Change search
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf
Mental health and physical activity in adolescence
Karlstad University, Faculty of Arts and Social Sciences (starting 2013), Centre for Research on Child and Adolescent Mental Health (from 2013). Karlstad University, Faculty of Health, Science and Technology (starting 2013), Department of Health Sciences (from 2013). Innland Norway University of Applied Sciences.ORCID iD: 0000-0002-3844-4745
2018 (English)Doctoral thesis, comprehensive summary (Other academic)
Abstract [en]

The aim of this thesis is to examine the association between physical activity and mental health among Norwegian adolescents.

The thesis includes four studies among adolescents in grade 10, aged 15-16 years. Studies I, II and III are based on the Norwegian Youth Health Surveys and study IV is based on data retrieved from Ungdata. In 2000-2003 (Youth Health Survey), the adolescents completed a paper and pencil self-administered questionnaire at school during lesson time. In both 2009 (Youth Health Survey) and 2017 (Ungdata), the adolescents completed an anonymous web-based questionnaire.

The Rasch analysis from study I showed that overall, the HSCL-10 showed good reliability and the items worked well. One item “Sleeping difficulties”, in the HSCL-10 instrument clearly misfit and some items worked differently for boys and girls. Study II showed that the association between physical activity, screen-based sedentary behaviour and psychological distress was weak. In study III, a significant association between physical activity and incident use of hypnotics was shown at short-term follow up. No significant associations were found for later use of antidepressants. Study IV showed that participating in a sports club was significantly associated with lower odds of depressive symptoms.

Mental health and physical activity are both complex phenomena. When investigating the association between adolescent`s physical activity and mental health, it is important to look at physical activities in different contexts, not only volume and frequency.

Abstract [en]

Mental health is considered to be an important public health issue, particularly during adolescence. The World Health Organization has reported that half of all mental health disorders in adults start by age 14, but most of them are undetected and untreated. Furthermore, there are concerns about how to measure mental health, and a need for valid instruments has been identified.

This thesis considers the relationship between physical activity and mental health in Norwegian adolescents. It consists of four studies, all based on data collected from surveys among adolescents aged 15-16 years old. The results indicate a weak association between physical activity and mental health, and that participating in a sports club is associated with fewer symptoms of depression. Furthermore, the psychometric analysis of the Hopkins Symptoms Checklist-10 instrument using Rasch Measurement Theory is a step towards more valid assessment of psychological distress among adolescents.

This thesis contributes to the field of public health sciences by underlining the need for broader approaches in studies of the association between physical activity and mental health using proper measures.

Abstract [sv]

Den här avhandlingen belyser sambandet mellan fysisk aktivitet och psykisk hälsa bland ungdomar. Den läggs fram i en tid med ökande psykisk ohälsa och stigande oro för ökande fysisk inaktivitet och stillasittande. Avhandlingen består av fyra artiklar som baseras på data insamlade bland 15-16-åringar i Norge. Resultaten visar att sambandet är svagt mellan hur ofta ungdomar är fysiskt aktiva och hur väl ungdomar mår psykiskt. När kontexten för den fysiska aktiviteten beaktas framträder ett tydligare mönster: de som är aktiva i en idrottsförening rapporterar signifikant mindre psykiska besvär än de som inte regelbundet är fysiskt aktiva. Detta samband kvarstår även efter kontroll för föräldrarnas socioekonomi och efter kontroll för andra hälsorelaterade vanor. I avhandlingen redovisas också psykometriska analyser baserade på Rasch Measurement Theory av en skala för psykologisk distress och en fördepressiva besvär. Avhandlingen pekar på vikten av bredare analysansatser när fysisk aktivitet och psykisk hälsa studeras och på vikten av reliabla ochvalida mått på psykisk hälsa.

Place, publisher, year, edition, pages
Karlstad: Karlstads universitet, 2018. , p. 79
Series
Karlstad University Studies, ISSN 1403-8099 ; 2018:32
Keywords [en]
Adolescents, physical activity, sedentary behaviour, psychological distress, depression symptoms, psychotropic drugs, sports club
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
URN: urn:nbn:se:kau:diva-68646ISBN: 978-91-7063-865-7 (print)ISBN: 978-91-7063-960-9 (electronic)OAI: oai:DiVA.org:kau-68646DiVA, id: diva2:1236320
Public defence
2018-09-14, Nyquistsalen, 9C 203, lstad, 10:00 (Swedish)
Opponent
Supervisors
Available from: 2018-08-28 Created: 2018-08-01 Last updated: 2018-09-05Bibliographically approved
List of papers
1. The psychometric properties of the Hopkins Symptom Checklist-10: A Rasch analysis based on adolescent data from Norway
Open this publication in new window or tab >>The psychometric properties of the Hopkins Symptom Checklist-10: A Rasch analysis based on adolescent data from Norway
2016 (English)In: Family Practice, ISSN 0263-2136, E-ISSN 1460-2229, Vol. 33, no 6, p. 740-745Article in journal (Refereed) Published
Abstract [en]

Background

The Hopkins Symptom Checklist (HSCL-10) is widely used for both clinical and epidemiological purposes to measure psychological distress among adolescents and adults.

