Discover mental health最新文献

{"title":"Longitudinal randomized comparison study on the community resiliency model for addressing mental health challenges in survivors and perpetrators of genocide in Rwanda.","authors":"Samuel Habimana, Zephon Lister, Emmanuel Biracyaza, Kimberly Freeman, Susanne Montgomery","doi":"10.1007/s44192-026-00376-w","DOIUrl":"10.1007/s44192-026-00376-w","url":null,"abstract":"<p><strong>Background: </strong>In a post-genocide context, mental health disorders among Rwandan genocide survivors and released perpetrators remain a critical concern. To date, no study has evaluated the effectiveness of the Community Resiliency Model (CRM) skills in addressing the mental health needs of both groups simultaneously. This study assessed the impact of CRM when delivered to a combined group of survivors and perpetrators, compared to groups trained separately.</p><p><strong>Methods: </strong>A total of 152 participants were recruited from Nyamagabe district, Rwanda. Participants were assigned into three groups including genocide survivors (n = 51), released genocide perpetrators (n = 51), and a combined group of both survivors and perpetrators (n = 50). Data were collected at three points: pre-intervention, immediately post-intervention, and six months post-intervention using validated psychometric scales for anxiety, depression, posttraumatic stress disorder (PTSD), emotional dysregulation, and anger. Repeated measures ANOVA and Bonferroni post hoc tests were used to analyze changes over time. A statistical significance of p < 0.005 and p < 0.001 was applied.</p><p><strong>Results: </strong>Our findings showed significant reduction of anxiety (F = 20.17, p < 0.001), depression (F = 37.03, p < 0.001), anger (F = 95.97, p < 0.001), and emotional dysregulation (F = 76.68, p < 0.001) across all groups of participants. These positive changes were sustained at 6 months post-intervention for anxiety, depression, anger, and emotional dysregulation. In contrast, PTSD symptoms only showed a slight, non-significant reduction over time (F = 0.59, p = 0.44). Additionally, there were no significant differences in outcomes between groups that received the intervention separately (survivor-only or perpetrator only) and those that received it in mixed survivor-perpetrator groups.</p><p><strong>Conclusion: </strong>Although the CRM intervention does not replace psychotherapy, it produced lasting and positive effects on mental health symptoms among both genocide survivors and perpetrators, particularly in reducing anxiety, depression, and emotional dysregulation. Importantly, outcomes did not differ whether the intervention was delivered to separate or combined groups. A randomized controlled trial is recommended to further evaluate the long-term effects of CRM on community healing and cohesion.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"26"},"PeriodicalIF":2.7,"publicationDate":"2026-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12909630/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031810","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 and challenges of early career researcher investigating youth suicidality in Nepal.","authors":"Kripa Sigdel, Sujan Shrestha, Nandita Sharma, Reuben H Sharma, Ashley K Hagaman","doi":"10.1007/s44192-025-00354-8","DOIUrl":"10.1007/s44192-025-00354-8","url":null,"abstract":"<p><p>This paper explores the methodological and ethical challenges encountered by an early career researcher investigating youth suicidality in Nepal. The study highlights the profound emotional and ethical complexities of researching such a sensitive topic. Key challenges include maintaining confidentiality, navigating cultural sensitivities, and balancing ethical protocols with the immediate needs of participants. The research underscores the importance of cultural sensitivity in addressing suicidality in a context where mental health issues are often stigmatized. It also emphasizes the ethical dilemma of breaching confidentiality, especially when participants' distress involves family issues. Through reflections on personal experiences and insights gained, the paper calls for stringent protocols and the necessity of guidance from experienced researchers and mental health professionals. The findings reveal the significant gaps in methodological and ethical understanding, highlighting the need for further exploration in this critical area of research.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"6 1","pages":"12"},"PeriodicalIF":2.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12827823/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031837","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":"Explainable machine learning for mental health prediction from social media behavior: a nested cross-validation study with SHAP and LIME interpretability.","authors":"Kamini Lamba, Shalli Rani, Mohammad Shabaz","doi":"10.1007/s44192-026-00373-z","DOIUrl":"10.1007/s44192-026-00373-z","url":null,"abstract":"<p><p>Social media behavior is a promising source of early indicators for psychological distress; however, predictive models often lack transparency, limiting their adoption in mental health settings. This paper describes an explainable machine learning framework for predicting self-reported depression risk based on behavioral features collected from 481 