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El-Heis S, Barton SJ, Chang HF, Nield H, Cox V, Galani S, Cutfield W, Chan SY, Godfrey KM. Maternal mood, anxiety and mental health functioning after combined myo-inositol, probiotics, micronutrient supplementation from preconception: Findings from the NiPPeR RCT. Psychiatry Res 2024; 334:115813. [PMID: 38402742 DOI: 10.1016/j.psychres.2024.115813] [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] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 05/09/2023] [Revised: 11/24/2023] [Accepted: 02/22/2024] [Indexed: 02/27/2024]
Abstract
Observational studies have reported associations between nutrition during pregnancy and mental wellbeing. As secondary outcomes, the NiPPeR double-blind randomized trial in women planning conception investigated whether a myo-inositol, probiotics and enriched micronutrients formulation (intervention) taken preconception and throughout pregnancy could improve mental wellbeing during pregnancy and post-delivery, compared with a standard micronutrient supplement (control). Mood and anxiety symptoms were ascertained (Edinburgh Postnatal Depression Scale (EPDS), State-Trait Anxiety Inventory (STAI-state)) at preconception (baseline), 7, 28 and 34 weeks gestation, 3-weeks and 6-months post-delivery. EPDS>=13 was categorised as low mood; STAI-state>=45 as high anxiety. Change in mental health functioning was assessed as difference between preconception baseline and 6-month post-delivery 12-item Short-Form Health Survey (SF-12v2) mental component scores. Adjusting for site, ethnicity and baseline scores, there were no robust differences in EPDS and STAI-state scores between intervention and control groups across pregnancy (n = 630) and post-delivery (n = 532). Compared to controls, intervention group women averaged a 1.21 (95 %CI 0.04,2.39) higher change in SF-12v2 mental component score from preconception to 6-months post-delivery. Taking a myo-inositol, micronutrient and probiotic supplement during preconception/pregnancy had no effect on mood and anxiety, but there was evidence of a modest improvement in mental health functioning from preconception to 6-months post-delivery.
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Affiliation(s)
- Sarah El-Heis
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom; National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton, Southampton and University Hospital Southampton NHS Foundation Trust, SO16 6YD, United Kingdom.
| | - Sheila J Barton
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom; National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton, Southampton and University Hospital Southampton NHS Foundation Trust, SO16 6YD, United Kingdom
| | - Hsin Fang Chang
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, 119228
| | - Heidi Nield
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom
| | - Vanessa Cox
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom
| | - Sevasti Galani
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom
| | - Wayne Cutfield
- Liggins Institute, University of Auckland, Auckland 1142, New Zealand
| | - Shiao-Yng Chan
- Department of Obstetrics and Gynaecology, Yong Loo Lin School of Medicine, National University of Singapore and National University Health System, Singapore, 119228; Agency for Science, Technology and Research, Singapore Institute for Clinical Sciences, 117609, Singapore
| | - Keith M Godfrey
- MRC Lifecourse Epidemiology Centre, University of Southampton, Southampton SO16 6YD, United Kingdom; National Institute for Health Research Southampton Biomedical Research Centre, University of Southampton, Southampton and University Hospital Southampton NHS Foundation Trust, SO16 6YD, United Kingdom
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Harkko J, Ranta H, Lallukka T, Nordquist H, Mänty M, Kouvonen A. Working conditions and mental health functioning among young public sector employees. Scand J Public Health 2023; 51:98-105. [PMID: 34609255 PMCID: PMC9900189 DOI: 10.1177/14034948211045458] [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] [Figures] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 02/04/2023]
Abstract
Background: The associations between adverse working conditions and mental disorders are well established. However, associations between adverse working conditions and poor mental health functioning is a less explored area. This study examines these associations among younger public sector employees of the City of Helsinki, Finland. Methods: We use data from the Young Helsinki Health Study with a representative sample of the employees of the City of Helsinki, aged 19-39 years (n=4 217). Mental health functioning was measured with mental composite summary of the Short Form 36. Working conditions included factors related to both the psychosocial (job control and job demands) and the physical work environment (physical workload). To examine the associations, we used logistic regression models with adjustments for socio-demographics, other working conditions and health-related covariates. Results: After adjustment for sociodemographic characteristics, poor health, health behaviours and other occupational exposures, high job demands (OR=1.69; 95% CI=1.45-1.97) and low job control (OR=1.65; 95% CI=1.40-1.94) were associated with poor mental health functioning. High physical workload was not associated with the outcome (OR=0.87; 95% CI=0.72-1.05) after the adjustments. Conclusions: Adverse psychosocial working conditions were associated with mental health functioning, whereas physical working conditions were not. As impaired functioning is likely to cause health-related lost productivity and can lead to work disability, further research and interventions with a balanced approach focusing on both psychosocial working conditions and mental health functioning are recommended.
