Mental health science最新文献

{"title":"Mental Health and Psychosocial Stressors in Competitive Field Hockey Players: A Cross-Sectional Study","authors":"Marc Niering,&nbsp;Larissa Schraven,&nbsp;Rainer Beurskens,&nbsp;Johanna Seifert","doi":"10.1002/mhs2.70058","DOIUrl":"https://doi.org/10.1002/mhs2.70058","url":null,"abstract":"<p>Mental health symptoms in competitive athletes have received increasing scientific attention, yet field hockey players remain underrepresented in sports psychiatry research. To investigate depressive symptoms, trait anxiety, psychological well-being, and psychosocial correlates in competitive field hockey players. A cross-sectional online survey was conducted in 167 competitive field hockey players (88 women, 79 men; mean age 28.8 ± 6.85 years). Depressive symptoms, trait anxiety, and psychological well-being were assessed using the Beck Depression Inventory-II, State-Trait Anxiety Inventory-Trait version, and WHO-5. Perceived social support, financial insecurity, injury history, and sport-related variables were additionally assessed. Correlation and regression analyses were conducted. Clinically relevant depressive symptoms were reported by 46.1% of participants, while 49.7% exceeded the cut-off for elevated trait anxiety. Reduced psychological well-being was observed in 16.8% of athletes. Higher depressive symptom severity was associated with higher trait anxiety (<i>r</i> = 0.71, <i>p</i> &lt; 0.001), lower perceived social support (<i>r</i> = −0.57, <i>p</i> &lt; 0.001), and greater financial insecurity (<i>r</i> = 0.42, <i>p</i> &lt; 0.001). Lower perceived social support (<i>β</i> = −0.42, <i>p</i> &lt; 0.001), greater financial insecurity (<i>β</i> = 0.20, <i>p</i> = 0.002), and recent severe injury (<i>β</i> = 0.36, <i>p</i> &lt; 0.001) were independently associated with higher depressive symptom severity. Comparable patterns were observed for trait anxiety and psychological well-being. Competitive field hockey players demonstrated comparatively high levels of depressive symptoms and trait anxiety, whereas reduced psychological well-being was less prevalent. Psychosocial and contextual variables showed stronger associations with mental health outcomes than sport-related exposure variables, emphasizing the importance of multidimensional mental health approaches in competitive sport environments.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70058","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148994411","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":"Climate Change and Women's Mental Wellbeing in Ghana: Gendered Experiences of Displacement, Heat, Care, and Coping","authors":"Jacob Kwakye","doi":"10.1002/mhs2.70057","DOIUrl":"https://doi.org/10.1002/mhs2.70057","url":null,"abstract":"<p>Climate change increasingly threatens mental wellbeing, yet its gendered psychological consequences remain insufficiently understood in Ghana. This qualitative multiple-case study examined how place-specific climate hazards shape women's distress, trauma, resilience, and coping in Salakope, a coastal community affected by sea encroachment and displacement, and Choggu Yapalsi, a northern community experiencing extreme heat, water scarcity, rainfall uncertainty, and agricultural insecurity. Sixteen (16) women were purposively recruited across the two communities. Semi-structured interviews were analyzed through Thematic Network Analysis, guided by Feminist Political Ecology and the Transactional Theory of Stress and Coping. Five interconnected pathways emerged: ecological and livelihood loss; caregiving and cognitive overload; heat-related bodily and psychological strain; domestic insecurity and violence; and displacement-related grief and disrupted belonging. Coping drew on social and material support, spirituality, livelihood diversification, savings, preparedness, and collective action. The findings show that climate-related mental distress is mediated by gendered labor, unequal resource access, household relations, place attachment, and constrained coping resources. Effective adaptation must address psychosocial wellbeing alongside livelihoods, care burdens, domestic safety, and accessible community support systems within climate-exposed coastal and northern communities in Ghana nationally.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70057","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148993959","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":"Trends and Patterns in Outpatients Visits Among Children and Adolescents in a Psychiatric Specialist Hospital, 2019–2023","authors":"Wenjie Gu,&nbsp;Qing Zhao,&nbsp;Zhen Wang","doi":"10.1002/mhs2.70055","DOIUrl":"https://doi.org/10.1002/mhs2.70055","url":null,"abstract":"<p>Mental health problems burden children and adolescents globally, and the COVID-19 pandemic has exacerbated these challenges, altering their healthcare-seeking behaviors and mental health diagnostic patterns. However, few studies have systematically analyzed long-term outpatient visit trends and diagnostic changes pre- and post-pandemic, especially considering age and gender differences. Retrospective data of 74,779 valid pediatric (0–18 years) mental health outpatient visits (2019–2023) from