Global Mental Health最新文献

{"title":"Context, implementation and mechanisms of impact of a stepped-care WHO psychological intervention for migrants with psychological distress.","authors":"Beatrice Compri, Giulia Turrini, Marianna Purgato, Richard Bryant, Paula Cristobal, Josep Maria Haro, Raffael Kalisch, Vincent Lorant, David McDaid, Kerry R McGreevy, Roberto Mediavilla, Michela Nosè, A-La Park, Papoula Petri-Romão, Aurélia Roversi, Marit Sijbrandij, Andrea Tortelli, Anke Witteveen, Corrado Barbui","doi":"10.1017/gmh.2025.10024","DOIUrl":"10.1017/gmh.2025.10024","url":null,"abstract":"<p><p>Migrants often experience psychological distress due to pre-, peri- and post-migration stressors. Scalable interventions like Doing What Matters in Times of Stress (DWM) and Problem Management Plus (PM+) have been developed to address these challenges. This study evaluates a stepped-care program combining DWM and PM+ for migrants in Italy, examining its context, implementation, and mechanisms of impact. A mixed-methods process evaluation was conducted alongside a randomized controlled trial (RCT), following the Medical Research Council (MRC) framework. Post-trial qualitative data were collected through individual interviews with intervention participants (n = 10) and stakeholders (n = 10), as well as a focus group with intervention providers (n = 8). Thematic analysis was performed using NVivo. Cultural stigma and practical barriers influenced engagement, while community leaders fostered trust and participation. Interventions were feasible and acceptable. Digital delivery improved accessibility for some but posed challenges for those with low technological literacy or private spaces. The stepped-care approach supported gradual engagement with mental health strategies, enhancing self-care and emotional awareness, while provider relationships were key to sustaining motivation. The stepped-care model alleviated psychological distress and was well-received. Findings underscore the need for cultural sensitivity, digital accessibility and community engagement to optimize migrant mental health support.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e62"},"PeriodicalIF":3.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186560/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486647","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":"Erratum: Rising prevalence of depression and widening sociodemographic disparities in depressive symptoms among Filipino youth: findings from two large nationwide cross-sectional surveys - CORRIGENDUM.","authors":"Joseph H Puyat, Divine L Salvador, Anna C Tuazon, Sanny D Afable","doi":"10.1017/gmh.2025.10019","DOIUrl":"10.1017/gmh.2025.10019","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2025.39.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e55"},"PeriodicalIF":3.3,"publicationDate":"2025-06-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186551/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486649","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":"Face-to-face, confidential and health worker-led: Understanding the preferences for behavioral health services among people with HIV in Lesotho.","authors":"Grace H Yoon, Natalie E Johnson, Moleboheng Mokebe, Palesa Mahlatsi, Malebanye Lerotholi, Niklaus D Labhardt, Nadine Tschumi, Alastair van Heerden, Jennifer M Belus, Irene Falgas-Bague","doi":"10.1017/gmh.2025.10017","DOIUrl":"10.1017/gmh.2025.10017","url":null,"abstract":"<p><p>Behavioral treatments can help people with human immunodeficiency virus (HIV) improve their quality of life and treatment adherence. In Lesotho, where a fifth of adults live with HIV and depression and harmful alcohol use is prevalent among this group, little is known about the local suitability of established behavioral treatment strategies. We explored preferences regarding two strategies evaluated in other settings: involving phones and trusted individuals in treatment. We thematically analyzed 28 semi-structured interviews with potential service users receiving routine HIV care in the Butha-Buthe and Mokhotlong districts. Key concerns included the feasibility of phone-based treatment in rural areas and issues of limited literacy, electricity and network coverage. Others highlighted potential benefits for younger and working individuals for phone-based treatment, preferring calls over texts. Involving trusted individuals in treatment was favored, as this could foster support and accountability. Behavioral issues related to depression and alcohol use were viewed as complex, requiring face-to-face attention from trusted professionals, such as nurses and counselors, who were seen as knowledgeable and capable of maintaining confidentiality. Peer providers were not favored due to privacy concerns. These findings emphasize the need for face-to-face, confidential and health worker-led approaches for integrating behavioral treatment into HIV care in Lesotho.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e61"},"PeriodicalIF":3.