Mental Health and Prevention最新文献

{"title":"Prevalence of suicidal ideation and suicide attempts among health sciences students: a systematic review and meta-analysis","authors":"Víctor Juan Vera-Ponce ,&nbsp;Joan A. Loayza-Castro ,&nbsp;Fiorella E. Zuzunaga-Montoya ,&nbsp;Luisa Erika Milagros Vásquez-Romero ,&nbsp;Witre Omar Padilla ,&nbsp;Christian Humberto Huaman-Vega ,&nbsp;Germán Lobos ,&nbsp;Carmen Inés Gutierrez De Carrillo","doi":"10.1016/j.mhp.2025.200432","DOIUrl":"10.1016/j.mhp.2025.200432","url":null,"abstract":"<div><h3>Introduction</h3><div>Suicidal ideation and suicide attempts among health sciences students represent a growing concern that requires a systematic evaluation of their global prevalence.</div></div><div><h3>Objective</h3><div>To determine the prevalence of suicidal ideation and suicide attempts among health sciences students through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>A systematic search was conducted in SCOPUS, Web of Science, PubMed, and EMBASE. Studies that used validated instruments for suicide risk assessment, including standardized scales and self-reports, were considered eligible. Studies could employ either probabilistic or non-probabilistic sampling, with no restrictions on language. Stratified meta-analyses were performed according to assessment instrument and time frame, and meta-regression was conducted by year of study.</div></div><div><h3>Results</h3><div>Of 1277 identified records, 38 studies met the eligibility criteria. Suicidal ideation assessment was conducted using two instruments: the Beck Scale, which assesses lifetime suicidal thoughts, showing a prevalence of 14.09 % (95 % CI: 11.39–17.02 %), and item 9 of the PHQ-9 (Patient Health Questionnaire-9), which evaluates death thoughts in the past two weeks, with a prevalence of 19.18 % (95 % CI: 12.65–26.69 %). Suicide attempts, evaluated by time frame, showed a prevalence of 7.06 % (95 % CI: 4.35–10.35 %) for \"lifetime\" and 4.45 % (95 % CI: 2.62–6.71 %) for the \"past 12 months. \" Temporal meta-regression showed no significant trends.</div></div><div><h3>Conclusions</h3><div>The prevalence of suicidal ideation and suicide attempts among health sciences students is substantial, varying by assessment instrument and time frame. These findings, though affected by considerable heterogeneity across studies and limited representativeness of samples, underscore the need to implement systematic screening and prevention programs in health sciences educational institutions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200432"},"PeriodicalIF":0.0,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144297733","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers and facilitators to implementing the Act-Belong-Commit - ABCs for Mental Wellbeing in Finland","authors":"Nina Tamminen ,&nbsp;Teemu Vauhkonen ,&nbsp;Johanna Cresswell-Smith ,&nbsp;Charlotte Meilstrup ,&nbsp;Saara Rapeli ,&nbsp;Pia Solin","doi":"10.1016/j.mhp.2025.200434","DOIUrl":"10.1016/j.mhp.2025.200434","url":null,"abstract":"<div><h3>Objective</h3><div>This study examines the barriers and facilitators influencing the implementation of the Act-Belong-Commit - ABCs for Mental Wellbeing in four Finnish municipalities. The study aims to identify factors that support or hinder successful implementation and provide recommendations for scaling up mental health promotion initiatives.</div></div><div><h3>Methods</h3><div>The interventions included altogether 37 participants in various municipal settings, with intervention periods ranging from 10 weeks to five months. A qualitative study design was used, employing semi-structured interviews with intervention providers (n=5) and participants (n=11). Data were analysed using thematic analysis method. The Consolidated Framework for Implementation Research (CFIR) was employed to identify key themes related to implementation challenges and enablers.</div></div><div><h3>Results</h3><div>Altogether, 27 implementation factors were identified covering each CFIR domain, consisting of 8 barriers and 19 facilitators. These highlight the critical implementation factors that influence the successful adoption of the ABCs for Mental Wellbeing intervention.</div></div><div><h3>Conclusion</h3><div>The ABCs for Mental Wellbeing is a promising approach for promoting mental health and wellbeing. Addressing recruitment strategies, securing sufficient resources, and embedding the actions into municipal frameworks are essential for sustainable and effective implementation. By adopting a structured yet flexible approach, municipalities can tailor the model to meet the needs of diverse populations, ultimately improving mental health and wellbeing.