{"title":"<i>\"Helping myself empowered me to help young people better</i>\"<i>:</i> A stepped care model, with non-specialist workers (NSWs) addressing mental health of young people in urban vulnerable communities across the Mumbai metropolitan region in India.","authors":"Rama Shyam, Arati Mitra, Seema Sharma, Vinita Ajgaonkar, Anu Balasubramanyam, Anuja Jayaraman, Neeta Karandikar, Nikhat Shaikh, Sheetal Rajan, Tanushree Das, Tanya Raj","doi":"10.1017/gmh.2024.96","DOIUrl":"10.1017/gmh.2024.96","url":null,"abstract":"<p><p>Research on adolescent mental health in low and middle-income countries cites the paucity of human resources and emphasises non-specialist worker (NSW)-led counselling intervention within school and health-system platforms. This pilot study aimed to evaluate the feasibility and acceptability of a transdiagnostic stepped care model, for delivering preventive psychological treatment to adolescents through NSWs in urban vulnerable community settings. Conducted in three such settlements in Mumbai and Thane districts of Maharashtra in India, this mixed-methods study engaged 500 young people, their parents and 52 NSWs. Quantitative data, obtained through monitoring indicators, fidelity checklists and the Strengths and Difficulties Questionnaire (SDQ), revealed key stressors for adolescents, including poverty, structural inequity, cultural conformity pressures, academic anxieties and communication gap within families. Post-intervention, adolescents exhibited an enhanced capacity for positive emotions and agency. The qualitative component, incorporating observations, focus group discussions (FGDs) and in-depth interviews (IDIs) with various stakeholders, highlighted reduced stigma around mental health, yet identified barriers like time commitment, lack of incentivisation for NSWs, lack of privacy in densely populated communities and societal stigma. This implementation research underscores that adolescent mental health stressors often originate from social determinants, exacerbated by insufficient awareness and stigma. Such stepped care models offer a pathway for communities to establish enduring support networks.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e95"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504945/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510656","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.79
Divya Annamalai, Anna Helova, Mansoor Saleh, Nancy Gikaara, Sehrish Rupani, Innocent Abayo, Noureen Karimi, Karishma Sharma, Isaiah Omedo, Kevin Owuor, Lily Gutnik, Janet M Turan
{"title":"Mental health and quality of life following breast cancer diagnosis in patients seen at a tertiary care hospital in Nairobi, Kenya: A qualitative study.","authors":"Divya Annamalai, Anna Helova, Mansoor Saleh, Nancy Gikaara, Sehrish Rupani, Innocent Abayo, Noureen Karimi, Karishma Sharma, Isaiah Omedo, Kevin Owuor, Lily Gutnik, Janet M Turan","doi":"10.1017/gmh.2024.79","DOIUrl":"10.1017/gmh.2024.79","url":null,"abstract":"<p><p>Mental health challenges are common following cancer diagnosis, negatively impacting treatment and quality of life for breast cancer (BC) patients. This pilot study provides an understanding of the impacts of BC diagnosis and care experiences on the mental health of patients seen at the Aga Khan University Hospital in Nairobi, Kenya. We conducted 40 in-depth interviews, including 10 women with newly diagnosed BC, 10 women with metastatic BC, 10 family members and 10 healthcare professionals. Data were transcribed, translated into English as needed and coded using Dedoose software. Following BC diagnosis, it was reported that patients faced various physical, social, psychological and spiritual factors affecting their mental health and quality of life. Our interviews with each group indicated that BC patients experienced feelings of stress, anxiety and depression related to treatments and accompanying side effects. Disclosure concerns, financial impacts, relationship strain and negative outlooks on life were common among BC patients. The findings indicate that BC diagnosis and care experiences influence mental health in this population. With this basis, understanding and addressing the mental health challenges of BC patients is crucial to improve mental health and quality of life.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e96"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510573","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.91
Xiaofei Mao, Tianya Hou, Yulin Zhang, Jianguo Zhang, Fan Zhang, Weizhi Liu
