SSM. Mental health最新文献

{"title":"Understanding the role of intersectional identity constructs on psychological well-being of Latino men who have sex with men (LMSM) in San Diego, California: A cross-sectional analysis of the NEXUS study","authors":"Angel B. Algarin ,&nbsp;Eileen V. Pitpitan ,&nbsp;Renee El Krab ,&nbsp;Nicole K. Kelly ,&nbsp;Maryam Hussain ,&nbsp;Carl Latkin ,&nbsp;Britt Skaathun ,&nbsp;Heather A. Pines ,&nbsp;Aaron Gutierrez ,&nbsp;Francisco Soto ,&nbsp;Ricardo Vazquez Jr. ,&nbsp;Juan Esparza ,&nbsp;Malek Guerbaoui ,&nbsp;Beth Davenport ,&nbsp;Veronica Moore ,&nbsp;Laramie R. Smith","doi":"10.1016/j.ssmmh.2025.100576","DOIUrl":"10.1016/j.ssmmh.2025.100576","url":null,"abstract":"<div><h3>Background</h3><div>Latino men who have sex with men (LMSM) experience substantial mental health inequities, partly due to intersectional stigma related to their Latino, masculine (i.e., conceptualized as a spectrum of gendered expectations, where both endorsement and non-endorsement of traditional masculine norms shape experience), and sexual identities. While prior research has examined identity valence (e.g., internalized stigma, pride) and magnitude (e.g., centrality, salience), little is known about how these constructs jointly influence mental health from an intersectional lens. This study explores the impact of intersectional identity constructs on psychological well-being among LMSM in San Diego, California.</div></div><div><h3>Methods</h3><div>We analyzed baseline data from 503 participants enrolled in the NEXUS study, a longitudinal cohort investigating intersectional stigma and HIV prevention using social network methods. Participants reported on identity centrality, salience, internalized stigma, and pride across Latino, masculine, and sexual identities. Mental health outcomes included depression (CESD-10), anxiety (GAD-7), and resilience (CD-RISC-10). Structural equation modeling assessed a measurement model of latent intersectional identity constructs and their associations with psychological well-being.</div></div><div><h3>Results</h3><div>Higher intersectional internalized stigma and identity salience were associated with greater depression (β = 0.33, p &lt; 0.001; β = 0.25, p &lt; 0.001) and anxiety (β = 0.33, p &lt; 0.001; β = 0.22, p &lt; 0.001). Identity centrality was negatively associated with depression (β = −0.14, p = 0.037). Pride was positively associated with resilience (β = 0.16, p = 0.038), while internalized stigma was negatively associated (β = −0.25, p = 0.001).</div></div><div><h3>Conclusions</h3><div>Intersectional internalized stigma and identity salience may harm mental health, while centrality and pride show protective effects. Findings highlight the importance of intersectional frameworks in mental health care for LMSM.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100576"},"PeriodicalIF":2.6,"publicationDate":"2025-12-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145748191","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond belief: understanding contexts for help-seeking for severe mental illness in urban slum communities in Dhaka, Bangladesh and Ibadan, Nigeria","authors":"Ursula M. Read ,&nbsp;Bulbul Siddiqi ,&nbsp;Kafayat Aminu ,&nbsp;Adeola Afolayan ,&nbsp;Md Tahsinul Haque ,&nbsp;Ashrafuzzaman Khan ,&nbsp;Nadia Alam ,&nbsp;Srividya N. Iyer ,&nbsp;Obafemi Jegede ,&nbsp;Akinyinka Omigbodun ,&nbsp;Olayinka Omigbodun ,&nbsp;Tanjir Rashid Soron ,&nbsp;Sagar Jilka ,&nbsp;Swaran P. Singh","doi":"10.1016/j.ssmmh.2025.100575","DOIUrl":"10.1016/j.ssmmh.2025.100575","url":null,"abstract":"<div><div>Research on help-seeking for serious mental illness (SMI) has often focused on the influence of cultural beliefs and explanatory models however a number of factors also influence decisions around treatment including availability, cost and quality of care. This study utilises an ecological framework to explore influences on help-seeking for serious mental illness in deprived urban slum communities in Ibadan, Nigeria and Dhaka, Bangladesh. Interviews and observation were conducted with family caregivers and people with lived experience of SMI. Although in both settings some participants speculated on the role of spiritual agents they also expressed uncertainty around the causes of SMI. Families commonly sought help from both biomedical practitioners and traditional and faith healers Help-seeking was embedded within complex ecologies of care, informed by considerations of quality, efficacy and cost, as much as beliefs. The complexity of influences on help-seeking and dissatisfaction with health services as well as healers suggests that a contextually informed, multi-component approach is needed which addresses health system weaknesses and affordability as well as accessibility.