SSM. Mental health最新文献

{"title":"Trauma-related experiences among people living with HIV in Zimbabwe: a qualitative study","authors":"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","doi":"10.1016/j.ssmmh.2025.100583","DOIUrl":"10.1016/j.ssmmh.2025.100583","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100583"},"PeriodicalIF":2.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926870","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":"Online child sexual victimization and associated health risk behaviours and mental disorders: Findings from a national survey in Australia","authors":"Ben Mathews ,&nbsp;Kausar Parvin ,&nbsp;Kerryann Walsh ,&nbsp;David Finkelhor ,&nbsp;Daryl Higgins ,&nbsp;James G. Scott ,&nbsp;Sarah Napier ,&nbsp;Melanie Burton ,&nbsp;Mariesa Nicholas ,&nbsp;Jennie Noll ,&nbsp;Asher Flynn ,&nbsp;Andrea de Silva","doi":"10.1016/j.ssmmh.2025.100581","DOIUrl":"10.1016/j.ssmmh.2025.100581","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Method</h3><div>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.</div></div><div><h3>Results</h3><div>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).</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100581"},"PeriodicalIF":2.6,"publicationDate":"2025-12-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926869","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":"Belonging, discrimination, and risk in displacement: Bayesian variable selection in predicting mental health and resilience among refugee adolescents in Greece","authors":"Theoni Stathopoulou ,&nbsp;Konstantinos Bourazas ,&nbsp;Korina Hatzinikolaou ,&nbsp;Eirini Adamopoulou ,&nbsp;Lina Zirganou-Kazolea ,&nbsp;Jennifer Cavounidis ,&nbsp;Natalia Spyropoulou ,&nbsp;Giampaolo Nicolais ,&nbsp;Catherine Panter-Brick ,&nbsp;Richard F. Mollica","doi":"10.1016/j.ssmmh.2025.100574","DOIUrl":"10.1016/j.ssmmh.2025.100574","url":null,"abstract":"<div><div>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 (<span><math><mrow><mi>n</mi><mo>=</mo><mn>170</mn></mrow></math></span>), teacher (<span><math><mrow><mi>n</mi><mo>=</mo><mn>165</mn></mrow></math></span>) and parent/guardian (<span><math><mrow><mi>n</mi><mo>=</mo><mn>124</mn></mrow></math></span>) 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.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100574"},"PeriodicalIF":2.6,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145926872","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":"“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","authors":"Amanda Kwan ,&nbsp;Padmini Thakore ,&nbsp;Madelyn Whyte ,&nbsp;Taite Beggs ,&nbsp;Stephany Berinstein ,&nbsp;Jonathan Morris ,&nbsp;Skye Barbic","doi":"10.1016/j.ssmmh.2025.100578","DOIUrl":"10.1016/j.ssmmh.2025.100578","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Results</h3><div>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.</div></div><div><h3>Conclusion</h3><div>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.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100578"},"PeriodicalIF":2.6,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799055","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":"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","authors":"Nakawala Lufumpa ,&nbsp;Anne Hilger ,&nbsp;Anna Shaw ,&nbsp;Gracya Rudiman ,&nbsp;Ellen Moscoe ,&nbsp;Laure Experton ,&nbsp;Brandon A. Kohrt ,&nbsp;Odyssia Ng ,&nbsp;Syed Shabab Wahid","doi":"10.1016/j.ssmmh.2025.100577","DOIUrl":"10.1016/j.ssmmh.2025.100577","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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.</div></div><div><h3>Discussion</h3><div>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.</div></div><div><h3>Trial registration</h3><div>This study is registered through ClinicalTrials.gov: <span><span>NCT06698471</span><svg><path></path></svg></span>.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"9 ","pages":"Article 100577"},"PeriodicalIF":2.6,"publicationDate":"2025-12-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145799054","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":"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":"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}