Global Mental HealthPub Date : 2024-10-17eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.81
Biljana Stanković, Petar Lukić, Irena Stojadinović, Jasmina Bogdanović, Maša Vukčević Marković
{"title":"Introducing community-based mental health support in Serbia: A qualitative study on experiences and needs of long-term psychiatric users.","authors":"Biljana Stanković, Petar Lukić, Irena Stojadinović, Jasmina Bogdanović, Maša Vukčević Marković","doi":"10.1017/gmh.2024.81","DOIUrl":"10.1017/gmh.2024.81","url":null,"abstract":"<p><strong>Background: </strong>Mental health (MH) system in Serbia still relies heavily on the medical model with very restricted availability of community-based support. The aim of this study was to provide insight into the everyday experiences and unmet needs of psychiatric users suffering from schizophrenia spectrum disorders in Serbia who are also users of community MH services.</p><p><strong>Method: </strong>We recruited the participants (<i>N</i> = 11; 9 males; aged 26-65, <i>M</i> = 48.5), long-term psychiatric users (11-57 years, <i>M</i> = 29.4) diagnosed with a schizophrenia spectrum disorder, from a community MH centre. We conducted in-depth semi-structured interviews with them, which we analysed relying on the principles of thematic analysis.</p><p><strong>Results: </strong>Three broad themes relevant to participants' well-being and quality of life were identified: leading a meaningful and fulfilled life; the importance of continuity of socialisation and support; and maintaining control and a sense of agency. Community MH services have markedly figured in facilitating all three dimensions.</p><p><strong>Conclusions: </strong>Findings suggest that providing continuous services that address the users' need to engage in activities that give them meaning and purpose, provide socialisation and peer support, and promote their autonomy and agency can play a vital role in advancing the process of recovery and well-being of long-term psychiatric users.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e81"},"PeriodicalIF":3.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505036/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510570","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}
Global Mental HealthPub Date : 2024-10-17eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.94
Bijayalaxmi Biswal, Yashi Gandhi, Daisy R Singla, Richard Velleman, Brian Zhou, Luanna Fernandes, Vikram Patel, Matthew Prina, Miriam Sequeira, Ankur Garg, Urvita Bhatia, Abhijit Nadkarni
{"title":"Interventions for improving adherence to psychological treatments for common mental disorders: a systematic review.","authors":"Bijayalaxmi Biswal, Yashi Gandhi, Daisy R Singla, Richard Velleman, Brian Zhou, Luanna Fernandes, Vikram Patel, Matthew Prina, Miriam Sequeira, Ankur Garg, Urvita Bhatia, Abhijit Nadkarni","doi":"10.1017/gmh.2024.94","DOIUrl":"10.1017/gmh.2024.94","url":null,"abstract":"<p><p>Our systematic review aims to synthesise the evidence on interventions targeting improvement in patient adherence to psychological treatments for common mental disorders. A search was conducted on six electronic databases using search terms under the following concepts: common mental disorders, adherence, psychological treatments and controlled trial study design. Due to the heterogeneity in intervention content and outcomes evaluated in the included studies, a narrative synthesis was conducted. Risk of bias was assessed using the Cochrane Risk of Bias Version 2 tool for randomised controlled trials and the Cochrane ROBINS-I tool for non-randomised controlled trials. The search yielded 23 distinct studies with a total sample size of 2,779 participants. All studies were conducted in high-income or upper-middle-income countries. Interventions to improve patient adherence to psychological treatments included reminders and between-session engagement (e.g., text messages), motivational interviewing, therapy orientation (e.g., expectation-setting) and overcoming structural barriers (e.g., case management). Interventions from 18 out of 23 studies were successful in improving at least one primary adherence outcome of interest (e.g., session attendance). Some studies also reported an improvement in secondary outcomes - six studies reported an improvement in at least one clinical outcome (e.g., depression), and three studies reported improvements in at least one measure of well-being or disability (e.g., days spent in in-patient treatment). By incorporating these interventions into psychological treatment services, therapists can better engage with and support their patients, potentially leading to improved mental health outcomes and overall well-being.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e83"},"PeriodicalIF":3.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504929/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510569","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}
