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Adaptation of the complete and brief version of the Social Media Addiction Questionnaire (ARS) in Peruvian adolescents from the Amazon region 改编亚马逊地区秘鲁青少年社交媒体成瘾问卷(ARS)的完整和简短版本
Q2 Medicine Pub Date : 2025-04-30 DOI: 10.1016/j.mhp.2025.200423
Celina Ramírez-Vega , Miguel Basauri-Delgado , Salomón Huancahuire-Vega , Jacksaint Saintila

Background

Adapting instruments to the local context is essential for accurately assessing population characteristics while minimizing measurement bias, ensuring that the data reflects the true attributes and behaviors of the group being studied. This study aimed to adapt and validate both the original and brief versions of the Social Media Addiction Questionnaire (ARS) for adolescent students in the San Martín Region of Peru. Specifically, we assessed content validity through expert evaluation, internal structure validity using confirmatory factor analysis (CFA), and reliability through internal consistency, ensuring that the adapted versions maintain their psychometric properties within this population.

Methods

The sample consisted of 312 adolescents (M = 15.7; SD = 1.12; 51.6 % males) from the 3rd to 5th years of secondary school in Tarapoto, Morales, and Santa Rosa de Cumbaza, within the San Martín Region. Initially, the questionnaire items were reviewed by expert judges, leading to modifications in four items (4, 22, 23, and 24) to enhance clarity and coherence.

Results

Factor analysis was conducted on two three-dimensional models and two brief one-dimensional models. The 11-item model demonstrated better fit indices compared to the original model, as did the brief 5-item model. Additionally, reliability between factors ranged from moderate to high.

Conclusion

The adapted three-factor model and the brief one-factor model exhibit satisfactory psychometric properties, making them suitable for assessing social media addiction among adolescents in the San Martín Region.
使工具适应当地环境对于准确评估人口特征,同时最大限度地减少测量偏差,确保数据反映被研究群体的真实属性和行为至关重要。本研究旨在为秘鲁圣Martín地区的青少年学生改编和验证社交媒体成瘾问卷(ARS)的原始版本和简短版本。具体而言,我们通过专家评估来评估内容效度,使用验证性因子分析(CFA)来评估内部结构效度,并通过内部一致性来评估信度,以确保改编版本在该人群中保持其心理测量特性。方法青少年312例(M = 15.7;Sd = 1.12;在圣Martín大区的塔拉波托、莫拉莱斯和圣罗莎德孔巴扎,从中学三年级到五年级(51.6%男性)。最初,专家评委对问卷项目进行了审查,对4个项目(4、22、23和24)进行了修改,以提高清晰度和连贯性。结果对两个三维模型和两个简单的一维模型进行了因子分析。与原始模型相比,11项模型显示出更好的拟合指数,简短的5项模型也表现出更好的拟合指数。此外,各因素之间的信度从中等到高不等。结论调整后的三因素模型和简化后的单因素模型具有较好的心理测量特性,适用于San Martín地区青少年社交媒体成瘾的评估。
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引用次数: 0
What matters most to young people and families receiving mental health treatment? A co-design approach to inform outcomes in a randomised control trial of Tuning in to Teens 对接受心理健康治疗的年轻人和家庭来说,最重要的是什么?《收听青少年》随机对照试验结果的共同设计方法
Q2 Medicine Pub Date : 2025-04-24 DOI: 10.1016/j.mhp.2025.200422
Zara Mansoor , Elliot Bell , James Stanley , Mary Buchanan , Sarah Fortune

Background

Co-design approaches with young people and their families with experience of poor mental health can be used to improve the alignment between clinical trials and real-world settings. This study used a co-design methodology to incorporate the priorities of young people (10–14 years) receiving treatment in mental health services and their parents into outcome measures for a feasibility randomised control trial (RCT) of a parent-focused intervention for youth anxiety and depression (Tuning in to Teens™).

Methods

A group of young people (10–14 years, n = 5) and a group of parents (n = 7) attending Child Adolescent Mental Health Services (CAMHS) in New Zealand participated in co-design workshops. In each group, participants identified a range of important outcomes in their care. Outcomes were ranked by participants with the top outcome for each group used to construct a measure for inclusion in the RCT.

