Journal of Mental Health最新文献

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Effectiveness of a co-produced peer group for borderline personality disorder: connection and recovery. 共同产生的同伴群体对边缘型人格障碍的有效性:联系与恢复。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-05-22 DOI: 10.1080/09638237.2026.2672345
Dianna R Bartsch, Jessica A Giles, Nicola J Tomlinson, Laura Cooke-O'connor
{"title":"Effectiveness of a co-produced peer group for borderline personality disorder: connection and recovery.","authors":"Dianna R Bartsch, Jessica A Giles, Nicola J Tomlinson, Laura Cooke-O'connor","doi":"10.1080/09638237.2026.2672345","DOIUrl":"https://doi.org/10.1080/09638237.2026.2672345","url":null,"abstract":"<p><strong>Background: </strong>The co-production of peer groups alongside people with lived experience of complex mental health challenges may enhance engagement and support recovery. Few studies examine this approach among people with borderline personality disorder.</p><p><strong>Aims: </strong>To evaluate the acceptability, appropriateness, and effectiveness of a 10-week co-produced peer group for people with borderline personality disorder.</p><p><strong>Methods: </strong>Participants provided informed consent and completed assessments of recovery, mental health confidence, belonging, and personality functioning at baseline, group completion, and 3-month follow-up. Group acceptability and appropriateness were rated anonymously. Analysis accounted for changes to modality (face-to-face and online) necessitated during the pandemic.</p><p><strong>Results: </strong>Linear mixed-effects regression modelling was utilized to examine participant (<i>N</i> = 51) outcomes. Small to moderate improvements were observed across most recovery domains, mental health confidence, belonging and personality functioning between baseline and post-group. Improvements in clinical recovery occurred post-group for those in the online modality. Across both modalities confidence in coping was significantly different at 3-month follow-up compared to baseline. At 3-month follow-up, personality functioning outcomes remained significantly different from baseline. The group's appropriateness and acceptability were rated above average.</p><p><strong>Conclusions: </strong>A co-produced peer group for people with borderline personality disorder was appropriate and demonstrated gains across recovery domains.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-11"},"PeriodicalIF":3.2,"publicationDate":"2026-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989528","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
Medication adherence, cannabis use, and depressive symptoms in first-episode psychosis: longitudinal study. 首次发作精神病的药物依从性、大麻使用和抑郁症状:纵向研究
IF 3.5 4区 医学
Journal of Mental Health Pub Date : 2026-05-21 DOI: 10.1080/09638237.2026.2672339
Valerio Ricci, Alessandro Sarni, Thomas Fraccalini, Giuseppe Maina
{"title":"Medication adherence, cannabis use, and depressive symptoms in first-episode psychosis: longitudinal study.","authors":"Valerio Ricci, Alessandro Sarni, Thomas Fraccalini, Giuseppe Maina","doi":"10.1080/09638237.2026.2672339","DOIUrl":"10.1080/09638237.2026.2672339","url":null,"abstract":"<p><strong>Background and objectives: </strong>Medication non-adherence and cannabis use represent significant challenges in treating first-episode psychosis (FEP). This study examines interrelationships among medication adherence, cannabis use, and depressive symptoms in FEP patients over nine months.</p><p><strong>Methods: </strong>Sixty-six participants with FEP (aged 18-45) without severe comorbid substance use disorders (except cannabis) from psychiatric services in northern Italy were assessed at baseline, three months, and nine months using standardized measures including the Medication Adherence Rating Scale (MARS), Positive and Negative Syndrome Scale (PANSS), Calgary Depression Scale for Schizophrenia (CDSS), and Scale for Suicide Ideation (SSI). Cannabis use was assessed through self-reports and urine toxicology. Longitudinal trajectories were examined using mixed-effects models and cross-lagged panel analyses.</p><p><strong>Results: </strong>Participants with lower MARS scores showed significantly higher depression scores. Cannabis use at baseline predicted lower adherence at three months (<i>β</i> = -0.31, <i>p</i> = 0.008), while baseline adherence predicted lower depression at three months (<i>β</i> = -0.24, <i>p</i> = 0.018). Cross-lagged analyses revealed bidirectional relationships between adherence and depression. Baseline predictors of poor adherence included baseline depression (OR = 1.89), cannabis use (OR = 2.15), and medication side effects (OR = 1.76).</p><p><strong>Conclusions: </strong>Bidirectional relationship exists between medication adherence and depressive symptoms in FEP, creating potential negative cycle. Early screening and integrated interventions addressing adherence and mood may improve outcomes.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-14"},"PeriodicalIF":3.5,"publicationDate":"2026-05-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147989512","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
