SSM. Mental health最新文献

{"title":"Group-based Self-Help Plus, Problem Management Plus and pre-exposure prophylaxis to improve mental health and reduce HIV risk in survivors of rape in KwaZulu-Natal, South Africa: A pilot and feasabilty randomised study","authors":"J. Nöthling ,&nbsp;S. Willan ,&nbsp;G. Gigaba ,&nbsp;E. Chirwa ,&nbsp;S. Mhlongo ,&nbsp;B. Myers ,&nbsp;B. Spooner ,&nbsp;S. Seedat ,&nbsp;C. Garcia-Moreno ,&nbsp;R. Jewkes ,&nbsp;N. Abrahams","doi":"10.1016/j.ssmmh.2025.100513","DOIUrl":"10.1016/j.ssmmh.2025.100513","url":null,"abstract":"<div><h3>Introduction</h3><div>Gender-based violence (GBV) and HIV are highly prevalent in South Africa and are significant public health problems. Rape is a risk factor for both HIV acquisition and adverse mental health outcomes. Post-rape interventions targeting HIV and mental health are needed to mitigate risk and aid recovery.</div></div><div><h3>Methods</h3><div>Self-Help Plus (SH+) and Problem Management Plus (PM+) are lay counsellor-facilitated, group-based mental health interventions. We adapted them for KwaZulu-Natal, South Africa and translated them into isiZulu. 106 women who had been raped were randomized, in groups of 8–10, to a post-rape mental health intervention group (RI) or to a rape-survivor waitlisted control (RC) group. Additionally, we included an intimate partner violence shelter intervention (SI) group (n = 38). All participants completed questionnaires at baseline, 3- and 6-months. The intervention groups completed SH+ and PM+ in the first 3 months after completing the baseline assessment. All HIV-negative women were offered once daily, oral Truvada as Pre-Exposure Prophylaxis (PrEP) for HIV.</div></div><div><h3>Results</h3><div>The RI group showed a significant decline in depression at 3-months (β = −5.41, p = 0.017) and at 6-months (β = −10.23, p = 0.005) compared to the RC group. The SI group showed a significant decline in PTSD scores at 6-months (β = −3.5, p = 0.031). Both groups, RI (β = −4.91, p = 0.026) and SI (β = −3.5, p = 0.026), showed a significant decline in symptoms of complex PTSD (i.e., disturbances in self organization) at 3-months. 65 % of eligible participants (n = 85) in all groups took up PrEP with relatively high adherence.</div></div><div><h3>Conclusion</h3><div>In this pilot and feasibility trial, SH+ and PM + show promise in reducing depression, PTSD and cPTSD scores over time in women after rape and IPV. PrEP uptake was favorable, suggesting that after rape, many women are open to long-term HIV prophylaxis with PrEP, however uptake can be improved with additional measures.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100513"},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048909","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":"Parental childhood factors as mediators of multigenerational socioeconomic and psychosocial risks: A cohort study of three generations","authors":"Baojing Li ,&nbsp;Can Liu ,&nbsp;Ylva B. Almquist ,&nbsp;Ingrid Schoon ,&nbsp;Lisa Berg","doi":"10.1016/j.ssmmh.2025.100526","DOIUrl":"10.1016/j.ssmmh.2025.100526","url":null,"abstract":"<div><div>Previous research has begun to unravel the mechanisms by which multiple factors in the parental generation link grandparental socioeconomic disadvantages to grandchild psychiatric disorders. This study aims to further disentangle such multigenerational mechanisms by exploring the role of parental childhood factors. We utilized a three-generational cohort study design with data from the Stockholm Birth Cohort Multigenerational Study. The sample included 2,708 individuals born in 1953 (parental generation, G1), their 5,416 parents (grandparental generation, G0), and 5,967 children (grandchild generation, G2). Using structural equation modeling (SEM), we analyzed the mediating role of G1 protective factors during childhood (i.e., high family relationship quality, positive parenting styles, high educational performance, positive peer relationships) and G1 adult psychosocial disadvantages (i.e., single parenthood, psychiatric disorders, and criminality) in the association between G0 socioeconomic disadvantages (i.e., low income, non-employment, and overcrowding) and G2 psychiatric disorders (i.e., measured as hospitalizations due to mental and behavioral disorders between ages 18 and 30). The association between G0 socioeconomic disadvantages and G2 psychiatric disorders was mediated through