2020 |
Borges, G; Orozco, R; Méndez, E; Mortier, P; Covarrubias Díaz-Couder, A; Jimenez Perez, A L; Vargas, E; Martínez Martínez, K; Chavez, Q; Enrique, G; Gutierrrez García, R A; Albor, Y C; Medina-Mora, M E; Ayuso Mateos, J L Gaming Disorder in DSM-5 and ICD-11: A case of the glass half empty or half full. The Canadian Journal of Psychiatry (in press). Artículo de revista 2020. BibTeX | Etiquetas: @article{Borges2020, title = {Gaming Disorder in DSM-5 and ICD-11: A case of the glass half empty or half full. The Canadian Journal of Psychiatry (in press).}, author = {Borges, G and Orozco, R and M\'{e}ndez, E and Mortier, P and Covarrubias D\'{i}az-Couder, A and Jimenez Perez, A.L and Vargas, E and Mart\'{i}nez Mart\'{i}nez, K and Chavez, Q and Enrique, G and Gutierrrez Garc\'{i}a, R.A and Albor, Y.C and Medina-Mora, M.E and Ayuso Mateos, J.L. }, year = {2020}, date = {2020-07-06}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Wu, Y Z; Daskalopoulou, C; Muniz‐Terrera, G; Sanchez-Niubo, A; Rodriguez-Artajelo, F; Ayuso-Mateos, J L; Bobak, M; Caballero, F F; de la Fuente, J; De La Torre-Luque, A; García-Esquinas, E; Maria-Haro, J; Koskinen, S; Koupil, I; Leonardi, M; Pajak, A; Panagiotakos, D; Stefler, D; Prina, A M Education and wealth inequalities in healthy ageing in eight harmonised cohorts in the ATHLOS consortium: a population-based study Artículo de revista Public Health, 5 (7), pp. e386-e394, 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{Wu2020, title = {Education and wealth inequalities in healthy ageing in eight harmonised cohorts in the ATHLOS consortium: a population-based study}, author = {Wu, Y Z and Daskalopoulou, C and Muniz‐Terrera, G and Sanchez-Niubo, A and Rodriguez-Artajelo, F and Ayuso-Mateos, J L and Bobak, M and Caballero, F F and de la Fuente, J and De La Torre-Luque, A and Garc\'{i}a-Esquinas, E and Maria-Haro, J and Koskinen, S and Koupil, I and Leonardi, M and Pajak, A and Panagiotakos, D and Stefler, D and Prina, A.M}, url = {https://www.sciencedirect.com/science/article/pii/S2468266720300773}, doi = {https://doi.org/10.1016/S2468-2667(20)30077-3}, year = {2020}, date = {2020-07-01}, journal = {Public Health}, volume = {5}, number = {7}, pages = {e386-e394}, abstract = {Background The rapid growth of the size of the older population is having a substantial effect on health and social care services in many societies across the world. Maintaining health and functioning in older age is a key public health issue but few studies have examined factors associated with inequalities in trajectories of health and functioning across countries. The aim of this study was to investigate trajectories of healthy ageing in older men and women (aged ≥45 years) and the effect of education and wealth on these trajectories. Methods This population-based study is based on eight longitudinal cohorts from Australia, the USA, Japan, South Korea, Mexico, and Europe harmonised by the EU Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) consortium. We selected these studies from the repository of 17 ageing studies in the ATHLOS consortium because they reported at least three waves of collected data. We used multilevel modelling to investigate the effect of education and wealth on trajectories of healthy ageing scores, which incorporated 41 items of physical and cognitive functioning with a range between 0 (poor) and 100 (good), after adjustment for age, sex, and cohort study. Findings We used data from 141 214 participants, with a mean age of 62·9 years (SD 10·1) and an age range of 45\textendash106 years, of whom 76 484 (54·2%) were women. The earliest year of baseline data was 1992 and the most recent last follow-up year was 2015. Education and wealth affected baseline scores of healthy ageing but had little effect on the rate of decrease in healthy ageing score thereafter. Compared with those with primary education or less, participants with tertiary education had higher baseline scores (adjusted difference in score of 10·54 points, 95% CI 10·31\textendash10·77). The adjusted difference in healthy ageing score between lowest and highest quintiles of wealth was 8·98 points (95% CI 8·74\textendash9·22). Among the eight cohorts, the strongest inequality gradient for both education and wealth was found in the Health Retirement Study from the USA. Interpretation The apparent difference in baseline healthy ageing scores between those with high versus low education levels and wealth suggests that cumulative disadvantage due to low education and wealth might have largely deteriorated health conditions in early life stages, leading to persistent differences throughout older age, but no further increase in ageing disparity after age 70 years. Future research should adopt a lifecourse approach to investigate mechanisms of health inequalities across education and wealth in different societies.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background The rapid growth of the size of the older population is having a substantial effect on health and social care services in many societies across the world. Maintaining health and functioning in older age is a key public health issue but few studies have examined factors associated with inequalities in trajectories of health and functioning across countries. The aim of this study was to investigate trajectories of healthy ageing in older men and women (aged ≥45 years) and the effect of education and wealth on these trajectories. Methods This population-based study is based on eight longitudinal cohorts from Australia, the USA, Japan, South Korea, Mexico, and Europe harmonised by the EU Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) consortium. We selected these studies from the repository of 17 ageing studies in the ATHLOS consortium because they reported at least three waves of collected data. We used multilevel modelling to investigate the effect of education and wealth on trajectories of healthy ageing scores, which incorporated 41 items of physical and cognitive functioning with a range between 0 (poor) and 100 (good), after adjustment for age, sex, and cohort study. Findings We used data from 141 214 participants, with a mean age of 62·9 years (SD 10·1) and an age range of 45–106 years, of whom 76 484 (54·2%) were women. The earliest year of baseline data was 1992 and the most recent last follow-up year was 2015. Education and wealth affected baseline scores of healthy ageing but had little effect on the rate of decrease in healthy ageing score thereafter. Compared with those with primary education or less, participants with tertiary education had higher baseline scores (adjusted difference in score of 10·54 points, 95% CI 10·31–10·77). The adjusted difference in healthy ageing score between lowest and highest quintiles of wealth was 8·98 points (95% CI 8·74–9·22). Among the eight cohorts, the strongest inequality gradient for both education and wealth was found in the Health Retirement Study from the USA. Interpretation The apparent difference in baseline healthy ageing scores between those with high versus low education levels and wealth suggests that cumulative disadvantage due to low education and wealth might have largely deteriorated health conditions in early life stages, leading to persistent differences throughout older age, but no further increase in ageing disparity after age 70 years. Future research should adopt a lifecourse approach to investigate mechanisms of health inequalities across education and wealth in different societies. |
Tyrovolas, S; Panaretos, D; Daskalopoulou, C; Gine-Vazquez, I; Sanchez-Niubo, A; Guzman Olaya, B; Bobak, M; Prince, M; Prina, A M; Ayuso-Mateos, J L; Caballero, F F; García-Esquinas, E; Arndt, H; Scherbov, S; Sanderson, W C; Gheno, I; Koupil, I; Bickenbach, J; Chatterji, S; Koskinen, S; Raggi, A; Pajak, A; Tobiasz-Adamczyk, B; Haro, J M; Panagiotakos, D Alcohol drinking and health in ageing: a global scale analysis of older individual data through the harmonized dataset of ATHLOS Artículo de revista Nutrients, 12 (6), 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{S2020b, title = {Alcohol drinking and health in ageing: a global scale analysis of older individual data through the harmonized dataset of ATHLOS }, author = {Tyrovolas, S. and Panaretos, D. and Daskalopoulou, C. and Gine-Vazquez, I. and Sanchez-Niubo, A. and Guzman Olaya, B. and Bobak, M. and Prince, M. and Prina, A.M. and Ayuso-Mateos, J.L. and Caballero, F.F. and Garc\'{i}a-Esquinas, E. and Arndt, H. and Scherbov, S. and Sanderson, W.C. and Gheno, I. and Koupil, I. and Bickenbach, J. and Chatterji, S. and Koskinen, S. and Raggi, A. and Pajak, A. and Tobiasz-Adamczyk, B. and Haro, J.M. and Panagiotakos, D.}, url = {https://pubmed.ncbi.nlm.nih.gov/32545243/}, doi = {https://doi.org/10.3390/nu12061746 }, year = {2020}, date = {2020-06-11}, journal = {Nutrients}, volume = {12}, number = {6}, abstract = {We investigated the relation between alcohol drinking and healthy ageing by means of a validated health status metric, using individual data from the Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) project. For the purposes of this study, the ATHLOS harmonised dataset, which includes information from individuals aged 65+ in 38 countries, was analysed (n = 135,440). Alcohol drinking was reflected by means of three harmonised variables: alcohol drinking frequency, current and past alcohol drinker. A set of 41 self-reported health items and measured tests were used to generate a specific health metric. In the harmonised dataset, the prevalence of current drinking was 47.5% while of past drinking was 26.5%. In the pooled sample, current alcohol drinking was positively associated with better health status among older adults ((b-coef (95% CI): 1.32(0.45 to 2.19)) and past alcohol drinking was inversely related (b-coef (95% CI): -0.83 (-1.51 to -0.16)) with health status. Often alcohol consumption appeared to be beneficial only for females in all super-regions except Africa, both age group categories (65-80 years old and 80+), both age group categories, as well as among all the financial status categories (all p < 0.05). Regional analysis pictured diverse patterns in the association for current and past alcohol drinkers. Our results report the need for specific alcohol intake recommendations among older adults that will help them maintain a better health status throughout the ageing process.}, keywords = {}, pubstate = {published}, tppubtype = {article} } We investigated the relation between alcohol drinking and healthy ageing by means of a validated health status metric, using individual data from the Ageing Trajectories of Health: Longitudinal Opportunities and Synergies (ATHLOS) project. For the purposes of this study, the ATHLOS harmonised dataset, which includes information from individuals aged 65+ in 38 countries, was analysed (n = 135,440). Alcohol drinking was reflected by means of three harmonised variables: alcohol drinking frequency, current and past alcohol drinker. A set of 41 self-reported health items and measured tests were used to generate a specific health metric. In the harmonised dataset, the prevalence of current drinking was 47.5% while of past drinking was 26.5%. In the pooled sample, current alcohol drinking was positively associated with better health status among older adults ((b-coef (95% CI): 1.32(0.45 to 2.19)) and past alcohol drinking was inversely related (b-coef (95% CI): -0.83 (-1.51 to -0.16)) with health status. Often alcohol consumption appeared to be beneficial only for females in all super-regions except Africa, both age group categories (65-80 years old and 80+), both age group categories, as well as among all the financial status categories (all p < 0.05). Regional analysis pictured diverse patterns in the association for current and past alcohol drinkers. Our results report the need for specific alcohol intake recommendations among older adults that will help them maintain a better health status throughout the ageing process. |
de la Torre ‐ Luque, A; Cabello, M; Lara, E; de la Fuente, J; Miret M. Sanchez-Niubo, A; Haro, J M; Ayuso ‐ Mateos, J L Functioning profiles in a nationally representative cohort of Spanish older adults: A latent class study Artículo de revista Health and Social Care in the Community, 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaLuque2020, title = {Functioning profiles in a nationally representative cohort of Spanish older adults: A latent class study}, author = {de la Torre ‐ Luque, A and Cabello, M. and Lara, E. and de la Fuente, J. and Miret, M. Sanchez-Niubo, A. and Haro, J.M. and Ayuso ‐ Mateos, J.L}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1111/hsc.13031}, doi = {https://doi.org/10.1111/hsc.13031}, year = {2020}, date = {2020-06-05}, journal = {Health and Social Care in the Community}, abstract = {Ageing well involves individuals continuing participating in personal, social and civic affairs even in older age. From this standpoint, limitations in individual's functioning (beyond the mere absence of disease) may drastically impact on how well people becoming older. This study aimed to identify functional status profiles in a nationally representative sample of older adults, using latent class analysis methods. Moreover, it intended to study the how identified classes would be related to health‐related outcomes later in life, as a way to provide some evidence on predictive validity. Data from a nationally representative sample of Spanish older adults (N = 2,118; 56.18% women; M = 71.50 years, SD = 7.76), were used. Profiles were identified according to a large set of functioning indicators from multiple domains using latent class analysis. Outcomes were studied over a 3‐year follow‐up, considering both the individual (quality of life, well‐being and mortality) and institutional level (health service utilisation). As a result, seven profiles were identified: normative profile (showed by most participants), limited cognitive functioning class, limited global functioning class, limited mental and mobility functioning class, poor self‐reported health class, limited sensory functioning class and limited objective functioning class. All the profiles with limitations across domains showed poor outcomes. Multidimensional limitations were related to the worst outcomes, especially when psychosomatic complaints and high feelings of loneliness were reported. To sum up, latent class analysis constitutes a suitable alternative to study population heterogeneity, providing relevant evidence to help making decision in public and community health.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Ageing well involves individuals continuing participating in personal, social and civic affairs even in older age. From this standpoint, limitations in individual's functioning (beyond the mere absence of disease) may drastically impact on how well people becoming older. This study aimed to identify functional status profiles in a nationally representative sample of older adults, using latent class analysis methods. Moreover, it intended to study the how identified classes would be related to health‐related outcomes later in life, as a way to provide some evidence on predictive validity. Data from a nationally representative sample of Spanish older adults (N = 2,118; 56.18% women; M = 71.50 years, SD = 7.76), were used. Profiles were identified according to a large set of functioning indicators from multiple domains using latent class analysis. Outcomes were studied over a 3‐year follow‐up, considering both the individual (quality of life, well‐being and mortality) and institutional level (health service utilisation). As a result, seven profiles were identified: normative profile (showed by most participants), limited cognitive functioning class, limited global functioning class, limited mental and mobility functioning class, poor self‐reported health class, limited sensory functioning class and limited objective functioning class. All the profiles with limitations across domains showed poor outcomes. Multidimensional limitations were related to the worst outcomes, especially when psychosomatic complaints and high feelings of loneliness were reported. To sum up, latent class analysis constitutes a suitable alternative to study population heterogeneity, providing relevant evidence to help making decision in public and community health. |
Evans, S C; Roberts, M C; Keeley, J W; Rebello, T J; de la Peña, F; Lochman, J E; Burke, J D; Fite, P J; Ezpeleta, L; Matthys, W; Youngstrom, E A; Matsumoto, C; Andrews, H F; Medina-Mora, M E; Ayuso-Mateos, J L; Khoury, B; Kulygina, M; Robles R .and Sharan, P; Zhao M., & Reed G M Diagnostic classification of irritability and oppositionality in youth: A global field study comparing ICD-11 with ICD-10 and DSM-5. Artículo de revista Journal of Child Psychology and Psychiatry., 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{Evans2020, title = {Diagnostic classification of irritability and oppositionality in youth: A global field study comparing ICD-11 with ICD-10 and DSM-5. }, author = {Evans, S. C. and Roberts, M. C. and Keeley, J. W. and Rebello, T. J. and de la Pe\~{n}a, F. and Lochman, J. E. and Burke, J. D and Fite, P. J. and Ezpeleta, L. and Matthys, W. and Youngstrom, E. A. and Matsumoto, C. and Andrews, H. F. and Medina-Mora, M. E. and Ayuso-Mateos, J. L. and Khoury, B. and Kulygina, M. and Robles, R .and Sharan, P. and Zhao, M., & Reed, G. M.}, url = {https://onlinelibrary.wiley.com/toc/14697610/0/0}, doi = {10.1111/jcpp.13244}, year = {2020}, date = {2020-05-12}, journal = {Journal of Child Psychology and Psychiatry.}, abstract = {Background: Severe irritability has become an important topic in child and adolescent mental health. Based on the available evidence and on public health considerations, WHO classified chronic irritability within oppositional defiant disorder (ODD) in ICD-11, a solution markedly different from DSM-5’s (i.e. the new childhood mood diagnosis, disruptive mood dysregulation disorder [DMDD]) and from ICD-10’s (i.e. ODD as one of several conduct disorders without attention to irritability). In this study, we tested the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality as compared to the ICD-10 and DSM-5 approaches. Methods: Clinicians (N = 196) from 48 countries participated in an Internet-based field study in English, Spanish, or Japanese and were randomized to review and use one of the three diagnostic systems. Through experimental manipulation of validated clinical vignettes, we evaluated how well clinicians in each condition could identify chronic irritability versus nonirritable oppositionality, episodic bipolar disorder, dysthymic depression, and normative irritability. Results: Compared to ICD-10 and DSM5, ICD-11 led to more accurate identification of severe irritability and better differentiation from boundary presentations. Participants using DSM-5 largely failed to apply the DMDD diagnosis when it was appropriate, and they more often applied psychopathological diagnoses to developmentally normative irritability. Conclusions: The formulation of irritability and oppositionality put forth in ICD-11 shows evidence of clinical utility, supporting accurate diagnosis. Global mental health clinicians can readily identify ODD both with and without chronic irritability. Keywords: International Classification of Diseases (ICD-11); oppositional defiant disorder; mood dysregulation; irritability; child and adolescent mental health. }, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: Severe irritability has become an important topic in child and adolescent mental health. Based on the available evidence and on public health considerations, WHO classified chronic irritability within oppositional defiant disorder (ODD) in ICD-11, a solution markedly different from DSM-5’s (i.e. the new childhood mood diagnosis, disruptive mood dysregulation disorder [DMDD]) and from ICD-10’s (i.e. ODD as one of several conduct disorders without attention to irritability). In this study, we tested the accuracy with which a global, multilingual, multidisciplinary sample of clinicians were able to use the ICD-11 classification of chronic irritability and oppositionality as compared to the ICD-10 and DSM-5 approaches. Methods: Clinicians (N = 196) from 48 countries participated in an Internet-based field study in English, Spanish, or Japanese and were randomized to review and use one of the three diagnostic systems. Through experimental manipulation of validated clinical vignettes, we evaluated how well clinicians in each condition could identify chronic irritability versus nonirritable oppositionality, episodic bipolar disorder, dysthymic depression, and normative irritability. Results: Compared to ICD-10 and DSM5, ICD-11 led to more accurate identification of severe irritability and better differentiation from boundary presentations. Participants using DSM-5 largely failed to apply the DMDD diagnosis when it was appropriate, and they more often applied psychopathological diagnoses to developmentally normative irritability. Conclusions: The formulation of irritability and oppositionality put forth in ICD-11 shows evidence of clinical utility, supporting accurate diagnosis. Global mental health clinicians can readily identify ODD both with and without chronic irritability. Keywords: International Classification of Diseases (ICD-11); oppositional defiant disorder; mood dysregulation; irritability; child and adolescent mental health. |
