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Sexual Harassment and Assaults, Coping, and Posttraumatic Stress Disorder Among Australian Ambulance Personnel 澳大利亚救护人员中的性骚扰和性侵犯、应对和创伤后应激障碍
Mental health science Pub Date : 2025-07-08 DOI: 10.1002/mhs2.70028
Tiet-Hanh Dao-Tran, Keith Townsend, Rebecca Loudoun, Adrian Wilkinson, Charrlotte Seib
{"title":"Sexual Harassment and Assaults, Coping, and Posttraumatic Stress Disorder Among Australian Ambulance Personnel","authors":"Tiet-Hanh Dao-Tran,&nbsp;Keith Townsend,&nbsp;Rebecca Loudoun,&nbsp;Adrian Wilkinson,&nbsp;Charrlotte Seib","doi":"10.1002/mhs2.70028","DOIUrl":"https://doi.org/10.1002/mhs2.70028","url":null,"abstract":"<p>This cross-sectional study aims to explore the exposure to sexual harassment and assaults, coping, and posttraumatic stress disorder (PTSD) and their associations among Australian ambulance personnel. The study was conducted on 492 stratified and randomly selected ambulance personnel across three Australian states in 2017. A telephone interview administered questionnaire was used to collect data on exposure to sexual harassment and assault (Life Event Checklist for the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition (DSM-5)), coping (Brief Coping Orientations to Problems Experienced (Brief COPE)), and PTSD (PTSD checklist for DSM-5). Descriptive and bivariate statistics were used for data analysis. The study found that female ambulance personnel were more likely to be exposed to sexual harassment and assault directly and to sexual harassment as part of their jobs than their male colleagues. Female staff were more likely to use religious, emotional and instrumental support, and self-blame as their coping strategies. Frequent exposure to sexual harassment was significantly associated with an increased risk of PTSD. Greater use of maladaptive coping strategies was significantly associated with an increased risk of PTSD. Greater use of adaptive coping strategies was not significantly associated with a reduced risk of PTSD. Findings from this study suggest that strategies to manage frequent exposures to sexual harassment and its impacts, especially for female ambulance personnel, should be implemented to reduce the risk of PTSD. Further investigation into the effective use of adaptive coping strategies may provide explanations for the insignificant associations between a greater use of adaptive coping strategies and PTSD.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70028","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581865","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}
引用次数: 0
Acceptability of Psychosocial Interventions for Refugees and Asylum Seekers: A Systematic Literature Review 难民和寻求庇护者的社会心理干预的可接受性:系统的文献综述
Mental health science Pub Date : 2025-07-03 DOI: 10.1002/mhs2.70024
Joel R. Anderson
{"title":"Acceptability of Psychosocial Interventions for Refugees and Asylum Seekers: A Systematic Literature Review","authors":"Joel R. Anderson","doi":"10.1002/mhs2.70024","DOIUrl":"https://doi.org/10.1002/mhs2.70024","url":null,"abstract":"<p>Acceptability is a vital component of psychosocial interventions, separate from (but related to) efficacy, and includes the attitudes, feelings, and thoughts of clients and therapists about the appropriateness of (and anticipated response to) an intervention. This systematic review summarized the evidence regarding acceptability of psychosocial interventions for people adults seeking refuge (i.e., refugees, asylum seekers, and internally displaced people who were at least 18 years old). We conducted a mixed-methods systematic review of acceptability, measured quantitatively (e.g., dropout, attendance) and qualitatively (e.g., client and therapist attitudes, cultural appropriateness). Cochrane procedures were utilized for conducting the systematic review, meta-analysis, and thematic analysis. The search strategy resulted in the identification of 102 studies (<i>n</i> &gt; 8983 participants). Meta-analyses of quantitative data revealed a mean dropout rate of 16.9% and a mean attendance rate of 84.1% from a variety of psychosocial interventions. Thematic analysis of qualitative data generated seven themes; (a) <i>openness and closeness</i>, (b) <i>presence and care</i>, (c) <i>somatic focus</i>, (d) <i>flexibility</i>, (e) <i>sensitivity towards gender and culture</i>, (f) <i>limiting discussion of trauma</i>, and (g) <i>conflicting priorities</i> (i.e., relocation, work demands, transport difficulties, health issues, etc.). This review synthesized available data and highlighted important findings related to acceptability. These findings may be utilized in the provision of interventions for refugees and will aid in therapists adjusting their practice to improve its acceptability for this part of our population.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144551189","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}
