Journal of Mental Health最新文献_第5页

Neurofeedback as an intervention in the management of burnout: a systematic review. 神经反馈在职业倦怠管理中的干预作用：系统综述。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-08-01 Epub Date: 2026-03-25 DOI: 10.1080/09638237.2026.2646290

Johanna Beukes, Daniella Patron, Natasha Theron, Sahba Besharati

{"title":"Neurofeedback as an intervention in the management of burnout: a systematic review.","authors":"Johanna Beukes, Daniella Patron, Natasha Theron, Sahba Besharati","doi":"10.1080/09638237.2026.2646290","DOIUrl":"10.1080/09638237.2026.2646290","url":null,"abstract":"Background: Burnout is highly prevalent and impacts health and well-being. A lack of formal diagnosis and definition criteria has resulted in uncertainty regarding measurement and appropriate interventions. Neurofeedback (NF) training has shown potential in modulating patterns of stress and producing neural changes, however, its application to burnout is still in question.Aims: This systematic review aimed to explore the impact of NF training on the management of burnout.Methods: This systematic review was pre-registered on PROSPERO and adhered to the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA).Results: The search yielded a total of N = 178 articles. After screening, a total sample of N = 6 studies was included in the final review that met the study's inclusion and exclusion criteria. Results showed NF training improved negative characteristics associated with burnout, especially when combined with other intervention methods. However, a lack of specificity was found in most study designs and intervention protocols with inconsistent burnout measures and sampling bias.Conclusions: Specific recommendations for the field were identified including consistency in study designs and NF training protocols; definition of burnout and measures used; and increasing sample representations to include diverse populations and contexts.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"523-533"},"PeriodicalIF":3.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515877","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}

引用次数: 0

Addressing eco-distress in psychotherapy: a guideline developed from the thematic analysis of practitioners' experiences in simulation-based training scenarios. 解决心理治疗中的生态困扰：从从业者在模拟培训场景中的经验的专题分析中制定的指南。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-08-01 Epub Date: 2025-12-29 DOI: 10.1080/09638237.2025.2607984

Nadja Gebhardt, Molly Sutcliffe, Hans-Christoph Friederich, Christoph Nikendei

{"title":"Addressing eco-distress in psychotherapy: a guideline developed from the thematic analysis of practitioners' experiences in simulation-based training scenarios.","authors":"Nadja Gebhardt, Molly Sutcliffe, Hans-Christoph Friederich, Christoph Nikendei","doi":"10.1080/09638237.2025.2607984","DOIUrl":"10.1080/09638237.2025.2607984","url":null,"abstract":"Background: Emotional reactions to the ongoing climate crisis, termed eco-distress, eco-anxiety or climate anxiety, are experienced more and more frequently by patients. However, evidence-based recommendations for practitioners on how to deal with eco-distress are scarce. The aim of this study was to provide a guideline for working with eco-distress in counseling and psychotherapy, based on the analysis of practitioners' perspectives.Methods: Three semi-structured in-depth focus group interviews were conducted with n = 23 psychotherapists in training who had taken part in three different scenarios of eco-distress with standardized patients. Transcripts were analyzed from a phenomenological perspective, employing thematic analysis.Findings: Three superordinate themes were identified: (1) \"Necessary Basic Understandings;\" (2) \"Particularities of the Psychotherapeutic Relationship\"; and (3) \"Useful Skills.\" Based on the thematic analysis, a guideline for practitioners was developed.Implications: The presented guideline can inform current practice and form a basis for the development of trainings on dealing with eco-distress. It enables practitioners to familiarize themselves with the specific aspects of dealing with eco-distress in counseling and psychotherapy and to integrate these into their existing competencies.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"433-443"},"PeriodicalIF":3.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145851102","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}

引用次数: 0

Key patient characteristics for the acknowledgement of patient heterogeneity in economic evaluations in severe mental illness: a Delphi consensus exercise. 在严重精神疾病的经济评估中承认患者异质性的关键患者特征：德尔菲共识练习。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-08-01 Epub Date: 2026-03-25 DOI: 10.1080/09638237.2026.2645543

