Mental Health and Prevention最新文献

{"title":"The role of social and economic inequality in shaping antisocial personality traits.","authors":"Banafsheh Aghayeeabianeh","doi":"10.1016/j.mhp.2025.200400","DOIUrl":"10.1016/j.mhp.2025.200400","url":null,"abstract":"<div><h3>Objective</h3><div>: To test the ecology of the development of antisocial personality disorder traits (ASPD).</div></div><div><h3>Methods</h3><div>: A mixed-effects model was used to examine how sex, age, childhood misconduct, depressive symptoms, parenting practices, socioeconomic status, social inequality, and economic inequality predicted ASPD traits. Individual level data were sourced from the International Dating Violence database (<em>n</em> = 14,136; mean age = 20.49, SD = 1.70), which included 4,167 men (mean age = 20.67, SD = 1.71) and 9,969 women (mean age = 20.42, SD = 1.70). Macro-level inequality data were obtained from the Variety of Democracy database.</div></div><div><h3>Results</h3><div>: ASPD traits were more prevalent among boys (<em>b</em> = - 0.14, <em>p</em> &lt; .001) and positively associated with childhood misconduct (<em>b</em> = 0.19, <em>p</em> &lt; .001), depressive symptoms (<em>b</em> = 0.17, <em>p &lt;</em> .001), and socioeconomic status (<em>b</em> = 0.02, <em>p</em> &lt; .001), while negatively associated with age (<em>b</em> = -0.01, <em>p</em> &lt; .001) and positive parenting (<em>b</em> = -0.15, <em>p</em> &lt; .001). The impact of depressive symptoms increased when economic inequality was higher (<em>b</em> = 0.04, <em>p</em> &lt; .001). The influence of positive parenting on ASPD traits was stronger for boys (<em>b</em> = 0.04, <em>p</em> = .013) and those with less depressive symptoms (<em>b</em> = 0.06, <em>p</em> &lt; .001) and varied based on societal equality, being more pronounced in socially equal (<em>b</em> = -0.03, <em>p</em> = .006) but economically unequal (<em>b</em> = 0.02, <em>p</em> = .031) contexts.</div></div><div><h3>Conclusion</h3><div>: The findings highlight the complex interplay of individual, familial, and societal factors in developing ASPD traits. These results underscore the need to promote positive parenting practices and address structural inequalities to reduce ASPD traits. Future research should explore the mechanisms underlying these associations to guide targeted interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200400"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142161","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":"Mental health prevention and promotion in general practice settings: A feasibility study","authors":"Miranda Budd ,&nbsp;Gita Bhutani ,&nbsp;Kathryn Gardner ,&nbsp;Mark Hann ,&nbsp;Umesh Chauhan ,&nbsp;Sophie Jaber ,&nbsp;Irem Shabir ,&nbsp;Valerio Bennedetto ,&nbsp;Andrew Clegg ,&nbsp;Molly Lever ,&nbsp;Farah Lunat","doi":"10.1016/j.mhp.2025.200402","DOIUrl":"10.1016/j.mhp.2025.200402","url":null,"abstract":"<div><h3>Background</h3><div>Mental health problems are typically addressed and intervened through a reactive approach rather than a proactive or preventative one. The aim of this feasibility RCT was to explore the possibility of recruiting to, and delivering a brief psychological intervention, focusing upon mental health prevention and promotion, in General Practice (GP).</div></div><div><h3>Methods</h3><div>This was a two-arm feasibility study where participants were randomised to either: treatment-as-usual (TAU) from their General Practitioner; or to a brief psychological intervention. Sixty-four participants, aged 16 and over, from 10 GP surgeries, with mild to moderate mental health difficulties, as measured by the PHQ9 and GAD7, were recruited. Intervention engagement data were summarised utilising descriptive statistics. Descriptive statistics were used to summarise clinical outcome measures at baseline and follow-up and to informally compare the two groups. Cost-effectiveness was investigated using descriptive statistics to analyse the resource use of participants and Health-Related Quality of Life (HRQoL). Qualitative data were analysed through thematic analysis and interpret in relation to Normalisation Process Theory, to understand implementation processes and the intervention's mechanism of change (facilitators and barriers).</div></div><div><h3>Results</h3><div>The recruitment target was met within the set timeframe. 230 patients were screened for eligibility, 72 of which were eligible and 64 were randomised. 80 % were female and 91.5 % identified as being white British. 19 dropped out, 9 of which were in the intervention arm and 10 from the TAU arm. The most frequent reason was reported as, no longer requiring support or being uncontactable. Clinical outcome measures were completed and demonstrated sensitivity to change. No participant safety factors were reported which would limit a larger trial and health economic data was collated. All of the progression criteria were classified as ‘amber’ meaning that progression to a definitive randomised controlled trial is warranted but modifications to improve recruitment, intervention engagement and participant retention is needed. Qualitative feedback was generally positive, with participants noticing therapeutic benefit, commenting on the ease of access and General Practitioners found the offer fitted well within GP.