Global Mental Health最新文献

This study examined the role of coping resources - self-efficacy (problem-focused) and emotion regulation (emotion-focused) - in supporting mental health and social functioning among refugees in a transit setting in Indonesia. Using a latent profile analysis approach with 1,214 participants, three distinct coping profiles were identified: high coping resources, high emotion-focused coping resource, and low coping resources. Results showed that high coping resources were associated with better mental health and social functioning outcomes. Emotion-focused coping resources were more strongly associated with better mental health, while problem-focused coping resources were closely linked to social functioning. This study highlighted the importance of coping flexibility and offers practical implications for strength-based interventions in transit displacement settings.

Background: The Venezuelan migrant crisis is the largest forced displacement in the Western Hemisphere. Venezuelan migrants face numerous challenges during the migration and resettlement process, negatively impacting their mental and physical health. Migrants who are caregivers face additional vulnerabilities and health needs, particularly women of reproductive age. However, there is limited research on the mental health of this population, including predictors of mental health conditions.

Methods: We combined two datasets, including 1,124 quantitative telephone surveys and 28 qualitative semistructured interviews with female Venezuelan migrant caregivers in Colombia - the primary destination for Venezuelan migrants globally - to characterize the prevalence of psychological distress and symptoms of depression and anxiety, key predictors of illness, and experiences with the healthcare system, using a convergent parallel design.

Results: We found that a high number of respondents experienced symptoms of moderate-to-severe distress (63%), depression (18%) and anxiety (28%). Across datasets, financial stressors, experiences of discrimination, family separation experiences and history with other health and chronic diseases significantly worsened mental health. Both datasets also showed the protective impacts of social support and mental healthcare from informal sources.

Conclusion: This study highlights the critical mental healthcare needs of female Venezuelan migrant caregivers residing in Colombia.

This study aimed to adapt and validate the Mental Health Support Scale (MHSS) for Chile and Argentina, hypothesising that it would correlate positively with mental health literacy, negatively with stigma measures, and differ by mental health first aid (MHFA) training history. The MHSS involves the 'Intended' scale (assessing intended support) and the 'Provided' scale (evaluating actual help), capturing recommended and not-recommended actions. The scales were translated into Spanish, piloted with 17 adults to explore cultural relevance, and validated with 554 Chilean and Argentinian adults using concurrent measures of stigma, social distance and mental health literacy. Factor analysis of the MHSS-Intended identified a recommended factor (16 items) and a not-recommended factor (5 items). The recommended factor correlated positively with mental health literacy (r = 0.19) and negatively with weak-not-sick stigma (r = -0.16) and social distance (r = -0.16). Support scores significantly discriminated between participants with and without MHFA training (recommended d = 0.99, not-recommended d = 1.35) and within participants pre- and post-MHFA training (recommended d = 0.90, not recommend d = 0.47). Overall, the adapted MHSS demonstrates acceptable psychometric properties and is a promising tool for evaluating mental health first aid support in Chile and Argentina.

This study aimed to perform a cross-country validation of the Arabic version of the World Health Organization 5-item (WHO-5) Well-Being Index, in terms of factor structure, composite reliability, cross-gender measurement invariance and concurrent validity. We carried out a cross-sectional, web-based study on a total of 3,247 young adults (aged 18-35 years) from six Arab countries (Tunisia, Lebanon, Egypt, Jordan, Morocco and Kuwait). Confirmatory Factor Analysis showed that the one-factor model demonstrated acceptable fit across all six countries. In addition, the Arabic WHO-5 Well-Being Index yielded high reliability coefficients in samples from each country (McDonald's ω and Cronbach's α = .92-.96), across genders (ω = .95 in men and .94 in women) and age groups (ω = .94/α = .94 in participants aged ≤25 years and ω =.96/α =.96 in those aged ≥26 years). Multi-group analyses demonstrated that configural, metric and scalar invariance were supported across gender, countries and age groups. Regarding concurrent validity, WHO-5 Well-being scores were strongly and significantly inversely correlated with depression, anxiety, stress, suicidal ideation and insomnia severity. This study provides a brief, valid and reliable Arabic version of the WHO-5 Well-Being Index that can be applied cross-nationally among Arabic-speaking young adult populations for screening and research purposes.

