{"title":"The effectiveness and acceptability of culturally adapted cognitive behavioural therapy for traumatised refugees and asylum seekers: A systematic review","authors":"Sasha Menon, Cornelius Katona, Naomi Glover","doi":"10.1002/mhs2.85","DOIUrl":"https://doi.org/10.1002/mhs2.85","url":null,"abstract":"<p>Despite the extent of traumatisation experienced by refugee groups, uptake of evidence-based interventions such as cognitive behavioural therapy (CBT) remain low with high dropout rates. While this has been linked to cultural differences in help seeking and how illness is understood, little is known about how effective or acceptable cultural adaptations to CBT (CA-CBT) are. Conduct a systematic review of the types of CA-CBT delivered to refugee groups and evaluate their effectiveness and acceptability. We searched six databases for CA-CBT delivered to refugee groups experiencing depression or post-traumatic stress disorder (PTSD). Effectiveness was evaluated using both quantitative outcome measures and qualitative data. Dropout rates were collected as a proxy measure of acceptability. The types of cultural adaptations used were also described. Findings are presented using narrative synthesis. We include 13 studies that made cultural adaptations to the delivery format or content of CA-CBT. Linguistic adaptations and including culturally relevant emotion regulation strategies were most common. Results showed significant decreases in PTSD symptom severity in all but one study, and significant decreases in depression outcomes across all studies. Dropout rates was nine percent among all participants. Findings from qualitative studies indicated reduced distress whereas cultural adaptation increased trust in treatment. There is initial evidence supporting the effectiveness and acceptability of CA-CBT. However, more research is required to establish best practices for adapting CBT to different cultures. Methodologically rigorous tests are needed to determine if CA-CBT effectively meets the needs of forcibly displaced populations.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.85","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764100","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}
Mayra Gabriela Machado de Souza, Jairo Werner Junior
{"title":"The mental health of expeditionary women in Antarctica: A systematic review","authors":"Mayra Gabriela Machado de Souza, Jairo Werner Junior","doi":"10.1002/mhs2.83","DOIUrl":"https://doi.org/10.1002/mhs2.83","url":null,"abstract":"<p>Antarctica is considered an isolated, confined, and extreme environment. Expeditionary members' health conditions deserve special attention in such environments since access to healthcare is difficult and social networks are limited. Women in Antarctica not only are a minority recently integrated into a predominantly male setting, but also need to withstand the environment's influence and demonstrate emotional intelligence, physical capacity, and intellectual competence to share this environment, which does not always provide structures adapted to their daily needs. Our objective was to analyze quantitative evidence on the health of expeditionary women in Antarctica. This is a systematic review of the narrative synthesis type, consulting the principal databases. The inclusion criteria were quantitative, observational studies with measures of mental disorders during expeditions on the frozen continent or after conclusion of the missions. Exclusion criteria were review studies and studies that only included men. Results: We retrieved 1865 publications and included 43 in the review that contained specific results for expeditionary women (<i>n</i> = 7); results of expeditionary crews of both sexes but reported without specification by gender (<i>n</i> = 25); and results pertaining to expeditionary members reported by terms that prevented specification by gender (<i>n</i> = 11). The literature is inconsistent on the mental health of expeditionary women in isolated, confined, and extreme environments. Even so, the review showed that women appear to be more prone to manifesting depressive symptoms and that gender appears to influence sleep quality. More studies are needed that specify the psychological alterations developed by women in Antarctica.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-09-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.83","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764291","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}
Paul Young, Amber Elgee, Vivien Chow, Cheryl O. Haslam, Jamie B. Barker
