SSM. Mental health最新文献

Strategies for collaborative mental health care in post-conflict Tigray: A qualitative study 冲突后提格雷地区协作精神卫生保健策略：一项定性研究

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2026-01-03 DOI: 10.1016/j.ssmmh.2026.100587

Kenfe Tesfay Berhe , Paul Ward , Lillian Mwanri , Hailay Abrha Gesesew

Background

There is a significant mental health service gap in Sub-Saharan Africa, with many people relying on traditional healers due to factors such as limited resources and conflict. While mental health collaborative care provision between traditional and biomedical providers is recommended, this recommendation lacks context-specific strategies for post-conflict Tigray. This study explores and identifies strategies for collaborative care provision for mental health services in the post-conflict setting of Tigray, Ethiopia.

Methods

In-depth interviews were conducted with 50 participants, including traditional healers, senior psychiatry clinicians, and their service users, in Tigray, Ethiopia. Participants were recruited through stakeholder contacts and the snowball method. Data were analysed using a thematic framework approach, with NVivo software assistance. The study adhered to the Consolidated Criteria for Reporting Qualitative Research(COREQ).

Results

Five themes emerged as strategies for collaborative mental health care between traditional and biomedical services in the post-conflict setting: (i) government and institutional support, (ii) joint training and knowledge exchange, (iii) patient-centred support, (iv) shared referral pathway, and (v) integrated intervention approach. The study highlights new insights for collaboration, such as reaching consensus on care provision despite differences in the causes of illness, involving traditional practitioners in humanitarian meetings, and implementing integration at holy water sites through trained volunteer counsellors.

Conclusion

These context-specific strategies for collaborative care may enhance mental health services in post-conflict. We recommend developing guidelines, formalising partnerships, encouraging dialogue, and prioritising the suggested strategies for effective implementation.

撒哈拉以南非洲地区存在严重的精神卫生服务缺口，由于资源有限和冲突等因素，许多人依赖传统治疗师。虽然建议在传统提供者和生物医学提供者之间提供精神卫生协作护理，但这一建议缺乏针对冲突后提格雷的具体情况的战略。本研究探讨并确定了在埃塞俄比亚提格雷冲突后环境中为精神卫生服务提供协作护理的策略。方法对埃塞俄比亚提格雷的传统治疗师、高级精神病学临床医生及其服务使用者等50名参与者进行深度访谈。参与者是通过利益相关者联系和滚雪球法招募的。在NVivo软件协助下，使用主题框架方法分析数据。该研究遵循了报告定性研究的综合标准（COREQ）。结果冲突后环境下传统服务和生物医学服务之间的协作精神卫生保健战略出现了五个主题：(i)政府和机构支持，（ii）联合培训和知识交流，（iii）以患者为中心的支持，（iv）共享转诊途径，(v)综合干预方法。该研究强调了合作的新见解，例如在疾病原因存在差异的情况下就提供护理达成共识，让传统从业人员参与人道主义会议，以及通过训练有素的志愿咨询师在圣水点实施整合。结论这些协同护理策略可提高冲突后心理卫生服务水平。我们建议制定指导方针，使伙伴关系正式化，鼓励对话，并优先考虑建议的战略，以便有效实施。

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引用次数: 0

The growing divide: Income inequities in access to mental healthcare in Australia 日益扩大的鸿沟：澳大利亚获得精神保健的收入不平等

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-29 DOI: 10.1016/j.ssmmh.2025.100580

