SSM. Mental health最新文献

{"title":"“It felt like a weight was being taken off of my shoulders”: findings from an intervention to support migrant adolescents and young people in KwaZulu-Natal, South Africa","authors":"Nondumiso Dlamini ,&nbsp;Siphesihle Hlongwane ,&nbsp;Carina Herbst ,&nbsp;Maryam Shahmanesh ,&nbsp;Nothando Ngwenya ,&nbsp;Sarah Bernays ,&nbsp;Janet Seeley","doi":"10.1016/j.ssmmh.2025.100449","DOIUrl":"10.1016/j.ssmmh.2025.100449","url":null,"abstract":"<div><div>In South Africa, many young people relocate from rural to urban areas for education, attending day schools while residing in rented accommodation. Migration exposes them to risk, including alcohol and drug abuse, sexual exploitation and violence. We developed and assessed a support system for young migrants, aged 14-24 in KwaZulu-Natal, South Africa. Five trained peer navigators conducted needs assessments for 283 young internal migrants between June 2021 and October 2022. The intervention included mobile phone support and streamlined referrals through a call centre, connecting young migrants to a study social worker, local healthcare facilities, and peer assistance. To assess the intervention, we conducted repeat in-depth interviews with 20 participants and 5 interviews with peer navigators, in-person and by telephone. Most young migrants rented rooms in unsafe areas to be near their schools, which presented physical, psychological, and mental challenges during the transition from living with parents/carers. The young migrants valued the intervention, including access to sexually transmitted infection treatment, psychosocial support from the social worker, and assistance from peer navigators in tackling general challenges. They appreciated that the peers provided a confidential space to engage and share openly with little fear of being judged. Our findings show that protection for young migrants can be provided through supportive structures such as peer-led interventions.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100449"},"PeriodicalIF":4.1,"publicationDate":"2025-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888013","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":"Qualitative evaluation of the multilevel influences on mental health and barriers and facilitators to care among Mozambican adolescents with HIV","authors":"Kathryn L. Lovero ,&nbsp;Yanisa Yusuf ,&nbsp;Joana Falcão ,&nbsp;Allison Zerbe ,&nbsp;Eduarda Pimentel de Gusmão ,&nbsp;Thais Ferreira ,&nbsp;Claude A. Mellins ,&nbsp;Elaine J. Abrams","doi":"10.1016/j.ssmmh.2025.100447","DOIUrl":"10.1016/j.ssmmh.2025.100447","url":null,"abstract":"<div><div>Mental health problems among adolescents with HIV (AWH) serve as a significant barrier to achieving optimal HIV health outcomes, but the mental health treatment gap for AWH remains large, particularly in the highest HIV-burden settings. We examined perceptions of mental health problems, influences on mental health, and barriers and facilitators to mental health care for AWH in Mozambique, a lower-resource, high HIV-burden context.</div><div>We conducted focus groups with AWH (N = 7) and caregivers (N = 5) and key informant interviews with mental health and primary care providers (N = 9) and mental health and HIV policymakers (N = 5). Semi-structured guides were based on a tailored Socioecological Model. We analyzed data by the best fit framework approach.</div><div>Participants highlighted depression and anxiety as priority mental health problems. Both positive and negative influences on AWH mental health were found at the community-, family-, and individual-levels. Barriers to care included the low policy-level priority of mental health, limited accessibility and resources of clinics, and low mental health awareness. Facilitators included the increased awareness of association between mental health and HIV-related outcomes, mental health care integrated with HIV services and in community settings, and providers with attentive and empathic disposition.</div><div>Findings suggest that multilevel interventions focusing on both risk and resilience factors may be most effective at improving AWH mental health. Moreover, alternative intervention delivery methods should be considered, including community-based services and peer providers. Along with informing Mozambican policy and programming, these findings may be applicable in other high HIV-burden settings to promote AWH mental health and HIV outcomes.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100447"},"PeriodicalIF":4.1,"publicationDate":"2025-04-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143888016","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":"Characterizing risk and protective factors for Alzheimer's disease and related dementias in American Samoa","authors":"Danielle Eakins ,&nbsp;Jessica Williams-Nguyen ,&nbsp;Nancy Schoenberg ,&nbsp;Va'atausili Tofaeono","doi":"10.1016/j.ssmmh.2025.100446","DOIUrl":"10.1016/j.ssmmh.2025.100446","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100446"},"PeriodicalIF":4.1,"publicationDate":"2025-04-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143852319","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 participation in mental health protective behaviours and mental well-being: cross sectional survey among Western Australian adults","authors":"Christina Mary Pollard ,&nbsp;Rosa Alati ,&nbsp;David Lawrence ,&nbsp;Meg Clary ,&nbsp;Andrew Walton ,&nbsp;Jennifer Dunne ,&nbsp;Sharyn Burns ,&nbsp;Lynne Millar","doi":"10.1016/j.ssmmh.2025.100441","DOIUrl":"10.1016/j.ssmmh.2025.100441","url":null,"abstract":"<div><h3>Background</h3><div>Protecting mental health is a public health priority. Social marketing campaigns can encourage uptake of healthful behaviours. The Act Belong Commit® mental health promotion campaign encourages participation in mentally protective behaviours.