International Journal of Social Psychiatry最新文献

{"title":"Barriers and Facilitators of Psychological Help-Seeking of People With Depression, Anxiety, and Stress Symptoms Among ASEAN Countries: A Systematic Review.","authors":"Diany U Syafitri, Shofia Mawaddah, Jennifer Y F Lau, June S L Brown","doi":"10.1177/00207640251367289","DOIUrl":"10.1177/00207640251367289","url":null,"abstract":"<p><strong>Background: </strong>Despite growing rates of common mental health disorders among country members of the Association of Southeast Asia Nations (ASEAN), there continue to be treatment gaps in these countries.</p><p><strong>Aim: </strong>To systematically identify and synthesise barriers and facilitators to accessing formal psychological help for common mental health disorders in the existing literature.</p><p><strong>Methods: </strong>APA PsycINFO, Web of Science, Scopus, and the Indonesian Portal Garuda were searched for studies reporting barriers or facilitators to individuals' engaging in formal psychological help-seeking for common mental health disorders in country members of ASEAN. Participants in the studies were aged 18 years and above and included both quantitative and qualitative designs. Results were reported using PRISMA guidelines. Due to the heterogeneity of data and study designs, a narrative synthesis was chosen as an analysis strategy.</p><p><strong>Results: </strong>This review included forty-six studies. The barriers to formal psychological help-seeking were (1) social and cultural factors, which comprised of stigma, sociocultural and religious, and treatment-related issues, (2) personal factors, such as low mental health knowledge, self-reliance and disclosure difficulty, and (3) structural factors related to the low availability and affordability of mental health services. The facilitators were (1) social and cultural factors related to social and religious aspects, (2) personal factors comprising personal motivation, the presence and severity of mental health problems, and mental health literacy, and (3) structural factors such as accessibility and the system of mental health services, as well as gender differences.</p><p><strong>Conclusions: </strong>Social, cultural, personal, and structural factors are essential for formal help-seeking in ASEAN. Future studies and intervention development might examine these factors further.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"419-438"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13121814/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145029685","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Predictors and Protective Factors of Mental Health Outcomes Among Indonesian Adolescents: An SCT-Based Multi-Center Study.","authors":"Rika Sarfika, I Made Moh Yanuar Saifudin, Anggi Lukman Wicaksana, Hema Malini, Bunga Permata Wenny, Atih Rahayuningsih, Nindy Eka Wijaya, Dewi Eka Putri, Khatijah Lim Abdullah","doi":"10.1177/00207640251372672","DOIUrl":"10.1177/00207640251372672","url":null,"abstract":"<p><strong>Background: </strong>Mental health issues among adolescents are a growing global concern, particularly in Southeast Asia. While the role of psychosocial factors in shaping mental health outcomes is widely acknowledged, there is limited understanding of the specific predictors and protective factors in Indonesia. This study applies Social Cognitive Theory (SCT) to explore how individual, social, and environmental factors influence depression, anxiety, and stress among Indonesian adolescents.</p><p><strong>Aims: </strong>To identify psychosocial predictors and protective factors associated with depression, anxiety, and stress among Indonesian adolescents, to inform more targeted interventions.</p><p><strong>Methods: </strong>A multi-center cross-sectional study was conducted between July and October 2023, involving 2,984 adolescents from 19 public senior high schools in West Sumatra, Yogyakarta, and Central Kalimantan. Participants completed anonymous self-administered surveys, including eight validated instruments, including the PAQ-A, PPPS, IDASS-Y, RSES, MSPSS, ESSA, CYRM-R, and SIS. Descriptive statistics, Pearson correlations, and hierarchical multiple regression analyses were used to identify key factors.</p><p><strong>Results: </strong>Gender was a significant predictor, with females exhibiting higher levels of depressive symptoms (β = .083, <i>p</i> < .001), anxiety (β = .179, <i>p</i> < .001), and stress (β = .171, <i>p</i> < .001). Peer pressure and academic stress were significant predictors of psychological distress (all <i>p</i> < .05). Higher levels of depression, anxiety, and stress were strongly associated with increased suicidal ideation (all <i>p</i> < .001). Protective factors such as self-esteem, resilience, social support, and physical activity were associated with lower levels of depression, anxiety, and stress (all <i>p</i> < .05). The regression models explained 57.1% of the variance in depression, 42.8% in anxiety, and 46.3% in stress.</p><p><strong>Conclusion: </strong>Gender, academic stress, and peer pressure were major predictors of mental distress, while self-esteem, resilience, and physical activity acted as protective factors. Interventions targeting these areas, grounded in SCT, are essential to improving adolescent mental health in Indonesia.