SSM. Mental health最新文献

{"title":"Understanding wellbeing from the perspectives of First Nations Australian youth: Findings from a national qualitative study","authors":"Kate Anderson ,&nbsp;Darren Garvey ,&nbsp;Kirsten Howard ,&nbsp;Tamara Butler ,&nbsp;Michelle Dickson ,&nbsp;Joan Cunningham ,&nbsp;Roxanne Bainbridge ,&nbsp;Gail Garvey","doi":"10.1016/j.ssmmh.2025.100423","DOIUrl":"10.1016/j.ssmmh.2025.100423","url":null,"abstract":"<div><div>Measures of wellbeing are increasingly used to inform critical decision making to support young people across a range of areas, including health, education, and programs and services that support them. Wellbeing is a culturally bound construct; therefore, robust wellbeing measures must ask about topics that are culturally relevant to and valued by the population of interest. Despite this, little attention has been directed at understanding the components of wellbeing relevant to, and valued by, First Nations youth. This project aims to redress this gap through a large national study conducted to gather the views of First Nations youth (aged 12–17 years) about what supports their wellbeing. First Nations youth were recruited in collaboration with partner organisations between May 2021 and September 2022 to participate in a PhotoYarning study (a combination of Photovoice and Yarning methodologies). Participants were given digital cameras, asked to take photos relevant to their wellbeing and then joined Yarning Circles to share and discuss the photos and their wellbeing. Yarning Circles were analysed using a strength based lens within a Collaborative Yarning approach. A total of 172 youth participated in one of 17 Yarning Circles sharing over 550 photographs. Analysis revealed an interconnected set of six themes foundational to their wellbeing, including: <em>having a sense of belonging; feeling connected with others; receiving care and self-care; doing activities you enjoy; working towards goals and achievements;</em> and <em>having access to safe spaces</em>. These findings provide a substantial foundation for building an understanding of wellbeing for First Nations youth, which can then form the basis of robust wellbeing measures, interventions, and programs to more effectively meet their wellbeing needs.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100423"},"PeriodicalIF":4.1,"publicationDate":"2025-03-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143600773","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":"Efficacy of United States' federally-funded interventions in increasing school capacities to improve student mental health and education outcomes in Tennessee","authors":"Carolyn J. Heinrich ,&nbsp;Mason Shero ,&nbsp;Carrie E. Fry","doi":"10.1016/j.ssmmh.2025.100421","DOIUrl":"10.1016/j.ssmmh.2025.100421","url":null,"abstract":"<div><div>About two in five children and adolescents will meet the criteria for a mental disorder by age 18, and more than half of youth who are accessing mental health services receive them in an educational setting. Yet there is limited evidence on the effectiveness of school-based interventions on children’s mental health and education outcomes. We examine the effectiveness of two key United States' federally-funded interventions for expanding school-based capacities to improve children’s health and education outcomes—School-Based Health Centers (SBHCs) and Advancing Wellness and Resiliency in Education (AWARE) grants—in a mixed method, longitudinal study of low-income, Tennessee children.</div><div>We linked health insurance claims data for children enrolled in Tennessee’s Medicaid program with administrative education records for students attending Tennessee public schools between 2006 and 2019. We also implemented a census of Tennessee school districts to determine which had SBHCs and AWARE grants and their start years, and we conducted semi-structured interviews with each treated district to assess their infrastructure, programs, staffing, partnerships, health services offered, and more. We estimated effects of SBHCs and AWARE grants on school-level rates of mental health conditions, behavioral health conditions, preventive health care visits, absences, chronic absences, and disciplinary incidents using a staggered adoption, difference-in-differences (DiD) approach.</div><div>We found a statistically significant reduction in diagnosed mental health conditions among treated schools of 6 percent relative to their baseline prevalence, which our qualitative findings suggest might be related to increased health staffing in schools, earlier detection of mental health needs, and greater use of prevention strategies. We saw larger effects in some school districts with more extensive mental health infrastructure. We did not satisfy model assumptions for estimating causal effects on preventive health care visits, absences, chronic absences, and disciplinary incidents, although associations were in the expected direction.