SSM. Mental health最新文献_第10页

Election worry, political identity, and subsequent physical health in the United States 在美国，选举忧虑、政治认同和随后的身体健康

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-06-16 DOI: 10.1016/j.ssmmh.2025.100476

Daniel P. Relihan , Kayley D. Estes , Branislav Jovanovic , Dana Rose Garfin , Roxane Cohen Silver , E. Alison Holman

Political polarization surrounding elections may have population-level physical health consequences over time. Given that psychological distress is associated with worse physical health, heightened election-related worry (a.k.a. election worry) may have negative physical health implications for the U.S. population. We assessed the prospective association between worry about the 2020 presidential election and new onset physical health ailments over the subsequent 3 years in a nationally representative U.S. sample (N = 4,311) and examined differences by political identity. Our longitudinal cohort study used the probability-based NORC AmeriSpeak Panel. Baseline physician-diagnosed mental and physical health conditions, smoking, political identity, and demographics were assessed pre-2020, with new-onset physical health ailments (e.g., heart problems, cancer, stroke) reassessed in Spring 2022 and Summer 2023. Election worry was measured in September–October 2020; political identity and demographics were updated Fall 2021. Adjusting for demographics, baseline health conditions, smoking, health insurance coverage, and prior mental health diagnosis, each one-unit increase in 2020 election worry was associated with 12% higher odds of developing any new-onset physical health ailments (OR = 1.12, 95% CI[1.01, 1.24], p = .026) over the subsequent 3 years. This association was significantly stronger for Republicans compared to Democrats (OR = 1.28, 95% CI[1.01, 1.62], p = .038). These findings suggest that election worry may be a social determinant of health with measurable physical health consequences, particularly among those whose political party loses the election. Understanding these dynamics is crucial for developing interventions to mitigate the health impacts of political stress in an increasingly polarized society.

随着时间的推移，围绕选举的政治两极分化可能会对人口层面的身体健康造成影响。鉴于心理困扰与较差的身体健康有关，与选举有关的担忧加剧（又名选举担忧）可能对美国人的身体健康产生负面影响。我们在一个具有全国代表性的美国样本（N = 4311）中评估了对2020年总统大选的担忧与随后3年新发作的身体健康疾病之间的潜在关联，并研究了政治认同的差异。我们的纵向队列研究使用了基于概率的NORC AmeriSpeak Panel。2020年前评估了基线医生诊断的身心健康状况、吸烟、政治认同和人口统计数据，并在2022年春季和2023年夏季重新评估了新发身体健康疾病（如心脏病、癌症、中风）。对选举的担忧是在2020年9月至10月衡量的；政治身份和人口统计数据于2021年秋季更新。调整人口统计、基线健康状况、吸烟、健康保险覆盖率和先前的精神健康诊断，在接下来的3年里，对2020年选举的担忧每增加一个单位，发生任何新发身体健康疾病的几率就会增加12% （OR = 1.12, 95% CI[1.01, 1.24], p = 0.026）。与民主党人相比，共和党人的这种关联明显更强（OR = 1.28, 95% CI[1.01, 1.62], p = 0.038）。这些发现表明，对选举的担忧可能是健康的一个社会决定因素，对身体健康产生了可衡量的影响，尤其是那些政党在选举中失利的人。了解这些动态对于制定干预措施以减轻日益两极化的社会中政治压力对健康的影响至关重要。

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引用次数: 0

Beyond the individual: Household activity of daily living limitations, urban-rural residence, and mental health 超越个人：家庭日常生活活动限制、城乡居住和心理健康

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.ssmmh.2025.100547

Kaitlin Shartle , Jennifer E. Lansford , Marcos Vera-Hernández , Arnab Mukherji , Manoj Mohanan , Joanna Maselko