{"title":"Impact of social support on PTSD : Chain mediating effects of insomnia and anxiety.","authors":"Xiaofei Mao, Tianya Hou, Yulin Zhang, Jianguo Zhang, Fan Zhang, Weizhi Liu","doi":"10.1017/gmh.2024.91","DOIUrl":"10.1017/gmh.2024.91","url":null,"abstract":"<p><strong>Objective: </strong>To reveal the chain mediating roles of insomnia and anxiety between social support and PTSD in nursing staff under the stage of COVID-19 regular pandemic prevention and control in China.</p><p><strong>Methods: </strong>A total of 784 nurses were recruited using the convenience sampling method in Jiangsu Province, China. Demographic questionnaire, Perceived Social Support Scale, Impact of Event Scale-Revised, Generalized Anxiety Disorder-7 and Insomnia Severity Index were applied to collect data.</p><p><strong>Results: </strong>Social support, PTSD, insomnia and anxiety were significantly correlated with each other. Insomnia and anxiety acted as chain mediators between social support and PTSD.</p><p><strong>Conclusion: </strong>Insufficient social support may trigger PTSD through the chain mediating effects of insomnia and anxiety in nursing staff under the stage of COVID-19 regular pandemic prevention and control. Measures focusing on social support, insomnia and anxiety should be taken to reduce or even prevent PTSD in nursing staff in Chinese hospitals in similar crises in the future.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e100"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504932/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510667","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.98
Manya Balachander, Jean de Dieu Hategekimana Ndiyunze, Danielle Roth, Khudejha Asghar, Christine Bourey, Kathryn L Falb
{"title":"Effectiveness of a family violence prevention program on mental health outcomes for adult men and women in North Kivu, Democratic Republic of Congo: Insights from a pilot trial.","authors":"Manya Balachander, Jean de Dieu Hategekimana Ndiyunze, Danielle Roth, Khudejha Asghar, Christine Bourey, Kathryn L Falb","doi":"10.1017/gmh.2024.98","DOIUrl":"10.1017/gmh.2024.98","url":null,"abstract":"<p><p>The eastern Democratic Republic of Congo (DRC) has faced dual burdens of poor mental health and heightened levels of violence against women and children within the home. Interventions addressing family violence prevention may offer a path to mitigate mental distress within the eastern DRC. This exploratory analysis uses data from a pilot cluster randomized controlled trial conducted in North Kivu, DRC, assessing the impact of Safe at Home, a violence prevention intervention. Mental health was assessed at endline using the Patient Health Questionnaire-4. Statistical analyses employed multilevel linear regression. Assuming successful randomization, impact of the Safe at Home intervention on mental health differed by participant gender. Women enrolled in the Safe at Home intervention reported statistically significant decreases in mental distress symptoms [β (95%CI) = -1.01 (-1.85, -0.17)], whereas men enrolled in Safe at Home had similar scores in mental distress to the control group [β (95%CI) = -0.12 (-1.32, 1.06)]. Ultimately, this exploratory analysis provides evidence of the potential for a family violence prevention model to improve women's mental health in a low-resource, conflict-affected setting, although further research is needed to understand the impact on men's mental health.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e99"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504927/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510661","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.112
Franco Mascayano, Robert E Drake
{"title":"Supported employment as a global mental health intervention.","authors":"Franco Mascayano, Robert E Drake","doi":"10.1017/gmh.2024.112","DOIUrl":"10.1017/gmh.2024.112","url":null,"abstract":"<p><p>The global health community has recognized that social determinants of health account for most of the inequities of health outcomes, including mental health outcomes, across and within countries. Strategies to overcome such inequities must focus on modifiable social factors. In this viewpoint, we argue for the preeminence of employment among social determinants of mental health for several reasons. People with mental health disabilities want to work, and a well-validated model of supported employment that is effective and cost-effective now exists. Employment leads to improvements in income, daily structure, self-esteem, social support, community integration and illness management, and people who are employed experience fewer emergencies and hospitalizations. Employment is empowering because people can use added income to activate their own choices regarding other social determinants. Supported employment actualizes the recovery paradigm: People who are employed in competitive jobs of their choice develop a meaningful functional life, increased self-esteem and new social supports. We provide examples of supported employment developments in diverse settings and discuss the implications of scaling up these services worldwide.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e102"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504922/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510682","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.108
