bluuebunny/crossref_metadata_2025_split huggingface dataset:
Diabetes, chronic respiratory and cardiovascular diseases in Germany and Europe (EHIS-3 Survey)
Authors: Sarganas G , Kuhnert R , Baumert J , Thamm R , Steppuhn H , Waldhauer J , Neuhauser H , Heidemann C 
Published: October 2024

Abstract

Background
We examined the prevalence of major NCD groups (diabetes, chronic respiratory diseases (CRD) and cardiovascular diseases (CVD)) as well as self-rated health (SRH) and health-related limitation in everyday activities among those with one of these NCD in Germany and Europe (average of 28 European countries (EU-28)).

Methods
Data was derived from the European Health Interview Survey (EHIS-3, 2019/20). Health indicators were: self-reported diabetes, CRD and CVD in the past 12 months; SRH (very good/good vs. fair, bad, very bad) and health-related limitations in usual everyday activities for at least 6 months (severe/moderate vs. no limitation). Educational level was operationalized via ISCED-11. Analyses are age-standardized to the European Standard Population 2013.

Results
Prevalence of major NCD in Germany were statistically significantly higher than in the EU-28: diabetes 8.1% vs. 7.1%, CRD 11.2% vs. 7.9% and CVD 6.6% vs. 5.4%. Highest prevalence was observed in the lowest educational group and lowest prevalence in the highest educational group for all of these NCD in Germany as well as in the EU-28. The proportion of a very good/good SRH among people having one of these NCD was higher in Germany compared to the EU-28: for people with diabetes 35.8% vs. 31.0%, with CRD 45.6% vs. 42.9% and with CVD 25.3% vs.19.1%. The proportion of health-related limitations among those having at least one of these NCD varied according to educational level in Germany as well as in the EU-28 with a higher prevalence among people with low educational level compared to high.

Conclusions
Even though prevalence of these NCD were higher in Germany, a higher proportion of very good/good SRH for people with one of these NCD was observed compared to the EU-28. Many factors such as severity of disease, disease management and care could explain this difference. Social inequalities were present not only in the prevalence of NCD but also in health-related limitations in Germany and Europe.

Key messages
• Prevalence of self-reported major NCD were higher in Germany while self-rated health among people having NCD was better than in Europe.
• Health equity interventions in Germany and Europe are necessary.
Exploring the Psychosocial Impact of Hospitalization for COVID-19: Insights from Patient Experiences
Authors: Kalampoka V , Sakaretsanou A K , Bakola M , Kitsou K S , Gourzis P , Charalambous G , Jelastopulu E 
Published: October 2024

Abstract

Background
The COVID-19 pandemic has severely tested the organizational structure and operational effectiveness of healthcare systems. We aimed to explore the experiences of patients who have been hospitalized due to COVID-19.

Methods
Employing purposive sampling, semi-structured interviews were conducted covering eight topics: 1) the experience of COVID-19 diagnosis, 2) the most difficult moments during hospitalization, 3) difficulties related to hospital conditions and safety protocols, 4) interactions with healthcare professionals, 5) received support, 6) social stigma, 7) concerns about the future, and 8) post-COVID and long COVID syndrome. Twelve individuals (six women and six men; mean age 57.5 (SD = 13) years; mean length of stay 18.1 (SD = 3.1) days) participated. The data analysis was carried out using the phenomenological method according to Colaizzi.

Results
Patients reported a spectrum of emotions including loneliness, isolation, abandonment, disappointment, insecurity and fear of death. Interactions with healthcare professionals revealed a dichotomy: experiences of respectful, reassuring care contrasted with encounters lacking psycho-emotional support within an impersonal healthcare setting.

Conclusions
This study sheds light on the experiences of patients on the nursing wards and their psychosocial burden. Most of them reported negative emotions such as loneliness, isolation, sadness, fear and anxiety rather than positive experiences such as hope, interpersonal connectedness, self-identity, empathy, caring and safety.

