SSM. Mental health最新文献

{"title":"Advocacy by nonprofit scientific institutions needs to be evidence-based: a case study","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.2025.100464","DOIUrl":"10.1016/j.ssmmh.2025.100464","url":null,"abstract":"<div><div>Scientific institutions, including universities and research centers, occasionally engage in advocacy to gain financial support. However, this can be problematic if they selectively present scientific evidence. We describe a case involving a French semi-public foundation dedicated to clinical research on four adult psychiatric disorders: autism without intellectual disability, treatment-resistant depression, schizophrenia, and bipolar disorder. The foundation has claimed that an initial assessment at any of its Expert Centers led to a 50 % reduction in hospitalization days. We analyzed communication directed at the public in the French press, advocacy efforts towards members of the French Parliament (MFPs), evidence supporting this claim within those activities, and MFPs' initiatives that addressed the foundation's request. However, the reduction in hospitalization originated from a single study of bipolar disorder patients, which lacked a control group and had other methodological flaws. No scientific publications supported similar claims for the other three disorders. On May 2, 2024, 70 members of the French Parliament introduced a bill aimed at integrating these Expert Centers into the healthcare system. Justifications for the bill explicitly cited the 50 % reduction in hospitalization for <em>all</em> four conditions. This case highlights the need for policy makers and journalists to verify the robustness of scientific claims before these become policy. It also emphasizes the responsibility of scientists and journal editors to recognize and mitigate spin in research studies and opinion articles and to develop tools that help evaluate advocacy and lobbying claims in scientific contexts.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100464"},"PeriodicalIF":4.1,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166849","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":"Mental health futures in post-war Sri Lanka: Resilience, relational pluralism, and implementation pathways","authors":"Nuwan Jayawickreme ,&nbsp;Eranda Jayawickreme ,&nbsp;Amy Z. McCaffrey ,&nbsp;Mahendran Thiruvarangan","doi":"10.1016/j.ssmmh.2025.100465","DOIUrl":"10.1016/j.ssmmh.2025.100465","url":null,"abstract":"<div><div>This paper examines the state of psychosocial health in Sri Lanka fifteen years after the end of its civil war, analyzing both the lingering impact of the conflict and the additional challenges posed by recent events, including the 2019 Easter bombings that particularly impacted the Catholic community, and the severe economic crisis that began in 2022. Drawing on research published in this SSM-Mental Health special collection, as well as other research and recent stakeholder dialogues, we examine how Sri Lankan institutions have managed these compounded challenges and propose evidence-based approaches for improving mental health outcomes and promoting pluralism among the country's many communities. We specifically focus on three promising frameworks: resilience, locally-adapted models of pluralism that emphasize relational coexistence across religious and ethnic divides, and implementation science. The paper outlines how these approaches can be effectively deployed in the Sri Lankan context while accounting for linguistic barriers, power dynamics, and the need for early childhood intervention. We conclude by proposing concrete steps for developing and implementing these interventions while considering Sri Lanka's current economic constraints and healthcare infrastructure limitations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100465"},"PeriodicalIF":4.1,"publicationDate":"2025-05-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144084080","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":"Drivers of chronic depressive and harmful alcohol use symptoms among adults living with HIV in Lesotho: pathways for integrated interventions","authors":"Grace H. Yoon ,&nbsp;Natalie E. Johnson ,&nbsp;Irene Falgas-Bague ,&nbsp;Mahlatsi Palesa ,&nbsp;Moleboheng Mokebe ,&nbsp;Nadine Tschumi ,&nbsp;Malebanye Lerotholi ,&nbsp;Alastair van Heerden ,&nbsp;Niklaus D. Labhardt ,&nbsp;Jennifer M. Belus","doi":"10.1016/j.ssmmh.2025.100462","DOIUrl":"10.1016/j.ssmmh.2025.100462","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health problems are prevalent among people with HIV (PWH) in Southern Africa. However, mental health problems are substantially under-diagnosed and under-treated in this setting. This study explores the drivers, explanatory factors, and coping mechanisms of mental health problems among PWH in Lesotho who have lived experience with depressive symptoms and/or alcohol use problems and attempts to contextualize the findings to local realities and norms.