Mental Health and Prevention最新文献_第4页

Disaggregated housing tenure and depressive symptoms: A fixed-effects analysis across 13 waves 分类住房使用权和抑郁症状：13波固定效应分析

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2026-03-01 Epub Date: 2026-02-26 DOI: 10.1016/j.mhp.2026.200496

Kazuya Ogawa , Keiichi Shimatani , Norimichi Suzuki

Objective

Housing tenure represents a key factor that influences mental health outcomes. Whereas traditional research has compared owned versus rented housing, this study investigates associations between disaggregated housing tenure and depressive symptoms.

Methods

We analyzed data from waves 2–14 of the Japanese Life Course Panel Survey (2008–2020). The study comprised 4634 participants aged 22–54 years (46,007 observations). Housing tenure was examined through aggregated (rented vs owned) and disaggregated models: rented, self-owned, spouse-owned, co-owned, parent-owned, in-law-owned, and other arrangements. Depressive symptoms were assessed using the Mental Health Inventory-5 (MHI-5). Fixed-effects modeling examined associations between housing tenure and depressive symptoms, with gender stratification.

Results

The aggregated analysis indicated significantly greater depressive symptoms during owned versus rental periods (−0.64, 95 % CI: −1.25, −0.03). The disaggregated model showed that self-owned (−0.98, 95 % CI: −1.86, −0.11) and in-law-owned (−1.67, 95 % CI: −2.93, −0.40) housing periods were associated with significantly lower MHI-5 scores relative to rental periods. Gender-stratified results suggested that the self-owned housing association may be primarily driven by men, while among women, in-law-owned housing remained significantly associated with greater depressive symptoms.

Conclusions

Self-owned and in-law-owned housing periods were associated with greater depressive symptoms compared with rental housing. These patterns suggest mental health consequences of gender norms that limit women's housing choices while concentrating mortgage burdens primarily on men. Preventive strategies could consider measures such as women's economic empowerment, enabling shared mortgage responsibility and expanding women's housing options, to alleviate gendered constraints on housing choices and their associated mental health burdens.

目的住房使用权是影响心理健康结果的一个关键因素。传统研究比较的是自有住房和租赁住房，而本研究调查的是分类住房使用权与抑郁症状之间的关系。方法分析日本生命历程面板调查（2008-2020）第2-14波数据。该研究包括4634名年龄在22-54岁之间的参与者（46,007次观察）。住房使用权通过汇总（租赁vs自有）和分类模型进行了检查：租赁、自有、配偶所有、共有、父母所有、姻亲所有和其他安排。使用心理健康量表-5 （MHI-5）评估抑郁症状。固定效应模型研究了住房使用权与抑郁症状之间的关系，并进行了性别分层。结果综合分析显示，自持期抑郁症状明显高于租赁期（- 0.64,95% CI: - 1.25, - 0.03）。分解模型显示，自住房（- 0.98,95% CI: - 1.86, - 0.11）和姻亲住房（- 1.67,95% CI: - 2.93, - 0.40）的MHI-5得分明显低于租赁住房。按性别分层的结果表明，自住房协会可能主要由男性推动，而在女性中，姻亲拥有的住房仍然与更大的抑郁症状显著相关。结论与租赁住房相比，自住房期和婆家住房期抑郁症状加重。这些模式表明，性别规范限制了妇女的住房选择，同时将抵押贷款负担主要集中在男子身上，这对心理健康造成了影响。预防性战略可考虑采取措施，例如赋予妇女经济权力、分担抵押贷款责任和扩大妇女的住房选择，以减轻性别对住房选择的限制及其相关的心理健康负担。

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引用次数: 0

Exploring university students’ perspectives on Tai Chi for stress reduction: A qualitative study 探讨大学生对太极减压的看法：一项质性研究

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-09-21 DOI: 10.1016/j.mhp.2025.200455

Alexander Aslan , Janet Conti , Carolyn Ee , Ashley Liao , Md Nazmul Huda , Marcus A. Henning , Albert Yeung , Byeongsang Oh , Erin Mackenzie , Guoyan Yang

Background: University students often encounter substantial barriers to accessing necessary care for managing mental health challenges. This qualitative study aims to explore university students’ perspectives on Tai Chi as a potential intervention for stress reduction and overall wellbeing enhancement.