Key messages
• The study highlights psychosocial challenges for COVID-19 patients, emphasizing the urgent need for robust support systems.
• The study provides insights for future similar situations and highlights the need for adaptable care models based on principles such as empathy, safety and personalized approaches.
Examining the Relationship Between Socio-Demographic Variables and Eco-Anxiety A Systematic Review
Authors: Di Russo M , Campo E , Congedo G , Lombardi G S , Nachira L , Zjalic D , Innocenti M , Cadeddu C , Bruno S , Fioravanti G 
Published: October 2024

Abstract

Background
Eco-anxiety is a rising concern among young people, characterized by persistent feelings of fear, helplessness, and despair stemming from the looming and uncertain threats of climate change. Understanding how socioeconomic status and demographic factors influence the development of eco-anxiety is crucial in addressing this issue. This study aimed to analyze the literature to elucidate this relationship and its public health implications.

Methods
We conducted a systematic literature review using PubMed, Scopus, Web of Science, and APA PsycInfo databases. A total of 1,170 articles were initially retrieved, with 10 meeting the inclusion criteria. Quality assessment was performed using the AXIS Tool modification for cross-sectional studies. Data extraction was systematically carried out to analyze the relationship between socioeconomic and demographic determinants and young people’s emotional responses to climate change.

Results
Preliminary findings indicated that various socioeconomic and demographic factors influence young people’s emotional responses to climate change. Family stressors, economic instability, cultural beliefs, and social influences were identified as significant determinants, contributing to eco-anxiety, ecological distress, and climate change grief among youth.

Conclusions
The study underscores the importance of considering socioeconomic and demographic factors in addressing eco-anxiety among young people. By recognizing these influences, policymakers, educators, and mental health professionals can develop tailored interventions to mitigate the adverse effects of eco-anxiety. Public health actions may include enhancing mental health services, implementing educational programs, and addressing social determinants of health to alleviate eco-anxiety and promote resilience among youth facing climate-related challenges. This review is produced as part of the PRIN P2022JJ3LB project, funded by the Italian Ministry of University and Research.

Key messages
• Socioeconomic and demographic factors significantly influence young people’s emotional responses to climate change, including the development of eco-anxiety and ecological distress.
• Understanding family stressors, economic instability, and social influences is crucial for tailored interventions for youth.
The impact of the covid 19 pandemic on eating disorders in Slovenia
Authors: Hafner A , Zupan D 
Published: October 2024

Abstract

Introduction
Eating disorders are an important public health problem of adolescents. The purpose of the research was to examine the impact of the covid 19 pandemic on eating disorders, as adolescents were one of the most affected groups.

Methods
Data from the databases of the National Institute of Public Health (Outpatient Health Statistics and Database of Hospital Treatments for Diseases for the period from 2010 to 2021 and the Database of Deaths for the period from 2000 to 2021 were used for typical (F50.0) and atypical (F50.1) anorexia nervosa, typical (F50.2) and atypical (F50.3) bulimia nervosa and unspecified eating disorders (F50.9)) and the web portal To sem jaz.net for the period from 2012 to 2022. Data on of first visits and hospital treatments were processed for a twelve-year period and crude rates were calculated according to time, gender and diagnoses.

Results
Data showed that rates of first visits at the primary level and rates of hospital treatment did not change statistically significantly between 2010 and 2019 for women and for men. In 2020 and 2021, both rates increased for women and men. Based on the 10-year average for the period from 2010 to 2019, in 2021 the rate of first visits at primary level increased by 119 % for women and 91 % for men, and the rate of inpatient treatment increased by 50% for women and 80% for men. Girls predominated among treated at primary and secondary levels. The increase in first visits and hospital treatments was mainly due to anorexia nervosa. In the period from 2000 to 2021, eating disorders were the main cause of death for 24 people in Slovenia. In 2022, there were 3.7 times more questions in the field of eating disorders at web portal To sem jaz.net than in 2019.