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100575"},"PeriodicalIF":2.6,"publicationDate":"2025-12-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799052","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Small effects, big questions: the unfinished business of social media restriction science","authors":"Marco Thimm-Kaiser,&nbsp;Katherine M. Keyes","doi":"10.1016/j.ssmmh.2025.100467","DOIUrl":"10.1016/j.ssmmh.2025.100467","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100467"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145042608","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Intimate partner violence, stigma, shame self-blame and survivor realities: A qualitative study from Fediša Modikologo in South Africa","authors":"Samantha Willan ,&nbsp;Mercilene Machisa ,&nbsp;Pinky Mahlangu ,&nbsp;Zamakhoza Khoza ,&nbsp;Amanda Zembe ,&nbsp;Venice Mbowane ,&nbsp;Charntel Paile ,&nbsp;Desiree Pass ,&nbsp;Rachel Jewkes","doi":"10.1016/j.ssmmh.2025.100571","DOIUrl":"10.1016/j.ssmmh.2025.100571","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100571"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145735837","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Implementation, sustainability, and impact of Common Elements Treatment Approach in Ugandan healthcare facilities","authors":"Amanda P. Miller ,&nbsp;Gertrude Nakigozi ,&nbsp;Emma Menya ,&nbsp;Caleb Figge ,&nbsp;Hafsa Lukwata ,&nbsp;William Byansi ,&nbsp;Stephen Mugamba ,&nbsp;Doreen Tuhebwe ,&nbsp;Laura Murray ,&nbsp;Fred Nalugoda ,&nbsp;Stephen Watya ,&nbsp;George William Ddaaki ,&nbsp;Alex Daama ,&nbsp;Robert Bulamba ,&nbsp;James Nkale ,&nbsp;Emma Kyasanku ,&nbsp;Godfrey Kigozi ,&nbsp;Grace Kigozi ,&nbsp;Susan M. Kiene","doi":"10.1016/j.ssmmh.2025.100569","DOIUrl":"10.1016/j.ssmmh.2025.100569","url":null,"abstract":"<div><div>The health and social consequences of untreated mental health disorders and heavy alcohol use are substantial, particularly in settings with high HIV-prevalence. Transdiagnostic approaches may offer a more efficient public health response, particularly where behavioral health services are limited. The present study explored the implementation of Common Elements Treatment Approach (CETA), a transdiagnostic intervention, in Western Uganda, from the perspectives of multilevel stakeholders. One-on-one in-depth interviews with multilevel stakeholders involved in the rollout of CETA in Uganda were conducted (n = 20) including Ministry of Health officials (n = 2), CETA trainers (n = 2), clinic managers (n = 5), and frontline providers (n = 11) involved in the rollout of CETA. Data were thematically analyzed and organized using the Consolidated Framework for Implementation Research (CFIR 2.0). Key themes that emerged, organized by CFIR 2.0 domain and construct, included the acceptability and perceived need for CETA (and its perceived advantages over existing behavioral health services), the importance of expanding CETA beyond healthcare facilities into communities (through a task-shifting approach that leverages community health workers) to reduce provider fatigue and eliminate transportation related barriers to patient retention, and the necessity of building in-country capacity to support long-term sustainability and the train-the-trainer apprenticeship model. This qualitative implementation assessment provides suggestions for optimization of CETA delivery for this context in future implementation. Rigorous testing of CETA is needed to examine both implementation and effectiveness outcomes in Uganda.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100569"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145683791","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Swipe to diagnose: College students, social media, and the stigma of self-diagnosis","authors":"Angelysse Madsen ,&nbsp;Eugene Raikhel","doi":"10.1016/j.ssmmh.2025.100572","DOIUrl":"10.1016/j.ssmmh.2025.100572","url":null,"abstract":"<div><div>Self-diagnosis and self-labeling have become increasingly common as mental health content circulates on social media. College students, frequent users of social media, encounter mental health-related diagnostic language in everyday feeds, yet little is known about how they interpret and engage with this material. This paper draws largely on semi-structured interviews with 25 undergraduates, examining how students encounter self-diagnostic mental health content, how they interpret the legitimacy of self-diagnosis, and how these practices shape their views of professional care. While participants reported frequent exposure to diagnostic content on social media, they expressed skepticism about its