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200434"},"PeriodicalIF":0.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144313367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designing and evaluating the acceptability of a mental health literacy training program for graduate teaching assistants on a university campus","authors":"Emma Bruce ,&nbsp;Jillian Halladay ,&nbsp;Sadanee Pathiranawasam ,&nbsp;Catharine Munn","doi":"10.1016/j.mhp.2025.200433","DOIUrl":"10.1016/j.mhp.2025.200433","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"39 ","pages":"Article 200433"},"PeriodicalIF":0.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144321351","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-design of moderator training: Integrating knowledge from forum moderators, users and researchers with the improving peer online forums (iPOF) project","authors":"Zoe Glossop ,&nbsp;Steve Jones ,&nbsp;Saiqa Ahmed ,&nbsp;Neil Caton ,&nbsp;Gee Collins ,&nbsp;Jade Haines ,&nbsp;Katherine Jackson ,&nbsp;Chris Lodge ,&nbsp;Karen Machin ,&nbsp;Paul Marshall ,&nbsp;Samantha Pilgrim ,&nbsp;Paul Rayson ,&nbsp;Heather Robinson ,&nbsp;Laura Salisbury ,&nbsp;Nick Shryane ,&nbsp;Jay Staff ,&nbsp;Jenny Stevenson ,&nbsp;Luciana Vega ,&nbsp;Aife Walsh ,&nbsp;Sara Wise ,&nbsp;Fiona Lobban","doi":"10.1016/j.mhp.2025.200428","DOIUrl":"10.1016/j.mhp.2025.200428","url":null,"abstract":"<div><h3>Introduction</h3><div>Moderators of online mental health forums often experience stress and burnout. There is large variety in the training available for moderators at different forums. This study aimed to co-design a training resource available for all moderators of mental health forums, using an Integrated Knowledge Translation (IKT) approach. Forum moderators, users, and public advisors (“knowledge users”) and researchers, academics and a technologist (“researchers”) worked together to create a training resource for forum moderators working in clinical, peer support, and volunteer roles.</div></div><div><h3>Methods</h3><div>The co-design process involved 22 knowledge users and 12 researchers who worked together in 22 2-hour sessions over 2 years. The process followed four phases: group formation, identifying training priorities, content development, and finalisation. The group mainly collaborated through Zoom sessions facilitated by 2 independent facilitators.</div></div><div><h3>Results</h3><div>The final training resource included 10 topics, 8 animations, self-reflection questions, and a multiple-choice quiz. Feedback from the knowledge user group indicated they felt valued in the co-design process, although some felt that meeting format became repetitive. Key adjustments made to the training based on discussions in the co-design sessions included separating two topics, keeping training inclusive of all moderator roles, and enhancing resource accessibility.</div></div><div><h3>Discussion</h3><div>The project successfully navigated common barriers in IKT, including accommodating different participant needs and the challenges of online collaboration. Flexible communication methods supported group engagement, which was retained over 2 years. Groups members also appreciated a clear payment structure for their contributions. Implementing the training in practice remains an area for future work.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200428"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144184644","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Co-designing a community engagement toolkit to raise awareness of screening and care for neurodevelopmental delays and disabilities in India, Nepal, and Sri Lanka","authors":"Sweta Pal ,&nbsp;Bhavya Malhotra ,&nbsp;Faith D Gonsalves ,&nbsp;Alifiya Mutaher ,&nbsp;Chamika Hansamalee ,&nbsp;Surendra Bajracharya ,&nbsp;Shradha Gadtaula ,&nbsp;Yashodha Rajapaksha ,&nbsp;Shashini Hewavithanagamage ,&nbsp;Vidusha Sameen Thebuwana ,&nbsp;Rasika Haggepola Archchi ,&nbsp;Nethma Abesingha ,&nbsp;Sara Neupane ,&nbsp;Jacinta Fernandes ,&nbsp;Deepika Saini ,&nbsp;Reema Deshpande ,&nbsp;Gunjan Mathur ,&nbsp;Aditya Prakash ,&nbsp;Priyanka Suneja ,&nbsp;Shruti Garg ,&nbsp;Gauri Divan","doi":"10.1016/j.mhp.2025.200431","DOIUrl":"10.1016/j.mhp.2025.200431","url":null,"abstract":"<div><h3>Background</h3><div>South Asia has the highest prevalence of neurodevelopmental delays and disabilities (NDDs) globally, with 95% of children with Autism Spectrum Disorder living in this region. Early detection of NDDs can bridge care gaps and improve family understanding and adjustment, maximising a child’s developmental potential. However, low awareness, stigma, and structural barriers delay detection, even where interventions might be accessible. There is also limited research documenting caregivers' perspectives on improving their caregiving journeys.