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Article ; Online: The association between intolerance of uncertainty and depressive symptoms during COVID-19 in New York, USA.

Rafieian, Mojdeh / Skokauskas, Norbert / Cheslack-Postava, Keely / Hoven, Christina W

2024 Volume 356, Page(s) 628–638

Abstract: Background: Coronavirus Disease 2019 (COVID-19), a highly contagious respiratory illnesses, has globally impacted mental health. This study aims to investigate the association between intolerance of uncertainty and depressive symptoms during the ... ...

Abstract	Background: Coronavirus Disease 2019 (COVID-19), a highly contagious respiratory illnesses, has globally impacted mental health. This study aims to investigate the association between intolerance of uncertainty and depressive symptoms during the pandemic in New York, USA, considering COVID-19-related worries as modifiers and mediators. Method: 1227 participants from three ongoing cohort studies, originally centered on trauma-exposed children and adolescents, provided data via questionnaires and telephone interviews across three waves. We used multivariable logistic and linear regression models to investigate the intolerance of uncertainty-depressive symptoms relationship, while adjusting for potential confounders and assessing the modification and mediation effects of Covid-19 related worries. Results: Depressive symptoms prevalence was 18 %, 12 %, and 9 % at waves 0, 1, and 2 respectively. Strong positive associations were observed between intolerance of uncertainty above the median and depressive symptoms which remained significant after adjusting for potential confounders. Odds ratios were 2.14 (95 % CI: 1.54-2.99) and 4.50 (95 % CI: 2.67-7.93) for intolerance of uncertainty-depressive symptoms association at wave 0 and 1 respectively, and 3.22 (95 % CI: 1.68-6.63) for intolerance of uncertainty at wave 1 and depressive symptoms at wave 2. There was evidence of partial mediation by worries (12-37 %), but no evidence of a moderating effect. Limitation: It includes study's methodology, including self-report measures, remote data collection, and uncontrolled variables like anxiety and COVID-19 perspectives. Conclusion: The findings emphasize the importance of evidence-based strategies for tackling intolerance of uncertainty during pandemics, particularly in managing long COVID. Collaborative efforts between policymakers and clinicians are essential in this endeavor.
MeSH term(s)	Humans ; COVID-19/psychology ; COVID-19/epidemiology ; Uncertainty ; Male ; Female ; Depression/epidemiology ; Depression/psychology ; Adolescent ; Adult ; SARS-CoV-2 ; New York/epidemiology ; Child ; Young Adult ; Middle Aged ; Prevalence ; Surveys and Questionnaires ; Cohort Studies
Language	English
Publishing date	2024-04-10
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	135449-8
ISSN	1573-2517 ; 0165-0327
ISSN (online)	1573-2517
ISSN	0165-0327
DOI	10.1016/j.jad.2024.04.037
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Article ; Online: Racial and ethnic disparities in insufficient sleep among US in infants and preschoolers.

Li, Yuanyuan / Lin, Susan / Cheslack-Postava, Keely / Tang, Huilan / Fan, Fang / Hoven, Christina W

Sleep health

2023 Volume 9, Issue 3, Page(s) 268–276

Abstract: Objective: To examine racial and ethnic disparities and associated factors of insufficient sleep among children from infancy to preschool-aged.: Methods: We analyzed parent-reported data on US children ages 4 months-5 years (n = 13,975) from the 2018 ...

