SSM. Mental health最新文献

{"title":"Impact of witnessing abuse of their mother and childhood trauma on men's perpetration of intimate partner violence in the cross-sectional UN multi-country study on men and violence in Asia and the Pacific","authors":"Rachel Jewkes ,&nbsp;Ruchira Tabassum Naved ,&nbsp;Naeema Abrahams ,&nbsp;Nwabisa Shai ,&nbsp;Leane Ramsoomar ,&nbsp;Bianca Dekel ,&nbsp;Andrew Gibbs ,&nbsp;Jani Nöthling ,&nbsp;Samantha Willan ,&nbsp;Esnat Chirwa","doi":"10.1016/j.ssmmh.2025.100391","DOIUrl":"10.1016/j.ssmmh.2025.100391","url":null,"abstract":"<div><div>Trauma exposure and witnessing intimate partner violence (IPV) in childhood are recognised risk factors for IPV. Using the UN Multi-country Study on Men and Violence in Asia and the Pacific dataset, we describe the pathways through which they influence adult IPV perpetration.</div></div><div><h3>Methods</h3><div>In nine sites, from six countries, data were collected in a two-stage, randomly-selected household survey, with one man aged 18–49 years interviewed per house. 8379 interviews were completed with ever partnered men in Bangladesh, Cambodia, China, Indonesia, Papua New Guinea (Bougainville) and Sri Lanka. We present a Structural Equation Model (SEM) to understand paths through which childhood trauma and witnessing IPV impacted perpetration of physical or sexual IPV in adulthood.</div></div><div><h3>Results</h3><div>Among the men, 25.5% had witnessed IPV, 47.0% had perpetrated physical or sexual IPV. Both witnessing IPV and childhood trauma elevated the likelihood of such perpetration. The SEM showed four paths from witnessing IPV and childhood trauma to the latent variable for physical/sexual IPV perpetration. One was direct and three indirect. Paths were mediated by food insecurity, depression, and a latent variable measuring gender inequitable and anti-social masculinities. The masculinity variable indicators were drug use, harmful alcohol use, bullying, gang membership, fighting with other men, having sex with a sex worker and having raped a non-partner. The direct and indirect effects showed both childhood trauma and witnessing maternal IPV to be important, but childhood trauma the more so.</div></div><div><h3>Conclusions</h3><div>Both childhood trauma and witnessing IPV were important in driving IPV perpetration, with independent effects, however, broader childhood trauma exposure was most strongly associated. The effects were mediated by food insecurity, depression and gender inequitable and anti-social masculinities, all recognised risk factors for IPV perpetration. Thus, gender transformative IPV prevention interventions that include mental health and economic elements can mitigate the influence of these key exposures.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100391"},"PeriodicalIF":4.1,"publicationDate":"2025-01-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130334","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":"“No data, no problem”? Potential inequities in psychosis among immigrants in the United States","authors":"Supriya Misra ,&nbsp;Isha Weerasinghe ,&nbsp;Lawrence H. Yang ,&nbsp;Bizu Gelaye ,&nbsp;Margarita Alegría","doi":"10.1016/j.ssmmh.2025.100392","DOIUrl":"10.1016/j.ssmmh.2025.100392","url":null,"abstract":"<div><div>Global research indicates inequities in the incidence, severity, and care of psychosis among immigrants, primarily due to structural and social adversities relative to non-immigrants. However, despite having the world's largest immigrant population, the United States (U.S.) has limited research on this phenomenon. This lack of data obscures potential inequities and presents a missed opportunity to target policies and resources for this population. In this critical analytical review, we briefly summarize the evidence of inequities in psychosis among immigrants in other Western high-income countries, discuss the relevance to immigrants in the U.S. context, identify historical context and contemporary obstacles to studying this phenomenon in the U.S., and recommend strategies to improve research about psychosis among immigrants in the U.S. moving forward. Specifically, effective data collection regarding psychosis among immigrants can be achieved via shifting to person- and community-centered perspectives, leveraging existing federal data systems and funding mechanisms, improving data collection through better tools and collaboration, prioritizing inclusive engagement and recruitment, and broadening conceptions of mental experiences outside of psychiatric diagnoses. However, these investments must center on autonomy and self-determination of immigrants, given the documented harms of coercive care, such as forced treatment of individuals who experience psychosis, which is once again on the rise nationally.