BMJ mental health最新文献

{"title":"'Viewpoint Diversity': heterogeneity is critical to the integrity of science.","authors":"Gin S Malhi, Kinga Szymaniak, Gurubhaskar Shivakumar, Erica Bell","doi":"10.1136/bmjment-2025-301785","DOIUrl":"10.1136/bmjment-2025-301785","url":null,"abstract":"<p><p>This editorial discusses the importance of maintaining diversity within science, noting especially its significance to research in psychiatry. It follows a recent directive that was issued by the US administration that places unreasonable constraints on US government-funded scientific inquiry. The article draws attention to the harmful intended consequences of the directive. It also discusses its unintended consequences, which are likely to be damaging because heterogeneity is inherent in nature, and recognition of diversity in medical science helps achieve specificity. This is essential for the detection and diagnosis of disease and for tailoring therapies and developing targeted treatments.</p>","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"28 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12352178/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144849955","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":"Effect of Everyday Life Rehabilitation on recovering quality of life in individuals with serious mental illness in supported accommodation: a pragmatic cluster randomised controlled trial.","authors":"André Sjöberg,Per Liv,Maria Lindström","doi":"10.1136/bmjment-2025-301757","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301757","url":null,"abstract":"BACKGROUNDIndividuals with serious mental illness (SMI) living in supported accommodation often lead lonely and sedentary lives. Everyday Life Rehabilitation (ELR) is a collaborative, person-centred, activity-oriented and recovery-oriented intervention that integrates outreach rehabilitation efforts into routine practices. This intervention aims to enhance personal recovery and quality of life by promoting engagement in meaningful everyday activities within real-life contexts.OBJECTIVETo evaluate the effectiveness of ELR on personal recovery and quality of life among residents with SMI in supported accommodation, compared with treatment-as-usual (TAU).METHODSThis was a pragmatic, parallel-group, cluster-randomised controlled trial (RCT) (NCT05056415) conducted in Sweden between August 2021 and June 2024. The RCT included 60 housing units (clusters) randomly assigned (1:1) to receive either ELR or TAU. Data were collected by independent, blinded assessors, with partial blinding of residents. The primary outcome, Recovering Quality of Life (ReQoL-20), was assessed at the individual level and analysed using a mixed-effects model and an intention-to-treat (ITT) approach by a statistician blinded to the allocation.FINDINGSParticipants in the intervention group showed significantly greater improvements in ReQoL scores at 6 months compared with the control group (20.1, 95% CI: 15.8 to 24.4), with a statistically significant between-group difference (p<0.001). The ITT analysis included 60 housing units with 161 participants (86 men and 72 women), of whom 90 were allocated to ELR (33 units) and 71 to TAU (27 units). The overall attrition rate was 24% in both groups, and no major adverse events were reported.CONCLUSIONSThese findings indicate that ELR is an effective intervention with a clinically relevant impact on recovering quality of life for individuals with SMI living in supported accommodation. While these results should be interpreted within the context of the Swedish system, they contribute to the growing body of evidence supporting recovery-oriented and activity-oriented interventions in supported accommodation.CLINICAL IMPLICATIONSResponsive, person-centred, goal-oriented activity training, grounded in collaborative alliance, represents a valid strategy for recovery-oriented interventions. While multilevel approaches must be tailored to specific contexts, the integration of occupational therapists may provide clinical benefits in supported accommodation.TRIAL REGISTRATION NUMBERNCT05056415.