Global Mental Health最新文献

{"title":"Cognitive social capital and geriatric depression: A community-based case-control study among the rural elderly people of Bangladesh.","authors":"Md Ziaul Islam, Ely Prue, Sharmin Farjana, Md Fuad Al Fidah, Syeda Sumaiya Efa","doi":"10.1017/gmh.2024.72","DOIUrl":"10.1017/gmh.2024.72","url":null,"abstract":"<p><strong>Background: </strong>Geriatric depression results in additional difficulties for older people and their residing society. The case-control study intended to assess the association between cognitive social capital and depression in rural older people.</p><p><strong>Methods: </strong>We conducted this study from January to December 2020 among 420 rural tenants aged ≥60 years in Bangladesh. We enrolled 210 older persons with depression as cases and another 210 without depression as controls. We used a semi-structured questionnaire, the Geriatric Depression Scale (GDS-15), and a cluster sampling technique to collect data through face-to-face interviews. We performed quality control checks and followed all ethics guidelines.</p><p><strong>Findings: </strong>Geriatric depression had a significant association with gender (<i>p</i> = 0.006), marital status (<i>p</i> < 0.001), education (<i>p</i> < 0.001), occupation (<i>p</i> = 0.001), family type (<i>p</i> < 0.001), family size (<i>p</i> < 0.001), number of family members (<i>p</i> < 0.001), and monthly family income (<i>p</i> < 0.001) of the rural older adults. Both interpersonal trust (<i>p</i> < 0.001) and reciprocity (<i>p</i> < 0.001) were significantly associated with geriatric depression. The older adults who didn't believe in interpersonal trust (OR = 6.8, <i>p</i> = 0.002) and who disagreed with reciprocity (OR = 31.1, <i>p</i> < 0.001) were more likely to have depression.</p><p><strong>Implications: </strong>The study findings can contribute to formulating cognitive social capital policy and interventions to promote the psychological well-being of rural older people by alleviating geriatric depression.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e89"},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504949/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510658","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":"Key principles of the KiDD (kids' development diagnosis and determining the risk of autism for children from 1.5 to 6 years) methodology development and comparison of results with other methods.","authors":"Olena Iniutina","doi":"10.1017/gmh.2024.85","DOIUrl":"10.1017/gmh.2024.85","url":null,"abstract":"<p><p>The author outlines the basic principles of creating the KiDD methodology (Kids' Development Diagnosis and Determining the Risk of Autism) for children aged 1.5 to 6 years old in the form of a mobile application. Users of the KiDD (parents or specialists) instantly receive information about the general development of the child in comparison with the age at which certain skills emerge. This includes information about the developmental age in months for each developmental area (speech and communication, socialization and behavior, cognitive skills, physical development and self-care), the developmental age for each specific skill of the child (up to 100 skills in each age category from 1.5 to 6 years) and the likelihood of autism. Additionally, users receive an automatically generated Individual Development Plan, consisting of skills that follow those that the child already has. The author provides statistical data comparing the results obtained through the KiDD with the results of widely accepted tests for assessing a child's developmental level and the likelihood of autism. The article presents comparative data of the results of 199 participants using the KiDD along with their respective diagnoses and results obtained through testing provided by psychologists and remote assessment provided by parents.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e88"},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504923/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510571","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":"Comparing implementation strategies for training and supervising nonspecialists in Group Problem Management Plus: A hybrid effectiveness-implementation trial in Colombia.","authors":"M Claire Greene, Diany Castellar, Manaswi Sangraula, Natalia Camargo, Jennifer Diaz, Valeria Meriño, Lucy Miller-Suchet, Ana Maria Chamorro Coneo, Marcela Venegas, Maria Cristobal, David Chávez, Brandon Kohrt, Peter Ventevogel, Miguel Uribe, Marilyn DeLuca, James Shultz, Zelde Espinel, Leslie Snider, Lisa Marsch, Sara Romero, Monica Ferrer, Abel Guerrero Gonzalez, Camilo Ramirez, Ana Maria Trejos Herrera, Matthew Schojan, Annie G Bonz, Adam Brown","doi":"10.1017/gmh.2024.95","DOIUrl":"10.1017/gmh.2024.95","url":null,"abstract":"<p><p>Migrants and refugees face elevated risks for mental health problems but have limited access to services. This study compared two strategies for training and supervising nonspecialists to deliver a scalable psychological intervention, Group