</div></div><div><h3>Methods</h3><div>Semi-structured interviews were conducted in Butha Buthe (peri-urban) and Mokhotlong (rural) districts in Lesotho at district- and village-level health facilities with 28 PWH recruited based on past year's record of depressive symptoms (n = 22), harmful alcohol consumption (n = 4), or both (n = 2). Thematic analysis identified overarching themes, which were synthesized into a conceptual model.</div></div><div><h3>Results</h3><div>Economic and interpersonal challenges were perceived as drivers of mental health problems. Perceived lack of tangible resources and agency to alleviate these problems led participants to feel helpless and experience chronic depressive symptoms. Participants described coping with these symptoms through harmful alcohol use, which is often unaddressed due to local norms surrounding alcohol consumption. Chronic depressive symptoms and harmful alcohol use reduced individuals’ cognitive capacity to resolve their economic and interpersonal problems, reinforcing the cycle between these problems and corollary mental health problems. Participants suggested three intervention areas to target this cycle in their community: economic empowerment, social engagement in the form of group activities, and public education coupled with professional counseling to raise awareness and support for mental health problems.</div></div><div><h3>Conclusions</h3><div>Findings reveal that PWH in Lesotho view economic and interpersonal problems as the main drivers of chronic depressive symptoms and harmful alcohol use, which only serve to reinforce the underlying problems. Addressing these drivers alongside HIV care may be effective in reducing the depression and alcohol use burden experienced by this population.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100462"},"PeriodicalIF":4.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144083649","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":"Ecological grief among farmers and pastoralists in Ethiopia and Kenya","authors":"Syed Shabab Wahid ,&nbsp;Christine Musyimi ,&nbsp;Benjamin Oestericher ,&nbsp;Linda Khakali ,&nbsp;Lauren Carruth ,&nbsp;Emily Mendenhall ,&nbsp;Edna N. Bosire","doi":"10.1016/j.ssmmh.2025.100456","DOIUrl":"10.1016/j.ssmmh.2025.100456","url":null,"abstract":"<div><div>Climate change is a major cause of mental distress worldwide. In many ways, climate change has become a chronic disaster, while in other ways each acute event can accumulate and present challenges within and between communities. A growing body of evidence indicates that a changing climate can precipitate a cluster of negative affective states scholars call “ecological grief.” Ecological grief reflects psychological responses to climate changes and destruction of nature, species, culturally significant or sacred spaces. Until now, ecological grief has been conceptualized as a psychological response connected primarily to the destruction of the natural environment, and has not fully considered forms of distress connected to displacement and dispossession, particularly through loss of lifeworlds. By drawing on case studies from Ethiopia and Kenya, we reconsider and expand on the climate-related causes of ecological grief and the downstream effects of climate change on mental health and wellbeing. In doing so, we explore how climate change exacerbates the historical, political, social, and structural vulnerabilities faced by displaced pastoralists in the Somali region of Ethiopia and farmers in drought-affected Kilifi County, Kenya. We characterize the striking contrast between these two communities and their experiences of ecological disasters, but also find a shared sense of individual and communal distress and ill-health that is connected to how climate change is altering the environments in which people live. Accordingly, we propose a critical conceptualization of ecological grief to include ecology of lived experience and displacement, and its connection to human distress and ill-health.