Global Mental HealthPub Date : 2023-07-24eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.27
Linda Grabbe, Ingrid M Duva, William C Nicholson
{"title":"The Community Resiliency Model, an interoceptive awareness tool to support population mental wellness.","authors":"Linda Grabbe, Ingrid M Duva, William C Nicholson","doi":"10.1017/gmh.2023.27","DOIUrl":"https://doi.org/10.1017/gmh.2023.27","url":null,"abstract":"<p><p>The objective of this article is to describe the Community Resiliency Model (CRM)®, a sensory-focused, self-care modality for mental well-being in diverse communities, and CRM's emerging evidence base and neurobiological underpinnings as a task-sharing intervention. Frieden's Health Impact Pyramid (HIP) is used as a lens for mental healthcare interventions and their public health impact, with CRM examples. CRM, a sensory awareness model for self-care and mental well-being in acute and chronic stress states, is supported by neurobiological theory and a growing evidence base. CRM can address mental wellness needs at multiple levels of the HIP and matches the task-sharing concept to increase access to mental health resources globally. CRM has the potential for making a significant population mental health impact as an easily disseminated, mental health, self-care modality; it may be taught by trained professionals, lay persons, and community members. CRM carries task-sharing to a new level: scalable and sustainable, those who learn CRM can share the wellness skills informally with persons in their social networks. CRM may alleviate mental distress and reduce stigma, as well as serve a preventive function for populations facing environmental, political, and social threats.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-07-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579656/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683804","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 : 2023-07-19eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.37
M Claire Greene, Annie G Bonz, Maria Cristobal, Alejandra Angulo, Andrea Armijos, María E Guevara, Carolina Vega, Lucia Benavides, Christine Corrales, Alejandra de la Cruz, Maria J Lopez, Arianna Moyano, Andrea Murcia, Maria J Noboa, Abhimeleck Rodriguez, Jenifer Solis, Daniela Vergara, E Brennan Bollman, Lena S Andersen, Milton Wainberg, Wietse A Tol
{"title":"Mixed-methods evaluation of a group psychosocial intervention for refugee, migrant and host community women in Ecuador and Panamá: Results from the <i>Entre Nosotras</i> cluster randomized feasibility trial.","authors":"M Claire Greene, Annie G Bonz, Maria Cristobal, Alejandra Angulo, Andrea Armijos, María E Guevara, Carolina Vega, Lucia Benavides, Christine Corrales, Alejandra de la Cruz, Maria J Lopez, Arianna Moyano, Andrea Murcia, Maria J Noboa, Abhimeleck Rodriguez, Jenifer Solis, Daniela Vergara, E Brennan Bollman, Lena S Andersen, Milton Wainberg, Wietse A Tol","doi":"10.1017/gmh.2023.37","DOIUrl":"10.1017/gmh.2023.37","url":null,"abstract":"<p><p>Community-based psychosocial interventions are key elements of mental health and psychosocial support; yet evidence regarding their effectiveness and implementation in humanitarian settings is limited. This study aimed to assess the appropriateness, acceptability, feasibility and safety of conducting a cluster randomized trial evaluating two versions of a group psychosocial intervention. Nine community clusters in Ecuador and Panamá were randomized to receive the standard version of the <i>Entre Nosotras</i> intervention, a community-based group psychosocial intervention co-designed with community members, or an enhanced version of <i>Entre Nosotras</i> that integrated a stress management component. In a sample of 225 refugees, migrants and host community women, we found that both versions were safe, acceptable and appropriate. Training lay facilitators to deliver the intervention was feasible. Challenges included slow recruitment related to delays caused by the COVID-19 pandemic, high attrition due to population mobility and other competing priorities, and mixed psychometric performance of psychosocial outcome measures. Although the intervention appeared promising, a definitive cluster randomized comparative effectiveness trial requires further adaptations to the research protocol. Within this pilot study we identified strategies to overcome these challenges that may inform adaptations. This comparative effectiveness design may be a model for identifying effective components of psychosocial interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.3,"publicationDate":"2023-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579653/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683789","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 : 2023-07-18eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.36
Alethea Desrosiers, Carolyn Schafer, Laura Bond, Adeyinka Akinsulure-Smith, Miriam Hinton, Alpha Vandi, Theresa S Betancourt
