SSM. Mental health最新文献

{"title":"Pathways of service user participation in mental health decision-making in Lebanon","authors":"Thurayya Zreik ,&nbsp;Sandy Chaar ,&nbsp;Michelle Lokot ,&nbsp;Rozane El Masri ,&nbsp;Rayane Ali ,&nbsp;Bassel Mekssasi ,&nbsp;Joseph Elias ,&nbsp;Michele Asmar ,&nbsp;Martin McKee ,&nbsp;Felicity L. Brown ,&nbsp;Rabih El Chammay ,&nbsp;Bayard Roberts","doi":"10.1016/j.ssmmh.2025.100486","DOIUrl":"10.1016/j.ssmmh.2025.100486","url":null,"abstract":"<div><div>Inclusive participation of mental health service users is critical for effective decision-making and governance, yet remains underexplored in humanitarian settings. Lebanon, facing protracted crises and hosting over 1.5 million Syrian refugees, provides a unique case to examine pathways of service user participation in mental health decision-making. This qualitative study investigates barriers, facilitators, and power dynamics influencing service user participation at the micro-, meso- (service), and macro- (policy) levels. Semi-structured interviews and focus group discussions were conducted with 33 purposively selected participants, including Syrian and Lebanese service users, NGO staff, and UN representatives. Data were collaboratively analysed using Dedoose software based on codes developed deductively and inductively. Our findings reveal that participation is limited and predominantly consultative, with power imbalances including gender, socioeconomic status, stigma, and displacement status creating significant barriers. Users reported decision-making power at the individual level, particularly in seeking services and treatment planning, but meaningful participation at service or governance levels was rare. Providers highlighted efforts to gather user input but often framed participation as part of routine monitoring and evaluation. Reluctance to engage formal governance structures, due to mistrust and structural and attitudinal barriers, further inhibited participation. Strategies to enhance meaningful participation include increasing awareness, capacity-building, promoting flexibility in service design, and strengthening user-led advocacy. Addressing power imbalances and promoting inclusive, user-centered approaches are essential to advancing inclusion in mental health systems, with valuable implications for humanitarian and crisis-affected settings globally.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100486"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144511031","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":"Barriers to suicide research are also barriers to suicide prevention:Insights from conducting a mixed-methods project in oncology","authors":"Judith Hirschmiller ,&nbsp;Tamara Schwinn ,&nbsp;Jörg Wiltink ,&nbsp;Manfred E. Beutel ,&nbsp;Rüdiger Zwerenz ,&nbsp;Elmar Brähler ,&nbsp;Mareike Ernst","doi":"10.1016/j.ssmmh.2025.100484","DOIUrl":"10.1016/j.ssmmh.2025.100484","url":null,"abstract":"<div><div>Cancer patients are at risk for suicidal crises. There is a need for more research concerning specific risk/protective factors and knowledge about barriers and resources of prevention efforts in clinical practice. This contribution reports on difficulties during the realization of a research project that aimed to address these research gaps, among other approaches, via a patient survey and an interview study with healthcare professionals (HCPs). Throughout recruitment and implementation, we documented the barriers encountered and systematically analyzed them.</div><div>We identified three main categories of obstacles toward the research endeavor that also hold meaning for the efficacy of suicide prevention: First, <em>suicidal thoughts and behaviors are not (allowed to be) an issue in oncology</em>, subsuming the denial of their occurrence, the minimization of their relevance, the alleged appropriateness of the construct to oncology, and the rejection of responsibility; second, <em>prevailing suicide myths</em>, in particular of iatrogenic harm; and third, <em>strong, negative emotional reactions undermining dialogue</em>.</div><div>We interpret these experiences against previous considerations of dysregulated responses to suicidal patients in the healthcare setting and analyze their causes and functions. These findings highlight the urgent need for structured education on suicide prevention across medical disciplines, particularly in oncology. Addressing both knowledge gaps and emotional barriers among HCPs is crucial for fostering a proactive, evidence-based approach to suicide prevention. Future efforts should focus on integrating suicide risk assessment and intervention strategies into routine cancer care, alongside improved interdisciplinary collaboration and institutional support.