Mental Health and Prevention最新文献_第2页

Systematic review of outcome measures used in evaluation of school-based mental health interventions

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-21 DOI: 10.1016/j.mhp.2025.200401

Jemimah Ride , Oskar Weimar , Magdolna Kovacs , Harriet Hiscock , Jon Quach

Aims

The past decade has seen an increase in policy initiatives and school-based interventions aimed at improving children's mental health. However, to know if an intervention or policy is making an impact, to support data comparisons across interventions, and to enable schools to track student mental health, we need to identify instrument(s) that can detect change. This study seeks to identify instruments that have been shown to detect change in child mental health when implemented universally in schools.

Methods

We conducted a systematic review of instruments measuring mental health symptoms or skills in randomised controlled trials of schools-based universal mental health interventions in primary (elementary) schools published between 2012 and 2023 in English. The aim was to synthesise evidence on instruments’ ability to detect change. Risk of bias assessment was conducted using the RoB-2 tool.

Results

Forty-two instruments were identified across the 39 included studies and captured a range of dimensions of mental health. Only one study was found to be at low risk of bias, 27 studies were at some risk of bias, and 11 studies were at high risk of bias. Nine instruments were used in more than one study. The teacher-reported Strengths and Difficulties Questionnaire (SDQ) was the most commonly used instrument and showed statistical evidence of its ability to detect change arising from interventions addressing children's mental health.

Conclusions

The teacher-reported SDQ shows promise as an instrument that could be used universally in primary schools to evaluate interventions and monitor changes in child mental health.

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引用次数: 0

A school-based program to prevent depressive symptoms and strengthen well-being among pre-vocational students (Happy Lessons): Results of a randomized controlled trial

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-21 DOI: 10.1016/j.mhp.2025.200398

Marieke Rombouts , Karin Monshouwer , Elisa L. Duinhof , Jannis T. Kraiss , Laura Shields-Zeeman , Marloes Kleinjan

Background

Many adolescents experience depressive symptoms, with even higher prevalences among lower-educated Dutch students. Effective prevention programs for these students are scarce but needed. This randomized controlled trial (RCT) investigates the effectiveness of school-based prevention program Happy Lessons (HL) among Dutch pre-vocational students.

Methods

Classes within schools were randomized to intervention (n = 124) or waitlist control group (n = 143). Students (n = 267, aged 11 to 15) completed questionnaires at baseline, 3- and 6-month follow-up. The primary outcome was depressive symptoms. Secondary outcomes were well-being and life satisfaction. Linear mixed models were executed, based on the intention-to-treat principle. Explorative analysis of the effect of HL on potential mechanisms such as class and school environmental variables was conducted. Trial registration: Dutch Trial Register NL9732.

Results

This study found no statistically significant differences in favor of the intervention group on depressive symptoms (T1: Cohen's d [95 % CI] = -0.21[-0.49;0.07], T2: -0.20 [-0.48;0.08]), well-being (T1: 0.24 [-0.04;0.52], T2: 0.18 [-0.10;0.47]), life satisfaction (T1: 0.03 [-0.25;0.31], T2: 0.10 [-0.18;0.39]), classmate support (T1: -0.20 [-0.48;0.08], T2: -0.14 [-0.43;0.14]), school connectedness (T1: -0.08 [-0.36;0.20], T2: 0.20 [-0.08;0.49]), bullying others (T1: OR[CI] = 0.95 [0.68;1.32], T2: 0.92 [0.66;1.29]) and bullying victimization (T1: OR[CI] = 1.93 [0.73;5.15], T2: 1.61 [0.62;4.20]). Significant moderate effects were found on teacher support in favor of the intervention group at T1 (d[CI] = -0.37 [-0.65;-0.08]) and control group at T2 (d[CI] = 0.35 [0.07;0.64]).

Conclusions

Further research should focus on the working mechanisms of school-based depression prevention programs and how to successfully implement these programs in the school context.

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引用次数: 0

Anxiety sensitivity in the perinatal period: A scoping review

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-14 DOI: 10.1016/j.mhp.2025.200397

Martha Zimmermann , Allexis Mahanna , Elizabeth Shashkova , Rebecca Drouhard , Catherine Carr , R. Christopher Sheldrick , Edwin D. Boudreaux , Norman B. Schmidt , Nancy Byatt

Background

Anxiety Sensitivity (AS), the trait-like tendency to interpret anxiety-related sensations as harmful, is a well-established risk factor for anxiety disorders and other mental health conditions. Less is known about the role of AS in perinatal mental health—encompassing pregnancy and the postpartum period—despite the heightened risk for anxiety and anxiety-related disorders such as Obsessive Compulsive Disorder and Posttraumatic Stress Disorder (PTSD).