</div></div><div><h3>Objective</h3><div>To examine the relationship between mentally protective behaviours and mental well-being among West Australian adults exposed to the Act Belong Commit<em>®</em> campaign.</div></div><div><h3>Methods</h3><div>Cross-sectional telephone interviews conducted in Western Australia September–October 2020 with 603 adults aged 18+ years. Campaign awareness and participation in 15 behaviours that contribute to social connectedness and meaningfulness were measured. Mental health outcomes were the Warwick Edinburgh Mental Well-being Scale (WEMWBS) and Kessler 6 (K6).</div></div><div><h3>Results</h3><div>Mean WEMWBS score was 52.6 (SD 8.9), 93 % reported no psychological distress (K6), and 86 % were aware of the campaign. People who chatted with others 1–6 times/week had WEMWBS score increased by 5.8 compared with those who did so less than weekly, while those who chatted daily had WEMWBS score increased by 10.0 points. Spending time in nature 1–6 times/week had 2.99 increased WEMWBS score, while daily had 5.08 higher score than less than weekly. WEMWBS score increased with meetups with friends, visiting family, physical activity, spirituality practice, thinking/concentrating activity, helping someone and large religious influence. Age and saving ability independently predicted well-being.</div></div><div><h3>Conclusions</h3><div>Participation in mental health protective behaviours were associated with higher mental well-being. These behaviours will be further promoted to increase the success of the Act Belong Commit®⁾ campaign. This study shows that the promotion of low-cost, evidence-based protective behaviours is important for population mental well-being.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100441"},"PeriodicalIF":4.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143878558","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":"Social prescribing for Not in Employment, Education or Training (NEET) young people: A realist evaluation of the C.O.P.E. project in Italy and Portugal","authors":"Marcello Bertotti ,&nbsp;Isabel Farina ,&nbsp;Maria J. Marques ,&nbsp;Regina Alves ,&nbsp;Sonia Dias ,&nbsp;Sara Paternoster ,&nbsp;Anita Paza ,&nbsp;Emanuele Torri","doi":"10.1016/j.ssmmh.2025.100440","DOIUrl":"10.1016/j.ssmmh.2025.100440","url":null,"abstract":"<div><div>NEET (Not in Employment, Education, or Training) status is associated with psychological distress and suicidality. Social prescribing may offer a policy solution to this. To test this proposition, this study evaluates the mental health outcomes of a social prescribing intervention—C.O.P.E. (Capabilities, Opportunities, Places, and Engagement) project—on young people in a NEET situation in Italy and Portugal. Adopting a realist evaluation approach, this study explores how context and mechanisms interact to generate outcomes. A realist synthesis of NEET interventions and co-production with stakeholders helped to create a programme theory which was tested through a mixed-methods study, combining quantitative cohort data from 416 young people with qualitative interviews with 30 young people, 13 link workers, and 9 team members. The findings indicate significant improvements in mental wellbeing and reductions in psychological distress, particularly among those with clinical mental health issues. Qualitative insights emphasise the importance of trust between link workers and young people, highlighting flexibility, emotional support, and a holistic approach as key factors in fostering engagement. This led to the creation of three programme theories. One of these focuses on young people and is discussed in this article. The study concludes that despite some challenges related to sustainability, training and long-term impact, social prescribing can be an effective tool for supporting youth in a <span>NEET</span> situation, particularly those suffering clinical mental health issues. This paper contributes to the growing evidence supporting social prescribing as an approach to enhance mental health and social inclusion for youth in vulnerable situations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100440"},"PeriodicalIF":4.1,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859126","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":"Individual and parental housing tenure and mental healthcare use among Finnish men and women in early mid-adulthood","authors":"Joan Damiens ,&nbsp;Liina Junna ,&nbsp;Lasse Tarkiainen ,&nbsp;Pekka