Shanghai Mental Health Center were analyzed. Interrupted time series (ITS) analysis quantified COVID-19 intervention impacts, with multiple logistic regression for associated factors. Pediatric mental health visits increased annually (2019–2023) except for a 2022 decline. Male visits were barely affected by pandemic interventions, while female visits (10–13 and 14–18 years) were significantly impacted, with COVID-19 exerting short- and long-term effects on 14–18-year-olds. Depressive episode (F32), hyperkinetic disorders (F90), and other anxiety disorders (F41) remained top three diagnoses, with two childhood-specific emotional/behavioral disorders rising in proportion. The study confirms an upward trend in pediatric mental health visits with notable age-gender differences, and targeted pandemic impacts on adolescent females. It highlights the urgent need for age- and gender-specific mental health services, providing a reference for public health responses to pediatric mental health crises.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70055","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148942194","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":"Open Pilot Trial of a Single Session Consultation Service for Clients at StrongMinds Uganda","authors":"Rosco Kasujja,&nbsp;Ian Sotomayor,&nbsp;Peter Birungi,&nbsp;Morris Ndeezi,&nbsp;Erica Szkody,&nbsp;Jessica L. Schleider","doi":"10.1002/mhs2.70056","DOIUrl":"https://doi.org/10.1002/mhs2.70056","url":null,"abstract":"<p>The need for mental health services in Sub-Saharan Africa far exceeds the availability of support, creating long waitlists for the few services that are in place. To address this crisis, implementing evidence-based, single-session interventions for individuals seeking treatment may provide timely relief. StrongMinds—a mental health charity organization serving youth and adults in Uganda—piloted a Single-Session Consultation (SSC) service for new treatment-seekers with elevated depressive symptoms, as indicated by a score on a screener survey suggesting the presence of at least mild depression. To optimize its reach and fit with StrongMinds' service delivery model, the SSC was delivered by trained lay providers in both individual and group-based formats. Within 2 months (September–October 2023), the SSC was delivered to 200 Ugandan adults with elevated depression symptoms (ages 16–86; 73% female) upon initial outreach for StrongMinds' group psychotherapy services. SSC clients reported significant improvements in hopelessness and depression symptoms at 2-week (<i>d</i>s = −0.73, −1.12) and 1-month follow-ups <i>(d</i>s = −0.96, −1.44), while waiting for group psychotherapy. SSC clients reported high SSC satisfaction (<i>M</i> = 4.47/5), and intervention effects did not significantly differ by delivery format (i.e., individual vs. group format). Results suggest the SSC's acceptability, feasibility, and utility as a low-intensity, scalable intervention for adolescents and adults in Uganda on waiting lists for longer-term psychotherapy.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-08-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70056","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148783629","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":"German Adaptation and Validation of the Firefighter Coping Self-Efficacy Scale","authors":"Yvonne Görlich,&nbsp;Dominik Mitterer","doi":"10.1002/mhs2.70047","DOIUrl":"https://doi.org/10.1002/mhs2.70047","url":null,"abstract":"<p>Firefighters frequently encounter traumatic events in the course of their duties, placing them at heightened risk of developing psychological distress, including post-traumatic stress disorder, depression, burnout, and suicidal tendencies. Coping self-efficacy, defined as the belief in one's own ability to cope with stress and recover from stressful experiences, has been identified as an important protective factor. The Firefighter Coping Self-Efficacy Scale (FFCSE) is a domain-specific instrument for measuring this construct, for which no German version was previously available. This study aimed to translate and psychometrically evaluate a German FFCSE version using a sample of professional and volunteer firefighters from Bavaria, Germany (<i>N</i> = 1213). Confirmatory factor analyses supported a theoretically derived three-factor solution comprising Medical, Operational, and Posttraumatic subscales, which demonstrated the best fit among competing models and acceptable overall fit. The scale showed internal consistency of <i>α</i> = 0.898 for the total scale and <i>α</i> = 0.777–0.867 for the subscales. Construct validity was supported by significant correlations with depression, anxiety, stress, well-being, life satisfaction, resilience, and general self-efficacy. Scalar measurement invariance was established across all relevant subgroups, supporting the validity of group comparisons. Professional firefighters demonstrated higher coping self-efficacy than volunteers, and psychosocial training showed positive associations with coping self-efficacy. The German FFCSE provides a psychometrically evaluated instrument for research, training, and preventive measures in German-speaking fire departments.