Global Mental HealthPub Date : 2024-10-11eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.83
Michael H Campbell, Jill Gromer-Thomas, Katija Khan, Bidyadhar Sa, Paula M Lashley, Damian Cohall, Christine E Chin, Russell B Pierre, Nkemcho Ojeh, Ambadasu Bharatha, Heather Harewood, O Peter Adams, Md Anwarul Azim Majumder
{"title":"Measuring Caribbean stress and resilient coping: Psychometric properties of the PSS-10 and BRCS in a multi-country study during the COVID-19 pandemic.","authors":"Michael H Campbell, Jill Gromer-Thomas, Katija Khan, Bidyadhar Sa, Paula M Lashley, Damian Cohall, Christine E Chin, Russell B Pierre, Nkemcho Ojeh, Ambadasu Bharatha, Heather Harewood, O Peter Adams, Md Anwarul Azim Majumder","doi":"10.1017/gmh.2024.83","DOIUrl":"10.1017/gmh.2024.83","url":null,"abstract":"<p><p>Caribbean health research has overwhelmingly employed measures developed elsewhere and rarely includes evaluation of psychometric properties. Established measures are important for research and practice. Particularly, measures of stress and coping are needed. Stressors experienced by Caribbean people are multifactorial, as emerging climate threats interact with existing complex and vulnerable socioeconomic environments. In the early COVID-19 pandemic, our team developed an online survey to assess the well-being of health professions students across university campuses in four Caribbean countries. This survey included the Perceived Stress Scale, 10-item version (PSS-10) and the Brief Resilient Coping Scale (BRCS). The participants were 1,519 health professions students (1,144 females, 372 males). We evaluated the psychometric qualities of the measures, including internal consistency, concurrent validity by correlating both measures, and configural invariance using confirmatory factor analysis (CFA). Both scales had good internal consistency, with omega values of 0.91 for the PSS-10 and 0.81 for the BRCS. CFA suggested a two-factor structure of the PSS-10 and unidimensional structure of the BRCS. These findings support further use of these measures in Caribbean populations. However, the sampling strategy limits generalizability. Further research evaluating these and other measures in the Caribbean is desirable.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e77"},"PeriodicalIF":3.3,"publicationDate":"2024-10-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505040/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510572","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}
Global Mental HealthPub Date : 2024-10-10eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.68
Ahmed Waqas, Jorge Cesar Correia, Maaz Ahmad, Tooba Nadeem Akhtar, Hafsa Meraj, Ioannis Angelakis, Zoltan Pataky
{"title":"Therapeutic patient education for severe mental disorders: A systematic review.","authors":"Ahmed Waqas, Jorge Cesar Correia, Maaz Ahmad, Tooba Nadeem Akhtar, Hafsa Meraj, Ioannis Angelakis, Zoltan Pataky","doi":"10.1017/gmh.2024.68","DOIUrl":"10.1017/gmh.2024.68","url":null,"abstract":"<p><strong>Objective: </strong>This systematic review aimed to review therapeutic patient education (TPE) programmes in managing psychiatric disorders, considering the diversity in delivering agents, intervention formats, targeted skills, and therapeutic outcomes.</p><p><strong>Methods: </strong>Comprehensive database searches, including Web of Science, PubMed, and COCHRANE, were conducted from September 2019 to January 2023, yielding 514 unique records, with 33 making it through rigorous evaluation for full-text review. Eleven studies met the inclusion criteria, focusing on various psychiatric disorders such as depression, bipolar disorder, psychosis, and multiple serious mental illnesses. A total of 38 studies were included from our previous review to supplement the current database search.</p><p><strong>Results: </strong>TPE programmes exhibited diversity in delivering agents and intervention formats, with a notable presence of multidisciplinary teams and various professionals. The interventions prioritized coping strategies and disease management techniques, though the extent varied based on the disorder. Effectiveness was heterogeneous across studies; some interventions showed significant benefits in areas such as symptom management, coping, and functional improvement, while others reported no significant outcomes.</p><p><strong>Conclusion: </strong>The findings underscore the potential of TPE in psychiatric care, revealing its multifaceted nature and varied impact. TPE not only addresses deficits but also leverages patients' existing strengths and capabilities. Despite the reported benefits, a portion of the interventions lacked statistical significance, indicating the necessity for continuous refinement and evaluation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e78"},"PeriodicalIF":3.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504939/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510685","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}
