SSM. Mental health最新文献

{"title":"The feasibility of a Community Mental Health Education and Detection (CMED) tool in South Africa.","authors":"Merridy Grant, Arvin Bhana, Tasneem Kathree, Nonkululeko Khuzwayo, André J van Rensburg, Londiwe Mthethwa, Sithabisile Gigaba, Ellen Ntswe, Zamasomi Luvuno, Inge Petersen","doi":"10.1016/j.ssmmh.2023.100188","DOIUrl":"10.1016/j.ssmmh.2023.100188","url":null,"abstract":"<p><strong>Background: </strong>Poor mental health literacy, misinformation about treatment and stigma result in low demand for mental health services in low-and middle-income countries. Community-based interventions that raise mental health awareness and facilitate detection of mental health conditions, are instrumental in increasing demand through strengthened mental health literacy, as well as supply of available mental health services through strengthened detection and linkage to care.</p><p><strong>Objective: </strong>To assess the feasibility of a Community Mental Health Education and Detection Tool (CMED) for use with household members by community health teams in South Africa.</p><p><strong>Methods: </strong>The feasibility of using the CMED in households was assessed using Bowen et al.'s framework which informed the study design, interview tools and analysis. The feasibility study involved four phases: (1) observations of the CMED consultation to evaluate the administration of the tool; (2) semi-structured interviews with household member/s after the CMED was administered to explore experiences of the visit; (3) follow-up interviews of household members referred using the CMED tool to assess uptake of referrals; (4) and weekly focus group discussions with the community health team to explore experiences of using the tool. Framework analysis was used to inform <i>a priori</i> themes and allow inductive themes to emerge from the data.</p><p><strong>Results: </strong>The CMED was found to be acceptable by both community health teams and household members, demand for the tool was evident, implementation, practicality and integration within the existing health system were also indicated.</p><p><strong>Conclusion: </strong>The CMED is perceived as feasible by household members and community health teams, suggesting a 'goodness of fit\" within the existing health system.</p>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"1 1","pages":""},"PeriodicalIF":4.1,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11189615/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55067857","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":"Social support and user engagement with task-shared psychological treatments in the real world: Findings from the PRIME India study","authors":"Saloni Dev ,&nbsp;John Griffith ,&nbsp;Vikram Patel ,&nbsp;Alisa Lincoln","doi":"10.1016/j.ssmmh.2023.100257","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100257","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49881722","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":"Experience of primary healthcare workers in using the mobile app-based WHO mhGAP intervention guide in detection and treatment of people with mental disorders: A qualitative study in Nepal","authors":"Nagendra P. Luitel ,&nbsp;Vibha Neupane ,&nbsp;Bishnu Lamichhane ,&nbsp;Gobinda Prasad Koirala ,&nbsp;Kamal Gautam ,&nbsp;Eliza Karki ,&nbsp;Sandarba Adhikari ,&nbsp;Nicole Votruba ,&nbsp;Mark JD. Jordans ,&nbsp;Brandon A. Kohrt ,&nbsp;Kenneth Carswell ,&nbsp;Graham Thornicroft ,&nbsp;Heidi Lempp","doi":"10.1016/j.ssmmh.2023.100278","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100278","url":null,"abstract":"<div><p>This study assessed perception and experience of trained primary health care workers in using a mobile app-based version of the WHO mental health gap action programme (mhGAP) Intervention Guide in the assessment and management of people with mental health conditions in primary care in Nepal. A qualitative study was conducted with primary healthcare workers who were trained in using the WHO mhGAP mobile application in Jhapa, a district in eastern Nepal. Semi-structured interviews were carried out with 15 healthcare workers (3 females and 12 males) nine months after the training. Interviews were audio recorded, transcribed and translated into English for the thematic qualitative data analysis. Health care workers (HCWs) found the mobile app helpful to verify and confirm their assessment and diagnosis. The other benefits reported by the participants were: bringing uniformity in diagnosis and management of mental health conditions across primary healthcare facilities; reminding the HCWs specific assessment questions; creating awareness on the importance of psychosocial intervention; improving the interaction between patients and service providers; and the importance of follow-up care. Despite these advantages, lack of clarity about report submission modality; lack of electricity or internet connectivity; and low technology literacy among older HCWs were some of the barriers in using the app. The major recommendation made by the HCWs for the guide included revision of the assessment process and system; inclusion of a chat function with supervisors; minimizing the amount of patients’ data to be collected in the app; and addition of conversion and anxiety disorders to the app. This study concludes that the mobile decision support application could be acceptable and feasible in primary care settings if the suggested modifications are incorporated, in addition to addressing other systemic issues facing the primary care-based delivery of mental health services.