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144802605","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":"How common are postpartum depressive thoughts and feelings? Item-level distribution of population-based screening records.","authors":"Mette-Marie Zacher Kjeldsen,Sofie Egsgaard,Anja Friis Elliott,Trine Munk-Olsen","doi":"10.1136/bmjment-2025-301819","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301819","url":null,"abstract":"BACKGROUNDWhile 17% of new mothers experience symptoms of postpartum depression (PPD), emotional distress is more widespread in the postpartum period. This descriptive study described item-level responses on the Edinburgh Postnatal Depression Scale (EPDS) to better understand common postpartum experiences.METHODSWe analysed EPDS data from 170 218 childbirths (2015-2021) in the Danish HOPE cohort collected during routine postpartum visits. We described the distribution of responses to each item and total scores.RESULTSMost mothers reported mild or no symptoms. Items on self-blame, anxiety and feeling overwhelmed showed large variation. Self-harm thoughts were rare (1.7%). The median total score was 4 (IQR 2-7); 7.8% scored ≥11, indicating possible PPD.DISCUSSIONDiverse emotional responses are common postpartum and often reflect normal adjustment. Item-level insights may help reduce stigma and support open dialogue around maternal mental health.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"31 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787230","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":"Racialised experience of detention under the Mental Health Act: a photovoice investigation.","authors":"Kamaldeep Bhui,Roisin Mooney,Doreen Joseph,Rose McCabe,Karen Newbigging,Paul McCrone,Raghu Raghavan,Frank Keating,Nusrat Husain, ","doi":"10.1136/bmjment-2025-301655","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301655","url":null,"abstract":"BACKGROUNDThe rates of compulsory admission and treatment (CAT) are rising in mental health systems in the UK. Persistent disparities have been reported among migrants, and black and ethnic minorities in Europe and North America for decades. Lived experience data can provide novel insights to reduce coercive care.METHODSWe purposively sampled people within 2 years of receiving CAT, to maximise diversity by age, sex, ethnicity and different 'sections' of the Mental Health Act (England and Wales) from eight health systems in England. Using participatory photovoice workshops, we assembled images, captions and reflective narratives, which were transcribed and subjected to thematic and intersectional analyses. The interpretation privileged lived experiences of participants and peer researchers alongside the research team. Preventive insights informed a logic model to reduce CAT.RESULTSForty-eight ethnically diverse people contributed over 500 images and 30 hours of recorded narratives. A significant proportion of participants reported multimorbidity, adverse childhood experiences and carer roles. Their experiences indicated insufficient co-ordination to prevent CAT despite early help seeking; they were not taken seriously or believed when seeking help. Dismissive responses and even hostility from professionals and unnecessary police involvement were distressing, stigmatising and risked criminalisation. Participants wanted more (a) advocacy given in crisis, (b) trauma-informed therapeutic and creative support from inpatient into community settings, (c) family and carer involvement and (d) more information about how to negotiate care options, appeals, restriction and seclusion. Practitioners were felt to lack the essential skills to care for racialised and traumatised people subjected to CAT.CONCLUSIONSWe propose a lived experience logic model for the practice, policy and legislative solutions to reduce epistemic injustice, CAT and criminalising care.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"14 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787231","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":"Is solastalgia associated with mental health problems? A scoping review.","authors":"Alicia Vela Sandquist,Leonie Biele,Ulrike Ehlert,Susanne Fischer","doi":"10.1136/bmjment-2025-301639","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301639","url":null,"abstract":"QUESTIONAs global ecological crises accelerate, it is becoming increasingly important to understand the impact of associated environmental changes on mental health. However, the psychological mechanisms underlying the link between environmental changes and mental health problems remain underexplored. This scoping review investigates whether solastalgia-a form of distress caused by environmental change-acts as a potential contributing factor to mental health problems.STUDY SELECTION AND ANALYSESWe conducted a systematic search of the databases PsycINFO and PubMed using the keyword 'solastalgia'. Initially, only studies that quantitatively assessed solastalgia and used validated mental health measures were included. A second, non-preregistered search expanded the scope to include studies that mentioned solastalgia and mental health without requiring quantitative solastalgia measures.FINDINGSThe studies retrieved in the initial search showed that solastalgia was positively associated with depression, anxiety and post-traumatic stress disorder. The studies retrieved in the extended search supported these findings, with qualitative studies providing further evidence that solastalgia is a useful construct to understand the emotional responses of persons affected by environmental changes.CONCLUSIONSSolastalgia might be a factor contributing to the detrimental effects of climate change on mental health. Further quantitative research is warranted to inform the design of (preventive) interventions targeting solastalgia and thus mitigate climate change-induced mental health problems.