Conclusions
Eating disorders are chronic diseases that develop over many years. The increase in mental health problems associated with the covid 19 pandemic may be reflected in the increase in eating disorders in the following years as well.

Key messages
• Eating disorders are an important public health problem of adolescents.
• The increase in mental health problems associated with the covid 19 pandemic may be reflected in the increase in eating disorders in the following years as well.
Factors associated with low resilience among French university students during COVID-19 lockdown
Authors: Todorovic A , Baumann C , Tarquinio C , Rotonda C , Rousseau H , Bourion-Bédès S 
Published: October 2024

Abstract

Background
COVID-19 and subsequent lockdowns had an impact on the mental health of students, who had already been identified as a vulnerable population prior to this pandemic. At the end of the first COVID-19 lockdown, 15% of students reported suffering from moderate to severe anxiety. Psychological resilience is defined as the ability to bounce back from a stressful event and has been shown to have a positive impact on mental health parameters. This study aimed to identify factors associated with low resilience in the student population of the Grand Est region of France, at the end of the first national containment related to COVID-19.

Methods
The PIMS-CoV19 study: A cross-sectional online survey was conducted among students at the University of Lorraine to collect sociodemographic data, living and learning conditions, as well as levels of resilience and perceived health. Bivariable and multivariable logistic regression analyses were performed. Model robustness was assessed using bootstrap resampling.

Results
Among 3708 students, 50.6% had normal resilience, while 37.3% reported low resilience. Female gender (OR = 2.1, 95% CI: 1.8-2.6) and low social support (OR = 1.7, 95% CI: 1.1-2.6) were the main risk factors for low resilience. Negative thoughts (OR = 1.4, 95% CI: 1.4-1.5), lower quality of relationships with people in general (OR = 1.5, 95% CI: 1.3-1.8), and studying arts, humanities, or languages (OR = 1.4, 95% CI: 1.0-1.8) were identified as risk factors. Increased age (OR = 0.9, 95% CI: 0.9-1.0) and flat sharing (OR = 0.6, 95% CI: 0.4-0.9) were protective factors against low resilience.

Conclusions
Resilience seems to be impacted primarily by internal and micro-environmental factors. Consolidating levels of individual resilience of at-risk populations by acting on these factors could be the key to improving their mental health.

Key messages
• Resilience seems to be impacted primarily by internal and micro-environmental factors.
• Consolidating levels of individual resilience of at-risk populations by acting on these factors could be the key to improving their mental health.
Youth mental health outreach interventions: lessons from an experience capitalisation process
Authors: Villeval M , Georgelin B , Jean-Gilles E , Brun J , Delescluse T , Van Hoye A , Krache A , Berdougo F 
Published: October 2024

Abstract

Issue
Young people face socioeconomic, geographical and cultural barriers to access care and support in mental health. Practitioners implement outreach initiatives to improve mental health and address health inequalities, mostly developed in a ‘no-request for care’ context.

Methods
To better understand the implementation mechanisms of these initiatives, Fondation de France commissioned the French Society for Public Health to carry out an experience capitalisation to inspire other professionals. Experience capitalisation method was used, based on in depth interviews with project stakeholders. Covered themes were: the description of history, strategies and activities; identification of key moment and key levers; skills and knowledge used.

Results
Nine mental health outreach projects implemented across regions of France were selected with the help of a multidisciplinary steering committee. Each project was synthetised in a capitalisation document and a cross-sectional analysis was undertaken.

Lessons
• A variety of outreach approaches were carried on: meeting adolescents in the street or at coffee shops; home-based interventions; consultations in converted van etc. • Outreach is not just a matter of physically moving outside health structures but requires non-judging and flexible stance to adjust to the youth’s pace and will. To extend their approach to mobility, professionals deepen their team’s multidisciplinarity, broaden cross-sector partnerships and mobilise new skills and creativity. • Adolescents’ participation to care or support plans was one of projects strengths, whether they suffer from anxiety or mental disorders. However, their participation in governance and decisions regarding global projects remained limited.