Eunah Kim, Myung-Bae Park
{"title":"Mental health vulnerability in multicultural families: Risk factors among homogenous country.","authors":"Eunah Kim, Myung-Bae Park","doi":"10.1017/gmh.2024.108","DOIUrl":"10.1017/gmh.2024.108","url":null,"abstract":"<p><p>We investigate the mental health of multicultural families (CFs) in South Korea, identify risk factors, and propose interventions to improve mental health. Adults over 19 years of age were analyzed using the Community Health Survey 2019 in South Korea, consisting of 228,952 individuals including 3,524 from multi-CFs. We employed chi-squared tests and multiple logistic regression to compare mental health between multi- and mono-CFs, exploring the influence of various factors. Multi-CFs had significantly higher levels of stress recognition (<i>P</i>-value = 0.010) and experiences of extreme sadness or despair (<i>P</i>-value = 0.002) than mono-CFs. In multi-CFs, younger group, households with lower income and people with unhealthy behaviors regarding walking or sleeping were at risk of mental health. Socially isolated families, relative to the families participating in active social gatherings, had about a 1.36 times higher risk of stress, 2 times higher experiences of extreme sadness or despair and 5.32 times higher depressive symptoms. Multi-CFs are vulnerable to mental health problems, and even within multi-CFs, groups with relatively low socioeconomic status should be prioritized since problems are more significant among them. Activated social networks can help multi-CFs integrate into society and promote mental health.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e101"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504928/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510574","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}
Global Mental HealthPub Date : 2024-10-24eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.111
Justin M Rasmussen, Savannah L Johnson, Yvonne Ochieng, Florence Jaguga, Eric Green, Eve Puffer
{"title":"Erratum: Congregation leader and member discussions in a church-based family strengthening, mental health promotion, and HIV prevention trial: Intervention mechanisms in a randomized trial in rural Kenya - ERRATUM.","authors":"Justin M Rasmussen, Savannah L Johnson, Yvonne Ochieng, Florence Jaguga, Eric Green, Eve Puffer","doi":"10.1017/gmh.2024.111","DOIUrl":"10.1017/gmh.2024.111","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2024.44.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e103"},"PeriodicalIF":3.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504920/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510662","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}
Global Mental HealthPub Date : 2024-10-23eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.115
Mohammed A Mamun, Firoj Al-Mamun, Tamim Ikram, Marjia Khan Trisha, Muzibul Haque Limon, Nahida Bintee Mostofa, Tasnim B K Chowdhury, Nobendo Paul Shanto, Moneerah Mohammad ALmerab, Arif Chowdhury Apou, Nitai Roy, Md Bellal Hossain, Md Shakhaoat Hossain
{"title":"Exploring mental health literacy among prospective university students using GIS techniques in Bangladesh: an exploratory study.","authors":"Mohammed A Mamun, Firoj Al-Mamun, Tamim Ikram, Marjia Khan Trisha, Muzibul Haque Limon, Nahida Bintee Mostofa, Tasnim B K Chowdhury, Nobendo Paul Shanto, Moneerah Mohammad ALmerab, Arif Chowdhury Apou, Nitai Roy, Md Bellal Hossain, Md Shakhaoat Hossain","doi":"10.1017/gmh.2024.115","DOIUrl":"10.1017/gmh.2024.115","url":null,"abstract":"<p><p>Prospective university students experience substantial academic stressors and psychological vulnerabilities, yet their mental health literacy (MHL) remains inadequately explored. This study investigates four dimensions of MHL - help-seeking behaviors, stigma, knowledge about mental health and understanding of mental illnesses. Besides, Geographic Information System (GIS) techniques are employed to analyze spatial disparities in MHL, which is the first in the context of MHL research. A total of 1,485 students were assessed for sociodemographic characteristics, admission-related variables, health behaviors and family histories of mental health issues. Data were analyzed using SPSS and ArcGIS software. Multivariable linear regression analyses unveiled predictors of the MHL dimensions, with gender, family income, admission test performance, smoking, alcohol and drug use, physical and mental health history, current depression or anxiety and family history of mental health and suicide incidents emerging as common predictors. GIS analysis unraveled notable regional disparities in MHL, particularly in knowledge of mental health and mental illness, with northern and some southern districts displaying higher literacy levels. In conclusion, these findings accentuate significant gender and sociodemographic inequalities in MHL among prospective university students, highlighting the imperative for targeted interventions to enhance MHL and foster mental well-being in this cohort.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e92"},"PeriodicalIF":3.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504947/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510664","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}
