Mental Health and Prevention最新文献

Improving resilience and mental well-being among refugees residing at asylum centers in the Netherlands: A pre-post feasibility study 提高居住在荷兰庇护中心的难民的适应能力和心理健康水平：前后可行性研究

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-10-04 DOI: 10.1016/j.mhp.2024.200366

Background

Few studies have explored the effects of mental health and psychosocial support programs among refugees residing at asylum centers. The aim of this study was to assess the feasibility of a positive psychology intervention called BAMBOO among refugees temporarily residing at asylum centers in the Netherlands.

Method

Data was collected at 35 asylum centers from 243 participants who completed five weekly two-hour sessions. Pre- and post-changes in resilience, happiness, and positive and negative affect were assessed using a one-group pretest–posttest design. Also, program fidelity, participant satisfaction, and program activity suitability were evaluated.

Results

Completer and intention-to-treat analyses revealed a significant medium increase in resilience, a large increase in happiness, a small increase in positive affect, and a medium decrease in negative affect. Reliable change indices showed a positive change in 24 % of the participants on resilience and 13 % on positive and negative affect, respectively. Participant retention was 80 %. Moreover, participant satisfaction was high. Also, a substantial proportion of participants evaluated reading and writing-based activities as less suitable in comparison to activities based on verbal and creative expression, physical movement, and meditation/prayer.

Conclusions

Findings showed significant increases in scores from pre- to post-assessment on resilience, happiness, and positive affect and a decrease in negative affect. Since the study design limits the ability to attribute causation, future controlled studies should be conducted to stablish stronger evidence regarding the program's effects. Additionally, the program could benefit from further adaptation to enhance its cultural sensitivity. Trial registration number: ISRCTN18019972

背景很少有研究探讨心理健康和社会心理支持项目对避难中心难民的影响。本研究旨在评估一项名为 "BAMBOO "的积极心理学干预措施在荷兰避难中心临时居住的难民中的可行性。采用单组前测-后测设计，评估了复原力、幸福感、积极和消极情绪的前后变化。此外，还对项目的忠实度、参与者的满意度以及项目活动的适宜性进行了评估。结果完成者和意向治疗分析表明，复原力有了显著的中度提高，幸福感有了大幅提高，积极情绪有了小幅提高，消极情绪有了中度降低。可靠的变化指数显示，24%的参与者在复原力方面发生了积极变化，13%的参与者在积极情绪和消极情绪方面发生了积极变化。参与者的保留率为 80%。此外，参与者的满意度也很高。此外，相当一部分参与者认为，与基于语言和创造性表达、身体运动和冥想/祈祷的活动相比，以阅读和写作为基础的活动不太适合。由于研究设计限制了对因果关系的归因能力，今后应开展对照研究，以便为该计划的效果提供更有力的证据。此外，该计划还可以通过进一步调整来提高其文化敏感性。试验注册号：ISRCTN18019972

{"title":"Improving resilience and mental well-being among refugees residing at asylum centers in the Netherlands: A pre-post feasibility study","authors":"","doi":"10.1016/j.mhp.2024.200366","DOIUrl":"10.1016/j.mhp.2024.200366","url":null,"abstract":"<div><h3>Background</h3><div>Few studies have explored the effects of mental health and psychosocial support programs among refugees residing at asylum centers. The aim of this study was to assess the feasibility of a positive psychology intervention called BAMBOO among refugees temporarily residing at asylum centers in the Netherlands.</div></div><div><h3>Method</h3><div>Data was collected at 35 asylum centers from 243 participants who completed five weekly two-hour sessions. Pre- and post-changes in resilience, happiness, and positive and negative affect were assessed using a one-group pretest–posttest design. Also, program fidelity, participant satisfaction, and program activity suitability were evaluated.</div></div><div><h3>Results</h3><div>Completer and intention-to-treat analyses revealed a significant medium increase in resilience, a large increase in happiness, a small increase in positive affect, and a medium decrease in negative affect. Reliable change indices showed a positive change in 24 % of the participants on resilience and 13 % on positive and negative affect, respectively. Participant retention was 80 %. Moreover, participant satisfaction was high. Also, a substantial proportion of participants evaluated reading and writing-based activities as less suitable in comparison to activities based on verbal and creative expression, physical movement, and meditation/prayer.</div></div><div><h3>Conclusions</h3><div>Findings showed significant increases in scores from pre- to post-assessment on resilience, happiness, and positive affect and a decrease in negative affect. Since the study design limits the ability to attribute causation, future controlled studies should be conducted to stablish stronger evidence regarding the program's effects. Additionally, the program could benefit from further adaptation to enhance its cultural sensitivity. Trial registration number: ISRCTN18019972</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142441800","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}

引用次数: 0

“It's the people that make the difference”: Understanding the significance of psychosocial support for professional athletes "是人让一切与众不同"：了解社会心理支持对职业运动员的意义

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-10-02 DOI: 10.1016/j.mhp.2024.200364

Objective

This study explores the importance of psychosocial support within professional sporting organizations and its impact on athlete wellbeing.

Methods

Seventeen participants, including current and retired athletes, coaches, and support staff from an Australian professional sporting organization, were interviewed as part of this study. Thematic analysis was used to identify key themes related to psychosocial support and athlete wellbeing.

Results

Findings highlight the diverse roles that staff play in athletes' psychosocial support networks, with relational trust emerging as a crucial factor in promoting wellbeing and encouraging help-seeking behavior.

Conclusion

The study recommends a holistic approach to athlete wellbeing, incorporating clear guidelines for staff on responding to athletes' help-seeking behaviors, along with sport-specific mental health literacy training to enhance the effectiveness of the support provided.