Results

Parents and young people identified a range of important outcomes in their care including improvements in daily functioning, safety, and relationships. Parents identified ‘strengthened relationships’ as their top priority for intervention while young people chose ‘being listened to more’. Based on these priorities, trial outcome measures were co-created with participants. The relationship focused outcomes contrast with more widely used symptom-based outcome measures in RCTs.

Conclusions

Co-design can be used within traditional research design in youth mental health to increase alignment in outcomes for young people and their families. The approach described in this study has the potential to be adapted and expanded to other settings.
背景:针对有不良心理健康经历的年轻人及其家庭的共同设计方法可用于改善临床试验与现实环境之间的一致性。本研究采用共同设计方法,将青少年(10-14岁)在精神卫生服务中接受治疗的优先事项及其父母纳入以父母为中心的青少年焦虑和抑郁干预(Tuning into Teens™)的可行性随机对照试验(RCT)的结果测量中。方法新西兰儿童青少年心理健康服务中心(CAMHS)的一组10-14岁青少年(n = 5)和一组家长(n = 7)参加了共同设计研讨会。在每一组中,参与者确定了他们护理的一系列重要结果。结果由参与者排序,每个组的最高结果用于构建纳入RCT的测量。结果父母和年轻人在他们的护理中确定了一系列重要的结果,包括日常功能、安全性和人际关系的改善。家长们认为“加强关系”是他们干预的首要目标,而年轻人则选择“多倾听”。基于这些优先级,与参与者共同创建试验结果指标。以关系为中心的结果与随机对照试验中更广泛使用的基于症状的结果测量方法形成对比。结论sco设计可用于传统的青少年心理健康研究设计,以增加青少年及其家庭结果的一致性。本研究中描述的方法有可能被调整和扩展到其他环境。
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引用次数: 0
Is working from home good for mental health and well-being? Associations between work location, self-rated mental health, life satisfaction, and life and work stress among Canadian adults 在家工作对心理健康和幸福有好处吗?加拿大成年人工作地点、自评心理健康、生活满意度、生活和工作压力之间的关系
Q2 Medicine Pub Date : 2025-04-23 DOI: 10.1016/j.mhp.2025.200418
Jean-Philippe Chaput , Mark S. Tremblay , Gary S. Goldfield , Stephanie A. Prince , Aviroop Biswas , Rachel C. Colley , Justin J. Lang

Objective

It is unknown if teleworking is associated with better mental health and well-being among Canadian adult workers in the post-COVID-19 era. The objective of this study was to examine the associations between work location and self-rated mental health, life satisfaction, and life and work stress among Canadian adults.

Methods

This cross-sectional and nationally-representative study used self-reported data from the 2022 Canadian Community Health Survey (n = 24,614 individuals aged 18 years and older). Work location was categorized into three groups: working outside the home at a fixed location; working outside the home without a fixed location; and working from home. Logistic regression analyses were conducted to examine the associations between work location and the outcome measures, with adjustments for relevant covariates.

Results

Overall, 62.9 %, 12.2 % and 24.9 % of Canadian adults reported working at a fixed location outside the home, outside the home with no fixed location, and at home, respectively. Individuals working from home reported a higher level of education and many were in the business/finance/administration field (30.4 %) or in natural and applied sciences (22.4 %). After adjustment for covariates, work location was not significantly associated with self-rated mental health, life satisfaction, life stress or work stress.

