Discover mental health最新文献

{"title":"Neurocognitive difficulties in trauma-exposed adults with metabolic syndrome: no influence of PTSD status or PTSD and metabolic syndrome comorbidity.","authors":"Sharain Suliman, Leigh van den Heuvel, Erine Bröcker, Soraya Seedat","doi":"10.1007/s44192-025-00141-5","DOIUrl":"10.1007/s44192-025-00141-5","url":null,"abstract":"<p><strong>Background: </strong>Metabolic syndrome (MetS) and posttraumatic stress disorder (PTSD) often co-occur and both may compromise cognition, owing in part to common underlying mechanisms. Few studies have investigated the additive effects of these disorders on cognitive performance. Our aims were to compare cognitive performance between patients with PTSD and trauma-exposed controls (TEC) and investigate the additive effects of MetS factors on cognition.</p><p><strong>Methods: </strong>In this case-control study, we included 474 adult participants, 236 with PTSD and 238 TEC. Demographic, neuropsychiatric, metabolic-related, and neurocognitive assessments were undertaken and MANCOVAs performed controlling for age. Cognitive domains (immediate and delayed memory, attention, language, visuospatial performance, working memory and global cognition) were the dependent variables in the analysis. Patient status and presence/absence of MetS or MetS components were independent variables, in each model.</p><p><strong>Results: </strong>Patients with PTSD did not demonstrate worse cognitive performance than TEC on the neurocognitive domains assessed, and the presence of MetS in patients with PTSD did not alter this finding. Individuals with MetS also did not demonstrate worse cognition when compared to those without MetS. When we looked at individual MetS features, higher BMI was associated with poorer visuospatial performance, CONCLUSIONS: These findings contrast with many previous studies showing worse neurocognitive performance related to both PTSD and MetS. Further investigation is required to establish the contribution of MetS to cognitive deficits in those with PTSD. Generalisability and inferences regarding the directionality of associations are limited.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"16"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842639/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461000","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":"Role of strategies used by young people for dealing with emotional distress: a qualitative study in deprived urban neighborhoods in Latin America.","authors":"Isabela Osorio Jaramillo, Carlos Gomez-Restrepo, Luis Ignacio Brusco, Francisco Diez-Canseco, Catherine Fung, Karen Ariza-Salazar, Natividad Olivar, Mauricio Toyama, Diliniya Stanislaus Sureshkumar, José Miguel Uribe-Restrepo, Fernando Luis Carbonetti, Ana L Vilela-Estrada, Stefan Priebe","doi":"10.1007/s44192-025-00143-3","DOIUrl":"10.1007/s44192-025-00143-3","url":null,"abstract":"<p><strong>Background: </strong>Many young people achieve recovery from mental health problems by using strategies to manage emotional distress and enhance well-being. Given that little is known about the functions of these strategies, especially in Latin American countries, this study aims to describe the usefulness of the resources used by youth from deprived urban neighborhoods in Bogotá (Colombia), Buenos Aires (Argentina), and Lima (Perú) in managing emotional distress.</p><p><strong>Methods: </strong>112 in-depth interviews about strategies for dealing with emotional distress and their perceived function were conducted with young people from three Latin American cities. The sample included young adults and adolescents in a longitudinal cohort study. A thematic content analysis was carried out.</p><p><strong>Results: </strong>Participants identify different functions linked to their strategies to cope with emotional distress or increase their well-being. However, \"coping with distress,\" \"perceived support,\" and \"distraction\" are the three main functions of the strategies used by them in situations of emotional distress. Each of these functions comprises several aspects, some of which overlap between functions, such as motivation, emotional expression, companionship, and regulation.</p><p><strong>Conclusion: </strong>The variety of functions linked to the strategies used by young people to cope with emotional distress or enhance their well-being could guide the facilitation of a favorable social and interpersonal context through public policies and a community approach that promotes young people's access to strategies to cope with emotional distress.