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Poulsen CH, Egmose CH, Ebersbach BK, Hjorthøj C, Eplov LF. A community-based peer-support group intervention "Paths to EvERyday life" (PEER) added to service as usual for adults with vulnerability to mental health difficulties - a study protocol for a randomized controlled trial. Trials 2022; 23:727. [PMID: 36056407 PMCID: PMC9437410 DOI: 10.1186/s13063-022-06670-6] [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] [Download PDF] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Received: 04/26/2021] [Accepted: 07/16/2022] [Indexed: 11/10/2022] Open
Abstract
Background The number of people struggling with vulnerability to mental health difficulties is increasing worldwide, and there is a need for new interventions, to prevent more people from developing serious mental illnesses. In recent years, peer support has been suggested as a key element in creating person-centered interventions in mental health services. However, the evidence for peer support is not yet established. We aim to investigate the effect of a 10-week peer-support intervention “Paths to EvERyday life” (PEER) added to service as usual (SAU) versus SAU alone in a Danish municipality setting. Methods A two-armed, investigator-initiated, multi-municipal, parallel-group superiority trial to investigate the effectiveness of the PEER intervention added to SAU compared to SAU alone. A total of 284 participants will be recruited from the municipal social services in the participating municipalities and by self-referrals and randomly assigned to (1) the PEER intervention added to SAU or (2) SAU. The primary outcome is a self-assessed personal recovery (Questionnaire about the process of recovery (QPR-15)) at end of the intervention. The secondary outcomes are self-assessed empowerment (Empowerment Scale Rogers (ESR)), quality of life (The Manchester Short Assessment of Quality of life (MANSA)), and functioning (Work and Social Adjustment Scale (WSAS)). Discussion This trial will test a new community-based peer-support intervention, and if the intervention proves to be effective, the goal is that future integration of this intervention will improve individual recovery and mental health and reduce the societal burden of individuals seeking municipal social support and/or mental health services. Trial registration ClinicalTrials.gov NCT04639167. Registered on Nov. 19, 2020.
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Affiliation(s)
- Chalotte Heinsvig Poulsen
- Copenhagen Research Center for Mental Health (CORE), Mental Health Center Copenhagen, University of Copenhagen, Copenhagen, Denmark.
| | - Cecilie Høgh Egmose
- Copenhagen Research Center for Mental Health (CORE), Mental Health Center Copenhagen, University of Copenhagen, Copenhagen, Denmark
| | - Bea Kolbe Ebersbach
- Copenhagen Research Center for Mental Health (CORE), Mental Health Center Copenhagen, University of Copenhagen, Copenhagen, Denmark
| | - Carsten Hjorthøj
- Copenhagen Research Center for Mental Health (CORE), Mental Health Center Copenhagen, University of Copenhagen, Copenhagen, Denmark.,Department of Public Health, Section of Epidemiology, University of Copenhagen, Copenhagen, Denmark
| | - Lene Falgaard Eplov
- Copenhagen Research Center for Mental Health (CORE), Mental Health Center Copenhagen, University of Copenhagen, Copenhagen, Denmark
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Chau K, Bhattacherjee A, Senapati A, Guillemin F, Chau N. Association between screen time and cumulating school, behavior, and mental health difficulties in early adolescents: A population-based study. Psychiatry Res 2022; 310:114467. [PMID: 35227988 DOI: 10.1016/j.psychres.2022.114467] [Citation(s) in RCA: 3] [Impact Index Per Article: 1.5] [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: 12/07/2021] [Revised: 01/26/2022] [Accepted: 02/19/2022] [Indexed: 11/30/2022]
Abstract
Early adolescents may daily spend excessive screen-time (with television viewing, computer/console gaming, discussion forums/chatting online, internet surfing, doing homework, and electronic mails) while its association with cumulating several school-behavior-mental-health difficulties (SBMDs) (poor-academic-performance, being obese, alcohol/tobacco/cannabis/other-illicit-drugs use, suffered violence, sexual abuse, perpetrated violence, poor social support, depressive symptoms, and suicide attempt) is poorly addressed. We investigated this association among 1559 middle-school adolescents from north-eastern France (mean age 13.5 ± 1.3). They completed a questionnaire including socioeconomic features, daily screen-time for various screen-based activities (coded 1=<2/2=2-4/3=≥5 h; daily-total-screen-time level DSAtotal was defined as their sum and categorized into 4 levels: 6-7/8-9/10-12/≥13), various SBMDs and the time of their onset during the life course (their cumulated number SBMDscore was categorized into 5 levels: 0/1/2/3-4/≥5). Logistic regression modeling showed that the DSAtotal was strongly associated with all SBMDs (gender-age-adjusted odds ratio reaching 8.28, p < 0.001) and SBMDscore (gender-age-adjusted relative risk reaching 11.60, p < 0.001, pseudo R2 = 0.039). These associations remained strongly significant when controlling for socioeconomic adversities (contributions 20-38%). The proportion of subjects without each SBMD steadily decreased with age according to DSAtotal levels. These findings help to understand the impacts of high DSAtotal on SBMDs in early adolescents and identify at-risk adolescents for prevention and care.