We aimed to compare the concordance between the Montreal Cognitive Assessment (MoCA) and the Repeatable Battery for the Assessment of Neuropsychological Status (RBANS), as cognitive screening tools to detect mild cognitive impairment (MCI) in a South African adult community sample (N = 370). The MoCA showed acceptable internal consistency, agreement with the RBANS and good criterion-related validity. The MoCA demonstrated fair performance, compared to the RBANS, for predicting MCI, with AUCs of 0.711 (English) and 0782 (Afrikaans). Using the recommended cut-off score of 26/30, the MoCA showed high sensitivity but low specificity. Sensitivity and specificity were optimal when the cut-off scores were lowered to 25/30 (English) and 24/30 (Afrikaans). MoCA scores were significantly associated with language, sex, age and education. While these findings demonstrate applicability of the MoCA in screening for and identifying mild cognitive difficulty in this population, our findings suggest that modifications are needed to improve differentiating between normal aging and MCI. Until a culturally adapted version of the MoCA is developed and validated for this population we suggest lowering the cut-off score to 25/30 (English) and 24/30 (Afrikaans) to reduce false positive NCD diagnoses. Demographic factors (age, sex, language and education) also need to be considered.

The Mental Health Gap Action Programme Intervention Guide (mhGAP-IG) was developed by the World Health Organization as a key tool for delivering evidence-based mental healthcare in non-specialized settings. The mhGAP-IG requires contextualization and adaptation to ensure local relevance. However, evidence on adapting the Child and Adolescent Mental Disorders (CMH) module of the mhGAP-IG is limited. This study contextualized and adapted the 2016 mhGAP-IG CMH module through two workshops with local mental health experts and stakeholders, preceded by six in-depth interviews exploring the child and adolescent mental health contexts in Nairobi and Kilifi. Data were analysed in NVivo-Lumivero© software. Interviews with mental health stakeholders revealed significant challenges in both counties, including a shortage of mental health specialists, frequent medication stockouts, stigma and inadequate resources. Key adaptations to the module included using locally acceptable terms (e.g., replacing 'failure to thrive' with 'suboptimal growth'); expanding training to five days; adding the mhGAP-IG Essential Care and Practice module to address culturally sensitive communication in mental healthcare provision; streamlining referral pathways; and incorporating aspects of self-harm/suicide and substance use linked to the CMH module content. Contextualizing the CMH module is crucial for effective implementation, but sustaining impact will require addressing systemic barriers beyond capacity-building.

[This corrects the article DOI: 10.1017/gmh.2025.10043.].

This study addresses the mental health needs of refugees and migrants in the Netherlands, highlighting the urgent public health challenges they face. Unique psychosocial hurdles, exacerbated by cultural dislocation, language barriers and systemic inequalities, hinder their access to quality mental healthcare. This study explores how coloniality intersects with mental healthcare access, using a decolonial framework to challenge stereotypes and assumptions that marginalize migrant voices. Through semi-structured interviews with migrants and language service providers, this research reveals the complexities of navigating the mental healthcare system. Findings reveal that temporality, professionalism and language barriers are key issues in migrants' mental healthcare journeys. We advocate for systemic changes that prioritize migrant perspectives. Ultimately, this study aims to inform policy and practice to enhance mental health services for migrant populations in the Netherlands and contribute to the broader dialogue on decolonization in mental health.

Adolescents may not necessarily have a specific mental health challenge to seek information on mental health. They may be genuinely curious on how to better understand these issues, especially when mental health is being discussed in school, among peers and with parents. The purpose of this study was to examine the frequency and factors associated with online information seeking about mental health among adolescents. A total of 702 high school students from Belgrade, Serbia, participated in the study and filled in an anonymous questionnaire about sociodemographics, digital behaviors and the Electronic Health Literacy Scale (eHEALS). The prevalence of seeking information about mental health in our study sample was 23.5% (165/702). The multivariate model showed that having a lower school performance, lower eHEALS score and browsing health blogs, social media and websites run by physicians and health institutions were independently associated with online information seeking about mental health. Additionally, searching for online information about psychoactive substances, bullying and medications was independently associated with online information seeking about mental health among adolescents. Adolescents are familiar with a variety of sources of online health information, but choose specific online platforms to read about mental health. These platforms could be utilized to promote mental well-being in high schools.

Pension systems play a crucial role in providing economic security and supporting well-being in later life. However, as governments implement reforms to ensure financial sustainability-such as raising the retirement age, reducing benefits, and shifting to defined-contribution schemes-these measures often overlook their psychological and social consequences. Pension insecurity has been linked to heightened stress, anxiety, and depression, as well as increased social isolation, particularly among vulnerable populations, including those in physically demanding jobs, low-income workers, and individuals with existing health conditions. Despite clear evidence of these effects, mainstream pension reform discourse prioritises fiscal concerns over social and mental health implications. This article examines pension reform through the Human Rights-Public Health Pension Framework (HRPHPF), integrating legal, public health, and policy perspectives to assess its impact on mental well-being. It situates pension rights within international human rights law, explores the psychological risks associated with pension insecurity, and advocates for a human rights-based approach to pension policymaking. The article calls for integrating mental health impact assessments into pension reforms to prevent adverse outcomes and ensure that policies promote dignity, social inclusion, and economic security in old age. A more balanced approach is necessary to align financial sustainability with broader well-being and human rights principles.