The inter-relatedness and demographic predictors of physical activity, self-rated health, and mental well-being: A three-wave study in secondary school children.

INTRODUCTION: The World Health Organisation recommends that children and adolescents engage in at least 60 min of moderate-to-vigorous physical activity per day. Previous research has shown that physical activity is related to other constructs such as mental well-being and self-rated health. This study examined the inter-relatedness of these constructs in Northern Irish school children. METHODS: This study was a secondary analysis of data gathered as part of a longitudinal study. Participants were n = 1791 adolescents in their final years of secondary (high) school (age range 15-18; female = 64.6%). Data were gathered on three occasions over a 2-year period on self-rated health, physical activity, mental well-being, heavy episodic drinking, lifetime smoking, psychological and somatic symptoms, as well as a range of socio-demographic measures. RESULTS: Descriptive results showed extremely low levels of self-reported physical activity within the past week, with <6% of the sample attaining the WHO guidelines at each wave of data collection. There were significant gender differences on all variables assessed. Results further showed a small-sized relationship (statistically significant for girls only) between physical activity and mental well-being. There was also a small-sized relationship between physical activity and self-rated health. Notably, effect sizes for the relationship between self-rated health and both physical activity and mental well-being were higher. In terms of socio-demographic predictors of lower physical activity, being female, lifetime cigarette smoking, and higher somatic and psychological symptoms were all statistically significant factors. CONCLUSION: Self-rated health emerged as the most important predictor of physical activity among adolescents.

A meta-analysis of the relationship between parental death in childhood and subsequent psychiatric disorder.

OBJECTIVE: To systematically review evidence for an association between parental death in childhood, and the subsequent development of an anxiety, affective or psychotic disorder. METHODS: Electronic databases (Scopus, Medline (for Ovid), EMBASE and PsychINFO) were searched for peer-reviewed, cohort studies in the English language. Meta-analyses were performed for studies reporting hazard ratios, incidence rate ratios and odds ratios. Two studies reported risk ratios, and these were included in an overall pool of odds, risk and incidence rate ratios. Sensitivity analyses were performed (removal of one study at a time) for all meta-analyses, and study quality assessed using the Newcastle-Ottawa Scale. RESULTS: Fifteen studies were retained, and where required, data were averaged in advance of pooling. Significant results were observed in studies reporting hazard ratios (k = 4, 1.48 [95% CI = 1.32-1.66]), incidence rate ratios (k = 3, 1.37 [95% CI = 1.01-1.85]), but not odds ratios (k = 4, 0.87 [95% CI = 0.72, 1.05]). However, the overall pooled effect (using odds, incidence rate and risk ratios) was statistically significant (k = 9, 1.22 [95% CI = 1.03-1.44]). CONCLUSION: Overall, the evidence suggests that there is a positive association between the death of a parent before age 18, and the subsequent development of an anxiety, affective or psychotic disorder. The lack of a significant pooled effect in studies reporting results as odds ratios is likely an artefact of study design. LIMITATIONS: Data were clustered in four countries making generalizability uncertain. Studies adjusted for a variety of possible confounders, and follow-up after death varied considerably.

Childhood trauma and adult mental disorder: A systematic review and meta-analysis of longitudinal cohort studies.

OBJECTIVE: To systematically review evidence for the association between trauma experienced in childhood or adolescence, and the subsequent experience of affective or psychotic mental disorders in adulthood. METHODS: Electronic databases (Scopus, Medline (for Ovid), EMBASE and PsychINFO) were searched for peer-reviewed, longitudinal cohort studies in the English language examining child or adolescent exposure to trauma, and adult-diagnosed depression, anxiety, psychotic disorder or bipolar disorder. A total of 23 manuscripts were retained. RESULTS: Results revealed a significant association between the following childhood exposures and adult mental disorder: bullying (victimhood, perpetration and frequency); emotional abuse; physical neglect; parental loss; and general maltreatment (unspecified and/or multiple trauma exposure). There was some evidence of a dose-response relationship with those exposed to multiple forms of maltreatment having more than three times the odds of developing a mental disorder (Odds ratio = 3.11, 95% CI = 1.36-7.14). There was no significant association found between physical or sexual abuse and adult mental disorder; however, this is likely an artefact of how these adversities were assessed. CONCLUSION: There is strong evidence of an association between childhood trauma and later mental illness. This association is particularly evident for exposure to bullying, emotional abuse, maltreatment and parental loss. The evidence suggests that childhood and adolescence are an important time for risk for later mental illness, and an important period in which to focus intervention strategies.

