Alexis Harerimana , Julian David Pillay , Gugu Mchunu
{"title":"Mindfulness-based interventions for mental health in refugee and migrant populations: A scoping review","authors":"Alexis Harerimana , Julian David Pillay , Gugu Mchunu","doi":"10.1016/j.ssmmh.2025.100540","DOIUrl":"10.1016/j.ssmmh.2025.100540","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of refugees and migrants is a critical concern, as they often endure high levels of trauma and stress resulting from war, displacement and the challenges associated with resettlement. Mindfulness-based interventions (MBIs) have gained significant traction for their efficacy in enhancing mental health, mitigating stress and promoting wellbeing among the refugee and migrant population.</div></div><div><h3>Aim</h3><div>This scoping review aimed to assess the existing evidence on MBIs for mental health in refugee and migrant populations, highlighting their effectiveness, benefits and implementation challenges.</div></div><div><h3>Methods</h3><div>Following the Levac et al. framework, the following databases were systematically searched: CINAHL, Cochrane Central, Emcare, Medline, PsycInfo, Scopus, Web of Science, Google and Google Scholar—covering literature published between 2014 and 2024. Twenty-one studies were included in the final data extraction and thematic analysis, consisting of 13 qualitative studies, five quantitative studies, and three mixed-methods studies.</div></div><div><h3>Results</h3><div>Across various settings and countries, MBIs demonstrated significant benefits. In Israel, studies indicated that MBTR-R significantly reduced symptoms of PTSD (F = 12.44, η<sup>2</sup> = .17, p = .001), re-experiencing (F = 9.76, η<sup>2</sup> = .14), and hyperarousal (F = 23.93, η<sup>2</sup> = .29), increased self-compassion (.77 → .83) and decreased self-criticism (.47 → .39). In the United States, MTPC enhanced emotion regulation (β = −12.98, d = −.59), self-compassion (β = .50, d = .72), and self-efficacy (β = 2.03, d = .97). In Türkiye, the self-esteem of preschoolers increased from 25.63 to 40.89 (η<sup>2</sup> = .49). In Uganda, adolescents experienced a reduction in depressive symptoms by 10.72 points (p < .0001). In Australia, a community-based MBI led to a decrease in depression scores from 9.2 to 4.2 (z = −8.48). Collectively, this review's findings suggest that MBIs significantly improve the mental health of migrants and refugees. However, the effectiveness of MBIs implementation was hindered by limited resources, cultural and language barriers, insufficient facilitator training, and a lack of institutional support.</div></div><div><h3>Conclusion</h3><div>Despite implementation challenges, MBIs remain a promising and effective approach to mental health care for refugees and migrants. Future studies should focus on creating culturally appropriate interventions and assessing the long-term effects of MBIs on the mental health of displaced populations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100540"},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265662","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}
Qimin Liu , Lauren A. Trichtinger , Simon M. Li , Kiyan Irani , Hyo Jin Shin Jenny , Zoe Habel , Richard T. Liu , Kirsty A. Clark , Amelia M. Stanton
{"title":"Identifying intersectional prospective predictors of suicidal thoughts and behaviors among sexual minority adults: A conditional inference tree approach","authors":"Qimin Liu , Lauren A. Trichtinger , Simon M. Li , Kiyan Irani , Hyo Jin Shin Jenny , Zoe Habel , Richard T. Liu , Kirsty A. Clark , Amelia M. Stanton","doi":"10.1016/j.ssmmh.2025.100542","DOIUrl":"10.1016/j.ssmmh.2025.100542","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100542"},"PeriodicalIF":2.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265665","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}
Michelle Marie Pieters , Diego Sapalú , Alex Cohen , Cady Chen , Jeremy Kane , Deisy Martinez , Karla Paniagua Avila , Alex Petzey , Ezra Susser , Alejandra Paniagua-Avila
