Global Mental Health最新文献

{"title":"Lifetime and past-year suicidal behaviors among adolescents in Bangladesh: A two-stage stratified cluster sampling study.","authors":"Firoj Al-Mamun, Abdullah Al Habib, Johurul Islam, Moneerah Mohammad ALmerab, Mohammed A Mamun, Mohammad Muhit","doi":"10.1017/gmh.2025.10","DOIUrl":"https://doi.org/10.1017/gmh.2025.10","url":null,"abstract":"<p><p>Adolescence is a critical period marked by significant physical and psychological changes, yet there is limited understanding of suicidal behaviors among adolescents in Bangladesh. To address this gap, the MeLiSA study utilizing a two-stage stratified cluster sampling approach was conducted to investigate the prevalence and associated factors of suicidal ideation, plans and attempts among adolescents. A total of 1,496 participants were recruited from urban and rural areas, and their socio-demographic characteristics and data on smoking, alcohol use, depression, anxiety and insomnia were obtained. Chi-square and Fisher's exact tests were used for univariate analyses, followed by multivariable logistic regression to identify factors associated with suicidal behaviors. The findings revealed that 6.8% reported experiencing lifetime suicidal ideation, with 2.3% suicide plans and 0.8% suicide attempts. The 12-month prevalence rates were 3.2% for suicidal ideation, 1.5% for suicide plans and 0.6% for suicide attempts. Smoking emerged as a significant predictor of suicidal ideation, plans and attempts, while alcohol use was strongly linked to past-year suicide attempts. Depression was associated with lifetime suicidal ideation, whereas anxiety significantly influenced both lifetime and past-year suicide plans. These results provide valuable insights that could inform evidence-based interventions and policies to address prevalent mental disorders and suicidal behaviors among adolescents in Bangladesh.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e24"},"PeriodicalIF":3.3,"publicationDate":"2025-02-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544131","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":"Feasibility, acceptability and preliminary effectiveness of a culturally adapted nonspecialist delivery Problem-Solving Therapy: Friendship Bench Intervention for perinatal psychological distress in Sierra Leone.","authors":"Abdulai Jawo Bah, Haja Ramatulai Wurie, Mohamed Samai, Rebecca Horn, Alastair Ager","doi":"10.1017/gmh.2025.6","DOIUrl":"https://doi.org/10.1017/gmh.2025.6","url":null,"abstract":"<p><p>In low- and middle-income countries like Sierra Leone, there is a significant gap in the treatment of perinatal mental health disorders such as anxiety, depression and somatization. This study explored the feasibility, acceptability and preliminary effectiveness of a culturally adapted Problem-Solving Therapy - Friendship Bench Intervention (PST-FBI) delivered by nonspecialists, mother-to-mother support groups (MMSGs), to perinatal women experiencing psychological distress. MMSGs provide 4 weeks of home-based, individual PST-FBI, followed by a peer-led group session called <i>col at sacul</i> (circle of serenity). The intervention targeted peri-urban pregnant women and new mothers screened for psychological distress. This was a two-armed, pre-post, waitlist-controlled study that employed the Sierra Leone Perinatal Psychological Distress Scale (SLPPDS) to screen and measure their outcomes. Feasibility and acceptability were examined through in-depth interviews using the Consolidated Framework for Implementation Research, analyzed thematically, while preliminary effectiveness was evaluated with chi-squared analysis for categorical and <i>t</i>-test for continuous variables. Twenty of the 25 women completed all four PST-FBI sessions delivered by five MMSGs. The individual PST and the peer-led session were viewed as beneficial for problem-sharing and skill building. The SLPPDS scores significantly dropped by 58.9% (17.1-8.4) in the intervention group, while the control group showed a 31.6% (18.0-12.3) decrease. The intervention's effect size was <i>d</i> = 0.40 (<i>p</i> < 0.05). The MMSG-led PST-FBI, including the <i>col at sacul</i> session, proved feasible, acceptable and with preliminary effectiveness in improving the mental health of peri-urban pregnant women and new mothers in Sierra Leone. Further randomized-controlled trials are recommended before nationwide implementation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e16"},"PeriodicalIF":3.3,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867829/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544128","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":"Bibliometric analysis of OCD prevalence in youth populations of developing countries.","authors":"Jacob