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Depression

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Depression Mediates The Association Of Disordered Eating Behaviors And Sexual Function In Female Service Members And Veterans, Whitney S. Livingston Aug 2019

Depression Mediates The Association Of Disordered Eating Behaviors And Sexual Function In Female Service Members And Veterans, Whitney S. Livingston

All Graduate Theses and Dissertations, Spring 1920 to Summer 2023

Poor sexual function is comprised of diminished sexual desire and arousal, presence of sexual pain, inability to reach orgasm, and low satisfaction. Worse sexual function is associated with disordered eating behavior; however, the mechanism through which this association exists remains unclear. Theory of sexual function suggests that depression mediates the association of disordered eating behaviors and poor sexual function in female service members and veterans, but this has yet to be tested empirically. The purpose of the current study was to examine whether depression mediated the association of disordered eating behaviors and sexual dysfunction.

Participants (N=511) were partnered …


The Link Between Genetics And Depression, Rachel Shirey Jul 2019

The Link Between Genetics And Depression, Rachel Shirey

Nursing Student Class Projects (Formerly MSN)

This paper examines the link between genetics and depression. Information was gathered and reviewed from multiple studies. Signs and symptoms of depression, the pathophysiology of environmental and genetic factors, and the significance of the pathophysiology were explained. Additionally, nursing implications regarding genetics and depression are discussed.


Socially Thirsty: Creating Families Connected Outside Of Social Media, Tara Boer Jul 2019

Socially Thirsty: Creating Families Connected Outside Of Social Media, Tara Boer

Faculty Work Comprehensive List

"One of the shifts I’ve noticed is how more and more people are feeling increasingly lonely, depressed, and anxious even though we’re in a time when we’re more 'connected' than ever before."

Posting about the effects of social media on our human connections from In All Things - an online journal for critical reflection on faith, culture, art, and every ordinary-yet-graced square inch of God’s creation.

https://inallthings.org/socially-thirsty-creating-families-connected-outside-of-social-media/


A Letter To My Departed Niece, * Anonymous * Jul 2019

A Letter To My Departed Niece, * Anonymous *

Journal of Patient-Centered Research and Reviews

The following piece was written in the weeks following the death of the author’s niece. It is an attempt to explore how we as a society handle health crises differently for medical versus mental health diagnoses.


The Effects Of Posttraumatic Stress Disorder (Ptsd) And Depressive Symptomology On National Guard Service Member Commitment, Courtney Isgett Jul 2019

The Effects Of Posttraumatic Stress Disorder (Ptsd) And Depressive Symptomology On National Guard Service Member Commitment, Courtney Isgett

Purdue Undergraduate Research Conference

Military deployments can impact the psychological functioning of service members, sometimes resulting in comorbid diagnoses of posttraumatic stress disorder (PTSD) and depression, which could have ramifications for service members’ commitment to the military. Additionally, the multitude of unique experiences facing National Guard members, such as social isolation and transitions within civilian employment, can have significant impacts on mental health. The goal of this study was to examine the effects of PTSD and depressive symptomology on commitment to military service. We addressed this goal using data from 129 National Guard service members three months (Time 1) and eight-months (Time 2) following …


The Effects Of Auricular Acupressure On Stress, Anxiety, Depression, And Heart Rate Variability Of Nurses, Sena Lee Jul 2019

The Effects Of Auricular Acupressure On Stress, Anxiety, Depression, And Heart Rate Variability Of Nurses, Sena Lee

International Nursing Research Congress (INRC)

The effects of Auricular Acupressure on Stress, Anxiety, Depression and Heart rate variability of Outpatient Nurses. The results of this study showed that depressive therapy decreased depression scores, and the depression-related physiological index, serotonin, also significantly changed.


Factors Associated With Relocation Stress And Depression In Residents With Diabetes In Long-Term Care, Shu-Ming Chen, Ying-Ju Chen Jul 2019

Factors Associated With Relocation Stress And Depression In Residents With Diabetes In Long-Term Care, Shu-Ming Chen, Ying-Ju Chen

International Nursing Research Congress (INRC)

The result of this study might be considered as references for the practice of relocation stress and depression in older residents with diabetes in long-term care facility.


