International Journal of Mental Health Systems最新文献

{"title":"Using the service needs index to quantify complexity and identify treatment needs across youth mental health service populations: an observational study.","authors":"William Capon, Ian B Hickie, Mathew Varidel, Jacob J Crouse, Sebastian Rosenberg, Gina Dimitropoulos, Haley M LaMonica, Elizabeth M Scott, Frank Iorfino","doi":"10.1186/s13033-025-00676-8","DOIUrl":"10.1186/s13033-025-00676-8","url":null,"abstract":"<p><strong>Background: </strong>Digital technologies can facilitate comprehensive mental health assessment of an individual's treatment needs, while also enabling data aggregation and analysis at the population or service level. The Service Needs Index (made up of clinical, psychosocial, and comorbidity components) collectively expresses a concise metric for the type, range, and complexity of young people's treatment needs. This study aimed to examine variation in the Service Needs Index across service settings and assess its potential to inform population-level mental health planning.</p><p><strong>Methods: </strong>Using data from 1611 young people, we examined the Service Needs Index (made up of Clinical, Psychosocial, and Comorbidity subscores) across four mental health service populations (headspace Camperdown, urban headspaces, regional headspaces, and Mind Plasticity [a private practice in Sydney, Australia]). ANCOVA and pairwise comparisons were conducted controlling for age and sex. Bayesian logistic regression was used to examine the association between index scores and the odds of exceeding the Kessler-10 threshold for moderate psychological distress (K-10 ≥ 25).</p><p><strong>Results: </strong>There was significant variability in Service Needs Index scores (and subscores) between the four service populations. The private practice (Mind Plasticity) and regional headspaces had greater complexity than urban headspace services and headspace Camperdown. Complexity was driven by different patterns: Mind Plasticity had relatively higher clinical and comorbidity needs, while regional headspace services had higher clinical and psychosocial needs. Higher index scores were associated with increased odds of scoring in the moderate psychological distress range, with the Service Needs Index requiring the smallest score increase (6.1 units) to double the odds of scoring 25 or above on the K-10 (OR = 2.0).</p><p><strong>Conclusions: </strong>The differences across service groups provide examples on how indices may shape policy and system-level decision-making in headspace services and other Primary Health Networks. The Service Needs Index measures complexity and could inform system-level decision-making by providing insights into trends, resource allocation, and the efficacy of interventions across broader groups.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"23"},"PeriodicalIF":3.8,"publicationDate":"2025-07-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12285102/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144700102","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Evaluating the effectiveness of crisis support spaces in Queensland, Australia: a mixed-methods study.","authors":"Zoe E Papinczak, Hannah E Roovers, Mikesh Patel, Danielle Postorivo, Meaghan E McLellan, Harvey A Whiteford, Zoe H Rutherford","doi":"10.1186/s13033-025-00678-6","DOIUrl":"10.1186/s13033-025-00678-6","url":null,"abstract":"<p><p>BACKGROUND: Safe Spaces offer a person-centred, non-clinical and welcoming place for adults experiencing a mental health crisis to seek support as an alternative to presenting to the Emergency Department (ED). The aim of the study was to evaluate the effectiveness of Queensland Health’s Crisis Support Spaces (CSS), which are a hospital-based Safe Space service that has been piloted in the state of Queensland in Australia. METHODS: The research employed a mixed-methods design. Retrospective, de-identified program data was analysed from 2,235 consumers who accessed a CSS in Queensland during the period of 23/01/2021 to 31/10/2023. Outcome variables were computed using data from Queensland Health’s Consumer Integrated Mental Health and Addiction (CIMHA) and Emergency Data Collection (EDC) datasets. Within-groups t-tests were used to analyse pre- to post- intervention changes in psychological distress ratings, number of mental health related ED presentations and number of mental health related hospital admissions. In addition, 78 semi-structured interviews were undertaken with CSS consumers and carers, CSS staff and broader mental health system staff; these were analysed using applied thematic analysis. RESULTS: Consumers experienced a statistically significant, large sized reduction in psychological distress ratings at post-intervention (mean difference = -2.9; p <.001; d = 1.30). A statistically significant, large sized reduction was also observed in the number of mental health related hospital interventions at 