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Parent engagement with a short, animated storytelling video aimed at reducing stigma towards transgender children and adolescents: Post-trial assessment of a randomized controlled trial
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-09 DOI: 10.1016/j.ssmmh.2025.100410
Merlin Greuel , Doron Amsalem , Misha Seeff , Jennifer Gates , Shuyan Liu , Andrés Martin , Till Bärnighausen , Maya Adam

Background

Transgender adolescents commonly experience hate speech on social media, contributing to transphobia and adverse health outcomes. While social media can increase polarization and stigma towards vulnerable groups, they may also facilitate intergroup contact. Short, animated storytelling (SAS) videos have shown promising stigma-reducing effects. However, there is scarce evidence on viewers’ engagement with these videos.

Objective

This study evaluates the voluntary engagement of 481 US-based parents with a SAS video aimed at reducing stigma towards transgender youth.

Methods

1267 US parents were recruited through the online platform Prolific Academic and randomized into the SAS intervention viewing the video or the control group. The optional, post-trial access to the intervention was available to the control group only. We measured the amount of time subjects in the control group spent voluntarily watching the video and analyzed this data by demographic characteristics and pre-existing transphobia, as measured by the Transgender Stigma Scale (TSS). We used chi-square tests to examine whether subjects’ engagement was associated with sociodemographic factors, and Pearson correlation tests to examine the association between baseline TSS scores and view time.

Results

Almost all participants (95%) watched at least 50% of the video, 92% watched at least 75% of the video, 90% watched at least 90% of the video, and 88% watched the entire video. Female subjects and those with low baseline transphobia showed longer view times than male participants and those with high transphobia, respectively. We observed no association between video completion and participants’ age or race/ethnicity.

Conclusion

We found significant voluntary engagement with an SAS video aimed at reducing transphobia among US parents. Engagement was high even among those with elevated transphobia. Animations rooted in authentic storytelling may thus bridge user communities with differing ideologies on social media. Future studies should test engagement in real social media environments.
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引用次数: 0
Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-08 DOI: 10.1016/j.ssmmh.2025.100398
Sergiy Bogdanov , Kateryna Koss , Kimberly Hook , Quincy Moore , Catharina Van der Boor , Alessandro Masazza , Daniela C. Fuhr , Bayard Roberts , Carl May , Olha Fedorets , Oxana Bayer , Andrii Karachevskyy , Abhijit Nadkarni
Affecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk of AUDs. However, there is a dearth of evidence regarding alcohol misuse, as well as knowledge of factors associated with alcohol misuse patterns, in conflict settings. The aim of this qualitative study was to investigate explanatory models of alcohol misuse among conflict-affected men in Ukraine. Purposive and snowball sampling were used to recruit 66 conflict-affected men with alcohol misuse, family members of men who misuse alcohol, community health workers, and mental health and psychosocial support providers from locations across Ukraine. In the group of men who misuse alcohol (n = 25), we recruited individuals with diverse experiences of adversity: 1) internally displaced persons from eastern Ukraine and Crimea displaced after 2014; 2) Ukrainian military veterans or territorial defense volunteers from various regions; and 3) men living 5–15 km from the frontline. Semi-structured interviews were conducted in Ukrainian or Russian, and analysed using deductive and inductive analysis. Qualitative data received from each subgroup were analysed separately. The resulting explanatory model represents how Ukrainian conflict-affected men describe causes of alcohol misuse. Participants identified that alcohol misuse among Ukrainian men is often used as “self-treatment” to address mental health symptoms and feelings of demoralization that are exacerbated by a lack of supportive social environments and socio-economic problems; these behaviours also occur in an environment that deems alcohol misuse to be culturally appropriate. Family members and service providers offered a similar understanding of alcohol misuse as the men themselves. Strategies suggested by conflict-affected men to protect against alcohol misuse included engaging in alternative activities, finding supportive social environments, fear of negative consequences from alcohol misuse and increasing self-awareness and self-control. These findings indicate possible implications for interventions that target alcohol misuse among conflict-affected men, as well as demonstrate a need for developing culturally sensitive interventions that can address this unaddressed public health need.
{"title":"Explanatory models and coping with alcohol misuse among conflict-affected men in Ukraine","authors":"Sergiy Bogdanov ,&nbsp;Kateryna Koss ,&nbsp;Kimberly Hook ,&nbsp;Quincy Moore ,&nbsp;Catharina Van der Boor ,&nbsp;Alessandro Masazza ,&nbsp;Daniela C. Fuhr ,&nbsp;Bayard Roberts ,&nbsp;Carl May ,&nbsp;Olha Fedorets ,&nbsp;Oxana Bayer ,&nbsp;Andrii Karachevskyy ,&nbsp;Abhijit Nadkarni","doi":"10.1016/j.ssmmh.2025.100398","DOIUrl":"10.1016/j.ssmmh.2025.100398","url":null,"abstract":"<div><div>Affecting nearly 10% of men globally, alcohol use disorders (AUDs) represent a significant public health burden. Existing work, including from Ukraine, suggests that living in conflict settings may exacerbate the risk of AUDs. However, there is a dearth of evidence regarding alcohol misuse, as well as knowledge of factors associated with alcohol misuse patterns, in conflict settings. The aim of this qualitative study was to investigate explanatory models of alcohol misuse among conflict-affected men in Ukraine. Purposive and snowball sampling were used to recruit 66 conflict-affected men with alcohol misuse, family members of men who misuse alcohol, community health workers, and mental health and psychosocial support providers from locations across Ukraine. In the group of men who misuse alcohol (n = 25), we recruited individuals with diverse experiences of adversity: 1) internally displaced persons from eastern Ukraine and Crimea displaced after 2014; 2) Ukrainian military veterans or territorial defense volunteers from various regions; and 3) men living 5–15 km from the frontline. Semi-structured interviews were conducted in Ukrainian or Russian, and analysed using deductive and inductive analysis. Qualitative data received from each subgroup were analysed separately. The resulting explanatory model represents how Ukrainian conflict-affected men describe causes of alcohol misuse. Participants identified that alcohol misuse among Ukrainian men is often used as “self-treatment” to address mental health symptoms and feelings of demoralization that are exacerbated by a lack of supportive social environments and socio-economic problems; these behaviours also occur in an environment that deems alcohol misuse to be culturally appropriate. Family members and service providers offered a similar understanding of alcohol misuse as the men themselves. Strategies suggested by conflict-affected men to protect against alcohol misuse included engaging in alternative activities, finding supportive social environments, fear of negative consequences from alcohol misuse and increasing self-awareness and self-control. These findings indicate possible implications for interventions that target alcohol misuse among conflict-affected men, as well as demonstrate a need for developing culturally sensitive interventions that can address this unaddressed public health need.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100398"},"PeriodicalIF":4.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143402969","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Economic evaluations of pharmacological and non-pharmacological interventions for delirium: A systematic review and meta-analysis
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-08 DOI: 10.1016/j.ssmmh.2025.100408
Md Parvez Mosharaf , Khorshed Alam , Jeff Gow , Rashidul Alam Mahumud