Methods: Five focus groups with eighteen university students who reported stress, anxiety, and/or depression were held online between July and December 2023, covering topics related to mental health, perceptions of Tai Chi, and feedback on a proposed Tai Chi-based stress reduction program. An inductive thematic analysis was conducted using NVivo 14.

Results: Three key themes were generated that included: (1) student wellbeing challenges, (2) the perceptions of Tai Chi as a potential resource for coping with demands of being a university student, and (3) enhancing relevance and engagement of students in Tai Chi. Participants highlighted Tai Chi as a promising intervention to address gaps in students’ mental health care, emphasising its potential to enhance and integrate physical and psychological health and foster social connection. However, barriers such as age-related stereotypes and the need for flexible, accessible delivery were noted as crucial to maximising student engagement and participation. The findings will inform the development of a Tai Chi-based stress reduction program.

Conclusions: This study provides valuable insights into how Tai Chi is perceived by university students, which can guide future research in developing tailored mind-body interventions to enhance university students’ mental health and support overall wellbeing.

背景：大学生在获得必要的治疗以应对心理健康挑战方面经常遇到实质性障碍。本质性研究旨在探讨大学生对太极作为一种潜在的减压干预和整体幸福感增强的看法。方法：在2023年7月至12月期间，由18名报告压力、焦虑和/或抑郁的大学生组成的五个焦点小组在网上举行，涵盖与心理健康、太极拳的看法以及对拟议的太极拳减压计划的反馈有关的主题。使用NVivo 14进行归纳专题分析。结果：产生了三个关键主题，包括：(1)学生福利挑战，(2)太极拳作为应对大学生需求的潜在资源的看法，以及(3)提高学生对太极拳的相关性和参与度。与会者强调，太极拳是解决学生心理健康保健差距的一种有希望的干预措施，强调它有可能增强和整合身心健康，并促进社会联系。然而，与年龄相关的陈规定型观念以及灵活、方便的教学方式的需求等障碍，对于最大限度地提高学生的参与度至关重要。研究结果将为太极拳减压项目的发展提供信息。结论：本研究为了解大学生对太极的认知提供了有价值的见解，可以指导未来研究开发量身定制的身心干预措施，以增强大学生的心理健康，支持整体福祉。

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引用次数: 0

Assessing well-being with the mental health quotient: Validation using six psychometric instruments in Italian young adults 用心理健康商评估幸福感：在意大利年轻人中使用六种心理测量工具进行验证

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-11-07 DOI: 10.1016/j.mhp.2025.200464

Lisa Catanzaro , Francesco Bubbico , Teresa Fazia , Andrea Moi , Marco Guicciardi , Luisa Bernardinelli

Objective

The Mental Health Quotient (MHQ) is a digital assessment that measures both positive aspects of mental functioning and clinical symptoms. Originally developed in English, it supports prevention and early risk detection across 70+ countries. Although it has been translated into 17 languages, it had not yet been validated in Italian. This study aimed to translate and validate the MHQ for use with Italian-speaking young adults by assessing reliability and examining associations with six established measures of mental health and well-being.

Methods

The MHQ was translated into Italian using the forward-backward method. Reliability was evaluated through internal consistency,sample-to-sample stability and test-retest reliability . Validity analyses included construct and convergent validity, along with comparisons of functional life impact and individuals’ symptomatic experiences.

Results

The Italian MHQ demonstrated strong sample-to-sample consistency and high test–retest reliability (ICC = 0.85), with excellent internal consistency (α = 0.94). Item-level correlations further supported cross-cultural reliability. MHQ scores showed strong positive correlations with measures of well-being and functioning (r = 0.61) and resilience (r = 0.59), and strong negative correlations with depression (r =−0.77), anxiety (r = −0.76), and mind wandering (r = −0.46). MHQ scores decreased systematically with increasing clinical symptoms and diagnosed disorders, confirming sensitivity to clinical burden.