6-months post-intervention for those consumers with a prior history of inpatient admissions (mean difference = -1.0; p <.001; d = 0.80). Furthermore, a statistically significant, small sized reduction was observed in mental health related emergency department (ED) presentations at 6-months post- intervention for those consumers with a prior history of ED presentations (mean difference = -0.8; p <.001; d = 0.37). Qualitative data provided insights into potential mechanisms through which the service may achieve its intended outcomes (e.g., providing a safe environment for consumers to de-escalate their psychological distress, teaching consumers skills to self-manage their mental health). CONCLUSIONS: The findings of this study provide mixed-methods evidence supportive of the effectiveness of CSS in helping consumers reduce their psychological distress and preventing mental health related ED presentations and hospital admissions. </p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"21"},"PeriodicalIF":4.2,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278633/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Undiagnosed depressive and anxiety disorders in a nationally representative sample of Bangladeshi and Nepali women: prevalence and associated factors.","authors":"Supa Pengpid, Karl Peltzer, M Tasdik Hasan","doi":"10.1186/s13033-025-00677-7","DOIUrl":"10.1186/s13033-025-00677-7","url":null,"abstract":"<p><strong>Background: </strong>Undiagnosed depressive and anxiety disorders may be widespread. The study aimed to assess the prevalence and associated factors of undiagnosed depressive and/or anxiety disorders (DAD) among women in two low-resource countries, Bangladesh and Nepal.</p><p><strong>Methods: </strong>Data were analyzed from 19,987 women (aged 15-49 years) in the 2022 Bangladesh Demographic and Health Survey and 7,442 women (aged 15-49 years) in the 2022 Nepal Demographic and Health Survey who completed the interview-administered nationally representative sub-survey component on mental health. DAD was categorized as either 'undiagnosed DAD' (meeting symptom criteria on the PHQ-9 and/or GAD-7 but without a prior diagnosis or treatment) or 'diagnosed DAD' (having a prior diagnosis and/or current treatment). Relative to diagnosed DAD, associations with undiagnosed DAD were estimated using logistic regression.</p><p><strong>Results: </strong>The analytic sample included 2,388 women in Bangladesh and 960 women in Nepal with undiagnosed DAD and diagnosed with DAD. The prevalence of undiagnosed DAD was 44.8% in Bangladesh and 60.0% in Nepal. In Bangladesh, in adjusted logistic regression analysis, having a big problem with permission to go to a health facility (Adjusted Odds Ratio-AOR: 1.53, 95% Confidence Interval (CI): 1.21-1.93, p < 0.001), being widowed (AOR: 2.04, 95% CI: 1.40-2.99, p < 0.001) and being divorced or separated (AOR: 2.30, 95% CI:1.40-3.77, p < 0.001) were significantly positively associated with undiagnosed DAD. Having secondary or higher education (AOR: 0.75, 95% CI: 0.58-0.97, p = 0.028) was significantly negatively associated with undiagnosed DAD. In Nepal, compared to the rich or richest wealth status, poor or poorest wealth status (AOR: 1.55, 95% CI: 1.09 to 2.21), compared to Bramin/Chhetri ethnicity, being Dalit (AOR: 1.77, 95% CI: 1.08-2.89) and being Janajati (AOR: 1.72, 95% CI: 1.17-2.54) were positively associated with undiagnosed DAD. Increasing age (AOR: 0.97, 95% CI: 0.96-0.99) was negatively associated and history of cervical cancer screening (AOR: 0.57, 95% CI 0.32-1.02) was marginally negatively associated with undiagnosed DAD.</p><p><strong>Conclusion: </strong>Nearly half of the women in Bangladesh and three in five women in Nepal had undiagnosed DAD. Targeted interventions addressing these factors are needed to improve mental health screening and access to care for women in Bangladesh and Nepal.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"22"},"PeriodicalIF":3.1,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12278558/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144676114","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Characterizing modifications to the mental health gap action programme (mhGAP) intervention guide during implementation in low- and middle-income countries using the framework for reporting adaptations and modifications to evidence-based interventions: a systematic review of reviews.","authors":"Harikeerthan Raghuram, Akanksha Jayant Rajguru, Mythili Menon Pathiyil, Aakrushi Brahmbhatt, Anant Bhan, Jessica Spagnolo, John A Naslund","doi":"10.1186/s13033-025-00671-z","DOIUrl":"10.1186/s13033-025-00671-z","url":null,"abstract":"<p><strong>Background: </strong>Low- and middle-income countries (LMICs) allocate a disproportionately small fraction of their healthcare budgets to mental health, leading to a treatment gap exceeding 75%. To address this disparity, the World Health Organization (WHO) introduced the Mental Health Gap Action Programme (mhGAP), aiming to integrate mental healthcare into primary and community care settings. Central to this initiative is task-sharing: empowering non-specialist healthcare providers to detect and treat mental disorders. Adaptation and modification of mhGAP to the national and local contexts is an integral aspect of the guidelines.