Key messages
• To reduce mental health inequalities and enhance youth participation in outreach interventions, empowerment and wellbeing of interventions practitioners should also be supported.
• Capitalisation of experience in health promotion is a promising method contributing to professional acknowledgment and development of shared knowledge on interventions implementation.
Investigating the role of psychosocial stress factors in back pain patients
Authors: Schmetsdorf J , Krüger K , Posselt J , Runde W , Zechel H G , Krauth C 
Published: October 2024

Abstract

Background
In 2022, 27.35 million people in Germany were diagnosed with back pain. This results in a 1-year prevalence of 32.64 percent of the population and 96,8 million days of incapacity to work. Moreover, patients with back pain often suffer from additional mental disorders (e.g. anxiety, depression). This study investigated the influence of other health-related factors such as psychosocial stress in these patients.

Methods
A randomized controlled study was conducted with 297 gainfully employed participants in a rural rehabilitation center in Germany Bad Zwischenahn who received a 4-week multimodal pain therapy. 150 participants were allocated to the intervention (IG) who received an additional 12-month relapse prevention treatment while 147 were allocated to the control group (CG) who received no such additional treatment. Data was obtained via questionnaire (three measurement points) and claims data. Among other health-related outcomes, the number of sick days was examined. A 10-item subscale of the Patient Health Questionnaire (PHQ) was included to measure common psychosocial stress factors.

Results
The evaluation of the PHQ (summary) scores revealed a mild stress level at all three dates. Of the ten psychosocial stress factors surveyed, the highest level was reported in the IG and CG on the scale “Worrying about health”. The IG improved significantly (p = .017) compared to the CG after one year reporting decreased health worries. Further analyses carried out by analysis of variance (ANOVA) showed that health worries are significantly associated to a higher number of sick days in the IG (p = .002) and CG (p = .010).

Conclusions
With regard to psychosocial stressors, the participants were primarily affected by health worries. The results indicate that health concerns are the primary psychosocial stress factor associated with back pain and should be taken into account in the treatment of back pain.

Key messages
• A 12-month relapse prevention treatment significantly reduced the psychosocial stress experienced by people with back pain after their rehabilitation treatment.
• Concerning psychosocial stress factors, the participants of both groups were primarily affected by health worries.
The impact of telework on mental health: a secondary analysis of the 2023 BelHealth
Authors: Bracho Montes de Oca E , Gisle L , Hermans L , Duveau C , Cagnie B , De Pauw R , de Geus B 
Published: October 2024

Abstract

Background
Teleworking gained ground in most workplaces, but questions remain about its impact on mental health. This research used data from the BELHEALTH cohort, a Belgian longitudinal wellbeing study, to investigate the relationship between the extent of telework and three mental health outcomes: anxiety, depression, and burnout.

Methods
In June 2023, the quarterly online survey assessed telework frequency (never, monthly, weekly, daily) as well as state of anxiety (GAD-7), depression (PHQ-9) and burnout (BAT-12). A complete case analysis (n = 2,303) of these cross-sectional data was performed with employed participants aged 18-65 years. Logit generalized linear mixed models were constructed, with the mental health outcomes as binary outcomes, telework as ordinal covariates, and occupation, type of job, as random effects. The anxiety, and depression models were controlled for geographical location, sex, age, and education confounders, whereas the burnout model was controlled only for sex, and education due to lack of observations.

Results
In this secondary analysis, we found that daily telework increased the odds of anxiety by 2.33 (95% CI [1.71; 3.17], p &lt; 0.01), the odds of depression by 2.98 (95% CI [2.16; 4.12], p &lt; 0.001), and the odds of burnout by 1.17 (95% CI [0.87; 1.58], p &gt; 0.05) as compared with not teleworking while controlling for confounders. The category of monthly telework was associated with lower odds of anxiety (0.85; 95% CI [0.67; 1.07], p &gt; 0.05), depression (0.91; 95% CI [0.74; 1.28], p &gt; 0.05), and burnout (0.95; 95% CI [0.79; 1.15], p &gt; 0.05) as compared to not teleworking.