</div></div><div><h3>Discussion</h3><div>As a feasibility trial, the results demonstrate that individuals in GP can be recruited to a trial focusing upon the delivery of a brief psychological intervention and the required clinical assessments to assess effectiveness can be obtained. Qualitative feedback was positive from participants and GP staff and early indications seemed to demonstrate an improvement in wellbeing and a reduction in anxiety and depression. However, modifications for a larger trial are recommended to enhance recruitment and retention.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200402"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142158","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":"Systematic review of outcome measures used in evaluation of school-based mental health interventions","authors":"Jemimah Ride ,&nbsp;Oskar Weimar ,&nbsp;Magdolna Kovacs ,&nbsp;Harriet Hiscock ,&nbsp;Jon Quach","doi":"10.1016/j.mhp.2025.200401","DOIUrl":"10.1016/j.mhp.2025.200401","url":null,"abstract":"<div><h3>Aims</h3><div>The past decade has seen an increase in policy initiatives and school-based interventions aimed at improving children's mental health. However, to know if an intervention or policy is making an impact, to support data comparisons across interventions, and to enable schools to track student mental health, we need to identify instrument(s) that can detect change. This study seeks to identify instruments that have been shown to detect change in child mental health when implemented universally in schools.</div></div><div><h3>Methods</h3><div>We conducted a systematic review of instruments measuring mental health symptoms or skills in randomised controlled trials of schools-based universal mental health interventions in primary (elementary) schools published between 2012 and 2023 in English. The aim was to synthesise evidence on instruments’ ability to detect change. Risk of bias assessment was conducted using the RoB-2 tool.</div></div><div><h3>Results</h3><div>Forty-two instruments were identified across the 39 included studies and captured a range of dimensions of mental health. Only one study was found to be at low risk of bias, 27 studies were at some risk of bias, and 11 studies were at high risk of bias. Nine instruments were used in more than one study. The teacher-reported Strengths and Difficulties Questionnaire (SDQ) was the most commonly used instrument and showed statistical evidence of its ability to detect change arising from interventions addressing children's mental health.</div></div><div><h3>Conclusions</h3><div>The teacher-reported SDQ shows promise as an instrument that could be used universally in primary schools to evaluate interventions and monitor changes in child mental health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200401"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142306","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 school-based program to prevent depressive symptoms and strengthen well-being among pre-vocational students (Happy Lessons): Results of a randomized controlled trial","authors":"Marieke Rombouts ,&nbsp;Karin Monshouwer ,&nbsp;Elisa L. Duinhof ,&nbsp;Jannis T. Kraiss ,&nbsp;Laura Shields-Zeeman ,&nbsp;Marloes Kleinjan","doi":"10.1016/j.mhp.2025.200398","DOIUrl":"10.1016/j.mhp.2025.200398","url":null,"abstract":"<div><h3>Background</h3><div>Many adolescents experience depressive symptoms, with even higher prevalences among lower-educated Dutch students. Effective prevention programs for these students are scarce but needed. This randomized controlled trial (RCT) investigates the effectiveness of school-based prevention program Happy Lessons (HL) among Dutch pre-vocational students.</div></div><div><h3>Methods</h3><div>Classes within schools were randomized to intervention <em>(n</em> = 124) or waitlist control group (<em>n</em> = 143). Students (<em>n</em> = 267, aged 11 to 15) completed questionnaires at baseline, 3- and 6-month follow-up. The primary outcome was depressive symptoms. Secondary outcomes were well-being and life satisfaction. Linear mixed models were executed, based on the intention-to-treat principle. Explorative analysis of the effect of HL on potential mechanisms such as class and school environmental variables was conducted. Trial registration: Dutch Trial Register <span><span>NL9732</span><svg><path></path></svg></span>.