Problem Management Plus (gPM+), in northern Colombia. Adult women who reported elevated psychological distress and functional impairment were randomized to receive gPM+ delivered by nonspecialists who received training and supervision by: 1) a psychologist (<i>specialized technical support</i>); or 2) a nonspecialist who had been trained as a trainer/supervisor (<i>nonspecialized technical support</i>). We examined effectiveness and implementation outcomes using a mixed-methods approach. Thirteen nonspecialists were trained as gPM+ facilitators and three were trained-as-trainers. We enrolled 128 women to participate in gPM+ across the two conditions. Intervention attendance was higher in the specialized technical support condition. The nonspecialized technical support condition demonstrated higher fidelity to gPM+ and lower cost of implementation. Other indicators of effectiveness, adoption and implementation were comparable between the two implementation strategies. These results suggest it is feasible to implement mental health interventions, like gPM+, using lower-resource, community-embedded task sharing models, while maintaining safety and fidelity. Further evidence from fully powered trials is needed to make definitive conclusions about the relative cost of these implementation strategies.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e90"},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504925/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510660","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":"Optimizing psychotherapies for perinatal depressive symptom dimensions by strengthening social support networks: an exploratory mediation analysis approach.","authors":"Ahmed Waqas, Siham Sikander, Abid Malik, Najia Atif, Atif Rahman","doi":"10.1017/gmh.2024.116","DOIUrl":"10.1017/gmh.2024.116","url":null,"abstract":"<p><p>The Thinking Healthy Program (THP) is a multicomponent low-intensity cognitive behavioral therapy-based psychosocial intervention. This intervention has been shown to be clinically effective in perinatal depression (PND) and feasible for implementation in low-resourced settings. It has also been shown to work universally for different phenotypes of PND. However, the mechanism through which THP resolves different phenotypes of PND are unclear. The present investigation presents secondary mediation analyses of a dataset curated from a cluster randomized controlled trial conducted in Pakistan assessing the effectiveness of the THP. Women aged 16-45 years in their third pregnancy trimester, with a diagnosis of PND, underwent 16 sessions of the intervention. The severity of depression was assessed using the Hamilton Depression Rating Scale (HDRS). 2-1-1 mediation models revealed that social support exerted significant mediation in driving the intervention effects for improving the severity of depressive symptoms on the HDRS [<i>B</i> (SE) = 0.45 (0.09), 95% CI: 0.30-0.60] and its symptom dimensions of core emotional symptoms [<i>B</i> (SE) = 0.27 (0.06), 95% CI: 0.18-0.37], somatic symptoms [<i>B</i> (SE) = 0.24 (0.04), 95% CI: 0.16-0.31] and insomnia symptoms [<i>B</i> (SE) = 0.04 (0.02), 95% CI: 0.02-0.07].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e91"},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504941/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510575","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":"Addressing challenges faced by young refugees in the Netherlands: Adapting problem management plus (PM+) with an emotional processing module.","authors":"Cansu Alozkan Sever, Pim Cuijpers, Katie S Dawson, Ellenor Mittendorfer-Rutz, Aemal Akhtar, Richard A Bryant, Marit Sijbrandij","doi":"10.1017/gmh.2024.93","DOIUrl":"10.1017/gmh.2024.93","url":null,"abstract":"<p><p>Young refugees face numerous challenges before, during, and after their journey, leading to higher rates of mental health issues such as depression, anxiety, and posttraumatic stress disorder. These problems often remain untreated due to barriers like limited services, stigma, and varied distress expressions. One effective scalable intervention that bridges this treatment gap is problem management plus (PM+), a transdiagnostic program delivered by trained nonspecialists. However, PM+ lacks a module directly targeting posttraumatic stress, which is a common problem in young refugees. This study presents the cultural and contextual adaptation process of PM+ for young refugees in the Netherlands that includes a newly developed emotional processing module. Qualitative data collection included free list interviews with youngsters (<i>n</i> = 33), key informant interviews with professionals (<i>n</i> = 9), policymakers (<i>n</i> = 5), key people from communities (<i>n</i> = 10), focus group discussions (<i>n</i> = 11) and one focused interview. A new module targeting distressing memories was developed and reviewed by experts (<i>n</i> = 14). Results supported protocol adaptations, including culturally and age-appropriate language, examples, illustrations and length. This research aims to develop feasible, culturally sensitive mental health interventions tailored to the unique needs of young refugees.