Abstract	Objective: To examine racial and ethnic disparities and associated factors of insufficient sleep among children from infancy to preschool-aged. Methods: We analyzed parent-reported data on US children ages 4 months-5 years (n = 13,975) from the 2018 and 2019 National Survey of Children's Health. Children who slept less than the age-specific minimum hours recommended by the American Academy of Sleep Medicine were classified as having insufficient sleep. Logistic regression was used to estimate unadjusted and adjusted odds ratios (AOR). Results: An estimated 34.3% of children from infancy to preschool-aged experienced insufficient sleep. Socioeconomic factors (poverty [AOR] = 1.5, parents' education level [AORs] from 1.3 to 1.5); parent-child interaction variables (AORs from 1.4 to 1.6); breast feeding status (AOR = 1.5); family structure (AORs from 1.5 to 4.4); and weeknight bedtime regularity (AORs from 1.3 to 3.0) were significantly associated with having insufficient sleep. Non-Hispanic Black (OR = 3.2) and Hispanic children (OR = 1.6) had significantly higher odds of insufficient sleep compared to non-Hispanic White children. Racial and ethnic disparities in insufficient sleep between non-Hispanic White children and Hispanic children were largely attenuated by adjusting for social economic factors. However, the difference in insufficient sleep between non-Hispanic Black and non-Hispanic White children remains (AOR = 1.6) after adjusting socioeconomic and other factors. Conclusions: More than one-third of the sample reported insufficient sleep. After adjusting for socio-demographic variables, racial disparities in insufficient sleep decreased but persistent disparities existed. Further research is warranted to examine other factors and develop interventions to address multilevel factors and improve sleep health among racial and ethnic minority group children.
MeSH term(s)	Child, Preschool ; Humans ; Infant ; Ethnicity ; Hispanic or Latino ; Minority Groups ; Racial Groups ; Sleep Deprivation/ethnology ; United States/epidemiology ; Black or African American ; White
Language	English
Publishing date	2023-02-20
Publishing country	United States
Document type	Journal Article
ZDB-ID	2813299-3
ISSN	2352-7226 ; 2352-7218
ISSN (online)	2352-7226
ISSN	2352-7218
DOI	10.1016/j.sleh.2022.11.003
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Article ; Online: Trends in U.S. Depression Prevalence From 2015 to 2020: The Widening Treatment Gap.

Goodwin, Renee D / Dierker, Lisa C / Wu, Melody / Galea, Sandro / Hoven, Christina W / Weinberger, Andrea H

American journal of preventive medicine

2022 Volume 63, Issue 5, Page(s) 726–733

Abstract: Introduction: Major depression is a common and potentially lethal condition. Early data suggest that the population-level burden of depression has been exacerbated by the COVID-19 pandemic. Prepandemic estimates of depression prevalence are required to ... ...

Abstract	Introduction: Major depression is a common and potentially lethal condition. Early data suggest that the population-level burden of depression has been exacerbated by the COVID-19 pandemic. Prepandemic estimates of depression prevalence are required to quantify and comprehensively address the pandemic's impact on mental health in the U.S. Methods: Data were drawn from the 2015-2020 National Survey on Drug Use and Health, a nationally representative study of U.S. individuals aged ≥12 years. The prevalence of past-year depression and help seeking for depression were estimated from 2015 to 2019, and time trends were tested with Poisson regression with robust SEs. Point estimates were calculated for 2020 and not included in statistical trend analyses because of differences in data collection procedures. Results: In 2020, 9.2% (SE=0.31) of Americans aged ≥12 years experienced a past-year major depressive episode. Depression was more common among young adults aged 18-25 years (17.2%, SE=0.78), followed closely by adolescents aged 12-17 years (16.9%, SE=0.84). Depression increased most rapidly among adolescents and young adults and increased among nearly all sex, racial/ethnic, income, and education groups. Depression prevalence did not change among adults aged ≥35 years, and the prevalence of help seeking remained consistently low across the study period. Conclusions: From 2015 to 2019, there were widespread increases in depression without commensurate increases in treatment, and in 2020, past 12‒month depression was prevalent among nearly 1 in 10 Americans and almost 1 in 5 adolescents and young adults. Decisive action involving a multipronged public health campaign that includes evidence-based prevention and intervention to address this ongoing mental health crisis is urgently needed.
MeSH term(s)	Young Adult ; Adolescent ; Humans ; Adult ; Prevalence ; Depression/epidemiology ; Depressive Disorder, Major/epidemiology ; Depressive Disorder, Major/therapy ; Pandemics ; COVID-19/epidemiology
Language	English
Publishing date	2022-09-19
Publishing country	Netherlands
Document type	Journal Article
ZDB-ID	632646-8
ISSN	1873-2607 ; 0749-3797
ISSN (online)	1873-2607
ISSN	0749-3797
DOI	10.1016/j.amepre.2022.05.014
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Article ; Online: Sex differences in stress responses among underrepresented minority adolescents at risk for substance use disorder.