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100456"},"PeriodicalIF":4.1,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143948242","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":"Examining the role of socioeconomic adversity on depressive symptoms during pregnancy among non-Hispanic Black women","authors":"Anneliese Long ,&nbsp;Amanda L. Thompson ,&nbsp;Margaret Bentley ,&nbsp;Harlyn G. Skinner ,&nbsp;Alexis Woods Barr ,&nbsp;Khristopher Nicholas ,&nbsp;Ivonne Headley ,&nbsp;Heather Wasser","doi":"10.1016/j.ssmmh.2025.100463","DOIUrl":"10.1016/j.ssmmh.2025.100463","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100463"},"PeriodicalIF":4.1,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144069298","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 politics of exhaustion and its impact on mental health among people seeking asylum in the UK: A service provider perspective","authors":"Tianne Haggar ,&nbsp;Hanna Kienzler (Professor)","doi":"10.1016/j.ssmmh.2025.100460","DOIUrl":"10.1016/j.ssmmh.2025.100460","url":null,"abstract":"<div><div>People fleeing war and violence often face complex asylum procedures in host countries which have been described as ‘exhausting by design’. This study explored service providers' perspectives on how the UK asylum process gives rise to exhaustion, and the ways in which exhaustion affects the mental health of people seeking asylum. Eighteen semi-structured interviews were conducted with individuals providing social, legal, medical or mental health services to people seeking asylum in the UK. Results demonstrate that the UK asylum process seemingly exhausts those seeking asylum through the intersection of policies and practices that create conditions of hostility, discrimination and deprivation. The resultant exhaustion contributes to, and is exacerbated by, poor mental health, creating a vicious cycle of psychological harm. Based on these findings, we argue that the ‘politics of exhaustion’ embedded within the UK asylum process is a form of structural violence that harms mental health and wellbeing by fundamentally undermining the resilience of people seeking asylum to cope with continued adversity in the UK.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100460"},"PeriodicalIF":4.1,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144071059","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 effects of social media restriction: Meta-analytic evidence from randomized controlled trials","authors":"Kaitlyn Burnell ,&nbsp;Diana J. Meter ,&nbsp;Fernanda C. Andrade ,&nbsp;Ashley N. Slocum ,&nbsp;Madeleine J. George","doi":"10.1016/j.ssmmh.2025.100459","DOIUrl":"10.1016/j.ssmmh.2025.100459","url":null,"abstract":"<div><div>Calls to limit social media use permeate public discourse, with the fundamental assumption that limiting social media use will improve subjective well-being. This meta-analysis quantifies whether social media restriction affects subjective well-being. Included studies were those that were randomized controlled trials, instructed participants to limit or entirely abstain from social media use for a discrete period, and had at least one subjective well-being outcome. Thirty-two articles fit our criteria and were included in analyses (5544 individuals; 91 effect sizes). All studies included college student or adult samples (<em>M</em>_age = 23.38) and samples skewed female (70 %). Random effects models revealed that restricting social media use significantly improved subjective well-being (<em>ḡ</em> = 0.17, 95 % CI [0.08, 0.27]). Effects were observed across both positive subjective well-being indicators (<em>ḡ</em> = 0.17, 95 % CI [0.04, 0.29]) and negative subjective well-being indicators (<em>ḡ</em> = 0.18, 95 % CI [0.08, 0.27]). There was some variability in estimates based on individual indicators (e.g., life satisfaction, depressive symptoms). Moderation by study characteristics (age, gender, length of intervention, type of intervention) was not consistent. Although significant, the pooled estimates were small in magnitude, suggesting only weak support for the effectiveness of restricting social media use. Implications are discussed in the context of theoretical mechanisms in which negative (and positive) social media effects are expected to emerge. Future studies should focus on these mechanisms, rather than broadly restricting time spent using social media.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100459"},"PeriodicalIF":4.1,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144166745","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":"Intersecting Identities: Exploring stigma, minority stress, resilience, and identity in sexual and gender diverse youths of color","authors":"Mariam Adeyeba ,&nbsp;Sam Calvetti ,&nbsp;Gabriel Lockett ,&nbsp;Jules Sostre ,&nbsp;Lindsay Slay ,&nbsp;Jeremy T. Goldbach ,&nbsp;Michele D. Kipke","doi":"10.1016/j.ssmmh.2025.100458","DOIUrl":"10.1016/j.ssmmh.2025.100458","url":null,"abstract":"<div><div>Sexual and gender diverse youths of color (SGD) navigate complex and intersecting challenges that impact their mental health and well-being, yet they remain largely understudied in empirical research. This qualitative study explores this population's lived experiences of resilience, stress, and identity.</div><div>Between June and July 2023, we conducted six focus groups as part of a longitudinal cohort study exploring the health behaviors of racial and gender minority youths. A sample of 24 Black and Latinx SGD youths was invited to participate in these discussions, each lasting 60 min. The data collected from these focus groups were analyzed using reflexive thematic analysis.