Our next speaker is Louise Arseneault @L_Arseneault from King’s College London who will be talking about Early intervention for developing positive social relationships: can we prevent bullying victimization and loneliness? #IEPA12 Image
The absence of social relationships, or problematic ones may lead to mental health problems, says Arseneault. At the same time, positive social relationships can protect our health and wellbeing. They are important malleable factors that can be target by interventions. #IEPA12
Transition periods in the human life course (starting school, relationships, jobs and retirement) are potentially tricky times, says Arseneault #IEPA12 Image
75% of all mental health problems start before the age of 18, and 3 children in any UK classroom have a mental health diagnosis, so it’s vital that we focus on mental health and wellbeing in young people (as young as possible) #IEPA12 Image
Bullying victimization is repeated abuse between people of the same age where an imbalance in power makes it difficult for victims to defend themselves. It often happens at school, but can happen in the local neighbourhood or online #IEPA12
Such behaviours were commonly accepted a few decades ago, but recent evidence suggest that bullying can lead to emotional problems during childhood #IEPA12
“Being bullied at a young age is an environmentally mediated contributing factor to children's internalizing problems” #IEPA12 Image
Read more on these robust findings from Arseneault et al. (2008) #IEPA12
doi.org/10.1001/archpe…
These findings have been replicated from two recent studies in the UK and the USA, says Arseneault #IEPA12
Bullying is a tractable problem, argues @Tamsin_J_Ford in her Mental Elf blog on @L_Arseneault’s 2017 bullying review in @TheJCPP. If we prevent bullying we prevent some mental illness in young people nationalelfservice.net/populations-an… #IEPA12
Now Arseneault is highlighting the incredible contribution that Dan Olweus made to bullying research. He passed away very recently and Louise is thinking of him as she presents these findings. Here they are in conversation back in 2018 #IEPA12
soundcloud.com/national-elf-s…
What can we do to help individuals who have mental health problems that persist even after the bullying has stopped? Early intervention in young victims must be really important, argues Arseneault #IEPA12
The 1958 British Cohort Study provided data for Arseneault’s work (since replicated), which shows that being bullied as a child is associated with mental health problems at age 45. Takizawa (2014) doi.org/10.1176/appi.a… #IEPA12 Image
People with depression, anxiety, and suicidality were over-represented among participants who were frequently bullied. These associations are present after controlling for social factors, says Arseneault. #IEPA12
Simple bullying interventions may help prevent mental illness from developing, says Arseneault, e.g. schools and families acknowledging the impact of being bullied. Sometimes, more targeted mental health interventions may be needed for the victims of bullying. #IEPA12
Family relationships are a vital part of early interventions that can promote resilience in young people. The eRisk study found that maternal warmth and sibling warmth protects children from the impact of being bullied @DrLucyBowes doi.org/10.1111/j.1469… #IEPA12
Image
Similar findings are suggested for siblings warmth, says Arsenault. #IEPA12 Image
Now Arseneault is moving on to talk about loneliness - the feeling that one’s desired quality and quantity of social connections are not being fulfilled (social isolation is something else - the absence of positive social relationships) #IEPA12
Loneliness is a predictor of illness and mortality that’s as bad for us as obesity or smoking. Young people (18-34) are most affected by loneliness. #IEPA12
Feeling lonely in young adulthood is associated with poor social relationships in childhood @t_matth (2018) doi.org/10.1017/S00332… #IEPA12 Image
Loneliness contributes to various mental health difficulties even after adjustment for factors (see green bars), adds Arsenault. #IEPA12 Image
We have lots of great research blogs about #loneliness and #mentalhealth on the Mental Elf if you want to read more about this emerging area of research nationalelfservice.net/tag/loneliness/ #IEPA12
Feeling lonely in young adulthood is predicted by poor social relationships, says @L_Arseneault #IEPA12
It’s essential that we intervene early to prevent loneliness in children and young adults, says Arseneault, i.e. preventing bullying and the subsequent isolation that can occur #IEPA12
@L_Arseneault #IEPA12
-Negative social relationships are assoc w/poor mental health outcomes
-Evidence indicates factors predicting bullying victimization in young people & feelings of loneliness in young adulthood
-Qs remain as to how to prevent negative social relationships
Great keynote from @L_Arseneault at #IEPA12. If you want to hear more about bullying and mental health, listen to this podcast we recorded a couple of years ago with Louise
soundcloud.com/national-elf-s…
Moving on now to a live Q&A with @L_Arseneault 🌟