Nicole Black, Danusha Jayawardana, David W. Johnston, Trong-Anh Trinh

Rising out-of-pocket costs for psychotherapy in Australia have heightened concerns about financial barriers to mental healthcare, particularly for lower-income households, who disproportionately experience psychological distress. Using nation-wide linked administrative records of income and healthcare use, we estimate the magnitude of income-related inequity in psychotherapy use among 5.4 million individuals diagnosed with a mental health condition, and examine how such inequity has evolved over the decade from 2014 to 2023. Our findings show that income-related inequity is substantial, consistently higher among children than among adults, and has nearly doubled over the decade. By 2023, only 32% of low-income children and 40% of low-income adults accessed psychotherapy within three months of receiving a mental health treatment plan, compared with 55% among both high-income children and adults. We rule out changes in complexity of mental health disorders and the introduction of telehealth services as key drivers. We find no discernible difference by gender or age subgroups. Examination of antidepressant use reveals a growing gap in the opposite direction, with lower-income individuals increasingly reliant on medication without psychotherapy, relative to higher-income individuals. This suggests a shift towards lower-cost treatment pathways among disadvantaged groups. Our findings highlight the need for policies to address the increasing costs and other barriers to accessing psychotherapy, especially for lower-income households.

在澳大利亚，心理治疗的自付费用不断上升，加剧了人们对心理保健的经济障碍的担忧，特别是对于那些不成比例地经历心理困扰的低收入家庭。利用全国范围内与收入和医疗保健使用相关的行政记录，我们估计了540万被诊断患有精神健康状况的人在心理治疗使用中与收入相关的不平等程度，并研究了从2014年到2023年的十年中这种不平等是如何演变的。我们的研究结果表明，与收入相关的不平等是相当严重的，儿童的收入不平等一直高于成人，在过去十年中几乎翻了一番。到2023年，只有32%的低收入儿童和40%的低收入成年人在接受心理健康治疗计划后的三个月内接受了心理治疗，而高收入儿童和成年人的这一比例均为55%。我们排除了精神健康障碍复杂性的变化和远程保健服务的引入是主要驱动因素的可能性。我们没有发现性别或年龄分组的明显差异。对抗抑郁药使用情况的调查显示，与高收入人群相比，低收入人群越来越依赖药物治疗，而不依赖心理治疗。这表明弱势群体正在转向成本较低的治疗途径。我们的研究结果强调，需要制定政策来解决不断增加的成本和其他障碍，特别是对低收入家庭而言。

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引用次数: 0

Forced marriage, divorce, and the ecology of marital self-determination: findings from research with Orthodox Jews in New York 强迫婚姻、离婚和婚姻自决的生态：对纽约正统犹太人的研究结果

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-20 DOI: 10.1016/j.ssmmh.2025.100584

Jennifer S. Hirsch , Gloria Fortuna , Jessie V. Ford , Alicia Jen , Jessica L. Weissman , Aarushi H. Shah , Fraidy Reiss

引用次数: 0

Psychosocial stressors related to extreme weather events and multiple resource insecurities: qualitative insights from refugee youth in an Ugandan humanitarian setting 与极端天气事件和多种资源不安全相关的社会心理压力源：乌干达人道主义环境下难民青年的定性见解

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-19 DOI: 10.1016/j.ssmmh.2025.100579

Carmen H. Logie , Ofir Sivan , Rachel Leggett , Moses Okumu , Miranda Loutet , Frannie MacKenzie , Simon Odong Lukone , Nelson Kisubi , Lesley Gittings , Peter Kyambadde , Caetano Dorea , Manjulaa Narasimhan

Extreme weather events (EWE) contribute to heightened psychosocial stressors through complex pathways, including by worsening resource insecurities. Refugee settlements globally are disproportionately exposed to EWE compared with host national populations, yet refugees' experiences of resource insecurity-related psychosocial stressors in low-income humanitarian settings are understudied. Our study focused on understanding the lived experiences of psychosocial stressors in the context of EWE and resource insecurity among refugee youth in Bidi Bidi Refugee Settlement, Uganda. This qualitative study involved 32 walk-along interviews with a purposive sample of refugee youth aged 16–24 (16 men, 16 women); youth led the interviewer to 1–3 places where they obtained food, water, and/or sanitation resources, discussed the place's meaning and impact on wellbeing, and took photos. We also conducted 12 in-depth interviews with key informants with expertise in refugee youth wellbeing, EWE, and/or resource security. We conducted framework thematic analysis informed by resource scarcity and water insecurity-related distress frameworks. Participant narratives reflected four key themes regarding linkages between EWE, resource insecurities, and psychosocial distress: 1) material deprivation and uncertainty (sub-themes: drought-related food and water insecurity; flooding-related infrastructure and agricultural damage); 2) shame of social failure (sub-themes: sanitation insecurity stressors; unemployment and food insecurity distress and related substance use); 3) interpersonal conflict, including multi-level violence (sub-themes: increased violence; concerns about crime and theft); and 4) coping and asset management strategies (sub-themes: social and economic infrastructure; social capital; household relations). Together findings suggest the need for integrating psychosocial support within social and economic opportunities and poverty reduction with refugee youth.

