Global mental health (Cambridge, England)最新文献

{"title":"Global estimates of service coverage for severe mental disorders: findings from the WHO Mental Health Atlas 2017.","authors":"Kara Jaeschke, Fahmy Hanna, Suhailah Ali, Neerja Chowdhary, Tarun Dua, Fiona Charlson","doi":"10.1017/gmh.2021.19","DOIUrl":"10.1017/gmh.2021.19","url":null,"abstract":"<p><strong>Background: </strong>The study estimated service coverage for severe mental disorders (psychosis, bipolar disorder and moderate-severe depression), globally and regionally, using data collected from the Mental Health Atlas 2017.</p><p><strong>Methods: </strong>Service coverage was defined as the proportion of people with a disorder contacting a mental health service among those estimated to have the disorder during a 12-month period. We drew upon 12-month service utilisation data from the Mental Health Atlas 2017. Expected prevalent cases of individual disorders were estimated using the disorder-specific prevalence rate estimates of the Global Burden of Disease Study 2016 and total population sizes. Methods for assessing the validity of country-reported service utilisation data were developed and applied.</p><p><strong>Outcomes: </strong>From 177 countries, 50 countries provided reliable service coverage estimates for psychosis, along with 56 countries for bipolar disorder, and 65 countries for depression. The mean service coverage for psychosis was lowest in low- [10.9% (95% confidence interval (CI) 3.3-30.4)] and lower middle-income countries [21.5% (95% CI 11.9-35.7)] and highest in high-income countries [59.5% (95% CI 42.9-74.1)]. Service coverage for bipolar disorder ranged between 3.1% (95% CI 0.8-11.5) and 10.4% (95% CI 6.7-15.8). Mean service coverage for moderate-severe depression ranged between 2.9% (95% CI 1.3-6.3) for low-income countries and 31.1% (95% CI 18.3-47.6) for high-income countries.</p><p><strong>Interpretation: </strong>The reporting method utilised by the Mental Health Atlas appears to be reliable for psychosis but not for depression. This method of estimating service coverage provides progress in tracking an important indicator for mental health; however, it highlights that considerable work is needed to further develop global mental health information systems.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e27"},"PeriodicalIF":0.0,"publicationDate":"2021-07-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8320004/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39300927","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":"Validation of the Bangla WHO-5 Well-being Index.","authors":"Md Omar Faruk,&nbsp;Farzana Alam,&nbsp;Kamal Uddin Ahmed Chowdhury,&nbsp;Tanjir Rashid Soron","doi":"10.1017/gmh.2021.26","DOIUrl":"https://doi.org/10.1017/gmh.2021.26","url":null,"abstract":"<p><strong>Background: </strong>Subjective wellbeing in terms of objective outcome can be useful to determine the level of progress in clinical practice as well as research studies in Bangladesh. Besides, cultural understanding of well-being for Bangladeshi population is also equally important to report. A valid Bangla version of the five-item WHO Well-being Index can be a suitable measure to achieve the purposes. Therefore, the present study aimed at validating the WHO-5 Well-being Index for general population in Bangladesh.</p><p><strong>Methods: </strong>After following the standard procedures for translation, back-translation, and committee translation, the initial Bangla version of the scale was developed and pretested. Based on the feedback during pretesting, a slight modification was made and the final version was developed. This final version was administered to 269 participants of different socioeconomic backgrounds to find out the reliability and validity of the scale from March 2019 to May 2019. The data analysis was conducted using SPSS 24.</p><p><strong>Results: </strong>The scale demonstrated acceptable internal consistency (<i>α</i> = 0.754) and test-retest reliability (<i>r</i> = 0.713), divergent validity (<i>r</i> = -0.443, <i>p</i> < 0.01 with the Bangla version of Perceived Stress Scale-10) and convergent validity (<i>r</i> = 0.542, <i>p</i> < 0.01 with the Bangla version of Warwick-Edinburgh Mental Well-Being Scale). The data also yielded one-factor structure for the scale in exploratory factor analysis explaining 38.68% of total variance. The factor-structure was further supported in the confirmatory factor analysis (χ² = 295.852, χ²/df = 2.017, RMSEA = 0.062, CFI = 0.986, TLI = 0.964, and SRMR = 0.0255).</p><p><strong>Conclusion: </strong>The findings suggested the Bangla version of the WHO-5 Well-being Index is a psychometrically valid and reliable tool for general adult population in Bangladeshi when it comes to measuring subjective well-being both in clinical practice and research studies.