SSM. Mental health最新文献

{"title":"Examining subpopulation differences in self-reported mental health following the Robb Elementary School shooting in Uvalde, Texas","authors":"Camerin A. Rencken ,&nbsp;Ali Rowhani-Rahbar ,&nbsp;Isaac C. Rhew ,&nbsp;Carol A. Davis ,&nbsp;Alice Ellyson","doi":"10.1016/j.ssmmh.2025.100511","DOIUrl":"10.1016/j.ssmmh.2025.100511","url":null,"abstract":"<div><h3>Objective</h3><div>Since 1999, over 390,000 students in the United States (US) have experienced firearm violence in schools, with research linking these events to adverse mental health impacts. However, the broader societal effects remain understudied. This study investigates the mental health impact of the Robb Elementary School shooting in Uvalde, TX, in May 2022, across subpopulations including the Hispanic community, parents, females, Texas residents, and those with depression.</div></div><div><h3>Methods</h3><div>This quasi-experimental study analyzed data from the Behavioral Risk Factor Surveillance System, with 139,638 adults interviewed between April 24 and August 21, 2022. The outcome was poor mental health days in the past 30 days, with exposure defined by interview timing relative to the shooting. Two-part negative binomial hurdle regressions were used, including subpopulation analyses of stratified samples.</div></div><div><h3>Results</h3><div>Characteristics between exposed and unexposed groups were similar, with roughly 3% residing in Texas. Exposure to the shooting was linked to increased poor mental health days, with the largest increase in poor mental health days among Hispanic individuals (Count Ratio [CR] = 1.06; 95% CI: 1.00 – 1.12). For the US population, the increase was 2% (95 % CI: 1.00-1.04). Time-varying analyses showed the strongest increase among Hispanic individuals (12%) 2–4 weeks post-shooting (95% CI: 1.02-1.23).</div></div><div><h3>Conclusion</h3><div>Exposure to the shooting was linked to modest increases in poor mental health across most subpopulations, with the strongest and most-significant effects among Hispanic individuals. Beyond ethical responsibility, the increase in poor mental health could have significant economic and social consequences, emphasizing the need for evidence-based public health policies and interventions.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100511"},"PeriodicalIF":2.6,"publicationDate":"2025-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144863271","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":"From villages to floating islands: A qualitative study exploring maternal experiences of support and isolation in Northern Sri Lanka","authors":"Fiona C. Thomas ,&nbsp;Katherine McGuire ,&nbsp;Ophélie Ng Ha Kwong ,&nbsp;Puneet K. Parmar ,&nbsp;Bee Goldgruber ,&nbsp;Shannon Doherty ,&nbsp;Nuwan Jayawickreme ,&nbsp;Karen Milligan ,&nbsp;Giselle Dass ,&nbsp;Sambasivamoorthy Sivayokan ,&nbsp;Rajendra Surenthirakumaran","doi":"10.1016/j.ssmmh.2025.100506","DOIUrl":"10.1016/j.ssmmh.2025.100506","url":null,"abstract":"<div><div>Perinatal stress is a well-established risk factor for maternal and child health outcomes. Pregnant women in conflict-affected countries experience unique traumatic stressors, including displacement, material loss, loss of loved ones, and other war-related stressors. This qualitative study examines maternal mental health and parenting practices in Northern Sri Lanka, a region impacted by decades of civil war and displacement. Participants included 34 mothers who were pregnant at the time of the study, have one or more young children, and resided in the Northern Province during the conflict in Sri Lanka. The study explores the interrelationship between early adversity, chronic stressors, and maternal well-being. Qualitative insights highlight themes of unsupported resilience, emotion regulation amidst chronic stressors, and the erosion of traditional community support systems. Mothers reported navigating isolation within nuclear family structures, compounded by societal pressures and diminished communal trust. Despite these challenges, participants emphasized the importance of parenting values rooted in resilience and fostering an appreciation for overcoming hardship as they raise their own children. The study underscores the critical need for culturally sensitive, family-centered interventions that address maternal mental health and support parenting in post-conflict settings. These findings provide a foundation for tailoring maternal and child health policies to the unique needs of war-affected communities in Sri Lanka and beyond.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100506"},"PeriodicalIF":2.6,"publicationDate":"2025-08-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144842809","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":"In Memoriam: Professor Merrill Charles Singer","authors":"Nicola Bulled","doi":"10.1016/j.ssmmh.2025.100507","DOIUrl":"10.1016/j.ssmmh.2025.100507","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100507"},"PeriodicalIF":2.