SSM. Mental health最新文献_第5页

Tailoring Psychological First Aid for frontline healthcare workers to manage trauma and stress beyond emergency response to routine healthcare settings--- a qualitative multi-stakeholder consultation study in China 为一线医护人员量身定制心理急救，以应对常规医疗环境中的紧急反应之外的创伤和压力——一项在中国开展的多利益相关者定性咨询研究

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-05-15 DOI: 10.1016/j.ssmmh.2025.100461

Ling Wang , Xizhao Li , Chengzhu Jian , Jianjian Wang , Ting Liu , Lina Zeng , Ziqing Zhong , Tao Xiao , Ian Norman , Mary Leamy

Background

Healthcare workers (HCWs) are frequently exposed to trauma, either by witnessing patients' suffering or directly experiencing workplace violence and responding to public health emergencies yet a historical lack of mental health preparedness existed for them. Although Psychological First Aid (PFA) has been widely advocated as a training approach to support HCWs, limited evidence on its' cultural adaptation and implementation in healthcare settings hinders its’ uptake.

Method

Guided by cultural adaptation and implementation science frameworks, this qualitative study employed a multi-step stakeholder consultation approach to adapt the PFA model and develop an implementation strategy tailored for Chinese HCWs. Diverse stakeholders, including mental health experts, key informants, medical education experts, scholars, and HCWs, participated in three phased activities: 1) In-depth individual expert consultations, 2) Focus group discussions, and 3) Expert workshops. Ethical approval was obtained in both the UK and China. Data was analysed using framework analysis.

Results

The original PFA model was adapted to make cultural, contextual, structural, delivery format, and implementation strategy changes. Through adapting PFA model, modifying the training format and developing implementation strategy, resulted in the development of the READ-Y PFA model: R-Rapport, E-Evaluation, A-Aid, D-Disposition, and Yourself-Self-Care for others. The model includes a flexible training protocol and implementation strategies, integrated into a logical framework, to enable its use in frontline routine healthcare settings in China.

Conclusion

This study presents a culturally adapted a READ-Y PFA model and training protocol extending PFA use beyond emergency response to routine healthcare. The stakeholder-informed approach offers a replicable framework for potentially scaling up PFA to better equip HCWs to manage trauma and stress.

卫生保健工作者（HCWs）经常受到创伤，要么目睹病人的痛苦，要么直接经历工作场所暴力，要么应对突发公共卫生事件，但他们历来缺乏心理卫生准备。尽管心理急救（PFA）作为一种支持卫生保健工作者的培训方法被广泛提倡，但关于其在卫生保健环境中的文化适应和实施的有限证据阻碍了它的吸收。方法在文化适应和实施科学框架的指导下，本定性研究采用多步骤的利益相关者咨询方法来调整PFA模型，并制定适合中国卫生保健机构的实施策略。包括精神卫生专家、关键举报人、医学教育专家、学者和卫生保健工作者在内的不同利益攸关方参加了三个阶段的活动：1)深入的专家个人咨询，2)焦点小组讨论，3)专家讲习班。在英国和中国都获得了伦理批准。采用框架分析法对数据进行分析。结果对原PFA模型进行了文化、语境、结构、交付格式和实施策略的调整。通过对PFA模型的改编、培训形式的修改和实施策略的制定，形成了READ-Y PFA模型：R-Rapport、E-Evaluation、A-Aid、D-Disposition和yourself - self care for others。该模型包括一个灵活的培训协议和实施策略，整合到一个逻辑框架中，使其能够在中国的一线常规医疗保健环境中使用。本研究提出了一种文化适应性的READ-Y PFA模型和培训方案，将PFA的使用从应急响应扩展到常规医疗保健。利益攸关方知情的方法提供了一个可复制的框架，可以潜在地扩大PFA，使医护人员更好地管理创伤和压力。

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引用次数: 0

Ethnic inequalities in adolescent mental wellbeing: An interaction analysis of social identity markers, risk and protective factors 青少年心理健康的种族不平等：社会认同标记、风险和保护因素的相互作用分析

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-24 DOI: 10.1016/j.ssmmh.2025.100535

Jessica Stepanous , Patricia Irizar , Kathryn Mills-Webb , Dharmi Kapadia , Qiqi Cheng , Jose Marquez , Neil Humphrey