Conclusion

These findings support the MHQ as a reliable and valid novel algorithm for assessing mental well-being in Italian-speaking young adults. By combining personalized insight with population-level assessment, the MHQ promotes a disorder-agnostic approach focused on well-being and demonstrates cross-cultural applicability in the context of digital and precision mental health.

目的心理健康商（MHQ）是一种衡量心理功能积极方面和临床症状的数字评估。它最初是用英语开发的，支持70多个国家的预防和早期风险检测。虽然它已被翻译成17种语言，但尚未在意大利语中得到验证。本研究旨在通过评估可靠性和检查与六种已建立的心理健康和幸福指标的关联，将MHQ翻译并验证用于讲意大利语的年轻人。方法采用正反译法将MHQ翻译成意大利语。信度通过内部一致性、样本间稳定性和重测信度来评估。效度分析包括建构效度和收敛效度，以及功能生活影响和个体症状体验的比较。结果意大利MHQ具有较强的样本间一致性和较高的重测信度（ICC = 0.85），具有较好的内部一致性（α = 0.94）。项目层面的相关性进一步支持了跨文化可靠性。MHQ得分与幸福感和功能（r = 0.61）以及恢复力（r = 0.59）呈正相关，与抑郁（r = - 0.77）、焦虑（r = - 0.76）和走神（r = - 0.46）呈强负相关。MHQ评分随着临床症状和诊断障碍的增加而系统性下降，证实了对临床负担的敏感性。结论MHQ是一种可靠、有效的评估意大利语青年心理健康状况的新算法。通过将个性化洞察与人口水平评估相结合，MHQ促进了一种专注于福祉的疾病不可知论方法，并展示了在数字和精确心理健康背景下的跨文化适用性。

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引用次数: 0

BeWell: Implementation and evaluation of an employee psychological wellbeing program in a public health service using the RE-AIM framework BeWell：使用RE-AIM框架对公共卫生服务部门员工心理健康计划的实施和评估

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-09-22 DOI: 10.1016/j.mhp.2025.200456

Young-Eun C. Lee , Alexandra Ure , Lauren Stapleton , Christine Miller

Objective

The pressure of the COVID-19 pandemic renewed focus on the importance of psychological wellbeing in the healthcare workforce and developing evidence-based interventions to promote the mental wellbeing of healthcare workers at system, organisational and individual levels. The aim of this paper is to describe the design, implementation, and evaluation of a multi-component, psychologically informed workplace wellbeing model for healthcare workers called BeWell, delivered in a large, metropolitan public health service in Melbourne, Australia.

Methods

We use the RE-AIM framework to evaluate and report on variables contributing to success and barriers to implementation of BeWell. We collected and analysed routine activity data including attendance, mode of intervention delivery, type of intervention, and professional groups. We also evaluated the program by conducting a post-intervention survey over a 12-month period.

Results

Since its implementation, our senior psychologists have delivered BeWell interventions to a total of 14,177 healthcare workers. Survey responses revealed healthcare workers’ positive experience with the program including the value of dedicated time and space to reflect and share experiences, learn practical strategies, and have timely access to experienced psychologists for support.

Conclusion

The findings showed that the BeWell program delivered psychologically informed support, tailored to individual and team needs, to a substantial portion of the workforce. The service also adapted to evolving organisational priorities. Our findings suggest that an embedded employee psychological wellbeing program as part of a broader wellbeing initiative within a healthcare organisation is a promising model to address healthcare worker wellbeing in public health.