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144860903","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":"Adaptation of a PTSD intervention for use in primary care in a low-income country: The Brief Relaxation, Education and Trauma HEaling intervention for Ethiopia (BREATHE Ethiopia)","authors":"Lauren C. Ng ,&nbsp;Gray K. Bowers ,&nbsp;Dagmawit Tesfaye ,&nbsp;Eyerusalem Getachew Serba ,&nbsp;Abebaw Fekadu ,&nbsp;Kimberly Hook ,&nbsp;Amantia Ametaj ,&nbsp;David C. Henderson ,&nbsp;Kim T. Mueser ,&nbsp;Charlotte Hanlon","doi":"10.1016/j.ssmmh.2025.100502","DOIUrl":"10.1016/j.ssmmh.2025.100502","url":null,"abstract":"<div><div>Posttraumatic Stress Disorder (PTSD) symptoms amongst people with serious mental illness (SMI) are prevalent in Ethiopia and throughout the world, yet treatment is scarce, particularly in low-resource settings with few mental health providers. This study describes the process of adapting a PTSD treatment, originally designed to be delivered by mental health providers in specialty mental health clinics in the US, to be appropriate, acceptable and sustainable when delivered by non-specialist providers in routine care in rural Ethiopian primary care clinics. Methods included a literature review, qualitative interviews (N = 48), an adaptation workshop (N = 12), and theater, cognitive, and usability testing (N = 14) with people with SMI, caregivers of people with SMI, health care providers, and community leaders. Participants found the intervention to be appropriate and acceptable, while also noting multiple patient, family, provider, clinic and community-level barriers that might impact successful delivery and receipt of the intervention. The intervention was adapted to address as many barriers as possible, while maintaining adherence to the original intervention's theoretical and conceptual model. While many of these barriers could be addressed with adaptations, others such as high rates of poverty and limited population-level mental health awareness, require policy and community-based solutions and systemic change. Future research is needed to assess whether the intervention is feasible and effective in this setting.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100502"},"PeriodicalIF":2.6,"publicationDate":"2025-08-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144827346","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":"Exploring family physicians’ mental health referrals via centralized referral systems in Quebec, Canada: a qualitative descriptive study","authors":"Jessica Spagnolo ,&nbsp;Marie Beauséjour ,&nbsp;Marie-Josée Fleury ,&nbsp;Jean-François Clément ,&nbsp;Claire Gamache ,&nbsp;Lyne Couture ,&nbsp;Carine Sauvé ,&nbsp;Shane Knight ,&nbsp;Christine Gilbert ,&nbsp;Richard Fleet ,&nbsp;Helen-Maria Vasiliadis","doi":"10.1016/j.ssmmh.2025.100501","DOIUrl":"10.1016/j.ssmmh.2025.100501","url":null,"abstract":"<div><h3>Background</h3><div>Centralized referral mechanisms anchored in primary care have been implemented to facilitate timely and appropriate access to health care in Quebec, Canada, like via <em>Centre de répartition des demandes de services</em> (CRDS), a regionally centralized referral system used by family physicians (FPs) for new requests to specialty care, including psychiatric services. CRDS for psychiatry was implemented in 2019, where local centralized referral systems to psychosocial or psychiatric services (<em>Guichets d'accès en santé mentale adulte</em> (GASMA)) were already operating. We aimed to: 1) explore FPs' use of CRDS for psychiatry; 2) better understand the functioning and potential complementarity of CRDS and GASMA, including by visually mapping these pathways; and 3) identify factors that may influence their use and functioning.</div></div><div><h3>Methods</h3><div>A qualitative descriptive study with 20 participants working in the healthcare sector was conducted. Thematic analysis was employed.</div></div><div><h3>Results</h3><div>Mental health referral pathways were mapped, with FPs as focal points. Factors identified as influencing referral mechanisms' use and functioning included: 1) challenges related to the communication of ministerial directives on the use/functioning of centralized referral systems; 2) stakeholders' perceptions on the regionally centralized system's objectives for service access; 3) collaborations between clinicians and the regionally centralized system; 4) perceived added value of the regionally centralized system compared to pre-existing centralized local referral systems; and 5) key organizational/system-level mental health challenges and facilitators. Recommendations to improve these pathways' use, functioning, and complementarity included clarifying directives and roles within trajectories, and improving communication between the regionally centralized and local systems already in place, as well as addressing organizational/system-level challenges to mental health care.