Young people are at heightened risk for mental health problems. Among them, apprentices in some cases meet working conditions with significant challenges to mental wellness at a critical developmental period. Although mental health issues have been well documented in higher education students, this is not the case for apprentices. The present experiment thus aimed to fill the gap of available information between the two populations. More specifically, we aimed to provide a topic overview of French apprentices’ mental health and well-being, to examine the prevalence of workplace bullying in French apprentices and its’ associations with mental health difficulties, and to explore apprentices’ attitudes toward help-seeking in order to inform the development of online intervention relevant to apprentices. Main results show that apprentices have poor mental health and that age, gender and business sector act as risk factors, with apprentices aged 18 - 25 years, female apprentices and apprentices in the tertiary sector experiencing higher levels of distress and lower levels of well-being. Results also reveal a high prevalence of workplace bullying associated with psychological distress, alcohol use and maladaptive stress management strategies. Finally, although apprentices are not reluctant to seek help from mental health professionals, the workplace is not considered as a setting where to find help. However, digital self-help programs could fit well with the daily lifestyle and interests of apprentices. Practical recommendations to address mental health issues in apprentices are discussed within a comprehensive framework including community mental health awareness, digital mental health intervention, and workplace prevention programs.
Alleaume, C., Verger, P., Peretti-Watel, P., & Group, C. (2021). Psychological Support in General Population during the Covid-19 Lockdown in France: Needs and Access. PLOS ONE, 16, e0251707. https://doi.org/10.1371/journal.pone.0251707
Brière, F. N., Rohde, P., Seeley, J. R., Klein, D., & Lewinsohn, P. M. (2014). Comorbidity between Major Depression and Alcohol Use Disorder from Adolescence to Adulthood. Comprehensive Psychiatry, 55, 526-533. https://doi.org/10.1016/j.comppsych.2013.10.007
Bush, K., Kivlahan, D. R., McDonell, M. B., Fihn, S. D., & Bradley, K. A. (1998). The AUDIT Alcohol Consumption Questions (AUDIT-C): An Effective Brief Screening Test for Problem Drinking. Archives of Internal Medicine, 158, 1789-1795. https://doi.org/10.1001/archinte.158.16.1789
Choi, I., Petrie, K., Einboden, R., Collins, D., Ryan, R., Johnston, D., Harvey, S. B., Glozier, N., Wray, A., & Deady, M. (2022). Apprentices’ Attitudes toward Using a Mental Health Mobile App to Support Healthy Coping: Mixed Methods Study. JMIR Human Factors, 9, e35661. https://preprints.jmir.org/preprint/35661
Clement, S., Schauman, O., Graham, T., Maggioni, F., Evans-Lacko, S., Bezborodovs, N., Morgan, C., Rüsch, N., Brown, J. S., & Thornicroft, G. (2015). What Is the Impact of Mental Health-Related Stigma on Help-Seeking? A Systematic Review of Quantitative and Qualitative Studies. Psychological Medicine, 45, 11-27. https://doi.org/10.1017/S0033291714000129
Considine, R., Tynan, R., James, C., Wiggers, J., Lewin, T., Inder, K., Perkins, D., Handley, T., & Kelly, B. (2017). The Contribution of Individual, Social and Work Characteristics to Employee Mental Health in a Coal Mining Industry Population. PLOS ONE, 12, e0168445. https://doi.org/10.1371/journal.pone.0168445
Coulaud, P.-J., Jesson, J., Bolduc, N., Ferlatte, O., Jenkins, E., Bertrand, K., Salway, T., Jauffret-Roustide, M., & Knight, R. (2022). Young Adults’ Mental Health and Unmet Service Needs in the Context of the COVID-19 Pandemic across Canada and France. Community Mental Health Journal, 1-11. https://doi.org/10.1007/s10597-022-01000-1
