Global Mental Health最新文献

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Feasibility of training primary healthcare workers to identify antenatal depression. 培训初级保健工作者识别产前抑郁症的可行性。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-30 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.48
Susan Thomas, Maria Ekstrand, Tinku Thomas, Krishnamachari Srinivasan
{"title":"Feasibility of training primary healthcare workers to identify antenatal depression.","authors":"Susan Thomas, Maria Ekstrand, Tinku Thomas, Krishnamachari Srinivasan","doi":"10.1017/gmh.2023.48","DOIUrl":"10.1017/gmh.2023.48","url":null,"abstract":"<p><p>Identifying women with depressive symptoms is the first step to reducing the risk of the short-term and long-term consequences of antenatal depression. Task shifting by training primary healthcare workers may help to reduce the burden in low-resource settings. Twenty health workers in a primary healthcare center in urban Bengaluru were trained to screen and identify antenatal depression. The training had two components: knowledge-based, using the depression module in the Mental Health Gap Action Program; and skills-based hands-on training, using the Patient Health Questionnaire-9. Knowledge about antenatal depression in the health workers improved by three units after training (<i>p</i> < 0.001). Their perceived skills and self-efficacy also improved by one unit each (<i>p</i> = 0.032 and <i>p</i> = 0.036, respectively). Following the training, 25% of the pregnant women who underwent screening by health workers reported depressive symptoms, as compared to no positive screening before training. Training was found to improve the knowledge, perceived skills and self-efficacy of nurses, junior health assistants and Accredited Social Health Activists (ASHAs), and was found to increase the screening rate of depression in an antenatal clinic in urban India. Incorporating screening for depressive symptoms into regular antenatal care is feasible in low-resource settings.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e57"},"PeriodicalIF":3.9,"publicationDate":"2023-08-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683779","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}
引用次数: 0
COVID-19 fear and its associated correlates among type-2 diabetes patients in Bangladesh: A hospital-based study. 孟加拉国2型糖尿病患者对新冠肺炎的恐惧及其相关因素:一项基于医院的研究。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-18 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.47
Suvasish Das Shuvo, Md Toufik Hossen, Md Sakhawot Hossain, Asma Khatun, Sanaullah Mazumdar, Md Riazuddin, Deepa Roy
{"title":"COVID-19 fear and its associated correlates among type-2 diabetes patients in Bangladesh: A hospital-based study.","authors":"Suvasish Das Shuvo, Md Toufik Hossen, Md Sakhawot Hossain, Asma Khatun, Sanaullah Mazumdar, Md Riazuddin, Deepa Roy","doi":"10.1017/gmh.2023.47","DOIUrl":"10.1017/gmh.2023.47","url":null,"abstract":"<p><p>The outbreak of COVID-19 has caused widespread fear among people around the world, particularly those with underlying health conditions such as type-2 diabetes. This study aimed to investigate COVID-19 fear and its associated potential factors among type-2 diabetes patients in Bangladesh. A total of 1,036 type-2 diabetes patients residing in the Jashore district of Bangladesh were interviewed using the COVID-19 Fear Scale in Bengali language. A pre-validated questionnaire was used to collect data on sociodemographic, lifestyle-related characteristics, and COVID-19-related information. Logistic regression was performed to identify factors associated with perceived fear of COVID-19. The mean score of the COVID-19 fear was 18.1 ± 5.6. Approximately 45 and 39% were most afraid and uncomfortable thinking about COVID-19, respectively. Regression analysis revealed that gender, age, occupation, residence, physical activity, smoking, and dietary diversity score were associated with fear. Additionally, respondents who had limited self-care practice, unaffordable medicine, medicine shortages, a close friend or family member diagnosed with COVID-19, and financial problems during COVID-19 were significant predictors of COVID-19 fear. Healthcare providers should implement interventions, including appropriate education and counseling, to address the psychological impact of the COVID-19 pandemic on type-2 diabetes patients in Bangladesh.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e53"},"PeriodicalIF":3.9,"publicationDate":"2023-08-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579683/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683764","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}
引用次数: 1