Global Mental HealthPub Date : 2024-10-10eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.86
Dorothy Adu-Amankwah, Masih A Babagoli, Raymond A Aborigo, Allison P Squires, Engelbert Nonterah, Khadija R Jones, Evan Alvarez, Maria Anyorikeya, Carol R Horowitz, Benedict Weobong, David J Heller
{"title":"Perceptions of healthcare workers on linkage between depression and hypertension in northern Ghana: a qualitative study.","authors":"Dorothy Adu-Amankwah, Masih A Babagoli, Raymond A Aborigo, Allison P Squires, Engelbert Nonterah, Khadija R Jones, Evan Alvarez, Maria Anyorikeya, Carol R Horowitz, Benedict Weobong, David J Heller","doi":"10.1017/gmh.2024.86","DOIUrl":"10.1017/gmh.2024.86","url":null,"abstract":"<p><p>Hypertension and depression are increasingly common noncommunicable diseases in Ghana and worldwide, yet both are poorly controlled. We sought to understand how healthcare workers in rural Ghana conceptualize the interaction between hypertension and depression, and how care for these two conditions might best be integrated. We conducted a qualitative descriptive study involving in-depth interviews with 34 healthcare workers in the Kassena-Nankana districts of the Upper East Region of Ghana. We used conventional content analysis to systematically review interview transcripts, code the data content and analyze codes for salient themes. Respondents detailed three discrete conceptual models. Most emphasized depression as causing hypertension: through both emotional distress and unhealthy behavior. Others posited a bidirectional relationship, where cardiovascular morbidity worsened mood, or described a single set of underlying causes for both conditions. Nearly all proposed health interventions targeted their favored root cause of these disorders. In this representative rural Ghanaian community, healthcare workers widely agreed that cardiovascular disease and mental illness are physiologically linked and warrant an integrated care response, but held diverse views regarding precisely how and why. There was widespread support for a single primary care intervention to treat both conditions through counseling and medication.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e79"},"PeriodicalIF":3.3,"publicationDate":"2024-10-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504924/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510680","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":"Identifying contextual barriers and facilitators in implementing non-specialist interventions for mental health in Sri Lanka: A qualitative study with mental health workers and community members.","authors":"Kalpani Wijekoon Wijekoon Mudiyanselage, Frederike Jörg, Murukkuvadura Sajani Dilhara Mendis, Daniela C Fuhr, Heide Busse","doi":"10.1017/gmh.2024.75","DOIUrl":"10.1017/gmh.2024.75","url":null,"abstract":"<p><p>Non-specialist mental health interventions serve as a potential solution to reduce the mental healthcare gap in low- and middle-income countries, such as Sri Lanka. However, contextual factors often influence their effective implementation, reflecting a research-to-practice gap. This study, using a qualitative, participatory approach with local mental health workers (n = 9) and potential service users (n = 11), identifies anticipated barriers and facilitators to implementing these interventions while also exploring alternative strategies for reducing the mental healthcare gap in this context. Perceived barriers include concerns about effectiveness, acceptance and feasibility in the implementation of non-specialist mental health interventions (theme 1). The participants' overall perception that these interventions are a beneficial strategy for reducing the mental healthcare gap was identified as a facilitating factor for implementation (theme 2). Further facilitators relate to important non-specialist characteristics (theme 3), including desirable traits and occupational backgrounds that may aid in increasing the acceptance of this cadre. Other suggestions relate to facilitating the reach, intervention acceptance and feasibility (theme 4). This study offers valuable insights to enhance the implementation process of non-specialist mental health interventions in low-and middle-income countries such as Sri Lanka.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e76"},"PeriodicalIF":3.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504943/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510666","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}
