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Re:Predictors of mental health in employed adults with autis... by roywiggins on Tuesday January 29, 2019 @11:35AM (#19027648)
"Our findings suggest that positive well‐being may protect against symptoms of depression in people with autism."

Wait, so the theory is that if you're generally happy, you're less likely to be depressed? I know that depression and sadness are very different things, and happy people get depressed, but... it sure seems like you'd expect a correlation.

Not only does this seem a little bit obvious, it also doesn't seem immediately useful. And further down it notes that this is entirely consistent with research in the general population, so this result is... also totally unsurprising. Is there a reason at all to believe that this would be true for people generally but not for people with ASD?

Re:Predictors of mental health in employed adults with autis... by cbhl on Tuesday January 29, 2019 @12:37PM (#19028194)
As far as I can tell, "well-being" specifically refers to the 14-item version of the "Warwick-Edinburgh Mental Wellbeing Scale", which contains items like "feeling useful" and "dealing with problems well" (things that you'd expect one would rate higher if you have a job).

https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/

You literally self-rate the fourteen items on a scale from 1 to 5: https://warwick.ac.uk/fac/sci/med/research/platform/wemwbs/w...

Re:Predictors of mental health in employed adults with autis... by roywiggins on Tuesday January 29, 2019 @12:55PM (#19028350)
but also "optimistic about the future", "energy to spare", "feeling good about myself", "interested in new things", "feeling cheerful". How many depressed people could plausibly rate themselves high on those? Having no energy, being pessimistic, not interested in anything, and feeling bad about yourself are... pretty classic symptoms of depression, though I don't know what the exact clinical requirements are.
Re:Predictors of mental health in employed adults with autis... by NeedMoreTea on Tuesday January 29, 2019 @01:06PM (#19028450)
In the absence of a blood test that can report "you're 79% depressed, we have to rely on self-reporting. Which is error prone as the scales are highly individual.

As I understand it, and someone correct me if I don't, these self-reporting scales are just a loose diagnostic indicator. They're more useful over time, especially if receiving therapy or medication, as the change in responses can be tracked.

Re:Predictors of mental health in employed adults with autis... by roywiggins on Tuesday January 29, 2019 @01:20PM (#19028596)
Right, sure, but the study treats well-being and symptoms of depression as separate things.

But if well-being is stuff like being optimistic and fulfilled, then it seems to me hardly a surprise that being optimistic and fulfilled makes you less likely to become depressed, in the same way that not being depressed today makes you less likely to be depressed tomorrow. So I'm trying to work out what this study is actually saying, other than non-depressed people (with ASD) are less likely to be depressed in the future than currently slightly-to-very depressed people.

Re:Predictors of mental health in employed adults with autis... by JimboOmega on Tuesday January 29, 2019 @06:07PM (#19030791)
What does it mean to score very poorly on this?

My therapist uses a different questionnaire that has more negative questions like "Little interest or pleasure in doing things" or "Poor appetite or overeating". I tend to do alright on that one.

However, I score over 2 on only a few of the items on the list you posted, and a lot of them are solidly 1. There's a feeling of tension, anger, and frustration I just can't shake.

There's a big difference (to me anyway) in the wording between "Feeling bad about yourself – or that you are a failure or have let yourself or family down" and "I’ve been feeling good about myself"

I wouldn't say that I feel like a failure (and I have nobody who cares enough to let down), but I sure haven't been feeling good either.

I don't know quite how to express this doctors and mental health professionals in a way they understand, though, and this scale really kind of illustrates it for me, so I'm wondering what that means?

Re:Predictors of mental health in employed adults with autis... by master-litty on Tuesday January 29, 2019 @06:59PM (#19031193)
I don't have specific advice regarding the score, but I do suggest any advice provided here be taken with a grain of salt. Not because of the community (I like to think we're all well-intending here, it isn't about that) but because we're simply strangers, and we don't know enough about you to provide an accurate answer.

Find a good mental health professional who will take the time and care to understand you, and show them the same thoughts you've shared here.

You shouldn't have to change your vernacular with a mindful professional. There's plenty of leads they can follow here -- And if you want effective answers about your feelings, that's who should be doing it! A true professional dedicated to figuring these things out with you.

Re:Predictors of mental health in employed adults with autis... by danaliv on Wednesday January 30, 2019 @02:14AM (#19033292)
The questionnaire you're describing is the PHQ-9. It's the industry standard screener for depression.
Re:Predictors of mental health in employed adults with autis... by lugg on Tuesday January 29, 2019 @12:00PM (#19027860)
I think you read too much into the summary (I did the same.) Took a while to grok it but:

People with ASD have much, (much, much,) higher incidence rates of mental health problems usually stemming from loss/lack of employment viability.

What this study concludes is that the supportive employment program buffers against those health issues that effect so many with ASD.

Couple years old but I recall this talk being vaguely relevant.

https://youtu.be/NCAErePScO0

(Mental health info around 11:20)

So yes, kind of obvious, and seemingly useless information alas we have the statistics, we have the problem, and now we know of one such solution.

Non ASD would likely benefit from the employment program as well but to the same extent? Unlikely - but only because there is less room to improve.

Re:Predictors of mental health in employed adults with autis... by 9wzYQbTYsAIc on Tuesday January 29, 2019 @01:46PM (#19028842)
Something extremely important to keep in mind is that, with psychological studies, many things that people assume as obvious are completely wrong after a study demonstrates it and other things, that people would never guess, seem completely obvious after a study demonstrates it.
Re:Predictors of mental health in employed adults with autis... by vanderZwan on Tuesday January 29, 2019 @02:07PM (#19028989)
This is true for any scientific field. That's kind of the point: to do research to remove as many assumptions as possible.
Re:Predictors of mental health in employed adults with autis... by 9wzYQbTYsAIc on Tuesday January 29, 2019 @10:39PM (#19032434)
It applies double so to popular psychology. The key is that obviousness is often a post-hoc illusion.
Re:Predictors of mental health in employed adults with autis... by Wohlf on Tuesday January 29, 2019 @11:44AM (#19027732)
My guess is that they set out to find anything specific about causes of mental health issues in people with autism, and found that it manifests basically the same as everyone else.
Re:Predictors of mental health in employed adults with autis... by thebooglebooski on Tuesday January 29, 2019 @04:16PM (#19029844)
I'm confused, where does it say the sample of people with ASD is generalizable to people without ASD?