Mental Health of the Polycrisis Generation
NCT Number: NCT06515704
Status: NOT_YET_RECRUITING
Study Type: OBSERVATIONAL
Conditions: Stress|Stress-related Problem|Cumulative Trauma|Mental Health Issue|Mental Stress|Quality of Life
Sponsor: Jagiellonian University
Sex: ALL
Age: ADULT
Enrollment: 600
Study Design: Observational Model: |Time Perspective: p
Start Date: 2024-09-01
Completion Date: 2025-10-31
Locations: Behaviour in Crisis Lab, Impact of cumulative stress on the mental health of young people project, Jagiellonian University in Krakow, Krakow, 30-060, Poland

Summary:
The goal of this observational, longitudinal study is to identify risk and protective factors that buffer the effects of individual daily stress and adaptation to global crises on the quality of life and mental health conditions of young people entering adulthood (aged 18-29, fluent in Polish, and living in Poland). Moderators such as factors related to development, personality variables compatible with the domains according to ICD-11, psychological resilience, closeness in relationships with a partner/friends/parents, and the level of postformal thinking will also be considered.

The main hypotheses it aims to consider are:

H1: Poorer adaptation to individual and global crises is associated with higher levels of perceived stress, leading to worse indicators of mental health and quality of life.

H2: A higher level of implementation of developmental tasks, including more fulfilled criteria of adulthood and a mature identity, mitigates the relationship between stress/ crisis adaptation and health and quality of life indicators.

H3: Resilience and better relationships (closeness with a partner/ friends/ parents) buffer the negative effect of stress on health and quality of life.

H4: A higher level of postformal thinking mitigates the relationship between stress/ crisis adaptation and health and quality of life indicators.

H5: A higher intensity of psychopathological personality traits is a risk factor that amplifies the negative effect of stress on health and quality of life.

Researchers will analyze measurements taken from the same group (a representative sample of Polish young adults) at two time points - now and in 12 months. The aim is to observe the extent to which the effects of current daily stressors and adaptation to the crisis, as well as the effects of potential moderators, are relatively stable.

Primary Outcome Measures: The International Adjustment Disorder Questionnaire (IADQ), Polish version of IADQ is a brief, simply-worded measure, focusing only on the core features of Adjustment Disorder, and employs straightforward diagnostic rules. The IADQ was developed to be consistent with the organizing principles of the ICD-11, as set forth by the World Health Organization, which are to maximize clinical utility and ensure international applicability through a focus on the core symptoms of a given disorder. A probable diagnosis of Adjustment Disorder requires the presence of (1) a psychosocial stressor (score ≥ 1 on the IADQ stressor list, items 1-9), (2) at least one 'Preoccupation' symptom (items 10- 12) rated ≥ 2), (3) at least one 'Failure to Adapt' symptom (items 13-15) rated ≥ 2, (4) symptoms began within one month of the stressor (positive endorsement of item 16), and (5) evidence of functional impairment indicated by any of item 17-19 rated ≥ 2)., September 01, 2024 until September 30, 2024|The International Adjustment Disorder Questionnaire (IADQ) - POLI, Polish, brief, simply-worded measure, based on IADQ, focusing on emotional adaptation to daily stress events. The calculation algorithm of IADQ is being developed by the research team (standardization)., September 01, 2024 until September 30, 2024|Perceived Stress Scale (PPS-10), The PSS-10 is used to measure perceived stress. It contains 10 questions related to various subjective feelings associated with personal problems and events, behaviors, and coping methods. It is used to assess the intensity of stress related to one's life situation over the past month. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress. Scores ranging from 27-40 would be considered high perceived stress., September 01, 2024 until September 30, 2024|Personality Traits (PiCD), Personality Inventory for ICD-11 (PiCD). The four-factor structure of the Polish version of PiCD consists of three unipolar factors as Negative Affectivity, Detachment, and Dissociality factors, and one bipolar Anankastia vs. Disinhibition factor. According to Polish standardization, symptom severity is indicated by scores above one standard deviation from the mean., September 01, 2024 until September 30, 2024|The Dimensions of Identity Development Scale (DIDS), The DIDS is a scale measuring identity processes in five domains: exploration in breadth, commitment making, exploration in depth, identification with commitment, and ruminative exploration. Each of the five dimensions is measured by 5 items, assessed on a 5-point Likert scale. According to Polish standardization, symptom severity is indicated by scores above one standard deviation from the mean., September 01, 2024 until September 30, 2024|The Markers of Adulthood, The scale for assessing the fulfillment of adulthood criteria according to Nelson and Barry in the areas of: independence, interdependence, role transitions, conformity to norms, biological transitions, chronological transitions, family potential, and subjective perception of adulthood. The scale is qualitative in nature. Five dimensions of identity development:

