Global Mental Health最新文献

{"title":"Cross-country validation of the Arabic version of the WHO-5 Well-Being Index in non-clinical young adults from six Arab countries.","authors":"Feten Fekih-Romdhane, Wissal Cherif, Amthal Alhuwailah, Mirna Fawaz, Hanaa Ahmed Mohamed Shuwiekh, Mai Helmy, Ibrahim Hassan Mohammed Hassan, Abdallah Y Naser, Btissame Zarrouq, Marianne Chebli, Yara El Frenn, Gabriella Yazbeck, Gaelle Salameh, Ayman Hamdan-Mansour, Eqbal Radwan, Abir Hakiri, Sahar Obeid, Majda Cheour, Souheil Hallit","doi":"10.1017/gmh.2025.10051","DOIUrl":"10.1017/gmh.2025.10051","url":null,"abstract":"<p><p>This study aimed to perform a cross-country validation of the Arabic version of the World Health Organization 5-item (WHO-5) Well-Being Index, in terms of factor structure, composite reliability, cross-gender measurement invariance and concurrent validity. We carried out a cross-sectional, web-based study on a total of 3,247 young adults (aged 18-35 years) from six Arab countries (Tunisia, Lebanon, Egypt, Jordan, Morocco and Kuwait). Confirmatory Factor Analysis showed that the one-factor model demonstrated acceptable fit across all six countries. In addition, the Arabic WHO-5 Well-Being Index yielded high reliability coefficients in samples from each country (McDonald's <i>ω</i> and Cronbach's <i>α</i> = .92-.96), across genders (<i>ω</i> = .95 in men and .94 in women) and age groups (<i>ω</i> = .94/α = .94 in participants aged ≤25 years and <i>ω</i> =.96/<i>α</i> =.96 in those aged ≥26 years). Multi-group analyses demonstrated that configural, metric and scalar invariance were supported across gender, countries and age groups. Regarding concurrent validity, WHO-5 Well-being scores were strongly and significantly inversely correlated with depression, anxiety, stress, suicidal ideation and insomnia severity. This study provides a brief, valid and reliable Arabic version of the WHO-5 Well-Being Index that can be applied cross-nationally among Arabic-speaking young adult populations for screening and research purposes.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e95"},"PeriodicalIF":2.8,"publicationDate":"2025-08-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974661","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: Acceptability of a culturally-adapted, evidence-based mental health intervention for Venezuelan migrant youth residing in Colombia - ERRATUM.","authors":"Alethea Desrosiers, Natalia Piñeros-Leaño, Maria Paula Jimenez, Samantha Plezia, Maria Pineros-Leano","doi":"10.1017/gmh.2025.10048","DOIUrl":"10.1017/gmh.2025.10048","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2025.10043.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e84"},"PeriodicalIF":2.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12345056/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849419","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 care for migrants in the Netherlands: A decolonial perspective.","authors":"Gian-Louis Hernandez, Melanie de Looper, Sabine Braun, Graham Hieke, Demi Krystallidou, Julia van Weert, Barbara Schouten","doi":"10.1017/gmh.2025.10038","DOIUrl":"10.1017/gmh.2025.10038","url":null,"abstract":"<p><p>This study addresses the mental health needs of refugees and migrants in the Netherlands, highlighting the urgent public health challenges they face. Unique psychosocial hurdles, exacerbated by cultural dislocation, language barriers and systemic inequalities, hinder their access to quality mental healthcare. This study explores how coloniality intersects with mental healthcare access, using a decolonial framework to challenge stereotypes and assumptions that marginalize migrant voices. Through semi-structured interviews with migrants and language service providers, this research reveals the complexities of navigating the mental healthcare system. Findings reveal that temporality, professionalism and language barriers are key issues in migrants' mental healthcare journeys. We advocate for systemic changes that prioritize migrant perspectives. Ultimately, this study aims to inform policy and practice to enhance mental health services for migrant populations in the Netherlands and contribute to the broader dialogue on decolonization in mental health.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e86"},"PeriodicalIF":2.8,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12345060/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849420","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":"Factors associated with online information seeking about mental health among high school students in Belgrade, Serbia.","authors":"Tatjana Gazibara, Jelena Cakic, Milica Cakic, Anita Grgurevic, Tatjana Pekmezovic","doi":"10.1017/gmh.2025.10026","DOIUrl":"10.1017/gmh.2025.10026","url":null,"abstract":"<p><p>Adolescents may not necessarily have a specific mental health challenge to seek information on mental health. They may be genuinely curious on how to better understand these issues, especially when mental health is being discussed in school, among peers and with parents. The purpose of this study was to examine the frequency and