2019冠状病毒病（COVID-19）大流行的压力使人们重新关注卫生保健工作者心理健康的重要性，并制定循证干预措施，以促进卫生保健工作者在系统、组织和个人层面的心理健康。本文的目的是描述一个多组件的设计、实施和评估，心理信息的工作场所健康模型，称为BeWell，在澳大利亚墨尔本的一个大型都市公共卫生服务中心交付。方法我们使用RE-AIM框架来评估和报告影响BeWell成功实施的变量和障碍。我们收集并分析了日常活动数据，包括出勤率、干预方式、干预类型和专业小组。我们还对该项目进行了为期12个月的干预后调查。结果自实施以来，我们的高级心理学家共对14177名医护人员进行了BeWell干预。调查结果显示，卫生保健工作者对该计划的积极体验，包括专门的时间和空间的价值，以反映和分享经验，学习实用的策略，并及时获得有经验的心理学家的支持。研究结果表明，BeWell项目为大部分员工提供了针对个人和团队需求量身定制的心理支持。该服务还适应不断变化的组织优先事项。我们的研究结果表明，嵌入式员工心理健康计划作为医疗保健组织内更广泛的福利倡议的一部分，是解决公共卫生保健工作者福利的有希望的模式。

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引用次数: 0

Exploring depressive symptoms in Peruvian older adults living in extreme poverty: A network analysis study 探索生活在极端贫困中的秘鲁老年人的抑郁症状：一项网络分析研究

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-08-18 DOI: 10.1016/j.mhp.2025.200446

Aaron Travezaño-Cabrera , Carolina Sofía Garofalo , Lindsey W. Vilca

Objective

This study aimed to identify the most central depressive symptoms among Peruvian older adults living in extreme poverty and to assess whether the symptom network differs by age groups ad living places.

Methods

The data was collected in 2012 from the Survey of Health and Well-being of the Elderly by the INEI. The probabilistic sample was selected through a two-stage selection process, targeting households in 12 departments characterized by high poverty levels. Respondents were aged between 65 and 80 years and resided in both urban and rural areas (N = 3228). The network was estimated using the Ising model, which is appropriate for binary data. Node centrality was evaluated using the Strength index within the network and invariance was evaluated via permutation tests.

Results

The analysis identified dissatisfaction with life and sadness as the most central nodes, underscoring their critical influence within the depressive symptom structure. The robustness of these findings was confirmed by the precision and stability of the network in the bootstrapping procedures. Moreover, no significant differences were found when comparing networks by age groups and living places.

Conclusion

Life dissatisfaction and sadness consistently dominated the depressive symptom network among older adults living in extreme poverty, and the network structure remained invariant across age groups and living places.

目的本研究旨在确定生活在极端贫困中的秘鲁老年人的最核心抑郁症状，并评估症状网络是否因年龄组和生活地点而异。方法数据收集于2012年，来自INEI的老年人健康与福祉调查。概率样本是通过两个阶段的选择过程选择的，目标是12个省的高贫困水平的家庭。受访者年龄在65 - 80岁之间，居住在城市和农村地区（N = 3228）。网络估计使用伊辛模型，这是适用于二进制数据。使用网络内的强度指数评估节点中心性，通过排列测试评估不变性。结果对生活不满和悲伤是最中心的节点，强调了它们在抑郁症状结构中的关键影响。这些发现的鲁棒性被网络在自举过程中的精度和稳定性所证实。此外，在按年龄组和居住地比较网络时，没有发现显著差异。结论生活不满意和悲伤情绪始终主导着极端贫困老年人抑郁症状网络，且网络结构在不同年龄层和不同居住地区保持不变。

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引用次数: 0

Baseline findings from Study 1 of a longitudinal co-evaluation of the Live4Life adolescent mental health promotion model in regional Victoria, Australia 澳大利亚维多利亚地区Live4Life青少年心理健康促进模型纵向共同评价研究1的基线结果

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-11-10 DOI: 10.1016/j.mhp.2025.200465

Lakshmi Neelakantan , Nina Logan , Monika Raniti , Amy Morgan , Michelle H. Lim , Nicola Reavley

Objective

The Live4Life model, developed by Youth Live4Life Ltd, is a mental health promotion and suicide prevention program for adolescents in rural and regional Australian communities. It involves the delivery of Mental Health First Aid education, youth leadership and mental health advocacy, with mentorship and implementation tailored to individual communities. Few studies have examined the impact of place-based programs to improve adolescent mental health and wellbeing in regional settings. This paper presents baseline findings from the Live4Life co-evaluation, describing cohort demographics and initial mental health indicators to inform future longitudinal analyses and address evidence gaps in regional prevention efforts.