De La Torre-Luque, A; Moreno-Agostino, D; Ojagbemi, A; Caballero, FF ; Lara, E; Olaseinde, T; Olaya, B; Haro, JM ; Ayuso Mateos, JL Cross-cultural comparison of symptom networks in late-life major depressive disorder: Yoruba Africans and the Spanish Population Artículo de revista International Journal of Geriatric Psychiatry, 2020. @article{Torre-Luque2020b, title = {Cross-cultural comparison of symptom networks in late-life major depressive disorder: Yoruba Africans and the Spanish Population }, author = {De La Torre-Luque,A and Moreno-Agostino, D and Ojagbemi, A and Caballero, FF and Lara, E and Olaseinde, T and Olaya, B and Haro, JM and Ayuso Mateos, JL }, doi = {10.1002/gps.5329}, year = {2020}, date = {2020-05-11}, journal = {International Journal of Geriatric Psychiatry}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Lindert, J; Jakubauskiene, M; Natan, M; Bain, P; Schmahl, C; Cabello, M; Kamenov, K; Wehrwein, A; MG., Carta Psychosocial interventions for violence exposed youth - a systematic review (in press) Artículo de revista Child Abuse & Neglect, 2020. BibTeX | Etiquetas: @article{Lindert2020, title = {Psychosocial interventions for violence exposed youth - a systematic review (in press)}, author = {Lindert, J and Jakubauskiene, M and Natan, M and Bain, P and Schmahl, C and Cabello, M and Kamenov, K and Wehrwein, A and Carta MG.}, year = {2020}, date = {2020-05-09}, journal = {Child Abuse & Neglect}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Raggi, A; Leonardi, M; Mellor-Marsá, B; Moneta, MV ; Sanchez-Niubo, A; Tyrovolas, S; Giné-Vázquez, I; Haro, JM ; Chatterji, S; Bobak, M; Ayuso-Mateos, JL ; Arndt, H; Hossin, Z; Bickenbach; Seppo Koskinen, J; Tobiasz-Adamczyk, B; Panagiotakos, D; Corso, B Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database Artículo de revista The Journal of Headache and Pain, 21 (1), pp. 45, 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{A2020c, title = {Predictors of pain in general ageing populations: results from a multi-country analysis based on ATHLOS harmonized database }, author = {Raggi, A and Leonardi, M and Mellor-Mars\'{a}, B and Moneta, MV and Sanchez-Niubo, A and Tyrovolas, S and Gin\'{e}-V\'{a}zquez, I and Haro, JM and Chatterji, S and Bobak, M and Ayuso-Mateos, JL and Arndt, H and Hossin, Z and Bickenbach; Seppo Koskinen, J and Tobiasz-Adamczyk, B and Panagiotakos, D and Corso ,B}, doi = {10.1186/s10194-020-01116-3}, year = {2020}, date = {2020-05-06}, journal = {The Journal of Headache and Pain}, volume = {21}, number = {1}, pages = {45}, abstract = {Background: Pain is a common symptom, often associated with neurological and musculoskeletal conditions, and experienced especially by females and by older people, and with increasing trends in general populations. Different risk factors for pain have been identified, but generally from studies with limited samples and a limited number of candidate predictors. The aim of this study is to evaluate the predictors of pain from a large set of variables and respondents. Methods: We used part of the harmonized dataset of ATHLOS project, selecting studies and waves with a longitudinal course, and in which pain was absent at baseline and with no missing at follow-up. Predictors were selected based on missing distribution and univariable association with pain, and were selected from the following domains: Socio-demographic and economic characteristics, Lifestyle and health behaviours, Health status and functional limitations, Diseases, Physical measures, Cognition, personality and other psychological measures, and Social environment. Hierarchical logistic regression models were then applied to identify significant predictors. Results: A total of 13,545 subjects were included of whom 5348 (39.5%) developed pain between baseline and the average 5.2 years' follow-up. Baseline risk factors for pain were female gender (OR 1.34), engaging in vigorous exercise (OR 2.51), being obese (OR 1.36) and suffering from the loss of a close person (OR 1.88) whereas follow-up risk factors were low energy levels/fatigue (1.93), difficulties with walking (1.69), self-rated health referred as poor (OR 2.20) or average to moderate (OR 1.57) and presence of sleep problems (1.80). Conclusions: Our results showed that 39.5% of respondents developed pain over a five-year follow-up period, that there are proximal and distal risk factors for pain, and that part of them are directly modifiable. Actions aimed at improving sleep, reducing weight among obese people and treating fatigue would positively impact on pain onset, and avoiding vigorous exercise should be advised to people aged 60 or over, in particular if female or obese. Keywords: Bereavement; Exercise; Fatigue; Headache disorders; Musculoskeletal disorders; Obesity; Pain; Risk factors; Sleep; Walking.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: Pain is a common symptom, often associated with neurological and musculoskeletal conditions, and experienced especially by females and by older people, and with increasing trends in general populations. Different risk factors for pain have been identified, but generally from studies with limited samples and a limited number of candidate predictors. The aim of this study is to evaluate the predictors of pain from a large set of variables and respondents. Methods: We used part of the harmonized dataset of ATHLOS project, selecting studies and waves with a longitudinal course, and in which pain was absent at baseline and with no missing at follow-up. Predictors were selected based on missing distribution and univariable association with pain, and were selected from the following domains: Socio-demographic and economic characteristics, Lifestyle and health behaviours, Health status and functional limitations, Diseases, Physical measures, Cognition, personality and other psychological measures, and Social environment. Hierarchical logistic regression models were then applied to identify significant predictors. Results: A total of 13,545 subjects were included of whom 5348 (39.5%) developed pain between baseline and the average 5.2 years' follow-up. Baseline risk factors for pain were female gender (OR 1.34), engaging in vigorous exercise (OR 2.51), being obese (OR 1.36) and suffering from the loss of a close person (OR 1.88) whereas follow-up risk factors were low energy levels/fatigue (1.93), difficulties with walking (1.69), self-rated health referred as poor (OR 2.20) or average to moderate (OR 1.57) and presence of sleep problems (1.80). Conclusions: Our results showed that 39.5% of respondents developed pain over a five-year follow-up period, that there are proximal and distal risk factors for pain, and that part of them are directly modifiable. Actions aimed at improving sleep, reducing weight among obese people and treating fatigue would positively impact on pain onset, and avoiding vigorous exercise should be advised to people aged 60 or over, in particular if female or obese. Keywords: Bereavement; Exercise; Fatigue; Headache disorders; Musculoskeletal disorders; Obesity; Pain; Risk factors; Sleep; Walking. |
Lara, E; Miret, M; Sanchez, A; Haro, JM ; K, Seppo; Leonardi, M; B, Tobiasz-Adamczyk; Chatterji, S Episodic memory and verbal fluency tasks: normative data from nine nationally-representative samples (accepted) Artículo de revista JINS, 2020. BibTeX | Etiquetas: @article{Lara2020, title = {Episodic memory and verbal fluency tasks: normative data from nine nationally-representative samples (accepted)}, author = {Lara, E and Miret, M and Sanchez, A and Haro, JM and Seppo K and Leonardi, M and Tobiasz-Adamczyk B and Chatterji, S.}, year = {2020}, date = {2020-04-30}, journal = {JINS}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
De La Torre-Luque, A; Miret, M; Lara, E; Sanchez Niubo, A; Ayuso Mateos, JL ; Haro, JM Functioning profiles in a nationally-representative cohort of Spanish older adults: A latent class study (accepted) Artículo de revista Health & Social Care in the Community, 2020. BibTeX | Etiquetas: @article{Torre-Luque2020, title = {Functioning profiles in a nationally-representative cohort of Spanish older adults: A latent class study (accepted)}, author = {De La Torre-Luque,A and Miret, M and Lara, E and Sanchez Niubo, A and Ayuso Mateos, JL and Haro, JM}, year = {2020}, date = {2020-04-29}, journal = {Health & Social Care in the Community}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Bayes-Marin, I; Fernández, D; Lara, E; Martín-María, N; Miret, M; Moreno-Agostino, D; Ayuso-Mateos, JL; Sanchez-Niubo, A; Haro, JM ; Olaya, B Trajectories of immediate and delayed verbal memory in the Spanish general population of middle-aged and older adults. Artículo de revista Brain Sciences, (10), pp. 249, 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{Bayes-Marin2020, title = {Trajectories of immediate and delayed verbal memory in the Spanish general population of middle-aged and older adults. }, author = {Bayes-Marin, I and Fern\'{a}ndez, D and Lara, E and Mart\'{i}n-Mar\'{i}a, N and Miret,M and Moreno-Agostino,D and Ayuso-Mateos,JL and Sanchez-Niubo, A and Haro, JM and Olaya, B.}, url = {https://www.mdpi.com/2076-3425/10/4/249}, year = {2020}, date = {2020-04-22}, journal = {Brain Sciences}, number = {10}, pages = {249}, abstract = {Abstract: (1) Cognitive decline differs among individuals and cognition function domains. We sought to identify distinct groups of immediate and delayed verbal memory in two age subsamples (50\textendash64, 65+ years), and to analyze associated factors. (2) Latent class mixed models were used to identify verbal memory trajectories in a sample of Spanish community-dwelling individuals over 8 years’ follow up. Chi-square and Kruskal\textendashWallis tests were used to assess differences among trajectories. (3) Different trajectories were identified. In the case of immediate verbal memory, these were: very low/decline (6.3%), low/stable (38.2%), medium/slow decline (43.4%), and high/slow decline (12.2%) in the middle-aged group, and low/decline (20.4%), medium/slow decline (60.4%), and high/slow decline (19.2%) in the older subsample. In delayed verbal memory, more distinct patterns were found: very low/decline (12.4%), low/stable (51.4%), medium/accelerated decline (24.7%), and high/slow increase (11.4%) in the younger group, and low/slow decline (34.4%), medium/decline (52.7%), and high/slow decline (12.9%) in the older group. (4) Overall, low initial performance and decline were associated with older age, lower education, and higher diabetes/stroke prevalence. Differences found suggests heterogeneity in cognitive ageing. The high prevalence of cardiovascular diseases in those with worse cognition suggests that early interventions to prevent those conditions should be targeted in midlife to delay cognitive decline.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Abstract: (1) Cognitive decline differs among individuals and cognition function domains. We sought to identify distinct groups of immediate and delayed verbal memory in two age subsamples (50–64, 65+ years), and to analyze associated factors. (2) Latent class mixed models were used to identify verbal memory trajectories in a sample of Spanish community-dwelling individuals over 8 years’ follow up. Chi-square and Kruskal–Wallis tests were used to assess differences among trajectories. (3) Different trajectories were identified. In the case of immediate verbal memory, these were: very low/decline (6.3%), low/stable (38.2%), medium/slow decline (43.4%), and high/slow decline (12.2%) in the middle-aged group, and low/decline (20.4%), medium/slow decline (60.4%), and high/slow decline (19.2%) in the older subsample. In delayed verbal memory, more distinct patterns were found: very low/decline (12.4%), low/stable (51.4%), medium/accelerated decline (24.7%), and high/slow increase (11.4%) in the younger group, and low/slow decline (34.4%), medium/decline (52.7%), and high/slow decline (12.9%) in the older group. (4) Overall, low initial performance and decline were associated with older age, lower education, and higher diabetes/stroke prevalence. Differences found suggests heterogeneity in cognitive ageing. The high prevalence of cardiovascular diseases in those with worse cognition suggests that early interventions to prevent those conditions should be targeted in midlife to delay cognitive decline. |
Cabello, M; Borges, G; Lara, L; Olaya, B; Martín-Maria, N; Moreno-Agostino, D; Miret, M; Caballero, FF. ; Haro, JM; Ayuso Mateos, JL. The relationship between all-cause mortality and depression in different gender and age groups of the Spanish population Artículo de revista Journal of Affective Disorders, 266 , pp. 424-428, 2020. Resumen | Enlaces | BibTeX | Etiquetas: . @article{Cabello2020, title = {The relationship between all-cause mortality and depression in different gender and age groups of the Spanish population }, author = {Cabello, M. and Borges,G. and Lara, L. and Olaya,B. and Mart\'{i}n-Maria, N. and Moreno-Agostino, D. and Miret,M. and Caballero, FF. and Haro,JM and Ayuso Mateos, JL. }, url = {https://www.sciencedirect.com/science/article/abs/pii/S0165032719330447 https://doi.org/10.1016/j.jad.2020.01.162}, year = {2020}, date = {2020-04-01}, journal = {Journal of Affective Disorders}, volume = {266}, pages = {424-428}, abstract = {Background Literature has shown that the effect of depression on all-cause mortality is stronger in men. However, it is less clear whether depression affects older and younger people equally. The present study is aimed to analyze whether depression is associated to all-cause mortality in different age and gender groups. Methods We analyzed a nationally representative sample of the Spanish adult population that was followed-up on for a period of 6 years (n = 4583). Unadjusted and adjusted cox proportional hazard regression models were conducted to test whether baseline depression was associated to all-cause mortality in the total sample and in the different gender and age specific groups, separately. Results Unadjusted analyses revealed that depression was associated with higher likelihood of having a shorter survival and dying, in the total sample and in both groups of men (18\textendash64 and 65+ years). However, adjusted analyses stratified by age groups and gender revealed that depression was only a significant factor for all-cause mortality in 18\textendash64 aged men (HR: 6.11; 95%CI= 2.16,17.23). Limitations Cause-specific mortality was not examined. Young adults and middle-aged participants were not analyzed separately. Conclusions The depression and all-cause mortality relationship was only found among young and middle-aged men. Further studies should consider whether the significant association between depression and all-cause mortality in young and middle-aged men is due to a behavior of seeking help less, the way depression is shaped in adult men, or to other clinical or health-system related factors.}, keywords = {.}, pubstate = {published}, tppubtype = {article} } Background Literature has shown that the effect of depression on all-cause mortality is stronger in men. However, it is less clear whether depression affects older and younger people equally. The present study is aimed to analyze whether depression is associated to all-cause mortality in different age and gender groups. Methods We analyzed a nationally representative sample of the Spanish adult population that was followed-up on for a period of 6 years (n = 4583). Unadjusted and adjusted cox proportional hazard regression models were conducted to test whether baseline depression was associated to all-cause mortality in the total sample and in the different gender and age specific groups, separately. Results Unadjusted analyses revealed that depression was associated with higher likelihood of having a shorter survival and dying, in the total sample and in both groups of men (18–64 and 65+ years). However, adjusted analyses stratified by age groups and gender revealed that depression was only a significant factor for all-cause mortality in 18–64 aged men (HR: 6.11; 95%CI= 2.16,17.23). Limitations Cause-specific mortality was not examined. Young adults and middle-aged participants were not analyzed separately. Conclusions The depression and all-cause mortality relationship was only found among young and middle-aged men. Further studies should consider whether the significant association between depression and all-cause mortality in young and middle-aged men is due to a behavior of seeking help less, the way depression is shaped in adult men, or to other clinical or health-system related factors. |
Nordmyr, J; Creswell-Smith, J; Donisi, V; Lara E, Martín-María N; Nyholm, L; Forsman, A K Mental well-being among the oldest old: revisiting the model of healthy ageing in a Finnish context. Artículo de revista International Journal of Qualitative Studies on Health and Well-being, 15 (1), pp. 1734276, 2020, ISSN: NULL-. Resumen | Enlaces | BibTeX | Etiquetas: . @article{Nordmyr2020, title = {Mental well-being among the oldest old: revisiting the model of healthy ageing in a Finnish context.}, author = {Nordmyr,J and Creswell-Smith, J and Donisi, V and Lara, E ,Mart\'{i}n-Mar\'{i}a, N and Nyholm,L and Forsman, A.K.}, url = {https://www.tandfonline.com/doi/full/10.1080/17482631.2020.1734276}, doi = {10.1080/17482631.2020.1734276}, issn = {NULL-}, year = {2020}, date = {2020-03-02}, journal = {International Journal of Qualitative Studies on Health and Well-being}, volume = {15}, number = {1}, pages = {1734276}, abstract = {ABSTRACT Purpose: This study aimed to examine how participants aged 80 years old or over describe their mental well-being\textemdashexploring the suitability of the model of healthy ageing when outlining the mental well-being concept. Methods: Six structured focus group interviews with 28 participants were conducted in Western Finland in 2017. Qualitative content analysis was performed, where both manifest and latent content was considered in a process involving meaning condensation and coding, followed by categorization. Results: The healthy ageing model constituted a useful framework for the conceptualization of mental well-being, illustrating the links between these two constructs. The analysis resulted in a four-dimensional model of mental well-being in oldest old age, the key components being: Activities\textemdashenjoyment and fulfilment; Capability\textemdashfunctioning and independence; Orientation\textemdashawareness, shifted perspectives and values; and Connectedness\textemdashsense of belonging. Conclusions: Although functional status plays an important role for well-being in general, it is not the principal component of self-reported mental well-being within the heterogeneous group of the oldest old. Further, many persons in this age group do not view themselves as passive or dependent, on the contrary, they underline the importance of empowering attitudes, a positive mindset and actively creating circumstances which support their mental well-being.}, keywords = {.}, pubstate = {published}, tppubtype = {article} } ABSTRACT Purpose: This study aimed to examine how participants aged 80 years old or over describe their mental well-being—exploring the suitability of the model of healthy ageing when outlining the mental well-being concept. Methods: Six structured focus group interviews with 28 participants were conducted in Western Finland in 2017. Qualitative content analysis was performed, where both manifest and latent content was considered in a process involving meaning condensation and coding, followed by categorization. Results: The healthy ageing model constituted a useful framework for the conceptualization of mental well-being, illustrating the links between these two constructs. The analysis resulted in a four-dimensional model of mental well-being in oldest old age, the key components being: Activities—enjoyment and fulfilment; Capability—functioning and independence; Orientation—awareness, shifted perspectives and values; and Connectedness—sense of belonging. Conclusions: Although functional status plays an important role for well-being in general, it is not the principal component of self-reported mental well-being within the heterogeneous group of the oldest old. Further, many persons in this age group do not view themselves as passive or dependent, on the contrary, they underline the importance of empowering attitudes, a positive mindset and actively creating circumstances which support their mental well-being. |