Dale, R., O’Rourke, T., Humer, E., Jesser, A., Plener, P. L., & Pieh, C. (2021). Mental Health of Apprentices during the COVID-19 Pandemic in Austria and the Effect of Gender, Migration Background, and Work Situation. International Journal of Environmental Research and Public Health, 18, 8933. https://doi.org/10.3390/ijerph18178933
Deady, M., Glozier, N., Calvo, R., Johnston, D., Mackinnon, A., Milne, D., Choi, I., Gayed, A., Peters, D., & Bryant, R. (2020b). Preventing Depression Using a Smartphone App: A Randomized Controlled Trial. Psychological Medicine, 52, 457-466. https://doi.org/10.1017/S0033291720002081
Deady, M., Glozier, N., Collins, D., Einboden, R., Lavender, I., Wray, A., Gayed, A., Calvo, R. A., Christensen, H., & Harvey, S. B. (2020a). The Utility of a Mental Health App in Apprentice Workers: A Pilot Study. Frontiers in Public Health, 8, 389. https://doi.org/10.3389/fpubh.2020.00389
Einarsen, S., Hoel, H., & Notelaers, G. (2009). Measuring Exposure to Bullying and Harassment at Work: Validity, Factor Structure and Psychometric Properties of the Negative Acts Questionnaire-Revised. Work & Stress, 23, 24-44. https://doi.org/10.1080/02678370902815673
Einboden, R., Choi, I., Ryan, R., Petrie, K., Johnston, D., Harvey, S. B., Glozier, N., Wray, A., & Deady, M. (2021). “Having a Thick Skin Is Essential”: Mental Health Challenges for Young Apprentices in Australia. Journal of Youth Studies, 24, 355-371. https://doi.org/10.1080/13676261.2020.1728240
Esmaeelzadeh, S., Moraros, J., Thorpe, L., & Bird, Y. (2018). Examining the Association and Directionality between Mental Health Disorders and Substance Use among Adolescents and Young Adults in the US and Canada—A Systematic Review and Meta-Analysis. Journal of Clinical Medicine, 7, 543. https://doi.org/10.3390/jcm7120543
Fusar-Poli, P. (2019). Integrated Mental Health Services for the Developmental Period (0 to 25 Years): A Critical Review of the Evidence. Frontiers in Psychiatry, 10, 355. https://doi.org/10.3389/fpsyt.2019.00355
Glowacz, F., & Schmits, E. (2020). Psychological Distress during the COVID-19 Lockdown: The Young Adults Most at Risk. Psychiatry Research, 293, Article ID: 113486. https://doi.org/10.1016/j.psychres.2020.113486
Gupta, R., Bakhshi, A., & Einarsen, S. (2017). Investigating Workplace Bullying in India: Psychometric Properties, Validity, and Cutoff Scores of Negative Acts Questionnaire-Revised. Sage Open, 7, No. 2. https://doi.org/10.1177/2158244017715674
Haider, K., Humer, E., Pieh, C., Plener, P. L., & Jesser, A. (2022). Burdens of Apprentices Caused by the COVID-19 Pandemic and How They Deal with Them: A Qualitative Study Using Content Analysis One-Year Post-Breakout. Healthcare, 10, 2206. https://doi.org/10.3390/healthcare10112206
Halliday, J. A., Hendrieckx, C., Busija, L., Browne, J. L., Nefs, G., Pouwer, F., & Speight, J. (2017). Validation of the WHO-5 as a First-Step Screening Instrument for Depression in Adults with Diabetes: Results from Diabetes MILES-Australia. Diabetes Research and Clinical Practice, 132, 27-35. https://doi.org/10.1016/j.diabres.2017.07.005
Henderson, C., Robinson, E., Evans-Lacko, S., & Thornicroft, G. (2017). Relationships between Anti-Stigma Programme Awareness, Disclosure Comfort and Intended Help-Seeking Regarding a Mental Health Problem. The British Journal of Psychiatry, 211, 316-322. https://doi.org/10.1192/bjp.bp.116.195867
Hochmuth, M., Geßler, A. N., Seyffer, S., & Frey, A. (2022). How Are Apprentice Satisfaction and concerns changing as a consequence of the coronavirus pandemic? Social Sciences & Humanities Open, 5, Article ID: 100258. https://doi.org/10.1016/j.ssaho.2022.100258
