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Article ; Online: Euthymia scale as a protective factor for depressive symptoms

Natsu Sasaki / Daisuke Nishi

BMC Research Notes, Vol 16, Iss 1, Pp 1-

a one-year follow-up longitudinal study

2023 Volume 6

Abstract: Abstract Objectives This study aimed to examine whether a high score on the euthymia scale (ES) predicts a low incidence of depressive symptoms one year later. Methods The baseline online survey was conducted in February 2020, and a follow-up survey was ... ...

Abstract	Abstract Objectives This study aimed to examine whether a high score on the euthymia scale (ES) predicts a low incidence of depressive symptoms one year later. Methods The baseline online survey was conducted in February 2020, and a follow-up survey was done in February 2021. Japanese over 20 years old were enrolled. Respondents who answered both baseline and follow-up, and without depressive symptoms at baseline were included in the analysis. The euthymia scores at baseline was measured by the 10 items of the Japanese version of the ES. Depressive symptoms at follow-up were determined if participants showed either depressive feelings or anhedonia. The odds ratio (OR) was calculated using multivariate logistic regression analysis, adjusting for age, gender, marital status, educational attainment, and clinical visit for depressive episode before the baseline survey. Results The total of 624 participants were analyzed. A total of n = 63 (10.1%) presented depressive symptom at follow-up. A high ES score significantly predicted a lower incidence of depressive symptoms, after adjusting for covariates (aOR = 0.81 [95% confidence interval: 0.72–0.89]). Using the cutoff score retrieved from this data, a high ES score (7 or more) showed the same tendency, compared to a low ES score (< 7) (aOR = 0.46 [0.25–0.83]). Conclusions This study suggests the predictive usefulness of euthymia for subsequent depressive symptoms. Further investigation is needed by employing rigid diagnostic criteria.
Keywords	Well-being ; Depression ; Prevention ; Recurrence ; Psychiatry ; Medicine ; R ; Biology (General) ; QH301-705.5 ; Science (General) ; Q1-390
Subject code	310 ; 150
Language	English
Publishing date	2023-09-01T00:00:00Z
Publisher	BMC
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Euthymia scale as a protective factor for depressive symptoms: a one-year follow-up longitudinal study.

Sasaki, Natsu / Nishi, Daisuke

BMC research notes

2023 Volume 16, Issue 1, Page(s) 230

Abstract: Objectives: This study aimed to examine whether a high score on the euthymia scale (ES) predicts a low incidence of depressive symptoms one year later.: Methods: The baseline online survey was conducted in February 2020, and a follow-up survey was ... ...

Abstract	Objectives: This study aimed to examine whether a high score on the euthymia scale (ES) predicts a low incidence of depressive symptoms one year later. Methods: The baseline online survey was conducted in February 2020, and a follow-up survey was done in February 2021. Japanese over 20 years old were enrolled. Respondents who answered both baseline and follow-up, and without depressive symptoms at baseline were included in the analysis. The euthymia scores at baseline was measured by the 10 items of the Japanese version of the ES. Depressive symptoms at follow-up were determined if participants showed either depressive feelings or anhedonia. The odds ratio (OR) was calculated using multivariate logistic regression analysis, adjusting for age, gender, marital status, educational attainment, and clinical visit for depressive episode before the baseline survey. Results: The total of 624 participants were analyzed. A total of n = 63 (10.1%) presented depressive symptom at follow-up. A high ES score significantly predicted a lower incidence of depressive symptoms, after adjusting for covariates (aOR = 0.81 [95% confidence interval: 0.72-0.89]). Using the cutoff score retrieved from this data, a high ES score (7 or more) showed the same tendency, compared to a low ES score (< 7) (aOR = 0.46 [0.25-0.83]). Conclusions: This study suggests the predictive usefulness of euthymia for subsequent depressive symptoms. Further investigation is needed by employing rigid diagnostic criteria.
MeSH term(s)	Adult ; Humans ; Young Adult ; Academic Success ; Depression/diagnosis ; Depression/epidemiology ; Follow-Up Studies ; Longitudinal Studies ; Protective Factors ; Male ; Female
Language	English
Publishing date	2023-09-22
Publishing country	England
Document type	Journal Article
ZDB-ID	2413336-X
ISSN	1756-0500 ; 1756-0500
ISSN (online)	1756-0500
ISSN	1756-0500
DOI	10.1186/s13104-023-06512-x
Database	MEDical Literature Analysis and Retrieval System OnLINE

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Article ; Online: Adverse childhood experiences and living in the socially deprived areas in adulthood: a cross-sectional study of the nationwide data in Japan.