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e80"},"PeriodicalIF":3.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504942/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142516721","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":"Examining subjective well-being during pregnancy and its association with pregnancy intendedness among women in Nigeria: A population-based cross-sectional multilevel study.","authors":"Otobo I Ujah, Biodun N Olagbuji, Russell S Kirby","doi":"10.1017/gmh.2024.99","DOIUrl":"10.1017/gmh.2024.99","url":null,"abstract":"<p><p>In this study, we examined the patterns of subjective well-being (SWB) measures among pregnant women and quantified the extent to which pregnancy intendedness is associated with low SWB measures during pregnancy. We analyzed data from the 2021 Nigeria Multiple Indicator Cluster Survey comprising 3,491 pregnant women. The associations between pregnancy intention and low SWB measures (unhappiness, low life satisfaction [LS] and diminished optimism) were determined by fitting series of multilevel logistic regression models with random intercepts. Among pregnant women in our sample 20%, 37.5% and 9.6%, reported being unhappy, experiencing low LS and having diminished optimism, respectively. However, we found no significant association between pregnancy intention and being unhappy (mistimed: adjusted odds ratio [aOR] = 1.19, 95% CI = 0.88-1.60; unwanted: aOR = 1.16, 95% CI = 0.71-1.91), experiencing low LS (mistimed: aOR = 1.07, 95% CI = 0.83-1.37; unwanted: aOR = 1.06, 95% CI = 0.69-1.65) and having diminished optimism (mistimed: aOR = 1.22, 95% CI = 0.82-1.82; unwanted: aOR = 1.07, 95% CI = 0.56-2.04). Findings from the study suggest that pregnant women in Nigeria who reported having either a mistimed or unwanted pregnancy were just as likely to report being unhappy, experience low LS and have diminished optimism as women whose pregnancy was intended.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e87"},"PeriodicalIF":3.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504940/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510663","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":"Community-informed perspectives of implementing interpersonal psychotherapy for couples to reduce situational intimate partner violence and improve common mental disorders in Mozambique.","authors":"Jennifer J Mootz, Palmira Fortunato Dos Santos, Leyly Moridi, Katia Dos Santos, Myrna Weissman, John L Oliffe, Sandra Stith, Saida Khan, Paulino Feliciano, Antonio Suleman, Stephanie A Rolin, Ali Giusto, Milton L Wainberg","doi":"10.1017/gmh.2024.92","DOIUrl":"10.1017/gmh.2024.92","url":null,"abstract":"<p><strong>Background: </strong>High rates of intimate partner violence (IPV) and mental disorders are present in Mozambique where there is a significant treatment gap. We aimed to report Mozambican community stakeholder perspectives of implementing couple-based interpersonal psychotherapy (IPT-C) in preparation for a pilot trial in Nampula City.</p><p><strong>Methods: </strong>We conducted 11 focus group discussions (6-8 people per group) and seven in-depth interviews with key informants in mental health or gender-based violence (<i>n</i> = 85) using purposive sampling. We used grounded theory methods to conduct an inductive coding and then deductively applied the consolidated framework for implementation research (CFIR).</p><p><strong>Results: </strong>For the outer setting, local attitudes that stigmatize mental health conditions and norm IPV as well as an inefficient legal system were barriers. Stakeholders expressed high acceptability of IPT-C, although a lack of resources was a structural challenge for the inner setting. Adaptation of the approach to screen for and address potential mediators of IPV was important for adopting a multisectoral response to implementation and planning. Delivering IPT-C in the community and in collaboration with community stakeholders was preferable.</p><p><strong>Conclusion: </strong>Stakeholders recommended multilevel involvement and inclusion of community-based programming. Task shifting and use of technology can help address these resource demands.