Mental Health and Prevention最新文献

{"title":"Exploring the association of depression and post traumatic stress disorder among humanitarian aid workers along the Thai-Myanmar border","authors":"Naw Lar Paw ,&nbsp;Kyaw Min Htike ,&nbsp;Rajitra Nawawonganun ,&nbsp;Roshan Kumar Mahato","doi":"10.1016/j.mhp.2025.200409","DOIUrl":"10.1016/j.mhp.2025.200409","url":null,"abstract":"<div><h3>Background</h3><div>Humanitarian aid workers (HAWs) are exposed to high levels of stress, resulting in substantial risks for mental health issues such as depression and post-traumatic stress disorder (PTSD).</div></div><div><h3>Objective</h3><div>This study aimed to determine the prevalence of depression and PTSD among HAWs along the Thai-Myanmar border and identify factors influencing these conditions.</div></div><div><h3>Methods</h3><div>This cross-sectional study surveyed 424 HAWs from four Thai-Myanmar border provinces from October 2023 to September 2024, using stratified random sampling. Logistic regression was applied to analyze factors associated with depression and PTSD.</div></div><div><h3>Results</h3><div>Depression was identified in 19.8 % (95 % Confidence Interval: 16.28–23.89) of participants and PTSD symptoms were observed in 26.4 % (95 % CI: 22.43–30.83) of HAWs. Depression was associated with homeownership, dysfunctional family relationships, and roles in job sectors while PTSD was linked to poor sleep, moderate family support, secondary traumatic stress and poor quality of life. High burnout, stress and depression were also significant risk factors.Workers with a lower quality of life were 3.45 times (Adjusted Odds Ratio 3.45, 95 % CI: 1.61–7.40) more likely to experience depression and 2.27 times (AOR 2.27, 95 % CI: 1.25–4.13) more likely to experience PTSD.</div></div><div><h3>Conclusion</h3><div>Nearly 20 % of humanitarian aid workers experienced depression, and over 25 % reported PTSD. Depression was linked to homeownership, family relationships and job sectors. PTSD was associated with poor sleep, moderate family support, secondary traumatic stress and low quality of life. High burnout, stress and depression were significant risks. Improving quality of life and providing mental health support are essential interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200409"},"PeriodicalIF":0.0,"publicationDate":"2025-02-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143420226","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Vaccination and mental health: Evidence from ASEAN countries","authors":"Duc Hong Vo,&nbsp;Ngoc Duc Lang","doi":"10.1016/j.mhp.2025.200407","DOIUrl":"10.1016/j.mhp.2025.200407","url":null,"abstract":"<div><h3>Objectives</h3><div>This study examines whether vaccination is associated with improved mental health during the COVID-19 pandemic in the Association of Southeast Asian Nations (ASEAN), addressing a critical gap in the literature.</div></div><div><h3>Methods</h3><div>This study utilizes data from the 2021 Gallup World Poll (GWP), including approximately 8,000 individuals across eight ASEAN countries, including Cambodia, Indonesia, Laos, Malaysia, Philippines, Singapore, Thailand, Vietnam. Mental health was assessed using the Negative Experience Index, which captures stress, anger, sadness, anxiety, and pain.</div></div><div><h3>Results</h3><div>We find that vaccination is significantly associated with improved mental health for the entire ASEAN region (β = -3.828, 95 % CI: [-6.085, -1.572]). After taking endogeneity into account, this association remains significant. We find that increased opportunities to make friends in the living area is a pathway through which vaccination can improve mental health. Notably, the association between vaccination and mental health is significant among both urban (β = -3.583, 95 % CI: [-5.674, -1.492]) and rural (β = -3.275, 95 % CI: [-6.142, -0.409]) populations, as well as among females (β = -5.918, 95 % CI: [-7.380, -4.457]), but it is not significant among males (β = -1.242, 95 % CI: [-4.107, 1.624]). Furthermore, at the country's level, the association between vaccination and mental health is significant in Cambodia, Laos, the Philippines, Singapore, and Thailand but not significant in Malaysia, Indonesia. and Vietnam. These findings are robust across various robustness checks.</div></div><div><h3>Conclusion</h3><div>These findings underscore the role of vaccination in improving mental health amidst health crises such as the COVID-19 pandemic in the ASEAN region. Implications for policymakers derived from our findings are discussed.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200407"},"PeriodicalIF":0.0,"publicationDate":"2025-02-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143429010","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Multi-session virtual reality relaxation for mental health staff: a feasibility and acceptability study","authors":"Rebecca Martland ,&nbsp;Lucia Valmaggia ,&nbsp;Vigneshwar Paleri ,&nbsp;Alison Mulligan ,&nbsp;Anna Hildebrand ,&nbsp;Grace Williams ,&nbsp;Anni Raz ,&nbsp;Natalie Steer ,&nbsp;Simon Riches","doi":"10.1016/j.mhp.2025.200408","DOIUrl":"10.1016/j.mhp.2025.200408","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health staff may experience high levels of psychological stress, burnout, and poor wellbeing.