SSM. Mental health最新文献

{"title":"Forced marriage, divorce, and the ecology of marital self-determination: findings from research with Orthodox Jews in New York","authors":"Jennifer S. Hirsch , Gloria Fortuna , Jessie V. Ford , Alicia Jen , Jessica L. Weissman , Aarushi H. Shah , Fraidy Reiss","doi":"10.1016/j.ssmmh.2025.100584","DOIUrl":"10.1016/j.ssmmh.2025.100584","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100584"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926868","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":"“I've actually surprised myself at what I can do”: Understanding the longer-term experiences of individual placement and support (IPS) embedded within primary healthcare","authors":"Amanda Kwan ,&nbsp;Padmini Thakore ,&nbsp;Madelyn Whyte ,&nbsp;Taite Beggs ,&nbsp;Stephany Berinstein ,&nbsp;Jonathan Morris ,&nbsp;Skye Barbic","doi":"10.1016/j.ssmmh.2025.100578","DOIUrl":"10.1016/j.ssmmh.2025.100578","url":null,"abstract":"<div><h3>Background</h3><div>Persons with persistent and multiple barriers (PPMB), including mental health and substance use (MHSU) and other disabilities, often experience inequitable challenges obtaining and sustaining competitive employment opportunities. Specialized employment services, such as Individual Placement and Support (IPS), embedded within primary healthcare settings is one approach being trialed to address these inequities. Little is known about the medium and longer-term experiences of PPMB enrolled in IPS programs integrated within primary healthcare.</div></div><div><h3>Methods</h3><div>We conducted a longitudinal qualitative study using semi-structured interviews with program clients. We analyzed interviews (12- and 24-months) sequentially and collectively using a reflexive thematic approach. We developed, defined, and named themes iteratively, using annotations throughout the process to record personal reflections and assumptions.</div></div><div><h3>Results</h3><div>Thirty-one participants were enrolled in the study, with 31 interviews conducted at 12 months and 20 interviews at 24 months after program enrollment. Four key themes and one subtheme were generated: (1) negative work experiences have lasting and cyclical impacts, (subtheme) positive work experiences help break negative employment cycles, (2) health remains a significant barrier across the employment journey, (3) social connection is a foundation for health and employment, and (4) growth takes time: progress through self-discovery and support.</div></div><div><h3>Conclusion</h3><div>Continuous access to integrated specialized health and employment services are necessary for PPMB to achieve sustainable progress towards health, recovery, and employment. As such, integrated and multi-sector programs need to receive sustained funding and cross-ministerial support to ensure equitable employment opportunities for those with MHSU, PPMB, and other disabilities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100578"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799055","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":"Sanitation-related empowerment resources are associated with women's well-being, anxiety, and depression: findings from Bangladesh, India, Senegal, and Uganda","authors":"Thea Mink ,&nbsp;Madeleine Patrick ,&nbsp;Amelia Conrad ,&nbsp;Tanvir Ahmed ,&nbsp;Srishty Arun ,&nbsp;Vinod Ramanarayanan ,&nbsp;Niladri Chakraborti ,&nbsp;Y. Malini Reddy ,&nbsp;Abhilaasha Nagarajan ,&nbsp;Tanushree Bhan ,&nbsp;Sheela S. Sinharoy ,&nbsp;Bethany A. Caruso","doi":"10.1016/j.ssmmh.2025.100585","DOIUrl":"10.1016/j.ssmmh.2025.100585","url":null,"abstract":"<div><div>Recent research has identified linkages between women's sanitation experiences, like safety and privacy, and their mental health. Our study examined associations between sanitation-related empowerment resources (Bodily Integrity, Safety and Security, Privacy, and Time) and mental health outcomes (well-being, depression, and anxiety). We conducted a secondary analysis of cross-sectional data collected in 2021–2022 from household surveys of women in Bangladesh, India, Senegal, and Uganda (n = 2285). Primary exposures were sanitation-related empowerment resources measured using the Agency, Resources, and Institutional Structures for Sanitation-related Empowerment (ARISE) Scales. Three outcomes were assessed: subjective well-being (World Health Organization Well-being Index, WHO-5), anxiety (General Anxiety Disorder measure, GAD-2), and depression (Patient Health Questionnaire, PHQ-2). Linear regressions of WHO-5 scores and negative binomial regressions of PHQ-2 and GAD-2 scores on the four sanitation-related empowerment resources were conducted.</div><div>Mean scores for the outcomes were: well-being = 17.2 (SD = 5.9), depression = 1.1 (SD = 1.4), and anxiety = 1.0 (SD = 1.4). Mean scores for primary exposures were: Bodily Integrity = 3.7 (SD = 0.4), Safety and Security = 3.5 (SD = 0.4), Privacy = 3.8 (SD = 0.5), and Time = 3.1 (SD = 0.5). Higher Privacy was associated with higher well-being scores in both regional samples with higher Time additionally associated with higher well-being scores in Bangladesh and India. In Bangladesh and India, higher Bodily Integrity and Time were associated with lower depression scores, and higher Bodily Integrity, Safety and Security, and Time were associated with lower anxiety scores. In Senegal and Uganda, higher Bodily Integrity, Safety and Security, and Privacy were associated with lower depression scores, and higher Privacy was associated with lower anxiety scores. Our findings provide evidence of associations between women's sanitation-related resources of Bodily Integrity, Safety and Security, Privacy, and Time and mental health. Sanitation initiatives should aim to enhance and evaluate women's experiences of these resources given their potential to benefit women's mental health and well-being.