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100392"},"PeriodicalIF":4.1,"publicationDate":"2025-01-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143378008","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":"Posttraumatic stress disorder symptomology among gay, bisexual, and other sexually minoritized cisgender men in the United States: A latent class analysis","authors":"John Mark Wiginton ,&nbsp;Sarah M. Murray ,&nbsp;Karin Tobin ,&nbsp;Stefan D. Baral ,&nbsp;Travis H. Sanchez","doi":"10.1016/j.ssmmh.2025.100390","DOIUrl":"10.1016/j.ssmmh.2025.100390","url":null,"abstract":"<div><div>In the United States, posttraumatic stress disorder (PTSD) disparities among sexually minoritized men (SMM) are well-documented, but diverse PTSD symptom manifestations and related vulnerabilities in this group are understudied. From October 2020 to January 2021, we collected cross-sectional demographic, HIV status, sexual behavior, and mental health data from 6319 trauma-exposed SMM in the American Men's Internet Survey. We used latent class analysis, multinomial logistic regression, and the Bolck-Croon-Hagenaars method to identify PTSD symptom classes, associations with class membership, and prevalence of serodifferent condomless anal sex with a male partner, respectively. Mean age was 33 years; most participants identified as gay (n = 4820, 76.3%) and non-Hispanic White (n = 3829, 60.6%). Classes included Intrusive-Avoidant (n = 1086, 17.2%; moderate/high intrusive thoughts, related discomfort, trauma-reminder avoidance), Dysphoric-Inattentive (n = 1230, 19.5%; moderate/high negative beliefs, anhedonia, concentration problems), Pervasive (n = 1471, 23.3%; high on all symptoms), and Resistant (n = 2532, 40.1%; low on all symptoms). Non-Hispanic Black (aOR = 1.77, 95% CI = 1.35, 2.33) and multiracial identity (aOR = 1.48, 95% CI = 1.03, 2.13) were associated with Intrusive-Avoidant class membership. Unknown (aOR = 1.24, 95% CI = 1.01, 1.52) and positive HIV status (aOR = 1.56, 95% CI = 1.16, 2.09) were associated with Pervasive class membership. Housing instability, mental distress, and suicidal ideation were associated with membership in each symptomatic class. Serodifferent condomless anal sex was higher in the Pervasive (23.9%, p &lt; 0.001) and Intrusive-Avoidant (21.8%, p = 0.008) classes relative to the Resistant class (16.5%). Improving the response to PTSD and related vulnerabilities among SMM merits combined trauma-focused, sexual risk-reduction approaches tailored to symptom profiles.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100390"},"PeriodicalIF":4.1,"publicationDate":"2025-01-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130335","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 contextual adaptation and educational impacts of the mhGAP-IG to address child mental and behavioral disorder treatment gap in China: A mixed-method study","authors":"Meng Zheng ,&nbsp;Yi Zhang ,&nbsp;Feng Chen ,&nbsp;Ang Chen ,&nbsp;Di Kong ,&nbsp;Kun Xie ,&nbsp;Jie Li ,&nbsp;Brian James Hall ,&nbsp;Andre M.N. Renzaho ,&nbsp;Jian-hui Gao ,&nbsp;Dao-meng Cheng ,&nbsp;Qing Zou ,&nbsp;Xin-yuan Zhong ,&nbsp;Qi-mei Yu ,&nbsp;Wen Chen","doi":"10.1016/j.ssmmh.2025.100389","DOIUrl":"10.1016/j.ssmmh.2025.100389","url":null,"abstract":"<div><div>The Mental Health Gap Action Program Intervention Guide (mhGAP-IG) is an international evidence-based intervention to enhance the scalability of non-specialized workforce to address mental, neurological, and substance use disorders, including child mental and behavioral disorders (CMBDs). Implementation in China remains limited. This study sought to adapt the CMBDs-related components of the mhGAP-IG to the local context and assess the educational impacts of the adapted CMBDs-mhGAP-IG in non-specialized settings in Guangdong Province, China. Contextual adaptation was conducted through a four-step process guided by the Consolidated Framework for Implementation Research (CFIR) and the Ecological Validity Model (EVM). Qualitative data were collected via key informant interviews with six mental health experts and two focus group discussions involving seven kindergarten teachers or doctors and six general practitioners (GPs) from primary care centers. A qualitative analysis utilizing deductive and inductive thematic coding was applied. The educational impacts of a two-day training based on the adapted CMBDs-mhGAP-IG were assessed using a pre-post design among 89 participants, including kindergarten teachers or doctors and GPs. Changes in knowledge and stigma toward CMBDs were analyzed using paired <em>t</em>-tests. Qualitative findings identified barriers and facilitators to implementation across four CFIR domains: <em>intervention characteristics, outer setting, inner setting,</em> and <em>characteristic of individuals</em>. Barriers were concentrated in <em>intervention characteristics</em> (e.g., complexity, time and labor costs) and <em>outer setting</em> (e.g., stigma, high