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e84"},"PeriodicalIF":3.3,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504926/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510659","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":"Peer counseling for perinatal depression in low- and middle-income countries: A scoping review.","authors":"Alexander Cuncannon, Kailyn Seitz, Aneel Singh Brar, Aliyah Dosani","doi":"10.1017/gmh.2024.73","DOIUrl":"10.1017/gmh.2024.73","url":null,"abstract":"<p><p>Perinatal depression is associated with adverse maternal, newborn and child health outcomes. Treatment gaps and sociocultural factors contribute to its disproportionate burden in low- and middle-income countries (LMICs). Task-sharing approaches, such as peer counseling, have been developed to improve access to mental health services. We conducted a scoping review to map the current literature on peer counseling for perinatal women experiencing depression in LMICs. We searched CINAHL, MEDLINE, APA PsycINFO, Global Health and EMBASE for literature with no date limits. We included 73 records in our analysis, with most being systematic reviews and meta-analyses, randomized controlled trials and qualitative studies. Most studies were conducted in India and Pakistan and published from 2020 onward. The Thinking Healthy Program (THP) and its Peer-Delivered (THPP) adaptation were the most common interventions. Studies suggested effectiveness, feasibility, acceptability and transferability of peer counseling, particularly within the THPP, for perinatal depression. Studies indicated that local women, as peers and lay counselors, are preferred and effective implementation agents. Gaps in the evidence include those relating to understanding perinatal depression (e.g., contextual understandings of the etiology, comorbidity and heterogeneity and social conditions of psychosocial distress including long-term impacts on relationships and children's development) and understanding and improving implementation. Further research on the adaptation, scaling up and integration of peer-delivered approaches with other approaches to improve impact are needed. There are also gaps in understanding the perspectives and experiences of peer counselors. Evidence gaps may stem from an emphasis on conventional public health approaches and measures derived from Western psychiatry, such as randomized controlled trials. There is relatively little research or implementation that prioritizes peer counselors in terms of understanding their perspectives and experiences (e.g., of professionalization), despite them being central to peer-delivered models. Task sharing has the potential to both empower peer counselors through mental health benefits and professional opportunities but also render peer counselors susceptible to vicarious exposure to traumatic stories and difficult situations amid limitations in available support. Better understanding counselors' and perinatal women's experiences can help decolonize the evidence base and improve implementation.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e85"},"PeriodicalIF":3.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504931/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510679","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":"Acceptability and feasibility of a brief intervention to enhance resilience among young people and their families in India and Kenya.","authors":"Kamaldeep Bhui, Debasish Basu, Sugandha Nagpal, Victoria Mutiso, Renjith Pillai, Kristin Hadfield, Zelna Lauwrens, David Ndetei","doi":"10.1017/gmh.2024.87","DOIUrl":"10.1017/gmh.2024.87","url":null,"abstract":"<p><p>Enhancing resilience is one way to prevent future mental illnesses and encourage recovery in the face of adversity. To develop and test the acceptability and feasibility (A&F) of a combined family and individual resilience intervention in two rural/semi-rural low-income settings in India and Kenya. We developed a five-session intervention including Life Skills Education (LSE) and a model of family resiliency. Among adolescents aged 14-16 years and their families in India and Kenya, we collected socio-demographics and audio records of delivery and undertook a process evaluation. Due to COVID-19, we developed a hybrid intervention. The facilitators and participants preferred the in-person model. <i>India:</i> Of 17 families, 10 fully completed the intervention. They identified three critical components: 1) story-telling, 2) cooperation and working together and 3) expressing feelings. <i>Kenya:</i> All 15 families completed the intervention. Critical elements were 1) seeing social value in learning to make good decisions, 2) promoting an optimistic view of life, 3) hearing stories that resonated with their situation and 4) enhancing family performance through knowledge-building. We mapped the active ingredients, showing fidelity and acceptability. The intervention showed promising A&F parameters. Flexibility and local adaptation were important for delivery.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e86"},"PeriodicalIF":3.3,"publicationDate":"2024-10-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504944/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510657","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":"The role that USAID and other development funders play in furthering mental health research.","authors":"Lyla Schwartz","doi":"10.1017/gmh.2024.105","DOIUrl":"10.1017/gmh.2024.105","url":null,"abstract":"<p><p>Feb. 19, 2024.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"11 ","pages":"e82"},"PeriodicalIF":3.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11504921/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142510684","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}