Mental Health and Prevention最新文献

{"title":"The case for participant payments in mental health prevention research","authors":"Elizabeth M Westrupp","doi":"10.1016/j.mhp.2024.200373","DOIUrl":"10.1016/j.mhp.2024.200373","url":null,"abstract":"","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200373"},"PeriodicalIF":0.0,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143173649","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":"Development of the children's wellbeing continuum: Fostering conversation in child mental health","authors":"K Paton ,&nbsp;S Darling ,&nbsp;C Nowell ,&nbsp;S Gandhi ,&nbsp;A Jorm ,&nbsp;LM Hart ,&nbsp;MBH Yap ,&nbsp;F Oberklaid","doi":"10.1016/j.mhp.2024.200385","DOIUrl":"10.1016/j.mhp.2024.200385","url":null,"abstract":"<div><div>Objective: The growing focus on child mental health presents opportunities for prevention and early intervention. A shared, accessible language to describe child mental health that is understood by both parents and professionals across diverse settings is crucial. This study aimed to design and test a novel Children's Wellbeing Continuum tool as a shared communication resource to help adults discuss and reflect on a child's mental health.</div><div>Methods: A mixed-methods study was conducted with Australian educators, health professionals, and parents/caregivers. A Delphi consensus study (<em>n</em> = 261) was used to establish consensus on the language for a four-point continuum model. Subsequently, focus groups (<em>n</em> = 69) gathered qualitative feedback on the language, visual elements and utility of the continuum tool across diverse contexts (e.g., schools, primary health care, First Nations Communities).</div><div>Findings: The terms “good, coping, struggling, overwhelmed” emerged as the preferred terms for the anchor points along the continuum tool. A traffic-light colour system and accompanying emoticons were supported for visual accessibility. Descriptors of functioning/symptoms were deemed too confusing and excluded from the final version. Inductive content analysis revealed that participants valued the continuum as a tool to facilitate discussions about a child's mental health among stakeholders in the ‘team’ supporting the child.</div><div>Conclusions: The Children's Wellbeing Continuum, developed through extensive stakeholder consultation, is designed as a universal early intervention and prevention tool to start a conversation and encourage dialogue about a child's mental health. It has the potential to improve early help-seeking, reduce stigma, and strengthen support systems for children.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200385"},"PeriodicalIF":0.0,"publicationDate":"2024-11-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141881","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":"Exploring children's services workers’ perceptions of COVID-19: Trauma, connection and creativity","authors":"Heather Boynton ,&nbsp;Patricia Samson ,&nbsp;Jo-Ann Vis ,&nbsp;Benedicta Asante","doi":"10.1016/j.mhp.2024.200382","DOIUrl":"10.1016/j.mhp.2024.200382","url":null,"abstract":"<div><h3>Background</h3><div>Children services workers (CSWs) in child welfare during the COVID-19 pandemic were tasked with providing services amidst various government mandates and restrictions causing a multitude of effects.</div></div><div><h3>Objective</h3><div>To examine the lived experience of CSWs practice during COVID-19.</div></div><div><h3>Participants and setting</h3><div>31 CSWs were recruited from a Western Province in Canada.</div></div><div><h3>Methods</h3><div>This participatory action research utilized 7 focus groups and 4 interviews with frontline and supervisory CSWs. Braun and Clarke's (2006) thematic analysis approach and coding processes were employed.</div></div><div><h3>Results</h3><div>The findings revealed difficult and traumatic experiences, along with the commitment, creativity and innovation of the workers. Technology was a necessary resource and a barrier in service delivery. Three main themes and associated subthemes that emerged included 1) <em>the trauma of COVID,</em> with subthemes: <em>influences on CSWs,</em> and <em>influences on children and families,</em> 2) <em>practice context matters</em>, with subthemes <em>the impacts on policy and service delivery,</em> and <em>accessibility and lack of resources,</em> and 3) <em>connection, creativity, and removal of perceived barriers,</em> with subthemes, <em>relationships matter,</em> and <em>innovative practices.</em></div></div><div><h3>Conclusions</h3><div>The study highlighted how CSWs were affected during the pandemic by government restrictions, inconsistent practice and policy implementation, increased stressors, and workloads, and the experience of deaths. It was evident that CSWs were courageous, creative, and innovative, as well as hardworking, committed, and persevered in providing services to children and families. Recommendations for training, practice and policy are offered.