</p><p><strong>Methods: </strong>This systematic review of reviews employs the Framework for Reporting Adaptations and Modifications-Expanded (FRAME) to document and characterize modifications to mhGAP implementation in LMICs. The databases searched included Embase, PubMed, PsycINFO, CINAHL, Google Scholar, Cochrane, and Web of Science. Reviews selected in stage 1 were used to find empirical studies from which relevant data was extracted.</p><p><strong>Results: </strong>Narrative synthesis suggests that modifications primarily focus on content, delivery, and training methods, with limited attention to scaling up. Modifications adopt top down, yet consultative and participatory approaches. There is a notable lack of reporting on challenges, processes, and outcomes. Recommendations have been made to expand FRAME, namely, sources of knowledge, financial and temporal resources employed during the process of modification.</p><p><strong>Conclusion: </strong>Modifications are essential for adapting interventions to diverse settings, yet they are often researcher-led with limited stakeholder involvement. Better documentation-particularly on challenges and outcomes-is needed. Strengthening frameworks like FRAME can improve reporting, optimize resources, and enhance implementation and scale-up in similar contexts.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"20"},"PeriodicalIF":3.1,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12220222/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144555358","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Analysing length of stay disparities in inpatient forensic psychiatric care: a cross-sectional study in Czechia.","authors":"Marek Páv, Ondřej Vaníček, Jiří Závora, Jaroslav Pekara, Michaela Zahrádka-Kȍhlerová, Simona Papežová, Martin Anders","doi":"10.1186/s13033-025-00675-9","DOIUrl":"10.1186/s13033-025-00675-9","url":null,"abstract":"<p><strong>Background: </strong>Length of stay (LoS) is a critical parameter of inpatient forensic treatment functioning. Inpatient forensic LoS in Czechia varies across hospitals with the number of patients per 100,000 inhabitants and the treatment duration. We aimed to analyse these inter-hospital differences and provide relevant sociodemographic and treatment-related data.</p><p><strong>Methods: </strong>We collected descriptive parameters from 841 forensic inpatients from 13 hospitals in Czechia, with follow-up data collection after 6 months (N = 800). Data from eight hospitals with > 50 patients (N = 765) were entered into linear regression analyses with subsequent resampling to identify differences in LoS associated with index offence, diagnosis, and treatment type, thereby highlighting interhospital variations.</p><p><strong>Results: </strong>The cohort comprised predominantly males (mean age, 41.84 years; standard deviation [SD] 3.63) with extended mental health histories; the mean main diagnosis length was 13.2 years (SD 12.18). Most inmates committed violent offences, with psychotic, substance use, or paraphilic disorders predominating. Family contact remained common despite the patients' poor socioeconomic status. The mean LoS was 1,327.58 (SD 1642.41) days. We observed significant differences in LoS among patients from the same diagnostic group. Within the whole system, patients with substance abuse disorders, psychotic disorders, and intellectual disabilities stayed for 760, 1490, and 2441 days, respectively. Violent index offences increased LoS in most hospitals, as did sexual offences, but \"other\" minor criminal offences (non-violent, non-sexual) were associated with increased LoS only in some hospitals. Sex offender treatment significantly affected LoS in some hospitals, while enrolment into substance use programmes shortened it.</p><p><strong>Conclusions: </strong>Our study revealed significant inter-hospital variations in LoS associated with index offences, diagnoses, or treatment programs, which could be related to previously unrecognised institutional factors. Regular evaluation of treatment outcomes and implementation of standardised guidelines across the entire system is necessary to balance these differences. The insights provided into inpatient treatment in Czechia can be used to guide policy and practice improvements, enhancing the quality of forensic psychiatric care and ensuring the rights and well-being of the patients. The study addressed the knowledge gap existing in the available literature regarding previously unrecognised factors influencing the LoS at the system \"mezzo\" level.