The association between psychosocial factors, protective factors, and its associated triggers with psychological distress among Bolivian adolescents.

Publisher: Nature Publishing Group Country of Publication: England NLM ID: 101563288 Publication Model: Electronic Cited Medium: Internet ISSN: 2045-2322 (Electronic) Linking ISSN: 20452322 NLM ISO Abbreviation: Sci Rep Subsets: MEDLINE

Original Publication: London : Nature Publishing Group, copyright 2011-

Psychological Distress*; Male ; Female ; Humans ; Adolescent ; Protective Factors ; Bolivia/epidemiology ; Cross-Sectional Studies ; Surveys and Questionnaires

The purpose of this study is to investigate the association between psychosocial factors, protective factors, and its associated triggers with psychological distress among Bolivian adolescents. This cross-sectional study was conducted by investigating the 2018 Bolivia global school-based student health survey (GSHS). The total number of students who participated in this survey was 7931, and the final sample was 7377. The mean age of the participants was 15.3 years (SD = 1.4). Psychological distress was assessed with a 2-item screener (loneliness and worry induced sleep disturbance). In all 22.3% of participants reported experiencing psychological distress, with 18.1% among adolescent males and 26.2% among adolescent females. In adjusted logistic regression analysis (AOR, 95% CI), there are two significant directions of association. One is the negative association, such as parental involvement as a protective factor. School adolescents who had more parental involvement were less likely to experience psychological distress. Parents understand problems or worries (0.64, 0.54-0.75, p < .001) and parents disregard privacy (0.69, 0.58-0.82, p < .001). On the other hand, many psycho-social factors are significantly positively associated with psychological distress. School adolescents who experience more psychosocial factors are more likely to experience psychological distress. Physical assault in the previous year (1.83, 1.59-2.11, p < .001), being bullied at school (1.27, 1.07-1.52, p < .01), being bullied outside of school (1.36, 1.15-1.61, p < .001), and being cyberbullied (1.60, 1.37-1.88, p < .001), were all significantly associated with psychological distress. Healthy relationships in a family, and interventions to reduce violence and bullying, should be encouraged and promoted.
(© 2023. Springer Nature Limited.)

