{"title":"Theory and psychometric development of a survey to measure attitudes towards self-comforting behaviours: The self-comforting attitude scale (SCAS)","authors":"Kennedy Oberhiri Obohwemu","doi":"10.1016/j.mhp.2025.200425","DOIUrl":"10.1016/j.mhp.2025.200425","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to develop and preliminarily validate the Self-Comforting Attitude Scale (SCAS), a novel instrument designed to measure individuals’ attitudes toward self-comforting behaviours—specifically mindfulness, positive self-talk, self-reassurance, cognitive reframing, and personal rituals—crucial for emotional regulation and resilience in high-stress contexts such as academic environments.</div></div><div><h3>Methods</h3><div>The SCAS was developed through a five-stage process: (1) identification of conceptual domains informed by literature and the Self-Comforting and Coping Theory (SCCT) and Self-Comforting Attitude Theory (SCAT); (2) generation of an initial 40-item pool; (3) expert review and refinement by psychologists and stress researchers; (4) pilot testing with 50 university students in the West Midlands, UK; and (5) item reduction to a 10-item scale. Content and face validity were assessed using expert evaluation and participant feedback.</div></div><div><h3>Results</h3><div>Pilot findings indicate strong content and face validity. Items were rated highly for clarity and relevance. A priori power analysis confirmed sufficient power (80.57 %) to detect medium effect sizes (Cohen’s <em>d</em> = 0.57) with the given sample. Participants found the items easy to understand and reflective of their attitudes toward self-comforting strategies. No psychometric issues were identified in this preliminary phase.</div></div><div><h3>Conclusion</h3><div>The SCAS is a theoretically grounded, practically relevant tool for assessing <em>attitudes</em>—rather than frequency or efficacy—toward self-comforting behaviours. Unlike existing tools that focus on frequency or efficacy, the SCAS emphasizes attitudinal orientation. While further validation is needed, the SCAS represents an important innovation in resilience and coping research, with potential applications in clinical, educational, and research settings.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200425"},"PeriodicalIF":0.0,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143941076","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}
Emily Jackson , Elizabeth Hill , Katheryn Jones , Suze Leitao , Kate Tonta , Bronwyn Myers , Anna Sowerbutts , Julie Townsend , Mandy Nayton , Jenny Baker , Mark Boyes
{"title":"Study protocol for the co-design of a mental health program for young people with language difficulties","authors":"Emily Jackson , Elizabeth Hill , Katheryn Jones , Suze Leitao , Kate Tonta , Bronwyn Myers , Anna Sowerbutts , Julie Townsend , Mandy Nayton , Jenny Baker , Mark Boyes","doi":"10.1016/j.mhp.2025.200424","DOIUrl":"10.1016/j.mhp.2025.200424","url":null,"abstract":"<div><h3>Objective</h3><div>Young people experiencing oral language difficulties are at heightened risk of mental health challenges, yet existing child and adolescent mental health programs are inaccessible to these individuals. This paper outlines the protocol for a study aimed at co-designing a mental health intervention program suited to young people with language difficulties.</div></div><div><h3>Methods</h3><div>Stakeholders (young people aged 10-16 with language difficulties, their parents/caregivers, and service providers) will be involved in an experience-based co-design process for intervention development. Intervention development will follow a four-step Intervention Mapping process: (1) conduct a needs assessment to identify the problem; (2) develop matrices of change objectives by identifying behaviours and behavioural determinants relating to the problem; (3) select theory-based intervention methods; and (4) design a program.</div></div><div><h3>Results</h3><div>Quantitative and qualitative data from surveys, interviews, and co-design workshops will be analysed using methods such as frequency analyses and content analyses. The outcomes will be the co-design of a mental health intervention program based on theory and the needs and preferences of stakeholders.</div></div><div><h3>Conclusion</h3><div>This is the first known study to co-design a mental health program for young people with language difficulties. Implementation and evaluation of the program will be reported in a future phase of this research.