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"19"},"PeriodicalIF":3.1,"publicationDate":"2025-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12166607/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144295133","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Changes in psychiatric admissions in the first year of COVID-19 in Ontario, Canada.","authors":"Gustavo S Betini, Dorothy Yu, Edgardo Perez, Jitender Sareen, Christopher M Perlman, John P Hirdes","doi":"10.1186/s13033-025-00674-w","DOIUrl":"10.1186/s13033-025-00674-w","url":null,"abstract":"<p><strong>Background: </strong>Several studies showed strong evidence that the COVID-19 pandemic disrupted mental health service use, with changes in emergency department visits, and psychiatric hospital admissions. It is not clear, however, whether the pandemic caused an increase or decrease in use of services for people with different diagnoses and symptoms.</p><p><strong>Methods: </strong>We used data from all individuals admitted to psychiatric units in Ontario, Canada (259,620 individuals) from January 1st 2015 to December 31st, 2020 and compared the number of admissions, length of stay, symptoms, and clinical characteristics of this population in 2020 to the average of those who were admitted between 2015 and 2019.</p><p><strong>Results: </strong>Total number of admissions declined sharply (44%) during the first lockdown period but returned to pre-pandemic levels within about 2 months. This trend, however, was not observed for all types of mental health problems. Admissions for symptoms such as risk of harm to others and addictions were consistently higher after the first wave in May 2020 compared to the same month in the previous 5 years, while symptoms such as social withdrawal, and depression were consistently lower.</p><p><strong>Conclusion: </strong>Taken together, these results suggest that the impact of the pandemic on the use of mental health services were symptom-specific, which is likely a result of the heterogeneity of mental health problems within this population. This variation in the changes in psychiatry admissions for patients with different clinical profiles should be considered when preparing for future service interruptions.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"18"},"PeriodicalIF":3.1,"publicationDate":"2025-06-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12131648/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209892","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Pathway to effective treatment for common mental and substance use disorders in the World Mental Health Surveys: Perceived need for treatment.","authors":"Meredith G Harris, Alan E Kazdin, Irving Hwang, Sophie M Manoukian, Nancy A Sampson, Dan J Stein, Maria Carmen Viana, Daniel V Vigo, Jordi Alonso, Laura Helena Andrade, Ronny Bruffaerts, Brendan Bunting, José Miguel Caldas-de-Almeida, Stephanie Chardoul, Giovanni de Girolamo, Oye Gureje, Josep Maria Haro, Elie G Karam, Viviane Kovess-Masfety, Maria Elena Medina-Mora, Fernando Navarro-Mateu, Daisuke Nishi, José Posada-Villa, Charlene Rapsey, Juan Carlos Stagnaro, Margreet Ten Have, Jacek Wciórka, Zahari Zarkov, Ronald C Kessler","doi":"10.1186/s13033-025-00666-w","DOIUrl":"https://doi.org/10.1186/s13033-025-00666-w","url":null,"abstract":"<p><strong>Background: </strong>Perceived need for treatment is a first step along the pathway to effective mental health treatment. Perceived need encompasses a person's recognition that they have a problem and their belief that professional help is needed to manage the problem. These two components could have different predictors.</p><p><strong>Methods: </strong>Respondents aged 18+ years with 12-month mental disorders from 25 representative household surveys in 21 countries in the World Mental Health Survey Initiative (n = 12,508). All surveys included questions about perceived need; 16 surveys (13 countries) included additional questions about respondents' main reason for perceived need-problem recognition or perceived inability to manage without professional help (n = 9814). Associations of three sets of predictors (disorder, socio-demographics, past treatment) with perceived need and its components were examined using Poisson regression models.</p><p><strong>Results: </strong>Across the 16 surveys with additional questions, 42.4% of respondents with a 12-month mental disorder reported perceived need for treatment. In separate multivariable models for each predictor set: (1) Most disorder types (except alcohol use disorder, specific phobia), disorder severity, and number of disorders were associated with perceived need and both of its components; (2) Sociodemographic factors tended to differentially predict either problem recognition (females, 30-59 years, disabled/unemployed) or need for professional help (females, homemakers, disabled/unemployed, public insurance); (3) Past treatment factors (type of professional, psychotherapy, helpful or unhelpful treatment) were associated with perceived need and both components, except number of past professionals differentially predicted problem recognition. In a consolidated model: employment and insurance became non-significant; type and number of past professionals seen became more important; helpful past treatment predicted greater need for professional help while unhelpful treatment predicted lower problem recognition. Problem recognition was the more important component in determining perceived need for some groups (e.g., severe disorder, people who consulted non-mental health professionals).