Conclusions

Findings from this study suggest that the best work location for mental health and well-being is not necessarily linked to the specific physical place where it is conducted. Future research will need to better characterize the specific working conditions and identify possible causal mechanisms.
目前尚不清楚远程工作是否与后covid -19时代加拿大成年工人更好的心理健康和福祉有关。本研究的目的是研究加拿大成年人的工作地点与自评心理健康、生活满意度、生活和工作压力之间的关系。方法:这项具有全国代表性的横断面研究使用了2022年加拿大社区健康调查(n = 24,614名18岁及以上的个体)的自我报告数据。工作地点分为三组:在家外固定地点工作;在家外工作,没有固定地点;在家工作。进行逻辑回归分析以检验工作地点与结果测量之间的关联,并对相关协变量进行调整。结果总体而言,62.9%、12.2%和24.9%的加拿大成年人分别在家庭外的固定地点、家庭外无固定地点和家中工作。在家工作的人受教育程度更高,许多人在商业/金融/管理领域(30.4%)或自然科学和应用科学领域(22.4%)工作。协变量调整后,工作地点与自评心理健康、生活满意度、生活压力或工作压力无显著相关。这项研究的结果表明,最有利于精神健康和幸福的工作场所并不一定与具体的工作场所有关。未来的研究将需要更好地描述具体的工作条件,并确定可能的因果机制。
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引用次数: 0
Understanding perinatal women’s preferences for mental health apps: A mixed methods study 了解围产期妇女对心理健康应用程序的偏好:一项混合方法研究
Q2 Medicine Pub Date : 2025-04-21 DOI: 10.1016/j.mhp.2025.200420
Danae Dinkel , Priyanka Chaudhary , Kevin Kupzyk , David J. Johnson , Carli Culjat , John Torous , Margaret R. Emerson

Introduction

Perinatal mental health disorders impact 1 in 5 reproductive-aged women, affecting maternal and child health. Mobile apps may be a method of providing easily accessible mental health support including physical activity. However, understanding perinatal women’s use of current mental health apps and their preferences for apps tailored to their needs is lacking. Therefore, this study seeks to address this gap by investigating women’s preferences and desired features for a mental health app that includes physical activity and prioritizes the needs of perinatal women.

Materials & Methods

This explanatory sequential mixed methods study utilized an online cross-sectional survey (n = 159) and semi-structured interviews (n = 29) with perinatal women. Descriptive statistics were calculated on all demographic and survey variables. Interview data were analyzed using a directed content analysis approach.

Results

In the survey, 78.5 % of participants were interested in downloading mental health apps; however, only 38 % had previously done so, with 10.8 % currently using them. The most popular elements of the app were postpartum education, mood tracking, baby care guidance, and mental health education. The main perceived benefits of a mental health mobile app were mood-boosting and ease of use. Within the interviews, a majority felt that a perinatal mental health mobile app would be beneficial for women during this time period and emphasized a need for accurate and credible information.

Conclusions

Perinatal women desire a mobile app specific to this population. Future app development should include credible information and collaborate with perinatal women and healthcare providers to consider specific health concerns.
导言:每 5 名育龄妇女中就有 1 名患有围产期精神疾病,影响着母婴健康。手机应用可能是提供便捷的心理健康支持(包括体育活动)的一种方法。然而,目前还缺乏对围产期妇女使用现有心理健康应用程序情况的了解,以及她们对针对其需求量身定制的应用程序的偏好。因此,本研究试图通过调查妇女对包含体育活动并优先考虑围产期妇女需求的心理健康应用程序的偏好和期望功能来弥补这一不足。对所有人口统计学变量和调查变量进行了描述性统计。结果 在调查中,78.5% 的参与者对下载心理健康应用程序感兴趣;但只有 38% 的人以前下载过,10.8% 的人目前正在使用。应用程序中最受欢迎的元素是产后教育、情绪跟踪、婴儿护理指导和心理健康教育。人们认为心理健康移动应用程序的主要好处是促进情绪和易于使用。在访谈中,大多数人认为围产期心理健康移动应用程序对这一时期的妇女有益,并强调需要准确可信的信息。未来的应用程序开发应包括可信的信息,并与围产期妇女和医疗保健提供者合作,以考虑特定的健康问题。
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引用次数: 0
A scoping review of interventions designed to optimize perinatal mental health and emotional wellbeing 旨在优化围产期心理健康和情绪健康的干预措施的范围审查
Q2 Medicine Pub Date : 2025-04-16 DOI: 10.1016/j.mhp.2025.200419
Lesley Pascuzzi , Karen Heslop , Helen Skouteris , Nicole Freeman , Emily Leefhelm , Zoe Bradfield

Objective

Childbearing is a critical period within a woman’s life where she is at higher risk of experiencing challenges to her mental health. The aim of this scoping review was to identify and examine interventions offered to pregnant women and/or mothers raising children under 12 months, to prevent illness, promote, or optimize mental health and/or emotional wellbeing.