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"16 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144787232","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":"Physical and mental health of behavioural health certified peer specialists in four US states.","authors":"Judith A Cook,Jane K Burke-Miller,Morgan Pelot,Jessica A Jonikas,Laysha Ostrow","doi":"10.1136/bmjment-2025-301788","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301788","url":null,"abstract":"BACKGROUNDLittle is known about the health and healthcare needs of the behavioural health peer specialist workforce in the USA. This study explored the physical and mental health-related quality of life (QOL) of a US multistate cohort of certified peer specialists, and factors associated with health-related work absences among those employed in peer specialist positions.METHODSData come from 419 participants surveyed 18 months after state certification as part of a 2-year longitudinal cohort study of peer specialists in four US states. Measures included the Veterans RAND 12 Item Health Survey, the Epidemic-Pandemic Impacts Inventory and items from the National Health & Nutrition Examination Survey and Medical Expenditure Panel Survey. Multivariable hierarchical regression models predicted physical and mental health-related QOL and occurrence of work absences due to health.RESULTSHigh rates (60%) of multiple physical health conditions characterise both those working in peer support positions and those not employed. Better physical health-related QOL was associated with younger age, not having multiple physical health conditions, not experiencing cost as a barrier to healthcare and not being enrolled in Medicaid or Medicare. Better mental health-related QOL was associated with older age, being Black/African-American, employment in peer support positions, moderate exercise, having a usual source of medical care and cost not being a barrier to care. Among those employed as peer specialists, health-related work absences were associated with physical and mental health QOL and other factors.CONCLUSIONSCertified peer specialists have high rates of physical comorbidities, and this affects their mental and physical health-related QOL and likelihood of working in peer support positions. Factors such as cost, having a regular source of healthcare, insurance coverage and demographic features are also associated with their QOL. These findings can inform efforts to attract and retain certified peer specialists in the behavioural health workforce.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144769783","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":"Brief interventions for smoking or alcohol moderated by history of mental health condition: a national survey of adults in Great Britain 2020-2023.","authors":"Vera Helen Buss,Lion Shahab,Sharon Cox,Jamie Brown,Leonie S Brose","doi":"10.1136/bmjment-2025-301684","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301684","url":null,"abstract":"BACKGROUNDIndividuals with mental health conditions can experience lower life expectancy, partly due to risk factors, such as smoking and alcohol use.OBJECTIVETo assess potential differences in receiving support for smoking cessation or alcohol reduction in British general practice based on history of a mental health condition.METHODSSelf-reported data were collected between October 2020 and June 2023 from the monthly cross-sectional Smoking and Alcohol Toolkit Study. The sample included 23 790 adults who smoked in the past year and/or drank at risky levels (ie, Alcohol Use Disorders Identification Test-Consumption≥5). Outcomes included the receipt of brief interventions, the recommendations provided during brief interventions and quit or cut-down attempts triggered by healthcare professionals. Logistic regression models measured associations between outcomes and lifetime mental health history, without and with adjustment for demographic and behavioural factors.FINDINGSOverall, 36.6% had a history of a mental health condition. About two-thirds of people with a history of a mental health condition and half of those without saw their general practitioner (GP) in the past year. Among those with a history of a mental health condition who saw their GP, 41.2% who smoked in the