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Affiliation(s)
- Kénora Chau
- Faculty of Medicine, Department of General Medicine, University of Lorraine, Vandoeuvre-lès-Nancy F-54500, France; INSERM, Center d'Investigations Cliniques Plurithématique, Université de Lorraine and CHU de Nancy, 1433, UMR 1116, Vandoeuvre-lès-Nancy, France
| | - Ashis Bhattacherjee
- Department of Mining Engineering, Indian Institute of Technology, Kharagpur, India
| | - Amrites Senapati
- Department of Mining Engineering, Indian Institute of Technology, Kharagpur, India
| | - Francis Guillemin
- Université de Lorraine, APEMAC, Nancy, France; CIC Epidémiologie Clinique, CHRU Nancy, Inserm, Université de Lorraine, Nancy, France
| | - Nearkasen Chau
- INSERM, U1018, CESP, Paris Sud University, Paris Descartes University, UMR-S1178, Maison de Solenn, 97, boulevard de Port Royal, Cedex 14, Paris F-75679, France.
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O'Connor M, Romaniuk H, Gray S, Daraganova G. Do risk factors for adolescent internalising difficulties differ depending on childhood internalising experiences? Soc Psychiatry Psychiatr Epidemiol 2021; 56:183-192. [PMID: 32785754 DOI: 10.1007/s00127-020-01931-8] [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] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 01/12/2020] [Accepted: 08/07/2020] [Indexed: 10/23/2022]
Abstract
PURPOSE This study aimed to examine the continuity of internalising difficulties from childhood to adolescence, and determine if the influence of established risk factors on adolescent mental health differed depending on childhood internalising experiences. METHODS Data were used from the Kindergarten cohort of the Longitudinal Study of Australian Children (LSAC, N = 4983, est. 2004). Internalising difficulties were measured via parent report on the Strengths and Difficulties Questionnaire (SDQ) at each wave from 4-5 to 14-15 years of age, and defined as symptoms in the borderline or abnormal range (≥ 4). Logistic generalised estimating equations were used to characterise associations between childhood internalising problems (4-9 years) and previously identified risk factors with adolescent internalising difficulties at three time points (10-11, 12-13 and 14-15 years). RESULTS The risk of internalising problems was elevated at each adolescent age for those who previously experienced internalising symptoms in childhood compared to those who did not (10-11 years: OR 3.67, 95% CI 3.01-4.47, 12-13 years: OR 2.84, 95% CI 2.32-3.46, and 14-15 years: OR 2.33, 95% CI 1.90-2.87). Other known risk factors were found to be associated with adolescent internalising problems as expected. We found no statistical evidence that these associations differed for adolescents who previously experienced internalising symptoms in childhood. CONCLUSION Findings of this study confirm the continuity of childhood mental health problems and the role of individual and family characteristics in the aetiology of adolescent internalising difficulties. The same risk factors appear relevant to target for adolescents who first experienced internalising symptoms in childhood.
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Affiliation(s)
- Meredith O'Connor
- Department of Paediatrics, The University of Melbourne, Melbourne, Australia. .,Murdoch Children's Research Institute, Melbourne, Australia.
| | - Helena Romaniuk
- Biostatistics Unit, Faculty of Health, Deakin University, Geelong, Australia
| | - Sarah Gray
- Murdoch Children's Research Institute, Melbourne, Australia
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Llewellyn M, Cousins AL, Tyson PJ. 'When you have the adrenalin pumping, it kind of flushes out any negative emotions': a qualitative exploration of the benefits of playing football for people with mental health difficulties. J Ment Health 2020; 31:172-179. [PMID: 32677472 DOI: 10.1080/09638237.2020.1793119] [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] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/23/2022]
Abstract
BACKGROUND Physical activity is a factor by which mental health can be improved. However, the association between mental health and physical exercise, in a "team-based sport" setting within the community, remains unclear. AIMS The current paper aims to provide an evaluation of a football programme, implemented by Time to Change Wales, funded by the Welsh Government, to improve mental health. METHODS Participants attended weekly 90-120 minute football sessions, held in local community venues across Wales, UK, with no requirement on the number of sessions that participants had to attend. A qualitative method was employed to explore the experiences of those who took part. RESULTS Individuals who participated in the programme reported psychosocial and physical benefits, such as improved physical and mental health, improved social confidence and having a sense of purpose added to their day-to-day living. Factors affecting participation were also identified within the data, such as environmental barriers. Conclusion: The findings provide both support and contextual extension to previous research in this area; demonstrating the positive effects of sport-based therapy for those with mental health difficulties. Implications and conclusions should be used to inform future research into developing community sport-based programmes to improve mental health.