Gemma E Shields, Tracey Farragher, Linda M Davies, Arpana Verma, Jamie J Kirkham, Dagmar Makara, Paul Clarkson

{"title":"Key patient characteristics for the acknowledgement of patient heterogeneity in economic evaluations in severe mental illness: a Delphi consensus exercise.","authors":"Gemma E Shields, Tracey Farragher, Linda M Davies, Arpana Verma, Jamie J Kirkham, Dagmar Makara, Paul Clarkson","doi":"10.1080/09638237.2026.2645543","DOIUrl":"10.1080/09638237.2026.2645543","url":null,"abstract":"Background: Patient heterogeneity is defined as variation across people, explainable by their characteristics. Heterogeneity in the population with severe mental illness (SMI) is highly relevant. Economic evaluations commonly use population averages, which do not account for patient heterogeneity.Aims: To identify patient characteristics that should be considered for inclusion in economic evaluations in SMI.Methods: SMI researchers working in the UK were recruited via email. Recruitment took a purposive and snowball sampling approach. The first and second surveys were completed individually online with a consensus threshold set at ≥75%. The final stage to finalise consensus comprised a ranking task and an online meeting to prioritise the list of patient characteristics.Results: The consensus exercise identified 28 characteristics to account for patient heterogeneity. A prioritised list of ten key characteristics was also produced and included age, socioeconomic status, ethnicity, symptom types and severity, diagnosis, gender identity and/or sex registered at birth, baseline health and/or quality of life, adverse childhood experiences, support network and comorbidities.Conclusions: This list helps researchers identify, a priori, key patient characteristics. Studies are needed to validate the findings of the consensus exercise with data collection and analysis. We acknowledge that feasibility constraints may affect research.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"444-454"},"PeriodicalIF":3.5,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147515925","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}

引用次数: 0

Peer-led group support: an umbrella review across physical and mental health conditions. 同伴领导的团体支持：对身心健康状况的综合审查。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-24 DOI: 10.1080/09638237.2026.2695015

Fareeda Abo-Rass, Ora Nakash, Liz Friedman, Peggy O'Neill, Maria E Torres

{"title":"Peer-led group support: an umbrella review across physical and mental health conditions.","authors":"Fareeda Abo-Rass, Ora Nakash, Liz Friedman, Peggy O'Neill, Maria E Torres","doi":"10.1080/09638237.2026.2695015","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695015","url":null,"abstract":"Background: Peer-led support interventions in group settings have emerged as a cost-effective alternative to traditional interventions for individuals with various conditions and can improve patient outcomes, reduce healthcare costs, and enhance self-management and self-efficacy.Aim: This umbrella review aims to synthesize and evaluate the evidence on the effectiveness, implementation, and outcomes of group peer support led solely by peers across any physical and/or mental health conditions.Methods: Systematic reviews, meta-analyses, and scoping reviews were identified through comprehensive searches of PubMed, PsycINFO, CINAHL, and Web of Science. Only review studies focusing on peer-led group support were included.Results: Five reviews examining the effectiveness and implementation of peer-led group support interventions were identified, conducted primarily in the USA, involving mostly adults. The reviews indicated that peer-led group support can enhance personal recovery and psychosocial outcomes, though its impact on clinical symptoms remains inconclusive. There was a lack of detailed information about implementation and settings, and ambiguity in intervention definitions and minimal information on peer facilitator training. Common elements such as educational activities, emotional support, and shared experiences were reported.Conclusions: Peer-led group support shows promise in enhancing personal recovery and psychosocial outcomes. Standardized definitions and rigorous reporting are needed.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-17"},"PeriodicalIF":3.5,"publicationDate":"2026-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148580607","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}

引用次数: 0

Characteristics of fifth-grade students who self-identify a need for mental health care. 自认为需要心理保健的五年级学生的特征。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-21 DOI: 10.1080/09638237.2026.2695960

