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Impact of a music therapy program on mental health and school attendance among female adolescents in Kasai-Central province, Democratic Republic of Congo. 音乐治疗项目对刚果民主共和国中部开赛省女性青少年心理健康和出勤率的影响
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-25 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.31
Lisa Zook, Ali Bitenga Alexandre, Michelle M Hood, Sioban D Harlow
{"title":"Impact of a music therapy program on mental health and school attendance among female adolescents in Kasai-Central province, Democratic Republic of Congo.","authors":"Lisa Zook, Ali Bitenga Alexandre, Michelle M Hood, Sioban D Harlow","doi":"10.1017/gmh.2025.31","DOIUrl":"https://doi.org/10.1017/gmh.2025.31","url":null,"abstract":"<p><p>This study assessed whether a music therapy program improved mental health and school attendance among girls in the Democratic Republic of Congo (DRC) following economic and conflict-related insecurity. It included 483 girls aged 10-14 who participated in the Healing in Harmony (HiH) program, implemented by World Vision and Make Music Matter in Kasai-Central province. Participants completed surveys before and after the program, and up to two follow-up interviews assessing depression, anxiety, self-esteem, and school attendance. Before the program, 36.0% (95% CI 31.7%-40.3%) and 60.5% (95% CI 56.1%-64.8%) screened positive for depression and anxiety, respectively. After participation, the risk of screening positive declined by 75% for depression (RR = 0.27, 95% CI 0.22-0.32) and by about half for anxiety (RR = 0.46, 95% CI 0.41-0.53), with improvements sustained up to 17 months. Self-esteem scores increased by 3.93 points (95% CI 3.22-4.64, p<0.001). School absenteeism decreased from 10% (95% CI 7.2%-12.6%) to 5.4% (RR = 0.54, 95% CI 0.40-0.73). Participation in HiH was associated with sustained improvements in mental health and school attendance. These findings support integrating psychosocial care into humanitarian responses to improve both mental health and educational outcomes for crisis-affected children.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e44"},"PeriodicalIF":3.3,"publicationDate":"2025-03-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037355/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144025591","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}
引用次数: 0
Women's household decision-making autonomy and mental health outcomes in Mozambique. 莫桑比克妇女的家庭决策自主权和心理健康结果。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-19 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.29
Roger Antabe, Gregory Antabe, Yujiro Sano, Cornelius K A Pienaah
{"title":"Women's household decision-making autonomy and mental health outcomes in Mozambique.","authors":"Roger Antabe, Gregory Antabe, Yujiro Sano, Cornelius K A Pienaah","doi":"10.1017/gmh.2025.29","DOIUrl":"https://doi.org/10.1017/gmh.2025.29","url":null,"abstract":"<p><p>Studies point to the role of sociocultural and household power dynamics in women's risk of mental illnesses. Using the context of Mozambique, we examined the association between women's household decision-making autonomy with probable depression and reporting symptoms of anxiety. We used the 2022-2023 Mozambique Demographic and Health Survey and applied logistic regression analysis. Our findings indicate high prevalence rates of depression (10%) and anxiety (11%) among married women. We also find that married women with the highest forms of household autonomy who take decisions alone on their health care (OR = 0.43, 95% CI = 0.32, 0.59; OR = 0.52, 95% CI = 0.38, 0.70), on making large household purchases (OR = 0.43, 95% CI = 0.28, 0.64; OR = 0.52, 95% CI = 0.35, 0.76) and visiting family members or relatives (OR = 0.36, 95% CI = 0.25, 0.51; OR = 0.64, 95% CI = 0.46, 0.89) were all less likely to report propable depression and symptoms of anxiety, respectively. Additionally, higher household wealth and employment acted as protective assets against both depression and anxiety. We recommend working to remove the sociocultural barriers to women's autonomy while improving their socioeconomic status, such as income and employment opportunities, which will lead to a better mental health outcome and serve as an important pathway to increasing their autonomy.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e40"},"PeriodicalIF":3.3,"publicationDate":"2025-03-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037352/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019356","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}