past year received smoking brief interventions and 7.0% who drank at risky levels received alcohol brief interventions. Receipt of smoking brief interventions was similar by history of mental health condition (with 41.2% vs without 41.1%). Individuals with a history of a mental health condition compared with those without had higher odds of receiving alcohol brief interventions (7.0% vs 2.8%, adjusted OR=2.69, 95% CI: 2.17 to 3.34) and receiving more comprehensive support as part of the intervention.DISCUSSIONAmong respondents with a history of a mental health condition, only around 4 in 10 smokers who visited their GP received brief interventions from their GP and 1 in 20 for alcohol.CLINICAL IMPLICATIONSConsidering the links between smoking or risky drinking and mental health conditions, healthcare professionals should increase screening and brief advice to reduce health disparities.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"15 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144756240","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":"Childhood trauma and recent stressors in predicting subclinical psychotic symptoms among Chinese university students in southwest China: a machine learning analysis within a gender-specific framework.","authors":"Wanjie Tang,Zijian Deng,Zeyuan Sun,Qijun Zhao,Miguel Garcia-Argibay,Kadan Anoop,Tao Hu,Shuang Xue,Natali Bozhilova,Aldo Conti,Steve Lukito,Siqi Wu,Gang Wang,Chunhan Jin,Changjian Qiu,Qiaolan Liu,Jay Pan,Samuele Cortese,Katya Rubia","doi":"10.1136/bmjment-2025-301761","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301761","url":null,"abstract":"BACKGROUNDSubclinical psychotic symptoms (SPS) are common among college students and can lead to future mental health issues. However, it is still not clear which specific childhood trauma, stressors and health factors lead to SPSs, partly due to confounding factors and multicollinearity.OBJECTIVETo use machine learning to find the main predictors of SPS among university students, with special attention to gender differences.METHODSA total of 21 208 university students were surveyed regarding SPS and a wide range of stress-related factors, including academic pressure, interpersonal difficulties and abuse. Nine machine learning models were used to predict SPS. We examined the relationship between SPS and individual stressors using χ2 tests, multicollinearity analysis and Pearson heatmaps. Feature engineering, t-distributed stochastic neighborhood embedding (t-SNE) and Shapley Additive Explanation values helped identify the most important predictors. We also assessed calibration with calibration curves and Brier scores, and evaluated clinical usefulness with decision curve analysis (DCA) to provide a thorough assessment of the models. In addition, we validated this model using independent external data.FINDINGSThe Extreme Gradient Boosting (XGBoost) model had the best prediction results, with an Area Under the Curve (AUC) of 0.89, and validated with external data. It also showed good calibration, and DCA indicated clear clinical benefit. Interpersonal difficulties, academic pressure and emotional abuse emerged as the strongest predictors of SPS. Gender-stratified analyses revealed that academic pressure and emotional abuse affected males more, while health issues like chest pain and menstrual pain were stronger predictors for females.CONCLUSIONSMachine learning models effectively identified key stressors associated with SPS in university students. These findings highlight the importance of gender-sensitive approaches for the early detection and prevention of psychotic symptoms.CLINICAL IMPLICATIONSSPSs in college students can be predicted by interpersonal difficulties, academic stress and childhood emotional abuse. This information can help mental health professionals develop better ways to prevent and address SPSs.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"19 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144763296","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":"Implementing work-related Mental-health guidelines in general PRacticE (IMPRovE): findings of a parallel cluster randomised controlled trial.","authors":"Danielle Mazza, Vera Camões-Costa, Karen Nolidin, Samantha Chakraborty, Justin Kenardy, Bianca Brijnath, Duncan Mortimer, Joanne Enticott, Michael Kidd, Lyndal J Trevena, Sharon Reid, Alex Collie","doi":"10.1136/bmjment-2024-301330","DOIUrl":"10.1136/bmjment-2024-301330","url":null,"abstract":"<p><strong>Background: </strong>Mental health conditions arising from work are a rapidly increasing burden for individuals, employers and society, and are challenging to diagnose and treat.