treatment cost). Contextual adaptation based on EVM addressed many of these barriers. Quantitative results indicated that the adapted CMBDs-mhGAP-IG training was associated with increased knowledge and reduced stigma toward CMBDs, demonstrating its educational effectiveness. This study identified barriers and facilitators to mhGAP implementation and documented a contextual adaptation process, offering insights into integrating contextual adaptation methods with implementation science. Trainings based on the adapted mhGAP-IG for non-specialists improved knowledge and stigma toward CMBDs, laying the foundation for future effectiveness evaluations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100389"},"PeriodicalIF":4.1,"publicationDate":"2025-01-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130336","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":"Food insecurity predicts women's mental health in Nepal: Reflections on Southard & Randell","authors":"Karolina M. Edlund","doi":"10.1016/j.ssmmh.2024.100388","DOIUrl":"10.1016/j.ssmmh.2024.100388","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100388"},"PeriodicalIF":4.1,"publicationDate":"2025-01-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130002","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":"Public mental healthcare and economic vulnerability in Sri Lanka","authors":"Nadia Augustyniak","doi":"10.1016/j.ssmmh.2024.100387","DOIUrl":"10.1016/j.ssmmh.2024.100387","url":null,"abstract":"<div><div>Scholars and practitioners in Sri Lanka's mental health and psychosocial field have long highlighted the complex cultural, social and political dynamics of providing care to communities impacted by war and natural disaster and facing a fraught post-war context. One critical contribution of this work has been to offer a practice-based corrective to psychological conceptions of wellbeing that obscure its relational, economic, and political dimensions. In this article, I consider the importance of this insight in light of the 2022 debt crisis in Sri Lanka and against the backdrop of global mental health discourses that continue to elide the question of structural determinants of distress. Based on ethnographic research conducted between 2018 and 2020, I highlight the practice of government counselors and other mental health professionals in one district of Sri Lanka's Central Province. Their experiences suggest that despite expanded access to mental health services over the last 20 years, care is undermined by the structural realities of widespread economic precarity and inadequate social protections. This problematizes the global discourse of access to mental health care—which implies but often does not truly account for the social and economic bases of wellbeing—and underscores the fact that expansion of mental health services should go hand in hand with the expansion of social protections and economic support.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100387"},"PeriodicalIF":4.1,"publicationDate":"2024-12-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143129864","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":"Where “us” meets “them”: The role of continuum beliefs and breadth of concept on mental health stigma","authors":"Woohyung Lee ,&nbsp;Michelle Zhan ,&nbsp;Jeonghyun Shin","doi":"10.1016/j.ssmmh.2024.100386","DOIUrl":"10.1016/j.ssmmh.2024.100386","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100386"},"PeriodicalIF":4.1,"publicationDate":"2024-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130003","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":"Resisting epistemic violence in global mental health: Listening to local understandings of mental health and emotional distress among victims and ex-guerrilla members in Southern Colombia","authors":"María Cecilia Dedios Sanguineti ,&nbsp;Laura Fonseca ,&nbsp;Rochelle A. Burgess ,&nbsp;Natalia Concha ,&nbsp;Mónica González ,&nbsp;Norha Vera San Juan ,&nbsp;Mónica Carreño ,&nbsp;Kely Johana Palacio ,&nbsp;María Fernanda Sotto ,&nbsp;Sandra Jovchelovitch","doi":"10.1016/j.ssmmh.2024.100385","DOIUrl":"10.1016/j.ssmmh.2024.100385","url":null,"abstract":"<div><h3>Background</h3><div>While there is consensus that local knowledge is important to build better mental health responses, integration of this knowledge into mental health services remains a work in progress. In this paper, we explore local understandings of mental health, mental illness, well-being and emotional distress building dialogical spaces that enable community perspectives to inform academic knowledge and health systems.</div></div><div><h3>Methods</h3><div>We identified local understandings of mental health, emotional distress, and wellbeing among two conflict-affected communities in Southern Colombia, including victims of the conflict and FARC ex-combatants. We conducted focus groups in Florencia (n = 8) and La Montañita (n = 7) (N = 99). Data was analysed using thematic analysis.