Martín-María, N; Félix Caballero, F; Miret, M; Tyrovolas, S; Haro, JM. ; Ayuso-Mateos, JL.; Chatterji, S Differential impact of transient and chronic loneliness on health status. A longitudinal study Artículo de revista Psychology & Health, 35 (2), pp. 177-95, 2020. Resumen | Enlaces | BibTeX | Etiquetas: . @article{Mart\'{i}n-Mar\'{i}a2020, title = {Differential impact of transient and chronic loneliness on health status. A longitudinal study}, author = {Mart\'{i}n-Mar\'{i}a,N. and F\'{e}lix Caballero,F. and Miret, M. and Tyrovolas,S. and Haro, JM. and Ayuso-Mateos,JL. and Chatterji, S.}, editor = {Routledge}, url = {https://www.tandfonline.com/doi/abs/10.1080/08870446.2019.1632312 https://doi.org/10.1080/08870446.2019.1632312}, year = {2020}, date = {2020-02-01}, journal = {Psychology & Health}, volume = {35}, number = {2}, pages = {177-95}, abstract = {Objective: Loneliness is associated with worse health status outcomes. Yet, the present study is one of the first to identify how patterns of loneliness (transient and chronic) are associated with health over time. Design: A total of 2,390 individuals were interviewed in 2011\textendash2012 and 2014\textendash2015 in a follow-up study conducted over a nationally representative sample of Spain. After confirming a longitudinal relationship between loneliness and health status, a growth curve mixture modeling was used to examine health trajectories. Main outcome measures: The three-item UCLA Loneliness Scale was used to assess loneliness. Health status was measured with self-reported questions regarding ten domains (vision, mobility, and self-care, among others), and seven measured tests (including grip strength, walking speed and immediate and delayed verbal recall). Results: A quarter of participants were lonely at baseline. Both the group of transient and chronic loneliness showed a negative significant relationship with health status at follow-up, (β = −0.063 and β = −0.075 respectively, p < 0.001). Nevertheless, the health status did not change across time in any group. Conclusion: People experiencing chronic loneliness had the worst health status. Different patterns of loneliness could benefit from the appropriate interventions.}, keywords = {.}, pubstate = {published}, tppubtype = {article} } Objective: Loneliness is associated with worse health status outcomes. Yet, the present study is one of the first to identify how patterns of loneliness (transient and chronic) are associated with health over time. Design: A total of 2,390 individuals were interviewed in 2011–2012 and 2014–2015 in a follow-up study conducted over a nationally representative sample of Spain. After confirming a longitudinal relationship between loneliness and health status, a growth curve mixture modeling was used to examine health trajectories. Main outcome measures: The three-item UCLA Loneliness Scale was used to assess loneliness. Health status was measured with self-reported questions regarding ten domains (vision, mobility, and self-care, among others), and seven measured tests (including grip strength, walking speed and immediate and delayed verbal recall). Results: A quarter of participants were lonely at baseline. Both the group of transient and chronic loneliness showed a negative significant relationship with health status at follow-up, (β = −0.063 and β = −0.075 respectively, p < 0.001). Nevertheless, the health status did not change across time in any group. Conclusion: People experiencing chronic loneliness had the worst health status. Different patterns of loneliness could benefit from the appropriate interventions. |
Iglesias García, C; López García, P; Ayuso Mateos, JL.; García, JA.; Bobes, J Detección de ansiedad y depresión en Atención Primaria: utilidad de 2 escalas breves adaptadas a los nuevos criterios CIE-11-AP. Artículo de revista Rev. psiquiatr. salud ment.(Barc., Ed. impr.), 2020. Resumen | Enlaces | BibTeX | Etiquetas: . @article{Garc\'{i}a2020, title = {Detecci\'{o}n de ansiedad y depresi\'{o}n en Atenci\'{o}n Primaria: utilidad de 2 escalas breves adaptadas a los nuevos criterios CIE-11-AP.}, author = {Iglesias Garc\'{i}a, C. and , L\'{o}pez Garc\'{i}a,P. and Ayuso Mateos,JL. and Garc\'{i}a,JA. and Bobes, J}, url = {https://www.sciencedirect.com/science/article/pii/S1888989120300148 https://doi.org/10.1016/j.rpsm.2019.12.001}, year = {2020}, date = {2020-02-01}, journal = {Rev. psiquiatr. salud ment.(Barc., Ed. impr.)}, abstract = {Introduction The World Health Organization has developed a new classification of mental disorders in Primary Health Care (PHC), the ICD-11-PHC, in which there are changes in the diagnostic criteria of anxiety and depression disorder. In addition, 2 screening instruments have been developed for the detection of anxious and depressive symptoms according to the criteria of the new classification. Objectives To evaluate the capacity of the Spanish version of the 2 brief scales Dep5 and Anx5 to identify cases of depression and anxiety in PHC in Spain. Method A cross-sectional study conducted by 37 PHC physicians who selected 284 patients with suspected emotional distress. This sample was administered the screening scales (Anx5 and Dep5) and a diagnostic instrument (Clinical Interview Schedule-Revised) contemplating the new ICD-11 criteria as used as gold standard. Results The Anx5, using a cut-off point of 3, showed a sensitivity of 0.75 and specificity of 0.53. Using a cut-off point of 4, the Dep5 showed a sensitivity of 0.48 and a specificity of 0.8. The 2 scales together, with a cut-off point of 3 for each, classified correctly 73,57% as cases or non-cases. The diagnosis most frequently observed was anxious depression. Conclusions The screening scales for anxious and depressive symptoms (Anx5 and Dep5) are simple and easy-to-use instruments for assessing anxious and depressive symptoms in PHC. The reliability and validity data of each of the scales separately are limited but the figures improve when they are used together.}, keywords = {.}, pubstate = {published}, tppubtype = {article} } Introduction The World Health Organization has developed a new classification of mental disorders in Primary Health Care (PHC), the ICD-11-PHC, in which there are changes in the diagnostic criteria of anxiety and depression disorder. In addition, 2 screening instruments have been developed for the detection of anxious and depressive symptoms according to the criteria of the new classification. Objectives To evaluate the capacity of the Spanish version of the 2 brief scales Dep5 and Anx5 to identify cases of depression and anxiety in PHC in Spain. Method A cross-sectional study conducted by 37 PHC physicians who selected 284 patients with suspected emotional distress. This sample was administered the screening scales (Anx5 and Dep5) and a diagnostic instrument (Clinical Interview Schedule-Revised) contemplating the new ICD-11 criteria as used as gold standard. Results The Anx5, using a cut-off point of 3, showed a sensitivity of 0.75 and specificity of 0.53. Using a cut-off point of 4, the Dep5 showed a sensitivity of 0.48 and a specificity of 0.8. The 2 scales together, with a cut-off point of 3 for each, classified correctly 73,57% as cases or non-cases. The diagnosis most frequently observed was anxious depression. Conclusions The screening scales for anxious and depressive symptoms (Anx5 and Dep5) are simple and easy-to-use instruments for assessing anxious and depressive symptoms in PHC. The reliability and validity data of each of the scales separately are limited but the figures improve when they are used together. |
Pitkänen, T; Levola, JM. ; de la Fuente, J; Cabello, M Identifying psychosocial difficulties of inpatients with substance use disorders: evaluation of the usefulness of the PARADISE24 for clinical practise Artículo de revista Journal Disability and Rehabilitation , 42 , pp. 130-136, 2020. Resumen | Enlaces | BibTeX | Etiquetas: . @article{Pitk\"{a}nen2020, title = {Identifying psychosocial difficulties of inpatients with substance use disorders: evaluation of the usefulness of the PARADISE24 for clinical practise}, author = {Pitk\"{a}nen, T. and Levola, JM. and de la Fuente, J. and Cabello, M. }, url = {https://www.tandfonline.com/doi/abs/10.1080/09638288.2018.1493543 https://doi.org/10.1080/09638288.2018.1493543}, year = {2020}, date = {2020-02-01}, journal = {Journal Disability and Rehabilitation }, volume = {42}, pages = {130-136}, abstract = {Purpose: Improvements in overall functioning and well-being are important goals in the treatment of substance use disorders. The aim of the current study was to evaluate the usefulness of the PARADISE24 instrument for studying the scope and severity of psychosocial difficulties by comparing the results with other measures in the context of substance use disorders. Materials and methods: This cross-sectional study included two independent inpatient samples. The first sample consisted of 80 interviews including the PARADISE24 and 10 other measures. The second sample consisted of the responses of 1082 inpatients to a self-administered PARADISE24 questionnaire. Results: Inpatients with substance use disorders had experienced a wide range of psychosocial difficulties and the two samples produced similar results. Highest scores were observed for emotional difficulties. The PARADISE24 showed convergent validity with measures of disability and depressive symptoms and discriminant validity with personality traits and environmental factors (i.e., social support and caretaker’s empathy). Psychosocial difficulties were inversely associated with quality of life and self-assessed health. Conclusion: The PARADISE24 provides a wide range of useful information on psychosocial difficulties for clinical work and it can be used as a self-administered questionnaire in the evaluation and treatment of substance use disorders. Implications for rehabilitation Individuals undergoing inpatient treatment for substance use disorders experience various and severe psychosocial difficulties. The PARADISE24 is an evidence-based instrument for assessing the scope and severity of 24 common psychosocial difficulties among neurological and psychiatric disorders. The PARADISE24 also offers a time-efficient method which can be used as a self-administered questionnaire in the context of substance use disorders. Comparison between the PARADISE24 and 10 commonly used measures showed that the PARADISE24 covered a wide variety of clinically relevant issues in one questionnaire.}, keywords = {.}, pubstate = {published}, tppubtype = {article} } Purpose: Improvements in overall functioning and well-being are important goals in the treatment of substance use disorders. The aim of the current study was to evaluate the usefulness of the PARADISE24 instrument for studying the scope and severity of psychosocial difficulties by comparing the results with other measures in the context of substance use disorders. Materials and methods: This cross-sectional study included two independent inpatient samples. The first sample consisted of 80 interviews including the PARADISE24 and 10 other measures. The second sample consisted of the responses of 1082 inpatients to a self-administered PARADISE24 questionnaire. Results: Inpatients with substance use disorders had experienced a wide range of psychosocial difficulties and the two samples produced similar results. Highest scores were observed for emotional difficulties. The PARADISE24 showed convergent validity with measures of disability and depressive symptoms and discriminant validity with personality traits and environmental factors (i.e., social support and caretaker’s empathy). Psychosocial difficulties were inversely associated with quality of life and self-assessed health. Conclusion: The PARADISE24 provides a wide range of useful information on psychosocial difficulties for clinical work and it can be used as a self-administered questionnaire in the evaluation and treatment of substance use disorders. Implications for rehabilitation Individuals undergoing inpatient treatment for substance use disorders experience various and severe psychosocial difficulties. The PARADISE24 is an evidence-based instrument for assessing the scope and severity of 24 common psychosocial difficulties among neurological and psychiatric disorders. The PARADISE24 also offers a time-efficient method which can be used as a self-administered questionnaire in the context of substance use disorders. Comparison between the PARADISE24 and 10 commonly used measures showed that the PARADISE24 covered a wide variety of clinically relevant issues in one questionnaire. |
Moreno-Agostino, D; de la Fuente, J; Leonardi, M; Koskinen, S; Tobiasz-Adamczyk, B; Sánchez-Niubò, A; Chatterji, S; Haro, J M; Ayuso-Mateos, J L; Miret, M Mediators of the socioeconomic status and life satisfaction relationship in older adults: a multi-country structural equation modeling approach Artículo de revista Aging & mental health, (9), pp. 1-8, 2020. Resumen | Enlaces | BibTeX | Etiquetas: @article{D2020, title = {Mediators of the socioeconomic status and life satisfaction relationship in older adults: a multi-country structural equation modeling approach}, author = {Moreno-Agostino, D. and de la Fuente, J. and Leonardi, M. and Koskinen, S. and Tobiasz-Adamczyk, B. and S\'{a}nchez-Niub\`{o}, A. and Chatterji, S. and Haro, J.M. and Ayuso-Mateos, J.L. and Miret, M.}, url = {https://www.tandfonline.com/doi/full/10.1080/13607863.2019.1698513}, doi = {10.1080/13607863.2019.1698513}, year = {2020}, date = {2020-01-09}, journal = {Aging & mental health}, number = {9}, pages = {1-8}, abstract = {Objectives: Socioeconomic status (SES) relates to life satisfaction in old age, although the underlying mechanisms remain unclear. Health and subjective social status have shown to be related to both SES and life satisfaction. This study aims to test the mediating role of health and subjective social status in old age, and to analyze if these potential mediations vary among three European countries with different socioeconomic characteristics and welfare regimes. Method: The sample comprised 7,272 participants aged 50+ from COURAGE in Europe study, a household survey carried out in 2011\textendash2012 on nationally representative samples from Finland, Poland, and Spain. A Multiple Indicators, Multiple Causes approach based on multi-group Structural Equation Modeling was implemented to test mediating effects. Results: The structural invariance model showed an adequate fit (CFI = 0.971, RMSEA = 0.061). Health and subjective social status invariantly mediated the relationship between SES and life satisfaction across countries with different socioeconomic characteristics and welfare regimes. SES direct effects explained 0.83\textendash0.85% of life satisfaction variance, whilst indirect effects explained 2.29\textendash2.36% of life satisfaction variance via health, 3.30\textendash3.42% via subjective social status, and 0.06% via both mediating variables. Conclusion: Policies aimed at increasing the SES of the older adults may entail multiple benefits, resulting in better subjective social status, health, and life satisfaction outcomes, thus fostering healthy aging of the population.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objectives: Socioeconomic status (SES) relates to life satisfaction in old age, although the underlying mechanisms remain unclear. Health and subjective social status have shown to be related to both SES and life satisfaction. This study aims to test the mediating role of health and subjective social status in old age, and to analyze if these potential mediations vary among three European countries with different socioeconomic characteristics and welfare regimes. Method: The sample comprised 7,272 participants aged 50+ from COURAGE in Europe study, a household survey carried out in 2011–2012 on nationally representative samples from Finland, Poland, and Spain. A Multiple Indicators, Multiple Causes approach based on multi-group Structural Equation Modeling was implemented to test mediating effects. Results: The structural invariance model showed an adequate fit (CFI = 0.971, RMSEA = 0.061). Health and subjective social status invariantly mediated the relationship between SES and life satisfaction across countries with different socioeconomic characteristics and welfare regimes. SES direct effects explained 0.83–0.85% of life satisfaction variance, whilst indirect effects explained 2.29–2.36% of life satisfaction variance via health, 3.30–3.42% via subjective social status, and 0.06% via both mediating variables. Conclusion: Policies aimed at increasing the SES of the older adults may entail multiple benefits, resulting in better subjective social status, health, and life satisfaction outcomes, thus fostering healthy aging of the population. |
2019 |
Domènech-Abella, J; Mundó, J; Leonardi, M; Chatterji, S; Tobiasz- Adamczyk, T; Koskinen, S; Ayuso-Mateos, J L; Maria Haro, J; Olaya, B Loneliness and depression among older European adults: the role of perceived neighborhood built environment (in press) Artículo de revista Health and Place, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Dom\`{e}nech-Abella2019b, title = {Loneliness and depression among older European adults: the role of perceived neighborhood built environment (in press)}, author = {Dom\`{e}nech-Abella, J and Mund\'{o}, J and Leonardi, M and Chatterji, S and Tobiasz- Adamczyk, T and Koskinen, S and Ayuso-Mateos, J L and Maria Haro, J and Olaya, B. }, url = {https://www.sciencedirect.com/science/article/pii/S1353829219301108?via%3Dihub}, doi = {10.1016/j.healthplace.2019.102280}, year = {2019}, date = {2019-12-28}, journal = {Health and Place}, abstract = {Depression and loneliness act in a synergistic way among older adults. We tested two indicators of the perceived neighborhood built environment (BE) as moderators of the association between these conditions in older European adults. Positive perceptions of neighborhood BE were related to lower levels of loneliness but not to major depressive disorder (MDD). Reporting low BE usability was significantly related to a higher likelihood of feeling lonely except for those suffering from MDD, whereas reporting low BE walkability was significantly related with a high likelihood of loneliness particularly among those with MDD. Therefore, improving neighborhood BE and, specifically, its walkability, might result in a reduction in the prevalence of loneliness.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Depression and loneliness act in a synergistic way among older adults. We tested two indicators of the perceived neighborhood built environment (BE) as moderators of the association between these conditions in older European adults. Positive perceptions of neighborhood BE were related to lower levels of loneliness but not to major depressive disorder (MDD). Reporting low BE usability was significantly related to a higher likelihood of feeling lonely except for those suffering from MDD, whereas reporting low BE walkability was significantly related with a high likelihood of loneliness particularly among those with MDD. Therefore, improving neighborhood BE and, specifically, its walkability, might result in a reduction in the prevalence of loneliness. |
De la Torre-Luque, A; Ayuso-Mateos, JL ; Sánchez-Carro, Y; de la Fuente, J; López-García, P Inflammatory and metabolic disturbances are associated with more severe trajectories of late-life depression Artículo de revista Psychoneuroendocrinology, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{laTorre-Luque2019d, title = {Inflammatory and metabolic disturbances are associated with more severe trajectories of late-life depression }, author = {De la Torre-Luque, A and Ayuso-Mateos, JL and S\'{a}nchez-Carro, Y and de la Fuente, J and L\'{o}pez-Garc\'{i}a, P}, doi = {10.1016/j.psyneuen.2019.104443}, year = {2019}, date = {2019-12-01}, journal = {Psychoneuroendocrinology}, abstract = {Abstract Late-life depression is a highly prevalent mental health condition with devastating consequences even from its earliest stages. Alterations in physiological functions, such as inflammatory and metabolic, have been described in patients with depression. However, little is known on the association between depression symptom course and metabolic and inflammation dysregulation. This study aimed to depict the course of depression symptoms while ageing, taking into consideration inter-individual heterogeneity. Moreover, it intended to study the associations between inflammatory and metabolic risk profiles and symptom trajectories. To do so, data from 13,203 adults aged 50-90 years (52.75% women; mean age at baseline = 65.07, SD = 10.00) were used. Blood sample and blood pressure measures were taken from 1,536 participants (56.58% women; mean age at baseline = 61.73 years, sd = 7.64). Depression symptoms were assessed every two years across a 10-year follow-up. Trajectories were identified by means of latent class mixed modelling. Inflammation and metabolic risk profile scores were obtained from plasma and diagnostic-based indicators in the follow-up, using a robust latent-factor approach. Multigroup modelling was used to study the associations between the profiles and symptom trajectories. As a result, three heterogeneous trajectories of symptoms were identified (low-symptom, moderate-symptom and high-symptom trajectory). Participants depicting a high-symptom trajectory showed the greatest inflammation profile score and high metabolic risk. Moderate-symptom trajectory was also related to high inflammation and metabolic risk. To sum up, at-risk trajectories of symptoms were associated with high inflammation and risk of metabolic diseases. This study provides valuable evidence to advance personalised medicine and mental health precision, considering person-specific profiles and physiological concomitants.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Abstract Late-life depression is a highly prevalent mental health condition with devastating consequences even from its earliest stages. Alterations in physiological functions, such as inflammatory and metabolic, have been described in patients with depression. However, little is known on the association between depression symptom course and metabolic and inflammation dysregulation. This study aimed to depict the course of depression symptoms while ageing, taking into consideration inter-individual heterogeneity. Moreover, it intended to study the associations between inflammatory and metabolic risk profiles and symptom trajectories. To do so, data from 13,203 adults aged 50-90 years (52.75% women; mean age at baseline = 65.07, SD = 10.00) were used. Blood sample and blood pressure measures were taken from 1,536 participants (56.58% women; mean age at baseline = 61.73 years, sd = 7.64). Depression symptoms were assessed every two years across a 10-year follow-up. Trajectories were identified by means of latent class mixed modelling. Inflammation and metabolic risk profile scores were obtained from plasma and diagnostic-based indicators in the follow-up, using a robust latent-factor approach. Multigroup modelling was used to study the associations between the profiles and symptom trajectories. As a result, three heterogeneous trajectories of symptoms were identified (low-symptom, moderate-symptom and high-symptom trajectory). Participants depicting a high-symptom trajectory showed the greatest inflammation profile score and high metabolic risk. Moderate-symptom trajectory was also related to high inflammation and metabolic risk. To sum up, at-risk trajectories of symptoms were associated with high inflammation and risk of metabolic diseases. This study provides valuable evidence to advance personalised medicine and mental health precision, considering person-specific profiles and physiological concomitants. |