本研究探讨了职业体育组织中社会心理支持的重要性及其对运动员福祉的影响。方法作为本研究的一部分，我们采访了 17 名参与者，包括现役和退役运动员、教练员以及澳大利亚一家职业体育组织的支持人员。结果研究结果表明，工作人员在运动员的心理支持网络中扮演着不同的角色，而关系信任则是促进运动员身心健康和鼓励求助行为的关键因素。结论本研究建议采用综合方法解决运动员身心健康问题，为工作人员提供明确的指导方针，以应对运动员的求助行为，同时开展针对体育运动的心理健康知识培训，从而提高所提供支持的有效性。

引用次数: 0

Parenting strategies to support adolescent mental health during a pandemic: A Delphi consensus study 大流行病期间支持青少年心理健康的育儿策略：德尔菲共识研究

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-09-25 DOI: 10.1016/j.mhp.2024.200363

Background

The COVID-19 pandemic has had ongoing detrimental effects on mental health, especially for young people. Parents can play a crucial role in the prevention of youth depression and anxiety disorders. While parenting guidelines for reducing the risk of adolescent depression and anxiety have been developed, they needed to be adapted for the unique challenges brought by a pandemic.

Method

This study employed the Delphi methodology to establish expert consensus on parenting strategies that are important for preventing adolescent depression or anxiety disorders during a pandemic. Through a literature search and panel recommendations, we identified 304 parenting recommendations. These were presented to an international panel of 35 experts in parenting and youth mental health, who rated the importance of these recommendations in preventing adolescent depression and anxiety over three survey rounds.

Results

There were 167 parenting strategies endorsed as important or essential in reducing adolescents' risk of developing depression or anxiety disorders during a pandemic by ≥90% of the panel. These strategies were written into a set of specific and actionable guidelines for parenting through the pandemic, and made freely available online for parents.

Conclusions

This study adapted an original set of parenting guidelines for the COVID-19 pandemic, supported by research evidence and/or international experts, which can be promoted in Western English-speaking communities to help parents protect their adolescents from depression and anxiety disorders during pandemic and post-pandemic times.

背景 COVID-19 大流行对心理健康，尤其是青少年的心理健康造成了持续的不利影响。父母在预防青少年抑郁和焦虑症方面可以发挥至关重要的作用。本研究采用德尔菲法（Delphi methodology）就大流行期间预防青少年抑郁或焦虑症的重要育儿策略达成专家共识。通过文献检索和专家小组建议，我们确定了 304 项育儿建议。结果有 167 项育儿策略被≥90% 的专家认可为在大流行病期间降低青少年患抑郁症或焦虑症风险的重要或必要策略。结论本研究针对 COVID-19 大流行改编了一套原创的育儿指南，该指南得到了研究证据和/或国际专家的支持，可在西方英语社区推广，以帮助父母在大流行期间和大流行后保护青少年免受抑郁和焦虑症的困扰。

{"title":"Parenting strategies to support adolescent mental health during a pandemic: A Delphi consensus study","authors":"","doi":"10.1016/j.mhp.2024.200363","DOIUrl":"10.1016/j.mhp.2024.200363","url":null,"abstract":"<div><h3>Background</h3><div>The COVID-19 pandemic has had ongoing detrimental effects on mental health, especially for young people. Parents can play a crucial role in the prevention of youth depression and anxiety disorders. While parenting guidelines for reducing the risk of adolescent depression and anxiety have been developed, they needed to be adapted for the unique challenges brought by a pandemic.</div></div><div><h3>Method</h3><div>This study employed the Delphi methodology to establish expert consensus on parenting strategies that are important for preventing adolescent depression or anxiety disorders during a pandemic. Through a literature search and panel recommendations, we identified 304 parenting recommendations. These were presented to an international panel of 35 experts in parenting and youth mental health, who rated the importance of these recommendations in preventing adolescent depression and anxiety over three survey rounds.</div></div><div><h3>Results</h3><div>There were 167 parenting strategies endorsed as important or essential in reducing adolescents' risk of developing depression or anxiety disorders during a pandemic by ≥90% of the panel. These strategies were written into a set of specific and actionable guidelines for parenting through the pandemic, and made freely available online for parents.</div></div><div><h3>Conclusions</h3><div>This study adapted an original set of parenting guidelines for the COVID-19 pandemic, supported by research evidence and/or international experts, which can be promoted in Western English-speaking communities to help parents protect their adolescents from depression and anxiety disorders during pandemic and post-pandemic times.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142425271","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}

引用次数: 0

Whāia te iti kahurangi: Seeking perinatal mental health equity. Māori offer solutions for the health system Whāia te iti kahurangi：寻求围产期心理健康平等。毛利人为医疗系统提供解决方案

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-09-24 DOI: 10.1016/j.mhp.2024.200362

Objectives

In Aotearoa, New Zealand (NZ), Māori experience significant perinatal health inequities. Perinatal mental health and maternal suicide are critical equity issues for Aotearoa, NZ's health system and require a systems level response. Health equity is mandated in Aotearoa, NZ, through Te Tiriti o Waitangi, however, Māori continue to face inequitable access to services, resources, and best practice perinatal healthcare. Qualitative data can enhance our understanding of a health system's impact and performance. The purpose of this paper is to utilise qualitative data to identify how Aotearoa, NZ's health system is performing, from the perspectives of Māori mothers and birthing parents experiencing perinatal mental illness.

Design

This qualitative research is grounded in Kaupapa Māori Research methodology. Kaupapa Māori Research methodology is an Indigenous research methodology that privileges the voices of Māori in the design and implementation of research. Semi structured interviews were undertaken with twenty Māori mothers/birthing parents with experience of perinatal mental illness. All participants had accessed a community perinatal mental health service within the previous 12 months.