</div></div><div><h3>Aim</h3><div>This study explores the feasibility and acceptability of implementing a course of virtual reality (VR) relaxation sessions for mental health professionals, to improve their mental wellbeing.</div></div><div><h3>Methods</h3><div>Mental health staff were recruited to 5-weeks of VR relaxation. Recruitment numbers, completion and attendance rates were collected, and satisfaction with each session was measured. Mental wellbeing parameters were assessed following a single session, and over the course of five sessions.</div></div><div><h3>Results</h3><div>38 staff were recruited. Most participants were nurses and support workers (<em>n</em> = 22). Participants completed a mean of 3.93 ± 1.51 sessions. Mean satisfaction across all sessions was 8.26/10 ± 1.64. From baseline to 5-weeks there were improvements in subjective wellbeing, perceived stress, perceived worry, burnout, and daytime sleep dysfunction. There were improvements in wellbeing following a single session of VR.</div></div><div><h3>Discussion</h3><div>It is feasible and acceptable to implement VR relaxation within workplace settings for healthcare professionals. Implementation considerations are indicated such as flexible timetabling and exploring self-help models of delivery to maximise attendance.</div></div><div><h3>Implications for Practice</h3><div>The research supports the development of a large-scale trial of VR relaxation to determine its efficacy for staff wellbeing.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200408"},"PeriodicalIF":0.0,"publicationDate":"2025-02-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143377700","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":"Prison-based psychological and social interventions to improve the well-being of women prisoners: A systematic review","authors":"Shu Yen Ang,&nbsp;Geshina Ayu Mat Saat,&nbsp;Olusoga Tasiru Shittu","doi":"10.1016/j.mhp.2025.200405","DOIUrl":"10.1016/j.mhp.2025.200405","url":null,"abstract":"<div><h3>Objective</h3><div>Women prisoners face numerous psychological and social challenges during imprisonment. This systematic review evaluates prison-based psychological and social interventions designed to enhance the well-being of women prisoners.</div></div><div><h3>Methods</h3><div>This systematic review followed Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines and searched across four databases: Scopus, Sage, Web of Science, and PubMed, covering studies from 1st January 1992 to 20th October 2024. The inclusion criteria were randomised controlled trial (RCT) or quasi experimental design research involving women prisoners over 18 in prison settings, targeting psychological or social outcomes, with pre- and post-intervention results, and published in English. The exclusion criteria were case studies, pilot studies, non-prison settings, mixed gender samples without separate women analysis, mental disorders focused research, medication-only treatments, unclear intervention details, post-intervention-only outcomes, studies on recidivism or substance relapse, grey literature, and non-English publications. The mixed methods appraisal tool (MMAT) was used to evaluate risk of bias, and a narrative synthesis was conducted due to data heterogeneity.</div></div><div><h3>Results</h3><div>Out of 8233 documents, 15 studies examining psychological and social interventions were included. Behavioural methods effectively managed anger, dog-assisted interventions provided emotional support, transactional analysis and reality therapy enhanced self-esteem and self-efficacy, logotherapy boosted hope, video-based learning fostered inner peace, and Choice Theory Connections supported overall well-being among women prisoners. Effective parenting interventions incorporated parenting education, curriculum with children, and sufficient duration of programme.</div></div><div><h3>Conclusion</h3><div>The review's limitations include high attrition rates due to prison rules and regulations, non-randomised comparison studies, and reliance on self-report measures.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200405"},"PeriodicalIF":0.0,"publicationDate":"2025-02-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143346011","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association between social roles and inactive mental health promotion behaviors by age group: A cross-sectional study in Japan","authors":"Takashi Shimazaki ,&nbsp;Eric C. Chen ,&nbsp;Takashi Yamauchi ,&nbsp;Machi Suka","doi":"10.1016/j.mhp.2025.200404","DOIUrl":"10.1016/j.mhp.2025.200404","url":null,"abstract":"<div><div>Background: This cross-sectional study examines the association between social roles (employment, parenting, and nursing care for family members) and mental health promotion behaviors (physical activity, weekday and holiday cultural activities, communication, relaxation, volunteer activity, activity challenge, and group affiliation) among the Japanese general population.