{"title":"Perinatal depression, perinatal mental health, and legal interventions: a medico-legal anthropological concept.","authors":"Ritika Behl","doi":"10.1007/s44192-025-00204-7","DOIUrl":"10.1007/s44192-025-00204-7","url":null,"abstract":"<p><p>Perinatal depression (PND), and perinatal mental health (PMH) are regarded as an underestimated public health concern. A doctoral study was undertaken to analyze the efficacy of existing health laws and policies in India in addressing and managing PND, and the implications of non-recognition of PND as a public health issue. The interdisciplinary and transdisciplinary study involved four disciplines: Psychiatry, Medical Anthropology, Public Health Law, and International Human Rights Law. The study highlighted the need for synergistic assimilation of knowledge from the four disciplines to read mental health, PND, and PMH. The study novelly emphasized the need to read PND as a 'medico-legal anthropological' concept, which manifests medically, results largely, and is strongly influenced by psychosocial factors, making it imperative to recognize perinatal women as a vulnerable population and safeguard their human rights. This approach will facilitate assessments about interventions for addressing and/or managing PND when policy-making/policy reforms regarding PND are in progress.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"73"},"PeriodicalIF":0.0,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12081797/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144082504","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":"Functional brain changes related to adverse childhood experiences and the presence of psychopathology.","authors":"Sophia Laney, Kate Nooner","doi":"10.1007/s44192-025-00202-9","DOIUrl":"https://doi.org/10.1007/s44192-025-00202-9","url":null,"abstract":"<p><p>Research suggests that associated changes in brain function may underlie the vulnerabilities for psychopathology following adverse childhood experiences (ACEs). In addition to the ACEs themselves, the development of trauma symptoms following ACEs may also contribute to psychopathology. The present study investigates how exposure to certain ACEs, specifically child maltreatment, and trauma symptoms both individually and combined, influence the presence of psychopathology in a sample of adolescents. Participants were 52 adolescents between the ages of 12-14 years recruited from New Hanover County Health and Human Services (NHC-HHS). Further, this study seeks to identify functional brain changes with electroencephalography (EEG) that may impact psychopathology in youth. While child maltreatment and trauma symptoms were not associated, results indicated that frontal and central EEG alpha power, but not alpha asymmetry, were associated with an increased likelihood of experiencing psychopathology in adolescents, with higher alpha power reflecting lower cortical activation. The results of this study suggest that certain changes in patterns of neural activity may be candidates for psychopathology prevention in adolescents.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"72"},"PeriodicalIF":0.0,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12061819/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059753","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":"Camouflaging depression.","authors":"Seth Brown","doi":"10.1007/s44192-025-00200-x","DOIUrl":"https://doi.org/10.1007/s44192-025-00200-x","url":null,"abstract":"<p><p>Many individuals with depression have been observed to exert effort to appear non-depressed. This effort, referred to as camouflaging, has been systematically studied among individuals with autism spectrum disorder and attention deficit hyperactivity disorder, but not among individuals with more common disorders such as depression. The purpose of this research was to examine camouflaging amongst individuals with depression and develop a camouflaging instrument specifically for depression. The Camouflaging Depression Scale (CDS) was developed and administered to 292 individuals experiencing varying levels of depression along with other clinical measures. In this sample, engagement in camouflaging was common and similarly occurred among individuals across varying levels of depression and demographic characteristics. The final 14-item CDS had a unitary factor structure with good internal consistency and temporal reliability across two weeks, and the CDS was associated with a self-monitoring scale. CDS scores were also associated with measures of depression, distress, fatigue, and internalized stigma. The CDS provides a means for researchers, diagnosticians, and clinicians to more accurately measure and examine this under-recognized phenomenon.