Global Mental Health最新文献

{"title":"Network analysis of physical activity and depressive and affective symptoms during COVID-19 home confinement.","authors":"José A Cecchini,&nbsp;Alejandro Carriedo,&nbsp;Antonio Méndez-Giménez,&nbsp;Javier Fernández-Río","doi":"10.1017/gmh.2023.57","DOIUrl":"https://doi.org/10.1017/gmh.2023.57","url":null,"abstract":"<p><strong>Introduction: </strong>The aim of this study was to analyze the network structure of physical activity, frequency, depressive, and affective symptoms in people under home isolation due to COVID-19.</p><p><strong>Method: </strong>A longitudinal study was conducted in two phases (beginning (March 19, 2020) and end of home confinement (April 8, 2020)). The sample consisted of 579 participants from Spain (250 men and 329 women) aged 16 to 92 years (overall sample: <i>M</i> = 47.06, <i>SD</i> = 14.52). A network analysis was performed.</p><p><strong>Results: </strong>Four clusters emerged (PA, depressive symptoms, positive affect, and negative affect). A higher frequency of physical activity was related to better-sustained attention, increased alertness, and enthusiasm. In addition, feelings of guilt and shame were mitigated, and confinement distress and irritability were reduced. Physical activity also mitigated fatigue in women, whereas feelings of unhappiness were reduced in men.</p><p><strong>Conclusion: </strong>Physical activity seems to be an effective option for mitigating the negative effects of the COVID-19 pandemic. Public health policymakers should develop programs to promote physical activity in order to be able to cope with confinement or similar scenarios in the future.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e63"},"PeriodicalIF":3.9,"publicationDate":"2023-09-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579686/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683790","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":"Mental illness stigma in Bangladesh: Findings from a cross-sectional survey.","authors":"Md Omar Faruk,&nbsp;Abid Hasan Khan,&nbsp;Kamal Uddin Ahmed Chowdhury,&nbsp;Sabiha Jahan,&nbsp;Depon Chandra Sarker,&nbsp;Erminia Colucci,&nbsp;M Tasdik Hasan","doi":"10.1017/gmh.2023.56","DOIUrl":"https://doi.org/10.1017/gmh.2023.56","url":null,"abstract":"<p><strong>Background: </strong>Mental illness stigma is universally prevalent and a significant barrier to achieving global mental health goals. Mental illness stigma in Bangladesh has gained little attention despite its widespread impact on seeking mental health care in rural and urban areas. This study aimed to investigate mental illness stigma and the associated factors in rural and urban areas of Bangladesh.</p><p><strong>Methods: </strong>The study areas were divided into several clusters from which 325 participants (≥18 years) were recruited with systematic random sampling. The Bangla version of the Days' Mental Illness Stigma Scale was used to collect data. Independent-samples <i>t</i>-test, ANOVA, and multiple regression were performed.</p><p><strong>Results: </strong>Results suggest that gender, age, geographical location, socioeconomic status, and occupation significantly differed across subscales of stigma. Age, gender, seeking treatment of mental illness, having knowledge on mental health, and socioeconomic status were predictive factors of mental illness stigma. The results also showed a high treatment gap in both rural and urban areas.</p><p><strong>Conclusion: </strong>This study supports that mental illness stigma is prevalent in Bangladesh, requiring coordinated efforts. Results can inform the development of contextually tailored mental health strategies to reduce stigma and contribute to the promotion of mental health of individuals and communities across Bangladesh.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e59"},"PeriodicalIF":3.9,"publicationDate":"2023-09-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579681/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683755","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Erratum: A community health volunteer delivered problem-solving therapy mobile application based on the Friendship Bench 'Inuka Coaching' in Kenya: A pilot cohort study - CORRIGENDUM.","authors":"Asmae Doukani,&nbsp;Robin van Dalen,&nbsp;Hristo Valev,&nbsp;Annie Njenga,&nbsp;Francesco Sera,&nbsp;Dixon Chibanda","doi":"10.1017/gmh.2023.54","DOIUrl":"https://doi.org/10.1017/gmh.2023.54","url":null,"abstract":"<p><p>[This corrects the article DOI: 10.1017/gmh.2021.3.].