de la Torre-Luque, A; Fiol-Veny, A; Essau, C; Balle, M; X, Bornas Effects of a transdiagnostic cognitive behaviour therapy-based programme on the natural course of anxiety symptoms in adolescence Artículo de revista Journal of affective disorders, 2019. Resumen | Enlaces | BibTeX | Etiquetas: . @article{delaTorre-Luque2019d, title = {Effects of a transdiagnostic cognitive behaviour therapy-based programme on the natural course of anxiety symptoms in adolescence}, author = {de la Torre-Luque, A and Fiol-Veny, A and Essau, C and Balle, M and Bornas X}, url = {https://www.sciencedirect.com/science/article/abs/pii/S0165032719309851}, doi = {10.1016/j.jad.2019.11.078}, year = {2019}, date = {2019-11-14}, journal = {Journal of affective disorders}, abstract = {Background Anxiety disorders frequently have an onset during adolescence, which when left untreated could lead to a chronic course and outcome. This study aimed to examine the way in which a cognitive behaviour therapy-based programme (Super Skills for Life \textendash adolescent version; SSL-A) could change the course of anxiety symptoms through adolescent's behavioural performance and cardiac function. Method Sixty-one adolescents at risk of developing an anxiety disorder (45.30% boys; M = 13.76 years, SD = 0.32) were randomly assigned to either the intervention (IG), placebo (PG), or waitlist group (WG). Adolescents in the IG participated in SSL-A over an 8-week period. Adolescents in the PG participated in an 8-session school-work programme. Adolescents in the WG did not receive any intervention. Anxiety symptoms were assessed every six months, twice before intervention, as well as at post- and six months after the intervention. Participants in the IG additionally underwent a stressful task to assess behavioural performance and cardiac adjustment. Results Adolescents in the IG significantly reported lower levels of social phobia and generalised anxiety symptoms at the follow-up assessment compared to the adolescents in the PG and the WG. They also showed a significant improvement in vocal quality and lower discomfort during a stressful task at post-intervention, and showed attenuated cardiac recovery indexes, in terms of sample entropy. Limitations The study has a small sample size. Conclusion SSL-A changed natural course of anxiety symptoms, as shown by a significant reduction in social phobia and generalised anxiety symptoms, and a significant improvement in behaviour and physiological (cardiac) function during a stressful}, keywords = {.}, pubstate = {published}, tppubtype = {article} } Background Anxiety disorders frequently have an onset during adolescence, which when left untreated could lead to a chronic course and outcome. This study aimed to examine the way in which a cognitive behaviour therapy-based programme (Super Skills for Life – adolescent version; SSL-A) could change the course of anxiety symptoms through adolescent's behavioural performance and cardiac function. Method Sixty-one adolescents at risk of developing an anxiety disorder (45.30% boys; M = 13.76 years, SD = 0.32) were randomly assigned to either the intervention (IG), placebo (PG), or waitlist group (WG). Adolescents in the IG participated in SSL-A over an 8-week period. Adolescents in the PG participated in an 8-session school-work programme. Adolescents in the WG did not receive any intervention. Anxiety symptoms were assessed every six months, twice before intervention, as well as at post- and six months after the intervention. Participants in the IG additionally underwent a stressful task to assess behavioural performance and cardiac adjustment. Results Adolescents in the IG significantly reported lower levels of social phobia and generalised anxiety symptoms at the follow-up assessment compared to the adolescents in the PG and the WG. They also showed a significant improvement in vocal quality and lower discomfort during a stressful task at post-intervention, and showed attenuated cardiac recovery indexes, in terms of sample entropy. Limitations The study has a small sample size. Conclusion SSL-A changed natural course of anxiety symptoms, as shown by a significant reduction in social phobia and generalised anxiety symptoms, and a significant improvement in behaviour and physiological (cardiac) function during a stressful |
Prina, M; Panagiotakos, D; Prince, M; Bobak, M; Sanderson, W; Scherbov, S; Ayuso-Mateos, J L; J, Maria Haro An Introduction to the ATHLOS project: Ageing trajectories of health. Longitudinal opportunities and synergies Artículo de revista Innovation in Aging, 3 , 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Prina2019, title = {An Introduction to the ATHLOS project: Ageing trajectories of health. Longitudinal opportunities and synergies}, author = {Prina, M and Panagiotakos, D and Prince, M and Bobak, M and Sanderson, W and Scherbov, S and Ayuso-Mateos, J.L and Maria Haro J}, editor = {Oxford University Press}, url = {https://academic.oup.com/innovateage/article/3/Supplement_1/S798/5617624}, doi = {10.1093/geroni/igz038.2937}, year = {2019}, date = {2019-11-08}, journal = {Innovation in Aging}, volume = {3}, abstract = {Older adults differ widely both in the care they require and who they rely upon for care. We use data from the National Health and Aging Trends Study (2011; N=3,265; MAge [SD] = 77 [7.74] years, 62% women) to classify community-living older adults based on their care needs and the various informal and formal providers of care. We also examine the type of care they receive, predictors of this care, and its implications on their health. Older adults with a co-residing caregiver were more likely to report that their needs were not being met (OR = 1.67; 95% CI=1.15\textendash2.42), compared to those who received informal care and paid support. Moreover, older adults who needed help with self-care activities, but received help with household activities were more likely to report unmet needs (OR = 1.55; 95% CI=1.13\textendash2.12). Results are discussed in light of sociodemographic factors differences and mismatched support.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Older adults differ widely both in the care they require and who they rely upon for care. We use data from the National Health and Aging Trends Study (2011; N=3,265; MAge [SD] = 77 [7.74] years, 62% women) to classify community-living older adults based on their care needs and the various informal and formal providers of care. We also examine the type of care they receive, predictors of this care, and its implications on their health. Older adults with a co-residing caregiver were more likely to report that their needs were not being met (OR = 1.67; 95% CI=1.15–2.42), compared to those who received informal care and paid support. Moreover, older adults who needed help with self-care activities, but received help with household activities were more likely to report unmet needs (OR = 1.55; 95% CI=1.13–2.12). Results are discussed in light of sociodemographic factors differences and mismatched support. |
Robles, R; Lopez-Garcia, P; Miret, M; Cabello, M; Cisneros, E; Rizo, A; Ayuso-Mateos, J L; M.L., Medina-Mora WHO-mhGAP training in Mexico: Increasing knowledge and readiness for the identification and management of depression and suicide risk in primary care (accepted) Artículo de revista Archives of Medical Research, 50 (8), pp. 558-66, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Robles2019b, title = {WHO-mhGAP training in Mexico: Increasing knowledge and readiness for the identification and management of depression and suicide risk in primary care (accepted)}, author = {Robles, R and Lopez-Garcia, P and Miret, M and Cabello, M and Cisneros, E and Rizo, A and Ayuso-Mateos, J.L and Medina-Mora M.L.}, url = {https://www.sciencedirect.com/science/article/abs/pii/S0188440919304680}, doi = {doi: 10.1016/j.arcmed.2019.12.008. }, year = {2019}, date = {2019-11-01}, journal = {Archives of Medical Research}, volume = {50}, number = {8}, pages = {558-66}, abstract = {Backgound In order to reduce the treatment gap of mental disorders, the World Health Organization (WHO) has proposed the mhGAP guidelines to be implemented globally. Aim of the study To examine the effectivity of a training course based on the WHO-mhGAP guidelines to increase knowledge and readiness for identification and management of depression and suicide risk in primary care (PC) in Mexico. Methods PC clinicians were invited to participate in a traning course; before and after it, all completed an evaluation of knowledge of mhGAP and depression (0-10 points), and self-efficacy in suicide risk management (0\textendash40 points), and were classified according to Prochaska and Diclemente transtheorical model in their particular stage of readiness for identification and management of these conditions. Results The sample included 60 health professionals. Before training, clinicians had adequate knowledge of depression and its treatment (8.1 ± 1.66), but not on the mhGAP model and/or suicide risk management, which increased by the end of training (mhGAPpre:7.91 ± 2.19 vs. mhGAPpost:8.77 ± 1.34, p = 0.01; SuicidePRE:29.16 ± 9.35 vs. SuicidePOST:39.24 ± 6.83, p = 0.0001). Before training, most clinicians were at the contemplation stage (42.6% vs. 37.7% at the action and 19.7% at the precontemplation stage). By the end of the training, a decrease in the number of clinicians at both the contemplation and precontemplation stages (to 36.1% and to zero, respectively) and a significant increase of clinicians at the action stage (to 63.9%) was observed. Conclusions: A training course based on the WHO-mhGAP could be an effective tool for increasing PC clinicians’ willingness to implement mental health services.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Backgound In order to reduce the treatment gap of mental disorders, the World Health Organization (WHO) has proposed the mhGAP guidelines to be implemented globally. Aim of the study To examine the effectivity of a training course based on the WHO-mhGAP guidelines to increase knowledge and readiness for identification and management of depression and suicide risk in primary care (PC) in Mexico. Methods PC clinicians were invited to participate in a traning course; before and after it, all completed an evaluation of knowledge of mhGAP and depression (0-10 points), and self-efficacy in suicide risk management (0–40 points), and were classified according to Prochaska and Diclemente transtheorical model in their particular stage of readiness for identification and management of these conditions. Results The sample included 60 health professionals. Before training, clinicians had adequate knowledge of depression and its treatment (8.1 ± 1.66), but not on the mhGAP model and/or suicide risk management, which increased by the end of training (mhGAPpre:7.91 ± 2.19 vs. mhGAPpost:8.77 ± 1.34, p = 0.01; SuicidePRE:29.16 ± 9.35 vs. SuicidePOST:39.24 ± 6.83, p = 0.0001). Before training, most clinicians were at the contemplation stage (42.6% vs. 37.7% at the action and 19.7% at the precontemplation stage). By the end of the training, a decrease in the number of clinicians at both the contemplation and precontemplation stages (to 36.1% and to zero, respectively) and a significant increase of clinicians at the action stage (to 63.9%) was observed. Conclusions: A training course based on the WHO-mhGAP could be an effective tool for increasing PC clinicians’ willingness to implement mental health services. |
Mayoral‐van Son, J; Juncal‐Ruiz, M; Ortiz‐García de la Foz, V; Cantarero‐Prieto, D; Blázquez‐Fernández, C; Paz‐Zulueta, M; Paras‐Bravo, P; Ayuso‐Mateos, J L; Crespo‐Facorro, B Understanding the direct and indirect costs of a first episode of psychosis program: Insights from PAFIP of Cantabria, Spain, during the first year of intervention Artículo de revista Early intervention in psychiatry, 13 (5), 2019. @article{Son2019, title = {Understanding the direct and indirect costs of a first episode of psychosis program: Insights from PAFIP of Cantabria, Spain, during the first year of intervention}, author = {Mayoral‐van Son, J and Juncal‐Ruiz, M and Ortiz‐Garc\'{i}a de la Foz, V and Cantarero‐Prieto, D and Bl\'{a}zquez‐Fern\'{a}ndez, C and Paz‐Zulueta, M and Paras‐Bravo, P and Ayuso‐Mateos, J.L and Crespo‐Facorro, B}, editor = {Wiley Publishing Asia Pty Ltd}, url = {https://onlinelibrary.wiley.com/doi/full/10.1111/eip.12752}, doi = {10.1111/eip.12752}, year = {2019}, date = {2019-10-30}, journal = {Early intervention in psychiatry}, volume = {13}, number = {5}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
de la Torre-Luque, A; Balle, M; Fiol-Veny, A; Bornas, X; Sesé, A Assessing adolescents' internalizing symptoms using virtual social networks: A format equivalence study of the Revised Child Anxiety and Depression Scale. Artículo de revista Behavioral Psychology, 27 (1), 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaTorre-Luque2019c, title = {Assessing adolescents' internalizing symptoms using virtual social networks: A format equivalence study of the Revised Child Anxiety and Depression Scale.}, author = {de la Torre-Luque, A and Balle, M and Fiol-Veny, A and Bornas, X and Ses\'{e}, A.}, url = {https://www.behavioralpsycho.com/wp-content/uploads/2019/04/01.de-la-Torre_27-1rEn.pdf}, year = {2019}, date = {2019-10-30}, journal = {Behavioral Psychology}, volume = {27}, number = {1}, abstract = {The widespread use of virtual social networks (VSN) by adolescents makes it possible to conduct psychological assessments or health promotion using these platforms. However, psychometric properties of them should be validated. This study aimed to test the feasibility of administering the Revised Child Anxiety and Depression Scale (RCADS) over a secure social network, while preserving its original psychometric properties. To do so, a sample of 703 adolescents (M= 13.86 years, SD= .49) completed the questionnaire either over a social network or using paper and pencil. We tested a two-way format equivalence: quantitative equivalence (comparing score distributions across versions); and qualitative or conceptual equivalence (comparing the between-factor correlations between versions and measurement invariance). As a result, no difference was found between the score distributions of the two versions and between-factor intercorrelations with similar patterns in both versions. Finally, both methods for administering the RCADS showed an adequate fit with their theoretical latent structure, thus preserving format equivalence. To sum up, VSN may, therefore, constitute appropriate contexts for conducting psychological assessment and research among adolescents.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The widespread use of virtual social networks (VSN) by adolescents makes it possible to conduct psychological assessments or health promotion using these platforms. However, psychometric properties of them should be validated. This study aimed to test the feasibility of administering the Revised Child Anxiety and Depression Scale (RCADS) over a secure social network, while preserving its original psychometric properties. To do so, a sample of 703 adolescents (M= 13.86 years, SD= .49) completed the questionnaire either over a social network or using paper and pencil. We tested a two-way format equivalence: quantitative equivalence (comparing score distributions across versions); and qualitative or conceptual equivalence (comparing the between-factor correlations between versions and measurement invariance). As a result, no difference was found between the score distributions of the two versions and between-factor intercorrelations with similar patterns in both versions. Finally, both methods for administering the RCADS showed an adequate fit with their theoretical latent structure, thus preserving format equivalence. To sum up, VSN may, therefore, constitute appropriate contexts for conducting psychological assessment and research among adolescents. |
de la Torre-Luque, A; Fiol-Veny, A; Balle, M; Nelemans, S A; Bornas, X Anxiety in Early Adolescence: Heterogeneous Developmental Trajectories, Associations with Risk Factors and Depressive Symptoms Artículo de revista Child Psychiatry Hum Dev, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaTorre-Luque2019b, title = {Anxiety in Early Adolescence: Heterogeneous Developmental Trajectories, Associations with Risk Factors and Depressive Symptoms}, author = {de la Torre-Luque, A and Fiol-Veny, A and Balle, M and Nelemans, S. A and Bornas, X.}, url = {https://www.ncbi.nlm.nih.gov/pubmed/31630311}, doi = {10.1007/s10578-019-00936-y}, year = {2019}, date = {2019-10-19}, journal = {Child Psychiatry Hum Dev}, abstract = {This study aimed: (1) to identify heterogeneous trajectories of anxiety symptoms in early adolescence; (2) to analyze the relationships between risk factors and identified trajectories; (3) to study the association between anxiety symptom trajectories and depression symptom course. Anxiety and depressive symptoms of 825 participants (44.40% boys; mean initial age = 13.01, SD = 0.56) was assessed every 6 months over an 18-month period. Trajectory identification relied on latent-variable approach. As a result, 2-4 trajectories were identified for social phobia (SP), generalized anxiety (GA) and panic symptoms, revealing at least a low-symptom course and a trajectory of elevated symptoms (at-risk trajectory). Being girl and sibling cohabitation were related to at-risk trajectories, and a course of low effortful control and heightened negative affectivity. Finally, SP and GA symptoms were related to heightened depressive symptom courses. Relevant implications towards tailored prevention and intervention are highlighted to promote a healthy development across adolescence.}, keywords = {}, pubstate = {published}, tppubtype = {article} } This study aimed: (1) to identify heterogeneous trajectories of anxiety symptoms in early adolescence; (2) to analyze the relationships between risk factors and identified trajectories; (3) to study the association between anxiety symptom trajectories and depression symptom course. Anxiety and depressive symptoms of 825 participants (44.40% boys; mean initial age = 13.01, SD = 0.56) was assessed every 6 months over an 18-month period. Trajectory identification relied on latent-variable approach. As a result, 2-4 trajectories were identified for social phobia (SP), generalized anxiety (GA) and panic symptoms, revealing at least a low-symptom course and a trajectory of elevated symptoms (at-risk trajectory). Being girl and sibling cohabitation were related to at-risk trajectories, and a course of low effortful control and heightened negative affectivity. Finally, SP and GA symptoms were related to heightened depressive symptom courses. Relevant implications towards tailored prevention and intervention are highlighted to promote a healthy development across adolescence. |