</div></div><div><h3>Conclusions</h3><div>Findings inform on improvements for mental health service access, delivery, and continuity via centralized referral systems anchored in primary care and used by FPs; and access challenges via pathways and solutions to optimize mental health service trajectories.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100501"},"PeriodicalIF":2.6,"publicationDate":"2025-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144878700","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":"PsyBot: A randomized controlled trial of WhatsApp-based psychological first aid to reduce loneliness among 18–22-year-old students in Yogyakarta, Indonesia","authors":"Indrayanti Indrayanti ,&nbsp;Annisa Khomsah Salsabila ,&nbsp;Virna Amrita ,&nbsp;Muhammad Muqtada Alhaddad ,&nbsp;Anggita Bella Saskia ,&nbsp;Dhaifina Putri Ramadhani","doi":"10.1016/j.ssmmh.2025.100504","DOIUrl":"10.1016/j.ssmmh.2025.100504","url":null,"abstract":"<div><h3>Background</h3><div>Loneliness among university students in Yogyakarta, Indonesia, is a growing mental health concern linked to psychological distress and suicidal ideation. Psychological First Aid (PFA) is a recognized approach for mitigating distress, yet access to human-led interventions remains limited. AI-powered chatbots offer a scalable alternative, but their effectiveness in loneliness reduction is underexplored.</div></div><div><h3>Objective</h3><div>This study evaluates the effectiveness of an AI-driven WhatsApp chatbot in delivering PFA and reducing student loneliness.</div></div><div><h3>Methods</h3><div>A mixed-methods randomized controlled trial was conducted among 32 university students in Yogyakarta (aged 18–22) with UCLA Loneliness Scale scores ≥35. Participants were randomly assigned to an experimental group (n = 16, PsyBot interaction) or control group (n = 16, neutral activity). The intervention involved a 30-min text-based PFA session via PsyBot. Pre- and post-intervention loneliness scores were analysed using paired and independent t-tests. Thematic analysis examined chatbot-user interactions.</div></div><div><h3>Results</h3><div>The experimental group showed a significant reduction in loneliness (M = 53.1 to M = 47.3; t (15) = 3.12, p = 0.007); no change was observed in the control group. Thematic analysis confirmed PsyBot's adherence to PFA principles by detecting distress (Look), providing empathetic responses (Listen), and offering coping suggestions (Link).</div></div><div><h3>Conclusion</h3><div>AI-powered PFA shows promise in addressing student loneliness and increasing mental health accessibility. Future studies should evaluate long-term effects, cultural adaptability, and integration into institutional services.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100504"},"PeriodicalIF":2.6,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144780142","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":"Implementation outcomes of trauma-informed organizational change among HIV service organizations in the Southern United States","authors":"Megan C. Stanton ,&nbsp;Samira Ali ,&nbsp;Katie A. McCormick ,&nbsp;Marcus Stanley ,&nbsp;Masonia Traylor ,&nbsp;Vanessa Johnson ,&nbsp;Linda Scruggs","doi":"10.1016/j.ssmmh.2025.100500","DOIUrl":"10.1016/j.ssmmh.2025.100500","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100500"},"PeriodicalIF":4.1,"publicationDate":"2025-07-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713546","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":"Co-designing “Familia Bora”: a father-inclusive parenting intervention for couples with young children in Mwanza, Tanzania","authors":"Joshua Jeong ,&nbsp;Juliet McCann ,&nbsp;Alina Bhojani ,&nbsp;Julieth Joseph ,&nbsp;Gabriel Sangarara ,&nbsp;Damas Joachim","doi":"10.1016/j.ssmmh.2025.100499","DOIUrl":"10.1016/j.ssmmh.2025.100499","url":null,"abstract":"<div><div>This paper describes the development of <em>Familia Bora</em> (“Good Family”), a multicomponent, father-inclusive parenting intervention aimed at enhancing caregiving practices of both fathers and mothers, strengthening couples' relationships dynamics, improving parental mental health and gender equity, and ultimately promoting early childhood development. From 2022 to 2024, we co-designed this intervention in Mwanza, Tanzania through a multi-phase, community-based, and iterative process grounded in a collaborative and equitable research-practice partnership. We began with a systematic review of father-inclusive interventions followed by a qualitative formative research study to identify priority fatherhood behaviors and contextual determinants of fathering in the local Tanzanian context. We then co-designed intervention content to address the multifaceted dimensions of fatherhood by integrating family