Kessler, R. C., Green, J. G., Gruber, M. J., Sampson, N. A., Bromet, E., Cuitan, M., Furukawa, T. A., Gureje, O., Hinkov, H., & Hu, C.-Y. (2010). Screening for Serious Mental Illness in the General Population with the K6 Screening Scale: Results from the WHO World Mental Health (WMH) Survey Initiative. International Journal of Methods in Psychiatric Research, 19, 4-22. https://doi.org/10.1002/mpr.310
Kovess-Masfety, V., Leray, E., Denis, L., Husky, M., Pitrou, I., & Bodeau-Livinec, F. (2016). Mental Health of College Students and Their Non-College-Attending Peers: Results from a Large French Cross-Sectional Survey. BMC Psychology, 4, Article No. 20. https://doi.org/10.1186/s40359-016-0124-5
Krieger, T., Zimmermann, J., Huffziger, S., Ubl, B., Diener, C., Kuehner, C., & Holtforth, M. G. (2014). Measuring Depression with a Well-Being Index: Further Evidence for the Validity of the WHO Well-Being Index (WHO-5) as a Measure of the Severity of Depression. Journal of Affective Disorders, 156, 240-244. https://doi.org/10.1016/j.jad.2013.12.015
Lee, C. M., Cadigan, J. M., & Rhew, I. C. (2020). Increases in Loneliness among Young Adults during the COVID-19 Pandemic and Association with Increases in Mental Health Problems. Journal of Adolescent Health, 67, 714-717. https://doi.org/10.1016/j.jadohealth.2020.08.009
Leech, T., Dorstyn, D., Taylor, A., & Li, W. (2021). Mental Health Apps for Adolescents and Young Adults: A Systematic Review of Randomised Controlled Trials. Children and Youth Services Review, 127, Article ID: 106073. https://doi.org/10.1016/j.childyouth.2021.106073
Martin, A., Sanderson, K., & Cocker, F. (2009). Meta-Analysis of the Effects of Health Promotion Intervention in the Workplace on Depression and Anxiety Symptoms. Scandinavian Journal of Work, Environment & Health, 35, 7-18. https://www.jstor.org/stable/40967751
McGorry, P. D., Mei, C., Chanen, A., Hodges, C., Alvarez-Jimenez, M., & Killackey, E. (2022). Designing and Scaling Up Integrated Youth Mental Health Care. World Psychiatry, 21, 61-76. https://doi.org/10.1002/wps.20938
Montagni, I., Tzourio, C., Cousin, T., Sagara, J. A., Bada-Alonzi, J., & Horgan, A. (2020). Mental Health-Related Digital Use by University Students: A Systematic Review. Telemedicine and e-Health, 26, 131-146. https://doi.org/10.1089/tmj.2018.0316
Morgan, A. J., Ross, A., & Reavley, N. J. (2018). Systematic Review and Meta-Analysis of Mental Health First Aid Training: Effects on Knowledge, Stigma and Helping Behaviour. PLOS ONE, 13, e0197102. https://doi.org/10.1371/journal.pone.0197102
O’Connor, R. C., Wetherall, K., Cleare, S., McClelland, H., Melson, A. J., Niedzwiedz, C. L., O’Carroll, R. E., O’Connor, D. B., Platt, S., & Scowcroft, E. (2021). Mental Health and Well-Being during the COVID-19 Pandemic: Longitudinal Analyses of Adults in the UK COVID-19 Mental Health & Wellbeing Study. The British Journal of Psychiatry, 218, 326-333. https://doi.org/10.1192/bjp.2020.212
O’Rourke, T., Dale, R., Humer, E., Plener, P., & Pieh, C. (2022b). Problematic Alcohol Use in Austrian Apprentices during the COVID-19 Pandemic. Addictive Behaviors Reports, 15, Article ID: 100414. https://doi.org/10.1016/j.abrep.2022.100414
O’Rourke, T., Dale, R., Humer, E., Probst, T., Plener, P., & Pieh, C. (2022a). Health Behaviors in Austrian Apprentices and School Students during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19, 1049. https://doi.org/10.3390/ijerph19031049
OECD (2021). Tackling the Mental Health Impact of the COVID-19 Crisis: An Integrated, Whole-of-Society Response.