极端天气事件（EWE）通过复杂的途径，包括恶化资源不安全，加剧社会心理压力源。与收容国人口相比，全球难民安置点遭受EWE的比例过高，但低收入人道主义环境中难民在资源不安全相关的社会心理压力源方面的经历尚未得到充分研究。我们的研究重点是了解乌干达比迪比迪难民定居点的难民青年在EWE和资源不安全背景下的社会心理压力源的生活经历。这项定性研究包括32次对16 - 24岁难民青年（16名男性，16名女性）的有目的抽样进行的访谈；青年带领采访者到1-3个地方，在那里他们获得食物、水和/或卫生资源，讨论这个地方的意义和对福祉的影响，并拍照。我们还对难民青年福利、EWE和/或资源安全方面的专业知识的关键线人进行了12次深入访谈。我们根据资源短缺和水不安全相关的困境框架进行了框架专题分析。与会者的叙述反映了关于EWE、资源不安全和社会心理痛苦之间联系的四个关键主题：1)物质匮乏和不确定性（分主题：与干旱有关的粮食和水不安全；与洪水有关的基础设施和农业破坏）；2)社会失败羞耻感（分主题：卫生不安全压力源；失业和粮食不安全困扰及相关物质使用）；3)人际冲突，包括多层次暴力（副主题：暴力增加；对犯罪和盗窃的担忧）；4)应对和资产管理策略（子主题：社会和经济基础设施；社会资本；家庭关系）。综上所述，研究结果表明，需要将社会心理支持纳入难民青年的社会和经济机会以及减贫工作。

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引用次数: 0

The association between social media use and mental health symptoms in middle adolescence: A counterfactual analysis 社交媒体使用与青春期中期心理健康症状之间的关系：一项反事实分析

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-18 DOI: 10.1016/j.ssmmh.2025.100582

Xinxin Zhu , Yi Yang , Helen Wright , Lydia Gabriela Speyer , Marie Allitt , Ingrid Obsuth , Patrick Errington , Aja Louise Murray

There has been considerable recent debate surrounding the effects of social media use and adolescents' mental health. A key source of controversy is whether observed associations might be confounded by ‘third variables’ (which influence both social media use and mental health). To address this, we used counterfactual analysis to account for measured confounding. This approach provides estimates of causal effects by comparing observed outcomes with those that would be expected under an alternative exposure condition. We employed it to evaluate the link between social media use (including messaging and visiting social networking websites) at ages 11 and 14 and later mental health issues (including emotional symptoms, self-harm, and/or suicide attempts) at ages 14 and 17. Data was from the UK Millennium Cohort Study (MCS), a nationally representative sample. The study was conducted with the input of a young persons' advisory group, who informed our prioritization of the study research question, helped interpret findings, and identify study limitations. Inverse probability of treatment weighting (IPTW) analyses indicated no significant effects of social media use frequency at age 11 (defined as use on most days) or time spent at age 14 (≥2 h per weekday) on emotional problems or self-harm at age 14 or 17, respectively (analytic n = 3036–4419). The only exception was significant association between higher time spent on social media at age 14 and lifetime suicide attempts at age 17. These findings highlight the importance of considering potential confounders when examining social media use effects. Given that frequency and time-based measures are unlikely to capture the complexity of this association, we recommend future research also apply similar approaches utilizing more nuanced measures.