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e26"},"PeriodicalIF":3.9,"publicationDate":"2021-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.26","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39300926","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":"Conflict (Rohingya, COVID-19, and coup) in Myanmar: unmet need of mental health.","authors":"Sheikh Shoib,&nbsp;S M Yasir Arafat,&nbsp;Myat Thuzar","doi":"10.1017/gmh.2021.22","DOIUrl":"https://doi.org/10.1017/gmh.2021.22","url":null,"abstract":"","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e24"},"PeriodicalIF":3.9,"publicationDate":"2021-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8264800/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39189839","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":"COVID-19 Vaccination: crucial roles and opportunities for the mental health professionals.","authors":"Debanjan Banerjee,&nbsp;Sanchari Mukhopadhyay,&nbsp;Mariam Sahana Asmeen,&nbsp;Afzal Javed","doi":"10.1017/gmh.2021.25","DOIUrl":"https://doi.org/10.1017/gmh.2021.25","url":null,"abstract":"<p><p>Besides addressing the increased prevalence of psychiatric disorders, social challenges, and building community resilience during the crisis, mental health professionals (MHPs) are in a unique position to assist the vaccination drive against coronavirus disease-2019 (COVID-19) in various nations. Vaccination programs are adversely affected by misinformation, fake news and vaccine hesitancy fuelled by social media. MHPs can enable this vital public health strategy by prioritizing vaccination for individuals with severe mental illness (SMI) and substance use disorders, promote awareness and public education, debunk misinformation and integrate psychosocial care into the vaccination drives. In order to target the health inequity and discrimination faced by people with SMI coupled with their additional risks, the authors urge the global mental health fraternity to tailor these crucial roles with respect to COVID-19 vaccination based on the regional needs and contexts.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e25"},"PeriodicalIF":3.9,"publicationDate":"2021-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.25","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39181407","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":"Contextual factors associated with depression among Northern and Indigenous adolescents in the Northwest Territories, Canada.","authors":"Carmen H Logie,&nbsp;Candice L Lys,&nbsp;Nina Sokolovic,&nbsp;Kayley Inuksuk Mackay,&nbsp;Holly Donkers,&nbsp;Amanda Kanbari,&nbsp;Sherri Pooyak,&nbsp;Charlotte Loppie","doi":"10.1017/gmh.2021.21","DOIUrl":"https://doi.org/10.1017/gmh.2021.21","url":null,"abstract":"<p><strong>Background: </strong>Persons in Arctic regions disproportionately experience depression. Knowledge gaps remain regarding factors associated with depression among adolescents in the Northwest Territories (NWT), Canada, where child and adolescent mental health hospitalizations are nearly 2.5 times the national rate. This study assesses correlates of depression among adolescents in the NWT.</p><p><strong>Methods: </strong>We conducted a cross-sectional survey with adolescents aged 13-18 in 17 NWT communities. We assessed associations between socio-demographic characteristics, dating violence, food insecurity and depression, measured with the 9-item Patient Health Questionnaire. We conducted ordered logistic regressions to assess associations with no, mild, or moderate/severe depression scores.</p><p><strong>Results: </strong>Participants (<i>n</i> = 399; mean age: 14.3, s.d.: 1.3) were mostly Indigenous (79%) and 45% reported food insecurity. Nearly half (47%) reported minimal/no depression symptoms, 25% mild symptoms and 28% moderate/severe symptoms. In multivariate analyses, participants who were cisgender women compared to other genders, sexually diverse <i>v</i>. heterosexual, and food insecure had double the odds of more severe depression symptoms. Among those dating, dating violence was associated with double the odds of moderate/severe depression symptoms.</p><p><strong>Conclusions: </strong>Findings support tailored interventions to address material (food insecurity), relational (dating violence) and symbolic (gender and sexual orientation norms) contextual factors associated with depression among adolescents in the NWT.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e22"},"PeriodicalIF":3.9,"publicationDate":"2021-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.21","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39173898","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":"Psychosocial burden of neglected tropical diseases in eastern Colombia: an explorative qualitative study in persons affected by leprosy, cutaneous leishmaniasis and Chagas disease.","authors":"Robin van Wijk,&nbsp;Lena van Selm,&nbsp;Martha C Barbosa,&nbsp;Wim H van Brakel,&nbsp;Mitzi Waltz,&nbsp;Karl Philipp Puchner","doi":"10.1017/gmh.2021.18","DOIUrl":"https://doi.org/10.1017/gmh.2021.18","url":null,"abstract":"<p><strong>Background: </strong>Leprosy, cutaneous leishmaniasis (CL) and Chagas disease (CD) are neglected tropical diseases (NTDs) with a high psychosocial burden in Norte de Santander and Arauca in Colombia. This study provides insights into affected persons' feelings, perceptions and experiences to better understand the nature of this burden.</p><p><strong>Methods: </strong>In 2018, 34 leprosy, CD and CL patients participated in four focus groups discussing the influence of the disease on mental well-being, social participation and stigma. Additionally, 13 leprosy patients participated in semi-structured interviews to further explore the health-related stigma related to this disease. Audio recordings were transcribed verbatim, and open coding was used to identify the most relevant categories and themes.