Academia mental health & well-being最新文献

{"title":"What outcomes matter in recovery from depression? A pilot study of young adults.","authors":"Jeffrey A Lam, Norah Mulvaney-Day, Alexandra R Dobbins, Rajendra Aldis, Ishan Pasricha, Hermioni L Amonoo, Ana M Progovac","doi":"10.20935/MHealthWellB8342","DOIUrl":"10.20935/MHealthWellB8342","url":null,"abstract":"<p><strong>Introduction: </strong>\"Positive\" outcomes such as flourishing and personal recovery are important predictors of physical health, mental illness, quality of life, and all-cause mortality. However, behavioral health outcome measures often emphasize symptom reduction, while overlooking \"positive\" outcomes. The objective of this study is to describe (1) the outcomes most important to individuals with major depressive disorder (MDD) and (2) \"positive\" outcomes and psychiatric symptoms in a real-world sample of young adults with MDD.</p><p><strong>Materials and methods: </strong>Forty-three participants aged 18-35 with a diagnosis of MDD receiving outpatient behavioral health treatment in an urban safety-net psychiatry department completed online surveys identifying factors most important to recovery and standardized measures of flourishing, personal recovery, functioning, and symptoms of depression and anxiety.</p><p><strong>Results: </strong>Most participants (61.9%) had high symptoms of depression (Patient Health Questionnaire-8 (PHQ-8) ≥ 10), 16.7% were flourishing (Flourishing Scale ≥ 48), and 41.9% had high personal recovery (Brief INSPIRE-O ≥ 50). Factors ranked as \"most important\" for personal recovery included coping well with stressful events (39.5%), functioning well (34.9%), and having hopes and dreams for the future (30.2%). Notably, among individuals with low depressive symptoms, 60.0% reported low flourishing and 31.3% reported low personal recovery.</p><p><strong>Conclusions: </strong>Individuals with MDD value a diverse range of outcomes, and exhibit a large variation in levels of depressive symptoms and characteristics of \"positive\" mental health. Aligning outcome tracking with patient-defined goals may provide a more comprehensive understanding of overall mental health.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13455757/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148709272","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Blended mobile health and wellness coaching enhances student engagement in mental health care.","authors":"Michael Reifman, Xiao Cao, Michelle L Rozwadowski, Jaeryeong Kim, Maxwell Kluge, Uma L Subrayan, Marsha Benz, Amanda Reis, Jevon Moore, Kerby Shedden, Sung Won Choi","doi":"10.20935/mhealthwellb8298","DOIUrl":"10.20935/mhealthwellb8298","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health challenges are common among college students, highlighting the need for scalable approaches that aim to reduce distress and support well-being. mHealth tools may complement campus services, though sustained engagement may be difficult. This study sought to discover how a blended intervention combining an mHealth positive psychology intervention (PPI) app with optional wellness coaching might impact student well-being.</p><p><strong>Materials and methods: </strong>In this single-arm pilot study, 28 students at a public university were given access to a PPI app (Roadmap 2.0) with mood tracking, a Fitbit^® wearable device, and optional wellness coaching. Data sources included PROMIS^® surveys at baseline and monthly follow-ups, daily mood ratings, app engagement logs, wearable-derived activity metrics, coaching attendance, and optional exit interviews. Analyses were descriptive and exploratory.</p><p><strong>Results: </strong>From baseline to exit, participants showed descriptive increases in PROMIS^® global mental health and positive affect and decreases in depression, anxiety, fatigue, and anger. App engagement declined over time. In exploratory models, app engagement was lower among participants reporting greater psychosocial resources or support. Mood ratings were higher in the days following PPI activity completion, and PPI activity users were observed to have higher mood ratings over time. Interviews supported perceived app-coaching synergy and identified barriers to sustained engagement.</p><p><strong>Conclusions: </strong>A blended PPI mHealth app plus wellness coaching appears feasible in a real-world college setting and was associated with favorable descriptive trends in mental health and well-being outcomes. Controlled studies are needed to evaluate efficacy and assess app versus coaching contributions.