{"title":"A systematic review of cognitive behavioral and mindfulness-based interventions for white-collar worker mental well-being in business environments","authors":"Paul Young, Amber Elgee, Vivien Chow, Cheryl O. Haslam, Jamie B. Barker","doi":"10.1002/mhs2.84","DOIUrl":"https://doi.org/10.1002/mhs2.84","url":null,"abstract":"<p>There is a need to better understand what works, for whom, and in what circumstances, in the context of workplace mental well-being. Among the various interventions used within business settings for employee mental well-being, cognitive behavioral therapy (CBT) and mindfulness are two of the most studied empirically. To-date, there have been no systematic reviews of this specific literature, meaning we presently lack clarity with regard to overall findings and reliability. The purpose of this paper is to provide a refined summary of the interventions, measures, and outcomes, to inform future research and support decision making within corporate organizations. A search of APAPsycArticles, APAPsycINFO, MEDLINE, and Scopus databases from the start of records to June 2024, supplemented by reference list reviews and Google Scholar searches, retrieved 16,018 papers. English language experimental studies of CBT and/or mindfulness interventions for white-collar private sector employees were eligible. Following duplicate removal and title and abstract reviews, 99 manuscripts were read in full, with 37 papers selected. Seventeen studies delivered CBT and 20 delivered mindfulness. There were 19 randomized controlled trials (RCTs), 8 controlled clinical trials, and 7 single cohort trials. Interventions were delivered in-person, online and via telephone. Both CBT and mindfulness were associated with improvements in employee mental well-being, with the evidence for mindfulness more robust. Online interventions typically saw higher rates of participant attrition. We conclude that both CBT and mindfulness can improve mental well-being among private sector white-collar employees. However, this finding is not unequivocal. More RCTs would enhance the literature.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.84","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764480","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}
Sebastian Gyamfi PhD, MPhil, Cheryl Forchuk PhD, RN, Isaac Luginaah PhD, FAAS
{"title":"Implications of the stigma of mental illness for professional knowledge development and practice: An Interprofessional Health Education framework from structural violence perspectives","authors":"Sebastian Gyamfi PhD, MPhil, Cheryl Forchuk PhD, RN, Isaac Luginaah PhD, FAAS","doi":"10.1002/mhs2.82","DOIUrl":"https://doi.org/10.1002/mhs2.82","url":null,"abstract":"<p>Persons with mental illness (PWMI) continue to encounter stigma from the public with negative outcomes. Recent stigma discourse points to power differentials as key in shaping stigma related to mental illness within social settings. The perceived social injustice towards PWMI is known to exist both anecdotally and in documented discourses. Stigma constitutes the product of public attitudes and behaviors that characterize labeling, stereotyping, prejudice, cognitive separation, status loss, and discrimination that lead to responses that may include stress and esteem-related appraisal of experienced, anticipated, perceived, or personal endorsement of societal actions that are anchored by existing power relational differentials. The potential consequence of such societal injustices (unfair treatments) towards PWMI may result in stigma and its sequels, including low socioeconomic status, stress, low self-esteem, unemployment, homelessness, exclusion, and human rights abuse. This paper proposes an Interprofessional Health Education framework and discusses the implications of such unfair social treatments for Professional knowledge development and practice among healthcare professionals, with the view to improving collaboration and patient care outcomes. A more collaborative model of care, where service users and clinicians regard each other as knowledgeable with shared power to achieve healthy outcomes, empowers patients even more in areas where they fall short.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-08-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.82","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764103","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}
Jayne Morriss, Brandon A. Gaudiano, Suzanne H. So, Jessica Kingston, Tania Lincoln, Eric M. J. Morris, Lyn Ellett
{"title":"Associations between intolerance of uncertainty, paranoia, anxiety, and depression: Evidence from an international multisite sample","authors":"Jayne Morriss, Brandon A. Gaudiano, Suzanne H. So, Jessica Kingston, Tania Lincoln, Eric M. J. Morris, Lyn Ellett","doi":"10.1002/mhs2.81","DOIUrl":"https://doi.org/10.1002/mhs2.81","url":null,"abstract":"<p>Intolerance of uncertainty (IU; the tendency to find uncertainty aversive) and paranoia (e.g., excessive mistrust of others), are both associated with anxiety and depression symptoms. While previous research has primarily focused on IU and paranoia separately, there is recent evidence to suggest that IU and paranoia are linked and may interact to increase risk for anxiety, depression, and schizophrenia-spectrum conditions. The aims of the current study were to assess: (1) the extent to which IU (total score and subscales), paranoia, anxiety, and depression are associated and (2) whether the interaction between IU and paranoia is associated with greater anxiety and depression symptoms. To examine these aims, we conducted a survey in an international multisite sample (<i>n</i> = 2510). Questionnaires included: IU (total score and subscales), paranoia (RGPTS persecution subscale), anxiety, and depression. The findings revealed that: (1) IU was positively associated with paranoia (<i>r</i> = 0.43), anxiety (<i>r</i> = 0.48), and depression (<i>r</i> = 0.49), and (2) People with high scores on IU and paranoia showed higher anxiety and depression symptoms. Importantly, these effects remained when controlling for negative beliefs about the self and others and demographic factors. Additionally, the inhibitory IU subscale (uncertainty paralysis) was related to paranoia, anxiety, and depression. However, the prospective IU subscale (desire for predictability) was only related to depression, but not paranoia and anxiety. Overall, these findings reliably demonstrate that IU and paranoia are linked, and that IU and paranoia interactions may synergistically work to affect current levels of anxiety and depression symptoms.