Severe Social Withdrawal: Cultural Variation In Past Hikikomori Experiences Of University Students In Nigeria, Singapore, And The United States, Julie C. Bowker, Matthew H. Bowker, Jonathan Santo, Adesola Adebusola Ojo, Rebecca G, Etkin, Radhi Raja Jul 2019

Severe Social Withdrawal: Cultural Variation In Past Hikikomori Experiences Of University Students In Nigeria, Singapore, And The United States, Julie C. Bowker, Matthew H. Bowker, Jonathan Santo, Adesola Adebusola Ojo, Rebecca G, Etkin, Radhi Raja

Psychology Faculty Publications

Hikikomori (social withdrawal that lasts six months or longer) is a growing problem among Japanese adolescents and young adults, with recent estimates that approximately 1% of Japanese youths will suffer from an episode of hikikomori in their lifetimes. What remains unclear is whether hikikomori is a culture-bound syndrome or a condition impacting youths around the globe. Hence, the self-reported prevalence and psychosocial correlates of past experiences with hikikomori were examined in cross-sectional samples of university students from Singapore (n = 147), Nigeria (n = 151), and the United States (n = 301). Following tests of measurement invariance, …


Depression In Hiv-Positive Individuals Living In A Residential Housing Community, Danielle Njeri Jul 2019

Depression In Hiv-Positive Individuals Living In A Residential Housing Community, Danielle Njeri

Dissertations

Problem: Depression is the most prevalent psychiatric disorder among individuals living with HIV. Depression rates are three times greater than those found in the general population . Undiagnosed and untreated depression can have a negative effect on the management of HIV infection, resulting in increased mortality and a poorer quality of life. The purpose of this quality improvement initiative was to assess the incidence of depression in HIV-positive individuals living in a residential community.

Methods: A prospective, descriptive, cohort design. Convenience sample of HIV-positive adult residents living in an HIV residential community. The nine-question patient health questionnaire (PHQ-9) …


Factors Associated With Depression Among Adolescents Living With Hiv At Health Facilities In Rwanda, Pacifique Mukangabire, Godfrey Katende, Joselyne Rugema, Patricia Moreland, Aimable Nkurunziza Jul 2019

Factors Associated With Depression Among Adolescents Living With Hiv At Health Facilities In Rwanda, Pacifique Mukangabire, Godfrey Katende, Joselyne Rugema, Patricia Moreland, Aimable Nkurunziza

International Nursing Research Congress (INRC)

Participants will gain a deep understanding of factors associated with depression among adolescents living with HIV in Rwanda using Gasabo District as study area and strategies for prevention of depression among HIV adolescents to better manage them.


Ethnic Identity As A Protective Factor In Early Adolescent Youth Depression: An Investigation Of Differences By Race And Gender, Leah Bonilla Jul 2019

Ethnic Identity As A Protective Factor In Early Adolescent Youth Depression: An Investigation Of Differences By Race And Gender, Leah Bonilla

USF Tampa Graduate Theses and Dissertations

Adolescent mental illness is a major concern in the Unites States. The adolescent stage is a critical developmental period of physical and mental changes, thus it is important to understand protective factors associated with positive wellbeing. The current study aimed to explore: (a) the associations among race, gender, ethnic identity, and depressive symptoms among eighth grade adolescents, (b) to what extent are there differences in degree of depressive symptoms among youth based on race and gender, and (c) to what extent a strong sense of ethnic identity serves as a protective factor against the development of depression among youth with …


Identifying Depression In The National Health And Nutrition Examination Survey Data Using A Deep Learning Algorithm, Jihoon Oh, Kyongsik Yun, Uri Maoz, Tae-Suk Kim, Jeong-Ho Chae Jul 2019

Identifying Depression In The National Health And Nutrition Examination Survey Data Using A Deep Learning Algorithm, Jihoon Oh, Kyongsik Yun, Uri Maoz, Tae-Suk Kim, Jeong-Ho Chae

Psychology Faculty Articles and Research

Background

As depression is the leading cause of disability worldwide, large-scale surveys have been conducted to establish the occurrence and risk factors of depression. However, accurately estimating epidemiological factors leading up to depression has remained challenging. Deep-learning algorithms can be applied to assess the factors leading up to prevalence and clinical manifestations of depression.

Methods

Customized deep-neural-network and machine-learning classifiers were assessed using survey data from 19,725 participants from the NHANES database (from 1999 through 2014) and 4949 from the South Korea NHANES (K-NHANES) database in 2014.