Activity of daily living (ADL) limitations, such as difficulty walking or dressing, are increasing as populations age and experience more chronic conditions. To understand the scope of ADLs and make interventions more effective, it is important to examine ADLs beyond the individual to other levels and contexts, such as the household. Thus, using household and individual level survey data in India, we assess how household ADLs relate to the mental health of others in the household. We find that around 40 % of households have at least one resident with an ADL limitation, with ADL limitations more likely in households that are in rural areas, have older residents, and are socioeconomically disadvantaged. Household ADL limitations are associated with increased symptoms of depression and anxiety with the relation varying by the number of household members with an ADL limitation. For adults, having any household member with an ADL limitation is associated with increased mental health symptomology, whereas for young adults, this association only appears for those with multiple household members with an ADL limitation. Further, we find that the relation between household ADL limitations and mental health is stronger for those living in rural areas compared to urban areas. That is, when comparing individuals with the same number of household members with ADL limitations, predicted mental health symptomology is higher for those living in rural areas than for those in urban areas. These findings suggest the need for household centered accommodations and supports that consider the social and environmental context.

日常生活活动（ADL）限制，如行走或穿衣困难，随着人口老龄化和经历更多的慢性疾病而增加。为了了解adl的范围并使干预措施更有效，重要的是将adl从个人扩展到其他层面和背景，如家庭。因此，利用印度家庭和个人层面的调查数据，我们评估了家庭adl与家庭中其他人的心理健康之间的关系。我们发现，大约40%的家庭至少有一名居民患有ADL限制，而ADL限制更可能发生在农村地区、老年居民和社会经济上处于不利地位的家庭。家庭ADL限制与抑郁和焦虑症状的增加有关，其关系因有ADL限制的家庭成员人数而异。对于成年人来说，有任何家庭成员患有ADL限制与心理健康症状增加相关，而对于年轻人来说，这种关联仅出现在有多个家庭成员患有ADL限制的人群中。此外，我们发现生活在农村地区的家庭ADL限制与心理健康之间的关系比城市地区更强。也就是说，当比较具有相同数量的ADL限制的家庭成员时，生活在农村地区的人预测的心理健康症状高于城市地区的人。这些发现表明，需要以家庭为中心的住宿和支持，考虑到社会和环境背景。

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引用次数: 0

Sexually explicit and violent media use among high school students in Vietnam: Gender-differentiated links with sexual misconduct victimization, perpetration, and health 越南高中生使用色情和暴力媒体：性别差异与性行为不端受害、犯罪和健康之间的联系

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-02 DOI: 10.1016/j.ssmmh.2025.100520

Kathryn M. Yount , Meghan Macaulay , Kim Tu Tran

Background

In lower-income countries, research is lacking on levels and associations of using sexually explicit, physically non-violent media (SEM) or sexually explicit, physically violent media (SVM) with well-being outcomes in high-school students.

Objective

We tested theories of gendered aggression and moral incongruence to explain the associations of SEM use and/or SVM use versus non-use with sexual misconduct perpetration/victimization and other well-being outcomes among students attending three high schools in Ho Chi Minh City, Vietnam.

Method

712 students completed surveys about their general health, mental health, alcohol use, academic disengagement, sexual misconduct perpetration and victimization, beliefs about pro-violence peer norms, and any SEM/SVM use in the prior six months. Unadjusted and adjusted regression models were estimated.

Results

Most reported SEM (47 %) or SVM (32 %) use. SVM use was higher among boys (39 %) than girls (27 %) (χ² p = 0.01). Among boys, compared to non-users, users reported worse self-rated health (SEM acoef = 0.44 (0.10, 0.78); SVM acoef = 0.58 (0.23, 0.93)), higher alcohol use (SEM aOR = 2.42 (1.06, 5.58); SVM aOR = 2.44 (1.05, 5.62)), and higher sexual misconduct perpetration involving physical dating violence, stalking, or sexual violence (SVM aOR = 5.02 (1.39, 18.06)). Among girls, compared to non-users, SVM users reported higher sexual misconduct perpetration (aOR = 2.59 (1.13, 5.92)) and sexual violence victimization (aOR = 5.74 (1.81, 18.22)); SEM users reported higher sexual misconduct victimization involving physical dating violence, sexual harassment, stalking, or sexual violence (OR = 2.32 (1.33, 4.04)).

