The association between sharing something difficult on social media and mental well-being among adolescents. Results from the "LifeOnSoMe"-study.

Introduction: Social media use is part of everyday life for adolescents. Over the last decade, concerns about the potential negative effects of social media use on mental health and well-being has been raised. Possible positive effects of social media use have to a lesser extent been explored. However, some studies have found associations between social support on social media and well-being. Self-disclosing thoughts and feelings on social media might provide social support and positively affect well-being. The current study aimed to explore adolescents' experiences with sharing something difficult on social media and the association with well-being. Methods: The survey data in this cross-sectional study were collected from a sample of 2023 adolescents from senior high schools (mean age 17.4, 55.6% females). Mental well-being was measured using the Warwick-Edinburgh Mental Well-being scale (WEMWBS). Multiple linear regression adjusting for age, gender, social media frequency/duration of use, and the number of close friends was used to explore the association of sharing something difficult on social media and mental well-being. Results: The findings indicated that sharing something difficult on social media, either with a few friends/family members or in a public post, was associated with lower well-being. Perceived social support (easier to talk about, received support, positive experience) after sharing something difficult was associated with higher well-being. Females reported sharing something difficult more than boys, but no interaction effect of gender was found in the associations between private or public sharing and well-being. Discussion: The results indicate that social media can serve as a supportive environment for adolescents. Future research may want to explore additional aspects of adolescents' social media use, sharing, and well-being, such as differences in public and private sharing. Such contributions will increase the knowledge base of optimal ways to seek social support through social media.

Positive Youth Development and Mental Well-Being in Late Adolescence: The Role of Body Appreciation. Findings From a Prospective Study in Norway.

Although a vulnerable period, adolescence is a time of great potential for healthy development. Understanding factors that contribute to mental well-being in this period is of great importance to facilitate for healthy development. During the adolescence period the body goes through rapid and considerable changes, and the focus on body appearance and perfection is substantial at societal, media, and peer level. In this study, we investigated the association between dimensions characterizing positive youth development, and mental well-being among Norwegian adolescents 16-17 years 1 year later, and whether this association was mediated by degree of body appreciation. We further tested whether the indirect and direct paths between positive youth development dimensions and mental well-being were moderated by gender. We used data from the first and second follow-up of the control arm of the COMPLETE study, a cluster randomized controlled trial in upper secondary schools in Norway. Findings showed that positive youth development in grade 1, as measured by both a combined global PYD and the dimensions competence, and connection were significantly associated with mental well-being in grade 2 in models adjusted for mental well-being in grade 1, gender and perceived family affluence. Also, body appreciation in grade 1 significantly predicted mental well-being in grade 2 in models including each of global PYD, competence, connection, character, and caring dimensions. Contrary to our hypothesis, no mediating effects of body appreciation were observed, and no moderation of indirect effects by gender were observed.

Local drug prevention strategies through the eyes of policy makers and outreach social workers in Norway.

More than half of the municipalities in Norway report drug misuse as the most important public health challenge. Following a whole-of-government tradition, the ambition is to achieve horizontal and vertical coordination between different policy areas to address complex problems, such as youth drug use, and avoid fragmented services. This study aims to offer new perspectives on how governmental structures shape local drug prevention. By including the perspective of both local policy makers and outreach social workers, we can come closer to understanding how local drug prevention transforms policy into practice. The study will thus explore how policy makers and outreach social workers describe the local drug prevention strategy and how the outreach social workers implement it in practice. An instrumental case study of one Norwegian municipality was used to investigate the structures for drug prevention in detail. Data were gathered through 14 interviews with public officials from the relevant policy areas and outreach social workers from a drug prevention outreach service. The data were analysed using a thematic framework analysis. This study demonstrated that the policy makers' and outreach social workers' descriptions of drug prevention highlighted the creation of good living conditions and promotion of protective factors surrounding at-risk youths. This perspective may offer a broader approach to drug policy, which includes many policy areas. While collaboration was regarded as paramount, the policy makers described a "siloed" organisation that made it difficult to collaborate. The outreach social workers, however, indicated that they were able to navigate the "siloed" structures. We discuss the structural conditions surrounding outreach social workers that shape the implementation of policies, such as the resource perspective. The discussion shows that outreach social workers may act as a safety net for a potentially fragmented municipal structure for drug prevention.

Collaboration for drug prevention: Is it possible in a "siloed" governmental structure?