</div></div><div><h3>Results</h3><div>We found a lay theory of mind emphasising the mind-body-context relationship as central for health and wellbeing. Mental health and mental illness are explained through biomedical categories underpinned by social representations of ‘madness’ and the stigma associated with the conflict and using services in Colombia. Wellbeing and emotional distress are determined by relational, political and economic factors, and understood in relation to culture, sociability, religiosity, nature and physical health.</div></div><div><h3>Discussion</h3><div>Accounting for local knowledge allows working with community members to identify how their experiences, values, beliefs, and the context they live in can support or hinder their emotional wellbeing. Central to this effort is to open hegemonic biomedical models to transformational dialogues that integrate the perspective and needs of the communities we work with. Our study provides actionable insights relevant for community-based mental health and primary care services, as well as those services across sectors that can contribute to the mental health of this population.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100385"},"PeriodicalIF":4.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130339","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":"Intersectional discrimination, exclusion and the socio-political economy of global mental health: A systematic scoping review of the literature","authors":"Rochelle A. Burgess ,&nbsp;Sorcha Ní Chobhthaigh ,&nbsp;Bijayalaxmi Biswal ,&nbsp;Diana Ceccolini ,&nbsp;Babatunde Fadipe ,&nbsp;Denaneer Khan ,&nbsp;Neena Aggarwal ,&nbsp;Ishrat Pabla ,&nbsp;Camila Solis ,&nbsp;Ramya Pillutla ,&nbsp;Piyali Sarkar ,&nbsp;Eric Frasco ,&nbsp;Valentina lemmi ,&nbsp;Soumitra Pathare ,&nbsp;Crick Lund","doi":"10.1016/j.ssmmh.2024.100382","DOIUrl":"10.1016/j.ssmmh.2024.100382","url":null,"abstract":"<div><div>Social determinants literature has reinforced the importance of social landscapes to poor mental health. However, such frameworks face critique linked to their limited acknowledgement of structural determinants and the complex social processes which establish the patterns of disease. In this scoping review, we explore the extent to which the current mental health evidence base acknowledges the impact of intersectional structural determinants of mental health outcomes, via the mechanism of discrimination - linked to a range of commonly underexplored socio-political factors (Protocol registration DOI:10.17605/OSF.IO/CGJQH).</div><div>We included nine social phenomena widely acknowledged in social theory as contributing to the patterning of social determinants: (1) Political Dynamics, (2) Racism, Caste &amp; Xenophobia, (3) Gender &amp; Sexuality, (4) Neighbourhood Dynamics, (5) Class &amp; Working conditions, (6) Colonialism, (7) Indigeneity, (8) Religious &amp; Spiritual Identities (9) Age &amp; Disability. We explored these factors intersectionally, including studies with two or more factors in their analyses. Findings are reported using the PRISMA extension for Scoping Reviews Checklist. We screened 27,003 records with 118 papers meeting inclusion criteria.</div><div>We found no papers exploring caste-based discrimination in relation to the factors in our framework and very few exploring discrimination linked to indigeneity, colonialism, religious institutions, and language. The majority of studies focused on racism and its intersections with sexuality, gender and working conditions. We found a near balance in qualitative and quantitative approaches to exploring intersectoral discrimination. Common mental disorders were the most explored across all studies. Based on our findings the field appears to still be in its infancy in terms of engaging with intersecting forms of discrimination as a key mechanism driving the mental health consequences of many social and structural determinants. We articulate implications for research noting the necessity of efforts that explicitly name structural factors, acknowledges their intersections in people's lives, and frameworks that support this.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100382"},"PeriodicalIF":4.1,"publicationDate":"2024-12-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130337","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":"Understanding the complex dynamics of self-diagnosis and mental health perception: A commentary on Tse and Haslam","authors":"Yihan Ning","doi":"10.1016/j.ssmmh.2024.100384","DOIUrl":"10.1016/j.ssmmh.2024.100384","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100384"},"PeriodicalIF":4.1,"publicationDate":"2024-12-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130340","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}