the youth population worldwide; however, there are no measuring instruments specifically designed for use in Spanish adolescents. The main goal of this work was to analyze the psychometric properties of a new measuring instrument, called SENTIA-Brief, for suicidal behavior assessment in Spanish adolescents.
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Affiliation(s)
- Adriana Díez-Gómez
- Department of Education Sciences, University of La Rioja, Spain. Programa Riojano de Investigación en Salud Mental (PRISMA), España
| | - Carla Sebastián Enesco
- Programa Riojano de Investigación en Salud Mental (PRISMA), España. Department of Research and Psychology in Education, University Complutense of Madrid, Spain
| | - Alicia Pérez-Albéniz
- Department of Education Sciences, University of La Rioja, Spain. Programa Riojano de Investigación en Salud Mental (PRISMA), España
| | - Eduardo Fonseca Pedrero
- Department of Education Sciences, University of La Rioja, Spain. Programa Riojano de Investigación en Salud Mental (PRISMA), España
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Díez-Gómez A, Pérez-Albéniz A, Sebastián-Enesco C, Fonseca-Pedrero E. Suicidal Behavior in Adolescents: A Latent Class Analysis. Int J Environ Res Public Health 2020; 17:ijerph17082820. [PMID: 32325865 PMCID: PMC7216010 DOI: 10.3390/ijerph17082820] [Citation(s) in RCA: 14] [Impact Index Per Article: 3.5] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Download PDF] [Figures] [Subscribe] [Scholar Register] [Received: 03/27/2020] [Revised: 04/13/2020] [Accepted: 04/16/2020] [Indexed: 01/30/2023]
Abstract
The main goal of the present study was to identify and validate latent classes of suicidal behavior in a representative sample of adolescents. The sample comprised a total of 1506 students, including 667 males (44.3%), selected through a sample stratified by clusters. The mean age was 16.15 years (SD = 1.36). The instruments used evaluated suicidal behavior, positive and negative affect, emotional and behavioral problems, prosocial behavior, and subjective well-being. Using the Paykel Suicide Scale, the latent class analysis identified four homogeneous subgroups: “low risk”, “suicidal act”, “suicidal ideation”, and “high risk for suicide”. These subgroups presented a differential pattern in terms of their social-emotional adjustment. The subgroups with the highest theoretical risk showed lower scores on subjective well-being and positive affect as well as higher scores on emotional and behavioral problems and negative affect compared to the non-risk subgroups. This study contributes to an understanding of the typologies of suicidal behavior among adolescents and the relationship with psychopathological adjustment. Ultimately, these findings may promote the development or improvement of early detection and prevention strategies in the suicidal behavior field in order to reduce the socio-economic burdens associated with suicide in young populations.
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Affiliation(s)
- Adriana Díez-Gómez
- Department of Educational Sciences, University of La Rioja, 26004 Logroño, Spain; (A.D.-G.); (E.F.-P.)
- Programa Riojano de Investigación en Salud Mental (PRISMA), 26004 Logroño, Spain;
| | - Alicia Pérez-Albéniz
- Department of Educational Sciences, University of La Rioja, 26004 Logroño, Spain; (A.D.-G.); (E.F.-P.)
- Programa Riojano de Investigación en Salud Mental (PRISMA), 26004 Logroño, Spain;
- Correspondence:
| | - Carla Sebastián-Enesco
- Programa Riojano de Investigación en Salud Mental (PRISMA), 26004 Logroño, Spain;
- Department of Research and Psychology in Education, University Complutense of Madrid, 28223 Madrid, Spain
| | - Eduardo Fonseca-Pedrero
- Department of Educational Sciences, University of La Rioja, 26004 Logroño, Spain; (A.D.-G.); (E.F.-P.)
- Programa Riojano de Investigación en Salud Mental (PRISMA), 26004 Logroño, Spain;
- Department of Psychiatry, Centro de Investigación Biomédica en Red de Salud Mental (CIBERSAM), 33006 Oviedo, Spain
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