引用次数: 0
Effectiveness of ATMAN psychological intervention in reducing self-harm in young people in India: a mixed method case series. ATMAN心理干预在减少印度年轻人自残方面的有效性:一个混合方法案例系列。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-14 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.26
Shilpa Aggarwal, Michael Berk, Nilesh Shah, Anokhi Shah, Dimple Kondal, George Patton, Vikram Patel
{"title":"Effectiveness of ATMAN psychological intervention in reducing self-harm in young people in India: a mixed method case series.","authors":"Shilpa Aggarwal, Michael Berk, Nilesh Shah, Anokhi Shah, Dimple Kondal, George Patton, Vikram Patel","doi":"10.1017/gmh.2025.26","DOIUrl":"https://doi.org/10.1017/gmh.2025.26","url":null,"abstract":"<p><p>There is a scarcity of psychological interventions for self-harm in young people, either developed or adapted for use in low and middle-income countries (LMICs). <i><i>ATMAN</i> i</i>s a psychological intervention developed in India for youth with three key modules: problem-solving, emotion regulation and social network strengthening skills in addition to crisis management. ATMAN was delivered in 27 youth with a history of self-harm (14-24 years old) sequentially by a specialist and it a non-specialist counsellor. Out of 27, 18 youth who started the ATMAN intervention completed it, and 13 completed the 10-month follow-up. There was a significant reduction in post-intervention scores on Beck's Scale for Suicidal Ideation (BSI) (mean difference [confidence interval]: 14.1 [17.2, 10.9]) and Patient Health Questionnaire (PHQ-9) (9.6 [12.8, 6.4]) from the baseline scores, irrespective of who delivered the intervention (non-specialist vs. specialist). The difference remained significant at the 10-month follow-up (BSI: 17.0 [20.5, 13.6] and PHQ-9: 10.5 [14.5, 6.6]). Themes such as improved understanding of self-harm acting as a deterrent, using ATMAN strategies to deal with daily life distress, and the importance of addressing stigma in self-harm emerged during the qualitative interviews. Although requiring further evaluation, ATMAN shows promise as a scalable intervention that can be used in LMICs to reduce the burden of suicide in young people.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e41"},"PeriodicalIF":3.3,"publicationDate":"2025-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037354/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051213","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}
引用次数: 0
Resilience and its association with hopelessness, depression, loneliness, post-traumatic stress disorder (PTSD) and suicidal ideations and behavior in a cohort in the Nairobi Metropolitan. 韧性及其与绝望、抑郁、孤独、创伤后应激障碍(PTSD)和自杀意念和行为的关系:在内罗毕大都市的一个队列中。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-11 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.27
David M Ndetei, Victoria Mutiso, Christine Musyimi, Eric Jeremiah, Pascalyne Nyamai, Samuel Walusaka, Veronica Onyango, Kamaldeep Bhui, Daniel Mamah
{"title":"Resilience and its association with hopelessness, depression, loneliness, post-traumatic stress disorder (PTSD) and suicidal ideations and behavior in a cohort in the Nairobi Metropolitan.","authors":"David M Ndetei, Victoria Mutiso, Christine Musyimi, Eric Jeremiah, Pascalyne Nyamai, Samuel Walusaka, Veronica Onyango, Kamaldeep Bhui, Daniel Mamah","doi":"10.1017/gmh.2025.27","DOIUrl":"https://doi.org/10.1017/gmh.2025.27","url":null,"abstract":"<p><p>Comprehending resilience in the face of mental health issues is important, especially for young people who deal with a variety of psychological pressures. This study aims to investigate the co-occurrence of several mental health conditions and the role of resilience as a potential intervention in youth 14-25 years in the Nairobi metropolitan area. We recruited 1,972 youths. The following self-administered instruments were used: resilience (ARM-R), hopelessness (BHS), depression (BDI, PHQ-9), PTSD (HTQ), loneliness (UCLA Loneliness