SSM. Mental health最新文献

{"title":"Collective Trauma- Psychosocial consequences of war in northern Sri Lanka 10 years on, a mixed methods study","authors":"Umaharan Thamotharampillai ,&nbsp;Ruwanthi Perera ,&nbsp;Rajitha Wickremasinghe ,&nbsp;Shehan Williams ,&nbsp;Thedsanamoorthy Vijayasangar ,&nbsp;Balasubramaniam Sivatharsan ,&nbsp;Vanceline Hilbert ,&nbsp;Daya Somasundaram","doi":"10.1016/j.ssmmh.2025.100457","DOIUrl":"10.1016/j.ssmmh.2025.100457","url":null,"abstract":"<div><h3>Introduction</h3><div>Individuals, families and communities in Sri Lanka, particularly in the North-East of Sri Lanka, have undergone 3 decades of war trauma.</div></div><div><h3>Methods</h3><div>Mixed quantitative and qualitative methods with an integrated, holistic and inclusive approach using validated survey measures of trauma, collective distress and mental health, complemented by information from narratives, observations, key-informant interviews, focus group discussions and case studies were collected from the war-affected in 5 districts of Sri Lanka. Thick description was used to bring out the contours of collective trauma through exemplar quotes, summarized verbatims and collective themes.</div></div><div><h3>Main findings</h3><div>At the individual level, high levels of Post Traumatic Stress Disorder (PTSD) (46.8 %), depression (57.1 %), anxiety (60.7 %), stress (50 %), somatization (40.2 %) and functional disability (36.4 %) were found. Individual level consequences were significantly higher in districts with high trauma as compared to those with low trauma burdens. Coping intensity was correlated with anxiety, stress, PTSD and somatization. At the family level, dysfunctional families had a higher proportion of members with suicidal thoughts, mental health issues, alcohol and drug abuse, poor income, lack of essential facilities and dissatisfaction with family life. At the community level, common problems reported were use of illicit drugs (86.2 %) and alcohol (84.5 %), family problems (36.4 %), unemployment (32 %) and financial problems (26.3 %). Study villages scored very low in structural social capital. Bonding social capital was used more indicating its use as a coping strategy.</div></div><div><h3>Conclusion</h3><div>This study provides evidence that trauma in a population can collectively affect the characteristics and dynamics of the group as a whole. The observed social capital and collective efficacy changes, dysfunctional family units, negative changes in the functional dynamics of the community, higher rates of coping efforts and high prevalence of individual level effects of trauma are manifestations of collective trauma.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100457"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144713547","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":"Can lay health workers contribute to the prevention and management of adverse childhood experiences in low- and middle-income countries?","authors":"Subash Thapa ,&nbsp;Anila Khatiwada ,&nbsp;Kedir Y. Ahmed ,&nbsp;Julaine Allan","doi":"10.1016/j.ssmmh.2025.100524","DOIUrl":"10.1016/j.ssmmh.2025.100524","url":null,"abstract":"<div><div>Community-based mental health initiatives led by lay health workers (LHWs) across low- and middle-income countries (LMICs) have demonstrated some success in improving mental health outcomes for the general population. However, evidence is lacking on their effect on improving childhood mental health. There is potential to utilize this workforce to address the underlying causes of mental health burdens rooted in child maltreatment and familial dysfunction. Expanding the role of LHWs to address adverse childhood experiences (ACEs) offers a promising strategy for improving child and family mental health and well-being. LHWs can serve as first-line responders by identifying at-risk children and families and addressing the problems through parental education and support. However, the success of such interventions depends on providing adequate training and supervision to LHWs, as well as ensuring that a robust referral system exists at the primary health care level to address the mental health needs of affected children and families. LHWs, who are properly trained and supervised, can potentially play an important role in addressing ACEs and associated mental disorders in LMICs.