引用次数: 0
Using Twitter to Compare Attitudes Towards Schizophrenia and Psychosis: Investigating the Prevalence of Stigma 使用Twitter比较对精神分裂症和精神病的态度:调查耻辱的流行
Mental health science Pub Date : 2025-07-02 DOI: 10.1002/mhs2.70026
Claire Thirkettle, Sheri Oduola, Lucy McEntegart, Peter Beazley
{"title":"Using Twitter to Compare Attitudes Towards Schizophrenia and Psychosis: Investigating the Prevalence of Stigma","authors":"Claire Thirkettle,&nbsp;Sheri Oduola,&nbsp;Lucy McEntegart,&nbsp;Peter Beazley","doi":"10.1002/mhs2.70026","DOIUrl":"https://doi.org/10.1002/mhs2.70026","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Schizophrenia remains one of the most stigmatized psychiatric diagnoses. It has been argued that the condition requires renaming. Psychosis is often used as an alternative term in UK clinical practice. We explored the prevalence of stigmatizing attitudes towards schizophrenia and psychosis using Twitter. Quantitative content analysis was used to analyze Tweets (<i>n</i> = 423) containing the terms “psychosis,” “psychotic,” “schizophrenia,” or “schizophrenic.” Tweets were categorized according to the presence and type of stigma. Both schizophrenia and psychosis were frequently stigmatized on Twitter. However, Tweets using the terms psychosis/tic were significantly more likely to contain stigmatizing attitudes (70.9%, <i>n</i> = 151) than Tweets using the terms schizophrenia/c (42.4%, <i>n</i> = 89; <i>p</i> &lt; 0.001). Adjective terms were significantly more commonly stigmatized (76.6%, <i>n</i> = 164) than nouns (36.4%, <i>n</i> = 76; <i>p</i> &lt; 0.001). The term “psychotic” was frequently used pejoratively. Both “schizophrenia” and “psychosis” are associated with high levels of stigma on Twitter. If schizophrenia is to be renamed, psychosis may not be a suitable replacement.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-07-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70026","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144537051","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}
引用次数: 0
Exploring the Associations Between Self-Reported Sleep Disturbance and Cognitive Impairment Among Survivors of COVID-19 Hospitalization 探索COVID-19住院幸存者自我报告的睡眠障碍与认知障碍之间的关系
Mental health science Pub Date : 2025-06-30 DOI: 10.1002/mhs2.70027
Ayah I. Eltoum, Rahima Begum, Laura S. Gold, Payal B. Patel, James S. Andrews
{"title":"Exploring the Associations Between Self-Reported Sleep Disturbance and Cognitive Impairment Among Survivors of COVID-19 Hospitalization","authors":"Ayah I. Eltoum,&nbsp;Rahima Begum,&nbsp;Laura S. Gold,&nbsp;Payal B. Patel,&nbsp;James S. Andrews","doi":"10.1002/mhs2.70027","DOIUrl":"https://doi.org/10.1002/mhs2.70027","url":null,"abstract":"<p>Cognitive impairment following COVID-19 infection is common and risk factors remain poorly understood. Sleep disturbance increases risk of cognitive impairment in the general population, and sleep disturbance is common after COVID-19. While prior literature has extensively explored the relationship between sleep and cognition, few studies have addressed the temporality of this association and how one may contribute to the other over time. This study assessed whether new sleep disturbance at 1-month is associated with risk of cognitive impairment at 6-months after COVID-19 hospitalization. English-speaking adults aged ≥ 18 years at the University of Washington Medical Center who survived to 1-month post-COVID-19 hospitalization were enrolled. Self-reported sleep disturbance, cognitive function, cognitive abilities, and fatigue severity at 1- and 6-months after discharge were assessed by the Patient-Reported Outcomes Measurement Information System (PROMIS) short forms. Linear and logistic regression models analyzed associations of new sleep disturbance at 1-month with cognitive function, cognitive abilities, and fatigue severity outcomes at 6-months. Participants (<i>n</i> = 120) had mean age of 56.5 ± 15.7 years, and 35% developed new sleep disturbance at 1-month. Among those with versus without new sleep disturbance at 1-month, 74% versus 40%, 76% versus 37%, and 64% versus 50% developed significant worsening in cognitive function, cognitive abilities, and fatigue severity at 6 months, respectively. In this single-center observational cohort, new sleep disturbance at 1-month post-COVID-19 hospitalization was associated with subsequent significant worsening in cognitive function, cognitive abilities, and fatigue severity at 6-months. Thus, new sleep disturbance may be a risk factor for persistent neurocognitive impairment after COVID-19. Additional studies should validate these relationships and examine whether improving sleep quality may reduce the risk of cognitive impairment in these patients.