Scale) and suicidality (C-SSRS). Descriptive statistics, Pearson correlation and hierarchical multiple regression analyses were conducted on the data. The key findings are that depression and hopelessness showed a strong negative association with resilience. PTSD and recent suicidal ideation and behavior showed less negative association with resilience. Building resilience is an important intervention for the conditions reported in our study among the youth. This study contributes novel insights into the intersection of multiple psychological stressors and resilience, paving the way for more targeted, integrative mental health interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e38"},"PeriodicalIF":3.3,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12037341/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144053606","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}
引用次数: 0
Supporting parents in the Global South: implementation of a faith-based parent program in 12 countries. 支持南半球的父母:在12个国家实施基于信仰的父母项目。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-05 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.25
Lisseth Rojas-Flores, Melanie Ngan, Joey Fung, Carolyn Casada, Patrick Robertson, Alex Masibo, Briseida Cruz, Marion Mortel, Ryan Kopper, Cherry Marcelo, Travis Roberts, Holta Trandafili
{"title":"Supporting parents in the Global South: implementation of a faith-based parent program in 12 countries.","authors":"Lisseth Rojas-Flores, Melanie Ngan, Joey Fung, Carolyn Casada, Patrick Robertson, Alex Masibo, Briseida Cruz, Marion Mortel, Ryan Kopper, Cherry Marcelo, Travis Roberts, Holta Trandafili","doi":"10.1017/gmh.2025.25","DOIUrl":"10.1017/gmh.2025.25","url":null,"abstract":"<p><p>Parenting programs are effective ways to reduce child maltreatment and promote nurturing parent-child relationships. Yet, the potential of faith-based, positive parent programs, particularly those conducted globally at scale, remains underexplored. We conducted a pre-post and 6-month follow-up, single-group study of a faith- and community-based parenting program, Celebrating Families (CF), in 12 countries in sub-Saharan Africa, Central America and South East Asia. Using a train-the-trainers model, faith leaders delivered group-based parenting workshops over 3-5 days to a nonrandomized sample of 2201 caregivers across 12 countries. Data was collected at three time points. Shifts in caregiver attitudes and beliefs were assessed pre- and post, and harsh parenting behaviors were measured at pre- and 6-months after CF parent program implementation. Acceptability was demonstrated by high attendance and high satisfaction ratings from facilitators and caregivers. Trained faith and community leaders feasibly delivered the CF parent groups and were rated by caregivers to have strong teaching skills. Qualitative analysis of their feedback at 6-month follow-up highlighted barriers to implementation and areas for improvement. Results with those caregivers who completed the program suggest large to medium effect size improvements in caregiver attitudes around harsh discipline and nurturing parenting by country and change in reported use of harsh parenting behaviors at 6 months. Findings suggest that CF is a feasible and acceptable program with promising short-term effects for caregivers of children and adolescents in low- and middle-income countries.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e37"},"PeriodicalIF":3.3,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949733/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755270","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}
引用次数: 0
Exploring prevalence and factors associated with depression and anxiety symptoms among Bangladeshi graduates: a GIS-based cross-sectional study. 探讨孟加拉国毕业生中抑郁和焦虑症状的患病率及其相关因素:一项基于gis的横断面研究
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-03-04 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.21
Abdullah Al Habib, Imtiaz Uddin, Mehedee Hasan, Firoj Al-Mamun, Moneerah Mohammad Almerab, David Gozal, Mohammed A Mamun