Samira Soleimanpour, Melissa Saphir, Christina Agostino, Sara Geierstanger

{"title":"Characteristics of fifth-grade students who self-identify a need for mental health care.","authors":"Samira Soleimanpour, Melissa Saphir, Christina Agostino, Sara Geierstanger","doi":"10.1080/09638237.2026.2695960","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695960","url":null,"abstract":"Objective: Children can reliably identify their mental health needs, yet research on characteristics of children who self-identify a need for care is limited. This study examined demographic, mental health, and protective factors associated with fifth-grade students' self-identification of mental health care need, using data from the 2024-2025 California Healthy Kids Survey (N = 19,132 students).Methods: Multivariable logistic regression models with restricted cubic splines were used to examine nonlinear associations between self-identified need for care and negative emotions, victimization experiences, and parental involvement.Results: A need for mental health care was self-identified by 39% of study participants. Females were more likely and Asian/Pacific Islander youth were less likely than their peers to self-identify a need for care. Unadjusted and adjusted odds of self-identifying a need increased significantly with increasing frequency of negative emotions. The adjusted association with victimization was non-linear, with participants with moderate and high levels most likely to identify a need for care. The adjusted association with parent involvement in school was weakly negative.Conclusion: Future research should evaluate whether a brief question assessing need can serve as a valid and reliable initial indicator to identify children who may benefit from further screening and support.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":3.5,"publicationDate":"2026-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148550956","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}

引用次数: 0

The effect of perceived parental psychological control on adolescents' depressive symptoms: the chain mediating role of parent-child conflict frequency and negative emotions. 父母心理控制感知对青少年抑郁症状的影响：亲子冲突频率与负面情绪的连锁中介作用

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-11 DOI: 10.1080/09638237.2026.2695954

Yingying Jin, Wan Ding, Xiaolu Shao, Mengxue Fang, Ruibo Xie

{"title":"The effect of perceived parental psychological control on adolescents' depressive symptoms: the chain mediating role of parent-child conflict frequency and negative emotions.","authors":"Yingying Jin, Wan Ding, Xiaolu Shao, Mengxue Fang, Ruibo Xie","doi":"10.1080/09638237.2026.2695954","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695954","url":null,"abstract":"Background: Previous studies have primarily examined the impact of parental psychological control on adolescent depressive symptoms from either family interaction or emotional perspectives, often considering these factors separately and overlooking their potential interplay.Aims: This study examined how parent-child conflict frequency and negative emotions mediate parental psychological control's effects on adolescent depressive symptoms, alongside parental gender differences.Methods: A two-wave longitudinal design was employed. Data were collected from 1774 junior high school students at two timepoints with a one-year interval.Results: (1) Perceived maternal psychological control directly predicted adolescent depressive symptoms. (2) Father-child conflict frequency significantly mediated paternal control's effect on depressive symptoms, while maternal control's mediation was marginal; mother-child conflict frequency showed no mediation. Negative emotions significantly mediated maternal control's effect. (3) Maternal control influenced depressive symptoms sequentially through mother-child conflict and negative emotions, whereas paternal control exhibited no such pathway.Conclusions: These findings underscore parent-child conflict reduction and negative emotion regulation as critical interventions for alleviating adolescent depressive symptoms, highlighting the unique role of maternal psychological control. The results advance targeted strategies for adolescent mental health promotion.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-13"},"PeriodicalIF":3.5,"publicationDate":"2026-07-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425518","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}

引用次数: 0

Recovery trajectories across intensive psychiatric settings: a multivariate analysis characterized by baseline profiles. 康复轨迹跨越密集精神病学设置：一个多变量分析特征的基线概况。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-09 DOI: 10.1080/09638237.2026.2695014

Refael Yonatan-Laus, Avraham Freidlander, Dana Sinai, Pesach Lichtenberg, Mark Weiser, Asaf Caspi, Dana Elberg, Dana Tzur Bitan