Conclusion

Most high-school students in this study reported sexualized media use, and boys reported SVM use more often than girls. Corroborating gendered aggression theory, sexualized media use tended to predict violence perpetration among boys and victimization among girls. Corroborating moral incongruence theory, boys’ use was associated with worse self-rated health and alcohol use. Contextualized programs may reduce student access to common modalities of sexualized media use and educate school communities about the harms of use.

在低收入国家，缺乏关于高中生使用性暴露、身体暴力媒体（SEM）或性暴露、身体暴力媒体（SVM）与幸福感结果之间的水平和关联的研究。目的对越南胡志明市三所高中学生的性别攻击和道德不一致理论进行检验，以解释SEM的使用和/或SVM的使用与不使用与性行为不端犯罪/受害和其他幸福结果之间的关联。方法712名学生在过去6个月内完成了总体健康、心理健康、酒精使用、学业脱离、性行为不端犯罪和受害、对暴力同伴规范的信念以及任何SEM/SVM使用情况的调查。对未调整和调整后的回归模型进行估计。结果大多数报告使用SEM（47%）或SVM（32%）。男生（39%）使用支持向量机的比例高于女生（27%）（χ2 p = 0.01）。在男孩中，与不使用电子烟的人相比，使用电子烟的人自评健康状况较差(SEM acoef = 0.44 (0.10, 0.78)；SVM的acoef = 0.58(0.23, 0.93))，较高的酒精使用(SEM aOR = 2.42 (1.06, 5.58)；支持向量机aOR = 2.44(1.05, 5.62))，以及涉及肢体约会暴力、跟踪或性暴力的更高的性行为不当犯罪（支持向量机aOR = 5.02(1.39, 18.06)）。在女孩中，与非用户相比，支持向量机用户报告更高的性行为不端犯罪（aOR = 2.59(1.13, 5.92)）和性暴力受害（aOR = 5.74 (1.81, 18.22)）；SEM用户报告了更高的性行为不当受害者，包括身体约会暴力、性骚扰、跟踪或性暴力（or = 2.32(1.33, 4.04)）。结论本研究中大多数高中生报告了性媒体的使用，男生报告的SVM使用频率高于女生。证实了性别攻击理论，性化媒体使用倾向于预测男孩的暴力行为和女孩的受害行为。证实道德不一致理论，男孩使用与较差的自我评价健康和酒精使用有关。情境化项目可能会减少学生接触到性媒体使用的常见方式，并教育学校社区了解使用媒体的危害。

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引用次数: 0

Cognitive interviewing for understanding and adaptation of mental health screening instruments among people living with HIV in rakai, Uganda: the thinking a lot questionnaire, the patient health questionnaire 9 (PHQ-9), and the hopkins symptoms checklist (HSCL) 认知访谈对乌干达rakai地区HIV感染者心理健康筛查工具的理解和适应：思考问卷、患者健康问卷9 （PHQ-9）和霍普金斯症状检查表（HSCL）

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-08-26 DOI: 10.1016/j.ssmmh.2025.100517

Nora S. West , Lydia P. Namuganga , Dauda Isabirye , Rosette Nakubulwa , William Ddaaki , Neema Nakyanjo , Fred Nalugoda , Sarah M. Murray , Caitlin E. Kennedy

Background

Mental health is conceptualized differently across cultures, making exploration of the understandability of screening tools for the purpose of adaptation critical.

Methods

In Uganda, we used cognitive interviewing to understand comprehension of and make adaptations to three scales for measuring psychological distress: the Thinking Too Much (TTM) Questionnaire, the Patient Health Questionnaire 9 (PHQ-9), and the Hopkins Symptoms Checklist (HSCL). We recruited 12 people living with HIV from the Rakai Community Cohort Study (RCCS) and interviewed seven potential users of the scales (four RCCS survey interviewers and three local health workers). Data were analyzed systematically using a team-based matrix approach.