</div><div>Methods: Overall, 3,597 people (age: <em>M</em> = 49.48, <em>SD</em> = 16.49) responded to the web-based questionnaire. The participants were asked about their social roles, demographic characteristics, and practice of mental health promotion behaviors. Data analysis was conducted for three age groups: 20–39, 40–59, as well as 60 and above. The multivariate logistic regression analysis was conducted, with social role as the independent variable and mental health promotion behaviors as the dependent variable.</div><div>Results: Regarding employment, homemakers had a lower ratio of people who practiced mental health promotion behaviors and this held true among all age groups (adjusted odds ratio [<em>AOR</em>] = 0.28 to 0.63); participants who had parenting roles had a lower ratio of people who practiced mental health promotion behaviors (<em>AOR</em> = 0.30 to 0.60) among the younger and middle-aged. The study could not determine a clear association between mental health promotion behaviors and informal nursing care for family members. Additionally, participants who had parenting and nursing care had a lower ratio of participants who had practiced physical activity in the 20–39-year-old range (<em>AOR</em> = 0.56).</div><div>Conclusion: To encourage mental health promotion behaviors, the findings suggest the necessity to provide support for homemakers who simultaneously hold a parenting role to encourage mental health promotion behaviors.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200404"},"PeriodicalIF":0.0,"publicationDate":"2025-02-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142159","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Population-level mental health literacy: A vignette-based study on prejudice, sexism, and recognition in prevention strategies for social anxiety in Ghana","authors":"Peter Adu ,&nbsp;Dmitry Grigoryev ,&nbsp;Rita Holm Adzovie ,&nbsp;James Mbinta ,&nbsp;G. Eric Jarvis ,&nbsp;Tomas Jurcik","doi":"10.1016/j.mhp.2025.200406","DOIUrl":"10.1016/j.mhp.2025.200406","url":null,"abstract":"<div><h3>Objective</h3><div>Mental Health Literacy (MHL) evidence on promoting mental health prevention at the population level in Ghana is limited. We explored factors, including, sociodemographic variables, prejudice, sexist attitudes, and previous experience of mental disorders, related to the endorsement of prevention strategies for social anxiety in Ghana.</div></div><div><h3>Methods</h3><div>A total of 601 individuals participated in an online vignette-based experimental study. Participants were randomly assigned to read two clinical vignettes, each presenting symptoms of social anxiety for a hypothetical person, one being male and the other female. Participants provided their impressions of the hypothetical person and completed self-reported measures, encompassing assessments related to ambivalent sexism, MHL, prejudice, and demographic factors.</div></div><div><h3>Results</h3><div>We found that recognition of the social anxiety in the vignettes directly associated with psychotherapeutic prevention strategies and indirectly predicted substance-related prevention strategies for social anxiety among the participants. Prejudice towards social anxiety was linked to increased recommendation of substance-related prevention strategies for social anxiety and less frequent endorsement of psychotherapeutic prevention strategies. Benevolence towards women was positively associated with stress-reduction preventive strategies for social anxiety, while benevolence towards men negatively impacted such strategies.</div></div><div><h3>Conclusion</h3><div>Findings underscore the significant role of Western views of mental health, and the harmful impact of prejudice on mental health, including the potential impact of cultural and contextual elements in shaping preventive approaches to mental disorders. Efforts to enhance MHL aimed at improving population-level mental health outcomes should prioritize the development of compassionate and culturally inclusive responses to mental health distress while also working to reduce stigma.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200406"},"PeriodicalIF":0.0,"publicationDate":"2025-01-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143379154","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 dual continua in youth mental health policy and practice: Screening and intervention for low mental wellbeing in youth to achieve targeted prevention","authors":"Lachlan Kent ,&nbsp;Maja Havrilova ,&nbsp;Suzanne Dick ,&nbsp;Stephen Carbone","doi":"10.1016/j.mhp.2025.200403","DOIUrl":"10.1016/j.mhp.2025.200403","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of young people in Australia and other nations has declined dramatically over the last decade and a half. While an increase in youth mental healthcare services is needed to meet rising demand, on its own, this is unlikely to reverse the concerning trend. A greater focus on prevention is needed.