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.81","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142764397","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}
Joshua Holzworth MSW, Nicholas M. Brdar BS, Lindsay A. Bornheimer PhD
{"title":"The impact of psychosis symptoms and psychosocial factors on symptoms of depression among individuals in an early phase of psychosis illness","authors":"Joshua Holzworth MSW, Nicholas M. Brdar BS, Lindsay A. Bornheimer PhD","doi":"10.1002/mhs2.80","DOIUrl":"10.1002/mhs2.80","url":null,"abstract":"<p>Depressive symptoms are common among individuals with schizophrenia spectrum disorders, yet few studies have examined how various psychosocial factors and psychosis symptoms relate to depression in an early phase of psychosis illness. A greater understanding regarding the connection between psychosis symptoms and depressive symptoms is needed to inform assessment and intervention efforts in this population. The current study examined the relationships between psychosocial factors (distress, peer rejection, emotional support, perceived hostility), psychosis symptoms (positive, negative, general), and depression among individuals in an early phase of psychosis illness. Data were obtained from the Human Connectome Project for Early Psychosis including 167 individuals between the ages of 16 and 35 at the time of consent who met criteria for having onset of affective or nonaffective psychosis within 5 years. Clinical assessments and questionnaires were administered, and data were analyzed in SPSS and MPlus. Peer rejection (<i>p </i>< 0.05), distress (<i>p </i>< 0.001), perceived hostility (<i>p </i>< 0.05), and general symptoms of psychosis (<i>p </i>< 0.001) significantly related to depression. Bivariate associations existed between all psychosocial factors and psychosis symptoms with the exception of negative symptoms. Understanding symptoms and factors that associate with depression among individuals with psychosis in an early phase of illness can inform tailored intervention approaches of clinicians to focus on distress, peer rejection, perceived hostility, and general psychosis symptoms.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.80","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141660670","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":"Universal mental health curricula in public schools: Integrating mental health into physical education","authors":"Hans Oh, Marco Formigoni","doi":"10.1002/mhs2.78","DOIUrl":"10.1002/mhs2.78","url":null,"abstract":"<p>Mental health problems are ubiquitous, yet public schooling lacks comprehensive mental health curricula. The purpose of public education, in part, is to prepare people to face life and contribute to society. In the same vein as physical education (PE), we argue that a universal mental health curriculum could benefit the entire population. Schools across the globe, including in the United States, are beginning to explore universal mental health curricula, which could yield benefits that reach beyond mental health and wellness, to improve physical health, reduce behavioral problems, and increase academic performance. But the road ahead is marked with considerable economic and political barriers. We argue for incorporating mental health into the PE curriculum to gain traction toward a more comprehensive mental health curriculum.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 4","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.78","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141661845","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 simultaneous impact of interventions on optimism and depression: A meta-analysis","authors":"Nicola S. Schutte, John M. Malouff","doi":"10.1002/mhs2.79","DOIUrl":"10.1002/mhs2.79","url":null,"abstract":"<p>The positive psychology approach to mental-health-related interventions suggests that a dual focus on positive and problematic characteristics is beneficial and that positive and negative characteristics interact. The present study explored the link between optimism and depression outcomes in intervention studies that assessed both optimism and depression outcomes. A meta-analysis examined effect sizes for depression and optimism and links between depression and optimism outcomes. Eighteen studies with a total of 2153 participants were included. Across studies the weighted effect sizes for the impact of interventions on both depression (<i>g</i> = 0.46) and optimism (<i>g</i> = 0.38) were significant. Optimism and depression outcomes were associated with one another (<i>r</i>(17) = 0.58). Meta-regression analyses also indicated linkages between the two outcomes in that the optimism effect sizes moderated depression effect sizes and depression effect sizes moderated optimism effect sizes. The results of the study lend support to a dual focus on positive and problematic characteristics.</p>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.79","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141668199","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}
