Mental Health and Prevention最新文献_第8页

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

Mental Health and Prevention

Pub Date : 2025-06-01 Epub 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

Co-design of moderator training: Integrating knowledge from forum moderators, users and researchers with the improving peer online forums (iPOF) project 共同设计版主培训：将论坛版主、用户和研究人员的知识与改进的同行在线论坛（iPOF）项目相结合

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-06-01 Epub Date: 2025-05-24 DOI: 10.1016/j.mhp.2025.200428

Zoe Glossop , Steve Jones , Saiqa Ahmed , Neil Caton , Gee Collins , Jade Haines , Katherine Jackson , Chris Lodge , Karen Machin , Paul Marshall , Samantha Pilgrim , Paul Rayson , Heather Robinson , Laura Salisbury , Nick Shryane , Jay Staff , Jenny Stevenson , Luciana Vega , Aife Walsh , Sara Wise , Fiona Lobban

Introduction

Moderators of online mental health forums often experience stress and burnout. There is large variety in the training available for moderators at different forums. This study aimed to co-design a training resource available for all moderators of mental health forums, using an Integrated Knowledge Translation (IKT) approach. Forum moderators, users, and public advisors (“knowledge users”) and researchers, academics and a technologist (“researchers”) worked together to create a training resource for forum moderators working in clinical, peer support, and volunteer roles.

Methods

The co-design process involved 22 knowledge users and 12 researchers who worked together in 22 2-hour sessions over 2 years. The process followed four phases: group formation, identifying training priorities, content development, and finalisation. The group mainly collaborated through Zoom sessions facilitated by 2 independent facilitators.

Results

The final training resource included 10 topics, 8 animations, self-reflection questions, and a multiple-choice quiz. Feedback from the knowledge user group indicated they felt valued in the co-design process, although some felt that meeting format became repetitive. Key adjustments made to the training based on discussions in the co-design sessions included separating two topics, keeping training inclusive of all moderator roles, and enhancing resource accessibility.

Discussion

The project successfully navigated common barriers in IKT, including accommodating different participant needs and the challenges of online collaboration. Flexible communication methods supported group engagement, which was retained over 2 years. Groups members also appreciated a clear payment structure for their contributions. Implementing the training in practice remains an area for future work.

在线心理健康论坛的主持人经常感到压力和倦怠。不同论坛的版主可接受的培训种类繁多。本研究旨在采用综合知识翻译（IKT）方法，共同设计一种可供所有心理健康论坛主持人使用的培训资源。论坛版主、用户和公共顾问（“知识用户”）以及研究人员、学者和技术专家（“研究人员”）共同努力，为从事临床、同伴支持和志愿者工作的论坛版主创建了一个培训资源。方法22名知识使用者和12名研究人员在2年的时间里进行了22次2小时的共同设计。该过程分为四个阶段：小组组建、确定培训重点、内容开发和定稿。小组主要通过Zoom会议进行合作，由2名独立主持人主持。结果最终的培训资源包括10个主题、8个动画、自省问题和一个选择题。来自知识用户组的反馈表明，他们觉得在共同设计过程中受到重视，尽管有些人觉得会议形式变得重复。根据共同设计会议中的讨论，对培训进行了关键调整，包括分离两个主题，使培训包括所有主持人角色，并增强资源可访问性。该项目成功地克服了IKT中的常见障碍，包括适应不同参与者的需求和在线协作的挑战。灵活的沟通方式支持团队参与，保持了2年以上。各小组成员还赞赏其会费的明确支付结构。在实践中实施培训仍然是今后工作的一个领域。

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引用次数: 0

Conceptualizing resilience among health workers in the Gaza Strip: a scoping review 加沙地带卫生工作者复原力的概念化：范围审查

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-06-01 Epub Date: 2025-05-10 DOI: 10.1016/j.mhp.2025.200427

Hedda Bøe Nyhus , Randi Tofthagen , Geir Tarje Fugleberg Bruaset , Pinar Ekiz , Abdallah Abudayya

Background

Resilience is critical for healthcare workers operating under prolonged conflict, enabling adaptation and continuity of care despite adversity. In the Gaza Strip, extreme constraints challenge health systems, yet research on healthcare worker resilience remains limited.