Blaney, Sanjana Konda, Latha Ganti","doi":"10.1017/gmh.2025.12","DOIUrl":"https://doi.org/10.1017/gmh.2025.12","url":null,"abstract":"<p><p>This paper is a bibliometric analysis of research of adolescent obsessive-compulsive disorder (OCD) in developing nations. An analysis of 4,807 papers was conducted to show trends in these areas. The most significant research came from developed countries - with the United States and England having the most publications and the strongest citation strength. However, developing countries play an important role in the development of OCD research because of how they deliver different perspectives into the field given their more distant associations with developed nation's research. This study will use multiple indicators of bibliometrics, most notably bibliographic coupling and citation strength, to draw conclusions to show the various contributions of different nations to the field of adolescent OCD.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e21"},"PeriodicalIF":3.3,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867827/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544036","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":"Caregiver characteristics and behaviors: quantitative associations with child depression amongst refugees in Uganda.","authors":"Sarah R Meyer, Neema Mosha, Roscoe Kasujja, Sarah Namukwaya, Nawaraj Upadhaya, Eva S Smallegange","doi":"10.1017/gmh.2025.2","DOIUrl":"10.1017/gmh.2025.2","url":null,"abstract":"<p><p>For refugee children, there are a number of risk factors for poor mental health and psychosocial well-being, many of them exacerbated for those refugee children living in low-resource settings. There is some evidence that caregiver warmth, parenting self-efficacy and positive relationships between caregivers and children can act as protective factors against poor mental health outcomes for children and adolescents. This study sought to assess if caregiver-level factors (parental warmth and affection, positive child-caregiver interaction and parenting self-efficacy) are protective for symptoms of child depression. To address these questions, a quantitative survey was implemented (n = 501) in the Imvepi refugee settlement in Uganda. Results indicated bivariate associations between several caregiver-level factors and child depression. However, in multivariate models, which included measures of economic stress, both parental warmth and affection and child-caregiver interaction were no longer significantly associated with child-reported depression. Parenting self-efficacy was found to be significantly associated with lower child-reported depression. These findings indicate the need to examine and explore how or if caregiver-level factors, such as warmth and parenting self-efficacy, as well as child-caregiver relationships overall, operate in the context of chronic stress. Whereas caregiver-level factors are potentially protective against poor mental health for refugee children, contextual factors, such as poverty and livelihood opportunities, may constrain the positive impacts of parenting.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e26"},"PeriodicalIF":3.3,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894421/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606741","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: Father's involvement associated with rural children's depression and anxiety: A large-scale analysis based on data from seven provinces in China - CORRIGENDUM.","authors":"Jian Jiang, Xuwei Tang, Zhifeng Lin, Yulan Lin, Zhijian Hu","doi":"10.1017/gmh.2025.1","DOIUrl":"10.1017/gmh.2025.1","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2024.70.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e11"},"PeriodicalIF":3.3,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810751/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143399950","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":"Wearable technology and daily diaries for studying mental health: lessons learned from pilot studies in Kampala, Uganda.","authors":"Karen E Nielsen, Kate Mobley, Rachel Culbreth, Jane B Palmier, Gideon Matovu, Anna Nabulya, Monica H Swahn","doi":"10.1017/gmh.2025.9","DOIUrl":"https://doi.org/10.1017/gmh.2025.9","url":null,"abstract":"<p><p>Wearable technology and daily diaries offer insights into everyday behaviors that can further health research and treatment globally. However, the use of these methodologies outside of high-income settings has been limited. We conducted two pilot studies that enrolled 60 young women in the urban slums of Kampala, Uganda to understand design considerations associated with using wearable technology and daily diaries in this context. Each participant