Global Mental HealthPub Date : 2024-10-08eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.40
Dana Bdier, Guido Veronese, Fayez Mahamid
{"title":"Environmental degradation, eco-anxiety and post-traumatic stress symptoms among Palestinian adults: The mediating role of coping strategies.","authors":"Dana Bdier, Guido Veronese, Fayez Mahamid","doi":"10.1017/gmh.2024.40","DOIUrl":"10.1017/gmh.2024.40","url":null,"abstract":"<p><p>The current study aimed to test the association between environmental degradation, eco-anxiety and post-traumatic symptoms, and whether coping strategies mediate the association between these variables among a sample of Palestinian adults. The sample of our study consisted of 554 Palestinian adults, of whom 392 identified as female and 162 as male. Participants' age ranged from 19 to 54 years old (M = 35.8, SD = 12.31). They were all recruited from online advertisements, e-mail campaigns and social media. The findings of our study revealed that post-traumatic stress symptoms positively correlated with environmental degradation, eco-anxiety and avoidant coping and negatively correlated with problem-focused coping and emotion-focused coping. Results of structural equation modeling revealed that coping strategies mediated the association between environmental degradation, echo-anxiety and post-traumatic stress symptoms. The findings of our study emphasize the need for tailored psychological support and coping strategies for individuals experiencing eco-anxiety and post-traumatic stress symptoms in the face of environmental challenges.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e105"},"PeriodicalIF":3.3,"publicationDate":"2024-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588413/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717482","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}
Jian Jiang, Xuwei Tang, Zhifeng Lin, Yulan Lin, Zhijian Hu
{"title":"Father’s involvement associated with rural children’s depression and anxiety: A large-scale analysis based on data from seven provinces in China","authors":"Jian Jiang, Xuwei Tang, Zhifeng Lin, Yulan Lin, Zhijian Hu","doi":"10.1017/gmh.2024.70","DOIUrl":"https://doi.org/10.1017/gmh.2024.70","url":null,"abstract":"<p><img href=\"S2054425124000700_figAb.png\" mimesubtype=\"png\" mimetype=\"image\" orientation=\"\" position=\"float\" src=\"https://static.cambridge.org/content/id/urn%3Acambridge.org%3Aid%3Aarticle%3AS2054425124000700/resource/name/S2054425124000700_figAb.png?pub-status=live\" type=\"\"/></p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"18 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142175439","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Janagan Alagarajah, Diana Ceccolini, Sydney Butler
{"title":"Digital mental health interventions for treating mental disorders in young people based in low-and middle-income countries: A systematic review of the literature","authors":"Janagan Alagarajah, Diana Ceccolini, Sydney Butler","doi":"10.1017/gmh.2024.71","DOIUrl":"https://doi.org/10.1017/gmh.2024.71","url":null,"abstract":"<p><img href=\"S2054425124000712_figAb.png\" mimesubtype=\"png\" mimetype=\"image\" orientation=\"\" position=\"float\" src=\"https://static.cambridge.org/content/id/urn%3Acambridge.org%3Aid%3Aarticle%3AS2054425124000712/resource/name/S2054425124000712_figAb.png?pub-status=live\" type=\"\"/></p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"40 1","pages":""},"PeriodicalIF":3.9,"publicationDate":"2024-08-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142261363","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Global Mental HealthPub Date : 2024-05-30eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.61
Daisy R Singla, Luanna Fernandes, Katarina Savel, Ankita Shah, Ravindra Agrawal, Anant Bhan, Abhijit Nadkarni, Akshita Sharma, Azaz Khan, Anuja Lahiri, Deepak Tugnawat, Neal Lesh, Vikram Patel, John Naslund
{"title":"Erratum: Scaling up the task-sharing of psychological therapies: A formative study of the PEERS smartphone application for supervision and quality assurance in rural India - CORRIGENDUM.","authors":"Daisy R Singla, Luanna Fernandes, Katarina Savel, Ankita Shah, Ravindra Agrawal, Anant Bhan, Abhijit Nadkarni, Akshita Sharma, Azaz Khan, Anuja Lahiri, Deepak Tugnawat, Neal Lesh, Vikram Patel, John Naslund","doi":"10.1017/gmh.2024.61","DOIUrl":"10.1017/gmh.2024.61","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2024.11.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e65"},"PeriodicalIF":3.9,"publicationDate":"2024-05-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11140487/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141201175","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}