</div></div><div><h3>Results</h3><div>This study found no statistically significant differences in favor of the intervention group on depressive symptoms (T1: Cohen's <em>d</em> [95 % CI] = -0.21[-0.49;0.07], T2: -0.20 [-0.48;0.08]), well-being (T1: 0.24 [-0.04;0.52], T2: 0.18 [-0.10;0.47]), life satisfaction (T1: 0.03 [-0.25;0.31], T2: 0.10 [-0.18;0.39]), classmate support (T1: -0.20 [-0.48;0.08], T2: -0.14 [-0.43;0.14]), school connectedness (T1: -0.08 [-0.36;0.20], T2: 0.20 [-0.08;0.49]), bullying others (T1: OR[CI] = 0.95 [0.68;1.32], T2: 0.92 [0.66;1.29]) and bullying victimization (T1: OR[CI] = 1.93 [0.73;5.15], T2: 1.61 [0.62;4.20]). Significant moderate effects were found on teacher support in favor of the intervention group at T1 (d[CI] = -0.37 [-0.65;-0.08]) and control group at T2 (d[CI] = 0.35 [0.07;0.64]).</div></div><div><h3>Conclusions</h3><div>Further research should focus on the working mechanisms of school-based depression prevention programs and how to successfully implement these programs in the school context.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200398"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142162","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":"Anxiety sensitivity in the perinatal period: A scoping review","authors":"Martha Zimmermann ,&nbsp;Allexis Mahanna ,&nbsp;Elizabeth Shashkova ,&nbsp;Rebecca Drouhard ,&nbsp;Catherine Carr ,&nbsp;R. Christopher Sheldrick ,&nbsp;Edwin D. Boudreaux ,&nbsp;Norman B. Schmidt ,&nbsp;Nancy Byatt","doi":"10.1016/j.mhp.2025.200397","DOIUrl":"10.1016/j.mhp.2025.200397","url":null,"abstract":"<div><h3>Background</h3><div>Anxiety Sensitivity (AS), the trait-like tendency to interpret anxiety-related sensations as harmful, is a well-established risk factor for anxiety disorders and other mental health conditions. Less is known about the role of AS in perinatal mental health—encompassing pregnancy and the postpartum period—despite the heightened risk for anxiety and anxiety-related disorders such as Obsessive Compulsive Disorder and Posttraumatic Stress Disorder (PTSD).</div></div><div><h3>Objective</h3><div>The goal of this scoping review was to examine 1) the state of research on AS in perinatal populations, 2) its relationship with mental health and pregnancy-specific outcomes, and 3) its integration into clinical interventions.</div></div><div><h3>Methods</h3><div>We conducted a systematic literature search using PubMed, Scopus, PsycInfo, CINAHL. Study inclusion criteria were: 1) participants were pregnant or &lt;1 year postpartum, and 2) AS was assessed.</div></div><div><h3>Results</h3><div>Twenty studies met inclusion criteria. Most studies examined cross-sectional or prospective relationships between AS and mental health and related outcomes, finding positive associations between AS and PTSD symptoms, depression symptoms, anxiety symptoms, fetal health anxiety, pregnancy-related anxiety, and fear of childbirth. Results were more mixed for aspects of pain during labor. Two randomized controlled trials and two case studies included AS as an outcome measure.</div></div><div><h3>Conclusions</h3><div>This review extends previous findings in the general population by highlighting associations between AS and perinatal mental health. Future research should expand the scope of outcomes assessed and investigate AS as a modifiable target in interventions to enhance perinatal mental health outcomes.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200397"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142223","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":"Peer teaching in Psychological First Aid Training to promote students’ self-efficacy: A pilot randomised control trial","authors":"Ayu Cyntia Tanto ,&nbsp;Conrad L.H. Folamauk ,&nbsp;R.Pasifikus C. Wijaya ,&nbsp;Nicholas E. Handoyo","doi":"10.1016/j.mhp.2025.200396","DOIUrl":"10.1016/j.mhp.2025.200396","url":null,"abstract":"<div><h3>Introduction</h3><div>Students’ mental health disorders are increasing. However, there is a lack of studies on using the peer teaching method, where students teach other students to address the problem and improve students’ general self-efficacy.</div></div><div><h3>Aim</h3><div>To measure the feasibility of the peer teaching method in PFA training to promote self-efficacy.</div></div><div><h3>Materials and Methods</h3><div>This feasibility pilot study has a randomised controlled design. Data were collected pre- and post-intervention using the online general self-efficacy scale and reflection sheet. The number of enrolled participants, the proportion of enrolled participants who attended at least one session, the retention rate, and program acceptability were analysed.</div></div><div><h3>Results</h3><div>A total of 85 out of 208 students (40,9 %) who enrolled and randomised joined the study. Twenty-eight out of 104 participants (26,9 %) in the intervention group attended their training, much lower than that of the control group (74 out of 104 participants completed post-tests). However, only 25 out of 28 participants (89,3 %) completed their training. Results indicated positive responses from the participants, who felt the training was enjoyable and increased their knowledge of basic PFA.