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100524"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145018953","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":"How can sport promote adolescent mental health? A qualitative study from the rural plains of Nepal","authors":"Joanna Morrison ,&nbsp;Damodar Rimal ,&nbsp;Indira Pradhan ,&nbsp;Nagendra P. Luitel ,&nbsp;Kelly Rose-Clarke","doi":"10.1016/j.ssmmh.2025.100491","DOIUrl":"10.1016/j.ssmmh.2025.100491","url":null,"abstract":"<div><div>Sport holds potential to deliver adolescent mental health promotion, which is particularly important in low resource settings where there is high burden but lack of access to specialist services. We conducted a qualitative study in rural plains Nepal to describe adolescent stressors and coping strategies and analyse the mechanisms through which sport may promote or undermine mental health. We collected data from 81 adolescents, caregivers, teachers, coaches, and health workers through interviews, group discussions, and group walks. We used an interpretive descriptive approach to data collection and analysis. We found that adolescents were anxious about financial pressures on households, romantic relationships and relationships within families. Academic pressure and harassment of girls was common. Poor achievement in sport and resultant ridicule and loss of social status was also a source of shame and stress. Conversely, if adolescents participated in sport within a supportive environment, it provided opportunities for increased self-esteem, strong social support networks, development of discipline and stress release. We suggest five main areas of importance to consider when designing and implementing sport for mental health promotion interventions: 1)Involving communities, adolescents and caregivers in design, implementation and evaluation to prevent tensions and create a joint vision for how sport can support adolescents 2)Engaging with the social determinants of health 3) Developing adolescent coping strategies and signposting mental health support 4)Addressing fear of failure and lack of body confidence through creating a supportive, inclusive environment 5)Addressing negative gendered social norms. We show how sport interventions can be developed to support adolescent mental health through acknowledging and responding to complex community contexts.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100491"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144614124","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":"Migrant integration policies, regional social disadvantage, ethnicity and psychosis risk: Findings from the EU-GEI study","authors":"Salome M. Xavier ,&nbsp;Hannah E. Jongsma ,&nbsp;Charlotte Gayer-Anderson ,&nbsp;Diego Quattrone ,&nbsp;Sophie Blackmore ,&nbsp;Ilaria Tarricone ,&nbsp;Pierre-Michel Llorca ,&nbsp;Eva Velthorst ,&nbsp;Robin M. Murray ,&nbsp;Peter B. Jones ,&nbsp;James B. Kirkbride ,&nbsp;Craig Morgan ,&nbsp;Jean-Paul Selten ,&nbsp;Els van der Ven ,&nbsp;Srividya N. Iyer","doi":"10.1016/j.ssmmh.2025.100530","DOIUrl":"10.1016/j.ssmmh.2025.100530","url":null,"abstract":"<div><h3>Background</h3><div>Compared with individual-level factors, macro-level exposures have received less attention in research on the increased risk of psychosis among ethnic minorities. We aimed to investigate the impact of migrant integration policies and area-level social deprivation on higher incidence rates among ethnic minorities.</div></div><div><h3>Methods</h3><div>This study, conducted between 2010 and 2015, analysed incidence data from five countries from the EUropean network of national schizophrenia networks studying Gene-Environment Interactions [EU-GEI]. The total population was multiplied by the duration of case-ascertainment to estimate person-years. Cases with a non-organic psychotic disorder were included. Exposures included population group (based on self/parental region of origin/self-ascribed ethnicity) and area-level exposures including country-level migrant integration policies and regional-level proxies of social deprivation (percentages of unemployment, low education, owner-occupied houses, single person-households). Negative binomial mixed-effects regression models were fitted to calculate the association between individual and area-level exposures and incidence of psychotic disorders.</div></div><div><h3>Results</h3><div>The study included 1933 individuals. Supportive migrant policies (IRR: 0.71; 95 % CI 0.68–0.73) and higher percentages of owner-occupied houses (IRR: 0.97; 95 % CI 0.96–0.97) were associated with lower incidence of psychosis. Higher percentages of unemployment (IRR: 1.08; 95 % CI 1.07–1.09) and single person-households (IRR: 1.10; 95 % CI 1.05–1.14) were associated with higher incidence of psychosis. Accounting for policies and area-level social deprivation markers reduced risk estimates among all migrant/ethnic minority groups, compared to the majority population.