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Article ; Online: Mental health in undergraduate students several months into the COVID-19 pandemic compared to before the pandemic.

Jacobs, Eric J / Spiker, Sable / Newsome, Kimberly B / Danielson, Melissa L / Bhupalam, Sivapriya / Leeb, Rebecca T

Journal of American college health : J of ACH

2023 , Page(s) 1–10

Abstract: Objective: To compare mental health indicators among undergraduates in Fall 2019, before the COVID-19 pandemic, and Fall 2020, when many students returned to campus amidst restrictions on in-person contact.: Participants: Analyses included 26,881 ... ...

Abstract	Objective: To compare mental health indicators among undergraduates in Fall 2019, before the COVID-19 pandemic, and Fall 2020, when many students returned to campus amidst restrictions on in-person contact. Participants: Analyses included 26,881 undergraduate students, aged 18-24, from 70 U.S. institutions. Methods: Students completed the National College Health Assessment-III survey in Fall 2019 or Fall 2020. Results: The prevalences of high stress, loneliness, a low flourishing score, and serious psychological distress increased in 2020 compared to 2019. Serious psychological distress increased substantially in 2020 among students not living with family (adjusted prevalence ratio (aPR)=1.36, 95% CI 1.29-1.45) but not among students living with family (aPR = 1.09, 95% CI 0.95-1.26). Conclusions: These results suggest prevalences of several indicators of poor mental health were elevated among U.S. undergraduates several months into the pandemic. The pandemic may have had greater impact on mental health among students not living with family.
Language	English
Publishing date	2023-11-28
Publishing country	United States
Document type	Journal Article
ZDB-ID	604907-2
ISSN	1940-3208 ; 0744-8481
ISSN (online)	1940-3208
ISSN	0744-8481
DOI	10.1080/07448481.2023.2277193
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Emergency Department Visits Involving Mental Health Conditions, Suicide-Related Behaviors, and Drug Overdoses Among Adolescents - United States, January 2019-February 2023.

Anderson, Kayla N / Johns, Dylan / Holland, Kristin M / Chen, Yushiuan / Vivolo-Kantor, Alana M / Trinh, Eva / Bitsko, Rebecca H / Leeb, Rebecca T / Radhakrishnan, Lakshmi / Bacon, Sarah / Jones, Christopher M

MMWR. Morbidity and mortality weekly report

2023 Volume 72, Issue 19, Page(s) 502–512

Abstract: The U.S. adolescent mental and behavioral health crisis is ongoing,* with high pre-COVID-19 pandemic baseline ... ...

Abstract	The U.S. adolescent mental and behavioral health crisis is ongoing,* with high pre-COVID-19 pandemic baseline rates
MeSH term(s)	Adolescent ; Child ; Female ; Humans ; Male ; COVID-19/epidemiology ; Drug Overdose/epidemiology ; Emergency Service, Hospital/statistics & numerical data ; Mental Health ; Opiate Overdose/epidemiology ; Pandemics ; United States/epidemiology ; Mental Disorders/epidemiology ; Self-Injurious Behavior/epidemiology ; Suicide
Language	English
Publishing date	2023-05-12
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm7219a1
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Article ; Online: Mental Health-Related Emergency Department Visits Among Children Aged <18 Years During the COVID-19 Pandemic - United States, January 1-October 17, 2020.

Leeb, Rebecca T / Bitsko, Rebecca H / Radhakrishnan, Lakshmi / Martinez, Pedro / Njai, Rashid / Holland, Kristin M

MMWR. Morbidity and mortality weekly report

2020 Volume 69, Issue 45, Page(s) 1675–1680

Abstract: Published reports suggest that the coronavirus disease 2019 (COVID-19) pandemic has had a negative effect on children's mental health (1,2). Emergency departments (EDs) are often the first point of care for children experiencing mental health emergencies, ...