Objective

This study aims to systematically review and synthesize existing peer-reviewed literature on the resilience of healthcare workers in the Gaza Strip. The objective is to identify and synthesize the existing knowledge available on resilience among health workers in this context.

Methods

A scoping review was conducted using PRISMA guidelines and Arksey and O’Malley’s framework. Databases searched included CINAHL, MEDLINE, Embase, PsycInfo, and Scopus. Relevant data were extracted and synthesized to map the scope of resilience-related findings.

Results

The studies analyzed the concept of resilience in included studies. Findings indicate that despite extensive debate on the relationship between resilience and related constructions, there is no consensus on a universal definition of the concept in the context of the Gaza Strip. The culturally and contextually embedded nature of resilience is not explicitly addressed, nor is the complexity of multidimensional interactions or the nature of adversity that shapes resilience.

Conclusion

Healthcare workers in Palestine endure extreme psychological and operational pressures, exacerbated by ongoing conflict and systemic disruptions. Understanding the resilience mechanisms of Palestinian health workers remains limited and is crucial for developing context-specific interventions that enhance their ability to cope and sustain care provision. Future research should refine resilience frameworks to support healthcare workers comprehensively and ensure sustainable healthcare provision under conflict conditions.

复原力对于在长期冲突中工作的卫生保健工作者至关重要，使他们能够在逆境中适应和持续提供护理。在加沙地带，极端的制约因素对卫生系统构成了挑战，但关于卫生工作者抗灾能力的研究仍然有限。目的本研究旨在系统地回顾和综合现有的同行评议的关于加沙地带医护人员复原力的文献。目标是确定和综合在这方面卫生工作者的复原力方面的现有知识。方法采用PRISMA指南和Arksey和O 'Malley框架进行范围审查。检索的数据库包括CINAHL、MEDLINE、Embase、PsycInfo和Scopus。提取并综合了相关数据，以绘制复原力相关发现的范围。结果本研究对纳入研究中的心理弹性概念进行了分析。研究结果表明，尽管对弹性和相关建筑之间的关系进行了广泛的辩论，但在加沙地带的背景下，对这一概念的普遍定义没有达成共识。复原力的文化和背景嵌入性没有得到明确解决，多维互动的复杂性或塑造复原力的逆境性质也没有得到明确解决。结论巴勒斯坦的卫生保健工作者承受着极大的心理和业务压力，持续的冲突和系统性破坏加剧了这种压力。对巴勒斯坦卫生工作者复原力机制的了解仍然有限，这对于制定针对具体情况的干预措施，提高他们应对和维持提供护理的能力至关重要。未来的研究应完善复原力框架，以全面支持医护人员，并确保在冲突条件下提供可持续的医疗服务。

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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

Mental Health and Prevention

Pub Date : 2025-06-01 Epub 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。

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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

Mental Health and Prevention

Pub Date : 2025-06-01 Epub 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

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

Mental Health and Prevention

Pub Date : 2025-06-01 Epub 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

“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

Mental Health and Prevention

Pub Date : 2025-06-01 Epub 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

Reflective journaling on suicide and self-harm related online use: An intervention approach for reducing online harm and mental health impact 自杀和自我伤害相关网络使用的反思性日志：减少网络伤害和心理健康影响的干预方法

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-06-01 Epub Date: 2025-03-08 DOI: 10.1016/j.mhp.2025.200412

Lucy Biddle , Laura Kennedy , Lydia Grace , Jane Derges , Zoë Haime

Objective

Self-harm and suicide-related online use can bring harms and benefits for users. Research suggests a need to improve user metacognition around online engagement to manage these conflicting effects, but behavioural interventions to achieve this are lacking. We aimed to analyse data from a 6-month longitudinal qualitative study, in which participants journalled about their self-harm and suicide-related online use as part of the study.

Methods

Participants were interviewed at three timepoints (n = 9 participants, 25 interviews) and completed a daily reflective diary between interviews. Experiences of diary use were explored qualitatively during interviews and in free-text diary entries.

Results

All participants derived benefits from journalling about their engagements with self-harm and suicide-related online content, such as increased insight about the nature and impact of their online use. Some in turn reported positive behaviour changes. However, daily completion was burdensome and some participants reported potential costs, including increased attention to self-harm content.

