Megan Cherewick

Background. The Multidimensional Scale of Perceived Social Support (MSPSS) is widely used, although it has not been validated among early adolescents in Darjeeling, India. The aims of the study were to validate the psychometric properties of the MSPSS, and to test for measurement invariance by gender. Methods. Survey data was collected from 274 early adolescents ages 10–14 living in Darjeeling, India. Confirmatory factor analysis (CFA) evaluated 1-, 2-, and 3-factor models. Reliability (Cronbach’s α, McDonald’s ω), convergent (peer problems), and concurrent validity (prosocial behavior) were assessed. Measurement invariance by gender was tested using multi-group CFA. Results. The three-factor model of the MSPSS (Family, Friends, Significant Other) fit these data well (X²[49] = 69.3, p = 0.030; CFI = 0.98; RMSEA = 0.039; SRMR = 0.036). Measures of reliability, concurrent, and convergent validity were good with MSPSS scores correlated positively with prosocial behavior and negatively with peer problems (|r| = 0.30–0.45, p ≤ 0.001). Configural invariance by gender was not supported, indicating differences in item-level loadings. Limitations. The MSPSS is a self-report measure, and social desirability bias is a potential limitation. Conclusion. The MSPSS demonstrates good reliability and validity among early adolescents in Darjeeling, India. Given non-invariance by gender, subscale comparisons across boys and girls should be interpreted with caution.

This study examined the factor structure of the Kidcope and its associations with social support, psychological symptoms, and mental wellbeing among early adolescents (ages 10–14) in Darjeeling, India. Confirmatory factor analysis supported a two-factor structure: control-oriented and escape-oriented coping. Multivariable regression and structural equation models indicated escape-oriented coping was associated with higher emotional symptoms (b = 3.19; p ≤ 0.001) and peer problems (b = 1.43; p ≤ 0.003), whereas control-oriented coping was linked with lower conduct problems (b = −1.11; p = 0.006), and hyperactivity (b = −1.28; p = 0.001). Control-oriented coping also correlated with higher mental wellbeing (b = 11.59; p = 0.004), prosocial behavior (b = 0.50; p ≤ 0.001), and resilience (b = 4.49; p ≤ 0.001). Results suggest control-oriented coping mediates 23% of the total effect of social support on psychological difficulties and 15% on resilience. Findings highlight early adolescence as a sensitive window for strengthening coping skills to protect mental health and enhance wellbeing in high-adversity settings.

This study aimed to assess the impact of sources of social support and dimensions of self-efficacy on psychological symptoms and mental wellbeing among early adolescents. A total of 274 adolescents aged 10–14 from Darjeeling, India, participated in the study. The Multidimensional Scale of Perceived Social Support (MSPSS) and Self-Efficacy Questionnaire for Children (SEQ-C) were utilized to assess dimensions of protective/promotive factors. Nested multivariable regression models assessed associations between age, gender, social support, and self-efficacy on psychological symptoms (internalising, externalising, and total difficulties) and mental wellbeing outcomes (mental wellbeing, optimism, and resilience). Results indicated that 13% of early adolescents screened positive for clinical depression and 44% reported poor mental wellbeing. Emotional and academic self-efficacy, along with family support, were significantly associated with reduced psychological symptoms. Conversely, social, and academic self-efficacy, along with support from friends, were linked to higher levels of mental wellbeing. Regression analyses revealed that dimensions of social support and self-efficacy explained a greater proportion of variability in mental wellbeing outcomes (R² = 0.37–0.64) than in psychological symptom outcomes (R² = 0.19–0.22), suggesting a stronger promotive effect on mental wellbeing compared to a protective effect on psychological symptoms during early adolescence. Findings suggest the urgent need for early mental health intervention to strengthen systems of social support and support self-efficacy among early adolescents. Multi-level or sequential interventions that target protective and promotive factors are a key strategy to addressing the global youth mental health crisis.

Vietnam is a country most at risk for experiencing climate change effects, especially increasing temperatures. Agricultural production is one of the biggest contributors to Vietnam’s economy. Recent research has explored how climate change will impact agriculture in Vietnam. However, the impact of climate change to the health, safety, and wellbeing of Vietnamese farmers is often overlooked. In this study, we conducted five focus groups with 46 farmers representing three provinces of Vietnam. We used a convergent mixed-methods design and a Total Worker Health^® framework to assess how farmers in Vietnam experience climate-change-related hazards and describe how famers associate these hazards with impacts to their health, safety, and wellbeing. Multi-dimensional scaling suggests farmers conceptualize hazards separately from health, safety, and wellbeing outcomes, but a thematic analysis of our data indicated that farmers perceive both direct and indirect impacts of climate change to their health, safety, and wellbeing. Direct impacts of climate change described included physical health effects such as heat stress. Indirect impacts included mental health stressors due to productivity demands. Gaps in available health and safety trainings for farmers were also identified. This project demonstrates the need to co-develop safety and health trainings with farmers. System-level approaches both at the societal and community levels are needed. The local governments, cooperatives, Women’s Unions, and Farmers’ Unions are trusted sources of information that could implement and disseminate these trainings.