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148617325","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":"Exploring Psychopathology in Antinatalist and Childfree Individuals: A Cross-Sectional Analysis","authors":"Yannick Vander Zwalmen,&nbsp;Kristof Hoorelbeke,&nbsp;Viviana Verde,&nbsp;Ernst H. W. Koster","doi":"10.1002/mhs2.70050","DOIUrl":"https://doi.org/10.1002/mhs2.70050","url":null,"abstract":"<p>As fertility rates decline in industrialized nations, an increasing number of adults expect to remain without children. While often grouped together in demographic studies, non-parents comprise diverse subgroups with distinct motivations. Despite growing discourse around reproductive choices, the psychological functioning of these specific subgroups remains poorly understood. This cross-sectional study recruited 492 non-parent adults from the United Kingdom via Prolific. Participants were categ<i>o</i>rized as childless (<i>N</i> = 258; desire children or undecided), childfree (<i>N</i> = 199; do not desire children for personal, social, or economic reasons), or antinatalist (<i>N</i> = 35; do not desire children for moral or ethical reasons). Participants completed the Depression, Anxiety and Stress Scale-21 (DASS-21), Child Trauma Questionnaire (CTQ), Experiences in Close Relationships—Revised (ECR-R), Meaning in Life Questionnaire (MLQ), and Suicidal Behaviors Questionnaire—Revised (SBQ-R). Group differences were analyzed using Kruskal-Wallis tests and quantile regression, adjusting for age, education, marital status, and ethnicity. Significant demographic differences were found between the groups in age, education level, marital status, and ethnicity. Unadjusted analyses showed that childless individuals reported significantly higher levels of depression, anxiety, stress, attachment anxiety, and search for meaning compared to childfree individuals. After adjusting for demographic covariates, most of these group differences became non-significant. However, childfree individuals still showed significantly lower attachment anxiety (at the median), lower reported childhood physical abuse (at the upper quantile), and lower suicidal ideation (at the lower quantile) compared to childless individuals. No evidence emerged that antinatalists experienced greater psychological distress than the other groups. After accounting for demographic factors, psychological differences among antinatalist, childfree, and childless individuals were minimal. Demographic characteristics, rather than reproductive stances, largely accounted for observed variations. These findings counter narratives portraying voluntarily childless individuals, particularly antinatalists, as psychologically maladjusted. However, the small antinatalist sample size (<i>n</i> = 35) severely limited statistical power.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70050","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148467383","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 Health as a Complex System: From Individual Behaviour Change to Collective Capability and Community Infrastructure","authors":"Taylor G. Hill","doi":"10.1002/mhs2.70054","DOIUrl":"https://doi.org/10.1002/mhs2.70054","url":null,"abstract":"<p>Public mental health agendas increasingly recognise that mental health outcomes are shaped by social, economic, and environmental conditions, yet much population-level activity continues to rely on models that emphasise individual behaviour change as the primary mechanism of improvement. At scale, such approaches have shown limited durability and uneven reach, particularly under conditions of structural constraint. These patterns suggest a more fundamental conceptual issue: public mental health is often treated as the aggregate outcome of individual-level change rather than as an emergent property of community systems. This paper develops a systems-based framework that distinguishes three analytically related levels through which public mental health is produced: individual practices, collective capability, and community infrastructure. Collective capability captures whether communities provide the shared conditions that allow individuals to translate resources and intentions into lived well-being in everyday life. Community infrastructure is conceptualised as the design layer through which collective capability is built, stabilised, and unevenly distributed over time, encompassing physical, social, institutional, and temporal arrangements. Situating behaviour change within this broader system architecture helps explain why interventions that appear effective in some contexts often struggle to scale equitably or persist at the population level. Public mental health is further conceptualised as a complex adaptive system characterised by feedback processes, threshold effects, and cumulative advantage and disadvantage. Implications are outlined for research design, measurement and surveillance, and policy, with particular attention to the role of infrastructure and governance in shaping durable and equitable population mental health outcomes.