Results

The HSCL was generally well understood, with minor clarifications needed. The TTM Questionnaire was also well understood, though differences between “how much” and “how often” required specificity. Both included local idioms of distress from prior adaptations. The PHQ-9 performed less well, with many questions interpreted variably or showing unclear local applicability, especially among people living with HIV. For example, questions about trouble concentrating were misunderstood, focusing on examples like newspapers rather than the broader issue of concentration.

Conclusion

Future research should explore the validity and utility of commonly used instruments as mental health research expands in Africa, and both researchers and public health programmers should consider the strengths and limitations of screening instruments in their setting.

不同文化对心理健康的概念不同，因此探索筛查工具的可理解性对于适应至关重要。方法在乌干达，我们采用认知访谈法了解并调整了三种测量心理困扰的量表：思考过多（TTM）问卷、患者健康问卷9 （PHQ-9）和霍普金斯症状检查表（HSCL）。我们从Rakai社区队列研究（RCCS）中招募了12名艾滋病毒感染者，并采访了7名潜在的量表使用者（4名RCCS调查采访者和3名当地卫生工作者）。使用基于团队的矩阵方法系统地分析数据。结果对HSCL的理解普遍较好，需要进行少量的说明。TTM问卷也被很好地理解，尽管“多少”和“多久”之间的差异需要具体说明。两者都包含了先前改编的痛苦的当地习语。PHQ-9的表现不太好，许多问题解释不一，或显示不明确的局部适用性，特别是在艾滋病毒感染者中。例如，关于注意力不集中的问题被误解了，人们把注意力集中在报纸之类的例子上，而不是更广泛的注意力集中问题。结论随着心理健康研究在非洲的扩展，未来的研究应探索常用工具的有效性和实用性，研究人员和公共卫生规划人员应考虑筛查工具在其环境中的优势和局限性。

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引用次数: 0

Adverse migration experiences, border community stress, and the mental health of asylum-seeking women in transit at the Mexico-U.S. border 在墨西哥-美国过境的寻求庇护妇女的不利移民经历、边境社区压力和心理健康。边境

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-11-19 DOI: 10.1016/j.ssmmh.2025.100567

Shira M. Goldenberg , Kayla Saadeh , Kaylee Ramage , Eileen Pitpitan , Steffanie Strathdee , Monica Álvarez Aguilar , Nicole Elizabeth Ramos , Gudelia Rangel , Ietza Bojorquez

We evaluated the association between adverse migration experiences, border community stress, and mental health symptoms in a community-recruited sample of asylum-seeking women. As part of a mixed-methods, community-academic partnership, we analyzed cross-sectional questionnaires conducted with asylum-seeking women at the Tijuana-San Diego border (N = 151) between Feb–July 2024. Symptoms of anxiety (56.6 %), moderate-to-severe depression (45.9 %), and post-traumatic stress (52 %) were common, with 70.1 % experiencing symptoms of at least one of these. Most (82.1 %) faced adverse experiences during migration journey and high levels of current border community stress. When we examined the relationship between each type of adverse migration experience and mental health symptoms, lack of safe shelter during migration was marginally associated with experiencing current generalized anxiety symptoms, whereas other types of adverse experiences had positive, but null, associations. Higher border community stress was associated with experiencing generalized anxiety, depression, and PTSD symptoms. Asylum-seeking women at the Mexico-U.S. border face significant mental health risks during migration and while waiting to enter the U.S. Structural and multilevel interventions to mitigate these are needed, including changes to asylum deterrence policies and scale-up of humanitarian services.

