Journal of Mental Health最新文献

{"title":"PTSD, moral injury, posttraumatic growth, and depreciation among Ukrainians during the war: comparing populations inside Ukraine and displaced abroad.","authors":"Mariia Mezhenska, Madeline M Rodenbaugh, Craig S Neumann","doi":"10.1080/09638237.2026.2695966","DOIUrl":"10.1080/09638237.2026.2695966","url":null,"abstract":"<p><strong>Background: </strong>War-related stressors may differentially affect individuals who remain in a war zone versus those living abroad. Distinguishing these impacts is essential for understanding trauma responses among the war-affected population.</p><p><strong>Aims: </strong>To compare post-traumatic stress, moral injury, core-belief disruption, and post-traumatic growth and depreciation among Ukrainians living inside versus outside Ukraine during the war.</p><p><strong>Methods: </strong>A cross-sectional propensity score-matched design was used among 7,065 war-affected participants; 287 lived abroad. Strong measurement invariance was confirmed. Propensity scores were based on gender, age, education, and war-exposure indicators. One-to-one matching yielded 235 pairs (<i>/</i> = 470), with all standardized mean differences <0.10. Outcomes included PTSD symptoms, post-traumatic growth and depreciation, moral injury, and core-belief disruption. MANOVAs and follow-up ANOVAs with Benjamini-Hochberg correction were applied.</p><p><strong>Results: </strong>Participants abroad reported higher all PTSD symptom clusters, greater total severity, and substantially higher rates of probable PTSD (PCL-5 ≥ 33). Total post-traumatic growth was similar across groups, though \"new possibilities\" was slightly higher abroad. All depreciation domains, moral-injury shame and trust, and core-belief disruption were significantly elevated among participants abroad.</p><p><strong>Conclusions: </strong>Living abroad during an ongoing war is associated with higher distress, more depreciation, and greater disruptions in moral and belief systems, despite physical distance.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"590-602"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148399691","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":"Assessment of suicide-related outcomes through clinical interviews: a scoping review.","authors":"Serena Bruno, Patrizia Velotti","doi":"10.1080/09638237.2026.2672337","DOIUrl":"10.1080/09638237.2026.2672337","url":null,"abstract":"<p><strong>Introduction: </strong>Suicide is a significant global public health issue. In recent years, suicide risk assessment has shifted toward qualitative methods to better capture the complexity of the suicidal experience. Understanding how qualitative clinical interviews are used in this context can contribute to more personalized prevention and intervention strategies.</p><p><strong>Methods: </strong>This scoping review aimed to map and summarize existing clinical interviews - both validated and unvalidated - that use qualitative or multi-method approaches to assess suicide-related experiences. A systematic search was conducted across major databases (PsycINFO, PsycARTICLES, MEDLINE, Scopus) covering the last 12 years, up to September 2025. A total of 201 studies met the inclusion criteria.</p><p><strong>Results: </strong>The review revealed considerable heterogeneity in the use of qualitative interviews for suicide-related outcomes. The studies were analyzed in terms of interview structure (e.g., structured, semi-structured, unstructured), main areas assessed (e.g., suicidal ideation, history of suicide attempts, risk/protective factors), and the presence or absence of validation studies.</p><p><strong>Conclusion: </strong>This scoping review highlights the heterogeneity of qualitative interview approaches used in suicide assessment, as well as the limited validation of many existing tools. The findings underscore the need for more rigorous and standardized methodologies to inform personalized and context-sensitive suicide prevention strategies.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"622-637"},"PeriodicalIF":3.5,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989519","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":"Total protein, plant protein, animal protein, and specific animal protein sources intake in relation to risk of depression: a systematic review and meta-analysis of observational studies.","authors":"Kimia Torabinasab, Nazanin Zamanian, Fatemeh Jahangir Kozeh Konani, Maha Gasmi, Sepide Talebi","doi":"10.1080/09638237.2026.2732882","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732882","url":null,"abstract":"<p><p>To elucidate the relationships between overall, plant-derived, animal-derived, and specific animal-based protein categories and the risk of depression. We searched PubMed, Scopus, and Web of Science up to March 2026. We identified 21 cohort and 49 cross-sectional studies. In cohort studies, higher intakes of plant protein and fish were associated with lower depression risk (RR: 0.87; 95% CI: 0.78-0.97 and 0.92; 95% CI: 0.86-0.99). Processed meat and total meat intake were associated with increased risk (RRs: 1.02; 95% CI: 1.01-1.04 and 1.21; 95% CI: 1.03-1.42). Cross-sectional analyses showed inverse associations for total protein (RR 0.64; 95% CI: 0.43-0.95), plant protein (RR 0.89; 95% CI: 0.81-0.98), poultry (RR 0.87; 95% CI: 0.78-0.98), and fish (RR 0.85; 95% CI: 0.76-0.95). Dose-response analyses indicated that higher intakes of eggs, total protein, and dairy were associated with lower depression risk. Overall, higher intakes of plant-based proteins, fish, poultry, and total protein may be associated with a lower risk of depression, whereas greater consumption of total and processed meats may be associated with a higher risk. However, these findings should be interpreted cautiously given the observational and, for some analyses, cross-sectional nature of the included studies, along with heterogeneity in dietary and depression assessment methods.