{"title":"Beyond “Ch'jurnaaq”: Recognizing Maya Indigenous People's perceptions of psychosis and recovery in Santiago Atitlán, Guatemala","authors":"Michelle Marie Pieters , Diego Sapalú , Alex Cohen , Cady Chen , Jeremy Kane , Deisy Martinez , Karla Paniagua Avila , Alex Petzey , Ezra Susser , Alejandra Paniagua-Avila","doi":"10.1016/j.ssmmh.2025.100543","DOIUrl":"10.1016/j.ssmmh.2025.100543","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People's perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform the design of a community-led, culturally grounded program for people living with psychosis (PLWP).</div></div><div><h3>Methods</h3><div>We conducted free listing and semi-structured interviews in Spanish or Maya Tz'utujil language. Participants were PLWP, family caregivers, community leaders, and mental health, traditional, and primary care providers. We followed Kleinman's explanatory model and elicited locally meaningful recovery outcomes. Our team performed a matrix-based thematic analysis.</div></div><div><h3>Results</h3><div>We interviewed 30 participants. Key findings included (1) varying terms and understandings of psychosis symptoms and causes across participant subgroups; (2) extremely limited care, pluralistic treatment practices, and tensions between biomedical and traditional systems; (3) matching community expectations and recovery outcomes, with contrasting views between PLWP, who expressed hope, and family caregivers and providers, who expressed doubts and resignation; and (4) stigma as a cross-cutting barrier towards care and recovery across family-, community- and provider-levels linked to social exclusion among PLWP and family caregivers.</div></div><div><h3>Conclusion</h3><div>Effective community programs must respond to local definitions of recovery, incorporate biomedical, traditional, and spiritual approaches, involve PLWP and family caregivers, and address stigma. Engaging Indigenous peoples’ practices in programs for PLWP can improve their acceptability, reach, and effectiveness.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100543"},"PeriodicalIF":2.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265669","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":"Trusting relationships in prison and well-being after release","authors":"Jason Schnittker","doi":"10.1016/j.ssmmh.2025.100539","DOIUrl":"10.1016/j.ssmmh.2025.100539","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100539"},"PeriodicalIF":2.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265666","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":"Digital labor as a social determinant of mental health: The case of performative extreme eating in Japan","authors":"Daisuke Hori , Kei Muroi","doi":"10.1016/j.ssmmh.2025.100537","DOIUrl":"10.1016/j.ssmmh.2025.100537","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media has transformed eating into a global spectacle, with online eating performances emerging as one of the major entertainment genres. While the impact of online performance on viewers is a growing public health concern, the well-being of the performers themselves remains underexplored. This narrative review analyzes “performative extreme eating”—the voluntary, deliberate consumption of excessive food for entertainment or digital labor—framing it as a challenge for mental, behavioral and occupational health.</div></div><div><h3>Methods</h3><div>This narrative review synthesizes information from diverse sources through a non-systematic search of academic literature, supplemented by an analysis of journalistic reports and relevant cultural media to provide a comprehensive overview of the phenomenon, using Japan as a primary case study.</div></div><div><h3>Results</h3><div>Performative extreme eating often appears distinct from clinical eating disorders as it may lack the subjective distress or loss of control required for diagnosis. However, this performative facade can obscure serious underlying vulnerabilities, including undiagnosed binge eating disorder and bulimia nervosa. Our analysis of the Japanese context reveals how precarious digital labor acts as a social determinant of mental health, creating a public health blind spot exacerbated by nascent worker protections and policy inaction.</div></div><div><h3>Conclusion</h3><div>Performative extreme eating is a pressing challenge at the intersection of digital culture, the gig economy, and occupational health. Addressing it requires a multi-pronged strategy: Targeted research on its prevalence and health effects, occupational health guidelines for performers, and thoughtful, evidence-based regulations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100537"},"PeriodicalIF":2.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265667","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}
Rosario Yslado-Méndez , Stefan Escobar-Agreda , Ana L. Vilela-Estrada , David Villarreal-Zegarra , Junior Duberli Sánchez-Broncano , Jovanna Hasel Olivares Cordova , Wilfredo Manuel Trejo Flores , Claudia Alvarez-Yslado , Leonardo Rojas-Mezarina