Methods

Peer reviewed research published between 2019–2024 was sought to provide the most contemporary evidence base within the last five years. A search strategy of five databases revealed six papers focused on optimizing mental health and emotional wellbeing.

Results

Interventions were based in European and Asian countries and of the final six, four studies explored the impact of self-help digital health interventions. Engagement in mental health promoting interventions varied and was impacted by competing demands on time as a new mother and levels of digital literacy.

Conclusion

The findings of this review demonstrates that there is scope to consider the use of mental health promoting interventions in the perinatal period to optimize maternal mental health and emotional wellbeing. However, much more research is needed. Recommendations for future research and practice include developing a better understanding of design and delivery of interventions to promote perinatal mental health. Implementation in the future may benefit from accessing the untapped potential of the midwifery workforce.
目的:育龄期是妇女一生中面临心理健康挑战风险较高的关键时期。这项范围审查的目的是确定和检查为孕妇和/或抚养12个月以下儿童的母亲提供的干预措施,以预防疾病,促进或优化精神健康和/或情绪健康。方法speer回顾了2019-2024年间发表的研究,旨在提供过去五年最现代的证据基础。对五个数据库的搜索策略显示了六篇专注于优化心理健康和情感健康的论文。干预措施基于欧洲和亚洲国家,在最后的六项研究中,有四项研究探讨了自助数字健康干预措施的影响。促进心理健康干预措施的参与各不相同,并受到新妈妈对时间的竞争需求和数字素养水平的影响。结论在围产期采用心理健康促进干预措施优化孕产妇心理健康和情绪健康是可行的。然而,还需要更多的研究。对未来研究和实践的建议包括更好地了解促进围产期心理健康的干预措施的设计和实施。未来的实施可能受益于利用助产人员尚未开发的潜力。
{"title":"A scoping review of interventions designed to optimize perinatal mental health and emotional wellbeing","authors":"Lesley Pascuzzi ,&nbsp;Karen Heslop ,&nbsp;Helen Skouteris ,&nbsp;Nicole Freeman ,&nbsp;Emily Leefhelm ,&nbsp;Zoe Bradfield","doi":"10.1016/j.mhp.2025.200419","DOIUrl":"10.1016/j.mhp.2025.200419","url":null,"abstract":"<div><h3>Objective</h3><div>Childbearing is a critical period within a woman’s life where she is at higher risk of experiencing challenges to her mental health. The aim of this scoping review was to identify and examine interventions offered to pregnant women and/or mothers raising children under 12 months, to prevent illness, promote, or optimize mental health and/or emotional wellbeing.</div></div><div><h3>Methods</h3><div>Peer reviewed research published between 2019–2024 was sought to provide the most contemporary evidence base within the last five years. A search strategy of five databases revealed six papers focused on optimizing mental health and emotional wellbeing.</div></div><div><h3>Results</h3><div>Interventions were based in European and Asian countries and of the final six, four studies explored the impact of self-help digital health interventions. Engagement in mental health promoting interventions varied and was impacted by competing demands on time as a new mother and levels of digital literacy.</div></div><div><h3>Conclusion</h3><div>The findings of this review demonstrates that there is scope to consider the use of mental health promoting interventions in the perinatal period to optimize maternal mental health and emotional wellbeing. However, much more research is needed. Recommendations for future research and practice include developing a better understanding of design and delivery of interventions to promote perinatal mental health. Implementation in the future may benefit from accessing the untapped potential of the midwifery workforce.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200419"},"PeriodicalIF":0.0,"publicationDate":"2025-04-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143848237","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}
引用次数: 0
Influences of life education intervention on psychiatric symptoms and depression in young adolescents 生活教育干预对青少年精神症状和抑郁的影响
Q2 Medicine Pub Date : 2025-04-14 DOI: 10.1016/j.mhp.2025.200417
Jiali Zhang , Xian Wang

Background

Adolescence is a critical period characterized by significant physical, psychological, and social changes. The challenges associated with developing a sense of self-identity and navigating societal roles can lead to psychological distress. This study seeks to investigate the effectiveness of life education intervention in addressing these psychological problems among adolescents.