引用次数: 0

Pathways to child mental health: A structural equation model of economic deprivation, parenting, and internalizing problems 通向儿童心理健康的途径：经济剥夺、养育和内化问题的结构方程模型

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-09 DOI: 10.1016/j.ssmmh.2025.100528

Leyla Ismayilova PhD , Linyun Fu Ph.D. Candidate , Kamran Salayev M.D., Ph.D. , Shu-Hsiang Wang , Emma Heidorn Ph.D. Candidate

引用次数: 0

Developing a conceptual framework for cultural adaptation of digital parenting interventions: A mixed-method grounded theory study from Uzbekistan 发展数字育儿干预文化适应的概念框架：一项来自乌兹别克斯坦的混合方法理论研究

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ssmmh.2025.100556

Victoria Loblay , Qaisar Khan , Ian B. Hickie , Mahalakshmi Ekambareshwar , Yun J.C. Song , Dilrabo Tosheva , Haley M. LaMonica

Cultural adaptation is essential for effective implementation of digital parenting interventions across diverse settings, including in low- and middle-income countries. Dominant frameworks for cultural adaptation focus on intervention design components at the expense of attending to processes of adaptation that take place during implementation and neglect the significance of cultural context for measurement and evaluation of outcomes. Despite many programs shifting to online platforms and the exponential rise in parenting apps, there is also a lack of theorisation of cultural adaptation for digital interventions. We used a Mixed-Method Grounded Theory approach to draw on learnings from an evaluation of a digital childrearing program and UNICEF Multiple Indicator Cluster Surveys in Uzbekistan. Our analysis centred on areas of ‘cultural friction’ where key intervention targets (e.g. child discipline) are closely tied to cultural values and attitudes toward childrearing. In the context of Uzbekistan, our findings highlight key cultural models that emerged in the implementation of the digital parenting program: the critical roles of grandparents as gatekeepers and protectors of children, as well as the submissive role of young mothers. However, points of cultural friction were navigated and interpreted in a range of ways within different family systems. Grandparents' roles as ‘protectors’, for example, could be harnessed to encourage shifting discipline practices, as long as technology-based scientific knowledge was not presented as a threat to the moral authority of elders. In terms of a generalisable framework for cultural adaptation, this demonstrates the importance of locating opportunities where changes in childrearing practice can align with cultural models, family dynamics and familiar channels of knowledge transmission.

文化适应对于在不同环境中（包括在低收入和中等收入国家）有效实施数字化育儿干预措施至关重要。主流的文化适应框架侧重于干预设计的组成部分，而忽略了在实施过程中发生的适应过程，忽视了文化背景对结果测量和评估的重要性。尽管许多项目转向在线平台，育儿应用呈指数级增长，但也缺乏数字化干预的文化适应理论。我们采用了基于理论的混合方法，借鉴了对乌兹别克斯坦数字儿童教育项目的评估和联合国儿童基金会多指标类集调查的经验教训。我们的分析集中在“文化摩擦”领域，其中关键干预目标（例如儿童纪律）与文化价值观和对儿童的态度密切相关。在乌兹别克斯坦的背景下，我们的研究结果突出了数字育儿计划实施过程中出现的关键文化模式：祖父母作为儿童看门人和保护者的关键角色，以及年轻母亲的顺从角色。然而，文化摩擦点在不同的家庭制度中以不同的方式进行导航和解释。例如，祖父母作为“保护者”的角色可以被用来鼓励改变纪律实践，只要以技术为基础的科学知识不被视为对老年人道德权威的威胁。就文化适应的一般框架而言，这表明了寻找机会的重要性，在这些机会中，儿童实践的变化可以与文化模式、家庭动态和熟悉的知识传播渠道保持一致。

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引用次数: 0

Unveiling mechanisms of change: Analyzing a short-term psychosocial support intervention for refugee children in Lebanon 揭示改变的机制：分析黎巴嫩难民儿童的短期社会心理支持干预

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-31 DOI: 10.1016/j.ssmmh.2025.100555

Steffi Gebus , Hala Kerbage , Eva Alisic , June Thorvaldsen Forsberg , Jon-Håkon Schultz