我们在社区招募的寻求庇护妇女样本中评估了不良移民经历、边境社区压力和心理健康症状之间的关系。作为混合方法的一部分，我们分析了2024年2月至7月期间在蒂华纳-圣地亚哥边境（N = 151）对寻求庇护的妇女进行的横断面问卷调查。焦虑（56.6%）、中度至重度抑郁（45.9%）和创伤后应激（52%）的症状很常见，其中70.1%至少有其中一种症状。大多数人（82.1%）在移民过程中面临不利经历，目前边境社区压力很大。当我们检查每种类型的不良迁移经历与心理健康症状之间的关系时，迁移期间缺乏安全庇护所与当前的广泛性焦虑症状有轻微关联，而其他类型的不良经历有积极的关联，但没有关联。较高的边境社区压力与经历广泛性焦虑、抑郁和创伤后应激障碍症状有关。在美墨边境口岸寻求庇护的妇女。边境人员在移民期间和等待进入美国期间面临严重的心理健康风险，需要采取结构性和多层次的干预措施来减轻这些风险，包括改变庇护威慑政策和扩大人道主义服务。

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引用次数: 0

Associations of Taiwanese patient-caregiver concordance on death preparedness with dyadic end-of-life outcomes 台湾病患与照护者对死亡准备的一致性与二元临终结果的关联

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-28 DOI: 10.1016/j.ssmmh.2025.100553

Fur-Hsing Wen , Chia-Hsun Hsieh , Wen-Chi Chou , Jen-Shi Chen , Wen-Cheng Chang , Siew Tzuh Tang

Background

Despite dyadic interdependence of preparedness for death, associations of death preparedness (conjoint cognitive prognostic awareness and emotional acceptance) with psychological distress and quality of life (QOL) have been mainly examined cross-sectionally in patients or caregivers. This study longitudinally assessed associations of patient-caregiver concordance on death preparedness with dyads' psychological distress, QOL, and caregivers’ burden.

Patients/methods

Among 520 Taiwanese terminal cancer dyads, multivariate hierarchical linear models examined associations between death-preparedness concordance and anxiety, depression, QOL, and caregiving burden, separately for patients and caregivers across four concordant states (unprepared-concordant, cognitive-concordant, emotional-concordant, and sufficient-concordant) versus discordance, reported as β estimates with 95 % confidence intervals.

Results

Death-preparedness concordance was associated with outcomes, except unprepared concordance showed no association with patient outcomes, and emotional concordance was unrelated to caregiver outcomes. Relative to the discordant group, patients in the cognitive-concordant state had more anxiety (0.927 [0.364, 1.490]) and worse QOL (−3.933 [-6.661, −1.205]), whereas those in the emotional-concordant state had fewer symptoms of anxiety (−1.913 [-3.154, −0.672]) and depression (−1.617 [-3.128, −0.106]). The sufficient-concordant state was associated with fewer anxiety symptoms (−0.940 [-1.471, −0.409]) and better QOL (4.119 [1.252, 6.986]). Caregivers in unprepared- and cognitive-concordant states had more depressive symptoms and worse QOL, while those in the sufficient-concordant state reported fewer depressive symptoms (−1.960 [-3.348, −0.572]) and better QOL (3.922 [1.419, 6.425]). Cognitive-concordant caregivers also reported higher subjective burden (2.228 [0.962, 3.494]).

Conclusions

Sufficient concordance in death preparedness reduces patient anxiety and caregiver depression while improving dyads’ QOL, underscoring its role in enhancing end-of-life outcomes.

