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Francesca Zecchinato

@fzecchinato.bsky.social

Postdoctoral researcher within the TOPIC group, University of Oxford (UK) | NIHR ARC Wessex Research Fellow, University of Southampton (UK) | Interested in improving young people's mental health and mental health care provision

9 Posts72 Follower 102 Folgt

Dr Lucy Foulkes @lucyfoulkes.bsky.social · 10mo ago

New paper from my group, led by Carolina Guzman Holst This is a secondary analysis of data from the high-quality MYRIAD trial, a universal school-based mindfulness intervention Summary below (🧵) acamh.onlinelibrary.wiley.com/doi/10.1002/...

Adolescents' trajectories of mental health in the MYRIAD trial

Abstract
Background
This study explored adolescent's mental health trajectories over the course of a school-based mindfulness-based intervention trial (MYRIAD). It examined whether intervention condition (mindfulness vs. teaching-as-usual), individual-level and contextual-level factors were associated with different trajectories.

Methods
This pre-registered study used data from 11- to 14-year-olds who participated in the MYRIAD trial. We used growth mixture models to examine distinct trajectories in risk for depression, social-emotional-behavioural functioning, and wellbeing (co-primary outcomes), and anxiety (secondary outcome), across pre-intervention, post-intervention and 12-month follow up (ns = 7198–7727). We then used multinomial and binomial logistic regression models to examine factors associated with individual trajectory membership.

Results
Distinct trajectories emerged for each outcome: A five-trajectory model best explained the changes in risk for depression, whilst four-trajectory models best explained changes in social-emotional-behavioural functioning, wellbeing, and anxiety. While 69%–80% of adolescents followed stable low-problem trajectories for each outcome, 11%–23% experienced stable high-problem trajectories, 2%–16% experienced increasing-problem trajectories and 1%–5% experienced decreasing-problem trajectories. Receiving the mindfulness intervention was not associated with any mental health trajectory in models adjusted for confounders. Several individual-level factors, including executive functioning difficulties and risk of mental health problems at baseline, and school-level factors, such as school climate, predicted adolescents' classification into different trajectories, but they did not vary according to intervention group.

Conclusions
Individual differences in mental health trajectories emerged over the course of a 1-year mindfulness-based intervention, with most adolescents experiencing low-stable problem trajectories for each outcome. However, the intervention itself had no impact on individual trajectory membership, mirroring null results found in the main trial. Our findings suggest that universal interventions may not be sensitive enough to address the diverse needs of all students, however, tailoring interventions to address a range of different individual and contextual factors might maximise their impact.

Francesca Zecchinato @fzecchinato.bsky.social · last yr.

🔹NEW PUBLICATION🔹in Development and Psychopathology, with Jana Kreppner and Pete Lawrence! 📄 Read the full paper here: doi.org/10.1016/j.ja... 🧵summary thread below:

The impact of perinatal exposure to paternal anxiety on offspring: A prospective study using the Avon Longitudinal Study of Parents and Children cohort | Development and Psychopathology | Cambridge Co...

The impact of perinatal exposure to paternal anxiety on offspring: A prospective study using the Avon Longitudinal Study of Parents and Children cohort

cambridge.org

ACAMH - Association for Child and Adolescent Mental Health @acamh.bsky.social · last yr.

Prevention of mental illness in children of parents with depression 10-min talk from Belinda Platt describing evidence-based interventions to prevent youth mental illness with a focus on an family-and group-based intervention. acamhlearn.org/Learning/Pre... #ACMHlearn

Prevention of mental illness in children of parents with depression

acamhlearn.org

Francesca Zecchinato @fzecchinato.bsky.social · last yr.

Really glad I got to blog about this important work 💡 Preventing mental health difficulties in young people should be a priority and parental anxious behaviours can be an effective target for interventions 🎯

The Mental Elf@thementalelf.bsky.social · last yr.

Preventing the intergenerational transmission of anxiety: encouraging insights from new online RCT buff.ly/lUPjNNq 🧵 THREAD #Anxiety #ParentalAnxiety #Parenting #Parents #RCT #PreventingMentalIllness

Dr Karen Bateson @karenjbateson.bsky.social · last yr.

New research in Nature finds perinatal mental health screening in NICU's helps identify parents who need mental health support. www.nature.com/articles/s41...

Implementation of perinatal mental health screening for parents of infants in a level IV neonatal intensive care unit: A quality improvement initiative - Journal of Perinatology

Journal of Perinatology - Implementation of perinatal mental health screening for parents of infants in a level IV neonatal intensive care unit: A quality improvement initiative

nature.com

Francesca Zecchinato @fzecchinato.bsky.social · last yr.

A very thought provoking discussion on young people's mental health and social media 💡

The Cognitations podcast@cognitations.bsky.social · last yr.

🎙️ EP #14 What are the multiple ways in which social media 'might' affect mental health? What can parents do, given the messy state of the scientific literature? @adigitaltanay.bsky.social discusses this & much more with @orbenamy.bsky.social tinyurl.com/5eum2vxm [Jon Haidt Easter Egg in 🧵 below]

Dr Lucy Foulkes @lucyfoulkes.bsky.social · last yr.

Overdiagnosis of mental disorders is making headlines again, this time thanks to Wes Streeting. But it is true? (thread) www.theguardian.com/politics/202...

Wes Streeting: there is overdiagnosis of mental health conditions

Health secretary says too many people are being ‘written off’ and that is driving ministers’ changes to welfare

theguardian.com

Prof Sarah-Jayne Blakemore @sjblakemore.bsky.social · last yr.

There's a lot of evidence of the harms of smacking children. There's also evidence that children and young people learn more from rewards than from punishment, including this computational study by @stepalminteri.bsky.social journals.plos.org/ploscompbiol...

Prof Sarah-Jayne Blakemore@sjblakemore.bsky.social · last yr.

It is beyond me why England still has not changed the law on this. There is no defensible reason to smack or hurt a child www.bbc.co.uk/news/article...

Science X / Phys.org @sciencex.bsky.social · last yr.

Researchers are investigating perinatal intrusions—intense thoughts during and after pregnancy—to understand their causes and develop treatments, aiming to improve maternal and infant mental health. doi.org/g869wc

Dark thoughts before and after giving birth are almost universal—now psychologists want to find out why

Researchers aim to investigate the causes and potential treatments for perinatal intrusions—intense and vivid thoughts that impact most people during and after pregnancy.

medicalxpress.com