Exploration in breadth: Seeking alternatives for goals and values. Commitment making: Making choices and commitments. Exploration in depth: Evaluating commitments against personal standards. Identification with commitments: Confidence and internalization of choices. Ruminative exploration: Concerns and challenges in identity development, possibly indicating a crisis., September 01, 2024 until September 30, 2024|The Resilience Measure Questionnaire (KOP-26), KOP-26, by Gąsior, Chodkiewicz and Cechowski, consists of 26 items referring to the protective factors linked with personal and social competences as well as family relations. Each of the three dimensions is measured by items assessed on a 5-point Likert scale. The higher the sum of points in a given area, the higher the competencies., September 01, 2024 until September 30, 2024|Closeness to biological mother and father questionnaire, The Polish adaptation of the Closeness to Biological Mother and Father Questionnaire consists of 6 questions regarding the relationship with the parent. Relationships with the mother and father are assessed separately each time on a 5-point scale., September 01, 2024 until September 30, 2024|Closeness to partner/ friend questionnaire, The Polish adaptation of the Closeness to Partner/Friend Questionnaire consists of 6 questions regarding the relationship with the partner. Relationships are assessed on a 5-point scale. The task of the respondent is to respond on a 5-point scale (1 means never, and 5 means always) to six questions concerning their relationship with the partner/friend. The task of the respondent is to respond on a 5-point scale (1 means never, and 5 means always) to six questions concerning their relationship with the partner/ friend., September 01, 2024 until September 30, 2024|Daily Problems Test, The Daily Problems Test by Gurba is based on the method of Sebby and Papini, who in the original version used the clinical method proposed, among others, by Piaget, based on asking questions such as "what?" and "why?". The test consists of three problems, which are translations of sample tasks by Sebby and Papini, relevant for adolescents, young adults, and aging adults., September 01, 2024 until September 30, 2024|The Mental Health Continuum-Short Form (MHC-SF), The Polish adaptation of Mental Health Continuum-Short Form (MHC-SF) is the tool that allows for continuous assessment of subjective well-being (including its three aspects: emotional, psychological, and social), as well as for the categorical diagnosis of the presence of mental health and the absence of mental health (understood as flourishing and languishing). The answering scale is 6-points, and describes the frequency of experiencing various symptoms of well-being. The scale ranges from never to everyday (during the past month)., September 01, 2024 until September 30, 2024|The World Health Organization Quality of Life (WHOQOL-PL), The WHOQOL-PL is a Polish adaptation of the quality of life assessment developed by the WHOQOL Group, focusing on an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns. The mean score of items within each domain is used to calculate the domain score. Domain scores are scaled in a positive directions (higher scores denote higher quality of life)., September 01, 2024 until September 30, 2024|Authors survey, Survey of socio-demographic data (gender, age, sexual orientation, marital status, family, relationships, socioeconomic status, place of residence, educational level, habits, attitudes, others)., September 01, 2024 until September 30, 2024
Secondary Outcome Measures: The International Adjustment Disorder Questionnaire (IADQ), Polish version of IADQ is a brief, simply-worded measure, focusing only on the core features of Adjustment Disorder, and employs straightforward diagnostic rules. The IADQ was developed to be consistent with the organizing principles of the ICD-11, as set forth by the World Health Organization, which are to maximize clinical utility and ensure international applicability through a focus on the core symptoms of a given disorder. A probable diagnosis of Adjustment Disorder requires the presence of (1) a psychosocial stressor (score ≥ 1 on the IADQ stressor list, items 1-9), (2) at least one 'Preoccupation' symptom (items 10- 12) rated ≥ 2), (3) at least one 'Failure to Adapt' symptom (items 13-15) rated ≥ 2, (4) symptoms began within one month of the stressor (positive endorsement of item 16), and (5) evidence of functional impairment indicated by any of item 17-19 rated ≥ 2)., September 30, 2025 until October 30, 2025|The International Adjustment Disorder Questionnaire (IADQ) - POLI, Polish, brief, simply-worded measure, based on IADQ, focusing on emotional adaptation to daily stress events. The calculation algorithm of IADQ is being developed by the research team (standardization)., September 30, 2025 until October 30, 2025|Perceived Stress Scale (PPS-10), The PSS-10 is used to measure perceived stress. It contains 10 questions related to various subjective feelings associated with personal problems and events, behaviors, and coping methods. It is used to assess the intensity of stress related to one's life situation over the past month. Individual scores on the PSS can range from 0 to 40 with higher scores indicating higher perceived stress. Scores ranging from 27-40 would be considered high perceived stress., September 30, 2025 until October 30, 2025|Personality Traits (PiCD), Personality Inventory for ICD-11 (PiCD). The four-factor structure of the Polish version of PiCD consists of three unipolar factors as Negative Affectivity, Detachment, and Dissociality factors, and one bipolar Anankastia vs. Disinhibition factor. According to Polish standardization, symptom severity is indicated by scores above one standard deviation from the mean., September 30, 2025 until October 30, 2025|The Dimensions of Identity Development Scale (DIDS), The DIDS is a scale measuring identity processes in five domains: exploration in breadth, commitment making, exploration in depth, identification with commitment, and ruminative exploration. Each of the five dimensions is measured by 5 items, assessed on a 5-point Likert scale. According to Polish standardization, symptom severity is indicated by scores above one standard deviation from the mean., September 30, 2025 until October 30, 2025|The Markers of Adulthood, The scale for assessing the fulfillment of adulthood criteria according to Nelson and Barry in the areas of: independence, interdependence, role transitions, conformity to norms, biological transitions, chronological transitions, family potential, and subjective perception of adulthood. The scale is qualitative in nature. Five dimensions of identity development:

