Mental health science最新文献

{"title":"Opportunities to Address Health Disparities in Suicidality for Sexual and Gender Minority Youth in Public Systems","authors":"Dana M. Prince, Megan S. Schuler, Katherine Lewis, Michelle R. Munson, Aaron J. Blashill, Peter S. Hovmand","doi":"10.1002/mhs2.100","DOIUrl":"https://doi.org/10.1002/mhs2.100","url":null,"abstract":"<p>The prevention of self-injurious thoughts and behaviors (SITB) among youth continues to be a public health imperative. In the general population, suicide is the second-leading cause of death for ages 10–24 (Ruch et al. <span>2019</span>). However, specific subgroups of youth are at significantly greater risk of SITB. Public systems involvement, LGBTQ+ status, and Black and/or Latinx youth are at elevated risk. Moreover, LGBTQ+ and Black/Latinx youth—and those who are both—are disproportionately overrepresented in the child welfare and juvenile justice systems. Child welfare and juvenile justice involved youth have approximately three times greater risk for suicide ideation, attempts, and completions (i.e., self-injurious thoughts and behaviors) than non-systems-involved youth (Agencies <span>2013</span>; Casiano et al. <span>2013</span>; Evans et al. <span>2017</span>; Gallagher and Dobrin <span>2005</span>; Gray et al. <span>2002</span>; Hayes <span>2009</span>; Katz et al. <span>2011</span>; Scott, Underwood, and Lamis <span>2015</span>; Vinnerljung, Hjern, and Lindblad <span>2006</span>). Sexual and Gender Minority (SGM) youth in the general population have two to four times the risk of SITB compared to their heterosexual, cisgender peers (Luk et al.<span>2021</span>; Nock et al. <span>2013</span>; Perez-Brumer et al. <span>2017</span>). Notably, SGM youth are disproportionately overrepresented in child welfare and juvenile justice, with estimates ranging from 16% to 32% (Grant et al. <span>2011</span>; Majd, Marksamer, and Reyes <span>2009</span>; Matarese et al. <span>2021</span>; Wilson and Bouton <span>2022</span>; Wilson and Kastanis <span>2018</span>; Wilson et al. <span>2017</span>) compared to 2%–8% in the general population (Conron et al. <span>2014</span>). In sum, the risk of SITB for SGM youth who are involved with public systems is compounded (Dettlaff et al. <span>2018</span>; Johns et al. <span>2020</span>; Scannapieco, Painter, and Blau <span>2018</span>).</p><p>Child welfare and juvenile justice systems can screen, assess, and refer to treatment youth who may not otherwise access services (Casiano et al. <span>2013</span>; Gallagher and Dobrin <span>2005</span>; Gray et al. <span>2002</span>). The unique needs of system-involved SGM youth have been largely ignored, with few child welfare and juvenile justice jurisdictions systematically identifying SGM youth or providing SGM-affirming care (Busby et al. <span>2020</span>; Call, Challa, and Telingator <span>2021</span>; Evans et al. <span>2017</span>; Rider et al. <span>2019</span>). There is a clear and urgent need for system-level interventions to provide SGM youth with equitable care to improve SITB and other behavioral health outcomes. In this paper, we provide a conceptual framework that can guide system-level research in this area, as well as highlighting several key knowledge gaps and research opportunities.</p><p>Sexual and gender minority youth involved in public sy","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.100","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142862048","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 Heads Up Checkup Digital Mental Health & Behavioral Risk Screening System: Clinical Inter-Rater Reliability for Identifying Youth in Crisis","authors":"Nancy P. Genero,&nbsp;Alyssa Lozano,&nbsp;Mariana Sanchez,&nbsp;Miguel Angel Cano","doi":"10.1002/mhs2.99","DOIUrl":"https://doi.org/10.1002/mhs2.99","url":null,"abstract":"<p>The present study evaluated the inter-rater reliability of the <i>Heads Up Checkup</i> (HCU), a brief digital mental health and behavioral adaptive screening system designed for use in primary care and diverse school settings. Two independent licensed clinical psychologists reviewed a random sample of 30 (<i>N</i> = 30) HCU clinical screening reports of 13−14 year old adolescents drawn from a larger sample (<i>N</i> = 846) enrolled in a public middle school in California. Results showed strong inter-rater agreement (Fleiss kappa = 0.93) between clinician ratings and the screener's priority risk index (HPI) in identifying students “in crisis.” In addition, clinicians' ratings of confidence in their priority judgments were found to be significantly higher for the “in crisis” cases. Reasonable evidence of convergent validity emerged due to a strong relationship between clinician ratings of psychological distress and the HPI. Overall findings suggest that as an online universal school-based screener, the HCU has valid utility for identifying young adolescents “in crisis” which can translate into timely interventions and pragmatic real-world therapeutic solutions. Future research directions with respect to the refinement of the HCU's measurement characteristics and its feasibility as an online screener at the population-level in schools are discussed.