</p><p><strong>Results: </strong>Persons suffering from CD reported that their mental distress was mainly caused by impairments and stress related to the progressive and incurable nature of the disease. Persons affected by CL perceived the treatment for the disease as having the most impact on their psychosocial well-being. Persons affected by leprosy reported suffering most from anticipated and experienced stigma.</p><p><strong>Conclusions: </strong>The findings indicate that these diseases are likely to impose a significant psychosocial burden on patients in the studied regions, even though these vary per condition. Consistent data collection on the psychosocial burden and the sharing of knowledge of effective interventions can contribute to the holistic approach needed to win the fight against NTDs.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e21"},"PeriodicalIF":3.9,"publicationDate":"2021-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.18","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39173966","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":"Prevalence and correlates of depressive symptoms among Rohingya (forcibly displaced Myanmar nationals or FDMNs) older adults in Bangladesh amid the COVID-19 pandemic.","authors":"Sabuj Kanti Mistry,&nbsp;A R M Mehrab Ali,&nbsp;Nafis Md Irfan,&nbsp;Uday Narayan Yadav,&nbsp;Rumana Ferdousi Siddique,&nbsp;Prince Peprah,&nbsp;Sompa Reza,&nbsp;Ziaur Rahman,&nbsp;Lisa Casanelia,&nbsp;Cathy O'Callaghan","doi":"10.1017/gmh.2021.24","DOIUrl":"https://doi.org/10.1017/gmh.2021.24","url":null,"abstract":"<p><strong>Background: </strong>Depression is globally a crucial communal psychiatric disorder, which is more common in older adults. The situation is considerably worse among millions of older (forcibly displaced Myanmar nationals or FDMNs) Rohingya adults, and the coronavirus disease-2019 (COVID-19) pandemic may exacerbate the already existing precarious situation. The present study investigated depressive symptoms and their associated factors in older adult Rohingya FDMNs in Cox Bazar, Bangladesh, during the COVID-19 pandemic.</p><p><strong>Method: </strong>A total of 416 older adults aged 60 years and above residing in Rohingya camps situated in the South Eastern part of Bangladesh were interviewed using a 15-item Geriatric Depression Scale (GDS-15) in Bengali language. Chi-square test was performed to compare the prevalence of depressive symptoms within different categories of a variable and a binary logistic regression model was performed to determine the factors associated with depressive symptoms.</p><p><strong>Results: </strong>More than 41% of Rohingya older adults had depressive symptoms (DS). Socio-demographic and economic factors such as living alone, dependency on family for living, poor memory, feelings of being left out, difficulty in getting medicine and routine medical care during COVID-19, perception that older adults are at highest risk of COVID-19 and pre-existing non-communicable chronic conditions were found to be significantly associated with developing DS. Higher DS was also evident among older female Rohingya FDMNs.</p><p><strong>Conclusion: </strong>DS are highly prevalent in older Rohingya FDMNs during COVID-19. The findings of the present study call for immediate arrangement of mental health care services and highlight policy implications to ensure the well-being of older FDMNs.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e23"},"PeriodicalIF":3.9,"publicationDate":"2021-06-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.24","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39158353","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":"Global mental health: the role of collaboration during the COVID-19 pandemic.","authors":"Kimberly Hook,&nbsp;Haley A Carroll,&nbsp;Elizabeth F Louis,&nbsp;Maria C Prom,&nbsp;Amelia M Stanton,&nbsp;Sergiy Bogdanov,&nbsp;Bonginkosi Chiliza,&nbsp;Luisa Feline Freier,&nbsp;Godfrey Zari Rukundo,&nbsp;Senait Ghebrehiwet,&nbsp;Christina P C Borba,&nbsp;Gregory L Fricchione,&nbsp;David C Henderson","doi":"10.1017/gmh.2021.20","DOIUrl":"https://doi.org/10.1017/gmh.2021.20","url":null,"abstract":"[...]the Africa Global Mental Health Institute (AGMHI) (Grillo et al., 2019), which was established in 2016 to reduce the burden of mental illness and build the infrastructure necessary to make systematic changes in mental health care delivery across the African continent, offered a series of lectures delivered via Zoom that discussed strategies for bidirectional capacity-building during the pandemic. [...]using technology in novel ways, such as offering mental health support via telemedicine to healthcare providers, improved intra-country partnerships and suggested future opportunities to provide more readily accessed mental health care. The importance of addressing mental health needs was brought to the forefront during the COVID-19 pandemic, which resulted in new funding pathways as the world seeks to understand both the virus and its psychosocial impact. A new collaboration developed among researchers in Kenya, Nigeria, South Africa, and