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100421"},"PeriodicalIF":4.1,"publicationDate":"2025-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143592287","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":"The impact of creative arts-based interventions for mental health in conflict-affected contexts: A systematic narrative review","authors":"Eric Frasco ,&nbsp;Lorraine Sherr ,&nbsp;María Cecilia Dedios Sanguineti ,&nbsp;Norha Vera San Juan ,&nbsp;Rochelle Burgess","doi":"10.1016/j.ssmmh.2025.100419","DOIUrl":"10.1016/j.ssmmh.2025.100419","url":null,"abstract":"<div><div>In conflict-affected contexts, mental health interventions utilising creative arts methods are increasingly common. However, there is limited information on the effectiveness of these interventions. Building towards an evidence-base, this systematic narrative review applies a realist lens to explore where, for whom, and how arts-based interventions impact mental health in conflict-affected contexts. Academic studies were retrieved from 4 databases: 1) Web of Science, 2) OVID PsycInfo, 3) OVID Global Health, and 4) SCOPUS. 24 papers were included after screening and quality appraisal. Following extraction, studies were categorised according to impact. This was conceptualised as the author-stated results of the study in relation to the study aims and outcomes. Results showed that 20/24 (83.33%) studies had a positive impact on participant mental health. This suggests that arts-based interventions (ABIs), generally, <em>can be</em> effective in a wide range of contexts. However, the results of the review were limited by the range in context, population, methodology, and evaluation methods of each study. Given this variation, there were few conclusive results as to <em>why</em> certain interventions were effective or not, particularly due to a lack of attention to mechanisms of change within interventions. However, limited evidence suggests that Participatory Action Research (PAR) or otherwise high levels of participation from affected populations in intervention development, implementation, and evaluation may improve study outcomes. Evidence also weakly suggests that structured school-based interventions utilising resilience frameworks or structured dance-movement and music therapies may be more impactful. However, results are inconclusive and heavily influenced by gender, age, contexts of ongoing conflict or distress, and exposure to trauma. Accordingly, we recommend further research build from this review, focusing more narrowly on specific intervention typologies or theoretical approaches. Relatedly, we recommend realist, process, or formative evaluation designs be used within all future studies, regardless of methodology, to better understand mechanisms of change.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100419"},"PeriodicalIF":4.1,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643455","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":"Longitudinal internalizing psychopathology structure in a diverse community sample of Los Angeles adolescents from 9th to 12th grade","authors":"Katherine M. Keyes ,&nbsp;Megan C. Finsaas ,&nbsp;Catherine A. Gimbrone ,&nbsp;Nora C. Kelsall ,&nbsp;Ahuva L. Jacobowitz ,&nbsp;Adam M. Leventhal ,&nbsp;Andrew G. Rundle","doi":"10.1016/j.ssmmh.2025.100418","DOIUrl":"10.1016/j.ssmmh.2025.100418","url":null,"abstract":"<div><h3>Purpose</h3><div>Manifestations of internalizing symptoms vary developmentally, particularly during adolescence, but most taxonomies, including modern structural models of psychopathology, do not adequately account for this. Understanding variation in the structure and components of internalizing psychopathology may improve diagnosis.</div></div><div><h3>Methods</h3><div>Self-reported internalizing symptom data were collected from a diverse sample of LA-county adolescents (N = 3368) during each of the four years of high school (grades 9–12). DSM-based symptoms of generalized anxiety, major depression, social phobia, specific phobia, and obsessive-compulsive problems were assessed. Covariance symptom structures were modeled at the four waves using exploratory and confirmatory factor analysis.</div></div><div><h3>Results</h3><div>Based on model fit, parsimony, and meaningfulness, a five-factor model with one factor for each of the DSM-defined internalizing disorders was selected at freshman year (CFI = 0.94), a two-factor fear-and-distress model at sophomore year (CFI = 0.91), and a one-factor model at both junior (CFI = 0.91) and senior years (CFI = 0.92). In freshman year, the nature of the structure is aligned with DSM conceptions of internalizing problems, in sophomore year, the nature of the structure is aligned with fear-distress conceptualizations of internalizing problems as compared to anxiety-depression, and in junior and senior year, the nature of the structure was aligned with a single internalizing dimension.</div></div><div><h3>Conclusion</h3><div>Findings suggest that internalizing problems become increasingly unidimensional across high school. Findings may indicate changes in symptom presentation; accounting for these changes may improve the identification and treatment of internalizing problems among adolescents.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100418"},"PeriodicalIF":4.