PURPOSE: Norwegian municipalities report that drug misuse is the most important public health challenge. The municipalities play a unique role in drug prevention aimed at youth, since young people rely on several services in their daily lives that are organized by different municipal departments. However, the municipal structure is described as siloed, and the policy areas as differentiated. This situation has led to a need for integration between different policy sectors to prevent drug use and promote health. The following study explores how policymakers describe the structures for integration within local government in practice with regard to drug prevention aimed at youth, contributing to the ongoing debate on collaboration and integration in response to public health challenges. METHODS: A single case study design was used to investigate the accounts of policymakers from different municipal departments in a Norwegian municipality following Axelsson and Axelsson's conceptual scheme of integration. FINDINGS: Collaboration between departments was viewed as important to successfully address drug prevention; however, the policymakers recognized problems with integration. The participants described confusion regarding ownership between the departments and a perceived lack of a mandate for collaboration. CONCLUSIONS: The findings and discussion illustrate that integration of drug prevention in a siloed structure relies on departments appreciating their respective roles in drug prevention and advisers experiencing a mandate to manage the siloes that exist in the organization. By gaining a better understanding of the siloed structures, we can provide valuable information needed to navigate them.

Indicators of positive youth development can be maladaptive: The example case of caring.

INTRODUCTION: Research on positive youth development typically takes a more-is-better approach in which higher scores on measures of positive youth development indicate better outcomes. We question the validity of this assumption and describe how an imbalance among the Five Cs of Positive Youth Development can lead to a situation where "more" is actually "less." We then provide an empirical illustration using cross-sectional data. METHODS: We examined conditional associations between indicators of thriving and the C of caring using survey data obtained from a sample of 2,386 students in Norway (mean age 16.60 years [SD = 1.98]; 44.8% girls). Multilevel models assessed whether associations between caring and the thriving indicators (here defined as greater mental well-being and lower anxiety and depressive symptoms) differed when versus when not controlling for overall positive youth development. RESULTS: When positive youth development was not included as a covariate, caring was positively associated with mental well being and anxiety but not significantly associated with depressive symptoms. After adding positive youth development to the model, caring became less strongly associated with mental well-being, more strongly associated with anxiety, and significantly (positively) associated with depressive symptoms. CONCLUSIONS: Our results indicate that, after controlling for a set level of positive youth development, caring does not predict adaptive outcomes in a monotonic more-is-better way. These findings illustrate an instance where developmental regulations benefit the context at the cost of the individual and therefore speak to a growing acknowledgement in the literature-young people may suffer if they "care too much."

Dream Teens: Adolescents-Led Participatory Project in Portugal in the Context of the Economic Recession.

This article describes the implementation process of a nationwide project to enhance young people's participation and active citizenship in the context of Portugal's economic recession. This project used an innovative Positive Youth Development approach that engaged Portuguese youth (aged 11-18 years) through social media tools to facilitate their civic engagement and development. Participants from all over the country were empowered (1) to design and conduct research activities on topics of their choice and about their life contexts and (2) to create ways to improve youth civic participation in their communities, while developing supportive interactions with adults and peers. Overall, youth were engaged in their activities, felt their voices were heard, and felt that they were viewed as experts of their own well-being and living contexts. Youth research actions and preliminary findings were then compiled in a set of recommendations that was formally received by a high commissioner of the Ministry of Health. The article concludes with a discussion of the next steps for the project and its limitations so far.

Working toward a good life as a cancer survivor: a longitudinal study on positive health outcomes of a rehabilitation program for young adult cancer survivors.

BACKGROUND: Research on cancer rehabilitation targeting young adult cancer survivors (YACS) is limited, and little is known about the positive health outcomes of rehabilitation programs tailored specifically for this vulnerable group. OBJECTIVE: The aim of this study was to investigate whether a complex rehabilitation program improved the health-related quality of life (HRQOL) and physical capacities of YACS. METHODS: A longitudinal prospective study using Norwegian norm-based comparisons was conducted. Twenty YACS (24-35 years old) with different cancer diagnoses participated in a complex rehabilitation program lasting for 6 months, focusing on goal setting, exercise, psychoeducation, individual follow-up, and peer support. RESULTS: Health-related quality of life was measured by EORTC QOL C-30 and the scores showed significant increases in overall HRQOL (P < .005-.001) and all functional dimensions (P < .001-.05) and a decrease in fatigue (P < .000-.05) and effect sizes between 0.72 and 1.30. Significant changes occurred within physical fitness (P < .005), lung capacity (P < .05), and left-hand strength (P < .001), but not right-hand strength and body mass index, with effect sizes between -0.04 and 0.48. The values of HRQOL were stable after a 1-year follow-up. CONCLUSIONS: A complex cancer rehabilitation program especially tailored for YACS seems to build positive health outcomes such as HRQOL and physical capacity in a long-term perspective. The content and structure of the program were feasible with high compliance. The results underline the importance of targeting rehabilitation interventions to YACS in need after cancer treatment, acknowledging rehabilitation as a process that requires adequate time and follow-up. IMPLICATIONS FOR PRACTICE: Healthcare providers should be aware of YACS' symptom burden and monitor HRQOL and physical parameters to ascertain holistic cancer survivorship care.