</div></div><div><h3>Aims</h3><div>This article aims to propose an innovative, theoretically-grounded approach to prevention that complements more common population-based (i.e., changing risk and protective factors) and targeted (i.e., supporting individuals with subthreshold symptoms of mental illness) approaches. Aligned with the dual-continua model of mental health (i.e., where mental well-being and ill-health are distinct dimensions of overall mental health), this third approach focuses on addressing low levels of mental wellbeing, which is both a significant predictor of future mental ill-health and a distressing and disabling state that requires intervention in its own right.</div></div><div><h3>Recommendations</h3><div>Large-scale screening for low mental wellbeing, using psychometrically sound tools, could be conducted online and through schools, higher education, and primary care services. Those with low mental wellbeing could be linked to community services offering evidence-based interventions. This approach is likely to carry less stigma and may be easier to achieve than targeting those with subthreshold symptoms through clinical services.</div></div><div><h3>Conclusions</h3><div>The dire state of youth mental health is an urgent call-to-action to adopt novel approaches to address this crisis. We need to make better use of the available evidence and tools at-hand to strengthen our focus on low mental wellbeing, not just mental ill-health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200403"},"PeriodicalIF":0.0,"publicationDate":"2025-01-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142160","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Adolescents’ personality and sex, age, socioeconomic status in explaining mental health: A representative Swedish national study","authors":"Petri Kajonius ,&nbsp;David Sjöström ,&nbsp;Isabella Gripe ,&nbsp;Siri Thor ,&nbsp;Emma Claesdotter-Knutsson","doi":"10.1016/j.mhp.2025.200399","DOIUrl":"10.1016/j.mhp.2025.200399","url":null,"abstract":"<div><h3>Objective</h3><div>The present study compared individual personality traits and demographic variables, i.e. sex, age, and socioeconomic status, in explaining mental health in a large representative adolescent Swedish high school survey.</div></div><div><h3>Method</h3><div>This data collection on 15- to 18-year-olds (N = 10,288, response rate 79 %) was conducted in 2024 and included, for the first time, a brief Big Five personality measure (Ten Item Personality Inventory; TIPI) together with 3 diverse mental health measures (General Anxiety Disorder, GAD-7; Daily dysfunction; and Global satisfaction with self).</div></div><div><h3>Results</h3><div>Individual differences in the Big Five personality traits, particularly neuroticism, explained mental health approximately 10 times more than demographic differences. Females reported higher neuroticism (d = 0.68) and lower mental health across all study measures (d_Mean = -0.62) than males. Differences in general anxiety (GAD-7) equated to 3 out of 4 females being higher than the male mean. Age and socioeconomic status showed trivial effects.</div></div><div><h3>Conclusion</h3><div>We discuss study limitations and recommend taking individual differences in personality into account in adolescent mental health research.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200399"},"PeriodicalIF":0.0,"publicationDate":"2025-01-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142305","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 role of social and economic inequality in shaping antisocial personality traits.","authors":"Banafsheh Aghayeeabianeh","doi":"10.1016/j.mhp.2025.200400","DOIUrl":"10.1016/j.mhp.2025.200400","url":null,"abstract":"<div><h3>Objective</h3><div>: To test the ecology of the development of antisocial personality disorder traits (ASPD).</div></div><div><h3>Methods</h3><div>: A mixed-effects model was used to examine how sex, age, childhood misconduct, depressive symptoms, parenting practices, socioeconomic status, social inequality, and economic inequality predicted ASPD traits. Individual level data were sourced from the International Dating Violence database (<em>n</em> = 14,136; mean age = 20.49, SD = 1.70), which included 4,167 men (mean age = 20.67, SD = 1.71) and 9,969 women (mean age = 20.42, SD = 1.70). Macro-level inequality data were obtained from the Variety of Democracy database.