{"title":"Exploring potential mental health spillover effects among caregivers and partners of youth in Sierra Leone: A qualitative study.","authors":"Alethea Desrosiers, Carolyn Schafer, Laura Bond, Adeyinka Akinsulure-Smith, Miriam Hinton, Alpha Vandi, Theresa S Betancourt","doi":"10.1017/gmh.2023.36","DOIUrl":"10.1017/gmh.2023.36","url":null,"abstract":"<p><p>Given the large mental health treatment gap in low- and middle-income countries (LMICs), particularly in post-conflict settings like Sierra Leone, and the limited healthcare infrastructure, understanding the wider benefits of evidence-based mental health interventions within households is critical. This study explored potential mental health spillover effects - the phenomenon of beneficial effects among nonparticipants - among cohabitating caregivers and partners of youth who participated in an evidence-based mental health intervention in Sierra Leone. We recruited a sub-sample of cohabitating caregivers and partners (<i>N</i> = 20) of youth intervention participants; caregivers had enrolled in a larger study investigating indirect benefits of the evidence-based intervention in Sierra Leone (MH117359). Qualitative interviews were conducted at two time points to explore the following: (a) potential mental health spillover effects and (b) through which mechanisms spillover may have occurred. Two trained coders reviewed transcripts and analyzed qualitative data, assisted by MaxQDA. Qualitative findings suggested that spillover effects likely occurred and supported three potential mechanisms: decreased caregiving burden, behavior changes among Youth Readiness Intervention participants and improved interpersonal relationships. Mental health spillover effects may occur following youth intervention participation in a post-conflict LMIC. Investing in evidence-based services may offer indirect benefits that extend beyond those directly receiving services.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579673/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683774","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 : 2023-07-17eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.35
Roshan Bhad, Sophia Achab, Parnian Rafei, Preethy Kathiresan, Hossein Mohaddes Ardabili, Jenna Butner, Laura Orsolini, Katrine Melby, Mehdi Farokhnia, Venkata Lakshmi Narasimha, Kelly Ridley, Serenella Tolomeo, Mitika Kanabar, Beatrice Matanje, Paolo Grandinetti, Marc Potenza, Hamed Ekhtiari, Alexander Baldacchino
{"title":"An online global survey and follow-up expert groups on the scope and needs related to training, research, and mentorship among early-career addiction medicine professionals.","authors":"Roshan Bhad, Sophia Achab, Parnian Rafei, Preethy Kathiresan, Hossein Mohaddes Ardabili, Jenna Butner, Laura Orsolini, Katrine Melby, Mehdi Farokhnia, Venkata Lakshmi Narasimha, Kelly Ridley, Serenella Tolomeo, Mitika Kanabar, Beatrice Matanje, Paolo Grandinetti, Marc Potenza, Hamed Ekhtiari, Alexander Baldacchino","doi":"10.1017/gmh.2023.35","DOIUrl":"https://doi.org/10.1017/gmh.2023.35","url":null,"abstract":"<p><p>Addiction medicine is a rapidly growing field with many young professionals seeking careers in this field. However, early-career professionals (ECPs) face challenges such as a lack of competency-based training due to a shortage of trainers, limited resources, limited mentorship opportunities, and establishment of suitable research areas. The International Society of Addiction Medicine (ISAM) New Professionals Exploration, Training & Education (NExT) committee, a global platform for early-career addiction medicine professionals (ECAMPs), conducted a two-phase online survey using a modified Delphi-based approach among ECAMPs across 56 countries to assess the need for standardized training, research opportunities, and mentorship. A total of 110 respondents participated in Phase I (online key informant survey), and 28 respondents participated in Phase II (online expert group discussions on three themes identified in Phase I). The survey found that there is a lack of standardized training, structured mentorship programs, research funding, and research opportunities in addiction medicine for ECAMPs. There is a need for standardized training programs, improving research opportunities, and effective mentorship programs to promote the next generation of addiction medicine professionals and further development in the entire field. The efforts of ISAM NExT are well-received and give a template of how this gap can be addressed.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-07-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579666/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683761","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 : 2023-07-10eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.34
Ning Song, Siobhan Hugh-Jones, Robert M West, John Pickavance, Ghazala Mir
{"title":"The effectiveness of anti-stigma interventions for reducing mental health stigma in young people: A systematic review and meta-analysis.","authors":"Ning Song, Siobhan Hugh-Jones, Robert M West, John Pickavance, Ghazala Mir","doi":"10.1017/gmh.2023.34","DOIUrl":"https://doi.org/10.1017/gmh.2023.34","url":null,"abstract":"<p><p>Experiencing mental health stigma during adolescence can exacerbate mental health conditions, reduce quality of life and inhibit young people's help-seeking for their mental health needs. For young people, education and contact have most often been viewed as suitable approaches for stigma reduction. However, evidence on the effectiveness of these anti-stigma interventions has not been consistent. This systematic review evaluated the effectiveness of interventions to reduce mental health stigma among youth aged 10-19 years. The review followed Cochrane and PRISMA guidelines. Eight databases were searched: PubMed, PsycINFO, MEDLINE, Web of Science, Scopus, EMBASE, British Education Index and CNKI. Hand searching from included studies was also conducted. Randomised controlled trials and experimental designs that included randomised allocation to interventions and control groups were included in the review. Narrative synthesis was employed to analyse the results. A meta-analysis was conducted to determine the effectiveness of included interventions. Twenty-two