Conclusions

Journalling about online activity should be explored as potential individual-level intervention to tackle harmful online use and reduce linked mental health morbidity, both within and outside of clinical setting. Co-designed research with lived-experience users and practitioners will be essential for maximising safety and likely success.

自我伤害和自杀相关的网络使用可以给用户带来伤害和利益。研究表明，需要提高用户对在线参与的元认知，以管理这些相互冲突的影响，但缺乏实现这一目标的行为干预。我们的目的是分析一项为期6个月的纵向定性研究的数据，在这项研究中，参与者将他们的自残和自杀相关的在线使用记录下来，作为研究的一部分。方法在三个时间点对参与者进行访谈（n = 9名参与者，25次访谈），并在访谈之间完成每日反思日记。在采访和自由文本日记条目中，对日记使用的经验进行了定性探索。结果所有参与者都从记录他们与自残和自杀相关的在线内容的接触中获益，例如增加了对他们在线使用的性质和影响的洞察力。一些人反过来报告了积极的行为变化。然而，每天完成是一种负担，一些参与者报告了潜在的成本，包括增加对自残内容的关注。结论在临床内外，应探索在线活动日志作为潜在的个人干预措施，以解决有害的在线使用问题，并减少相关的心理健康发病率。与现场体验用户和从业者共同设计的研究对于最大限度地提高安全性和可能的成功至关重要。

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引用次数: 0

Promoting teaching and non-teaching school staff resilience post-COVID pandemic 促进教学和非教学人员在covid大流行后的复原力

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-06-01 Epub Date: 2025-05-10 DOI: 10.1016/j.mhp.2025.200421

Emily M. D’Agostino , Kylee Diaz , Steven Kemp , Tony Schibler , Don Phipps , Katrina McEllen , David O. White , Julie Simpson , Kanecia O. Zimmerman

Objective

School-based professional development interventions are hopeful mechanisms for promoting teacher/staff mental health and resilience. This study aimed to examine changes in key contributors to mental health and resilience of North Carolina (United States) teaching and non-teaching staff working in school districts that volunteered to participate in the Cultivating Awareness and Resilience in Education (CARE) professional development program.

Methods

This prospective cohort study assessed school staff resilience before, one week after, and 2 months after the CARE program, using the Teachers’ Sense of Efficacy Scale, Maslach Burnout Inventory, Generalized Anxiety Disorder-7; Patient Health Questionnaire 8; Perceived Stress Scale, and Experiences with the CARE for Teachers and Staff Professional Development Program.

Results

Fifty-three participants were included (70 % teachers, 79 % female, 77 % White, 47 % high school, 47 % elementary school). Across all participants, improvements were observed at one week and two months post-intervention in overall sense of efficacy (mean difference [MD] 0.92; 95 % CI, 0.50–1.38 and MD 0.78; 95 % CI, 0.32–1.26, respectively); emotional exhaustion (MD -5.84; 95 % CI, -10.93 to -0.72 and MD -6.59; 95 % CI, -11.79 to -0.29, respectively); anxiety (MD -3.59; 95 % CI, -6.21 to -0.76 and MD -3.27; 95 % CI, -5.83 to -0.71, respectively); and depression (MD -3.64; 95 % CI, -6.17 to -0.78 and MD -3.19; 95 % CI, -5.73 to -0.63, respectively). Teachers’ perceived stress was lower at one week post-intervention (MD -1.59; 95 % CI, -3.03 to -0.12.)

Conclusion

Findings demonstrate improvements in participants’ sense of self-efficacy, anxiety, depression, stress, with more pronounced improvements in teaching compared with non-teaching staff.

