Relevance of well-being, resilience, and health-related quality of life to mental health profiles of European adolescents: results from a cross-sectional analysis of the school-based multinational UPRIGHT project

幸福感、适应力和健康相关生活质量与欧洲青少年心理健康状况的相关性:基于学校的跨国 UPRIGHT 项目的横断面分析结果

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作者:Carlota Las-Hayas, Maider Mateo-Abad, Itziar Vergara, Irantzu Izco-Basurko, Ana González-Pinto, Silvia Gabrielli, Iwona Mazur, Odin Hjemdal, Dora Gudrun Gudmundsdottir, Hans Henrik Knoop, Anna Sigríður Olafsdottir, Ane Fullaondo, Nerea González, Javier Mar-Medina, Dominik Krzyżanowski, Roxanna Morot

Conclusion

Adolescents with the "intermediate" or "poor" mental health profiles may benefit from interventions to improve mental health. Implications for school-based interventions are discussed.

Methods

Data collected from adolescents (N = 3767; mean age 12.4 [SD = 0.9]) from five European countries supplied the information on their mental well-being (personal resilience, school resilience, quality of life, and mental well-being) and mental and behavioral disorder symptoms (anxiety, depression, stress, bullying, cyber-bullying, and use of tobacco, alcohol, or cannabis). Multiple correspondence analysis and cluster analysis were combined to classify the youths into mental health profiles.

Purpose

The existing evidence suggests that a complete evaluation of mental health should incorporate both psychopathology and mental well-being indicators. However, few studies categorize European adolescents into subgroups based on such complete mental health data. This study used the data on mental well-being and symptoms of mental and behavioral disorders to explore the mental health profiles of adolescents in Europe.

Results

Adolescents were categorized into three mental health profiles. The "poor mental health" profile (6%) was characterized by low levels of well-being and moderate symptoms of mental disorders. The "good mental health" profile group (26%) showed high well-being and few symptoms of mental disorders, and the "intermediate mental health" profile (68%) was characterized by average well-being and mild-to-moderate symptoms of mental disorders. Groups with higher levels of well-being and fewer symptoms of mental disorders showed lower rates of behavioral problems. Mental well-being indicators strongly contributed to this classification.

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