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

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 S. Olafsdottir, Ane Fullaondo, Nerea González, Javier Mar-Medina, Dominik Krzyżanowski, Roxanna Morote, Frederick Anyan, Mette Marie Ledertoug, Louise Tidmand, Unnur Björk ArnfjordIngibjorg Kaldalons, Bryndis Jona Jonsdottir, Esteban de Manuel Keenoy, Iñaki Zorrilla-Martínez, Patricia Pérez-Martínez-de-Arrieta, Igor Larrañaga, Sara Carbone, Silvia Rizzi, Valeria Donisi, Hrefna Pálsdóttir, Alda Ingibergsdóttir

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Resumen

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. 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. 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. 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. Trial registration number (TRN) and date of registration: ClinicalTrials.gov Identifier: NCT03951376. Registered 15 May 2019.
Idioma originalEspañol
PublicaciónSocial Psychiatry and Psychiatric Epidemiology
EstadoPublicada - 1 ene. 2021

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