背景：尽管死亡准备存在二元相互依赖关系，但死亡准备（联合认知预后意识和情感接受）与心理困扰和生活质量（QOL）的关联主要在患者或护理人员中进行横断面研究。本研究以纵向方式评估患者与照护者对死亡准备的一致性与二人心理困扰、生活质量及照护者负担的关系。患者/方法在520名台湾晚期癌症患者中，采用多元层次线性模型，分别对患者和护理人员在四种和谐状态（未准备和谐、认知和谐、情绪和谐和充分和谐）和不和谐状态下的死亡准备一致性与焦虑、抑郁、生活质量和护理负担之间的关系进行了研究，报告为β估计，置信区间为95%。结果死亡准备一致性与预后相关，但未准备一致性与患者预后无关联，情绪一致性与护理者预后无关。与不协调组相比，认知-和谐状态患者的焦虑症状较多（0.927[0.364,1.490]），生活质量较差（- 3.933[-6.661,- 1.205]），情绪-和谐状态患者的焦虑症状较少（- 1.913[-3.154,- 0.672]），抑郁症状较少（- 1.617[-3.128,- 0.106]）。充分和谐状态与焦虑症状减少（- 0.940[-1.471,- 0.409]）和生活质量改善（4.119[1.252,6.986]）相关。无准备和认知和谐状态的照顾者抑郁症状较多，生活质量较差；充分和谐状态的照顾者抑郁症状较少（- 1.960[-3.348,- 0.572]），生活质量较好（3.922[1.419,6.425]）。认知和谐照顾者的主观负担也较高（2.228[0.962,3.494]）。结论充分的死亡准备一致性降低了患者的焦虑和照顾者的抑郁，改善了患者的生活质量，强调了其在提高临终预后方面的作用。

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引用次数: 0

Journeys and experiences accessing trauma support for Black adults with complex trauma: a qualitative study 具有复杂创伤的黑人成人获得创伤支持的旅程和经历：一项定性研究

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-07-19 DOI: 10.1016/j.ssmmh.2025.100498

Lewis Benjamin , Steve Gillard , Jessica Jones Nielsen , Camila Graterol Munoz , Jacqueline Sin

引用次数: 0

Barriers to suicide research are also barriers to suicide prevention:Insights from conducting a mixed-methods project in oncology 自杀研究的障碍也是自杀预防的障碍：在肿瘤学中进行混合方法项目的见解

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-06-26 DOI: 10.1016/j.ssmmh.2025.100484

Judith Hirschmiller , Tamara Schwinn , Jörg Wiltink , Manfred E. Beutel , Rüdiger Zwerenz , Elmar Brähler , Mareike Ernst

Cancer patients are at risk for suicidal crises. There is a need for more research concerning specific risk/protective factors and knowledge about barriers and resources of prevention efforts in clinical practice. This contribution reports on difficulties during the realization of a research project that aimed to address these research gaps, among other approaches, via a patient survey and an interview study with healthcare professionals (HCPs). Throughout recruitment and implementation, we documented the barriers encountered and systematically analyzed them.

We identified three main categories of obstacles toward the research endeavor that also hold meaning for the efficacy of suicide prevention: First, suicidal thoughts and behaviors are not (allowed to be) an issue in oncology, subsuming the denial of their occurrence, the minimization of their relevance, the alleged appropriateness of the construct to oncology, and the rejection of responsibility; second, prevailing suicide myths, in particular of iatrogenic harm; and third, strong, negative emotional reactions undermining dialogue.

We interpret these experiences against previous considerations of dysregulated responses to suicidal patients in the healthcare setting and analyze their causes and functions. These findings highlight the urgent need for structured education on suicide prevention across medical disciplines, particularly in oncology. Addressing both knowledge gaps and emotional barriers among HCPs is crucial for fostering a proactive, evidence-based approach to suicide prevention. Future efforts should focus on integrating suicide risk assessment and intervention strategies into routine cancer care, alongside improved interdisciplinary collaboration and institutional support.