Sasaki, Natsu / Tabuchi, Takahiro / Fujiwara, Takeo / Nishi, Daisuke

BMC public health

2023 Volume 23, Issue 1, Page(s) 1616

Abstract: Objectives: This study aimed to examine whether having adverse childhood experiences (ACEs) was associated with living in a deprived area in adulthood.: Methods: The cross-sectional study was conducted by using nation-wide data in 2022 of the Japan ... ...

Abstract	Objectives: This study aimed to examine whether having adverse childhood experiences (ACEs) was associated with living in a deprived area in adulthood. Methods: The cross-sectional study was conducted by using nation-wide data in 2022 of the Japan COVID-19 and Society Internet Survey (JACSIS). Participants were community dwelling people 18 years or older. ACEs were assessed by Japanese version of 15-items ACE measurement tool (ACE-J). Living condition was measured by Area Deprived Index (ADI) and Densely Inhabited District (DID) based on zip code. Multivariable logistic regression to analyze the associations between ADI and ACE 4 + was conducted, controlling for individual-level factors, such as age, sex, marital status, and education, as an additional analysis. Results: The total of 27,916 participants were included in the analysis. The prevalence of emotional neglect, childhood poverty, and school bullying were 38.2%, 26.5%, 20.8%, respectively. 75% of the population had one or more ACE(s). The number of ACEs was associated with significantly higher risk of living in deprived area in the adulthood (p = 0.001). ACEs were not associated with living in density area. The association between ADI and ACEs 4 + was non-significant after controlling the individual-level factors. Conclusion: People with higher number of ACEs tend to live in deprived areas in adulthood. Policy makers in highly deprived areas can apply the trauma-informed approach for the community care and support, which is critical to mitigating deficit perspectives and facilitating comprehensive support for those with ACEs.
MeSH term(s)	Humans ; Cross-Sectional Studies ; Adverse Childhood Experiences ; COVID-19/epidemiology ; Japan/epidemiology ; Administrative Personnel
Language	English
Publishing date	2023-08-24
Publishing country	England
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	2041338-5
ISSN	1471-2458 ; 1471-2458
ISSN (online)	1471-2458
ISSN	1471-2458
DOI	10.1186/s12889-023-16557-z
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Article ; Online: Loneliness without distress, chosen isolation (solitude) at the workplace, and mental health and job performance: a cross-sectional study of Japanese employees.

Sasaki, Natsu / Kuroda, Reiko / Tsuno, Kanami / Imamura, Kotaro / Eguchi, Hisashi / Shimazu, Akihito / Kawakami, Norito

Industrial health

2024

Abstract: While loneliness and social isolation in the workplace affect the mental health and job performance of employees, the effects of loneliness without distress and solitude (i.e., chosen isolation) on these outcomes are unclear. The cross-sectional ... ...

Abstract	While loneliness and social isolation in the workplace affect the mental health and job performance of employees, the effects of loneliness without distress and solitude (i.e., chosen isolation) on these outcomes are unclear. The cross-sectional association was examined by using online survey of full-time employees in Japan (n=846). The results showed that the "loneliness with distress" group had significantly higher psychological distress and lower job performance than the other groups. Work engagement was lower both in the "loneliness with distress" and "loneliness without distress" groups, compared to the "non-loneliness" group. The "unchosen isolation" and the "solitude" groups had poorer scores of psychological distress, work engagement, and work performance, compared to the "non-isolation" group. The preliminary findings showed that loneliness without distress and solitude were associated with poor levels of mental health and job performance and should become a target of mental health promotion interventions in the workplace.
Language	English
Publishing date	2024-04-08
Publishing country	Japan
Document type	Journal Article
ZDB-ID	214185-1
ISSN	1880-8026 ; 0019-8366
ISSN (online)	1880-8026
ISSN	0019-8366
DOI	10.2486/indhealth.2023-0181
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Article: Implementation of an internet-based stress management program in micro- and small-sized enterprises: a study protocol for a pre-post feasibility study of the effectiveness-implementation hybrid type 2 trial.