Results

Expert analysis from Māori mothers and birthing parents identified key recommendations relating to services, treatment, workforce, and communication and education. These recommendations were grouped into sub-themes encompassing options, access and barriers, and whānau. The recommendations encompassed participants’ perceptions of how the health system can enhance efficiency, improve health outcomes and achieve equity for Māori within the perinatal period.

Conclusion

To achieve Māori health equity in the perinatal period, systemic and structural transformation of the perinatal health system is required. The recommendations identified by Māori mothers and birthing parents in this study can be applied at clinical, service, and system levels to remove the structural barriers faced by Māori in the perinatal health system and be utilised in the development of an equitable, early intervention and prevention focused perinatal mental health system.

目标在新西兰奥特亚罗瓦，毛利人在围产期健康方面遭受着严重的不公平待遇。围产期心理健康和孕产妇自杀是新西兰奥特亚罗瓦卫生系统面临的关键性公平问题，需要采取系统层面的应对措施。新西兰奥特亚罗瓦（Aotearoa）通过 "怀唐伊原则"（Te Tiriti o Waitangi）规定了健康公平，然而，毛利人在获得服务、资源和最佳围产期保健实践方面仍然面临着不公平。定性数据可以加深我们对医疗系统的影响和绩效的理解。本文旨在利用定性数据，从患有围产期精神疾病的毛利母亲和分娩父母的视角出发，确定新西兰奥特亚罗瓦医疗系统的表现。Kaupapa毛利研究方法是一种土著研究方法，在设计和实施研究时优先考虑毛利人的声音。我们对 20 名有围产期精神疾病经历的毛利母亲/分娩父母进行了半结构式访谈。所有参与者在过去的12个月内都曾接受过社区围产期精神健康服务。结果通过对毛利母亲和分娩父母的专家分析，确定了与服务、治疗、劳动力以及沟通和教育有关的主要建议。这些建议被分为几个子主题，包括选择、获取和障碍，以及whānau。这些建议涵盖了参与者对卫生系统如何在围产期提高效率、改善卫生成果和实现毛利人的平等的看法。毛利母亲和分娩父母在本研究中提出的建议可以应用于临床、服务和系统层面，以消除毛利人在围产期保健系统中面临的结构性障碍，并用于发展一个公平、早期干预和预防为主的围产期心理健康系统。

{"title":"Whāia te iti kahurangi: Seeking perinatal mental health equity. Māori offer solutions for the health system","authors":"","doi":"10.1016/j.mhp.2024.200362","DOIUrl":"10.1016/j.mhp.2024.200362","url":null,"abstract":"<div><h3>Objectives</h3><div>In Aotearoa, New Zealand (NZ), Māori experience significant perinatal health inequities. Perinatal mental health and maternal suicide are critical equity issues for Aotearoa, NZ's health system and require a systems level response. Health equity is mandated in Aotearoa, NZ, through Te Tiriti o Waitangi, however, Māori continue to face inequitable access to services, resources, and best practice perinatal healthcare. Qualitative data can enhance our understanding of a health system's impact and performance. The purpose of this paper is to utilise qualitative data to identify how Aotearoa, NZ's health system is performing, from the perspectives of Māori mothers and birthing parents experiencing perinatal mental illness.</div></div><div><h3>Design</h3><div>This qualitative research is grounded in Kaupapa Māori Research methodology. Kaupapa Māori Research methodology is an Indigenous research methodology that privileges the voices of Māori in the design and implementation of research. Semi structured interviews were undertaken with twenty Māori mothers/birthing parents with experience of perinatal mental illness. All participants had accessed a community perinatal mental health service within the previous 12 months.</div></div><div><h3>Results</h3><div>Expert analysis from Māori mothers and birthing parents identified key recommendations relating to services, treatment, workforce, and communication and education. These recommendations were grouped into sub-themes encompassing options, access and barriers, and whānau. The recommendations encompassed participants’ perceptions of how the health system can enhance efficiency, improve health outcomes and achieve equity for Māori within the perinatal period.</div></div><div><h3>Conclusion</h3><div>To achieve Māori health equity in the perinatal period, systemic and structural transformation of the perinatal health system is required. The recommendations identified by Māori mothers and birthing parents in this study can be applied at clinical, service, and system levels to remove the structural barriers faced by Māori in the perinatal health system and be utilised in the development of an equitable, early intervention and prevention focused perinatal mental health system.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-09-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142359506","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}

引用次数: 0

Are younger people more accurate at identifying mental health disorders, recommending help appropriately, and do they show lower mental health stigma than older people? 与老年人相比，年轻人在识别心理健康障碍、建议适当帮助方面是否更准确？

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-08-29 DOI: 10.1016/j.mhp.2024.200361

Introduction

Mental health awareness initiatives and expansion in the concept breadth of mental health disorders have been suggested as potential contributors to the increased prevalence of mental disorders and help-seeking in younger people. Consistent with positive effects of mental health awareness campaigns, this study explored whether younger people show greater accuracy at recognising mental health disorders from written vignettes, lower mental health stigma and appropriate help-seeking recommendations.

Method

Participants (n = 134 participants <40 years and n = 105 participants ≥40 years of age) were randomised to see three vignettes (Schizophrenia, social anxiety and grief) depicting a ‘young’ character (in their 20 s) or an ‘older’ character (in their 50 s). After each vignette, they were asked whether the character had a mental health disorder, whether they should seek help and questions focused on mental health stigma. They were also asked questions about their own mental health.