<b>Registration:</b> This study was registered at PROSPERO (CRD42022352303).</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-20"},"PeriodicalIF":3.5,"publicationDate":"2026-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149065249","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":"Altitudes USA: a moderated online social therapy intervention for first episode psychosis caregivers.","authors":"Kelsey Ludwig, Bryan J Stiles, David Penn, Elizabeth Fraser, Mario- Alvarez-Jimenez, John F Gleeson","doi":"10.1080/09638237.2026.2732880","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732880","url":null,"abstract":"<p><strong>Background: </strong>Caregiving in first-episode psychosis (FEP) is challenging. Although family interventions in FEP are effective, relatively few caregivers access them, and most do not directly address caregivers' own mental health needs. Digital interventions present a novel opportunity to support individual caregiver well-being.</p><p><strong>Aims: </strong>This study evaluated the feasibility, acceptability, and preliminary benefits of Altitudes, a blended digital health intervention for FEP caregivers.</p><p><strong>Methods: </strong>Participants engaged in a 6-month trial of the Altitudes platform, which features psychoeducation, therapy content, and social networking. Caregivers completed assessments at baseline, mid-treatment (3 months), and post-treatment (6 months). Feasibility was measured by engagement and retention rates; acceptability was evaluated through user experience questionnaires. Exploratory outcomes included distress, self-compassion, loneliness, experiences of caregiving, and expressed emotion.</p><p><strong>Results: </strong>Caregivers found the intervention highly acceptable, with high retention and sustained engagement in the platform's human support elements. At follow-up, caregivers reported lower distress, increased compassionate self-responding, increased positive caregiving experiences, and reduced loneliness. All effects had wide confidence intervals, warranting cautious interpretation.</p><p><strong>Conclusions: </strong>Altitudes is a feasible and acceptable digital intervention for FEP caregivers and may benefit multiple domains of caregiver mental health. Future research is needed to support its effectiveness and strengthen long-term engagement.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-16"},"PeriodicalIF":3.5,"publicationDate":"2026-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041357","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":"A pragmatic review of the applicability of existing digital navigator training programs to healthcare settings.","authors":"Mason Granof, Kathryn Ledley, Winna Xia, Keris Jän Myrick, John Torous","doi":"10.1080/09638237.2026.2732871","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732871","url":null,"abstract":"<p><strong>Background: </strong>The rapid integration of technology into healthcare led to the creation of the \"Digital Navigator\" role to support patient uptake of digital health tools. The need for this role is particularly acute in mental health care, where digital tools show promise but patient engagement is low without human support and people with serious mental illness face disproportionate barriers to digital inclusion. However, as no survey of active trainings for this role yet exists, our team assessed existing programs to determine the challenges and opportunities for sustainably integrating this training into healthcare, including mental health settings.</p><p><strong>Aims: </strong>To determine whether these training programs are applicable to digital navigators operating in healthcare settings (including mental health care) by answering the following questions: (1) What do these programs offer in terms of healthcare-relevant content and teaching materials? (2) How are trainees evaluated within these programs? (3) How are these programs accessed and delivered?</p><p><strong>Methods: </strong>A pragmatic search on 6 August 2025, was conducted for programs using the first 5 pages of Google, querying ChatGPT, and referring to the National Digital Inclusion Alliance guide.</p><p><strong>Results: </strong>Our search found 38 unique results, 29 of which were excluded (Appendix B). While all 9 trainings surveyed covered technological support, fewer covered health-care-specific competencies, and only one included trainer-led evaluation of soft skills. Qualitative summaries of all 9 programs are in Appendix C.</p><p><strong>Conclusions: </strong>We indicate several directions for improving the applicability and sustainability of these programs within mental healthcare, including evaluation of soft skills through roleplay, training durable troubleshooting skills, utilizing Large Language Models for asynchronous training, leveraging existing volunteer pipelines and upskilling healthcare staff.