Adolescent pursuit of health information online during the COVID-19 pandemic: The roles played by eHealth literacy and psychological distress. 新冠肺炎大流行期间青少年在线追求健康信息:电子健康素养和心理困扰所扮演的角色。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-16 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.44
Fong-Ching Chang, Chingching Chang, Chen-Chao Tao
{"title":"Adolescent pursuit of health information online during the COVID-19 pandemic: The roles played by eHealth literacy and psychological distress.","authors":"Fong-Ching Chang,&nbsp;Chingching Chang,&nbsp;Chen-Chao Tao","doi":"10.1017/gmh.2023.44","DOIUrl":"https://doi.org/10.1017/gmh.2023.44","url":null,"abstract":"<p><p>COVID-19 has led to an increase in mental health problems for adolescents. In this study, we examined the factors related to the eHealth literacy of adolescents and how that impacted their pursuit of health information and mental health information online during the COVID-19 pandemic. We analyzed data from the 2020 Taiwan Communication Survey, which involved a total of 1,250 national representative adolescents who completed an online questionnaire. The results showed that two-thirds of adolescents reported searching for health information online, and about half of them reported searching for mental health information online during the COVID-19 pandemic. Multivariate analysis results indicated that adolescents who spent more time learning online, had higher levels of bonding social capital and self-determination, and had higher levels of parental active internet mediation were more likely to have higher levels of eHealth literacy. In addition, multivariate analysis results showed that adolescents who had higher levels of eHealth literacy and had higher depression and anxiety were more likely to seek health information and mental health information online. In conclusion, the levels of eHealth literacy and psychological distress of adolescents played a crucial role in their pursuit of health information and mental health information online during the COVID-19 pandemic.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e51"},"PeriodicalIF":3.9,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579651/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683759","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}
引用次数: 0
The COVID-19 pandemic and mental health in Kazakhstan. 新冠肺炎大流行与哈萨克斯坦的心理健康。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2023-08-16 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.46
Gaukhar Mergenova, Susan L Rosenthal, Akbope Myrkassymova, Assel Bukharbayeva, Balnur Iskakova, Aigulsum Izekenova, Assel Izekenova, Lyailya Alekesheva, Maral Yerdenova, Kuanysh Karibayev, Baurzhan Zhussupov, Gulzhan Alimbekova, Alissa Davis
{"title":"The COVID-19 pandemic and mental health in Kazakhstan.","authors":"Gaukhar Mergenova, Susan L Rosenthal, Akbope Myrkassymova, Assel Bukharbayeva, Balnur Iskakova, Aigulsum Izekenova, Assel Izekenova, Lyailya Alekesheva, Maral Yerdenova, Kuanysh Karibayev, Baurzhan Zhussupov, Gulzhan Alimbekova, Alissa Davis","doi":"10.1017/gmh.2023.46","DOIUrl":"10.1017/gmh.2023.46","url":null,"abstract":"<p><p>The COVID-19 pandemic had significant impacts on mental health. We examined factors associated with symptoms of depression and anxiety during the COVID-19 pandemic in Kazakhstan. We surveyed 991 adults in Kazakhstan in July 2021 using multistage stratified sampling. Depression and anxiety were measured with the Patient Health Questionnaire-4. We conducted logistic regression to assess associations between depression and anxiety and sociobehavioral factors. Overall, 12.01% reported depressive symptoms and 8.38% anxiety. Higher likelihood of depression was associated with being female (AOR: 1.64; 95% CI [1.05, 2.55]), having experience with COVID-19 in the social environment (AOR: 1.85; 95% CI [1.1-3.14]), experiencing food insecurity (AOR: 1.80; 95% CI [1.11-2.89]), increased family conflict (AOR: 2.43; 95% CI [1.32-4.48]) and impaired healthcare access (AOR: 2.41; 95% CI [1.32-4.41]). Higher likelihood of anxiety was associated with being female (AOR: 3.43; 95% CI [1.91-6.15]), increased family conflict (AOR: 2.22; 95% CI [1.11-4.44]) and impaired healthcare access (AOR: 2.63; 95% CI [1.36-5.12]). Multiple factors were associated with mental health in Kazakhstan during the COVID-19 pandemic. Further research is needed to determine the extent to which these factors and their associated mental health outcomes may persist.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e52"},"PeriodicalIF":3.3,"publicationDate":"2023-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579662/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683805","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}
引用次数: 0
Gender considerations for supportive supervision in humanitarian contexts: A qualitative study. 人道主义背景下支助性监督的性别考虑:一项定性研究。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.33