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100278"},"PeriodicalIF":0.0,"publicationDate":"2023-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000932/pdfft?md5=720d7ef6e277b2ff842889db61695ef7&pid=1-s2.0-S2666560323000932-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138501901","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":"Mental health in India: Sociocultural dimensions, policies and programs – An introduction to the India series","authors":"Venkatesan Chakrapani ,&nbsp;Shalini Bharat","doi":"10.1016/j.ssmmh.2023.100277","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100277","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100277"},"PeriodicalIF":0.0,"publicationDate":"2023-11-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000920/pdfft?md5=3f3cc0e33e3d1acfc0899e18ea45ad2a&pid=1-s2.0-S2666560323000920-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138474194","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":"(Men)tal health: Perceptions of depression in men and women","authors":"Nina Freiberger ,&nbsp;Teresa Lynch ,&nbsp;Glenna L. Read ,&nbsp;Alexandra M. Blouin","doi":"10.1016/j.ssmmh.2023.100275","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100275","url":null,"abstract":"<div><p>Despite evidence indicating that depression is prevalent in men, gender stereotypes persist that position the disorder as feminine. This misperception may contribute to men's underdiagnosis with and undertreatment for depression. We applied the shifting standards model (SSM) to advance predictions about gender differences in the evaluation of individuals described as experiencing depression. These predictions took the form of objective and subjective evaluations, as well as minimum and confirmatory standards. We randomly assigned participants (<em>N</em> = 430) in a 3 (target gender: man, woman, control) x 2 (judgment standards: minimum, confirmatory) between-subjects experiment. Participants read a vignette describing a woman, man, or individual of unspecified gender and provided the evidence they would need to suspect or confirm depression in the target individual consistent with minimum and confirmatory judgment standards. Results from the pilot and main studies indicate more gender similarities than differences. We discuss the findings with respect to the SSM and how the increase in mental health salience during the COVID-19 pandemic may have mitigated gender stereotypical views of depression.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100275"},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000907/pdfft?md5=36835aa9e972b8bf905fb705a239c4ed&pid=1-s2.0-S2666560323000907-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138472035","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":"Trauma, genes, or spirits? Development of a scale to provide a more nuanced understanding of refugees' causal attributions for mental health problems","authors":"Lars Dumke,&nbsp;Sarah Wilker,&nbsp;Hawkar Ibrahim,&nbsp;Cara Hohaus,&nbsp;Frank Neuner","doi":"10.1016/j.ssmmh.2023.100276","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100276","url":null,"abstract":"<div><p>Only a small proportion of refugees requiring treatment actually receive psychotherapy. Alongside structural barriers, it has been hypothesized that causal attributions for mental health problems that deviate from Western explanatory models may reduce refugees' help-seeking behavior. Prevailing assumptions suggest that refugees predominantly hold causal beliefs that are incompatible with the rationales of psychotherapy. Testing these assumptions requires a reliable assessment tool to evaluate refugees' causal beliefs. Therefore, we developed the Causal Attributions for Mental Health Problems Scale (MH-CAUSE) and validated it in a sample of Middle Eastern refugees living in Germany (<em>N</em> = 429). The outcomes of the psychometric analysis, which included exploratory and confirmatory factor analysis, internal consistency, and convergent validity, indicate that the MH-CAUSE is a suitable instrument for assessing refugees' causal beliefs about mental health problems. Our findings suggest that refugees' causal attributions are in line with a biopsychosocial-spiritual model of mental illness. Contrary to common assumptions, the majority of participants predominantly explained mental illness via psychosocial and biomedical causes, whereas spiritual beliefs were relevant only for a minority of participants. We observed significant associations between causal beliefs and help-seeking attitudes and behavior. However, effect sizes were only small to moderate. While mental health beliefs might contribute to mental health inequities, alleged cultural differences of refugees should not be overemphasized.