最近，围绕社交媒体使用和青少年心理健康的影响，出现了相当多的争论。争议的一个关键来源是，观察到的关联是否会被“第三个变量”（影响社交媒体使用和心理健康）所混淆。为了解决这个问题，我们使用反事实分析来解释测量的混淆。这种方法通过比较观察到的结果与在另一种暴露条件下预期的结果来估计因果关系。我们用它来评估11岁和14岁的社交媒体使用（包括短信和访问社交网站）与14岁和17岁以后的心理健康问题（包括情绪症状、自残和/或自杀企图）之间的联系。数据来自英国千年队列研究（MCS），这是一个具有全国代表性的样本。这项研究是在一个年轻人咨询小组的参与下进行的，他们告诉我们研究问题的优先顺序，帮助解释研究结果，并确定研究的局限性。治疗加权逆概率（IPTW）分析显示，11岁时的社交媒体使用频率（定义为大多数时间使用）或14岁时的社交媒体使用时间（每个工作日≥2小时）对14岁或17岁时的情绪问题或自我伤害分别没有显著影响（分析n = 3036-4419）。唯一的例外是，14岁时花在社交媒体上的时间越长，17岁时的终生自杀企图就越高。这些发现强调了在研究社交媒体使用影响时考虑潜在混杂因素的重要性。鉴于基于频率和时间的测量不太可能捕捉到这种关联的复杂性，我们建议未来的研究也采用类似的方法，利用更细微的测量。

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引用次数: 0

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-18 DOI: 10.1016/j.ssmmh.2025.100583

Mia Akiba , Stephanie J. Lewis , Tsitsi Mawere , Alli Roshni , Karen Muchezana , Wilson Mutsvuke , Walter Mangezi , Conall O'Cleirigh , Sharli Paphitis , Nick Grey , Tarisai Bere , Melanie A. Abas

引用次数: 0

Online child sexual victimization and associated health risk behaviours and mental disorders: Findings from a national survey in Australia 网上儿童性侵害及相关的健康风险行为和精神障碍：澳大利亚一项全国调查的结果

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-18 DOI: 10.1016/j.ssmmh.2025.100581

Ben Mathews , Kausar Parvin , Kerryann Walsh , David Finkelhor , Daryl Higgins , James G. Scott , Sarah Napier , Melanie Burton , Mariesa Nicholas , Jennie Noll , Asher Flynn , Andrea de Silva

Background

Online child sexual victimization (OCSV) is increasingly prevalent, but little evidence exists about associated health outcomes. This study investigates whether two types of OCSV – nonconsensual sharing of sexual images, and sexual solicitation by an adult – are associated with health risk behaviours and mental disorders.

Method

This study analyzed data from the Australian Child Maltreatment Study (ACMS), a nationally representative cross-sectional survey. A sub-sample of 3500 Australians aged 16–24 years provided information about OCSV. Items from the National Adolescent Mental Health Surveys assessed non-suicidal self-injury, suicide attempt, and smoking. The MINI International Psychiatric Interview assessed generalized anxiety disorder (GAD); major depressive disorder (MDD), and alcohol use disorder (AUD). Logistic regression examined associations between online child sexual victimization and health risk behaviours and mental disorders.

Results

Experiencing nonconsensual sharing of sexual images was significantly associated with suicide attempt among all youth (OR = 1.45), self-harm among women (OR = 1.90) and all youth (OR = 1.94), smoking among women (OR = 1.86) and all youth (OR = 1.86), and MDD among men (OR = 1.92) and all youth (OR = 1.43). Online sexual solicitation was not significantly associated with health risk behaviours or mental disorders except for self-harm among all youth (OR = 1.45).