Martikainen","doi":"10.1016/j.ssmmh.2025.100444","DOIUrl":"10.1016/j.ssmmh.2025.100444","url":null,"abstract":"<div><div>Homeownership is a valuable status associated with better mental health outcomes than being a tenant. However, research has yet to investigate the role of duration and past experiences of homeownership, particularly in a context where homeownership is getting harder to achieve, especially for younger working-age adults. We estimate how individual and parental housing tenure is associated with mental healthcare use based on random-effect logit models using Finnish National Registers for residents born in 1972–1975. Mental healthcare use is measured through medication purchases and hospital visits for mental health reasons at ages 35 to 41. Parental housing tenure is observed at age 15, and individual housing tenure is measured annually from age 35 to 41. Analyses also address previous mental healthcare use (observed at age 20 to 35) and various health-related, demographic and socioeconomic covariates that are either time-varying (observed at ages 35–41) or time-constant (age 35). Results show that individual homeownership is associated with lower mental healthcare use independently of other socioeconomic factors (education, income and occupational status), even for individuals without previous mental healthcare use. Results stratified by parental housing tenure show that those who grew up as homeowners –– who might value homeownership more than those who grew up as tenants –– and those with separated or lone parents –– who might be more socioeconomically deprived and benefit more from family wealth in the future –– profited most from homeownership. The role of homeownership duration is minimal compared to the gap between owners and tenants. Parental homeownership is also associated with less mental healthcare use in the early mid-adulthood net of individual social characteristics. The results highlight the role of past and present homeownership histories and intergenerational continuities as a central mental health determinant that is independent of other socioeconomic and demographic factors.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100444"},"PeriodicalIF":4.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143859127","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 acceptability of the Good Spirit, Good Life framework for remote-living Aboriginal and Torres Strait Islander peoples","authors":"Lianne Gilchrist ,&nbsp;Leon Flicker ,&nbsp;Dawn Bessarab ,&nbsp;Roslyn Malay ,&nbsp;Laurie Yambo ,&nbsp;Betty Sagigi ,&nbsp;Chenoa Wapau ,&nbsp;Sarah Russell ,&nbsp;Rachel Quigley ,&nbsp;Caleb Rivers ,&nbsp;Zoë Hyde ,&nbsp;Esther Chaney ,&nbsp;Eddy Strivens ,&nbsp;Christianne White ,&nbsp;Kate Smith","doi":"10.1016/j.ssmmh.2025.100443","DOIUrl":"10.1016/j.ssmmh.2025.100443","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100443"},"PeriodicalIF":4.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843444","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":"Civic engagement during crisis: Does volunteering buffer the impact of trauma on worsening physical and mental health?","authors":"Sharon Stein Merkin,&nbsp;Liat Orenstein","doi":"10.1016/j.ssmmh.2025.100445","DOIUrl":"10.1016/j.ssmmh.2025.100445","url":null,"abstract":"<div><h3>Introduction</h3><div>Experiences of trauma impact mental and physical health; civic engagement, including volunteering, may alleviate trauma-related health consequences.</div></div><div><h3>Research objective</h3><div>Examine the association between war-related trauma and worsening health outcomes, and how volunteering may buffer the harmful health effects of trauma.</div></div><div><h3>Methods</h3><div>We administered a population-based survey of Israelis ages 18+, with a total sample of n = 1129. Trauma exposure was assessed since the war onset (October 7, 2023) and included direct (witnessed/experienced) and indirect (experienced by family/close friend) violent trauma, displacement (experienced), and seeking sheltering frequently from rocket attacks (experienced). Data on volunteering type and intensity was collected; health outcomes included self-reported worse physical health, mental health, sleep and initiating ≥3 negative health behaviors since October 7th.</div></div><div><h3>Results</h3><div>Multivariable results showed robust associations between indirect violent trauma, displacement and worsening health outcomes and some association between direct violent trauma and worse sleep and behaviors, after adjustment for co-occurring trauma exposure, sociodemographic factors, social wellbeing and volunteering. The association between displacement and worse mental health was limited to non-volunteers. We also found indication of health risk associated with engaging in ≥3 volunteering activities.</div></div><div><h3>Conclusions</h3><div>Results show physical and mental health effects of exposure to war-related trauma and suggest that volunteering may prevent worsening mental health but may contribute to worsening physical health. Research is needed to determine the longer-term effects of volunteering post-trauma. Focusing on a social intervention, civic engagement, to mitigate pathological processes related to traumatic stress may lead to innovative ways to promote wellbeing in times of crisis.