{"title":"Recovery trajectories across intensive psychiatric settings: a multivariate analysis characterized by baseline profiles.","authors":"Refael Yonatan-Laus, Avraham Freidlander, Dana Sinai, Pesach Lichtenberg, Mark Weiser, Asaf Caspi, Dana Elberg, Dana Tzur Bitan","doi":"10.1080/09638237.2026.2695014","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695014","url":null,"abstract":"Background: Understanding recovery variability in intensive psychiatric care is crucial, as variable-centered analyses often obscure individual differences.Aims: This study aimed to identify distinct recovery trajectories among adults in intensive psychiatric care settings and assess whether treatment modality or patient characteristics could predict trajectory membership.Methods: We used a KML3D machine-learning approach to analyze longitudinal data from 169 adults across three acute care settings: inpatient hospitalization, Soteria homes, and tech-assisted home care. Recovery was modeled across five outcome measures (symptomatology, functioning, quality of life), and a random forest model assessed predictors of trajectory membership.Results: Two distinct trajectories were identified: \"Persistent Challenges\" (54.4%) and \"Accelerated Recovery\" (45.6%). The \"Persistent Challenges\" group had more severe baseline presentations and improved slowly, while the \"Accelerated Recovery\" group started with minor-to-moderate severity and improved faster. Treatment modality and other predictors showed no meaningful relationship with recovery trajectory membership (kappa = 0.17, AUC = 0.67).Conclusions: Higher multidimensional baseline severity predicted more challenging recovery courses. The lack of predictive power for treatment modality supports the viability of hospitalization alternatives and highlights the value of multidimensional assessment in intensive psychiatric care settings.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-07-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148425575","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}

引用次数: 0

Experience of recovery-oriented group music therapy for psychiatry service users with severe and enduring mental illness: a preliminary mixed-methods study. 以康复为导向的团体音乐治疗对重度和持续性精神疾病精神科服务使用者的经验：一项混合方法的初步研究。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-08 DOI: 10.1080/09638237.2026.2695972

Peter Murphy, Ruadh Kelly-Harrington, Mary G Killion, Tríona McCaffrey, Jenny Groarke, Ronan De Burca

{"title":"Experience of recovery-oriented group music therapy for psychiatry service users with severe and enduring mental illness: a preliminary mixed-methods study.","authors":"Peter Murphy, Ruadh Kelly-Harrington, Mary G Killion, Tríona McCaffrey, Jenny Groarke, Ronan De Burca","doi":"10.1080/09638237.2026.2695972","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695972","url":null,"abstract":"Background: Music therapy has been shown to maintain well-being, aid mental health recovery, and improve outcomes in psychiatric conditions. However, it is not generally offered in public psychiatry services in Ireland.Aims: This study aimed to explore the experiences of a recovery-oriented group music therapy programme for psychiatry service users (SUs) with severe and enduring mental illness.Methods: Ten weekly sessions of group music therapy were provided to SUs. Quantitative measures were collected at pre-, mid-, and post-intervention (Meaning in Life, Short Warwick-Edinburgh Mental Wellbeing Scale, and Patient Health Questionnaire). SUs were interviewed about their experience post-intervention. Qualitative data were analysed using thematic analysis.Results: Eighteen SUs participated across three centres. Quantitative tests found no statistically significant differences pre- and post-intervention. Qualitative analysis identified five themes within SU interviews relating to a sense of connection, music as emotional expression and a form of communication, joy and relaxation, learning and growth and challenges such as triggering unpleasant memories.Conclusions: Quantitative results utilised a small sample and were contextual; however, the qualitative results provided preliminary evidence that music therapy was perceived as beneficial by SUs. Group music therapy has the potential to aid recovery for SUs with severe and enduring mental illness.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":3.5,"publicationDate":"2026-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148413302","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}

引用次数: 0

Unseen and underserved: the first multifactorial assessment of mental health among Paraguayan male prisoners. 看不见和服务不足：巴拉圭男性囚犯心理健康的第一次多因素评估。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-02 DOI: 10.1080/09638237.2026.2695016

Julio Torales, Gladys Estigarribia, Iván Barrios, Diego Amarilla, Raúl Arzate, Andrea García, Patricia Fretes, Patricia Ríos-Mujica, Marcelo O'Higgins, Anne Aboaja, Michael Liebrenz, Alexander Smith, João Mauricio Castaldelli-Maia, Antonio Ventriglio