Elizabeth O'Sullivan, Nadeen Abujaber, Meg Ryan, Kelly A McBride, Pia Tingsted Blum, Frédérique Vallières
{"title":"Gender considerations for supportive supervision in humanitarian contexts: A qualitative study.","authors":"Elizabeth O'Sullivan,&nbsp;Nadeen Abujaber,&nbsp;Meg Ryan,&nbsp;Kelly A McBride,&nbsp;Pia Tingsted Blum,&nbsp;Frédérique Vallières","doi":"10.1017/gmh.2023.33","DOIUrl":"https://doi.org/10.1017/gmh.2023.33","url":null,"abstract":"Abstract Supportive supervision has been shown to improve mental health outcomes and job retention for mental health and psychosocial support (MHPSS) workers in humanitarian contexts. However, the impact of gender on supervision practices has been poorly evaluated and documented in international guidelines to date. To address this gap, qualitative interviews were conducted with 12 MHPSS staff working in diverse humanitarian contexts to identify key gender considerations in supportive supervision. Results show that gender in supervision is influenced by the context of MHPSS work; with culture, religion and gender roles identified as key elements. Participants discuss recruitment mechanisms, highlighting the unequal gender distribution and inequitable opportunities within MHPSS programming. The importance of addressing power dynamics impacted by gender and of ensuring the safety of women within supervision is also highlighted. Finally, participants discuss the gender differences across the various supervisory formats. Altogether, results indicate that gender has the potential to influence supportive supervision within MHPSS, and it is recommended that international guidelines account for nuances of gender in supportive supervision within humanitarian contexts.","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e50"},"PeriodicalIF":3.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579646/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683748","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}
引用次数: 0
A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda. 世界卫生组织尼泊尔、秘鲁和乌干达职前和在职卫生工作者基础帮助技能培训包的混合方法评估。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-14 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.43
Gloria A Pedersen, Pragya Shrestha, Josephine Akellot, Alejandra Sepulveda, Nagendra P Luitel, Rosco Kasujja, Carmen Contreras, Jerome T Galea, Leydi Moran, Vibha Neupane, Damodar Rimal, Alison Schafer, Brandon A Kohrt
{"title":"A mixed methods evaluation of a World Health Organization competency-based training package for foundational helping skills among pre-service and in-service health workers in Nepal, Peru and Uganda.","authors":"Gloria A Pedersen, Pragya Shrestha, Josephine Akellot, Alejandra Sepulveda, Nagendra P Luitel, Rosco Kasujja, Carmen Contreras, Jerome T Galea, Leydi Moran, Vibha Neupane, Damodar Rimal, Alison Schafer, Brandon A Kohrt","doi":"10.1017/gmh.2023.43","DOIUrl":"10.1017/gmh.2023.43","url":null,"abstract":"<p><p>Health systems globally demand more competent workers but lack competency-based training programs to reach their goals. This study evaluates the effectiveness of a competency-based curriculum (EQUIP-FHS) for trainers and supervisors to teach foundational helping knowledge, attitudes and skills, guided by the WHO/UNICEF EQUIP platform, to improve the competency of in-service and pre-service workers from various health and other service sectors. A mixed-methods, uncontrolled before-and-after trial was conducted in Nepal, Peru, and Uganda from 2020 to 2021. Trainees' (<i>N</i> = 150) competency data were collected during 13 FHS trainings. Paired <i>t</i>-tests assessed pre- to post-change in ENACT competency measures (e.g., harmful, helpful). Qualitative data was analyzed using thematic analysis. EQUIP-FHS trainings, on average, were 20 h in duration. Harmful behaviors significantly decreased, and helpful behaviors significantly increased, across and within sites from pre-to post-training. Qualitatively, trainees and trainers promoted the training and highlighted difficult competencies and areas for scaling the training. A brief competency-based curriculum on foundational helping delivered through pre-service or in-service training can reduce the risk that healthcare workers and other service providers display harmful behaviors. We recommend governmental and nongovernmental organizations implement competency-based approaches to enhance the quality of their existing workforce programming and be one step closer to achieving the goal of quality healthcare around the globe.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e55"},"PeriodicalIF":3.9,"publicationDate":"2023-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579647/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683757","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}