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13298186/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148348458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cognitive screening and education: assessing the Montreal Cognitive Assessment's validity in older Ugandan populations.","authors":"Kamada Lwere, Haruna Muwonge, Hakim Sendagire, Joy Louise Gumikiriza-Onoria, Rheem Nakimbugwe, Denis Buwembo, Noeline Nakasujja, Mark Kaddumukasa","doi":"10.20935/mhealthwellb7804","DOIUrl":"10.20935/mhealthwellb7804","url":null,"abstract":"<p><strong>Background: </strong>Cognitive screening tools such as the Montreal Cognitive Assessment (MoCA) are widely used to detect cognitive impairments. However, their accuracy in low- and middle-income countries (LMICs) may be affected by variations in educational levels. This study examined the impact of educational attainment on MoCA performance in older Ugandan adults, considering sex- and age-related differences.</p><p><strong>Methods: </strong>A cross-sectional study was conducted in Wakiso District, Uganda, involving adults aged ≥ 65 years. Their MoCA scores were analyzed in relation to their educational attainment, sex, and age. Multiple linear regression models were used to determine the independent effect of education on cognitive performance after adjusting for age and sex. Sensitivity analyses were conducted using multiple imputations for missing data.</p><p><strong>Results: </strong>Higher educational attainment was significantly associated with a better MoCA performance (β = 1.73, 95% CI: 1.22-2.24, <i>p</i> < 0.001). Age was negatively associated with MoCA scores (β = -0.13, 95% CI: -0.19 to -0.07, <i>p</i> < 0.001), whereas male sex was positively associated (β = 1.89, 95% CI: 0.56-3.22, <i>p</i> = 0.005). The interaction terms (education × sex and education × age) were not significant, indicating that the effect of education was consistent across demographic subgroups. The final regression model explained 42.7% of the variance in the MoCA scores (adjusted R² = 0.43, <i>p</i> < 0.001). The sensitivity analysis confirmed the robustness of the findings.</p><p><strong>Conclusions: </strong>Educational attainment impacts MoCA performance in older Ugandans, highlighting the need for region-specific norms and culturally adapted cognitive screening in LMICs.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12410502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145017135","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental and behavioral health care access and satisfaction among older sexual minority women.","authors":"Jillian R Scheer, Gabriella Epshteyn, Rachel Girard, Michelle A Stage, Elizabeth M Chadbourne, Billy A Caceres, Melanie M Wall, Tonda L Hughes","doi":"10.20935/mhealthwellb7867","DOIUrl":"10.20935/mhealthwellb7867","url":null,"abstract":"<p><p>This study expands upon syndemics, structural vulnerability, and health care utilization frameworks by examining individual and social factors influencing help-seeking, care barriers, and treatment satisfaction among sexual minority women (SMW; e.g., bisexual, lesbian) aged 50+ from Wave 3 of a community-based longitudinal study, the Chicago Health and Life Experiences of Women Study. Wave 3 data were collected in 2010-2012 (May 2010 to August 2012). Bivariate analyses were conducted to examine associations among help-seeking behaviors, self-rated physical and mental health, relationship status, and social support. We used multivariate logistic regression models to examine (1) associations between sociodemographic characteristics and help-seeking, (2) associations between help-seeking and treatment satisfaction variables and sociodemographic characteristics, (3) self-rated physical health and self-rated mental health as predictors of help-seeking and treatment satisfaction, and (4) interpersonal factors as predictors of help-seeking and treatment satisfaction. Participants (<i>N</i> = 196) were, on average, 58.15 years of age (SD = 6.61). Physical health and issues related to depression, anxiety, memory, and eating are synergistic among older SMW. Those with insufficient household incomes and identifying as bisexual, Black, or younger were more likely to seek help. Black and Latinx SMW reported fewer help-seeking barriers than White SMW. Self-rated poorer mental health was associated with greater difficulty accessing services; sociodemographic variables weakened this association. Poorer mental health and lower social support were associated with treatment dissatisfaction. Results highlight the relevance of structural vulnerabilities and social determinants of health among older SMW, emphasizing the need for integrated, culturally competent care models that enhance access and improve treatment satisfaction.