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"582-593"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145137414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Spirituality and Mental Health: Fostering Personal and Social Resilience.","authors":"Antonio Ventriglio, João Mauricio Castaldelli-Maia, Tomás Caycho-Rodríguez, Julio Torales","doi":"10.1177/00207640261419307","DOIUrl":"10.1177/00207640261419307","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"411-414"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146137490","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Eco-Anxiety Without Borders: A Cross-National Study on Climate Perceptions, Beliefs About Government Climate Action, and Climate Concern.","authors":"Fatih Cebeci, Marc Eric S Reyes, Matteo Innocenti, Georgekutty Kochuchakkalackal, Wendy Jeremie, Agnes Buvar, Irmak Atak, Merve Karaman, Rümeysa Dinçer, Sinem Cankardaş Nalbantçılar, Elshan Mammadov, Chiara Cadeddu, Ma Criselda T Pacquing, Csilla Ágoston, Gabriele Santarelli, Ryan Francis O Cayubit, Thomas Kuttiankal, Kıvanç Uzun, Karen Katrina V Trinidad, Sanae Okamoto, Tarana Karimova, Taner Artan","doi":"10.1177/00207640251378601","DOIUrl":"10.1177/00207640251378601","url":null,"abstract":"<p><strong>Background: </strong>Eco-anxiety has become a prominent emotional response to the global climate crisis, yet there is a lack of empirical research examining its prevalence and correlates across diverse cultural and national contexts.</p><p><strong>Objective: </strong>This study aimed to investigate levels of eco-anxiety and its associations with age, perceived knowledge, climate risk perception, and beliefs about governmental climate action across participants from six countries.</p><p><strong>Results: </strong>Data were collected from 2,206 participants across India, Italy, the Philippines, Türkiye, Trinidad and Tobago, and Hungary. Statistically significant cross-national differences were found in eco-anxiety, perceived knowledge, climate risk perception, and beliefs about government action. Italian participants reported the highest levels of eco-anxiety, while Hungarian participants reported the lowest. Correlational analyses showed that eco-anxiety was positively associated with climate risk perception and perceived knowledge, but negatively associated with age and beliefs in government action.</p><p><strong>Discussion: </strong>The findings reveal that eco-anxiety is shaped by both cognitive and sociopolitical factors. Risk perception and climate knowledge appear to intensify emotional responses, while belief in government action may serve as a mitigating factor. Age-related differences suggest that younger individuals are more emotionally impacted by climate concerns.</p><p><strong>Conclusion: </strong>This study underscores the need for culturally sensitive public policy and mental health interventions to address the psychological dimensions of the climate crisis.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"657-667"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145438117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Environmental Enrichment: An Underestimated Factor Associated With Depression.","authors":"Ana Fresán, Mónica Flores-Ramos, Celene Gallegos Zavala, Gerardo Bernabé Ramírez-Rodríguez","doi":"10.1177/00207640251368244","DOIUrl":"10.1177/00207640251368244","url":null,"abstract":"<p><strong>Background: </strong>Despite the well-documented benefits of environmental enrichment (EE) in animal models of depression, the application of these findings to humans is complex due to individual variability and environmental constraints.</p><p><strong>Aim: </strong>This study aims to investigate the relationship between EE and depression by comparing demographic features and EE levels between individuals with depression and controls.</p><p><strong>Methods: </strong>A cross-sectional, comparative retrospective study was conducted in a specialized psychiatric facility in Mexico City. Ninety-six control subjects and 86 individuals with major depression (MD) were recruited. Participants with MD were diagnosed according to DSM-5 criteria and scored a minimum of 13 on the 17-item Hamilton Depression Rating Scale (HDRS). Demographic information and EE were assessed using the Environmental Enrichment indicator (EEI), which includes cognitive, social, and physical activity dimensions. Statistical analyses included chi-square tests, <i>t</i>-tests, and logistic regression to identify associations between demographic variables, EE, and depression.</p><p><strong>Results: </strong>The findings indicated that individuals with MD had lower EE levels compared to controls. Significant predictors of depression included low EE, being unemployed or a housewife, and female gender, while higher education decreased depression risk. Low EE mediated the relationship between occupation and depression. Additionally, the impact of demographic factors on depression was also strongly influenced by the levels of EE.</p><p><strong>Conclusion: </strong>Socio-demographic characteristics, such as female gender and occupation were associated with depression; additionally, a low level of EE was a predictor of depression. A higher education diminished the depression risk.