Exploration in breadth: Seeking alternatives for goals and values. Commitment making: Making choices and commitments. Exploration in depth: Evaluating commitments against personal standards. Identification with commitments: Confidence and internalization of choices. Ruminative exploration: Concerns and challenges in identity development, possibly indicating a crisis., September 30, 2025 until October 30, 2025|The Resilience Measure Questionnaire (KOP-26), KOP-26, by Gąsior, Chodkiewicz and Cechowski, consists of 26 items referring to the protective factors linked with personal and social competences as well as family relations. Each of the three dimensions is measured by items assessed on a 5-point Likert scale. The higher the sum of points in a given area, the higher the competencies., September 30, 2025 until October 30, 2025|Closeness to biological mother and father questionnaire, The Polish adaptation of the Closeness to Biological Mother and Father Questionnaire consists of 6 questions regarding the relationship with the parent. Relationships with the mother and father are assessed separately each time on a 5-point scale. The task of the respondent is to respond on a 5-point scale (1 means never, and 5 means always) to six questions concerning their relationship with the parent., September 30, 2025 until October 30, 2025|Closeness to partner/ friend questionnaire, The Polish adaptation of the Closeness to Partner/Friend Questionnaire consists of 6 questions regarding the relationship with the partner. Relationships are assessed on a 5-point scale. The task of the respondent is to respond on a 5-point scale (1 means never, and 5 means always) to six questions concerning their relationship with the partner/friend., September 30, 2025 until October 30, 2025|Daily Problems Test, The Daily Problems Test by Gurba is based on the method of Sebby and Papini, who in the original version used the clinical method proposed, among others, by Piaget, based on asking questions such as "what?" and "why?". The test consists of three problems, which are translations of sample tasks by Sebby and Papini, relevant for adolescents, young adults, and aging adults., September 30, 2025 until October 30, 2025|The Mental Health Continuum-Short Form (MHC-SF), The Polish adaptation of Mental Health Continuum-Short Form (MHC-SF) is the tool that allows for continuous assessment of subjective well-being (including its three aspects: emotional, psychological, and social), as well as for the categorical diagnosis of the presence of mental health and the absence of mental health (understood as flourishing and languishing). The answering scale is 6-points, and describes the frequency of experiencing various symptoms of well-being. The scale ranges from never to everyday (during the past month). The mean score of items within each domain is used to calculate the domain score. Domain scores are scaled in a positive directions (higher scores denote higher quality of life)., September 30, 2025 until October 30, 2025|The World Health Organization Quality of Life (WHOQOL-PL), The WHOQOL-PL is a Polish adaptation of the quality of life assessment developed by the WHOQOL Group, focusing on an individual's perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards, and concerns., September 30, 2025 until October 30, 2025