An Examination of the Longer-Term Impact of a Combined Classroom and Parental Intervention on Alcohol-Related Harms and Heavy Episodic Drinking.

Although fewer adolescents are consuming alcohol than was the case in previous decades, those who are consuming alcohol are still exposed to alcohol-related harms. While the evidence for the effectiveness of universal, school-based interventions is limited, a recent cluster randomised controlled trial (The STAMPP Trial) reported a significant effect at 10 months post-intervention of a combined classroom/parental intervention on heavy episodic drinking (HED) in the previous 30 days, but no significant effect on the number of self-reported alcohol-related harms (ARH) experienced in the previous 6 months. This follow-up study sought to examine intervention effects 24 months after delivery of the intervention (+ 57 months from baseline, or + 34 months post-intervention). Participants were 5029 high school students in STAMPP (38% of 12,738 pupils originally randomised into the trial), from 87 schools (82.3% of schools recruited in the original STAMPP trial). Outcomes were assessed using two-level random intercepts models (logistic regression for HED and negative binomial for number of ARH). Results of the present study show that the intervention effect for HED deteriorated over the following 2 years (OR declined from 0.60 to 0.97), and there was still no difference in ARH. This was due to an increase in the prevalence of intervention students' HED rather than a reduction in prevalence in control students. Results are discussed in the context of prevention initiatives.

Stress and subjective life expectancy: Cross-sectional and longitudinal associations in early adolescence.

Using data from a longitudinal study, the present study employed a latent class mover-stayer analytical strategy to examine both the cross-sectional and longitudinal (+33 months) relationship between membership of stress classes, and subjective life expectancy. Participants were from 21 High schools in Scotland and Northern Ireland. Data were collected in the first year of High school (mean age = 12.5 years), and at +33 months (fourth year, or school year 11). Sample 1 consisted of 1171 adolescents (40.82% females, 2.56% unreported) in Northern Ireland. Sample 2 consisted of 1059 adolescents (52.79% females, 1.32% unreported) in Scotland. Adolescents with the lowest levels of stress projected the highest subjective life expectancy scores. Longitudinal analyses were jumbled and not in keeping with cross-sectional results. More research may be needed on the trajectory of subjective life expectancy over time before it can be depended upon as a reliable outcome variable in adolescent development.

Interplay Between Sensation Seeking and Parental Rules in the Emergence of Heavy Episodic Drinking.

This study examined the parallel mediational processes between sensation seeking and parental rules on alcohol, in the emergence of heavy episodic drinking (HED) in adolescents. Data were drawn from a U.K. clustered randomized control trial (control arm only, N ≈ 6,300, Mage at baseline = 12.5). Using parallel process latent growth curve analysis, stricter parental rules at baseline were found to be associated with greater declines in sensation seeking over time and a lower risk of HED at follow-up (+33 months). Higher initial levels of sensation seeking predicted a faster relaxation of parental rules and a greater risk of HED. By maintaining strict rules about alcohol, parents may promote a positive reduction in sensation seeking and a lower risk of HED.

The impact of stress latent class membership and transitions on statutory service and alcohol use in adolescents across 33 months.

INTRODUCTION: Adolescence is a period of intense physical, biological, and psychological change, and this can result in feelings of stress. We examined the development of stress in early adolescence, and further, how that development impacted on both alcohol-use behaviours and utilisation of government-provided services. METHODS: We used a shortened, 24-item version of the Adolescent Stress Questionnaire (ASQ) to account for stress, and applied latent transition analysis to examine longitudinal change. Participants were 2230 school children (Mage = 12.5 years at time one) in Northern Irish and Scottish schools who completed a battery of questionnaires 33 months apart. RESULTS: We identified three stress profiles at baseline and 33 months: (a) High Stress, (b) Typical Stress, and (c) Low Stress. Stress profiles were shown to be associated with, and predict, a theoretically consistent set of outcomes, where adolescents who experienced high levels of stress also suffered from both problematic alcohol behaviours and harms, and utilised services. CONCLUSIONS: Future studies are recommended to include more exploration into the usefulness of a multivariate conceptualising of ASQ-S scores.

A balanced time perspective: Is it an exercise in empiricism, and does it relate meaningfully to health and well-being outcomes?