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100484"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502463","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":"Cost-effectiveness of culturally-adapted counselling mental distress in low-income ethnic minorities in Hong Kong: results based on a randomized clinical trial","authors":"Yi Nam Suen ,&nbsp;Yik Chun Wong ,&nbsp;Winnie Ng ,&nbsp;Shilpa Patwardhan ,&nbsp;Charlton Cheung ,&nbsp;Stephanie Ming Yin Wong ,&nbsp;Christy Lai Ming Hui ,&nbsp;Michael Tak Hing Wong ,&nbsp;Shalini Mahtani ,&nbsp;Eric Yu Hai Chen","doi":"10.1016/j.ssmmh.2025.100485","DOIUrl":"10.1016/j.ssmmh.2025.100485","url":null,"abstract":"<div><h3>Introduction</h3><div>Culturally adapted counselling (CAC) offers a potential solution by delivering culturally tailored early psychological support. However, its cost-effectiveness for reducing mental distress among EMs remains understudied, particularly in Asian settings. This study evaluated the cost-effectiveness of CAC compared to waitlist controls for low-income South Asian EMs experiencing mental distress in Hong Kong, using a healthcare perspective.</div></div><div><h3>Methods</h3><div>This study conducted a trial-based cost-effectiveness analysis (CEA) alongside a randomized clinical trial. A total of 120 participants were randomized into CAC or waitlist groups, with CAC consisting of 6–10 culturally adapted counselling sessions. Costs, including intervention, other mental health service and administrative costs, were calculated using a microcosting approach. The primary outcome was quality-adjusted life years (QALYs), calculated over a 3-month period. Incremental cost-effectiveness ratios (ICERs) were estimated, and cost-effectiveness uncertainty was assessed using bootstrapped cost-effectiveness planes and acceptability curves.</div></div><div><h3>Results</h3><div>CAC resulted reduced cost of other mental health service utilization (adjusted odds ratio [aOR] = 29.67, 95 %CI 23.10, 38.11; <em>p</em> &lt; 0.001) but in greater intervention cost (aOR = 30.14, 95 %CI 23.28, 39.03; <em>p</em> &lt; 0.001) and QALY gains compared to the waitlist group (aOR = 1.50, 95 %CI 1.31, 1,73; <em>p</em> &lt; 0.001). The ICER is HKD 35,088 (USD 4470) per QALY, well below the willingness-to-pay threshold of HKD 385,800 (USD 49,150).</div></div><div><h3>Conclusions</h3><div>CAC is a cost-effective early intervention for EMs experiencing mental distress. Policymakers should consider integrating CAC into community mental health services to address disparities. Future studies should assess long-term cost-effectiveness and strategies to improve male participation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100485"},"PeriodicalIF":4.1,"publicationDate":"2025-06-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502460","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":"“What use is my counseling?” Compassion fatigue and structural violence in community gender-based violence counseling in India","authors":"Meghana K. Vagwala ,&nbsp;Susan Gonzalez ,&nbsp;Keerthi Bollineni ,&nbsp;Jennifer Potter ,&nbsp;Anushka R. Patel","doi":"10.1016/j.ssmmh.2025.100482","DOIUrl":"10.1016/j.ssmmh.2025.100482","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100482"},"PeriodicalIF":4.1,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513796","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":"Caring for loved ones as community: Supporting caregivers of Native Hawaiians living with dementia","authors":"Alexandra Malia Jackson ,&nbsp;Adrienne Dillard ,&nbsp;B. Puni Kekauoha ,&nbsp;Mahealani Mahiai Austin ,&nbsp;Pokiʻi Balaz ,&nbsp;Errol Kiaʻi Lee ,&nbsp;Natlie Dutro ,&nbsp;Paige Mayeda ,&nbsp;Angeliyah Kahoku Dutro ,&nbsp;Kelly O'Sullivan ,&nbsp;Jordan P. Lewis ,&nbsp;Scott K. Okamoto ,&nbsp;Kenneth Hepburn ,&nbsp;Raven H. Weaver","doi":"10.1016/j.ssmmh.2025.100483","DOIUrl":"10.1016/j.ssmmh.2025.100483","url":null,"abstract":"<div><div>Caregiving interventions can reduce caregiver burden and promote caregiver competence, yet caregiving is rooted in culture, with differing impacts of the caregiving role. Culturally adapted interventions may better address the unique experiences of diverse family caregivers. In this exploratory study, we aimed to adapt the Savvy Caregiver Program (SCP), an evidence-based caregiving intervention, with a Native Hawaiian community in Hawaiʻi. First, a community action board (CAB) and