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"14"},"PeriodicalIF":0.0,"publicationDate":"2025-02-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11842665/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143461003","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":"Transcranial magnetic stimulation as a novel approach to effectively treat musical obsession (stuck song syndrome): a case series and a systematic review of case reports.","authors":"Julie Niyitegeka, Olivia Haysey, Kilian Abellaneda-Pérez, Chi Hung Au","doi":"10.1007/s44192-025-00145-1","DOIUrl":"10.1007/s44192-025-00145-1","url":null,"abstract":"<p><p>This is the first case series that demonstrates the use of transcranial magnetic stimulation (TMS) for the treatment of musical obsessions or stuck song syndrome (SSS), following a systematic review that identified existing treatments. SSS can occur independently, but in literature it is commonly reported as an obsessive-compulsive disorder (OCD) or major depressive disorder (MDD) symptom. Most people are familiar with earworms, experienced by up to 98% of the western population. Earworms can become severe leading to the SSS diagnosis. SSS is a distressing repetition of involuntary tunes persisting in one's mind. According to literature, SSS has often been treated using antidepressants which are used to treat MDD and OCD. As TMS has shown a positive therapeutic effect for psychiatric disorders particularly MDD and OCD, we hypothesized that TMS could be an effective treatment that reduces symptoms of patients with SSS. We present two cases of TMS treatment contributing to a reduction in symptoms of SSS. We also aim to provide a systematic review of cases where SSS has been described and compare the pharmacological or psychotherapeutic treatments used with our novel TMS interventions for SSS. This report highlights some limitations, including patient's psychiatric comorbidities and treatment protocol changes, which affect the findings generalizability. Despite these limitations, TMS appears promising as a treatment for SSS due to the observed effectiveness in reducing SSS symptoms and minimal side effects especially in medication-resistant cases.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"13"},"PeriodicalIF":0.0,"publicationDate":"2025-02-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11833010/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143442873","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":"Voice analysis and deep learning for detecting mental disorders in pregnant women: a cross-sectional study.","authors":"Hikaru Ooba, Jota Maki, Hisashi Masuyama","doi":"10.1007/s44192-025-00138-0","DOIUrl":"10.1007/s44192-025-00138-0","url":null,"abstract":"<p><strong>Introduction: </strong>Perinatal mental disorders are prevalent, affecting 10-20% of pregnant women, and can negatively impact both maternal and neonatal outcomes. Traditional screening tools, such as the Edinburgh Postnatal Depression Scale (EPDS), present limitations due to subjectivity and time constraints in clinical settings. Recent advances in voice analysis and machine learning have shown potential for providing more objective screening methods. This study aimed to develop a deep learning model that analyzes the voices of pregnant women to screen for mental disorders, thereby offering an alternative to the traditional tools.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 204 pregnant women, from whom voice samples were collected during their one-month postpartum checkup. The audio data were preprocessed into 5000 ms intervals, converted into mel-spectrograms, and augmented using TrivialAugment and context-rich minority oversampling. The EfficientFormer V2-L model, pretrained on ImageNet, was employed with transfer learning for classification. The hyperparameters were optimized using Optuna, and an ensemble learning approach was used for the final predictions. The model's performance was compared to that of the EPDS in terms of sensitivity, specificity, and other diagnostic metrics.</p><p><strong>Results: </strong>Of the 172 participants analyzed (149 without mental disorders and 23 with mental disorders), the voice-based model demonstrated a sensitivity of 1.00 and a recall of 0.82, outperforming the EPDS in these areas. However, the EPDS exhibited higher specificity (0.97) and precision (0.84). No significant difference was observed in the area under the receiver operating characteristic curve between the two methods (p = 0.759).</p><p><strong>Discussion: </strong>The voice-based model showed higher sensitivity and recall, suggesting that it may be more effective in identifying at-risk individuals than the EPDS. Machine learning and voice analysis are promising objective screening methods for mental disorders during pregnancy, potentially improving early detection.