studies were included in the review. Eight studies reported positive effects, 11 studies found mixed effects and 3 studies reported no effect on indicators of mental health stigma among youth. Seven of the effective studies were education-based. Eleven studies were suitable for meta-analysis, and the multivariate meta-analytic model indicated a small, significant effect at post-intervention (<i>d</i> = .21, <i>p</i> < .001), but not at follow-up (<i>d</i> = .069, <i>p</i> = .347). Interventions to reduce stigma associated with mental health conditions showed small, short-term effects in young people. Education-based interventions showed relatively more significant effects than other types of interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683806","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 : 2023-06-30eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.31
Charlotte Bernard, Hélène Font, Salaheddine Ziadeh, Judicaël M Tine, Abibatou Diaw, Ibrahima Ndiaye, Oumar Samba, Thierry Bottai, Laurent Jacquesy, Helena Verdeli, Ndeye F Ngom, François Dabis, Moussa Seydi, Nathalie de Rekeneire
{"title":"Management of depression in people living with HIV/AIDS in Senegal: Acceptability, feasibility and benefits of group interpersonal therapy.","authors":"Charlotte Bernard, Hélène Font, Salaheddine Ziadeh, Judicaël M Tine, Abibatou Diaw, Ibrahima Ndiaye, Oumar Samba, Thierry Bottai, Laurent Jacquesy, Helena Verdeli, Ndeye F Ngom, François Dabis, Moussa Seydi, Nathalie de Rekeneire","doi":"10.1017/gmh.2023.31","DOIUrl":"10.1017/gmh.2023.31","url":null,"abstract":"<p><p>Depression is highly prevalent in people living with HIV (PLWH) and has negative consequences for daily life and care. We evaluated for the first time the acceptability, feasibility and benefits of group interpersonal therapy (IPT), combined with a task-shifting approach, to treat depression in PLWH in Senegal. PLWH with depression received group IPT following the World Health Organization protocol. Acceptability and feasibility criteria were defined from the literature data. The PHQ-9, the WHODAS, and the 12-item-stigma scale were used, pre- and post-treatment, including a 3-month follow-up, to assess depressive symptom severity, functioning and stigma, respectively. General linear mixed models were used to describe changes in outcomes over time. Of 69 participants, 60 completed group IPT. Refusal to enroll and dropout rates were 6.6 and 12.7%, respectively. Ninety-seven percent of participants attended at least seven out of eight sessions. Patients and facilitators endorsed group IPT, with willingness to recommend it. Depressive symptoms and disability improved drastically and sustainably. We showed that group IPT is well accepted and feasible in Senegal as treatment for depression in PLWH. Combined with a task-shifting approach, it can narrow the gap in mental health treatment. Implementation may be enhanced by refining patient identification procedures and increasing treatment accessibility.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579691/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683752","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 : 2023-06-23eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.26
Daniela C Fuhr, Siham Sikander, Fiona Vanobberghen, Benedict Weobong, Atif Rahman, Helen A Weiss
{"title":"Predictors of spontaneous remission and recovery among women with untreated perinatal depression in India and Pakistan.","authors":"Daniela C Fuhr, Siham Sikander, Fiona Vanobberghen, Benedict Weobong, Atif Rahman, Helen A Weiss","doi":"10.1017/gmh.2023.26","DOIUrl":"10.1017/gmh.2023.26","url":null,"abstract":"<p><strong>Background: </strong>Mothers with perinatal depression can show different symptom trajectories and may spontaneously remit from depression, however, the latter is poorly understood. This is the first study which sought to investigate predictors of spontaneous remission and longer-term recovery among untreated women with perinatal depression.</p><p><strong>Methods: </strong>We analysed data from two randomised controlled trials in women with perinatal depression in India and Pakistan. Analyses were restricted to women in the control groups who did not receive active treatment. Generalised estimating equations and logistic regressions were used to estimate odds ratios (ORs) and 95% confidence intervals (CIs), adjusting for within-person correlation.</p><p><strong>Results: </strong>In multivariable analyses, remission was associated with a husband who is not working (adjusted OR, aOR = 2.04, 95% CI 1.02-4.11), lower Patient Health Questionnaire-9 score at baseline (aOR = 0.43, 95% CI 0.20-0.90 for score of ≥20 vs. 10-14) and better social support at baseline (aOR = 2.37, 95% CI 1.32-4.27 for high vs. low social support).</p><p><strong>Conclusions: </strong>Women with low baseline severity may remit from perinatal depression with adequate social support from family and friends. These factors are important contributors to the management of perinatal depression and the prevention of clinical worsening, and should be considered when designing low-threshold psychological interventions.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579649/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683795","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 : 2023-06-23eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.30
Jerilyn Hoover, Paul Bolton, Ashley Clonchmore, Linda Sussman, Diana Frymus