Methods

The present study was conducted by students from 16 classes in a senior high school. The participants completed a baseline assessment (N = 887), and eight of the classes (N = 455) were allocated to control and observation groups. The life education course intervention program is based on educational psychology and consists of three sessions, delivered on a 1-week interval period. They finally completed a follow-up survey and main outcome measures were changes in the scores of the Self-Rating Depression Scale (SDS), and Self-Report Symptom Inventory (SCL-90).

Results

After the intervention, the somatization, obsessive-compulsive, interpersonal sensitivity, hostility, depression, anxiety, paranoid ideation, phobic anxiety, psychoticism, and sleeping and dietary status in the observation group were reduced compared with those before the intervention. Compared to the pre-intervention, the total scores of SDS and SCL in the observation group decreased better after the intervention, and the above scores declined obviously to a greater extent than those in the control group (P < 0.05).

Conclusion

Integrating life education into the school significantly contributes to positive outcomes in adolescent psychological health, suggesting that short-term interventions of life education could be proposed as a beneficial practice to cope with various psychological distress faced by adolescents.
青春期是身体、心理和社会发生重大变化的关键时期。与发展自我认同感和定位社会角色相关的挑战可能导致心理困扰。本研究旨在探讨生命教育干预在解决青少年这些心理问题中的有效性。方法对某高中16个班的学生进行问卷调查。参与者完成了基线评估(N = 887),其中8个班级(N = 455)被分配到对照组和观察组。生命教育课程干预计划以教育心理学为基础,分为三个阶段,每隔一周进行一次。他们最终完成了随访调查,主要结果测量是抑郁自评量表(SDS)和自我报告症状量表(SCL-90)得分的变化。结果干预后,观察组患者躯体化、强迫症、人际敏感、敌意、抑郁、焦虑、偏执、恐惧焦虑、精神病、睡眠和饮食状况均较干预前有所降低。与干预前相比,干预后观察组SDS和SCL总分下降较好,且上述评分下降幅度明显大于对照组(P <;0.05)。结论生命教育融入学校对青少年心理健康有显著的积极作用,提示生命教育的短期干预可以作为应对青少年各种心理困扰的有益实践。
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引用次数: 0
A mentalization-based parenting intervention (Lighthouse Parenting Programme) for parents with various mental disorders in adult mental health service: A feasibility study 在成人心理健康服务中,以精神化为基础的父母教养干预(灯塔教养计划):可行性研究
Q2 Medicine Pub Date : 2025-04-11 DOI: 10.1016/j.mhp.2025.200415
Emilie Hestbaek , Pernille Aakjær Mikkelsen , Rebecca Engel Thomas , Michelle Sleed , Charlotte Holm , Anne Blom Corlin , Per Sørensen , Mette Skovgaard Væver , Sebastian Simonsen

Objective

Parental mental health problems have a detrimental impact on parenting thereby affecting the development and mental health of the child. Despite the clear need for parenting support within adult mental health services (AMHS), few interventions have been developed and evaluated in this context. The Lighthouse Parenting Program is a mentalization-based intervention aimed at reducing stress related to parenting, improving caregiving abilities, thereby preventing child adversity. This feasibility study aimed to investigate the feasibility and acceptability of the Lighthouse Parenting Program, including recruitment, enrolment, retention, and acceptability of the program in AMHS for parents with mental disorders.

Methods

Seven parents with various mental disorders were included. The intervention consisted of an individual assessment session, followed by 12 parenting group sessions. Data were collected using data from an e-journal system and via semi-structured qualitative interviews conducted post-intervention.

Results

70 % of the referred parents were included in the study, indicating good recruitment. The program demonstrated good feasibility, with six out of seven parents completing the program and an average session attendance of 77.5 %. Qualitative findings showed that parents experienced enhanced awareness of mental states, increased self-compassion, and greater parental confidence. However, parents also described initial challenges with trust-building within the group and challenges related to a perceived lack of structure and clear goals in the program.