the paths from G1 childhood family relationship quality, peer relationships, and educational performance to G1 adult psychosocial disadvantages. Peer relationships and educational performance in childhood mattered more among G1 fathers, whereas family relationship quality in childhood played a more important role among G1 mothers. The findings indicate that parental childhood factors – specifically family relationship quality, peer relationships, and educational performance – serve as important resilience resources in disrupting the multigenerational transmission of disadvantages, with implications for mental health of future generations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100526"},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048907","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":"Methodological differences in measuring post-traumatic stress disorder: a systematic review of the global literature during the Covid-19 pandemic","authors":"Salma M. Abdalla ,&nbsp;Rebecca E. Voss ,&nbsp;Madison Pickerel ,&nbsp;Samuel B. Rosenberg ,&nbsp;Arman Rasool ,&nbsp;Mohammed Abba-Aji ,&nbsp;Catherine K. Ettman ,&nbsp;Sandro Galea","doi":"10.1016/j.ssmmh.2025.100521","DOIUrl":"10.1016/j.ssmmh.2025.100521","url":null,"abstract":"<div><h3>Introduction</h3><div>The Covid-19 pandemic spurred an unprecedented rise in mental health research globally, with posttraumatic stress disorder (PTSD) emerging as a prominent concern. However, estimates of PTSD prevalence during the pandemic varied widely, raising questions about methodological consistency in how PTSD was measured and conceptualized during the pandemic. We systematically reviewed the global literature assessing PTSD prevalence during the Covid-19 pandemic, with a focus on methodological differences in measurement, population sampling, and application of screening and diagnostic criteria.</div></div><div><h3>Methods</h3><div>Following PRISMA guidelines, we searched six databases for peer-reviewed, English-language articles published between January 1, 2020, and July 12, 2024. Eligible studies assessed PTSD prevalence in general adult populations and explicitly linked PTSD assessment to the Covid-19 pandemic. We extracted data on study design, sampling strategy, PTSD measurement instruments, prevalence estimates, and whether included studies employed Criterion A in PTSD screening/diagnosis. Studies focusing exclusively on subpopulations (e.g., healthcare workers) were excluded.</div></div><div><h3>Results</h3><div>A total of 147 articles met inclusion criteria, with significant representation from Italy, China, and the United States. Eligible studies included 11 unique PTSD screening instruments with multiple cut-off scores. The most commonly used screening instruments were the PTSD Checklist (PCL; 41.5 %) and the Impact of Event Scale (IES; 29.9 %). PTSD prevalence estimates varied within and across countries and screening instruments. Use of Criterion A varied widely: 42.9 % of studies designated Covid-19 as the traumatic event, 44.9 % removed the Criterion A requirement, and 12.2 % required a non-pandemic qualifying trauma. Only 17 % of studies used representative sampling methods, and just 13 were longitudinal or serial cross-sectional. Among representative studies, PTSD prevalence still varied widely, from 1.2 % in China to 44.9 % in Italy.</div></div><div><h3>Conclusions</h3><div>This review reveals substantial methodological heterogeneity in PTSD prevalence assessments during the Covid-19 pandemic. Inconsistent use of diagnostic criteria, varied screening instruments and cutoffs, limited longitudinal data, and geographical bias all constrain cross-study comparability. Despite these challenges, most studies reported PTSD prevalence above pre-pandemic global estimates, supporting the classification of the Covid-19 pandemic as a mass traumatic event. Future global mental health surveillance efforts should prioritize standardized PTSD assessment, representative sampling, and longitudinal designs to better capture trends in the population mental health impacts of large-scale mass traumatic events.