Sasaki, Natsu / Shimazu, Taichi / Takeno, Hajime / Ogawa, Sayaka / Sawada, Utako / Tsutsumi, Akizumi / Imamura, Kotaro

Pilot and feasibility studies

2024 Volume 10, Issue 1, Page(s) 56

Abstract: Background: Although internet-based stress management programs are proven effective in improving mental health among workers, micro- and small-sized enterprises (MSEs), lacking in occupational healthcare services, face challenges implementing them. To ... ...

Abstract	Background: Although internet-based stress management programs are proven effective in improving mental health among workers, micro- and small-sized enterprises (MSEs), lacking in occupational healthcare services, face challenges implementing them. To address this gap, this study will develop the program with stakeholders at MSEs to aim for real-world implementation. Objectives: This paper describes a study protocol for a pre-post feasibility study of an effectiveness-implementation hybrid type 2 trial of text-based internet-based programs ("WellBe-LINE") in MSEs with less than 50 employees. This feasibility study primarily aims to evaluate trial methods for future effectiveness-implementation hybrid type 2 trials. Methods: For this study protocol, an internet- and text-based self-care intervention program using the LINE app (a popular message tool in Japan) will be prepared according to evidence-based psychoeducational topics. Based on our online survey findings, personalized algorithms will be implemented according to employees' gender, age, and psychological distress levels. A personalized program using a popular pre-existing text app is expected to reduce employees' burdens and be attractive to them, resulting in successful implementation outcomes and mental health benefits. A pre-post design feasibility study will be conducted on ten companies to evaluate trial methods (e.g., recruitment and procedures). The primary outcome will involve individual-level penetration, defined as the proportion of the number of employees who register for the program divided by the total number of invited employees at the company. The progression criterion to go next trial specifies that more than 50% of the recruited companies obtain 60% individual penetration, which is set based on the findings of the prior survey of employees at MSEs and of interviews of stakeholders involved in this study, and will be measured by LINE system. Finally, acceptability, appropriateness, and feasibility will be measured using internet-based questionnaires and interviews. Discussion: This pre-post feasibility study for future effectiveness-implementation hybrid type 2 trials will provide in-depth knowledge about the successful implementation of text-based, semi-personalized, self-care mental health interventions in real-world settings using both quantitative and qualitative data. Conclusions: This feasibility study will help validate the effectiveness of text-based interventions using a widely used social networking service (SNS) tool for employees in MSEs. Trial registration: UMIN clinical trial registration, UMIN000046960. Registered on February 21, 2022. https://center6.umin.ac.jp/cgi-open-bin/ctr/ctr_view.cgi?recptno=R000053570.
Language	English
Publishing date	2024-04-05
Publishing country	England
Document type	Journal Article
ZDB-ID	2809935-7
ISSN	2055-5784
ISSN	2055-5784
DOI	10.1186/s40814-024-01481-9
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Article ; Online: Long-term influence of unintended pregnancy on psychological distress: a large sample retrospective cross-sectional study.

Sasaki, Natsu / Ikeda, Mari / Nishi, Daisuke

Archives of women's mental health

2022 Volume 25, Issue 6, Page(s) 1119–1127

Abstract: This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among ... ...