Conclusion

Nonconsensual sharing of sexual images is strongly associated with multiple adverse outcomes, especially health risk behaviours, and particularly among women. Future research could consider other adverse outcomes of online sexual solicitation by adults, such as distress, and behavioural outcomes. Findings can inform educational, health and legal policies and programs promoting safe technology use and addressing related health issues.

在线儿童性侵害（OCSV）越来越普遍，但很少有证据表明相关的健康结果。这项研究调查了两种类型的OCSV——非自愿分享性图像和成人的性引诱——是否与健康风险行为和精神障碍有关。方法本研究分析了澳大利亚儿童虐待研究（ACMS）的数据，这是一项具有全国代表性的横断面调查。一个由3500名16-24岁的澳大利亚人组成的子样本提供了有关OCSV的信息。来自全国青少年心理健康调查的项目评估了非自杀性自残、自杀企图和吸烟。MINI国际精神病学访谈评估了广泛性焦虑症（GAD）；重度抑郁症（MDD）和酒精使用障碍（AUD）。逻辑回归检验了在线儿童性侵害与健康风险行为和精神障碍之间的关联。结果非自愿分享性图像与所有青少年自杀未遂（OR = 1.45）、女性自残（OR = 1.90）及所有青少年自残（OR = 1.94）、女性吸烟（OR = 1.86）及所有青少年抑郁（OR = 1.92）及所有青少年抑郁（OR = 1.43）显著相关。在所有青少年中，除了自我伤害外，网络性引诱与健康风险行为或精神障碍没有显著相关性（or = 1.45）。结论未经同意分享性图片与多种不良后果密切相关，尤其是健康风险行为，尤其是在女性中。未来的研究可以考虑成人网络性引诱的其他不良后果，如痛苦和行为后果。研究结果可以为促进安全使用技术和解决相关健康问题的教育、卫生和法律政策和方案提供信息。

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引用次数: 0

Belonging, discrimination, and risk in displacement: Bayesian variable selection in predicting mental health and resilience among refugee adolescents in Greece 归属、歧视和流离失所风险：贝叶斯变量选择预测希腊难民青少年的心理健康和适应能力

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-15 DOI: 10.1016/j.ssmmh.2025.100574

Theoni Stathopoulou , Konstantinos Bourazas , Korina Hatzinikolaou , Eirini Adamopoulou , Lina Zirganou-Kazolea , Jennifer Cavounidis , Natalia Spyropoulou , Giampaolo Nicolais , Catherine Panter-Brick , Richard F. Mollica

Background: Understanding the mental health challenges of refugee adolescents is critical for informing targeted educational policies and interventions. Yet few studies identify which school-based factors most strongly relate to their resilience and well-being. This study draws on a multi-informant dataset from 170 refugee students attending school in Greece, applying Bayesian variable selection to identify key predictors of mental health outcomes. Methods: We collected student (

n = 170

), teacher (

n = 165

) and parent/guardian (

n = 124

) data about each student (Strengths and Difficulties Questionnaire, SDQ; Child and Youth Resilience Measure-Revised, CYRM-R); sense of belonging, school attendance. We ran two models, one based on student self-reports, the other based on teacher, parent, and guardian data. Results: The self-reported sense of belonging was the most consistent protective factor of SDQ and CYRM-R outcomes, while bullying, discrimination, and disrupted schooling were associated with greater vulnerability. In triangulated analysis, student self-reports contributed the largest share of predictive information, followed by adult reports Discussion: This study highlights the importance of centering youth perspectives in mental health assessment and intervention and the critical role of inclusive school environments and educational continuity in supporting refugee integration. The Bayesian approach offers a robust framework for guiding evidence-based interventions for supporting the integration of refugee students in host-country educational settings.