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100521"},"PeriodicalIF":2.6,"publicationDate":"2025-09-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145048908","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":"Sexually explicit and violent media use among high school students in Vietnam: Gender-differentiated links with sexual misconduct victimization, perpetration, and health","authors":"Kathryn M. Yount ,&nbsp;Meghan Macaulay ,&nbsp;Kim Tu Tran","doi":"10.1016/j.ssmmh.2025.100520","DOIUrl":"10.1016/j.ssmmh.2025.100520","url":null,"abstract":"<div><h3>Background</h3><div>In lower-income countries, research is lacking on levels and associations of using <em>sexually explicit, physically non-violent media</em> (SEM) or <em>sexually explicit, physically violent media</em> (SVM) with well-being outcomes in high-school students.</div></div><div><h3>Objective</h3><div>We tested theories of gendered aggression and moral incongruence to explain the associations of SEM use and/or SVM use versus non-use with sexual misconduct perpetration/victimization and other well-being outcomes among students attending three high schools in Ho Chi Minh City, Vietnam.</div></div><div><h3>Method</h3><div>712 students completed surveys about their general health, mental health, alcohol use, academic disengagement, sexual misconduct perpetration and victimization, beliefs about pro-violence peer norms, and any SEM/SVM use in the prior six months. Unadjusted and adjusted regression models were estimated.</div></div><div><h3>Results</h3><div>Most reported SEM (47 %) or SVM (32 %) use. SVM use was higher among boys (39 %) than girls (27 %) (χ² <em>p</em> = 0.01). Among boys, compared to non-users, users reported worse self-rated health (SEM acoef = 0.44 (0.10, 0.78); SVM acoef = 0.58 (0.23, 0.93)), higher alcohol use (SEM aOR = 2.42 (1.06, 5.58); SVM aOR = 2.44 (1.05, 5.62)), and higher sexual <em>misconduct</em> perpetration involving physical dating violence, stalking, or sexual violence (SVM aOR = 5.02 (1.39, 18.06)). Among girls, compared to non-users, SVM users reported higher sexual <em>misconduct</em> perpetration (aOR = 2.59 (1.13, 5.92)) and sexual violence victimization (aOR = 5.74 (1.81, 18.22)); SEM users reported higher sexual misconduct victimization involving physical dating violence, sexual harassment, stalking, or sexual violence (OR = 2.32 (1.33, 4.04)).</div></div><div><h3>Conclusion</h3><div>Most high-school students in this study reported sexualized media use, and boys reported SVM use more often than girls. Corroborating gendered aggression theory, sexualized media use tended to predict violence perpetration among boys and victimization among girls. Corroborating moral incongruence theory, boys’ use was associated with worse self-rated health and alcohol use. Contextualized programs may reduce student access to common modalities of sexualized media use and educate school communities about the harms of use.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100520"},"PeriodicalIF":2.6,"publicationDate":"2025-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010390","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":"Lifetime prevalence of mental disorders and the costs for civic engagement among college and university students: Insights from the Norwegian SHoT2022 cohort","authors":"Lisa-Christine Girard ,&nbsp;Martin Okolikj ,&nbsp;Mari Hysing ,&nbsp;Børge Sivertsen","doi":"10.1016/j.ssmmh.2025.100519","DOIUrl":"10.1016/j.ssmmh.2025.100519","url":null,"abstract":"<div><div>The high prevalence of mental disorders has become a globally pervasive social issue resulting in its placement as among one of the leading causes of the global burden of disease. Noteworthy, prevalence estimates of college and university students affected by mental disorders are, in particular, exceedingly high. This may have important consequences for early habit formation of civic engagement given the developmental period (e.g., first time eligible voters). Using data from the Students’ Health and Wellbeing study (SHoT2022) – a nationally representative survey of college/university students across Norway – we examine how lifetime prevalence of common mental disorders (i.e., major depressive episode, generalized anxiety disorder, and social anxiety disorder) impact upon politically-oriented (i.e., voting) and community-oriented participatory activities (e.g., sports, cultural clubs, student-democracy, special interest groups, professional associations or off campus volunteering). Our findings suggest nuanced associations, whereby students with a lifetime prevalence <em>of social anxiety disorder</em> are less likely to turnout to vote (average marginal effects [AMEs] are 2.5 