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12453061/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145133415","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health risks and support for frontline workers during the 2013-2016 Ebola outbreak.","authors":"Ira Chaturvedi, Andrew S Huang, Amy Luo, Alexander H Chang, J Lee Jenkins, Edbert B Hsu","doi":"10.20935/mhealthwellb7717","DOIUrl":"10.20935/mhealthwellb7717","url":null,"abstract":"<p><p>The 2013-2016 West African Ebola virus outbreak was the longest and largest Ebola outbreak to date. High levels of stress and isolation experienced by frontline workers (FWs) during the Ebola outbreak highlight the importance of recognizing mental health and well-being (MHW). This study aimed to summarize and synthesize the MHW dimensions and interventions among FWs during the Ebola outbreak. A scoping review was conducted for English- and French-language articles indexed in PubMed and the Global Health Library, published from 2013 up to March 2025. Quantitative and qualitative studies reporting on the epidemiology and interventions for MHW among FWs, including healthcare personnel and ancillary health staff, during the Ebola outbreak were eligible for inclusion. A total of 22 articles were included in this review. Of these, 14 articles addressed the epidemiology of MHW for FWs, 3 addressed MHW interventions for FWs, and 5 addressed both topics. Studies interviewing FWs offered a glimpse into the unique psychological burden of responding to the outbreak, highlighting themes of stress, anxiety, social isolation, fear, and guilt. Intervention-based studies identified resources that could provide psychological support and/or relevant education. Recommendations aimed at the local, national, and international levels are proposed. Studies that address MHW among FWs during the Ebola outbreak are scarce, with even fewer describing interventions that address these issues. Demands on FWs remain an essential consideration during any emergent response, and further examination of impacts and interventions is needed.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"2 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12948306/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147329081","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social-emotional learning program: a community-based case-controlled study.","authors":"Kit Knier, Taylor Harrison, Michelle Grady, Andrew Brock, Gauri Sood, Debbie Fuehrer, Amit Sood, Chris Pierret","doi":"10.20935/mhealthwellb7308","DOIUrl":"10.20935/mhealthwellb7308","url":null,"abstract":"<p><p>HappiGenius is a mindfulness-based social-emotional learning (SEL) program developed and initially deployed in the context of COVID-19. Novel features of the HappiGenius program include the use of behavioral practice and activities to enhance traditional classroom-based learning, the capability to teach in a remote setting, and a focus on internalizing behaviors in addition to traditionally targeted externalizing behaviors. A pilot study of four third-grade classrooms completed in the previous academic year showed promising results for improvements in students' experience of positive affect, self-compassion, total difficulties, and prosocial behaviors. This quasi-experimental case-control study was conducted in 14 third-grade classrooms across four schools in a midsize Midwestern US city. We hypothesized that HappiGenius would lead to improvements in positive affect, self-compassion, and mindfulness, in addition to other social behaviors measured by quantitative standardized scales. We used qualitative methodology to determine whether HappiGenius was feasible and acceptable to teachers for use in the classroom. While there was no statistically significant change in positive affect, self-compassion, or mindfulness, there was meaningful improvement in student internalizing problems and peer problems. Analysis of qualitative data showed the importance of timing during the year to maximize classroom benefits like establishing behavioral expectations early and reducing problem behaviors. The study represents a step in the direction of evaluating the implementation and outcomes of a new social-emotional learning program developed with deliberate attention to internalizing problems alongside traditionally studied externalizing problems.