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Original article

Vol. 150 No. 2930 (2020)

Youths and poor emotional wellbeing: is it just a matter of stress? A longitudinal survey

  • Alicia Gubelmann
  • Diane Auderset
  • Christina Akre
  • Yara Barrense-Dias
  • Joan-Carles Suris
DOI
https://doi.org/10.4414/smw.2020.20290
Cite this as:
Swiss Med Wkly. 2020;150:w20290
Published
15.07.2020

Abstract

WHAT IS KNOWN ON THE SUBJECT: To date, research on emotional wellbeing among youths has been mostly based on cross-sectional studies, and little is known about its evolution over time.

WHAT DOES THIS ARTICLE ADD: Our study adds a longitudinal approach to emotional wellbeing and defines different groups of youths according to their evolution over a two-year period. Stress and perceived health status seem to be the most important factors related to emotional wellbeing. Our research shows the importance of health care professionals exploring psychological health, especially when a youth has atypical somatic complaints. This could allow the early detection of psychological problems and the provision of proper timely treatment.

AIM OF THE STUDY

To assess how emotional wellbeing evolves over a two-year period among youths in Switzerland, and to assess their characteristics.

METHODS

Data were obtained from the first and third waves of the GenerationFRee study (n = 1311, aged 15–24 at baseline). The sample was divided into four groups according to the evolution of their emotional wellbeing (WB): good at both waves (GoodWB: 67.9%), poor at T1 and good at T3 (BetterWB: 8.4%), good at T1 and poor at T3 (WorseWB: 13.2%), or poor at both waves (PoorWB: 10.4%). Significant variables at the bivariate level were included in a multinomial regression analysis using GoodWB as the reference category. Results are given as relative risk ratios (RRRs).

RESULTS

The BetterWB group reported more stress at T1 (RRR 1.34), as did the WorseWB group at T3 (1.43). Those in the WorseWB group were more likely to report poorer health status at T3 (6.51). Finally, the PoorWB group reported more stress at T1 (1.33) and T3 (1.44), and poorer health status at T1 (9.39) and T3 (5.75). Other variables not significant in all groups were perceived onset of puberty, having a chronic condition, area of residence and relationships with parents.

CONCLUSION

Using a longitudinal approach, stress and perceived health status seem to be the main factors that change with emotional wellbeing among youths. Inquiring about stress could be a good proxy for emotional wellbeing, especially among males, who tend to underestimate their emotional worries.