Abstract	Published reports suggest that the coronavirus disease 2019 (COVID-19) pandemic has had a negative effect on children's mental health (1,2). Emergency departments (EDs) are often the first point of care for children experiencing mental health emergencies, particularly when other services are inaccessible or unavailable (3). During March 29-April 25, 2020, when widespread shelter-in-place orders were in effect, ED visits for persons of all ages declined 42% compared with the same period in 2019; during this time, ED visits for injury and non-COVID-19-related diagnoses decreased, while ED visits for psychosocial factors increased (4). To assess changes in mental health-related ED visits among U.S. children aged <18 years, data from CDC's National Syndromic Surveillance Program (NSSP) from January 1 through October 17, 2020, were compared with those collected during the same period in 2019. During weeks 1-11 (January 1-March 15, 2020), the average reported number of children's mental health-related ED visits overall was higher in 2020 than in 2019, whereas the proportion of children's mental health-related visits was similar. Beginning in week 12 (March 16) the number of mental health-related ED visits among children decreased 43% concurrent with the widespread implementation of COVID-19 mitigation measures; simultaneously, the proportion of mental health-related ED visits increased sharply beginning in mid-March 2020 (week 12) and continued into October (week 42) with increases of 24% among children aged 5-11 years and 31% among adolescents aged 12-17 years, compared with the same period in 2019. The increased proportion of children's mental health-related ED visits during March-October 2020 might be artefactually inflated as a consequence of the substantial decrease in overall ED visits during the same period and variation in the number of EDs reporting to NSSP. However, these findings provide initial insight into children's mental health in the context of the COVID-19 pandemic and highlight the importance of continued monitoring of children's mental health throughout the pandemic, ensuring access to care during public health crises, and improving healthy coping strategies and resiliency among children and families.
MeSH term(s)	Adolescent ; COVID-19 ; Child ; Child, Preschool ; Coronavirus Infections/epidemiology ; Coronavirus Infections/psychology ; Emergency Service, Hospital/statistics & numerical data ; Female ; Humans ; Male ; Mental Disorders/epidemiology ; Mental Disorders/therapy ; Pandemics ; Pneumonia, Viral/epidemiology ; Pneumonia, Viral/psychology ; United States/epidemiology
Keywords	covid19
Language	English
Publishing date	2020-11-13
Publishing country	United States
Document type	Journal Article
ZDB-ID	412775-4
ISSN	1545-861X ; 0149-2195
ISSN (online)	1545-861X
ISSN	0149-2195
DOI	10.15585/mmwr.mm6945a3
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Article ; Online: An Evaluation of the Literacy Demands of Online Natural Disaster Preparedness Materials for Families.

So, Marvin / Franks, Jessica L / Cree, Robyn A / Leeb, Rebecca T

Disaster medicine and public health preparedness

2019 Volume 14, Issue 4, Page(s) 449–458

Abstract: Objective: Natural disasters are becoming increasingly common, but it is unclear whether families can comprehend and use available resources to prepare for such emergencies. The objective of this study was to evaluate the literacy demands of risk ... ...

Abstract	Objective: Natural disasters are becoming increasingly common, but it is unclear whether families can comprehend and use available resources to prepare for such emergencies. The objective of this study was to evaluate the literacy demands of risk communication materials on natural disasters for US families with children. Methods: In January 2018, we assessed 386 online self-directed learning resources related to emergency preparedness for natural disasters using 5 literacy assessment tools. Assessment scores were compared by information source, audience type, and disaster type. Results: One-in-three websites represented government institutions, and 3/4 were written for a general audience. Nearly 1-in-5 websites did not specify a disaster type. Assessment scores suggest a mismatch between the general population's literacy levels and literacy demands of materials in the areas of readability, complexity, suitability, web usability, and overall audience appropriateness. Materials required more years of education beyond the grade level recommended by prominent health organizations. Resources for caregivers of children generally and children with special health care needs possessed lower literacy demands than materials overall, for most assessment tools. Conclusions: Risk communication and public health agencies could better align the literacy demands of emergency preparedness materials with the literacy capabilities of the general public.
MeSH term(s)	Civil Defense/education ; Civil Defense/instrumentation ; Civil Defense/statistics & numerical data ; Cross-Sectional Studies ; Education, Distance/standards ; Education, Distance/statistics & numerical data ; Educational Status ; Family/psychology ; Health Literacy/standards ; Health Literacy/statistics & numerical data ; Humans ; Search Engine/statistics & numerical data ; United States
Language	English
Publishing date	2019-08-06
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2375268-3
ISSN	1938-744X ; 1935-7893
ISSN (online)	1938-744X
ISSN	1935-7893
DOI	10.1017/dmp.2019.62
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: The Public Health Model of Child Maltreatment Prevention.

Herrenkohl, Todd I / Leeb, Rebecca T / Higgins, Daryl

Trauma, violence & abuse

2016 Volume 17, Issue 4, Page(s) 363–365

Language	English
Publishing date	2016-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2070884-1
ISSN	1552-8324 ; 1524-8380
ISSN (online)	1552-8324
ISSN	1524-8380
DOI	10.1177/1524838016661034
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Indicators of Social Competence and Social Participation Among US Children With Tourette Syndrome.