</div></div><div><h3>Conclusions</h3><div>This is the first study on the impact of migrant integration policies on psychosis incidence. Migrant integration policies and area-level social deprivation influenced psychosis risk in the overall and minority populations. These findings can inform policies and social epidemiological approaches to studying multi-level exposures in psychosis.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100530"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145108665","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":"The Mad Movement in Catalonia. Epistemic resistance and counter-hegemony in mental health","authors":"Martín Correa-Urquiza ,&nbsp;Araceli Muñoz ,&nbsp;Elisa Alegre-Agís","doi":"10.1016/j.ssmmh.2025.100533","DOIUrl":"10.1016/j.ssmmh.2025.100533","url":null,"abstract":"<div><div>This paper presents results of the project “Towards an archive of the historical memory of the struggles and social demands of the Mad Movement”. This movement brings together organisations, associations, groups and activists, platforms of psychiatrised people, who connect through diverse strategies to advance struggles for social justice and recognition in the field of mental health. We understand this movement as an epistemic fraternity promoting a critical conscience in relation to the oppressions experienced by psychiatrised people. The Archive project is a tool available for resistance against epistemic violence. It rescues the oral memory and recovers the intangible heritage related to the social struggles, the associative dynamics and the trajectories of the Mad Movement in Catalonia. Thus, the project is based on a participatory action research approach, framed in Mad Studies, seeking to generate spaces for recognition and visibility in this area, based on the participation and reflection of its protagonists. Based on conversations with activists of movements in first person, it aims to build and activate a narrative that articulates a collective biography linked to the struggles to transform the hegemonic approaches in the field of mental health and denounce its excesses. From the activist narratives collected, we can get to know and recognise the impact and transformative capacity of the movement and how it undoes epistemic injustice through collective action and mutual aid that generate counter-hegemonic agency and epistemic fraternity.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100533"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145219492","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'd say, ‘smoke a little weed, you'll feel better:’” ethnographic observations of cannabis use in the Canadian Arctic","authors":"Peter Collings ,&nbsp;Elspeth Ready","doi":"10.1016/j.ssmmh.2025.100536","DOIUrl":"10.1016/j.ssmmh.2025.100536","url":null,"abstract":"<div><div>This paper is an ethnographic description of cannabis use in a Canadian Inuit settlement. Cannabis is pervasive in Inuit communities, and both Inuit and public health authorities see it as a serious health and social problem. There is a general understanding that Inuit smoke cannabis to cope with stressors, but little investigation why Inuit choose cannabis instead of other options for managing stress. We describe how cannabis is a pathway through which cash and information circulate in communities, focusing on how smoking cannabis socially provides culturally appropriate forms of support for men experiencing stress. The interpersonal interactions occurring in the context of social cannabis use suggest persistence of traditional healing practices despite historical suppression, revealing how Inuit understandings of personhood and stress continue to shape how men offer support to one another. The positive social and psychological functions of cannabis, however, exist alongside the negative health effects and the economic and interpersonal consequences of excessive use.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100536"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415250","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":"Identifying intersectional prospective predictors of suicidal thoughts and behaviors among sexual minority adults: A conditional inference tree approach","authors":"Qimin Liu ,&nbsp;Lauren A. Trichtinger ,&nbsp;Simon M. Li ,&nbsp;Kiyan Irani ,&nbsp;Hyo Jin Shin Jenny ,&nbsp;Zoe Habel ,&nbsp;Richard T. Liu ,&nbsp;Kirsty A. Clark ,&nbsp;Amelia M. Stanton","doi":"10.1016/j.ssmmh.2025.100542","DOIUrl":"10.1016/j.ssmmh.2025.100542","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100542"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265665","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":"A scoping