References

  1. Hoyt LT, Chase-Lansdale PL, McDade TW, Adam EK. Positive youth, healthy adults: does positive well-being in adolescence predict better perceived health and fewer risky health behaviors in young adulthood? J Adolesc Health. 2012;50(1):66–73. doi:.https://doi.org/10.1016/j.jadohealth.2011.05.002
  2. Proctor CL, Linley PA, Maltby J. Youth Life Satisfaction: A Review of the Literature. J Happiness Stud. 2009;10(5):583–630. doi:.https://doi.org/10.1007/s10902-008-9110-9
  3. Steinhausen H-C, Metzke CW. Adolescent Self-Rated Depressive Symptoms in a Swiss Epidemiological Study. J Youth Adolesc. 2000;29(4):427–40. doi:.https://doi.org/10.1023/A:1005106409022
  4. Brunstein Klomek A, Barzilay S, Apter A, Carli V, Hoven CW, Sarchiapone M, et al. Bi-directional longitudinal associations between different types of bullying victimization, suicide ideation/attempts, and depression among a large sample of European adolescents. J Child Psychol Psychiatry. 2019;60(2):209–15. doi:.https://doi.org/10.1111/jcpp.12951
  5. Kubik MY, Lytle LA, Birnbaum AS, Murray DM, Perry CL. Prevalence and correlates of depressive symptoms in young adolescents. Am J Health Behav. 2003;27(5):546–53. doi:.https://doi.org/10.5993/AJHB.27.5.6
  6. Keenan-Miller D, Hammen CL, Brennan PA. Health outcomes related to early adolescent depression. J Adolesc Health. 2007;41(3):256–62. doi:.https://doi.org/10.1016/j.jadohealth.2007.03.015
  7. Wickrama KAS, Wickrama T, Lott R. Heterogeneity in youth depressive symptom trajectories: social stratification and implications for young adult physical health. J Adolesc Health. 2009;45(4):335–43. doi:.https://doi.org/10.1016/j.jadohealth.2009.04.018
  8. Tomyn AJ, Weinberg MK. Resilience and Subjective Wellbeing: A Psychometric Evaluation in Young Australian Adults. Aust Psychol. 2018;53(1):68–76. doi:.https://doi.org/10.1111/ap.12251
  9. Bergman MM, Scott J. Young adolescents’ wellbeing and health-risk behaviours: gender and socio-economic differences. J Adolesc. 2001;24(2):183–97. doi:.https://doi.org/10.1006/jado.2001.0378
  10. Courtenay WH. Constructions of masculinity and their influence on men’s well-being: a theory of gender and health. Soc Sci Med. 2000;50(10):1385–401. doi:.https://doi.org/10.1016/S0277-9536(99)00390-1
  11. Christie D, Viner R. Adolescent development. BMJ. 2005;330(7486):301–4. doi:.https://doi.org/10.1136/bmj.330.7486.301
  12. Winkelmann R. Parental separation and well-being of youths: Evidence from Germany. J Socio-Economics. 2006;35(2):197–208. doi:.https://doi.org/10.1016/j.socec.2005.11.008
  13. Shek DTL. Perceived Parental Control Processes, Parent–Child Relational Qualities, and Adolescent Psychological Well-Being in Intact and Nonintact Families: Longitudinal Findings in the Chinese Culture. J Divorce & Remarriage. 2008;49(1-2):171–89. doi:.https://doi.org/10.1080/10502550801973187
  14. Garnefski N, Diekstra RFW. Adolescents from one parent, stepparent and intact families: emotional problems and suicide attempts. J Adolesc. 1997;20(2):201–8. doi:.https://doi.org/10.1006/jado.1996.0077
  15. Mance P, Yu P. Context, relationship transitions and conflict: explaining outcomes for Australian youth from non-intact families. J Popul Res (Canberra). 2010;27(2):75–105. doi:.https://doi.org/10.1007/s12546-010-9033-2
  16. Hair EC, Moore KA, Garrett SB, Ling T, Cleveland K. The Continued Importance of Quality Parent–Adolescent Relationships During Late Adolescence. J Res Adolesc. 2008;18(1):187–200. doi:.https://doi.org/10.1111/j.1532-7795.2008.00556.x
  17. van Wel F, Linssen H, Abma R. The Parental Bond and the Well-Being of Adolescents and Young Adults. J Youth Adolesc. 2000;29(3):307–18. doi:.https://doi.org/10.1023/A:1005195624757
  18. Wolman C, Resnick MD, Harris LJ, Blum RW. Emotional well-being among adolescents with and without chronic conditions. J Adolesc Health. 1994;15(3):199–204. doi:.https://doi.org/10.1016/1054-139X(94)90504-5
  19. Gubelmann A, Berchtold A, Akre C, Barrense-Dias Y, Suris J-C. Youths with Chronic Conditions Show No Direct Association with Risk Behaviors. J Adolesc Health. 2018;62(2):S95–6. doi:.https://doi.org/10.1016/j.jadohealth.2017.11.193
  20. Sund AM, Larsson B, Wichstrøm L. Psychosocial correlates of depressive symptoms among 12-14-year-old Norwegian adolescents. J Child Psychol Psychiatry. 2003;44(4):588–97. doi:.https://doi.org/10.1111/1469-7610.00147
