SSM. Mental health最新文献

{"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}

{"title":"Understanding linkages between self-reliance and mental health among forcibly displaced women in Colombia","authors":"Ilana Seff ,&nbsp;Arturo Harker Roa ,&nbsp;Raymond Atwebembere ,&nbsp;Jennie Cottle ,&nbsp;Ned Meerdink ,&nbsp;Adriana Monar ,&nbsp;Diany Castellar ,&nbsp;Lindsay Stark","doi":"10.1016/j.ssmmh.2024.100383","DOIUrl":"10.1016/j.ssmmh.2024.100383","url":null,"abstract":"<div><div>This study explores the relationship between household-level self-reliance and mental health outcomes—specifically, depression symptoms and resilience—among forcibly displaced women in Colombia. Using baseline data from 348 women participating in an entrepreneurial program with a gender lens, we employed multiple regression analyses to examine self-reliance, measured via the Self-Reliance Index (SRI), and its association with depressive symptoms (PHQ-9) and resilience (Brief Resilient Coping Scale). Results revealed a strong inverse relationship between self-reliance and depressive symptoms, particularly for self-reliance related to food security, financial resources, and debt. However, no significant association was found between self-reliance and resilience. Perceived control and community support also played significant roles: women who reported feeling controlled by others exhibited higher levels of depression, while those who felt supported by their communities demonstrated greater resilience. These findings underscore the importance of addressing both self-reliance, economic stability and social support in interventions aimed at improving the mental health and resilience of forcibly displaced women.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100383"},"PeriodicalIF":4.1,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130235","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":"Associations of adverse childhood and adulthood experiences with depressive and anxiety symptoms among rural left-behind women: A cross-sectional study in China","authors":"Shiyi Shan ,&nbsp;Yuanfei Liu ,&nbsp;Leying Hou ,&nbsp;Denan Jiang ,&nbsp;Chenhao Zhang ,&nbsp;Jing Wu ,&nbsp;Zeyu Luo ,&nbsp;Jiayao Ying ,&nbsp;Wen Liu ,&nbsp;Peige Song","doi":"10.1016/j.ssmmh.2024.100380","DOIUrl":"10.1016/j.ssmmh.2024.100380","url":null,"abstract":"<div><h3>Background</h3><div>Life course adverse experiences are linked to an increased risk of mental health problems. However, these associations remain unclear among Chinese rural left-behind women. This study aimed to investigate the associations of adverse childhood and adulthood experiences with depressive and anxiety symptoms among rural left-behind women in China.</div></div><div><h3>Methods</h3><div>This cross-sectional survey was conducted in Henan province, China in July 2023. Rural left-behind women were recruited using a multistage-stratified random sampling method. Data on adverse childhood experiences (ACEs) and adverse adulthood experiences (AAEs) were collected through structured interviews. Depressive and anxiety symptoms were assessed using the 10-item Center for Epidemiological Studies Depression Scale and Generalized Anxiety Disorder-7 assessment, respectively. Multivariable log-binomial models with stabilized inverse probability of treatment weights (IPTW) were applied to analyze the associations of ACEs and AAEs with depressive and anxiety symptoms. Restricted cubic splines (RCS) were used to investigate the dose-risk associations of the ACEs score and AAEs score with depressive and anxiety symptoms. The additive and multiplicative interaction effects of ACEs and AAEs were also explored. A mediation analysis was conducted to examine the role of AAEs between ACEs and depressive and anxiety symptoms.</div></div><div><h3>Results</h3><div>Among 1495 rural left-behind women, 60.2% had at least one ACE, and 48.0% were affected by both ACEs and AAEs. The median age of the total population was 53 years (interquartile range [IQR]: 44–58). Women with four or more ACEs had higher risks of depressive symptoms (risk ratio [RR]: 2.60, 95% confidence interval [CI]: 2.22, 3.05) and anxiety symptoms (RR: 1.87 95% CI: 1.69, 2.08). Women with four or more AAEs had an RR of 2.19 for depressive symptoms (95% CI: 1.90, 2.51), and an RR of 2.44 (95% CI: 1.90, 2.51) for anxiety symptoms. The presence of both ACEs and AAEs doubles the risks of depressive symptoms (RR: 2.33, 95% CI: 1.96, 2.78) and anxiety symptoms (RR: 1.89, 95% CI: 1.54, 2.32). Besides, AAEs exhibited significant indirect effects on depressive and anxiety symptoms, with mediation proportions of 7.50% and 38.76%, respectively.</div></div><div><h3>Conclusion</h3><div>Our findings highlight the compounded impact of adverse experiences across the lifespan on mental health among Chinese rural left-behind women. Life-course strategies or policies aimed at preventing and mitigating the effects of such adverse experiences are crucial for this vulnerable population.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100380"},"PeriodicalIF":4.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130233","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":"Unpacking trends in “deaths of despair” in a cohort of male mine workers: A commentary on Colbeth et al., 2024","authors":"Ana Lucia Espinosa Dice","doi":"10.1016/j.ssmmh.2024.100381","DOIUrl":"10.1016/j.ssmmh.2024.100381","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100381"},"PeriodicalIF":4.1,"publicationDate":"2024-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143130004","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}