Objective

The goal of this scoping review was to examine 1) the state of research on AS in perinatal populations, 2) its relationship with mental health and pregnancy-specific outcomes, and 3) its integration into clinical interventions.

Methods

We conducted a systematic literature search using PubMed, Scopus, PsycInfo, CINAHL. Study inclusion criteria were: 1) participants were pregnant or <1 year postpartum, and 2) AS was assessed.

Results

Twenty studies met inclusion criteria. Most studies examined cross-sectional or prospective relationships between AS and mental health and related outcomes, finding positive associations between AS and PTSD symptoms, depression symptoms, anxiety symptoms, fetal health anxiety, pregnancy-related anxiety, and fear of childbirth. Results were more mixed for aspects of pain during labor. Two randomized controlled trials and two case studies included AS as an outcome measure.

Conclusions

This review extends previous findings in the general population by highlighting associations between AS and perinatal mental health. Future research should expand the scope of outcomes assessed and investigate AS as a modifiable target in interventions to enhance perinatal mental health outcomes.

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引用次数: 0

Peer teaching in Psychological First Aid Training to promote students’ self-efficacy: A pilot randomised control trial

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-14 DOI: 10.1016/j.mhp.2025.200396

Ayu Cyntia Tanto , Conrad L.H. Folamauk , R.Pasifikus C. Wijaya , Nicholas E. Handoyo

Introduction

Students’ mental health disorders are increasing. However, there is a lack of studies on using the peer teaching method, where students teach other students to address the problem and improve students’ general self-efficacy.

Aim

To measure the feasibility of the peer teaching method in PFA training to promote self-efficacy.

Materials and Methods

This feasibility pilot study has a randomised controlled design. Data were collected pre- and post-intervention using the online general self-efficacy scale and reflection sheet. The number of enrolled participants, the proportion of enrolled participants who attended at least one session, the retention rate, and program acceptability were analysed.

Results

A total of 85 out of 208 students (40,9 %) who enrolled and randomised joined the study. Twenty-eight out of 104 participants (26,9 %) in the intervention group attended their training, much lower than that of the control group (74 out of 104 participants completed post-tests). However, only 25 out of 28 participants (89,3 %) completed their training. Results indicated positive responses from the participants, who felt the training was enjoyable and increased their knowledge of basic PFA.

Conclusion

The study found that the peer teaching method in a simplified PFA training session, without supervision, was feasible as a mental health intervention in a low-resource setting and acceptable for students to gain skills and knowledge about basic PFA. However, to increase students' participation, approaches need to be modified to increase program flexibility tailored to their time.

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引用次数: 0

Maximising the management of self-harm in schools: A collaborative, implementation science approach by secondary schools and child and adolescent mental health services

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-10 DOI: 10.1016/j.mhp.2025.200391

L. Bowden , S.E. Hetrick , T. Cargo , M. Woodfield , I. Meinhardt , T.C. Clark , S. Fortune

Background

Self-harm among young people is a complex global problem. Schools could facilitate young people who self-harm to access multilevel interventions. However, schools require support and collaboration from support services such as specialist mental health to implement evidence-based best practices for self-harm. Objectives: This study in Aotearoa New Zealand sought to identify the barriers and solutions to responding to youth self-harm in schools. Methods: We utilised a co-design methodology, with schools and child and youth mental health services and examined barriers and solutions within the Consolidated Framework for Implementation Research (CFIR).

Results

Key stakeholders identified multiple systemic barriers including lack of guidelines and mental health service criterion, lack of trust between schools and mental health services and poor previous experiences. Within the CFIR framework, systemic failure rather than individual people and/or individual attributes were identified driving these barriers.

Conclusion

The need for standardised best practice guidelines that are implemented consistently in schools, reassurance, strong community networks and communication to deliver localised, culturally safe responses to self-harm is urgently required. Cross-government leadership and nationally mandated roles and responsibilities are needed to help schools implement best practices for youth who self-harm in schools. The innovative combination of co-design and implementation science could advance solutions for the prevention of self-harm.