Stay tuned, it's certainly going to be very interesting. #IEPA12
Let's start - What's the impact of COVID-19 on loneliness among YP and what's the impact of pre-COVID-19 loneliness on bullying?
#IEPA12
Arsenault says, there are many studies emerging on loneliness and COVID-19 lockdown, but we need to remember that there is a huge difference between loneliness and the 'social isolation' we all have to follow. #IEPA12
We didn't see the rise of loneliness we would expect during the circumstances, adds Arseneault. Explanations about this may include the sense of connectedness and belonging we all felt as society, fighting the virus together. #IEPA12
Next Q on instruments about bullying. "In our research", @L_Arseneault says, "we only use ONE question: has your kid been bullied? However, there are plenty of established questionnaires on bullying regarding frequency and overall experience." #IEPA12
Q on theory of mind and social cognition - is this associated with loneliness and bullying? Arseneault suggest that their research indicated that although at the beginning there was an association with loneliness, after controlling factors, the effect was weak. #IEPA12
However, this was associated with bullying behaviours #IEPA12
@L_Arseneault closes her Q&A "We should equip children who are vulnerable to bullying with the skills to escape experiences of bullying and build meaningful social relationships." #IEPA12

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More from @Mental_Elf

17 Nov
And now it’s time for our final #IEPA12 keynote from Rodrigo A Bressan @RodrigoAffonse1 who is going to talk about Widening the clinical and geographical frontiers of neurodevelopmental studies - the Brazilian High Risk Cohort Study Image
We’ve heard this statistic a few times during #IEPA12
75% of mental disorders start before age 18. Bressan adds that 50% of mental disorders start before age 14.
So “we need to understand the biology very early on, not after onset”. ImageImage
When we start identifying people with symptoms we don’t have good predictors of trajectories, says Bressan
#IEPA12
Read 29 tweets
17 Nov
Our next #IEPA12 plenary talk comes from Juliana Onwumere @Families_MH from King’s College London who will be sharing some “Tales from the frontline: Understanding the impact of psychosis on families”
Onwumere begins by talking about the cognitive model of caregiving in psychosis, which she published with Elizabeth Kuipers and Paul Bebbington in @TheBJPsych back in 2010 doi.org/10.1192/bjp.bp… #IEPA12
We know that people with lived experience of psychosis can have significantly reduced social networks and informal carers can play an important role in these networks #IEPA12
Read 37 tweets
17 Nov
Our first speaker in this #IEPA12 session is Cristiane Duarte (not on Twitter) from @CU_ChildPsych @ColumbiaPsych who will be talking to us about: Intergenerational Psychiatry: A New Look at a Powerful Perspective #IEPA12
Cristiane Duarte is an expert in the development of mental disorders in children, adolescents and young adults #IEPA12
Intergenerational Psychiatry
Duarte is going to talk about:
-definition, animal & human evidence
-role of adversities & perinatal period
-expanding our hypotheses (e.g. mechanisms of transmission)
-the Center for Intergenerational Psychiatry
#IEPA12
Read 27 tweets
17 Nov
Our final speaker in this #IEPA12 session of talk is Eric Chen (not on Twitter) from the University of Hong Kong who will be speaking to us about “Youth mental health in troubled times”
Eric Chen has been leading one of the first early psychosis intervention programmes in Asia: the EASY programme (Early Assessment Service for Young People with Early Psychosis) #IEPA12 www3.ha.org.hk/easy/eng/servi…
Most mental health conditions (75%) start before the age of 25, says Chen #IEPA12
Read 20 tweets
17 Nov
Our next talk at #IEPA12 is by @pimcuijpers from @VUamsterdam who will be focussing on preventing the onset of depressive disorders: the opportunities and challenges pimcuijpers.com/blog/
“I’m always happy to talk about research on preventing the onset of depression", as there are lots of opportunities for helping people, says Cuijpers #IEPA12
Preventing depression: a global priority

This 2012 viewpoint by Cuijpers in @JAMA made the case for depression prevention and highlighted that the global biomedical community were ready for this idea (preventing depression) #IEPA12

doi.org/10.1001/jama.2…
Read 13 tweets
17 Nov
Our next talk at #IEPA12 is by @golam_khandaker from @psychiatry_ucam who will be discussing the immune system as a potential target for treatment and prevention of serious mental illness and comorbid cardiometabolic diseases
This talk will focus on the potential role of the immune system.

Is inflammation likely to be a causal risk factor for depression, psychoses and comorbid physical illness? #IEPA12
Inflammation: what does it mean and why is it relevant? (when a friend becomes a foe)
-innate immunity (first line of defence) this is the focus on the talk today
-cytokines are similar to neurotransmitters: they enable white blood cells to talk to each other
#IEPA12
Read 22 tweets

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