</p><p><strong>Conclusions: </strong>Greater clinical need is a key determinant of perceived need for treatment. Findings suggest a need for strategies to address low perceived need (e.g., in males, older people, alcohol use disorders) and lower endorsement of professional treatment in some groups, and to improve patient's treatment experiences which are important enablers of future help-seeking.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"17"},"PeriodicalIF":3.1,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12100881/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144209908","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The hidden clock: how chronotype is related to depression, anxiety, and stress in adolescents - insights from the EHDLA study.","authors":"Camila Miño, Lee Smith, Carlos Cristi-Montero, Héctor Gutiérrez-Espinoza, Jorge Olivares-Arancibia, Rodrigo Yañéz-Sepúlveda, Brendon Stubbs, José Francisco López-Gil","doi":"10.1186/s13033-025-00673-x","DOIUrl":"10.1186/s13033-025-00673-x","url":null,"abstract":"<p><strong>Background: </strong>Depression, anxiety, and stress symptoms are common among adolescents; however, studies exploring their relationship with chronotype in European youth populations is scarce. This study aimed to evaluate the association between chronotype status and depression, anxiety, and stress symptoms in adolescents.</p><p><strong>Methods: </strong>A secondary analysis of the Eating Healthy and Daily Life Activities (EHDLA) cross-sectional study was performed in 703 adolescents (56.3% girls) between 12 and 17 years from the Valle de Ricote, Spain. Chronotype preference was assessed using the Morningness/Eveningness Scale in Children (MESC), while symptoms were evaluated using the Depression, Anxiety, and Stress Scale (DASS-21). A robust generalized linear regression model was used to evaluate the associations between chronotype prefernces and symptoms of depression, anxiety and stress in adolescents.</p><p><strong>Results: </strong>After adjusting for potential covariates (sex, age, socioeconomic status, body mass index, sleep duration, physical activity, sedentary behavior, and energy intake), the highest probability of having depression, anxiety, and stress was identified in those with an eveningness chronotype preference (depression: 27.4%, 95% confidence interval [CI] 17.5-40.1%; anxiety: 28.5%, 95% CI 18.6-41.0%; stress: 47.6%, 95% CI 34.1-61.5%). Conversely, the lowest probability was observed in adolescents with a morningness chronotype preference (depression: 11.9%, 95% CI 8.3-16.8%; anxiety: 15.4%, 95% CI 11.2-28.9%; stress: 19.5%, 95% CI 14.7-25.5%). Significant differences were found when comparing participants with the eveningness chronotype to those with a morningness or intermediate chronotype preference (p < 0.05 for all comparisons).</p><p><strong>Conclusions: </strong>Depression, anxiety, and stress symptoms were more likely in adolescents with an eveningness chronotype preference than in those with morningness or intermediate chronotypes. Chronotype preferences should be taken into account for developing interventions that promote better mental health and healthy sleep habits in adolescents.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"16"},"PeriodicalIF":3.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12096745/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Developing an integrated depression and tuberculosis care pathway using a co-design approach in a low-resource setting.","authors":"Olamide Todowede, Zara Nisar, Saima Afaq, Sushama Kanan, Aliya Ayub, Rumana Huque, Akhtar Hussain, Mudasser Shehzad, Najma Siddiqi","doi":"10.1186/s13033-025-00670-0","DOIUrl":"10.1186/s13033-025-00670-0","url":null,"abstract":"<p><strong>Background: </strong>Evidence suggests the use of a participatory approach for the improvement of TB care, however, there is limited evidence on how integrated depression screening and care could be delivered with TB services. Thus, this study co-designed an integrated care pathway for depression case finding and treatment in TB services, that can be delivered by non-mental health specialists within a low resourced settings.