Time perspective research assesses the degree to which thoughts and feelings about the past, present and future influence behaviour, and a balanced time perspective profile has been posited as being ideal. Although this area of research has seen a move towards person-centred analyses, using either cluster analyses or a deviation from balanced time perspective (DBTP) approach, there are a number of theoretical and methodological issues that must be addressed. Using data from diverse samples in four countries, the present study used both cluster analyses and the DBTP approach to assess how cluster membership and DBTP scores related to a range of health and well-being outcomes. As in previous studies, a balanced profile only emerged once in cluster analyses, and positive-oriented profiles were associated with optimal outcomes. The study also found evidence of a relationship between DBTP scores and scores on well-being indicators. However, results gained after manipulating the DBTP equation in two different ways again indicated that higher than expected positive past and present or past and future scores were responsible for the positive outcomes. As such, these findings raise concerns regarding the use of the DBTP construct within clinical settings.

Time attitudes predict changes in adolescent self-efficacy: A 24-month latent transition mover-stayer analysis.

Increasingly, the study of temporal psychology is moving away from bivariate analyses towards person-centered analyses, which simultaneously account for scores on past, present and future dimensions. However, longitudinal studies are lacking. This study builds on a developing literature by examining the 24-month relationship between time attitudes and criterion variables. Four latent profiles called Positive, Ambivalent, Moderately Negative, and Negative, were identified. Results showed that time attitude profiles were generally unstable across the first three years of high school. However, those who stayed in the Positive profile developed higher self-efficacy in all domains. Transitioning to the Positive profile was associated with positive outcomes, whereas other transitions among profiles were associated with negative outcomes. There were small-sized, socio-demographic effects such that living in Northern Ireland (compared to Scotland), being male, and not being entitled to a free school meal, were all related to membership of, or transition to, the Positive profile.

Time attitudes profile stability and transitions: An exploratory study of adolescent health behaviours among high school students.

PURPOSE: Time attitudes refer to individuals' feelings about the past, present, and future, and an increasing number of cross-sectional studies have demonstrated that positive time attitudes are significantly related to better health and well-being. We investigated time attitude profile membership and associated transitions longitudinally in United Kingdom-based adolescents, and assessed the relationship between time attitude profile development on health behaviours at + 21 months after the data collection involving time attitudes. METHODS: Participants were high school students (N = 1306; 41.8% female, Mage 12.5-14.5 years [waves 1-3]). The Adolescent and Adult Time Inventory - Time Attitudes Scale was employed to identify profiles, and a mover-stayer latent transition analysis was employed to examine developmental changes. Data were also gathered on sensation seeking, and a range of health indicators were assessed: Past week frequency of physical exercise, self-rated health, subjective life expectancy, lifetime cannabis and smoking, and dental attendance. RESULTS: Staying in a positive time attitude profile was related to higher subjective life expectancy, and less frequent use of cannabis and cigarettes (1.00 ≤ d ≤ 4.00). Further, moving to a positive profile predicted healthier outcomes for most health measures used. CONCLUSIONS: Notwithstanding the limitation that health outcomes in the present study were distal, the present study bolstered a developing cross-sectional literature supporting the association between positive time attitudes and better health and well-being outcomes. Future longitudinal studies which assess measures concurrently are required.

How Individuals Feel About the Past, Present, and Future Bears Little Relation to Alcohol-Related Problems, Anxiety, and Depression: A Person-Centered Analysis in a University Sample.

Previous studies using bivariate or correlational analyses have established a relationship between alcohol use, symptoms of anxiety and depression, and scores on a range of temporal psychology measures. Temporal psychology measures variously assess the cognitive or affective (or in some cases, both) engagement with the past, present, and future. Although developed and validated in adolescents, recent research has suggested that the Time Attitudes Scale is internally consistent and reliable in adults also. The present study is the first to apply a person-centered approach to assessing the relationship between scores on the Time Attitudes Scale and symptoms of anxiety, depression, and alcohol-related problems in adults. Participants were recruited from a University in England. Results support the validity and internal consistency of the Time Attitudes Scale. Meaningful time attitudes profiles emerged, however, taking the sample size into account, the only substantive finding showed that those with a negative time attitudes profile scored higher on depressive symptomatology than those with a positive profile. While elsewhere, Zimbardo Time Perspective Inventory scores have been shown to be meaningfully related to anxiety, depression and alcohol use, the present study questions the degree to which the affective dimension of temporal psychology is driving that relationship.

Concurrent validity of Zimbardo Time Perspective Inventory profiles: A secondary analysis of data from the United Kingdom.