in the pilot studies was asked to wear a wearable activity tracker and complete daily diary questionnaires for 5 days. Based on our experiences, we identified several lessons that may be beneficial to others interested in implementing wearable technology and daily self-reports in their research and interventions, particularly when working in low-resource contexts. We discuss the importance of designing solutions tailored to the available resources, building validation for the most critical measures, investing in data management efforts and providing transparent and culturally accessible information to participants. Examples from our study are provided. These lessons may reduce the barriers and improve data quality for future researchers and practitioners interested in using these data collection methods globally.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e17"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544056","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":"Findings from the Tushirikiane-4-MH (supporting each other for mental health) mobile health-supported virtual reality randomized controlled trial among urban refugee youth in Kampala, Uganda.","authors":"Carmen H Logie, Moses Okumu, Zerihun Admassu, Frannie MacKenzie, Lesley Gittings, Jean-Luc Kortenaar, Naimul Khan, Robert Hakiza, Daniel Kibuuka Musoke, Aidah Nakitende, Brenda Katisi, Peter Kyambadde, Richard Lester, Lawrence Mbuagbaw","doi":"10.1017/gmh.2025.3","DOIUrl":"10.1017/gmh.2025.3","url":null,"abstract":"<p><p>Virtual reality (VR) for mental health promotion remains understudied in low-income humanitarian settings. We examined the effectiveness of VR in reducing depression with urban refugee youth in Kampala, Uganda. This randomized controlled trial assessed VR alone (Arm 1), VR followed by Group Problem Management Plus (GPM+) (Arm 2) and a control group (Arm 3), with a peer-driven and convenience sample of refugee youth aged 16-25 in Kampala. The primary outcome, depression, was measured with the Patient Health Questionnaire-9. Secondary outcomes included: mental health literacy, mental health stigma, self-compassion, mental well-being and adaptive coping. Analyses were conducted at three time points (baseline, 8 weeks, 16 weeks) using generalized estimating equations. Among participants (<i>n</i> = 335, mean age: 20.77, standard deviation: 3.01; cisgender women: <i>n</i> = 158, cisgender men: <i>n</i> = 173, transgender women: <i>n</i> = 4), we found no depression reductions for Arms 1 or 2 at 16 weeks compared with Arm 3. At 16 weeks, mental health literacy was significantly higher for Arm 2 compared with Arm 3, and self-compassion was significantly higher in Arm 1 and Arm 2 compared with Arm 3. VR alongside GPM+ may benefit self-compassion and MHL among urban refugee youth in Kampala, but these interventions were not effective in reducing depression.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e12"},"PeriodicalIF":3.3,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810762/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cultural and contextual adaptation of the Solastalgia subscale of the Environmental Distress Scale in drought-affected Kilifi, Kenya.","authors":"Syed Shabab Wahid, Linda Norah Khakali, Felix Agoi, Benjamin Oestericher, Emily Mendenhall, Edna N Bosire","doi":"10.1017/gmh.2025.8","DOIUrl":"10.1017/gmh.2025.8","url":null,"abstract":"<p><strong>Background: </strong>There is an urgent need to measure the psychological toll of climate-related ecological degradation and destruction in low- and middle-income countries. However, availability of locally adapted tools is limited. Our objective was to conduct a transcultural translation and cultural adaptation (TTA) of the Solastalgia subscale of the Environmental Distress Scale (EDS-Solastalgia) in Kilifi, Kenya, which is undergoing transformational changes due to climate change.</p><p><strong>Methods: </strong>We conducted 5 expert interviews, 2 Focus Group Discussions (<i>n</i> = 22) and 10 cognitive interviews to solicit feedback on the EDS along the following cultural equivalency domains: Comprehensibility (Semantic equivalence); Relevance (Content equivalence); Response set (Technical equivalence) and Completeness (Semantic, criterion and conceptual equivalence).</p><p><strong>Results: </strong>After an initial translation and back translation of the EDS-Solastalgia, respondents identified several terms that needed to be altered to make the scale understandable, less technical and culturally acceptable. For some items, respondents recommended examples to be included to aid comprehensibility. Feedback from respondents were iteratively integrated into the Swahili EDS-Solastalgia scale, and final endorsement of all changes were confirmed during cognitive interviews.