Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Dumont, Ian P

doi:10.3122/jabfm.2012.03.110056

Cited by 16 publications

(14 citation statements)

References 29 publications

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“…11 A variety of protective factors have also been identified; for example, social support buffers stressful experiences, 12 and resilience has been associated with increased well-being. 13 Coping mechanisms can also affect the impact of stress on health.…”

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confidence: 98%

Serenity in Political Uncertainty

Doumit

Afifi

DeVon

2015

Holistic Nursing Practice

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College students are often faced with academic and personal stressors that threaten their well-being. Added to that may be political and environmental stressors such as acts of violence on the streets, interruptions in schooling, car bombings, targeted religious intimidations, financial hardship, and uncertainty of obtaining a job after graduation. Research on how college students adapt to the latter stressors is limited. The aims of this study were (1) to investigate the associations between stress, uncertainty, resilience, social support, withdrawal coping, and well-being for Lebanese youth during their first year of college and (2) to determine whether these variables predicted well-being. A sample of 293 first-year students enrolled in a private university in Lebanon completed a self-reported questionnaire in the classroom setting. The mean age of sample participants was 18.1 years, with nearly an equal percentage of males and females (53.2% vs 46.8%), who lived with their family (92.5%), and whose family reported high income levels (68.4%). Multiple regression analyses revealed that best determinants of well-being are resilience, uncertainty, social support, and gender that accounted for 54.1% of the variance. Despite living in an environment of frequent violence and political uncertainty, Lebanese youth in this study have a strong sense of well-being and are able to go on with their lives. This research adds to our understanding on how adolescents can adapt to stressors of frequent violence and political uncertainty. Further research is recommended to understand the mechanisms through which young people cope with political uncertainty and violence.

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confidence: 98%

Serenity in Political Uncertainty

Doumit

Afifi

DeVon

2015

Holistic Nursing Practice

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“…It is possible that the HRA prompted providers to ask more in-depth or focused questions and offer additional counseling. Further, answering emotional and relationship questions may have encouraged adolescent self-reflection and initiation of related discussions [8]. It is important to note that the effectiveness of HRAs for reducing adolescent risk remains undecided as there is mixed evidence that assessing adolescents’ risks leads to measurable risk reduction [7, 19, 26, 34], potentially because of sporadic practice implementation [14, 26], and because, not all adolescents, especially those at highest risk, are screened due to the low rate of annual adolescent well-visits [6, 31].…”

Section: Discussionmentioning

confidence: 99%

Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study

Thompson

Wegman

Muller

et al. 2016

Matern Child Health J

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Objectives Given poor compliance by providers with adolescent health risk assessment (HRA) in primary care, we describe the development and feasibility of using a health information technology (HIT)-enhanced HRA to improve the frequency of HRAs in diverse clinical settings, asking adolescents’ recall of quality of care as a primary outcome. Methods We conducted focus groups and surveys with key stakeholders (Phase I) , including adolescents, clinic staff and providers to design and implement an intervention in a practice-based research network delivering private, comprehensive HRAs via tablet (Phase II). Providers and adolescents received geo-coded community resources according to individualized risks. Following the point-of-care implementation , we collected patient-reported outcomes using post-visit quality surveys (Phase III). Patient-reported outcomes from intervention and comparison clinics were analyzed using a mixed-model, fitted separately for each survey domain. Results Stakeholders agreed upon an HIT-enhanced HRA (Phase I). Twenty-two academic and community practices in north-central Florida then recruited 609 diverse adolescents (14–18 years) during primary care visits over 6 months; (mean patients enrolled = 28; median = 20; range 1–116; Phase II). Adolescents receiving the intervention later reported higher receipt of confidential/private care and counseling related to emotions and relationships (adjusted scores 0.42 vs 0.08 out of 1.0, p < .01; 0.85 vs 0.57, p < .001, respectively, Phase III) than those receiving usual care. Both are important quality indicators for adolescent well-child visits. Conclusions Stakeholder input was critical to the acceptability of the HIT-enhanced HRA. Patient recruitment data indicate that the intervention was feasible in a variety of clinical settings and the pilot evaluation data indicate that the intervention may improve adolescents’ perceptions of high quality care.

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“…Perhaps the sex-specific relationships seen here are a product of sex-specific tendencies. Girls are at greater risk of anxiety symptoms than boys,31 while CPM is more robustly observed in adult men than in adult women 32. Maternal pain anxiety may be a powerful influence for children, with its impact manifesting in areas of development to which girls and boys are differentially susceptible.…”

Section: Discussionmentioning

confidence: 99%

Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation

Evans

Seidman²,

Lung³

et al. 2013

JPR

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BackgroundParental behaviors, emotions, and cognitions are known to influence children’s response to pain. However, prior work has not tested the association between maternal psychological factors and children’s responses to a conditioned pain modulation (CPM) task. CPM refers to the reduction in perceived pain intensity for a test stimulus following application of a conditioning stimulus to a remote area of the body, and is thought to reflect the descending inhibition of nociceptive signals.MethodsThe present study examined sex differences in the association between maternal anxiety about pain and children’s CPM responses in 133 healthy children aged 8–17 years. Maternal pain anxiety was assessed using the Pain Anxiety Symptoms Scale-20. In addition to the magnitude of CPM, children’s anticipatory anxiety and pain-related fear of the CPM task were measured.ResultsSequential multiple linear regression revealed that even after controlling for child age and general maternal psychological distress, greater maternal pain anxiety was significantly related to greater CPM anticipatory anxiety and pain-related fear in girls, and to less CPM (ie, less pain inhibition) in boys.ConclusionThe findings indicate sex-specific relationships between maternal pain anxiety and children’s responses to a CPM task over and above that accounted for by the age of the child and the mother’s general psychological distress.

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Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Cited by 16 publications

References 29 publications

Serenity in Political Uncertainty

Serenity in Political Uncertainty

Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study

Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation

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Primary Care, Depression, and Anxiety: Exploring Somatic and Emotional Predictors of Mental Health Status in Adolescents

Cited by 16 publications

References 29 publications

Serenity in Political Uncertainty

Serenity in Political Uncertainty

Improving Adolescent Health Risk Assessment: A Multi-method Pilot Study

Sex differences in the relationship between maternal fear of pain and children&#39;s conditioned pain modulation

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Sex differences in the relationship between maternal fear of pain and children's conditioned pain modulation