Domènech-Abella, J; Mundó, J; Miret, M; Ayuso-Mateos, J L; Sánchez-Niubò, A; Abduljabbar, A S; Maria Haro, J; Olaya, B From childhood financial hardship to late-life depression: socioeconomic pathways Artículo de revista Aging & mental health, pp. 1-8, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Dom\`{e}nech-Abella2019, title = {From childhood financial hardship to late-life depression: socioeconomic pathways}, author = {Dom\`{e}nech-Abella, J and Mund\'{o}, J and Miret, M and Ayuso-Mateos, J.L and S\'{a}nchez-Niub\`{o}, A and Abduljabbar, A.S and Maria Haro, J and Olaya, B}, editor = {Routledge}, url = {https://www.tandfonline.com/doi/full/10.1080/13607863.2019.1671313}, doi = {10.1080/13607863.2019.1671313}, year = {2019}, date = {2019-10-09}, journal = {Aging & mental health}, pages = {1-8}, abstract = {Objective: Childhood financial hardship is associated with depression throughout the life course, including older adulthood. However, it is still unclear the extent to which occupation, education level and household income are mediators of this association. We aimed to examine the association between childhood financial hardship and late-life depression, and potential socioeconomic mediators using community-based data. Methods: A nationally representative sample of 3623 non-institutionalized older Spanish adults aged 50+ was used. The associations between childhood financial hardship and depression, socioeconomic mediator variables and confounding variables such as chronic physical conditions, number of close people, and loneliness, were assessed through logistic regression models. Mediation analyses of socioeconomic variables were carried out. Results: Older Spanish adults who experienced a poor childhood financial situation were nine times more likely to obtain a lower level of education than those with a good childhood financial situation, and about three times more likely to suffer from depression. Participants’ education level mediated about 35\textendash40% of the association between childhood financial hardship and late-life depression whereas we found no significant mediation effect of household income and occupation skill. Conclusion: Improving access to the educational system during the life course might result in a reduction in the prevalence of depression in the general population of older adults and particularly among individuals with low socioeconomic status.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective: Childhood financial hardship is associated with depression throughout the life course, including older adulthood. However, it is still unclear the extent to which occupation, education level and household income are mediators of this association. We aimed to examine the association between childhood financial hardship and late-life depression, and potential socioeconomic mediators using community-based data. Methods: A nationally representative sample of 3623 non-institutionalized older Spanish adults aged 50+ was used. The associations between childhood financial hardship and depression, socioeconomic mediator variables and confounding variables such as chronic physical conditions, number of close people, and loneliness, were assessed through logistic regression models. Mediation analyses of socioeconomic variables were carried out. Results: Older Spanish adults who experienced a poor childhood financial situation were nine times more likely to obtain a lower level of education than those with a good childhood financial situation, and about three times more likely to suffer from depression. Participants’ education level mediated about 35–40% of the association between childhood financial hardship and late-life depression whereas we found no significant mediation effect of household income and occupation skill. Conclusion: Improving access to the educational system during the life course might result in a reduction in the prevalence of depression in the general population of older adults and particularly among individuals with low socioeconomic status. |
Lopez-Garcia, P; Ashby, S; Patel, P; Pierce, K M; Meyer, M; Rosenthal A Titone, M; Carter, C; Niendam, T Clinical and neurodevelopmental correlates of aggression in early psychosis. Artículo de revista Schizophr Res, (212), pp. 171-176, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Lopez-Garcia2019, title = {Clinical and neurodevelopmental correlates of aggression in early psychosis.}, author = {Lopez-Garcia, P and Ashby, S and Patel, P and Pierce, K. M and Meyer, M and Rosenthal, A Titone, M and Carter, C and Niendam, T. }, url = {https://www.ncbi.nlm.nih.gov/pubmed/31387826}, doi = {10.1016/j.schres.2019.07.045}, year = {2019}, date = {2019-10-01}, journal = {Schizophr Res}, number = {212}, pages = {171-176}, abstract = {BACKGROUND: Although mental illness accounts for only 4% of aggressive behavior in the general population, there remains a modest association between aggressive behavior and psychotic disorders, particularly in the early stages of the illness. However, little is known about the specific factors associated to this increased risk. AIMS: The present study aims to assess the rates, characteristics and risk factors of aggressive behavior in first episode psychosis patients (FEP). METHOD: We conducted a retrospective chart review of 449 FEP patients recruited from an outpatient early psychosis clinic. Aggressive behavior and clinical information were rated based upon information gathered from the chart review of data collected at baseline and after 6 months of follow-up. RESULTS: Rates of aggressive behavior were 54.3% in FEP patients. Aggressive behavior was significantly associated with higher rates of history of birth complications, neurodevelopmental delays, learning difficulties, alcohol use disorders, and the clinical domain of poverty symptoms. In addition to aggressive behavior, 16.7% of FEP patients exhibited suicidal ideation or behaviors and 11.4% exhibited non-suicidal self-injurious behavior (NSSIB). In contrast to baseline, aggressive behaviors at 6 months follow up were almost entirely absent. CONCLUSIONS: Patients at early stages of psychosis have high rates of aggressive and suicidal behavior prior to contact with clinical services. Neurodevelopmental adversities, alcohol use disorders and poverty symptoms are associated to higher risk of aggression in early psychosis. Participation in early psychosis specialty care resulted in a dramatic reduction in aggressive behavior.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: Although mental illness accounts for only 4% of aggressive behavior in the general population, there remains a modest association between aggressive behavior and psychotic disorders, particularly in the early stages of the illness. However, little is known about the specific factors associated to this increased risk. AIMS: The present study aims to assess the rates, characteristics and risk factors of aggressive behavior in first episode psychosis patients (FEP). METHOD: We conducted a retrospective chart review of 449 FEP patients recruited from an outpatient early psychosis clinic. Aggressive behavior and clinical information were rated based upon information gathered from the chart review of data collected at baseline and after 6 months of follow-up. RESULTS: Rates of aggressive behavior were 54.3% in FEP patients. Aggressive behavior was significantly associated with higher rates of history of birth complications, neurodevelopmental delays, learning difficulties, alcohol use disorders, and the clinical domain of poverty symptoms. In addition to aggressive behavior, 16.7% of FEP patients exhibited suicidal ideation or behaviors and 11.4% exhibited non-suicidal self-injurious behavior (NSSIB). In contrast to baseline, aggressive behaviors at 6 months follow up were almost entirely absent. CONCLUSIONS: Patients at early stages of psychosis have high rates of aggressive and suicidal behavior prior to contact with clinical services. Neurodevelopmental adversities, alcohol use disorders and poverty symptoms are associated to higher risk of aggression in early psychosis. Participation in early psychosis specialty care resulted in a dramatic reduction in aggressive behavior. |
de la Torre‐Luque, A; de la Fuente, J; Sanchez‐Niubo, A; Caballero, F F; Prina, M; Muniz‐Terrera, G; Haro, J M; Ayuso‐Mateos, J L Stability of clinically relevant depression symptoms in old‐age across 11 cohorts: a multi‐state study Artículo de revista Acta Psychiatrica Scandinavica, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaTorre‐Luque2019, title = {Stability of clinically relevant depression symptoms in old‐age across 11 cohorts: a multi‐state study}, author = {de la Torre‐Luque, A and de la Fuente, J and Sanchez‐Niubo, A and Caballero, F.F and Prina, M and Muniz‐Terrera, G and Haro, J.M and Ayuso‐Mateos, J.L}, url = {https://onlinelibrary.wiley.com/doi/full/10.1111/acps.13107}, doi = {10.1111/acps.13107}, year = {2019}, date = {2019-09-30}, journal = {Acta Psychiatrica Scandinavica}, abstract = {Aims To study the temporal dynamics of depression symptom episodes in old‐age and the related influence of risk factors. Methods Data from 41 362 old adults (54.61% women; mean age = 75.30, SD = 6.20) from the Ageing Trajectories of Health \textendash Longitudinal Opportunities and Synergies (ATHLOS) project were used. Depressive symptoms were followed over an 18‐year period. A multi‐state model, comprising three statuses (no depression, new clinically relevant episode of symptoms and episode persistence), was fitted. Multinomial regression was used to study the role of risk factors in status transition. Results Almost 85% of participants showed no depression, but prevalence became lower over time (B = −0.25, P < 0.001). New episode point prevalence was over 5.30% with a significant probability of moving to persistence status (transition probability = 0.27). Episode persistence became evident in 9.86% of episode status transitions, with increasing rate over time (B = 0.54, P < 0.01). Loneliness was proven to be the strongest predictor of episode emergence (OR = 17.76) and persistence (OR = 5.93). Conclusions The course of depression tends to become chronic and unremitting in old‐age. This study may help to plan interventions to tackle symptom escalation and risk factor influence.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Aims To study the temporal dynamics of depression symptom episodes in old‐age and the related influence of risk factors. Methods Data from 41 362 old adults (54.61% women; mean age = 75.30, SD = 6.20) from the Ageing Trajectories of Health – Longitudinal Opportunities and Synergies (ATHLOS) project were used. Depressive symptoms were followed over an 18‐year period. A multi‐state model, comprising three statuses (no depression, new clinically relevant episode of symptoms and episode persistence), was fitted. Multinomial regression was used to study the role of risk factors in status transition. Results Almost 85% of participants showed no depression, but prevalence became lower over time (B = −0.25, P < 0.001). New episode point prevalence was over 5.30% with a significant probability of moving to persistence status (transition probability = 0.27). Episode persistence became evident in 9.86% of episode status transitions, with increasing rate over time (B = 0.54, P < 0.01). Loneliness was proven to be the strongest predictor of episode emergence (OR = 17.76) and persistence (OR = 5.93). Conclusions The course of depression tends to become chronic and unremitting in old‐age. This study may help to plan interventions to tackle symptom escalation and risk factor influence. |
Vancampfort, D; Lara, E; Smith, L; Rosenbaum, S; Firth, J; Stubbs, B; Hallgren, M; Koyanagi, A Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries Artículo de revista Int J Geriatr Psychiatry, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Vancampfort2019b, title = {Physical activity and loneliness among adults aged 50 years or older in six low‐ and middle‐income countries}, author = {Vancampfort, D and Lara, E and Smith, L and Rosenbaum, S and Firth, J and Stubbs, B and Hallgren, M and Koyanagi, A.}, url = {https://onlinelibrary.wiley.com/doi/abs/10.1002/gps.5202}, year = {2019}, date = {2019-08-21}, journal = { Int J Geriatr Psychiatry}, abstract = {Introduction Loneliness is widespread and associated with deleterious outcomes in middle‐aged and older age people in low‐ and middle‐income countries (LMICs). Physical activity is one potential psychosocial strategy with the potential to reduce loneliness in this population. Thus, the aim of this study was to explore associations between physical activity (PA) and loneliness in middle‐aged and older people from six LMICs. Materials and methods Data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Self‐reported data on loneliness and PA (as assessed by the Global Physical Activity Questionnaire) were collected. Participants were dichotomized into those who do and do not meet the international recommendation of 150 minutes of moderate to vigorous PA per week. Associations between loneliness and PA were examined using logistic regressions. Results Among 34 129 individuals aged 50 years or older, the prevalence of loneliness was higher among those not meeting the PA guidelines in all countries, although this difference was not significant in Mexico and South Africa. After full adjustment, not meeting PA guidelines was positively associated with loneliness in the meta‐analysis based on country‐wise estimates, with a moderate level of between‐country heterogeneity being observed (OR = 1.31; 95% CI, 1.07‐1.61; I2 = 48.7%). At an individual country level, statistical significance was only reached in Ghana (OR = 1.89; 95% CI = 1.44‐2.49). Discussion Our data suggest that physical inactivity and loneliness commonly co‐occur in adults aged 50 years or older in LMICs overall but that this association differs by country. Longitudinal studies are required to confirm these findings and investigate potential mechanisms that may inform future interventions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Introduction Loneliness is widespread and associated with deleterious outcomes in middle‐aged and older age people in low‐ and middle‐income countries (LMICs). Physical activity is one potential psychosocial strategy with the potential to reduce loneliness in this population. Thus, the aim of this study was to explore associations between physical activity (PA) and loneliness in middle‐aged and older people from six LMICs. Materials and methods Data from the Study on Global Ageing and Adult Health (SAGE) were analyzed. Self‐reported data on loneliness and PA (as assessed by the Global Physical Activity Questionnaire) were collected. Participants were dichotomized into those who do and do not meet the international recommendation of 150 minutes of moderate to vigorous PA per week. Associations between loneliness and PA were examined using logistic regressions. Results Among 34 129 individuals aged 50 years or older, the prevalence of loneliness was higher among those not meeting the PA guidelines in all countries, although this difference was not significant in Mexico and South Africa. After full adjustment, not meeting PA guidelines was positively associated with loneliness in the meta‐analysis based on country‐wise estimates, with a moderate level of between‐country heterogeneity being observed (OR = 1.31; 95% CI, 1.07‐1.61; I2 = 48.7%). At an individual country level, statistical significance was only reached in Ghana (OR = 1.89; 95% CI = 1.44‐2.49). Discussion Our data suggest that physical inactivity and loneliness commonly co‐occur in adults aged 50 years or older in LMICs overall but that this association differs by country. Longitudinal studies are required to confirm these findings and investigate potential mechanisms that may inform future interventions. |
Ayuso-Mateos, JL ; Miret, M; Lopez-Garcia, P; Alem, A; Chisholm, D; Gureje, O; Hanlon, C; Jordans, M; Kigozi F Lund, C; Petersen, I; Semrau, M; Shidhaye, R; Thornicroft, G Effective methods for knowledge transfer to strengthen mental health systems in low-and middle-income countries Artículo de revista BJPsych Open, 5 (5), 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Ayuso-Mateos2019, title = {Effective methods for knowledge transfer to strengthen mental health systems in low-and middle-income countries}, author = {Ayuso-Mateos, JL and Miret, M and Lopez-Garcia, P and Alem, A and Chisholm, D and Gureje, O and Hanlon, C and Jordans, M and Kigozi, F Lund, C and Petersen, I and Semrau, M and Shidhaye, R and Thornicroft, G}, editor = {Cambridge University Press }, url = {https://www.cambridge.org/core/journals/bjpsych-open/article/effective-methods-for-knowledge-transfer-to-strengthen-mental-health-systems-in-low-and-middleincome-countries/D43AB95CB78FC91CB39E5D9845B355F1}, doi = {10.1192/bjo.2019.50}, year = {2019}, date = {2019-08-06}, journal = {BJPsych Open}, volume = {5}, number = {5}, abstract = {BACKGROUND: The Emerald project's focus is on how to strengthen mental health systems in six low- and middle-income countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda). This was done by generating evidence and capacity to enhance health system performance in delivering mental healthcare.A common problem in scaling-up interventions and strengthening mental health programmes in LMICs is how to transfer research evidence, such as the data collected in the Emerald project, into practice. AIMS: To describe how core elements of Emerald were implemented and aligned with the ultimate goal of strengthening mental health systems, as well as their short-term impact on practices, policies and programmes in the six partner countries. METHOD: We focused on the involvement of policy planners, managers, patients and carers. RESULTS: Over 5 years of collaboration, the Emerald consortium has provided evidence and tools for the improvement of mental healthcare in the six LMICs involved in the project. We found that the knowledge transfer efforts had an impact on mental health service delivery and policy planning at the sites and countries involved in the project. CONCLUSIONS: This approach may be valid beyond the mental health context, and may be effective for any initiative that aims at implementing evidence-based health policies for health system strengthening.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND: The Emerald project's focus is on how to strengthen mental health systems in six low- and middle-income countries (LMICs) (Ethiopia, India, Nepal, Nigeria, South Africa and Uganda). This was done by generating evidence and capacity to enhance health system performance in delivering mental healthcare.A common problem in scaling-up interventions and strengthening mental health programmes in LMICs is how to transfer research evidence, such as the data collected in the Emerald project, into practice. AIMS: To describe how core elements of Emerald were implemented and aligned with the ultimate goal of strengthening mental health systems, as well as their short-term impact on practices, policies and programmes in the six partner countries. METHOD: We focused on the involvement of policy planners, managers, patients and carers. RESULTS: Over 5 years of collaboration, the Emerald consortium has provided evidence and tools for the improvement of mental healthcare in the six LMICs involved in the project. We found that the knowledge transfer efforts had an impact on mental health service delivery and policy planning at the sites and countries involved in the project. CONCLUSIONS: This approach may be valid beyond the mental health context, and may be effective for any initiative that aims at implementing evidence-based health policies for health system strengthening. |
Evans-Lacko, S; Hanlon, C; Alem, A; Ayuso-Mateos, JL ; Chisholm, D; Gureje, O; Jordans, M; Kigozi, F; Lempp, H; Lund, C; Petersen, I; Shidhaye, R; Thornicroft, G; Semrau, M BJPsych Open, 5 (5), 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Evans-Lacko2019b, title = {Evaluation of capacity-building strategies for mental health system strengthening in low- and middle-income countries for service users and caregivers, policymakers and planners, and researchers}, author = {Evans-Lacko, S and Hanlon, C and Alem, A and Ayuso-Mateos, JL and Chisholm, D and Gureje, O and Jordans, M and Kigozi, F and Lempp, H and Lund, C and Petersen, I and Shidhaye, R and Thornicroft, G and Semrau, M}, editor = {Cambridge University Press}, url = {https://www.cambridge.org/core/journals/bjpsych-open/article/evaluation-of-capacitybuilding-strategies-for-mental-health-system-strengthening-in-low-and-middleincome-countries-for-service-users-and-caregivers-policymakers-and-planners-and-researchers/9F2531CD5AA2F4BA16B3B5274229C5EC}, doi = {10.1192/bjo.2019.14}, year = {2019}, date = {2019-08-06}, journal = {BJPsych Open}, volume = {5}, number = {5}, abstract = {Background Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. Aims Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. Method We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre\textendashpost changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. Results Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0\textendash4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. Conclusions The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. Aims Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. Method We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre–post changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. Results Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0–4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. Conclusions The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources. |