引用次数: 0
Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic. 新冠肺炎大流行期间老年人ICD-11创伤后应激障碍和复杂创伤后应激疾病的相关因素。
IF 3.9 2区 医学
Global Mental Health Pub Date : 2023-08-11 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.42
Lee Greenblatt-Kimron, Menachem Ben-Ezra, Maayan Shacham, Yaira Hamama-Raz, Yuval Palgi
{"title":"Factors associated with ICD-11 posttraumatic stress disorder and complex posttraumatic stress disorder among older adults during the COVID-19 pandemic.","authors":"Lee Greenblatt-Kimron,&nbsp;Menachem Ben-Ezra,&nbsp;Maayan Shacham,&nbsp;Yaira Hamama-Raz,&nbsp;Yuval Palgi","doi":"10.1017/gmh.2023.42","DOIUrl":"https://doi.org/10.1017/gmh.2023.42","url":null,"abstract":"<p><p>ICD-11 posttraumatic stress disorder (PTSD) and complex PTSD have been understudied in the older population. The study focused on the associations between traumatic exposure before the pandemic, COVID-19 worries, depression, and loneliness with current PTSD and CPTSD among older adults. A random sample of five hundred and twelve Israeli older adults (<i>Mage =</i> 72.67 ± 3.81, range 68-87) was recruited using a Web-based survey company (<i>Ipanel, Israel).</i> Participants completed questionnaires of demographic details, self-rated health, COVID-19 worries, trauma exposure, depressive symptoms, level of loneliness, PTSD, and CPTSD. Univariate logistic regression revealed that trauma exposure, COVID-19 worries, depression, and loneliness were associated with PTSD. Multinomial regression revealed that only trauma exposure was associated with PTSD among older adults with PTSD compared with those not reaching the PTSD cutoff level. In the comparison between older adults suffering from CPTSD with those not reaching the PTSD cutoff level, being married, higher levels of trauma exposure, COVID-19 worries, depression, and loneliness were associated with a higher risk of CPTSD. Results suggest that specific factors may be significant psychological correlates of CPTSD symptoms among older adults during the COVID-19 pandemic. Identifying these factors could assist practitioners in tailoring more effective interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e49"},"PeriodicalIF":3.9,"publicationDate":"2023-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683777","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}
引用次数: 0
The association between posttraumatic stress symptoms and suicidal ideations among Palestinians: The mediating role of spirituality, social support and mindfulness. 巴勒斯坦人创伤后应激症状与自杀意念之间的联系:精神、社会支持和正念的中介作用。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2023-08-07 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.41
Fayez Mahamid, Dana Bdier, Samah Jabr, Zaynab Hinnawi
{"title":"The association between posttraumatic stress symptoms and suicidal ideations among Palestinians: The mediating role of spirituality, social support and mindfulness.","authors":"Fayez Mahamid, Dana Bdier, Samah Jabr, Zaynab Hinnawi","doi":"10.1017/gmh.2023.41","DOIUrl":"10.1017/gmh.2023.41","url":null,"abstract":"<p><p>The current study aimed to test whether social support, spirituality and mindfulness mediated the association between posttraumatic stress symptoms and suicidal ideation among Palestinians. The study sample consisted of 520 Palestinian adults selected using online tools. The findings of the study revealed that posttraumatic stress symptoms positively correlated with suicidal ideations (<i>r</i> = .32, <i>p</i> < .01), and negatively correlated with social support (<i>r</i> = -.34, <i>p</i> < .01), spirituality (<i>r</i> = -.16, <i>p</i> < .05) and mindfulness (<i>r</i> = -.72, <i>p</i> < .01), whereas suicidal ideations negatively correlated with social support (<i>r</i> = -.46, <i>p</i> < .01), spirituality(<i>r</i> = -.27, <i>p</i> < .01) and mindfulness (<i>r</i> = -.72, <i>p</i> < .01). Results of the path analysis showed that social support, spirituality and mindfulness mediated the association between posttraumatic stress symptoms and suicidal ideations. Developing intervention programs to enhance social support, mindfulness and spirituality to mitigate the effect of ongoing traumatic experiences among Palestinians is crucial to reducing suicidal ideations. Further studies are also recommended to investigate the role of potentially protective factors that may reduce suicidal ideations and appropriate techniques to deal effectively with traumatic and stressful events.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e48"},"PeriodicalIF":3.3,"publicationDate":"2023-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683802","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}
引用次数: 0