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70027","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144519671","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}
引用次数: 0
Integrating a Strengths-Based Intersectional Approach to the Study of Suicide Risk Among Black Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Youth 将基于优势的交叉方法整合到黑人女同性恋、男同性恋、双性恋、变性人、酷儿和有问题青年的自杀风险研究中
Mental health science Pub Date : 2025-06-29 DOI: 10.1002/mhs2.70025
Lindsay A. Taliaferro, Jennifer J. Muehlenkamp, Myeshia N. Price, Tiffany M. Eden, Stephanie Cook, Kiara L. Moore, Robert D. Dvorak, Eric W. Schrimshaw
{"title":"Integrating a Strengths-Based Intersectional Approach to the Study of Suicide Risk Among Black Lesbian, Gay, Bisexual, Transgender, Queer, and Questioning Youth","authors":"Lindsay A. Taliaferro,&nbsp;Jennifer J. Muehlenkamp,&nbsp;Myeshia N. Price,&nbsp;Tiffany M. Eden,&nbsp;Stephanie Cook,&nbsp;Kiara L. Moore,&nbsp;Robert D. Dvorak,&nbsp;Eric W. Schrimshaw","doi":"10.1002/mhs2.70025","DOIUrl":"https://doi.org/10.1002/mhs2.70025","url":null,"abstract":"&lt;p&gt;Suicide among Black lesbian, gay, bisexual, transgender, queer, and questioning (LGBTQ + ) youth constitutes a significant public health concern (Congressional Black Caucus &lt;span&gt;2019&lt;/span&gt;). Research shows 44% of Black LGBTQ+ youth seriously considered suicide and 16% attempted suicide during the previous 12 months, compared to 37% and 11%, respectively, of White LGBTQ+ youth (The Trevor Project &lt;span&gt;2023&lt;/span&gt;). Black LGBTQ+ youth are 5.8 times more likely than Black cisgender heterosexual youth to report suicidal ideation and behavior (henceforth suicidality) (Mereish et al. &lt;span&gt;2019&lt;/span&gt;). Further, Black youth may underreport suicidality due to a lack of culturally valid suicide risk assessment tools (Francois et al. &lt;span&gt;2025&lt;/span&gt;), thus, rates may be higher than they appear using existing tools. Given this population's heightened risk for suicide, researchers must identify risk and protective factors associated with increasing and decreasing suicidality among Black LGBTQ+ youth using an intersectional lens (Price-Feeney et al. &lt;span&gt;2020&lt;/span&gt;).&lt;/p&gt;&lt;p&gt;Intersectionality represents a conceptual framework introduced by Black feminist scholars to understand and examine interlocking, structural-level systems of power and oppression (e.g., systems of heterosexism, cisgenderism, racism) as they collectively shape individuals’ lived experiences and patterns of health inequities (Abrams et al. &lt;span&gt;2020&lt;/span&gt;; Collins and Bilge &lt;span&gt;2020&lt;/span&gt;; Combahee River Collective &lt;span&gt;1977&lt;/span&gt;; Crenshaw &lt;span&gt;1989&lt;/span&gt;). Within an intersectionality framework, an intersectional methodological research approach considers distinct ways marginalized social positions work together relationally in connection with systems of power for different groups to understand and address health inequities among specific populations (Bowleg and Bauer &lt;span&gt;2016&lt;/span&gt;; Gardner et al. &lt;span&gt;2025&lt;/span&gt;; McCall &lt;span&gt;2005&lt;/span&gt;). For example, Black LGBTQ+ youth may experience multiple intersectional systems of oppression (e.g., racism and heterosexism/cisgenderism) and forms of discrimination (e.g., racist bigotry and homophobia/transphobia) that elevate their risk for suicide (Balsam et al. &lt;span&gt;2011&lt;/span&gt;; Opara et al. &lt;span&gt;2020&lt;/span&gt;). An intersectional approach also can demonstrate Black LGBTQ+ youth's capacity to become empowered by holding multiple minoritized social positions, feel strengthened to advocate for themselves and their communities, and experience identity harmony, self-acceptance, and empathy (Bowleg &lt;span&gt;2013&lt;/span&gt;; Ghabrial &lt;span&gt;2017&lt;/span&gt;, &lt;span&gt;2019&lt;/span&gt;; Ghabrial and Andersen &lt;span&gt;2023&lt;/span&gt;). Strengths-based intersectional research with Black LGBTQ+ youth can show how holding multiple minoritized positions may serve an adaptive role by allowing youth to shift identities and glean diverse external supports to better address their current needs (Pittinsky et al. &lt;span&gt;1999&lt;/span&gt;), mitigating suicide risk. Thus, to under","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70025","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144515018","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}