Cole, A., Bond, C., Qualter, P. & Maes, M. A systematic review of the development and psychometric properties of loneliness measures for children and adolescents. Int. J. Environ. Res. Public Health 18(6), 3285 (2021). (PMID: 33810076800499810.3390/ijerph18063285)
Twenge, J. M. et al. Worldwide increases in adolescent loneliness. J. Adolesc. 93(1), 257–269 (2021). (PMID: 3429442910.1016/j.adolescence.2021.06.006)
Moeller, R. W. & Seehuus, M. Loneliness as a mediator for college students’ social skills and experiences of depression and anxiety. J. Adolesc. 73(1), 1–13 (2019). (PMID: 30933717653443910.1016/j.adolescence.2019.03.006)
Beutel, M. E. et al. Loneliness in the general population: prevalence, determinants and relations to mental health. BMC Psychiatry 17(1), 97 (2017). (PMID: 28320380535991610.1186/s12888-017-1262-x)
Escobar, D. F. S. S., de Jesus, T. F., Noll, P. R. E. S. & Noll, M. Family and school context: Effects on the mental health of Brazilian students. Int. J. Environ. Res. Public Health 17(17), 6042 (2020). (PMID: 32825209750329910.3390/ijerph17176042)
Tian, S., Zhang, T. Y., Miao, Y. M. & Pan, C. W. Psychological distress and parental involvement among adolescents in 67 low-income and middle-income countries: A population-based study. J. Affect. Disord. 1(282), 1101–1109 (2021). (PMID: 10.1016/j.jad.2021.01.010)
Pengpid, S. & Peltzer, K. Prevalence and associated factors of loneliness among national samples of in-school adolescents in four caribbean countries. Psychol Rep. 124(6), 2669–2683 (2021). (PMID: 3308448810.1177/0033294120968502)
Pengpid, S. & Peltzer, K. Prevalence and associated factors of psychological distress among a national sample of in-school adolescents in Liberia. J. Psychol. Afr. 31(2), 197–202 (2021). (PMID: 10.1080/14330237.2021.1903158)
Pengpid, S. & Peltzer, K. Prevalence and associated factors of psychological distress among a national sample of in-school adolescents in Morocco. BMC Psychiatry 20(1), 475 (2020). (PMID: 32993597752624610.1186/s12888-020-02888-3)
Marthoenis, Dahlia, & Nassimbwa, J. Prevalence and factors associated with loneliness among Indonesian female adolescents: a cross-sectional study. BMC Womens Health 22, 328 (2022). (PMID: 35918660934715710.1186/s12905-022-01909-5)
Putra, I. G. N. E. et al. Gender differences in social environmental factors of psychological distress among Indonesian adolescents: Findings from the 2015 global school-based student health survey. J. Biosoc. Sci. 2, 1–18 (2022).
Pengpid, S. & Peltzer, K. Psychological distress among a national sample of school adolescents in Tonga: Prevalence and correlates. Int. J. Disabil. Hum. Develop. 20(2), 119–126 (2021).
Li, Y., Cong, X., Chen, S. & Li, Y. Relationships of coping styles and psychological distress among patients with insomnia disorder. BMC Psychiatry 21(1), 255 (2021). (PMID: 34001068813044810.1186/s12888-021-03254-7)
Nunes, M. L. & Bruni, O. Insomnia in childhood and adolescence: clinical aspects, diagnosis, and therapeutic approach. J. Pediatr. 91(6, Supplement 1), S26-35 (2015). (PMID: 10.1016/j.jped.2015.08.006)
Beck, N. I., Arif, I., Paumier, M. F. & Jacobsen, K. H. Adolescent injuries in argentina, bolivia, chile, and uruguay: Results from the 2012–2013 global school-based student health survey (GSHS). Injury 47(12), 2642–2649 (2016). (PMID: 2774569010.1016/j.injury.2016.10.002)
Oldfield, J., Humphrey, N. & Hebron, J. The role of parental and peer attachment relationships and school connectedness in predicting adolescent mental health outcomes. Child Adolesc. Mental Health 21(1), 21–29 (2016). (PMID: 10.1111/camh.12108)
Moen, Ø. L. & Hall-Lord, M. L. Adolescents’ mental health, help seeking and service use and parents’ perception of family functioning. Nordic J. Nurs. Res. 39(1), 1–8 (2019). (PMID: 10.1177/2057158518764036)
Delgado, E., Serna, C., Martínez, I. & Cruise, E. Parental attachment and peer relationships in adolescence: A systematic review. Int. J. Environ. Res. Public Health 19(3), 1064 (2022). (PMID: 35162088883442010.3390/ijerph19031064)
Serna, C. & Martínez, I. Parental involvement as a protective factor in school adjustment among retained and promoted secondary students. Sustainability. 11(24), 7080 (2019). (PMID: 10.3390/su11247080)
Mackova, J. et al. The role of parents in the care for adolescents suffering from emotional and behavioral problems. Front Psychol. 22(13), 1049247 (2022). (PMID: 10.3389/fpsyg.2022.1049247)
Hasumi, T., Ahsan, F., Couper, C. M., Aguayo, J. L. & Jacobsen, K. H. Parental involvement and mental well-being of Indian adolescents. Indian Pediatr. 49(11), 915–918 (2012). (PMID: 2272862610.1007/s13312-012-0218-y)