Methods

A naturalistic longitudinal cohort study with three survey waves of adolescents aged 13–15 years (Year 8, T1; Year 9–10, T2 and T3) capturing mental health, wellbeing, social connection, and help-seeking outcomes across five regional Victorian communities in Australia.

Results

The baseline cohort [n = 1767; mean age 12.9 years (SD 0.46)] was demographically comparable to adolescents in inner regional Victoria. In adjusted, cluster-robust models controlling for language and family structure, female and non-binary adolescents had significantly higher depression and anxiety scores and lower positive mental health than males (all p < 0.001). Gender differences were smaller but still evident for loneliness and community connection. Adolescents from two-parent families reported slightly better wellbeing and lower depression and anxiety scores than those from other family structures.

Conclusion

Baseline findings from this study, part of the larger Live4Life co-evaluation, provide a foundation for understanding how whole-of-community mental health promotion can influence adolescent wellbeing in regional communities.

由Youth Live4Life Ltd开发的Live4Life模式是澳大利亚农村和地区社区青少年的心理健康促进和自杀预防方案。它涉及提供精神卫生急救教育、青年领导和精神卫生宣传，并针对个别社区提供指导和实施。很少有研究调查了基于地方的项目对改善青少年心理健康和福祉的影响。本文介绍了Live4Life联合评估的基线结果，描述了队列人口统计数据和初始心理健康指标，为未来的纵向分析提供信息，并解决了区域预防工作中的证据差距。方法采用自然主义纵向队列研究，对澳大利亚维多利亚州5个地区的13-15岁青少年（8年级、1年级、9-10年级、2年级和3年级）进行三次调查，捕捉心理健康、幸福感、社会联系和寻求帮助的结果。结果基线队列[n = 1767；平均年龄12.9岁（SD 0.46）]在人口统计学上与维多利亚州内陆地区的青少年相当。在控制语言和家庭结构的调整后的聚类稳健模型中，女性和非二元青少年的抑郁和焦虑得分显著高于男性，积极心理健康水平显著低于男性（p < 0.001）。性别差异较小，但在孤独感和社区联系方面仍然很明显。与其他家庭结构的青少年相比，双亲家庭的青少年幸福感略高，抑郁和焦虑得分也较低。本研究的基线结果是Live4Life联合评估的一部分，为理解整个社区的心理健康促进如何影响区域社区的青少年健康提供了基础。

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引用次数: 0

The impact of schoolyard interventions on children’s and adolescents’ social, emotional, and cognitive well-being: A scoping review 校园干预对儿童和青少年社会、情感和认知健康的影响：一个范围综述

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-10-01 DOI: 10.1016/j.mhp.2025.200460

Ida Lousen , Avril Johnstone , Jasper Schipperijn , Oliver Traynor , Paul McCrorie , Charlotte Skau Pawlowski

Background

Growing mental well-being concerns in children and adolescents, combined with the underexplored potential of schoolyards to positively impact well-being, highlight the need for further knowledge in this area. The objective of this scoping review was to provide an overview of existing research on the impact of schoolyard modifications on social, emotional, and cognitive well-being of children and adolescents.

Methods

Following the PRISMA-ScR guidelines, the inclusion criteria comprised children and adolescents in primary or secondary education and interventions involving modifications to the physical schoolyard environment (i.e. play structures, markings, and greening). Quantitative before/after evaluations of interventions were eligible. Five databases (Embase, Web of Science, SPORTDiscus, PsycINFO, and ERIC) were searched in July 2024. Quality of the included studies was assessed using an adapted version of the Effective Public Health Practice Project (EPHPP) Quality Assessment Tool.