Background

Delirium, a prevalent cognitive dysfunction in older adults, particularly in hospital and surgical settings, significantly increases patient morbidity, mortality, and healthcare costs. However, economic evaluations of healthcare interventions aimed at its prevention, management, and treatment are scant. This study synthesized the available economic evaluation evidence on both pharmacological and non-pharmacological interventions.

Methods

A systematic review was conducted on studies published from January 1, 2000, to December 31, 2023, across multiple databases, including PubMed, MEDLINE, Scopus, and EBSCOhost (CINAHL, PsycINFO, and ECOLIT). We adhered to the PICOS framework for inclusion and exclusion criteria and followed PRISMA guidelines for the analysis. The quality of the studies included was assessed using the CHEERS checklist. The meta-analysis of the cost-effectiveness of multicomponent non-pharmacological intervention was evaluated using incremental net benefits (INB).

Results

Sixteen eligible studies met the inclusion criteria including four cost-effectiveness analyses (CEA), two cost-benefit analyses (CBA), three cost-consequence analyses (CCA), and seven cost-saving/minimization analyses. The majority (14/16 studies) evaluated non-pharmacological interventions, while only two studies assessed the cost-effectiveness of drug interventions (i.e. dexmedetomidine). Besides the cost-effective multicomponent interventions, pharmacological intervention was also associated with a cost reduction of a maximum of US$4370 per patient by decreasing the length of ICU stays. The studies predominantly originated from high-income countries. The meta-analysis included four studies and pooled INB of multicomponent non-pharmacological intervention was estimated at US$8014 (95% CI=US$1,060, US$14,969; p-value<0.05) with significant heterogeneity among the studies (I2 = 100%; p-value<0.01). The pooled INB was US$2657 higher for the model-based economic evaluation studies compared to within-trial evaluation.