Results

A deep-learning algorithm showed area under the receiver operating characteristic curve (AUCs) …


An Analysis Of Change Processes In The Transdiagnostic Treatment Of Emotional Disorders In Adolescents, Jamie Alexa Sherman Jul 2019

An Analysis Of Change Processes In The Transdiagnostic Treatment Of Emotional Disorders In Adolescents, Jamie Alexa Sherman

Open Access Dissertations

Anxiety, depression, and related emotional disorders are prevalent and impairing (Merikangas et al., 2010). They not only have high levels of symptom overlap but also share underlying temperament factors such as high neuroticism (Barlow, Sauer-Zavala, Carl, Bullis, & Ellard, 2014; Tonarely, Sherman, Grossman, Shaw, & Ehrenreich-May, under review) and low extroversion (Barlow et al., 2014; Tonarely, Sherman, & Ehrenreich-May, 2017). The Unified Protocols for Transdiagnostic Treatment of Emotional Disorders in Children and Adolescents (UP-C and UP-A, respectively; Ehrenreich-May et al., 2018) and similar core dysfunction-focused transdiagnostic therapy approaches may lead to successful treatment by targeting higher-order factors that cut across …


Infant Emotion Regulation With Mothers And Fathers: The Roles Of Infant Temperament And Parent Psychopathology, Ashley Quigley Jul 2019

Infant Emotion Regulation With Mothers And Fathers: The Roles Of Infant Temperament And Parent Psychopathology, Ashley Quigley

Masters Theses & Specialist Projects

The ability to regulate emotions is a key part of infants’ social and emotional development, but this ability may differ due to different factors internal and external to the infant. The current study examined the association between infant temperament and parent psychopathology to predict emotion regulation strategies in a sample of 4-montholds using the diathesis-stress model (Monroe & Simons, 1991). Parent-report questionnaires were used to measure infant temperament (the Infant-Behavior Questionnaire-Revised, IBQ-R; Gartstein & Rothbart, 2003) and parental psychopathology (Inventory of Depression and Anxiety, IDAS; Watson et al., 2007). Infants’ use of parent-focused, attentional distraction, and self-soothing strategies were rated …


Depression In Patients With Type 2 Diabetes Attending At Chao Phya Abhaibhubejhr Hospital, Amporn Nueangjaknak, Siriluck Suppapitiporn Jul 2019

Depression In Patients With Type 2 Diabetes Attending At Chao Phya Abhaibhubejhr Hospital, Amporn Nueangjaknak, Siriluck Suppapitiporn

Chulalongkorn Medical Journal

Background: Diabetes mellitus (DM) is one of the most common public health problems worldwide. It is achronic, debilitating disease that needs lifelong care for both physical and psychological aspects. Previousstudies on depression in diabetic patients are scant in Thailand.Objective: To determine the prevalence of depression and its associated factors in patients with type 2 diabetes at Chao Phya Abhaibhubejhr Hospital, Prachinburi Province.Methods: A cross-sectional descriptive study was conducted among patients with type 2 diabetes at the Outpatient Clinic of Chao Phya Abhaibhubejhr Hospital, Prachinburi Province, Thailand from August to December 2017. The instruments were demographic and clinical characteristics questionnaires, the …


A Randomized Controlled Trial: Attachment-Based Family And Nondirective Supportive Treatments For Youth Who Are Suicidal, Guy S. Diamond, Roger R. Kobak, E. Stephanie Krauthamer Ewing, Suzanne A. Levy, Joanna L. Herres, Jody M. Russon, Robert J. Gallop Jul 2019

A Randomized Controlled Trial: Attachment-Based Family And Nondirective Supportive Treatments For Youth Who Are Suicidal, Guy S. Diamond, Roger R. Kobak, E. Stephanie Krauthamer Ewing, Suzanne A. Levy, Joanna L. Herres, Jody M. Russon, Robert J. Gallop

Mathematics Faculty Publications

Objective: To evaluate the efficacy of attachment-based family therapy (ABFT) compared with a family-enhanced nondirective supportive therapy (FE-NST) for decreasing adolescents’ suicide ideation and depressive symptoms. Method: A randomized controlled trial of 129 adolescents who are suicidal ages 12- to 18-years-old (49% were African American) were randomized to ABFT (n ¼ 66) or FE-NST (n ¼ 63) for 16 weeks of treatment. Assessments occurred at baseline and 4, 8, 12, and 16 weeks. Trajectory of change and clinical recovery were calculated for suicidal ideation and depressive symptoms. Results: There was no significant between-group difference in the rate of change in …