</div></div><div><h3>Objective</h3><div>This study aimed to develop a ‘Community Engagement Toolkit’ using participatory research with a range of stakeholders to raise community awareness of NDDs, improve timely access to evidence-based information for families, and enhance caregivers' engagement with a community-based detection and care pathway in India, Sri Lanka, and Nepal.</div></div><div><h3>Methods</h3><div>A total of 185 participants, including caregivers (<em>n</em>=94), non-specialist health workers (<em>n</em>=68), specialist service providers (<em>n</em>=14), and autistic adults (<em>n</em>=9), participated in interviews and co-design workshops. Community Advisory Boards in three countries guided the toolkit’s development.</div></div><div><h3>Results</h3><div>Findings revealed key time points in typical caregiving journeys where access to practical information is crucial. Barriers to early detection included a lack of awareness of developmental milestones, unclear care pathways, and misinformation. Participants emphasised the need for specific, practical guidance for caregivers throughout their journey to track early development, seek help, and enrol in interventions.</div></div><div><h3>Conclusion</h3><div>The Community Engagement Toolkit comprises nine tools, including posters, videos, and leaflets, to support caregivers, distributed by trained Non-Specialist Health Workers to improve NDD detection and care.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200431"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144212725","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The relationship between emotion regulation and mental health in adolescents: Self-compassion as a moderator","authors":"An Nguyen ,&nbsp;Lucinda Grummitt ,&nbsp;Emma L. Barrett ,&nbsp;Sasha Bailey ,&nbsp;Lauren A. Gardner ,&nbsp;Katrina E. Champion ,&nbsp;Jillian Halladay ,&nbsp;Frances A. Maratos ,&nbsp;Emily Hunter ,&nbsp;Kirsty Rowlinson ,&nbsp;Cath Chapman ,&nbsp;Nicola C. Newton ,&nbsp;Louise Birrell","doi":"10.1016/j.mhp.2025.200430","DOIUrl":"10.1016/j.mhp.2025.200430","url":null,"abstract":"<div><h3>Background</h3><div>Emotion regulation and self-compassion play important roles in shaping mental health and wellbeing. However, no studies to date have explored how these constructs may interact in the general adolescent population. This study examined the associations between different dimensions of self-compassion (compassionate self-responding and uncompassionate self-responding), emotion regulation (cognitive reappraisal and expression suppression) and mental health (depression and anxiety symptoms) among adolescents. It also examined whether self-compassion components moderate the relationships between emotion regulation and mental health symptoms.</div></div><div><h3>Method</h3><div>Data used in this study is drawn from a clustered RCT of a mental health prevention program conducted across nine Australian high schools. Multiple regression analyses were conducted to test whether self-compassion and emotion regulation strategies are significant predictors of anxiety and depression scores. Interactions between emotion regulation and self-compassion on anxiety and depression scores were also examined.</div></div><div><h3>Results</h3><div>752 Australian adolescents were included in the study (M_age = 13.83, SD = 0.78). Cognitive reappraisal and compassionate self-responding negatively predicted anxiety and depression scores, while expressive suppression and uncompassionate self-responding positively predicted these outcomes. Compassionate self-responding and uncompassionate self-responding differentially moderated the relationships between emotion regulation strategies and anxiety and depression scores.</div></div><div><h3>Conclusion</h3><div>The current study is the first to show the key role of self-compassion within adolescents’ emotion regulation framework. Future research should examine self-compassion and emotion regulation together as potential intervention targets for adolescents.