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100585"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188091","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":"Response to Leboyer et al., 2026","authors":"François Gonon ,&nbsp;Henri Gouraud ,&nbsp;André Gillibert ,&nbsp;Bruno Falissard ,&nbsp;Lisa Cosgrove ,&nbsp;Kasper P. Kepp ,&nbsp;Ioana A. Cristea ,&nbsp;Florian Naudet","doi":"10.1016/j.ssmmh.2026.100589","DOIUrl":"10.1016/j.ssmmh.2026.100589","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100589"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146078104","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":"Between compassion and control: nursing ethos, professional responsibilities, limited resources, and the use of psychotropic drugs in dementia care","authors":"Niklas Petersen","doi":"10.1016/j.ssmmh.2025.100568","DOIUrl":"10.1016/j.ssmmh.2025.100568","url":null,"abstract":"<div><div>The widespread use of psychotropic medication in long-term care, especially antipsychotics for managing dementia-related behaviours, is controversial due to serious side effects, significant risks, and increased mortality rates. While prescribing authority lies with physicians, nurses often demand treatment and administer as-needed medications at their discretion. This study discusses the ongoing reliance on antipsychotics within the context of structural tensions between person-centred nursing values, multiple professional responsibilities, and resource constraints in long-term care facilities. Drawing on in-depth qualitative interviews with 15 nurses across seven German nursing homes, the study reveals diverse ways in which nursing staff navigate the use of psychotropic medication in dementia care. While nurses' self-descriptions and explicit ethos are framed in humanistic terms – addressing individual needs, promoting health and preserving functional capacities of those in need of care – they also feel responsible for protecting other residents and maintaining organisational stability in the care facilities. While some nurses still try to uphold their person-centred care ethos, seek to resist the rationing of care, and strongly oppose excessive sedation, others set aside their compassionate nursing values in everyday care and rationalise psychotropic medication for managing dementia-related behaviours as a matter of organisational necessity. Moving beyond individualised explanations for the overuse of psychotropic drugs, this study discusses the practices of pharmacological behaviour control as part of a pharmaceuticalisation of dementia care and as emblematic of the broader social-political governance of ageing and dementia.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100568"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799053","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":"The association between social media use and mental health symptoms in middle adolescence: A counterfactual analysis","authors":"Xinxin Zhu ,&nbsp;Yi Yang ,&nbsp;Helen Wright ,&nbsp;Lydia Gabriela Speyer ,&nbsp;Marie Allitt ,&nbsp;Ingrid Obsuth ,&nbsp;Patrick Errington ,&nbsp;Aja Louise Murray","doi":"10.1016/j.ssmmh.2025.100582","DOIUrl":"10.1016/j.ssmmh.2025.100582","url":null,"abstract":"<div><div>There has been considerable recent debate surrounding the effects of social media use and adolescents' mental health. A key source of controversy is whether observed associations might be confounded by ‘third variables’ (which influence both social media use and mental health). To address this, we used counterfactual analysis to account for measured confounding. This approach provides estimates of causal effects by comparing observed outcomes with those that would be expected under an alternative exposure condition. We employed it to evaluate the link between social media use (including messaging and visiting social networking websites) at ages 11 and 14 and later mental health issues (including emotional symptoms, self-harm, and/or suicide attempts) at ages 14 and 17. Data was from the UK Millennium Cohort Study (MCS), a nationally representative sample. The study was conducted with the input of a young persons' advisory group, who informed our prioritization of the study research question, helped interpret findings, and identify study limitations. Inverse probability of treatment weighting (IPTW) analyses indicated no significant effects of social media use frequency at age 11 (defined as use on most days) or time spent at age 14 (≥2 h per weekday) on emotional problems or self-harm at age 14 or 17, respectively (analytic n = 3036–4419). The only exception was significant association between higher time spent on social media at age 14 and lifetime suicide attempts at age 17. These findings highlight the importance of considering potential confounders when examining social media use effects. Given that frequency and time-based measures are unlikely to capture the complexity of this association, we recommend future research also apply similar approaches utilizing more nuanced measures.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100582"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926871","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":"Time-varying factors predicting adolescent healthcare needs and utilization in a rural Burkina Faso cohort: A two-way fixed effects analysis","authors":"Joshua Krohn ,&nbsp;Mamadou Bountogo ,&nbsp;Lucienne Ouermi ,&nbsp;Ali Sie ,&nbsp;Till Bärnighausen ,&nbsp;Guy Harling","doi":"10.1016/j.ssmmh.2026.100586","DOIUrl":"10.1016/j.ssmmh.2026.100586","url":null,"abstract":"<div><div>Adolescent healthcare in low-income countries receives little attention despite their growing population share, significant health challenges and the critical role of youth in shaping future health outcomes. Current research remains largely cross-sectional, limiting capacity to assess causal processes relating to care need and use. We used longitudinal data to examine adolescent need for and use of healthcare in rural Burkina Faso, to identify service gaps and thus targets for intervention.