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186562/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486650","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":"Adapting the comprehensive assessment of acceptance and commitment therapy processes (CompACT) questionnaire for contextual relevance in Uganda: A comprehensive approach.","authors":"Joseph Mugarura, Khamisi Musanje, Michael E Levine, Ronald Asiimwe, Morris Ndeezi, Simon Kizito, Ross G White, Rosco Kasujja","doi":"10.1017/gmh.2025.10018","DOIUrl":"10.1017/gmh.2025.10018","url":null,"abstract":"<p><p>The global utility of acceptance and commitment therapy highlights the need for adapting measures that can effectively capture the richness of psychological flexibility. One such instrument is the Comprehensive Assessment of Acceptance and Commitment Therapy Processes (CompACT). We translated the CompACT into Luganda and adapted it for use in Uganda. The original CompACT was translated into the Luganda language and reviewed through a series of evaluations. Nine mental health professionals participated in one-on-one interviews, while a focus group of eight culturally competent laypersons provided further insights. Their feedback resulted in revisions to enhance the instrument's clarity, relevance, acceptability and completeness. The revised version was then cognitively tested with <i>n</i> = 25 trainees at Makerere University. Input from these various groups was synthesized and triangulated to develop the final version. A total of 23 items were adapted to improve the comprehensibility and completeness of the scale. Overall, respondents deemed the tool clear and acceptable. This study highlights the importance of a rigorous adaptation process, including translation, expert review, cognitive testing and feedback triangulation, to ensure psychological measures remain valid and relevant across cultures. Such an approach ensures accuracy in diverse contexts and provides a model for adapting psychological instruments for non-Western populations.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e57"},"PeriodicalIF":3.3,"publicationDate":"2025-06-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186557/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486645","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 role of formal social networks in mitigating age-related mental stress among older Nigerians living in poverty: Insights from social capital theory.","authors":"Sunkanmi Folorunsho, Munirat Sanmori, Medinah Suleiman","doi":"10.1017/gmh.2025.10012","DOIUrl":"10.1017/gmh.2025.10012","url":null,"abstract":"<p><p>As Nigeria's aging population increases, older adults living in poverty face growing threats to their psychological well-being. This study examines the role of formal social networks such as government programs, non-governmental organizations and faith-based initiatives in alleviating mental stress, defined as persistent psychological distress characterized by anxiety, loneliness and emotional strain, distinct from clinically diagnosed mental illness. Using Social Capital Theory as a guiding framework, the review explores how bonding, bridging and linking social capital influence the ability of formal networks to reduce financial insecurity, social isolation and health-related vulnerabilities. Traditional family caregiving structures are weakening due to rapid urbanization and economic pressures, leaving many older Nigerians unsupported. Although formal initiatives like the National Social Safety Nets Project exist, their effectiveness is limited by delayed disbursements, poor coordination and cultural stigma surrounding mental health. Strengthening the National Senior Citizens Centre as a coordinating body, expanding culturally relevant community-based care and integrating informal support systems are identified as crucial steps forward. Without such reforms, the continued neglect of this population risks worsening mental health outcomes, straining public health resources, and undermining intergenerational solidarity. This review offers actionable insights for improving older adult-care systems in Nigeria and provides guidance for other low-resource settings confronting similar demographic transitions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e56"},"PeriodicalIF":3.3,"publicationDate":"2025-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186555/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486652","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":"Feasibility and acceptability of community-based psychosocial interventions delivered by nonspecialists for perinatal common mental disorders: A systematic review using an implementation science framework.","authors":"Prasansa Subba, Pragya Shrestha, Atif Rahman, Nagendra Luitel, Ahmed Waqas, Siham Sikander","doi":"10.1017/gmh.2025.10010","DOIUrl":"10.1017/gmh.2025.10010","url":null,"abstract":"<p><p>Task sharing is endorsed as one of the strategies to address the treatment gap in common perinatal mental health conditions. There is a well-established body of evidence on the effectiveness of