背景：了解难民青少年的心理健康挑战对有针对性的教育政策和干预措施至关重要。然而，很少有研究确定哪些学校因素与他们的适应力和幸福感最密切相关。本研究利用来自170名在希腊上学的难民学生的多信息数据集，应用贝叶斯变量选择来确定心理健康结果的关键预测因素。方法：收集学生（n=170）、教师（n=165）和家长/监护人（n=124）关于每个学生的资料（SDQ优势与困难问卷；CYRM-R修订版儿童与青少年心理弹性量表）；归属感，出勤率。我们运行了两个模型，一个基于学生的自我报告，另一个基于老师、家长和监护人的数据。结果：自我报告的归属感是SDQ和CYRM-R结果中最一致的保护因素，而欺凌、歧视和学业中断与更大的脆弱性相关。在三角分析中，学生自我报告贡献了最大份额的预测信息，其次是成人报告。讨论：本研究强调了在心理健康评估和干预中以青年观点为中心的重要性，以及包容性学校环境和教育连续性在支持难民融入方面的关键作用。贝叶斯方法为指导基于证据的干预措施提供了一个强有力的框架，以支持难民学生融入东道国的教育环境。

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引用次数: 0

“I've actually surprised myself at what I can do”: Understanding the longer-term experiences of individual placement and support (IPS) embedded within primary healthcare “我对自己能做的事情感到惊讶”：了解初级卫生保健中嵌入的个人安置和支持（IPS）的长期经验

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-13 DOI: 10.1016/j.ssmmh.2025.100578

Amanda Kwan , Padmini Thakore , Madelyn Whyte , Taite Beggs , Stephany Berinstein , Jonathan Morris , Skye Barbic

Background

Persons with persistent and multiple barriers (PPMB), including mental health and substance use (MHSU) and other disabilities, often experience inequitable challenges obtaining and sustaining competitive employment opportunities. Specialized employment services, such as Individual Placement and Support (IPS), embedded within primary healthcare settings is one approach being trialed to address these inequities. Little is known about the medium and longer-term experiences of PPMB enrolled in IPS programs integrated within primary healthcare.

Methods

We conducted a longitudinal qualitative study using semi-structured interviews with program clients. We analyzed interviews (12- and 24-months) sequentially and collectively using a reflexive thematic approach. We developed, defined, and named themes iteratively, using annotations throughout the process to record personal reflections and assumptions.

Results

Thirty-one participants were enrolled in the study, with 31 interviews conducted at 12 months and 20 interviews at 24 months after program enrollment. Four key themes and one subtheme were generated: (1) negative work experiences have lasting and cyclical impacts, (subtheme) positive work experiences help break negative employment cycles, (2) health remains a significant barrier across the employment journey, (3) social connection is a foundation for health and employment, and (4) growth takes time: progress through self-discovery and support.

Conclusion

Continuous access to integrated specialized health and employment services are necessary for PPMB to achieve sustainable progress towards health, recovery, and employment. As such, integrated and multi-sector programs need to receive sustained funding and cross-ministerial support to ensure equitable employment opportunities for those with MHSU, PPMB, and other disabilities.

背景：患有持续性和多重障碍（PPMB）的人，包括精神健康和物质使用障碍（MHSU）和其他残疾的人，在获得和维持有竞争力的就业机会方面经常遇到不公平的挑战。为解决这些不平等现象，正在试验的一种方法是，在初级卫生保健环境中提供专业就业服务，如个人安置和支持。在初级卫生保健中纳入IPS项目的PPMB的中期和长期经验知之甚少。方法采用半结构化访谈对项目客户进行纵向定性研究。我们使用反身性主题方法对访谈（12个月和24个月）进行了顺序和集体分析。我们迭代地开发、定义和命名主题，在整个过程中使用注释来记录个人的思考和假设。结果31名参与者被纳入研究，其中31人在项目入组后12个月进行了访谈，20人在项目入组后24个月进行了访谈。研究产生了四个主要主题和一个副主题：(1)消极的工作经历具有持久和周期性的影响，（副主题）积极的工作经历有助于打破消极的就业周期，(2)健康仍然是就业过程中的一个重要障碍，(3)社会联系是健康和就业的基础，(4)成长需要时间：通过自我发现和支持取得进步。结论持续获得综合专业卫生和就业服务是PPMB实现健康、康复和就业可持续发展的必要条件。因此，综合和多部门的项目需要得到持续的资助和跨部门的支持，以确保MHSU、PPMB和其他残疾人有公平的就业机会。