Introduction: Having more “autistic traits” is associated with an increased risk of mental health conditions. However, few studies have examined autistic traits in nonclinical samples. This study aims to analyze the relationship between autistic traits and internalizing symptoms among early adolescents and to examine the moderating effect of self‐efficacy.Methods: Survey data were collected from early adolescents ages 10–14 living in Darjeeling, India (n = 274) to assess autistic traits, self‐efficacy, and internalizing symptoms.Results: Higher internalizing symptoms were significantly associated with a higher report of autistic traits. Academic, social, and emotional dimensions of self‐efficacy moderated the relationship between autistic traits and internalizing symptoms.Conclusion: The moderation effects between social and emotional self‐efficacy among youth with high versus low autism trait scores suggest the need for social‐emotional learning interventions designed for and with neurodivergent youth. Such interventions aim to reduce internalizing symptoms during early adolescence and improve future mental health trajectories.

Background: Most autistic individuals reside in low- and middle-income countries (LMIC) and have limited access to medical providers and specialists. Support for delivery of psychosocial interventions by non-specialists is growing to address this mental health care gap. This scoping review involved a systematic analysis of studies of non-specialist delivered psychosocial interventions for children and adolescents diagnosed with autism and living in low- and middle-income countries.Methods: The primary objective of this review was to identify psychosocial interventions for autistic children and adolescents in LMIC delivered by non-specialists (parent, teacher, peer, community, multi-level) and to summarize resulting effects on targeted outcomes. The search strategy was completed in four databases with predetermined inclusion and exclusion criteria. The systematic search generated 3,601 articles. A total of 18 studies met inclusion/exclusion criteria. Data extraction was completed, and results summarized by; (1) participant sample; (2) intervention procedures; (3) implementation by non-specialists; (4) effect on evaluated outcomes; and (5) assessment of risk of bias. Studies examined a range of child and adolescent outcomes including assessment of communication skills, social skills, motor skills, functional and adaptive behaviors, emotional regulation, attention and engagement, sensory challenges, depression, anxiety, and quality of life. Several studies also evaluated intervention effects on family relationships, parent/caregiver stress and parent/caregiver mental health.Results: Collectively, the 18 studies included a total of 952 ASC participants ranging in age from 2 to 16 years. Of the included studies, 8 studies were parent/caregiver-mediated, 1 study was peer-mediated, 2 studies were teacher-mediated, and 7 studies included multi-level non-specialist mediated components. Effects on evaluated outcomes are reported.Conclusion: Non-specialist delivered interventions for autistic children and adolescents are effective for an array of outcomes and are particularly well suited for low- and middle-income countries. Implications for future research are discussed.

Objectives: Neurodiversity affirming frameworks are a paradigm shift from a deficit-focused approach to autism to recognizing autism as a heterogeneous constellation of differences in abilities and strengths. This article completed a literature review and data synthesis to (1) identify autistic strengths used in the design of psychosocial interventions, (2) propose mechanisms of change that explain strength-based psychosocial intervention effects on mental health and wellbeing outcomes, and (3) integrate findings in a conceptual model for testing in future research studies. Methods: A search for articles was completed in June 2023 and resulted in 24 articles that met the inclusion criteria. The Distillation and Matching Model methods were used to code articles and subsequent conceptual groupings generated categorical domains included in the conceptual model. Results: Autistic strengths identified in the design of psychosocial interventions were grouped into four domains: (1) perceptual, (2) reasoning, (3) expertise, and (4) character strengths. Mechanisms of change were grouped into four domains: (1) affective, (2) behavioral, (3) cognitive, and (4) physiological. The resulting conceptual model presents autistic strengths that can be leveraged in psychosocial interventions and potential mechanisms of change that explain intervention effects on mental health and wellbeing. Conclusions: Growing focus on the translation of positive psychology has resulted in strength-based psychosocial intervention programs. However, intervention strategies have not leveraged the diverse array of autistic strengths identified by autistic individuals, their families, and their communities. Furthermore, research is needed to determine mechanistic paths by which strength-based interventions achieve positive effects on mental health outcomes in autistic children and adolescents.

Research has demonstrated the importance of understanding risk factors for mental health and wellbeing. Less research has focused on protective factors that protect mental health and promote wellbeing in diverse contexts. Estimating structural paths from risk protective factors to psychopathology and wellbeing can inform prioritization of targeted investment in adolescent health programs that seek to modify factors that are most closely associated with mental wellbeing. The purpose of this study was to examine risk factors (e.g. emotional neglect, emotional abuse, physical neglect, stigma) and protective factors (e.g. community relationships, self-esteem, and autonomy) among adolescent orphans, protective associations with depression, anxiety and externalizing behaviors and promotive associations with hope, happiness, and health. The analytic sample was collected between January and March of 2019 and included 350 adolescent orphans ages 10–15 from three districts in Tanzania. Participants completed survey interviews, 75–90 min in length, that measured risk and protective factors, psychological symptoms, and mental wellbeing measures. Results of the fitted structural equation model indicated that structural paths from protective factors to psychopathology (β = −0.53, p = 0.015) and mental wellbeing (β = 0.72, p = 0.014) outcomes were significant. Structural paths from risk factors to psychopathology (β = −0.34, p = 0.108) and mental wellbeing (β = −0.24, p = 0.405) were not significant. In a sample of vulnerable youth, protective factors (e.g. community relationships, self-esteem, and autonomy) were significantly associated with reduced depression, anxiety and externalizing behaviors and increased hope, happiness, and health in a structural equation model that included risk factors (emotional neglect, emotional abuse, physical neglect). Results suggest that strong community relationships, self-esteem and autonomy may be important modifiable factors to target in intervention programs aimed at supporting adolescent mental wellbeing.