Results

Younger participants were more likely to identify a mental health problem and recommend help-seeking for social anxiety and grief than older participants. There were no differences for Schizophrenia. Younger people showed greater stigma towards the vignettes depicting Schizophrenia and social anxiety and rated their own mental health significantly worse than older participants.

Conclusion

Results are consistent with better sensitivity, but lower specificity in the recognition of mental disorders in younger people. Perceptions of whether distressing experiences are considered a mental health disorder that requires professional help (but not the severity of the experiences themselves) may be different in younger compared to older age groups.

导言：心理健康意识活动和心理健康疾病概念广度的扩大被认为是导致年轻人心理疾病患病率和求助率上升的潜在原因。与心理健康宣传活动的积极影响相一致，本研究探讨了年轻人是否能更准确地从书面小故事中识别出心理健康障碍、降低心理健康耻辱感并提出适当的求助建议。方法：参与者（n = 134 名年龄在 40 岁以上的参与者和 n = 105 名年龄≥40 岁的参与者）被随机分配观看三个小故事（精神分裂症、社交焦虑和悲伤），分别描述了一个 "年轻 "角色（20 多岁）或一个 "年长 "角色（50 多岁）。每个小故事结束后，他们都会被问及角色是否患有精神疾病、是否应该寻求帮助以及有关精神疾病耻辱感的问题。结果与年长的参与者相比，年轻的参与者更有可能发现心理健康问题，并建议他们在社交焦虑和悲伤方面寻求帮助。在精神分裂症方面则没有差异。年轻人对描述精神分裂症和社交焦虑的小故事表现出更大的耻辱感，对自身心理健康的评价也明显低于年长者。与老年人相比，年轻人对痛苦经历是否被视为需要专业帮助的精神障碍（而非经历本身的严重程度）的看法可能有所不同。

{"title":"Are younger people more accurate at identifying mental health disorders, recommending help appropriately, and do they show lower mental health stigma than older people?","authors":"","doi":"10.1016/j.mhp.2024.200361","DOIUrl":"10.1016/j.mhp.2024.200361","url":null,"abstract":"<div><h3>Introduction</h3><p>Mental health awareness initiatives and expansion in the concept breadth of mental health disorders have been suggested as potential contributors to the increased prevalence of mental disorders and help-seeking in younger people. Consistent with positive effects of mental health awareness campaigns, this study explored whether younger people show greater accuracy at recognising mental health disorders from written vignettes, lower mental health stigma and appropriate help-seeking recommendations.</p></div><div><h3>Method</h3><p>Participants (<em>n</em> = 134 participants <40 years and <em>n</em> = 105 participants ≥40 years of age) were randomised to see three vignettes (Schizophrenia, social anxiety and grief) depicting a ‘young’ character (in their 20 s) or an ‘older’ character (in their 50 s). After each vignette, they were asked whether the character had a mental health disorder, whether they should seek help and questions focused on mental health stigma. They were also asked questions about their own mental health.</p></div><div><h3>Results</h3><p>Younger participants were more likely to identify a mental health problem and recommend help-seeking for social anxiety and grief than older participants. There were no differences for Schizophrenia. Younger people showed greater stigma towards the vignettes depicting Schizophrenia and social anxiety and rated their own mental health significantly worse than older participants.</p></div><div><h3>Conclusion</h3><p>Results are consistent with better sensitivity, but lower specificity in the recognition of mental disorders in younger people. Perceptions of whether distressing experiences are considered a mental health disorder that requires professional help (but not the severity of the experiences themselves) may be different in younger compared to older age groups.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000436/pdfft?md5=5013a34b355afc4d5029aa97c1ff737f&pid=1-s2.0-S2212657024000436-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142150151","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}

引用次数: 0

Audio-guided and mindfulness-based forest bathing in moderately affected Long/Post-COVID patients: A pre-post pilot-study 对中度受影响的长期/后COVID患者进行音频引导和正念森林浴：一项前后试点研究

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-08-14 DOI: 10.1016/j.mhp.2024.200359

Objective

Long/Post-COVID patients are in urgent need of specialized treatment. Forest bathing has shown to promote health and well-being, and thus may be an appropriate treatment option. This pilot study aimed to investigate both the feasibility of a two-week audio-guided and mindfulness-based forest bathing intervention and pre-to-post symptom changes in Long/Post-COVID patients.

Methods

A repeated-measures design was employed to collect self-reported data on Long/Post-COVID symptoms, fatigue, well-being and stress-coping strategies from moderately affected Long/Post-COVID patients (N = 46, N = 36 included; recruited through media) prior to and following participation in the forest bathing program. Pulse rate was monitored through smartwatches. Feasibility was assessed by analysis of dropout rates.

Results

The dropout rate was 22 % due to physical and environmental conditions. We observed decreased overall Long/Post-COVID symptoms (p < .001) and fatigue (p < .001), increased well-being (p < .001) and a more adaptive use of stress-coping strategies (p < .01) over time. Participants` pulse rate fell within the normal range after a forest “walk” (p < .001).

Conclusion

Our results suggest that further research on audio-guided and mindfulness-based forest bathing is warranted, since this approach may offer a feasible and cost-effective method for the complementary treatment of moderate Long/Post-COVID.