Global Mental HealthPub Date : 2024-10-23eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.102
Belgin Ustun Gullu, Didem Behice Oztop, Eda Umutlu Aydin, Baris Ors, Merve Cikili Uytun, Esra Yurumez
{"title":"Interactions between autistics and healthy children and their parents in emotional availability: a comparative study.","authors":"Belgin Ustun Gullu, Didem Behice Oztop, Eda Umutlu Aydin, Baris Ors, Merve Cikili Uytun, Esra Yurumez","doi":"10.1017/gmh.2024.102","DOIUrl":"10.1017/gmh.2024.102","url":null,"abstract":"<p><p>In this study, we assessed the interactions of mothers and fathers with their children diagnosed with autism spectrum disorder (ASD) in terms of emotional availability (EA) and compared them with the interactions of healthy controls. Children, aged 13-60 months and applied to the Infant Mental Health Unit between January 2019 and March 2021 and their parents without any clinical diagnosis, were included. The EA levels of mothers and fathers of the autistic group, which included 30 boys and 13 girls, and those of the control group, which included 10 boys and 10 girls, were compared. According to the results obtained, it was determined that the EA levels of mothers and fathers of healthy controls were not different; however, the mothers were more sensitive and better in structuring the content of play compared with the fathers in the ASD group. It was noted that the fathers of children with ASD were more hostile than the mothers. EA should be taken as a criterion to determine the intensity and content of treatment, particularly in ASD. Additionally, increased awareness of fathers in EA may provide better results in the intervention process.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e93"},"PeriodicalIF":3.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11505039/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510668","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}
Global Mental HealthPub Date : 2024-10-23eCollection Date: 2024-01-01DOI: 10.1017/gmh.2024.101
Shanna D Stryker, Julia Rabin, Stephanie Castelin, Farrah Jacquez, Karen Chinchilla, Jenniffer Peralta, Lisa M Vaughn
{"title":"Stress management preferences and stress experiences among Latinx immigrants in the United States during the COVID-19 pandemic: Mixed-methods results from a community-academic research team.","authors":"Shanna D Stryker, Julia Rabin, Stephanie Castelin, Farrah Jacquez, Karen Chinchilla, Jenniffer Peralta, Lisa M Vaughn","doi":"10.1017/gmh.2024.101","DOIUrl":"10.1017/gmh.2024.101","url":null,"abstract":"<p><strong>Background: </strong>Latinx individuals in the U.S. have higher levels of stress than other ethnic groups. Latinx immigrants living in non-traditional immigration destinations (NTIDs) have worse access to social and medical support and were particularly vulnerable during the COVID-19 pandemic. This study aims to contextualize stress in Latinx immigrants in an NTID during the COVID-19 pandemic and to understand Latinx immigrants' preferences for stress management interventions given the sociopolitical and public health context.</p><p><strong>Method: </strong>Using a community-based participatory research approach with mixed methods research design, community co-researchers gathered data using a quantitative survey and then contextualized survey results using a qualitative community conversation.</p><p><strong>Results: </strong>Community conversation participants were surprised at the relatively low levels of reported stress and pandemic impact in survey participants, and they proposed the reason was the level of pre-pandemic stressors. Guatemalan immigrants in an NTID reported more stigma but fewer changes between pre- and post-pandemic stress levels. Survey respondents preferred to learn about stress management through YouTube videos or groups led by professionals.</p><p><strong>Conclusions: </strong>Understanding the diversity of stress experiences among Latinx immigrant groups is critical to developing effective interventions. Coping strategy preferences are variable among different Latinx immigration groups, but asynchronous and/or professional-led stress management was preferred.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e94"},"PeriodicalIF":3.3,"publicationDate":"2024-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504930/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510681","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}