research team tailored the curriculum to include Hawaiian values, language, proverbs and examples while maintaining the program core components. Then, Native Hawaiian adults participated in the preliminary adapted program, ʻAuamo Kuleana O Nā Maʻi Poina (ʻAuamo Kuleana). We describe the experiences of caregiving for a Native Hawaiian adult living with ADRD and how we obtained feedback to refine ‘Auamo Kuleana prior to pilot testing. Individuals who participated in the 7-week session of ʻAuamo Kuleana (<em>N</em> = 6) were asked to complete a survey and a focus group or interview to share their experiences and provide feedback that informed a process evaluation of the program. The CAB and research team analyzed qualitative data using thematic analysis. Only one participant was actively providing care; the other five participants were interested in proactive training to support their community. Caring as a community was a common theme. Participants shared positive feedback about ʻAuamo Kuleana and participants appreciated the tailored content. As such, no changes were made to the program. Two suggestions were identified: include all family members in the program to be in alignment as a ʻohana (family) in providing care and add information about planning for their own care. Future Native Hawaiian-focused caregiving interventions should consider incorporating cultural practices and values, proactive training about dementia and caregiving, caring as a community, and family-centered (rather than dyadic) caregiving.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100483"},"PeriodicalIF":4.1,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144502462","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":"Ethnic disparities as potential indicators of institutional racism in inpatient care within acute mental health wards: A rapid review","authors":"Phuong Hua ,&nbsp;Sarah-Jane Fenton ,&nbsp;Mark Freestone ,&nbsp;Kamaldeep Bhui ,&nbsp;Sania Shakoor","doi":"10.1016/j.ssmmh.2025.100478","DOIUrl":"10.1016/j.ssmmh.2025.100478","url":null,"abstract":"<div><h3>Purpose</h3><div>Previous reviews suggest minoritised ethnic patients face inequalities in aspects of inpatient care including involuntary admission and forced medication. This rapid review aimed to identify ethnic disparities in acute adult mental health care and explore to what extent these provide evidence of institutional racism, as defined by the Macpherson report.</div></div><div><h3>Methods</h3><div>Ovid MEDLINE, Cochrane Library, Ovid PsycINFO, Web of Science and Ovid EMBASE were searched for studies published from January 2018 to August 2024. Quality of evidence was assessed using the Joanna Briggs Critical Appraisal Tools. A synthesis of the studies was performed.</div></div><div><h3>Results</h3><div>Quantitative studies (n = 34) revealed ethnic disparities in involuntary admission, psychiatric diagnoses, forced medication, physical restraint, seclusion, length of stay and access to appropriate services/facilities. Qualitative data (n = 2) revealed experiences of disempowerment, confusion and loss of autonomy. Collectively these findings mapped onto components identified as underlying institutional racism as defined by the Macpherson report.</div></div><div><h3>Conclusion</h3><div>Our current evidence can be used to understand the genesis and perpetuation of insitutional racism in health care settings. This will enable us to better target intervention or change management to address issues where they arise. Further research and analyses are needed however, in order to verify whether ethnic disparities in inpatient services and treatment <em>reflect</em> or are themselves <em>exacerbated or contributed</em> to by institutional racism.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100478"},"PeriodicalIF":4.1,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144513729","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":"A scoping review of low-intensity cognitive behavioral therapy studies across Asia","authors":"Cameron Shi Ern Tan ,&nbsp;Keane Kang Xiang Ong ,&nbsp;Laura Sophie Arden-Gardner ,&nbsp;Fiqri Nur Haziq Abu Bakar ,&nbsp;Sin Yee Lim ,&nbsp;Amalia Ariffin ,&nbsp;Jonathan Han Loong Kuek","doi":"10.1016/j.ssmmh.2025.100479","DOIUrl":"10.1016/j.ssmmh.2025.100479","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health conditions are increasing globally, yet access to mental health services remains limited, particularly in Asia. Low-intensity cognitive behavioral therapy (LI-CBT) interventions offer a scalable, cost-effective approach to addressing mild-to-moderate mental health issues. However, the implementation of LI-CBT in Asia remains unclear. This scoping review examines existing research on LI-CBT in Asia, identifies research gaps, and explores the extent of cultural adaptations made to these interventions, providing an overview of the literature and highlighting future research and practice avenues.