Conclusion

The preliminary findings suggest that offering a mentalization-based parenting program as a transdiagnostic intervention is both feasible and acceptable to parents with mental disorders in AMHS. Potential areas for improvement are discussed. These findings warrant further investigation in randomised clinical trials to establish the effectiveness of the program.
目的父母心理健康问题对养育子女产生不利影响,从而影响儿童的发展和心理健康。尽管在成人心理健康服务(AMHS)中明显需要育儿支持,但在这方面制定和评估的干预措施很少。灯塔育儿计划是一项以心理为基础的干预,旨在减少与育儿有关的压力,提高照顾能力,从而防止儿童陷入困境。本可行性研究旨在探讨灯塔育儿计划的可行性和可接受性,包括该计划在AMHS中对精神障碍父母的招募、注册、保留和可接受性。方法选取7名有不同精神障碍的家长。干预包括一次个人评估会议,随后是12次家长小组会议。通过电子期刊系统和干预后进行的半结构化定性访谈收集数据。结果70%的转介家长被纳入研究,表明招募情况良好。该计划显示出良好的可行性,7位家长中有6位完成了该计划,平均出勤率为77.5%。定性研究结果表明,父母对心理状态的意识增强了,自我同情增加了,父母的信心也增强了。然而,家长们也描述了在小组中建立信任的最初挑战,以及与项目缺乏结构和明确目标相关的挑战。结论初步研究结果表明,提供以心理化为基础的育儿方案作为一种跨诊断干预,对AMHS精神障碍家长是可行和可接受的。讨论了可能改进的领域。这些发现值得在随机临床试验中进一步调查,以确定该计划的有效性。
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引用次数: 0
Let's talk about mental health! – Pilot study on school-based mental health literacy interventions for adolescents in Germany 让我们谈谈心理健康!- 德国青少年心理健康扫盲校本干预试点研究
Q2 Medicine Pub Date : 2025-04-11 DOI: 10.1016/j.mhp.2025.200416
Katharina Szota , Hanna Christiansen , Nele Dippel , Julia Asbrand

Background

Despite the high prevalence of mental disorders in childhood and adolescence, only a subset of affected youths seeks and receives professional help. Mental health literacy (MHL) is an important facilitator of mental health service utilization. Besides knowledge and competencies, MHL encompasses decreased stigma and fears of stigmatization. We conducted so-called Living Library interventions at schools with adolescents in Germany, enabling direct social contact with experienced students of psychology. The present pilot study aims to evaluate these interventions with regard to their effects on adolescents’ MHL and reduced barriers to utilize mental health care.

Methods

The interventions were part of the university education in Psychology. Students prepared to transfer knowledge and discuss prevalent prejudices about common mental disorders using interactive formats. A within-subjects survey was conducted. Adolescents’ ratings on their MHL and on the Adolescent Barriers to Accessing Psychotherapy (ABAP) Questionnaire were assessed before and after the interventions. A total of N = 133 participants (M = 14.70 years, 48.1 % male) were included in the analyses.

Results

Adolescents reported increased MHL (d = 0.62) and reduced Help-seeking stigma (d = -0.23) after the interventions compared to before. No changes appeared on the ABAP subscales Fear of public stigma, Problem denial and Fear of psychotherapy setting.