</div><div>Our findings highlight several key themes, including connection to culture, collective care, uniqueness, resistance through existence, mental health concerns, and survival strategies. Participants described the importance of ancestral and community history, representation, self-exploration, and solidarity in fostering resilience. They shared experiences of discrimination and violence and emphasized the importance of diverse and inclusive spaces in affirming their identities and supporting their mental health.</div><div>Our findings underscore the resilience of SGD youths of color amidst systemic oppression, emphasizing the importance of intersectional perspectives. Understanding the complex interplay of cultural, social, and individual factors, including race, gender, and sexuality, is crucial for developing interventions and policies that promote the well-being and empowerment of SGD youths of color. By centering their voices and experiences, this research emphasizes the need for community support, advocacy, and systemic change to create inclusive environments that affirm and celebrate the complexity of intersectional identities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100458"},"PeriodicalIF":4.1,"publicationDate":"2025-05-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143924014","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":"Out of Focus: Illuminating embodied entanglements of treatment resistance in schizophrenia and depression through narrative interviews and digital storytelling","authors":"Leighton Schreyer ,&nbsp;Allison Crawford ,&nbsp;Oshan Fernando ,&nbsp;Vanessa Lockwood ,&nbsp;Sophie Soklaridis ,&nbsp;Gary Remington ,&nbsp;Araba Chintoh ,&nbsp;Suze Berkhout ,&nbsp;Csilla Kalocsai","doi":"10.1016/j.ssmmh.2025.100454","DOIUrl":"10.1016/j.ssmmh.2025.100454","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100454"},"PeriodicalIF":4.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143906496","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":"Impacts of adolescent participation in a mental health education, leadership, and advocacy program (the Live4Life Crew) on outcomes after leaving secondary school in Victoria, Australia: A qualitative study","authors":"Lakshmi Neelakantan ,&nbsp;Nina Logan ,&nbsp;Monika Raniti ,&nbsp;Nicola Reavley","doi":"10.1016/j.ssmmh.2025.100448","DOIUrl":"10.1016/j.ssmmh.2025.100448","url":null,"abstract":"<div><h3>Background</h3><div>A key component of the Live4Life program, run by not-for-profit entity Youth Live4Life, is a ‘Crew’ of youth mental health ambassadors aged 14–16 years who undergo a mental health education, leadership, and advocacy program. Building on past evaluations, this study explores the impacts of Live4LifeCrew participation on their lives after leaving secondary school.</div></div><div><h3>Objective</h3><div>This study describes the impacts of Crew participation on alumni's health, wellbeing, education, employment, and skill development after leaving secondary school, and to explore the drivers of these impacts.</div></div><div><h3>Methods</h3><div>Semi-structured in-depth interviews were conducted with Crew alumni (n = 16, 67 % female) in Victoria, Australia. Template analysis was used to analyse the data, using the Bronfenbrenner's Process-Person-Context-Time (PPCT) as an organising framework.</div></div><div><h3>Results</h3><div>Crew participation enhanced interpersonal skills such as leadership, communication, public speaking, and empathy that alumni continued to use in their study, work, and relationships. Participants reported maintenance of key Mental Health First Aid skills, including knowledge of mental health problems and confidence to help others experiencing a mental health crisis. Their own help-seeking behaviours improved during and after Crew participation. Effective adult support was vital in shaping participant experiences; however, when such support did not consider the school or community context, it negatively impacted Crew members' experiences. Crew alumni characterised the Live4Life model as unique in a context with high stigma around mental health challenges and limited mental health education.</div></div><div><h3>Conclusions</h3><div>Alumni described the Live4Life Crew program as an impactful and positive experience. Participants noted the importance of tailoring implementation to specific settings to further enhance the program's impact.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100448"},"PeriodicalIF":4.1,"publicationDate":"2025-04-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143927822","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}