mrepo:topics:mentalhealthandwellbeing

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mrepo:topics:mentalhealthandwellbeing [06/03/2018 @ 16:32] adammooremrepo:topics:mentalhealthandwellbeing [14/11/2023 @ 12:32] (current) director
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 ====Mental Health and Wellbeing==== ====Mental Health and Wellbeing====
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-Study members completed the GHQ-28 as a self-administered questionnaire, repeating the measures from age 53. +Study members completed the GHQ-28 as a self-administered questionnaire, repeating the measures from age 53. 
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 +Study members, except those who took part in the Manchester Feasibility study, also completed the **Warwick Edinburgh Mental Wellbeing Scale** ({{https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/|WEMWBS}}) on the pre-assessment questionnaire. This was developed to enable the monitoring of mental wellbeing in the general population. WEMWBS is a 14-item scale with five response categories, summed to provide a single score ranging from 14-70.  
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 On a separate postal questionnaire at this timepoint, the study members also completed**:** On a separate postal questionnaire at this timepoint, the study members also completed**:**
  
-1) **Warwick Edinburgh Mental Wellbeing Scale** (WEMWBS: © NHS Health Scotland, University of Warwick and University of Edinburgh, 2007, all rights reserved). This was developed to enable the monitoring of mental wellbeing in the general population. WEMWBS is a 14-item scale with five response categories, summed to provide a single score ranging from 14-70. \\ +1) **Warwick Edinburgh Mental Wellbeing Scale**   
 +\\  
 2) **Pearlin Mastery Scale** (Pearlin, L. I., & Schooler, C., 1978): This measures an individual’s level of mastery, which is the extent to which someone regards one’s life chances as being under their own control. The scale comprises five negatively-worded items and two positively-worded items, presented with the following Likert response options:  2) **Pearlin Mastery Scale** (Pearlin, L. I., & Schooler, C., 1978): This measures an individual’s level of mastery, which is the extent to which someone regards one’s life chances as being under their own control. The scale comprises five negatively-worded items and two positively-worded items, presented with the following Likert response options: 
 (1) Strongly Disagree  (1) Strongly Disagree 
 (2) Disagree  (2) Disagree 
 (3) Agree  (3) Agree 
-(4) Strongly Agree. \\ The negatively-worded items require reverse coding prior to scoring, resulting in a score range of 7 to 28, with higher scores indicating greater levels of mastery+(4) Strongly Agree. 
  
 +The negatively-worded items require reverse coding prior to scoring, resulting in a score range of 7 to 28, with higher scores indicating greater levels of mastery. 
 +----
  