目标长期/后COVID患者急需专业治疗。森林浴能促进健康和幸福，因此可能是一种合适的治疗方法。本试验性研究旨在调查为期两周的音频指导和正念式森林浴干预的可行性，以及长/后COVID患者症状前后的变化。方法采用重复测量设计，收集中度受影响的长/后COVID患者（N = 46，其中N = 36；通过媒体招募）在参加森林浴计划前后关于长/后COVID症状、疲劳、幸福感和压力应对策略的自我报告数据。通过智能手表监测脉搏。结果由于身体和环境条件的原因，退出率为 22%。我们观察到，随着时间的推移，长期/后COVID症状（p < .001）和疲劳（p < .001）总体有所减轻，幸福感有所提高（p < .001），压力应对策略的使用更具适应性（p < .01）。结论我们的研究结果表明，有必要对音频引导和基于正念的森林浴进行进一步研究，因为这种方法可以为中度长期/后COVID的辅助治疗提供一种可行且具有成本效益的方法。

{"title":"Audio-guided and mindfulness-based forest bathing in moderately affected Long/Post-COVID patients: A pre-post pilot-study","authors":"","doi":"10.1016/j.mhp.2024.200359","DOIUrl":"10.1016/j.mhp.2024.200359","url":null,"abstract":"<div><h3>Objective</h3><p>Long/Post-COVID patients are in urgent need of specialized treatment. Forest bathing has shown to promote health and well-being, and thus may be an appropriate treatment option. This pilot study aimed to investigate both the feasibility of a two-week audio-guided and mindfulness-based forest bathing intervention and pre-to-post symptom changes in Long/Post-COVID patients.</p></div><div><h3>Methods</h3><p>A repeated-measures design was employed to collect self-reported data on Long/Post-COVID symptoms, fatigue, well-being and stress-coping strategies from moderately affected Long/Post-COVID patients (<em>N</em> = 46, <em>N</em> = 36 included; recruited through media) prior to and following participation in the forest bathing program. Pulse rate was monitored through smartwatches. Feasibility was assessed by analysis of dropout rates.</p></div><div><h3>Results</h3><p>The dropout rate was 22 % due to physical and environmental conditions. We observed decreased overall Long/Post-COVID symptoms (<em>p</em> < .001) and fatigue (<em>p</em> < .001), increased well-being (<em>p</em> < .001) and a more adaptive use of stress-coping strategies (<em>p</em> < .01) over time. Participants` pulse rate fell within the normal range after a forest “walk” (<em>p</em> < .001).</p></div><div><h3>Conclusion</h3><p>Our results suggest that further research on audio-guided and mindfulness-based forest bathing is warranted, since this approach may offer a feasible and cost-effective method for the complementary treatment of moderate Long/Post-COVID.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000412/pdfft?md5=e98d2657ca68c67b6228305c5c264477&pid=1-s2.0-S2212657024000412-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142040958","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}

引用次数: 0

How are we measuring resilience in children? A systematic review 我们如何衡量儿童的复原力？系统回顾

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-08-07 DOI: 10.1016/j.mhp.2024.200351

Resilience in children has received considerable interest from research bodies, policymakers, practitioners, and education bodies due to its potential impact on well-being, as well as physical and mental health. To support and cultivate resilience, appropriate measurement is important. However, numerous definitions and measures of resilience exist. To provide clarity, this paper offers a systematic review of measures used to assess resilience in children.

Systematic search conducted in Medline, ERIC, ProQuest Central, Scopus, PsychINFO, and Web of Science. Keywords included ‘resilien* and measure* and child*’. Eligible studies: assessed children aged 0–12 years, of all abilities; and, contained a measure to assess resilience, inclusive of parent, teacher, and/or child-report measures.

From 24,902 studies retrieved, 86 studies were included, identifying 54 measures for assessing resilience. 28 measures identified as proposing to measure resilience construct as their primary goal, whilst 27 were identified as proxy measures assessing constructs relating to resilience. Overall, 34 % of articles reported on both reliability and validity, with 20 % reporting neither of these.

While there is a range of measures used to assess resilience in children, there is a lack of consensus regarding what constructs and domains represent resilience. A large proportion had minimal or no psychometrics reported, highlighting the limitations of this area. This is an important starting point for consolidating how resilience is defined and measured within research.

儿童的抗挫折能力因其对福祉以及身心健康的潜在影响而受到研究机构、政策制定者、从业人员和教育机构的极大关注。要支持和培养抗逆力，适当的衡量标准非常重要。然而，关于抗逆力的定义和衡量标准不胜枚举。为了澄清这一问题，本文对用于评估儿童抗逆力的措施进行了系统性综述。系统性检索包括 Medline、ERIC、ProQuest Central、Scopus、PsychINFO 和 Web of Science。关键词包括 "resilien*和measure*和child*"。符合条件的研究：评估对象为 0-12 岁各种能力的儿童；包含评估抗逆力的测量方法，包括家长、教师和/或儿童报告的测量方法。其中 28 项措施被确定为以抗逆力为主要目标，27 项措施被确定为评估抗逆力相关结构的替代措施。总体而言，34%的文章同时报告了可靠性和有效性，20%的文章既没有报告可靠性也没有报告有效性。很大一部分报告的心理测量数据极少或根本没有，这凸显了这一领域的局限性。这是一个重要的起点，有助于在研究中巩固抗逆力的定义和测量方法。