Participating in life again: a mixed-method study on a goal-orientated rehabilitation program for young adult cancer survivors.

BACKGROUND: Young adult cancer survivors (18-35 years old) are at risk of lifelong threats to physical and psychosocial health and decreased life participation. Research indicates lack of information about the late effects and health risks and limited follow-up and rehabilitation. OBJECTIVE: The objectives of this study were to examine whether a goal-oriented rehabilitation program increased young adult cancer survivors' participation and explore the participants' descriptions and experience of the process. METHODS: We used a convergent parallel design combining quantitative and qualitative methods. Sixteen young adult cancer survivors (aged 24-35 years), with different cancer diagnoses, were allocated to a 6-month rehabilitation program. RESULTS: The Canadian Occupational Performance Measure showed significant (P < .001) change in both performance and satisfaction from the start (T1) to the end (T4) of the program. Qualitative results indicated that increased participation was depended on building capacity and finding the balance, gaining new insight, and follow-up. Important factors of the rehabilitation program seemed to be physical activity, psychoeducation, peer-to-peer support, and follow-up over time. CONCLUSIONS: Results indicate that a goal-oriented rehabilitation program may increase participation by young adult cancer survivors. The goal-oriented process is not straightforward and depends on experience of coping and control, finding a balance between the different areas of life and follow-up over time. IMPLICATIONS FOR PRACTICE: Health professionals should play an important role in the rehabilitation of young adult cancer survivors by promoting empowerment and follow-up over time. The Canadian Occupational Performance Measure seems to be a valuable instrument for setting goals and thus helps facilitate participation.

Meeting reality: young adult cancer survivors' experiences of reentering everyday life after cancer treatment.

BACKGROUND: Cancer in young adults is rare, but the intensity of cancer treatment increases the risk of physical and psychosocial impacts on patients' entire lives. Young adult survivors are underrepresented in research, and knowledge of cancer survivors in this age group is scarce, especially knowledge of transition from cancer treatment to everyday life. OBJECTIVE: The objective of this study was to explore how young adult cancer survivors experience reentering everyday life after cancer treatment. METHODS: A qualitative, phenomenological approach was used and included 20 young adult survivors (aged 24-35 years) with different cancer diagnoses allocated to a rehabilitation program. Semistructured interviews were conducted, and the transcripts were analyzed qualitatively using Systematic Text Condensation method. RESULTS: "Meeting reality" was identified as a bridging theme, explained by 4 main themes important to the informants: (1) lack of preparation, (2) late effects, (3) lack of understanding, and (4) being neither sick nor healthy. CONCLUSIONS: Informants were unprepared for reentering everyday life after cancer treatment and experienced a mismatch of their expectations with reality, particularly in the holistic impact of late effects. Moreover, reentering everyday life was characterized by a lack of understanding from their network and even healthcare providers who conducted follow-ups. The informants experienced reentering everyday life as being much harder than expected, and they felt isolated as well as neither sick nor healthy. IMPLICATIONS FOR PRACTICE: The results suggest a major shortcoming in both preparation for survivorship, multidisciplinary follow-ups, and knowledge. A shift to a more holistic perspective in survivorship care is suggested.

Body image satisfaction among Norwegian adolescents and young adults: a longitudinal study of the influence of interpersonal relationships and BMI.

This study used a latent growth curve modeling approach to examine body image satisfaction in 1132 Norwegian adolescent and adult males and females measured at six times between ages 13 and 30. An additional model examined the long term influence of parent-child relationship, peer relationship (both relationships assessed at age 13), and BMI (measured at each interval) to the patterns of change. The results showed a linear growth in body image satisfaction through adolescence followed by a stabilizing of the latent curve in adulthood for both genders. There were gender and developmental variations in the relative contributions of parents and peers for the slope and quadratic growth and in the contribution of BMI to body image satisfaction. When controlling for BMI, initial parent-child relationships and peer relationship predicted the variance in slope growth for males. Parent-child relationship predicted quadratic growth for males. Among females, only initial peer relationships predicted linear growth. No effect was found for quadratic growth. BMI had an additional negative effect on body image satisfaction during adulthood.

Trajectories of global self-esteem development during adolescence.

Based on data from a 17-year longitudinal study of 1083 adolescents, from the ages of 13 to 30 years, the average development of self-reported global self-esteem was found to be high and stable during adolescence. However, there is considerable inter-individual variance in baseline and development of global self-esteem. This study used latent growth mixture modelling to characterize three trajectory classes of global self esteem between ages 14 and 23 years: consistently high, chronically low, and U-shaped. The respondents in three classes showed statistically significant different levels of life satisfaction, depressive mood, somatic complaints and insomnia at age 30. Attempts to predict trajectories from age 13 were only partially successful, with body image, relations with parents and frequency of physical activity as the significant predictors.