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"71"},"PeriodicalIF":0.0,"publicationDate":"2025-05-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12058587/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144059170","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":"Occupational therapy in mental health, India: a commentary on under-explored potentials.","authors":"Srishti Hegde, K N Anu, Reni Thomas","doi":"10.1007/s44192-025-00157-x","DOIUrl":"https://doi.org/10.1007/s44192-025-00157-x","url":null,"abstract":"<p><p>Despite tremendous progress in the last century in the treatment of mental illnesses, many of these conditions still have no known solution. Effective rehabilitation is crucial for managing mental illness because medical management alone is insufficient in this regard. One non-pharmacological intervention that concentrates on these aspects of rehabilitation is Occupational Therapy. One can address the person, environment, and occupation needs through various occupational therapy models. It is critical to realize these unrealized potentials in India. This commentary is about how we can support the growth of occupational therapy as a mental health profession and what it can do in the field of mental illness.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"70"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055710/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144022344","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":"Prevalence of post-traumatic stress disorder and traumatic exposure among teachers in post-war communities.","authors":"Edona Berisha Kida, Genta Jahiu, Theodhori Karaj","doi":"10.1007/s44192-025-00194-6","DOIUrl":"https://doi.org/10.1007/s44192-025-00194-6","url":null,"abstract":"<p><p>Studies on war zones typically focus on post-traumatic reactions within the general population, often emphasizing specific demographics such as war veterans, younger individuals, or particular clinical groups. Research on post-conflict zones shares similar patterns, with some studies even exploring how trauma may be transmitted to future generations, particularly within refugee families. However, even when conducted in post-war settings, much of this research predominantly examines trauma transmission within family units. Understanding the post-war effects on communities, especially among teachers, requires careful attention and diverse perspectives, as their emotional and psychological states can significantly influence the children they teach, potentially leading to the transmission of trauma to new generations. Given the profound influence teachers have on the development and well-being of children, this study investigates war-related trauma exposure and the prevalence of Post-Traumatic Stress Disorder (PTSD) among Kosovo's primary school teachers. It uses the Harvard Trauma Questionnaire and includes up to 145 teachers from 8 municipalities. Results indicate that 40% of the sample meets the cut-off criteria for Post Traumatic Stress Disorder (PTSD) symptomatology. While the current study focuses on documenting trauma exposure and PTSD among teachers, it serves as a starting point for future research exploring the potential transmission of trauma through community networks, particularly within schools, and the role of teachers impact in inter-generational transmission of trauma.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"69"},"PeriodicalIF":0.0,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12055713/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051585","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":"Trend of psychological symptoms from pregnancy to postpartum: a prospective study during COVID-19 pandemic.","authors":"Angela Hamidia, Faezeh Hosseini, Shahnaz Barat, Soraya Khafri, Faezeh Khorshidian, Shirin Shahrokhi, Mahbobeh Faramarzi","doi":"10.1007/s44192-025-00184-8","DOIUrl":"https://doi.org/10.1007/s44192-025-00184-8","url":null,"abstract":"<p><p>Psychological symptoms during pregnancy and the postpartum period require special attention, particularly in the context of the COVID-19 pandemic. This study aims to evaluate the trajectory of psychiatric symptoms from pregnancy to the postpartum period during the COVID-19 pandemic. This prospective study was conducted at Babol University of Medical Sciences from February 2020 to September 2021. A total of 252 pregnant women completed the Symptom Checklist 25 (SCL-25), the Corona Disease Anxiety Scale, and the Post-Traumatic Stress Diagnostic Scale at both prenatal and postpartum time points. Results indicated that the mean total score of psychological symptoms decreased modestly from pregnancy to postpartum (39.61 ± 11.67 vs. 32.78 ± 12.15, p < 0.001). Additionally, symptoms of somatization, depression, anxiety, and phobia significantly declined from pregnancy to postpartum (p < 0.05). However, levels of depression, anxiety, and phobia remained significantly higher among women with a positive history of COVID-19 infection compared to those without, during both pregnancy and postpartum. While the overall mean score of psychological symptoms showed a slight reduction from pregnancy to postpartum, many symptoms persisted, particularly in individuals with a COVID-19 infection history or post-traumatic stress symptoms. The study recommends that healthcare providers, including obstetricians, nurses, and midwives, implement timely screening and treatment for psychological symptoms from pregnancy through postpartum.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"68"},"PeriodicalIF":0.0,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12052621/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144060393","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}