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引用次数: 0

Relief from stress via social protection in Senegal (RESTORE): Study protocol for a pilot feasibility cluster-randomized controlled trial of self-help plus (SH+) mental health intervention in Senegal 塞内加尔通过社会保护缓解压力（RESTORE）：塞内加尔自助加心理健康干预（SH+）试点可行性集群随机对照试验研究方案

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-13 DOI: 10.1016/j.ssmmh.2025.100577

Nakawala Lufumpa , Anne Hilger , Anna Shaw , Gracya Rudiman , Ellen Moscoe , Laure Experton , Brandon A. Kohrt , Odyssia Ng , Syed Shabab Wahid

Background

Despite the growing prevalence of mental health disorders in low- and middle-income countries (LMICs), significant barriers to seeking and accessing mental health services persist. Within lower-income populations, the prevalence of mental health disorders and barriers to addressing them are worsened by poverty. Self-Help Plus (SH+) is a group-based stress management program delivered using a task-sharing model and designed to circumvent barriers to addressing mental health concerns. Cultural adaptations of SH + have been implemented in several LMICs and are considered cost-effective. However, to date, SH + has not been adapted for Senegalese populations. The study detailed in this manuscript aims to assess the feasibility and acceptability of SH+ in lower-income populations in Senegal.

Methods

The RESTORE study is a pilot feasibility cluster-randomized controlled trial of SH+ in four Senegalese communities. Clusters of adults in social protection program beneficiary households will be randomly selected to receive five sessions of SH+. The intervention will be delivered in groups of up to 30 beneficiaries and co-facilitated by two community workers. A combination of quantitative and qualitative research methods will be used to assess the feasibility and acceptability of both the SH + intervention and randomized controlled trial procedures. The main clinical outcome for the study is general psychological well-being measured by the General Health Questionnaire-12 (GHQ-12). The study sample will include adults from social protection program beneficiary households in the treatment and control groups, SH + facilitators, and the intervention supervisor.

Discussion

The findings of this study will be used to inform the potential integration of SH+ and/or similar mental health interventions into the national social protection program in Senegal.

Trial registration

This study is registered through ClinicalTrials.gov: NCT06698471.

尽管中低收入国家（LMICs）的精神卫生疾患日益普遍，但在寻求和获得精神卫生服务方面仍然存在重大障碍。在低收入人群中，精神健康障碍的流行和解决这些疾病的障碍因贫穷而恶化。自助Plus （SH+）是一个基于群体的压力管理项目，采用任务共享模式，旨在解决心理健康问题的障碍。在一些中低收入国家已经实施了SH +的文化适应，并被认为具有成本效益。然而，迄今为止，SH +还没有适应塞内加尔人口。这份手稿中详细的研究旨在评估塞内加尔低收入人群中SH+的可行性和可接受性。方法RESTORE研究是一项在塞内加尔四个社区进行的SH+的可行性集群随机对照试验。社会保护计划受益家庭的成年人群体将被随机抽取，接受五期SH+。干预措施将以多达30名受益人为一组，由两名社区工作人员共同提供协助。定量和定性相结合的研究方法将用于评估SH +干预和随机对照试验程序的可行性和可接受性。该研究的主要临床结果是通过一般健康问卷-12 （GHQ-12）测量的一般心理健康状况。研究样本将包括治疗组和对照组中来自社会保护计划受益家庭的成年人、SH +促进者和干预监督员。本研究的结果将用于为塞内加尔国家社会保护计划整合SH+和/或类似的心理健康干预措施提供信息。试验注册本研究通过ClinicalTrials.gov注册：NCT06698471。

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引用次数: 0