Global Mental Health最新文献

{"title":"Assessing ADHD prevalence and comorbidities in the United States: Insights from the Substance Abuse and Mental Health Services (SAMHSA) data.","authors":"Mahie Patil, Sanjana Konda, Latha Ganti","doi":"10.1017/gmh.2024.104","DOIUrl":"https://doi.org/10.1017/gmh.2024.104","url":null,"abstract":"<p><p>This study analyzes 2022 data from SAMHSA's Mental Health Client-Level Data (MH-CLD) to investigate ADHD prevalence and comorbidity. The findings reveal that 10.70% of the 5,899,698 patients were diagnosed with ADHD, indicating a high demand for targeted resources. ADHD prevalence declines with age, highest in children aged 0-11, and decreases with educational attainment, emphasizing the need for early intervention. Employment challenges are significant, with the highest ADHD prevalence among those not in the labor force. Racial disparities show Black individuals have the highest ADHD rates (9.71%) and Asian individuals the lowest (5.05%). Geographic differences indicate higher prevalence in the Midwest and South. Gender disparities and marital status also influence prevalence, with males and never-married individuals showing higher rates. ADHD shows strong comorbidity with oppositional defiant disorder, pervasive developmental disorder/autism spectrum disorder and conduct disorder. Effective ADHD management requires collaborative efforts from educators, employers, healthcare providers and policymakers to create supportive environments and tailored approaches considering demographic variables, comorbid conditions and socioeconomic factors.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e121"},"PeriodicalIF":3.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704367/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956779","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":"Assessing local service providers' needs for scaling up MHPSS interventions for Ukrainian refugees: Insights from Poland, Slovakia, and Romania.","authors":"Marianna Purgato, Monica Bartucz, Giulia Turrini, Beatrice Compri, Eleonora Prina, Federica Patania, Emrah Kucukozkan, Anna Zubachova, Martin Mňahončak, Katarína Čavojská, Olena Koval, Gabriela Lupea, Vitalii Klymchuk, Natalie Maximets, Roberto Mediavilla, José Luis Ayuso-Mateos, Marit Sijbrandij, Els van der Ven, Iryna Frankova, Corrado Barbui","doi":"10.1017/gmh.2024.113","DOIUrl":"https://doi.org/10.1017/gmh.2024.113","url":null,"abstract":"<p><p>Providing Mental Health and Psychosocial Support interventions (MHPSS) for forcibly displaced Ukrainians in Central and Eastern Europe poses numerous challenges due to various socio-cultural and infrastructural factors. This qualitative study explored implementation barriers reported by service providers of in-person and digital MHPSS for Ukrainian refugees displaced to Poland, Romania and Slovakia due to the war. In addition, the study aimed to generate recommendations to overcome these barriers. Semi-structured Free List and Key Informant interviews were conducted using the Design, Implementation, Monitoring and Evaluation protocol with 18 and 13 service providers, respectively. For in-person interventions, barriers included stigma, language, shortage of MHPSS providers, lack of financial aid and general lack of trust among refugees. For digital MHPSS, barriers included generational obstacles, lack of therapeutic relationships, trust issues, and lack of awareness. Recommendations included advancing public health strategies, organizational interventions, building technical literacy and support, enhancing the credibility of digital interventions and incorporating MHPSS into usual practice. By implementing the recommendations proposed in this study, policymakers, organizations and service providers can work towards enhancing the delivery of MHPSS and addressing the mental health needs of Ukrainian refugees in host countries, such as Poland, Romania and Slovakia.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e119"},"PeriodicalIF":3.3,"publicationDate":"2024-12-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704377/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956782","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 effects of climate change on mental health and psychological well-being: Impacts and priority actions.","authors":"Shazia Soomro, Dianen Zhou, Iftikhar Ahmed Charan","doi":"10.1017/gmh.2024.65","DOIUrl":"https://doi.org/10.1017/gmh.2024.65","url":null,"abstract":"<p><p>Climate anxiety has a negative impact on the mental health and psychological well-being of the vulnerable population. The goal is to assess many factors that affect mental health and psychological well-being, as well as how climate change affects mental health in Pakistan's vulnerable population. This study provides evidence-based insights into the long- and medium-term impacts of extreme weather events on mental health. To obtain information on these variables, this research uses a quantitative approach and a cross-sectional survey design with a multivariate regression model for empirical tests on a sample of parents and children with an impact on mental health from climate change anxiety. Results indicate that individuals who experience shock climate change anxiety and its effects on mental health and psychological well-being. Climate change can have detrimental effects on children's mental health. (1) Children's Stress Index (CSI): (2) climate change anxiety (CCA), (3) generalised anxiety disorder (GAD) and (4) major depression disorder (MDD), as reported by the children with mental health outcomes. The findings of this study show that climate change has a stressful effect on mental health. The article concludes with a discussion on strategies to address the anticipated mental health issues among children due to climate change.