{"title":"Perceptions, beliefs, and attitudes toward mental health and the implementation of digital mental health interventions in a university community in an Andean region: A qualitative study","authors":"Rosario Yslado-Méndez , Stefan Escobar-Agreda , Ana L. Vilela-Estrada , David Villarreal-Zegarra , Junior Duberli Sánchez-Broncano , Jovanna Hasel Olivares Cordova , Wilfredo Manuel Trejo Flores , Claudia Alvarez-Yslado , Leonardo Rojas-Mezarina","doi":"10.1016/j.ssmmh.2025.100541","DOIUrl":"10.1016/j.ssmmh.2025.100541","url":null,"abstract":"<div><h3>Introduction</h3><div>The design and implementation of digital mental health interventions (DMHI) requires understanding users' attitudes and perceptions to enhance acceptance in practice. In Peru's university settings, this remains underexplored.</div></div><div><h3>Objective</h3><div>To identify coping strategies, attitudes toward mental health, and perceptions of implementing DMHI among members of a public university in Peru.</div></div><div><h3>Methods</h3><div>A qualitative phenomenological study with purposive sampling was conducted with 34 participants: 10 students, 10 faculty members, 10 administrative staff, and 4 institutional policy decision-makers from a public university in Peru. Semi-structured interviews were used to collect data, and thematic and content analysis was performed to identify patterns and categories.</div></div><div><h3>Results</h3><div>Participants reported various coping strategies, most commonly seeking professional help and social interaction. Although most consider mental health essential, economic barriers and negative experiences hinder adherence to services. Virtual care during the pandemic was positively valued for continuity and convenience, although some expressed doubts about its effectiveness compared to in-person care.</div></div><div><h3>Conclusions</h3><div>In a public Andean university, there is openness to digital solutions for managing mental health, yet barriers persist related to cost, privacy, and connectivity. Universities should strengthen workforce training and advance context-tailored DMHI efforts within the campus setting.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100541"},"PeriodicalIF":2.6,"publicationDate":"2025-10-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265663","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}
Kelly McDermott , Michaela F. George , David G. Blumenkrantz
{"title":"Remembering the way forward: How traditional and indigenous coming of age rites of passage can support mental health and social connection in the U.S","authors":"Kelly McDermott , Michaela F. George , David G. Blumenkrantz","doi":"10.1016/j.ssmmh.2025.100538","DOIUrl":"10.1016/j.ssmmh.2025.100538","url":null,"abstract":"<div><h3>Purpose</h3><div>Mental health in young adults and widespread social disconnection are two intersecting crises seen in the U.S. We examine the impact of individualist cultural values in the U.S. on these crises and explore how traditional cultures have leveraged the sensitive period of adolescence to support mental health and social cohesion through coming-of-age rites of passage.</div></div><div><h3>Methods</h3><div>In this retrospective study, young adults were emailed a survey asking about their adolescent experiences of coming-of-age rites of passage and their current physical health, mental health and coping ability. We looked at associations between rites of passage experiences and outcomes in the n = 860 young adults who completed the survey.</div></div><div><h3>Results</h3><div>Having diverse rites of passage experiences was not associated with later outcomes, however, we did see associations between several individual experiences and outcomes. Having a connection with nature or the larger universe, giving something up from childhood and getting something symbolic of the transition were all significantly associated with outcomes.</div></div><div><h3>Discussion</h3><div>This paper explores how coming-of-age rites of passage can address the mental health and social disconnection crises in the U.S., setting the stage for more rigorous investigation of the topic. We recommend leveraging existing rites of passage programs and facilitators to help generate hypotheses, and to use more robust methods to identify mechanisms of action towards building multilevel rites of passage interventions to improve mental health and social connection.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100538"},"PeriodicalIF":2.6,"publicationDate":"2025-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265668","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}