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Affiliation(s)
- Mark Llewellyn
- The Welsh Institute for Health and Social Care, University of South Wales, Pontypridd, UK
| | - Alecia L Cousins
- School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, UK
| | - Philip John Tyson
- School of Psychology and Therapeutic Studies, University of South Wales, Pontypridd, UK
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Chau K, Mayet A, Legleye S, Beck F, Hassler C, Khlat M, Choquet M, Falissard B, Chau N. Association between cumulating substances use and cumulating several school, violence and mental health difficulties in early adolescents. Psychiatry Res 2019; 280:112480. [PMID: 31377662 DOI: 10.1016/j.psychres.2019.112480] [Citation(s) in RCA: 10] [Impact Index Per Article: 2.0] [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: 05/15/2019] [Revised: 07/10/2019] [Accepted: 07/10/2019] [Indexed: 11/29/2022]
Abstract
Multiple substances (alcohol, tobacco, cannabis and other illicit drugs (OID)) have been frequently used in early adolescents maybe due to school, violence and mental-health difficulties. We investigated the associations between substance-use patterns and related difficulties among 1559 middle-school adolescents from north-eastern France (mean age 13.5 ± 1.3). They completed a questionnaire including socioeconomic features, school, violence and mental-health difficulties (school grade repetition, sustained physical/verbal violence, sexual abuse, perpetrated violence, poor social support, depressive symptoms and suicide attempt; cumulated number noted SVMDscore) and the time of their first occurrence during the life course. Data were analyzed using logistic and negative binomial regression models. Alcohol, tobacco, cannabis and OID use affected 35.2, 11.2, 5.6 and 2.8% of the subjects respectively. The risk of using tobacco only, alcohol and tobacco, alcohol plus tobacco and cannabis, or all alcohol, tobacco, cannabis and OID strongly increased with the SVMDscore (socioeconomic features-adjusted odds ratio reaching 85). The risk began in early years in middle schools and then steadily increased, more markedly for elevated SVMDscore. Exposure to several SVMDs may be a transmission vector towards the substance use, starting mostly with alcohol/tobacco, and then shifting to cannabis/OID. These findings help to understand substance-use risk patterns and identify at-risk adolescents.
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Affiliation(s)
- Kénora Chau
- University of Lorraine, Faculty of Medicine, Department of General Medicine, Vandoeuvre-lès-Nancy F-54500, France; INSERM, Centre d'Investigations Cliniques Plurithématique, 1433, UMR 1116, Université de Lorraine, CHU de Nancy, Vandoeuvre-lès-Nancy, France
| | - Aurélie Mayet
- Centre d'épidémiologie et de santé publique des armées, Marseille, France; UMR 912: INSERM-IRD, Université Aix-Marseille, Marseille, France
| | - Stéphane Legleye
- Institut National de la Statistique et des Etudes Economiques (INSEE), Paris, France; CESP, INSERM U1018, Université Paris-Saclay, Univ. Paris-Sud, UVSQ, Univ. Paris-Descartes, Paris, France
| | - François Beck
- Institut National de la Statistique et des Etudes Economiques (INSEE), Paris, France
| | - Christine Hassler
- CESP, INSERM U1018, Université Paris-Saclay, Univ. Paris-Sud, UVSQ, Univ. Paris-Descartes, Paris, France
| | - Myriam Khlat
- Institut National d'Etudes Démographiques, 133 Boulevard Davout, 75980, Paris Cedex 20, France
| | - Marie Choquet
- CESP, INSERM U1018, Université Paris-Saclay, Univ. Paris-Sud, UVSQ, Univ. Paris-Descartes, Paris, France
| | - Bruno Falissard
- CESP, INSERM U1018, Université Paris-Saclay, Univ. Paris-Sud, UVSQ, Univ. Paris-Descartes, Paris, France
| | - Nearkasen Chau
- CESP, INSERM U1018, Université Paris-Saclay, Univ. Paris-Sud, UVSQ, Univ. Paris-Descartes, Paris, France.