{"title":"How are we measuring resilience in children? A systematic review","authors":"","doi":"10.1016/j.mhp.2024.200351","DOIUrl":"10.1016/j.mhp.2024.200351","url":null,"abstract":"<div><p>Resilience in children has received considerable interest from research bodies, policymakers, practitioners, and education bodies due to its potential impact on well-being, as well as physical and mental health. To support and cultivate resilience, appropriate measurement is important. However, numerous definitions and measures of resilience exist. To provide clarity, this paper offers a systematic review of measures used to assess resilience in children.</p><p>Systematic search conducted in Medline, ERIC, ProQuest Central, Scopus, PsychINFO, and Web of Science. Keywords included ‘resilien* and measure* and child*’. Eligible studies: assessed children aged 0–12 years, of all abilities; and, contained a measure to assess resilience, inclusive of parent, teacher, and/or child-report measures.</p><p>From 24,902 studies retrieved, 86 studies were included, identifying 54 measures for assessing resilience. 28 measures identified as proposing to measure resilience construct as their primary goal, whilst 27 were identified as proxy measures assessing constructs relating to resilience. Overall, 34 % of articles reported on both reliability and validity, with 20 % reporting neither of these.</p><p>While there is a range of measures used to assess resilience in children, there is a lack of consensus regarding what constructs and domains represent resilience. A large proportion had minimal or no psychometrics reported, highlighting the limitations of this area. This is an important starting point for consolidating how resilience is defined and measured within research.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-08-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000333/pdfft?md5=015aa46497c99a2f6cffa31cb218da1d&pid=1-s2.0-S2212657024000333-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141962949","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}

引用次数: 0

National mixed methods evaluation of Adult and Youth Mental Health First Aid 成人和青年心理健康急救全国混合方法评估

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-07-30 DOI: 10.1016/j.mhp.2024.200358

Objective

Mental Health First Aid (MHFA) is an international, early intervention, public education program that teaches participants to identify, understand, and respond to signs of mental health and substance use challenges. Until now, all evaluations on MHFA courses in the United States have been performed externally, which have limits in generalizability and the ability to address insights in a timely manner. Additionally, few evaluations have assessed the newest versions of MHFA courses. Therefore, this evaluation aimed to understand key outcomes and participant responses to Adult and Youth MHFA courses in a nationwide sample, spanning nearly a year of real-world implementation.

Methods

An internal, mixed methods program evaluation was performed on the second edition of the in-person versions of Adult and Youth MHFA. Pre- and post-course evaluation data from 3,586 Adult and 2,314 Youth MHFA participants trained between October 2022 and July 2023 were used in this evaluation. Key quantitative constructs, such as mental health literacy, intentions to perform MHFA skills, and confidence to use MHFA skills, were analyzed using paired sample t tests. Rapid thematic analysis methods were used to analyze participants' qualitative responses to the course.

Results

Significant increases in mental health literacy, intentions, and confidence were observed in both Adult and Youth MHFA participants from pre- to post-course. Qualitative analyses revealed key themes in participant responses, including the helpfulness of the activities, materials, and the MHFA action plan. Adjustments to materials, the length or pace of the course, and other specifics were noted as opportunities for improvement. These findings will be used to inform the future practice, implementation, and revisions of MHFA.

Conclusion

Completion of Adult or Youth MHFA by adults in the United States led to improvements in mental health literacy and intentions and confidence to assist someone in need. Both programs may benefit from implementation and content-related changes to enhance participant experience.

目标心理健康急救（MHFA）是一项国际性的早期干预公共教育项目，旨在教导参与者如何识别、理解和应对心理健康和药物使用方面的挑战。到目前为止，美国对 MHFA 课程的所有评估都是在外部进行的，这就限制了课程的普遍性和及时发表见解的能力。此外，很少有评估对最新版本的 MHFA 课程进行评估。因此，本评估旨在了解成人和青少年 MHFA 课程在全国范围内的主要成果和参与者反应，横跨近一年的实际实施时间。方法对第二版成人和青少年 MHFA 面对面版本进行了内部混合方法项目评估。本次评估使用了在 2022 年 10 月至 2023 年 7 月期间接受培训的 3,586 名成人和 2,314 名青少年 MHFA 学员的课前和课后评估数据。使用配对样本 t 检验分析了关键的定量指标，如心理健康素养、掌握 MHFA 技能的意愿以及使用 MHFA 技能的信心。结果观察到，从课程前到课程后，成人和青少年 MHFA 参与者的心理健康素养、意向和信心都有显著提高。定性分析揭示了参与者反应中的关键主题，包括活动、材料和 MHFA 行动计划的帮助。对教材、课程长度或进度以及其他具体内容的调整被认为是改进的机会。这些发现将被用来指导 MHFA 今后的实践、实施和修订。结论美国成年人通过完成成人或青少年 MHFA 课程，提高了心理健康素养，并增强了帮助有需要的人的意愿和信心。这两个项目都可以从实施和内容方面的改变中获益，从而提高参与者的体验。

{"title":"National mixed methods evaluation of Adult and Youth Mental Health First Aid","authors":"","doi":"10.1016/j.mhp.2024.200358","DOIUrl":"10.1016/j.mhp.2024.200358","url":null,"abstract":"<div><h3>Objective</h3><p>Mental Health First Aid (MHFA) is an international, early intervention, public education program that teaches participants to identify, understand, and respond to signs of mental health and substance use challenges. Until now, all evaluations on MHFA courses in the United States have been performed externally, which have limits in generalizability and the ability to address insights in a timely manner. Additionally, few evaluations have assessed the newest versions of MHFA courses. Therefore, this evaluation aimed to understand key outcomes and participant responses to Adult and Youth MHFA courses in a nationwide sample, spanning nearly a year of real-world implementation.</p></div><div><h3>Methods</h3><p>An internal, mixed methods program evaluation was performed on the second edition of the in-person versions of Adult and Youth MHFA. Pre- and post-course evaluation data from 3,586 Adult and 2,314 Youth MHFA participants trained between October 2022 and July 2023 were used in this evaluation. Key quantitative constructs, such as mental health literacy, intentions to perform MHFA skills, and confidence to use MHFA skills, were analyzed using paired sample <em>t</em> tests. Rapid thematic analysis methods were used to analyze participants' qualitative responses to the course.</p></div><div><h3>Results</h3><p>Significant increases in mental health literacy, intentions, and confidence were observed in both Adult and Youth MHFA participants from pre- to post-course. Qualitative analyses revealed key themes in participant responses, including the helpfulness of the activities, materials, and the MHFA action plan. Adjustments to materials, the length or pace of the course, and other specifics were noted as opportunities for improvement. These findings will be used to inform the future practice, implementation, and revisions of MHFA.</p></div><div><h3>Conclusion</h3><p>Completion of Adult or Youth MHFA by adults in the United States led to improvements in mental health literacy and intentions and confidence to assist someone in need. Both programs may benefit from implementation and content-related changes to enhance participant experience.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000400/pdfft?md5=aa4e694a18827fb38e8d5140135d056e&pid=1-s2.0-S2212657024000400-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963463","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}