psychological interventions delivered by nonspecialist health workers (NSHWs); however, there is a dearth of evidence documenting factors determining the feasibility, acceptability and sustainability of integrating and implementing these interventions. This systematic review aims to synthesize the implementation outcomes and implementation process of NSHWs-delivered psychological interventions for the management of perinatal depression and anxiety using Proctor's implementation science framework outlining eight constructs: feasibility, acceptability, appropriateness, adoption, cost, fidelity, penetration and sustainability. We searched PubMed, Web of Science and Cochrane Center Register of Controlled Trials for studies published in English and between 2000 and 2022 using search terms under five broad categories: (a) \"perinatal\"; (b) \"common mental disorders\"; (c) \"psychological interventions\"; (d) \"nonspecialist\" and (e) \"implementation outcomes.\" Secondary publications were also hand-searched for data extraction. Two authors independently reviewed abstracts and full-text articles. Data for included articles were extracted using a standard data extraction sheet. A narrative synthesis of qualitative evidence was conducted. Initial searches identified 885 articles of which full text of 128 articles were screened for eligibility, with 56 studies meeting the inclusion criteria. Out of the eight constructs of Proctor's framework, \"feasibility,\" \"acceptability,\" \"appropriateness\" and \"fidelity\" were the most evaluated outcomes. None of the studies reported \"penetration\" and very few reported \"sustainability,\" \"adoption\" or \"cost.\" None of the studies used any implementation science framework for the study evaluation. Despite the well-established evidence on the effectiveness of psychosocial interventions for perinatal depression and anxiety by NSHWs, these interventions are rarely adopted into the health system. More studies applying systems thinking are needed to explore facilitators, barriers and mechanisms for integrating interventions in the health system. Using implementation science frameworks to design, plan, execute and evaluate psychosocial interventions by NSHWs can address this gap in evidence.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e54"},"PeriodicalIF":3.3,"publicationDate":"2025-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186571/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486651","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":"Addressing the psychological impact of climate-induced disasters on young people in Africa: Challenges and pathways forward.","authors":"Usoro Udousoro Akpan, Ibrahim Khalil Ja'Afar, Sinclair Chidera Eke","doi":"10.1017/gmh.2024.77","DOIUrl":"10.1017/gmh.2024.77","url":null,"abstract":"<p><p>Climate change is exacerbating the frequency and severity of disasters across Africa, with profound psychological consequences for young people. This paper examines the mental health impacts of climate-related events like droughts, floods and extreme weather on African youth. It explores how climate stresses compound existing societal issues, affecting young people's well-being. Studies highlighted indicate events strongly associated with negative emotions, anxiety, post-traumatic stress disorder (PTSD) and depression among youth. Vulnerabilities are due to disrupted community contexts and limited support systems. Challenges in providing adequate care are also reviewed, with African health systems grappling with a shortage of professionals and inadequate youth-focused care. This article proposes solutions centred on integrated disaster response, community resilience programmes and specialised youth services. Recommendations involve prioritising mental health education, establishing accessible services and collaborating with local partners. The overall aim is to comprehensively address African youth mental health needs in climate-changing contexts through holistic multi-stakeholder approaches, building coping skills and promoting wellness.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e50"},"PeriodicalIF":3.3,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12116252/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144175733","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":"Addressing epistemic injustice in the mental healthcare of Indigenous people in Bangladesh: Implications for global mental health.","authors":"Md Omar Faruk","doi":"10.1017/gmh.2025.10008","DOIUrl":"10.1017/gmh.2025.10008","url":null,"abstract":"<p><p>Indigenous peoples across the world are at disproportionate risk of mental health problems. Colonial hegemony, cultural infiltration, language loss, land grabbing, limited access to healthcare services, including mental health, and geographical isolation - all in synergy - contribute to the heightened risk of developing mental health problems. Epistemic injustice, apparently unrelated, yet another major determinant - can also contribute to the higher prevalence of mental health problems