</div></div><div><h3>Conclusion</h3><div>The study found that the peer teaching method in a simplified PFA training session, without supervision, was feasible as a mental health intervention in a low-resource setting and acceptable for students to gain skills and knowledge about basic PFA. However, to increase students' participation, approaches need to be modified to increase program flexibility tailored to their time.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200396"},"PeriodicalIF":0.0,"publicationDate":"2025-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142303","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":"Parental self-efficacy for reducing the risk of adolescent depression and anxiety during a pandemic: Scale development and validation.","authors":"Brydie M R Garner ,&nbsp;Mairead C Cardamone-Breen ,&nbsp;Anthony F Jorm ,&nbsp;Marie B H Yap","doi":"10.1016/j.mhp.2025.200394","DOIUrl":"10.1016/j.mhp.2025.200394","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has negatively impacted adolescent mental health. Parents can play an important role in preventing adolescent mental health problems like depression and anxiety disorders. Pandemic situations present new challenges that are likely to impact parents’ confidence in their parenting. Given the possibility of future pandemics, parents need self-efficacy for taking action to protect the mental health of their adolescents. Improving parental self-efficacy requires suitable outcome measures. However, there is no validated measure to assess parental self-efficacy in relation to parenting behaviours implicated in the prevention of adolescent depression and anxiety disorders within a pandemic context.</div></div><div><h3>Method</h3><div>This study aimed to develop and validate the Parental Self-Efficacy Scale for Pandemic situations (PSES-Pandemic) using a sample of 587 Australian parents of adolescents aged 12 to 17 participating in a preventive parenting intervention trial.</div></div><div><h3>Results</h3><div>The PSES-Pandemic demonstrated good internal consistency and confirmatory factor analysis supported a single factor. Convergent validity was supported by moderate to large correlations with validated measures of both parental self-efficacy and parenting behaviours. Smaller, significant correlations with measures of parent distress and adolescent depressive and anxiety symptoms supported divergent validity.</div></div><div><h3>Conclusions</h3><div>These findings provide preliminary support for the reliability and validity of the PSES-Pandemic, which could help inform and facilitate the evaluation of preventive parenting interventions for adolescent mental health in a pandemic context, and could be adapted for future large-scale disasters (e.g., future pandemics, natural disasters).</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200394"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142304","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":"Maximising the management of self-harm in schools: A collaborative, implementation science approach by secondary schools and child and adolescent mental health services","authors":"L. Bowden ,&nbsp;S.E. Hetrick ,&nbsp;T. Cargo ,&nbsp;M. Woodfield ,&nbsp;I. Meinhardt ,&nbsp;T.C. Clark ,&nbsp;S. Fortune","doi":"10.1016/j.mhp.2025.200391","DOIUrl":"10.1016/j.mhp.2025.200391","url":null,"abstract":"<div><h3>Background</h3><div>Self-harm among young people is a complex global problem. Schools could facilitate young people who self-harm to access multilevel interventions. However, schools require support and collaboration from support services such as specialist mental health to implement evidence-based best practices for self-harm. Objectives: This study in Aotearoa New Zealand sought to identify the barriers and solutions to responding to youth self-harm in schools. Methods: We utilised a co-design methodology, with schools and child and youth mental health services and examined barriers and solutions within the Consolidated Framework for Implementation Research (CFIR).</div></div><div><h3>Results</h3><div>Key stakeholders identified multiple systemic barriers including lack of guidelines and mental health service criterion, lack of trust between schools and mental health services and poor previous experiences. Within the CFIR framework, systemic failure rather than individual people and/or individual attributes were identified driving these barriers.</div></div><div><h3>Conclusion</h3><div>The need for standardised best practice guidelines that are implemented consistently in schools, reassurance, strong community networks and communication to deliver localised, culturally safe responses to self-harm is urgently required. Cross-government leadership and nationally mandated roles and responsibilities are needed to help schools implement best practices for youth who self-harm in schools. The innovative combination of co-design and implementation science could advance solutions for the prevention of self-harm.