RESUMO
Declining adolescent mental health is a significant public health concern during the COVID-19 pandemic. Social distancing and stay-at-home orders have led to missed social connections with peers and adults outside households, and this has increased the risk of mental health problems in children and adolescents, particularly those with adverse childhood experiences (ACEs). Studies have shown that strong interpersonal support improves adolescent mental health. We examined the association between ACEs and poor mental health (including stress, anxiety, and depression) and how the presence of interpersonal support from caring adults and friends and school connectedness can mitigate this relationship among adolescents in Arizona. This study analyzed data from the 2021 Arizona Youth Risk Behavior Survey (YRBS; n = 1181), a population-based survey conducted biennially across the United States. The Arizona sample included high school students in grades 9-12 who were enrolled in public and charter schools. This study revealed that nearly three of four adolescents experienced an ACE, and one of five experienced ≥4 ACEs. Compared with adolescents who experienced zero ACEs, those with ≥4 ACEs experienced less interpersonal support from caring adults, friends, and school and more frequently reported poor mental health and suicidal thoughts. However, adolescents with interpersonal support consistently reported lower rates of mental health issues, even with exposure to multiple ACEs. Post-pandemic programs to improve social relationships with adults, peers, and schools are critical, especially for adolescents with multiple adversities.
RESUMO
El riesgo suicida es definido como la posibilidad de que una persona atente deliberadamente contra su vida y se considera una conducta autodestructiva de causas multifactoriales. El propósito de esta investigación fue determinar los factores psicológicos aso-ciados al riesgo suicida en estudiantes universitarios. Esto se realizó por medio de un enfoque cuantitativo no experimental. La muestra estuvo conformada por 1696 estudiantes de pregrado, 54.7 % correspondiente al sexo femenino y 43.6 % al masculino. Se aplicaron escalas para evaluar sentido de la vida, depresión, esperanza, soledad, apoyo interpersonal y riesgo suicida. Los resultados indicaron que el 50 % de la muestra reportó nunca haber tenido pensamientos suicidas. Sin embargo, el 26.8 % tuvo un pensamiento pasajero al respecto; el 9.9 % planeó quitarse la vida, pero no lo intentó; el 5.8 % realizó un intento suicida sin intención real de concretar el acto, el 5 % hizo planes para quitarse la vida con intención real de concretar el acto; y el 2.4 % efectuó intentos suicidas con deseos de morir. Se evidenció que existe una relación inversa significativa entre el riesgo suicida y la esperanza, presencia y búsqueda de sentido de la vida y apoyo interpersonal. No obstante, los individuos con mayor riesgo suicida poseen puntajes más altos en soledad y depresión. Estos resultados se discuten desde sus implicaciones en el ejercicio clínico
Suicide risk is defined as the possibility of a person deliberately taking his/her own life; this is considered a self-destructive behavior with multifactorial causes. This research aimed to determine the psychological fac-tors associated with suicide risk in university students. This was done through a quantitative, non-experimental approach. The sample consisted of 1.696 undergraduate students, 54.7 % female and 43.6 % male students. Ques-tionnaires were applied to evaluate meaning in life, depression, hope, loneliness, interpersonal support, and suicide risk. The results indicated that 50 % of the parti-cipants reported never having suicidal thoughts. However, 26.8 % had had a passing thought about committing suicide, 9.9 % had thought of a specific (but unexecuted) plan to commit suicide, 5.8 % reported a previous suicide attempt without the intention of actually committing suicide, 5 % had made plans to take their own life with a real intention to commit the act, and 2.4 % had made at least one suicide attempt with a desire to die. Results indicate that there is a significant inverse relation be-tween suicide risk and hope, the presence and search for a meaning in life, and interpersonal support. However, a higher suicide risk is positively correlated with loneliness and depression. These results are discussed according to their implications in clinical practice
O risco de suicídio é definido como a possibilidade de uma pessoa deliberadamente atentar contra sua vida, considerando-o como um comportamento autodestrutivo com causas multifatoriais. O objetivo desta pesquisa foi determinar os fatores psicológicos associados ao risco de suicídio em estudantes universitários. Isso foi feito por meio de uma abordagem quantitativa, não experimental. A amostra foi composta por 1696 alunos de graduação, sendo 54.7 % do sexo feminino e 43.6 % do sexo mascu-lino. Foram aplicadas escalas para avaliar o sentido de vida, depressão, esperança, solidão, apoio interpessoal e risco de suicídio. Os resultados indicaram que 50 % da amostra relatou nunca ter tido pensamentos suicidas. No entanto, 26.8 % tiveram um pensamento passageiro sobre isso, 9.9 % planejaram se matar, mas não tentaram; 5.8 % fizeram uma tentativa de suicídio sem real intenção de realizar o ato, 5 % fizeram planos para tirar a própria vida com real intenção de realizar o ato e 2.4 % fizeram ten-tativas de suicídio com desejo de morrer. Evidenciou-se que existe uma relação inversa significativa entre risco de suicídio e esperança, presença e busca de sentido na vida e apoio interpessoal. No entanto, indivíduos com maior risco de suicídio apresentam pontuações mais altas em solidão e depressão. Esses resultados são discutidos a partir de suas implicações na prática clínica
