Global Mental Health最新文献

{"title":"Self-rated health, socio-economic status and post-traumatic stress disorder among couples from refugee backgrounds: Findings from the building a new life in Australia study.","authors":"Thomas P Nguyen, Pilar Rioseco, Sonia Terhaag, Shameran Slewa-Younan","doi":"10.1017/gmh.2026.10187","DOIUrl":"https://doi.org/10.1017/gmh.2026.10187","url":null,"abstract":"<p><p>Individuals from refugee backgrounds may experience higher rates of mental and physical health problems compared to the general population, yet the interdependence of these outcomes within couples remains poorly understood. This study aims to understand the relationship between post-traumatic stress disorder (PTSD), socio-economic status and self-rated general health (SRGH) among couples from refugee backgrounds living in Australia. Couples were nested within dyads using multi-level frameworks and mixed-effects logistic regression (<i>n</i> = 436 dyads). In respondents with likely PTSD, 61% of their partners were also likely to have PTSD compared to only 26% of partners in refugees with unlikely PTSD. After controlling for socio-economic factors, respondents with likely PTSD were significantly less likely to rate their health as 'excellent/very good' (OR = 0.20), compared to those with unlikely PTSD. Partners with likely PTSD were also less likely to rate their health as 'excellent/very good' (OR = 0.54). Individuals who were older, female, born in the Middle East, experienced less community support or more economic stressors were at greater risk of poorer SRGH. PTSD and SRGH had an interdependent effect within couples from refugee backgrounds. Familial and psychosocial contexts must be considered when developing health promotion and policies for refugee communities.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e73"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112281/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786051","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 regulation and control of khat use and access in Ethiopia: Policy brief.","authors":"Selamawit Alemayehu Tessema, Chalachew Kassaw, Abebaw Fekadu, Senait Kebede","doi":"10.1017/gmh.2026.10189","DOIUrl":"https://doi.org/10.1017/gmh.2026.10189","url":null,"abstract":"<p><p>About 10 million people worldwide chew khat daily. Chronic khat use is a public health problem associated with physical and psychological impacts, such as mental health disorders and social consequences. The use of khat is increasing dramatically in Ethiopia among the young population. There are controversies over the legal status and health effects related to the consumption of khat. Despite the existing controversies, the problem is increasing with its detrimental impact. Policymakers need to enforce education campaigns aimed at awareness creation on the impact of khat use. It is important to consider legally restricting the availability and use of khat in vulnerable populations, such as children under 18 years, individuals with mental disorders and pregnant women, as well as in settings such as hospitals and schools.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e83"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125276/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822419","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 direct and indirect effects of climate anxiety on psychological distress through hope: A multinational study in different Arab nations.","authors":"Tigresse Boutros, Jana Abou Rjeily, Hanaa Ahmed Mohamed Shuwiekh, Mai Helmy, Kamel Jebreen, Abdallah Y Naser, Mirna Fawaz, Inad Nawajah, Eqbal Radwan, Amer Abukhalaf, Diana Malaeb, Sahar Obeid, Muna Barakat, Souheil Hallit, Feten Fekih-Romdhane","doi":"10.1017/gmh.2026.10191","DOIUrl":"https://doi.org/10.1017/gmh.2026.10191","url":null,"abstract":"<p><p>The impact of climate change on mental health is becoming increasingly recognized. Previous studies on this subject have mainly assessed the direct and immediate emotional reactions to climate change anxiety, but the psychological aspects of this connection are yet to be investigated, especially in Arab societies. The current study aimed at investigating if hope can be a mediator in the relationship between climate change anxiety and psychological distress in Arab countries. A cross-sectional survey was conducted between February and June 2025 among 2,844 subjects from Egypt, Jordan, Palestine and Lebanon. The validated Arabic versions of the <i>climate change anxiety scale</i>, the <i>perceived Hope Scale</i> and the <i>patient health Questionnaire-4</i> were used for data collection. Hope was found to be a partial mediator in the relationship between climate change anxiety and psychological distress (indirect effect: β = 0.003; 95% CI [0.001, 0.005]). Higher levels of climate anxiety were associated with lower hope, which in turn was related to higher psychological distress. Climate change anxiety continued to be directly associated with psychological distress even after accounting for hope as a mediator. This study suggests that hope modestly and partially mediates the relationship between climate change anxiety and psychological distress. Therefore, and particularly in the Arab region, a multidisciplinary and collaborative approach aiming at reinforcing and strengthening hope may help with the mental health burden of climate-related anxiety.