factors associated with online information seeking about mental health among adolescents. A total of 702 high school students from Belgrade, Serbia, participated in the study and filled in an anonymous questionnaire about sociodemographics, digital behaviors and the Electronic Health Literacy Scale (eHEALS). The prevalence of seeking information about mental health in our study sample was 23.5% (165/702). The multivariate model showed that having a lower school performance, lower eHEALS score and browsing health blogs, social media and websites run by physicians and health institutions were independently associated with online information seeking about mental health. Additionally, searching for online information about psychoactive substances, bullying and medications was independently associated with online information seeking about mental health among adolescents. Adolescents are familiar with a variety of sources of online health information, but choose specific online platforms to read about mental health. These platforms could be utilized to promote mental well-being in high schools.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e94"},"PeriodicalIF":2.8,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394022/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974731","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":"Pension reforms, economic security, and mental health: The need for a human rights-based approach.","authors":"Sarah Steele, Milagros Ruiz, Matthew Parbst, David Stuckler","doi":"10.1017/gmh.2025.10047","DOIUrl":"10.1017/gmh.2025.10047","url":null,"abstract":"<p><p>Pension systems play a crucial role in providing economic security and supporting well-being in later life. However, as governments implement reforms to ensure financial sustainability-such as raising the retirement age, reducing benefits, and shifting to defined-contribution schemes-these measures often overlook their psychological and social consequences. Pension insecurity has been linked to heightened stress, anxiety, and depression, as well as increased social isolation, particularly among vulnerable populations, including those in physically demanding jobs, low-income workers, and individuals with existing health conditions. Despite clear evidence of these effects, mainstream pension reform discourse prioritises fiscal concerns over social and mental health implications. This article examines pension reform through the Human Rights-Public Health Pension Framework (HRPHPF), integrating legal, public health, and policy perspectives to assess its impact on mental well-being. It situates pension rights within international human rights law, explores the psychological risks associated with pension insecurity, and advocates for a human rights-based approach to pension policymaking. The article calls for integrating mental health impact assessments into pension reforms to prevent adverse outcomes and ensure that policies promote dignity, social inclusion, and economic security in old age. A more balanced approach is necessary to align financial sustainability with broader well-being and human rights principles.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e91"},"PeriodicalIF":2.8,"publicationDate":"2025-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974718","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":"Trends in suicide among adolescents aged 14-17 years in India: 2014-2019.","authors":"Vikas Arya, Gregory Armstrong, Caley Tapp, Sandersan Onie, Piumee Bandara, G Anil Kumar, Matthew Spittal, Andrew Page, Lakshmi Vijayakumar, Jane Pirkis, Rakhi Dandona","doi":"10.1017/gmh.2025.10044","DOIUrl":"10.1017/gmh.2025.10044","url":null,"abstract":"<p><p>This study investigates the epidemiology of adolescent suicide in India, addressing the limited research on the subject. Data on adolescent suicide (14-17 years) by sex and state were obtained from the National Crimes Records Bureau for 2014-2019, which included acquiring unpublished data from 2016 to 2019. Crude suicide rates for the period 2014-2019 were calculated by sex and state. Rate ratios (RRs) by sex and state were also calculated to assess changes over time, comparing suicide rates from 2017-2019 to 2014-2016. Female adolescent suicide rates, which ranged between 9.04 and 8.10 per 100,000 population, were consistently higher than male adolescent suicide rates, which ranged between 8.47 and 6.24 per 100,000 population. Compared to the first half of the study period (2014-2016), adolescent suicide rates significantly increased between 2017 and 2019 among less developed states (RRs = 1.06, 95% uncertainty interval [UI] = 1.03-1.09) and among females in these states (RRs = 1.09, 95% UI = 1.05-1.14). Male suicide rates aligned with global averages, while female rates were two to six times higher than in high-income and Southeast Asian countries. Findings highlight the urgent need for comprehensive surveillance and targeted suicide prevention strategies to address this critical public health issue.