Global Mental Health最新文献

{"title":"Addressing the mental health needs of healthcare professionals in Africa: a scoping review of workplace interventions.","authors":"Bala Isa Harri, Igbekele Ogunboye, Adaeze Okonkwo, Aminu Yakubu, Janice Y Kung, Jenson Fofah, Ojo Tunde Masseyferguson, Ejemai Eboreime","doi":"10.1017/gmh.2025.19","DOIUrl":"10.1017/gmh.2025.19","url":null,"abstract":"<p><p>Healthcare workers in Africa face considerable stress due to factors like long working hours, heavy workloads and limited resources, leading to psychological distress. Generally, countries in the global north have well-established policies and employee wellness programs for mental health compared to countries in the global south. This scoping review aimed to synthesize evidence from published and grey literature on workplace mental health promotion interventions targeting African healthcare workers using Social Ecological Model (SEM) and the Job Demands-Resources (JD-R) model as an underlying theoretical framework for analysis. Arksey and O'Malley framework for scoping reviews was used. The search was conducted across multiple databases. A total of 5590 results were retrieved from Ovid MEDLINE, Ovid Embase, Ovid PsycINFO, Cochrane Library, CINAHL, Scopus and Web of Science. Seventeen (17) studies from ten (10) African countries were included after title, abstract and full text screening. Thematic analysis identified 5 key themes namely training programs, counselling services, peer support programs, relaxation techniques and informational resources. In conclusion, even though limited workplace mental health interventions for healthcare professionals were identified in Africa, individual-level interventions have been notably substantial in comparison to organizational and policy-level initiatives. Moving forward, a multi-faceted approach unique to the African context is essential.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e31"},"PeriodicalIF":3.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894417/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606710","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 psychological crisis interventions during infectious disease outbreaks in low- and middle-income countries: a systematic review of Randomized Control Trials.","authors":"Biksegn Asrat Yirdaw, Jun Angelo Sunglao, Muhammad Alkasaby, Julian Eaton","doi":"10.1017/gmh.2025.22","DOIUrl":"https://doi.org/10.1017/gmh.2025.22","url":null,"abstract":"<p><p>The huge mental health treatment gap in low- and middle-income countries (LMICs) is further exacerbated when infectious disease outbreaks occur. To address the increasing mental health needs during outbreaks, the availability of flexible and efficient mental health interventions is paramount, especially in low-resource settings where outbreaks are more common. Psychological interventions may help to address these mental health needs with efficient implementation costs. However, there is a huge paucity of quality evidence to inform psychosocial interventions during outbreaks. This systematic review sought to update the existing evidence to inform the effectiveness of psychological interventions that addresses mental health issues during outbreaks in LMICs. Six electronic databases were searched - Scopus, PubMed, PsycINFO, Embase, Cochrane library and CINAHL. We included randomised controlled trials of psychological interventions aimed to address common mental health conditions among adults affected by infectious disease outbreaks in LMICs. Studies were excluded if they were done among all age groups, used mixed interventions with pharmacotherapies, addressed severe mental health conditions and were published other than in English. The quality of evidence in the included trials was assessed using the Cochrane Collaboration risk of bias tool. We included 17 trials that examined the effectiveness of psychological interventions among outbreak-affected adults in LMICs. The quality of studies was generally average but tended to provide evidence that brief psychoeducational interventions based on cognitive restructuring, mindfulness, relaxation and stress management techniques were effective in reducing perceived stress and anxiety symptoms, and in improving resilience and self-efficacy. Similarly, mindfulness-based interventions and mindfulness stress reduction treatments were effective in addressing depression, anxiety and generalised anxiety disorder. Brief psychological interventions that can be delivered by non-specialists could have value in addressing the huge mental health needs in outbreak contexts.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e32"},"PeriodicalIF":3.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037349/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144064918","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":"Network analysis of academic achievement and psychological characteristics of secondary school adolescents.","authors":"Esin Yılmaz Koğar, Ayfer Sayın, Hakan Koğar, Hüseyin Kafes, Güçlü Şekercioğlu","doi":"10.1017/gmh.2025.17","DOIUrl":"10.1017/gmh.2025.17","url":null,"abstract":"<p><p>In this study, network analysis was conducted using an exploratory approach on the variables of self-efficacy, academic resilience (AR), cognitive test anxiety and academic achievement (ACH), which are frequently examined in educational research. Data were collected from a total of 828 Turkish secondary school adolescents (51.9% female), using three different self-reported scales for self-efficacy, AR and cognitive test anxiety, as well as an ACH scale. The data were analyzed using regularized partial correlation network analysis (EBICglasso). The results show that academic self-efficacy (ASE) stands out among the variables of the study and that there is a positive relationship between ASE and all other variables except cognitive test anxiety. Besides, increasing students' ASE and AR levels plays a notable role in increasing their ACH levels. By providing new evidence on the relationships among these variables, this study offers insights that may inspire educational policy interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e28"},"PeriodicalIF":3.3,"publicationDate":"2025-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894415/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606743","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":"Exploring context, mechanisms and outcomes in group interpersonal therapy for adolescents with depression in Nepal: a qualitative realist analysis.","authors":"Katie H Atmore, Chris Bonell, Nagendra P Luitel, Indira Pradhan, Pragya Shrestha, Helen Verdeli, Kelly Rose-Clarke","doi":"10.1017/gmh.2024.127","DOIUrl":"https://doi.org/10.1017/gmh.2024.127","url":null,"abstract":"<p><p>Interpersonal Psychotherapy (IPT) is an evidence-based treatment for adolescent depression. However, since it does not work for all adolescents in all settings, more research on its heterogeneous effects is needed. Using a realist approach, we aimed to generate hypotheses about mechanisms and contextual contingencies in adolescent group IPT in Nepal. We analysed 26 transcripts from qualitative interviews with IPT participants aged 13-19, facilitators, supervisors and trainers. We analysed data using the Framework Method. The qualitative analytical framework was based on the VICTORE checklist, a realist tool to explore intervention complexity. Sharing, problem-solving, giving and receiving support, managing emotions and negotiating emerged as mechanisms through which adolescents improved their depression. Participants perceived that girls and older adolescents benefitted most from IPT. Girls had less family support than boys and therefore benefitted most from the group support. Older adolescents found it easier than younger ones to share problems and manage emotions. Adolescents exposed to violence and parental alcoholism struggled to overcome problems without family and school support. We formulated hypotheses on group IPT mechanisms and contextual interpersonal and school-level factors. Research is needed to test these hypotheses to better understand for whom IPT works and in what circumstances.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e19"},"PeriodicalIF":3.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867818/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544109","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: Cultural adaptation process of six stigma assessment scales among Kannada speaking population in South India - CORRIGENDUM.","authors":"Harshitha H Annajigowda, Gurucharan Bhaskar Mendon, Anish V Cherian, Syed Shabab Wahid, Brandon A Kohrt, Nicolas Rüsch, Sara Evans-Lacko, Elaine Brohan, Claire Henderson, Graham Thornicroft, Santosh Loganathan","doi":"10.1017/gmh.2025.14","DOIUrl":"https://doi.org/10.1017/gmh.2025.14","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2024.84.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e18"},"PeriodicalIF":3.3,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867815/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544094","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":"Symptom networks of common mental disorders in public versus private healthcare settings in India.","authors":"Cemile Ceren Sönmez, Helen Verdeli, Matteo Malgaroli, Jaime Delgadillo, Bryan Keller","doi":"10.1017/gmh.2025.16","DOIUrl":"10.1017/gmh.2025.16","url":null,"abstract":"<p><p>We present a series of network analyses aiming to uncover the symptom constellations of depression, anxiety and somatization among 2,796 adult primary health care attendees in Goa, India, a low- and middle-income country (LMIC). Depression and anxiety are the leading neuropsychiatric causes of disability. Yet, the diagnostic boundaries and the characteristics of their dynamically intertwined symptom constellations remain obscure, particularly in non-Western settings. Regularized partial correlation networks were estimated and the diagnostic boundaries were explored using community detection analysis. The global and local connectivity of network structures of public versus private healthcare settings and treatment responders versus nonresponders were compared with a permutation test. Overall, depressed mood, panic, fatigue, concentration problems and somatic symptoms were the most central. Leveraging the longitudinal nature of the data, our analyses revealed baseline networks did not differ across treatment responders and nonresponders. The results did not support distinct illness subclusters of the CMDs. For public healthcare settings, panic was the most central symptom, whereas in private, fatigue was the most central. Findings highlight varying mechanism of illness development across socioeconomic backgrounds, with potential implications for case identification and treatment. This is the first study directly comparing the symptom constellations of two socioeconomically different groups in an LMIC.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e30"},"PeriodicalIF":3.3,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894409/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606750","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":"To gather is to heal: Women's mental health circles in rural Chiapas, Mexico.","authors":"Ana Cecilia Ortega, Margaret Buckner","doi":"10.1017/gmh.2025.15","DOIUrl":"https://doi.org/10.1017/gmh.2025.15","url":null,"abstract":"<p><p>In the rural villages of the Sierra Madre region of Chiapas, women experiencing hardship show signs of emotional distress that are diagnosed as depression and anxiety by health professionals. In this study, we critically analyze the impact of a pilot mental health group intervention (Women's Circles) facilitated by community mental health workers. The intervention consisted of eight structured sessions that included psychoeducation from a gender perspective, mindfulness exercises, interactive activities, arts and crafts, and sharing personal experiences. We carried out participant observation and 27 semi-structured interviews with the participants. The main outcomes were, first, that participants' moods improved, and second, that the improvement was mainly due to gathering with others and having someone to talk to. In