癌症患者有自杀的危险。有必要对具体的风险/保护因素进行更多的研究，并了解临床实践中预防工作的障碍和资源。这篇文章报告了在通过患者调查和对医疗保健专业人员（HCPs）的访谈研究等方法解决这些研究差距的研究项目实现过程中的困难。在整个招聘和实施过程中，我们记录了遇到的障碍并系统地分析了它们。我们确定了研究努力的三个主要障碍类别，这些障碍也对自杀预防的有效性有意义：首先，自杀的想法和行为在肿瘤学中不（允许）成为一个问题，包括否认它们的发生，最小化它们的相关性，所谓的肿瘤结构的适当性，以及拒绝承担责任；第二，流行的自杀迷思，特别是医源性伤害；第三，强烈的负面情绪反应会破坏对话。我们解释这些经验，反对以前的考虑失调反应自杀患者在医疗环境和分析其原因和功能。这些发现强调了在医学领域，特别是肿瘤学领域，对自杀预防进行结构化教育的迫切需要。解决医务人员之间的知识差距和情感障碍对于促进采取主动的、以证据为基础的自杀预防方法至关重要。未来的努力应该集中在将自杀风险评估和干预策略整合到常规癌症治疗中，同时改善跨学科合作和机构支持。

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引用次数: 0

Drought, worry, and preparing for the future: The ethnopsychology of climate distress in Kilifi County, Kenya 干旱、担忧和为未来做准备：肯尼亚基利菲县气候窘迫的民族心理学

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-09 DOI: 10.1016/j.ssmmh.2025.100529

Edna N. Bosire , Syed Shabab Wahid , Linda N. Khakali , Benjamin Oestericher , Felix Agoi , Janeeta Shaukat , Anthony Ngugi , Rosebella Iseme-Ondiek , Jasmit Shah , Zul Merali , Lukoye Atwoli , Emily Mendenhall

The impacts of climate change in sub-Saharan Africa (SSA) presents a chronic and intensifying disaster, with drought, flooding, and extreme heat, presenting unique challenges and profound disruptions. Growing evidence links such events to ecological grief, ecological anxiety, and solastalgia – negative affective states that reflects responses to climate change related destruction of nature, species, culturally significant or sacred spaces, and other ways of life. While this literature is expanding in the Global North, little is known about how communities in SSA perceive and respond to deteriorating or depleting natural ecosystems. This article explores the ethnopsychology of distress precipitated by environmental stressors and its local conceptualization amongst residents of Kilifi County, Kenya. We interviewed 30 community members to investigate how experiences of drought, flooding and other ecological changes are linked to mental health, physical health as well as socio-cultural lives. Given the intimate ties between people and their natural environments, climatic shocks disrupted not only livelihoods but also cultural and spiritual connections to land. Participants described feelings of distress, loss of identity, hopelessness, depression, and anxiety – often associated with economic pressures such as food insecurity. With sweeping and swiftly changing ecological symptoms, our findings underscore the need to situate ecological change at the center of mental and public health discussions. Despite the hardships, our interlocutors suggested that resilience may occur in the small measures such as planting drought resistant crops, drilling more boreholes and storing food strategically for future droughts to stave off hunger, fear, and grief. Coping strategies ranged from adaptive (communal support, food storage, religious practices) to maladaptive (substance use, labor migration), highlighting the urgent need for psychosocial and structural support in ecologically vulnerable settings.

气候变化对撒哈拉以南非洲（SSA）的影响呈现出一种慢性且日益加剧的灾害，干旱、洪水和极端高温带来了独特的挑战和深刻的破坏。越来越多的证据表明，这些事件与生态悲伤、生态焦虑和太阳痛症有关。太阳痛症是一种消极的情感状态，反映了气候变化对自然、物种、具有重要文化意义或神圣空间以及其他生活方式的破坏。虽然这方面的文献在全球北方不断扩大，但人们对SSA社区如何感知和应对不断恶化或枯竭的自然生态系统知之甚少。本文探讨了肯尼亚基利菲县居民因环境压力而引发的痛苦的民族心理学及其地方性观念。我们采访了30名社区成员，调查干旱、洪水和其他生态变化的经历与心理健康、身体健康以及社会文化生活之间的关系。鉴于人与自然环境之间的密切联系，气候冲击不仅破坏了生计，还破坏了与土地的文化和精神联系。参与者描述了痛苦、丧失身份、绝望、抑郁和焦虑的感觉——通常与粮食不安全等经济压力有关。随着生态症状的迅速变化，我们的研究结果强调了将生态变化置于精神和公共卫生讨论中心的必要性。尽管困难重重，我们的对话者认为，恢复力可能发生在小措施中，如种植抗旱作物，钻更多的井，战略性地储存粮食以应对未来的干旱，以避免饥饿、恐惧和悲伤。应对策略从适应性（社区支持、食物储存、宗教习俗）到非适应性（物质使用、劳动力迁移），突出了在生态脆弱环境中迫切需要社会心理和结构支持。