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e78"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112313/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786137","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":"Interventions to improve mental health help-seeking attitudes, intentions and behaviors: A systematic review of recent advances.","authors":"Shruti Bora, Bijayalaxmi Biswal, Yashi Gandhi, Sloka Iyengar, Richard Velleman, Daisy Radha Singla, Vikram Patel, Marimilha Grace Pacheco, Nikita Nalawade, Abhijit Nadkarni","doi":"10.1017/gmh.2026.10183","DOIUrl":"https://doi.org/10.1017/gmh.2026.10183","url":null,"abstract":"<p><p>The gap between mental health conditions and care uptake remains a global challenge, despite the availability of effective and affordable treatments. This gap is driven by demand-side barriers, such as lack of mental health literacy (MHL), stigma, etc., that hinder help-seeking. In this systematic review, we critically appraise interventions aimed at promoting help-seeking for mental health conditions. The review protocol was prospectively registered with PROSPERO (registration number CRD42021273843). A systematic search was conducted across MEDLINE, PsycINFO, Embase, Global Health, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Central Register of Controlled Trials (CENTRAL). Only RCTs published after 2016, testing interventions with the aim of improving help-seeking behaviors, intentions and attitudes for any mental health conditions, were included. Due to the heterogeneity of outcomes and measures used in the studies, a narrative synthesis was conducted to examine the evidence. Fifty-four studies met the inclusion criteria. Our review confirms that MHL or psychoeducation, motivational interviewing (MI) and social contact interventions effectively improve help-seeking attitudes (<i>n</i> = 10), intentions (<i>n</i> = 17) and behaviors (<i>n</i> = 16). Multi-component MHL and MI-based strategies enhance help-seeking behaviors, while social contact online interventions enhance intentions. MHL/psychoeducation was effective across all outcomes, particularly when combined with other strategies. Despite a rise in help-seeking research, many studies lacked standardized frameworks, making cross-intervention comparisons difficult. Future work should align with theoretical models of help-seeking and explore mechanisms of change to better understand the link between intentions, attitudes and behaviors.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e85"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13125273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147822329","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":"Role of law enforcement agencies in suicide prevention: A scoping review.","authors":"Nikhil Jain, Isha Lohumi, Niranjana Regimon, Aratrika Datta, Soumitra Pathare","doi":"10.1017/gmh.2026.10186","DOIUrl":"https://doi.org/10.1017/gmh.2026.10186","url":null,"abstract":"<p><p>The role of Law enforcement agencies (LEA) is significant in suicide prevention efforts as first responders. Nevertheless, no published study to date has systematically compiled the body of knowledge about suicide prevention efforts involving LEA. The current scoping review aims to methodically map and examine the peer-reviewed literature and grey literature on the role of LEA in suicide prevention. Electronic searches of the databases like Medline, PsycINFO, Google Scholar, Web of Science, Scopus, CINAHL and Google were conducted using a comprehensive search strategy to identify relevant resources. Grey literature was searched searches were undertaken on relevant databases and, as well as government and organisational websites. The reporting of the review followed the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews guidelines. The inclusion criteria comprised research articles, reports, and guidelines/policy documents on the role of law enforcement agencies (LEAs) in suicide prevention. Studies on prevalence, custodial settings, non-English publications, and reviews were excluded. Inclusion criteria comprised research articles, reports and guidelines/policy documents focusing on law enforcement's role in suicide prevention. Studies focusing solely on prevalence or epidemiology, studies confined strictly to custodial settings, publications not in English and systematic reviews or meta-analyses were excluded. Out of 3,327 records screened, the full texts of 82 resources were included in the review. All the resources identified were categorised between peer-reviewed literature and grey literature. Resources were thematically categorised based on functional roles into- I. Strategic and System-Embedded Roles of LEA, II. Capacity Building and Training Oriented Engagements, III. Surveillance Reporting and Data Systems Role, IV. Community Facing and Preventive Engagement, and V. Means Restriction and Environmental Prevention Roles. The chronological development of the resources was inconsistent. Most resources were from high-income countries, focusing on the evaluation of training, capacity building programmes, surveillance initiatives and the exploration of varied roles of LEA across custodial, community and crisis settings and other interdisciplinary collaborations. Notably, the resources show increased disparity in quantity and research methodological approaches across geographies. The review highlights substantial heterogeneity and a limited resource base from low- and middle-income countries on the role of LEA in suicide prevention, with a dearth of structured, evidence-based, scalable models in these settings. These gaps point to an urgent need for locally relevant and cross-sectoral models that position law enforcement as integral partners in suicide prevention efforts, especially where these agencies play a major role as first responders.