Abstract	This study examined the associations between childbirth decisions in women with unintended pregnancies and long-term psychological distress. An online survey of women selected from a representative research panel was conducted in July 2021. Among participants who experienced an unintended pregnancy, the childbirth decision was categorized: (i) wanted birth, (ii) abortion, (iii) adoption, and (iv) unwanted birth. Participants who made childbirth decisions more than 1 year ago were included. ANCOVA was conducted with psychological distress (Kessler 6) as the dependent variable and education, marital status, years from the decision, age of the first pregnancy, economic situation at the unintended pregnancy, and the number of persons consulted at the unintended pregnancy as covariates. Logistic regression analysis was conducted for high distress (K6 ≥ 13) by adjusting the same covariates. A total of 47,401 respondents participated in the study. Women with an experience of unintended pregnancy experienced more than 1 year before the study were analyzed (n = 7162). Psychological distress was the lowest for wanted birth and increased for abortion, adoption, and unwanted birth. In the adjusted model, abortion was associated with lower distress scores than both adoption and unwanted birth. Compared to the wanted birth, adoption and unwanted birth showed significantly higher levels of distress (adjusted odds ratio [aOR] = 2.03 [95% CI 1.36-3.04], aOR = 1.64 [95% CI 1.04-2.58], respectively). Long-term effects on psychological distress differed according to the childbirth decisions in unintended pregnancy. Healthcare professionals should be aware of this hidden effect of unintended pregnancy experience on women's mental health.
Language	English
Publishing date	2022-10-28
Publishing country	Austria
Document type	Journal Article
ZDB-ID	1463529-X
ISSN	1435-1102 ; 1434-1816
ISSN (online)	1435-1102
ISSN	1434-1816
DOI	10.1007/s00737-022-01273-1
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Article ; Online: Deterioration in Mental Health Under Repeated COVID-19 Outbreaks Greatest in the Less Educated

Natsu Sasaki / Reiko Kuroda / Kanami Tsuno / Kotaro Imamura / Norito Kawakami

Journal of Epidemiology, Vol 31, Iss 1, Pp 93-

A Cohort Study of Japanese Employees

2021 Volume 96

Keywords	Medicine (General) ; R5-920
Language	English
Publishing date	2021-01-01T00:00:00Z
Publisher	Japan Epidemiological Association
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Reliability and validity of the Japanese version of the Professional Fulfillment Index among healthcare professionals: A validation study.

Asaoka, Hiroki / Sasaki, Natsu / Koido, Yuichi / Kawashima, Yuzuru / Ikeda, Miki / Miyamoto, Yuki / Nishi, Daisuke

Journal of occupational health

2023 Volume 65, Issue 1, Page(s) e12422

Abstract: Objectives: Translation of the Professional Fulfillment Index (PFI) into Japanese would be more useful than the currently developed scales for appropriately measuring burnout and professional fulfillment in healthcare professionals. This study aimed to ... ...

Abstract	Objectives: Translation of the Professional Fulfillment Index (PFI) into Japanese would be more useful than the currently developed scales for appropriately measuring burnout and professional fulfillment in healthcare professionals. This study aimed to develop the Japanese version of the PFI and examine its internal consistency, structural validity, and convergent validity in healthcare professionals. Methods: Healthcare professionals in Japan were recruited online. The survey was conducted from October to November 2022. Internal consistency was tested using Cronbach's α. Structural validity was tested using confirmatory factor analysis (CFA) and exploratory factor analysis (EFA). Convergent validity was tested using Pearson's correlation coefficients, which were calculated between each score of the PFI scale and burnout (the Japanese Burnout Scale: JBS), depressive symptoms (the Patient Health Questionnaire-9), and QOL (the General Health Questionnaire-12). Results: The Cronbach's alpha was .91 in professional fulfillment, .80 in burnout: work exhaustion, .90 in burnout: interpersonal disengagement, and .89 in burnout: total score. Confirmatory factor analysis demonstrated a modest fit, and EFA yielded a three-factor structure the same as the original PFI. The all three subscales and total score of burnout were significantly correlated with the scores of all the scales (p < .001; e.g., burnout: work exhaustion correlated emotional exhaustion in JBS, r = .71). Conclusions: The Japanese version of the PFI demonstrated acceptable high internal consistency, structural validity, and convergent validity of the scale with a three-factor structure the same as in the original PFI. The Japanese version of PFI proved to be reliable and valid for use in healthcare professionals.
MeSH term(s)	Humans ; Reproducibility of Results ; Quality of Life ; East Asian People ; Surveys and Questionnaires ; Burnout, Professional ; Delivery of Health Care ; Psychometrics
Language	English
Publishing date	2023-10-09
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1340985-2
ISSN	1348-9585 ; 1341-9145
ISSN (online)	1348-9585
ISSN	1341-9145
DOI	10.1002/1348-9585.12422
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Article ; Online: The Effect of Perceived Gratitude From Others on Work Engagement: A Cross-Sectional Study.