accuracy, citing bias, misinformation, and the threat of undermining professional diagnoses. Most notably, students were reluctant to apply the label “self-diagnosed” to themselves, even when they identified with conditions that were not formally assessed. Instead, they distinguished between private identification and public labeling. Participants also acknowledged the potential benefits of self-diagnosis, particularly for those with limited access to care. These findings highlight that “self-diagnosed” carries stigma as a social label, even as the underlying practices of researching symptoms and identifying with conditions may occur privately. The legitimacy of self-diagnosis is contested and shaped by concerns about diagnostic authority, stigma, and unequal access to health care.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100572"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736665","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Transforming mental health care in Kenya: The critical role of routine outcomes monitoring in specialized services","authors":"Clara Paz ,&nbsp;Anne A. Obondo ,&nbsp;Ian Kanyanya ,&nbsp;Caleb Othieno ,&nbsp;Manasi Kumar","doi":"10.1016/j.ssmmh.2025.100570","DOIUrl":"10.1016/j.ssmmh.2025.100570","url":null,"abstract":"<div><div>This short communication advocates for the strategic implementation of Routine Outcome Monitoring (ROM) systems within Kenya's specialized mental health institutions, especially teaching and referral hospitals. The proposed shift aims to transform these institutions into learning health systems, dynamic structures that systematically capture and utilize data from everyday clinical practice to drive continuous improvement in care quality, accountability, and population mental health outcomes. Kenya's mental health system, while advancing in policy and infrastructure, still faces a critical gap in routine, data-driven practices that support outcome-based care. ROM offers a practical and scalable solution to bridge this divide.</div><div>We emphasize that this transition requires more than technological adoption. It demands a systemic reorientation: establishing digital standards for outcome tracking, allocating protected time for data reflection, strengthening referral pathways, and aligning local practices with national health indicators. These changes can help institutions become national exemplars, where evidence from clinical encounters informs policy, enhances training, and fosters research capacity.</div><div>ROM is framed not as a technical add-on but as a transformative tool capable of reshaping how care is delivered, evaluated, and improved over time. It can anchor Kenya's mental health care in real-time learning, ensuring that services adapt responsively to the needs of patients and communities. With political will, stakeholder collaboration, and thoughtful implementation, Kenya has the opportunity to lead among LMICs in establishing a mental health system that is evidence-informed, equitable, and sustainable.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100570"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145736666","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"From Trauma to Resilience to Peace? Charting resilient and pluralistic paths forward in post-civil war Sri Lanka","authors":"Eranda Jayawickreme,&nbsp;Nuwan Jayawickreme","doi":"10.1016/j.ssmmh.2025.100509","DOIUrl":"10.1016/j.ssmmh.2025.100509","url":null,"abstract":"<div><div>This introductory editorial for the special issue, “From Trauma to Resilience to Peace? Charting Paths Forward in Post-Civil-War Sri Lanka,” synthesizes six distinct contributions to map the island's psychosocial landscape in the sixteen years since the end of the civil war. Quantitative and qualitative examinations demonstrates that wartime violence, chronic economic stressors, and political volatility continue to impact mental health, while maternal narratives highlight the trans-generational impact of the war. Yet these investigations also reveal some hopeful possibilities for promoting resilience using tools such as spiritual coping, social-capital buffers, and practitioner ingenuity. New directions include targeted clinical care and social-protection policies combined with transitional-justice safeguards and community-based pluralism initiatives. Together, these articles make the case that sustainable peace must be both psychosocial and political, anchoring mental health recovery in both material security and engaged inter-ethnic and inter-religious coexistence.