Martine W. F. T. Verhees, Eva Ceulemans, Laura Sels, Egon Dejonckheere, Marlies Houben, Peter Kuppens
{"title":"Social sharing and expressive suppression in major depressive disorder and borderline personality disorder: An experience sampling study","authors":"Martine W. F. T. Verhees, Eva Ceulemans, Laura Sels, Egon Dejonckheere, Marlies Houben, Peter Kuppens","doi":"10.1002/mhs2.77","DOIUrl":"10.1002/mhs2.77","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Major depressive disorder (MDD) and borderline personality disorder (BPD) are characterized by disturbed patterns of emotional and interpersonal functioning, which might imply altered use of emotion regulation in interpersonal contexts. In the current study, we examined how individuals with MDD and/or BPD differ from healthy controls in (1) their overall daily life use of expressive suppression and social sharing and (2) their tendency to adjust the use of these strategies to the emotional context (i.e., preceding negative and positive affect). Thirty-four individuals with MDD, 20 individuals with BPD, 19 individuals with comorbid MDD and BPD, and 40 healthy controls participated in a week of experience sampling during which they reported their use of expressive suppression, social sharing, and experienced negative and positive affect. The results indicated that all clinical groups reported more expressive suppression and social sharing in their daily lives than healthy controls. Group differences remained when controlling for differences in mean experienced affect, except for increased suppression for MDD and increased sharing for BPD and comorbid MDD and BPD, which seemed related to these participants' overall higher levels of negative affect. Additionally, associations between within-person fluctuations in negative or positive affect and subsequent strategy use were equally strong for clinical and control participants, indicating that clinical groups did not differentially adjust the use of suppression and sharing to the emotional context. In conclusion, individuals with MDD and/or BPD showed increased use of suppression and sharing in daily life, which might contribute to, or follow from their emotional and interpersonal difficulties.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.77","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141710392","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}
Richard Dei-Asamoa, Delali Fiagbe, Dzifa Dellor, Joseph Osafo
{"title":"Predictors of preoperative anxiety in pediatric surgical patients in Ghana: A bi-center study","authors":"Richard Dei-Asamoa, Delali Fiagbe, Dzifa Dellor, Joseph Osafo","doi":"10.1002/mhs2.76","DOIUrl":"https://doi.org/10.1002/mhs2.76","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 <p>Anticipation of surgical procedures has been noted to be a major cause of anxiety, particularly in children and their parents. Preoperative anxiety in children is associated with complications before, during, and after surgery. There is therefore the need to identify predictors of preoperative anxiety in children, for early identification and development of interventions. This study aimed at determining predictors of preoperative anxiety in children. A total of 70 children with their parents, scheduled for general pediatric surgery in two teaching hospitals in Ghana, were recruited using a convenience sampling technique. Parental anxiety, perception of quality of healthcare, and preoperative anxiety in children were measured using the State Section of the State Trait Anxiety Inventory, the Pediatric Quality of Life—Healthcare Satisfaction Module, and the modified Yale Preoperative Anxiety Scale, respectively. Previous surgical experience, age and type of surgery were obtained by demographic questionnaire and hospital records. Majority of children who participated in the study were between ages 2 and 7 years (82.9%). 84.3% of parents in the study were females. Parental anxiety (<i>β</i> = 0.953, p<i>p</i> = 0.000) and perceived quality of healthcare (<i>β</i> = −0.257, <i>p</i> = 0.031) predicted preoperative anxiety in children. Older children scheduled for major surgery were more anxious in the preoperative period than younger children scheduled for major surgery (<i>F</i> = 6.75, <i>p</i> = 0.012). Comprehensive anxiety-alleviation protocols for pediatric surgery should involve parents as well as improving perceptions of quality of healthcare.</p>\u0000 </section>\u0000 </div>","PeriodicalId":94140,"journal":{"name":"Mental health science","volume":"2 3","pages":""},"PeriodicalIF":0.0,"publicationDate":"2024-06-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1002/mhs2.76","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142152277","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}