Objective

The purpose of this study was to investigate the psychometric properties of the HSCL-10 among adolescents in Norway using Rasch analysis.

Methods

The study is based on cross-sectional data from the Norwegian Youth Health Surveys, conducted by the Norwegian Institute of Public Health in 2001 and 2009. The target group comprised of 15- to 16-year olds (Grade 10 students) in Hedmark County, Norway. Ten items with four response categories, intended to measure anxiety and depression, were analysed. The analysis focused on invariance, including differential item functioning (DIF) across genders and years of investigations. In addition, the categorization of the items, targeting, possible multidimensionality and response dependency, was analysed.

Results

The HSCL-10 shows good reliability and on the whole, the items work well. However, one item, ‘Sleeping difficulties’, clearly misfit and some items work differently for boys and girls and between years of investigations. There is also need for a better targeting of the scale.

Conclusions

The HSCL-10 has the potential to measure the psychological distress among adolescents but there is a room for improvement. Further judgement needs to be made as to whether the misfitting item ‘Sleeping difficulties’ should be removed or retained.

Place, publisher, year, edition, pages
Oxford University Press, 2016
Keywords
Adolescents, depression, diagnosis, psychological distress, Rasch analysis, validation
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-47613 (URN)10.1093/fampra/cmw091 (DOI)000392738200027 ()
Available from: 2017-01-12 Created: 2017-01-10 Last updated: 2020-01-07Bibliographically approved
2. Psychological distress among Norwegian adolescents: Changes between 2001 and 2009 and associations with leisure time physical activity and screen-based sedentary behaviour
Open this publication in new window or tab >>Psychological distress among Norwegian adolescents: Changes between 2001 and 2009 and associations with leisure time physical activity and screen-based sedentary behaviour
2019 (English)In: Scandinavian Journal of Public Health, ISSN 1403-4948, E-ISSN 1651-1905, Vol. 47, no 2, p. 166-173Article in journal (Refereed) Published
Abstract [en]

Aims: The aim of this work was to examine psychological distress among Norwegian adolescents in relation to changes over time and the associations with leisure time physical activity and screen-based sedentary behaviour. Methods: This cross-sectional study was based on data retrieved from the Norwegian Youth Health Surveys in 2001 and 2009 in Hedmark County. Adolescents aged 15–16 years old completed a questionnaire regarding physical activity, sedentary behaviour, psychological distress and other health and lifestyle variables. The self-report Hopkins Symptom Checklist-10 was used to assess psychological distress. Multinomial logistic regression was used to analyse the associations between psychological distress, physical activity and sedentary behaviour. Results: Self-reported psychological distress increased significantly from 2001 to 2009 (from 19.4 to 28.2%), with the proportion of girls reporting psychological distress being twice as large as the proportion of boys. The proportion of adolescents who were physically active for ⩾11 hours per week increased significantly over the same period (from 6.0 to 10.4%). Sedentary behaviour ⩾6 hours per school day increased significantly among both sexes between 2001 and 2009. Physical activity (⩾11 hours) and sedentary behaviour (⩾6 hours) were both significantly associated with psychological distress. Conclusions: The association between physical activity, sedentary behaviour and psychological distress was weak; only high amounts of physical activity and high amounts of screen-based sedentary behaviour were associated with psychological distress. Longitudinal studies are needed to provide further insights into these associations and to understand the extent to which these variables might be causally related.