{"title":"Responding to the impact of COVID-19 on the mental health and well-being of health workers in LMICs.","authors":"Jerilyn Hoover, Paul Bolton, Ashley Clonchmore, Linda Sussman, Diana Frymus","doi":"10.1017/gmh.2023.30","DOIUrl":"https://doi.org/10.1017/gmh.2023.30","url":null,"abstract":"<p><p>The COVID-19 pandemic has worsened mental health among health workers around the world. With a projected global shortage of 10.2 million health workers by 2030, further exacerbated by COVID-19, taking action to support health worker mental health needs to be an integral component of investments to overcome this gap and build resiliency of systems for the future. Health workers are functioning in highly stressful environments at great personal risk to provide services that improve quality of life and save lives. To reduce burnout and early exits from the workforce, health workers must be protected and equipped to work in supportive environments, manage stress, and access mental health services when needed. This article explores the impact of COVID-19 on health worker mental health and proposes actions for health systems and workplaces to support health workers which draw on available evidence and examples of USAID-supported partner activities.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579644/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683797","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 : 2023-06-23eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.29
Adam D Brown, Nicole Ross, Manaswi Sangraula, Andy Laing, Brandon A Kohrt
{"title":"Transforming mental healthcare in higher education through scalable mental health interventions.","authors":"Adam D Brown, Nicole Ross, Manaswi Sangraula, Andy Laing, Brandon A Kohrt","doi":"10.1017/gmh.2023.29","DOIUrl":"10.1017/gmh.2023.29","url":null,"abstract":"<p><p>A significant number of young people throughout the world are experiencing mental health concerns. Many young people will develop their first mental health concerns or will be managing their symptoms while enrolled in institutions of higher education. Although many colleges and universities are aware of the significant mental health needs among their students, the mental health and psychosocial needs of students often exceed the availability of resources and cultural and contextual barriers, such as stigma, may further impede access to care. Such gaps and barriers in mental health may lead to poor prognosis as well as negative educational and social outcomes. We propose that non-specialist delivered mental health and psychosocial interventions may play a critical role in reducing the gaps in care for students in higher education. In particular, non-specialist delivered care can complement existing specialized services to provide stepped models of care. Importantly, the adaptation and implementation of non-specialist delivered mental health and psychosocial support interventions in higher education may lead to innovative strategies for increasing access to care in this context, but may lead to adaptations that could apply to contexts outside of higher education as well.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579693/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683807","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 : 2023-06-20eCollection Date: 2023-01-01DOI: 10.1017/gmh.2023.28
Charlotte E Hilberdink, Kevin Ghainder, Alexandre Dubanchet, Devon Hinton, A A A Manik J Djelantik, Brian J Hall, Eric Bui
{"title":"Bereavement issues and prolonged grief disorder: A global perspective.","authors":"Charlotte E Hilberdink, Kevin Ghainder, Alexandre Dubanchet, Devon Hinton, A A A Manik J Djelantik, Brian J Hall, Eric Bui","doi":"10.1017/gmh.2023.28","DOIUrl":"https://doi.org/10.1017/gmh.2023.28","url":null,"abstract":"<p><p>The death of a loved one - bereavement - is a universal experience that marks the human mental health condition. Grief - the cognitive, emotional, and behavioral responses to bereavement - is thus experienced by virtually everyone at some point in life, while mourning is a process through which grievers come to terms with the loss envisioning life without the deceased. Although distress subsides over time among most bereaved individuals, a minority will develop a condition recently identified as prolonged grief disorder (PGD). The present review provides a global perspective on bereavement, grief reactions, and PGD. Although the loss of a loved one and grief reactions are in general experienced consistently across different cultures, differences and variations in their expression may exist across cultures. Especially within specific populations that may be more at risk for PGD, possibly due to risk factors associated with the mechanisms of loss (e.g., refugees, migrants, and conflict survivors). The diagnostic criteria for PGD are mostly based on Western grieving populations, and cultural adaptations of PGD treatments are limited. Therefore, cross-cultural development and validation of PGD screening/assessment is critical to support future research on grief reactions and PGD, especially in non-Western contexts, and concerning the potential future global changes and challenges that appear to have a major impact on PGD. More transcultural research on PGD is needed to contextualize and will lead to culture-bound symptom identification of PGD, and the adaptation of current treatment protocols, which may ultimately improve health at the individual level, and health-care systems.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":null,"pages":null},"PeriodicalIF":3.9,"publicationDate":"2023-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579660/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683762","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}