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e71"},"PeriodicalIF":2.8,"publicationDate":"2026-03-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112288/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785695","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":"Association between cognitive leisure activities and symptoms of depression in Chinese middle-aged and older adults: A CHARLS cohort study from 2011 to 2018.","authors":"Min Fang, Yaqin Wang, Hongzhu Zhang, Dan Chen","doi":"10.1017/gmh.2026.10145","DOIUrl":"https://doi.org/10.1017/gmh.2026.10145","url":null,"abstract":"<p><p>Cognitive leisure activities (CLAs) and pain may affect depressive symptoms in middle-aged and older people in China. This study aimed to clarify the association between CLAs and depressive symptoms in middle-aged and older groups, and further analyze the mediating function of pain in this relationship. Data were obtained from the CHARLS from 2011 to 2018. The association between the CLA Score (CLAS) and depressive symptoms was assessed using multilevel logistic regression to examine regional differences. Subgroup analysis was performed by age and sex. The mediating effect of pain was tested. High CLAS (Group 4) was significantly related to a reduced risk of depressive symptoms (OR = 0.58, 95% CI: 0.44-0.76, <i>P</i> < 0.0001). Results were consistent across eastern and western regions. Subgroup analysis revealed no significant interaction associations. Pain accounted for 10.0% of the mediating effect. Higher CLAS is notably related to a reduced risk of depressive symptoms. This finding provides new directions for interventions targeting depression symptoms in middle-aged and older adults.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e72"},"PeriodicalIF":2.8,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112273/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147785997","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":"Examining suicide literacy among emerging adult medical students in Puerto Rico.","authors":"Fabio Barreto-Ayes, Estefany Velez-Baez, Erik Velez-Perez, Elina Aguilar-Jiménez, Mario Bermonti-Pérez, Norka Polanco-Frontera, Eliut Rivera-Segarra","doi":"10.1017/gmh.2026.10180","DOIUrl":"https://doi.org/10.1017/gmh.2026.10180","url":null,"abstract":"<p><p>Suicide is a leading cause of death among emerging adults (EAs) worldwide, yet suicide literacy (SL) in this population remains understudied, particularly in Puerto Rico (PR). This study assessed SL among EAs enrolled at a medical school in PR and explored its association with knowing someone who had experienced suicidal ideation (SI) or attempted suicide (SA). A cross-sectional study was conducted with 102 participants aged 21-28 years. Participants completed a sociodemographic questionnaire and the Literacy of Suicide Scale (LOSS). The mean LOSS score was 19.25 out of 27 (71.3%), with a domain-specific pattern characterized by relatively higher performance in the treatment/prevention and lower performance in the recognition of signs and symptoms. Regression analysis revealed that knowing someone with lived experience of SI/SA was associated with higher SL scores, while gender was not significantly associated. These findings suggest that, although medical students may have general knowledge about suicide prevention, they may struggle to identify early warning signs. This study contributes to the emergent literature on SL among EAs globally and highlights the need for further research on SL domain-specific strengths and weaknesses.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e64"},"PeriodicalIF":2.8,"publicationDate":"2026-03-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13107070/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786065","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":"Mediating effect of fear of happiness between intolerance of uncertainty and anxiety among Lebanese adults.","authors":"Laetitia Gerbaka, Diana Malaeb, Amira Mohammed Ali, Fouad Sakr, Mariam Dabbous, Feten Fekih-Romdhane, Souheil Hallit, Sahar Obeid","doi":"10.1017/gmh.2026.10178","DOIUrl":"https://doi.org/10.1017/gmh.2026.10178","url":null,"abstract":"<p><p>Fear of happiness represents the negative feelings that emerge as one apprehends or experiences the positive emotion of happiness. This experience is intrinsically related to intolerance of uncertainty, the apprehension of the unknown, and symptoms of anxiety. While all of these factors are