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100445"},"PeriodicalIF":4.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143881726","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":"Creating zines about Alzheimer's disease and related dementias for American Indian and Alaska Native youth caregivers","authors":"Nathania Tsosie ,&nbsp;Tassy Parker ,&nbsp;Kandyce Garcia ,&nbsp;Krista Schaefer ,&nbsp;Denise A. Dillard ,&nbsp;Erin Poole ,&nbsp;Spero M. Manson","doi":"10.1016/j.ssmmh.2025.100434","DOIUrl":"10.1016/j.ssmmh.2025.100434","url":null,"abstract":"<div><h3>Background</h3><div>In many American Indian and Alaska Native (AIAN) communities, family members care for elders with memory issues. AIAN youth are a unique and important caregiving group who may lack basic caregiving skills, as well as developmentally and culturally appropriate support and resources.</div></div><div><h3>Methods</h3><div>Grounded in community-based participatory research (CBPR), AIAN youth (n = 8) participated in talking circles to discuss their experiences caring for someone who has memory loss. They shared stories and reflected on their understanding of Alzheimer's disease and dementia. Youth were invited to participate in two 1-h trainings on storytelling and zine-making and then invited to create a zine.</div></div><div><h3>Results</h3><div>The youth described changes in a person's ability to take care of themselves or changes in typical activities as the first signs of memory loss. Youth shared how they helped provide care. Zines created by 3 youth depicted aunties and grandmothers with dementia and the importance of self-care as a young caregiver.</div></div><div><h3>Conclusion</h3><div>AIAN youth are an important caregiving group. Zines provide youth caregivers a platform to share their stories with other youth in their own way. Zines can be easily shared to support other youth ADRD caregivers who may struggle with the emotions of long-term caregiving for a family member.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100434"},"PeriodicalIF":4.1,"publicationDate":"2025-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144271503","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":"Understanding adolescent perinatal wellbeing in rural parts of Kenya: A qualitative study","authors":"Evaline Lang'at ,&nbsp;Marleen Temmerman ,&nbsp;Margrette Hanselmann ,&nbsp;Kethakie Lamahewa ,&nbsp;Violet Naanyu ,&nbsp;Mellan Lilumbi ,&nbsp;Tatiana Taylor Salisbury","doi":"10.1016/j.ssmmh.2025.100437","DOIUrl":"10.1016/j.ssmmh.2025.100437","url":null,"abstract":"<div><h3>Introduction</h3><div>Despite global efforts to reduce adolescent birth rates, the problem persists in low- and middle-income countries. Sub-Saharan Africa has the highest rates (97.9 births per 1000 women). In Kenya, more than 15 % of adolescent girls become pregnant. Forty-three percent of these develop depression. This study investigated adolescent pregnancy in rural Kenya to understand the challenges and context-specific factors that can help adolescents maintain good mental health during pregnancy and the motherhood.</div></div><div><h3>Methods</h3><div>An exploratory qualitative study was conducted in Kilifi County between October and November 2021. A total of 73 participants consented to participate in the study. Twenty adolescents took part in in-depth interviews (IDIs). Young women (12) with experience of adolescent pregnancies, partners (5), family members (24), and community influencers (12) participated in separate focus group discussions (FGDs). IDIs and FGDs were conducted in Swahili to understand experiences, challenges and opportunities for supporting mental health during the perinatal period. Data were translated and transcribed then analyzed thematically.</div></div><div><h3>Results</h3><div>Five themes emerged from the study: pregnancy as an isolating event, challenges accessing antenatal care, limited future potential, mental health impact of adolescent pregnancy, and protective factors for sustaining good mental health. Adolescents expressed mixed feelings about their pregnancies but shared common worries, including difficulties accessing skilled antenatal care, strained family relationships, and uncertainty about their future, particularly regarding education and employment. These challenges were exacerbated by a lack of support, cultural norms, and a desire to avoid shame. Protective factors for maintaining good mental health included self-encouragement, acceptance, and supportive relationships.</div></div><div><h3>Conclusion</h3><div>Pregnant adolescents face significant challenges that affect their ability to cope with pregnancy and parenthood. To promote their mental health, they need strong social support from partners, family, teachers, and healthcare workers, as well as access to life skills, education, social welfare, and employment systems.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100437"},"PeriodicalIF":4.1,"publicationDate":"2025-04-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143843445","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}