Results

Fourteen papers, evaluating 13 studies, were included, of which five were rated ‘strong’ in quality, three were rated ‘moderate,’ and five were rated ‘weak’. Thirty-one outcomes using 18 different measurement tools were identified, which highlights the complexity of the well-being construct. Most studies yielded non-significant or conflicting findings. However, findings cautiously indicated that a greater variety of play structures, spending time in green areas, and play structures combined with educational components tended to improve social, emotional, and cognitive well-being. These features should be prioritised when modifying schoolyards.

Conclusion

The evidence base remains limited and fragmented, which highlights the need for further research based on robust study designs and sample sizes sufficient to detect differences.

儿童和青少年对心理健康的关注日益增加，加上校园对健康产生积极影响的潜力尚未得到充分开发，这突显了在这一领域进一步了解的必要性。本综述的目的是对校园环境改变对儿童和青少年社会、情感和认知健康影响的现有研究进行综述。方法根据PRISMA-ScR指南，纳入标准包括小学或中学教育的儿童和青少年，以及涉及改变校园物理环境的干预措施（即游戏结构、标记和绿化）。干预措施的定量前后评估合格。在2024年7月检索了Embase、Web of Science、SPORTDiscus、PsycINFO和ERIC五个数据库。采用有效公共卫生实践项目（EPHPP）质量评估工具的改编版本对纳入研究的质量进行评估。结果共纳入14篇论文，共评估13项研究，其中5项质量为“强”，3项为“中等”，5项为“弱”。使用18种不同的测量工具确定了31个结果，这突出了幸福感结构的复杂性。大多数研究都得出了不重要或相互矛盾的结果。然而，研究结果谨慎地表明，更多种类的游戏结构，花时间在绿色区域，以及与教育成分相结合的游戏结构倾向于改善社交，情感和认知幸福感。在改造校园时，应优先考虑这些特点。结论证据基础仍然有限且碎片化，这表明需要进一步的研究，基于稳健的研究设计和足够的样本量来发现差异。

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引用次数: 0

Looking beyond the individual: The relative importance of neighbourhood socioeconomic status and the development of internalising symptoms across adolescence 超越个人：社区社会经济地位和青春期内化症状发展的相对重要性

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-08-15 DOI: 10.1016/j.mhp.2025.200445

Ainsley Furneaux-Bate , Louise Birrell , David Berle , Nicola C. Newton , Cath Chapman , Tim Slade , Louise Mewton , Scarlett Smout , Maree Teesson

Background

Mental disorders have considerable impact on individual and societal well-being, with peak onset during adolescence. This study explored the relationship between neighbourhood socioeconomic status and internalising symptom progression during adolescence.

Design

Longitudinal data from 1556 adolescents was taken from the control group of a cluster-randomised controlled trial of school-based prevention program for mental health and substance use. Measures assessed internalising symptoms (SDQ) across six time points from 13 to 16 years and the Index of Relative Socioeconomic Advantage and Disadvantage (IRSAD) was used to measure participants’ neighbourhood socioeconomic status (SES) at baseline. Latent class growth analysis was used to estimate different internalising symptom trajectories among adolescents. Multinomial logistic regression explored the relationship between SES and internalising trajectory class, controlling for covariates.

Results

Four distinct trajectories of internalising symptoms were identified: Low stable (49 % of adolescents), Increasing (30.6 %), Decreasing (10 %), and High Increasing (10.2 %). Lower neighbourhood SES was associated with an increased likelihood of belonging to the High Increasing class relative to the Low Stable group. Additionally, female gender and baseline externalising symptoms were associated with an increased likelihood of belonging to all three elevated symptom trajectories compared to the low stable class, controlling for SES and other covariates.

Conclusion

The findings provide novel insight into the negative relationship between neighbourhood disadvantage on individual mental health trajectories, above and beyond individual factors, during adolescence. The findings have significant implications for social and economic policies.