{"title":"Exploring prevalence and factors associated with depression and anxiety symptoms among Bangladeshi graduates: a GIS-based cross-sectional study.","authors":"Abdullah Al Habib, Imtiaz Uddin, Mehedee Hasan, Firoj Al-Mamun, Moneerah Mohammad Almerab, David Gozal, Mohammed A Mamun","doi":"10.1017/gmh.2025.21","DOIUrl":"10.1017/gmh.2025.21","url":null,"abstract":"<p><p>Depression and anxiety are common mental health issues globally, yet limited research has focused on job seekers in Bangladesh. This study examines the prevalence and associated factors of depression and anxiety symptoms among Bangladeshi graduates seeking employment. A cross-sectional study was conducted among graduates from two public universities in Bangladesh, using face-to-face interviews and a semi-structured questionnaire. Data were collected between March and April 2024 through convenience sampling. Chi-square tests and logistic regression were used for analysis with SPSS software. Among the participants, 46.8% experienced depressive symptoms and 67.8% had anxiety symptoms, with 42.3% experiencing both. Factors associated with a reduced risk of depressive symptoms included being a first child (OR = 0.48, 95% CI: 0.25-0.93, <i>p</i> = 0.031) and exam satisfaction (OR = 0.22, 95% CI: 0.12-0.39, <i>p</i> < 0.001). Lower symptoms of anxiety were associated with being male (OR = 0.45, 95% CI: 0.25-0.80, <i>p</i> = 0.007), first-born status (OR = 0.45, 95% CI: 0.22-0.92, <i>p</i> = 0.030), financial contribution to family (OR = 0.40, 95% CI: 0.19-0.81, <i>p</i> = 0.011), over 12 months of preparation (OR = 0.37, 95% CI: 0.15-0.92, <i>p</i> = 0.034) and exam satisfaction (OR = 0.40, 95% CI: 0.22-0.71, <i>p</i> = 0.002). Intentionally unemployed participants had a higher risk of anxiety symptoms (OR = 1.70, 95% CI: 1.00-2.89, <i>p</i> = 0.046). This study reveals high rates of depressive and anxiety symptoms among job-seeking graduates in Bangladesh. Socio-demographic and job-related factors appear to significantly impact mental health, underscoring the need for a holistic approach to address these challenges. Targeted mental health interventions and increased public awareness are essential to support vulnerable groups in navigating the highly competitive job market.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e36"},"PeriodicalIF":3.3,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949731/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755267","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}
引用次数: 0
A scoping review to evaluate the efficacy of combining traditional healing and modern psychiatry in global mental healthcare. 评估传统治疗和现代精神病学在全球精神卫生保健中的疗效的范围综述。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-02-27 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.20
Sagar Jilka, Catherine Winsper, Samantha A Johnson, Onaedo Ilozumba, Ryan G Wagner, Sanjana Subhedar, Dafne Morroni, Richard Lilford, Swaran P Singh
{"title":"A scoping review to evaluate the efficacy of combining traditional healing and modern psychiatry in global mental healthcare.","authors":"Sagar Jilka, Catherine Winsper, Samantha A Johnson, Onaedo Ilozumba, Ryan G Wagner, Sanjana Subhedar, Dafne Morroni, Richard Lilford, Swaran P Singh","doi":"10.1017/gmh.2025.20","DOIUrl":"10.1017/gmh.2025.20","url":null,"abstract":"<p><p>Traditional faith healers (TFHs) are often consulted for serious mental illness (SMIs) in low- and middle-income countries (LMICs). Involvement of TFHs in mental healthcare could provide an opportunity for early identification and intervention to reduce the mental health treatment gap in LMICs. The aim of this study was to identify models of collaboration between TFHs and biomedical professionals, determine the outcomes of these collaborative models and identify any mechanisms (i.e., explanatory processes) or contextual moderators (i.e., barriers and facilitators) of these outcomes. A systematic scoping review of five electronic databases was performed from inception to March 2023 guided by consultation with local experts in Nigeria and Bangladesh. Data were extracted using a predefined data charting form and synthesised narratively. Six independent studies (eight articles) satisfied the inclusion criteria. Study locations included Ghana (n = 1), Nigeria (n = 1), Nigeria and Ghana (n = 1), India (n = 1), Hong Kong (n = 1) and South Africa (n = 1). We identified two main intervention typologies: (1) Western-based educational interventions for TFHs and (2) shared collaborative models between TFHs and biomedical professionals. Converging evidence from both typologies indicated that education for TFHs can help reduce harmful practices. Shared collaborative models led to significant improvements in psychiatric symptoms (in comparison to care as usual) and increases in referrals to biomedical care from TFHs. Proposed mechanisms underpinning outcomes included trust building and empowering TFHs by increasing awareness and knowledge of mental illness and human rights. Barriers to implementation were observed at the individual (e.g., suspicions of TFHs), relationship (e.g., reluctance of biomedical practitioners to equalise their status with TFHs) and service (e.g., lack of formal referral systems) levels. Research on collaborative models for mental healthcare is in its infancy. Preliminary findings are encouraging. To ensure effective collaboration, future programmes should incorporate active participation from community stakeholders (e.g., patients, caregivers, faith healers) and target barriers to implementation on multiple levels.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e35"},"PeriodicalIF":3.3,"publicationDate":"2025-02-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949735/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755264","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}
引用次数: 0
War-related trauma in narratives of Gazans: challenges, difficulties and survival coping. 加沙人叙述中的战争创伤:挑战、困难和生存应对。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.23
Bilal Hamamra, Fayez Mahamid, Dana Bdier, Mai Atiya
{"title":"War-related trauma in narratives of Gazans: challenges, difficulties and survival coping.","authors":"Bilal Hamamra, Fayez Mahamid, Dana Bdier, Mai Atiya","doi":"10.1017/gmh.2025.23","DOIUrl":"10.1017/gmh.2025.23","url":null,"abstract":"<p><p>The Israeli escalation of violence and oppression in Gaza, particularly following the events of October 7, 2023, has deepened the trauma and exacerbated the already grievous conditions of dispossession and exploitation faced by Palestinians. The present exploratory work sought to analyze war-related traumatic experiences among Gazans following the recent Israeli genocide against Gazans. Thirty participants (mean age for males = 32.45 years, SD = 10.13; mean age for females = 30.28 years, SD = 9.15; range 19-57) were recruited via snowball sampling. Interviews were analyzed through thematic content analysis. Thematic content analysis of the interview transcripts led to the identification of five main themes: (1) challenges and difficulties faced Gazans, (2) traumatic experiences related to war, (3) feelings and emotions among Gazans living in refugee camps, (4) how do Gazans perceive the future and (5) survival coping employed by Gazans following the on-going genocide against the Gaza Strip. The findings of this study highlight the profound humanitarian crisis in Gaza, calling for urgent attention to the ongoing crisis in Gaza and advocating for comprehensive humanitarian support and psychological interventions to address the deep-seated trauma and help rebuild lives shattered by conflict.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e34"},"PeriodicalIF":3.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949732/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755274","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}
引用次数: 0
Impact of co-morbid common mental disorder symptoms in people with epilepsy in Ethiopia on quality of life and functional disability: a cohort study. 埃塞俄比亚癫痫患者共病常见精神障碍症状对生活质量和功能残疾的影响:一项队列研究
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.24
Ruth Tsigebrhan, Girmay Medhin, Merga Belina, Charles R Newton, Charlotte Hanlon