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.99","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142861836","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":"Addressing the Unmet Need in the Treatment of Poststroke Anxiety, Depression, and Apathy: A Systematic Review of Potential Therapeutic Options","authors":"Yuanchen Liang,&nbsp;Christopher Levi,&nbsp;Perminder S. Sachdev,&nbsp;Neil Spratt,&nbsp;Beata Bajorek","doi":"10.1002/mhs2.93","DOIUrl":"https://doi.org/10.1002/mhs2.93","url":null,"abstract":"<p>Half of stroke patients experience depression, anxiety, and/or apathy, adversely impacting poststroke recovery. Yet management of these remains suboptimal. To identify the broad spectrum of therapeutic modalities investigated for post-stroke mood disorders, and their characteristics, administration regimens, and clinical outcomes. A structured, PRISMA-guided literature review identified studies exploring preventative or treatment options. Seventy-one identified studies (<i>N</i> = 5748 patients) comprised 62 clinical trials, 4 case reports, and 4 protocols or published abstracts. Most focused on depression; relatively few addressed anxiety and/or apathy. Overall, the efficacy of most treatments remains unclear due to the diversity and small size of studies (mostly pilot studies) precluding comparison. Preventative modalities such as nortriptyline (6 studies) reduced the incidence of depression, noting high rates of effectiveness in smaller studies (92.3%, study <i>N</i> = 48) patients. For the treatment of diagnosed mood disorders (58 studies), conventional pharmacotherapies (e.g., fluoxetine) were most effective, reducing depression, anxiety and/or apathy in up to 95.8% of patients (study <i>N</i> = 60). Physiological interventions (e.g., repetitive Transcranial Magnetic Stimulation, rTMS) variably reduced depression/anxiety severity (in 20.8%–93.3% of patients) whilst complementary therapies (e.g., acupuncture) reduced depression/anxiety severity in 60.0%–92.4% of patients (study <i>N</i> = 60). Combination therapies (e.g., fluoxetine plus acupuncture or rTMS plus Deanixt) significantly reduced depression severity in 93.3% of patients (study <i>N</i> = 60). Within the limited evidence in poststroke mood disorders, conventional pharmacotherapies appear most effective for both prevention and treatment, whilst nonpharmacological strategies and CAMs show potential. No treatment can be fully recommended without more robust trials.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.93","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142860897","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":"Physical Activity as a Buffer in the Association Between Perceived Ethnic-Racial Discrimination and Latinx Adolescent Mental Health","authors":"Yuan Zhang,&nbsp;Linda C. Halgunseth","doi":"10.1002/mhs2.98","DOIUrl":"https://doi.org/10.1002/mhs2.98","url":null,"abstract":"<p>Latinx adolescents, members of the largest historically minoritized population in the United States (US), experience pervasive ethnic-racial discrimination, adding extra challenges to this pivotal developmental stage which is marked by significant physical, cognitive, and psychosocial changes. Exposure to ethnic-racial discrimination is closely connected to their mental health. Physical activity has numerous psychophysiological health benefits, making it a potential yet understudied protective mechanism against the adverse impacts of perceived discrimination. By utilizing data from the Adolescent Brain Cognitive Development (ABCD) Study, the current study examined the buffering effect of physical activity in the association between perceived ethnic-racial discrimination and mental health in a national sample of Latinx adolescents (<i>N</i> = 1392; <i>M</i>_age = 11.92 SD = 0.66). Findings revealed that longer periods of moderate-to-vigorous physical activity exhibited a weaker positive association between perceived ethnic-racial discrimination and internalizing problems compared to peers who engaged in shorter periods of moderate-to-vigorous physical activity, indicating a protective role of physical activity for Latinx adolescents experiencing ethnic-racial discrimination. This study highlights the importance of promoting moderate-to-vigorous physical activity to support resilience and mental health in Latinx youth facing ethnic-racial discrimination.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"3 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-12-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.98","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142860321","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":"Considering Developmental Phenotypes of Suicidality for Young Black Children","authors":"Kate Keenan,&nbsp;Stephanie Stepp,&nbsp;Leslie A. Anderson,&nbsp;Marisha Humphries,&nbsp;Alison E. Hipwell,&nbsp;Kimberley Mbayiwa","doi":"10.1002/mhs2.96","DOIUrl":"https://doi.org/10.1002/mhs2.96","url":null,"abstract":"<p>Suicide is currently the 5th leading cause of death among children aged 5–11, a rate that has more than tripled in the last decade, and one that has increased significantly more among Black compared to White children. Specifying early childhood phenotypes of suicidality is critical for prevention of suicidal behavior. Such phenotypes need to be culturally relevant and rigorously tested in Black youth to yield data that will inform prevention science. We used the Interpersonal Theory of Suicide, to guide both the development of a theoretical model and a research protocol to conduct a study on suicidality in young Black children. The model was informed by an ecological adaptation which considers the context of