Semrau, M; Alem, A; Ayuso-Mateos, JL ; Chisholm, D; Gureje, O; Hanlon, C; Jordans, M; Kigozi, F; Lund, C; Petersen, I; Shidhaye, R; Thornicroft, G Strengthening mental health systems in low-and middle-income countries: recommendations from the Emerald programme Artículo de revista BJPsych Open, 5 (5), 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Semrau2019, title = {Strengthening mental health systems in low-and middle-income countries: recommendations from the Emerald programme}, author = {Semrau, M and Alem, A and Ayuso-Mateos, JL and Chisholm, D and Gureje, O and Hanlon, C and Jordans, M and Kigozi, F and Lund, C and Petersen, I and Shidhaye, R and Thornicroft, G}, editor = {Cambridge University Press}, url = {https://www.cambridge.org/core/journals/bjpsych-open/article/strengthening-mental-health-systems-in-low-and-middleincome-countries-recommendations-from-the-emerald-programme/5D1FAA1AC41839461CF38250F13272E6}, doi = {10.1192/bjo.2018.90}, year = {2019}, date = {2019-08-06}, journal = {BJPsych Open}, volume = {5}, number = {5}, abstract = {Background Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. Aims Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. Method We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre\textendashpost changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. Results Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0\textendash4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. Conclusions The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background Strengthening of mental health systems in low- and middle-income countries (LMICs) requires the involvement of appropriately skilled and committed individuals from a range of stakeholder groups. Currently, few evidence-based capacity-building activities and materials are available to enable and sustain comprehensive improvements. Aims Within the Emerald project, the goal of this study was to evaluate capacity-building activities for three target groups: (a) service users with mental health conditions and their caregivers; (b) policymakers and planners; and (c) mental health researchers. Method We developed and tailored three short courses (between 1 and 5 days long). We then implemented and evaluated these short courses on 24 different occasions. We assessed satisfaction among 527 course participants as well as pre–post changes in knowledge in six LMICs (Ethiopia, India, Nepal, Nigeria, South Africa, Uganda). Changes in research capacity of partner Emerald institutions was also assessed through monitoring of academic outputs of participating researchers and students and via anonymous surveys. Results Short courses were associated with high levels of satisfaction and led to improvements in knowledge across target groups. In relation to institutional capacity building, all partner institutions reported improvements in research capacity for most aspects of mental health system strengthening and global mental health, and many of these positive changes were attributed to the Emerald programme. In terms of outputs, eight PhD students submitted a total of 10 papers relating to their PhD work (range 0–4) and were involved in 14 grant applications, of which 43% (n = 6) were successful. Conclusions The Emerald project has shown that building capacity of key stakeholders in mental health system strengthening is possible. However, the starting point and appropriate strategies for this may vary across different countries, depending on the local context, needs and resources. |
Olaya, B; Moneta, MV ; Lara, E; Miret, M; Martín-María, N; Moreno-Agostino, D; Ayuso-Mateos, JL ; Abduljabbar, AS ; Haro, JM. Fruit and Vegetable Consumption and Potential Moderators Associated with All-Cause Mortality in a Representative Sample of Spanish Older Adults Artículo de revista Nutrients, 11 (8), 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Olaya2019b, title = {Fruit and Vegetable Consumption and Potential Moderators Associated with All-Cause Mortality in a Representative Sample of Spanish Older Adults}, author = {Olaya, B and Moneta, MV and Lara, E and Miret, M and Mart\'{i}n-Mar\'{i}a, N and Moreno-Agostino, D and Ayuso-Mateos, JL and Abduljabbar, AS and Haro, JM.}, url = {https://www.mdpi.com/2072-6643/11/8/1794}, doi = {10.3390/nu11081794}, year = {2019}, date = {2019-08-02}, journal = {Nutrients}, volume = {11}, number = {8}, abstract = {This study sought to determine the association between levels of fruit and vegetable consumption and time to death, and to explore potential moderators. We analyzed a nationally-representative sample of 1699 older adults aged 65+ who were followed up for a period of 6 years. Participants were classified into low (≤3 servings day), medium (4), or high (≥5) consumption using tertiles. Unadjusted and adjusted cox proportional hazard regression models (by age, gender, cohabiting, education, multimorbidity, smoking, physical activity, alcohol consumption, and obesity) were calculated. The majority of participants (65.7%) did not meet the recommendation of five servings per day. High fruit and vegetable intake increased by 27% the probability of surviving among older adults with two chronic conditions, compared to those who consumed ≤3 servings per day (HR = 0.38, 95%CI = 0.21\textendash0.69). However, this beneficial effect was not found for people with none, one chronic condition or three or more, indicating that this protective effect might not be sufficient for more severe cases of multimorbidity. Given a common co-occurrence of two non-communicable diseases in the elderly and the low frequency of fruit and vegetable consumption in this population, interventions to promote consuming five or more servings per day could have a significant positive impact on reducing mortality.}, keywords = {}, pubstate = {published}, tppubtype = {article} } This study sought to determine the association between levels of fruit and vegetable consumption and time to death, and to explore potential moderators. We analyzed a nationally-representative sample of 1699 older adults aged 65+ who were followed up for a period of 6 years. Participants were classified into low (≤3 servings day), medium (4), or high (≥5) consumption using tertiles. Unadjusted and adjusted cox proportional hazard regression models (by age, gender, cohabiting, education, multimorbidity, smoking, physical activity, alcohol consumption, and obesity) were calculated. The majority of participants (65.7%) did not meet the recommendation of five servings per day. High fruit and vegetable intake increased by 27% the probability of surviving among older adults with two chronic conditions, compared to those who consumed ≤3 servings per day (HR = 0.38, 95%CI = 0.21–0.69). However, this beneficial effect was not found for people with none, one chronic condition or three or more, indicating that this protective effect might not be sufficient for more severe cases of multimorbidity. Given a common co-occurrence of two non-communicable diseases in the elderly and the low frequency of fruit and vegetable consumption in this population, interventions to promote consuming five or more servings per day could have a significant positive impact on reducing mortality. |
de la Torre-Luque, A; Essau, CA. Symptom network connectivity in adolescents with comorbid major depressive disorder and social phobia Artículo de revista J Affect Disord. , 255 , pp. 60-63, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaTorre-Luque2019, title = {Symptom network connectivity in adolescents with comorbid major depressive disorder and social phobia}, author = {de la Torre-Luque, A and Essau, CA.}, doi = {10.1016/j.jad.2019.05.015}, year = {2019}, date = {2019-08-01}, journal = {J Affect Disord. }, volume = {255}, pages = {60-63}, abstract = {PURPOSE: Major depressive disorder (MDD) and social phobia (SP) are both common and highly co-occurring psychiatric disorders. This study used symptom network analysis approach to examine comorbidity structure and the complex symptom dynamics which may play a role in the co-occurrence of MDD and SP. METHOD: Data comes from the National Comorbidity Survey - Adolescent Supplement, a nationally representative survey of adolescents ages 13 to 18 years. This study examined data of adolescents with a lifetime diagnosis of MDD (n = 597), SP (n = 708), and adolescents with comorbid MDD and SP (n = 189). Networks were estimated by means of 26 symptoms from both disorders. RESULTS: All MDD and SP symptoms were involved in the network of both pure disorders (MDD; SP) and comorbid condition (MDD + SP). Network structure was different between the pure disorders (p = 0.014), but not when comparing each of these disorders that have comorbid condition. Depressive symptoms of poor self-esteem and suicidal symptoms were central (i.e., showed a higher influence) in the symptom network for the pure disorders and for the comorbid condition. Other key symptoms in the comorbid condition network were two depressive symptoms: feelings of worthlessness and anhedonia. SP and MDD networks showed two common key SP symptoms: feeling uncomfortable when meeting new people and feeling uncomfortable talking to people do not know well. CONCLUSION: The study of symptom dynamics will provide useful targets for preventing the development of comorbid disorders as well as new lines of intervention to deal with key symptoms of psychiatric disorders. Copyright © 2019 Elsevier B.V. All rights reserved.}, keywords = {}, pubstate = {published}, tppubtype = {article} } PURPOSE: Major depressive disorder (MDD) and social phobia (SP) are both common and highly co-occurring psychiatric disorders. This study used symptom network analysis approach to examine comorbidity structure and the complex symptom dynamics which may play a role in the co-occurrence of MDD and SP. METHOD: Data comes from the National Comorbidity Survey - Adolescent Supplement, a nationally representative survey of adolescents ages 13 to 18 years. This study examined data of adolescents with a lifetime diagnosis of MDD (n = 597), SP (n = 708), and adolescents with comorbid MDD and SP (n = 189). Networks were estimated by means of 26 symptoms from both disorders. RESULTS: All MDD and SP symptoms were involved in the network of both pure disorders (MDD; SP) and comorbid condition (MDD + SP). Network structure was different between the pure disorders (p = 0.014), but not when comparing each of these disorders that have comorbid condition. Depressive symptoms of poor self-esteem and suicidal symptoms were central (i.e., showed a higher influence) in the symptom network for the pure disorders and for the comorbid condition. Other key symptoms in the comorbid condition network were two depressive symptoms: feelings of worthlessness and anhedonia. SP and MDD networks showed two common key SP symptoms: feeling uncomfortable when meeting new people and feeling uncomfortable talking to people do not know well. CONCLUSION: The study of symptom dynamics will provide useful targets for preventing the development of comorbid disorders as well as new lines of intervention to deal with key symptoms of psychiatric disorders. Copyright © 2019 Elsevier B.V. All rights reserved. |
De la Torre-Luque, A; Balle, M; Fiol-Veny, A; Bornas, X; Sese, A Assessing adolescents’ internalizing symptoms using virtual social networks: a format equivalence study of the revised child anxiety and depression scale. Artículo de revista Behav Psycho, 27 (1), pp. 5-20, 2019. @article{laTorre-Luque2019b, title = {Assessing adolescents’ internalizing symptoms using virtual social networks: a format equivalence study of the revised child anxiety and depression scale. }, author = {De la Torre-Luque, A and Balle, M and Fiol-Veny, A and Bornas, X and Sese, A. }, year = {2019}, date = {2019-08-01}, journal = {Behav Psycho}, volume = {27}, number = {1}, pages = {5-20}, abstract = {El uso de las redes sociales por parte de adolescentes est\'{a} bastante extendido actualmente. Esto posibilita el desarrollo de programas de evaluaci\'{o}n y promoci\'{o}n de la salud mediante dichas v\'{i}as, si se conservan garant\'{i}as psicom\'{e}tricas en su uso. Este estudio pretend\'{i}a comprobar si la “Escala revisada de ansiedad y depresi\'{o}n infantil” (RCADS) manten\'{i}a sus propiedades psicom\'{e}tricas originales cuando era aplicado mediante una red social. Una muestra de 703 adolescentes (M= 13,86 a\~{n}os; DT= 0,49) completaron la escala en formato tradicional o en una red social. Se evaluaron dos tipos de equivalencia entre formatos: equivalencia cuantitativa (distribuci\'{o}n de las puntuaciones entre formatos) y cualitativa o conceptual (patrones de intercorrelaciones e invarianza de medida entre formatos). No se encontraron diferencias de las escalas en el formato tradicional y en una red social. Adem\'{a}s, el patr\'{o}n de intercorrelaciones entre factores fue similar y se observ\'{o} invarianza de medida entre formatos. En conclusi\'{o}n, la versi\'{o}n en red social de la RCADS mostr\'{o} propiedades psicom\'{e}tricas equivalentes a la tradicional, destac\'{a}ndose la aplicabilidad en estas plataformas.}, keywords = {}, pubstate = {published}, tppubtype = {article} } El uso de las redes sociales por parte de adolescentes está bastante extendido actualmente. Esto posibilita el desarrollo de programas de evaluación y promoción de la salud mediante dichas vías, si se conservan garantías psicométricas en su uso. Este estudio pretendía comprobar si la “Escala revisada de ansiedad y depresión infantil” (RCADS) mantenía sus propiedades psicométricas originales cuando era aplicado mediante una red social. Una muestra de 703 adolescentes (M= 13,86 años; DT= 0,49) completaron la escala en formato tradicional o en una red social. Se evaluaron dos tipos de equivalencia entre formatos: equivalencia cuantitativa (distribución de las puntuaciones entre formatos) y cualitativa o conceptual (patrones de intercorrelaciones e invarianza de medida entre formatos). No se encontraron diferencias de las escalas en el formato tradicional y en una red social. Además, el patrón de intercorrelaciones entre factores fue similar y se observó invarianza de medida entre formatos. En conclusión, la versión en red social de la RCADS mostró propiedades psicométricas equivalentes a la tradicional, destacándose la aplicabilidad en estas plataformas. |
Cabello, M; de la Fuente, J; Ayuso Mateos, JL ; Pitkänen, T Longitudinal properties of the PARADISE24fin questionnaire in treatment of substance use disorders Artículo de revista Addictive behaviors, 95 , pp. 125-128, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Cabello2019c, title = {Longitudinal properties of the PARADISE24fin questionnaire in treatment of substance use disorders}, author = {Cabello, M and de la Fuente, J and Ayuso Mateos, JL and Pitk\"{a}nen, T}, editor = {Pergamon }, url = {https://www.sciencedirect.com/science/article/pii/S0306460318312255}, doi = {10.1016/j.addbeh.2019.03.009}, year = {2019}, date = {2019-08-01}, journal = {Addictive behaviors}, volume = {95}, pages = {125-128}, abstract = {Aim Improvement of overall functioning is an important goal in the treatment of substance use disorders, and thus tools for monitoring change are needed. The current study aimed to evaluate the longitudinal metric invariance and sensitivity to change for the PARADISE24fin questionnaire. Methods A total of 1153 patients with substance use disorders completed the PARADISE24fin in two measurement occasions along their treatment. Patients were categorized into three groups according to their treatment status at the second occasion (end of the treatment, on-treatment follow-up, and re-start treatment). The latent structure of the PARADISE24fin questionnaire was analyzed in the two measurement occasions with confirmatory factor analyses. Evidence of the PARADISE24fin sensitivity to change was studied comparing mean change scores for the three treatment status groups. Results The PARADISE24fin showed a strong longitudinal metric invariance across the two occasions in the three treatment status groups. The PARADISE24fin scores decreased during treatment, especially among the group of patients that had completed their treatment. Conclusions The PARADISE24fin is a reliable questionnaire to measure changes in psychosocial difficulties in substance use disorders overtime.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Aim Improvement of overall functioning is an important goal in the treatment of substance use disorders, and thus tools for monitoring change are needed. The current study aimed to evaluate the longitudinal metric invariance and sensitivity to change for the PARADISE24fin questionnaire. Methods A total of 1153 patients with substance use disorders completed the PARADISE24fin in two measurement occasions along their treatment. Patients were categorized into three groups according to their treatment status at the second occasion (end of the treatment, on-treatment follow-up, and re-start treatment). The latent structure of the PARADISE24fin questionnaire was analyzed in the two measurement occasions with confirmatory factor analyses. Evidence of the PARADISE24fin sensitivity to change was studied comparing mean change scores for the three treatment status groups. Results The PARADISE24fin showed a strong longitudinal metric invariance across the two occasions in the three treatment status groups. The PARADISE24fin scores decreased during treatment, especially among the group of patients that had completed their treatment. Conclusions The PARADISE24fin is a reliable questionnaire to measure changes in psychosocial difficulties in substance use disorders overtime. |
Essau C. A andde la Torre-Luque, A Comorbidity profile of mental disorders among adolescents: A latent class analysis Artículo de revista Psychiatry Res, (278), pp. 228-234, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Essau2019, title = {Comorbidity profile of mental disorders among adolescents: A latent class analysis}, author = {Essau, C. A andde la Torre-Luque, A}, url = {https://www.ncbi.nlm.nih.gov/pubmed/31226549}, doi = {10.1016/j.psychres.2019.06.007}, year = {2019}, date = {2019-08-01}, journal = {Psychiatry Res}, number = {278}, pages = {228-234}, abstract = {The aim of this study was to identify the number of comorbidity profiles among adolescents. Sociodemographic factors associated with the comorbidity profiles were also examined. Latent class analysis was conducted using data from the National Comorbidity Survey Adolescent Supplement (NCS-A), a representative sample of adolescents (N = 10,123) in the United States. Latent classes were derived from 26 lifetime mental disorders which were assessed using the World Health Organization Composite International Diagnostic Instrument (CIDI). A three-class solution provided the best fit for the data, with classes labelled as comorbid emotional disorders (Class I), comorbid behavioural disorders (Class II), and normative (Class III). Class I (15.62% of the participants) included adolescents with a high probability of having anxiety, depressive, and intermittent explosive disorder. Class II (6.97%) was characterised by adolescents with a high probability of having substance use, behavioural disorders, and major depression. Class III (77.41%) was characterised by adolescents with a low probability of having any mental disorders. Characterising comorbid profile of mental disorders using person-based approach yields a higher-order classification that could have important clinical implications.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The aim of this study was to identify the number of comorbidity profiles among adolescents. Sociodemographic factors associated with the comorbidity profiles were also examined. Latent class analysis was conducted using data from the National Comorbidity Survey Adolescent Supplement (NCS-A), a representative sample of adolescents (N = 10,123) in the United States. Latent classes were derived from 26 lifetime mental disorders which were assessed using the World Health Organization Composite International Diagnostic Instrument (CIDI). A three-class solution provided the best fit for the data, with classes labelled as comorbid emotional disorders (Class I), comorbid behavioural disorders (Class II), and normative (Class III). Class I (15.62% of the participants) included adolescents with a high probability of having anxiety, depressive, and intermittent explosive disorder. Class II (6.97%) was characterised by adolescents with a high probability of having substance use, behavioural disorders, and major depression. Class III (77.41%) was characterised by adolescents with a low probability of having any mental disorders. Characterising comorbid profile of mental disorders using person-based approach yields a higher-order classification that could have important clinical implications. |
Daskalopoulou, C; Koukounari, A; Wu, Y T; Terrera, G M; Caballero, F F; de la Fuente, J; Demosthenes, B; Prince, M; Prina, M Healthy ageing trajectories and lifestyle behaviour: the Mexican Health and Aging Study Artículo de revista Scientific Reports , 9 , 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Daskalopoulou2019, title = {Healthy ageing trajectories and lifestyle behaviour: the Mexican Health and Aging Study}, author = {Daskalopoulou, C and Koukounari, A and Wu, Y. T and Terrera, G. M and Caballero, F. F and de la Fuente, J and Demosthenes, B and Prince, M and Prina, M. }, url = {https://www.nature.com/articles/s41598-019-47238-w}, doi = {10.1038/s41598-019-47238-w}, year = {2019}, date = {2019-07-30}, journal = {Scientific Reports }, volume = {9}, abstract = {Projections show that the number of people above 60 years old will triple by 2050 in Mexico. Nevertheless, ageing is characterised by great variability in the health status. In this study, we aimed to identify trajectories of health and their associations with lifestyle factors in a national representative cohort study of older Mexicans. We used secondary data of 14,143 adults from the Mexican Health and Aging Study (MHAS). A metric of health, based on the conceptual framework of functional ability, was mapped onto four waves (2001, 2003, 2012, 2015) and created by applying Bayesian multilevel Item Response Theory (IRT). Conditional Growth Mixture Modelling (GMM) was used to identify latent classes of individuals with similar trajectories and examine the impact of physical activity, smoking and alcohol on those. Conditional on sociodemographic and lifestyle behaviour four latent classes were suggested: high-stable, moderate-stable, low-stable and decliners. Participants who did not engage in physical activity, were current or previous smokers and did not consume alcohol at baseline were more likely to be in the trajectory with the highest deterioration (i.e. decliners). This study confirms ageing heterogeneity and the positive influence of a healthy lifestyle. These results provide the ground for new policies.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Projections show that the number of people above 60 years old will triple by 2050 in Mexico. Nevertheless, ageing is characterised by great variability in the health status. In this study, we aimed to identify trajectories of health and their associations with lifestyle factors in a national representative cohort study of older Mexicans. We used secondary data of 14,143 adults from the Mexican Health and Aging Study (MHAS). A metric of health, based on the conceptual framework of functional ability, was mapped onto four waves (2001, 2003, 2012, 2015) and created by applying Bayesian multilevel Item Response Theory (IRT). Conditional Growth Mixture Modelling (GMM) was used to identify latent classes of individuals with similar trajectories and examine the impact of physical activity, smoking and alcohol on those. Conditional on sociodemographic and lifestyle behaviour four latent classes were suggested: high-stable, moderate-stable, low-stable and decliners. Participants who did not engage in physical activity, were current or previous smokers and did not consume alcohol at baseline were more likely to be in the trajectory with the highest deterioration (i.e. decliners). This study confirms ageing heterogeneity and the positive influence of a healthy lifestyle. These results provide the ground for new policies. |