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e118"},"PeriodicalIF":3.3,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704568/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956837","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":"Effectiveness of psychodrama on mental health outcomes based on Chinese samples: A systematic review and meta-analysis of randomized controlled studies.","authors":"Xiaohui Wang, Rui Ding, Rui Luo","doi":"10.1017/gmh.2024.89","DOIUrl":"https://doi.org/10.1017/gmh.2024.89","url":null,"abstract":"<p><strong>Background: </strong>Psychodrama (PD), supported by extensive global research, is increasingly becoming a vital method for alleviating psychological symptoms and promoting mental well-being in diverse populations across China. However, comprehensive evidence based on rigorous interventions is currently lacking.</p><p><strong>Methods: </strong>This article systematically reviews the literature on randomized controlled experimental intervention studies of PD in the Chinese Mainland from 1982 to 2023.</p><p><strong>Findings: </strong>Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses framework, this article included seven studies (N = 332, 25 effect sizes). The results demonstrate that PD interventions have a promotional effect (standardized mean difference SMD = 0.768, 95% CI [0.591, 0.946]) across different age groups and settings in randomized controlled trial interventions. In accordance with previous literature, we categorized the effect sizes into two major groups: illness reduction (IR) and health promotion (HP). Subgroup analysis based on these two categories revealed consistent findings. In the IR category, the overall effect size was notably significant (SMD = -0.711, 95% CI [-0.976, -0.446]), and in the HP category, the overall effect was also highly significant (SMD = 0.889, 95% CI [0.705, 1.074]). This finding aligns with previous research in other nations, supporting the significant effectiveness of PD as a counseling method in alleviating psychological illnesses and promoting mental health within the Chinese context.</p><p><strong>Conclusion: </strong>PD serves not only as a therapeutic tool but also as a preventive and developmental intervention. Moving forward, there is a call for increased emphasis on standardized and randomized controlled experimental studies to further the advancement of PD within China.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e116"},"PeriodicalIF":3.3,"publicationDate":"2024-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704573/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956797","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":"Cultural adaptation of an evidence-based intervention to address mental health among youth affected by armed conflict in Colombia: An application of the ADAPT-ITT approach and FRAME-IS reporting protocols.","authors":"María Pineros-Leano, Alethea Desrosiers, Natalia Piñeros-Leaño, Andrés Moya, Catalina Canizares-Escobar, Lyann Tam, Theresa S Betancourt","doi":"10.1017/gmh.2024.106","DOIUrl":"https://doi.org/10.1017/gmh.2024.106","url":null,"abstract":"<p><strong>Background: </strong>In Colombia, over 9 million people have been impacted by armed conflict, creating a significant need for mental health services. This study aimed to culturally adapt and pilot test the Youth Readiness Intervention (YRI), an evidence-based transdiagnostic mental health intervention, for conflict-affected Colombian youth aged 18-28 years.</p><p><strong>Methods: </strong>The eight phases of the Assessment, Decision, Administration, Production, Topical Experts, Integration, Training, and Testing (ADAPT-ITT) framework were used to culturally adapt the YRI for conflict-affected Colombian youth. The Framework for Reporting Adaptations and Modifications to Evidence-based Implementation Strategies (FRAME-IS) was used to track the adaptations made. Qualitative and quantitative data were gathered and analyzed throughout the adaptation process.</p><p><strong>Results: </strong>Data from the Assessment phase demonstrated a high need for mental health interventions among conflict-affected youth. The Testing phase revealed significant improvements in emotion regulation and functional impairment, suggesting the YRI is a promising intervention among conflict-affected Colombian youth. Qualitative data confirmed the intervention's acceptability among youth and mental health providers.</p><p><strong>Conclusions: </strong>The YRI was successfully adapted for conflict-affected Colombian youth. Future studies using randomized designs are needed to test the effectiveness of the YRI for improving mental health among larger samples of Colombian conflict-affected youth.