{"title":"Maximising the management of self-harm in schools: A collaborative, implementation science approach by secondary schools and child and adolescent mental health services","authors":"L. Bowden , S.E. Hetrick , T. Cargo , M. Woodfield , I. Meinhardt , T.C. Clark , S. Fortune","doi":"10.1016/j.mhp.2025.200391","DOIUrl":"10.1016/j.mhp.2025.200391","url":null,"abstract":"<div><h3>Background</h3><div>Self-harm among young people is a complex global problem. Schools could facilitate young people who self-harm to access multilevel interventions. However, schools require support and collaboration from support services such as specialist mental health to implement evidence-based best practices for self-harm. Objectives: This study in Aotearoa New Zealand sought to identify the barriers and solutions to responding to youth self-harm in schools. Methods: We utilised a co-design methodology, with schools and child and youth mental health services and examined barriers and solutions within the Consolidated Framework for Implementation Research (CFIR).</div></div><div><h3>Results</h3><div>Key stakeholders identified multiple systemic barriers including lack of guidelines and mental health service criterion, lack of trust between schools and mental health services and poor previous experiences. Within the CFIR framework, systemic failure rather than individual people and/or individual attributes were identified driving these barriers.</div></div><div><h3>Conclusion</h3><div>The need for standardised best practice guidelines that are implemented consistently in schools, reassurance, strong community networks and communication to deliver localised, culturally safe responses to self-harm is urgently required. Cross-government leadership and nationally mandated roles and responsibilities are needed to help schools implement best practices for youth who self-harm in schools. The innovative combination of co-design and implementation science could advance solutions for the prevention of self-harm.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"37 ","pages":"Article 200391"},"PeriodicalIF":0.0,"publicationDate":"2025-01-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143142302","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

Parental self-efficacy for reducing the risk of adolescent depression and anxiety during a pandemic: Scale development and validation.

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-10 DOI: 10.1016/j.mhp.2025.200394

Brydie M R Garner , Mairead C Cardamone-Breen , Anthony F Jorm , Marie B H Yap

Background

The COVID-19 pandemic has negatively impacted adolescent mental health. Parents can play an important role in preventing adolescent mental health problems like depression and anxiety disorders. Pandemic situations present new challenges that are likely to impact parents’ confidence in their parenting. Given the possibility of future pandemics, parents need self-efficacy for taking action to protect the mental health of their adolescents. Improving parental self-efficacy requires suitable outcome measures. However, there is no validated measure to assess parental self-efficacy in relation to parenting behaviours implicated in the prevention of adolescent depression and anxiety disorders within a pandemic context.

Method

This study aimed to develop and validate the Parental Self-Efficacy Scale for Pandemic situations (PSES-Pandemic) using a sample of 587 Australian parents of adolescents aged 12 to 17 participating in a preventive parenting intervention trial.

Results

The PSES-Pandemic demonstrated good internal consistency and confirmatory factor analysis supported a single factor. Convergent validity was supported by moderate to large correlations with validated measures of both parental self-efficacy and parenting behaviours. Smaller, significant correlations with measures of parent distress and adolescent depressive and anxiety symptoms supported divergent validity.

Conclusions

These findings provide preliminary support for the reliability and validity of the PSES-Pandemic, which could help inform and facilitate the evaluation of preventive parenting interventions for adolescent mental health in a pandemic context, and could be adapted for future large-scale disasters (e.g., future pandemics, natural disasters).

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引用次数: 0

Social connection as a key target for youth mental health

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-09 DOI: 10.1016/j.mhp.2025.200395

Louise Birrell , Aliza Werner-Seidler , Lily Davidson , Jack L. Andrews , Tim Slade

Purpose

Declining mental health has been observed in young people from across the globe since approximately 2010. One contributing factor may be the erosion of meaningful and supportive social connections. Fostering positive social connections and a focus on the social networks of young people could be a key strategy to enhance youth mental health and wellbeing. It is now well established that positive social connections benefit mental health. Social connections to peers and school communities become increasingly important during adolescence, a unique developmental window for prevention and a time in which peer influence increases.

Key findings

While our understanding of the importance and utility of adolescent social connection to improve mental health is evolving, social network approaches and strengthening connections at school hold promise to improve youth mental health. We outline key evidence across two domains of social connection; the importance of peer connections and school connectedness. We also explore the application of Social Network Interventions (SNIs) as an emerging way to promote positive mental health and decrease key risk factors for poor mental health across youth social networks.

Conclusion

Prevention strategies could target youth social connection as a transdiagnostic factor to improve youth mental health. This may take the form of interventions that leverage the importance of peers, create supportive social networks and environments, as well as the use of social network frameworks to develop an understanding of the mechanisms by which preventive interventions spread throughout different social networks.

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引用次数: 0

Efficacy of digital MBCT-PD in preventing postpartum depression and enhancing work motivation: A study protocol

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-07 DOI: 10.1016/j.mhp.2025.200392

Neda Ansaari , Sreenath Kuruveettissery , Aruna Muralidhar

Background

Postpartum depression (PPD) is a significant challenge for women transitioning back to work. While preventive measures are essential, the effectiveness of Mindfulness-Based Cognitive Therapy (MBCT) in this context remains underexplored. This study will assess the efficacy of a digital MBCT program (MBCT-PD) in preventing PPD, enhancing well-being, and motivating work resumption after childbirth.