{"title":"Unseen and underserved: the first multifactorial assessment of mental health among Paraguayan male prisoners.","authors":"Julio Torales, Gladys Estigarribia, Iván Barrios, Diego Amarilla, Raúl Arzate, Andrea García, Patricia Fretes, Patricia Ríos-Mujica, Marcelo O'Higgins, Anne Aboaja, Michael Liebrenz, Alexander Smith, João Mauricio Castaldelli-Maia, Antonio Ventriglio","doi":"10.1080/09638237.2026.2695016","DOIUrl":"https://doi.org/10.1080/09638237.2026.2695016","url":null,"abstract":"Background: This study provides the analysis of mental health among incarcerated men in Paraguay from a representative sample of 621 adult prisoners in two major penitentiaries.Aims: To assess the prevalence and correlates of psychiatric symptoms, suicide risk, and substance use among incarcerated men, and their associations with sociodemographic, penal, and health-related factors.Methods: We employed the Symptom Checklist-90-R (SCL-90-R), the Columbia-Suicide Severity Rating Scale (C-SSRS Screener), and the MULTICAGE CAD-4 for alcohol and substance use. We assessed the prevalence and statistical associations between psychiatric symptoms and relevant variables.Results: Findings revealed substantial levels of psychoticism (28.2%) and phobic anxiety (25.4%). Specifically, nearly one in five participants exhibited suicide risk (19.5%), and problematic drug and alcohol use were identified in 57.0% and 44.9% of users, respectively. Statistically significant associations were observed between SCL-90-R symptom dimensions and variables including suicide risk, prior mental health diagnoses, substance use, and access to treatment. Symptom severity was also associated with pre-incarceration socioeconomic vulnerability and legal status.Conclusion: The results underline the need for early psychiatric screening, care pathways, and integrated carceral mental health systems to address psychiatric morbidity among incarcerated men in Paraguay.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-12"},"PeriodicalIF":3.5,"publicationDate":"2026-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148370212","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}

引用次数: 0

The practical relevance of WHODAS self-ratings in non-aggressive community dwelling individuals with psychotic spectrum disorders. WHODAS自我评分在精神病谱系障碍非攻击性社区居民中的实际意义。

IF 3.5 4区医学

Journal of Mental Health Pub Date : 2026-07-01 DOI: 10.1080/09638237.2026.2695963

Malin V Källman, Mathilde Hedlund Lindberg, Marianne Kristiansson, Anette G M Johansson

{"title":"The practical relevance of WHODAS self-ratings in non-aggressive community dwelling individuals with psychotic spectrum disorders.","authors":"Malin V Källman, Mathilde Hedlund Lindberg, Marianne Kristiansson, Anette G M Johansson","doi":"10.1080/09638237.2026.2695963","DOIUrl":"10.1080/09638237.2026.2695963","url":null,"abstract":"Background: Everyday functioning and symptom reduction are rehabilitation goals for individuals with psychotic spectrum disorders (PSD). Self-rating of the World Health Organization Disability Assessment Schedule 2.0 (WHODAS) may provide insights into individuals' perspectives on their disabilities but researchers have questioned the value of self-ratings in individuals with PSD.Aim: To explore how individuals with PSD in outpatient psychiatric care reason when self-rating their disabilities on WHODAS to determine the value of doing self-ratings.Methods: Twenty community dwelling individuals diagnosed with schizophrenia or schizoaffective disorder completed the 36-item WHODAS while being interviewed using concurrent probing. Deductive content analysis was performed, while supplementary questions were analysed inductively.Results: Most individuals showed difficulties in responding in expected ways to the questions. Three themes were identified: Poor language comprehension, Difficulties in processing and responding, and Rating issues related to time, context and experience Difficulties were observed across all WHODAS items. A positive theme concerning Meaning-making emerged.Conclusion: Findings suggest that self-rating WHODAS by community dwelling individuals with PSD pose challenges related to language interpretation, attention, contextual framing, emotional engagement and possible cognitive impediments. It is recommended to use WHODAS self-ratings as a tool for dialogue, and contextual understanding, supporting self-reflection, and patient participation.","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-10"},"PeriodicalIF":3.5,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148363177","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}

引用次数: 0