引用次数: 0
When Knowledge Falls Short: A Systematic Review on the Correlation of Mental Health Knowledge With Stigma and Help-Seeking 当知识不足:心理健康知识与病耻感和求助相关的系统综述
Mental health science Pub Date : 2025-06-11 DOI: 10.1002/mhs2.70022
Luna Grosselli, Julia Baumgärtel, Hanna Böhm, Jürgen Hoyer, Susanne Knappe
{"title":"When Knowledge Falls Short: A Systematic Review on the Correlation of Mental Health Knowledge With Stigma and Help-Seeking","authors":"Luna Grosselli,&nbsp;Julia Baumgärtel,&nbsp;Hanna Böhm,&nbsp;Jürgen Hoyer,&nbsp;Susanne Knappe","doi":"10.1002/mhs2.70022","DOIUrl":"https://doi.org/10.1002/mhs2.70022","url":null,"abstract":"<p>Improving Mental Health Literacy (MHL) is considered important to facilitate help-seeking for mental health problems. However, it is crucial to ascertain the true significance of increasing mental health knowledge (the central component of MHL) for prevention efforts. This systematic review analyses the direction and effect size of the correlations between knowledge and different facets of stigma (personal, perceived, self) and help-seeking (attitudes, intention, behavior), highlighting current research gaps. We conducted a PRISMA-based systematic analysis of quantitative cross-sectional and longitudinal data on the associations between mental health knowledge and mental health related stigma or help-seeking in Western populations. Peer-reviewed articles published since 1997 were retrieved via PubMed, PsycINFO and Web of Science, theses via DART-EUROPE, EBSCO-OpenDissertation and Google. The number of studies, types of outcomes, country, population, effect direction and size (median, range) are reported. We identified 47 studies on the association between knowledge and stigma, and 38 on its association with help-seeking. Knowledge showed a medium-sized association with personal stigma (<i>Mdn r</i> = −0.28; range = −0.54; −0.06) and attitudes towards help-seeking (<i>Mdn r</i> = 0.29; range = 0.04; 0.58) and a small association with self-stigma (<i>Mdn r</i> = −0.16; range = −0.39; −0.02), help-seeking intention (<i>Mdn r</i> = 0.15; range = −0.07; 0.40) and help-seeking behavior (<i>Mdn r</i> = 0.15; range = −0.04; 0.68). Knowledge was not consistently related to perceived stigma (Mdn <i>r</i> = −0.01; range = −0.29; 0.16). While the direction of the correlations meets our expectations, the only small to moderate effect sizes indicate that knowledge is relevant but not sufficient for reducing self-stigma and improving help-seeking. We identified several research gaps, such as a scarcity of studies with rigorous methodological standards and with older or clinical populations. We also propose including a broader range of potentially empowering variables in addition to knowledge in future studies.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70022","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144264511","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}
引用次数: 0
Pediatric Disordered Eating Behaviors: A Call for a New Screening Tool for Primary Care 儿童饮食失调行为:呼吁一种新的初级保健筛查工具
Mental health science Pub Date : 2025-06-05 DOI: 10.1002/mhs2.70023
Ella C. Perrin, Eileen Chaves, Amrik Singh Khalsa
{"title":"Pediatric Disordered Eating Behaviors: A Call for a New Screening Tool for Primary Care","authors":"Ella C. Perrin,&nbsp;Eileen Chaves,&nbsp;Amrik Singh Khalsa","doi":"10.1002/mhs2.70023","DOIUrl":"https://doi.org/10.1002/mhs2.70023","url":null,"abstract":"<p>Eating disorders in adolescents are increasing in prevalence in the US. This article details the distinction between disordered eating and eating disorders and the importance of detecting all disordered eating attitudes and behaviors. It explores factors contributing to the underdiagnosis of disordered eating behaviors. It describes the importance of disordered eating and eating disorder screening, outlines several of the most widely used screening tools, and addresses the applications and limitations of each. There is currently no brief screening tool for the diagnosis of both broad-spectrum eating disorders and sub-threshold disordered eating pathology in pediatric populations as per the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition. This article highlights the need for screening both disordered eating and eating disorders in the pediatric primary care setting. It explores possible solutions including a discussion of several new screening tools that have shown promise in specific populations. This article aims to serve as a call to action for the validation of such a screener in the general pediatric population.