Pub Date : 2024-11-05DOI: 10.1016/s2215-0366(24)00256-6
Günther Fink, Maria Melero-Dominguez, Mpela Chembe, Daniela de Vernisy-Romero, Thandiwe Tembo, Tamara Billima, Ravi Paul, Margarita Alegria, Doug Parkerson, Peter C Rockers, Zaliwe Banda, Gabriel Lungu, Dorothy Sikazwe, Irene Falgas-Bague
<h3>Background</h3>Psychological distress is common among mothers in low-income and middle-income countries, limiting their capacity to care for themselves and their children. This study aimed to test the feasibility and acceptability of an adapted psychosocial intervention for distressed mothers in low-resource settings.<h3>Methods</h3>In this open-label trial, we enrolled women living in Lusaka, Zambia, with high mental distress (>7 score on the 20-item Self-Reporting Questionnaire [SRQ-20]) and children younger than 2 years, who had previously enrolled in the ZamCharts early childhood nutrition trial. We randomly assigned participants (1:1) to the intervention or control group using a random number draw. The intervention was a newly developed Problem Management for Moms (PM4M) programme: a ten-session treatment adapted from Problem Management Plus, which was offered by phone or in person. After randomisation, participants in the intervention group underwent pre-intervention screening, a post-intervention assessment, and a final follow-up assessment 9 months after treatment initiation (ie, final follow-up visit). The control group was assessed at the baseline of ZamCharts and at the final follow-up assessment, and these participants did not receive any intervention. The primary study outcomes were feasibility, acceptability, and participant mental distress measured using the SRQ-20. All primary and secondary outcomes were estimated in the intention-to-treat population, which included all participants who were randomised to the intervention group and attended the final follow-up assessment. Data on ethnicity were not collected. The trial is registered at <span><span>ClinicalTrials.gov</span><svg aria-label="Opens in new window" focusable="false" height="20" viewbox="0 0 8 8"><path d="M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z"></path></svg></span>, <span><span>NCT05627206</span><svg aria-label="Opens in new window" focusable="false" height="20" viewbox="0 0 8 8"><path d="M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z"></path></svg></span>, and has been completed. Women with lived experience of mental health symptoms were involved in this study.<h3>Findings</h3>Between April 26, and July 14, 2021, 790 women were interviewed in the ZamCharts trial, of whom 265 had high mental distress and were randomly assigned to treatment groups in this trial (134 to the intervention group and 131 to the control group). Of the 134 women in the intervention group, 61 (46%) received the PM4M intervention and 73 (55%) were excluded; 103 in the intervention group and 106 in the control group were successfully interviewed at the final follow-up assessment. The mean age of participants was 27·6 years (SD 7·6) at ZamCharts baseline. PM4M sessions were conducted between Dec 16, 2022, and May 6, 2023. The 61 participants deemed eligible after pre-intervention screening who started
{"title":"Feasibility and acceptability of the Problem Management for Moms programme for improving maternal mental health in Zambia: an open-label trial","authors":"Günther Fink, Maria Melero-Dominguez, Mpela Chembe, Daniela de Vernisy-Romero, Thandiwe Tembo, Tamara Billima, Ravi Paul, Margarita Alegria, Doug Parkerson, Peter C Rockers, Zaliwe Banda, Gabriel Lungu, Dorothy Sikazwe, Irene Falgas-Bague","doi":"10.1016/s2215-0366(24)00256-6","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00256-6","url":null,"abstract":"<h3>Background</h3>Psychological distress is common among mothers in low-income and middle-income countries, limiting their capacity to care for themselves and their children. This study aimed to test the feasibility and acceptability of an adapted psychosocial intervention for distressed mothers in low-resource settings.<h3>Methods</h3>In this open-label trial, we enrolled women living in Lusaka, Zambia, with high mental distress (>7 score on the 20-item Self-Reporting Questionnaire [SRQ-20]) and children younger than 2 years, who had previously enrolled in the ZamCharts early childhood nutrition trial. We randomly assigned participants (1:1) to the intervention or control group using a random number draw. The intervention was a newly developed Problem Management for Moms (PM4M) programme: a ten-session treatment adapted from Problem Management Plus, which was offered by phone or in person. After randomisation, participants in the intervention group underwent pre-intervention screening, a post-intervention assessment, and a final follow-up assessment 9 months after treatment initiation (ie, final follow-up visit). The control group was assessed at the baseline of ZamCharts and at the final follow-up assessment, and these participants did not receive any intervention. The primary study outcomes were feasibility, acceptability, and participant mental distress measured using the SRQ-20. All