Risk And Resistance Factors For Depression And Anxiety Among Youth With Sickle Cell Disease, Laura Reinman Jul 2019

Risk And Resistance Factors For Depression And Anxiety Among Youth With Sickle Cell Disease, Laura Reinman

Theses and Dissertations

Objective: Depression and anxiety are common problems for adolescents with sickle cell disease (SCD). It is important to understand both risk and resiliency factors contributing to psychological outcomes among youth with SCD in order to prevent and effectively treat such problems. To better elucidate contributing factors to depression and anxiety among youth with SCD selected risk and resiliency factors from the risk-and-resistance model adapted for SCD were examined (Barakat, Lash, Lutz, & Nicolaou, 2006). The risk factor of fatigue and resistance/resiliency factors of cognitive appraisal of stress and self-concept are of focus because they have been understudied, and their temporal …


Role Of Heart Rate Variability Biofeedback In Cognitive Performance, Chronic Pain, And Related Symptoms, James P. Winstead Jul 2019

Role Of Heart Rate Variability Biofeedback In Cognitive Performance, Chronic Pain, And Related Symptoms, James P. Winstead

Theses and Dissertations

Over-modulation of the sympathetic nervous system and reduced heart rate variability (HRV) are commonly overlooked components of pain, poor cognition (decreased attention, recall, and cognitive processing), depression, stress, and fatigue. HRV Biofeedback (HRVB) training induces HRV coherence to balance the autonomic system. Paced breathing (~6 breaths/minute) increases HRV coherence. This randomized, controlled intervention trial tested the hypothesis that HRVB would improve HRV coherence, pain (severity, interference, and catastrophizing), cognitive performance, and reduce depressive, stress, and fatigue symptoms and pain medication use in veterans. Participants were randomized to previously established HRVB or control protocols. Each participant completed a Baseline Assessment, 6 …


Association Between Behavioral And Psychological Symptoms In Persons With Alzheimer's Disease And Depression In Caregivers From Low Income Families, Weizhou Tang Jul 2019

Association Between Behavioral And Psychological Symptoms In Persons With Alzheimer's Disease And Depression In Caregivers From Low Income Families, Weizhou Tang

Theses and Dissertations

Alzheimer’s disease (AD) is the most common neurodegenerative disease and is a leading cause of dementia. Behavioral and psychological symptoms (BPS) represent a heterogeneous group of non-cognitive symptoms and behaviors occurring in persons with Alzheimer’s disease (PwAD), and they are often associated with negative outcomes for AD caregivers. Evidence indicates differences in caregivers’ mental health across race/ethnic groups. However, there is a lack of research that compares racial differences in the association between BPS in PwAD and caregiver depression. The aims of this dissertation, which are grounded in the Stress Process Model, include: 1) To compare racial differences in BPS …


The Influence Of Adhd Symptoms And Social Functioning On Anxiety And Depression Symptoms In College Students, Danielle Willis Jul 2019

The Influence Of Adhd Symptoms And Social Functioning On Anxiety And Depression Symptoms In College Students, Danielle Willis

Theses and Dissertations

Previous research has shown that Attention-Deficit/Hyperactivity Disorder (ADHD) is associated with impaired social functioning in children and adolescents. ADHD and poor social functioning have been shown to be separately associated with increased anxiety and depression symptoms as well. However, little research has examined these associations among college students. College is a transitional period of increased stress and exposure to new social situations for all students, but may be even more challenging for those with ADHD, who are already at risk for increased internalizing problems and impairment in social functioning. The current study aimed to examine the influence of ADHD symptoms …


Depression Among Expectant And New Mothers: A Multi-Study Investigation Of Rates, Correlates, And Training For Healthcare Providers, Molly M. Long Jul 2019

Depression Among Expectant And New Mothers: A Multi-Study Investigation Of Rates, Correlates, And Training For Healthcare Providers, Molly M. Long

Health Services Research Dissertations

Perinatal depression (PD) is a common concern among women. PD has been shown to have negative effects on the mother, child, and mother-child relationship. Screening for PD is inconsistent and low among healthcare providers. However, several governing organizations (e.g., The American College of Obstetricians and Gynecologists, The American Academy of Pediatrics) have provided guidelines for screening and treating PD, indicating the importance and utility of screening and treating PD by a variety of healthcare providers. Few studies, with low methodological rigor, have attempted to improve PD screening, treatment, and referral practices. Therefore, it is important to implement and assess additional …