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-06-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70023","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144220257","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}
引用次数: 0
Quality of Home Environment and Mental Health Problems for Children Living in an Intimate Partner Violence Rehousing Program 生活在亲密伴侣暴力安置方案中的儿童的家庭环境质量和心理健康问题
Mental health science Pub Date : 2025-05-29 DOI: 10.1002/mhs2.70018
Breana R. Cervantes, Madeleine Allman, Hannah Wolf, Nabeeha Asim, Quenette L. Walton, Judith McFarlane, Carla Sharp
{"title":"Quality of Home Environment and Mental Health Problems for Children Living in an Intimate Partner Violence Rehousing Program","authors":"Breana R. Cervantes,&nbsp;Madeleine Allman,&nbsp;Hannah Wolf,&nbsp;Nabeeha Asim,&nbsp;Quenette L. Walton,&nbsp;Judith McFarlane,&nbsp;Carla Sharp","doi":"10.1002/mhs2.70018","DOIUrl":"https://doi.org/10.1002/mhs2.70018","url":null,"abstract":"<p>Exposure to intimate partner violence (IPV) is a prevalent, urgent public health problem. IPV exposure is associated with a significant risk of mental health problems for youth. African American women are disproportionately affected by IPV in the United States and African American youth suffer increased rates of adverse mental health outcomes as a result. Support for survivors of IPV and their children is increasingly taking the form of long-term rehousing programs. A child's home environment is a critical component of their daily functioning and has been established as a risk and/or protective factor in the development of mental health problems. Despite the importance of home environments for IPV-exposed children, little research has been conducted in this area. Our study leveraged a larger scale NICHD funded study (R01 HD102436-04; PI Sharp) to examine the quality of the home environment of <i>N</i> = 39 IPV-exposed mothers and their children in a rehousing program and its associations with youth mental health functioning. The Home Observation Measurement of the Environment (HOME) was qualitatively and quantitatively analyzed to shed light on the potential impact of disparities on youth mental health. We also utilized an observational measure of racial socialization practices (the Africentric HOME) to examine its relevance in this context for a subset of African American mother−child dyads. We found that a greater overall quality of the home environment was strongly correlated with fewer child mental health problems and greater child prosocial behaviors, according to caregiver and child reports. The specific HOME subdomains of Encouragement of Maturity, Emotional Climate, Family Companionship, Family Integration, and Physical Environment demonstrated several significant associations with child mental health outcomes. Implications of these findings on disparities in youth mental health and potential considerations for IPV rehousing programs are discussed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70018","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171810","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}
引用次数: 0
Impact of Maternal Anxiety on Breastfeeding Practices 母亲焦虑对母乳喂养行为的影响
Mental health science Pub Date : 2025-05-29 DOI: 10.1002/mhs2.70021
Freda D. Intiful, Louisa N. Nakotey, Nortey Eunice, Patricia M. Amos, Laurene Boateng