</p><p><strong>Objective: </strong>To assess the effectiveness of a multicomponent intervention on increasing general practitioners' (GPs') adherence to the 'Clinical guideline for the diagnosis and management of work-related mental-health conditions in general practice' (the Guideline) and improve patient work and health and work outcomes.</p><p><strong>Methods: </strong>Pragmatic hybrid III parallel cluster randomised controlled trial involving Australian GPs and their patients. GP clinics were randomly assigned to receive the intervention (GP participation in an academic detailing session, enrolment into a virtual community of practice, and receipt of resources). Those assigned to the control group received no support related to the implementation of the Guideline. GP adherence to guideline recommendations was assessed at baseline and 9 months postbaseline, using virtual simulated patient scenarios (vignettes) describing a diverse range of patient circumstances. Patient work and health outcomes (using the 21-item Depression and Anxiety Stress Scale and 36-item short-form) were assessed using self-report surveys.</p><p><strong>Findings: </strong>Thirty-eight intervention clusters (52 GPs) and 36 control clusters (46 GPs) contributed to the primary outcome data. Intervention clusters had significantly higher adherence scores than control clusters, by 0.98 points on a 0-9 scale (95% CI 0.38 to 1.58) with a Cohen's d of 0.67. Patients recruited from 30 intervention (n=99) and 17 control (n=55) clusters contributed to the secondary outcome data. No differences were detected for patients' work or health outcomes due to an underpowered sample.</p><p><strong>Conclusions: </strong>GP adherence to the Guideline improved as a result of receiving the multicomponent intervention.</p><p><strong>Implications: </strong>Purposively designed multicomponent implementation strategies to increase guideline-concordant care should be incorporated into guideline production activities and operationalised with guideline release to facilitate evidence-based care.</p><p><strong>Trial registration number: </strong>ACTRN12620001163998, November 2020.</p>","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"28 1","pages":""},"PeriodicalIF":4.9,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12306257/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144746319","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":"Do illness beliefs predict uptake of depression treatment after web-based depression screening? A secondary analysis of the DISCOVER RCT.","authors":"Matthias Klee,Franziska Sikorski,Bernd Loewe,Sebastian Kohlmann","doi":"10.1136/bmjment-2025-301666","DOIUrl":"https://doi.org/10.1136/bmjment-2025-301666","url":null,"abstract":"BACKGROUNDOnly a minority of those with depressive disorder receive treatment. Besides system-level factors, individual factors could account for the gap between detection and treatment of depression in so far unreached but affected populations.OBJECTIVEThis study tests the predictive value of illness beliefs (IB) for the uptake of depression treatment 6 months after web-based depression screening.METHODSThis is a secondary analysis of the randomised controlled Germany-wide DISCOVER trial that investigated the effects of automated results feedback following web-based depression screening in untreated participants with at least moderate depression severity (Patient Health Questionnaire ≥10 points). IB were examined as predictors of depression treatment uptake. Eligible participants were at least 18 years old, reported proficiency in German language, and provided informed consent. IB were assessed at the time of screening (baseline) with an adapted version of the Brief Illness Perception Questionnaire. Uptake of depression treatment was operationalised as self-reported initialisation of psychotherapy and/or antidepressant medication 6 months after baseline. Analyses were adjusted for study arm.FINDINGSData from N=871 participants of the DISCOVER trial providing follow-up data were analysed. IB denoting more consequences (OR (95% CI) 1.12 (1.00 to 1.26)), higher treatment control (OR (95% CI) 1.19 (1.11 to 1.29)) and a depression-conforming illness identity (OR (95% CI) 1.65 (1.15 to 2.36)) were associated with up to 56.8% relative increase in predicted probability of depression treatment uptake 6 months after baseline.CONCLUSIONSResults suggest considerable effects of IB for depression treatment uptake in untreated populations.CLINICAL IMPLICATIONSIB could reflect relevant barriers in access to depression care and, concurrently, intervention targets to foster health service utilisation in untreated populations.","PeriodicalId":72434,"journal":{"name":"BMJ mental health","volume":"24 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144720252","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}