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143579538","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":"Developing a best-practice guide to support care for Aboriginal and Torres Strait Islander peoples living with cognitive impairment and dementia: Prioritising inclusivity, consensus-building and cultural values","authors":"Jo-anne Hughson ,&nbsp;Mary Belfrage ,&nbsp;Harold Douglas ,&nbsp;Dawn Bessarab ,&nbsp;Venessa Curnow ,&nbsp;Roslyn Malay ,&nbsp;Dallas McKeown ,&nbsp;Robyn Smith ,&nbsp;Dina LoGiudice","doi":"10.1016/j.ssmmh.2025.100420","DOIUrl":"10.1016/j.ssmmh.2025.100420","url":null,"abstract":"<div><h3>Objectives</h3><div>Dementia is a global health issue. Although best-practice guidelines for detection and management of dementia exist for primary care, there is a pressing need for culturally appropriate resources to support care for Aboriginal and Torres Strait Islander people living with cognitive impairment and dementia.</div></div><div><h3>Methods</h3><div>A best-practice guide (BPG) for cognitive and dementia care for Aboriginal and Torres Strait Islander people attending primary care was developed incorporating evidence-based clinical care recommendations and cultural dimensions. Adopting research approaches characterised by inclusivity and collaboration, guide development included: (i) a planning phase with stakeholders; (ii) literature review; (iii) a draft development phase; (iv) a modified Delphi (e-Delphi) process; (v) in-depth cultural review by the project's Indigenous Reference Group and health service staff; (vi) and final clinical review.</div></div><div><h3>Results</h3><div>Stakeholders wanted a BPG that was: comprehensive, easy to follow and practical; incorporated cultural considerations and; took account of the ongoing effects of colonisation. A two-part e-Delphi process, completed by 39 and 31 purposively selected participants respectively, reached consensus on: guide aims; cultural principles for inclusion; detection processes; future planning; referral to specialist cognition and palliative care services. Cultural review resulted in further integration of cultural principles and recommended development of additional resources. Further minor modifications were made during the final clinical review for peak body endorsement.</div></div><div><h3>Discussion</h3><div>A rigorous development and review process has resulted in a culturally adapted resource health professionals can use to guide care with Aboriginal and Torres Strait Islander patients at risk of or experiencing cognitive impairment or dementia.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100420"},"PeriodicalIF":4.1,"publicationDate":"2025-03-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143643369","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":"Validation of the trait emotional intelligence questionnaire – Adolescent short form (TEIQue-ASF) among adolescents in Vietnam","authors":"Quynh-Anh N. Nguyen ,&nbsp;Thach Tran ,&nbsp;Tu-Anh Tran ,&nbsp;Tuan-Vinh Nguyen ,&nbsp;Jane Fisher","doi":"10.1016/j.ssmmh.2025.100413","DOIUrl":"10.1016/j.ssmmh.2025.100413","url":null,"abstract":"<div><div>Emotional Intelligence (EI) is the knowledge, beliefs, and attitudes an individual has about their own and other people's emotions. EI is considered a protector against mental illness and potentially increases mental health. Petrides' Trait Emotional Intelligence Questionnaire (TEIQue) is validated among adults globally. However, there is little data yet about its use among Asian countries. This study aims to translate and culturally verify the Trait Emotional Intelligence Adolescent Short Form (TEIQue-ASF) and investigate content validity, construct validity, and reliability targeting answering the research question of whether TEIQue-ASF can be used to measure EI among Vietnamese high school adolescents. The content of the TEIQue-ASF was translated (English to Vietnamese) and back-translated (Vietnamese to English) in consultation with bilingual and bicultural health researchers and pilot-tested among 51 potential respondents. Phraseology and wording were then adjusted, and the final version is named the TEIQue-ASF-VN. The TEIQue-ASF-VN's properties were investigated in a cross-sectional self-report survey among high school students in Central Vietnam. In total, 1593/1686 (94.5%) eligible students (age range 15–18) from nine high schools in rural, urban, and coastline areas completed the survey. Explanatory Factor Analysis (EFA) with Oblimin rotation yielded a four-factor solution with all factor loadings above .30. Some facets loaded differently than the original version. The differences in cultural values between Vietnam and Western countries might lead to this partial duplication. Cronbach's alpha of the global score for the TEIQue-ASF-VN was .77. The TEIQue-ASF Vietnamese version is understandable, has good content, and constructs validity and reliability among adolescents in Vietnam. This study contributes to the broader understanding of the applicability and reliability of EI measures across diverse cultural settings. It recommends using the TEIQue-ASF Vietnamese version in schools or communities and studying education, psychology, and public health to investigate trait EI in Vietnam.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100413"},"PeriodicalIF":4.