From symptoms to spectra: testing the hierarchical taxonomy of psychopathology structure and its relation to functional outcomes. 从症状到频谱:测试精神病理结构的层次分类及其与功能结果的关系。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-05-20 DOI: 10.1080/09638237.2026.2672343
Manuel Sanchez-Garcia, O M Lozano, Gina Rossi, Ana De la Rosa-Cáceres, Carmen Díaz-Batanero
{"title":"From symptoms to spectra: testing the hierarchical taxonomy of psychopathology structure and its relation to functional outcomes.","authors":"Manuel Sanchez-Garcia, O M Lozano, Gina Rossi, Ana De la Rosa-Cáceres, Carmen Díaz-Batanero","doi":"10.1080/09638237.2026.2672343","DOIUrl":"https://doi.org/10.1080/09638237.2026.2672343","url":null,"abstract":"<p><strong>Background: </strong>Mental disorders are highly prevalent and frequently comorbid, contributing to substantial functional impairment and reduced quality of life. The Hierarchical Taxonomy of Psychopathology provides a dimensional, empirically derived framework that organizes psychopathology hierarchically, addressing limitations of traditional categorical nosologies.</p><p><strong>Aims: </strong>Examine (1) the latent structure of HiTOP using dimensional measures aligned with the model, and (2) associations between hierarchical dimensions and functional outcomes, including global functioning and personality functioning.</p><p><strong>Methods: </strong>1085 participants from community (<i>n</i> = 742) and clinical (<i>n</i> = 343) samples completed measures assessing internalizing, externalizing, detachment, and thought disorder domains, as well as functional impairment (WHODAS 2.0) and personality functioning (LPFS-BF 2.0).</p><p><strong>Results: </strong>Confirmatory factor analyses supported unidimensionality of individual HiTOP factors, and a hierarchical model indicated robust higher-order spectra and a general <i>p</i>-factor. Associations with external outcomes increased across hierarchical levels, with internalizing spectra and the <i>p</i>-factor showing the strongest correlations with functional and personality impairment. Self-functioning was more closely linked to internalizing and detachment dimensions, whereas interpersonal functioning related primarily to externalizing processes.</p><p><strong>Conclusions: </strong>These findings provide empirical support for HiTOP's hierarchical structure and highlight its clinical utility for predicting real-world functional outcomes, underscoring the importance of transdiagnostic, dimensional approaches in assessment and intervention.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"1-14"},"PeriodicalIF":3.2,"publicationDate":"2026-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147976527","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
A qualitative study of the responsibilities and unmet needs of carers of persons with severe mental health challenges. 对具有严重精神健康挑战的人的照顾者的责任和未满足的需要进行定性研究。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2025-09-16 DOI: 10.1080/09638237.2025.2558501
Anton N Isaacs, Sharon Lawn, Caroline Lambert, Anna Dyer
{"title":"A qualitative study of the responsibilities and unmet needs of carers of persons with severe mental health challenges.","authors":"Anton N Isaacs, Sharon Lawn, Caroline Lambert, Anna Dyer","doi":"10.1080/09638237.2025.2558501","DOIUrl":"10.1080/09638237.2025.2558501","url":null,"abstract":"<p><strong>Background: </strong>Community care for persons with severe mental health challenges [SMHC] is typically provided by family members or relatives who are referred to as carers or caregivers. Identifying carer needs and suggestions for support is therefore critical to the enhancement of community care for such individuals.</p><p><strong>Aim: </strong>This study aimed to explore the responsibilities and unmet needs of carers of persons with SMHC.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with carers of persons with severe mental health challenges. Data were analysed thematically.