percentage points lower for both the national and municipal level elections). Meanwhile, students with either <em>generalized anxiety disorder</em> or <em>social anxiety disorder</em> are at risk of reduced participation in community-oriented activities (AMEs range from −1.5 to −2.3 percentage point across activities), and students with major depressive episode evidence both positive (participation in special interest groups equal to 2 percentage points) and negative (participation in sports equal to −1.5 percentage points) associations. Our results highlight the impact that lifetime prevalence of mental disorders, in particular anxiety disorders, may have on reducing mobilization into civic engagement (i.e., political- and community-oriented participatory activities) in college/university students.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100519"},"PeriodicalIF":2.6,"publicationDate":"2025-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144988222","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":"Cognitive interviewing for understanding and adaptation of mental health screening instruments among people living with HIV in rakai, Uganda: the thinking a lot questionnaire, the patient health questionnaire 9 (PHQ-9), and the hopkins symptoms checklist (HSCL)","authors":"Nora S. West ,&nbsp;Lydia P. Namuganga ,&nbsp;Dauda Isabirye ,&nbsp;Rosette Nakubulwa ,&nbsp;William Ddaaki ,&nbsp;Neema Nakyanjo ,&nbsp;Fred Nalugoda ,&nbsp;Sarah M. Murray ,&nbsp;Caitlin E. Kennedy","doi":"10.1016/j.ssmmh.2025.100517","DOIUrl":"10.1016/j.ssmmh.2025.100517","url":null,"abstract":"<div><h3>Background</h3><div>Mental health is conceptualized differently across cultures, making exploration of the understandability of screening tools for the purpose of adaptation critical.</div></div><div><h3>Methods</h3><div>In Uganda, we used cognitive interviewing to understand comprehension of and make adaptations to three scales for measuring psychological distress: the Thinking Too Much (TTM) Questionnaire, the Patient Health Questionnaire 9 (PHQ-9), and the Hopkins Symptoms Checklist (HSCL). We recruited 12 people living with HIV from the Rakai Community Cohort Study (RCCS) and interviewed seven potential users of the scales (four RCCS survey interviewers and three local health workers). Data were analyzed systematically using a team-based matrix approach.</div></div><div><h3>Results</h3><div>The HSCL was generally well understood, with minor clarifications needed. The TTM Questionnaire was also well understood, though differences between “how much” and “how often” required specificity. Both included local idioms of distress from prior adaptations. The PHQ-9 performed less well, with many questions interpreted variably or showing unclear local applicability, especially among people living with HIV. For example, questions about trouble concentrating were misunderstood, focusing on examples like newspapers rather than the broader issue of concentration.</div></div><div><h3>Conclusion</h3><div>Future research should explore the validity and utility of commonly used instruments as mental health research expands in Africa, and both researchers and public health programmers should consider the strengths and limitations of screening instruments in their setting.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100517"},"PeriodicalIF":2.6,"publicationDate":"2025-08-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010611","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":"Parenting on the border: Study protocol for a randomized controlled trial of a trauma-informed, edutainment-enhanced intervention to improve parenting and mental health among migrant and displaced caregivers in Thailand","authors":"Amanda Sim ,&nbsp;Eve Puffer ,&nbsp;Stephanie Eagling-Peche ,&nbsp;Khaing Zar Lwin ,&nbsp;G.J. Melendez-Torres ,&nbsp;Seema Vyas ,&nbsp;Tawanchai Jirapramukpitak ,&nbsp;Jamie Lachman ,&nbsp;Sumitra Thidar Soe ,&nbsp;Th'Blay Moo ,&nbsp;Mary Soan ,&nbsp;Jem Chalk ,&nbsp;Hannah Van Vijfeijken","doi":"10.1016/j.ssmmh.2025.100516","DOIUrl":"10.1016/j.ssmmh.2025.100516","url":null,"abstract":"<div><div>There is currently a lack of evidence-based interventions with a dual focus on improving parenting and caregiver mental health in conflict and humanitarian settings. To address this gap, we co-designed a trauma-informed, edutainment-enhanced intervention to improve both parenting and