Cycowicz, Yael M / Cuchacovich, Sharon / Cheslack-Postava, Keely / Merrin, Jacob / Hoven, Christina W / Rodriguez-Moreno, Diana V

International journal of psychophysiology : official journal of the International Organization of Psychophysiology

2023 Volume 191, Page(s) 42–48

Abstract: Adolescence is a period of dramatic physiological changes preparing individuals to face future challenges. Prolonged exposure to stressors during childhood can result in dysregulated stress systems which alter normative physiological progression, leading ...

Abstract	Adolescence is a period of dramatic physiological changes preparing individuals to face future challenges. Prolonged exposure to stressors during childhood can result in dysregulated stress systems which alter normative physiological progression, leading to exacerbated risk for developing psychiatric disorders. Parental substance use disorder (SUD) is considered a significant childhood stressor which increases risk for the offspring to develop SUD. Thus, it is important to understand stress reactivity among adolescents with parental SUD. We used the Trier Social Stress Task (TSST), which includes a public speech presentation, as an acute stressor. Changes in heart-rate (HR) were measured while disadvantaged minority adolescents with and without a family history (FH+/FH-) of SUD performed the TSST. We investigated sex-specific stress response patterns during the TSST. HR peaked during the speech presentation and was overall higher in females than males. Changes in HR measures between baseline and speech showed an interaction between biological sex and FH group. Specifically, FH- females and FH+ males had significantly larger positive HR changes than FH- males. These results suggest that male and female adolescents with parental SUD have atypical, but divergent changes in stress reactivity that could explain their increased risk for developing SUD via different sexually dimorphic mechanisms.
MeSH term(s)	Humans ; Male ; Female ; Adolescent ; Sex Characteristics ; Substance-Related Disorders/psychology ; Stress, Psychological/psychology ; Heart Rate/physiology ; Sexual Behavior ; Hydrocortisone
Chemical Substances	Hydrocortisone (WI4X0X7BPJ)
Language	English
Publishing date	2023-07-28
Publishing country	Netherlands
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	605645-3
ISSN	1872-7697 ; 0167-8760
ISSN (online)	1872-7697
ISSN	0167-8760
DOI	10.1016/j.ijpsycho.2023.07.003
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Article ; Online: Adverse Childhood Experiences and Insufficient Sleep Among U.S. Children and Adolescents.

Lin, Susan X / Cheslack-Postava, Keely / McReynolds, Larkin / Amsel, Lawrence / Bresnahan, Michaeline / Hoven, Christina W

Academic pediatrics

2022 Volume 22, Issue 6, Page(s) 965–971

Abstract: Objective: To examine associations between adverse childhood experiences (ACEs) and age-specific insufficient sleep duration (ISD) in American youth.: Methods: Data from the 2016-2017 National Survey of Children's Health, a sample of 46,209 youth ... ...