目的以学校为基础的专业发展干预措施是促进教师/员工心理健康和心理弹性的有效机制。本研究旨在研究美国北卡罗莱纳州（North Carolina）学区的教师和非教学人员的心理健康和适应能力的主要贡献者的变化，这些教师和非教学人员自愿参加了教育中的培养意识和适应能力（CARE）专业发展计划。方法采用《教师效能感量表》、《Maslach职业倦怠量表》、《广广性焦虑障碍量表-7》对学校教职员在实施关爱项目前、实施后1周和实施后2个月的心理弹性进行评估；患者健康问卷8；感知压力量表，并与护理教师和工作人员专业发展计划的经验。结果共纳入53人，其中教师70%，女性79%，白人77%，高中47%，小学47%。在所有参与者中，在干预后一周和两个月观察到总体效能感的改善(平均差[MD] 0.92；95% CI为0.50-1.38，MD为0.78；95% CI，分别为0.32-1.26)；情绪衰竭(MD -5.84；95% CI为-10.93 ~ -0.72，MD为-6.59；95% CI，分别为-11.79 ~ -0.29)；焦虑(MD -3.59；95% CI, -6.21 ~ -0.76, MD -3.27；95% CI，分别为-5.83 ~ -0.71)；抑郁(MD -3.64；95% CI, -6.17 ~ -0.78, MD -3.19；95% CI，分别为-5.73 ~ -0.63)。干预后1周教师感知压力较低(MD -1.59；95% CI, -3.03至-0.12。)结论参与教师在自我效能感、焦虑感、抑郁感、压力感等方面均有明显改善，其中教师在教学方面的改善更为明显。

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引用次数: 0

Do self-reported well-being and residence predict depression and anxiety in Mozambican women? A national survey analysis 自我报告的幸福感和居住状况能否预测莫桑比克妇女的抑郁和焦虑？全国调查分析

Q2 Medicine

Mental Health and Prevention

Pub Date : 2025-06-01 Epub Date: 2025-05-08 DOI: 10.1016/j.mhp.2025.200426

Joshua Wednesday Edefo

Background

Understanding the intersection of well-being, residential location and mental health outcomes is essential for developing effective mental health interventions for women in Mozambique.

Objective

To examine whether self-reported well-being and place of residence predict depression and anxiety symptoms

Methods

A retrospective analysis was conducted using data from the 2023 Mozambique Demographic and Health Survey, with a sample of 13,057 women aged 15 to 49 years. Logistic regression analysis was performed to identify significant predictors of depression and anxiety.

Results

The majority report good well-being (76.2 %), rural residency (56.7 %), no history of depression (98.6 %) and low anxiety (90.7 %). Women reporting moderate well-being were 1.5 times as likely to be diagnosed with depression (AOR = 1.54, 95 % CI: 1.05–2.27, p = 0.028) and 1.7 times as likely to feel anxious (AOR = 1.66, 95 % CI: 1.34– 2.05, p = 0.001) compared to those with good well-being. Those reporting bad well-being were 2.6 times as likely to feel anxious (AOR = 2.63, 95 % CI: 1.75–3.95, p = 0.001) compared to those with good well-being. Additionally, rural women were 0.35 times as likely to feel anxious (AOR = 0.65, 95 % CI: 0.49–0.85, p = 0.001) than their urban counterparts.

Conclusion

There is a link between self-reported well-being, place of residence, and mental health outcomes among women in Mozambique, with urban women being more likely to experience mental health conditions, indicating the need for targeted mental health interventions and support.

了解福祉、居住地点和心理健康结果之间的相互关系，对于为莫桑比克妇女制定有效的心理健康干预措施至关重要。目的探讨自我报告的幸福感和居住地是否能预测抑郁和焦虑症状。方法对2023年莫桑比克人口与健康调查数据进行回顾性分析，样本为13057名年龄在15至49岁之间的女性。进行Logistic回归分析以确定抑郁和焦虑的显著预测因子。结果幸福感良好（76.2%）、农村居住（56.7%）、无抑郁史（98.6%）、低焦虑（90.7%）者居多。与健康状况良好的女性相比，幸福感中等的女性被诊断为抑郁症的可能性是后者的1.5倍（AOR = 1.54, 95% CI: 1.05-2.27, p = 0.028），感到焦虑的可能性是后者的1.7倍（AOR = 1.66, 95% CI: 1.34 - 2.05, p = 0.001）。报告幸福感差的人感到焦虑的可能性是幸福感好的人的2.6倍（AOR = 2.63, 95% CI: 1.75-3.95, p = 0.001）。此外，农村妇女感到焦虑的可能性是城市妇女的0.35倍（AOR = 0.65, 95% CI: 0.49-0.85, p = 0.001）。结论：在莫桑比克妇女中，自我报告的幸福感、居住地和心理健康结果之间存在联系，城市妇女更有可能出现心理健康状况，这表明需要有针对性的心理健康干预和支持。

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引用次数: 0