</div></div><div><h3>Results</h3><div>: ASPD traits were more prevalent among boys (<em>b</em> = - 0.14, <em>p</em> &lt; .001) and positively associated with childhood misconduct (<em>b</em> = 0.19, <em>p</em> &lt; .001), depressive symptoms (<em>b</em> = 0.17, <em>p &lt;</em> .001), and socioeconomic status (<em>b</em> = 0.02, <em>p</em> &lt; .001), while negatively associated with age (<em>b</em> = -0.01, <em>p</em> &lt; .001) and positive parenting (<em>b</em> = -0.15, <em>p</em> &lt; .001). The impact of depressive symptoms increased when economic inequality was higher (<em>b</em> = 0.04, <em>p</em> &lt; .001). The influence of positive parenting on ASPD traits was stronger for boys (<em>b</em> = 0.04, <em>p</em> = .013) and those with less depressive symptoms (<em>b</em> = 0.06, <em>p</em> &lt; .001) and varied based on societal equality, being more pronounced in socially equal (<em>b</em> = -0.03, <em>p</em> = .006) but economically unequal (<em>b</em> = 0.02, <em>p</em> = .031) contexts.</div></div><div><h3>Conclusion</h3><div>: The findings highlight the complex interplay of individual, familial, and societal factors in developing ASPD traits. These results underscore the need to promote positive parenting practices and address structural inequalities to reduce ASPD traits. Future research should explore the mechanisms underlying these associations to guide targeted interventions.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200400"},"PeriodicalIF":0.0,"publicationDate":"2025-01-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Mental health prevention and promotion in general practice settings: A feasibility study","authors":"Miranda Budd ,&nbsp;Gita Bhutani ,&nbsp;Kathryn Gardner ,&nbsp;Mark Hann ,&nbsp;Umesh Chauhan ,&nbsp;Sophie Jaber ,&nbsp;Irem Shabir ,&nbsp;Valerio Bennedetto ,&nbsp;Andrew Clegg ,&nbsp;Molly Lever ,&nbsp;Farah Lunat","doi":"10.1016/j.mhp.2025.200402","DOIUrl":"10.1016/j.mhp.2025.200402","url":null,"abstract":"<div><h3>Background</h3><div>Mental health problems are typically addressed and intervened through a reactive approach rather than a proactive or preventative one. The aim of this feasibility RCT was to explore the possibility of recruiting to, and delivering a brief psychological intervention, focusing upon mental health prevention and promotion, in General Practice (GP).</div></div><div><h3>Methods</h3><div>This was a two-arm feasibility study where participants were randomised to either: treatment-as-usual (TAU) from their General Practitioner; or to a brief psychological intervention. Sixty-four participants, aged 16 and over, from 10 GP surgeries, with mild to moderate mental health difficulties, as measured by the PHQ9 and GAD7, were recruited. Intervention engagement data were summarised utilising descriptive statistics. Descriptive statistics were used to summarise clinical outcome measures at baseline and follow-up and to informally compare the two groups. Cost-effectiveness was investigated using descriptive statistics to analyse the resource use of participants and Health-Related Quality of Life (HRQoL). Qualitative data were analysed through thematic analysis and interpret in relation to Normalisation Process Theory, to understand implementation processes and the intervention's mechanism of change (facilitators and barriers).</div></div><div><h3>Results</h3><div>The recruitment target was met within the set timeframe. 230 patients were screened for eligibility, 72 of which were eligible and 64 were randomised. 80 % were female and 91.5 % identified as being white British. 19 dropped out, 9 of which were in the intervention arm and 10 from the TAU arm. The most frequent reason was reported as, no longer requiring support or being uncontactable. Clinical outcome measures were completed and demonstrated sensitivity to change. No participant safety factors were reported which would limit a larger trial and health economic data was collated. All of the progression criteria were classified as ‘amber’ meaning that progression to a definitive randomised controlled trial is warranted but modifications to improve recruitment, intervention engagement and participant retention is needed. Qualitative feedback was generally positive, with participants noticing therapeutic benefit, commenting on the ease of access and General Practitioners found the offer fitted well within GP.</div></div><div><h3>Discussion</h3><div>As a feasibility trial, the results demonstrate that individuals in GP can be recruited to a trial focusing upon the delivery of a brief psychological intervention and the required clinical assessments to assess effectiveness can be obtained. Qualitative feedback was positive from participants and GP staff and early indications seemed to demonstrate an improvement in wellbeing and a reduction in anxiety and depression. However, modifications for a larger trial are recommended to enhance recruitment and retention.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200402"},"PeriodicalIF":0.0,"publicationDate":"2025-01-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142158","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}