</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e54"},"PeriodicalIF":3.9,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579669/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683770","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":"Digital Interventions for Common Mental Disorders in Low- and Middle-Income Countries: A Systematic Review and Meta-Analysis","authors":"Eirini Karyotaki, Clara Miguel, Olga M. Panagiotopoulou, Mathias Harrer, Nadine Seward, Marit Sijbrandij, Ricardo Araya, Vikram Patel, Pim Cuijpers","doi":"10.1017/gmh.2023.50","DOIUrl":"https://doi.org/10.1017/gmh.2023.50","url":null,"abstract":"An abstract is not available for this content so a preview has been provided. As you have access to this content, a full PDF is available via the ‘Save PDF’ action button.","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"23 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135435075","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Safe and valid? A systematic review of the psychometric properties of culturally adapted depression scales for use among Indigenous populations.","authors":"Michelle Yang, Quinta Seon, Liliana Gomez Cardona, Maharshee Karia, Gajanan Velupillai, Valérie Noel, Outi Linnaranta","doi":"10.1017/gmh.2023.52","DOIUrl":"10.1017/gmh.2023.52","url":null,"abstract":"<p><strong>Background: </strong>Implementing culturally sensitive psychometric measures of depression may be an effective strategy to improve acceptance, response rate, and reliability of psychological assessment among Indigenous populations. However, the psychometric properties of depression scales after cultural adaptation remain unclear.</p><p><strong>Methods: </strong>We screened the Ovid Medline, PubMed, Embase, Global Health, PsycInfo, and CINAHL databases through three levels of search terms: Depression, Psychometrics, and Indigenous, following the PRISMA guidelines. We assessed metrics for reliability (including Cronbach's alpha), validity (including fit indices), and clinical utility (including predictive value).</p><p><strong>Results: </strong>Across 31 studies included the review, 13 different depression scales were adapted through language or content modification. Sample populations included Indigenous from the Americas, Asia, Africa, and Oceania. Most cultural adaptations had strong psychometric properties; however, few and inconsistent properties were reported. Where available, alphas, inter-rater and test-retest reliability, construct validity, and incremental validity often indicated increased cultural sensitivity of adapted scales. There were mixed results for clinical utility, criterion validity, cross-cultural validity, sensitivity, specificity, area under the receiver operating characteristic curve, predictive value, and likelihood ratio.</p><p><strong>Conclusions: </strong>Modifications to increase cultural relevance have the potential to improve fit and acceptance of a scale by the Indigenous population, however, these changes may decrease specificity and negative predictive value. There is an urgent need for suitable tools that are useful and reliable for identifying Indigenous individuals for clinical treatment of depression. This awaits future work for optimal specificity and validated cut-off points that take into account the high prevalence of depression in these populations.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e60"},"PeriodicalIF":3.3,"publicationDate":"2023-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579654/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683798","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":"Advances in the molecular neurobiology of posttraumatic stress disorder from global contexts: A systematic review of longitudinal studies.","authors":"Jacqueline S Womersley, Morne du Plessis, M Claire Greene, Leigh L van den Heuwel, Eugene Kinyanda, Soraya Seedat","doi":"10.1017/gmh.2023.53","DOIUrl":"10.1017/gmh.2023.53","url":null,"abstract":"<p><p>Trauma exposure is prevalent globally and is a defining event for the development of posttraumatic stress disorder (PTSD), characterised by intrusive thoughts, avoidance behaviours, hypervigilance and negative alterations in cognition and mood. Exposure to trauma elicits a range of physiological responses which can interact with environmental factors to confer relative risk or resilience for PTSD. This systematic review summarises the findings of longitudinal studies examining biological correlates predictive of PTSD symptomology. Databases (Pubmed, Scopus and Web of Science) were systematically searched using relevant keywords for studies published between 1 January 2021 and 31 December 2022. English language studies were included if they were original research manuscripts or meta-analyses of cohort investigations that assessed longitudinal relationships between one or more molecular-level