Louise A. Ellis

Young men's attitudes and behaviour in relation to mental health and technology: Implications for the development of online mental health services

BackgroundThis mixed-methods study was designed to explore young Australian men’s attitudes and behaviour in relation to mental health and technology use to inform the development of online mental health services for young men.MethodsNational online survey of 486 males (aged 16 to 24) and 17 focus groups involving 118 males (aged 16 to 24).ResultsYoung men are heavy users of technology, particularly when it comes to entertainment and connecting with friends, but they are also using technology for finding information and support. The focus group data suggested that young men would be less likely to seek professional help for themselves, citing a preference for self-help and action-oriented strategies instead. Most survey participants reported that they have sought help for a problem online and were satisfied with the help they received. Focus group participants identified potential strategies for how technology could be used to overcome the barriers to help-seeking for young men.ConclusionsThe key challenge for online mental health services is to design interventions specifically for young men that are action-based, focus on shifting behaviour and stigma, and are not simply about increasing mental health knowledge. Furthermore, such interventions should be user-driven, informed by young men’s views and everyday technology practices, and leverage the influence of peers.

A short version of the Self Description Questionnaire II: Operationalizing criteria for short-form evaluation with new applications of confirmatory factor analyses

Four studies evaluate the new Self Description Questionnaire II short-form (SDQII-S) that measures 11 dimensions of adolescent self-concept based on responses to 51 of the original 102 SDQII items and demonstrate new statistical strategies to operationalize guidelines for short-form evaluation proposed by G. T. Smith, D. M. McCarthy, and K. G. Anderson (2000). Multiple-group confirmatory factor analyses revealed that the factor structure based on responses to 51 items by a new cross-validation group (n=9,134) was invariant with the factor structures based on responses to the same 51 items and to all 102 items by the original normative archive group (n = 9,187). Reliabilities for the 11 SDQII-S factors were nearly the same and consistently high (.80 to .89) for both groups. Multitrait-multimethod analyses support the internal validity of responses over time. Gender and age effects on the 11 SDQII-S factors were invariant across the archive and cross-validation groups.

How do preschool children feel about themselves? Unraveling measurement and multidimensional self-concept structure

Theoretical models suggest that 4- and 5-year-old children should be able to differentiate between multiple dimensions of self-concept, but empirical support is limited. A new 38-item Self Description Questionnaire for Preschoolers (SDQP) that measures 6 self-concept factors (Physical, Appearance, Peers, Parents, Verbal, and Math) was developed and tested. Through an individual-interview procedure, young children (4.0-5.6 years) completed the SDQP and achievement tests. The self-concept scales were reliable (.75-.89), first-order and higher order confirmatory factor analysis models fit the data, and factor correlations were mostly moderate (-.03-.73; Mdn = .29). Achievement test scores correlated modestly with academic self-concept factors (rs = .15-40) but were nonsignificantly or significantly negatively related to nonacademic self-concepts. The results contribute to the critical debate about the validity of self-reports for preschool children, who distinguished between multiple dimensions of self-concept at an even younger age than suggested by previous self-concept research.

Comorbidity of Intellectual Disability and Mental Disorder in Children and Adolescents: A Systematic Review.

Abstract Background Mental disorder and intellectual disability each accounts for substantial burden of disease. However, the extent of this co-occurrence varies substantially between reports. We sought to determine whether studies in children and/or adolescents with acceptably rigorous methods can be distinguished from existing reports, and whether key risk factors could be ascertained. Method Published studies investigating the prevalence of mental disorders in children and/or adolescents with intellectual disability were reviewed. Results Nine studies with acceptable methods were identified, 4 which compared the prevalence of mental disorder in populations of those with and without intellectual disability, and a further 5 studies that estimated the rates of mental disorder in those with intellectual disability were identified. Collectively, these studies demonstrate rates of comorbidity for children and adolescents between 30 and 50% with a relative risk of mental disorder associated with intellectual disability ranging from 2.8–4.5. The risks for this comorbidity associated with age, gender, severity of intellectual disability, and socioeconomic status remain uncertain. Conclusions Appreciation of this comorbidity needs to be a fundamental component of both mental health and intellectual disability services.

‘Off your Face(book)’: alcohol in online social identity construction and its relation to problem drinking in university students.