Conclusion

The estimated INB indicated that multicomponent non-pharmacological intervention was a cost-effective strategy to prevent and manage delirium cases which indicates improved patient outcomes and potential cost savings. Future research should focus on low-resource settings and direct comparisons of pharmacological and non-pharmacological approaches to further enhance delirium management practices.
{"title":"Economic evaluations of pharmacological and non-pharmacological interventions for delirium: A systematic review and meta-analysis","authors":"Md Parvez Mosharaf ,&nbsp;Khorshed Alam ,&nbsp;Jeff Gow ,&nbsp;Rashidul Alam Mahumud","doi":"10.1016/j.ssmmh.2025.100408","DOIUrl":"10.1016/j.ssmmh.2025.100408","url":null,"abstract":"<div><h3>Background</h3><div>Delirium, a prevalent cognitive dysfunction in older adults, particularly in hospital and surgical settings, significantly increases patient morbidity, mortality, and healthcare costs. However, economic evaluations of healthcare interventions aimed at its prevention, management, and treatment are scant. This study synthesized the available economic evaluation evidence on both pharmacological and non-pharmacological interventions.</div></div><div><h3>Methods</h3><div>A systematic review was conducted on studies published from January 1, 2000, to December 31, 2023, across multiple databases, including PubMed, MEDLINE, Scopus, and EBSCOhost (CINAHL, PsycINFO, and ECOLIT). We adhered to the PICOS framework for inclusion and exclusion criteria and followed PRISMA guidelines for the analysis. The quality of the studies included was assessed using the CHEERS checklist. The meta-analysis of the cost-effectiveness of multicomponent non-pharmacological intervention was evaluated using incremental net benefits (INB).</div></div><div><h3>Results</h3><div>Sixteen eligible studies met the inclusion criteria including four cost-effectiveness analyses (CEA), two cost-benefit analyses (CBA), three cost-consequence analyses (CCA), and seven cost-saving/minimization analyses. The majority (14/16 studies) evaluated non-pharmacological interventions, while only two studies assessed the cost-effectiveness of drug interventions (i.e. dexmedetomidine). Besides the cost-effective multicomponent interventions, pharmacological intervention was also associated with a cost reduction of a maximum of US$4370 per patient by decreasing the length of ICU stays. The studies predominantly originated from high-income countries. The meta-analysis included four studies and pooled INB of multicomponent non-pharmacological intervention was estimated at US$8014 (95% CI=US$1,060, US$14,969; p-value&lt;0.05) with significant heterogeneity among the studies (<em>I</em><sup><em>2</em></sup> = 100%; p-value&lt;0.01). The pooled INB was US$2657 higher for the model-based economic evaluation studies compared to within-trial evaluation.</div></div><div><h3>Conclusion</h3><div>The estimated INB indicated that multicomponent non-pharmacological intervention was a cost-effective strategy to prevent and manage delirium cases which indicates improved patient outcomes and potential cost savings. Future research should focus on low-resource settings and direct comparisons of pharmacological and non-pharmacological approaches to further enhance delirium management practices.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100408"},"PeriodicalIF":4.1,"publicationDate":"2025-02-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143387281","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
Addressing the unique supervisory needs of humanitarian volunteers: Insights from piloting the ‘Integrated Model for Supervision’ in Bangladesh
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-08 DOI: 10.1016/j.ssmmh.2025.100403
Charles Zemp , Marie Sonnenstuhl , Nadeen Abujaber , Pia Tingsted Blum , Ahlem Cheffi , Md Saidul Islam , Salam Jabbour , Sabiha Jahan , Cátia Sofia Peres de Matos , Bhanu Pratap Maurya , Kelly A. McBride , Louise Marie Thorlund Nielsen , Nick Ockenden , Nathalie Helena Rigall , Meg Ryan , Shona Whitton , Frédérique Vallières

Background

The quality and sustainability of mental health and psychosocial support (MHPSS) services - as an essential component of any humanitarian response - requires that those delivering MHPSS services avail of regular and supportive supervision. The ‘Integrated Model for Supervision’ (IMS) provides humanitarian organisations with guidance on how to provide such supervision to their workforce. However, the unique supervisory needs of humanitarian volunteers, who comprise most of the global humanitarian workforce, are less well understood. This study explores these needs, identifies how they might be met through supervision, and highlights potential ways the IMS could be improved to better support MHPSS volunteers within humanitarian emergencies.

Methods

Nine supervisors (staff members) and supervisees (volunteers) from a humanitarian organisation based in Bangladesh who had participated in an IMS training in May 2023 were interviewed about their experience with the IMS and how supportive supervision could be adapted for humanitarian volunteers. These interviews were then thematically analysed.

Results

We identified three principal themes. First, participants highlighted the unique challenges of being a humanitarian volunteer, including a competitive mentality among volunteers, which they believed supportive supervision could help address. Second, participants emphasised the necessary adaptations to supportive supervision to effectively support the volunteer workforce. Finally, participants spoke about the organisational conditions that would pose challenges for implementing supportive supervision for volunteers, including low awareness of the importance of promoting volunteer mental health among organisational leadership.