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143479670","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":"Nurturing transformative participation: A participatory realist review of mental health interventions in low resource settings","authors":"Rochelle A. Burgess ,&nbsp;Hannah Maria Jennings ,&nbsp;Kaaren Mathias ,&nbsp;Farirai Gumbonzvanda ,&nbsp;Nyaradzayi Gumbonzvanda ,&nbsp;Garima Gupta ,&nbsp;Cheyann Heap ,&nbsp;Sumeet Jain ,&nbsp;Pashupati Mahat ,&nbsp;Rakchhya Maharjan ,&nbsp;Sujen Man Maharjan ,&nbsp;Pooja Pillai ,&nbsp;Martin Webber ,&nbsp;Jerome Wright ,&nbsp;Bidya Maharjan","doi":"10.1016/j.ssmmh.2025.100416","DOIUrl":"10.1016/j.ssmmh.2025.100416","url":null,"abstract":"<div><h3>Purpose</h3><div>The importance of involving people with lived experiences of mental health difficulties and the communities they inhabit, in interventions for them is now widely recognised. However, there is a lack of scrutiny around the theory and practice of how - and to what extent - participation occurs in global mental health interventions. The aim of this review was to examine existing literature and consult with community groups in low and middle income settings in order to understand how, for whom and under what conditions participatory approaches work to lead to positive outcomes for mental health.</div></div><div><h3>Methods</h3><div>Informed by a realist approach, we developed a new methodology combining a realist literature synthesis with the experiences of everyday citizens and service users from communities within low and middle income countries. Across a ten-step process we systematically reviewed literature and iteratively conducted focus group discussions, to inform the development of mid-range theories and a programme theory of participation that was reviewed and approved by community members in our LMIC sites.</div></div><div><h3>Results</h3><div>Participation in global mental health varies widely across contexts and programmes. We developed a programme theory based on seven principles, to understand how and under what circumstances participation can be meaningful, transformative and lead to improved mental health. The principles were: 1. Interventions and programmes should be built on strong relationships with communities in their localities; 2. Long term engagement in a locality means that services are more responsive; 3. A trusting, supportive and collaborative therapeutic relationship is critical when responding to mental health needs; 4. it is important to integrate existing beliefs, metaphors and traditions into understandings about mental health; 5. Groups and peer support can be important sources of social support leading to changes at individual and group levels; 6. Providing mental health support in spaces which are physically and emotionally safe helps marginalised groups to participate; and 7. Facilitating opportunities for participation and collective action strengthens mental health and social wellbeing.</div></div><div><h3>Conclusions</h3><div>Bringing together theory and practice, this realist review underscores the importance of meaningful participation in global mental health. Through this work we develop a programme theory, identifying seven key principles important to facilitating transformative participation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100416"},"PeriodicalIF":4.1,"publicationDate":"2025-02-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143529375","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":"Evolving experiences of HIV stigma and their impact on well-being: A serial cross-sectional study of people living with HIV in Hong Kong from 2012 to 2022","authors":"Randolph C.H. Chan ,&nbsp;Fei Nga Hung ,&nbsp;Winnie W.S. Mak","doi":"10.1016/j.ssmmh.2025.100415","DOIUrl":"10.1016/j.ssmmh.2025.100415","url":null,"abstract":"<div><div>The Undetectable = Untransmittable campaign has transformed HIV prevention over the past decade, potentially reshaping societal perceptions of people living with HIV (PLHIV). While this scientific breakthrough challenges traditional stigmatizing narratives about HIV transmission, there is a lack of empirical evidence on how different forms of HIV stigma have changed over time. The present study aimed to document changes in enacted, anticipated, and internalized stigma over a ten-year period and examine their associations with well-being among PLHIV. A serial cross-sectional study was conducted in Hong Kong, with 291 PLHIV completing a questionnaire in 2012–2013 and 236 PLHIV participating in 2020–2022. The results indicated that a significantly greater proportion of PLHIV disclosed their HIV status over time. The results also revealed significant changes in enacted stigma patterns, with a notable decrease in discrimination in healthcare settings but an increase in discrimination from friends. Levels of anticipated stigma, internalized stigma, and well-being remained unchanged between the two time points. Additionally, the results provide empirical support for the dual-process model of HIV stigma, demonstrating how both interpersonal and intrapersonal manifestations of stigma affect well-being. The study provides valuable insights into HIV care and support services, indicating that changes in enacted stigma alone may not be sufficient to enhance the well-being of PLHIV. It highlights the persistence of anticipated and internalized stigma even in the context of improved institutional environments, which underscores the need for more targeted psychological interventions for PLHIV.