Suicide and mental health problems among Swedish youth in the wake of the 1990s recession

The purpose of this explorative study is to bring together a variety of Swedish data sources with indicators of youth mental health and living conditions in order to illuminate trends during the last decades, elucidate possible determinants of mental ill health and develop hypotheses to explain the observed trend patterns. The analyses in the study reveal some surprising inconsistencies with respect to the mental health trends among young people during the 1990s. Most striking is the pattern of increasing youth unemployment coinciding with almost inverse trends in the rates of suicide. The secular trends in fatal suicides during this period do not show any increase but some actual decrease in sub‐populations despite high sustained levels of unemployment. In contrast, survey data indicate that the general mental health of youth during this period appears to have deteriorated.     

Modeling material stress using integrated Gaussian Markov random fields

The equations of a physical constitutive model for material stress within tantalum grains were solved numerically using a tetrahedrally meshed volume. The resulting output included a scalar vonMises stress for each of the more than 94,000 tetrahedra within the finite element discretization. In this paper, we define an intricate statistical model for the spatial field of vonMises stress which uses the given grain geometry in a fundamental way. Our model relates the three-dimensional field to integrals of latent stochastic processes defined on the vertices of the one- and two-dimensional grain boundaries. An intuitive neighborhood structure of the said boundary nodes suggested the use of a latent Gaussian Markov random field (GMRF). However, despite the potential for computational gains afforded by GMRFs, the integral nature of our model and the sheer number of data points pose substantial challenges for a full Bayesian analysis. To overcome these problems and encourage efficient exploration of the posterior distribution, a number of techniques are now combined: parallel computing, sparse matrix methods, and a modification of a block update strategy within the sampling routine. In addition, we use an auxiliary variables approach to accommodate the presence of outliers in the data.     

Psychometric Properties of the PsychoSomatic Problems Scale: A Rasch Analysis on Adolescent Data

The PsychoSomatic Problems (PSP)-scale is built upon eight items intended to tap information about psychosomatic problems among schoolchildren and adolescents in general populations. The purpose of the study is to analyse the psychometric properties of the PSP-scale by means of the Rasch model, with a focus on the operating characteristics of the items. Cross-sectional adolescent data collected in Sweden at six points in time between 1988 and 2005 are used for the analysis. In all more than 15,000 students aged 15–16 are included in the analysis. Data were examined with respect to invariance across the latent trait, Differential Item Functioning (DIF), item categorisation and unidimensionality. The results show that the PSP-scale adequately meets measurement criteria of invariance and proper categorisation of the items. Also the targeting is good and the reliability is high. Since the scale works invariantly across years of investigation it is appropriate for re-current monitoring of psychosomatic health complaints in general populations of adolescents. Taking DIF into account through principles of equating provides a scale that shows no statistically significant signs of gender-DIF enabling invariant comparisons also between boys and girls.     

Prenatal Maternal Anxiety and Depression Predict Negative Behavioral Reactivity in Infancy

The effects of maternal antenatal and postnatal anxiety and depression on infant negative behavioral reactivity were examined in a sample of 22 mother‐infant pairs. Maternal anxiety and depression were assessed by standardized measures during the third trimester of pregnancy and postpartum. Infant negative behavioral responses to novelty were assessed using a previously validated measure at 4 months of age. Maternal anxiety and depression during the prenatal, but not the postnatal period, were related to infant negative behavioral reactivity to novelty. These data illustrate that prenatal maternal psychological state can exert persisting influences on human infant behavior.     

Measuring subjective health among adolescents in Sweden

The cross-national WHO-study Health Behaviourin School-Aged Children (HBSC) is acomprehensive adolescent survey ongoing inEurope based on a public health perspective.The present study, examining theHBSC-instrument on subjective health, uses theunidimensional Rasch model. Items are analysedwith respect to their operating characteristicsacross the whole range of the subjective healthscale and the empirical operation of theresponse categories intended to be ordered forall items. The study is based oncross-sectional data collected in Sweden duringthe 1980s and 1990s among students in yearsfive, seven and nine.The analyses reveal that the symptom checklistin the HBSC-instrument does not workconsistently with the Rasch model when alleight items are analysed simultaneously. Inparticular, the response categories do not workas intended. Hence, the original set of eightitems should not be used to construct a latentmeasure of subjective health. In order tobring the instrument to meet the requirementsof the Rasch model, three items were removed. The reduced set of five items did workconsistently with the model with respect to theresponse categories, and did show relativeinvariance across the latent trait. Since a fewof the remaining items showed lack ofinvariance across genders and grades thatproblem should be solved, if the reduced itemset is to be used for post-hoc analyses.Furthermore, the analysis of the reduced set ofitems suggests that both ``somatic' and``psychological' complaints might be consideredas parts of one higher order dimension ofsubjective health.In order to improve the questionnaire, furtherattention should be paid to the response formatof the items.     

Significant resources needed for return to work after sick leave

There are increasing numbers of people on long-term sick leave, especially with stress-related ill health and musculoskeletal disorders. The main purpose of this study is to, early on in the sick leave, find predictors of individual resources for a return to work. The study group consists of women and men on sick leave compared with reference groups of healthy persons. A questionnaire was used regarding diagnosis given on the doctor's certificate, self-reported symptoms, residential area, education, and kind of work. It also contained open questions about consequences in daily life and beliefs about future. Checklists concerning life satisfaction, sense of coherence, locus of control, coping resources and sick leave information over a four-year period have been used. Significant differences between the study group and the reference groups were found, relating to sense of coherence, locus of control, life satisfaction and coping resources. More than half of the study group were still on sick leave at a two-year follow-up. Important predictive factors turned out to be: previous sick leave, own belief about future and self-reported symptoms.