Abstract	Objective: To examine associations between adverse childhood experiences (ACEs) and age-specific insufficient sleep duration (ISD) in American youth. Methods: Data from the 2016-2017 National Survey of Children's Health, a sample of 46,209 youth ages 6 to 17 were analyzed. The main outcome was sleep duration that did not meet the recent recommendations of the American Academy of Sleep Medicine. Nine types of ACEs, as well as a cumulative count of ACEs, were examined as independent variables in unadjusted and adjusted logistic regression models. Results: Approximately half of U.S. children and adolescents (ages 6-17) experienced at least one ACE and a third did not get sufficient sleep. Among those exposed to any ACE, 40.3% had ISD. Seven of the 9 ACEs examined were significantly associated with a 20% to 60% increase in odds of not getting sufficient sleep (adjusted ORs between 1.2 and 1.6). Children exposed to 2 or more ACEs were nearly twice as likely as those exposed to no ACE to have ISD (adjusted OR = 1.7, 95% CI: 1.5-1.9). Moreover, each individual ACE, except parental death was significantly associated with more than 1 hour less sleep than recommended. Conclusions: This study reports the association of specific and cumulative ACEs with ISD in a nationally representative sample of American youth. The study findings underscore the importance of screening for both ACEs and insufficient sleep during primary care encounters and addressing potential sleep problems in those exposed to ACEs.
MeSH term(s)	Adolescent ; Adverse Childhood Experiences ; Child ; Child Health ; Humans ; Logistic Models ; Sleep Deprivation/epidemiology ; United States/epidemiology
Language	English
Publishing date	2022-02-12
Publishing country	United States
Document type	Journal Article ; Research Support, N.I.H., Extramural
ZDB-ID	2483385-X
ISSN	1876-2867 ; 1876-2859
ISSN (online)	1876-2867
ISSN	1876-2859
DOI	10.1016/j.acap.2022.02.007
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Article ; Online: Arrest history, stigma, and self-esteem: a modified labeling theory approach to understanding how arrests impact lives.

Smith, Meghan L / Hoven, Christina W / Cheslack-Postava, Keely / Musa, George J / Wicks, Judith / McReynolds, Larkin / Bresnahan, Michaeline / Link, Bruce G

Social psychiatry and psychiatric epidemiology

2022 Volume 57, Issue 9, Page(s) 1849–1860

Abstract: Purpose: Modified labeling theory theorizes that when people acquire a label, personally held views about that label gain relevance and exert negative effects. We assessed whether being arrested reduces self-esteem to different extents based on the ... ...

Abstract	Purpose: Modified labeling theory theorizes that when people acquire a label, personally held views about that label gain relevance and exert negative effects. We assessed whether being arrested reduces self-esteem to different extents based on the degree to which individuals hold stigmatizing beliefs about people with arrest records. Methods: Adults living in the South Bronx, New York City (N = 532, 56% of whom had ever been arrested) indicated their level of agreement with statements about people with arrest records. We used exploratory factor analysis to identify categories of stigmatizing views, and calculated scores for the two following categories: "stereotype awareness" and "stereotype agreement." Self-esteem was assessed with the Rosenberg self-esteem scale. Using fitted linear regression models, we assessed interaction between arrest history and each stigma score, and calculated mean differences representing the association between arrest history and self-esteem score, for those with stigma scores one standard deviation (SD) below and above the mean. Results: For each type of stigma, participants with stigma scores one SD below the mean had similar self-esteem scores, regardless of arrest history. However, among participants with stigma scores one SD above the mean, those who had experienced an arrest had lower self-esteem scores than those who had not (mean difference = - 2.07, 95% CI - 3.16, - 0.99 for "stereotype awareness"; mean difference = - 2.92, 95% CI - 4.05, - 1.79 for "stereotype agreement"). Conclusion: Being arrested affects self-esteem to a greater degree among persons who hold stigmatizing views about people with arrest records. These findings support a modified labeling theory of arrest-related stigma.
MeSH term(s)	Adult ; Humans ; New York City ; Self Concept ; Social Stigma ; Stereotyping
Language	English
Publishing date	2022-02-14
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-022-02245-7
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Article ; Online: Connectivity based Real-Time fMRI Neurofeedback Training in Youth with a History of Major Depressive Disorder.

He, Xiaofu / Moreno, Diana Rodriguez / Hou, Zhenghua / Cheslack-Postava, Keely / Jiang, Yanni / Li, Tong / Kishon, Ronit / Amsel, Larry / Musa, George / Wang, Zhishun / Hoven, Christina W

ArXiv

2023

Abstract: Background: Real-time functional magnetic resonance imaging neurofeedback (rtfMRI-nf) has proven to be a powerful technique to help subjects to gauge and enhance emotional control. Traditionally, rtfMRI-nf has focused on emotional regulation through ... ...