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200382"},"PeriodicalIF":0.0,"publicationDate":"2024-11-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143141882","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":"Components of risk communication in mental health and suicide in Indigenous peoples: A scoping review","authors":"Felipe Agudelo-Hernández ,&nbsp;Lizeth Paola Coral-Vela ,&nbsp;Luz Helena Pabuena ,&nbsp;Paloma Ruiz ,&nbsp;Consuelo Rosas ,&nbsp;Karen González-Abril","doi":"10.1016/j.mhp.2024.200380","DOIUrl":"10.1016/j.mhp.2024.200380","url":null,"abstract":"<div><h3>Objective</h3><div>To determine the main components for mental health risk communication and suicide prevention in Indigenous peoples.</div></div><div><h3>Methods</h3><div>A scoping review was conducted, searching databases such as Cochrane, PubMed, and Google Scholar, as well as gray literature, from 1990 to 2024. Studies were included if they reported components for mental health risk communication and suicide prevention in Indigenous populations. Data were extracted and analyzed using a content analysis approach.</div></div><div><h3>Results</h3><div>Key components identified include mental health education, social communication built with the community, specific actions for each territory and culture, a community approach to suicidal behavior, articulation of sectors and disciplines, and strategies that strengthen care and intergenerational dialogue. These components were associated with outcomes such as stigma reduction, symptom reduction, sensitive media coverage, spaces for discussing mental health, increased community agency, and greater involvement of various sectors in mental health.</div></div><div><h3>Conclusion</h3><div>Effective communication strategies are crucial for preventing suicidal behavior and other mental health risks in Indigenous populations. These strategies should be culturally tailored and involve Indigenous communities as key partners in the communication process.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200380"},"PeriodicalIF":0.0,"publicationDate":"2024-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142300","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":"Suicidal ideation among Canadian adults during the third year of the COVID-19 pandemic compared to pre- and early pandemic periods","authors":"Li Liu ,&nbsp;Gisèle Contreras ,&nbsp;Nathaniel J. Pollock ,&nbsp;Wendy Thompson","doi":"10.1016/j.mhp.2024.200379","DOIUrl":"10.1016/j.mhp.2024.200379","url":null,"abstract":"<div><h3>Purpose</h3><div>This study examined the prevalence of suicidal ideation among adults in Canada during the third year of the COVID-19 pandemic comparing to the pre- and early pandemic periods, and assessed sociodemographic and pandemic-related factors.</div></div><div><h3>Methods</h3><div>We estimated prevalence of suicidal ideation from the Survey on COVID-19 and Mental Health (SCMH) conducted between February and May, 2023 (11,526 respondents, response rate 46.5 %), and compared with the prevalence in the 2019 Canadian Community Health Survey (57,034 respondents, response rate 54.9 %) and the 2021 SCMH (5,742 respondents, response rate 51.2 %). We used logistic regressions to assess the likelihood of reporting suicidal ideation.</div></div><div><h3>Results</h3><div>In 2023, 3.8 % of adults reported suicidal ideation in the past 12 months, which was not significantly different from the 4.2 % in 2021, but higher than the 2.7 % in 2019. Adults aged 35-64 years and females 65 years or older had significantly higher prevalence in 2023 compared to 2019. Higher prevalence compared to the pre-pandemic baseline was also observed in other subpopulations, but none of them significantly differed from the prevalence in 2021. Adults who were aged 65 years or younger, White, Indigenous, born in Canada, with low income, without a spouse or child, LGBTQ2, with disability, or had experienced pandemic-related impacts had higher risk of suicidal ideation than their peers.</div></div><div><h3>Conclusion</h3><div>Prevalence of suicidal ideation remained elevated compared to the pre-pandemic baseline among most adults in Canada during the late pandemic period. Continued surveillance to evaluate middle and long-term impacts of the pandemic on mental health is needed.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200379"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142700003","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":"Experiences of people referring to a rural school-based mental health support service for young people: A qualitative study","authors":"Julaine Allan ,&nbsp;Anna Thompson","doi":"10.1016/j.mhp.2024.200378","DOIUrl":"10.1016/j.mhp.2024.200378","url":null,"abstract":"<div><h3>Background</h3><div>Healthcare provision across rural and remote areas is challenging, requiring adaptability and careful management of scarce resources. In Western New South Wales (NSW), Australia, youth mental health services have been identified as a priority. Rural schools are well-placed to address some of these barriers and facilitate access to mental health services. This study explores the experiences of people referring to an innovative school-based mental health support service in western NSW for young people aged 12-25, and their perceptions of the benefits and challenges of the service.</div></div><div><h3>Methods</h3><div>A qualitative descriptive approach was used to explore the experiences of people who had made referrals to the service. Eight semi-structured interviews were conducted, with data analysed deductively.