Methods

A randomized controlled trial (RCT) with repeated measures will evaluate MBCT-PD, a digitally delivered intervention designed to promote mindfulness and emotional resilience. Eighty consenting pregnant women aged 18+, between 16 and 32 weeks gestation, residing in urban India will be recruited and randomized to either the MBCT-PD group or an enhanced treatment-as-usual (TAU) control group, which includes additional prenatal wellness resources. The intervention will span eight weeks, with assessments at baseline, post-intervention (T1), and six weeks postpartum (T2).

Primary outcomes are depression (Edinburgh Postnatal Depression Scale), well-being (Pregnancy Experience Scale-Brief), and work motivation (Multidimensional Work Motivation Scale). Secondary outcome is mindfulness level (Three Facet Mindfulness Questionnaire-Short Form). Descriptive statistics, repeated measures ANOVA, and regression analyses will determine the effect of MBCT-PD on these outcomes.

Expected Results

We anticipate that the MBCT-PD group will show reduced PPD symptoms, improved well-being, and greater motivation to resume work than the control group, consistent with previous findings on mindfulness-based interventions.

Conclusion

The findings from this study are expected to support the efficacy of MBCT-PD as a cost-effective, scalable intervention for enhancing postpartum mental health and work reintegration, with potential applications in maternal mental health practices and policies worldwide.

Trial Registration

Clinical Trial Registry of India. CTRI/2024/03/064,831

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引用次数: 0

Parental understanding of mental health in young children: The development and initial validation of the parental child mental health literacy questionnaire

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-01-07 DOI: 10.1016/j.mhp.2025.200393

Rachel Maddox , Katherine Berry , Ming Wai Wan

Aims

Parental understanding of mental health difficulties in young children is crucial for early intervention and support, yet child mental health is often misconceived and stigmatized. The Parental Child Mental Health Literacy Questionnaire (PCMHLQ) was developed to measure parents’ literacy of child mental health and piloted in a general community sample of parents in the UK.

Subjects and methods

The measure was developed in a three-stage process and piloted in 211 parents of children aged 4 – 11 years. Factor structure, convergent validity, and construct validity were assessed.

Results

The final 23-item version produced a five-factor model corresponding to (1) beliefs, (2) fear of stigma or shame, (3) help-seeking confidence, (4) recognition, and (5) knowledge related to young children's mental health. Four factors had acceptable to high internal reliability. Total PCMHLQ was associated with adult mental health literacy and physical health literacy scores. PCMHLQ scores were lower for parents with a child with mental health difficulties, parents with current mental health difficulties, fathers, and low-income parents. Non-White ethnic minority parents held more negative child mental health beliefs, but did not differ in other scales, and parents who had a history of mental health service access had higher recognition but lower help-seeking confidence.

Conclusion

This paper describes the first integrated measure of parental literacy in young children's mental health. Preliminary evidence suggests that the 23-item PCMHLQ has the potential to identify parents with low understanding and to inform tailored community-based interventions and public health initiatives.

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引用次数: 0

Implementation of the Zero Suicide framework with suicide prevention and intimate partner violence at outpatient clinics: Implementation & clinical impact

Q2 Medicine

Mental Health and Prevention

Pub Date : 2024-12-18 DOI: 10.1016/j.mhp.2024.200389

Tong Han Chung , Kathleen R. Hanley , Yunbo Xie , Ingrid M Castillo , Sascha E Johnston , Jennifer Noblet , Rhonda Conyers , Bobby Nix , Sudhakar Selvaraj , Yen-Chi L Le

Objective

As the COVID-19 pandemic persisted for an extended time, rates of depression, anxiety, alcohol consumption, intimate partner violence (IPV), and suicidal ideation surged in the United States during 2020–2022. The aim is to describe the process and relevant outcomes of implementing the Zero Suicide framework with IPV intervention.

Methods

We evaluated depression and suicide screening and treatment outcomes among patients, ages 25 years and older, and IPV screening and follow-up outcomes for female adult patients who were seen at UT Physicians ambulatory primary care clinics from November 2020 to November 2021.

Results

68 % of patients (N = 13,957) were screened for depressive symptoms and suicidality using the Patient Health Questionnaire (PHQ-9). Among patients (N = 633) identified as at risk of suicide using the PHQ-9, 299 patients were further assessed using the Columbia Suicide Severity Rating Scale (C-SSRS) and/or referred to the Crisis Care Transition team for immediate follow-up. Among patients identified at risk for suicide, 92 % of patients received a safety plan. Among patients with suicidal ideation with any methods, 88 % of patients received counseling on access to lethal means to reduce the risk of suicide. 30 % of female patients (N = 4,008) were screened for IPV using the HARK (Humiliation, Afraid, Rape, Kick) assessment. All female patients (N = 82) who reported IPV were connected to services, including therapy and access to a safe place.

Conclusions

The Zero Suicide framework with IPV intervention had a positive impact on screening and treatment outcomes among our patients, indicating the feasibility in implementation and program adoption.

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引用次数: 0