Lara, E; Caballero, FF ; Rico-Uribe, L; Olaya, B; Haro, JM ; Ayuso-Mateos, JL ; Miret, M Are loneliness and social isolation associated with cognitive decline? Artículo de revista Int J Geriatr Psychiatry, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Lara2019bb, title = {Are loneliness and social isolation associated with cognitive decline?}, author = { Lara, E and Caballero, FF and Rico-Uribe, L and Olaya, B and Haro, JM and Ayuso-Mateos, JL and Miret, M.}, doi = {10.1002/gps.5174}, year = {2019}, date = {2019-07-14}, journal = {Int J Geriatr Psychiatry}, abstract = {Objective This study aimed to examine the association of loneliness and social isolation on cognition over a three‐year follow‐up period in middle‐ and older‐aged adults. Methods Data from a Spanish nationally representative sample were analysed (n=1691; aged 50+ years). Loneliness, social isolation and cognition (immediate recall, delayed recall, verbal fluency, forward digit span, backward digit span and a composite cognitive score) was assessed both at baseline and at follow‐up. Adjusted generalised estimating equations models were performed. Results Loneliness was significantly associated with lower scores in the composite cognitive score, immediate and delayed recall, verbal fluency and backward digit span (B=‐0.14 to B=‐3.16; p<0.05) and with a more rapid decline from baseline to follow‐up in two out of six cognitive tests. Social isolation was associated with lower scores in composite cognitive score, verbal fluency and forward digit span (B=‐0.06 to B=‐0.85; p<0.05). The effect of loneliness and social isolation on cognition remained significant after the exclusion of individuals with depression. Conclusions Both loneliness and social isolation are associated with decreased cognitive function over a 3‐year follow‐up period. The development of interventions that include the enhancement of social participation and the maintenance of emotionally supportive relationships might contribute to cognitive decline prevention and risk reduction.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective This study aimed to examine the association of loneliness and social isolation on cognition over a three‐year follow‐up period in middle‐ and older‐aged adults. Methods Data from a Spanish nationally representative sample were analysed (n=1691; aged 50+ years). Loneliness, social isolation and cognition (immediate recall, delayed recall, verbal fluency, forward digit span, backward digit span and a composite cognitive score) was assessed both at baseline and at follow‐up. Adjusted generalised estimating equations models were performed. Results Loneliness was significantly associated with lower scores in the composite cognitive score, immediate and delayed recall, verbal fluency and backward digit span (B=‐0.14 to B=‐3.16; p<0.05) and with a more rapid decline from baseline to follow‐up in two out of six cognitive tests. Social isolation was associated with lower scores in composite cognitive score, verbal fluency and forward digit span (B=‐0.06 to B=‐0.85; p<0.05). The effect of loneliness and social isolation on cognition remained significant after the exclusion of individuals with depression. Conclusions Both loneliness and social isolation are associated with decreased cognitive function over a 3‐year follow‐up period. The development of interventions that include the enhancement of social participation and the maintenance of emotionally supportive relationships might contribute to cognitive decline prevention and risk reduction. |
Fiol-Veny, A; Balle, M; De la Torre-Luque, A; Bornas, X Negative cognitive emotion regulation as a predictor of adolescent heart rate variability and entropy under social stress. Artículo de revista Anxiety Stress Coping, (9), pp. 11-13, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Fiol-Veny2019, title = {Negative cognitive emotion regulation as a predictor of adolescent heart rate variability and entropy under social stress.}, author = {Fiol-Veny, A and Balle, M and De la Torre-Luque, A and Bornas, X.}, doi = {10.1080/10615806.2019.1641199}, year = {2019}, date = {2019-07-01}, journal = {Anxiety Stress Coping}, number = {9}, pages = {11-13}, abstract = {BACKGROUND AND OBJECTIVES: Negative cognitive emotion regulation (ER) strategies are particularly important within the framework of anxiety problems amongst youths and how they cope with stressful events. The aim of this study was to examine the associations between both negative and positive ER style and cardiac regulation under stressful conditions. DESIGN: Eighty-nine adolescents (M = 13.31 years, SD = 0.68, 44.94% girls) were exposed to a socially relevant stress induction protocol. METHODS: Participants' emotion regulation strategies were assessed and their cardiac function was recorded. RESULTS: A negative ER style predicted heart rate (HR) entropy at the stressful stage after controlling for anxiety scores. In addition, heart rate variability reactivity and recovery and HR entropy recovery were larger (p < .05) in the low negative ER style group (n = 16) than in the high negative ER style group (n = 23). CONCLUSIONS: Results suggest that individuals with a highly negative ER style have diminished autonomic flexibility.}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND AND OBJECTIVES: Negative cognitive emotion regulation (ER) strategies are particularly important within the framework of anxiety problems amongst youths and how they cope with stressful events. The aim of this study was to examine the associations between both negative and positive ER style and cardiac regulation under stressful conditions. DESIGN: Eighty-nine adolescents (M = 13.31 years, SD = 0.68, 44.94% girls) were exposed to a socially relevant stress induction protocol. METHODS: Participants' emotion regulation strategies were assessed and their cardiac function was recorded. RESULTS: A negative ER style predicted heart rate (HR) entropy at the stressful stage after controlling for anxiety scores. In addition, heart rate variability reactivity and recovery and HR entropy recovery were larger (p < .05) in the low negative ER style group (n = 16) than in the high negative ER style group (n = 23). CONCLUSIONS: Results suggest that individuals with a highly negative ER style have diminished autonomic flexibility. |
Moreno-Agostino, D; A. Stone, A; Schneider, S; Koskinen, S; Leonardi, M; Naidoo, N; Tobiasz-Adamczyk, B; Haro, J M; Miret, M; Kowal, P; S, Chatterji; J.L, Ayuso-Mateos Are Retired People Higher in Experiential Wellbeing than Working Older Adults? A Time Use Approach Artículo de revista Emotion, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Moreno-Agostino2019b, title = {Are Retired People Higher in Experiential Wellbeing than Working Older Adults? A Time Use Approach}, author = {Moreno-Agostino, D and A. Stone, A and Schneider, S and Koskinen, S and Leonardi, M and Naidoo, N and Tobiasz-Adamczyk, B and Haro, J.M and Miret, M and Kowal, P and Chatterji S and Ayuso-Mateos J.L}, url = {https://www.ncbi.nlm.nih.gov/pubmed/31259585}, doi = {10.1037/emo0000637}, year = {2019}, date = {2019-07-01}, journal = {Emotion}, abstract = {Abstract. Little is known about how retirement and the time use redistribution that comes with it relate to experiential wellbeing, especially in low- and middle-income countries (LAMICs). This study aims to determine whether there are differences in experiential wellbeing between retired and working older adults; whether time use accounts for a portion of these differences; and whether these potential relationships differ across LAMICs and high-income countries. We used data from two multi-country studies conducted in countries at different levels of economic development: SAGE (China, Ghana, India, Mexico, and South Africa) and COURAGE in Europe (Finland, Poland, and Spain), focusing on participants aged 50+ (N=21,000). Retirement was significantly associated with higher experiential wellbeing in both surveys, and time use accounted for more than 40% of the total effect. Retirees were higher in experiential wellbeing than working older adults, and differences in how individuals spend their day accounted for part of this relationship.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Abstract. Little is known about how retirement and the time use redistribution that comes with it relate to experiential wellbeing, especially in low- and middle-income countries (LAMICs). This study aims to determine whether there are differences in experiential wellbeing between retired and working older adults; whether time use accounts for a portion of these differences; and whether these potential relationships differ across LAMICs and high-income countries. We used data from two multi-country studies conducted in countries at different levels of economic development: SAGE (China, Ghana, India, Mexico, and South Africa) and COURAGE in Europe (Finland, Poland, and Spain), focusing on participants aged 50+ (N=21,000). Retirement was significantly associated with higher experiential wellbeing in both surveys, and time use accounted for more than 40% of the total effect. Retirees were higher in experiential wellbeing than working older adults, and differences in how individuals spend their day accounted for part of this relationship. |
de la Fuente, J; F.F, Caballero; Verdes, E; Rodriguez-Artajelo, F; Cabello, M; de la Torre-Luque, A; Sánchez-Niubo, A; Haró, J; J.L, Ayuso-Mateos Are younger cohorts in the US and England aging better? Artículo de revista International Journal of Epidemiology, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaFuente2019c, title = {Are younger cohorts in the US and England aging better?}, author = {de la Fuente, J and Caballero F.F and Verdes, E and Rodriguez-Artajelo, F and Cabello, M and de la Torre-Luque, A and S\'{a}nchez-Niubo, A and Har\'{o}, J and Ayuso-Mateos J.L }, url = {https://academic.oup.com/ije/advance-article-abstract/doi/10.1093/ije/dyz126/5522969?redirectedFrom=fulltext}, doi = {https://doi.org/10.1093/ije/dyz126}, year = {2019}, date = {2019-06-25}, journal = {International Journal of Epidemiology}, abstract = {Background: Whether worldwide increases in life expectancy are accompanied by a better health status is still a debate. People age differently, and there is a need to disentangle whether healthy aging pathways can be shaped by cohort effects. This study aims to analyze trends in health status in two large nationally representative samples of older adults from England and the US. Methods: The sample comprised 55,684 participants from the first seven waves of the English Longitudinal Study of Ageing (ELSA), and the first eleven waves of the Health and Retirement Study (HRS). A common latent health score based on Bayesian multilevel item response theory was used. Two Bayesian mixed-effects multilevel models were used to assess cohort effects on health in ELSA and HRS separately, controlling for the effect of household wealth and educational attainment. Results: Similar aging trends were found in ELSA (β=-0.311; p<0.001) and HRS (β=-0.393; p<0.001). The level of education moderated the life-course effect on health in both ELSA (β=-0.082; p<0.05) and HRS (β=-0.084; p<0.05). A birth year effect was found for those belonging to the highest quintiles of household wealth in both ELSA (β=0.125; p<0.001) and HRS (β=0.170; p<0.001). Conclusions: Health inequalities have increased in recent cohorts, with the wealthiest participants presenting a better health status in both the US and English populations. Actions to promote health in the aging population should consider the increasing inequality scenario, not only by applying highly effective interventions, but also by making them accessible to all members of society. Keywords: health, functioning, cohort effect, cross-cultural comparison.}, keywords = {}, pubstate = {published}, tppubtype = {article} } Background: Whether worldwide increases in life expectancy are accompanied by a better health status is still a debate. People age differently, and there is a need to disentangle whether healthy aging pathways can be shaped by cohort effects. This study aims to analyze trends in health status in two large nationally representative samples of older adults from England and the US. Methods: The sample comprised 55,684 participants from the first seven waves of the English Longitudinal Study of Ageing (ELSA), and the first eleven waves of the Health and Retirement Study (HRS). A common latent health score based on Bayesian multilevel item response theory was used. Two Bayesian mixed-effects multilevel models were used to assess cohort effects on health in ELSA and HRS separately, controlling for the effect of household wealth and educational attainment. Results: Similar aging trends were found in ELSA (β=-0.311; p<0.001) and HRS (β=-0.393; p<0.001). The level of education moderated the life-course effect on health in both ELSA (β=-0.082; p<0.05) and HRS (β=-0.084; p<0.05). A birth year effect was found for those belonging to the highest quintiles of household wealth in both ELSA (β=0.125; p<0.001) and HRS (β=0.170; p<0.001). Conclusions: Health inequalities have increased in recent cohorts, with the wealthiest participants presenting a better health status in both the US and English populations. Actions to promote health in the aging population should consider the increasing inequality scenario, not only by applying highly effective interventions, but also by making them accessible to all members of society. Keywords: health, functioning, cohort effect, cross-cultural comparison. |
Robles García, R; Ayuso-Mateos, J L ICD-11 and the depathologisation of the transgender condition Artículo de revista Revista de Psiquiatría y Salud Mental, 12 (2), pp. 65-67, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Garc\'{i}a2019, title = {ICD-11 and the depathologisation of the transgender condition }, author = {Robles Garc\'{i}a, R and Ayuso-Mateos, J.L}, doi = {10.1016/j.rpsmen.2019.01.002}, year = {2019}, date = {2019-06-01}, journal = {Revista de Psiquiatr\'{i}a y Salud Mental}, volume = {12}, number = {2}, pages = {65-67}, abstract = {The World Health Organisation (WHO), as a specialised United Nations organisation, has the mission to achieve maximum levels of health for all individuals \textendash understanding health to be complete wellbeing, physical, social and mental. The objectives set out in the WHO's International Statistical Classification of Diseases and Related Health Problems, currently in its tenth edition (ICD-10), include controlling epidemics and threats to public health, identifying populations at risk for specific problems, defining obligations of its member states in relation to the provision of healthcare, facilitating access to appropriate healthcare services, guiding routine clinical practice and assisting research into effective treatments. Consequently, the classifications need to be revised from time to time to bring them up to date in the light of scientific evidence, world-wide health conditions and available attention-giving services.}, keywords = {}, pubstate = {published}, tppubtype = {article} } The World Health Organisation (WHO), as a specialised United Nations organisation, has the mission to achieve maximum levels of health for all individuals – understanding health to be complete wellbeing, physical, social and mental. The objectives set out in the WHO's International Statistical Classification of Diseases and Related Health Problems, currently in its tenth edition (ICD-10), include controlling epidemics and threats to public health, identifying populations at risk for specific problems, defining obligations of its member states in relation to the provision of healthcare, facilitating access to appropriate healthcare services, guiding routine clinical practice and assisting research into effective treatments. Consequently, the classifications need to be revised from time to time to bring them up to date in the light of scientific evidence, world-wide health conditions and available attention-giving services. |
Martín-María, N; Caballero, F F; Miret, M; Stefanos, T; Haro, J M; Ayuso-Mateos J. L., ; Chatterji, S Differential Impact of Transient and Chronic Loneliness on Health Status. A Longitudinal Study. Artículo de revista Psychology and Health., 25 , pp. 1-19, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Mart\'{i}n-Mar\'{i}a2019bb, title = {Differential Impact of Transient and Chronic Loneliness on Health Status. A Longitudinal Study. }, author = {Mart\'{i}n-Mar\'{i}a, N and Caballero, F.F and Miret, M. and Stefanos, T. and Haro, J. M. and Ayuso-Mateos, J. L., and Chatterji, S. }, doi = {10.1080/08870446.2019.1632312}, year = {2019}, date = {2019-06-01}, journal = {Psychology and Health.}, volume = {25}, pages = {1-19}, abstract = {Objective: Loneliness is associated with worse health status outcomes. Yet, the present study is one of the first to identify how patterns of loneliness (transient and chronic), are associated with health over time. Design: A total of 2,390 individuals were interviewed in 2011-12 and 2014-15 in a follow-up study conducted over a nationally representative sample of Spain. After confirming a longitudinal relationship between loneliness and health status, a Growth curve Mixture Modeling (GMM) was used to examine health trajectories. Main outcome measures: The three-item UCLA Loneliness Scale was used to assess loneliness. Health status was measured with self-reported questions regarding ten domains (vision, mobility, and self-care, among others), and seven measured tests (including grip strength, walking speed and immediate and delayed verbal recall). Results: A quarter of participants were lonely at baseline. Both the group of transient and chronic loneliness showed a negative significant relationship with health status at follow-up, (β = -0.063 and β = -0.075 respectively, p < 0.001). Nevertheless, the health status did not change across time in any group. Conclusion: People experiencing chronic loneliness had the worst health status. Different patterns of loneliness could benefit from the appropriate interventions. Keywords: Transient loneliness, chronic loneliness, health status, lo}, keywords = {}, pubstate = {published}, tppubtype = {article} } Objective: Loneliness is associated with worse health status outcomes. Yet, the present study is one of the first to identify how patterns of loneliness (transient and chronic), are associated with health over time. Design: A total of 2,390 individuals were interviewed in 2011-12 and 2014-15 in a follow-up study conducted over a nationally representative sample of Spain. After confirming a longitudinal relationship between loneliness and health status, a Growth curve Mixture Modeling (GMM) was used to examine health trajectories. Main outcome measures: The three-item UCLA Loneliness Scale was used to assess loneliness. Health status was measured with self-reported questions regarding ten domains (vision, mobility, and self-care, among others), and seven measured tests (including grip strength, walking speed and immediate and delayed verbal recall). Results: A quarter of participants were lonely at baseline. Both the group of transient and chronic loneliness showed a negative significant relationship with health status at follow-up, (β = -0.063 and β = -0.075 respectively, p < 0.001). Nevertheless, the health status did not change across time in any group. Conclusion: People experiencing chronic loneliness had the worst health status. Different patterns of loneliness could benefit from the appropriate interventions. Keywords: Transient loneliness, chronic loneliness, health status, lo |
