Kate Keenan, Stephanie Stepp, Leslie A. Anderson, Marisha Humphries, Alison E. Hipwell, Kimberley Mbayiwa
{"title":"Considering Developmental Phenotypes of Suicidality for Young Black Children","authors":"Kate Keenan, Stephanie Stepp, Leslie A. Anderson, Marisha Humphries, Alison E. Hipwell, 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, 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}
Juliane Kennett MScPH, MA, Henry T. Stelfox MD, PhD
{"title":"Bridging gaps at key intersections: Strategies to improve early intervention and treatment access for eating disorders","authors":"Juliane Kennett MScPH, MA, 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, 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, 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}
Emily Davey, Sophie D. Bennett, Rachel Bryant-Waugh, Nadia Micali, Roz Shafran
{"title":"A novel methodology to develop low-intensity psychological treatments","authors":"Emily Davey, Sophie D. Bennett, Rachel Bryant-Waugh, Nadia Micali, 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}
{"title":"Peer-provided problem management plus (PM+) and case management for Arabic-speaking and Farsi-speaking refugees and asylum seekers in Greece","authors":"Chrysovalantis Papathanasiou, Aikaterini Kougioumtzi","doi":"10.1002/mhs2.86","DOIUrl":"https://doi.org/10.1002/mhs2.86","url":null,"abstract":"<p>An increasingly common response to the lack of specialist mental health services for refugees and asylum seekers in European host countries is peer-supported services. This study examined the association between a peer-provided psychosocial intervention and psychological symptom reduction among refugees and asylum seekers in Greece. The intervention consisted of Problem Management Plus (PM+) and peer case management sessions delivered by a team of Community Psychosocial Workers (trained refugees). The sample consisted of 173 participants, comprising Arabic and Farsi speakers, male and female participants, recognized refugees and asylum seekers. Anxiety, depression, and psychological distress were measured before and after the intervention using the Patient Health Questionnaire-9, Generalized Anxiety Disorder-7, and Psychological Outcome Profiles scales, respectively. Repeated measures analysis of variance was adopted to evaluate the difference in the degree of change across patient characteristics over the follow-up period. The level of statistical significance was set at <i>p</i> < .05, and analyses were conducted using SPSS statistical software (version 26.0). Significant decreases were found in all postintervention scores, indicating significant decreases in anxiety and depression symptoms as well as in psychological distress following the peer-provided psychosocial intervention, which included emotional support and social care. Large effect sizes were found at all scales. The findings support the notion that there is an association between the implemented intervention and symptom reduction in refugees. For future research, a randomized controlled trial is proposed as a study protocol.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.86","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764449","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":"Coloniality, violence, and intergenerational trauma among displaced Syrians: An interdisciplinary scoping review","authors":"Marya Rana MPhil, Eolene Boyd-MacMillan PhD","doi":"10.1002/mhs2.87","DOIUrl":"https://doi.org/10.1002/mhs2.87","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Intergenerational trauma is a recognized outcome of situations of mass violence and can be transmitted through violence against children. In some communities, present-day issues have been linked to intergenerational transmission of trauma from colonial violence and displacement. This study examined whether issues in displaced Syrian communities are being contextualized within histories of colonial violence through a public mental health framework, and surveyed the current state of the literature addressing the question: Is the colonial legacy of displaced Syrians related to instances of violence against children? This study adopted a scoping review approach. Searches on 12 medical, psychological, and sociological databases located 1024 unique results that were doubly screened down to seven partially relevant publications. An eighth publication was added through a separate gray literature search. No results fully addressed the research question; eight partially addressed it. Five results linked displacement to violence against children, two linked coloniality to displacement, and one linked colonization to violence against children. Three connecting themes were identified: colonial powers redefine cultures and identities, subsequent identity challenges arise, and unrecognized colonial underpinnings of issues preclude pathways to justice. This study began to connect contemporary issues to histories of colonial violence, but more importantly, identified a large gap in the literature, revealing an urgent need to investigate further the ways that the colonial pasts of displaced Syrian communities can inform the intergenerational transmission of trauma, and identified an emerging public mental health field at the intersection of coloniality, displacement, and intergenerational trauma.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.87","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764386","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}
Maria Ioannou, Calli Tzani, Paige Price, Ffion Walker, Thomas J. V. Williams, Anita Fumagalli
{"title":"#NoFilter: The impact of social media body dysmorphic disorder in adults","authors":"Maria Ioannou, Calli Tzani, Paige Price, Ffion Walker, Thomas J. V. Williams, Anita Fumagalli","doi":"10.1002/mhs2.89","DOIUrl":"https://doi.org/10.1002/mhs2.89","url":null,"abstract":"<p>While existing literature has extensively examined the correlation between social media usage and body dysmorphic disorder (BDD) in adolescents, research on this relationship among adults remains limited. Thus, this study sought to explore the association between social media engagement and BDD in adults. A sample of 222 participants completed a questionnaire comprising various scales to assess the influence of social media usage and time spent on these platforms on body dissatisfaction. The results revealed a positive correlation between social media usage and symptoms of body dissatisfaction, as well as low self-esteem. Notably, increased time spent on social media emerged as a significant predictor of body dissatisfaction. Moreover, a significant link was observed between self-esteem and Appearance-Related Consciousness concerning image uploads on social media platforms. Image-centric platforms like Snapchat and Instagram exhibited higher levels of body dissatisfaction. Interestingly, gender differences in these associations were not identified.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.89","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764410","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":"Emerging trends in cannabis administration for women with chronic pain","authors":"Erinn C. Cameron PhD, Kristine M. Jacquin PhD","doi":"10.1002/mhs2.88","DOIUrl":"https://doi.org/10.1002/mhs2.88","url":null,"abstract":"<p>Cannabis use among women who experience chronic pain is on the rise in the United States. However, little is known about women's motives and preferences for cannabis administration. The purpose of this study was to characterize cannabis use among women with chronic pain. This study examined self-reported forms of cannabis administration and preferred source of cannabis, frequency and quantity of use, and self-reported side effects, and type, level, and intensity of chronic pain among adult women in the United States. This study also compared women who use cannabis for chronic pain and those who do not across the level of chronic pain, length of chronic pain, and the number of types of chronic pain experienced. Participants showed a significant preference (60%) for using recreational cannabis to treat chronic pain but reported that medical cannabis was more effective. For participants who preferred medical cannabis 24.3% reported daily use, as compared to only 7.8% of recreational cannabis users. Smoking was the most common form of administration (62.1%), followed by edibles (25.3%), vaporizing in any form (7.4%), tinctures and concentrates (3.2%), and topicals (2.1%). Participants reported using 1–6 different forms of cannabis administration. Those who preferred smoking were significantly likely to use all other forms of administration. However, those who preferred alternatives to smoking were significantly likely to use all forms of administration except for smoking. Medical cannabis users preferred to obtain cannabis from a dispensary, while recreational users preferred to obtain cannabis from unlicensed sources. Additionally, participants who used cannabis for chronic pain reported a 74% reduction in past 30-day opioid use. Future research is needed to investigate the health effects associated with single and combined forms of cannabis administration for women with chronic pain. Results can inform educational and intervention programs, treatment development, content regulation of products, policy formation, women's health research, and public health guidelines.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.88","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764362","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}