Assuntos
Humanos , Suicídio , Estudantes , Saúde Mental , Fatores de Risco , Depressão , Sistemas de Apoio Psicossocial , HondurasRESUMO
Resumen El síndrome de fibromialgia (sf) es una patología que genera gran dificultad en los movimientos, fatiga y dolor en partes del cuerpo, afectando severamente la calidad de vida. El objetivo de este estudio fue determinar los indicadores de depresión, ansiedad, apoyo interpersonal, dolor autopercibido y su relación, en una muestra de pacientes con sfen Colombia. A 100 pacientes se les aplicaron las siguientes pruebas: Inventario de Ansiedad Rasgo Estado, Escala de depresión de Zung, Cuestionario para evaluación del apoyo interpersonal, y la Escala analógica del dolor. Se reportaron niveles moderados de depresión y ansiedad, dificultades específicas en el apoyo social y niveles altos en dolor autopercibido. Las puntuaciones en la escala de depresión se asociaron positivamente con la ansiedad estado y rasgo, pero se asociaron negativamente con el apoyo social. En conclusión, la salud mental, el apoyo interpersonal y el dolor autopercibido se encuentran afectados en los pacientes. Se requiere ajustar los protocolos de atención clínica con el propósito de conservar y potenciar la salud integral en los afectados.
Abstract The fibromyalgia syndrome (fs) is a pathology that generates great difficulty in movements, fatigue, and pain in different parts of the body, affecting severely the quality of life. This study was aimed to determine the indicators of depression, anxiety, interpersonal support, self-perceived pain, and their relationship in a sample of patients with fsin Colombia. The following tests were applied to 100 patients: State Trait Anxiety Inventory, Zung's Depression Scale, Interpersonal Support Evaluation List, and Analogue Pain Scale. Moderate levels of depression and anxiety were reported, specific difficulties in social support, and high levels of self-perceived pain. Depression scores were positively associated with state and trait anxiety scores but negatively associated with social support. In conclusion, mental health, interpersonal support, and self-perceived pain are affected in fs patients. It is necessary to adjust the clinical care protocols to preserve and enhance the integral health of those affected.
RESUMO
El objetivo de este trabajo es el estudio de las propiedades psicométricas de la versión en español del cuestionario Interpersonal Support Evaluation List (ISEL), construido en su versión original por Cohen y Wills (1985). El ISEL evalúa la percepción de disponibilidad de cuatro aspectos diferentes del apoyo social, además de aportar una medida general de apoyo social percibido. El cuestionario se compone de cuatro subescalas (autoestima, información, pertenencia e instrumental). Cada una de ellas está formada por 10 ítems. Tras un riguroso proceso de traducción para generar la versión española del ISEL, se analizó la equivalencia de la versión traducida al español para la escala en su conjunto y para cada subescala en una muestra de universitarios españoles (N = 441). Se obtuvo un valor de alfa para la primera administración de 0.888 y de 0.87 para la segunda. La fiabilidad test-retest fue de r = 0.787. Se comprobó que la estructura factorial podría ser esencialmente unidimensional tras un análisis factorial exploratorio con rotación Varimax. Además, se analizó la validez convergente con la Escala de Soledad (r = -0.692; p < 0.001); el Cuestionario de Autoeficacia Percibida (r = 0.712; p < 0.001); el Cuestionario de Salud General (r = -0.422; p < 0.001) y la Escala de Estrés Percibido (r = -0.400; p = 0.002). Los resultados podrían mostrar que la versión española del ISEL puede ser utilizada con suficientes garantías psicométricas en una población de jóvenes universitarios de habla hispana.
The aim of this study was to evaluate the psychometric properties of Spanish version of the Interpersonal Support Evaluation List-ISEL which was built in its original version by Cohen and Wills (1985). The ISEL assesses the perceived availability of four different aspects of social support, in addition to providing a general measure of social support. The questionnaire consists of four sub-scales (self-esteem, information, membership and instrumental). Each sub-scale consists of 10 items. After a rigorous translation process to produce the Spanish version of the ISEL, we examined the equivalence of the translated version into Spanish for the total scale and each sub-scale in a sample of Spanish university students (N = 441). We obtained an alpha value for the first administration of 0.888 and 0.87 for the second. The test-retest reliability was r = 0.787. It was found that the factor structure would be essentially one-dimensional after exploratory factor analysis with Varimax rotation. In addition, convergent validity was assessed with the Loneliness Scale (r = -0.692, p < 0.001), the Perceived Self-Efficacy Questionnaire (r = 0.712, p < 0.001), the General Health Questionnaire (r = -0.422, p = 0.001) and the Perceived Stress Scale (r = -0.400, p = 0.002). The results could show that the Spanish version of the ISEL can be used with sufficient psychometric guarantees in a population of Spanish-speaking university students.