</p><p><strong>Conclusion: </strong>We developed a lightweight machine learning model to analyze pregnant women's voices for screening various mental disorders, achieving high sensitivity and demonstrating the potential of voice analysis as an effective and objective tool in perinatal mental health care.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"12"},"PeriodicalIF":0.0,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11806126/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143371447","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":"Relationships between mental health and styles of help-seeking among care workers in comparison with the general population.","authors":"Tomoko Matsui, Hikaru Oba, Ryosuke Uchida, Tsukasa Teraguchi","doi":"10.1007/s44192-025-00131-7","DOIUrl":"10.1007/s44192-025-00131-7","url":null,"abstract":"<p><strong>Background: </strong>Care workers in long-term nursing homes often experience burdens and a high rate of resignations. This study aimed to investigate the mental health of care workers and to examine the relationship between the tendency to seek help and their mental health, through a comparison with the general population to address this issue.</p><p><strong>Methods: </strong>Online surveys were conducted separately with 273 care workers and 260 general public using a questionnaire platform. They were asked about their demographic variables, mental health [the Kessler Psychological Distress Scale (K6) and stressors], help-seeking styles (self-directed, excessive, and avoidant help-seeking), and usage on use of psychological support services. The analyses were performed except for missing responses.</p><p><strong>Results: </strong>Overall, 132 (48.4%) care workers scored higher than the cutoff point on the K6. Regarding stressors identified by the care workers, most of the contents were related to work-related matters and workplace relationships, as demonstrated through qualitative analysis. Hierarchical multiple regression analysis showed that the interaction term between each help-seeking style and participant group was non-significant. Meanwhile, age (β = -0.116, p = 0.009), excessive help-seeking (β = 0.120, p = 0.014), and avoidant help-seeking (β = 0.331, p < 0.001) were associated with the K6.</p><p><strong>Conclusion: </strong>This study revealed the tendency of care workers' help-seeking behavior and its relationship to mental health. Improving care workers' help-seeking skills and adjusting their work environment are essential for maintaining and enhancing their mental health.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"11"},"PeriodicalIF":0.0,"publicationDate":"2025-02-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11803055/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143257473","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":"Vietnamese religiosity, premarital sexual permissiveness, and abortion attitudes: the mediating role of filial piety.","authors":"Phuoc-Thien Nguyen, Vu Hoang Anh Nguyen, Tuan-Khai Truong, Tri-Bao Nguyen, Ky Luu, Vy Truc Le, Ngoc-Han Nguyen-Thi, Yen-Trang Chu-Nguyen, Lan Thi Nguyen, Vinh-Long Tran-Chi","doi":"10.1007/s44192-025-00134-4","DOIUrl":"10.1007/s44192-025-00134-4","url":null,"abstract":"<p><p>This study focuses on filial piety, a fundamental psychological factor in Vietnam and its relationship with religiosity and attitudes toward abortion. Drawing on data from 656 participants, the research employed the Partial Least Squares-Structural Equation Modeling (PLS-SEM) method and identified significant differences in intrinsic religiosity (IR) based on various forms of cohabitation with parents. Furthermore, the findings revealed a positive association between age and religiosity. Higher levels of IR were linked to more conservative attitudes toward abortion (AAS), whereas greater premarital sexual permissiveness (PSP) was associated with more pro-choice views. Filial piety played a mediating role in the relationship between IR and AAS. These insights offer a deeper understanding of how religiosity and filial piety influence abortion attitudes among individuals in Vietnam.