Abstract	Background: Real-time functional magnetic resonance imaging neurofeedback (rtfMRI-nf) has proven to be a powerful technique to help subjects to gauge and enhance emotional control. Traditionally, rtfMRI-nf has focused on emotional regulation through self-regulation of amygdala. Recently, rtfMRI studies have observed that regulation of a target brain region is accompanied by connectivity changes beyond the target region. Therefore, the aim of present study is to investigate the use of connectivity between amygdala and prefrontal regions as the target of neurofeedback training in healthy individuals and subjects with a life-time history of major depressive disorder (MDD) performing an emotion regulation task. Method: Ten remitted MDD subjects and twelve healthy controls (HC) performed an emotion regulation task in 4 runs of rtfMRI-nf training followed by one transfer run without neurofeedback conducted in a single session. The functional connectivity between amygdala and prefrontal cortex was presented as a feedback bar concurrent with the emotion regulation task. Participants' emotional state was measured by the Positive and Negative Affect Schedule (PANAS) prior to and following the rtfMRI-nf. Psychological assessments were used to determine subjects' history of depression. Results: Participants with a history of MDD showed a trend of decreasing functional connectivity across the four rtfMRI-nf runs, and there was a marginally significant interaction between the MDD history and number of training runs. The HC group showed a significant increase of frontal cortex activation between the second and third neurofeedback runs. Comparing PANAS scores before and after connectivity-based rtfMRI-nf, we observed a significant decrease in negative PANAS score in the whole group overall, and a significant decrease in positive PANAS score in the MDD group alone.
Language	English
Publishing date	2023-01-25
Publishing country	United States
Document type	Preprint
ISSN	2331-8422
ISSN (online)	2331-8422
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Article ; Online: Priorities for research promoting mental health in the south and east of Asia.

Lemon, Christopher A / Svob, Connie / Bonomo, Yvonne / Dhungana, Saraswati / Supanya, Suttha / Sittanomai, Napat / Diatri, Hervita / Haider, Imran I / Javed, Afzal / Chandra, Prabha / Herrman, Helen / Hoven, Christina W / Sartorius, Norman

The Lancet regional health. Southeast Asia

2023 Volume 23, Page(s) 100287

Abstract: Progress in promoting mental health, preventing mental illness, and improving care for people affected by mental illness is unlikely to occur if efforts remain separated from existing public health programs and the principles of public health action. ... ...

Abstract	Progress in promoting mental health, preventing mental illness, and improving care for people affected by mental illness is unlikely to occur if efforts remain separated from existing public health programs and the principles of public health action. Experts met recently to discuss integrating public health and mental health strategies in the south and east of Asia, especially in low- and middle-income countries. Areas of research identified as high priority were: 1) integrating mental health into perinatal care; 2) providing culturally-adjusted support for carers of people with mental and physical disorders; 3) using digital health technologies for mental health care in areas with limited resources and 4) building local research capacity. Selection of these areas was informed by their relative novelty in the region, ease of implementation, likely widespread benefit, and potential low costs. In this article, we summarise available evidence, highlight gaps and call for collaborations with research centres, leaders and persons with lived experience within and beyond the region.
Language	English
Publishing date	2023-10-09
Publishing country	England
Document type	Journal Article ; Review
ISSN	2772-3682
ISSN (online)	2772-3682
DOI	10.1016/j.lansea.2023.100287
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Article ; Online: Religiosity, Mental Health and Substance Use among Black and Hispanic Adults during the First Six Months of the COVID-19 Pandemic in New York City.

Svob, Connie / Lin, Susan X / Cheslack-Postava, Keely / Bresnahan, Michaeline / Goodwin, Renee D / Skokauskas, Norbert / Musa, George J / Hankerson, Sidney H / Dreher, Diane R / Ryan, Megan / Hsu, Yi-Ju / Jonsson-Cohen, Anna-Lena / Hoven, Christina W

International journal of environmental research and public health

2023 Volume 20, Issue 9

Abstract: The purpose of this study was to investigate the association between personal religiosity, mental health, and substance use outcomes among Black and Hispanic adults during the first six months of the COVID-19 outbreak in New York City (NYC). Phone ... ...