</div></div><div><h3>Results</h3><div>The participants described the rural mental health service's model of care as the overarching feature which facilitated access to mental health care for young people. The model of care was described as easy to access, flexible, and offering quality service delivery. Suggestions for improvement included making the service more inclusive for young people after they leave school and finding ways to address staffing challenges to ensure consistency of service delivery.</div></div><div><h3>Conclusions</h3><div>Locating services in schools makes mental health support accessible and convenient for users. Participants reported high satisfaction with referring to the service, and positive school-related outcomes for young people. This small study supports the expansion of school-based mental health services which could be rigorously evaluated.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200378"},"PeriodicalIF":0.0,"publicationDate":"2024-11-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660732","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 validation of the Flemish School Burnout Assessment Tool for students between 17 and 21 years old (FS-BAT)","authors":"Van Royen Annelies,&nbsp;Wante Laura,&nbsp;Braet Caroline","doi":"10.1016/j.mhp.2024.200374","DOIUrl":"10.1016/j.mhp.2024.200374","url":null,"abstract":"<div><h3>Introduction</h3><div>The present study assessed the factor structure, reliability, and convergent validity of the Flemish school burnout assessment tool (FS-BAT) for students between 17 and 21 years old.</div></div><div><h3>Method</h3><div>The sample consisted of 570 secondary and higher education students between 17 and 21 years old (<em>M</em>_age = 19.14, <em>SD</em>_age = 1.11, 81% female). Confirmatory factor analysis (CFA), reliability scores, and the convergent validity were assessed.</div></div><div><h3>Results</h3><div>CFA revealed four distinguishable but strongly related school burnout core symptoms (i.e., exhaustion, mental distance, cognitive impairment and emotion impairment), referring to one underlying construct ‘school burnout’. The psychological stress complaints and psychosomatic complaints are two separate but positively correlated aspects of the secondary symptoms. The internal consistency of the scales ranged between excellent (.94; total core symptoms scale) and acceptable (.77; psychosomatic complaints scale). The test-retest reliability after five months varied between excellent (the total core scale and secondary symptoms subscales) and good (core symptoms subscales), indicating good stability over time. The convergent validity showed moderate positive correlations with the Perceived Stress Scale and the Perceptions of Academic Stress scale.</div></div><div><h3>Conclusion</h3><div>The current findings illustrate that the FS-BAT can be used as a reliable and valid instrument to assess school burnout symptoms in secondary and higher education students between 17 and 21 years old. Further research to assess the discriminant validity and the relation to other school burnout measures is needed.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200374"},"PeriodicalIF":0.0,"publicationDate":"2024-11-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660733","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 qualitative exploration of question, persuade, refer (QPR) gatekeeper training by the alabama suicide prevention and resources coalition","authors":"Angela Sullivan ,&nbsp;Ann Elizabeth Montgomery ,&nbsp;John R. Blosnich ,&nbsp;Gregory Pavela ,&nbsp;Matthew Fifolt","doi":"10.1016/j.mhp.2024.200375","DOIUrl":"10.1016/j.mhp.2024.200375","url":null,"abstract":"<div><h3>Objective</h3><div>Suicide remains one of the leading causes of death in the United States. The goal of this research was to explore the experiences of individuals who participated in the Question, Persuade, Refer (QPR) Training and subsequently intervened during a suicidal crisis post-QPR training.</div></div><div><h3>Methods</h3><div>The study team conducted key informant interviews with eight participants who completed QPR Gatekeeper Training between September 2018 and March 2019. Study participants worked in occupations with some exposure to suicide and expressed interest in suicide prevention based on previous personal or professional experiences. Team members used template analysis for thematic analysis.</div></div><div><h3>Results</h3><div>Study results focused specifically on program improvement; themes were divided between strengths of QPR training and opportunities for improvement. Results from this current study supported findings from previous studies including enhanced self-efficacy, the value of role-play, and the need for engaging presenters and relevant resources. Study findings add an important voice to the discussion: trainees who intervened in a suicidal crisis post-QPR training.</div></div><div><h3>Conclusion</h3><div>Despite its shorter duration, QPR Gatekeeper Training has been shown to be a highly effective program to prepare people to successfully intervene during a suicidal crisis. This study adds to the growing body of literature regarding QPR Gatekeeper Training efficacy and highlights the need for further study regarding program enhancements.