Pedrelli, P., Shapero, B., Archibald, A., & Dale, C. (2016). Alcohol Use and Depression during Adolescence and Young Adulthood: A Summary and Interpretation of Mixed Findings. Current Addiction Reports, 3, 91-97. https://doi.org/10.1007/s40429-016-0084-0
Pidd, K., Duraisingam, V., Roche, A., & Trifonoff, A. (2017). Young Construction Workers: Substance Use, Mental Health, and Workplace Psychosocial Factors. Advances in Dual Diagnosis, 10, 155-168. https://doi.org/10.1108/ADD-08-2017-0013
Pidd, K., Roche, A. M., Fischer, J. A., & McCarthy, C. (2014). Risky Behaviours, Risky Work Settings: The Alcohol and Drug Consumption Patterns, Health and Wellbeing of Commercial Cookery Trainees. Journal of Health, Safety and Environment, 30, 301-311.
Pretorius, C., Chambers, D., & Coyle, D. (2019). Young People’s Online Help-Seeking and Mental Health Difficulties: Systematic Narrative Review. Journal of Medical Internet Research, 21, e13873. https://doi.org/10.2196/13873
Riggall, M., Skues, J., & Wise, L. (2017). Apprenticeship Bullying in the Building and Construction Industry. Education + Training, 59, 502-515. https://doi.org/10.1108/ET-09-2016-0150
Robinson, J., Sareen, J., Cox, B. J., & Bolton, J. M. (2011). Role of Self-Medication in the Development of Comorbid Anxiety and Substance Use Disorders: A Longitudinal Investigation. Archives of General Psychiatry, 68, 800-807. https://doi.org/10.1001/archgenpsychiatry.2011.75
Roche, A. M., Fischer, J., Pidd, K., Lee, N. K., Battams, S., & Nicholas, R. (2012). Workplace Mental Illness and Substance Use Disorders in Male-Dominated Industries: A Systematic Literature Review. National Centre for Education and Training on Addiction.
Roche, A. M., Pidd, K., Fischer, J. A., Lee, N., Scarfe, A., & Kostadinov, V. (2016). Men, Work, and Mental Health: A Systematic Review of Depression in Male-Dominated Industries and Occupations. Safety and Health at Work, 7, 268-283. https://doi.org/10.1016/j.shaw.2016.04.005
Ross, V., Caton, N., Gullestrup, J., & Kõlves, K. (2019). Understanding the Barriers and Pathways to Male Help-Seeking and Help-Offering: A Mixed Methods Study of the Impact of the Mates in Construction Program. International Journal of Environmental Research and Public Health, 16, 2979. https://doi.org/10.3390/ijerph16162979
Ross, V., Mathieu, S. L., Wardhani, R., Gullestrup, J., & Kõlves, K. (2021). Factors Associated with Workplace Bullying and the Mental Health of Construction Industry Apprentices: A Mixed Methods Study. Frontiers in Psychiatry, 12, Article ID: 629262. https://doi.org/10.3389/fpsyt.2021.629262
Ross, V., Mathieu, S., Wardhani, M. R., Gullestrup, M. J., & Kõlves, K. (2022). Suicidal Ideation and Related Factors in Construction Industry Apprentices. Journal of Affective Disorders, 297, 294-300. https://doi.org/10.1016/j.jad.2021.10.073
Salaheddin, K., & Mason, B. (2016). Identifying Barriers to Mental Health Help-Seeking among Young Adults in the UK: A Cross-Sectional Survey. British Journal of General Practice, 66, e686-e692. https://doi.org/10.3399/bjgp16X687313
