Social Support, Physical Activity and Stress as Determinants of Well-being in Adults with Intellectual Disability


Book Description

People with intellectual disability (ID) are likely to experience mental health concerns and poor physical health. However, there is a lack of understanding regarding what factors, specifically psychosocial factors, influence physical and mental health in this population. In people without disabilities, three factors have consistently been tied to mental and physical well-being, stress, social support, and physical activity. Though there is a plethora of research into how these three factors impact health in people without disabilities, research in people with ID is lacking. The present study used a combination of established and novel self-report scales to collect data on the well-being, conceptualized as both physical and mental health, of 150 adults with ID. Measures of social support, physical activity and stress were also obtained. For a sub sample of participants (n=90), proxy report was obtained on identical factors. The primary goal of the study was to use structural equation modeling (SEM) to test a theoretical model of health informed solely by self-report. Secondary aims were to expand the research base on self-report in people with ID by examining use of several scales in this population and to compare self and proxy report. People with ID were found to be capable of reporting on various aspects of life such as health, mental health symptoms, social support, stress, and physical activity. The majority of the scales used had acceptable psychometric properties, though some scales were found to need additional research in this population. Specifically, it was found that the scale used as a measure of mental health may perform differently in this population than in people without disabilities and that the measure of social support used may need an alternate scoring method. Agreement between raters on various scales ranged from poor to substantial with significant variation between and with-in scales. These results indicate that efforts should be made to obtain self-report whenever possible and proxy reports should be used with caution. The theoretical model testing the impact of social support, physical activity, and stress on physical and mental health was determined to have acceptable to good fit. The model indicated that higher stress was associated with poorer mental and physical health while higher reports of friendships were also associated with poorer mental health. The model showed that important variables related to well-being can be modeled using self-report in this population and provide valuable information regarding the impact of stress on the health of people with ID.




The Stress-mental Health Relationship


Book Description

Abstract: Previous research has demonstrated a relationship between stress and mental health in both the general population and individuals with intellectual disability (ID). In the general population social support and physical activity have both been shown to have an ameliorating effect upon this relationship, but little research has addressed this topic in adults with ID or examined the gender differences that may be present in social support. This study examines the effects of social support, gender, and physical activity on the stress-mental health relationship in adults with ID. A nationally representative sample from a preexisting dataset, the National Core Indicators was used to examine these factors. Mental health was conceptualized as both mental illness and behavior problems, as both play an important role in the overall health and wellness of individuals with ID. Hierarchical regression was used to examine the predictive power of social support, gender and physical activity on both mental illness and severity of behavior problems. Stress was a significant predictor of both mental illness and severity of behavior problems, with each additional stressor increasing the odds of poor mental health by 20%. This relationship held, even after controlling for level of ID, gender and place of residence. Though a lack of social support was a strong predictor of having a mental illness, individuals who lacked social support were twice as likely to have a mental illness, it was not a predictor of behavior problems nor did gender affect social support. Physical activity was a predictor of behavior problems but not a predictor of mental illness. The results of this study suggest that stress is an important variable that should be considered a part of the assessment of both mental illness and behavior problems. This study also suggests that while both mental illness and behavior problems are similarly impacted by stress, social support may play a different role in each of these factors. Implications for treatment and assessment of mental health concerns are discussed and directions for future research suggested.




Social Isolation and Loneliness in Older Adults


Book Description

Social isolation and loneliness are serious yet underappreciated public health risks that affect a significant portion of the older adult population. Approximately one-quarter of community-dwelling Americans aged 65 and older are considered to be socially isolated, and a significant proportion of adults in the United States report feeling lonely. People who are 50 years of age or older are more likely to experience many of the risk factors that can cause or exacerbate social isolation or loneliness, such as living alone, the loss of family or friends, chronic illness, and sensory impairments. Over a life course, social isolation and loneliness may be episodic or chronic, depending upon an individual's circumstances and perceptions. A substantial body of evidence demonstrates that social isolation presents a major risk for premature mortality, comparable to other risk factors such as high blood pressure, smoking, or obesity. As older adults are particularly high-volume and high-frequency users of the health care system, there is an opportunity for health care professionals to identify, prevent, and mitigate the adverse health impacts of social isolation and loneliness in older adults. Social Isolation and Loneliness in Older Adults summarizes the evidence base and explores how social isolation and loneliness affect health and quality of life in adults aged 50 and older, particularly among low income, underserved, and vulnerable populations. This report makes recommendations specifically for clinical settings of health care to identify those who suffer the resultant negative health impacts of social isolation and loneliness and target interventions to improve their social conditions. Social Isolation and Loneliness in Older Adults considers clinical tools and methodologies, better education and training for the health care workforce, and dissemination and implementation that will be important for translating research into practice, especially as the evidence base for effective interventions continues to flourish.




