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Clinical profiles and hospitalization patterns among abused children referred by Child Guidance Centers in Japan. 日本儿童指导中心转介的受虐待儿童的临床概况和住院模式。
IF 2.7 Pub Date : 2025-12-18 DOI: 10.1007/s44192-025-00360-w
Koichi Furuhashi
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引用次数: 0
A scoping review of school-based psychological interventions for adolescent mental health in secondary education: addressing anxiety, depression, and well-being. 中学教育中青少年心理健康的校本心理干预的范围综述:解决焦虑、抑郁和幸福感。
IF 2.7 Pub Date : 2025-12-13 DOI: 10.1007/s44192-025-00336-w
Rohman Hikmat, Iyus Yosep, Ai Mardhiyah, Kurniawan Kurniawan, Muntazhar Nur Syabana

Background: Adolescent mental health is a global concern, with the prevalence of psychological disorders such as anxiety, depression, and academic stress increasing significantly over the past decade. Schools, as the primary environment for adolescents, have strategic potential to serve as platforms for systematic, inclusive, and integrated interventions. Although numerous intervention programs have been implemented, there is a lack of comprehensive reviews that comprehensively map their forms, and implementation challenges.

Objective: To map the form of school-based psychological intervention aimed at improving the mental health of adolescents at the secondary education level.

Method: This study design followed a scoping review approach based on the Arksey and O'Malley framework. A literature search was conducted in Scopus, PubMed, and CINAHL databases for studies published between 2005 and 2025. Inclusion criteria were established based on the Population, Concept, Context (PCC) framework, and article selection was reported using a PRISMA Flow Diagram. Data extraction and thematic analysis were conducted independently by two authors with experience in the field of mental health.

Results: Thirteen studies met inclusion criteria. Interventions were predominantly structured and delivered in school settings by trained teachers, counselors, psychologists, peer coaches, or trained non specialist personnel across multiple sessions integrated into school timetables. Approaches covered cognitive behavioral components, mindfulness and yoga, hope enhancement and life coaching, and resilience training. Outcomes most commonly addressed internalizing symptoms such as anxiety, depressive symptoms, and academic stress, while a subset also assessed positive psychological constructs including well-being, hope, resilience, and social support. Implementation features such as school readiness, facilitator training and supervision, curricular fit, and scheduling feasibility were frequently noted in relation to variability in reported outcomes. Target populations ranged from universal cohorts to indicated groups with elevated symptoms, underscoring the importance of contextual adaptation.

Conclusion: School-based psychological interventions can be an effective strategy for improving adolescent mental health if they are evidence-based, contextually tailored, and supported by sustainable policies. Future research should expand geographic coverage, develop longitudinal designs, and explore scalable digital interventions.

背景:青少年心理健康是一个全球关注的问题,在过去十年中,焦虑、抑郁和学业压力等心理障碍的患病率显著增加。学校作为青少年的主要环境,具有作为系统、包容和综合干预平台的战略潜力。尽管已经实施了许多干预计划,但缺乏全面的审查,以全面了解其形式和实施挑战。目的:探索改善中等教育阶段青少年心理健康的校本心理干预形式。方法:本研究设计遵循基于Arksey和O'Malley框架的范围审查方法。在Scopus、PubMed和CINAHL数据库中检索2005年至2025年间发表的研究。根据人口、概念、背景(PCC)框架建立纳入标准,并使用PRISMA流程图报告文章选择。数据提取和专题分析由两名具有精神卫生领域经验的作者独立进行。结果:13项研究符合纳入标准。干预措施主要由训练有素的教师、咨询师、心理学家、同伴教练或训练有素的非专业人员在学校环境中组织和实施,并将多个会议整合到学校时间表中。方法包括认知行为成分、正念和瑜伽、希望增强和生活指导,以及恢复力训练。结果最常见的是内化症状,如焦虑、抑郁症状和学业压力,而一个子集也评估积极的心理结构,包括幸福感、希望、弹性和社会支持。实施的特点,如学校准备、辅导员培训和监督、课程适合性和调度可行性,经常被注意到与报告结果的可变性有关。目标人群范围从普遍队列到症状升高的指示组,强调了环境适应的重要性。结论:以学校为基础的心理干预可以成为改善青少年心理健康的有效策略,如果这些干预是基于证据的、根据具体情况量身定制的,并得到可持续政策的支持。未来的研究应扩大地理覆盖范围,发展纵向设计,探索可扩展的数字干预措施。
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引用次数: 0
Association between experiences of discrimination and mental health among persons with disabilities in Canada during the COVID 19 pandemic. 2019冠状病毒病大流行期间加拿大残疾人歧视经历与心理健康之间的关系
IF 2.7 Pub Date : 2025-12-13 DOI: 10.1007/s44192-025-00351-x
Sulemana Ansumah Saaka, Christa Sato