Abstract	The purpose of this study was to investigate the association between personal religiosity, mental health, and substance use outcomes among Black and Hispanic adults during the first six months of the COVID-19 outbreak in New York City (NYC). Phone interviews were conducted with 441 adults to obtain information on all variables. Participants self-reported race/ethnicity as Black/African American (
MeSH term(s)	Adult ; Humans ; COVID-19/epidemiology ; Hispanic or Latino/psychology ; Mental Health ; New York City/epidemiology ; Pandemics ; Religion ; Substance-Related Disorders/epidemiology ; Black or African American
Language	English
Publishing date	2023-04-25
Publishing country	Switzerland
Document type	Journal Article ; Research Support, N.I.H., Extramural ; Research Support, U.S. Gov't, P.H.S.
ZDB-ID	2175195-X
ISSN	1660-4601 ; 1661-7827
ISSN (online)	1660-4601
ISSN	1661-7827
DOI	10.3390/ijerph20095632
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Article ; Online: Persistence of anxiety among Asian Americans: racial and ethnic heterogeneity in the longitudinal trends in mental well-being during the COVID-19 pandemic.

Cheslack-Postava, Keely / Forthal, Sarah / Musa, George J / Ryan, Megan / Bresnahan, Michaeline / Sapigao, Rosemarie G / Lin, Susan / Fan, Bin / Svob, Connie / Geronazzo-Alman, Lupo / Hsu, Yi-Ju / Skokauskas, Norbert / Hoven, Christina W

Social psychiatry and psychiatric epidemiology

2023 Volume 59, Issue 4, Page(s) 599–609

Abstract: Purpose: To examine within-individual time trends in mental well-being and factors influencing heterogeneity of these trends.: Methods: Longitudinal telephone survey of adults over 3 waves from the New York City (NYC) Metropolitan area during the ... ...

Abstract	Purpose: To examine within-individual time trends in mental well-being and factors influencing heterogeneity of these trends. Methods: Longitudinal telephone survey of adults over 3 waves from the New York City (NYC) Metropolitan area during the COVID-19 Pandemic. Participants reported depression using the Patient Health Questionnaire (PHQ)-8, anxiety using the Generalized Anxiety Disorder (GAD)-7, and past 30-day increases in tobacco or alcohol use at each wave. Adjusted mixed effects logistic regression models assessed time trends in mental well-being. Results: There were 1227 respondents. Over 3 study waves, there were statistically significant decreasing time trends in the odds of each outcome (adjusted OR (95% CI) 0.47 (0.37, 0.60); p < 0.001 for depression; aOR (95% CI) 0.55 (0.45, 0.66); p < 0.001 for anxiety; aOR (95% CI) 0.50 (0.35, 0.71); p < 0.001 for past 30-day increased tobacco use; aOR (95% CI) 0.31 (0.24, 0.40); p < 0.001 for past 30-day increased alcohol use). Time trends for anxiety varied by race and ethnicity (p value for interaction = 0.05, 4 df); anxiety declined over time among white, Black, Hispanic, and Other race and ethnicity but not among Asian participants. Conclusions: In a demographically varied population from the NYC Metropolitan area, depression, anxiety and increased substance use were common during the first months of the pandemic, but decreased over the following year. While this was consistently the case across most demographic groups, the odds of anxiety among Asian participants did not decrease over time.
MeSH term(s)	Adult ; Humans ; Asian ; Pandemics ; COVID-19 ; Anxiety/epidemiology ; Anxiety Disorders/epidemiology
Language	English
Publishing date	2023-08-25
Publishing country	Germany
Document type	Journal Article
ZDB-ID	623071-4
ISSN	1433-9285 ; 0037-7813 ; 0933-7954
ISSN (online)	1433-9285
ISSN	0037-7813 ; 0933-7954
DOI	10.1007/s00127-023-02553-6
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