</p><p><strong>Results: </strong>Fourteen carers were interviewed for the study. Twelve of them (86%) cared for their own adult children and 8 (57%) had been in the caring role for over 10 years. Five categories emerged from the data. They were: (1) The responsibility for caring falls on the carer, (2) Caring is exhausting work, (3) Carers are secondary consumers, (4) Carers have specific needs and (5) What carers want.</p><p><strong>Conclusion: </strong>Family carers have no reasonable alternative but to take over the responsibility of caring. Caring is exhausting work and carers struggle to cope with the challenges of caring to the point where they become mentally unwell themselves. Therefore, carers need to be treated as secondary consumers.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"163-173"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145076457","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
Exercise and life satisfaction: the case of Parkrun. 运动与生活满意度:以Parkrun为例。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2025-12-30 DOI: 10.1080/09638237.2025.2607992
Martin Guha
{"title":"Exercise and life satisfaction: the case of Parkrun.","authors":"Martin Guha","doi":"10.1080/09638237.2025.2607992","DOIUrl":"10.1080/09638237.2025.2607992","url":null,"abstract":"","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"147-150"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145866081","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
Burnout among healthcare workers in Ghana: the role of psychosocial work environment in occupational well-being. 加纳卫生保健工作者的职业倦怠:心理社会工作环境在职业福祉中的作用。
IF 3.5 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2026-03-20 DOI: 10.1080/09638237.2026.2645549
Francis Agyei, Pious Affum, Doris Ofosuah Amoah, Bridget Lariba Apiiyah, Beatrice Teni Anane, Nicholas Danso, Christiana Agyeiwaa, Samuel Bikansani Kando, Perfect Aseye Yabani
{"title":"Burnout among healthcare workers in Ghana: the role of psychosocial work environment in occupational well-being.","authors":"Francis Agyei, Pious Affum, Doris Ofosuah Amoah, Bridget Lariba Apiiyah, Beatrice Teni Anane, Nicholas Danso, Christiana Agyeiwaa, Samuel Bikansani Kando, Perfect Aseye Yabani","doi":"10.1080/09638237.2026.2645549","DOIUrl":"10.1080/09638237.2026.2645549","url":null,"abstract":"<p><p>Burnout among healthcare workers is a growing concern worldwide, adversely affecting job satisfaction, performance, and well-being. Understanding the prevalence and psychosocial work-related factors that contribute to burnout is essential for designing effective interventions. We assessed the prevalence of burnout and examined psychosocial work environment factors as predictors among healthcare workers in Ghana. A cross-sectional design was used with 462 health workers from 14 healthcare facilities in three regions of Ghana (mean age = 34.05, SD = 5.62; 51.1% female). Descriptive statistics and regression modelling were used to analyse the data. Results shows that 33.3% reported moderate to high occupational exhaustion, 55.9% moderate to high depersonalization, and 95.2% low personal accomplishment. Job autonomy and control was associated with lower exhaustion and depersonalization and higher personal accomplishment. Workload and emotional demands, and performance feedback, were positively associated with exhaustion and depersonalization, while meaningful and skilful work, autonomy, and feedback positively predicted personal accomplishment. Burnout among Ghanaian health workers is high and closely linked to psychosocial work conditions. Interventions enhancing autonomy, managing workload, providing supportive feedback, and promoting emotional resilience are needed to reduce burnout and improve occupational well-being.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"220-229"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147491984","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
Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes. 评估性和性别认同与护理和不良心理健康结果之间关系的相互作用。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2025-11-29 DOI: 10.1080/09638237.2025.2585198
G Thomas Wilson, Gilbert Gimm, Rodman Turpin