Discrimination against Persons with disabilities (PWDs), a pervasive issue that predates COVID-19, was reportedly magnified and manifested in both overt and subtle ways during the pandemic with implications for the mental health (MH) of PWDs. Nonetheless, far less work has focused on how experiences of discrimination affected the MH of PWDs during the pandemic in Canada. By utilizing data from the 2022 Canadian General Social Survey (N = 13,347), a subset of PWDs, for cross-sectional analyses of the impact of discrimination on mental health (MH) of PWDs, the results indicate that individuals who experienced discrimination based on their physical/mental disability status, physical appearance, and sex, all significantly reported lower odds of High Self-rated Mental Health (HSRMH) relative to those who did not experience these forms of discrimination. Those with multiple disability counts further reported lower odds of HSRMH relative those with only one disability count. On the contrary, having strong social connections, correlated more with HSRMH. Moreover, age, marital status, educational attainment, immigration status, and province of residence significantly predicted the MH of PWDSs in the study context. Thus, disability-related discrimination adversely affects the MH of PWDs in Canada, particularly, those with multiple disabilities.

歧视残疾人是一个在2019冠状病毒病之前就普遍存在的问题,据报道,在大流行期间,歧视残疾人以公开和微妙的方式被放大和表现出来,对残疾人的心理健康产生了影响。尽管如此,关注加拿大在大流行期间歧视经历如何影响残疾人保健的工作要少得多。通过利用2022年加拿大综合社会调查(N = 13,347)的数据,对残疾人士的心理健康(MH)歧视的影响进行横断面分析,结果表明,与没有经历过这些形式的歧视的个体相比,基于身体/精神残疾状况、外貌和性别的歧视的个体都报告了较低的高自评心理健康(HSRMH)的几率。那些有多种残疾计数的人与那些只有一种残疾计数的人相比,报告了更低的HSRMH几率。相反,拥有强大的社会关系与高rmh的相关性更大。此外,年龄、婚姻状况、受教育程度、移民身份和居住地省份对研究情境中残疾人士的健康照护有显著预测作用。因此,与残疾有关的歧视对加拿大残疾人士,特别是多重残疾人士的健康发展产生不利影响。
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引用次数: 0
Evaluation of work life balance and mental states of Eskişehir Tepebaşı municipality employees. 爱斯基基市职工工作生活平衡及心理状态评价。
IF 2.7 Pub Date : 2025-12-12 DOI: 10.1007/s44192-025-00330-2
Alaettin Ünsal, Mine Tepetaş, Mediha Bal, Didem Arslantaş, Sibel Sert, Selva Dilan Gölbaşı Koç

Objective: The aim of this study was to determine the level of work-life balance of municipal employees, to examine some variables that are thought to be related to it, and to evaluate their mental state. This study is the first known study to assess the work-life balance and mental health of municipal employees.

Material and method: This is a cross-sectional study conducted with 1,104 municipal employees between May and June 2023. The Work-Life Balance Scale (WLBS) and the Depression Anxiety Stress Scale-21 (DASS-21) were used in the study. Data were analyzed using the Mann Whitney U test, Kruskal Wallis test, Spearman correlation analysis, and multiple linear regression analysis. The higher the score on the WLBS, the more negative the balance between work and life.

Results: The mean WLBS score of the employees was 42.65 ± 9.63. In our study, the prevalence of suspected depression was 38.8%, of suspected anxiety 38.1% and of suspected stress disorders 22.6%. Work-life balance was found to be worse among those with an educational level of secondary school or higher, those with a working spouse, those who did not receive social support from their environment, those who could not spend time on social activities outside work, and those with suspected anxiety and stress disorders.

Conclusion: It can be said that work-life balance among municipal employees is at a moderate level. Educational status, social support, time spent outside work, and the presence of suspected anxiety and stress disorder according to DASS-21 were found to be important predictors of work-life balance. More comprehensive studies are needed to uncover the relationship between work-life balance and mental status.