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200375"},"PeriodicalIF":0.0,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142660730","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":"Fostering social-emotional competencies to improve social functioning, social inclusion, and school well-being: Results of a cluster non-randomized pilot study","authors":"Sepideh Hassani","doi":"10.1016/j.mhp.2024.200365","DOIUrl":"10.1016/j.mhp.2024.200365","url":null,"abstract":"<div><h3>Background</h3><div>The development of social competencies is key for enhancing both cognitive and non-cognitive skills among students. These competencies are central to students' ability to function socially, feel included, and experience overall well-being within the school environment. Schools can play an active role in promoting and shaping these outcomes by implementing various strategies. This study presents and reports on the outcomes of a six-week social-emotional intervention program implemented by class teachers.</div></div><div><h3>Methods</h3><div>The pilot study employed a two-arm cluster non-randomized trial with a pretest-post-test design. The study evaluates students' social competencies as the primary outcome and social functioning, social inclusion, and school well-being as the secondary outcomes. Students in the intervention group participated in a six-week social-emotional learning intervention, attending two sessions each week, while the control classes followed the regular curriculum.</div></div><div><h3>Results</h3><div>Data were collected from both teachers and students. Student-reported data were collected from 266 students (<em>n</em> = 124 girls, <em>n</em> = 142 boys) aged 8 to 14 (<em>M</em> = 9.84) and from teachers on 212 students (<em>n</em> = 92 girls; <em>n</em> = 115 boys). Results of the linear mixed model analysis showed for teacher reporting on students’ outcomes a decrease in internalizing (β = -0.85, <em>p</em> = 0.035) and externalizing behavior problems for students in intervention classes (β = -6.84, <em>p</em> = 0.020). No significant changes were observed in social-emotional competencies, social inclusion and school well-being.</div></div><div><h3>Conclusion</h3><div>After the social-emotional intervention program reduced internalizing and externalizing behavior problems were observed, with age moderating both outcomes. The results are consistent with previous research; however, they also suggest that the intervention could benefit from adjustments, such as a longer implementation period and follow-up evaluation. External factors such as the COVID-19 pandemic and repeated school closures at the time of the study may have impacted the results additionally.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200365"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535208","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":"Probiotic supplementation for reducing psychological symptoms in cancer patients on chemotherapy: A pilot trial","authors":"Alifiati Fitrikasari ,&nbsp;Innawati Jusup ,&nbsp;Titis Hadiati ,&nbsp;Widodo Sarjana ,&nbsp;Salytha Ivana Ardiningrum ,&nbsp;Cindy Kurniawati Chandra ,&nbsp;Damai Santosa","doi":"10.1016/j.mhp.2024.200368","DOIUrl":"10.1016/j.mhp.2024.200368","url":null,"abstract":"<div><h3>Background</h3><div>Psychological disorders, including depression, anxiety, and stress, are prevalent among cancer patients undergoing chemotherapy. Probiotics have been investigated as a potential supplement to modulate the gut–brain axis and improve psychological symptoms, possibly through mechanisms such as serotonin regulation. However, studies on the effects of probiotics on psychological symptoms in chemotherapy patients are limited.</div></div><div><h3>Methods</h3><div>This randomised, double-blinded, placebo-controlled pilot trial was conducted at the outpatient clinic of dr. Kariadi Hospital, Semarang, in 2023. Sixty-one cancer patients undergoing chemotherapy were enrolled and randomised into an intervention (<em>n</em> = 30) and control (<em>n</em> = 31) group. The intervention group received probiotics (<em>Lactobacillus rhamnosus</em> Rosell-11 and <em>Lactobacillus helveticus</em> Rosell-52) twice daily for eight weeks. The primary outcomes were changes in depression, anxiety, and stress levels measured by the Depression, Anxiety, and Stress Scale 42 (DASS-42). The secondary outcome was serum serotonin levels.</div></div><div><h3>Results</h3><div>The intervention group showed a significant decrease in total DASS-42 scores (<em>p</em> = 0.001), indicating an overall reduction in psychological distress. However, changes in the scores of the subscales (depression, anxiety, and stress) were not statistically significant (<em>p</em> &gt; 0.05). Serum serotonin levels increased in the intervention group, but this was not statistically significant (<em>p</em> = 0.38). The findings should be interpreted cautiously due to small sample size and potential confounding factors.</div></div><div><h3>Conclusion</h3><div>This pilot study suggests that eight weeks of probiotic supplementation may reduce overall psychological symptoms in cancer patients undergoing chemotherapy. Larger trials with rigorous controls and longer interventions are needed to confirm these preliminary findings.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"36 ","pages":"Article 200368"},"PeriodicalIF":0.0,"publicationDate":"2024-10-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142535209","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}