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"483-491"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145251016","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Prevalence of Socio-Emotional and Behavioral Difficulties and Determinants Among Public School Adolescents in Hawassa, Sidama Regional State, Ethiopia.","authors":"Tarekegn Tadesse Gemeda, K Mohangi, V Scherman","doi":"10.1177/00207640251371264","DOIUrl":"10.1177/00207640251371264","url":null,"abstract":"<p><strong>Background: </strong>Adolescents who attend public schools are more prone to experience behavioral and socio-emotional issues. The main reasons are that most parents send children to public schools when they experience resource constraints, poverty, social upheavals like parental death, divorce, or poor parental literacy levels, as well as unfavorable physical and social conditions at home.</p><p><strong>Aim: </strong>The study aim was to examine the prevalence of socio-emotional and behavioral difficulties and determinants among public school adolescents in Hawassa, Sidama Regional State, EthiopiaMethods:Quantitative approach with cross-sectional survey design was applied in the study. Two hundred twenty-one adolescents on the ages of 14 were selected through multilevel probability sampling techniques. Questionnaires were employed as data-gathering instruments and were analyzed through one sample dichotomous procedure and multiple regression. Ethics approval was obtained from University of South Africa.</p><p><strong>Results: </strong>The prevalence rate of composite socio-emotional and behavioral difficulty was 43% (95% CI [36.60%, 49.50%]). Specifically, adolescents who attended classes in public schools tended to have higher prevalence rates of anxious-depressive problem 49.80% (95% CI [43.20%, 56.40%]); somatic complaints 45.30% (95% CI [38.70%, 51.90%); and hyperactivity-attention deficit disorder 44.30% (95% CI [37.70%, 50.95%). Moreover, the findings showed that positive interactions between guardian and adolescents accounted for R² = 4.90% of the variation in socio-emotional and behavioral wellbeing where β = -.222, <i>p</i> = .001. Additionally, the combined impact of guardian-adolescent interaction and parental life status was R² = 6.60% where R² = 4.90% for guardian-adolescent interaction and R² = 1.70% for parental life status, β = -.361, where β = -.230, <i>p</i> = .001 for positive guardian-adolescent interaction and β = -.131, <i>p</i> = .047 for parental life status.</p><p><strong>Conclusion: </strong>The need of socio-emotional and behavioral support policies and practices in schools and community settings for the youth under the pressure of deprived interaction with their guardians and adolescent who lost their parents.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"554-570"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145458692","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Trauma and Stress-Related Symptoms Among Yazidi Survivors of the 2014 ISIS Genocide in Iraq.","authors":"Fuaad Mohammed Freh, Carol S North","doi":"10.1177/00207640251377113","DOIUrl":"10.1177/00207640251377113","url":null,"abstract":"<p><strong>Background: </strong>There is a paucity of published research on the prevalence of specific traumatic events and disaster-related psychopathology in Yazidi survivors related to the 2014 ISIS genocide in Iraq.</p><p><strong>Methods: </strong>The sample for this cross-sectional study was a large nationally-representative cohort of 488 adult Yazidi men and women who were members of the Duhok camps in Iraq. They were assessed 10 years after the ISIS attacks for their experience of various traumatic events and their association with posttraumatic stress, depression, and complicated grief (CG) symptoms related to the genocide. Participants completed the Life Events Checklist for the <i>Diagnostic and Statistical Manual of Mental Disorders</i>, 5th Edition (<i>DSM-5</i>) (LEC-5), the PTSD Checklist for <i>DSM-5</i> (PCL-5), the Hamilton Depression Scale, and the Inventory of Complicated Grief (ICG). Modified Poisson log-linear models provided prevalence ratios of posttraumatic stress symptoms by types of traumatic events and exposures and associations with the number of traumatic events.</p><p><strong>Results: </strong>The vast majority (94.67%) reported direct personal exposure to any traumatic event. Trauma prevalence by trauma type ranged from 6.4% for war/armed conflict-related events to 74.6% for sexual/physical assault by ISIS terrorists. Overall posttraumatic stress symptom threshold varied substantially across trauma types, being lowest for natural disaster (29/56, 4.21%) and highest for sexual assault (215/287, 31.3%), with 193/488, 39.4% exceeding PTSD threshold for any trauma. The proportions exceeding symptom thresholds for depression and CG were 28.9% and 66.6% respectively.</p><p><strong>Conclusions: </strong>The extensive exposure to trauma by Yazidi people and the resulting psychological toll calls for a major community effort to prevent sexual and physical violence and provide desperately needed mental health services.