目的:本研究的目的是确定市政雇员的工作生活平衡水平,检查一些被认为与之相关的变量,并评估其心理状态。这项研究是已知的第一个评估市政雇员工作与生活平衡和心理健康的研究。材料和方法:这是一项横断面研究,在2023年5月至6月期间对1104名市政雇员进行了调查。采用工作-生活平衡量表(WLBS)和抑郁-焦虑-压力量表-21 (DASS-21)。数据分析采用Mann Whitney U检验、Kruskal Wallis检验、Spearman相关分析和多元线性回归分析。WLBS得分越高,工作和生活之间的平衡就越消极。结果:员工WLBS平均得分为42.65±9.63分。在我们的研究中,疑似抑郁的患病率为38.8%,疑似焦虑的患病率为38.1%,疑似应激障碍的患病率为22.6%。研究发现,那些受教育程度为中学或更高的人、有工作配偶的人、没有从环境中获得社会支持的人、不能花时间参加工作以外的社会活动的人、以及怀疑有焦虑和压力障碍的人,工作与生活的平衡状况更差。结论:市政职工工作生活平衡处于中等水平。根据DASS-21,教育状况、社会支持、工作以外的时间以及疑似焦虑和压力障碍的存在被发现是工作与生活平衡的重要预测因素。需要更全面的研究来揭示工作与生活平衡与心理状态之间的关系。
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引用次数: 0
Embodied experiences of race-based traumatic stress and the journey towards black joy. 以种族为基础的创伤压力的具体经历以及通往黑人快乐的旅程。
IF 2.7 Pub Date : 2025-12-09 DOI: 10.1007/s44192-025-00352-w
Florence Kurai Mudzongo

This paper presents an embodied framework of Race-Based Traumatic Stress (RBTS) grounded in the lived experience of a Black African immigrant woman navigating structural racism, microaggressions, and cultural displacement in Canadian academic and professional spaces. Drawing on African feminist epistemologies, polyvagal theory, and African-centered decolonial thought, it conceptualizes RBTS as a culturally situated, embodied response to chronic racial harm. Through narrative reflection and Shona proverbs, the paper explores the emotional and physiological toll of racism while illuminating the protective role of cultural identity, ancestral wisdom, and community. The framework traces recursive phases of RBTS, beginning with migration hope and internalization, followed by overperformance, leadership challenges, inclusive exclusion, emotional labour, and psychological overload, and culminating in a reawakening through Black joy. This concept is introduced not as a fleeting emotion but as a radical, intentional, and culturally grounded practice of healing and resistance. It affirms Africentric knowledge, relational care, and collective affirmation as vital tools for reclaiming wellness. This contribution deepens global understandings of oppression-based trauma by centering embodied knowledge and advocating for culturally affirming mental health supports, community-led healing spaces, and systemic transformation.

本文以一位非洲黑人移民女性在加拿大学术和专业空间中应对结构性种族主义、微侵犯和文化位移的生活经验为基础,提出了一个基于种族的创伤压力(RBTS)的具体框架。借鉴非洲女权主义认识论、多迷走神经理论和以非洲为中心的去殖民思想,它将RBTS概念化为一种文化情境,体现了对长期种族伤害的反应。本文通过叙事反思和修那人的谚语,探讨了种族主义在情感和生理上的代价,同时阐明了文化认同、祖先智慧和社区的保护作用。该框架追溯了RBTS的递归阶段,从移民希望和内化开始,随后是表现优异、领导力挑战、包容性排斥、情绪劳动和心理过载,最终通过黑人的快乐重新觉醒。这个概念不是作为一种转瞬即逝的情感而引入的,而是作为一种激进的、有意识的、基于文化的治疗和抵抗的实践。它肯定了以非洲为中心的知识,关系护理和集体肯定是恢复健康的重要工具。这一贡献通过集中体现的知识和倡导文化上肯定的心理健康支持、社区主导的治疗空间和系统转变,加深了全球对基于压迫的创伤的理解。
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引用次数: 0
Gender differences in common mental disorders and inequities in access to mental healthcare services in Bangladesh. 孟加拉国常见精神障碍方面的性别差异和获得精神保健服务方面的不平等。
IF 2.7 Pub Date : 2025-12-08 DOI: 10.1007/s44192-025-00341-z
Saiful Islam Saif, Sayedul Ashraf Kushal, Yahia Md Amin, Zunayed Al Azdi

Background and aims: Bangladesh faces a high burden of mental health disorders, yet gender-based disparities in prevalence and access to care remain critically understudied. This narrative review aims to identify important gaps in the existing literature by focusing on common mental disorders and specifically on gender-based inequities in accessing mental healthcare services in Bangladesh.