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100415"},"PeriodicalIF":4.1,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143549427","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":"Health perceptions of older individuals on the cognitive benefits of a multicomponent green physical activity program: A qualitative exploration in the Southwest Region of Bahia, Brazil","authors":"Carolina Rego Chaves Dias ,&nbsp;Saulo Vasconcelos Rocha ,&nbsp;Milena Fernandez Dias ,&nbsp;Bruno Morbeck de Queiroz ,&nbsp;Natália Nascimento Silva ,&nbsp;Ariani França Conceição ,&nbsp;Bruna Maria Palotino-Ferreira ,&nbsp;Sonia Brito-Costa ,&nbsp;Sofia de Lurdes Rosas da Silva ,&nbsp;Clarice Alves dos Santos ,&nbsp;Lélia Renata Carneiro Vasconcelos ,&nbsp;Guilherme Eustáquio Furtado","doi":"10.1016/j.ssmmh.2025.100401","DOIUrl":"10.1016/j.ssmmh.2025.100401","url":null,"abstract":"<div><h3>Background and aims</h3><div>A multicomponent exercise program (MEP) is a tailored, physical activity-based intervention that incorporates several exercise modalities to improve physical function and reduce negative health consequences, such as cognitive decline. The program incorporates green exercise (MEP-G), which is a low-cost, outdoor activity that fosters both physical and mental health benefits. The aim of this study was to explore older individuals’ perceptions regarding the effectiveness of a MEP-G on their cognitive and mental health status.</div></div><div><h3>Methods</h3><div>This qualitative intervention study targeted individuals aged ≥60 years, physically independent, and not previously engaged in physical exercise programs, registered in the National Family Health Strategy Program in Jequié, Southwest Bahia, Brazil. A total of 14 participants were analyzed through random sampling after systematic allocation into two groups: the MEP-G and the Theoretical Behavioral Change Program (BCP). Post-intervention interviews were conducted using the focus group technique, guided by a structured question script. Data were analyzed using Bardin's content analysis method, with IRAMUTEQ software for data processing and analysis.</div></div><div><h3>Results</h3><div>The analysis revealed six main themes: (1) \"Role of Socialization in Older Individuals' Health Context,\" (2) \"Positive Effects of Guided Programs on Functional Capacity,\" (3) \"Relationship Between Healthy Habits and Successful Aging,\" (4) \"Physical Exercise as an Effective Non-Pharmacological Treatment for Mental Health,\" (5) \"Adherence to a More Active Lifestyle,\" and (6) \"Negative Effects of a Sedentary Lifestyle on Mental Health.</div></div><div><h3>Conclusion</h3><div>The findings highlighted that the MEP-G, potentially integrated into the BCP program, contributed to improvements in participants' subjective perceptions of functional autonomy and mental health. The program demonstrated its potential as an effective, low-cost, short-term intervention to promote an active lifestyle and enhance health outcomes in older adults, with the capacity for large-scale implementation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100401"},"PeriodicalIF":4.1,"publicationDate":"2025-02-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143761150","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":"Effects of potential traumatic events (PTE) contributing to post traumatic stress disorder (PTSD) six years after cessation of war among populations in northern Sri Lanka: An analysis of a follow-up study from a nationwide sample","authors":"Rohan Jayasuriya ,&nbsp;Shehan Williams ,&nbsp;Ruwanthi Perera ,&nbsp;Pavithra Godamunne ,&nbsp;Rajitha Wickremasinghe ,&nbsp;Alvin Kuowei Tay","doi":"10.1016/j.ssmmh.2025.100412","DOIUrl":"10.1016/j.ssmmh.2025.100412","url":null,"abstract":"<div><div>The study aims were firstly to identify potential traumatic events (PTE) and stressors faced by the population in the districts of Northern Sri Lanka exposed to the decades-long conflict and secondly to predict Post Traumatic Stress Disorder (PTSD) based on conceptually derived composites of the PTE. <span><span>https://www.editorialmanager.com/SSMMH/</span><svg><path></path></svg></span></div><div>Data for this study were collected in 2015. The sample consisted of 1526 individuals in northern Sri Lanka who were all exposed to the prolonged war and who had all previously participated in a baseline study in 2014. Four composites of PTEs were identified: extreme violence; traumatic losses; exposure to conflict and ongoing stressors. The data were analyzed using path analysis and mediation models. The results revealed that these stressors explained 40% of the variance in PTSD. The direct path from “extreme violence” had the highest effect on PTSD, even six years after exposure. Mediation analysis identified that ongoing stressors mediated the relationship of exposure to conflict with PTSD, lending support to the “daily stressors” model among internally displaced persons (IDPs). The results suggest that early specific intervention will benefit those exposed to extreme violence and broader Mental Health and Psychosocial Support (MHPSS) approaches <strong>f</strong>or ongoing stressors to reduce mental distress of this population.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100412"},"PeriodicalIF":4.1,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143454070","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}