addition, we observed that lessons during the Circles were often prescriptive, which, rather than creating a space for reflection on personal experiences, imposed globalized views of mental health and gender. In sum, we describe both the positive impact this program had on mental well-being and the problematic spreading of psychoeducation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e22"},"PeriodicalIF":3.3,"publicationDate":"2025-02-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867813/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544054","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":"El Niño-driven flooding and mental health symptomology among adolescents and young adults in Peru.","authors":"Ilan Cerna-Turoff, Hyunseung Kang, Katherine M Keyes","doi":"10.1017/gmh.2024.121","DOIUrl":"10.1017/gmh.2024.121","url":null,"abstract":"<p><p>Intensifying storms and inter-annual El Niño events may increase psychological stress and worsen mental health. This study examines the relationship between flood exposure and long-term mental health symptoms among adolescents and young people in Peru, the world's most affected country by El Niño. We analyzed community and self-reported survey data from the Young Lives Study to contrast mental health in 2016 among youth who lived in communities that experienced or did not experience flooding between 2013 and 2016. We pre-processed data on 1344 individuals in 93 communities, using optimal full matching on Mahalanobis distance with a propensity score caliper, and estimated relative risks to mental health scores in the general population of young people and among gender-stratified groups via quasi-Poisson regression. Exposure to floods did not yield conclusive differences in mental health scores in this sample. Further evidence is needed on mental health patterns over time, the influence of exposure severity, and the impact of disaster relief on symptomology in mounting an effective global health response.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e6"},"PeriodicalIF":3.3,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810754/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399366","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":"Psychological impact of disaster and migration on preschool children following the 2023 Turkey earthquakes.","authors":"Rahime Duygu Temelturk, Merve Cikili-Uytun, Esra Yurumez, Nisa Didem Zengin, Ummuhan Buyukkal, Didem Behice Oztop","doi":"10.1017/gmh.2025.13","DOIUrl":"https://doi.org/10.1017/gmh.2025.13","url":null,"abstract":"<p><p>This study aimed to investigate the psychological impact of the Turkey 2023 earthquakes on preschool-aged children and to compare them with those with other life-threatening traumas. Thirty-four preschool children who experienced earthquakes on February 6, 2023, and applied to our outpatient clinic in the following 3 months, and 37 other trauma-experienced preschool children were included in this cross-sectional study. Preschool Age Psychiatric Assessment/Post-Traumatic Stress sections were conducted. Parents were asked to complete the Pediatric Emotional Distress Scale and the Child Behavior Checklist for Ages 1.5-5 to evaluate stress-related reactions alongside psychiatric problems of children. The results showed that acute stress disorder and post-traumatic stress disorder (PTSD) were more common in the earthquake-experienced group than in the other trauma-experienced group (Fisher's exact test, 52.9% vs. 8.1%, <i>p</i> < 0.001 and 38.2% vs. 8.1%, <i>p</i> = 0.004, respectively). Migration after the earthquake had no additional impact on trauma-related psychiatric outcomes, either ASD or PTSD (<i>p</i> = .153, and <i>p</i> = 0.106, respectively); whereas sleep problems predicted PTSD (OR = 1.26, β = 0.42, <i>p</i> = 0.036) in the earthquake-experienced group. Our study provides implications for understanding the psychological impact of earthquakes and risk factors for PTSD among preschool children.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e20"},"PeriodicalIF":3.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544139","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":"Exploring the application of the capability approach to the health and well-being of Indigenous Peoples: a scoping review.","authors":"Laura Andrea Chaparro Rojas, Pablo Emilio De La Cruz, Anna Chiumento, Catharina Francina Van der Boor, Carlos Iván Molina-Bulla, Maria Paula Baquero Vargas, Giovanna Catalina Sánchez Díaz, Diana Marcela Agudelo-Ortiz, Luisa Juliana Guevara Morales, Diego Mauricio Aponte-Canencio, Ross G White","doi":"10.1017/gmh.2025.11","DOIUrl":"https://doi.org/10.1017/gmh.2025.11","url":null,"abstract":"<p><p>This scoping review synthesizes existing literature on the application of the capability approach (CA) to address the health and well-being of Indigenous Peoples across the globe. Academic and grey literature searches led to the identification of 20 papers for inclusion in the review. Findings reveal a growing interest in applying the CA to Indigenous health and well-being research, highlighting its potential to guide interventions and policies. The included studies indicate that the CA has been applied to individual capabilities such as facilitating access to services and collective capabilities linked to identity and traditional knowledge preservation. A key finding across the reviewed literature is the importance of incorporating Indigenous values into defining programmes and policies aimed at improving Indigenous Peoples' well-being. The review underscores the varied application of the CA by researchers aligning with the position of either Sen or Nussbaum, leading to contrasting methodological approaches. Results underscore the CA's potential as a culturally sensitive framework for participatory and locally embedded development of well-being interventions and policies.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e25"},"PeriodicalIF":3.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867826/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544113","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}