Discussion/conclusion

The current study highlights differences in supervisory needs between humanitarian volunteers and paid staff and how supportive supervision could be adapted to better serve the volunteer cohort. While this study serves as an important stepping stone for understanding these differences, further exploration is crucial to continue to tailor supportive supervision for humanitarian volunteers, particularly given their prevalence in global humanitarian aid efforts.
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引用次数: 0
Prevalence and factors associated with the multiple morbidity of postpartum depression, diabetes mellitus and hypertension among mothers in Mbarara district, south western Uganda: A parallel convergent mixed methods study
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-08 DOI: 10.1016/j.ssmmh.2025.100406
Catherine Atuhaire , Kabanda Taseera , Daniel Atwine , Samuel Maling , Francis Bajunirwe , Godfrey Zari Rukundo
<div><h3>Background</h3><div>The occurrence of multiple morbidities of postpartum depression (PPD), hypertension and diabetes mellitus (DM) among postpartum mothers poses a health care challenge because it not only affects the mother but also the life of the new born baby and that of close family members. Therefore, this study aimed at examining the prevalence and factors associated with these comorbidities among mothers in public health facilities in Mbarara, south western Uganda.</div></div><div><h3>Methods</h3><div>We conducted a facility based cross sectional study using parallel convergent mixed methods to collect information from 309 postpartum mothers from 6 weeks to 6 months after childbirth. Using consecutive sampling, mothers were enrolled from postnatal clinics of two health facilities: Mbarara Regional Referral Hospital and Bwizibwera Health Center IV in urban and rural southwestern Uganda respectively. A psychiatric classification based on the Mini-International Neuropsychiatric Interview (MINI 7.0.2) for the Diagnostic and Statistical Manual of Mental Disorders, 5th Edition (DSM-5) was used. DM was diagnosed by measuring Hemoglobin A1c (HbA1c). Hypertension was diagnosed when a person's systolic blood pressure (SBP) was ≥140 mm Hg and/or their diastolic blood pressure (DBP) was ≥90 mm Hg following repeated examination. The primary outcome was multiple morbidity defined as co-occurrence of PPD, hypertension and DM. Logistic regression was used to determine the factors associated with multiple morbidity. In the qualitative phase, 20 key informant interviews each lasting 30–45 min were conducted purposively. The interviews were audio recorded, transcribed verbatim and translated from the local dialect of Runyankore to English and analyzed thematically.</div></div><div><h3>Results</h3><div>The prevalence of multiple morbidity was 13.6% (95% CI: 10.2–19.3%). The prevalence of multi - morbidity did not vary significantly across age categories, p = 0.056. Having high cortisol levels between 6 weeks and 6 months postpartum was the only factor significantly associated with multi-morbidity among mothers with postpartum depression in both bivariate analysis and multivariate analysis adjusted OR = 6.9, (95% CI: 3.29–14.47), p < 0.001. In addition, this study revealed that psychological and socioeconomic factors, intimate partner violence and life style changes were likely to predispose the mothers to the multiple morbidity of PPD, Hypertension and DM.</div></div><div><h3>Conclusion</h3><div>Both quantitative and qualitative data offered complementary insights. The quantitative analysis highlighted high cortisol levels and diabetes mellitus as key biological factors associated with the multiple morbidity of PPD, hypertension and DM and qualitative findings enriched this understanding by illustrating the psychological, socioeconomic hardships, IPV and lifestyle changes context of these biological changes as they were frequently reported, offer
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引用次数: 0
Trauma-related cultural concepts of distress: A systematic review of qualitative literature from the middle east and North Africa, and Sub-Saharan Africa
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-08 DOI: 10.1016/j.ssmmh.2025.100402
Marion Bovey , Nadine Hosny , Felicia Dutray , Eva Heim
Culture shapes how individuals experience, understand, and express trauma-related distress. The study of cultural concepts of distress (CCDs) provides valuable insights into culturally specific symptoms, syndromes, and explanatory models that emerge in different contexts. Incorporating CCDs into research and clinical practice not only allows for a better understanding of individuals' experiences but is also a key element in better understanding how psychological processes are perceived within various cultural contexts. This systematic review aimed to compile qualitative research on trauma-related CCDs in the Middle East and North Africa (MENA) as well as Sub-Saharan Africa (SSA) to facilitate their use by researchers and practitioners working with these populations from these regions. Searches were conducted in sixteen databases using search terms for countries, methods, symptoms, and trauma exposure. Forty-one studies were included, identifying a total of eighty CCDs and fifty-two idioms of distress. Findings revealed multiple etiologies, going beyond trauma to include structural, psychosocial and spiritual factors. The severity of distress ranged from normal and transient to severe and profoundly stigmatizing, depending on the symptomatic manifestations, their consequences, and the nature of the traumatic experiences. Finally, the findings suggest that effective interventions must extend beyond individual-focused approaches to address broader social, structural and community-level factors.
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引用次数: 0
Integration of MHPSS in post-war transitional justice: A case study of Sri Lanka's 2016 public consultations on and implementation of reconciliation mechanisms
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-07 DOI: 10.1016/j.ssmmh.2025.100396
Maleeka Salih , Ananda Galappatti , Gameela Samarasinghe , Mahesan Ganesan , Rehan Meemaduma
There is currently significant interest in the fields of global peacebuilding, development and humanitarian assistance in the integration of Mental Health & Psychosocial Support (MHPSS) with peacebuilding. This article offers a case study of Sri Lanka's experiences of MHPSS integration in its post-war transitional justice and reconciliation process, describing how MHPSS considerations were incorporated into national consultation to design state reconciliation mechanisms and in their subsequent implementation. It offers a critical reflection on the integration of MHPSS and assesses whether this was sufficient to respond to the needs of survivors and affected groups during the consultations and beyond.
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引用次数: 0
Psychometric properties of the Peer Mental Health Stigmatization Scale in Indonesian adolescents
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-07 DOI: 10.1016/j.ssmmh.2025.100400
Mohammad Hendra Setia Lesmana (Moh Hendra Setia Lesmana) , Min-Huey Chung
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引用次数: 0
Privileging the spirit, voices, and culture of Aboriginal and Torres Strait Islander peoples in dementia care: Education for non-Indigenous health care providers 在痴呆症护理中重视土著居民和托雷斯海峡岛民的精神、声音和文化:对非土著医疗服务提供者的教育
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-02-04 DOI: 10.1016/j.ssmmh.2025.100395
Lynette R. Goldberg , Kylie Radford , Kate Smith , Dina LoGiudice , Lauren Poulos , Dianne Baldock , Clair Andersen , Janaya Charles , Alison J. Canty , Dawn Bessarab , Jade Cartwright , Jo-anne Hughson , Merete Schmidt , Jennifer Evans , Caleb Rivers , Jacqueline Spotswood , James Vickers