mental health outcomes among migrant and displaced caregivers on the Thailand-Myanmar border. This paper outlines the study protocol for a pragmatic, community-based type I hybrid effectiveness-implementation superiority randomized controlled trial with 480 caregivers individually randomized to the intervention or treatment as usual arms in a 1:1 ratio. Caregivers assigned to the intervention arm will be invited to a 6-session group intervention delivered by non-specialist facilitators. Primary outcomes for the trial are (1) positive parenting behaviour; (2) physical and psychological violence against children; and (3) caregiver psychological distress. Secondary outcomes include parenting knowledge, beliefs, and efficacy, caregiver engagement in young children's early learning, family functioning, social support, post-traumatic stress symptoms, emotion regulation, psychological flexibility, well-being, and children's internalizing and externalizing symptoms. Outcomes will be assessed at 3 time points: baseline, 1-month post-intervention, and 6-month follow up. A mixed methods process evaluation and cost effectiveness analysis are embedded within the trial to assess intervention delivery, acceptability, potential mechanisms of change, and cost effectiveness. The study was prospectively registered with the Thai Clinical Trials Registry on July 25, 2024 (<span><span>TCTR20240725001</span><svg><path></path></svg></span>).</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100516"},"PeriodicalIF":2.6,"publicationDate":"2025-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144907418","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":"Measurement Invariance of The Perceived Discrimination Scale across Race/Ethnicity and Sex: Findings from The Adolescent Brain and Cognitive Development (ABCD) Study","authors":"Shu Xu ,&nbsp;Keith F. Widaman ,&nbsp;Cindy Patippe ,&nbsp;Luchang Cui ,&nbsp;Xinnuo Shi ,&nbsp;Danielle M. Krobath ,&nbsp;Adolfo Cuevas ,&nbsp;Virginia W. Chang","doi":"10.1016/j.ssmmh.2025.100512","DOIUrl":"10.1016/j.ssmmh.2025.100512","url":null,"abstract":"<div><h3>Background</h3><div>Perceived racial discrimination during childhood and adolescence is a critical social determinant of health disparities. However, few scales measure perceived racial discrimination in these age groups, and even fewer are validated with robust psychometric properties or demonstrate measurement invariance across racial and ethnic or sex groups.</div></div><div><h3>Objective</h3><div>This study examines the psychometric properties of the Perceived Discrimination (PD) scale, a seven-item questionnaire designed to assess societal rejection based on racial or ethnic background among youth.</div></div><div><h3>Methods</h3><div>Using data from the Adolescent Brain Cognitive Development Study, we conducted exploratory and confirmatory factor analyses to examine youth-reported perceived discrimination across racial/ethnic groups (Non-Hispanic White, Non-Hispanic Black, Hispanic, and <em>NH Asian, Native Hawaiian or Pacific Islander</em> ) and sex groups (male and female). These analyses drew on two data sets: one based on youth’s racial/ethnicity reported by parents (Data Set 1, n = 9967) and the other based on self-reported race/ethnicity (Data Set 2, n = 7645).</div></div><div><h3>Results</h3><div>Analyses identified a well-fitting bi-factor model, comprising a general perceived discrimination factor and a specific perceived social exclusion factor, demonstrating high reliability. The general perceived discrimination factor exhibited strong predictive validity, effectively forecasting changes in mental health outcomes over a one-year interval. Results from multi-group confirmatory factor analysis support the configural, weak, and strong measurement invariance of the PD scale across racial/ethnic and sex groups. Sensitivity analyses affirmed the robustness of these findings, showing consistency across reporting types (parent- vs. self-reporting for youth race/ethnicity) and coding strategies (three- vs. five-point rating scales).</div></div><div><h3>Conclusion</h3><div>Overall, this study provides compelling evidence for the high reliability and predictive validity of the PD scale, underscoring its utility in assessing perceived racial discrimination among diverse youth populations in the US.