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Affiliation(s)
- Jaakko Harkko
- Faculty of Social Sciences, University of Helsinki, Finland
| | - Hertta Ranta
- Faculty of Social Sciences, University of Helsinki, Finland
| | - Tea Lallukka
- Department of Public Health, University of Helsinki, Finland
| | - Hilla Nordquist
- Faculty of Social Sciences, University of Helsinki, Finland.,Department of Public Health, University of Helsinki, Finland.,South-Eastern Finland University of Applied Sciences, Finland
| | - Minna Mänty
- Department of Public Health, University of Helsinki, Finland.,Unit of strategy and research, City of Vantaa, Vantaa, Finland
| | - Anne Kouvonen
- Faculty of Social Sciences, University of Helsinki, Finland.,Centre for Public Health, Queen's University Belfast, UK
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Goldman HH, Porcino J, Divita G, Zirikly A, Desmet B, Sacco M, Marfeo E, McDonough C, Rasch E, Chan L. Informatics Research on Mental Health Functioning: Decision Support for the Social Security Administration Disability Program. Psychiatr Serv 2023; 74:56-62. [PMID: 35652194 PMCID: PMC10501504 DOI: 10.1176/appi.ps.202200056] [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] [MESH Headings] [Grants] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Indexed: 01/04/2023]
Abstract
The disability determination process of the Social Security Administration's (SSA's) disability program requires assessing work-related functioning for individual claimants alleging disability due to mental impairment. This task is particularly challenging because the determination process involves the review of a large file of information, including objective medical evidence and self-reports from claimants, families, and former employers. To improve this decision-making process, SSA entered an interagency agreement with the Rehabilitation Medicine Department, Epidemiology and Biostatistics Section, in the Clinical Center of the National Institutes of Health, intending to use data science and informatics to develop decision support tools. This collaborative effort over the past decade has led to the development of the Work Disability-Functional Assessment Battery and has initiated an approach to applying natural language processing to the review of claimants' files for information on mental health functioning. This informatics research collaboration holds promise for improving the process of disability determination for individuals with mental impairments who make claims at the SSA.
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Affiliation(s)
- Howard H Goldman
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Julia Porcino
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Guy Divita
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Ayah Zirikly
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Bart Desmet
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Maryanne Sacco
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Elizabeth Marfeo
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Christine McDonough
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Elizabeth Rasch
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
| | - Leighton Chan
- Rehabilitation Medicine Department, National Institutes of Health Clinical Center, Bethesda, Maryland (all authors); Department of Psychiatry, University of Maryland School of Medicine, Baltimore (Goldman); Department of Computer Science, Johns Hopkins University, Baltimore (Zirikly); Department of Occupational Therapy, Tufts University, Medford, Massachusetts (Marfeo); Department of Physical Therapy, University of Pittsburgh, Pittsburgh (McDonough)
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Stewart-Tufescu A, Salmon S, Taillieu T, Fortier J, Afifi TO. Victimization Experiences and Mental Health Outcomes Among Grades 7 to 12 Students in Manitoba, Canada. ACTA ACUST UNITED AC 2021; 3:1-12. [PMID: 33629032 DOI: 10.1007/s42380-019-00056-0] [Citation(s) in RCA: 6] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [What about the content of this article? (0)] [Abstract] [Key Words] [Track Full Text] [Download PDF] [Journal Information] [Subscribe] [Scholar Register] [Indexed: 10/25/2022]
Abstract
Victimization experiences, including traditional forms of bullying, discriminatory harassment, and cyber victimization, are associated with numerous detrimental consequences in adolescence and over the life course. The objective of the current study was to understand the relationships between nine experiences of victimization and mental health outcomes among students in grades 7 to 12 in Manitoba, Canada. Data were drawn from the 2012-2013 Manitoba Youth Health Survey (N = 64,174; response rate = 67%). Mental health outcomes included mental health functioning and emotional well-being, and feelings of sadness and hopelessness. The prevalence of moderate/languishing mental health functioning and emotional well-being ranged from 35.2% (boys in grades 7 to 9) to 51.0% (girls in grades 10 to 12). The prevalence of feeling sad and hopeless ranged from 31.4% (boys in grades 7 to 9) to 57.7% (girls in grades 10 to 12). All nine victimization types were associated with increased odds of having moderate/languishing mental health functioning and emotional well-being and feeling sad and hopeless for both boys and girls in grades 7 to 9 and 10 to 12, although some gender and grade differences were noted. A dose-response trend was found with increased odds of moderate/languishing mental health functioning and emotional well-being corresponding with increased frequency of being victimized. A similar trend was noted for girls only for feeling sad and hopeless. Effective prevention and intervention strategies targeting boys and girls and across grades 7 to 12 are needed to improve mental health functioning and emotional well-being, and reduce feelings of sadness and hopelessness among adolescents with victimization experiences.