</div><div>We analyzed subjective healthcare needs and utilization among adolescents aged 12–20 in a two-round population-representative cohort in 2017–2018. Outcomes were subjective need for healthcare and levels of unmet need. We used individual fixed-effects regression to account for time-invariant characteristics and isolate time-varying effects.</div><div>Around half of 1271 adolescents reported healthcare need at each wave, mostly for malaria, injuries, and headaches. Attending school was associated with reduced perceived need (Odds Ratio [OR] 0.52, 95<!--> <!-->% confidence interval [CI] 0.15-1.80), while injuries (OR 8.43; CI 3.34-21.30]) and bullying (OR 1.77; CI 0.93-3.40) increased it. Bullying was also associated with higher unmet need (OR 4.79; CI 1.24–18.4). Short-term demographic changes did not predict utilization.</div><div>The main time-varying factors influencing subjective health need and utilization of care were precipitating events and educational attainment, rather than sociodemographic factors. Most healthcare contacts were due to acute events and infectious diseases, not prevention programs or non-communicable diseases. Experience of bullying led to significantly higher perceived unmet need—a troubling result suggesting possible interventions both in the short- and long-term.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100586"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146038187","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":"Letter to the Editor regarding ‘Advocacy by nonprofit scientific institutions needs to be evidence-based: a case study’ by Gonon et al. (2025)","authors":"Marion Leboyer ,&nbsp;Ophélia Godin ,&nbsp;Anouck Amestoy ,&nbsp;Bruno Aouizerate ,&nbsp;Philippe Courtet ,&nbsp;Bruno Etain ,&nbsp;Emmanuel Haffen ,&nbsp;Pierre-Michel Llorca ,&nbsp;Franck Schurhoff ,&nbsp;Emilie Olié ,&nbsp;Antoine Yrondi","doi":"10.1016/j.ssmmh.2026.100590","DOIUrl":"10.1016/j.ssmmh.2026.100590","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100590"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188090","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":"An indigenous interpretation of self-determination in service of relational wellness","authors":"Arthur W. Blume","doi":"10.1016/j.ssmmh.2026.100593","DOIUrl":"10.1016/j.ssmmh.2026.100593","url":null,"abstract":"<div><div>Signers of the 2007 United Nations (U.N.) Declaration on the Rights of Indigenous Peoples, including Canada and the United States (U.S.), have committed to protecting the rights of Indigenous peoples including the right to self-determination. First Peoples Nations of Canada and the U.S. have been granted self-determination rights, but often these rights have limitations when it comes to ensuring quality mental health care for their peoples. Self-determination rights have been a major step toward affirming Indigenous national sovereignty over the mental health, but much more can be done. When self-determination parameters were codified within the colonial nations, they reflected a reductionist viewpoint that did not include a relational understanding of wellness or considerations that health and mental health are relational in nature and unrestricted by national boundaries. Relational wellness may not necessarily be addressed by reductionist interpretations of self-determination. A relational interpretation of self-determination is also necessary to account for the interdependent nature of wellness such that relationships between colonial nations and their Indigenous neighbors must be equitably considered and respected. Publicly recognizing and respecting the cultural and scientific parity of Indigenous nations with those of Canada and the U.S. would advance Indigenous relational wellness as committed to in the U.N. Declaration and promote equitable international relationships. Affirming both reductionist and relational self-determination could be mutually beneficial, advancing the relational wellness of Indigenous nations while interdependently and simultaneously advancing the health and mental health of Canada and the U.S.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100593"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188119","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":"An exploratory analysis of self-diagnosis on Reddit","authors":"Amy L. Johnson","doi":"10.1016/j.ssmmh.2026.100597","DOIUrl":"10.1016/j.ssmmh.2026.100597","url":null,"abstract":"<div><div>Online self-diagnosis is an increasingly common phenomenon. Its ubiquity counters the expectation that people will generally avoid stigmatizing labels like mental illness diagnoses. Yet social media may provide a space for users to anonymously “try on” labels without fear of stigma or social sanction. This article uses exploratory qualitative analysis to examine self-diagnosis on the social media platform Reddit. I document how self-diagnosis is a relational process of identity work involving three steps: a feeling of mental wrongness, proposal of a diagnostic explanation, and request for a community solution. Using sentiment analysis, I also show that posts mentioning self-diagnosis express less negative emotion than those mentioning professional diagnosis. Despite widespread criticism of self-diagnosis, this work suggests that it offers a means of engagement with sympathetic others and a tool to understand the self in a culture dominated by psychiatric thinking.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100597"},"PeriodicalIF":2.6,"publicationDate":"2026-06-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146188116","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}