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Lereya ST, Patel M, Dos Santos JPGA, Deighton J. Mental health difficulties, attainment and attendance: a cross-sectional study. Eur Child Adolesc Psychiatry 2019; 28:1147-1152. [PMID: 30627786 DOI: 10.1007/s00787-018-01273-6] [Citation(s) in RCA: 12] [Impact Index Per Article: 2.4] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/13/2018] [Accepted: 12/27/2018] [Indexed: 11/25/2022]
Abstract
Evidence for the association between mental health difficulties and academic outcomes is sparse and shows mixed results. The aim of this study was to investigate the association between educational attainment, absenteeism and mental health difficulties while controlling for various child characteristics such as special educational needs and socioeconomic background. 15,301 Year 7 pupils (mean age 11.91; SD = 0.28) from England completed the Strengths and Difficulties Questionnaire. Attainment, persistent absenteeism and child characteristics were derived from the National Pupil Database. Multilevel regression analysis showed that mental health difficulties were negatively associated with attainment and positively associated with persistent absenteeism. When all mental health difficulties were modelled simultaneously, behavioural difficulties, hyperactivity/attention difficulties and difficulties with peers were negatively associated with attainment. Emotional difficulties and hyperactivity/attention difficulties were positively associated with persistent absenteeism. The results of the current study highlight the importance of integration between mental health support and policy creation in relation to mental health difficulties and wellbeing in schools.
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Affiliation(s)
- Suzet Tanya Lereya
- Evidence Based Practice Unit, University College London and Anna Freud National Centre for Children and Families, London, UK.
| | - Meera Patel
- Child Outcomes Research Consortium, Anna Freud National Centre for Children and Families, London, UK
| | | | - Jessica Deighton
- Evidence Based Practice Unit, University College London and Anna Freud National Centre for Children and Families, London, UK
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Miyamoto Y, Hashimoto-Koichi R, Akiyama M, Takamura S. Mental health and social service needs for mental health service users in Japan: a cross-sectional survey of client- and staff-perceived needs. Int J Ment Health Syst 2015; 9:19. [PMID: 25945122 PMCID: PMC4419408 DOI: 10.1186/s13033-015-0009-7] [Citation(s) in RCA: 7] [Impact Index Per Article: 0.8] [Reference Citation Analysis] [What about the content of this article? (0)] [Affiliation(s)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Figures] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 07/09/2014] [Accepted: 03/19/2015] [Indexed: 11/20/2022] Open
Abstract
Background The appropriate utilization of community services by people with mental health difficulties is becoming increasingly important in Japan. The aim of the present study was to describe service needs, as perceived by people with mental health difficulties living in the community and their service providers. We analyzed the difference between two necessity ratings using paired data in order to determine implications related to needs assessment for mental health services. Methods This cross-sectional study used two self-reported questionnaires, with one questionnaire administered to mental health service users living in the community and another questionnaire to staff members providing services to those users at community service facilities. The study was conducted in psychiatric social rehabilitation facilities for people with mental health difficulties in Japan. The paired client and staff responses rated needs for each kind of mental health and social service independently. The 19 services listed in the questionnaire included counseling and healthcare, housing, renting, daily living, and employment. Overall, 246 individuals with mental health difficulties were asked to participate in this study, and after excluding invalid responses, 188 client-staff response dyads (76.4% of recruited people, 83.6% of people who gave consent) were analyzed in this study. A Wilcoxon matched-pairs signed rank test was used to compare the perceived needs, and weighted and unweighted Kappa statistics were calculated to assess rating agreement within client-staff dyads. Results Over 75% of participants in our study, who were people with mental health difficulties living in the community, regarded each type of mental health service as “somewhat necessary,” or “absolutely necessary” to live in their community. Most clients and staff rated healthcare facilities with 24/7 crisis consultation services as necessary. Agreement between client and staff ratings of perceived needs for services was low (Kappa = .02 to .26). Services regarding housing, renting a place to live, and advocacy had the same tendency in that clients perceived a higher need when compared to staff perceptions (p < .01). Conclusions It is essential for the service providers to identify the services that each user needs, engage in dialogue, and involve clients in service planning and development. Electronic supplementary material The online version of this article (doi:10.1186/s13033-015-0009-7) contains supplementary material, which is available to authorized users.
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Affiliation(s)
- Yuki Miyamoto
- Department of Psychiatric Nursing, Graduate School of Medicine, The University of Tokyo, 7-3-1 Hongo, Bunkyo, Tokyo 113-0033 Japan
| | - Rieko Hashimoto-Koichi
- School of Nursing and Nutrition, Shukutoku University, 673 Nitona, Chuo-ku, Chiba, 260-8703 Japan
| | - Miki Akiyama
- Division of Nursing, Faculty of Healthcare, Tokyo Healthcare University, 4 Chome-1-17 Higashigotanda, Shinagawa, Tokyo 141-0022 Japan
| | - Soichi Takamura
- School of Nursing, Seirei Christopher University, 3453 Mikataharacho, Kita Ward, Hamamatsu, Shizuoka 433-8558 Japan
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