</p><p><strong>Methods: </strong>We conducted a total of 10 'co-design' workshops with people with TB, carers, tuberculosis and mental health healthcare providers between June and August 2021 in Dhaka, Bangladesh and Peshawar, Pakistan. We adapted the 'Hasso Plattner Institute of Design at Stanford University' for our codesign process. Information gathered during the workshop, through recordings and contemporaneous notes taking, was collated, and analysed to develop the integrated care pathways and materials for impmenting the carepathway.</p><p><strong>Results: </strong>We co-designed and developed a culturally adaptable care pathway that integrates depression screening into tuberculosis (TB) care, working closely with people affected by TB and healthcare workers in primary, secondary, and tertiary care settings in Bangladesh and Pakistan. We used PHQ-9 only to identify and screen for depression among people with TB in Bangladesh, whereas both PHQ-2 and PHQ-9 were used for depression screening among the Pakistani population. A trained paramedic or laboratory technologist (Bangladesh) and DOTS Facilitator (Pakistan), working within the TB facilities were identified and agreed to deliver the integrated depression screening services.</p><p><strong>Conclusion: </strong>Stakeholders valued the opportunity to jointly design a care pathway. Iterative and coordinated working with these stakeholders enabled the researchers to understand better, explore and refine the co-design process. This approach assisted in mobilising knowledge about depression and integrating screening for depression within the existing usual TB care pathway, using the lived experience of people with TB and health workers' expertise.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"15"},"PeriodicalIF":3.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12084970/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144095418","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Negative life events, inadequate mental health literacy, and emotional symptoms among Chinese college students: a school-based longitudinal prospective study.","authors":"Shichen Zhang, Rong Yang, Yingying Cui, Yi Zhou, Linlin Jiang, Jingjing Xi, Jun Fang","doi":"10.1186/s13033-025-00672-y","DOIUrl":"https://doi.org/10.1186/s13033-025-00672-y","url":null,"abstract":"<p><strong>Background: </strong>Emotional symptoms have emerged as a major public health concern, affecting the mental and physical well-being of college students worldwide. Negative life events and mental health literacy are commonly recognized as significant predictors of emotional symptoms. However, research on their combined effects remains limited, particularly in longitudinal studies. This study aimed to investigate the interaction between negative life events and mental health literacy in relation to emotional symptoms among college students.</p><p><strong>Methods: </strong>A longitudinal study was conducted from November 2021 to June 2022 to assess negative life events, mental health literacy, and emotional symptoms among college students. A total of 3,210 students (mean age: 19.49 ± 0.87 years) were selected using a cluster sampling method in Anhui Province, China. Multivariate logistic regression models were employed to evaluate the combined effects of negative life events and mental health literacy on emotional symptoms.</p><p><strong>Results: </strong>The prevalence of depressive symptoms, anxiety symptoms, and stress symptoms was 15.3%, 19.7%, and 4.2%, respectively. Negative life events were significantly associated with an increased risk of depressive symptoms (RR = 1.568, 95%CI: 1.282-1.918), anxiety symptoms (RR = 1.603, 95%CI: 1.338-1.919), and stress symptoms (RR = 1.717, 95%CI: 1.194-2.470). Additionally, students with inadequate mental health literacy exhibited a higher incidence of depressive symptoms (RR = 1.286, 95%CI: 1.035-1.597) and anxiety symptoms (RR = 1.343, 95%CI: 1.105-1.632) compared to those with adequate mental health literacy. Furthermore, students who experienced high levels of negative life events and had inadequate mental health literacy were at the highest risk of developing depressive symptoms (RR = 2.447, 95%CI: 1.709-3.504) and anxiety symptoms (RR = 2.466, 95%CI: 1.802-3.375).</p><p><strong>Conclusion: </strong>This study did not confirm a direct correlation between mental health literacy and general psychological health. Moreover, due to contextual differences across societies, the generalizability of these findings should be approached with caution. Nonetheless, the results highlight that negative life events and mental health literacy jointly influence emotional symptoms. These findings underscore the importance of interventions aimed at improving college students' mental health literacy and enhancing their ability to cope with negative life events.</p>","PeriodicalId":47752,"journal":{"name":"International Journal of Mental Health Systems","volume":"19 1","pages":"14"},"PeriodicalIF":3.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12042421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144034159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}