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100512"},"PeriodicalIF":2.6,"publicationDate":"2025-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902464","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":"Validation of the Romanian version of the regulating emotions in parenting scale: psychometric properties and measurement invariance across mothers and fathers and across parents' psychological distress levels","authors":"Costina-Ruxandra Poetar ,&nbsp;Ionuț Stelian Florean","doi":"10.1016/j.ssmmh.2025.100514","DOIUrl":"10.1016/j.ssmmh.2025.100514","url":null,"abstract":"<div><div>The present study aimed to investigate the psychometric properties, factorial structure, and measurement invariance of the Romanian version of the Regulating Emotions in Parenting (REPS) scale. This was a cross-sectional study conducted in Romaniawith parents (N = 1566, <em>M</em>_age = 40.84 years, <em>SD</em> = 6.42) of children and adolescents aged 8–17 years old. Psychometric properties were tested via Confirmatory Factor Analysis (CFA), Multigroup CFA, Pearson's correlation, and Cronbach's alpha. The three-factor solution of REPS was confirmed (RMSEA = .077, CFI = .99, TLI = .99). Measurement invariance was supported for parents' psychological distress levels (difference between configural and scalar models: RMSEA = .007, ΔCFI = −.001, ΔTLI = .003), and across parents' sex (difference between configural and scalar models: ΔRMSEA = .011, ΔCFI &lt; −.001, ΔTLI = −.003). Thus, the comparison of the latent means of REPS across parents' distress levels and sex was supported. The scale provided good internal consistency (Cronbach's Alpha was .78 or higher) and concurrent validity with measures of parenting practices (e.g., the correlation between adaptive strategies and positive parenting practices was r = .37) and parents' psychological distress (e.g., the correlation between adaptive strategies and psychological distress was r = −.33). The results are consistent with previous literature, and their implications are discussed.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100514"},"PeriodicalIF":2.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144895111","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":"Post-traumatic stress disorder and associated factors among soldiers retiring from active service in Uganda: Across sectional study","authors":"Dan Mwangye Bigirwa ,&nbsp;Godfrey Zari Rukundo ,&nbsp;Joseph Kirabira ,&nbsp;Samuel Maling ,&nbsp;Alain Favina ,&nbsp;Moses Muwanguzi ,&nbsp;Herbert Elvis Ainamani ,&nbsp;Scholastic Ashaba","doi":"10.1016/j.ssmmh.2025.100515","DOIUrl":"10.1016/j.ssmmh.2025.100515","url":null,"abstract":"<div><h3>Background</h3><div>Post-traumatic stress disorder (PTSD) is one of the commonest mental health challenges among veterans and service members. However, studies on PTSD and its associated factors among military personnel in Uganda are limited. This study estimated the prevalence of PTSD and associated factors among soldiers retiring from active service in Uganda.</div></div><div><h3>Methods</h3><div>In this cross-sectional study we recruited 247 retiring soldiers and assessed for PTSD using the PTSD check list for DSM-5. We also collected information on socio-demographic characteristics including gender, age, number of years in military service, level of education, and marital status, alcohol use, drug use, exposure to life, childhood trauma, and depression. participants.</div></div><div><h3>Results</h3><div>Of the 247 participants, 97 % (n = 239) were male, 47 % (n = 115), the average age was 46 (SD = 8.03) years, and the average duration of military service was 22 (SD = 8.36) years. The prevalence of PTSD among study participants was 13 % (n = 32). The factors associated with PTSD were moderate to hazardous alcohol consumption (aOR = 3.44; 95 % CI = 1.27–9.28; p = 0.02) and depression (aOR = 6.19; 95 % CI = 2.15–17.84; p = 0.0010).</div></div><div><h3>Conclusion</h3><div>This study found a 13 % prevalence of PTSD among retiring military personnel in Uganda, with depression and hazardous alcohol use significantly increasing its odds. These findings underscore the need for targeted mental health screening and intervention during the transition to civilian life, particularly addressing depression and alcohol use.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100515"},"PeriodicalIF":2.6,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144902465","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}