Nguyen, H. T. L., Nakamura, K., Seino, K. & Al-Sobaihi, S. Impact of parent–adolescent bonding on school bullying and mental health in Vietnamese cultural setting: Evidence from the global school-based health survey. BMC Psychol. 7(1), 16 (2019). (PMID: 30885261642166310.1186/s40359-019-0294-z)
Semahegn, A. et al. Physical fighting among adolescents in eastern Ethiopia: a cross-sectional study. BMC Public Health 21(1), 1732 (2021). (PMID: 34556064846185510.1186/s12889-021-11766-w)
Lee, L. K., Chen, P. C. Y., Lee, K. K. & Kaur, J. Violence-related behaviours among Malaysian adolescents: a cross sectional survey among secondary school students in Negeri Sembilan. Ann. Acad. Med. Singap. 36(3), 169–174 (2007). (PMID: 1745026110.47102/annals-acadmedsg.V36N3p169)
Shaikh, M. A., Abio, A., Celedonia, K. L. & Lowery, W. M. Physical fighting among school-attending adolescents in Pakistan: Associated factors and contextual influences. Int. J. Environ. Res. Public Health 16(24), 5039 (2019). (PMID: 31835671695007210.3390/ijerph16245039)
Omer, M., Shaikh, M. A., Stiller, M. & Lowery, W. M. Physical fighting among school-attending adolescents in El Salvador: An examination of the 2013 global school-based health survey. Int. J. Environ. Res. Public Health 17(4), 1248 (2020). (PMID: 32075210706838810.3390/ijerph17041248)
Gabrielli, S., Rizzi, S., Carbone, S. & Piras, E. M. School interventions for bullying-cyberbullying prevention in adolescents: Insights from the UPRIGHT and CREEP projects. Int. J. Environ. Res. Public Health 18(21), 11697 (2021). (PMID: 34770212858353710.3390/ijerph182111697)
Craig, W. et al. A cross-national profile of bullying and victimization among adolescents in 40 countries. Int. J. Public Health. 54(2), 216–224 (2009). (PMID: 1962347510.1007/s00038-009-5413-9)
Lee, J. J., Kim, J. H. & Kim, B. N. Effects of school bullying prevention camp on the adolescent perpetrators of school violence. J. Korean Acad. Child Adolesc. Psychiatry 32(2), 43–50 (2021). (PMID: 10.5765/jkacap.200043)
Marthoenis, M. & Schouler-Ocak, M. Investigating the prevalence of psychological distress and its associated factors among Indonesian adolescents: A cross-sectional study. Child. Adolesc. Soc. Work J. https://doi.org/10.1007/s10560-022-00818-8 (2022). (PMID: 10.1007/s10560-022-00818-8)
Neupane, T., Pandey, A. R., Bista, B. & Chalise, B. Correlates of bullying victimization among school adolescents in Nepal: Findings from 2015 global school-based student health survey Nepal. PLoS ONE 15(8), e0237406 (2020). (PMID: 32813689744458010.1371/journal.pone.0237406)
Cañas, E., Estévez, E., León-Moreno, C. & Musitu, G. Loneliness, family communication, and school adjustment in a sample of cybervictimized adolescents. Int. J. Environ. Res. Public Health 17(1), 335 (2020). (PMID: 31947793698205510.3390/ijerph17010335)
Garaigordobil, M., Mollo-Torrico, J. P., Machimbarrena, J. M. & Páez, D. Cyberaggression in adolescents of Bolivia: Connection with psychopathological symptoms, adaptive and predictor variables. Int J Environ Res Public Health. 17(3), E1022 (2020). (PMID: 10.3390/ijerph17031022)
Ministry of Health. Bolivia (Plurinational State of 2018)—Global school-based student health survey 2018. (2021) [cited 2023 Jul 13]. https://extranet.who.int/ncdsmicrodata/index.php/catalog/881.
Brener, N. D., Collins, J. L., Kann, L., Warren, C. W. & Williams, B. I. Reliability of the youth risk behavior survey questionnaire. Am. J. Epidemiol. 141(6), 575–580 (1995). (PMID: 790072510.1093/oxfordjournals.aje.a117473)
Becker, A. E. et al. Youth health-risk behavior assessment in Fiji: The reliability of Global School-based Student Health Survey content adapted for ethnic Fijian girls. Ethn. Health 15(2), 181–197 (2010). (PMID: 20234961292132510.1080/13557851003615552)
Sharma, B., Lee, T. H. & Nam, E. W. Loneliness, insomnia and suicidal behavior among school-going adolescents in western pacific island countries: role of violence and injury. Int. J. Environ. Res. Public Health. 14(7), 791 (2017). (PMID: 28714893555122910.3390/ijerph14070791)
Pengpid, S. & Peltzer, K. Loneliness is associated with poor mental health, social-environmental factors, and health risk behaviours among national samples of in-school adolescents in four Caribbean countries. Psychol. Health Med. 27(3), 559–570 (2022). (PMID: 3358653110.1080/13548506.2021.1883071)
Povedano, A., Cava, M. J., Monreal, M. C., Varela, R. & Musitu, G. Victimization, loneliness, overt and relational violence at the school from a gender perspective. Int. J. Clin. Health Psychol. 15(1), 44–51 (2015). (PMID: 3048782010.1016/j.ijchp.2014.09.001)