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":3.5,"publicationDate":"2026-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149041402","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":"The antecedents, challenges and benefits of an autism self-diagnosis.","authors":"Steven D Stagg, Anna Sobiechowski","doi":"10.1080/09638237.2026.2732894","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732894","url":null,"abstract":"<p><strong>Background: </strong>An increasing number of adults are self-diagnosing with autism spectrum disorder. While this may be a first step to obtaining a formal diagnosis, little is known about the motivations behind self-diagnosis or whether individuals pursue a formal diagnosis.</p><p><strong>Aims: </strong>The study sought to determine why individuals come to regard themselves as autistic, their experiences of seeking a diagnosis and whether self-diagnosis has benefits.</p><p><strong>Methods: </strong>This study collected data from 130 self-diagnosed adults who had not yet obtained a formal diagnosis. Questionnaire responses and free-text comments were analysed using qualitative content analysis.</p><p><strong>Results: </strong>Initial motivation for self-diagnosis stemmed from encouragement from friends, family or identifying with traits exhibited by autistic celebrities. Most participants desired a formal diagnosis, but lengthy waiting lists and perceived inadequacies in healthcare were significant deterrents. Participants reported that self-diagnosis was largely positive, facilitating occupational and educational adaptations and fostering personal compassion. Ten per cent of participants did not wish to pursue a formal diagnosis, though many who desired a diagnosis faced obstacles in securing one.</p><p><strong>Conclusion: </strong>The study's findings provide insight into the process of self-diagnosis, including how individuals arrive at a self-diagnosis and whether they subsequently pursue a formal diagnosis.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149018265","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":"Providing advice and support for financial and social welfare-related challenges adapted to the needs of people experiencing mental ill health: a qualitative evaluation of the Money and Mental Health (MAMH) service in Kent, England.","authors":"Harris Kaloudis, Huihui Song, Timothy Wilson, Emma Halliday, Ben Barr, Emma Coombes","doi":"10.1080/09638237.2026.2732873","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732873","url":null,"abstract":"<p><strong>Background: </strong>Financial difficulties and mental ill health are closely associated. Evidence on specialist financial and welfare-related advice and support services for people engaging with mental health services in the UK is limited. This study reports findings from the qualitative component of a mixed-methods evaluation of the Money and Mental Health (MAMH) service.</p><p><strong>Aims: </strong>To examine how the MAMH service supports referred clients, and the factors that influence its impact.</p><p><strong>Methods: </strong>Semi-structured interviews with fourteen MAMH clients and two focus groups with nine MAMH caseworkers thematically analysed.</p><p><strong>Results: </strong>Engagement with the service was associated with reported improvements in client mental health, including suicide prevention, and reduced psychological distress and anxiety particularly when these were linked to financial matters. Central to its impact was the service's delivery model of intensive, relational casework which included a single dedicated caseworker; flexible, \"wraparound\" practical advice and support; an open-ended timeframe of support; supporting client engagement and action-taking; and attunement to clients' emotional needs.</p><p><strong>Conclusions: </strong>The MAMH service provided effective support to people using mental health services by addressing social determinants of mental health. The service's delivery model offers one blueprint for adapting advice and support services so that they effectively complement mental health services.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-09-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149026386","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":"Self-esteem mediates the relationship between psychological distress and exercise addiction in Italian adults: a cross-sectional study.","authors":"Lekgobo Masake, Paolo Soraci, Robert Podstawski, Renato Pisanti, Attila Szabo","doi":"10.1080/09638237.2026.2732875","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732875","url":null,"abstract":"<p><strong>Background: </strong>Regular physical activity yields both physical and mental benefits. However, excessive and compulsive exercise can lead to maladaptive behaviours known as exercise addiction (EA). This condition has been studied in over 1,000 published empirical articles, yet it still lacks official clinical diagnostic criteria.</p><p><strong>Aims: </strong>Exercise addiction is linked to psychological distress and has complex relationships with self-esteem, being both positively and negatively associated. Nevertheless, the role of self-esteem in the connection between psychological distress and EA remains unclear.</p><p><strong>Methods: </strong>This cross-sectional study involved 350 Italian adults (62% female; M = 34.17, SD = ±11.06) and used validated measures of exercise addiction, psychological distress, and self-esteem. Data analysis consisted of mediation analysis with structural equation modelling.