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- Predictors of positive mental health in higher education students. A cross‐sectional predictive studyPublication . Nogueira, Maria José; Seabra, Paulo; Alves, Patrícia; Teixeira, Delfina; Carvalho, José Carlos; Sequeira, CarlosPurpose To describe positive mental health (PMH) psychological vulnerability (PV) and identify predictors of PMH in higher education students (HES). Design and Methods A cross-sectional, predictive study was performed with a convenience sample of 3322 students, using an online questionnaire with sociodemographic information, the PMH Questionnaire, and the PV Scale. Findings The majority scored a flourishing level, and 67.7% of the participants scored high levels of PV. The Regression Model found a significant predictive variable for PMH. Practice Implications Gender, age, regular exercise, healthy diet, number of meals per day, and leisure activities are significant positive predictors of PMH. PV is the sole significant negative predictor. Therefore, improving mental health literacy can be a strategy to support HES
- Positive Mental Health Literacy: A Concept AnalysisPublication . Carvalho, Daniel; Sequeira, Carlos; Querido, Ana; Tomás, Catarina; Morgado, Tânia; Valentim, Olga; Moutinho, Lídia; Gomes, João; Laranjeira, CarlosBackground: The positive component of Mental Health Literacy (PMeHL) refers to a person’s awareness of how to achieve and maintain good mental health. Although explored recently, the term still lacks a clear definition among healthcare practitioners. Aim: To identify the attributes and characteristics of PMeHL, as well as its theoretical and practical applications. Methods: Literature search (using the Medline and CINAHL databases) and review, covering the last 21 years, followed by concept analysis according to the steps described by Walker and Avant approach. Results: Positive component of Mental Health Literacy is considered one component of MHL, integrating positive mental health. The concept’s attributes include: (a) competence in problem-solving and self-actualization; (b) personal satisfaction; (c) autonomy; (d) relatedness and interpersonal relationship skills; (e) self-control; and (f) prosocial attitude. Four case scenarios (model, borderline, related and contrary cases) were used to clarify the antecedents (individual factors and social/contextual factors) and consequences (individual sphere; relational/social sphere; contextual/organizational sphere) of PMeHL. Conclusion: Positive component of Mental Health Literacy is considered a component of MHL, which deserves attention throughout the lifespan, in different contexts and intervention levels. Considering PMeHL as a multi-faceted and dynamic construct will help understand the mechanisms that improve mental health and promote healthy behaviors. Priority should be given to robust primary research focused on nursing interventions that enhance and sustain PMeHL in people and families.
- Mental Health Literacy and Positive Mental Health in Adolescents: A Correlational StudyPublication . Nobre, Joana; Calha, António; Luis, Henrique; Oliveira, Ana Paula; Monteiro, Francisco; Ferré-Grau, Carme; Sequeira, CarlosThis study aimed to assess adolescents0 Mental Health Literacy (MHL) level, Positive Mental Health (PMH) level, the association between sociodemographic variables and the MHL and PMH levels, and the relationship between adolescent0 s MHL and PMH levels. A quantitative, crosssectional, correlational study was conducted with a convenience sample of 260 adolescents studying in the 5th to 12th years of school. The Mental Health Knowledge Questionnaire, the Mental HealthPromoting Knowledge, and the Positive Mental Health Questionnaire were used for data collection. Most of the adolescents were female (55.8%) with a mean age of 14.07 years. The participants showed good levels of MHL (MHKQ). The participants showed good levels of MHL (MHKQ x = 60.03; MHPK-10 x = 4.49) and high levels of PMH (x = 128.25). The adolescents with higher levels of MHL were the oldest, in a higher year of school, female, those whose mothers are employed, those who have healthy eating habits, and those who have a better body image self-perception. Adolescents in a lower year of school, with adequate sleep habits, who spend fewer hours a day in front of a screen or online, and who have a better self-perception of mental and physical health and body image were the ones with higher PMH levels. These findings suggest the need to implement experimental or quasi-experimental studies to ascertain the effectiveness of interventions that promote adolescents0 positive mental health literacy
- Levels of Positive Mental Health in Portuguese and Spanish Nursing StudentsPublication . Sequeira, Carlos; Carvalho, José Carlos; Gonçalves, Amadeu; Nogueira, Maria José; Lluch-Canut, Teresa; Roldán-Merino, JuanPositive mental health (PMH) is described as the sense of feeling good and functioning well. PMH is vital for the individual's positive functioning and psychological well-being, particularly regarding the factors important for living a purposeful life and accomplishing personal goals. Nursing students are exposed to a variety of stressors that are very likely to decrease well-being and trigger stress, anxiety, and depression. Data focusing on PMH in nursing students are lacking, and this subject has been frequently neglected in nursing practice and research on positive functioning.