Educating the Student Body


Book Description

Physical inactivity is a key determinant of health across the lifespan. A lack of activity increases the risk of heart disease, colon and breast cancer, diabetes mellitus, hypertension, osteoporosis, anxiety and depression and others diseases. Emerging literature has suggested that in terms of mortality, the global population health burden of physical inactivity approaches that of cigarette smoking. The prevalence and substantial disease risk associated with physical inactivity has been described as a pandemic. The prevalence, health impact, and evidence of changeability all have resulted in calls for action to increase physical activity across the lifespan. In response to the need to find ways to make physical activity a health priority for youth, the Institute of Medicine's Committee on Physical Activity and Physical Education in the School Environment was formed. Its purpose was to review the current status of physical activity and physical education in the school environment, including before, during, and after school, and examine the influences of physical activity and physical education on the short and long term physical, cognitive and brain, and psychosocial health and development of children and adolescents. Educating the Student Body makes recommendations about approaches for strengthening and improving programs and policies for physical activity and physical education in the school environment. This report lays out a set of guiding principles to guide its work on these tasks. These included: recognizing the benefits of instilling life-long physical activity habits in children; the value of using systems thinking in improving physical activity and physical education in the school environment; the recognition of current disparities in opportunities and the need to achieve equity in physical activity and physical education; the importance of considering all types of school environments; the need to take into consideration the diversity of students as recommendations are developed. This report will be of interest to local and national policymakers, school officials, teachers, and the education community, researchers, professional organizations, and parents interested in physical activity, physical education, and health for school-aged children and adolescents.




The Social Determinants of Mental Health


Book Description

The Social Determinants of Mental Health aims to fill the gap that exists in the psychiatric, scholarly, and policy-related literature on the social determinants of mental health: those factors stemming from where we learn, play, live, work, and age that impact our overall mental health and well-being. The editors and an impressive roster of chapter authors from diverse scholarly backgrounds provide detailed information on topics such as discrimination and social exclusion; adverse early life experiences; poor education; unemployment, underemployment, and job insecurity; income inequality, poverty, and neighborhood deprivation; food insecurity; poor housing quality and housing instability; adverse features of the built environment; and poor access to mental health care. This thought-provoking book offers many beneficial features for clinicians and public health professionals: Clinical vignettes are included, designed to make the content accessible to readers who are primarily clinicians and also to demonstrate the practical, individual-level applicability of the subject matter for those who typically work at the public health, population, and/or policy level. Policy implications are discussed throughout, designed to make the content accessible to readers who work primarily at the public health or population level and also to demonstrate the policy relevance of the subject matter for those who typically work at the clinical level. All chapters include five to six key points that focus on the most important content, helping to both prepare the reader with a brief overview of the chapter's main points and reinforce the "take-away" messages afterward. In addition to the main body of the book, which focuses on selected individual social determinants of mental health, the volume includes an in-depth overview that summarizes the editors' and their colleagues' conceptualization, as well as a final chapter coauthored by Dr. David Satcher, 16th Surgeon General of the United States, that serves as a "Call to Action," offering specific actions that can be taken by both clinicians and policymakers to address the social determinants of mental health. The editors have succeeded in the difficult task of balancing the individual/clinical/patient perspective and the population/public health/community point of view, while underscoring the need for both groups to work in a unified way to address the inequities in twenty-first century America. The Social Determinants of Mental Health gives readers the tools to understand and act to improve mental health and reduce risk for mental illnesses for individuals and communities. Students preparing for the Medical College Admission Test (MCAT) will also benefit from this book, as the MCAT in 2015 will test applicants' knowledge of social determinants of health. The social determinants of mental health are not distinct from the social determinants of physical health, although they deserve special emphasis given the prevalence and burden of poor mental health.




Communities in Action


Book Description

In the United States, some populations suffer from far greater disparities in health than others. Those disparities are caused not only by fundamental differences in health status across segments of the population, but also because of inequities in factors that impact health status, so-called determinants of health. Only part of an individual's health status depends on his or her behavior and choice; community-wide problems like poverty, unemployment, poor education, inadequate housing, poor public transportation, interpersonal violence, and decaying neighborhoods also contribute to health inequities, as well as the historic and ongoing interplay of structures, policies, and norms that shape lives. When these factors are not optimal in a community, it does not mean they are intractable: such inequities can be mitigated by social policies that can shape health in powerful ways. Communities in Action: Pathways to Health Equity seeks to delineate the causes of and the solutions to health inequities in the United States. This report focuses on what communities can do to promote health equity, what actions are needed by the many and varied stakeholders that are part of communities or support them, as well as the root causes and structural barriers that need to be overcome.




Physical Activity and Psychological Well-Being


Book Description

This book was commissioned by Somerset Health Authority to provide an updated overview of the case for exercise and mental health promotion.




Physical Activity and Mental Health


Book Description

Provides an evidence-based review of the connections between physical activity, mental health, and well-being, presenting research illustrating how the use of physical activity can reduce the impact of potentially debilitating mental health conditions.




Research Awards Index


Book Description




Psychology of Physical Activity


Book Description

As modern lifestyles offer ever more opportunities for a sedentary existence, physical activity has become, for many, a marginal aspect of life. Too little physical activity is linked to common, often serious, health problems, and although this link is now widely acknowledged, levels of sedentary behaviour continue to increase throughout western society. Psychology of Physical Activity, 2nd Edition addresses this concern, bringing together a wealth of up to date information about exercise behaviour including: motivation and psychological factors associated with activity or inactivity the psychological outcomes of exercising including the 'feel–good' factor understanding specific clinical populations interventions and applied practice in the psychology of physical activity current trends and future directions in research and practice. Updated to reflect new findings and research directions, this new edition includes full textbook features, and is accompanied by a dedicated website providing lecturers and students with extensive support materials, including powerpoint slides and student MCQ's. Visit the companion website at www.routledge.com/textbooks/9780415366656.