Conclusions

Our pilot study indicates that our interventions increase adolescents’ MHL and reduce reservations towards seeking professional help. Potential adaptations of the interventions, for example the involvement of school staff and caregivers, might increase their effects on additional barriers towards mental health care utilization.
尽管儿童和青少年的精神障碍发病率很高,但只有一小部分受影响的青少年寻求并接受专业帮助。心理健康素养(MHL)是心理健康服务利用的重要促进因素。除了知识和能力,MHL还包括减少污名化和对污名化的恐惧。我们在德国有青少年的学校进行了所谓的生活图书馆干预,使有经验的心理学学生能够直接进行社会接触。目前的试点研究旨在评估这些干预措施对青少年MHL的影响,并减少利用精神卫生保健的障碍。方法干预措施是大学心理学教育的一部分。学生准备利用互动形式传递知识和讨论关于常见精神障碍的普遍偏见。进行了一项主题内调查。评估干预前后青少年的MHL评分和青少年心理治疗障碍问卷(ABAP)。共有133名参与者(M = 14.70岁,48.1%为男性)被纳入分析。结果与干预前相比,干预后青少年的MHL增加(d = 0.62),寻求帮助的耻辱感减少(d = -0.23)。ABAP子量表对公众耻辱的恐惧、问题否认和对心理治疗环境的恐惧没有变化。结论我们的初步研究表明,我们的干预措施增加了青少年的MHL,减少了寻求专业帮助的保留。干预措施的潜在调整,例如学校工作人员和照顾者的参与,可能会增加其对利用精神卫生保健的额外障碍的影响。
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引用次数: 0
“No co-design process can ever truly cater to every single person”: Perspectives of young people in Australia on co-design for the prevention of mental health challenges “任何共同设计过程都不能真正满足每个人的需求”:澳大利亚年轻人对共同设计预防心理健康挑战的看法
Q2 Medicine Pub Date : 2025-03-28 DOI: 10.1016/j.mhp.2025.200414
Abigail Juras , Nicola Reavley , Minahil Abbas Mehr , Shixin Wang , Thao Duyen Nguyen , Sankara Santosa , Duc-Binh Tran , Wangpeng Gui , Stephanie Dumuid , Sam Phung , Edward Satria Antony , Alison Turner , Lakshmi Neelakantan

Background

Young people's mental health has become a critical global issue. Co-design with young people to deliver and adapt mental health services and programmes has become increasingly widespread. However, there remains relatively little guidance on undertaking co-design for universal prevention strategies to address mental ill-health among young people.

Purpose

This study aimed to explore the concept of co-design in universal mental health prevention (UMHP) efforts with young people and generate recommendations to support co-design practice in mental health prevention research.

Methods

Eight participatory co-design workshops were completed online with 21 young people (aged 16–24 years old) in Australia. Reflexive thematic analysis was used to generate key themes from the young people's perspectives and contributions.

Results

Four main themes were generated to synthesise how co-design could be undertaken with young people in UMHP efforts: (1) Participation; (2) Inclusion; (3) Synergy; and (4) Process. Subthemes included examining power dynamics critically, exploring relationships between different stakeholders as well as the mechanics of co-design practices. Young people emphasised the need for diversity of both youth and non-youth individuals, accessible methods of recruitment and participation, and upholding young people's lived experience knowledge, as essential factors in UMHP co-design practice.