Evaluation Of Clinical Outcomes In An Interdisciplinary Abdominal Pain Clinic: A Retrospective, Exploratory Review., Amanda D. Deacy, Craig A. Friesen, Vincent S. Staggs, Jennifer Verrill Schurman Jun 2019

Evaluation Of Clinical Outcomes In An Interdisciplinary Abdominal Pain Clinic: A Retrospective, Exploratory Review., Amanda D. Deacy, Craig A. Friesen, Vincent S. Staggs, Jennifer Verrill Schurman

Manuscripts, Articles, Book Chapters and Other Papers

Background: Pediatric functional gastrointestinal disorders (FGIDs) are common and well-accepted to be etiologically complex in terms of the contribution of biological, psychological, and social factors to symptom presentations. Nonetheless, despite its documented benefits, interdisciplinary treatment, designed to address all of these factors, for pediatric FGIDs remains rare. The current study hypothesized that the majority of pediatric patients seen in an interdisciplinary abdominal pain clinic (APC) would demonstrate clinical resolution of symptoms during the study period and that specific psychosocial variables would be significantly predictive of GI symptom improvement.

Aim: To evaluate outcomes with interdisciplinary treatment in pediatric patients with pain-related …


Examining Early Maladaptive Schemas, Depression, And Health Behaviors, Juliana D'Onofrio Jun 2019

Examining Early Maladaptive Schemas, Depression, And Health Behaviors, Juliana D'Onofrio

Theses and Dissertations

Chronic disease continues to predominate the leading causes of death and account for the majority of healthcare expenditures in the United States. Researchers have identified that engagement in negative health behaviors, such as eating a poor diet, physical inactivity, risky sexual activity, nicotine and illicit drug use, and excessive alcohol consumption is a key risk factor for developing chronic disease later in life. In order to help motivate individuals to adhere to a healthy lifestyle, understanding why an individual might engage in negative health behaviors is warranted. Young's schema theory is a social cognitive theory that explores early maladaptive schemas …


Testing Risk And Protective Pathways Between Weight Bias And Psycho-Behavioral Health In Bariatric Surgery Patients: Internalized Weight Bias, Shame, And Self-Compassion, Tosca Braun Jun 2019

Testing Risk And Protective Pathways Between Weight Bias And Psycho-Behavioral Health In Bariatric Surgery Patients: Internalized Weight Bias, Shame, And Self-Compassion, Tosca Braun

Doctoral Dissertations

Archival abstract submitted


Teens Using Screens For Help: Impact Of Suicidal Ideation, Anxiety, And Depression Levels On Youth Preferences For Telemental Health Resources., Tammy Toscos Phd, Amanda Coupe, Mindy Flanagan, Michelle Drouin, Maria D. Carpenter, Lauren Reining, Amelia Roebuck, Michael Mirro Md, Facc, Fhrs, Faha Jun 2019

Teens Using Screens For Help: Impact Of Suicidal Ideation, Anxiety, And Depression Levels On Youth Preferences For Telemental Health Resources., Tammy Toscos Phd, Amanda Coupe, Mindy Flanagan, Michelle Drouin, Maria D. Carpenter, Lauren Reining, Amelia Roebuck, Michael Mirro Md, Facc, Fhrs, Faha

Health Services and Informatics Research

BACKGROUND: High rates of mental illness, stress, and suicidality among teens constitute a major public health concern in the United States. However, treatment rates remain low, partially because of barriers that could be mitigated with tech-based telemental health (TMH) resources, separate from or in addition to traditional care.

OBJECTIVE: This study aimed to analyze TMH resource usage by high school students to establish current user characteristics and provide a framework for future development.

METHODS: A total of 2789 students were surveyed regarding demographics, recent anxiety and depression symptoms, suicidality, and stress; people with whom they could openly and honestly discuss …


Integrated Assessment Of Risk Factors Of Post-Infarction Depression, Nigina Mukhamadieva, Zebiniso Tuksanova Jun 2019

Integrated Assessment Of Risk Factors Of Post-Infarction Depression, Nigina Mukhamadieva, Zebiniso Tuksanova

Central Asian Journal of Pediatrics

Depressive disorders are among the most common types of mental pathology. According to various epidemiological data, depression affects 4 to 10% of the world's population. The aim of this study was an integrated assessment of risk factors for depressive disorders and the development of an algorithm to assess the risk of post-infarction depression. The object of the study was patients with myocardial infarction (MI) hospitalized in a hospital (754 patients). We conducted a study in the first week after MI in the presence of depressive symptoms in patients, it is necessary to consult a psychiatrist for the clinical diagnosis of …