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100276"},"PeriodicalIF":0.0,"publicationDate":"2023-11-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000919/pdfft?md5=6a52bc669b40b9f4d6d88b8be8325fdf&pid=1-s2.0-S2666560323000919-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138448052","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":"What does it mean to flourish, languish, and grow? A qualitative analysis of civilian interviews from survivors of the 1994 Rwandan genocide","authors":"Linn Zapffe ,&nbsp;Kaitlyn Hennig ,&nbsp;Nuwan Jayawickreme ,&nbsp;Eranda Jayawickreme","doi":"10.1016/j.ssmmh.2023.100274","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100274","url":null,"abstract":"<div><p>The current study investigated characteristics of resilience and posttraumatic growth in a sample of Rwandan genocide survivors. One hundred and sixty-three participants provided responses to a series of open-ended questions about resilient functioning among members of their community, as well as their own experiences of posttraumatic growth since the genocide. An overall theme in the responses was the role of environmental characteristics in both resilience and posttraumatic growth, which was apparent through the high frequency of codes such as family, means, work, and education. Furthermore, there was considerable overlap in identified domains of resilient functioning and posttraumatic growth. The results suggest that in this particular context, resilience is predominantly characterized by environmental features rather than individual characteristics. This has implications for interventions in Rwanda as well as the validity of current models and measures of resilience and posttraumatic growth in different cultures.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100274"},"PeriodicalIF":0.0,"publicationDate":"2023-11-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000890/pdfft?md5=c37d3de4852c9ae0b2a5313723172d4d&pid=1-s2.0-S2666560323000890-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138396626","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":"Accounting for the interplay of interpersonal and structural trauma in the treatment of chronic non-cancer pain, opioid use disorder, and mental health in urban safety-net primary care clinics.","authors":"Stacy Castellanos, Alexis Cooke, Sedona Koenders, Neena Joshi, Christine Miaskowski, Margot Kushel, Kelly Ray Knight","doi":"10.1016/j.ssmmh.2023.100243","DOIUrl":"10.1016/j.ssmmh.2023.100243","url":null,"abstract":"<p><p>While the epidemiological literature recognizes associations between chronic non-cancer pain (CNCP), opioid use disorder (OUD), and interpersonal trauma stemming from physical, emotional, sexual abuse or neglect, the complex etiologies and interplay between interpersonal and structural traumas in CNCP populations are underexamined. Research has documented the relationship between experiencing multiple adverse childhood experiences (ACEs) and the likelihood of developing an OUD as an adult. However, the ACEs framework is criticized for failing to name the social and structural contexts that shape ACE vulnerabilities in families. Social scientific theory and ethnographic methods offer useful approaches to explore how interpersonally- and structurally-produced traumas inform the experiences of co-occurring CNCP, substance use, and mental health. We report findings from a qualitative and ethnographic longitudinal cohort study of patients with CNCP (n = 48) who received care in safety-net settings and their primary care providers (n = 23). We conducted semi-structured interviews and clinical and home-based participant observation from 2018 to 2020. Here we focus our analyses on how patients and providers explained and situated the role of patient trauma in the larger clinical context of reductions in opioid prescribing to highlight the political landscape of the United States opioid overdose crisis and its impact on clinical interactions. Findings reveal the disproportionate burden structurally-produced, racialized trauma places on CNCP, substance use and mental health symptoms that shapes patients' embodied experiences of pain and substance use, as well as their emotional experiences with their providers. Experiences of trauma impacted clinical care trajectories, yet providers and patients expressed limited options for redress. We argue for an adaptation of trauma-informed care approaches that contextualize the structural determinants of trauma and their interplay with interpersonal experiences to improve clinical care outcomes.