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Mental health status according to the dual-factor model in Swedish adolescents: A cross sectional study highlighting associations with stress, resilience, social status and gender
Child Health And Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Örebro University, School of Health Sciences. Örebro University Hospital. University Health Care Research Centre, Faculty of Medicine and Health, Örebro University, Örebro Sweden; Center for Clinical Research, Uppsala University, County Hospital, Västerås, Sweden.ORCID iD: 0000-0003-4115-8413
Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
Child Health And Parenting (CHAP), Department of Public Health and Caring Sciences, Uppsala University, Uppsala, Sweden.
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2024 (English)In: PLOS ONE, E-ISSN 1932-6203, Vol. 19, no 3, article id e0299225Article in journal (Refereed) Published
Abstract [en]

In this cross-sectional study, we aimed to I) investigate the dual-factor model of mental health by forming and describing four participant groups and II) examine associations between mental health status and background factors, school-related factors, stress, and resilience among adolescents in a community population in Sweden. Data were collected through a survey completed by 2,208 students in lower and upper secondary school on the Swedish island of Gotland. After missing data were removed, a total of 1,833 participants were included in the study. The survey included the Mental Health Continuum Short Form (MHC-SF) for the assessment of mental well-being and the Strengths and Difficulties Questionnaire (SDQ) for the assessment of mental health problems. These two measures were combined into a dual-factor model, forming four mental health status subgroups: Vulnerable (47.5%), Complete mental health (36.2%), Troubled (13.9%), and Symptomatic but content (2.5%). Associations between these groups were explored regarding background factors, school-related factors, stress, and resilience through chi-squared tests and logistic regressions. Girls (OR: 1.88) and participants with high stress levels (OR: 2.23) had elevated odds for Vulnerable mental health status, whereas higher resilience (OR: 0.87) and subjective social status in school (OR: 0.76) were factors associated with reduced odds for this mental health status classification. Female gender (OR: 5.02) was also associated with Troubled mental health status. Similarly, a high level of stress (ORs: 4.08 and 11.36) was associated with Symptomatic but content and Troubled mental health status, and participants with higher levels of resilience had decreased odds for being classified into these groups (ORs: 0.88 and 0.81). The findings highlight the importance of interventions to increase resilience, reduce stress, and address stereotypic gender norms as well as social status hierarchies to support adolescents' mental health.

Place, publisher, year, edition, pages
Public Library of Science (PLoS), 2024. Vol. 19, no 3, article id e0299225
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Identifiers
URN: urn:nbn:se:oru:diva-112079DOI: 10.1371/journal.pone.0299225ISI: 001181701600057PubMedID: 38427682Scopus ID: 2-s2.0-85186316416OAI: oai:DiVA.org:oru-112079DiVA, id: diva2:1842179
Funder
Region Gotland, RS2020/663
Note

The study was funded by: • Planeringsrådet Gotland at Uppsala University [19-10-28 §5, 2019] (AS) • Länsförsäkringar Gotland [19-12-16 #11 §139, 2019] (AS) • Region Gotland [RS2020/663, 2020] (VH).

Available from: 2024-03-04 Created: 2024-03-04 Last updated: 2024-04-25Bibliographically approved

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Söderqvist, Fredrik

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