Methods: To address the objectives, a narrative review was conducted using both research and grey literature articles, following PRISMA guidelines in database searches.

Results: Results depict that in Bangladesh, gender-based mental health inequity is pervasive, and women may be more susceptible to common mental health disorders, such as depression and anxiety, which have been largely overlooked in previous studies. However, women are less likely to access mental health care than men.

Conclusion: Addressing these disparities requires targeted policies. We recommend expanding the female mental health workforce, integrating mental health into primary care with outreach to women, and launching anti-stigma campaigns (including digital and media-based interventions) to normalize help-seeking. These gender-sensitive strategies, alongside broader system strengthening efforts, can improve access for women and, by extension, benefit the overall population's mental health.

背景和目的:孟加拉国面临着精神健康障碍的沉重负担,但对患病率和获得护理机会方面基于性别的差异的研究仍然严重不足。本叙述性审查的目的是确定现有文献中的重要差距,重点关注常见的精神障碍,特别是孟加拉国在获得精神保健服务方面基于性别的不平等现象。方法:为了达到目的,采用研究和灰色文献文章进行叙述性回顾,遵循PRISMA数据库检索指南。结果:结果表明,在孟加拉国,基于性别的心理健康不平等现象普遍存在,妇女可能更容易患上常见的心理健康障碍,如抑郁和焦虑,这在以前的研究中基本上被忽视了。然而,妇女获得精神保健的可能性低于男子。结论:解决这些差异需要有针对性的政策。我们建议扩大女性精神卫生工作队伍,将精神卫生纳入初级保健,向妇女提供服务,并发起反污名化运动(包括基于数字和媒体的干预措施),使寻求帮助正常化。这些对性别问题有敏感认识的战略,加上更广泛的系统加强努力,可以改善妇女获得服务的机会,进而有利于全体人口的心理健康。
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引用次数: 0
Unpacking the theoretical role of fear of missing out in the relationship between social networking intensity and well-being among Indian college students. 在印度大学生的社交网络强度和幸福感之间的关系中,揭示了害怕错过的理论作用。
IF 2.7 Pub Date : 2025-12-08 DOI: 10.1007/s44192-025-00353-9
Satnam Ubeja, Neetu Chhillar, Swaranjeet Arora, Ratnesh Gupta

Background: For today's Indian college students, social media is deeply embedded in daily academic and social life. While digital platforms offer opportunities for connection, they also heighten the fear of missing out (FOMO), which may undermine well-being. This study examines the complex relationship between social networking intensity (SNI), FOMO, and mental well-being (MW), focusing on both mediating and reciprocal dynamics.

Methods: A structured survey was conducted among 357 students enrolled in professional courses in Indore, India. Standardized scales measured SNI, FOMO, and MW. Data were analyzed using factor analysis and structural equation modeling (SEM) to test the hypothesized pathways.

Results: Findings confirm that SNI is positively associated with FOMO, and FOMO significantly mediates the relationship between SNI and MW. At the same time, the results suggest a potential bidirectional pattern: students with higher baseline FOMO may engage more intensively in social networking, reinforcing a feedback loop between emotional vulnerability and digital usage.

Conclusion: The study highlights that the psychological effects of social networking cannot be reduced to usage time alone but are shaped by reciprocal interactions between emotional experiences and digital behaviors. Interventions should focus on digital literacy, resilience to social comparison, and balanced online engagement. Recognizing the possibility of this feedback loop is critical for designing effective campus-based mental health strategies in India and beyond.