measures and either PTSD status or symptoms. Eighteen of the 1,042 records identified were included. Studies primarily included military veterans/personnel, individuals admitted to hospitals after acute traumatic injury, and women exposed to interpersonal violence or rape. Genomic, inflammation and endocrine measures were the most commonly assessed molecular markers and highlighted processes related to inflammation, stress responding, and learning and memory. Quality assessments were done using the Systematic Appraisal of Quality in Observational Research, and the majority of studies were rated as being of high quality, with the remainder of moderate quality. Studies were predominantly conducted in upper-income countries. Those performed in low- and middle-income countries were not broadly representative in terms of demographic, trauma type and geographic profiles, with three out of the four studies conducted assessing only female participants, rape exposure and South Africa, respectively. They also did not generate multimodal data or use machine learning or multilevel modelling, potentially reflecting greater resource limitations in LMICs. Research examining molecular contributions to PTSD does not adequately reflect the global burden of the disorder.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e62"},"PeriodicalIF":3.9,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579657/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683760","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 burden of mental disorders in Nepal between 1990 and 2019: Findings from the Global Burden of Disease Study 2019.","authors":"Raja Ram Dhungana, Achyut Raj Pandey, Suira Joshi, Nagendra P Luitel, Kedar Marahatta, Krishna Kumar Aryal, Meghnath Dhimal","doi":"10.1017/gmh.2023.55","DOIUrl":"10.1017/gmh.2023.55","url":null,"abstract":"<p><p>Mental disorders are the leading cause of disease burden, affecting 13% of all people globally in 2019. However, there is scarce evidence on the burden of mental disorders in Nepal. This study used the Global Burden of Disease Study 2019 data to assess the prevalence and disability-adjusted life-years (DALYs) of mental disorders in Nepal between 1990 and 2019. In 2019, there were 3.9 million (95% UI: 3.6-4.3) people with mental disorders in Nepal. Major depressive disorders (1.1 million; 95% UI: 0.9-1.2 million) and anxiety disorders (0.9 million; 95% UI: 0.8-1.2 million) were the most prevalent mental disorders in 2019. Attention deficit hyperactive disorder, conduct disorder, and autism spectrum disorders were present twice as high in males than in females. The proportional contribution of mental disorders to the total disease burden has tripled between 1990 (1.79% of all DALYs) and 2019 (5.5% of all DALYs). In conclusion, the proportional contribution of mental disorders to total disease burden has increased significantly in the last three decades in Nepal, with apparent sex and age differentials in prevalence and DALY rates. Effective program and policy responses are required to prepare the health system for reducing the growing burden of mental health disorders in Nepal.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e61"},"PeriodicalIF":3.9,"publicationDate":"2023-09-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579670/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683803","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":"A theory of change for community-initiated mental health care in the United States.","authors":"Erica Breuer,&nbsp;Angelika Morris,&nbsp;Laura Blanke,&nbsp;Miriam Pearsall,&nbsp;Roxana Rodriguez,&nbsp;Benjamin F Miller,&nbsp;John A Naslund,&nbsp;Shekhar Saxena,&nbsp;Satchit Balsari,&nbsp;Vikram Patel","doi":"10.1017/gmh.2023.49","DOIUrl":"https://doi.org/10.1017/gmh.2023.49","url":null,"abstract":"<p><p>Mental health service delivery needs radical reimagination in the United States where unmet needs for care remain large and most metrics on the burden of mental health problems have worsened, despite significant numbers of mental health professionals, spending on service provision and research. The COVID-19 pandemic has exacerbated the need for mental health care. One path to a radical reimagination is \"Community Initiated Care (CIC)\" which equips and empowers communities to address by providing brief psychosocial interventions by people in community settings. We co-developed a theory of change (ToC) for CIC with 24 stakeholders including representatives from community-based, advocacy, philanthropic and faith-based organizations to understand how CIC could be developed and adapted for specific contexts. We present a ToC which describes ways in which the CIC initiative can promote and strengthen mental health in communities in the United States with respect to community organization and leadership; community care and inclusion and normalizing mental health. We propose 10 strategies as part of CIC and propose a way forward for implementation and evaluation. This CIC model is a local, tailored approach which can expand the role of community members to strengthen our response to mental health needs in the United States.