Richard Alan Sharpe, Andrew James Williams, Ruth Goldstein, Tim Taylor
{"title":"Assessing the economic case for public health interventions provided in non-health public sector settings: a feasibility study in job centres in Cornwall, South West of England.","authors":"Richard Alan Sharpe, Andrew James Williams, Ruth Goldstein, Tim Taylor","doi":"10.1007/s44192-025-00195-5","DOIUrl":"https://doi.org/10.1007/s44192-025-00195-5","url":null,"abstract":"<p><strong>Background: </strong>Poor mental wellbeing costs society over £105 billion/year in England. Those with a mental health condition face significant health inequalities and lower employment rates. This feasibility study assessed the cost benefit of a public health intervention to help unemployed people with poor mental wellbeing to access employment.</p><p><strong>Methods: </strong>Mental health employment advisors located in all 11 job centres supported people aged over 16 years. Support was provided over a 2-to-4-month period via an agreed action plan. Employment status, baseline and follow up wellbeing outcomes (using the Short Warwick-Edinburgh Mental Wellbeing scale) were obtained and used to estimate the return on investment.</p><p><strong>Results: </strong>Of the 540 people with baseline and follow-up wellbeing scores, a total of 57.79% had probable depression and/or anxiety when they accessed the intervention. The number of people with probable depression and/or anxiety reduced at follow up (23.82%). A total of 235 people accessed new employment after receiving the intervention. The resulting benefit/cost ratios were 8.4 and 17.6 (depending on whether a cost of illness or income equivalence approach is used to value the improvement in wellbeing).</p><p><strong>Discussion: </strong>This cross-sector public health intervention may provide a cost-effective way to reduce health inequalities for those who are unemployed, especially those whose mental wellbeing acts as a barrier to employment. The resultant outcomes may also be influenced by a range of other factors such as social isolation, financial precarity and housing. Despite this, the findings support the development of this approach to reduce health inequalities but is reliant on a close collaboration between local authorities, NHS, Department for Work and Pensions and the voluntary sector.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"67"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143999191","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}
Armin Adibi, Ali Motahharynia, Iman Adibi, Mehdi Sanayei
{"title":"Long-term consequences of COVID-19 on sleep, mental health, fatigue, and cognition: a preliminary study.","authors":"Armin Adibi, Ali Motahharynia, Iman Adibi, Mehdi Sanayei","doi":"10.1007/s44192-025-00193-7","DOIUrl":"https://doi.org/10.1007/s44192-025-00193-7","url":null,"abstract":"<p><strong>Introduction: </strong>Post-COVID-19 Syndrome (PCS) is defined as symptoms persisting beyond 12 weeks from the onset of symptoms. Notably, COVID-19 has been associated with long-term effects on the brain and mental health. This cross-sectional study aims to investigate depression, fatigue, sleep quality, and cognitive dysfunction, particularly working memory, in individuals with PCS compared to a healthy control group.</p><p><strong>Material and methods: </strong>Between April and December 2021, 45 COVID-19 individuals and 60 healthy individuals met the eligibility criteria. Demographic information and the Montreal Cognitive Assessment were collected. Two visual working memory tasks, Delayed Match-to-Sample (DMS) and n-back, were performed, along with self-report questionnaires: Beck Depression Inventory, Modified Fatigue Impact Scale, and Pittsburgh Sleep Quality Index.</p><p><strong>Results: </strong>A total of 105 participants were enrolled. Findings reveal that the PCS group exhibited notably higher levels of cognitive impairment (13.3% vs. 1.6%, p = 0.04), depression (53.9% vs. 25.9%, p = 0.03), and sleep disturbances (53.9% vs. 18.6%, p = 0.01) compared to the healthy control group. Sleep latency and sleep duration were particularly affected. No significant differences in working memory function were observed between the two groups (p = 0.90 for DMS and p = 0.98 for n-back).</p><p><strong>Conclusion: </strong>The study highlights the higher prevalence of sleep disturbance, depression, and cognitive impairment in the PCS phase, with inflammation likely playing a significant role. Moreover, the study suggests that untreated depression and sleep disturbances may pose long-term risks for dementia. Understanding the underlying mechanisms is crucial for developing effective interventions and support for individuals recovering from the infection. Prospective longitudinal studies with larger and more diverse samples are warranted to confirm and expand upon these findings.