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e90"},"PeriodicalIF":2.8,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12394019/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144974755","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":"What was done for youths aged 15 to 24 around the world? A systematic review of worldwide mental health interventions.","authors":"Ming Hao Lee, Kah Hui Yap, Moon-Ho Ringo Ho","doi":"10.1017/gmh.2025.10042","DOIUrl":"10.1017/gmh.2025.10042","url":null,"abstract":"<p><p>The global prevalence of mental health disorders among youths aged 15 to 24 is a significant public health concern. This systematic review aimed to explore global strategies for promoting mental well-being and addressing mental health challenges within this demographic, as defined by the World Health Organization. A comprehensive search of electronic scientific databases was conducted on November 1, 2023, yielding 43 studies with a total of 29,581 participants published between 2008 and 2023 that examined mental health interventions targeting youth. This review identified heterogeneity across multiple dimensions including modes and modalities of intervention delivery, conceptualisations of mental health, measurement tools and implementation settings. Digital/ technology-based interventions were prevalent in high-income countries, whereas physical interventions were more commonly employed across all income groups, especially where technological infrastructure was limited. Cognitive-behavioural therapy, psychoeducation and mindfulness-based interventions dominated the intervention modalities, likely due to their structured formats, scalability and broad applicability across a range of settings and mental health conditions. However, limited evidence of cultural adaptation in the reviewed interventions highlights the need for more inclusive and context-sensitive approaches. Schools were the most frequent delivery setting; however, reliance on educational platforms risks excluding out-of-school and marginalised youth. Conceptually, the reviewed interventions reflected both disorder-specific (diagnostic) and transdiagnostic understandings of mental health, affirming a spectrum-based view that integrates symptom reduction with well-being enhancement. This dual lens supports emerging frameworks such as the Hierarchical Taxonomy of Psychopathology (HiTOP). Measurement heterogeneity mirrored conceptual diversity, with both standardised and context-specific tools used to assess outcomes. This diversity highlighted the urgent need for culturally relevant, flexible and multi-modal interventions that span diverse settings and conceptualisations to equitably support youth mental health worldwide.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e97"},"PeriodicalIF":2.8,"publicationDate":"2025-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12415795/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145031061","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 moderating and mediating role of resilience in the relationship between adverse childhood experiences and depression, PTSD, and suicidality in Kenyan youth.","authors":"Victoria Mutiso, David Ndetei, Eric Jeremiah, Pascalyne Nyamai, Samuel Walusaka, Veronica Onyango, Christine Musyimi, Kamaldeep Bhui, Daniel Mamah","doi":"10.1017/gmh.2025.10041","DOIUrl":"10.1017/gmh.2025.10041","url":null,"abstract":"<p><p>Adverse childhood experiences (ACEs) are widely associated with mental health disorders, such as depression, post-traumatic stress disorder (PTSD), and suicidality. Resilience plays a role in mediation and moderation of these associations, yet there is limited data from Kenya on this. This cross-sectional study examined the role of resilience in the relationship between ACEs and mental health outcomes among 1,972 participants aged 14-25 years in the Nairobi Metropolitan area. Participants completed the Trauma and Distress Scale (ACEs), Patient Health Questionnaire-9 (depression), Columbia-Suicide Severity Rating Scale (suicidality), Harvard Trauma Questionnaire (PTSD), and Adult Resilience Measure-Revised (resilience). Analyses of moderation and mediation using Hayes Process Macro indicated that resilience moderated the association between ACEs with PTSD and depression, with minimal effect on suicidality. It also moderated specific associations, including emotional/physical neglect on ideation, physical abuse on lifetime behavior (<i>p</i> = 0.0479), and total ACEs on recent behavior (<i>p</i> = 0.0514). Resilience also partially mediated the effects of ACEs on PTSD and depression, and fully mediated suicidality for specific ACE domains (emotional neglect, physical neglect, and physical abuse on suicidal ideation and all ACEs on recent suicidal behaviors). Building resilience mitigates the effects of ACEs on depression, PTSD, and suicidality among Kenyan youth.