Does the Nae Umeed group intervention improve mental health and social participation? A pre-post study in Uttarakhand, India. Nae Umeed团体干预是否能改善心理健康和社会参与?印度北阿坎德邦的一项研究。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2023-08-04 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.38
Christopher R Bailie, Pooja S Pillai, Atul Goodwin Singh, Jed Leishman, Nathan J Grills, Kaaren Mathias
{"title":"Does the <i>Nae Umeed</i> group intervention improve mental health and social participation? A pre-post study in Uttarakhand, India.","authors":"Christopher R Bailie, Pooja S Pillai, Atul Goodwin Singh, Jed Leishman, Nathan J Grills, Kaaren Mathias","doi":"10.1017/gmh.2023.38","DOIUrl":"10.1017/gmh.2023.38","url":null,"abstract":"<p><p>There are few evidence-based interventions to support caregiver mental health developed for low- and middle-income countries. <i>Nae Umeed</i> is a community-based group intervention developed with collaboratively with local community health workers in Uttarakhand, India primarily to promote mental wellbeing for caregivers and others. This pre-post study aimed to evaluate whether <i>Nae Umeed</i> improved mental health and social participation for people with mental distress, including caregivers. The intervention consisted of 14 structured group sessions facilitated by community health workers. Among 115 adult participants, 20% were caregivers and 80% were people with disability and other vulnerable community members; 62% had no formal education and 92% were female. Substantial and statistically significant improvements occurred in validated psychometric measures for mental health (12-Item General Health Questionnaire, Patient Health Questionnaire-9) and social participation (Participation Scale). Improvements occurred regardless of caregiver status. This intervention addressed mental health and social participation for marginalised groups that are typically without access to formal mental health care and findings suggest <i>Nae Umeed</i> improved mental health and social participation; however, a controlled community trial would be required to prove causation. Community-based group interventions are a promising approach to improving the mental health of vulnerable groups in South Asia.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e47"},"PeriodicalIF":3.3,"publicationDate":"2023-08-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579688/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683768","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}
引用次数: 0
South African university students' experiences of online group cognitive behavioural therapy: Implications for delivering digital mental health interventions to young people. 南非大学生在线群体认知行为疗法的经验:对向年轻人提供数字心理健康干预的启示。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2023-07-28 eCollection Date: 2023-01-01 DOI: 10.1017/gmh.2023.39
Xanthe Hunt, Dionne C Jivan, John A Naslund, Elsie Breet, Jason Bantjes
{"title":"South African university students' experiences of online group cognitive behavioural therapy: Implications for delivering digital mental health interventions to young people.","authors":"Xanthe Hunt, Dionne C Jivan, John A Naslund, Elsie Breet, Jason Bantjes","doi":"10.1017/gmh.2023.39","DOIUrl":"10.1017/gmh.2023.39","url":null,"abstract":"<p><p>Mental disorders are common among university students. In the face of a large treatment gap, resource constraints and low uptake of traditional in-person psychotherapy services by students, there has been interest in the role that digital mental health solutions could play in meeting students' mental health needs. This study is a cross-sectional, qualitative inquiry into university students' experiences of an online group cognitive behavioural therapy (GCBT) intervention. A total of 125 respondents who had participated in an online GCBT intervention completed a qualitative questionnaire, and 12 participated in in-depth interviews. The findings provide insights into how the context in which the intervention took place, students' need for and expectations about the intervention; and the online format impacted their engagement and perception of its utility. The findings of this study also suggest that, while online GCBT can capitalise on some of the strengths of both digital and in-person approaches to mental health programming, it also suffers from some of the weaknesses of both digital delivery and those associated with in-person therapies.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e45"},"PeriodicalIF":3.3,"publicationDate":"2023-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579664/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683799","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}
引用次数: 0
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