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"66"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045894/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042989","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":"Attracting and retaining the psychology workforce in public mental health: a study based in Melbourne, Victoria.","authors":"Madeleine Jaffe, Liza Hopkins, Stephen Halperin","doi":"10.1007/s44192-025-00196-4","DOIUrl":"https://doi.org/10.1007/s44192-025-00196-4","url":null,"abstract":"<p><p>Workforce shortages pose a significant barrier to meeting the mental health needs of Australians. This study sought to explore the factors contributing to the recruitment and retention of public (salaried) psychologists and psychologists working as private practitioners within a public mental health service in metropolitan Melbourne. The project involved an online survey of staff and semi-structured interviews. The study found that both private and salaried psychologists identified a number of reasons as to why they were attracted to working in this setting compared with the higher salaries available in full-fee paying private practice. Issues included working with a specific cohort of clients, support of intake and administration teams, flexible working hours, teamwork, the location of the service, the profile of the organisation, and not having to pay room rent or advertise. Salaried staff highlighted the team culture and access to other clinicians for informal discussions as important factors, while private practitioners within the public mental health service most commonly identified financial concerns, including remuneration and failure to attend/cancellations as the biggest challenges. Lack of income was the most commonly cited reason for clinicians' decisions to leave public mental health. Private practitioners within this setting identified the absence of supervision and professional development, feelings of isolation and lack of team culture as significant deterrents. In sum, numerous issues influence the decisions of psychologists to work in public mental health services rather than, or as well as holding private roles. Public health services need to recognise these and ameliorate identified challenges if they are to attract and retain an adequate psychological workforce.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"65"},"PeriodicalIF":0.0,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12045917/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144051856","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}
Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Adetola Emmanuel Babalola, Ikponmwosa Jude Ogieuhi, John Ehi Aboje, Emmanuel Egbunu, Temiloluwa Adefusi, Bonaventure Michael Ukoaka, Abdulrahmon Moradeyo, Oluwatobi Omoworare, Doyin Olatunji
{"title":"Telepsychiatry in Africa: overcoming barriers to access and care.","authors":"Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Adetola Emmanuel Babalola, Ikponmwosa Jude Ogieuhi, John Ehi Aboje, Emmanuel Egbunu, Temiloluwa Adefusi, Bonaventure Michael Ukoaka, Abdulrahmon Moradeyo, Oluwatobi Omoworare, Doyin Olatunji","doi":"10.1007/s44192-025-00197-3","DOIUrl":"https://doi.org/10.1007/s44192-025-00197-3","url":null,"abstract":"<p><p>Telepsychiatry presents a transformative opportunity to address Africa's significant mental health challenges. With a high prevalence of psychiatric disorders and limited access to care, particularly in rural and marginalized communities, innovative solutions are urgently needed. This paper has explored the potential of telepsychiatry to overcome geographical barriers and address the shortage of mental health professionals in Africa. Despite its potential, telepsychiatry faces challenges such as technological barriers, stigma, and regulatory issues. However, these challenges can be addressed with concerted efforts from governments, healthcare organizations, and communities. Developing robust regulatory frameworks, investing in infrastructure, and promoting cultural sensitivity are essential steps towards realizing the full potential of telepsychiatry in Africa. Looking to the future, telepsychiatry holds promise for revolutionizing mental healthcare delivery on the continent. Through continued research, evaluation, and innovation, telepsychiatry can become a cornerstone of mental healthcare provision, ensuring that no one is left behind in accessing the care they need.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"64"},"PeriodicalIF":0.0,"publicationDate":"2025-04-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12040767/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144042498","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}