Deborah J. Moon , Jeesoo Jeon , Amanda Cruce , Hyunjin Lee , Ruijie Ma , Brendan W. Case
{"title":"Measuring flourishing for transitional youth aging out of foster care in the United States: Factor structure and invariance of the flourishing index","authors":"Deborah J. Moon , Jeesoo Jeon , Amanda Cruce , Hyunjin Lee , Ruijie Ma , Brendan W. Case","doi":"10.1016/j.ssmmh.2025.100518","DOIUrl":"10.1016/j.ssmmh.2025.100518","url":null,"abstract":"<div><div>Mental health field is shifting toward a greater focus on the presence of mental health beyond the assessment and treatment of mental illness. <em>Flourishing</em> is an emerging concept that captures the ultimate health and well-being in multiple dimensions. The knowledge of youth flourishing is crucial to promoting the mental health of all youths beyond those with mental illness. Despite the increased interest in youth flourishing, limited studies examined flourishing among disadvantaged youth. Moreover, a limited number of validated measures exist that can accurately measure flourishing for marginalized youth of different demographics. This paper presents the results from the Exploratory and Confirmatory Factor Analyses (FA) of the adolescent version of the Flourishing Index using the data collected from youth aging out of foster care (18–24 years old) who participated in the Flourishing After Foster Care study, a national survey of 379 transitional youth aging out of foster care. Additionally, we examined measurement invariance between the transitional youth of different sexes [male (n = 256) vs female (n = 89)], race [White (n = 272) vs youth of color (n = 83)], and sexual orientation [heterosexual (n = 282) vs sexual minority (n = 92)]. The results from the FAs supported a one-dimensional model with 10 items, which showed excellent fit (CFI = 0.985, TLI = 0.980, RMSEA = 0.054, SRMR = 0.021). Measurement invariance was supported based on sex and sexual orientation but not on race. Partial invariance was supported based on race with the exclusion of one item related to delayed gratification. Future research should build on these findings to further explore flourishing indicators for youths across different identities.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100518"},"PeriodicalIF":2.6,"publicationDate":"2025-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265664","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 Mad Movement in Catalonia. Epistemic resistance and counter-hegemony in mental health","authors":"Martín Correa-Urquiza , Araceli Muñoz , Elisa Alegre-Agís","doi":"10.1016/j.ssmmh.2025.100533","DOIUrl":"10.1016/j.ssmmh.2025.100533","url":null,"abstract":"<div><div>This paper presents results of the project “Towards an archive of the historical memory of the struggles and social demands of the Mad Movement”. This movement brings together organisations, associations, groups and activists, platforms of psychiatrised people, who connect through diverse strategies to advance struggles for social justice and recognition in the field of mental health. We understand this movement as an epistemic fraternity promoting a critical conscience in relation to the oppressions experienced by psychiatrised people. The Archive project is a tool available for resistance against epistemic violence. It rescues the oral memory and recovers the intangible heritage related to the social struggles, the associative dynamics and the trajectories of the Mad Movement in Catalonia. Thus, the project is based on a participatory action research approach, framed in Mad Studies, seeking to generate spaces for recognition and visibility in this area, based on the participation and reflection of its protagonists. Based on conversations with activists of movements in first person, it aims to build and activate a narrative that articulates a collective biography linked to the struggles to transform the hegemonic approaches in the field of mental health and denounce its excesses. From the activist narratives collected, we can get to know and recognise the impact and transformative capacity of the movement and how it undoes epistemic injustice through collective action and mutual aid that generate counter-hegemonic agency and epistemic fraternity.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100533"},"PeriodicalIF":2.6,"publicationDate":"2025-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219492","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}