引用次数: 0

Optimising Perinatal Mental Health: Implementation Framework for Integrating Interventions into Primary Healthcare Systems 优化围产期心理健康：将干预措施纳入初级医疗保健系统的实施框架

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-07-29 DOI: 10.1016/j.mhp.2024.200356

Background

The high burden of perinatal mental health (PMH) conditions has spurred international efforts to integrate PMH services into primary healthcare (PHC). Despite the existence of evidence-based PMH interventions endorsed by the World Health Organization (WHO), there is lack of guidance frameworks for the effective and sustainable integration of these interventions into PHC systems to make them fair and responsive to women and infant needs, particularly in low- and middle-income countries (LMICs).

Objective

We propose the "Implementation Framework for Integration into the Primary Healthcare System" (IF-IPHS) – a systematic approach to guide integration of PMH interventions into PHC settings.

Approach and framework components

Our approach is based on contemporary, empirically-derived frameworks and WHO guidelines on PMH, emphasising the significance of implementation science and health system thinking. The implementation framework for integration into the PHC system consists of two iterative phases: (I) Adaptation: involves modifying and pilot-testing of established PMH interventions to meet target population needs, guided by human-centred design. (II) Adoption: focuses on development of policies and resource allocation mechanisms through mobilization and stakeholder engagement for sustained integration of PMH intervention across all healthcare system components.

Broader applicability

The IF-IPHS is designed to assist and empower health system stakeholders (e.g. policymakers, practitioners, researchers, funders) in LMICs. It offers practical guidance for systematically integrating effective PMH interventions into PHC systems through context-specific adaption process and adoption strategies, taking a holistic approach beyond mere clinical and programmatic considerations. It can also serve as a flexible roadmap for integrating various health interventions beyond PMH within PHC systems.

背景围产期精神健康（PMH）状况的高负担促使国际社会努力将围产期精神健康服务纳入初级卫生保健（PHC）。尽管有世界卫生组织（WHO）认可的以证据为基础的围产期精神卫生干预措施，但缺乏将这些干预措施有效、可持续地纳入初级卫生保健系统的指导框架，以使这些系统公平地满足妇女和婴儿的需求，尤其是在中低收入国家（LMICs）。我们提出了 "纳入初级卫生保健系统的实施框架"（IF-IPHS）--一种指导将 PMH 干预措施纳入初级卫生保健系统的系统方法。将其纳入初级保健系统的实施框架包括两个迭代阶段：(I) 适应：包括在以人为本的设计指导下，对已有的 PMH 干预措施进行修改和试点测试，以满足目标人群的需求。(II) 采用：重点是通过动员和利益相关者参与，制定政策和资源分配机制，以便将 PMH 干预措施持续整合到医疗保健系统的所有组成部分中。它通过针对具体情况的适应过程和采用策略，为将有效的 PMH 干预措施系统地纳入初级保健系统提供了实用指导，并采取了超越单纯临床和项目考虑的整体方法。它还可以作为一个灵活的路线图，将 PMH 以外的各种健康干预措施纳入初级保健系统。

{"title":"Optimising Perinatal Mental Health: Implementation Framework for Integrating Interventions into Primary Healthcare Systems","authors":"","doi":"10.1016/j.mhp.2024.200356","DOIUrl":"10.1016/j.mhp.2024.200356","url":null,"abstract":"<div><h3>Background</h3><p>The high burden of perinatal mental health (PMH) conditions has spurred international efforts to integrate PMH services into primary healthcare (PHC). Despite the existence of evidence-based PMH interventions endorsed by the World Health Organization (WHO), there is lack of guidance frameworks for the effective and sustainable integration of these interventions into PHC systems to make them fair and responsive to women and infant needs, particularly in low- and middle-income countries (LMICs).</p></div><div><h3>Objective</h3><p>We propose the \"Implementation Framework for Integration into the Primary Healthcare System\" (IF-IPHS) – a systematic approach to guide integration of PMH interventions into PHC settings.</p></div><div><h3>Approach and framework components</h3><p>Our approach is based on contemporary, empirically-derived frameworks and WHO guidelines on PMH, emphasising the significance of implementation science and health system thinking. The implementation framework for integration into the PHC system consists of two iterative phases: (I) <em>Adaptation</em>: involves modifying and pilot-testing of established PMH interventions to meet target population needs, guided by human-centred design. (II) <em>Adoption</em>: focuses on development of policies and resource allocation mechanisms through mobilization and stakeholder engagement for sustained integration of PMH intervention across all healthcare system components.</p></div><div><h3>Broader applicability</h3><p>The IF-IPHS is designed to assist and empower health system stakeholders (e.g. policymakers, practitioners, researchers, funders) in LMICs. It offers practical guidance for systematically integrating effective PMH interventions into PHC systems through context-specific adaption process and adoption strategies, taking a holistic approach beyond mere clinical and programmatic considerations. It can also serve as a flexible roadmap for integrating various health interventions beyond PMH within PHC systems.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000382/pdfft?md5=b690aa897e4ab702d86b2005f282c7b3&pid=1-s2.0-S2212657024000382-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141963038","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}