Conclusions

This study offers new insights into young people's perspectives on how the principles of co-design may be adapted to UMHP research.
青少年的心理健康已经成为一个重要的全球性问题。与年轻人共同设计提供和调整精神卫生服务和规划的情况日益普遍。然而,关于共同设计普遍预防战略以解决年轻人的精神疾病问题的指导仍然相对较少。目的探讨共同设计在青少年普遍心理健康预防(UMHP)工作中的概念,并提出建议,以支持共同设计在心理健康预防研究中的实践。方法在澳大利亚的21名年轻人(16-24岁)在线完成了8个参与式共同设计研讨会。反身性主题分析从年轻人的观点和贡献中产生关键主题。结果产生了四个主要主题,以综合如何在UMHP工作中与年轻人进行共同设计:(1)参与;(2)包容;(3)协同作用;(4)过程。副主题包括批判性地检查权力动力学,探索不同利益相关者之间的关系以及协同设计实践的机制。青年强调青年和非青年个人的多样性、无障碍的招聘和参与方法,以及维护年轻人的生活经验知识,是UMHP共同设计实践的基本因素。本研究为年轻人的观点提供了新的见解,即如何将共同设计原则适用于UMHP研究。
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引用次数: 0
Mental health prevention in Australia: Establishing a Preventative Mental Health Task Force to evaluate and recommend mental health prevention initiatives 澳大利亚的心理健康预防:建立预防性心理健康工作队,以评估和建议心理健康预防举措
Q2 Medicine Pub Date : 2025-03-15 DOI: 10.1016/j.mhp.2025.200413
Kylie Maidment, Alexis E. Whitton, Helen Christensen
Mental health conditions are increasingly prevalent in Australia, necessitating targeted prevention initiatives to mitigate their impact. Effective mental health prevention requires large-scale public health responses, collaborative action, and long-term financial commitment. Yet, there are considerable challenges to implementing prevention initiatives in Australia, including the complex causes of mental health conditions, influences of social determinants, lack of scientific consensus on best prevention methods, short-term policy focus, and no clear mechanism to determine which prevention strategies should be recommended, funded, and delivered at scale. This paper describes the United States Preventative Services Task Force (USPSTF) as a potential model for guiding mental health prevention initiatives in Australia. We propose the creation of a government-supported Preventative Mental Health Task Force to rigorously evaluate mental health prevention initiatives and make tiered recommendations, supported by mental health organisations, lived experience advisors, First Nations people, and experts in the field. As the first step, we recommend the establishment of an expert advisory group to determine how the task force would operate. Establishing a mechanism to consider, implement, and fund the task force's recommendations is also essential. This type of evidence-based, coordinated approach to mental health prevention would add immense value to Australia's existing focus on early intervention, suicide prevention and recovery support, providing a new tool to tackle rising rates of mental ill-health.
心理健康状况在澳大利亚日益普遍,因此有必要采取有针对性的预防措施,以减轻其影响。有效的精神卫生预防需要大规模的公共卫生反应、协作行动和长期的财政承诺。然而,在澳大利亚实施预防举措面临相当大的挑战,包括心理健康状况的复杂原因、社会决定因素的影响、对最佳预防方法缺乏科学共识、短期政策重点以及没有明确的机制来确定应该推荐、资助和大规模实施哪些预防战略。本文描述了美国预防服务工作队(USPSTF)作为指导澳大利亚心理健康预防举措的潜在模式。我们建议成立一个由政府支持的预防性心理健康工作组,在心理健康组织、生活经验顾问、原住民和该领域专家的支持下,严格评估心理健康预防举措,并提出分层建议。作为第一步,我们建议设立一个专家咨询小组,以确定工作队将如何运作。建立一个机制来考虑、实施和资助工作组的建议也是必不可少的。这种以证据为基础、协调一致的心理健康预防方法将极大地增加澳大利亚目前对早期干预、预防自杀和康复支助的重视,为解决心理疾病发病率上升问题提供一种新工具。
{"title":"Mental health prevention in Australia: Establishing a Preventative Mental Health Task Force to evaluate and recommend mental health prevention initiatives","authors":"Kylie Maidment,&nbsp;Alexis E. Whitton,&nbsp;Helen Christensen","doi":"10.1016/j.mhp.2025.200413","DOIUrl":"10.1016/j.mhp.2025.200413","url":null,"abstract":"<div><div>Mental health conditions are increasingly prevalent in Australia, necessitating targeted prevention initiatives to mitigate their impact. Effective mental health prevention requires large-scale public health responses, collaborative action, and long-term financial commitment. Yet, there are considerable challenges to implementing prevention initiatives in Australia, including the complex causes of mental health conditions, influences of social determinants, lack of scientific consensus on best prevention methods, short-term policy focus, and no clear mechanism to determine which prevention strategies should be recommended, funded, and delivered at scale. This paper describes the United States Preventative Services Task Force (USPSTF) as a potential model for guiding mental health prevention initiatives in Australia. We propose the creation of a government-supported Preventative Mental Health Task Force to rigorously evaluate mental health prevention initiatives and make tiered recommendations, supported by mental health organisations, lived experience advisors, First Nations people, and experts in the field. As the first step, we recommend the establishment of an expert advisory group to determine how the task force would operate. Establishing a mechanism to consider, implement, and fund the task force's recommendations is also essential. This type of evidence-based, coordinated approach to mental health prevention would add immense value to Australia's existing focus on early intervention, suicide prevention and recovery support, providing a new tool to tackle rising rates of mental ill-health.</div></div>","PeriodicalId":55864,"journal":{"name":"Mental Health and Prevention","volume":"38 ","pages":"Article 200413"},"PeriodicalIF":0.0,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143681054","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
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Mental Health and Prevention
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