</p>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"1 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2023-11-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10923552/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"55068370","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":"A latent class analysis of young women’s co-occurring health risks in urban informal settlements in Durban, South Africa","authors":"Laura J. Brown ,&nbsp;Tarylee Reddy ,&nbsp;Jenevieve Mannell ,&nbsp;Rochelle Burgess ,&nbsp;Nwabisa Shai ,&nbsp;Laura Washington ,&nbsp;Rachel Jewkes ,&nbsp;Andrew Gibbs","doi":"10.1016/j.ssmmh.2023.100273","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100273","url":null,"abstract":"<div><p>In South Africa, substance use, violence, and HIV risk disproportionately affect young poor Black women. Few studies have explicitly measured the co-occurrence of these health risks or the impact on mental health and wellbeing for this population. To this aim, we use a person-centred approach to explore the clustering of health risks among young Black women from urban informal settlements in Durban, South Africa, enrolled in an intervention trial. Latent class analysis identified three health risk subgroups with increasing levels of health risk co-occurrence: while all three subgroups had high rates of emotional/economic intimate partner violence, they differed in their levels of the other health risks, with one (“lower-risk”) subgroup defined by experiencing violence against women (VAW), another by the co-occurrence of VAW with problematic alcohol use (i.e. “mid-risk”), and the last (“high-risk”) subgroup by the co-occurrence of VAW, problematic alcohol use and sexual risk behaviour. Descriptive analyses showed that lower education and food insecurity were associated with greater health risk co-occurrence and that this in turn was associated with increased chances of depression and suicidal ideation. Between subgroup differences persisted over time - after two years, the chances of experiencing violence, problematic alcohol use, transactional sex and depression remained elevated for the women who initially experienced more health risks. Persistent yet differing levels of risk suggest the need for urgent structural interventions that address these health risks synergistically while taking account of individual differing primary and secondary prevention needs. Our analyses highlight that social epidemics such as poverty, racism and gender inequality play into the production of poor health outcomes, including poor mental health. These are the underlying structural issues that need to be addressed in order to protect women’s health and reduce harm.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100273"},"PeriodicalIF":0.0,"publicationDate":"2023-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000889/pdfft?md5=6c18cc533ee7451c51b440b2fd21b8ce&pid=1-s2.0-S2666560323000889-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92016186","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":"How do North Korean refugees in South Korea utilize social support to cope with acculturative stress?","authors":"Soim Park ,&nbsp;Jennifer A. Wenzel ,&nbsp;Pamela J. Surkan","doi":"10.1016/j.ssmmh.2023.100272","DOIUrl":"https://doi.org/10.1016/j.ssmmh.2023.100272","url":null,"abstract":"<div><p>Geographic resettlement induces acculturative stress in refugees. In response, they utilize social support to deal with acculturative stress and to adapt to the host community. In this study we sought to understand how North Korean refugees (NKRs) utilize social support to reduce acculturative stress. We conducted semi-structured interviews with 30 NKRs in South Korea and 20 South Koreans (SKs) who were friends or acquaintances of NKRs. Purposive and snowballing sampling strategies were used to recruit participants at two sites. Following a Grounded Theory approach, we analyzed the data using initial coding, focused coding, and constant comparison. We found that NKR participants coped with loneliness by exchanging emotional support with other NKRs who share their lived experiences and by building solidarity with them. NKRs described expanding their social networks to include SKs in order to assimilate into their communities. Many SKs tried to develop family-like relationships with NKRs. While SKs were important resources for informational or instrumental support early on, their roles were sometimes replaced by other NKRs as social ties among NKRs were strengthened. All NKRs who reported that they strategically approached SKs to learn about South Korean culture had held full-time jobs and appeared to be better adjusted to South Korea. Appraisal support was the least reported type of social support, but some NKRs tried to deal with social discrimination through positive appraisal. To reduce acculturative stress, NKRs sought varied types of social support from different kinds of social network members. Findings highlight the need to diversify and strengthen social support for NKRs, thereby fostering coping strategies and reducing acculturative stress.</p></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"4 ","pages":"Article 100272"},"PeriodicalIF":0.0,"publicationDate":"2023-10-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2666560323000877/pdfft?md5=b98ca9386a1010f536c51bc920bd2db5&pid=1-s2.0-S2666560323000877-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"92016187","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}