</div></div><div><h3>Methods</h3><div>Adopting the PRISMA-ScR guidelines, a systematic search was conducted in PubMed, PsycINFO, CINAHL, EMBASE, Web of Science, and Scopus, focusing on peer-reviewed studies published between 2005 and 2024. Primary research studies conducted in Asia that employed LI-CBT interventions according to a formal framework for classifying these programs were included. Data were charted and analyzed to identify key themes in various study characteristics, intervention types, outcomes, and cultural adaptations.</div></div><div><h3>Results</h3><div>A total of 42 studies from 12 Asian countries were identified, with Japan and China contributing the most research. Most studies reported positive outcomes; research gaps remain due to the heterogeneity of implementation, small sample sizes, inadequate controls, short follow-up periods, and inconsistent cultural adaptations beyond language translation.</div></div><div><h3>Conclusion</h3><div>LI-CBT holds promise for improving mental health accessibility in Asia. However, further research is needed to enhance cultural adaptation considerations and create standardized intervention frameworks that can be modified for use in diverse populations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100479"},"PeriodicalIF":4.1,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365199","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":"The longitudinal relationship between financial hardship and mental health - A systematic review of the evidence","authors":"Joel Tibbetts ,&nbsp;Cath Chapman ,&nbsp;Siobhan O'Dean ,&nbsp;Peter Butterworth ,&nbsp;Tim Slade","doi":"10.1016/j.ssmmh.2025.100481","DOIUrl":"10.1016/j.ssmmh.2025.100481","url":null,"abstract":"<div><h3>Background</h3><div>A compelling body of evidence has accumulated in recent years highlighting the association between various socioeconomic factors and a wide range of mental health outcomes. This includes financial hardship - described by Mack and Lansley (1985) as “an enforced lack of socially perceived necessities” - the experience of which has demonstrated a strong negative effect on mental health. To date however, no systematic review of the evidence assessing the longitudinal relationship between financial hardship and mental health has been undertaken.</div></div><div><h3>Aims</h3><div>The aim of this review is to better understand the longitudinal relationship between financial hardship and mental health, to critically appraise the quality of existing evidence, and to identify factors that may explain heterogeneity in this association.</div></div><div><h3>Methods</h3><div>Scopus, PsycINFO, MEDLINE, Embase, PubMed were searched from inception to July 2023 and yielded a total of 8672 records. Following de-duplication, abstract and full-text screening, 94 studies met inclusion criteria. Included studies were published between 1987 and 2023, and spanned 24 countries.</div></div><div><h3>Results</h3><div>The reviewed literature overwhelmingly demonstrated a positive longitudinal association between financial hardship experience and poorer mental health. Despite a diversity of locations, study designs, analytic techniques, modelled confounders, and measures of mental health and financial hardship, 101 of 116 multivariate assessments demonstrated a positive relationship between financial hardship and poorer mental health, particularly depression.</div></div><div><h3>Conclusion</h3><div>This body of evidence highlights a clear association between financial hardship and poorer mental health, reinforcing the necessity of intervention that can mitigate the experience of deprivation due to lack of financial resources, and in turn promote mental health.