structural, systemic, and interpersonal racism as critical for conceptualizing suicidal risk and identifying factors that reduce the likelihood of suicidal ideation and behaviors among Black youth. Developmental adaptations of IPTS components were based on existing research supporting associations between theoretically similar constructs and early childhood depression and/or later suicidality. Model components include loneliness and lack of family connectedness, low self-worth and hopelessness, and impulsivity. The components are measured via questionnaires and reactivity to behavioral probes as measured by facial emotion, heart rate variability, and self-reported mood. Risk and protective factors include exposure to racism and discrimination and racial identity and socialization, respectively. An accelerated, longitudinal design, enrolling 5–9-year-old children for 6 repeated assessments over 45 months will allow us to test stability from early childhood to early adolescence. Conducting robust tests of early risk and stability of suicidality in the context of culturally relevant risk factors (e.g., racism) and protective factors (e.g., racial socialization and identity) will contribute to efforts to reverse recent trends in Black youth suicide.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.96","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764458","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":"Youth Mental Health: The Role of Culture & KTE Approaches in Expanding the Research Workforce","authors":"Brandi Anderson,&nbsp;Quincy Bloxom","doi":"10.1002/mhs2.95","DOIUrl":"https://doi.org/10.1002/mhs2.95","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Despite efforts to expand the youth mental health workforce, disparities continue to persist in service provision, the effectiveness of existing programs and practices, and in research. While there is no quick fix to rectify these issues, expanding the research workforce can serve as a preliminary step in reducing many of the disparities that exist. The current work highlights the necessity for increased efforts to recruit a population of experts (i.e., practitioners) into the research workforce that possesses a level of knowledge and expertise largely untapped by research producers. Furthermore, knowledge transfer and exchange (KTE) methodologies are offered as innovative approaches that can be harnessed to facilitate this change. To provide rationale for expanding not only the research workforce but reimagining historical notions of what research is, and who qualifies as belonging in this space, with examples of action steps that can be utilized by producers to attract practitioners. The use of KTE and related approaches to attract practitioners to research has positive implications including but not limited to expanding the youth mental health workforce.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-11-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.95","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142763948","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":"Bridging gaps at key intersections: Strategies to improve early intervention and treatment access for eating disorders","authors":"Juliane Kennett MScPH, MA,&nbsp;Henry T. Stelfox MD, PhD","doi":"10.1002/mhs2.94","DOIUrl":"https://doi.org/10.1002/mhs2.94","url":null,"abstract":"<p>Mental health is at the forefront of discussions in healthcare, education, and social settings, yet eating disorders remain poorly understood and inadequately treated. This paper presents evidence on risk factors for insufficient recognition and intervention for eating disorders across clinical and community healthcare settings and proposes actionable strategies to improve awareness and early intervention for eating disorders. Specifically, gaps in eating disorder awareness and treatment access are exacerbated at two key intersections within health and social systems. First, eating disorders manifest themselves at the intersection of mental and physical categories of health, which places them at risk of being misunderstood, poorly diagnosed, and insufficiently intervened upon. Second, the peak onset of eating disorders falls at the intersection of adolescence and young adulthood, which is a period of rapid developmental, social change, and transitions in care. This analysis highlights how systemic issues within existing social and health systems underlie these intersections and contribute to the continued stigmatization and inadequate treatment access for eating disorders. Given their increased incidence and severity, there is an urgent need to address both the individual and societal burden of these disorders. Healthcare systems must prioritize coordination between physical and mental health practices and improve transitions in care from pediatric and adult healthcare services. Identifying gaps at intersections provides the opportunity to make concrete progress toward improving awareness and treatment.