Place, publisher, year, edition, pages
Sage Publications, 2019
Keywords
Physical activity, screen-based sedentary behaviour, adolescents, psychological distress, leisure time
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-63890 (URN)10.1177/1403494817716374 (DOI)000462758700011 ()
Available from: 2017-09-21 Created: 2017-09-21 Last updated: 2019-04-11Bibliographically approved
3. Leisure-time physical activity among adolescents and subsequent use of antidepressant and hypnotic drugs: a prospective register linkage study.
Open this publication in new window or tab >>Leisure-time physical activity among adolescents and subsequent use of antidepressant and hypnotic drugs: a prospective register linkage study.
2018 (English)In: European Child and Adolescent Psychiatry, ISSN 1018-8827, E-ISSN 1435-165X, Vol. 28, no 2, p. 177-188Article in journal (Refereed) Published
Abstract [en]

In this prospective study, the association between physical activity and subsequent use of antidepressant and hypnotic drug use in adolescents aged 15-16 years was examined. This study is based on information retrieved from the Norwegian Youth Health Surveys (2000-2003) and linked to prescription data from the Norwegian Prescription Database (2004-2013). In total, the study included 10711 participants with a participation rate of 87%. Adolescents were asked how many hours per week they spent on physical activity that made them sweat and/or be out of breath outside of school. Incident psychotropic drug use (outcome measure) was defined as ≥ 1 prescription of one of the following psychotropic drugs: hypnotics and antidepressants registered in the Norwegian Prescription Database. In the crude model for the time period 2004-2007, the odds of incident hypnotic use were lower for those who were physically active 1-2 h per week (OR 0.48-0.64), compared to those who were physically inactive (< 1 h per week). However, the association become non-significant 4-year post-baseline (2008-2010 and 2011-2013). In the crude model for the time periods 2004-2007, 2008-2010 and 2011-2013, the odds of incident antidepressant use were lower for physically active adolescents (2004-2007: OR 0.46-0.71, 2008-2010: OR 0.40-0.67 and 2011-2013: OR 0.37-0.58, compared to those who were physically inactive < 1 h. However, after adjustment for confounders, the association became non-significant in all time periods except in physical activity 5-7 and 8-10 h in the period 2008-2010. Physical activity does not indicate any association with later use of antidepressants, and the significant association with incident hypnotic drug use was for short-term follow-up only and disappeared on longer term follow-up periods. Given the scarcity of longitudinal studies examining the association between physical activity and mental health as well as psychotropic drug use among young people, the current study adds to previous research.

Place, publisher, year, edition, pages
Springer, 2018
Keywords
Adolescents, Leisure time, Longitudinal study, Physical activity, Prescription database, Psychotropic drug use
National Category
Health Sciences
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-68616 (URN)10.1007/s00787-018-1160-x (DOI)000457572400004 ()29721753 (PubMedID)
Available from: 2018-07-24 Created: 2018-07-24 Last updated: 2019-02-21Bibliographically approved
4. The association between physical activity and symptoms of depression in different contexts: a cross-sectional study of Norwegian adolescents
Open this publication in new window or tab >>The association between physical activity and symptoms of depression in different contexts: a cross-sectional study of Norwegian adolescents
2018 (English)In: BMC Public Health, ISSN 1471-2458, E-ISSN 1471-2458, Vol. 18, no 1, p. 1368-Article in journal (Refereed) Published
Place, publisher, year, edition, pages
Springer, 2018
National Category
Public Health, Global Health, Social Medicine and Epidemiology
Research subject
Public Health Science
Identifiers
urn:nbn:se:kau:diva-68647 (URN)10.1186/s12889-018-6257-0 (DOI)000452983700003 ()30541522 (PubMedID)
Available from: 2018-08-01 Created: 2018-08-01 Last updated: 2019-08-14Bibliographically approved

Open Access in DiVA

fulltext(2672 kB)291 downloads
File information
File name FULLTEXT02.pdfFile size 2672 kBChecksum SHA-512
94447490cb6ae81ce7c2932cfdf5f8432be54b25c82fdca5771ccbd8b4e0932918d6d834bd5dadb947b3e7ea7a1eef61df7c48b20f3a8022ec8d85d84d7a049d
Type fulltextMimetype application/pdf

Authority records BETA

Kleppang, Annette Løvheim

Search in DiVA

By author/editor
Kleppang, Annette Løvheim
By organisation
Centre for Research on Child and Adolescent Mental Health (from 2013)Department of Health Sciences (from 2013)
Public Health, Global Health, Social Medicine and Epidemiology

Search outside of DiVA

GoogleGoogle Scholar
Total: 291 downloads
The number of downloads is the sum of all downloads of full texts. It may include eg previous versions that are now no longer available

isbn
urn-nbn

Altmetric score

isbn
urn-nbn
Total: 647 hits
CiteExportLink to record
Permanent link

Direct link
Cite
Citation style
  • apa
  • ieee
  • modern-language-association-8th-edition
  • vancouver
  • Other style
More styles
Language
  • de-DE
  • en-GB
  • en-US
  • fi-FI
  • nn-NO
  • nn-NB
  • sv-SE
  • Other locale
More languages
Output format
  • html
  • text
  • asciidoc
  • rtf