Bitsko, Rebecca H / Danielson, Melissa L / Leeb, Rebecca T / Bergland, Brita / Fuoco, Morgan J / Ghandour, Reem M / Lewin, Adam B

Journal of child neurology

2020 Volume 35, Issue 9, Page(s) 612–620

Abstract: Children with Tourette syndrome often have behavioral and social difficulties, which may be associated with co-occurring mental, emotional, or behavioral disorders. This study investigated social competence, including behavioral problems and social ... ...

Abstract	Children with Tourette syndrome often have behavioral and social difficulties, which may be associated with co-occurring mental, emotional, or behavioral disorders. This study investigated social competence, including behavioral problems and social skills, and social activities between children with and without Tourette syndrome using a nationally representative sample. In the 2007 National Survey of Children's Health, parents reported on health care provider diagnosis of Tourette syndrome, co-occurring mental, emotional, or behavioral disorders, and indicators of social competence. Children aged 6-17 years with and without Tourette syndrome were compared. Most (78.7%) children with Tourette syndrome had a co-occurring mental, emotional, or behavioral disorder. Children with Tourette syndrome had significantly lower social competence, exhibited by higher levels of behavior problems (mean score 11.6 for Tourette syndrome and 9.0 for no Tourette syndrome) and lower levels of social skills (mean 15.3) than children without a Tourette syndrome diagnosis (mean 17.1); however, these associations were no longer significant after controlling for co-occurring mental, emotional, or behavioral disorders. Moderate to severe Tourette syndrome was associated with the highest ratings of behavioral problems and the lowest ratings of social skills. Children with and without Tourette syndrome were equally likely to participate in social activities; the difference for children with moderate to severe Tourette syndrome being less likely to participate in activities compared to children with mild Tourette syndrome had a chi-square test
MeSH term(s)	Adolescent ; Child ; Cross-Sectional Studies ; Female ; Humans ; Male ; Mental Disorders/complications ; Mental Disorders/psychology ; Severity of Illness Index ; Social Participation/psychology ; Social Skills ; Tourette Syndrome/complications ; Tourette Syndrome/psychology ; United States
Language	English
Publishing date	2020-06-09
Publishing country	United States
Document type	Journal Article ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	639288-x
ISSN	1708-8283 ; 0883-0738
ISSN (online)	1708-8283
ISSN	0883-0738
DOI	10.1177/0883073820924257
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Successful Scientific Writing and Publishing: A Step-by-Step Approach.

Iskander, John K / Wolicki, Sara Beth / Leeb, Rebecca T / Siegel, Paul Z

Preventing chronic disease

2018 Volume 15, Page(s) E79

Abstract: Scientific writing and publication are essential to advancing knowledge and practice in public health, but prospective authors face substantial challenges. Authors can overcome barriers, such as lack of understanding about scientific writing and the ... ...

Abstract	Scientific writing and publication are essential to advancing knowledge and practice in public health, but prospective authors face substantial challenges. Authors can overcome barriers, such as lack of understanding about scientific writing and the publishing process, with training and resources. The objective of this article is to provide guidance and practical recommendations to help both inexperienced and experienced authors working in public health settings to more efficiently publish the results of their work in the peer-reviewed literature. We include an overview of basic scientific writing principles, a detailed description of the sections of an original research article, and practical recommendations for selecting a journal and responding to peer review comments. The overall approach and strategies presented are intended to contribute to individual career development while also increasing the external validity of published literature and promoting quality public health science.
MeSH term(s)	Biomedical Research ; Guidelines as Topic ; Humans ; Publishing/standards ; Writing/standards
Language	English
Publishing date	2018-06-14
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2135684-1
ISSN	1545-1151 ; 1545-1151
ISSN (online)	1545-1151
ISSN	1545-1151
DOI	10.5888/pcd15.180085
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: Mental Health-Related Emergency Department Visits Among Children Aged <18 Years During the COVID-19 Pandemic - United States, January 1-October 17, 2020

Leeb, Rebecca T / Bitsko, Rebecca H / Radhakrishnan, Lakshmi / Martinez, Pedro / Njai, Rashid / Holland, Kristin M