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200424"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144070026","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":"Adaptation of the complete and brief version of the Social Media Addiction Questionnaire (ARS) in Peruvian adolescents from the Amazon region","authors":"Celina Ramírez-Vega , Miguel Basauri-Delgado , Salomón Huancahuire-Vega , Jacksaint Saintila","doi":"10.1016/j.mhp.2025.200423","DOIUrl":"10.1016/j.mhp.2025.200423","url":null,"abstract":"<div><h3>Background</h3><div>Adapting instruments to the local context is essential for accurately assessing population characteristics while minimizing measurement bias, ensuring that the data reflects the true attributes and behaviors of the group being studied. This study aimed to adapt and validate both the original and brief versions of the Social Media Addiction Questionnaire (ARS) for adolescent students in the San Martín Region of Peru. Specifically, we assessed content validity through expert evaluation, internal structure validity using confirmatory factor analysis (CFA), and reliability through internal consistency, ensuring that the adapted versions maintain their psychometric properties within this population.</div></div><div><h3>Methods</h3><div>The sample consisted of 312 adolescents (<em>M</em> = 15.7; SD = 1.12; 51.6 % males) from the 3rd to 5th years of secondary school in Tarapoto, Morales, and Santa Rosa de Cumbaza, within the San Martín Region. Initially, the questionnaire items were reviewed by expert judges, leading to modifications in four items (4, 22, 23, and 24) to enhance clarity and coherence.</div></div><div><h3>Results</h3><div>Factor analysis was conducted on two three-dimensional models and two brief one-dimensional models. The 11-item model demonstrated better fit indices compared to the original model, as did the brief 5-item model. Additionally, reliability between factors ranged from moderate to high.</div></div><div><h3>Conclusion</h3><div>The adapted three-factor model and the brief one-factor model exhibit satisfactory psychometric properties, making them suitable for assessing social media addiction among adolescents in the San Martín Region.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200423"},"PeriodicalIF":0.0,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921954","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}
Zara Mansoor , Elliot Bell , James Stanley , Mary Buchanan , Sarah Fortune
{"title":"What matters most to young people and families receiving mental health treatment? A co-design approach to inform outcomes in a randomised control trial of Tuning in to Teens","authors":"Zara Mansoor , Elliot Bell , James Stanley , Mary Buchanan , Sarah Fortune","doi":"10.1016/j.mhp.2025.200422","DOIUrl":"10.1016/j.mhp.2025.200422","url":null,"abstract":"<div><h3>Background</h3><div>Co-design approaches with young people and their families with experience of poor mental health can be used to improve the alignment between clinical trials and real-world settings. This study used a co-design methodology to incorporate the priorities of young people (10–14 years) receiving treatment in mental health services and their parents into outcome measures for a feasibility randomised control trial (RCT) of a parent-focused intervention for youth anxiety and depression (Tuning in to Teens™).</div></div><div><h3>Methods</h3><div>A group of young people (10–14 years, <em>n</em> = 5) and a group of parents (<em>n</em> = 7) attending Child Adolescent Mental Health Services (CAMHS) in New Zealand participated in co-design workshops. In each group, participants identified a range of important outcomes in their care. Outcomes were ranked by participants with the top outcome for each group used to construct a measure for inclusion in the RCT.</div></div><div><h3>Results</h3><div>Parents and young people identified a range of important outcomes in their care including improvements in daily functioning, safety, and relationships. Parents identified ‘strengthened relationships’ as their top priority for intervention while young people chose ‘being listened to more’. Based on these priorities, trial outcome measures were co-created with participants. The relationship focused outcomes contrast with more widely used symptom-based outcome measures in RCTs.</div></div><div><h3>Conclusions</h3><div>Co-design can be used within traditional research design in youth mental health to increase alignment in outcomes for young people and their families. The approach described in this study has the potential to be adapted and expanded to other settings.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200422"},"PeriodicalIF":0.0,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143891529","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}
Jean-Philippe Chaput , Mark S. Tremblay , Gary S. Goldfield , Stephanie A. Prince , Aviroop Biswas , Rachel C. Colley , Justin J. Lang