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e114"},"PeriodicalIF":3.3,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704387/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956793","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: Validation of a brief screener for broad-spectrum mental and substance-use disorders in South Africa - ERRATUM.","authors":"Melissa Ann Stockton, Ernesha Webb Mazinyo, Lungelwa Mlanjeni, Kwanda Nogemane, Nondumiso Ngcelwane, Annika C Sweetland, Cale Neil Basaraba, Charl Bezuidenhout, Griffin Sansbury, Kathryn L Lovero, David Olivier, Christoffel Grobler, Melanie M Wall, Andrew Medina-Marino, Phumza Nobatyi, Milton L Wainberg","doi":"10.1017/gmh.2024.109","DOIUrl":"https://doi.org/10.1017/gmh.2024.109","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2023.89.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e113"},"PeriodicalIF":3.3,"publicationDate":"2024-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704365/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956817","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":"Serious mental health conditions and exposure to adulthood trauma in low- and middle-income countries: a scoping review.","authors":"Anne Stevenson, Engida Girma, Benon Kabale Kitafuna, Boniface Harerimana, Karestan C Koenen, Soraya Seedat","doi":"10.1017/gmh.2024.123","DOIUrl":"10.1017/gmh.2024.123","url":null,"abstract":"<p><strong>Background: </strong>There is a strong link between trauma exposure and serious mental health conditions (SMHCs), such as schizophrenia and bipolar disorder. The majority of research in the field has focused on childhood trauma as a risk factor for developing an SMHC and on samples from high-income countries. There is less research on having an SMHC as a risk factor for exposure to traumatic events, and particularly on populations in low- and middle-income countries (LMICs).This scoping review aimed to synthesize the nature and extent of research on traumatic events that adults with SMHCs face in LMICs. It was conducted across five databases: PubMed, Embase, PsycINFO, Web of Science Core Collection and Africa-Wide Information/NiPad in December 2023 and by hand searching citation lists.</p><p><strong>Findings: </strong>The database search returned 4,111 articles. After removing duplicates and following a rigorous screening process, 51 articles met criteria for inclusion. There was one case study, one mixed methods study, 12 qualitative studies and 37 quantitative studies. Ten countries were represented, with the most studies from India (n = 19), Ethiopia (n = 9) and China (n = 6). Schizophrenia was the most studied type of SMHC. Of the trauma exposures, more than 76% were on interpersonal violence, such as sexual and physical violence. Of the studies on interpersonal violence, more than 23% were on physical restraint (e.g., shackling) in the community or in hospital settings. There were no studies on man-made or natural disasters.</p><p><strong>Implications: </strong>Much of our data in this population are informed by a small subset of countries and by certain types of interpersonal violence. Future research should aim to expand to additional countries in LMICs. Additional qualitative research would likely identify and contextualize other trauma types among adults with SMHCs in LMICs.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e112"},"PeriodicalIF":3.3,"publicationDate":"2024-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704373/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956832","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":"Mental health plans and policies across the WHO European region.","authors":"Zoe Guerrero, Anna Kågström, Akmal Aliev, Hana Tomášková, Yongjie Yon, Ledia Lazeri, Marge Reinap, Cassie Redlich, Ana Maria Tijerino Inestroza, Jason Maurer, Petr Winkler","doi":"10.1017/gmh.2024.88","DOIUrl":"10.1017/gmh.2024.88","url":null,"abstract":"<p><p>Evidence is scarce in terms of tracking the progress of implementation of mental healthcare plans and policies (MHPPs) in Europe, we aimed to map and analyze the content of MHPPs across the WHO European region. We collected data from the WHO Mental Health Atlas 2011, 2017 and 2020 to map the development of MHPPs in the region. We contacted 53 key informants from each country in the European region to triangulate the data from WHO Mental Health Atlases and to obtain access to the national mental health plans and policies. We analyzed the content of MHPPs against the four major objectives of the WHO Comprehensive Mental Health Action Plan, and we also focused on the specificity and measurability of their targets. The number and proportion of countries which have their own MHPPs has increased from 30 (52%) to 43 (91%) between 2011 and 2020. MHPPs are generally in line with the WHO policy, aiming to strengthen care in the community, expand mental health promotion and illness prevention activities, improve quality of care, increase intersectoral collaboration, build workforce and system capacity, and improve adherence to human rights. However, specific, and measurable targets as well as a description of concrete steps, responsibilities and funding sources are mostly missing. They often contain very little information systems, evidence and research, and mostly lack information on evaluating the implementation of MHPPs. Progress has been made in terms of the development of MHPPs in the WHO Europe. However, MHPPs are often lacking operationalization and appropriate data collection for evaluation. This is then reflected in missing evaluation plans, which in turn leads to lessons not being learned. To enhance the potential for knowledge generation and demonstration of impact, MHPPs should be more specific and contain measurable targets with allocated responsibilities and funding as well as evaluation plans.