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.94","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764350","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":"Eye movement desensitization and reprocessing (EMDR) therapy for the treatment of eating disorders: A systematic review of the literature","authors":"Amaani H. Hatoum,&nbsp;Amy L. Burton","doi":"10.1002/mhs2.92","DOIUrl":"https://doi.org/10.1002/mhs2.92","url":null,"abstract":"<p>Eye movement desensitization and reprocessing (EMDR) has demonstrated promise as a treatment for eating disorders (ED). The present study aimed to systematically evaluate the current evidence regarding the use of EMDR therapy in the treatment of EDs, ED symptomatology and body image concerns. Included articles were original studies that described the use of EMDR therapy in the treatment of EDs, published in the English language in a peer-review journal. The search was conducted using four electronic databases: PsycINFO, MedLine, Embase, and Web of Science. Two independent reviewers conducted screening, selection, risk of bias assessment and data extraction. Of the initial search of 109 potential studies, eight met inclusion criteria, including six case studies, one quasi-experimental study, and one randomised control trial (RCT). The RCT indicated that including an EMDR component did not have benefits over standard treatment for core ED symptoms, whereas the quasi-experimental study demonstrated some benefits for inclusion of EMDR as a treatment adjunct for anorexia nervosa patients. Case studies indicated some promising outcomes for patients with various presentations. Despite EMDR being an available treatment for several decades now, there is limited clinical evidence regarding its efficacy in the treatment of EDs. These findings highlight a critical need for more clinical research in this area to ensure clinical practice is guided and supported by evidence-based outcomes.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-10-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.92","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764353","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":"Mediations of executive function, social cognitions, and interpersonal conflict in explaining the impact of self-esteem on disordered eating: structural equation modelling","authors":"Elise Zanella,&nbsp;Eunro Lee","doi":"10.1002/mhs2.90","DOIUrl":"https://doi.org/10.1002/mhs2.90","url":null,"abstract":"<p>The complexity of psychological mechanisms in disordered eating behaviours was tested using a nonclinical sample (female adults from English speaking countries, <i>N</i> = 334). Concerning the development and maintenance of disturbed cognition and eating behaviour, theories of self-esteem, executive function, and emotion regulation as well as interpersonal and transdiagnostic theories and theory of mind were applied with covariates of depression, anxiety, family functioning, and demographic variables. Structural Equation Modelling demonstrated seven variables mediated the impact of self-esteem upon disordered eating. The theory of mind variable, when measured on the emotion recognition component, was a significant mechanism in explaining both anorexic eating and shape concerns, and bulimic symptoms. Meanwhile, thwarted belongingness, social evaluation, social conflict, and executive function—cognitive flexibility—were suggested mechanisms for shape and weight concerns, and restrictive eating. In contrast, emotion regulation and another executive function variable of negative urgency appeared as mechanisms of bulimic symptoms and behaviours.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.90","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764414","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":"A novel methodology to develop low-intensity psychological treatments","authors":"Emily Davey,&nbsp;Sophie D. Bennett,&nbsp;Rachel Bryant-Waugh,&nbsp;Nadia Micali,&nbsp;Roz Shafran","doi":"10.1002/mhs2.91","DOIUrl":"https://doi.org/10.1002/mhs2.91","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Only a minority of individuals with mental health disorders receive specialist treatment. Low-intensity psychological therapies, like guided self-help, have the potential to bridge this global treatment gap. However, a systematic process for developing such therapies has not been proposed. This study proposes a systematic process for developing low-intensity psychological treatments, exemplified by a low-intensity Cognitive Behavioral Therapy (CBT) intervention for children and young people with eating disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A systematic, three-step process is presented. Firstly, a common elements analysis is conducted <i>within</i> the three pillars of evidence-based practice (research, clinical expertise, and patient preferences). Secondly, a coding matrix is used to synthesize the common elements <i>across</i> these three pillars. Finally, patient and public involvement (PPI) feedback is incorporated for intervention refinement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Applying this methodology led to the development of an eight-module, low intensity CBT intervention for children and young people with eating disorders, covering topics such as regular eating, body image, social media, and managing emotional triggers.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The intervention derived from this novel methodology is evidence-informed and considers implementation into routine practice from the outset. This systematic approach to developing low intensity psychological interventions holds promise for closing the treatment gap irrespective of therapeutic orientation or disorder.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.91","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764416","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}