Solmi, M., Radua, J., Olivola, M., Croce, E., Soardo, L., Salazar de Pablo, G., Il Shin, J., Kirkbride, J. B., Jones, P., & Kim, J. H. (2022). Age at Onset of Mental Disorders Worldwide: Large-Scale Meta-Analysis of 192 Epidemiological Studies. Molecular Psychiatry, 27, 281-295. https://doi.org/10.1038/s41380-021-01161-7
Solomou, I., & Constantinidou, F. (2020). Prevalence and Predictors of Anxiety and Depression Symptoms during the COVID-19 Pandemic and Compliance with Precautionary Measures: Age and Sex Matter. International Journal of Environmental Research and Public Health, 17, 4924. https://doi.org/10.3390/ijerph17144924
Spilka, S., Le Nézet, O., Janssen, E., Brissot, A., Philippon, A., Shah, J., & Chyderiotis, S. (2018). Les drogues à 17 ans: Analyse de l’enquête ESCAPAD 2017 (8 p.). Tendances, OFDT, n° 123.
Stratton, E., Lampit, A., Choi, I., Calvo, R. A., Harvey, S. B., & Glozier, N. (2017). Effectiveness of eHealth Interventions for Reducing Mental Health Conditions in Employees: A Systematic Review and Meta-Analysis. PLOS ONE, 12, e0189904. https://doi.org/10.1371/journal.pone.0189904
Theurel, A., & Witt, A. (2022). Identifying Barriers to Mental Health Help-Seeking in French University Students during the Covid-19 Pandemic. Creative Education, 13, 437-449. https://doi.org/10.4236/ce.2022.132025
Theurel, A., Witt, A., & Shankland, R. (2022). Promoting University Students’ Mental Health through an Online Multicomponent Intervention during the COVID-19 Pandemic. International Journal of Environmental Research and Public Health, 19, 10442. https://doi.org/10.3390/ijerph191610442
Tomczyk, S., Schomerus, G., Stolzenburg, S., Muehlan, H., & Schmidt, S. (2020). Ready, Willing and Able? An Investigation of the Theory of Planned Behaviour in Help-Seeking for a Community Sample with Current Untreated Depressive Symptoms. Prevention Science, 21, 749-760. https://doi.org/10.1007/s11121-020-01099-2
Torous, J., Jän Myrick, K., Rauseo-Ricupero, N., & Firth, J. (2020). Digital Mental Health and COVID-19: Using Technology Today to Accelerate the Curve on Access and Quality Tomorrow. JMIR Mental Health, 7, e18848. https://doi.org/10.2196/18848
Varma, P., Junge, M., Meaklim, H., & Jackson, M. L. (2021). Younger People Are More Vulnerable to Stress, Anxiety and Depression during COVID-19 Pandemic: A Global Cross-Sectional Survey. Progress in Neuro-Psychopharmacology and Biological Psychiatry, 109, Article ID: 110236. https://doi.org/10.1016/j.pnpbp.2020.110236
Wathelet, M., Duhem, S., Vaiva, G., Baubet, T., Habran, E., Veerapa, E., Debien, C., Molenda, S., Horn, M., & Grandgenèvre, P. (2020). Factors Associated with Mental Health Disorders among University Students in France Confined during the COVID-19 Pandemic. JAMA Network Open, 3, e2025591. https://doi.org/10.1001/jamanetworkopen.2020.25591
Xiong, J., Lipsitz, O., Nasri, F., Lui, L. M., Gill, H., Phan, L., Chen-Li, D., Iacobucci, M., Ho, R., & Majeed, A. (2020). Impact of COVID-19 Pandemic on Mental Health in the General Population: A Systematic Review. Journal of Affective Disorders, 277, 55-64. https://doi.org/10.1016/j.jad.2020.08.001