systems, gender-transformative, and developmental perspectives and aiming to ensure cultural and contextual relevance. We piloted and iteratively refined individual sessions through 54 rapid pretesting cycles with 381 parents (53% mothers, 47% fathers) across 13 communities and incorporated participant feedback to continuously improve content and delivery and ensure cultural relevance and acceptability. This process resulted in a structured, manualized curriculum for a community-based group parenting program for fathers and their partners with young children aged 0–2 years. The curriculum holistically promotes nurturing care, couples’ relationships, caregiver mental health, and gender equality by applying a gender-transformative lens, centering child development throughout, and framing parenthood as a multidimensional role. Overall, this study showcases a systematic, evidence-based, and community-engaged approach to co-designing a father-inclusive parenting program. The resulting intervention demonstrates strong potential to engage fathers and improve family-wide outcomes for fathers, mothers, and young children. Building on our rigorous design process and promising initial results, further implementation and evaluation research is needed to assess program feasibility, acceptability, and effectiveness.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100499"},"PeriodicalIF":2.6,"publicationDate":"2025-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145010385","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":"Mixed-methods evaluation of a Global South-North research fellowship in Uganda: Global health experiential fellowship (GHEF)","authors":"Yang Jae Lee ,&nbsp;Rauben Kazungu ,&nbsp;Ibrahim Ssekalo ,&nbsp;Scott Blackwell ,&nbsp;Kayera Sumaya Nakaziba ,&nbsp;Emery Monnig ,&nbsp;Rita Mbabazi ,&nbsp;Peter Muwereza ,&nbsp;Faizo Waiswa ,&nbsp;Haba Ingabire ,&nbsp;Alesha Cid Vega ,&nbsp;Adam D. Brown ,&nbsp;Robert Rohrbaugh ,&nbsp;Robert Rosenheck ,&nbsp;Peter Waiswa ,&nbsp;Brandon A. Kohrt","doi":"10.1016/j.ssmmh.2025.100497","DOIUrl":"10.1016/j.ssmmh.2025.100497","url":null,"abstract":"<div><h3>Introduction</h3><div>Integrated, simultaneous training of Global South and North trainees offers novel opportunities to enhance equitable collaboration and research capacity in global health. While existing programs often focus on exchange rotations or separate training tracks, simultaneous training of Global South and North trainees in the same intensive program remains understudied. We describe the Global Health Experiential Fellowship (GHEF), which combines research training with shared living arrangements and collaborative work in rural Uganda.</div></div><div><h3>Program description</h3><div>GHEF is a five-week research training program for pre-doctoral students from Uganda and the United States. The program addresses power imbalances in North-South partnerships through shared leadership between Ugandan and American co-directors, with Ugandan team leaders supervising daily activities. Fellows work in mixed teams on qualitative mental health projects, while shared living arrangements foster cultural exchange. Since 2021, GHEF has trained 39 Ugandan students from three universities and 102 American students from 12 universities. Ugandan fellows participate without fees, subsidized by American fellows.</div></div><div><h3>Methods</h3><div>We conducted a mixed-methods evaluation. Qualitative data were collected through interviews with 10 fellows (5 Ugandan, 5 American). Research skills were assessed using the Assessment of Key Interviewing Factors for Research Assistants (AKIRA) pre- and post-fellowship among 14 fellows (7 Ugandan, 7 American).</div></div><div><h3>Results</h3><div>Ugandan fellows gained formal research training, while American fellows gained perspectives on field-based methodologies. Cultural exchange facilitated intercultural learning. AKIRA scores showed improvement in Ugandan fellows’ skills (pre-fellowship mean = 1.125; post-fellowship mean = 1.536; p = 0.0117).</div></div><div><h3>Discussion</h3><div>GHEF's simultaneous training model offers a promising approach to equitable collaboration and building research capacity in global mental health.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100497"},"PeriodicalIF":4.1,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696685","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":"Journeys and experiences accessing trauma support for Black adults with complex trauma: a qualitative study","authors":"Lewis Benjamin ,&nbsp;Steve Gillard ,&nbsp;Jessica Jones Nielsen ,&nbsp;Camila Graterol Munoz ,&nbsp;Jacqueline Sin","doi":"10.1016/j.ssmmh.2025.100498","DOIUrl":"10.1016/j.ssmmh.2025.100498","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100498"},"PeriodicalIF":4.1,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144696686","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}