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"10"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11782748/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143070064","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 and level of stress among final-year students at a health science institute in Bangladesh.","authors":"Md Jonaied Alam, Mahmudul Islam Khan Pratik, Abid Hasan Khan, Muhammad Shahidul Islam, Muhammad Millat Hossain","doi":"10.1007/s44192-025-00136-2","DOIUrl":"10.1007/s44192-025-00136-2","url":null,"abstract":"<p><strong>Background: </strong>Final-year students studying in various health science institutes are usually very stressed about their studies so that they can complete their studies without any hurdles. This stress can lead to poor academic and professional results because psychological issues such as anxiety and depression are frequently overlooked and not treated. This study aimed to measure the prevalence of stress and also assess the level of stress symptoms among the final year students of health science institute in Bangladesh.</p><p><strong>Methods: </strong>A prospective cross-sectional study involving 134 final-year students of Bangladesh Health Professions Institute (BHPI), which is a well-known health science institute in Bangladesh measured the prevalence of stress and assessed the level of stress symptoms using the Academic Stress Scale (ASS-40). Data was collected through face-to-face interviews and analysed using SPSS software 25.0. Descriptive and inferential statistics were used to analyse the data retrieved from the students. The Pearson correlation coefficient was used to find any deep relation between the levels of stress symptoms of the students with their age.</p><p><strong>Results: </strong>The prevalence of stress symptoms among the 134 students was 68.60%. The scenario of having stress symptoms was higher among male students and factors like fear of failure (29.20%), followed by teacher-student relationship/teaching method (28.80%) with addressable factors including personal inadequacy (25.50%) working as a stressor for this students. A negligible association (p > 0.05) was found between the age and the level of stress of the students.</p><p><strong>Conclusion: </strong>More than two-thirds of the students experienced stress symptoms during the final days in their institutions. This implies that the educational system, means of teaching, teaching materials, teachers as well as the services provided by the institutions cannot provide a conducive environment for effective learning as well as creating a secure future for the students as long as they can cope with the academic pressure. A student's educational career is being nipped in the bud due to the weak system of our education and institutional system.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"9"},"PeriodicalIF":0.0,"publicationDate":"2025-01-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11775359/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143054433","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":"Assessment of depression, PTSD, and insomnia symptoms in a cohort of Palestinian migrants residing in Jordanian camps during the outbreak of the War on Gaza: occurrence and correlates.","authors":"Omar Gammoh, Saleh Bazi, Ruba Al Akash, Bilal Sayaheen, Mervat Alsous, Albara Alomari","doi":"10.1007/s44192-024-00124-y","DOIUrl":"10.1007/s44192-024-00124-y","url":null,"abstract":"<p><p>The present study sought to examine the occurrence and correlates of depression, PTSD, and insomnia in a cohort of Palestinian refugees residing in camps located in Jordan during the outbreak of the War on Gaza on Oct.7th.This is a cross-sectional cohort study that employed the convenient sampling method to recruit Palestinian refugees residing in Irbid and Azmi Almufti camps for Palestinian refugees. Depressive symptoms were assessed using the Patient Health Questionnaire (PHQ-9) scale. The self-reported PTSD symptoms were evaluated using the brief PTSD scale, and insomnia severity was assessed using the Insomnia Severity Index -Arabic scale (ISI-A). The data analysis from 258 participants showed that severe depression was reported in 178 participants (69%). Additionally, 127 participants (49.2%) reported severe PTSD symptoms, and 156 participants (60.5%) reported severe insomnia symptoms. Regression analysis revealed that \"Residents of Azmi Almufti camp\" was a significant correlate for severe depression (OR = 2.22, 95% 1.28-3.85, p = 0.004) and severe PTSD (OR = 1.81, 95% CI = 1.10-2.99, p = 0.02). The use of over-the-counter antihistamines as a sleep aid was a significant correlate severe insomnia (OR = 3.19, 95%CI = 1.17-8.71, p = 0.02) and PTSD (OR = 3.32, 95% CI = 1.34-8.21, p = 0.01). The conflict in Gaza has been observed to correlate with mental health challenges, particularly among Palestinian refugees residing in Jordan.