anonymized social media users. Three supervised learning models were tested using a nested 5 × 5 cross-validation strategy, with Random Forest yielding the strongest performance (accuracy = 84.2%, AUC = 0.88). Model calibration analysis using reliability curves and Expected Calibration Error (ECE) demonstrated that Random Forest provides well-calibrated probability estimates suitable for binary High/Low risk assessment. Explainability was integrated using SHAP to identify key behavioral markers, including screen time, passive scrolling, nighttime usage, and stress-driven engagement. Stability testing across multiple random seeds revealed consistent feature ranking patterns, supporting the reliability of the explanations. To showcase real-world applicability, we outline a prototype XAI-driven digital intervention workflow and present a simulation across representative user profiles, illustrating how interpreted model outputs can inform personalized behavioral recommendations. However, generalizability is limited by a moderately sized dataset reliant on self-reported measures and cross-sectional design. Future work will integrate multimodal behavioral signals, larger cohorts, and clinically validated mental-health assessments. Overall, the study presents a more transparent, computationally grounded approach for interpretable depression-risk prediction from social media behavior, bridging the gap between predictive performance and practical explainability.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"25"},"PeriodicalIF":2.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12909650/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146020798","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":"Patient and family organization perspectives on poor treatment in Swedish adult psychiatric care.","authors":"Ellen Gustafsson Lindh, Maja Magnusson Skog, Henrik Levinsson, Martin Wolgast","doi":"10.1007/s44192-026-00372-0","DOIUrl":"10.1007/s44192-026-00372-0","url":null,"abstract":"<p><p>Respect and integrity are fundamental to effective psychiatric care, yet patient experiences of poor treatment remain a significant concern. This study explores patient perspectives on mistreatment within Swedish adult psychiatry through focus group interviews with representatives of patient and family organizations. Participants described systemic and interpersonal challenges that contribute to inadequate care, identifying four main themes: inaccessibility of psychiatric services, lack of collaboration between patients and healthcare providers, absence of a holistic perspective on patients, and a stark power imbalance between vulnerable individuals and an authoritative psychiatric system. Structural barriers, including long wait times and limited treatment options, were perceived as forms of neglect, leaving patients struggling to access necessary care. Patients frequently felt excluded from decision-making, as their lived experiences were often dismissed in favor of standardized treatment protocols. This lack of recognition was further compounded by epistemic injustice, where patients' accounts were deemed unreliable due to prevailing biases against psychiatric populations. Participants emphasized the emotional toll of dismissive encounters, with many patients reporting feelings of helplessness, mistrust, and self-doubt. The study highlights the urgent need for reforms that prioritize respect, collaboration, and patient-centered care in psychiatric settings. Addressing these concerns requires systemic changes to reduce barriers to care, improve communication, and ensure that psychiatric patients are treated as credible, autonomous individuals. By acknowledging patient perspectives, psychiatric care can foster greater trust, improve adherence to treatment, and ultimately enhance mental health outcomes.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"16"},"PeriodicalIF":2.7,"publicationDate":"2026-01-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12847503/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146031874","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":"Environmental social and governance determinants of mental health in Italian regions from 2004 to 2023.","authors":"Emanuela Resta, Giancarlo Logroscino, Preethymol Peter, Alberto Costantiello, Angelo Leogrande","doi":"10.1007/s44192-025-00357-5","DOIUrl":"10.1007/s44192-025-00357-5","url":null,"abstract":"","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"30"},"PeriodicalIF":2.7,"publicationDate":"2026-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12920982/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145992070","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":"Adverse childhood experiences negatively impact sustained attention in adulthood.","authors":"Eicca Berentz, Christian Wienke, Tino Zaehle","doi":"10.1007/s44192-025-00362-8","DOIUrl":"10.1007/s44192-025-00362-8","url":null,"abstract":"<p><strong>Background: </strong>Adverse childhood experiences (ACE) have been linked to reduced cognitive functioning in adulthood. This cross-sectional online study refines this picture by including emotional and physical domains of childhood trauma.