Conclusions
Full-time teleworkers seem to have a higher odds for negative mental health outcomes. Future studies should focus on the long-term causal mechanisms that explain how telework intensity influences mental health to tailor and optimize current wellbeing initiatives at the workplace.

Key messages
• Our survey points out that full-time teleworkers seem to be at risk of mental health problems.
• The frequency of telework has a mixed influence on mental health, indicating that different employees need tailored wellbeing initiatives.
Social factors that promote resilience in adolescents with depression: a systematic review
Authors: Hysaj M , Crone M R , Kiefte J C , Vermeiren RRJM 
Published: October 2024

Abstract

Background
A socially protective environment matters. Social factors can protect against the development of depression among adolescents in community samples. There is however scant knowledge about their buffering role on the impact of depressive symptoms in adolescents in a clinical setting. Understanding these factors can help explaining why some children function well despite of their depression symptoms. In this review, we aimed to identify which social protective factors mitigate impairment from depression in adolescents.

Methods
We included peer-reviewed, cross-sectional and longitudinal studies using the following search strategy: Social protective factors AND depression or depression symptoms AND adolescents AND daily impairment, yielding 1737 hits. Included studies focused on social protective factors in relation to a depression diagnosis or depression symptoms severity, in adolescents age 11-24.

Preliminary results
We found 6 studies that examined the relationship between social protective factors and impairment or severity of depression symptoms in adolescents with a clinical depression or elevated symptoms. In these studies, higher rates of parental attachment, parental monitoring and school belonging moderated the relation between depression symptoms and daily impairment. Higher rates of family support and peer belonging were associated with the low depressed mood group. The rest of the studies tested the association of social protective factors on the development of depression symptoms in non-clinical populations.

Conclusions
There are limited studies on the buffering role of social protective factors in adolescents with clinical depression. Next, we will focus on non-clinical, longitudinal studies to explore which social protective factors moderate the development of depression over time. We aim to identify social factors that can mitigate the development of depression in community samples and are potentially important for clinical settings.

Key messages
• There is a scarcity of studies that explored the relation between social protective factors in adolescents with elevated depression symptoms or depression diagnosis.
• The role of social protective factors that moderate the development of adolescent depression symptoms over time should be prioritized in the development of intervention programs.
Factors Influencing Suicidal Ideation in Young and Middle-aged Adults in Korea: A Nationwide Study
Authors: Kim J E , Park S Y , Song I H 
Published: October 2024

Abstract

Objectives
This study aims to analyze various factors influencing suicidal ideation among young (19-39 years) and middle-aged (40-64 years) adults using nationwide longitudinal data in South Korea, which has the highest suicide rate among OECD countries for more than 20 years.

Methods
An analysis was conducted using the WAVE II data (2016-2017) from a nationwide longitudinal study on the mental health of suicide survivors (LoSS). The sample included 2,002 participants (1,290 young adults, 712 middle-aged adults) recruited through stratified proportional quota sampling. Multiple regression analysis was performed to identify factors influencing suicidal ideation in each age group.

Results
In young adults, being female, having a high school education or lower, being unmarried/divorced/widowed, and having higher levels of depression were positively associated with suicidal ideation. Higher levels of social support and better subjective physical health were negatively associated with suicidal ideation. In middle-aged adults, being unemployed, living alone, drinking alcohol more than once a week, and having higher levels of depression were positively associated with suicidal ideation, while higher levels of social support were negatively associated with suicidal ideation.

Conclusions
Factors influencing suicidal ideation differ between young and middle-aged adults. Age-specific suicide prevention strategies considering these factors are needed to promote social health and stability in South Korea.

Key messages
• Different factors influence suicidal ideation in young and middle-aged adults in South Korea.
• Age-specific suicide prevention strategies are necessary to effectively address suicidal ideation and promote social health and stability in South Korea.