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200430"},"PeriodicalIF":0.0,"publicationDate":"2025-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144190152","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Associations between childhood trauma and personality disorder traits: A cross-sectional study in the general population","authors":"Roberto Pedone ,&nbsp;Luca Pistone ,&nbsp;Eduardo Maria Schettino ,&nbsp;Giovanni Florio","doi":"10.1016/j.mhp.2025.200429","DOIUrl":"10.1016/j.mhp.2025.200429","url":null,"abstract":"<div><h3>Background</h3><div>Childhood trauma (CT)<img>including emotional, physical, and sexual abuse, as well as neglect<img>is a well-documented risk factor for the development of personality pathology. While prior research has established a general association between CT and personality disorders (PDs), the differential impact of specific trauma subtypes on individual PD traits remains insufficiently explored, particularly in non-clinical populations.</div></div><div><h3>Objective</h3><div>This study examined whether higher CT levels are associated with increased PD trait severity and whether distinct CT subtypes predict specific PD traits, independent of psychological distress and demographic factors.</div></div><div><h3>Method</h3><div>A community sample of 2,077 Italian adults (aged 18–65) completed the Childhood Trauma Questionnaire (CTQ), the Assessment of DSM-IV Personality Disorders (ADP-IV), and the Symptom Checklist-90-R (SCL-90-R). Correlational and multiple regression analyses controlled for age, gender, education, marital status, and psychological distress.</div></div><div><h3>Results</h3><div>Higher levels of CT were significantly associated with increased overall severity of personality pathology, independent of psychological distress. Emotional abuse emerged as the strongest and most consistent predictor, particularly in relation to borderline, paranoid, avoidant, and depressive traits. Physical neglect showed unique associations with antisocial and dependent traits. Other trauma subtypes demonstrated weaker or less consistent relationships with PD traits.</div></div><div><h3>Conclusions</h3><div>Emotional abuse appears to have a pervasive impact on maladaptive personality traits. These findings support trauma-informed assessment approaches and highlight the importance of incorporating developmental history into the conceptualization and treatment of personality pathology. Longitudinal research is needed to clarify causal mechanisms and inform prevention strategies.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200429"},"PeriodicalIF":0.0,"publicationDate":"2025-05-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166689","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Conceptualizing resilience among health workers in the Gaza Strip: a scoping review","authors":"Hedda Bøe Nyhus ,&nbsp;Randi Tofthagen ,&nbsp;Geir Tarje Fugleberg Bruaset ,&nbsp;Pinar Ekiz ,&nbsp;Abdallah Abudayya","doi":"10.1016/j.mhp.2025.200427","DOIUrl":"10.1016/j.mhp.2025.200427","url":null,"abstract":"<div><h3>Background</h3><div>Resilience is critical for healthcare workers operating under prolonged conflict, enabling adaptation and continuity of care despite adversity. In the Gaza Strip, extreme constraints challenge health systems, yet research on healthcare worker resilience remains limited.</div></div><div><h3>Objective</h3><div>This study aims to systematically review and synthesize existing peer-reviewed literature on the resilience of healthcare workers in the Gaza Strip. The objective is to identify and synthesize the existing knowledge available on resilience among health workers in this context.</div></div><div><h3>Methods</h3><div>A scoping review was conducted using PRISMA guidelines and Arksey and O’Malley’s framework. Databases searched included CINAHL, MEDLINE, Embase, PsycInfo, and Scopus. Relevant data were extracted and synthesized to map the scope of resilience-related findings.</div></div><div><h3>Results</h3><div>The studies analyzed the concept of resilience in included studies. Findings indicate that despite extensive debate on the relationship between resilience and related constructions, there is no consensus on a universal definition of the concept in the context of the Gaza Strip. The culturally and contextually embedded nature of resilience is not explicitly addressed, nor is the complexity of multidimensional interactions or the nature of adversity that shapes resilience.