Komase, Yu / Watanabe, Kazuhiro / Sasaki, Natsu / Kawakami, Norito

Journal of occupational and environmental medicine

2021 Volume 63, Issue 9, Page(s) e592–e595

Abstract: Objective: This study aimed to examine the effect of perceived gratitude from others on work engagement, adjusting for possible confounders: job demands, job resources (supervisor/coworker support), personal resources (resilience), and gratitude trait.!# ...

Abstract	Objective: This study aimed to examine the effect of perceived gratitude from others on work engagement, adjusting for possible confounders: job demands, job resources (supervisor/coworker support), personal resources (resilience), and gratitude trait. Methods: This cross-sectional study conducted a secondary analysis of data from previously published research. Work engagement was measured using the Japanese version of the Utrecht Work Engagement Scale. An original one-item questionnaire measured perceived gratitude from others. A hierarchical linear regression analysis was conducted. Results: Hierarchical linear regression showed a significant association between perceived gratitude and work engagement even after controlling for the covariates of occupations, job demands, supervisor support, coworker support, resilience, and gratitude trait (N = 206). Conclusions: The association between perceived gratitude and work engagement was independent of job demands, job/personal resources, and gratitude trait, suggesting the direct association.
MeSH term(s)	Cross-Sectional Studies ; Humans ; Job Satisfaction ; Surveys and Questionnaires ; Work Engagement
Language	English
Publishing date	2021-09-02
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	1223932-x
ISSN	1536-5948 ; 1076-2752
ISSN (online)	1536-5948
ISSN	1076-2752
DOI	10.1097/JOM.0000000000002294
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Article ; Online: Working environment at home and mental health in employees working from home in Japan during COVID-19 pandemic: A cross-sectional study.

Sasaki, Natsu / Kuroda, Reiko / Mikami, Yuta / Tsuno, Kanami / Imamura, Kotaro / Nishi, Daisuke / Kawakami, Norito

Journal of occupational health

2023 Volume 65, Issue 1, Page(s) e12410

Abstract: Objectives: This cross-sectional study aimed to examine the associations of a poor working environment at home with psychological distress and psychosomatic symptoms in employees working from home in Japan during the COVID-19 pandemic.: Methods: The ... ...

Abstract	Objectives: This cross-sectional study aimed to examine the associations of a poor working environment at home with psychological distress and psychosomatic symptoms in employees working from home in Japan during the COVID-19 pandemic. Methods: The data obtained in October 2021 from an online cohort of full-time employees (E- COCO- J) were used. Participants who worked from home for at least some days per month were included. The poor working environment at home was assessed using 11 items based on the Japanese Ministry of Health, Labour and Welfare recommended checklist. The score ranged from 0 to 11. Psychological distress and psychosomatic symptoms were measured by the Brief Job Stress Questionnaire (BJSQ). The associations between total scores of poor working environment and outcomes were examined by multiple regression analysis, adjusted by age, sex, education, living with family, frequencies of working from home, company size, job demand, job control, and workplace social support. Results: Two hundred twenty-six employees who were working at home were included. The mean of the summed scores of poor working environments at home was 2.75. After adjusting the covariates, summed scores of poor working environments were significantly associated with high psychological distress (standardized β = 0.21, P = .003) and with high psychosomatic symptoms (β = 0.19, P = .005). For each poor environment, lack of ventilation and difficulty staying hydrated or resting were significantly associated with both outcomes. Conclusions: Even after adjusting for job stressors and support, working environments at home were associated with employees' mental health. Appropriate measures and education may be needed.
MeSH term(s)	Humans ; Mental Health ; Cross-Sectional Studies ; Working Conditions ; Stress, Psychological/epidemiology ; Stress, Psychological/psychology ; Japan/epidemiology ; Pandemics ; COVID-19/epidemiology ; Workplace/psychology
Language	English
Publishing date	2023-06-19
Publishing country	Australia
Document type	Journal Article
ZDB-ID	1340985-2
ISSN	1348-9585 ; 1341-9145
ISSN (online)	1348-9585
ISSN	1341-9145
DOI	10.1002/1348-9585.12410
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