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e56"},"PeriodicalIF":3.9,"publicationDate":"2023-09-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579655/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683758","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":"Perinatal depression and implementation of the \"Thinking Healthy program\" support intervention in an impoverished setting of Lima, Peru: Assessment before and during the COVID-19 pandemic.","authors":"Margot Aguilar,&nbsp;Carmen Contreras,&nbsp;Giuseppe Raviola,&nbsp;Alejandra Sepúlveda,&nbsp;Maricielo Espinoza,&nbsp;Leydi Moran,&nbsp;Lourdes Ramos,&nbsp;Jesús Peinado,&nbsp;Leonid Lecca,&nbsp;Gloria A Pedersen,&nbsp;Brandon A Kohrt,&nbsp;Jerome T Galea","doi":"10.1017/gmh.2023.45","DOIUrl":"https://doi.org/10.1017/gmh.2023.45","url":null,"abstract":"<p><p>Socios En Salud (SES) implemented the Thinking Healthy program (THP) to support women with perinatal depression before and during the COVID-19 pandemic in Lima Norte. We carried out an analysis of the in-person (5 modules) and remote (1 module) THP intervention. Depression was detected using PHQ-9, and THP sessions were delivered in women with a score (PHQ-9 ≥ 5). Depression was reassessed and pre- and post-scores were compared. In the pre-pandemic cohort, perinatal depression was 25.4% (47/185), 47 women received THP and 27 were reassessed (57.4%), and the PHQ-9 score median decreased from 8 to 2, <i>p</i> < 0.001. In the pandemic cohort, perinatal depression was 47.5% (117/247), 117 women received THP and 89 were reassessed (76.1%), and the PHQ-9 score median decreased from 7 to 2, <i>p</i> < 0.001. THP's modalities helped to reduce perinatal depression. Pregnant women who received a module remotely also reduced depression.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e64"},"PeriodicalIF":3.9,"publicationDate":"2023-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579694/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683793","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":"Experiences of a mobile phone delivered brief intervention for hazardous drinking: A qualitative study nested in the AMBIT trial from Goa, India.","authors":"Danielle Fernandes, Ethel D'Souza, Seema Sambari, Marimilha Pacheco, Joseline D'Souza, Richard Velleman, Urvita Bhatia, Abhijit Nadkarni","doi":"10.1017/gmh.2023.51","DOIUrl":"10.1017/gmh.2023.51","url":null,"abstract":"<p><strong>Background: </strong>This study explores the experiences of participants receiving a mobile-based brief intervention (BI) for hazardous drinking in India, to determine characteristics that influenced engagement and examine perceived reasons for change in alcohol consumption.</p><p><strong>Methods: </strong>Semi-structured interviews were conducted with 10 adult hazardous drinkers who received a mobile-based BI in the intervention arm of a pilot randomised control trial. Data were coded through an iterative process and analysed using thematic analysis.</p><p><strong>Findings: </strong>Study participants reported a positive experience, with factors such as customised intervention delivery and personal motivation facilitating their engagement. Participants reported a reduction in quantity and frequency of alcohol use. This was credited to the intervention, particularly, its provision of health-related information, goal-setting content and strategies to manage drinking. Apart from alcohol reduction, participants reported improvements in diet, lifestyle, wellbeing, and familial relations.</p><p><strong>Implication: </strong>By providing a context to explain the impact of the intervention, the learnings from this study can be used to strengthen the implementation of mobile-based interventions. This study outlines the scope for further research in digital health, such as Internet-based health interventions, and incorporating digital interventions within the ambit of existing health care programmes.</p>","PeriodicalId":48579,"journal":{"name":"Global Mental Health","volume":"10 ","pages":"e58"},"PeriodicalIF":3.9,"publicationDate":"2023-09-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10579675/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49683773","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}