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100481"},"PeriodicalIF":4.1,"publicationDate":"2025-06-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144481267","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":"Election worry, political identity, and subsequent physical health in the United States","authors":"Daniel P. Relihan ,&nbsp;Kayley D. Estes ,&nbsp;Branislav Jovanovic ,&nbsp;Dana Rose Garfin ,&nbsp;Roxane Cohen Silver ,&nbsp;E. Alison Holman","doi":"10.1016/j.ssmmh.2025.100476","DOIUrl":"10.1016/j.ssmmh.2025.100476","url":null,"abstract":"<div><div>Political polarization surrounding elections may have population-level physical health consequences over time. Given that psychological distress is associated with worse physical health, heightened election-related worry (a.k.a. election worry) may have negative physical health implications for the U.S. population. We assessed the prospective association between worry about the 2020 presidential election and new onset physical health ailments over the subsequent 3 years in a nationally representative U.S. sample (<em>N</em> = 4,311) and examined differences by political identity. Our longitudinal cohort study used the probability-based NORC AmeriSpeak Panel. Baseline physician-diagnosed mental and physical health conditions, smoking, political identity, and demographics were assessed pre-2020, with new-onset physical health ailments (e.g., heart problems, cancer, stroke) reassessed in Spring 2022 and Summer 2023. Election worry was measured in September–October 2020; political identity and demographics were updated Fall 2021. Adjusting for demographics, baseline health conditions, smoking, health insurance coverage, and prior mental health diagnosis, each one-unit increase in 2020 election worry was associated with 12% higher odds of developing any new-onset physical health ailments (OR = 1.12, 95% CI[1.01, 1.24], <em>p</em> = .026) over the subsequent 3 years. This association was significantly stronger for Republicans compared to Democrats (OR = 1.28, 95% CI[1.01, 1.62], <em>p</em> = .038). These findings suggest that election worry may be a social determinant of health with measurable physical health consequences, particularly among those whose political party loses the election. Understanding these dynamics is crucial for developing interventions to mitigate the health impacts of political stress in an increasingly polarized society.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100476"},"PeriodicalIF":4.1,"publicationDate":"2025-06-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144702930","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":"Mental health self-stigma moderates the effect of social support on depression, anxiety and stress among young adult Pacific Islanders","authors":"Melanie D. Sabado-Liwag ,&nbsp;James Russell Pike ,&nbsp;Mayra Zamora ,&nbsp;Cindy Garcia ,&nbsp;Lolofi Soakai ,&nbsp;Genesis Lutu ,&nbsp;Paula H. Palmer ,&nbsp;Sherine El-Toukhy ,&nbsp;Patchareeya P. Kwan","doi":"10.1016/j.ssmmh.2025.100471","DOIUrl":"10.1016/j.ssmmh.2025.100471","url":null,"abstract":"<div><h3>Objectives</h3><div>In the United States, Pacific Islanders have a high documented prevalence of depression, anxiety, and stress yet report low use of mental health services. Little is known about their risk and protective factors against psychological distress, such as self-stigma and social support. The aim of the current study was to investigate how perceived levels of social support and levels of self-stigma moderate mental health outcomes (depression, anxiety, and stress).</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted in Southern California from May 2018 to June 2019 of 213 Pacific Islanders aged 18–35 years who had never been medically diagnosed with a severe mental condition. Each participant completed an online survey that assessed their demographics, mental health, perceptions of mental health, and perceived social support. The independent and synergistic effects of mental health self-stigma and social support on self-reported depression, anxiety, and stress were examined in a series of demographics-adjusted linear regression models.</div></div><div><h3>Results</h3><div>Social support from family members exhibited a protective effect on all three outcomes. Social support from friends was associated with higher levels of depression, anxiety, and stress. Self-stigma acted as a moderator that either amplified the deleterious effects associated with social support from friends or altered the protective effect of support from family.</div></div><div><h3>Conclusions</h3><div>Findings suggest that social support from friends may play a role in the presence of self-stigma through peer stigmatization of psychological distress. Family- and peer-centric interventions are needed to reduce self-stigma and improve mental health among young adult Pacific Islanders.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100471"},"PeriodicalIF":4.1,"publicationDate":"2025-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338490","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}