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"8"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11772638/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143048654","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":"Implementation of stop smoking support by mental healthcare professionals: cross-sectional analysis of why nothing much happens.","authors":"Eline Meijer","doi":"10.1007/s44192-025-00135-3","DOIUrl":"10.1007/s44192-025-00135-3","url":null,"abstract":"<p><p>Smoking is highly prevalent and persistent among people with mental illness, but implementation of smoking cessation care by mental healthcare professionals (MHCPs) is lagging behind. This study took a broad approach to understanding implementation of stop smoking support (SSS) by MHCPs (N = 220 for main analyses), incorporating background characteristics, psychosocial factors, client factors, and organizational/environmental factors. Variable selection was based on previous work and the Consolidated Framework for Implementation Research. Cross-sectional survey data were collected online in the Netherlands from 2021 to 2022, and analyzed using logistic regression and regression tree analyses. Participants were 81 nurses, 74 psychologists, 40 psychiatrists, 12 child psychologists and 13 other MHCPs; aged 42 on average, 24% male, 14% currently smoked and 32% quit smoking. Results show that most MHCPs do not ask about smoking, do not advise or motivate clients to quit smoking, and do not refer clients motivated to quit to SSS. In order to improve this situation, proactive efforts should be undertaken to target MHCPs' perceptions of clients' responsibility and quit success, preferably through strategies that reach MHCPs regardless of their affinity with SSS, taking MHCPs' profession and own smoking status into account.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"7"},"PeriodicalIF":0.0,"publicationDate":"2025-01-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11757909/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143030371","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":"Exploring the relationship between mental health issues and academic performance of undergraduate students in a Ghanaian tertiary institution: a cross-sectional study.","authors":"Andrew Nketsia Arthur, Joanne Fraikue, Bijoux Adu-Amankwah, Richard Ofori, Dorcas Sekyi, Abena Afrakomah Boateng, Elsie Asamoah, Seth Christopher Yaw Appiah","doi":"10.1007/s44192-025-00130-8","DOIUrl":"10.1007/s44192-025-00130-8","url":null,"abstract":"<p><strong>Background: </strong>Mental health associations with students' academic outcomes are critical for students' well-being and excellent performance, particularly among tertiary students in their educational trajectory. This study investigated the relationship between mental health incidence and academic performance among university students in a public university in Ghana. Additionally, we study students' level of mental health awareness.</p><p><strong>Methods: </strong>The study adopted a quantitative study with an analytical cross-sectional design. Through the multistage sampling technique, structured questionnaires were administered to 384 undergraduate students at Kwame Nkrumah University of Science and Technology (KNUST). Data management and analysis were performed using SPSS v.27. Descriptive data are presented in tables and reported as frequencies. Inferential analysis was conducted using a multilevel logistic regression model and a p-value of 0.05 was considered to indicate statistical significance.</p><p><strong>Results: </strong>Severe depression (p = 0.016, ϰ² = 0.784) was significantly associated with students' academic performance. Severe anxiety (p = 0.020, ϰ² = 11.700), gender (p = 0.014, ϰ² = 5.999) and self-efficacy (p = 0.015, ϰ² = 5.939), were found to have a statistically significant association with academic performance (p < 0.05). According the multilevel analysis, females experiencing mental health had reduced likelihood of achieving high academic performance compared to male students (AOR = 0.343, 95% CI 0.144-0.813, p = 0.015). Severely depressed students (AOR = 0.264, 95% CI 0.084-0.830, p = 0.23) are significantly less likely to increase their Cumulative Weighted Average (CWA). Self-efficacious students (AOR = 3.325, 95% CI 1.421-7.784, p = 0.06) were three times more likely to increase their CWA.</p><p><strong>Conclusion: </strong>Severe depression causes a reduction in students' academic performance, while high academic self-efficacy among students serves as a protective factor by facilitating an increase in students' CWA when they encounter mental health issues.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"6"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11751277/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143017430","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}