精神障碍对个人和社会福祉有相当大的影响，青春期为发病高峰。本研究探讨了青少年时期社区社会经济地位与内化症状发展的关系。设计1556名青少年的纵向数据来自一项以学校为基础的心理健康和物质使用预防项目的随机对照试验的对照组。测量方法评估了13至16岁六个时间点的内化症状（SDQ），并使用相对社会经济优势和劣势指数（IRSAD）来测量基线时参与者的社区社会经济地位（SES）。使用潜在类别增长分析来估计青少年不同的内化症状轨迹。在控制协变量的情况下，多项逻辑回归探讨了SES与内化轨迹类别之间的关系。结果内化症状有四种不同的发展轨迹：低稳定（49%）、增加（30.6%）、减少（10%）和高增加（10.2%）。相对于低稳定组，较低的社区社会经济地位与属于高稳定组的可能性增加有关。此外，在控制社会经济地位和其他协变量的情况下，与低稳定类别相比，女性性别和基线外化症状与属于所有三种升高症状轨迹的可能性增加有关。结论本研究结果对青少年时期邻里不利因素与个体心理健康轨迹之间的负相关关系提供了新的认识。研究结果对社会和经济政策具有重要意义。

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引用次数: 0

Co-designing an active play parenting program to support emotion regulation in early childhood: Presenting user personas and program concepts 共同设计一个积极的游戏育儿程序，以支持儿童早期的情绪调节：呈现用户角色和程序概念

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-08-23 DOI: 10.1016/j.mhp.2025.200448

Kelsie Bufton , Maria Bates , Jasmin Hamid , Elizabeth Westrupp

Background

Early childhood is a critical period for developing emotion regulation skills and parenting programs can support this development. However, existing programs often have limited population-level reach. The Active Play program aims to support emotion regulation in children aged 2–5 through play-based physical activity, and is delivered via the Daily Growth parenting app.

Objective

This study describes the co-design process used to develop the Active Play program to ensure it is engaging, accessible, and relevant to diverse parent groups.

Methods

Using the Design Mapping framework, the development process followed three iterative phases: (1) Understand – user personas were created based on qualitative interviews and refined in a co-design workshop with parents; (2) Co-Develop – an overarching program concept was developed through team ideation and co-design workshops, with strategies tailored to real-life parenting situations; and (3) Prototype – scripts for 30 short video-based resources were created and tested with parent end-users, and refined based on their feedback. A final co-design workshop with professionals helped translate co-designed strategies into scripts for video resources.

Results

Four user personas were developed to capture diverse parent engagement styles with physical activity. Co-design workshops identified common barriers to program uptake and effectiveness, and generated user-informed solutions. These insights were integrated into a set of narration scripts for 30 video resources tailored to specific parenting challenges.

Conclusion

This paper demonstrates how collaborative design methods can be used to develop an evidence-based, user-centred digital parenting program. The co-design process ensured the Active Play program reflects parent needs, supports diverse families, and addresses common barriers to engagement. Future research will evaluate the program’s acceptability, engagement, and impact.

童年是发展情绪调节技能的关键时期，而育儿计划可以支持这种发展。然而，现有的项目通常只能覆盖有限的人口。积极游戏计划旨在通过以游戏为基础的体育活动来支持2-5岁儿童的情绪调节，并通过Daily Growth育儿应用程序提供。目的本研究描述了用于开发积极游戏计划的共同设计过程，以确保它具有吸引力，可访问性，并与不同的家长群体相关。方法使用设计映射框架，开发过程遵循三个迭代阶段：(1)基于定性访谈创建理解用户角色，并在与家长的共同设计研讨会中进行完善；(2)共同发展——通过团队构思和共同设计研讨会，制定了一个总体的计划概念，并针对现实生活中的育儿情况量身定制了策略；(3)制作30个基于短视频资源的原型脚本，并与家长终端用户进行测试，并根据他们的反馈进行完善。与专业人士共同设计的工作坊帮助将共同设计的策略转化为视频资源的脚本。结果开发了四个用户角色，以捕捉不同的父母参与体育活动的风格。协同设计研讨会确定了项目吸收和有效性的常见障碍，并生成了用户知情的解决方案。这些见解被整合到一套针对特定育儿挑战的30个视频资源的叙述脚本中。本文演示了如何使用协作设计方法来开发基于证据的、以用户为中心的数字育儿计划。共同设计过程确保了Active Play项目反映了家长的需求，支持不同的家庭，并解决了参与的常见障碍。未来的研究将评估该计划的可接受性、参与度和影响。