 <html><i style=""></html>Age 15-30 years<html></i></html>: A composite set of variables represents the duration and severity of psychiatric disorder, based on detailed examination of all available records.  This information did not include diagnosis, so all new identified admissions were followed up with the hospitals.  The relevant summary variable is PSY, which grades study members from no illness to continuous inpatient psychiatric care since age 15 years. Additional variables provide details of diagnosis and clinical presentation.  This information has been used by Kuh et al. (2002), and by Lokugamage et al. (2006).<html><o:p></o:p></html> <html><i style=""></html>Age 15-30 years<html></i></html>: A composite set of variables represents the duration and severity of psychiatric disorder, based on detailed examination of all available records.  This information did not include diagnosis, so all new identified admissions were followed up with the hospitals.  The relevant summary variable is PSY, which grades study members from no illness to continuous inpatient psychiatric care since age 15 years. Additional variables provide details of diagnosis and clinical presentation.  This information has been used by Kuh et al. (2002), and by Lokugamage et al. (2006).<html><o:p></o:p></html>
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-<html><i style=""></html>Longitudinal profiles<html></i></html>: One technical problem with estimating lifetime psychological risk to age 53 years in NSHD is that all relevant measures were unique to each assessment or life course phase, and none except the two sets of teacher ratings had been repeated. This problem was addressed by Colman et al. (2007), who derived longitudinal typologies using latent class analysis incorporating information on affective behaviours or symptoms at time points: teacher ratings at ages 13 and 15 years (see 7.3.5), the PSE at age 36 years, the PSF at 43 years, and the GHQ-28 at 53 years. From these data longitudinal profiles were derived: 1. absence of symptoms (44.8%); 2. adult-onset moderate symptoms (11.3%); 3. repeated moderate symptoms (33.6%); 4. adolescent-onset symptoms with good adult outcome (5.8%); 5. adult-onset severe symptoms (2.8%); 6. repeated severe symptoms (1.7%)Details of the latent class methodology, and some findings on early associates of these profiles, can be found in Colman et al. (2007).  <html><br></html> <html><br></html>+<html><br><i style=""></html>Longitudinal profiles<html></i></html>: One technical problem with estimating lifetime psychological risk to age 53 years in NSHD is that all relevant measures were unique to each assessment or life course phase, and none except the two sets of teacher ratings had been repeated. This problem was addressed by {{https://www.ncbi.nlm.nih.gov/pubmed/17692292|Colman et al.}} (2007), who derived longitudinal typologies using latent class analysis incorporating information on affective behaviours or symptoms at six time points: teacher ratings at ages 13 and 15 years, the PSE at age 36 years, the PSF at 43 years, and the GHQ-28 at 53 years. From these data six longitudinal profiles were derived:  
 +  - absence of symptoms (44.8%)  
 +  - adult-onset moderate symptoms (11.3%)  
 +  - repeated moderate symptoms (33.6%)  
 +  - adolescent-onset symptoms with good adult outcome (5.8%)  
 +  - adult-onset severe symptoms (2.8%)  
 +  - repeated severe symptoms (1.7%)  
 + 
 +Details of the latent class methodology, and some findings on early associates of these profiles, can be found in Colman et al. (2007). An update to include the age 60-64 data collection can be found in {{https://www.cambridge.org/core/journals/the-british-journal-of-psychiatry/article/lifetime-affect-and-midlife-cognitive-function-prospective-birth-cohort-study/ED0E86A50616C358859B235E024592BE|Richards et al.}} (2014).   <html><br></html>
  
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 Further information on the <html><a href="http://www.nshd.mrc.ac.uk/research/mental_health.aspx" target="_blank"></html>Mental Health and Wellbeing<html></a></html> research programme is available on the public LHA website.<html><br></html> <html><span style="font-size: 10pt; font-family: Verdana; color: black;"><span style=""></html> Further information on the <html><a href="http://www.nshd.mrc.ac.uk/research/mental_health.aspx" target="_blank"></html>Mental Health and Wellbeing<html></a></html> research programme is available on the public LHA website.<html><br></html> <html><span style="font-size: 10pt; font-family: Verdana; color: black;"><span style=""></html>
 + \\ 
 +----
  
-<html><br></html>+=== Obtaining the standard adult mental health and wellbeing variables ===
  
-<html></span></span></html> +  * You can obtain a list of the standard topic variables to use in an NSHD data sharing request by selecting the link below.\\  
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-</HTML> +[[http://skylark.ucl.ac.uk/Sparrow/search/html/keyword/mrepo:topics:mentalhealthandwellbeing | HTML version of the standard variables to view]] 
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-  <td><small><img style="width: 11px; height: 11px;" alt="arrow" src="./Mental Health and Wellbeing_files/link_icon.gif"><a href="https://secure.ctu.mrc.ac.uk/lha_nshd/members/childhood.html">Childhood 
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-  <td><img style="width: 11px; height: 11px;" alt="arrow" src="./Mental Health and Wellbeing_files/link_icon.gif"><a href="https://secure.ctu.mrc.ac.uk/lha_nshd/members/Lifetime.html"><small>Lifetime 
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-  <td><small><img style="width: 11px; height: 11px;" alt="arrow" src="./Mental Health and Wellbeing_files/link_icon.gif"><a href="https://secure.ctu.mrc.ac.uk/lha_nshd/members/Biological.html">Biological 
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-<html><a href="https://secure.ctu.mrc.ac.uk/lha_nshd/members/index.html"></html>Homepage<html></a></html> | <html><a href="http://www.nshd.mrc.ac.uk/"></html>LHA-NSHD Website (Public)<html></a></html> 
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