</div></div><div><h3>Conclusion</h3><div>Healthcare workers in Palestine endure extreme psychological and operational pressures, exacerbated by ongoing conflict and systemic disruptions. Understanding the resilience mechanisms of Palestinian health workers remains limited and is crucial for developing context-specific interventions that enhance their ability to cope and sustain care provision. Future research should refine resilience frameworks to support healthcare workers comprehensively and ensure sustainable healthcare provision under conflict conditions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200427"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144107931","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting teaching and non-teaching school staff resilience post-COVID pandemic","authors":"Emily M. D’Agostino ,&nbsp;Kylee Diaz ,&nbsp;Steven Kemp ,&nbsp;Tony Schibler ,&nbsp;Don Phipps ,&nbsp;Katrina McEllen ,&nbsp;David O. White ,&nbsp;Julie Simpson ,&nbsp;Kanecia O. Zimmerman","doi":"10.1016/j.mhp.2025.200421","DOIUrl":"10.1016/j.mhp.2025.200421","url":null,"abstract":"<div><h3>Objective</h3><div>School-based professional development interventions are hopeful mechanisms for promoting teacher/staff mental health and resilience. This study aimed to examine changes in key contributors to mental health and resilience of North Carolina (United States) teaching and non-teaching staff working in school districts that volunteered to participate in the Cultivating Awareness and Resilience in Education (CARE) professional development program.</div></div><div><h3>Methods</h3><div>This prospective cohort study assessed school staff resilience before, one week after, and 2 months after the CARE program, using the Teachers’ Sense of Efficacy Scale, Maslach Burnout Inventory, Generalized Anxiety Disorder-7; Patient Health Questionnaire 8; Perceived Stress Scale, and Experiences with the CARE for Teachers and Staff Professional Development Program.</div></div><div><h3>Results</h3><div>Fifty-three participants were included (70 % teachers, 79 % female, 77 % White, 47 % high school, 47 % elementary school). Across all participants, improvements were observed at one week and two months post-intervention in overall sense of efficacy (mean difference [MD] 0.92; 95 % CI, 0.50–1.38 and MD 0.78; 95 % CI, 0.32–1.26, respectively); emotional exhaustion (MD -5.84; 95 % CI, -10.93 to -0.72 and MD -6.59; 95 % CI, -11.79 to -0.29, respectively); anxiety (MD -3.59; 95 % CI, -6.21 to -0.76 and MD -3.27; 95 % CI, -5.83 to -0.71, respectively); and depression (MD -3.64; 95 % CI, -6.17 to -0.78 and MD -3.19; 95 % CI, -5.73 to -0.63, respectively). Teachers’ perceived stress was lower at one week post-intervention (MD -1.59; 95 % CI, -3.03 to -0.12.)</div></div><div><h3>Conclusion</h3><div>Findings demonstrate improvements in participants’ sense of self-efficacy, anxiety, depression, stress, with more pronounced improvements in teaching compared with non-teaching staff.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200421"},"PeriodicalIF":0.0,"publicationDate":"2025-05-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927452","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Do self-reported well-being and residence predict depression and anxiety in Mozambican women? A national survey analysis","authors":"Joshua Wednesday Edefo","doi":"10.1016/j.mhp.2025.200426","DOIUrl":"10.1016/j.mhp.2025.200426","url":null,"abstract":"<div><h3>Background</h3><div>Understanding the intersection of well-being, residential location and mental health outcomes is essential for developing effective mental health interventions for women in Mozambique.</div></div><div><h3>Objective</h3><div>To examine whether self-reported well-being and place of residence predict depression and anxiety symptoms</div></div><div><h3>Methods</h3><div>A retrospective analysis was conducted using data from the 2023 Mozambique Demographic and Health Survey, with a sample of 13,057 women aged 15 to 49 years. Logistic regression analysis was performed to identify significant predictors of depression and anxiety.</div></div><div><h3>Results</h3><div>The majority report good well-being (76.2 %), rural residency (56.7 %), no history of depression (98.6 %) and low anxiety (90.7 %). Women reporting moderate well-being were 1.5 times as likely to be diagnosed with depression (AOR = 1.54, 95 % CI: 1.05–2.27, p = 0.028) and 1.7 times as likely to feel anxious (AOR = 1.66, 95 % CI: 1.34– 2.05, p = 0.001) compared to those with good well-being. Those reporting bad well-being were 2.6 times as likely to feel anxious (AOR = 2.63, 95 % CI: 1.75–3.95, p = 0.001) compared to those with good well-being. Additionally, rural women were 0.35 times as likely to feel anxious (AOR = 0.65, 95 % CI: 0.49–0.85, p = 0.001) than their urban counterparts.</div></div><div><h3>Conclusion</h3><div>There is a link between self-reported well-being, place of residence, and mental health outcomes among women in Mozambique, with urban women being more likely to experience mental health conditions, indicating the need for targeted mental health interventions and support.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200426"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143931564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}