Uganda, stemming from knowledge sharing through the AGMHI, is a prime example, whereby partners sought collaborative COVID-19 specific grants aiming to evaluate and address mental health needs among mental health care workers across countries.","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e20"},"PeriodicalIF":3.9,"publicationDate":"2021-05-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.20","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39124026","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":"A non-specialist depression care pathway for adolescents living with HIV and transitioning into adult care in Peru: a nested, proof of concept pilot study.","authors":"Jerome T Galea,&nbsp;Carmen Contreras,&nbsp;Milagros Wong,&nbsp;Karen Ramos,&nbsp;Valentina Vargas,&nbsp;Hugo Sánchez,&nbsp;Renato A Errea,&nbsp;Leonid Lecca,&nbsp;Molly F Franke","doi":"10.1017/gmh.2021.16","DOIUrl":"https://doi.org/10.1017/gmh.2021.16","url":null,"abstract":"<p><strong>Background: </strong>Adolescents living with HIV (ALWH) are disproportionally impacted by depression, experiencing worse HIV outcomes. Integrated depression and HIV care may support antiretroviral adherence. This study pilot tested for proof of concept a basic depression care pathway for ALWH to inform depression care integration with HIV services in Peru.</p><p><strong>Methods: </strong>ALWH were screened for depression with the Patient Health Questionnaire-9 (PHQ-9). Participants with PHQ-9 scores of ⩾10 or suicidal ideation (SI) were eligible for Psychological First Aid (PFA) delivered by non-mental health specialists. Participants with PHQ-9 re-assessments of ⩾20 or SI were referred to specialized services.</p><p><strong>Results: </strong>Twenty-eight (11 female, 17 male) ALWH aged 15-21 years participated; <i>n</i> = 20 (71%) identified as heterosexual. Most (18/28) acquired HIV at birth. Baseline PHQ-9 scores were 0-4, <i>n</i> = 3 (11%); 5-9, <i>n</i> = 9 (32%); 10-14, <i>n</i> = 10 (36%); 15-19, <i>n</i> = 4 (14%); and 20-27, <i>n</i> = 2 (7%). Eleven participants (40%) reported SI. Among participants with PHQ-9 > 4, 92% (23/25) were not severe. Of the 21 (75%) of participants eligible for PFA, <i>n</i> = 9 (32%) accepted at least one session, of which <i>n</i> = 3 (33%) were linked to specialized care.</p><p><strong>Conclusions: </strong>A simple care pathway operationalizing depression screening and non-specialist delivered emotional support is a first step toward integrated depression and HIV care for ALWH.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e17"},"PeriodicalIF":3.9,"publicationDate":"2021-05-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.16","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38995853","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":"Impact of the Healing in Harmony program on women's mental health in a rural area in South Kivu province, Democratic Republic of Congo.","authors":"Justin Cikuru,&nbsp;Ali Bitenga,&nbsp;Juvenal Bazilashe Mukungu Balegamire,&nbsp;Prince Mujumbe Salama,&nbsp;Michelle M Hood,&nbsp;Bhramar Mukherjee,&nbsp;Alain Mukwege,&nbsp;Sioban D Harlow","doi":"10.1017/gmh.2021.11","DOIUrl":"https://doi.org/10.1017/gmh.2021.11","url":null,"abstract":"<p><strong>Background: </strong>To assess whether Healing in Harmony (HiH), a form of music therapy, improved women's mental health following conflict-related trauma and sexual violence in the Democratic Republic of Congo.</p><p><strong>Methods: </strong>This study used a step-wedged design and included 167 women, who completed up to two pre-tests, a post-test, and up to two follow-up interviews at 3 and 6 months after completing the program. The Hopkins Symptoms Checklist was used to measure anxiety and depression. The Harvard Trauma Questionnaire was used to measure post-traumatic stress disorder (PTSD). Generalized estimating equations with unstructured covariance were used to estimate mean change in mental health scores and relative risks (RRs) for screening positive.</p><p><strong>Results: </strong>Prior to starting the HiH program, 73.9, 84.2, and 68.5% screened positive with median scores being 2.20, 2.70, and 2.06 for depression, anxiety, and PTSD, respectively. The RR for screening positive declined significantly (RR = 0.49 for depression, 0.61 for anxiety, and 0.54 for PTSD) and mean scores declined significantly by -0.54, -0.67, and -0.53 points, respectively, from the pre- to the post-test, declines that were sustained at the 3-month and 6-month follow-up interviews.</p><p><strong>Conclusion: </strong>The HiH program was associated with significant improvement in women's mental health that was sustained up to 6 months post completion of the program despite instability in the region and evidence of continued experience of conflict-related trauma during the study. These data support the value of providing psychological care in the context of ongoing humanitarian crises.</p>","PeriodicalId":520633,"journal":{"name":"Global mental health (Cambridge, England)","volume":" ","pages":"e13"},"PeriodicalIF":3.9,"publicationDate":"2021-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://sci-hub-pdf.com/10.1017/gmh.2021.11","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39011043","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}