primary and secondary outcomes were estimated in the intention-to-treat population, which included all participants who were randomised to the intervention group and attended the final follow-up assessment. Data on ethnicity were not collected. The trial is registered at <span><span>ClinicalTrials.gov</span><svg aria-label=\"Opens in new window\" focusable=\"false\" height=\"20\" viewbox=\"0 0 8 8\"><path d=\"M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z\"></path></svg></span>, <span><span>NCT05627206</span><svg aria-label=\"Opens in new window\" focusable=\"false\" height=\"20\" viewbox=\"0 0 8 8\"><path d=\"M1.12949 2.1072V1H7V6.85795H5.89111V2.90281L0.784057 8L0 7.21635L5.11902 2.1072H1.12949Z\"></path></svg></span>, and has been completed. Women with lived experience of mental health symptoms were involved in this study.<h3>Findings</h3>Between April 26, and July 14, 2021, 790 women were interviewed in the ZamCharts trial, of whom 265 had high mental distress and were randomly assigned to treatment groups in this trial (134 to the intervention group and 131 to the control group). Of the 134 women in the intervention group, 61 (46%) received the PM4M intervention and 73 (55%) were excluded; 103 in the intervention group and 106 in the control group were successfully interviewed at the final follow-up assessment. The mean age of participants was 27·6 years (SD 7·6) at ZamCharts baseline. PM4M sessions were conducted between Dec 16, 2022, and May 6, 2023. The 61 participants deemed eligible after pre-intervention screening who started ","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"96 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-11-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142588367","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-04DOI: 10.1016/s2215-0366(24)00371-7
Pinchuk I, Leventhal B L, Ladyk-Bryzghalova A, et al. The Lancet Psychiatry Commission on mental health in Ukraine. Lancet Psychiatry 2024;11: 910–33—In this Commission, the affiliation for author Marisa Casanova Dias MD MSc is incorrect. The correct affiliation is National Centre for Mental Health, Cardiff University, Cardiff, UK. This correction has been made to the online version as of Nov 4.
Pinchuk I、Leventhal B L、Ladyk-Bryzghalova A 等人。柳叶刀精神病学委员会对乌克兰心理健康的研究。Lancet Psychiatry 2024; 11: 910-33-In this Commission, the affiliation for author Marisa Casanova Dias MD MSc is incorrect.正确的单位是英国卡迪夫大学国家心理健康中心（National Centre for Mental Health, Cardiff University, Cardiff, UK）。在线版本已于 11 月 4 日进行了更正。
{"title":"Correction to Lancet Psychiatry 2024; 11: 910–33","authors":"","doi":"10.1016/s2215-0366(24)00371-7","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00371-7","url":null,"abstract":"<em>Pinchuk I, Leventhal B L, Ladyk-Bryzghalova A, et al. The</em> Lancet Psychiatry <em>Commission on mental health in Ukraine. Lancet Psychiatry 2024;</em> <strong>11</strong>: <em>910–33</em>—In this Commission, the affiliation for author Marisa Casanova Dias MD MSc is incorrect. The correct affiliation is National Centre for Mental Health, Cardiff University, Cardiff, UK. This correction has been made to the online version as of Nov 4.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142579935","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-06-27DOI: 10.1016/S2215-0366(24)00175-5
Yasin Hasan Balcioglu
{"title":"Promoting academic forensic psychiatry in low-income and middle-income countries.","authors":"Yasin Hasan Balcioglu","doi":"10.1016/S2215-0366(24)00175-5","DOIUrl":"10.1016/S2215-0366(24)00175-5","url":null,"abstract":"","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":" ","pages":"872-874"},"PeriodicalIF":30.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471761","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-11-01Epub Date: 2024-06-27DOI: 10.1016/S2215-0366(24)00164-0
John Tully, Jonathan Hafferty, Daniel Whiting, Kimberlie Dean, Seena Fazel
Forensic mental health services provide crucial interventions for society. Such services provide care for people with mental disorders who commit violent and other serious crimes, and they have a key role in the protection of the public. To achieve these goals, these services are necessarily expensive, but they have been criticised for a high-cost, low-volume approach, for lacking consistent standards of care, and for neglecting human rights and other ethical considerations. A key concern is an insufficient evidence base to justify common practices, such as restricting leave from hospital and detaining patients for long periods. There is also insufficient quality evidence for core interventions, including psychological therapies, pharmacotherapy, and seclusion and restraint. The causes for this evidence deficit are complex but include insufficient investment in research infrastructure and fragmentation and isolationism of services, both nationally and internationally. In this Personal View, we highlight some of the major gaps in the forensic mental health evidence base and the challenges in addressing these gaps. We suggest solutions with implications at clinical, societal, and public health policy levels.