{"title":"Is working from home good for mental health and well-being? Associations between work location, self-rated mental health, life satisfaction, and life and work stress among Canadian adults","authors":"Jean-Philippe Chaput , Mark S. Tremblay , Gary S. Goldfield , Stephanie A. Prince , Aviroop Biswas , Rachel C. Colley , Justin J. Lang","doi":"10.1016/j.mhp.2025.200418","DOIUrl":"10.1016/j.mhp.2025.200418","url":null,"abstract":"<div><h3>Objective</h3><div>It is unknown if teleworking is associated with better mental health and well-being among Canadian adult workers in the post-COVID-19 era. The objective of this study was to examine the associations between work location and self-rated mental health, life satisfaction, and life and work stress among Canadian adults.</div></div><div><h3>Methods</h3><div>This cross-sectional and nationally-representative study used self-reported data from the 2022 Canadian Community Health Survey (<em>n</em> = 24,614 individuals aged 18 years and older). Work location was categorized into three groups: working outside the home at a fixed location; working outside the home without a fixed location; and working from home. Logistic regression analyses were conducted to examine the associations between work location and the outcome measures, with adjustments for relevant covariates.</div></div><div><h3>Results</h3><div>Overall, 62.9 %, 12.2 % and 24.9 % of Canadian adults reported working at a fixed location outside the home, outside the home with no fixed location, and at home, respectively. Individuals working from home reported a higher level of education and many were in the business/finance/administration field (30.4 %) or in natural and applied sciences (22.4 %). After adjustment for covariates, work location was not significantly associated with self-rated mental health, life satisfaction, life stress or work stress.</div></div><div><h3>Conclusions</h3><div>Findings from this study suggest that the best work location for mental health and well-being is not necessarily linked to the specific physical place where it is conducted. Future research will need to better characterize the specific working conditions and identify possible causal mechanisms.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200418"},"PeriodicalIF":0.0,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143895754","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}
Danae Dinkel , Priyanka Chaudhary , Kevin Kupzyk , David J. Johnson , Carli Culjat , John Torous , Margaret R. Emerson
{"title":"Understanding perinatal women’s preferences for mental health apps: A mixed methods study","authors":"Danae Dinkel , Priyanka Chaudhary , Kevin Kupzyk , David J. Johnson , Carli Culjat , John Torous , Margaret R. Emerson","doi":"10.1016/j.mhp.2025.200420","DOIUrl":"10.1016/j.mhp.2025.200420","url":null,"abstract":"<div><h3>Introduction</h3><div>Perinatal mental health disorders impact 1 in 5 reproductive-aged women, affecting maternal and child health. Mobile apps may be a method of providing easily accessible mental health support including physical activity. However, understanding perinatal women’s use of current mental health apps and their preferences for apps tailored to their needs is lacking. Therefore, this study seeks to address this gap by investigating women’s preferences and desired features for a mental health app that includes physical activity and prioritizes the needs of perinatal women.</div></div><div><h3>Materials & Methods</h3><div>This explanatory sequential mixed methods study utilized an online cross-sectional survey (<em>n</em> = 159) and semi-structured interviews (<em>n</em> = 29) with perinatal women. Descriptive statistics were calculated on all demographic and survey variables. Interview data were analyzed using a directed content analysis approach.</div></div><div><h3>Results</h3><div>In the survey, 78.5 % of participants were interested in downloading mental health apps; however, only 38 % had previously done so, with 10.8 % currently using them. The most popular elements of the app were postpartum education, mood tracking, baby care guidance, and mental health education. The main perceived benefits of a mental health mobile app were mood-boosting and ease of use. Within the interviews, a majority felt that a perinatal mental health mobile app would be beneficial for women during this time period and emphasized a need for accurate and credible information.</div></div><div><h3>Conclusions</h3><div>Perinatal women desire a mobile app specific to this population. Future app development should include credible information and collaborate with perinatal women and healthcare providers to consider specific health concerns.