</p><p><strong>Results: </strong>Results showed that psychological distress was strongly and negatively related to self-esteem, which in turn negatively predicted EA, unveiling a full mediation model. The direct influence of psychological distress on EA was not statistically significant, emphasizing the key role of self-esteem. Gender differences emerged, with men reporting higher EA scores than women, whereas age was not significantly associated.</p><p><strong>Conclusion: </strong>These findings clarify mental processes underlying EA by demonstrating that self-esteem is a crucial factor to consider in prevention and treatment efforts.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149017981","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":"The moderating role of self-compassion in the relationship between depressive symptoms and rumination in community-dwelling older adults.","authors":"Yusuf Arslankılıç, Yasemin Çekiç","doi":"10.1080/09638237.2026.2732888","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732888","url":null,"abstract":"<p><strong>Background: </strong>There is a reciprocal cycle between rumination and depression. However, understanding of the role of self-compassion in the relationship between depressive symptoms and rumination remains limited.</p><p><strong>Aim: </strong>To examine the moderating role of self-compassion in the relationship between depressive symptoms and rumination in community-dwelling older adults.</p><p><strong>Methods: </strong>The study was conducted using an analytical cross-sectional design. Data were collected face-to-face from 463 older adults aged 65 years and older between September and November 2024. Data were collected using a descriptive information form, Geriatric Depression-15 Scale, Ruminative Thought Style Questionnaire, and the Self-Compassion Scale-Short Form.</p><p><strong>Results: </strong>Analysis revealed that rumination and self-compassion together explained approximately 41.6% of the variance in depressive symptoms among older adults, that rumination positively predicted depressive symptoms, and that self-compassion negatively predicted depressive symptoms. The interaction effect of ruminative thought style and self-compassion on depressive symptoms was found to be negative and significant.</p><p><strong>Conclusions: </strong>This study showed that when self-compassion was high in older adults, the increasing effect of ruminative thought style on depressive symptoms was weakened. The findings suggest that self-compassion-based interventions implemented by mental healthcare professionals may be beneficial for improving the mental health of older adults who experience depressive symptoms.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":3.5,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012894","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":"Effects of suicide prevention programs on suicidal ideation and attempts in military personnel: a systematic review and meta-analysis.","authors":"Younghoon Kwon, Moonhee Gang","doi":"10.1080/09638237.2026.2732884","DOIUrl":"https://doi.org/10.1080/09638237.2026.2732884","url":null,"abstract":"<p><strong>Background: </strong>Suicide among military personnel is a pervasive and urgent issue.</p><p><strong>Aims: </strong>This study analyzed the effects of suicide prevention programs on suicidal ideation and attempts among military personnel and identified program characteristics associated with greater efficacy.</p><p><strong>Methods: </strong>PsycINFO, PubMed, Web of Science, EMBASE, and Google Scholar were searched for randomized controlled trials involving active-duty or retired military personnel. Fourteen studies were included in the systematic review, and 10 in the meta-analysis. Primary outcomes were suicidal ideation and attempts. Data were analyzed using a random-effects model, with subgroup analyses based on program type, delivery method, and implementation site.</p><p><strong>Results: </strong>Suicide prevention programs significantly reduced suicidal ideation and suicide attempts (Hedges's g = -0.33, 95% CI: -0.62 to -0.03, p = .029; I² = 73). Cognitive behavioral therapy (CBT)-based interventions showed a small effect on ideation (Hedges's g = -0.33) and a moderate effect on attempts (Hedges's g = -0.67). Face-to-face and blended programs were the most effective, whereas non-face-to-face programs were ineffective. Furthermore, military base-based interventions outperformed those at healthcare institutions.</p><p><strong>Conclusions: </strong>Suicide prevention programs, particularly CBT-based and multi-component interventions delivered face-to-face or blended within military units, are effective. Future research should optimize remote strategies and enhance long-term effectiveness.</p><p><strong>Prisma/prospero: </strong>Regarding registration in PROSPERO, while we did attempt the registration for this systematic review, it was ultimately not possible for two primary reasons. First, the PROSPERO registration review at the time we applied prioritized COVID-19-related research. This, therefore, delayed the review process for this study's suicide-related topic. Second, a systematic review protocol with a similar title had already been registered. Consequently, we never received a registration number. Notably, while a similarly titled protocol exists, our study specifically employs a comprehensive meta-analysis approach to address this topic, thus ensuring a distinct methodology.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149012473","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}