{"title":"Impact of co-morbid common mental disorder symptoms in people with epilepsy in Ethiopia on quality of life and functional disability: a cohort study.","authors":"Ruth Tsigebrhan, Girmay Medhin, Merga Belina, Charles R Newton, Charlotte Hanlon","doi":"10.1017/gmh.2025.24","DOIUrl":"10.1017/gmh.2025.24","url":null,"abstract":"<p><p>The objective of this study was to investigate the impact of common mental disorder (CMD; depression/anxiety) symptoms and risky substance use in people with epilepsy in Ethiopia (four districts) on quality of life (QoL) and functioning over 6 months. A prospective cohort study was carried out. Multivariable linear regression followed by structural equation modelling (SEM) was employed. In the multivariable regression model, neither CMD symptoms (β coef. = -0.37, 95% confidence interval [CI] -1.30, +0.55) nor moderate to high risk of alcohol use (β coef. = -0.70, 95% CI -9.20, +7.81) were significantly associated with a change in QoL. In SEM, the summative effect of CMD on QoL was significant (B = -0.27, 95% CI -0.48, -0.056). Change in functional disability was not significantly associated with common mental disorder (CMD) symptoms (β coef. = -0.03, 95% CI -0.48, +0.54) or with moderate to high risk of alcohol use (β coef. = -1.31, 95% CI -5.89, 3.26). In the SEM model, functional disability was predicted by both CMD symptoms (B = 0.24, 95% CI 0.06, 0.41) and seizure frequency (B = 0.67, 95% CI 0.46, 0.87). In this rural Ethiopian setting, co-morbid CMD symptoms and seizure frequency independently predicted functional disability in people with epilepsy.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e33"},"PeriodicalIF":3.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11949734/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143755268","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}
引用次数: 0
Perspectives of traditional healers, faith healers, and biomedical providers about mental illness treatment: qualitative study from rural Uganda. 传统治疗师、信仰治疗师和生物医学提供者对精神疾病治疗的看法:来自乌干达农村的定性研究。
IF 3.3 2区 医学
Global Mental Health Pub Date : 2025-02-26 eCollection Date: 2025-01-01 DOI: 10.1017/gmh.2025.18
Yang Jae Lee, Mary Coleman, Kayera Sumaya Nakaziba, Nicole Terfloth, Camryn Coley, Anurag Epparla, Nolan Corbitt, Rauben Kazungu, Job Basiimwa, Corinne Lafferty, Kassidy Cole, Grace Agwang, Emrose Kathawala, Travor Nkolo, William Wogali, Egessa Bwire Richard, Robert Rosenheck, Alexander C Tsai
{"title":"Perspectives of traditional healers, faith healers, and biomedical providers about mental illness treatment: qualitative study from rural Uganda.","authors":"Yang Jae Lee, Mary Coleman, Kayera Sumaya Nakaziba, Nicole Terfloth, Camryn Coley, Anurag Epparla, Nolan Corbitt, Rauben Kazungu, Job Basiimwa, Corinne Lafferty, Kassidy Cole, Grace Agwang, Emrose Kathawala, Travor Nkolo, William Wogali, Egessa Bwire Richard, Robert Rosenheck, Alexander C Tsai","doi":"10.1017/gmh.2025.18","DOIUrl":"10.1017/gmh.2025.18","url":null,"abstract":"<p><p>Most people with mental illness in low and middle-income countries (LMICs) do not receive biomedical treatment, though many seek care from traditional healers and faith healers. We conducted a qualitative study in Buyende District, Uganda, using framework analysis. Data collection included interviews with 24 traditional healers, 20 faith healers, and 23 biomedical providers, plus 4 focus group discussions. Interviews explored treatment approaches, provider relationships, and collaboration potential until theoretical saturation was reached. Three main themes emerged: (1) Biomedical providers' perspectives on traditional and faith healers; (2) Traditional and faith healers' views on biomedical providers; and (3) Collaboration opportunities and barriers. Biomedical providers viewed faith healers positively but traditional healers as potentially harmful. Traditional and faith healers valued biomedical approaches while feeling variably accepted. Interest in collaboration existed across groups but was complicated by power dynamics, economic concerns, and differing mental illness conceptualizations. Traditional healers and faith healers routinely referred patients to biomedical providers, though reciprocal referrals were rare. The study reveals distinct dynamics among providers in rural Uganda, with historical colonial influences continuing to shape relationships and highlighting the need for integrated, contextually appropriate mental healthcare systems.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"12 ","pages":"e29"},"PeriodicalIF":3.3,"publicationDate":"2025-02-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11894403/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143606744","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}
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