{"title":"Impact of Maternal Anxiety on Breastfeeding Practices","authors":"Freda D. Intiful,&nbsp;Louisa N. Nakotey,&nbsp;Nortey Eunice,&nbsp;Patricia M. Amos,&nbsp;Laurene Boateng","doi":"10.1002/mhs2.70021","DOIUrl":"https://doi.org/10.1002/mhs2.70021","url":null,"abstract":"<p>This study explored the relationship between maternal anxiety and breastfeeding practices among mothers in the Greater Accra Metropolis, Ghana, addressing a research gap in low- and middle-income countries. A descriptive cross-sectional design was used to recruit 161 breastfeeding mothers aged 18–45 years with babies aged 1–24 months from postnatal welfare clinics through convenience sampling. Data collection involved face-to-face interviews using a structured questionnaire that assessed sociodemographic information, maternal anxiety, and breastfeeding practices. Maternal anxiety was evaluated with the modified 12-item Postpartum-Specific Anxiety Scale (PSAS), covering four domains: maternal competence and attachment, infant safety and welfare, practical infant care, and psychosocial adjustment to motherhood. Breastfeeding practices were assessed according to World Health Organization guidelines. The study found a high prevalence of maternal anxiety, with 88.8% of mothers experiencing mild to moderate anxiety and 11.2% reporting severe anxiety, particularly in domains related to infant safety and psychosocial adjustments. Breastfeeding practices varied with 81% of infants still being breastfed at the time of the interview, 76% of mothers initiating breastfeeding within the first hour postpartum, and 73% practicing exclusive breastfeeding. Statistical analyses, including Wilcoxon tests, revealed significant associations between elevated anxiety related to maternal competencies and delayed breastfeeding initiation (<i>p</i> = 0.04). Maternal anxiety related to infant safety and care was significantly correlated with exclusive breastfeeding practices (<i>p</i> = 0.013 and <i>p</i> = 0.030). These findings highlight the need for tailored interventions to address maternal anxiety during the perinatal period to promote optimal breastfeeding practices and improve maternal-infant health outcomes. Routine screening for anxiety and comprehensive support from healthcare providers are crucial, especially in resource-constrained settings. Future research should explore the long-term impacts of maternal anxiety on breastfeeding and child development across diverse socio-cultural contexts.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144171811","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}
引用次数: 0
Toward Cultural Validation of the Revised Children's Anxiety and Depression Scale in Karnataka, India: Psychometric Testing Among 13–17-Year Olds 印度卡纳塔克邦修订儿童焦虑抑郁量表的文化验证:13 - 17岁儿童的心理测量测试
Mental health science Pub Date : 2025-05-12 DOI: 10.1002/mhs2.70019
Amy Palmer, Daryl B. O'Connor, N. Janardhana, Prachi Khandeparkar, Poornima Bhola, Sphoorthi Prabhu, Krupa A. L., Mutharaju Arelingaiah, Jayalaxmi K. P., Ritwika Nag, Siobhan Hugh-Jones
{"title":"Toward Cultural Validation of the Revised Children's Anxiety and Depression Scale in Karnataka, India: Psychometric Testing Among 13–17-Year Olds","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/mhs2.70019","DOIUrl":"https://doi.org/10.1002/mhs2.70019","url":null,"abstract":"<p>Improving youth mental health is a national priority in India, especially given the very high rates of youth suicide. Yet, mental health prevalence data in India are often incomplete. More culturally validated mental health measures are needed to inform prevention and intervention work. The Revised Children's Anxiety and Depression Scale (RCADS-47) is a widely used measure of mental health globally, including in India, but it is yet to be culturally validated there. This study presents the second stage (of two) of the cultural validation of the RCADS-47 in a sample of Indian adolescents (<i>n</i> = 332; <i>M</i>age = 14.81 years). Participants completed a revised version of the RCADS-47 (K-RCADS), alongside comparative measures. Psychometric testing for convergent and discriminant validity, alongside factor analysis, was conducted. The K-RCADS had good psychometric properties; high internal reliability (<i>α</i> = 0.89) and good construct validity when compared to measures of similar constructs (<i>r</i> = 0.51–0.69). Support was found for five of the six original RCADS factors. Findings suggest confidence in the rephrased RCADS-47 ability to identify symptoms of anxiety and depression among Indian adolescents, alongside highlighting the importance of culturally validating measures of mental health. Further research in this validation is also discussed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 2","pages":""},"PeriodicalIF":0.0,"publicationDate":"2025-05-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143938958","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}
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