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引用次数: 0

Adaptation and implementation of a psychoeducational intervention to prevent postpartum depression and anxiety disorders in new mothers: study protocol for a randomized controlled clinical trial 适应和实施心理教育干预预防新妈妈产后抑郁和焦虑障碍：随机对照临床试验的研究方案

IF 2.4 Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-12-01 Epub Date: 2025-10-17 DOI: 10.1016/j.mhp.2025.200462

A Roca-Lecumberri , N Fernández-Jarabo , S Albero , L Lucas , J Pelegrí , B Albillos , MJ Cid , A Torres-Giménez , E Solé , S Andrés , C Martínez-Bueno , L Garcia-Esteve , S Subirà , E Gelabert

Introduction

Perinatal mental health problems affect women during pregnancy and up to 1 year postpartum, affecting up to 1 in 5 women in high-income countries. The impact of perinatal anxiety and depression is well established not only on maternal health but also on children development. Therefore, the implementation of effective preventive measures in community services with universal access should be a priority for health care providers. The aim of this study is to evaluate the effectiveness of a gender-based psychoeducational intervention for first-time mothers and their partners to reduce the prevalence of depressive and anxiety disorders in the postpartum period.

Process

We will study women receiving usual care plus a psychoeducational intervention and a control group receiving only usual care only. The sample will be recruited from a convenience sample of primiparous mothers within 2 weeks of childbirth attending antenatal care at community centers. We will recruit 400 women who agree to participate part in the study and will randomly assign them to receive usual care with or without the psychoeducational intervention (2 sessions: About Babies and About Parents) conducted by trained midwives. The entire sample will be assessed for perinatal mental health disorders at 3 and 6 months postpartum.

Outcomes

We expect: 1) to prevent and reduce the prevalence of postpartum mental illness, anxiety, and depressive symptoms in new mothers; 2) to improve relationships with partners and babies, as well as perceptions of self-efficacy in caring for the baby; and 3) good acceptability and accessibility of the intervention for families and professionals.

Discussion

The results of this study will be used to design a study to assess the cost-effectiveness of the psychoeducational intervention in improving the mental health of primiparous women in the postpartum period.

Trial Registration

ClinicalTrials.gov Identifier: NCT06512025; Last Public Release: 02/24/2025.

在高收入国家，围产期心理健康问题影响到怀孕期间和产后1年的妇女，影响到多达五分之一的妇女。围产期焦虑和抑郁不仅对产妇健康有影响，而且对儿童发育也有影响。因此，在普遍可及的社区服务中实施有效的预防措施应是保健提供者的优先事项。本研究的目的是评估基于性别的心理教育干预对首次母亲及其伴侣在产后抑郁和焦虑障碍的患病率的有效性。我们将研究接受常规护理加心理教育干预的妇女和只接受常规护理的对照组。样本将从分娩后两周内在社区中心接受产前护理的初产妇中招募。我们将招募400名同意参加研究的妇女，并将随机分配她们接受常规护理，包括或不包括心理教育干预（2次：关于婴儿和关于父母），由训练有素的助产士进行。整个样本将在产后3个月和6个月进行围产期精神健康障碍评估。结果：我们期望：1)预防和减少新妈妈产后精神疾病、焦虑和抑郁症状的患病率；2)改善与伴侣和婴儿的关系，以及照顾婴儿的自我效能感；3)家庭和专业人员对干预具有良好的可接受性和可及性。讨论本研究结果将用于设计一项研究，以评估心理教育干预在改善产后初产妇心理健康方面的成本-效果。试验注册：clinicaltrials .gov标识符：nct0651225；最后一次公开发布：2025年2月24日。

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引用次数: 0