This paper examined the association between membership in profiles based on a shortened form of the Zimbardo Time Perspective Inventory (ZTPI-S; McKay, Andretta, McGee, & Worrell, 2014) and other temporal and psychosocial variables. Participants consisted of 1620 adolescents attending high school in Northern Ireland. ZTPI-S scores had correlations with other temporal and psychosocial variables that were similar to those reported for ZTPI scores in previous studies. Four ZTPI-S profiles were identified-Balanced, Past Negative, Present Hedonistic, and Future-and results indicated that these profiles had theoretically meaningful relationships with self-esteem, self-efficacy, aggression, parental attachment, consideration of future consequences, and future temporal focus. Unlike studies of college students where the Balanced profile was related to more adaptive functioning, the Future profile was related to more adaptive functioning. Future studies are needed to establish the generalizability of these profiles and to determine if there are developmental differences in which profiles are more adaptive.

Back to "the Future": Evidence of a Bifactor Solution for Scores on the Consideration of Future Consequences Scale.

Despite its widespread use, disagreement remains regarding the structure of the Consideration of Future Consequences Scale (CFCS). In particular there is disagreement regarding whether the scale assesses future orientation as a unidimensional or multidimensional (immediate and future) construct. Using 2 samples of high school students in the United Kingdom, 4 models were tested. The totality of results including item loadings, goodness-of-fit indexes, and reliability estimates all supported the bifactor model, suggesting that the 2 hypothesized factors are better understood as grouping or method factors rather than as representative of latent constructs. Accordingly this study supports the unidimensionality of the CFCS and the scoring of all 12 items to produce a global future orientation score. Researchers intending to use the CFCS, and those with existing data, are encouraged to examine a bifactor solution for the scale.

What do temporal profiles tell us about adolescent alcohol use? Results from a large sample in the United Kingdom.

The psychological construct broadly known as time perspective is potentially useful in understanding a range of adolescent behaviours, including alcohol use. However, the utility of the construct has been hindered by measurement and conceptual problems. To date the vast majority of studies have assessed the relationship between time perspective and other measures in a variable-focussed (correlational) rather than a person-centred way. The present series of studies used a person-centred approach to assess the relationship between temporal profiles and alcohol use in a large sample (n = 1620) of adolescents from High Schools in Northern Ireland. Although a 'Balanced' time perspective has been suggested as optimal, the present study suggests that having a 'Future' temporal profile is associated with less problematic use of alcohol, while having a 'Past Negative' or 'Hedonist' profile is associated with more problematic consumption. Results are discussed in the context of the time perspective and alcohol use literatures.

The Rosenberg Self-Esteem Scale: a bifactor answer to a two-factor question?

Despite its long-standing and widespread use, disagreement remains regarding the structure of the Rosenberg Self-Esteem Scale (RSES). In particular, concern remains regarding the degree to which the scale assesses self-esteem as a unidimensional or multidimensional (positive and negative self-esteem) construct. Using a sample of 3,862 high school students in the United Kingdom, 4 models were tested: (a) a unidimensional model, (b) a correlated 2-factor model in which the 2 latent variables are represented by positive and negative self-esteem, (c) a hierarchical model, and (d) a bifactor model. The totality of results including item loadings, goodness-of-fit indexes, reliability estimates, and correlations with self-efficacy measures all supported the bifactor model, suggesting that the 2 hypothesized factors are better understood as "grouping" factors rather than as representative of latent constructs. Accordingly, this study supports the unidimensionality of the RSES and the scoring of all 10 items to produce a global self-esteem score.

Morally injurious events and posttraumatic embitterment disorder in U.K. health and social care professionals during COVID-19: A longitudinal web survey.

OBJECTIVE: To longitudinally estimate the prevalence and predictors of potentially morally injurious events (PMIEs) and posttraumatic embitterment disorder (PTED) and in U.K. health and social care workers (HSCWs) during the COVID-19 pandemic. Additionally, to investigate the mechanism by which PMIEs increase embitterment by lowering personal belief in procedural justice, that is, the belief that they experience fair processes. METHOD: An online longitudinal survey was hosted on Qualtrics between September-October 2020 and September-November 2021. Using Prolific, 400 HSCWs aged 18 or above and working in the United Kingdom during the pandemic were recruited. PMIEs were assessed using the Moral Injury Events Scale, and PTED was assessed using the PTED self-rating scale. Potential predictors were measured using surveys of exposure to occupational stressors, optimism, pessimism, self-esteem, resilient coping style, consideration of future consequences, and personal just world beliefs. RESULTS: Seventy-one percent of participants experienced at least one COVID-related PMIE and 20% displayed clinically relevant signs of PTED at Time 2 in 2021. Exposure to occupational stressors increased the risk of experiencing PMIEs and PTED, whereas personal belief in a procedurally just world protected against transgressions by others and betrayal PMIEs. Self-esteem was protective, and a resilient coping style was a risk for experiencing betrayal. PMIEs increased embitterment by lowering personal belief in procedural justice over a 12-month period. CONCLUSIONS: PMIEs and PTED are being experienced by U.K. HSCWs in 2020 and 2021, particularly in those exposed to work-related stressors. Exposure to PMIEs increases the risk of embitterment by lowering belief in procedural justice. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Time on our side: An exploratory investigation of the relationship between psychiatric disorder and time attitudes.