INTRODUCTION AND AIMS Alcohol is a key component of identity exploration for many young people, yet few studies have investigated identity construction in relation to problematic drinking. Increases in youth alcohol consumption have coincided with expanding use of communications technologies, particularly social networking sites (SNS), which have altered traditional conditions of identity construction. It has been found young people often engage with alcohol in the SNS environment by portraying themselves as binge drinkers. The current study applied an innovative approach to identity construction (the photographic essay) to provide insight into the portrayal of ‘alcohol-identity’ on Facebook. DESIGN AND METHODS One hundred and fifty-eight university students completed a range of alcohol measures before providing access for researchers to view their Facebook profiles to operationalise their alcohol-identity according to autophotographic methodology. RESULTS Participants utilised a variety of photographic and textual material to present alcohol as a component of their identity on Facebook, with over half having selected an alcohol-related profile image. Alcohol-identity predicted alcohol consumption and problematic alcohol-related behaviours as measured by questionnaires used to reliably identify alcohol-related problems in university students. Almost 60% reported potentially problematic alcohol use according to the Alcohol Use Disorders Identification Test. DISCUSSION AND CONCLUSIONS Findings suggest that portraying oneself as a drinker is considered by many young people to be a socially desirable component of identity in the SNS environment, perpetuating an online culture that normalises binge drinking. Ready-made Facebook photo essays provide an alternate method of accessing problematic alcohol use, supplementing self-report measures.

The Use of Computerized Self-Help Packages to Treat Adolescent Depression and Anxiety

Despite the efficacy of cognitive-behavioral therapy (CBT) in treating adolescent anxiety, few sufferers seek treatment. Barriers to accessing psychologists include a shortage of skilled therapists, long waiting lists, and affordability. The Internet is a medium possibly able to address issues of accessibility and affordability. This study aimed to assess the efficacy of online therapy in the treatment and prevention of adolescent anxiety and depression. Participants (N = 38) were randomly allocated to one of four conditions: online CBT, face-to-face CBT, combined face-to-face/online CBT, and control. Combined face-to-face/online CBT is more effective in treating symptoms of depression and anxiety compared to stand-alone online or face-to-face therapy. The present study suggests that for those who are unable to access face-to-face therapy, computerized therapy may be a viable option. This is an important finding, especially in light of current capacity to treat and accessibility problems faced in the treatment of adolescent depression and anxiety.

Peer Support Within Clubhouse: A Grounded Theory Study

Peer support facilitates recovery. However, little is known about the role of peer support within the Clubhouse model. This article reports on Clubhouse members’ experiences of peer support and the outcomes they identify from engaging in this phenomenon. Grounded theory guided the study design involving 17 semi-structured interviews conducted with 10 Clubhouse members. Constant comparison and open coding were undertaken to identify underlying concepts within transcripts. A conceptual model of peer support was derived from Clubhouse members’ experience. Four levels of peer support emerged: Social inclusion and belonging; shared achievement through doing; interdependency; and at the deepest level, intimacy. Peer support within Clubhouse is a multi-layered construct in terms of depth and nature of relationships. Clubhouse appears to contribute a unique tier within the layered construct of peer support. This tier is based on the sharing of achievement through working together on shared tasks within the work-ordered day Clubhouse structure.

How much does intellectual disability really cost? First estimates for Australia

Abstract Background Given the paucity of relevant data, this study estimates the cost of intellectual disability (ID) to families and the government in Australia. Method Family costs were collected via the Client Service Receipt Inventory, recording information relating to service use and personal expense as a consequence of ID. Government expenditure on the provision of support and services was estimated using top-down costing. Results A total of 109 parents participated. The cost of ID in Australia is high, especially for families. Total economic costs of ID are close to

Young men, mental health, and technology: implications for service design and delivery in the digital age.

14,720 billion annually. Opportunity cost of lost time provided 85% of family expense. A comparison of family expense and social welfare benefits received suggests that families suffer considerable loss. This may impact on families’ physical and emotional wellbeing. Conclusions Monitoring of changes in expenditure is required. Policies should ensure that money devoted to ID is allocated in a rational, equitable, and cost-effective manner.

Behavior Problems Increase Costs of Care of Children With Intellectual Disabilities

Background Young men are particularly vulnerable to suicide, drug, and alcohol problems and yet fail to seek appropriate help. An alternative or adjunct to face-to-face services has emerged with widespread uptake of the Internet and related communication technologies, yet very little evidence exists that examines the capacity of the Internet to engage young men and promote help seeking. Objective To explore young people’s attitudes and behaviors in relation to mental health and technology use. The aim was to identify key gender differences to inform the development of online mental health interventions for young men. Methods A cross-sectional online survey of 1038 young people (aged 16 to 24 years) was used. Results Young men are more likely than young women to play computer games, access online video/music content, and visit online forums. More than half of young men and women reported that they sought help for a problem online, and the majority were satisfied with the help they received. Significant gender differences were identified in relation to how young people would respond to a friend in need, with young men being less likely than young women to confront the issue directly. Conclusions Online interventions for young men need to be action-oriented, informed by young men’s views and everyday technology practices, and leverage the important role that peers play in the help-seeking process.