review of low-intensity cognitive behavioral therapy studies across Asia","authors":"Cameron Shi Ern Tan ,&nbsp;Keane Kang Xiang Ong ,&nbsp;Laura Sophie Arden-Gardner ,&nbsp;Fiqri Nur Haziq Abu Bakar ,&nbsp;Sin Yee Lim ,&nbsp;Amalia Ariffin ,&nbsp;Jonathan Han Loong Kuek","doi":"10.1016/j.ssmmh.2025.100479","DOIUrl":"10.1016/j.ssmmh.2025.100479","url":null,"abstract":"<div><h3>Introduction</h3><div>Mental health conditions are increasing globally, yet access to mental health services remains limited, particularly in Asia. Low-intensity cognitive behavioral therapy (LI-CBT) interventions offer a scalable, cost-effective approach to addressing mild-to-moderate mental health issues. However, the implementation of LI-CBT in Asia remains unclear. This scoping review examines existing research on LI-CBT in Asia, identifies research gaps, and explores the extent of cultural adaptations made to these interventions, providing an overview of the literature and highlighting future research and practice avenues.</div></div><div><h3>Methods</h3><div>Adopting the PRISMA-ScR guidelines, a systematic search was conducted in PubMed, PsycINFO, CINAHL, EMBASE, Web of Science, and Scopus, focusing on peer-reviewed studies published between 2005 and 2024. Primary research studies conducted in Asia that employed LI-CBT interventions according to a formal framework for classifying these programs were included. Data were charted and analyzed to identify key themes in various study characteristics, intervention types, outcomes, and cultural adaptations.</div></div><div><h3>Results</h3><div>A total of 42 studies from 12 Asian countries were identified, with Japan and China contributing the most research. Most studies reported positive outcomes; research gaps remain due to the heterogeneity of implementation, small sample sizes, inadequate controls, short follow-up periods, and inconsistent cultural adaptations beyond language translation.</div></div><div><h3>Conclusion</h3><div>LI-CBT holds promise for improving mental health accessibility in Asia. However, further research is needed to enhance cultural adaptation considerations and create standardized intervention frameworks that can be modified for use in diverse populations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100479"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144365199","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":"Intersectional analysis of suicide risk among transgender and non-binary people","authors":"Heather Santos ,&nbsp;Greta R. Bauer ,&nbsp;Thomas Joiner ,&nbsp;Agus Surachman ,&nbsp;Félice Lê-Scherban ,&nbsp;Ayden I. Scheim","doi":"10.1016/j.ssmmh.2025.100496","DOIUrl":"10.1016/j.ssmmh.2025.100496","url":null,"abstract":"<div><div>Transgender and non-binary (TNB) people experience high rates of suicidal thoughts and behaviors, but less is known about how suicide risk varies within TNB communities. We investigated variation in suicidality among TNB people across intersecting social identities and positions. This study uses data from Trans PULSE Canada, a 2019 community-based survey of TNB people aged 14+ in Canada. Among 2054 participants aged 16+, conditional inference trees (CTREE) were used to identify subgroups with varying levels of past-year suicidal ideation and suicide attempts. Twelve predictor variables were chosen through literature review and community knowledge based on their relevance to suicide risk. Findings show that over the past year, 30.2 % of participants reported suicidal ideation and 4.2 % reported a suicide attempt. Six subgroups with varying levels of past-year suicidal ideation were identified, with a higher prevalence of ideation among those with lower educational attainment (particularly youth aged 16–24; 49.4 %) and among college-educated participants who identified as disabled (38.3 %). The CTREE for past-year suicide attempts identified variation across three subgroups: participants aged 16–19 (11.0 % attempted), and those aged 20+ with or without a history of sex work (8.4 % and 2.5 %, respectively). In conclusion, past-year suicidal ideation and attempts were high compared to general population estimates, although somewhat lower than in previous Canadian TNB studies. Suicide attempts were concentrated among those aged 16–19, and amongst those 20+ with a history of sex work. Suicide prevention research should investigate individual and structural level interventions to reduce disproportionate suicide risk among these groups.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100496"},"PeriodicalIF":4.1,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144679523","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}