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e88"},"PeriodicalIF":2.8,"publicationDate":"2025-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12345062/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849421","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 psychological impact of storm Daniel on medical students at the University of Derna in Libya: A cross-sectional study.","authors":"Rana H Shembesh, Mohammed S Beshr, Aseel A Almasheeti, Aisha T Sheltami, Ahmed El-Ojeli","doi":"10.1017/gmh.2025.10039","DOIUrl":"10.1017/gmh.2025.10039","url":null,"abstract":"<p><p>Storm Daniel struck northeastern Libya on September 10, 2023, causing severe infrastructure damage and significant human loss. Derna was the most affected city, with the University of Derna suffering extensive damage and the tragic loss of 37 medical students. Medical students face unique psychological and academic stressors, and tend to have higher rates of psychiatric disorders compared to their peers of the same age. This is the first study to investigate the storm's psychological impact on medical students at the University of Derna. The study has a cross-sectional design and lasted from February 1 to March 1, 2024. We used the Generalized Anxiety Disorder-7 (GAD-7) to assess anxiety and the Patient Health Questionnaire-9 (PHQ-9) to assess depression, along with sociodemographic questions in our questionnaire. We included only active students enrolled in the 7-year undergraduate program at the University of Derna. Statistical tests such as the chi-square test and binary logistic regression were used in the analysis. About 225 students completed the survey. The means and standard deviations for GAD-7 and PHQ-9 scores were 9.2 (3.9) and 10.8 (5.0), respectively. The prevalence of anxiety was 42.2% for cases classified as moderate and severe (cut-off ≥10). Depression had a prevalence of 51.1% for cases classified as moderate, moderately severe and severe (cut-off ≥ 10). Suicidal ideation was reported at a rate of 48.9% for \"several days\" or more and at 16.5% for \"more than half of the days\" and \"nearly every day.\" Internal displacement following the storm was significantly associated with both anxiety (<i>p</i> = 0.033) and depression (<i>p</i> = 0.003). However, age, gender, year of study, monthly allowance and residence status (living with family or alone) did not show a statistically significant association with either anxiety or depression (<i>p</i> > 0.05 for all variables). Logistic regression analysis identified gender as the only significant predictor of anxiety (<i>p</i> = 0.041) and internal displacement as the sole significant predictor of depression (<i>p</i> = 0.023). Medical students at the University of Derna reported high rates of anxiety, depression and suicidal ideation following Storm Daniel. Internal displacement was significantly associated with both anxiety and depression. These results highlight the need for targeted interventions to address medical students' mental health challenges and improve their overall well-being.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e82"},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322784/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790366","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":"Scaling mental health care in Nigeria: Impact of WHO mhGAP training under the MeHPriC program on knowledge, attitudes, and practices of primary health care workers in Lagos State - A pre-post mixed-methods study.","authors":"Abiodun Adewuya, Bolanle Ola, Olurotimi Coker, Olayinka Atilola, Olushola Olibamoyo, Olabisi Oladipo, Tolu Ajomale","doi":"10.1017/gmh.2025.10040","DOIUrl":"10.1017/gmh.2025.10040","url":null,"abstract":"<p><p>The growing burden of mental, neurological and substance use (MNS) disorders in low-resource settings has prompted efforts to integrate mental health into primary health care (PHC). This study evaluated the implementation and outcomes of a large-scale mhGAP training initiative under the Mental Health in Primary Care (MeHPriC) program in Lagos State, Nigeria. A total of 852 PHC workers from 57 facilities completed a 5-day mhGAP training and a 1-day refresher session. Using a pre-post mixed-methods design, we assessed changes in knowledge, stigma, clinical practice and self-efficacy, with follow-up at five months. Quantitative findings revealed significant improvements in knowledge and attitudes, with enhanced clinical practice reported by 69.1% of participants. Supervision, knowledge gains and self-efficacy emerged as predictors of improved practice. Qualitative data, analyzed using the Consolidated Framework for Implementation Research (CFIR), highlighted increased confidence, reduced stigma and the enabling role of supervision and peer support, alongside persistent barriers such as medication stock-outs and limited referral networks. The study offers robust evidence for the effectiveness of task-sharing approaches when supported by contextual adaptation and system-level readiness. The MeHPriC model demonstrates that government-led mhGAP scale-up in PHC is both feasible and impactful, offering a replicable pathway for mental health integration in other LMICs.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e83"},"PeriodicalIF":2.8,"publicationDate":"2025-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12322782/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144790365","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}