Time attitudes indicate how individuals feel about the past, present, and future. A growing body of research has demonstrated that scores on the Adolescent and Adult Time Inventory-Time Attitudes Scale relate meaningfully to a variety of measures of well-being and psychiatric symptomatology. To date, no study has examined how (if at all) Time Attitudes scores relate to psychiatric disorder. The present study used an existing clinical cohort (N = 68) and assessed the associations among time attitudes, lifetime disorder, and a retrospective measure of childhood trauma. Preliminary analyses revealed that mean scores of the six time attitudes in the present study did not differ substantially from scores reported in a recent meta-analysis. Correlations between time attitude scores and retrospective trauma scores were particularly large for past negative and past positive. Individuals with no past or current disorder reported substantially higher positive attitudes and substantially lower negative attitudes than those without a disorder across all three time periods with interpretable effect sizes. Finally, past negative time attitudes scores were significantly associated with lifetime mood or anxiety disorder, prior to adjustment for scores on self-reported childhood trauma. These results suggest that time attitudes could be a variable of consequence beyond feelings of general well-being and beyond psychiatric symptoms. More studies with larger sample sizes are required in order to examine the relationship between time attitudes and psychiatric disorder.

The Subjective Impact and Timing of Adversity Scale: A Feasibility Study Using Cross-Sectional and Longitudinal Data.

This study assessed the feasibility of a multi-domain measure of the occurrence, impact, and timing of childhood/adolescent psychological adversity exposure, the Subjective Impact and Timing of Adversity Scale (SITA). Participants were from among those who had previously participated in two waves of data collection when aged approximately 14 and 21 years. Internal consistency estimates at both online and interview stages were acceptable for all SITA domains (with the exception of parental loss). SITA domain scores correlated meaningfully with scores on other scales and psychological measures, supporting convergent validity. Those with lifetime psychiatric diagnoses scored significantly higher on SITA domains than those not meeting diagnostic threshold. There was evidence of the importance of both the subjective impact and timing of adversity with regard to psychiatric diagnoses. The study demonstrates the viability of the SITA; however, further studies are required to substantiate these findings in larger samples.

The Temporal Focus Scale: factor structure and association with alcohol use in a sample of Northern Irish school children.

The Temporal Focus Scale (TFS) is a 12-item self-report measure of cognitive engagement with the temporal domains of past, present and future. Developed in college student samples, a three-factor structure with adequate reliability and validity was documented in a series of independent studies. We tested the factor structure of the scale in a sample of Northern Irish adolescents and found that our data supported a three factor structure, although there were problems with item 10. Because time perspective measures have been found to relate differentially to various health behaviours, we tested the relations between scores on the TFS and self-reported alcohol use. Results showed that scores on the TFS were not consistent statistical predictors of drinking category in a logistic regression. Results are discussed in terms of scale development, future scale use and the assessment of health-compromising behaviours such as adolescent alcohol consumption.

Searching for Something Positive in Future Negative: The Adolescent and Adult Time Inventory-Time Attitudes Scale.

The Adolescent and Adult Time Inventory-Time Attitudes Scale (AATI-TA) measures emotional engagement with the past, present, and future, and scores have been shown to relate meaningfully to health outcomes. For past, present, and future, five items are used to assess both positive and negative attitudes. Although evidence for the hypothesized six-factor solution has been widely reported, some studies have indicated problems with the Future Negative items. Given that a large and growing literature has emerged on the six-factor AATI-TA, and that AATI-TA scores have shown much better and more consistent fit than other temporal psychology measures, we sought to investigate the future negative factor in detail. Secondary analyses were performed on two datasets. The first was a University convenience sample (N = 410) and the second was an adolescent sample (N = 1,612). Confirmatory factor analyses revealed that the fit for the five Future Negative items was poor. Modification indices suggested that a correlated error term between Items 4 and 10 would result in good fit, and this was indeed the case. Models without Item 4 or Item 10 also yielded acceptable fit. Analyses using all four operationalizations of Future Negative (original scale, without Item 4 or Item 10, or with the correlated error between Items 4 and 10) to predict symptoms of anxiety and depression, and emotional self-efficacy revealed minor differences in the predictive validity coefficients. Potential ways forward, including a correlated error term or the dropping or replacement of Item 10, are discussed.