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12011368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144005461","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Measuring the quality of self-care of elderly patients with dementia in a developing country.","authors":"Dennis Rogers Buwembo, Joy Louise Gumikiriza-Onoria, Lwere Kamada, Mark Kaddu-Mukasa, Joseph Kagaayi, Juliet Kiguli, Martha Sajatovic, Noeline Nakasujja, Fredrick Makumbi","doi":"10.20935/mhealthwellb7300","DOIUrl":"https://doi.org/10.20935/mhealthwellb7300","url":null,"abstract":"<p><p>In developing countries like Uganda, people with dementia are cared for by non-medically trained family members with minimal support from the formal healthcare system. The quality of care in this setting is largely unknown but significantly affects the well-being of those with dementia. A tool designed to measure the quality of informal care for old frail adults with or without dementia was translated into Luganda. A committee of experts reviewed and finalized the translation, which was pilot-tested and then used to measure the quality of dementia self-care. We consecutively enrolled 105 caregivers of elderly people with dementia; the median age was 35 years (Interquartile Range 26-47 years), and 67% were females, taking care of a grandparent (44%) or a parent (34%). We used confirmatory factor analysis to assess for structural validity and computed correlation coefficients and Cronbach's alpha to assess for discriminant validity and internal reliability, respectively. The three-factor model applied to the 20 items, adequately fit the data (Comparative Fit Index = 0.88, Tucker-Lewis Index = 0.87, Root Mean Square Error of Approximation = 0.08; 90% Confidence Interval (0.06-0.09), Standardized Root Mean Square Residual = 0.089). There was good discriminant validity, and correlation coefficients between dimensions/scales and the Dementia Knowledge Assessment Scale scores were low. There was good internal reliability with all items Cronbach's alpha ranging from 0.69 to 0.89. Our findings demonstrated that this culturally adapted, shorter measurement tool is valid and reliable. The tool can be used by researchers, health workers, and agencies to assess the quality of self-care for elderly people with dementia in Uganda.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11381492/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142306172","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Feasibility and acceptability of the World Health Organization's iSUPPORT program for dementia caregivers in Uganda.","authors":"Joy Louise Gumikiriza-Onoria, Roy William Mayega, Janet Nakigudde, Bruno Giordani, Martha Sajatovic, Mark Kaddu Mukasa, Dennis Buwembo, Kamada Lwere, Noeline Nakasujja","doi":"10.20935/mhealthwellb7292","DOIUrl":"https://doi.org/10.20935/mhealthwellb7292","url":null,"abstract":"<p><p>This study aims to address Alzheimer's disease and related dementias (ADRD) in low- and middle-income countries (LMICs). It involves adaptation of the World Health Organization's iSUPPORT (WHO-iSUPPORT) psychosocial intervention for Uganda, assessing its feasibility and acceptability, and its effects on caregivers' psychological distress, quality of life (QoL), and depression levels. The adapted iSUPPORT (UGA-iSUPPORT) program was translated into Luganda, a local language, validated by experts, divided into four modules, and later piloted for four weeks in Wakiso, Uganda. The caregivers were randomly assigned to receive weekly UGA-iSUPPORT sessions or modified standard care via weekly phone consultations. Baseline and endpoint changes were assessed using the Kessler Psychological Distress Scale (K-10), the Centre for Epidemiological Studies Depression Scale (CES-D), and the Measure of Quality of Life for Dementia Caregivers (C-DEMQOL). The intervention group (<i>n</i> = 33, 87.9% females, mean age 32.5 years) showed significant improvements in psychological distress (decreased from 29.2 to 23.7, <i>p</i> = 0.001), depression (from 33.4 to 25.6, <i>p</i> = 0.001), and QoL (from 81.1 to 89.4, <i>p</i> = 0.001). The control group (<i>n</i> = 32, 50% female, mean age 36.7 years) did not experience similar enhancements. The high retention rate (97%) and positive feedback from the participants underscored the program's feasibility and acceptability. UGA-iSUPPORT effectively boosted the mental health and well-being of dementia caregivers in LMICs. This study highlights the necessity of enduring and expandable interventions within healthcare systems. Further studies are warranted to examine these interventions' prolonged impacts.</p>","PeriodicalId":520214,"journal":{"name":"Academia mental health & well-being","volume":"1 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040399/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144061267","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}