  21. Gulley LD, Hankin BL, Young JF. Risk for Depression and Anxiety in Youth: The Interaction between Negative Affectivity, Effortful Control, and Stressors. J Abnorm Child Psychol. 2016;44(2):207–18. doi:.https://doi.org/10.1007/s10802-015-9997-7
  22. Yeresyan I, Lohaus A. Stress and wellbeing among Turkish and German adolescents living in rural and urban areas. Rural Remote Health. 2014;14(2):2695.
  23. Peen J, Schoevers RA, Beekman AT, Dekker J. The current status of urban-rural differences in psychiatric disorders. Acta Psychiatr Scand. 2010;121(2):84–93. doi:.https://doi.org/10.1111/j.1600-0447.2009.01438.x
  24. DuBois DL, Felner RD, Brand S, Adan AM, Evans EG. A prospective study of life stress, social support, and adaptation in early adolescence. Child Dev. 1992;63(3):542–57. doi:.https://doi.org/10.2307/1131345
  25. Pritchard ME, Wilson GS. Using emotional and social factors to predict student success. J Coll Student Dev. 2003;44(1):18–28. doi:.https://doi.org/10.1353/csd.2003.0008
  26. Goldstein SE, Boxer P, Rudolph E. Middle School Transition Stress: Links with Academic Performance, Motivation, and School Experiences. Contemp Sch Psychol. 2015;19(1):21–9. doi:.https://doi.org/10.1007/s40688-014-0044-4
  27. Topp CW, Østergaard SD, Søndergaard S, Bech P. The WHO-5 Well-Being Index: a systematic review of the literature. Psychother Psychosom. 2015;84(3):167–76. doi:.https://doi.org/10.1159/000376585
  28. Berg-Kelly K, Erdes L. Self-assessment of sexual maturity by mid-adolescents based on a global question. Acta Paediatr. 1997;86(1):10–7. doi:.https://doi.org/10.1111/j.1651-2227.1997.tb08822.x
  29. Redonnet B, Chollet A, Fombonne E, Bowes L, Melchior M. Tobacco, alcohol, cannabis and other illegal drug use among young adults: the socioeconomic context. Drug Alcohol Depend. 2012;121(3):231–9. doi:.https://doi.org/10.1016/j.drugalcdep.2011.09.002
  30. Cohen S, Kamarck T, Mermelstein R. A global measure of perceived stress. J Health Soc Behav. 1983;24(4):385–96. doi:.https://doi.org/10.2307/2136404
  31. Altschul I. Linking Socioeconomic Status to the Academic Achievement of Mexican American Youth Through Parent Involvement in Education. J Soc Social Work Res. 2012;3(1):13–30. doi:.https://doi.org/10.5243/jsswr.2012.2
  32. Zajacova A, Lynch SM, Espenshade TJ. Self-Efficacy, Stress, and Academic Success in College. Res High Educ. 2005;46(6):677–706. doi:.https://doi.org/10.1007/s11162-004-4139-z
  33. Surís J-C, Bélanger RE, Ambresin A-E, Chabloz JM, Michaud P-A. Extra burden of psychosomatic complaints among adolescents suffering from chronic conditions. J Dev Behav Pediatr. 2011;32(4):328–31. doi:.https://doi.org/10.1097/DBP.0b013e3181fa5727
  34. Villalonga-Olives E, Forero CG, Erhart M, Palacio-Vieira JA, Valderas JM, Herdman M, et al. Relationship between life events and psychosomatic complaints during adolescence/youth: a structural equation model approach. J Adolesc Health. 2011;49(2):199–205. doi:.https://doi.org/10.1016/j.jadohealth.2010.11.260
  35. Greene JW, Walker LS. Psychosomatic problems and stress in adolescence. Pediatr Clin North Am. 1997;44(6):1557–72. doi:.https://doi.org/10.1016/S0031-3955(05)70574-5
  36. Jafflin K, Pfeiffer C, Bergman MM. Effects of self-esteem and stress on self-assessed health: a Swiss study from adolescence to early adulthood. Qual Life Res. 2019;28(4):915–24. doi:.https://doi.org/10.1007/s11136-018-2059-1
  37. Lind RC, Sze Y-K, de Vries W, Hulscher JBF, Sieders E, Scheenstra R, et al. Achievement of developmental milestones in young adults after liver transplantation in childhood. Pediatr Transplant. 2015;19(3):287–93. doi:.https://doi.org/10.1111/petr.12448
  38. Maslow GR, Haydon A, McRee AL, Ford CA, Halpern CT. Growing up with a chronic illness: social success, educational/vocational distress. J Adolesc Health. 2011;49(2):206–12. doi:.https://doi.org/10.1016/j.jadohealth.2010.12.001
  39. Brendgen M, Wanner B, Morin AJS, Vitaro F. Relations with parents and with peers, temperament, and trajectories of depressed mood during early adolescence. J Abnorm Child Psychol. 2005;33(5):579–94. doi:.https://doi.org/10.1007/s10802-005-6739-2
  40. Brener ND, Billy JOG, Grady WR. Assessment of factors affecting the validity of self-reported health-risk behavior among adolescents: evidence from the scientific literature. J Adolesc Health. 2003;33(6):436–57. doi:.https://doi.org/10.1016/S1054-139X(03)00052-1

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