- The impact of the COVID‐19 pandemic on the mental health of Portuguese university studentsPublication . Sequeira, Carlos; Araújo, Odete; Lourenço, Tânia; Freitas, Otília; Carvalho, José Carlos; Costa, PatrícioWorldwide, the COVID-19 pandemic has had a disruptive effect on daily routines, especially for university students. This study aimed to compare pre-pandemic domains of students’ mental health during the pandemic lockdown. One cross-sectional study was conducted in two waves with academic students from 20 Portuguese universities, in March 2020 before the COVID19 pandemic (n = 3579) and 2 months after the first lockdown in May 2020 (n = 1228). The Positive Mental Health Questionnaire (PMHQ), the Mental Health Knowledge Questionnaire, the Mental Health-promoting knowledge, and the Psychological Vulnerability Scale were used. Statistical analyses were performed by bivariate associations and multiple linear regression models. Students were mostly women (79%), with an average age of 23.2 years (SD = 6.6), displaced from their family environment (43%), out-of-home (43%), and scholarship holders (37%). Higher scores found in the PVS were associated with decreased PMHQ in both moments (P < 0.01). These crosssectional studies showed a slight variation in the mental health variables studied in the period before and during the COVID-19 outbreak. Being a woman, younger, out-of-home, and having a scholarship (P < 0.01) seem to increase susceptibility to mental health variation before and during the pandemic. Universities should develop strategies that promote students’ mental health.
- The effectiveness of positive mental health programs in young's and adults: A systematic reviewPublication . Teixeira, Sónia; Coelho, Joana; Sequeira, Carlos; Lluch-Canut, M. T.; Ferré-Grau, Carme
- COVID‐19 infection: Positive mental health, psychological vulnerability and sex: Cross‐sectional studyPublication . Almeida, Cláudia Patrícia Pires; Novo, André Filipe Morais Pinto; Lluch Canut, Maria Teresa; Ferré‐Grau, Carme; Sequeira, CarlosSince mid-March 2020, a state of emergency was decreed in Portugal due to the COVID-19 pandemic and, consequently, measures were implemented to protect public health, such as social isolation, which will certainly have a notable impact on the mental health of the population, especially in the most vulnerable groups. Positive Mental Health (PMH) is essential to deal with adversity, in this case with the pandemic, and to live better and with greater satisfaction. We consider it relevant to investigate how PMH was used as a resource to deal with the pandemic, depending on the level of vulnerability and sex. A, cross-sectional study was carried out whose the aim was to evaluate the levels of PMH and psychological vulnerability in people with COVOD-19 infection and analyze the association between PMH and psychological vulnerability among men and women. Methods: The instruments used were a sociodemographic characterization questionnaire, the Positive Mental Health Questionnaire, and the Psychological Vulnerability Scale (PVS), that were sent and filled out online. A quantitative, cross-sectional, descriptive, and correlational study was carried out. Results: After analyzing the results, it was found that approximately 50.4% of the respondents (n = 387) had global PMH values that place them in quartile 50. There was also a statistically significant difference between female and male PMH, with women showing greater psychological vulnerability and lower overall PMH. Conclusions: We conclude that the women present a greater psychological vulnerability and a lower level of PMH when compared to men. Relevance to clinical practice: Considering the study's statistically significant results, when we talk about mental health, we should always consider the sex variable as a vulnerability factor, in a pandemic or non-pandemic phase. © 2022 Sigma Theta Tau International.