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100509"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145789990","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Between compassion and control: nursing ethos, professional responsibilities, limited resources, and the use of psychotropic drugs in dementia care","authors":"Niklas Petersen","doi":"10.1016/j.ssmmh.2025.100568","DOIUrl":"10.1016/j.ssmmh.2025.100568","url":null,"abstract":"<div><div>The widespread use of psychotropic medication in long-term care, especially antipsychotics for managing dementia-related behaviours, is controversial due to serious side effects, significant risks, and increased mortality rates. While prescribing authority lies with physicians, nurses often demand treatment and administer as-needed medications at their discretion. This study discusses the ongoing reliance on antipsychotics within the context of structural tensions between person-centred nursing values, multiple professional responsibilities, and resource constraints in long-term care facilities. Drawing on in-depth qualitative interviews with 15 nurses across seven German nursing homes, the study reveals diverse ways in which nursing staff navigate the use of psychotropic medication in dementia care. While nurses' self-descriptions and explicit ethos are framed in humanistic terms – addressing individual needs, promoting health and preserving functional capacities of those in need of care – they also feel responsible for protecting other residents and maintaining organisational stability in the care facilities. While some nurses still try to uphold their person-centred care ethos, seek to resist the rationing of care, and strongly oppose excessive sedation, others set aside their compassionate nursing values in everyday care and rationalise psychotropic medication for managing dementia-related behaviours as a matter of organisational necessity. Moving beyond individualised explanations for the overuse of psychotropic drugs, this study discusses the practices of pharmacological behaviour control as part of a pharmaceuticalisation of dementia care and as emblematic of the broader social-political governance of ageing and dementia.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100568"},"PeriodicalIF":2.6,"publicationDate":"2025-11-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799053","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Access to somatic healthcare for people with lived experience of mental health conditions in Austria: A trialogic participatory action research study","authors":"Tobias Fragner ,&nbsp;Christopher Tupy ,&nbsp;Lisa Kainzbauer ,&nbsp;Lisa Lehner ,&nbsp;Magdalena Eitenberger ,&nbsp;Joy Ladurner ,&nbsp;Igor Grabovac","doi":"10.1016/j.ssmmh.2025.100566","DOIUrl":"10.1016/j.ssmmh.2025.100566","url":null,"abstract":"<div><div>People with lived experience of mental health conditions (PWLE) encounter significant obstacles when accessing somatic healthcare services, contributing to higher morbidity and reduced life expectancy compared to the general population. This research sought to identify the barriers and facilitators that PWLE face in accessing and using somatic healthcare in Austria, with the goal of co-creating strategies to address current challenges. Employing a participatory action research approach from the conceptualization and grant-writing stages and reflecting the principles of “mental health trialogue,” this study involved a steering committee composed of a person with lived experience, a family member of PWLE, and a healthcare professional. Based on World Café methodology, two co-creation workshops fostered open dialogue and collaboration among participants representing these three perspectives. Data were gathered through participant observation and systematic collection of workshop contributions, which were thematically analyzed. A total of 52 participants, with 27 in the first and 25 in the second workshop, contributed to the study. Six overarching themes were derived: (1) Awareness among healthcare professionals; (2) Accessibility and health facility design; (3) Structural diversity of services; (4) Lack of care coordination; (5) Bureaucracy and material support; and (6) Societal awareness. Findings underscore the need for systemic changes to address diagnostic overshadowing in somatic healthcare services, particularly through the design of more inclusive services and the expansion of networking between and within PWLE and their caregivers. Aiming to achieve health equity, this study provides specific policy and practice pathways to counter diagnostic overshadowing and ensure PWLEs’ somatic health needs are adequately addressed.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100566"},"PeriodicalIF":2.6,"publicationDate":"2025-11-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145578817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}