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e110"},"PeriodicalIF":3.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588412/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717484","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":"Shared experiences, shared support: A qualitative study on the importance of relatability in interpersonal relationships for youth mental health in South Africa.","authors":"Junita Henry, Fredric Azariah, Matt Hughsam, Sarah Skeen, Mark Tomlinson, Chuma Busakhwe, Khotso Mokoena, Almaaz Mudaly, Moitreyee Sinha, Christina Laurenzi","doi":"10.1017/gmh.2024.117","DOIUrl":"10.1017/gmh.2024.117","url":null,"abstract":"<p><p>Adolescence is a critical developmental period marked by significant changes, increasing the risk of mental health problems such as anxiety and depression. Understanding how youth engage with mental health resources is essential. This study explored the role of interpersonal relationships-including peer-to-peer, adult-youth, parent, teacher and mentor relationships, and interactions with mental health professionals-in shaping youth mental health engagement and identified factors influencing these relationships. Using a phenomenological qualitative design, youth researchers (YRs) and youth advisors (YAs) were engaged throughout the research process. Semi-structured interviews were conducted with South African youth aged 14-24 years. The study highlighted the significance of peer relationships, particularly relatability, as key in youth mental health support. Family relationships had a mixed role, with factors like lack of mental health literacy, age differences, and cultural norms hindering effective communication and support. By understanding the dynamics of these relationships, this study emphasizes the need for targeted interventions that harness social support. Enhancing the quality of relationships and promoting positive social bonds can protect against mental health problems. Addressing gaps in support by recognizing and supporting peer-to-peer engagement is essential. Findings provide valuable insights for designing strategies to promote mental well-being among youth, particularly in resource-constrained settings.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e111"},"PeriodicalIF":3.3,"publicationDate":"2024-11-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11588417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142717486","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":"Meta-Analysis: Prevalence of Youth Mental Disorders in Sub-Saharan Africa.","authors":"Cecilia E Jakobsson, Natalie E Johnson, Brenda Ochuku, Rosine Baseke, Evelyn Wong, Christine W Musyimi, David M Ndetei, Katherine E Venturo-Conerly","doi":"10.1017/gmh.2024.82","DOIUrl":"https://doi.org/10.1017/gmh.2024.82","url":null,"abstract":"<p><p>Youth in sub-Saharan Africa (SSA) face limited access to professional mental health resources. A comprehensive assessment of the prevalence of mental disorders would build an understanding of the scope of the need. We conducted systematic searches in PsycInfo, Pubmed, AfriBib and Africa Journals Online to identify prevalence rates for five disorders (anxiety, depression, conduct disorder, attention problems and post-traumatic stress) among SSA youth with a mean age of less than 19 years. We calculated a random-effects pooled prevalence for each disorder and assessed possible moderators. The meta-analysis included 63 studies with 55,071 participants. We found the following pooled prevalence rates: 12.53% post-traumatic stress disorder (PTSD), 15.27% depression, 6.55% attention-deficit hyperactivity disorder, 11.78% anxiety and 9.76% conduct disorder. We found high heterogeneity across the studies, which may have resulted from differences in samples or measurement tools. Reported prevalence rates were not explained by the sample (i.e., special or general population), but whether the psychometric tool was validated for SSA youth affected the reported prevalence of PTSD and anxiety. In a meta-regression, prevalence rates were associated with the disorder type, with a higher prevalence of depression and PTSD. We found the mean age significantly moderated the prevalence in univariate meta-regression, with increased age correlated with greater prevalence. Our findings suggest there is a need to explore reasons for varying prevalence rates further and to develop interventions that support youth mental health in SSA, particularly interventions for depression and PTSD. Limitations included a lack of standardization in psychometric tools and limited reporting on research methods, which influenced quality rating. Importantly, the search only considered studies published in English and was conducted 2 years ago. Although recent estimates reported slightly higher than our prevalence estimates, these reviews together highlight the prevalence and importance of youth mental health difficulties in SSA.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e109"},"PeriodicalIF":3.3,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704384/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142956855","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}