引用次数: 0

Measures of mental health literacy for supporting children and their psychometric properties: A systematic review 支持儿童的心理健康素养测量方法及其心理测量特性：系统回顾

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-07-29 DOI: 10.1016/j.mhp.2024.200357

Background

Unidentified childhood mental health difficulties increase the risk of mental disorder in adulthood. Improving mental health literacy for supporting children (MHLSC) of adults can improve early identification. There is limited use of validated measures to evaluate MHLSC programs. This systematic review aimed to identify measures of MHLSC, the components of MHLSC they assess, and their psychometric properties.

Methods

A research protocol was registered with PROSPERO, number CRD42022352615. A systematic review was conducted according to COSMIN guidelines. The review included studies published in peer reviewed journals, concerning development, adaptation, or validation of a measure of MHLSC associated with primary school children. Study identification was through a comprehensive literature search in Medline, PsychINFO and EMBASE (OVID), CINAHL (EBSCO), and Web of Science, last conducted June 2024. The COSMIN risk of bias checklist was used, and each reported measurement property outcome was assessed against COMSIN criteria for good measurement properties. The COSMIN-modified GRADE approach was used to assess overall quality of evidence.

Results

From 399 records, Twelve studies from ten reports were included in the review, with ten self-report questionnaires identified. Studies were primarily conducted in the USA, with predominantly female populations. The quality of evidence for measurement property outcomes ranged from high to very low. Attitudinal components of MHLSC were assessed more frequently than knowledge components.

Conclusion

Findings indicate a lack of comprehensive and valid measures of MHLSC. There is a need for a comprehensive measure of MHLSC, including knowledge components, specific to children aged 5–12 years, to accurately assess MHLSC.

背景不明的儿童心理健康问题会增加成年后精神失常的风险。提高支持儿童的成人心理健康素养（MHLSC）可以改善早期识别。目前，用于评估儿童心理健康素养支持项目的有效测量方法还很有限。本系统性综述旨在确定 MHLSC 的测量方法、所评估的 MHLSC 构成要素及其心理测量特性。研究方案已在 PROSPERO 注册，编号为 CRD42022352615。根据 COSMIN 指南进行了系统综述。综述包括发表在同行评审期刊上的有关开发、改编或验证与小学生相关的 MHLSC 测量方法的研究。通过在 Medline、PsychINFO 和 EMBASE (OVID)、CINAHL (EBSCO) 以及 Web of Science（最后一次检索于 2024 年 6 月进行）中进行全面的文献检索来确定研究。采用了 COSMIN 偏倚风险清单，并根据 COMSIN 良好测量属性标准对报告的每项测量属性结果进行了评估。采用 COSMIN 改良 GRADE 方法评估证据的总体质量。结果从 399 条记录中，10 份报告中的 12 项研究被纳入综述，其中确定了 10 份自我报告问卷。研究主要在美国进行，研究对象以女性为主。测量属性结果的证据质量从高到低不等。结论研究结果表明，缺乏全面有效的多发性硬化症测量方法。有必要针对 5-12 岁儿童制定一项包括知识要素在内的多发性硬化症综合测量方法，以准确评估多发性硬化症。

{"title":"Measures of mental health literacy for supporting children and their psychometric properties: A systematic review","authors":"","doi":"10.1016/j.mhp.2024.200357","DOIUrl":"10.1016/j.mhp.2024.200357","url":null,"abstract":"<div><h3>Background</h3><p>Unidentified childhood mental health difficulties increase the risk of mental disorder in adulthood. Improving mental health literacy for supporting children (MHLSC) of adults can improve early identification. There is limited use of validated measures to evaluate MHLSC programs. This systematic review aimed to identify measures of MHLSC, the components of MHLSC they assess, and their psychometric properties.</p></div><div><h3>Methods</h3><p>A research protocol was registered with PROSPERO, number CRD42022352615. A systematic review was conducted according to COSMIN guidelines. The review included studies published in peer reviewed journals, concerning development, adaptation, or validation of a measure of MHLSC associated with primary school children. Study identification was through a comprehensive literature search in Medline, PsychINFO and EMBASE (OVID), CINAHL (EBSCO), and Web of Science, last conducted June 2024. The COSMIN risk of bias checklist was used, and each reported measurement property outcome was assessed against COMSIN criteria for good measurement properties. The COSMIN-modified GRADE approach was used to assess overall quality of evidence.</p></div><div><h3>Results</h3><p>From 399 records, Twelve studies from ten reports were included in the review, with ten self-report questionnaires identified. Studies were primarily conducted in the USA, with predominantly female populations. The quality of evidence for measurement property outcomes ranged from high to very low. Attitudinal components of MHLSC were assessed more frequently than knowledge components.</p></div><div><h3>Conclusion</h3><p>Findings indicate a lack of comprehensive and valid measures of MHLSC. There is a need for a comprehensive measure of MHLSC, including knowledge components, specific to children aged 5–12 years, to accurately assess MHLSC.</p></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":null,"pages":null},"PeriodicalIF":0.0,"publicationDate":"2024-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.sciencedirect.com/science/article/pii/S2212657024000394/pdfft?md5=8a95ffc162fa2b80532675068f249c9d&pid=1-s2.0-S2212657024000394-main.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"141951913","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}

引用次数: 0