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Svärd A, Lahti J, Roos E, Rahkonen O, Lahelma E, Lallukka T, Mänty M. Obesity, change of body mass index and subsequent physical and mental health functioning: a 12-year follow-up study among ageing employees. BMC Public Health 2017; 17:744. [PMID: 28950839 PMCID: PMC5615472 DOI: 10.1186/s12889-017-4768-8] [Citation(s) in RCA: 8] [Impact Index Per Article: 1.1] [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: 08/16/2016] [Accepted: 09/18/2017] [Indexed: 11/10/2022] Open
Abstract
Background Studies suggest an association between weight change and subsequent poor physical health functioning, whereas the association with mental health functioning is inconsistent. We aimed to examine whether obesity and change of body mass index among normal weight, overweight and obese women and men associate with changes in physical and mental health functioning. Methods The Helsinki Health Study cohort includes Finnish municipal employees aged 40 to 60 in 2000–02 (phase 1, response rate 67%). Phase 2 mail survey (response rate 82%) took place in 2007 and phase 3 in 2012 (response rate 76%). This study included 5668 participants (82% women). Seven weight change categories were formed based on body mass index (BMI) (phase 1) and weight change (BMI change ≥5%) (phase 1–2). The Short Form 36 Health Survey (SF-36) measured physical and mental health functioning. The change in health functioning (phase 1–3) score was examined with repeated measures analyses. Covariates were age, sociodemographic factors, health behaviours, and somatic ill-health. Results Weight gain was common among women (34%) and men (25%). Weight-gaining normal weight (−1.3 points), overweight (−1.3 points) and obese (−3.6 points) women showed a greater decline in physical component summary scores than weight-maintaining normal weight women. Among weight-maintainers, only obese (−1.8 points) women showed a greater decline than weight-maintaining normal weight women. The associations were similar, but statistically non-significant for obese men. No statistically significant differences in the change in mental health functioning occurred. Conclusion Preventing weight gain likely helps maintaining good physical health functioning and work ability.
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Affiliation(s)
- Anna Svärd
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.
| | - Jouni Lahti
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland
| | - Eira Roos
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland
| | - Ossi Rahkonen
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland
| | - Eero Lahelma
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland
| | - Tea Lallukka
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.,Finnish Institute of Occupational Health, Helsinki, Finland
| | - Minna Mänty
- Department of Public Health, Faculty of Medicine, University of Helsinki, (Tukholmankatu 8B), P.O. Box 20, 00014, Helsinki, Finland.,Laurea University of Applied Sciences, Unit of Research, Development and Innovation, Vantaa, Finland
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Butler AM, Weller B, Titus C. Relationships of Shared Decision Making with Parental Perceptions of Child Mental Health Functioning and Care. Adm Policy Ment Health 2016; 42:767-74. [PMID: 25577238 DOI: 10.1007/s10488-014-0612-y] [Citation(s) in RCA: 13] [Impact Index Per Article: 1.6] [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: 10/24/2022]
Abstract
Experts encourage parents and practitioners to engage in shared decision making (SDM) to provide high quality child mental health care. However, little is known regarding SDM among families of children with common mental health conditions. The objectives of this study were to examine associations between parental report of SDM and parental perceptions of (a) receiving child mental health care and (b) child mental health functioning. We analyzed cross-sectional data on children with a common mental health condition (attention-deficit hyperactivity disorder, oppositional-defiant or conduct disorder, anxiety, or depression) from the 2009/2010 National Survey of Children with Special Healthcare Needs (N = 9,434). The primary independent variable was parent-reported SDM, and the dependent variables were parental perception of (a) their child receiving all needed mental health care (b) their children's impairment in school attendance and extracurricular activity participation, and (c) severity of their children's mental health condition. Multivariate logistic and multinomial regression analyses were conducted. Greater parent-reported SDM was associated with parental perceptions of receiving all needed child mental health care and children not having school or extracurricular impairment. Greater SDM was also associated with perceptions of children having a mild mental health condition compared to children having a moderate or severe condition. Findings provide a basis for future longitudinal and intervention studies to examine the benefit of SDM for improving parental perceptions of the quality of child mental health care and mental health functioning among children with common mental health conditions.
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Affiliation(s)
- Ashley M Butler
- Department of Pediatrics, Baylor College of Medicine, 1102 Bates St., Suite 940, Houston, TX, 77030, USA.
| | - Bridget Weller
- Department of Psychiatry and Behavioral Sciences, Duke University, Durham, NC, USA
| | - Courtney Titus
- Department of Pediatrics, Baylor College of Medicine, 1102 Bates St., Suite 940, Houston, TX, 77030, USA
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