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70054","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148466984","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Noise Sensitivity on the Association Between Noise Annoyance and Mental Health: The Moderated Mediating Analysis","authors":"Pramath Chandra Sarker,&nbsp;Sabina Sultana,&nbsp;Md. Nur-E-Alam Siddique,&nbsp;Daichi Sugawara,&nbsp;Md. Abdul Hannan Mondal","doi":"10.1002/mhs2.70052","DOIUrl":"https://doi.org/10.1002/mhs2.70052","url":null,"abstract":"<p>Noise appears to impact mental health. Few studies have examined the role of noise annoyance in mental health. The study aims to investigate the mediating and moderating roles of noise sensitivity and long-term disease in the relationship between noise annoyance and mental health among the Bangladeshi population. This cross-sectional study includes 764 participants from two metropolitan city areas using a mixed (probability and non-probability) sampling technique. The Bangla-adapted Noise Sensitivity Scale (NSS), Bangla-translated Noise Annoyance Scale (NAS), and Bangla-adapted Depression Anxiety Stress Scales (DASS-21) scale were used to measure the noise sensitivity, noise annoyance, and mental health of the recruited participants, respectively. The moderated mediation analyses were examined using the Hayes PROCESS macro. The mean age of the participants was 28.98 ± 10.12 years, ranging from 18 to 69 years old. Among 764 participants, 48% were male, and 52% were female. Noise annoyance and mental health were positively correlated (<i>r</i> = 0.25, <i>p</i> &lt; 0.01). The total effect of noise annoyance on mental health was statistically significant (<i>β</i> = 0.82, <i>p</i> &lt; 0.01). The effect of noise annoyance on noise sensitivity was statistically significant (<i>β</i> = 0.29, <i>p</i> &lt; 0.01), and the effect of noise sensitivity on mental health (<i>β</i> = 0.47, <i>p</i> &lt; 0.01). The effect of noise annoyance via noise sensitivity on mental health was positive and significant (<i>β</i> = 0.69, <i>p</i> &lt; 0.01). The indirect effect was moderated by long-term disease (<i>β</i> = 0.12, 95% CI = [0.00, 0.24]). The moderated mediation model explained 14%. Higher noise annoyance is related to mental health problems and noise sensitivity. Long-term disease strengthens the noise annoyance-mental health relationship. Health professionals and policymakers can effectively utilize these findings to enhance the mental health of city dwellers.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70052","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148389168","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":"Indian Adolescents' Perspectives on Emotional Well-Being: A Focus Group Study With a Community Sample","authors":"Amy Palmer,&nbsp;Daryl B. O'Connor,&nbsp;N. Janardhana,&nbsp;Prachi Khandeparkar,&nbsp;Poornima Bhola,&nbsp;Sphoorthi Prabhu,&nbsp;Krupa A. L.,&nbsp;Mutharaju Arelingaiah,&nbsp;Jayalaxmi K. P.,&nbsp;Ritwika Nag,&nbsp;Siobhan Hugh-Jones","doi":"10.1002/mhs2.70051","DOIUrl":"https://doi.org/10.1002/mhs2.70051","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>In India, adolescent poor mental health is a significant concern, with suicide being a leading cause of adolescent death. The Indian government is responding through policies and initiatives. Such actions to protect adolescent emotional well-being could be enhanced by Indian adolescents' own accounts of what helps and harms their well-being, and by drawing on culturally relevant theories of youth well-being. This study aimed to elicit the perspectives of a community sample of Indian adolescents on factors that affect their emotional well-being and to identify which well-being theories best capture their experiences. Focus groups were conducted with participants (<i>n </i>= 50) aged 13−16 years in schools in Karnataka, India. Participants were from both urban (40%) and rural (58%) locations, and all attended government-aided schools. Data was analyzed using a form of inductive framework analysis. Dominant theories of well-being were examined for the best fit to the data. Fifteen factors were identified as positively influencing adolescent emotional well-being. Significant factors were “connections with others,” “engaging in hobbies,” and “feeling valued.” Dominant theories of well-being do not fully account for all of the influential factors reported by adolescents. The Basic Psychological Needs Theory was the best fit to the data. These findings add to the growing body of research suggesting that culture significantly influences well-being, highlighting the need for a localized approach, alongside furthering well-being knowledge relating to adolescents in India. How findings can be used to drive policy and interventions in India is discussed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-06-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70051","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148237593","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":"","authors":"","doi":"","DOIUrl":"","url":null,"abstract":"","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"4 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2026-05-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148092798","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}