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"626-637"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145206562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Displacement to Belonging: How Social Integration Shapes Psychological Resilience and Self-Compassion in Migrant Children.","authors":"Aylin Arici, Taner Artan, Fatih Cebeci","doi":"10.1177/00207640251368025","DOIUrl":"10.1177/00207640251368025","url":null,"abstract":"<p><strong>Purpose: </strong>Forced migration due to war and conflict has profound psychological effects on children. Psychological resilience and self-compassion are essential for the well-being of migrant children; however, the role of social integration in shaping this relationship remains unclear. This study examines the mediating effect of social integration on the relationship between psychological resilience and self-compassion among Syrian migrant children.</p><p><strong>Methods: </strong>A cross-sectional study was conducted with 463 Syrian migrant children aged 11 to 18 years living in Türkiye. Data were collected using the Children and Youth Psychological Resilience Scale-12, the Self-Compassion Scale-Short Form, and the Social Integration Scale. Mediation analysis was performed using the PROCESS macro for SPSS.</p><p><strong>Results: </strong>The findings revealed a significant positive relationship between psychological resilience and self-compassion, as well as between psychological resilience and social integration. A weaker but significant relationship was observed between self-compassion and social integration. Mediation analysis showed that social integration fully mediates the effect of psychological resilience on self-compassion.</p><p><strong>Conclusion: </strong>The results indicate that social integration plays a crucial role in enhancing the self-compassion of migrant children by strengthening psychological resilience. These findings highlight the importance of social policies and interventions aimed at fostering social integration to support the mental health of migrant children.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"471-482"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145232562","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Dose-Response Relationship of Loneliness and Internet Addiction With Depression Among College Students: A Multicenter Survey.","authors":"Meng-Yi Chen, Li-Ya A, Yuan-Yuan Jiang, Hui-Ting Huang, Shou Liu, Yi Ma, Zhaohui Su, Teris Cheung, Gabor S Ungvari, Chee H Ng, Yu-Tao Xiang","doi":"10.1177/00207640251371433","DOIUrl":"10.1177/00207640251371433","url":null,"abstract":"<p><strong>Background: </strong>Depression in young people especially among college students is a growing concern. Both loneliness and Internet addiction are found to be linked to depression.</p><p><strong>Aims: </strong>This study explored the dose-response relationship of loneliness and Internet addiction with depression, and examined how the severity of loneliness and Internet addiction influence the susceptibility to depression.</p><p><strong>Methods: </strong>A cross-sectional study was conducted between September and December 2023 in China. Depression was evaluated using the 9-item Patient Health Questionnaire (PHQ-9). Loneliness and Internet addiction were assessed using the 20-item University of California, Los Angeles Loneliness Scale (UCLA-20) and Young's 20-item Internet Addiction Test (IAT-20), respectively. Univariate and multivariate analyses were performed to explore the correlates of depression. Restricted cubic spline (RCS) analysis was employed to examine the potential dose-response relationships between the continuous exposure variables (loneliness and Internet addiction) and depression.</p><p><strong>Results: </strong>Among 6,514 college students included in the study, the prevalence of depression was 18.2% (95% confidence intervals, CI [17.3%, 19.1%]). After adjusting for confounders, a positive linear relationship was observed between loneliness and the risk of depression; while a J-shaped nonlinear relationship was found with an inflection point of 41 between Internet addiction and the risk of depression. Poor health and economic status also increased the risk of depression for college students with Internet addiction.</p><p><strong>Conclusions: </strong>Loneliness and Internet addiction both predicted the high risk of depression among college students. Mental health screening and interventions should be tailored to address loneliness and Internet addiction in this population to prevent the onset of depression among at-risk individuals.</p>","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"571-581"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145389651","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Suicide Risk: The Social and Familial Factors of Adolescent Psychiatric Hospitalization.","authors":"Romain Sibut, Jonathan Lachal","doi":"10.1177/00207640251382611","DOIUrl":"10.1177/00207640251382611","url":null,"abstract":"","PeriodicalId":14304,"journal":{"name":"International Journal of Social Psychiatry","volume":" ","pages":"714-715"},"PeriodicalIF":2.7,"publicationDate":"2026-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147580980","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}