{"title":"Assessing sexual and gender identity interaction with the relationship between caregiving and adverse mental health outcomes.","authors":"G Thomas Wilson, Gilbert Gimm, Rodman Turpin","doi":"10.1080/09638237.2025.2585198","DOIUrl":"10.1080/09638237.2025.2585198","url":null,"abstract":"<p><strong>Background: </strong>Caregivers often report high stress levels, which may be associated with adverse mental health. Less is known about adult sexual and gender minority (SGM) caregivers' experienced stress and/or mental health considering they are likely at increased vulnerability to these outcomes due to social stigma, familial estrangement, and discrimination.</p><p><strong>Aims: </strong>We tested relationships between caregiving and adverse mental health and if these associations were modified by SGM identity.</p><p><strong>Methods: </strong>Using 2023 national BRFSS data (<i>n</i> = 32,151) we examined relationships between caregiving and two outcomes: depression and 14+ days with poor mental health, testing effect modification by SGM identity. Regression analyses, using both SGM and caregiving cross-categories and interaction term models were also conducted.</p><p><strong>Results: </strong>Compared to heterosexual non-caregivers, both caregiving and SGM status were associated with greater depression and having 14+ days of poor mental health, with the highest prevalence of depression among transgender caregivers (aPR = 4.05, CI 3.03-5.00), transgender non-caregivers (aPR = 2.80, CI 2.24-3.25), and cisgender gay caregivers (aPR = 2.52, CI 2.01-2.93). Transgender and cisgender gay and bisexual caregivers also had the highest days with poor mental health. Additionally, interaction term models identified effect modification.</p><p><strong>Conclusions: </strong>Disproportionate adverse mental health outcomes exist among caregivers, modified by SGM status. Longitudinal research is needed to understand these mechanisms and related outcomes including substance use and suicidality.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"174-185"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145641309","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
Complex PTSD among persons with serious mental illness receiving community mental health services. 接受社区精神卫生服务的严重精神疾病患者的复杂创伤后应激障碍
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2025-11-21 DOI: 10.1080/09638237.2025.2585203
Weili Lu, Ke Wang, Kim T Mueser, Yuane Jia, Martin Robinson, Krista Rogers, Amanda Siriram, Philip T Yanos, Jeganee Srijeyanthan, Tong Tong, Jennifer Gottlieb, Steven M Silverstein
{"title":"Complex PTSD among persons with serious mental illness receiving community mental health services.","authors":"Weili Lu, Ke Wang, Kim T Mueser, Yuane Jia, Martin Robinson, Krista Rogers, Amanda Siriram, Philip T Yanos, Jeganee Srijeyanthan, Tong Tong, Jennifer Gottlieb, Steven M Silverstein","doi":"10.1080/09638237.2025.2585203","DOIUrl":"10.1080/09638237.2025.2585203","url":null,"abstract":"<p><strong>Background: </strong>Complex PTSD (CPTSD) is often associated with prolonged or repeated trauma exposure and the experience of intimate partner and childhood abuse. CPTSD includes the criteria for PTSD (re-experiencing, avoidance, and sense of threat) in addition to three criteria for self-organization disturbances (affective dysregulation, negative self-concept, and relational disturbance).</p><p><strong>Methods: </strong>This study aimed to assess profiles of CPTSD symptoms and their association with psychiatric distress among people with co-occurring Serious Mental Illness (SMI; schizophrenia/schizoaffective, bipolar, and treatment-refractory major depression). Treatment-seeking participants (<i>N</i> = 307) with SMI and PTSD diagnoses were drawn from two randomized controlled trials. Distinct symptom profiles were assessed using Latent Profile Analysis (LPA).</p><p><strong>Results: </strong>A model with three classes best fit the data with the most parsimonious interpretation: 26.7% (<i>n</i> = 82) in the PTSD class, 43.7% (<i>n</i> = 134) in the CPTSD class, and 29.6% (<i>n</i> = 91) in the CPTSD+ Borderline Personality Disorder (BPD) class. The CPTSD+BPD class showed the highest levels of psychiatric symptoms, followed by the CPTSD and PTSD groups, respectively.</p><p><strong>Conclusions: </strong>The results demonstrate the heterogeneity in symptom presentation across the PTSD classes and that, despite similar diagnoses, individuals may present with varying symptom patterns. This emphasizes the importance of studying CPTSD in subpopulations of persons with SMI.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"279-292"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565945","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
Mental health staff's views and experiences on supporting service users' needs for romantic/intimate relationships: a qualitative systematic review. 精神卫生工作人员对支持服务使用者浪漫/亲密关系需求的看法和经验:定性系统评价
IF 3.5 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2026-03-18 DOI: 10.1080/09638237.2026.2645548
Eunice Wu, Helen Killaspy, Sharon Eager, Aisling Smith O'Connor, Brynmor Lloyd-Evans