common among the Lebanese population, especially given the hardships it has been through for the past few years, no research has yet studied all three of them in Lebanon. Therefore, this paper tackles the role of fear of happiness as a mediator between intolerance of uncertainty and anxiety among Lebanese adults. The present study is a cross-sectional investigation that recruited 905 Lebanese adults, of which 60% were women, with a mean age of 29.90 years. Fear of happiness partially mediated the association between prospective and inhibitory anxiety and anxiety; higher prospective/inhibitory anxiety was significantly associated with higher fear of happiness and directly associated with higher anxiety. Finally, fear of happiness was significantly and directly associated with higher anxiety. Interventions such as cognitive behavioral therapy and educational programs that tackle these factors may be beneficial to these individuals to relieve symptoms of anxiety and to tackle other negative thought patterns.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e60"},"PeriodicalIF":2.8,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112289/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786134","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":"Using the theory of change (ToC) to co-design a primary mental healthcare system for older people with common mental disorders in Hong Kong.","authors":"Tianyin Liu, Jessie Ho Yin Yau, Dara Kiu Yi Leung, Wai-Chi Chan, Siu-Man Ng, Paul Wong, Eric Kwok Lun Yiu, Samuel Chan, Lesley Cai Yin Sze, Edwin Wong, Wai-Wai Kwok, Gloria Hoi Yan Wong, Terry Yat Sang Lum","doi":"10.1017/gmh.2026.10163","DOIUrl":"https://doi.org/10.1017/gmh.2026.10163","url":null,"abstract":"<p><p>Population ageing and the limited mental healthcare human resources are widening the service gap between older people's mental healthcare needs and the system's capacity in Hong Kong. Scaling up services through integration into the primary care system remains the main strategy to address unmet needs. In this study, we co-developed a primary mental healthcare system for older people with common mental health disorders with 33 stakeholders, including representatives from the government, primary healthcare services, charities, professionals, service users, caregivers and researchers. The study had three phases, including (1) rapid situational analysis (RSA) and survey to synthesise key elements and challenges of the existing service, (2) three rounds of theory of change (ToC) workshops (online) with stakeholders and (3) reach consensus and finalise the ToC map. A shared vision of <b><i>No Wrong Door in Practice</i></b> was established, operationalised as older adults experiencing improved mental health through integrated services from any entry point. The resulting ToC incorporated two interconnected pathways: (1) <i>medical-social collaboration</i> to provide integrated and person-centred care, and (2) <i>community integration</i> to empower older persons and carers to seek help and navigate the system confidently. Specific interventions, outcomes and outcome indicators were identified in the Hong Kong context for both pathways.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e59"},"PeriodicalIF":2.8,"publicationDate":"2026-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112318/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786117","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":"Mindfulness-based stress reduction for patients with coronary heart disease and bipolar disorder: An 8-week comparative study.","authors":"Jiawei Wang, Yechen Wu, Fan Yang, Yue Hu, Jing Zhang","doi":"10.1017/gmh.2026.10143","DOIUrl":"https://doi.org/10.1017/gmh.2026.10143","url":null,"abstract":"<p><p>Coronary heart disease (CHD) often coexists with mood disorders (MDs), but research on comorbidity predictors and interventions remains limited. This two‑phase mixed‑methods study enrolled 390 CHD patients diagnosed by coronary angiography. Mood disorders were screened using the HAMD (≥7) and confirmed via DSM‑5 psychiatric evaluation. In the observational phase, 219 CHD patients with MDs and 171 without were compared; 56% had a mood disorder, including 34 with bipolar disorder (BD). The BD group showed a significantly higher LF/HF ratio (2.03 ± 0.38, P = 0.037), indicating autonomic dysfunction. In the intervention phase, 34 BD patients were randomized to 8‑week MBSR (n = 17) or treatment as usual (TAU; n = 17). Compared with TAU, MBSR significantly reduced anxiety (HAMA: 4.31 vs. 7.69, p = 0.010) and improved autonomic function (LF/HF: 1.49 vs. 1.82, p = 0.002). Cardiac function showed no significant between‑group difference, though NYHA class improvement tended to be higher in the MBSR group. Mood disorders, especially BD with autonomic impairment, are highly prevalent in CHD patients. MBSR is a promising intervention for psychological and autonomic improvement and may be integrated into cardiac rehabilitation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"13 ","pages":"e58"},"PeriodicalIF":2.8,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13112277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147786144","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}