</p><p><strong>Discussion: </strong>The culturally adapted Swahili EDS-Solastalgia scale needs to be tested for its psychometric properties prior to utilization in survey studies to quantitatively establish the burden of climate-related distress and test for associations with common mental health conditions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e13"},"PeriodicalIF":3.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810755/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400444","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":"Anxiety and depression screening reveals the importance of advancing mental health support for Haitian healthcare providers.","authors":"Youri Encelotti Louis, Brooke Betson, Samy Auguste","doi":"10.1017/gmh.2025.7","DOIUrl":"10.1017/gmh.2025.7","url":null,"abstract":"<p><p>Despite the recent momentum of mental health advocacy and resource allocation in several nations worldwide, the same progress is yet to be experienced in Haiti and other countries in the global south. In addition to the ongoing humanitarian crisis that continues to pre-dispose the people of Haiti to a variety of health conditions and mental illnesses, Haitian healthcare providers face further vulnerability to mental illness due to the high-stress nature of their work in a resource-limited environment. This study was conducted using a self-report questionnaire containing the Generalized Anxiety Disorder-7 and Patient Health Questionnaire-9 screening tools, distributed to Haitian healthcare providers nationwide. The results revealed that 84% of the 106 participants experienced mild to severe symptoms of depression, while 69% reported mild to severe symptoms of anxiety. This study also found that social determinants, including community violence, economic and social instability, and poverty, are among the most detrimental contributing factors to the mental health of Haitian healthcare providers. Despite the acute need for support, 76% of participants also reported having either no awareness or no access to mental health support. These findings serve as an urgent call for action to improve access to mental health resources for Haitian healthcare providers.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e14"},"PeriodicalIF":3.3,"publicationDate":"2025-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11810752/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143400430","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":"Development of a digital program for training non-specialist providers to deliver a psychosocial intervention for depression: a formative study to support scaling up task-shared depression care in the United States.","authors":"John A Naslund, Natali Carmio, Sarah Taha, Margaux Amara, Sheena Wood, Anushka Patel, Sara Romero, Kyle Floyd, Brittany Meredith, Berta Rodriguez, Kelly Grajeda, Rebecca Brune, Andy Keller, Vikram Patel, Katherine Sanchez","doi":"10.1017/gmh.2025.5","DOIUrl":"10.1017/gmh.2025.5","url":null,"abstract":"<p><p>Task-sharing holds promise for bridging gaps in access to mental healthcare; yet there remain significant challenges to scaling up task-sharing models. This formative study aimed to develop a digital platform for training non-specialist providers without prior experience in mental healthcare to deliver a brief psychosocial intervention for depression in community settings in Texas. A 5-step development approach was employed, consisting of: blueprinting, scripting, video production and digital content creation, uploading digital content to a Learning Management System and user testing. This resulted in the development of two courses, one called <i>Foundational Skills</i> covering the skills to become an effective counselor, and the second called <i>Behavioral Activation</i> covering the skills for addressing adult depression. Twenty-one participants with a range of health-related backgrounds, including 11 with prior training in mental healthcare, completed the training and joined focus group discussions offering qualitative feedback and recommendations for improving the program's usability. Participant feedback centered around the need to make the content more interactive, to include additional engaging features, and to improve the layout and usability of the platform. The next steps will involve evaluating the training program on developing the skills of non-specialist providers and supporting its uptake and implementation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e23"},"PeriodicalIF":3.3,"publicationDate":"2025-01-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11867825/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544039","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}