MMWR Morb Mortal Wkly Rep

Abstract	Published reports suggest that the coronavirus disease 2019 (COVID-19) pandemic has had a negative effect on children's mental health (1,2). Emergency departments (EDs) are often the first point of care for children experiencing mental health emergencies, particularly when other services are inaccessible or unavailable (3). During March 29-April 25, 2020, when widespread shelter-in-place orders were in effect, ED visits for persons of all ages declined 42% compared with the same period in 2019; during this time, ED visits for injury and non-COVID-19-related diagnoses decreased, while ED visits for psychosocial factors increased (4). To assess changes in mental health-related ED visits among U.S. children aged <18 years, data from CDC's National Syndromic Surveillance Program (NSSP) from January 1 through October 17, 2020, were compared with those collected during the same period in 2019. During weeks 1-11 (January 1-March 15, 2020), the average reported number of children's mental health-related ED visits overall was higher in 2020 than in 2019, whereas the proportion of children's mental health-related visits was similar. Beginning in week 12 (March 16) the number of mental health-related ED visits among children decreased 43% concurrent with the widespread implementation of COVID-19 mitigation measures; simultaneously, the proportion of mental health-related ED visits increased sharply beginning in mid-March 2020 (week 12) and continued into October (week 42) with increases of 24% among children aged 5-11 years and 31% among adolescents aged 12-17 years, compared with the same period in 2019. The increased proportion of children's mental health-related ED visits during March-October 2020 might be artefactually inflated as a consequence of the substantial decrease in overall ED visits during the same period and variation in the number of EDs reporting to NSSP. However, these findings provide initial insight into children's mental health in the context of the COVID-19 pandemic and highlight the importance of continued monitoring of children's mental health throughout the pandemic, ensuring access to care during public health crises, and improving healthy coping strategies and resiliency among children and families.
Keywords	covid19
Publisher	WHO
Document type	Article
Note	WHO #Covidence: #922982
Database	COVID19

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Article ; Online: Communication Preferences of Parents and Caregivers of Children and Youth With Special Healthcare Needs During a Hypothetical Infectious Disease Emergency.

Hipper, Thomas J / Popek, Leah / Davis, Renee K / Turchi, Renee M / Massey, Philip M / Lege-Matsuura, Jennifer / Lubell, Keri M / Pechta, Laura / Briseño, Lisa / Rose, Dale A / Chatham-Stephens, Kevin / Leeb, Rebecca T / Chernak, Esther

Health security

2022 Volume 20, Issue 6, Page(s) 467–478

Abstract: Children and youth with special healthcare needs are at risk for severe consequences during infectious disease emergencies. Messages for parents and caregivers from trusted sources, via preferred channels, that contain the information they need, may ... ...

Abstract	Children and youth with special healthcare needs are at risk for severe consequences during infectious disease emergencies. Messages for parents and caregivers from trusted sources, via preferred channels, that contain the information they need, may improve health outcomes for this population. In this mixed methods study, we conducted a survey (N = 297) and 80 semistructured interviews, with 70 caregivers of children and youth and 10 young adults with special healthcare needs, between April 2018 and June 2019 in Pennsylvania. The survey presented 3 scenarios (ie, storm, disease outbreak, radiation event); the interviews included questions about storms and an outbreak. This article addresses only the disease outbreak data from each set. Participants were recruited through convenience samples from an urban tertiary care children's hospital and practices in a statewide medical home network. In this article, we summarize the preferred information sources, channels, and content needs of caregivers of children and youth with special healthcare needs during an infectious disease emergency. Nearly 84% of caregivers reported that they believe their child's doctor is the best source of information. Other preferred sources include medical experts (31%); the US Centers for Disease Control and Prevention (30%); friends, family, and neighbors (21%); and local or state health and emergency management (17%). Pediatric healthcare providers play an important role in providing information to parents and caregivers of children and youth with special healthcare needs during an infectious disease emergency. Public health agencies can establish health communication plans that integrate medical practices and other reliable sources to promote the dissemination of accurate information from trusted messengers.
Language	English
Publishing date	2022-12-02
Publishing country	United States
Document type	Journal Article
ZDB-ID	2823049-8
ISSN	2326-5108 ; 2326-5094
ISSN (online)	2326-5108
ISSN	2326-5094
DOI	10.1089/hs.2022.0033
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article: News from CDC: the Legacy for Children™ parenting model, partnering to translate research to practice for children in poverty.

Robinson, Lara R / Perou, Ruth / Leeb, Rebecca T

Translational behavioral medicine

2014 Volume 4, Issue 3, Page(s) 232–233

Language	English
Publishing date	2014-09-12
Publishing country	England
Document type	Journal Article
ZDB-ID	2586893-7
ISSN	1613-9860 ; 1869-6716
ISSN (online)	1613-9860
ISSN	1869-6716
DOI	10.1007/s13142-014-0266-z
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