Open Access
SESSAMO, follow-up of secondary students to assess mental health and obesity: a cohort study
(Elsevier, 2024) Goñi-Sarriés, Adriana; Pírez, Guillermo; Yárnoz-Goñi, Nora; Lahortiga Ramos, Francisca; Iruin, Álvaro; Díez-Suárez, Azucena; Zorrilla, Iñaki; Morata-Sampaio, Leticia; Oliver, M. Jesús; González Pinto, Ana; Sánchez Villegas, María Almudena; Ciencias de la Salud; Osasun Zientziak; Institute on Innovation and Sustainable Development in Food Chain - ISFOOD
During last decades, a departure from health-related lifestyles has been observed among adolescents. Evidence reports that healthy lifestyles could be predictors of better mental health status. The aims of the SESSAMO Project are: 1) to assess the association between lifestyles and physical and mental health; 2) to assess how self-concept and stressful life events can modulate these associations; and 3) to establish the role of social determinants in the lifestyle and in adolescents¿ health. The SESSAMO Project is a prospective cohort carried out in Spain. Students aged 14-16 years (2nd-4th ESO) and their parents are invited to participate. Baseline data are collected through on-line, validated, self-administered questionnaires through a digital platform. Information on lifestyles, stressful life events and self-concept are collected. Screening of depression, anxiety, eating disorders, suicide risk, psychotic experiences and COVID impact is assessed. Every three years, up to age of 25, participants will be contacted again to update relevant information.
Open Access
Lifestyle habits, problem behaviors and non-suicidal self-injury in adolescents: a systematic review with meta-analysis of longitudinal studies
(Springer, 2025-09-01) Goñi-Sarriés, Adriana; Gutiérrez Valencia, Marta; Morata-Sampaio, Leticia; Saiz Fernández, Luis Carlos; Leache, Leire; Sánchez Villegas, María Almudena; Ciencias de la Salud; Osasun Zientziak; Institute on Innovation and Sustainable Development in Food Chain - ISFOOD; Universidad Pública de Navarra / Nafarroako Unibertsitate Publikoa
Some lifestyle habits and problematic behaviors have been associated to non-suicidal self-injury (NSSI) in adolescents in cross-sectional studies but their role as individual risk factors needs to be analyzed through proper longitudinal designs. The objective is to analyze and summarize the evidence on the association of lifestyle habits and problem behaviors with NSSI in adolescents. Longitudinal studies were searched in Medline, Embase and APA PsycInfo without date or language restrictions. Adolescents with and without exposure factors were compared. Out of 5295 identified records, 13 longitudinal studies were included (39,575 participants). Studies included different age ranges (10-20 years, mean 14.3, SD 2.4), and 78% were female. Results showed a statistically significant increased risk of NSSI with regular smoking, alcohol use, early cannabis use, and poor physical activity. Inconsistent results were found for use of technology and sleep habits, and no studies analyzed dietary habits or gambling. Most studies were of moderate or high quality but certainty of the evidence was very low according to GRADE criteria. Longitudinal evidence suggests that some lifestyle habits and problem behaviors are risk factors for NSSI in adolescents. These findings highlight the importance of developing strategies to promote healthy lifestyles in adolescents.
Open Access
COVID-19 posttraumatic stress disorder and mental health among spanish adolescents: SESSAMO project
(MDPI, 2024-05-26) Yárnoz-Goñi, Nora; Goñi-Sarriés, Adriana; Díez-Suárez, Azucena; Pírez, Guillermo; Morata-Sampaio, Leticia; Sánchez Villegas, María Almudena; Institute on Innovation and Sustainable Development in Food Chain - ISFOOD
Background: child and adolescent mental health problems have increased after the COVID-19 pandemic. The objective of this study was to establish the association of the presence and intensity of posttraumatic stress due to COVID-19 with the presence of (1) self-harm and suicide risk, (2) depressive and anxious symptoms, (3) eating disorders and (4) problematic Internet and video game use. Methods: a cross-sectional analysis was performed on a sample of second-fourth grade secondary school students (14 to 16 years old) from Navarra and the Canary Islands recruited at the SESSAMO project. Validated questionnaires were used to assess the intensity of posttraumatic stress due to COVID-19, risk of suicide and presence of self-harm, symptoms of mental disorder and problematic use of the Internet and video games. Results: out of 1423 participants analyzed, those with the highest level of posttraumatic stress showed a significant increase in the risk of suicide (OR = 5.18; 95% CI = 2.96-9.05) and in the presence of eating disorder symptoms (OR = 3.93; 95% CI = 2.21-7.00), and higher anxiety and depression scores (b coefficient for anxiety = 11.1; CI = 9.7-12.5; for depression = 13.0; CI = 11.5-14.5) as compared to those with the lowest level. Participants with a high level of posttraumatic stress were almost 10 times more likely to present problematic video game use (OR = 9.49; 95% CI = 3.13-28.82). Conclusions: years after the pandemic, posttraumatic stress derived from it continues to impact the mental health of adolescents. Further long-term research is needed, as well as close follow-up and intervention in this population.

Sánchez Villegas, María Almudena

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