Donoghue, C. & Meltzer, L. J. Sleep it off: Bullying and sleep disturbances in adolescents. J. Adolesc. 1(68), 87–93 (2018). (PMID: 10.1016/j.adolescence.2018.07.012)
Kliewer, W. & Lepore, S. J. Exposure to violence, social cognitive processing, and sleep problems in urban adolescents. J. Youth Adolesc. 44(2), 507–517 (2015). (PMID: 2521839610.1007/s10964-014-0184-x)
Wolke, D. & Lereya, S. T. Long-term effects of bullying. Arch. Dis. Child. 100(9), 879–885 (2015). (PMID: 2567040610.1136/archdischild-2014-306667)
World Health Organization. Medicines used in generalized anxiety and sleep disorders [Internet]. Pharmacological Treatment of Mental Disorders in Primary Health Care. Geneva, Switzerland: World Health Organization; (2009) [cited 2022 Dec 18]. https://www.ncbi.nlm.nih.gov/books/NBK143206/.
Black, D. S., O’Reilly, G. A., Olmstead, R., Breen, E. C. & Irwin, M. R. Mindfulness meditation and improvement in sleep quality and daytime impairment among older adults with sleep disturbances: A randomized clinical trial. JAMA Intern. Med. 175(4), 494–501 (2015). (PMID: 25686304440746510.1001/jamainternmed.2014.8081)
Rusch, H. L. et al. The effect of mindfulness meditation on sleep quality: a systematic review and meta-analysis of randomized controlled trials. Ann. N. Y. Acad. Sci. 1445(1), 5–16 (2019). (PMID: 3057505010.1111/nyas.13996)
Eşkisu, M. The relationship between bullying, family functions, perceived social support among high school students. Proc. Soc. Behav. Sci. 23(159), 492–496 (2014). (PMID: 10.1016/j.sbspro.2014.12.412)
Innis G. Boundaries and expectations are important parenting tools [Internet]. MSU Extension. (2012) [cited 2023 Jul 10]. https://www.canr.msu.edu/news/boundaries_and_expectations_are_important_parenting_tools.
Semeniuk, Y. Y., Brown, R. L. & Riesch, S. K. Analysis of the efficacy of an intervention to improve parent-adolescent problem solving. West J. Nurs. Res. 38(7), 790–818 (2016). (PMID: 26936844488416610.1177/0193945916634345)
Riesch, S. K. et al. Conflict and conflict resolution: Parent and young teen perceptions. J Pediatr. Health Care. 17(1), 22–31 (2003). (PMID: 1253372910.1016/S0891-5245(02)88324-9)
Baker-Ericzén, M. J., Jenkins, M. M. & Haine-Schlagel, R. Therapist, parent, and youth perspectives of treatment barriers to family-focused community outpatient mental health services. J Child Fam Stud. 22(6), 854–868 (2013). (PMID: 2401973710.1007/s10826-012-9644-7)
Gómez-Ortiz, O., Apolinario, C., Romera, E. M. & Ortega-Ruiz, R. The role of family in bullying and cyberbullying involvement: examining a new typology of parental education management based on adolescents’ view of their parents. Soc. Sci. 8(1), 25 (2019). (PMID: 10.3390/socsci8010025)
Otake, K., Shimai, S., Tanaka-Mataumi, J., Otsui, K. & Fredrickson, B. L. Happy people become happier through kindness: A counting kindnesses intervention. J Happiness Stud. 7(3), 361–375 (2006). (PMID: 17356687182094710.1007/s10902-005-3650-z)
Ware, L. M., Fortson, B. L. & McNeil, C. B. Parent-child interaction therapy: A promising intervention for abusive families. Behav. Anal. Today. 3(4), 375 (2003). (PMID: 10.1037/h0099993)
Nicolaisen, M. & Thorsen, K. What are friends for? Friendships and loneliness over the lifespan-from 18 to 79 years. Int J Aging Hum Dev. 84(2), 126–158 (2017). (PMID: 2735730510.1177/0091415016655166)
Kent, R. G., Uchino, B. N., Cribbet, M. R., Bowen, K. & Smith, T. W. Social relationships and sleep quality. Ann Behav Med. 49(6), 912–917 (2015). (PMID: 2597687410.1007/s12160-015-9711-6)
Stafford, M., Bendayan, R., Tymoszuk, U. & Kuh, D. Social support from the closest person and sleep quality in later life: Evidence from a British birth cohort study. J. Psychosom. Res. 98, 1 (2017). (PMID: 28554363547806910.1016/j.jpsychores.2017.04.014)
Hong, J. H. et al. Friendship and loneliness: A prototype roadmap for health system action. Am J Prev Med. 63(1), 141–145 (2022). (PMID: 35341618894805610.1016/j.amepre.2022.01.017)
Butler, N. et al. The contributing role of family, school, and peer supportive relationships in protecting the mental wellbeing of children and adolescents. Sch. Ment. Heal. 14(3), 776–788 (2022). (PMID: 10.1007/s12310-022-09502-9)
Thomas, P. A., Liu, H. & Umberson, D. Family relationships and well-being. Innov. Aging. 1(3), igx025 (2017). (PMID: 29795792595461210.1093/geroni/igx025)

Date Created: 20230803 Date Completed: 20230807 Latest Revision: 20231119

20231215

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