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200420"},"PeriodicalIF":0.0,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143855227","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":"A scoping review of interventions designed to optimize perinatal mental health and emotional wellbeing","authors":"Lesley Pascuzzi , Karen Heslop , Helen Skouteris , Nicole Freeman , Emily Leefhelm , Zoe Bradfield","doi":"10.1016/j.mhp.2025.200419","DOIUrl":"10.1016/j.mhp.2025.200419","url":null,"abstract":"<div><h3>Objective</h3><div>Childbearing is a critical period within a woman’s life where she is at higher risk of experiencing challenges to her mental health. The aim of this scoping review was to identify and examine interventions offered to pregnant women and/or mothers raising children under 12 months, to prevent illness, promote, or optimize mental health and/or emotional wellbeing.</div></div><div><h3>Methods</h3><div>Peer reviewed research published between 2019–2024 was sought to provide the most contemporary evidence base within the last five years. A search strategy of five databases revealed six papers focused on optimizing mental health and emotional wellbeing.</div></div><div><h3>Results</h3><div>Interventions were based in European and Asian countries and of the final six, four studies explored the impact of self-help digital health interventions. Engagement in mental health promoting interventions varied and was impacted by competing demands on time as a new mother and levels of digital literacy.</div></div><div><h3>Conclusion</h3><div>The findings of this review demonstrates that there is scope to consider the use of mental health promoting interventions in the perinatal period to optimize maternal mental health and emotional wellbeing. However, much more research is needed. Recommendations for future research and practice include developing a better understanding of design and delivery of interventions to promote perinatal mental health. Implementation in the future may benefit from accessing the untapped potential of the midwifery workforce.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200419"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848237","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":"Influences of life education intervention on psychiatric symptoms and depression in young adolescents","authors":"Jiali Zhang , Xian Wang","doi":"10.1016/j.mhp.2025.200417","DOIUrl":"10.1016/j.mhp.2025.200417","url":null,"abstract":"<div><h3>Background</h3><div>Adolescence is a critical period characterized by significant physical, psychological, and social changes. The challenges associated with developing a sense of self-identity and navigating societal roles can lead to psychological distress. This study seeks to investigate the effectiveness of life education intervention in addressing these psychological problems among adolescents.</div></div><div><h3>Methods</h3><div>The present study was conducted by students from 16 classes in a senior high school. The participants completed a baseline assessment (<em>N</em> = 887), and eight of the classes (<em>N</em> = 455) were allocated to control and observation groups. The life education course intervention program is based on educational psychology and consists of three sessions, delivered on a 1-week interval period. They finally completed a follow-up survey and main outcome measures were changes in the scores of the Self-Rating Depression Scale (SDS), and Self-Report Symptom Inventory (SCL-90).</div></div><div><h3>Results</h3><div>After the intervention, the somatization, obsessive-compulsive, interpersonal sensitivity, hostility, depression, anxiety, paranoid ideation, phobic anxiety, psychoticism, and sleeping and dietary status in the observation group were reduced compared with those before the intervention. Compared to the pre-intervention, the total scores of SDS and SCL in the observation group decreased better after the intervention, and the above scores declined obviously to a greater extent than those in the control group (<em>P</em> < 0.05).</div></div><div><h3>Conclusion</h3><div>Integrating life education into the school significantly contributes to positive outcomes in adolescent psychological health, suggesting that short-term interventions of life education could be proposed as a beneficial practice to cope with various psychological distress faced by adolescents.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200417"},"PeriodicalIF":0.0,"publicationDate":"2025-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848238","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}
Emilie Hestbaek , Pernille Aakjær Mikkelsen , Rebecca Engel Thomas , Michelle Sleed , Charlotte Holm , Anne Blom Corlin , Per Sørensen , Mette Skovgaard Væver , Sebastian Simonsen