among Indigenous peoples. Systemic exclusion and marginalization of Indigenous people from the generation, dissemination, and validation of knowledge - the central concept of epistemic injustice - provides an opportunity to reflect on the disproportionate rates of mental health problems. If epistemic injustice is left unaddressed, the impetus for Indigenous peoples to participate in conventional health practices would be greatly impeded. In this article, I present the case of Bangladesh, where the conventional mental healthcare system has historically been ignorant of the inclusion of Indigenous people's perspectives and lived experiences, eventually perpetuating epistemic injustice. Finally, I provide a framework to address epistemic injustices to reform mental healthcare in Bangladesh that can inform a system equipped with equitability, accessibility, cultural sensitivity, human rights, social justice, and collaborative alliance - key tenets of global mental health.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e52"},"PeriodicalIF":3.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186575/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486646","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":"Current state of mental health and substance use in Toledo, Belize: A mixed methods study.","authors":"Jaclyn Kirsch, Megan Fabbri, Kristen Kerr, Lynette Gomez","doi":"10.1017/gmh.2025.10007","DOIUrl":"10.1017/gmh.2025.10007","url":null,"abstract":"<p><p>Mental health and substance use are increasingly pressing issues in communities across low-and-middle income countries, including Belize, particularly Toledo, the country's most rural and resource-limited district. Using community-based participatory research methods, this preliminary mixed methods study (quantitative n = 163; qualitative n = 10) aims to (1) investigate mental health symptoms and substance use patterns in a non-randomized sample of individuals from southern Belize and (2) explore community perspectives on mental health among community stakeholders. Findings show high levels of depression, anxiety, and suicidal ideation among survey participants, which were supported by qualitative interviews. While low levels of substance use were reported by survey participants, qualitative findings diverged and showed alcohol use to be of significant concern among participants. Our study highlights the critical need for increased research, advocacy, and policy implementation regarding mental health and substance use in Toledo and across Belize. Given the scarcity of mental health resources in Toledo, findings underscore the urgent need for policy interventions that expand access to psychiatric services, integrate community-based mental health approaches, and address socioeconomic drivers of poor mental health outcomes.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e53"},"PeriodicalIF":3.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186556/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486648","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":"A bibliometric analysis of scientific literature on adverse childhood experiences (2004-2024).","authors":"B K Sai Sindhura, Ganesh Kumar J","doi":"10.1017/gmh.2025.10009","DOIUrl":"10.1017/gmh.2025.10009","url":null,"abstract":"<p><p>Adverse childhood experiences (ACE) significantly impact physical, mental and social well-being, making them a critical area of research. This study analyzed the emerging trends and intellectual structure of ACE research and identified key contributors, including the most productive nations, journals and authors. Using bibliometric tools and VOSviewer software (version 1.6.20), 1,957 articles from the Scopus database (2004 to March 2024) were systematically analyzed. A notable finding was the surge in ACE-related publications during the COVID-19 pandemic, potentially reflecting increased global attention on childhood adversity amid heightened social and economic challenges. The analysis also revealed a striking dearth of studies from the Global South, with the field predominantly shaped by Western nations, like the United States, the United Kingdom, Australia and Canada. Leading journals, such as the <i>Journal of Interpersonal Violence</i>, and prolific authors, like Kevin T. Wolff, played a central role in advancing the field. Co-citation analysis uncovered four thematic clusters: (1) conceptualization and assessment of ACE, (2) health implications, (3) mental health impacts and (4) juvenile delinquency. These clusters, though distinct, showed significant thematic overlaps, reflecting the interconnected nature of ACE research and its intellectual structure. These findings underscore the need for more regionally diverse and interdisciplinary approaches to understanding global childhood adversity.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e60"},"PeriodicalIF":3.3,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12186561/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486644","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}