de la Fuente, J; Moreno-Agostino, D; de la Torre-Luque, A; Prina, A M; Haro, J M; Caballero, F F; Ayuso-Mateos, J L Development of a Combined Sensory-Cognitive Measure Based on the Common Cause Hypothesis: Heterogeneous Trajectories and Associated Risk Factors Artículo de revista The Gerontologist, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{delaFuente2019b, title = {Development of a Combined Sensory-Cognitive Measure Based on the Common Cause Hypothesis: Heterogeneous Trajectories and Associated Risk Factors}, author = {de la Fuente, J and Moreno-Agostino, D and de la Torre-Luque, A and Prina, A.M and Haro, J.M and Caballero, F.F and Ayuso-Mateos, J.L.}, url = {https://www.ncbi.nlm.nih.gov/pubmed/?term=Development+of+a+Combined+Sensory-Cognitive+Measure+Based+on+the+Common+Cause+Hypothesis%3A+Heterogeneous+Trajectories+and+Associated+Risk+Factors https://doi.org/10.1093/geront/gnz066}, doi = {10.1093/geront/gnz066}, year = {2019}, date = {2019-05-22}, journal = {The Gerontologist}, abstract = {BACKGROUND AND OBJECTIVES: There is a link between sensory and cognitive functioning across old age. However, there are no integrative measures for assessing common determinants of sensory-cognitive functioning. This study aims to develop a combined measure of sensory-cognitive functioning, and to identify heterogeneous trajectories and associated risk factors. RESEARCH DESIGN AND METHODS: Two thousand two hundred and fifty-five individuals aged 60 years and over selected from the first six waves (2002-2012) of the English Longitudinal Study of Ageing completed a set of five self-reported visual and hearing functioning items and four cognitive items. Several health-related outcomes were also collected. RESULTS: The common cause model presented longitudinal factorial invariance (Tucker-Lewis index [TLI] = 0.989; Comparative Fit Index [CFI] = 0.991; Root Mean Square Error of Approximation [RMSEA] = 0.026). A common factor explained 32%, 36%, and 26% of the visual, hearing, and cognitive difficulties, respectively. The developed sensory-cognitive measure predicted incident dementia over 10 years (area under the curve = .80; 95% confidence interval [CI] = .75, .86). A three-trajectory model was proved to fit better, according to growth mixture modeling. Low levels of education and household wealth, disability, diabetes, high blood pressure, depressive symptoms, and low levels of physical activity were risk factors associated with the classes showing trajectories with a steeper increase of sensory-cognitive difficulties. DISCUSSION AND IMPLICATIONS: A time-invariant factor explains both sensory and cognitive functioning over 8 years. The sensory-cognitive measure derived from this factor showed a good performance for predicting dementia 10 years later. Several easily identifiable socioeconomic and health-related risk factors could be used as early markers of subsequent sensory-cognitive decline. Therefore, the proposed latent measure could be useful as a cost-effective indicator of sensory-cognitive functioning. KEYWORDS: Sensory functioning; Cognitive functioning; Latent classes; Structural equation modeling}, keywords = {}, pubstate = {published}, tppubtype = {article} } BACKGROUND AND OBJECTIVES: There is a link between sensory and cognitive functioning across old age. However, there are no integrative measures for assessing common determinants of sensory-cognitive functioning. This study aims to develop a combined measure of sensory-cognitive functioning, and to identify heterogeneous trajectories and associated risk factors. RESEARCH DESIGN AND METHODS: Two thousand two hundred and fifty-five individuals aged 60 years and over selected from the first six waves (2002-2012) of the English Longitudinal Study of Ageing completed a set of five self-reported visual and hearing functioning items and four cognitive items. Several health-related outcomes were also collected. RESULTS: The common cause model presented longitudinal factorial invariance (Tucker-Lewis index [TLI] = 0.989; Comparative Fit Index [CFI] = 0.991; Root Mean Square Error of Approximation [RMSEA] = 0.026). A common factor explained 32%, 36%, and 26% of the visual, hearing, and cognitive difficulties, respectively. The developed sensory-cognitive measure predicted incident dementia over 10 years (area under the curve = .80; 95% confidence interval [CI] = .75, .86). A three-trajectory model was proved to fit better, according to growth mixture modeling. Low levels of education and household wealth, disability, diabetes, high blood pressure, depressive symptoms, and low levels of physical activity were risk factors associated with the classes showing trajectories with a steeper increase of sensory-cognitive difficulties. DISCUSSION AND IMPLICATIONS: A time-invariant factor explains both sensory and cognitive functioning over 8 years. The sensory-cognitive measure derived from this factor showed a good performance for predicting dementia 10 years later. Several easily identifiable socioeconomic and health-related risk factors could be used as early markers of subsequent sensory-cognitive decline. Therefore, the proposed latent measure could be useful as a cost-effective indicator of sensory-cognitive functioning. KEYWORDS: Sensory functioning; Cognitive functioning; Latent classes; Structural equation modeling |
Olaya, B; Moneta, M V; Miret, M; Ayuso-Mateos, J L; Haro, J M Course of depression and cognitive decline at 3-year follow-up: The role of age of onset Artículo de revista Psychology and Aging, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Olaya2019, title = {Course of depression and cognitive decline at 3-year follow-up: The role of age of onset}, author = {Olaya, B and Moneta, M.V and Miret, M and Ayuso-Mateos, J.L and Haro, J.M }, url = {https://europepmc.org/abstract/med/31081662}, doi = {10.1037/pag0000354}, year = {2019}, date = {2019-05-13}, journal = {Psychology and Aging}, abstract = {We determined whether the course of depression was associated with accelerated decline or deficits in verbal episodic memory and verbal fluency in depressed older adults compared with controls, and whether this was modified by age of onset. There were 1,027 Spanish community-dwelling adults aged 60+ who participated at baseline and at 3-year follow-up. Word-list recall and animal naming tasks were performed at the two time points. Participants were classified according to the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revised (DSM-IV-TR) criteria for 12-month depression at baseline and follow-up: controls, lifetime, remittent, incident, and persistent depression. Adjusted mixed regression models were fitted and interactions time*depression groups explored. Compared with controls, remittent, incident, and persistent depression were significantly related to worse verbal fluency, and remittent and incident depression to worse verbal episodic memory. In the subsample of subjects with depression, interactions were not significant, and age of onset was not related to either accelerated decline or cognitive deficits. Findings suggest that a history of depression per se might not be associated with cognitive deficits. Older people with late life depression are at higher risk for persistent cognitive deficits, even after the affective episode has remitted, and cognitive deficits might be detectable long before the episode appears. Overall, these findings would support the idea that depression during lifetime would not be a risk factor for cognitive impairment whereas late life depression could represent a prodrome for future dementia. Monitoring the neuropsychological functioning of older people with remittent, incident, and persistent depression is indicated, regardless of the age of onset.}, keywords = {}, pubstate = {published}, tppubtype = {article} } We determined whether the course of depression was associated with accelerated decline or deficits in verbal episodic memory and verbal fluency in depressed older adults compared with controls, and whether this was modified by age of onset. There were 1,027 Spanish community-dwelling adults aged 60+ who participated at baseline and at 3-year follow-up. Word-list recall and animal naming tasks were performed at the two time points. Participants were classified according to the Diagnostic and Statistical Manual of Mental Disorders-Fourth Edition-Text Revised (DSM-IV-TR) criteria for 12-month depression at baseline and follow-up: controls, lifetime, remittent, incident, and persistent depression. Adjusted mixed regression models were fitted and interactions time*depression groups explored. Compared with controls, remittent, incident, and persistent depression were significantly related to worse verbal fluency, and remittent and incident depression to worse verbal episodic memory. In the subsample of subjects with depression, interactions were not significant, and age of onset was not related to either accelerated decline or cognitive deficits. Findings suggest that a history of depression per se might not be associated with cognitive deficits. Older people with late life depression are at higher risk for persistent cognitive deficits, even after the affective episode has remitted, and cognitive deficits might be detectable long before the episode appears. Overall, these findings would support the idea that depression during lifetime would not be a risk factor for cognitive impairment whereas late life depression could represent a prodrome for future dementia. Monitoring the neuropsychological functioning of older people with remittent, incident, and persistent depression is indicated, regardless of the age of onset. |
Sanchez-Niubo, A; Egea-Cortés, L; Olaya, B; Caballero, F F; Ayuso-Mateos, J L; Prina, M; Bobak, M; Arndt, H; Tobiasz-Adamczyk, B; Pająk, A; Leonardi, M; Koupil, I; Panagiotakos, D; Tamosiunas, A; Scherbov, S; Sanderson, W; Koskinen, S; Chatterji, S; J.M, Haro Cohort profile: The Ageing Trajectories of Health–Longitudinal Opportunities and Synergies (ATHLOS) project Artículo de revista International Journal of Epidemiology, 2019. @article{Sanchez-Niubo2019, title = {Cohort profile: The Ageing Trajectories of Health\textendashLongitudinal Opportunities and Synergies (ATHLOS) project}, author = {Sanchez-Niubo, A and Egea-Cort\'{e}s, L and Olaya, B and Caballero, F.F and Ayuso-Mateos, J.L and Prina, M and Bobak,M and Arndt, H and Tobiasz-Adamczyk, B and Paj\k{a}k, A and Leonardi, M and Koupil, I and Panagiotakos, D and Tamosiunas, A and Scherbov, S and Sanderson, W and Koskinen, S and Chatterji, S and Haro J.M}, url = {https://academic.oup.com/ije/advance-article/doi/10.1093/ije/dyz077/5477844}, doi = {https://doi.org/10.1093/ije/dyz077}, year = {2019}, date = {2019-04-24}, journal = {International Journal of Epidemiology}, keywords = {}, pubstate = {published}, tppubtype = {article} } |
Cabello, M; Miret, M; Ayuso-Mateos, JL ; Caballero, FF ; Chatterji, S; Tobiasz-Adamczyk, B; Haro, JM ; Koskinen, S; Leonardi, M; Borges, G Cross-national prevalence and factors associated with suicide ideation and attempts in older and young-and-middle age people. Artículo de revista Aging Ment Health, (16), pp. 1-10, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Cabello2019b, title = {Cross-national prevalence and factors associated with suicide ideation and attempts in older and young-and-middle age people.}, author = {Cabello, M and Miret, M and Ayuso-Mateos, JL and Caballero, FF and Chatterji, S and Tobiasz-Adamczyk, B and Haro, JM and Koskinen, S and Leonardi, M and Borges, G.}, url = {https://www.ncbi.nlm.nih.gov/pubmed/30990056}, doi = {10.1080/13607863.2019.1603284.}, year = {2019}, date = {2019-04-16}, journal = {Aging Ment Health}, number = {16}, pages = {1-10}, abstract = {OBJECTIVES: To report prevalence estimates of 12-month suicide ideation and attempts in young-and-middle age adults and older people, as well as their respective associated factors. METHODS: A total of 52,150 community-dwelling adults who completed the adapted version of the Composite International Diagnostic Interview-Depression Module were included from SAGE and COURAGE in Europe studies. The presence of 12-month suicide ideation and attempts was measured among the participants who screened positively in the Depression Module. Global and national prevalence estimates of 12-month suicide ideation and attempts were calculated according to the total sample. Logistic regression analyses were conducted to separately determine factors associated with suicidal ideation and with suicide attempts in young-and-middle age adults and older adults. RESULTS: Higher estimates of 12-month suicidal ideation were found for high-income countries and people aged 65 years and older. Higher negative affect, higher disability, and presence of food insecurity were associated with 12-month suicidal ideation and suicide attempts for young-and-middle-adults and older adults. Higher isolation, being female, and greater number of chronic health conditions were also related to 12-month suicidal ideation in both age groups. Younger age was associated with 12-month suicidal ideation for older people, and with suicide attempts in the young-and-middle age group. Finally, higher income was related to lower rates of 12-month suicidal ideation for the young-and-middle age group. CONCLUSIONS: Older people are at increased risk of suicidal ideation globally and of suicide attempts in some countries. There were common and different factors related to suicide in adults and older adults.}, keywords = {}, pubstate = {published}, tppubtype = {article} } OBJECTIVES: To report prevalence estimates of 12-month suicide ideation and attempts in young-and-middle age adults and older people, as well as their respective associated factors. METHODS: A total of 52,150 community-dwelling adults who completed the adapted version of the Composite International Diagnostic Interview-Depression Module were included from SAGE and COURAGE in Europe studies. The presence of 12-month suicide ideation and attempts was measured among the participants who screened positively in the Depression Module. Global and national prevalence estimates of 12-month suicide ideation and attempts were calculated according to the total sample. Logistic regression analyses were conducted to separately determine factors associated with suicidal ideation and with suicide attempts in young-and-middle age adults and older adults. RESULTS: Higher estimates of 12-month suicidal ideation were found for high-income countries and people aged 65 years and older. Higher negative affect, higher disability, and presence of food insecurity were associated with 12-month suicidal ideation and suicide attempts for young-and-middle-adults and older adults. Higher isolation, being female, and greater number of chronic health conditions were also related to 12-month suicidal ideation in both age groups. Younger age was associated with 12-month suicidal ideation for older people, and with suicide attempts in the young-and-middle age group. Finally, higher income was related to lower rates of 12-month suicidal ideation for the young-and-middle age group. CONCLUSIONS: Older people are at increased risk of suicidal ideation globally and of suicide attempts in some countries. There were common and different factors related to suicide in adults and older adults. |
Koyanagi, A; Veronese, N; Stubbs, B; Vancampfort, D; Stickley, A; Oh, H; Shin, II J; Jackson, S; Smith, L; Lara, E Food Insecurity Is Associated with Mild Cognitive Impairment among Middle-Aged and Older Adults in South Africa: Findings from a Nationally Representative Survey Artículo de revista Nutrients, 11 (4), pp. 749, 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Koyanagi2019, title = {Food Insecurity Is Associated with Mild Cognitive Impairment among Middle-Aged and Older Adults in South Africa: Findings from a Nationally Representative Survey}, author = {Koyanagi, A and Veronese, N and Stubbs, B and Vancampfort, D and Stickley, A and Oh, H and Shin, J II and Jackson, S and Smith, L and Lara, E. }, url = {https://www.mdpi.com/2072-6643/11/4/749}, doi = {10.3390/nu11040749}, year = {2019}, date = {2019-03-30}, journal = {Nutrients}, volume = {11}, number = {4}, pages = {749}, abstract = {There are no studies on the association between food insecurity and mild cognitive impairment (MCI). Thus, cross-sectional, community-based data on individuals aged ≥50 years from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE) conducted in South Africa (2007\textendash2008) were analyzed to assess this association. The definition of MCI was based on the National Institute on Ageing-Alzheimer’s Association criteria. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable logistic regression analysis was conducted. The sample consisted of 3,672 individuals aged ≥50 years [mean (SD) age 61.4 (18.3); 56% females]. The prevalence of MCI was 8.5%, while 11.0% and 20.8% experienced moderate and severe food insecurity, respectively. After adjustment for potential confounders, moderate and severe food insecurity were associated with 2.82 (95%CI = 1.65\textendash4.84) and 2.51 (95%CI = 1.63\textendash3.87) times higher odds for MCI compared with no food insecurity, respectively. The OR for those aged ≥65 years with severe food insecurity was particularly high (OR = 3.87; 95%CI = 2.20\textendash6.81). In conclusion, food insecurity was strongly associated with MCI among South African older adults. Future longitudinal research is required to assess whether addressing food insecurity may reduce risk of MCI and subsequent dementia.}, keywords = {}, pubstate = {published}, tppubtype = {article} } There are no studies on the association between food insecurity and mild cognitive impairment (MCI). Thus, cross-sectional, community-based data on individuals aged ≥50 years from the World Health Organization’s Study on Global AGEing and Adult Health (SAGE) conducted in South Africa (2007–2008) were analyzed to assess this association. The definition of MCI was based on the National Institute on Ageing-Alzheimer’s Association criteria. Past 12-month food insecurity was assessed with two questions on frequency of eating less and hunger due to lack of food. Multivariable logistic regression analysis was conducted. The sample consisted of 3,672 individuals aged ≥50 years [mean (SD) age 61.4 (18.3); 56% females]. The prevalence of MCI was 8.5%, while 11.0% and 20.8% experienced moderate and severe food insecurity, respectively. After adjustment for potential confounders, moderate and severe food insecurity were associated with 2.82 (95%CI = 1.65–4.84) and 2.51 (95%CI = 1.63–3.87) times higher odds for MCI compared with no food insecurity, respectively. The OR for those aged ≥65 years with severe food insecurity was particularly high (OR = 3.87; 95%CI = 2.20–6.81). In conclusion, food insecurity was strongly associated with MCI among South African older adults. Future longitudinal research is required to assess whether addressing food insecurity may reduce risk of MCI and subsequent dementia. |
Lara, E; Martín-María, N; De La Torre-Luque, A; Koyanagi, A; Vancampfort, D; Izquierdo, A; Miret, M Does loneliness contribute to mild cognitive impairment and dementia? A systematic review and meta-analysis of longitudinal studies Artículo de revista Ageing Res Rev., 2019. Resumen | Enlaces | BibTeX | Etiquetas: @article{Lara2019bb, title = {Does loneliness contribute to mild cognitive impairment and dementia? A systematic review and meta-analysis of longitudinal studies}, author = {Lara, E and Mart\'{i}n-Mar\'{i}a,N and De La Torre-Luque,A and Koyanagi,A and Vancampfort, D and Izquierdo,A and Miret, M}, url = {https://www.ncbi.nlm.nih.gov/pubmed/30914351}, doi = {10.1016/j.arr.2019.03.002}, year = {2019}, date = {2019-03-23}, journal = {Ageing Res Rev.}, abstract = {There is growing evidence that loneliness is associated with mild cognitive impairment (MCI) and dementia. However, the extent of this association remains unclear. A systematic review and meta-analysis of longitudinal studies examining this association was conducted. Six electronic databases were searched from inception to November 15th 2018. A random-effects meta-analysis was performed to obtain pooled estimates and 95% CIs. Studies were also assessed for heterogeneity, methodological quality and publication bias. A total of 4270 hits were retrieved based on the initial search strategy and ten studies met the eligibility criteria involving 37339 individuals (mean age from 64.9 to 83.1 years). Variation between studies was present for the measurement of loneliness as well as for the case ascertainment of MCI and dementia. Loneliness was positively associated with increased risk of dementia (overall RR = 1.26; 95% CI = 1.14, 1.40; n = 8). Due to lack of sufficient data, we could not explore the association between loneliness and risk of MCI through a meta-analysis, but limited evidence suggests a potential effect of loneliness on MCI. A further understanding of the deleterious effects of loneliness on MCI and dementia may assist the design of environmental and psychological interventions to prevent or delay the onset of these neuropsychiatric conditions.}, keywords = {}, pubstate = {published}, tppubtype = {article} } There is growing evidence that loneliness is associated with mild cognitive impairment (MCI) and dementia. However, the extent of this association remains unclear. A systematic review and meta-analysis of longitudinal studies examining this association was conducted. Six electronic databases were searched from inception to November 15th 2018. A random-effects meta-analysis was performed to obtain pooled estimates and 95% CIs. Studies were also assessed for heterogeneity, methodological quality and publication bias. A total of 4270 hits were retrieved based on the initial search strategy and ten studies met the eligibility criteria involving 37339 individuals (mean age from 64.9 to 83.1 years). Variation between studies was present for the measurement of loneliness as well as for the case ascertainment of MCI and dementia. Loneliness was positively associated with increased risk of dementia (overall RR = 1.26; 95% CI = 1.14, 1.40; n = 8). Due to lack of sufficient data, we could not explore the association between loneliness and risk of MCI through a meta-analysis, but limited evidence suggests a potential effect of loneliness on MCI. A further understanding of the deleterious effects of loneliness on MCI and dementia may assist the design of environmental and psychological interventions to prevent or delay the onset of these neuropsychiatric conditions. |