Lebanon's multi-layered crisis - marked by regional conflict, economic collapse, the COVID-19 pandemic, and the 2020 Beirut Port Blast - has severely affected the psychosocial well-being of Syrian refugee children in Beirut. In response to the blast, a global psychosocial support intervention, the Better Learning Programme (BLP), was adapted into a targeted, short-term program delivered by five counselors, reaching 1100 Syrian refugee children over 10 months. This study examines the mechanisms driving improvements in psychosocial well-being and the barriers that hindered progress for these children. Data collection was longitudinal in nature and consisted of 30 online interviews, six face-to-face interviews, and one group interview with five psychosocial counselors. The counselors observed significant improvements in children's psychosocial well-being through three primary mechanisms: psychosocial safety, self-regulation, and co-regulation. Psychosocial safety was fostered through the creation of child-centered spaces and the provision of practical tools to support emotional well-being. Self-regulation enabled children to manage emotions and stress through psychoeducation and cognitive restructuring, while co-regulation promoted belonging and resilience through group cohesion and strong counselor-child relationships. These mechanisms reflect the multidimensional nature of well-being and emphasize the importance of relational, cultural, and contextual factors in delivering effective support in crisis settings. However, barriers such as emotional exhaustion of counselors, lack of systemic reinforcement, and external challenges such as economic hardship impeded the intervention's implementation. This study provides insights into how a flexible, counselor-led psychosocial support intervention can strengthen well-being and highlights the critical role of relational, cultural, and contextual dynamics in shaping effective responses in crisis-affected, low- and middle-income settings.

黎巴嫩的多重危机——以地区冲突、经济崩溃、2019冠状病毒病大流行和2020年贝鲁特港爆炸为特征——严重影响了贝鲁特叙利亚难民儿童的心理社会健康。为应对此次爆炸，一项全球社会心理支持干预——“更好的学习计划”（BLP）被改编为一项有针对性的短期计划，由五名辅导员提供，在10个月内惠及1100名叙利亚难民儿童。本研究探讨了推动社会心理健康改善的机制以及阻碍这些儿童进步的障碍。数据收集是纵向的，包括30个在线访谈，6个面对面访谈和一个与5名心理咨询师的小组访谈。辅导员通过三个主要机制观察到儿童心理社会健康的显著改善：心理社会安全、自我调节和共同调节。通过创造以儿童为中心的空间和提供实用工具来支持情感健康，促进了心理社会安全。自我调节使儿童能够通过心理教育和认知重组来管理情绪和压力，而共同调节通过群体凝聚力和牢固的辅导员-儿童关系来促进归属感和复原力。这些机制反映了幸福感的多维性，并强调了在危机环境中提供有效支持的关系、文化和背景因素的重要性。然而，心理咨询师情绪衰竭、缺乏系统强化、经济困难等外部挑战等障碍阻碍了干预的实施。本研究深入探讨了灵活的、由咨询师主导的社会心理支持干预如何增强幸福感，并强调了在受危机影响的中低收入环境中，关系、文化和情境动态在形成有效应对措施方面的关键作用。

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引用次数: 0

Digital screening for postnatal depression: A qualitative study and framework analysis exploring the views of healthcare professionals 产后抑郁症的数字筛查：一项探讨医疗保健专业人员观点的定性研究和框架分析

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.ssmmh.2025.100549

C. Martin , A. Wittkowski , R. Agass , E. Camacho , A. Falana , R. Hale , M. Hann , A. Ifezue , H. Lemetyinen , S. Lewis , H. Myers , J. Nicholas , C. Stockton-Powdrell , C. Tower , K. Watson , P. Whelan , E. Eisner

Background

Around 17 % of mothers experience postnatal depression (PND) in the year after childbirth, with suicide the leading cause of direct maternal death between 6 weeks and 12 months postpartum. As approximately half of PND cases go undetected, digital screening tools have been developed to improve identification. However, implementing innovations into routine care is challenging, with contextual factors and staff views influencing uptake. This study explored healthcare professionals’ (HCPs) views on digital screening for PND, including feasibility, acceptability, and perceived barriers and facilitators to implementation.

Methods

HCPs (n = 30) involved in the care of pregnant/postpartum women and birthing people within the UK's National Health Service took part in semi-structured qualitative interviews. Data were analysed using Framework Analysis, with a combined inductive and deductive approach. Initial inductive themes were mapped, deductively, onto the Consolidated Framework for Implementation Research (CFIR) to aid interpretation and explanation of findings.