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引用次数: 0

Lifetime prevalence of mental disorders and the costs for civic engagement among college and university students: Insights from the Norwegian SHoT2022 cohort 大学生精神障碍的终生患病率和公民参与的成本：来自挪威SHoT2022队列的见解

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-01 DOI: 10.1016/j.ssmmh.2025.100519

Lisa-Christine Girard , Martin Okolikj , Mari Hysing , Børge Sivertsen

The high prevalence of mental disorders has become a globally pervasive social issue resulting in its placement as among one of the leading causes of the global burden of disease. Noteworthy, prevalence estimates of college and university students affected by mental disorders are, in particular, exceedingly high. This may have important consequences for early habit formation of civic engagement given the developmental period (e.g., first time eligible voters). Using data from the Students’ Health and Wellbeing study (SHoT2022) – a nationally representative survey of college/university students across Norway – we examine how lifetime prevalence of common mental disorders (i.e., major depressive episode, generalized anxiety disorder, and social anxiety disorder) impact upon politically-oriented (i.e., voting) and community-oriented participatory activities (e.g., sports, cultural clubs, student-democracy, special interest groups, professional associations or off campus volunteering). Our findings suggest nuanced associations, whereby students with a lifetime prevalence of social anxiety disorder are less likely to turnout to vote (average marginal effects [AMEs] are 2.5 percentage points lower for both the national and municipal level elections). Meanwhile, students with either generalized anxiety disorder or social anxiety disorder are at risk of reduced participation in community-oriented activities (AMEs range from −1.5 to −2.3 percentage point across activities), and students with major depressive episode evidence both positive (participation in special interest groups equal to 2 percentage points) and negative (participation in sports equal to −1.5 percentage points) associations. Our results highlight the impact that lifetime prevalence of mental disorders, in particular anxiety disorders, may have on reducing mobilization into civic engagement (i.e., political- and community-oriented participatory activities) in college/university students.

精神障碍的高流行率已成为一个全球普遍存在的社会问题，导致其成为全球疾病负担的主要原因之一。值得注意的是，受精神障碍影响的大学生的患病率估计特别高。考虑到发展阶段，这可能对公民参与的早期习惯形成产生重要影响（例如，第一次有资格的选民）。利用学生健康与福祉研究（SHoT2022）的数据——一项对挪威全国大学生的代表性调查——我们研究了常见精神障碍（即重度抑郁发作、广泛性焦虑症和社交焦虑症）的终生患病率如何影响政治导向（即投票）和社区导向的参与性活动(如体育、文化俱乐部、学生民主、特殊利益团体、专业协会或校外志愿者)。我们的研究结果显示了细微的关联，即终生患有社交焦虑障碍的学生不太可能参加投票（在国家和市级选举中，平均边际效应[AMEs]都要低2.5个百分点）。与此同时，患有广泛性焦虑障碍或社交焦虑障碍的学生在社区活动中的参与度降低（活动范围从- 1.5到- 2.3个百分点），而患有重度抑郁发作的学生在积极（参加特殊兴趣小组等于2个百分点）和消极（参加体育运动等于- 1.5个百分点）的关联中都有证据。我们的研究结果强调了精神障碍的终生患病率，特别是焦虑症，可能会减少大学生对公民参与（即政治和社区参与活动）的动员。

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