背景:对于今天的印度大学生来说,社交媒体已经深深嵌入到日常的学术和社交生活中。虽然数字平台提供了联系的机会,但它们也加剧了对错过的恐惧(FOMO),这可能会损害幸福感。本研究探讨了社交网络强度(SNI)、FOMO和心理幸福感(MW)之间的复杂关系,重点关注中介和互惠动态。方法:对印度印多尔市357名在校生进行结构化调查。标准化量表测量SNI、FOMO和MW。采用因子分析和结构方程模型(SEM)对数据进行分析,以验证假设的途径。结果:研究结果证实SNI与FOMO呈正相关,FOMO显著中介SNI与MW之间的关系。与此同时,研究结果表明了一种潜在的双向模式:FOMO基线较高的学生可能更频繁地参与社交网络,从而加强了情感脆弱性和数字使用之间的反馈循环。结论:该研究强调,社交网络的心理影响不能仅仅归结为使用时间,而是由情感体验和数字行为之间的相互作用形成的。干预措施应侧重于数字素养、对社会比较的适应能力和平衡的在线参与。认识到这种反馈循环的可能性对于在印度和其他国家设计有效的校园心理健康战略至关重要。
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引用次数: 0
Longitudinal assessment of brain volume and shape alterations in depressive patients with differential suicidality. 不同自杀倾向抑郁症患者脑容量和脑形态改变的纵向评估。
IF 2.7 Pub Date : 2025-12-05 DOI: 10.1007/s44192-025-00334-y
Vincent Chin-Hung Chen, Yuan-Hsiung Tsai, Gigin Lin, Che-Yu Hsu, Yi-Hsiang You, Jun-Cheng Weng

Background and aims: In recent years, the study of brain structural changes in individuals experiencing suicidal ideation and depression has attracted increasing interest. This study investigated changes in gray and white matter volumes among different groups. We recruited 86 patients, including 26 healthy controls (HCs), 29 with depression (NS), 18 with suicidal ideation (SI), and 13 improved (IM), to further understand the impact of treatment on suicidal ideation.

Materials and methods: We used MRI to analyze four groups of participants at two time points over one-year intervals. Additionally, evaluations were conducted using clinical assessment scales (HAM-D, HADS-A, BSS, RRS).

Results: Repeated measures Analysis of Covariance (ANCOVA) and paired t tests revealed significant changes in brain volume across different groups at two time points. Notable differences were observed in regions such as the cingulate gyrus, corpus callosum, insula, amygdala, and hippocampus, indicating dynamic structural changes related to suicidal ideation and its treatment.

Conclusions: Our findings highlight the potential value of brain structural changes in evaluating depression and suicidal ideation, supporting the effectiveness of early interventions in improving mental health. The observed alterations in gray and white matter emphasized the importance of targeted treatments for better patient outcomes.

背景与目的:近年来,对自杀意念和抑郁症患者大脑结构变化的研究引起了越来越多的关注。这项研究调查了不同人群灰质和白质体积的变化。我们招募了86例患者,包括26例健康对照(hc), 29例抑郁(NS), 18例自杀意念(SI)和13例改善(IM),以进一步了解治疗对自杀意念的影响。材料和方法:我们使用MRI对四组参与者在一年的时间间隔内的两个时间点进行分析。此外,采用临床评估量表(HAM-D、HADS-A、BSS、RRS)进行评估。结果:重复测量协方差分析(ANCOVA)和配对t检验显示,不同组在两个时间点的脑容量有显著变化。在扣带回、胼胝体、脑岛、杏仁核和海马等区域观察到显著差异,表明自杀意念及其治疗相关的动态结构变化。结论:我们的研究结果强调了大脑结构变化在评估抑郁和自杀意念方面的潜在价值,支持早期干预在改善心理健康方面的有效性。观察到的灰质和白质的改变强调了靶向治疗对改善患者预后的重要性。
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引用次数: 0
Structural validity of the DASS-21 during pandemic-induced psychological distress. DASS-21在流行病引起的心理困扰中的结构效度。
IF 2.7 Pub Date : 2025-12-03 DOI: 10.1007/s44192-025-00349-5
Purnima K Bajre
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引用次数: 0
Predicting depression among public university students in Bangladesh using machine learning models. 使用机器学习模型预测孟加拉国公立大学学生的抑郁症。
IF 2.7 Pub Date : 2025-12-03 DOI: 10.1007/s44192-025-00332-0
Sudha Bhattacharjee, Md Fokhray Hossain, Shabnur Anonna Akhy, Md Monir Hossain Shimul, Md Kamrul Hossain
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引用次数: 0
期刊
Discover mental health
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