</p><p><strong>Methods: </strong>A total of 262 individuals completed the German version of the Childhood Trauma Questionnaire (CTQ) to operationalize ACE. Sustained attention was measured using the gradual onset Continuous Performance Task (gradCPT). Multivariate linear regressions modeled sustained attention parameters (d', RT, RTCoV, criterion) based on total CTQ score and emotional / physical subscores.</p><p><strong>Results: </strong>Higher CTQ Total Scores predicted lower discrimination performance (d') and increased reaction time variability (RTCoV). No significant effects were found for the emotional and physical trauma subscores.</p><p><strong>Conclusion: </strong>These findings suggest lasting, negative ACE effects on sustained attention in adulthood. Additionally, the fully online design proved to be a reliable method for detecting subtle variations in sustained attention.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12946550/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145967918","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":"Cross-sectional associations between CES-D scores and the salivary metabolome in nonclinical adults.","authors":"Yuri Kubo, Futaha Yamauchi, Nanase Goshima, Maki Ohishi, Takanori Hasegawa, Tomoyoshi Soga, Masaomi Ikeda, Kazuhiro Aoki","doi":"10.1007/s44192-025-00363-7","DOIUrl":"10.1007/s44192-025-00363-7","url":null,"abstract":"<p><strong>Background: </strong>Depression represents a major global disease burden. While the Center for Epidemiologic Studies Depression Scale (CES-D) is widely used, it relies on subjective self-reporting. Saliva enables non-invasive metabolite analysis, but existing metabolomics studies have focused on clinical depression using blood or urine, with limited investigation of salivary metabolites in community populations. This study investigated associations between CES-D scores and salivary metabolite concentrations in Tokyo residents.</p><p><strong>Methods: </strong>This cross-sectional study collected CES-D responses and morning saliva samples from Tokyo residents. Salivary metabolites were analyzed using capillary electrophoresis time-of-flight mass spectrometry. Statistical analyses included permutational multivariate analysis of variance (PERMANOVA) for overall metabolite-CES-D associations, pathway enrichment analysis using fast gene set enrichment analysis (FGSEA), and principal component analysis, adjusted for age and sex.</p><p><strong>Results: </strong>Analysis included 107 participants (40 males, 67 females; mean age 55.3 ± 14.2 years). PERMANOVA revealed significant association between 112 salivary metabolites and CES-D scores (F = 2.870, p = 0.003), with metabolites explaining 7.7% of depressive symptom variance. Pathway enrichment analysis identified significant alterations in amino acid metabolism (normalized enrichment score =-1.750, q = 0.007). Glycolysis and amine/polyamine metabolism showed trend-level enrichment (both q = 0.066). Principal component analysis revealed significant correlations between CES-D scores and pathway activity for amino acid metabolism (r = 0.216, p = 0.027) and amine/polyamine metabolism (r = 0.216, p = 0.027).</p><p><strong>Conclusion: </strong>This study demonstrates significant associations between salivary metabolite profiles and depressive symptoms in a nonclinical community population, with amino acid metabolism emerging as the most robustly altered pathway. These findings provide preliminary evidence for associations between salivary metabolomic profiles and depressive symptoms in a nonclinical community population.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"15"},"PeriodicalIF":2.7,"publicationDate":"2026-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145948952","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":"Intersectional patterns in dose-response associations between chronic diseases and mental health treatment utilization among New York City adults.","authors":"Thinh Toan Vu","doi":"10.1007/s44192-025-00365-5","DOIUrl":"10.1007/s44192-025-00365-5","url":null,"abstract":"","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"22"},"PeriodicalIF":2.7,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936564","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":"Pilot study: mindfulness-based intervention reduces burnout syndrome and associated biomarkers in a Mexican university population.","authors":"Mireya Velázquez-Paniagua, Laura Gómez-Virgilio, Blanca Margarita Gómez-Chavarín, Maria-Del-Carmen Cárdenas-Aguayo, Raúl Sampieri-Cabrera","doi":"10.1007/s44192-025-00364-6","DOIUrl":"10.1007/s44192-025-00364-6","url":null,"abstract":"","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":""},"PeriodicalIF":2.7,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12992878/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936619","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 burnout and its association with psychotropic medication use among surgical residents in Saudi Arabia.","authors":"Saleh A Alghamdi, Mohammad F Amlih, Abdulmajeed A Al-Habdan, Majidah M Al-Otaibi, Abdullah E Al-Mutairi","doi":"10.1007/s44192-026-00367-x","DOIUrl":"10.1007/s44192-026-00367-x","url":null,"abstract":"","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":" ","pages":"23"},"PeriodicalIF":2.7,"publicationDate":"2026-01-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12873034/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145936622","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}