{"title":"A mentalization-based parenting intervention (Lighthouse Parenting Programme) for parents with various mental disorders in adult mental health service: A feasibility study","authors":"Emilie Hestbaek , Pernille Aakjær Mikkelsen , Rebecca Engel Thomas , Michelle Sleed , Charlotte Holm , Anne Blom Corlin , Per Sørensen , Mette Skovgaard Væver , Sebastian Simonsen","doi":"10.1016/j.mhp.2025.200415","DOIUrl":"10.1016/j.mhp.2025.200415","url":null,"abstract":"<div><h3>Objective</h3><div>Parental mental health problems have a detrimental impact on parenting thereby affecting the development and mental health of the child. Despite the clear need for parenting support within adult mental health services (AMHS), few interventions have been developed and evaluated in this context. The Lighthouse Parenting Program is a mentalization-based intervention aimed at reducing stress related to parenting, improving caregiving abilities, thereby preventing child adversity. This feasibility study aimed to investigate the feasibility and acceptability of the Lighthouse Parenting Program, including recruitment, enrolment, retention, and acceptability of the program in AMHS for parents with mental disorders.</div></div><div><h3>Methods</h3><div>Seven parents with various mental disorders were included. The intervention consisted of an individual assessment session, followed by 12 parenting group sessions. Data were collected using data from an e-journal system and via semi-structured qualitative interviews conducted post-intervention.</div></div><div><h3>Results</h3><div>70 % of the referred parents were included in the study, indicating good recruitment. The program demonstrated good feasibility, with six out of seven parents completing the program and an average session attendance of 77.5 %. Qualitative findings showed that parents experienced enhanced awareness of mental states, increased self-compassion, and greater parental confidence. However, parents also described initial challenges with trust-building within the group and challenges related to a perceived lack of structure and clear goals in the program.</div></div><div><h3>Conclusion</h3><div>The preliminary findings suggest that offering a mentalization-based parenting program as a transdiagnostic intervention is both feasible and acceptable to parents with mental disorders in AMHS. Potential areas for improvement are discussed. These findings warrant further investigation in randomised clinical trials to establish the effectiveness of the program.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200415"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143838483","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}
Katharina Szota , Hanna Christiansen , Nele Dippel , Julia Asbrand
{"title":"Let's talk about mental health! – Pilot study on school-based mental health literacy interventions for adolescents in Germany","authors":"Katharina Szota , Hanna Christiansen , Nele Dippel , Julia Asbrand","doi":"10.1016/j.mhp.2025.200416","DOIUrl":"10.1016/j.mhp.2025.200416","url":null,"abstract":"<div><h3>Background</h3><div>Despite the high prevalence of mental disorders in childhood and adolescence, only a subset of affected youths seeks and receives professional help. Mental health literacy (MHL) is an important facilitator of mental health service utilization. Besides knowledge and competencies, MHL encompasses decreased stigma and fears of stigmatization. We conducted so-called <em>Living Library</em> interventions at schools with adolescents in Germany, enabling direct social contact with experienced students of psychology. The present pilot study aims to evaluate these interventions with regard to their effects on adolescents’ MHL and reduced barriers to utilize mental health care.</div></div><div><h3>Methods</h3><div>The interventions were part of the university education in Psychology. Students prepared to transfer knowledge and discuss prevalent prejudices about common mental disorders using interactive formats. A within-subjects survey was conducted. Adolescents’ ratings on their MHL and on the Adolescent Barriers to Accessing Psychotherapy (ABAP) Questionnaire were assessed before and after the interventions. A total of <em>N</em> = 133 participants (<em>M</em> = 14.70 years, 48.1 % male) were included in the analyses.</div></div><div><h3>Results</h3><div>Adolescents reported increased MHL (<em>d</em> = 0.62) and reduced Help-seeking stigma (<em>d</em> = -0.23) after the interventions compared to before. No changes appeared on the ABAP subscales Fear of public stigma, Problem denial and Fear of psychotherapy setting.</div></div><div><h3>Conclusions</h3><div>Our pilot study indicates that our interventions increase adolescents’ MHL and reduce reservations towards seeking professional help. Potential adaptations of the interventions, for example the involvement of school staff and caregivers, might increase their effects on additional barriers towards mental health care utilization.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200416"},"PeriodicalIF":0.0,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143829957","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}