Taking a strengths-based approach to mental health in rural communities: A systematic literature review

IF 2.6 3区 医学 Q2 PUBLIC, ENVIRONMENTAL & OCCUPATIONAL HEALTH
Annika Luebbe , Zoe Rutherford , Sandra Diminic , Hannah Roovers , Mikesh Patel , Harvey Whiteford
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引用次数: 0

Abstract

Objectives

This review aimed to 1) identify existing rural strengths in the literature that proposed a relationship to mental health, 2) classify strengths into a socioecological framework, and 3) identify which strengths make a conceptual link to improved mental health.

Methods

Literature was systematically reviewed using online databases (PubMed, PsycInfo, CINAHL, and Scopus). Applicable original research studies that met the inclusion criteria, published (1990–2022) from Australia, Canada, and the United States were thematically analysed.

Results

Sixty-one articles from Australia (n=28, 46%), Canada (n=8, 13%), and the United States (n=25, 41%) identified mental health-strengths relationships (e.g. social networks, nature). Twenty-seven studies proposed conceptual links to improved mental health and identified potential 'mechanisms' to harness strengths (e.g. identification, referral).

Conclusions

Despite an entrenched rural deficit discourse, many strengths of rural communities were identified in the literature that, using an adapted socioecological framework to categorise, may be harnessed to improve the mental health of communities across the socioecological continuum.

Implications for public health

Understanding existing strengths that are embedded in rural communities can inform future mental health policy and commissioning models in a way that is relevant and sustainable for communities, while recognising rural agency.
在农村社区采取基于优势的心理健康方法:系统文献综述
目标本综述旨在:1)确定文献中提出的与心理健康有关的现有农村优势;2)将优势分类到社会生态学框架中;3)确定哪些优势与改善心理健康有概念上的联系。方法使用在线数据库(PubMed、PsycInfo、CINAHL 和 Scopus)对文献进行了系统综述。结果来自澳大利亚(n=28,46%)、加拿大(n=8,13%)和美国(n=25,41%)的 61 篇文章确定了心理健康与优势的关系(如社交网络、自然)。27 项研究提出了改善心理健康的概念性联系,并确定了利用优势的潜在 "机制"(如识别、转介)。结论尽管农村赤字的论述根深蒂固,但文献中发现了许多农村社区的优势,利用经过调整的社会生态学框架对其进行分类,可以利用这些优势改善整个社会生态连续体中社区的心理健康。对公共卫生的启示了解农村社区的现有优势,可以为未来的心理健康政策和委托模式提供信息,使其对社区具有相关性和可持续性,同时承认农村的能动性。
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来源期刊
Australian and New Zealand Journal of Public Health
Australian and New Zealand Journal of Public Health 医学-公共卫生、环境卫生与职业卫生
CiteScore
4.20
自引率
5.70%
发文量
121
审稿时长
6-12 weeks
期刊介绍: The Australian and New Zealand Journal of Public Health (ANZJPH) is concerned with public health issues. The research reported includes formal epidemiological inquiries into the correlates and causes of diseases and health-related behaviour, analyses of public policy affecting health and disease, and detailed studies of the cultures and social structures within which health and illness exist. The Journal is multidisciplinary and aims to publish methodologically sound research from any of the academic disciplines that constitute public health.
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