SSM. Mental health最新文献

Men are a particularly challenging group when it comes to mental health communication. Non-disclosure of mental distress is quite common among men in general, and even more so among depressed men – despite its detrimental effects on health. Motivating men to share their mental distress with trusted social contacts serves as a vital first step in addressing and improving their mental health – both for those men who are affected by mental illness and those who are not. To overcome the barriers to communicating about mental distress, knowledge about the aspects associated with non-disclosure is indispensable. Bringing together assumptions from interpersonal communication and (mental) health communication literature, we propose a conceptual model of the relationships among depressiveness, loneliness, conformity to masculine norms, number of trusted social contacts, and non-disclosure of mental distress. To empirically test our model, we conducted a cross-sectional online survey with 1,400 men in Germany. Findings largely substantiate our model. They show that a higher depressiveness is positively associated with men's non-disclosure of mental distress – both directly and mediated through several other variables. Loneliness emerged as an important mediating factor, with a higher depressiveness being linked to higher loneliness, which increased the likelihood for men's non-disclosure. Depressiveness was also associated with a higher conformity to traditional masculine norms, again making non-disclosure of mental distress more probable.

There has been a recent spike in children's mental health problems and lost learning due to the Covid-19 pandemic. This study assesses the relationship between social, emotional and behavioural problems and academic attainment across the whole of mainstream schooling (ages 5–16). It uses a rich longitudinal dataset from the UK linked to national data on school records (N = 7,219), individual fixed effects, and repeated measures of mental health and attainment. It finds that within-individual changes in mental health across childhood predict changes in attainment, with hyperactivity and inattention the behaviours most strongly linked to adverse attainment outcomes. These difficulties are disproportionately seen in summer-born boys and those from disadvantaged backgrounds. The negative relationship with attainment strengthens as children progress through school, and affects children with problems mild enough that they would never be diagnosed. Schools and health services can gain important insights about a child's educational trajectory based on brief behavioural information obtained from parents.

Examining coping strategies and resilience among immigrant communities reflects a commitment to working with immigrant communities to understand their needs while also identifying and building upon their strengths. In the United States, the physical, emotional, and economic impacts of the COVID-19 pandemic intersected with existing structural inequities to produce distinct challenges and stressors related to the pandemic, immigration, caregiving responsibilities, and structural xenophobia. Leveraging an understanding of the multilevel effects of stress, this qualitative study explores individual, interpersonal, and community-level coping strategies immigrant women used to respond to, alleviate, or reduce distress related to these compounding stressors. Using semi-structured in-depth interviews conducted in 2020 and 2021 with 44 first- and second-generation cisgender immigrant women from different national origins and 19 direct service providers serving immigrant communities in New York City, data were coded and analyzed using a constant comparative approach. Four central themes were identified: caregiving as a source of strength, leveraging resources, social connections, and community support. While women described a range of coping strategies they used to manage stressors and challenges, perspectives from direct service providers also connect these coping strategies to the harm-generating institutions, policies, and structures that produce and uphold structural oppression and inequities. Accounts from service providers point to the detrimental long-term effects of prolonged coping, underscoring a duality between resilience and vulnerability. Exploring the coping strategies cisgender immigrant women used to ease distress and promote resilience during a period of heightened structural vulnerability is critical to centering the experiences of immigrant women while simultaneously directing attention towards addressing the fundamental causes of cumulative disadvantage and the systems and structures through which it is transmitted.

The COVID-19 pandemic, polarized politics, and heightened stigma and discrimination are salient drivers for negative mental health outcomes, particularly among marginalized racial and ethnic minoritized groups. Intersectionality of race, ethnicity, foreign-born status, and educational attainment may distinctively shape an individual's experience of discrimination and mental health during such unprecedented time. The present study examines the differential associations of racial discrimination and mental health based on an individual's race, ethnicity, foreign-born status, and educational attainment during the COVID-19 pandemic. Analyses were based on a nationally representative sample of U.S. adults collected between October and November 2021 (n = 6276). We utilized multivariable linear regressions to identify the multiplicative effects of race, ethnic, foreign-born status and self-reported racial discrimination on mental health, stratified by educational attainment. Among individuals with lower educational attainment, associations between racial discrimination and poor mental health were stronger among Asians (US-born: β = −2.07, p = 0.03; foreign-born: β = −3.18, p = 0.02) and US-born multiracial individuals (β = −1.96, p = 0.02) than their White counterparts. Among individuals with higher educational attainment, foreign-born Hispanics (β = − 3.66, p < 0.001) and US-born Asians (β = −2.07, p = 0.01) reported worst mental health when exposed to racial discrimination out of all other racial, ethnic and foreign-born groups. Our results suggest that association of racial discrimination and mental health varies across racial, ethnic, foreign-born, and education subgroups. Using an intersectional approach to address the widening inequities in racial discrimination and mental health during the COVID-19 pandemic contextualizes unique experience of discrimination and provides crucial insight on the patterns of mental health among marginalized groups.

This review synthesises the evidence base for promoting and maintaining attendance in mental health and health interventions for children and adolescents in low- and middle-income countries (LMIC) and identifies strategies that can be employed for mental health interventions in those contexts. This is achieved through systematically searching relevant peer-reviewed literature in PubMed, Embase, PsychINFO and Global Health. Retrieved studies are screened by title and abstract, and subsequently the relevant papers undergo a full-text screening. The quality of the included studies is assessed using validated quality appraisal tools, namely the JBI Critical Appraisal Checklist and the Mixed Methods Appraisal Tool, and key data is extracted from each of the included studies. Fifteen studies from twelve different countries meet the eligibility criteria. The mean age of the participants in each study falls between 9 and 18 years. Only one study focuses on a mental health intervention, while the majority test strategies for health interventions. Six distinct categories of attendance promotion strategies are identified: (i) service improvement, (ii) health education and (iii) peer-support are the three most utilised strategies, followed by (iv) community engagement, (v) counselling, and (vi) cash-based approaches. Ten out of the fifteen studies (66.7%) yield statistically significant results for the improvement of attendance outcomes, one (6.7%) does not find any statistical significance and four (26.7%) do not test effectiveness of the strategies. While these results highlight a need for further studies with rigorous methodologies focusing on testing the effectiveness of strategies, service improvement and community engagement were noted as particularly effective. The findings identify several promising strategies from the global health literature, which can be translated to mental health interventions for children and adolescents in LMICs. Nevertheless, further research is necessary to establish their appropriateness in addressing the barriers to attendance in mental health interventions.