Randomized Trial Of A Single-Session Growth Mind-Set Intervention For Rural Adolescents’ Internalizing And Externalizing Problems, Jessica L. Schleider, Jeni L. Burnette, Laura Widman, Crystal L. Hoyt, Mitchell J. Prinstein Jun 2019

Randomized Trial Of A Single-Session Growth Mind-Set Intervention For Rural Adolescents’ Internalizing And Externalizing Problems, Jessica L. Schleider, Jeni L. Burnette, Laura Widman, Crystal L. Hoyt, Mitchell J. Prinstein

Jepson School of Leadership Studies articles, book chapters and other publications

Objective. Adolescents living in rural regions of the United States face substantial barriers to accessing mental health services, creating needs for more accessible, non-stigmatizing, briefer interventions. Research suggests that single-session “growth mindset” interventions (GM-SSIs)—which teach the belief that personal traits are malleable through effort—may reduce internalizing and externalizing problems in adolescents. However, GM-SSIs have not been evaluated among rural youth, and their effects on internalizing and externalizing problems have not been assessed within a single trial, rendering their relative benefits for different problem types unclear. We examined whether a computerized GM-SSI could reduce depressive symptoms, social anxiety symptoms, and …


The Cost Of Being A “Strong Black Woman”, Alescia Maraboushontrell Hollowell Jun 2019

The Cost Of Being A “Strong Black Woman”, Alescia Maraboushontrell Hollowell

College of Science and Health Theses and Dissertations

The current study explored how internalization of the Strong Black Woman (SBW) race-gender ideology contributes to poor health behaviors and outcomes in Black women. The SBW ideology is associated with maladaptive eating patterns and psychological distress, but less is known about the other physical health implications of this endorsement. The current study sought to better understand the mechanisms that contribute to this relationship and examine the association between endorsement of the SBW ideology and outcomes of physical activity and eating behaviors, weight satisfaction, chronic stress, and depression. Participants were 91 African American women aged 18-65 years recruited from the south …


Breaking The Stigma: Major Depressive Disorder, Joanna Cox Jun 2019

Breaking The Stigma: Major Depressive Disorder, Joanna Cox

Theses

Major Depressive Disorder (MDD) is a mood and mental disorder affecting the brain; it is caused by the reduction of three monoamine neurotransmitters: serotonin, norepinephrine, and dopamine (Rot, M. A., Mathew, S. J., & Charney, D. S. 2009). MDD is one of the world’s most common mental disorders, affecting a predicted 4% of the world’s population and roughly 16.1 million adults in United States alone (Major Depression. 2019; Ritchie, H., & Roser, M. 2018). The concentrations of these neurotransmitters are reduced in the brains of people with MDD due to their increased reabsorption from synapses in the brain back into …


Nash-Wo-Numa (Childhood Growth & Development) Study Protocol: Factors That Impact Linear Growth In Children 9 To 15 Years Of Age In Matiari, Pakistan, Susan C. Campisi, Yaqub Wasan, Sajid Bashir Soofi, Suneeta Monga, Daphne J. Korczak, Wendy Lou, Olle Soder, Ashley Vandermorris, Khadija N Humayun, Ayesha Mian, Peter Szatmari, Zulfiqar Ahmed Bhutta Jun 2019

Nash-Wo-Numa (Childhood Growth & Development) Study Protocol: Factors That Impact Linear Growth In Children 9 To 15 Years Of Age In Matiari, Pakistan, Susan C. Campisi, Yaqub Wasan, Sajid Bashir Soofi, Suneeta Monga, Daphne J. Korczak, Wendy Lou, Olle Soder, Ashley Vandermorris, Khadija N Humayun, Ayesha Mian, Peter Szatmari, Zulfiqar Ahmed Bhutta

Department of Paediatrics and Child Health

Introduction: Adolescence is a time of significant physical and emotional change, and there is emerging concern that adolescents living in low- and middle-income countries (LMIC) may face substantial challenges in relation to linear growth and mental health. Data on the global burden of stunting after 5 years of age are limited, but estimates suggest up to 50 per cent of all adolescents in some LMIC are stunted. Additionally, many LMIC lack robust mental health care delivery systems. Pakistan has one of the world's largest populations of adolescents (10 to 19 years) at approximately 40 million. The Nash-wo-Numa study's primary objective …