Purpose of research

Data show that many Aboriginal and Torres Strait Islander peoples experiencing dementia receive services at mainstream health organizations and from non-Indigenous health care providers. It is imperative that non-Indigenous health care providers are educated about culturally respectful and safe care for Aboriginal and Torres Strait Islander peoples with dementia. The purpose of this research was to partner with Aboriginal Elders to co-design and implement an online unit on culturally respectful and safe care to educate non-Indigenous health care providers.

Principal results

Twelve Aboriginal Elders from four Australian states, along with state-based Aboriginal project officers, partnered with the national, interdisciplinary research team to co-create and co-deliver the 13-week unit. Elders formed a Governance Group to guide the research team and ensure the content, delivery and methods of assessment of the unit privileged the spirit, voices, and diverse cultures of Aboriginal and Torres Strait Islander peoples. A team of Aboriginal markers, including Elders and project officers, was established to evaluate students’ assessments. The unit commenced in late July 2024 with 375 students enrolled.

Major conclusions

Comments from both Elders and students affirmed the importance of Elders' presence in the unit through their weekly zoom sessions with students and participation in evaluation of students' learnings. Elders’ guidance in the co-creation and co-delivery of the unit has been recognized at program, college and university levels. The unit is available nationally and internationally through the online Diploma of Dementia Care offered by the University of Tasmania, Australia.
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引用次数: 0
Broad concepts of mental disorder may not be valid concepts: Rejoinder to Ning (2025)
IF 4.1 Q1 PSYCHIATRY Pub Date : 2025-01-31 DOI: 10.1016/j.ssmmh.2025.100393
Jesse S.Y. Tse, Nick Haslam
{"title":"Broad concepts of mental disorder may not be valid concepts: Rejoinder to Ning (2025)","authors":"Jesse S.Y. Tse,&nbsp;Nick Haslam","doi":"10.1016/j.ssmmh.2025.100393","DOIUrl":"10.1016/j.ssmmh.2025.100393","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"7 ","pages":"Article 100393"},"PeriodicalIF":4.1,"publicationDate":"2025-01-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143220262","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
引用次数: 0
期刊
SSM. Mental health
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