{"title":"Forensic mental health: envisioning a more empirical future.","authors":"John Tully, Jonathan Hafferty, Daniel Whiting, Kimberlie Dean, Seena Fazel","doi":"10.1016/S2215-0366(24)00164-0","DOIUrl":"10.1016/S2215-0366(24)00164-0","url":null,"abstract":"<p><p>Forensic mental health services provide crucial interventions for society. Such services provide care for people with mental disorders who commit violent and other serious crimes, and they have a key role in the protection of the public. To achieve these goals, these services are necessarily expensive, but they have been criticised for a high-cost, low-volume approach, for lacking consistent standards of care, and for neglecting human rights and other ethical considerations. A key concern is an insufficient evidence base to justify common practices, such as restricting leave from hospital and detaining patients for long periods. There is also insufficient quality evidence for core interventions, including psychological therapies, pharmacotherapy, and seclusion and restraint. The causes for this evidence deficit are complex but include insufficient investment in research infrastructure and fragmentation and isolationism of services, both nationally and internationally. In this Personal View, we highlight some of the major gaps in the forensic mental health evidence base and the challenges in addressing these gaps. We suggest solutions with implications at clinical, societal, and public health policy levels.</p>","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":" ","pages":"934-942"},"PeriodicalIF":30.8,"publicationDate":"2024-11-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141471760","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-24DOI: 10.1016/s2215-0366(24)00330-4
Bernd Lenz, Birgit Derntl
No Abstract
无摘要
{"title":"Sex-sensitive and gender-sensitive care for patients with mental disorders","authors":"Bernd Lenz, Birgit Derntl","doi":"10.1016/s2215-0366(24)00330-4","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00330-4","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"67 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142489174","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/s2215-0366(24)00335-3
Yasser Abu Jamei, Corrado Barbui
No Abstract
无摘要
{"title":"Priority setting for mental health in Gaza","authors":"Yasser Abu Jamei, Corrado Barbui","doi":"10.1016/s2215-0366(24)00335-3","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00335-3","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"1 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-22DOI: 10.1016/s2215-0366(24)00352-3
Zui C Narita, Toshi A Furukawa
No Abstract
无摘要
{"title":"Misuse of prediction models in psychiatric research","authors":"Zui C Narita, Toshi A Furukawa","doi":"10.1016/s2215-0366(24)00352-3","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00352-3","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"18 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142487063","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-17DOI: 10.1016/s2215-0366(24)00358-4
Herrera-Ferrá K, Muñoz JM, Becerril A, et al. The regulation of neurotechnology: the neurorights bill in Mexico. Lancet Psychiatry 2024; published online Oct 8, 2024. https://doi.org/10.1016/S2215-0366(24)00286-4—In this Comment, the spelling of author Jesús Alejandro Alonso Olamendi's name was incorrect. This correction has been made to the online version as of Oct 17, 2024, and will be made to the printed version.
Herrera-Ferrá K, Muñoz JM, Becerril A, et al. 神经技术的监管：墨西哥的神经权利法案。https://doi.org/10.1016/S2215-0366(24)00286-4 在本评论中，作者 Jesús Alejandro Alonso Olamendi 的姓名拼写有误。截至 2024 年 10 月 17 日，在线版本已进行了更正，印刷版本也将进行更正。
{"title":"Correction to Lancet Psychiatry 2024; published online Oct 8. https://doi.org/10.1016/S2215-0366(24)00286-4","authors":"","doi":"10.1016/s2215-0366(24)00358-4","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00358-4","url":null,"abstract":"<em>Herrera-Ferrá K, Muñoz JM, Becerril A, et al. The regulation of neurotechnology: the neurorights bill in Mexico</em>. Lancet Psychiatry <em>2024; published online Oct 8, 2024. https://doi.org/10.1016/S2215-0366(24)00286-4</em>—In this Comment, the spelling of author Jesús Alejandro Alonso Olamendi's name was incorrect. This correction has been made to the online version as of Oct 17, 2024, and will be made to the printed version.","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"8 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448432","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Pub Date : 2024-10-17DOI: 10.1016/s2215-0366(24)00323-7
Naomi A Fineberg, Zsolt Demetrovics, Marc N Potenza, Gemma Mestre-Bach, Hamed Ekhtiari, Andres Roman-Urrestarazu, Sophia Achab, Thomas Kattau, Henrietta Bowden-Jones, Shane A Thomas, Thomas F Babor, Beeban Kidron, Dan J Stein
No Abstract
无摘要
{"title":"Global action on problematic usage of the internet: announcing a Lancet Psychiatry Commission","authors":"Naomi A Fineberg, Zsolt Demetrovics, Marc N Potenza, Gemma Mestre-Bach, Hamed Ekhtiari, Andres Roman-Urrestarazu, Sophia Achab, Thomas Kattau, Henrietta Bowden-Jones, Shane A Thomas, Thomas F Babor, Beeban Kidron, Dan J Stein","doi":"10.1016/s2215-0366(24)00323-7","DOIUrl":"https://doi.org/10.1016/s2215-0366(24)00323-7","url":null,"abstract":"No Abstract","PeriodicalId":48784,"journal":{"name":"Lancet Psychiatry","volume":"57 1","pages":""},"PeriodicalIF":64.3,"publicationDate":"2024-10-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142448712","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":1,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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