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200391"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142302","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Social connection as a key target for youth mental health","authors":"Louise Birrell ,&nbsp;Aliza Werner-Seidler ,&nbsp;Lily Davidson ,&nbsp;Jack L. Andrews ,&nbsp;Tim Slade","doi":"10.1016/j.mhp.2025.200395","DOIUrl":"10.1016/j.mhp.2025.200395","url":null,"abstract":"<div><h3>Purpose</h3><div>Declining mental health has been observed in young people from across the globe since approximately 2010. One contributing factor may be the erosion of meaningful and supportive social connections. Fostering positive social connections and a focus on the social networks of young people could be a key strategy to enhance youth mental health and wellbeing. It is now well established that positive social connections benefit mental health. Social connections to peers and school communities become increasingly important during adolescence, a unique developmental window for prevention and a time in which peer influence increases.</div></div><div><h3>Key findings</h3><div>While our understanding of the importance and utility of adolescent social connection to improve mental health is evolving, social network approaches and strengthening connections at school hold promise to improve youth mental health. We outline key evidence across two domains of social connection; the importance of peer connections and school connectedness. We also explore the application of Social Network Interventions (SNIs) as an emerging way to promote positive mental health and decrease key risk factors for poor mental health across youth social networks.</div></div><div><h3>Conclusion</h3><div>Prevention strategies could target youth social connection as a transdiagnostic factor to improve youth mental health. This may take the form of interventions that leverage the importance of peers, create supportive social networks and environments, as well as the use of social network frameworks to develop an understanding of the mechanisms by which preventive interventions spread throughout different social networks.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200395"},"PeriodicalIF":0.0,"publicationDate":"2025-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142230","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":"Efficacy of digital MBCT-PD in preventing postpartum depression and enhancing work motivation: A study protocol","authors":"Neda Ansaari ,&nbsp;Sreenath Kuruveettissery ,&nbsp;Aruna Muralidhar","doi":"10.1016/j.mhp.2025.200392","DOIUrl":"10.1016/j.mhp.2025.200392","url":null,"abstract":"<div><h3>Background</h3><div>Postpartum depression (PPD) is a significant challenge for women transitioning back to work. While preventive measures are essential, the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in this context remains underexplored. This study will assess the efficacy of a digital MBCT program (MBCT-PD) in preventing PPD, enhancing well-being, and motivating work resumption after childbirth.</div></div><div><h3>Methods</h3><div>A randomized controlled trial (RCT) with repeated measures will evaluate MBCT-PD, a digitally delivered intervention designed to promote mindfulness and emotional resilience. Eighty consenting pregnant women aged 18+, between 16 and 32 weeks gestation, residing in urban India will be recruited and randomized to either the MBCT-PD group or an enhanced treatment-as-usual (TAU) control group, which includes additional prenatal wellness resources. The intervention will span eight weeks, with assessments at baseline, post-intervention (T1), and six weeks postpartum (T2).</div><div>Primary outcomes are depression (Edinburgh Postnatal Depression Scale), well-being (Pregnancy Experience Scale-Brief), and work motivation (Multidimensional Work Motivation Scale). Secondary outcome is mindfulness level (Three Facet Mindfulness Questionnaire-Short Form). Descriptive statistics, repeated measures ANOVA, and regression analyses will determine the effect of MBCT-PD on these outcomes.</div></div><div><h3>Expected Results</h3><div>We anticipate that the MBCT-PD group will show reduced PPD symptoms, improved well-being, and greater motivation to resume work than the control group, consistent with previous findings on mindfulness-based interventions.</div></div><div><h3>Conclusion</h3><div>The findings from this study are expected to support the efficacy of MBCT-PD as a cost-effective, scalable intervention for enhancing postpartum mental health and work reintegration, with potential applications in maternal mental health practices and policies worldwide.</div></div><div><h3>Trial Registration</h3><div>Clinical Trial Registry of India. CTRI/2024/03/064,831</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200392"},"PeriodicalIF":0.0,"publicationDate":"2025-01-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142301","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}