{"title":"Mental health staff's views and experiences on supporting service users' needs for romantic/intimate relationships: a qualitative systematic review.","authors":"Eunice Wu, Helen Killaspy, Sharon Eager, Aisling Smith O'Connor, Brynmor Lloyd-Evans","doi":"10.1080/09638237.2026.2645548","DOIUrl":"10.1080/09638237.2026.2645548","url":null,"abstract":"<p><strong>Aims: </strong>Given the importance of intimacy to well-being and recovery, this systematic review aimed to synthesise the available qualitative literature on mental health practitioners' views and experiences of supporting people's needs for romantic/intimate relationships.</p><p><strong>Methods: </strong>We conducted searches on four research publication databases. Quality of studies was assessed using the Joanna Briggs Institute Checklist for Qualitative Research. Results were summarised using meta-aggregation. Confidence in the findings was measured using the ConQual assessment tool.</p><p><strong>Results: </strong>We identified 24 papers which met our inclusion criteria. Four synthesised findings were developed, namely (1) ideas and perceptions surrounding the intimacy needs of service users, (2) service provision at a personal level, (3) fitting intimacy needs into the therapeutic context and (4) service provision at an organisational level. Staff understood the importance of addressing intimacy needs, but voiced a need for improved knowledge, skills and support on how to have such conversations.</p><p><strong>Conclusions: </strong>Our findings can inform mental health policy change and support the development of interventions and guidelines that will enable staff to discuss with service users their needs regarding romantic/intimate relationships.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"260-278"},"PeriodicalIF":3.5,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147476001","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
"I felt like that was a safe place to go": a qualitative study of help-seeking experiences for early psychosis in primary care. “我觉得那是一个安全的地方”:一项关于初级保健中早期精神病患者寻求帮助经历的定性研究。
IF 3.2 4区 医学
Journal of Mental Health Pub Date : 2026-04-01 Epub Date: 2025-12-01 DOI: 10.1080/09638237.2025.2595617
Rebecca Rodrigues, Candice Madakadze, Jordan Edwards, Richard Booth, Suzanne Archie, Lena Palaniyappan, Sarah Chan, Kerri Nagy, Kelly K Anderson
{"title":"\"I felt like that was a safe place to go\": a qualitative study of help-seeking experiences for early psychosis in primary care.","authors":"Rebecca Rodrigues, Candice Madakadze, Jordan Edwards, Richard Booth, Suzanne Archie, Lena Palaniyappan, Sarah Chan, Kerri Nagy, Kelly K Anderson","doi":"10.1080/09638237.2025.2595617","DOIUrl":"10.1080/09638237.2025.2595617","url":null,"abstract":"<p><strong>Background: </strong>Contacts with primary care for early psychosis are common, and there is a need for further insight into help-seeking patterns.</p><p><strong>Aims: </strong>We sought to describe the help-seeking experiences in primary care for people with early psychosis and their caregivers.</p><p><strong>Methods: </strong>Using a qualitative descriptive approach, we recruited 22 clients with first-episode psychosis and 13 caregivers from seven specialized clinics to participate in a semi-structured interview. Interviews were audio recorded, transcribed, and coded thematically using conventional content analysis.</p><p><strong>Results: </strong>Help-seeking experiences in primary care were varied. We identified themes describing client- and caregiver-level challenges and supports: impaired mental state, help-seeking decisions and support, and conflicting cultural beliefs and values (between clients and physicians). We also identified physician-level challenges and supports: physician knowledge (perceived as adequate or inadequate), follow-up (close or lack thereof), and supportive relationship with the client and/or caregiver. Finally, we identified health system-level themes: appointment availability and virtual care (described as insufficient).</p><p><strong>Conclusions: </strong>Interventions to increase help-seeking for early psychosis more broadly may facilitate earlier primary care help-seeking. Primary care physician education, closer follow-up of young people with mental health issues, timely access, and in-person care could improve pathways to care in early psychosis.</p>","PeriodicalId":48135,"journal":{"name":"Journal of Mental Health","volume":" ","pages":"199-207"},"PeriodicalIF":3.2,"publicationDate":"2026-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145655579","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
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