SSM. Mental health最新文献

{"title":"Digital screening for postnatal depression: A qualitative study and framework analysis exploring the views of healthcare professionals","authors":"C. Martin ,&nbsp;A. Wittkowski ,&nbsp;R. Agass ,&nbsp;E. Camacho ,&nbsp;A. Falana ,&nbsp;R. Hale ,&nbsp;M. Hann ,&nbsp;A. Ifezue ,&nbsp;H. Lemetyinen ,&nbsp;S. Lewis ,&nbsp;H. Myers ,&nbsp;J. Nicholas ,&nbsp;C. Stockton-Powdrell ,&nbsp;C. Tower ,&nbsp;K. Watson ,&nbsp;P. Whelan ,&nbsp;E. Eisner","doi":"10.1016/j.ssmmh.2025.100549","DOIUrl":"10.1016/j.ssmmh.2025.100549","url":null,"abstract":"<div><h3>Background</h3><div>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.</div></div><div><h3>Methods</h3><div>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 <em>Consolidated Framework for Implementation Research</em> (CFIR) to aid interpretation and explanation of findings.</div></div><div><h3>Results</h3><div>Interview content aligned with all five CFIR domains, though most data mapped to the <em>innovation characteristics</em> (e.g., innovation evidence, relative advantage, complexity) and <em>inner setting</em> (e.g., IT infrastructure, culture, compatibility) domains. These reflected views on the digital screening system and the healthcare organization, respectively. Less content mapped to <em>individual characteristics</em>, <em>outer setting</em>, and <em>implementation process</em> domains. Facilitators were primarily linked to the innovation itself, while barriers typically related to organisational factors.</div></div><div><h3>Conclusion</h3><div>HCPs viewed digital screening as acceptable and aligned with broader digitalisation goals. While they recognised its potential benefits, concerns about feasibility and integration into routine care remained. Stakeholder consultation was seen as essential for successful implementation.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100549"},"PeriodicalIF":2.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320181","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":"Bridging the Gap: Towards a theory of peer-support worker integration within early intervention psychosis services","authors":"Scott Lamont ,&nbsp;Chris McAteer ,&nbsp;Leshia Patterson","doi":"10.1016/j.ssmmh.2025.100548","DOIUrl":"10.1016/j.ssmmh.2025.100548","url":null,"abstract":"<div><h3>Background</h3><div>Peer Support Workers are increasingly recognised as integral components of person-centred care provision within mental health services globally, and their presence within early intervention services is expanding. The benefits that peer support workers provide are well established, but less is known about how to quickly and effectively integrate them within early intervention services to maximise their role.</div></div><div><h3>Aim</h3><div>This study explored barriers and enablers to effective implementation of peer support worker roles in early intervention services, through multi-stakeholder perceptions and insights involving service users, peer support workers, and clinicians.</div></div><div><h3>Methods</h3><div>A qualitative, multi-site study within an NHS Foundation Trust in the North-West of England was employed. Semi-structured interviews with 18 participants across the three stakeholder groups were conducted, with Normalisation Process Theory guiding the collection and interpretation of participant data to identify barriers and enablers. Data were analysed thematically using a six-phase, deductive approach.</div></div><div><h3>Results</h3><div>Four core themes and nine sub-themes emerged from collated participant data, providing context across Normalisation Process Theory constructs. The four core themes related to: <em>Navigating Uncertainty and Discovering Value, Building Engagement through Trust and Relatability, Structural and Relational Conditions Shaping the Functions of PSWs,</em> and <em>Recognising Impact in the Absence of Formal Structures</em>.</div></div><div><h3>Conclusion</h3><div>Effective integration in this context is underpinned by dynamic, relational factors. A theory of integration and logic model were developed to support policy and implementation efforts. These emphasise the need for comprehensive onboarding and evaluation mechanisms, and consideration of sustainability for these roles.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100548"},"PeriodicalIF":2.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145415248","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 the individual: Household activity of daily living limitations, urban-rural residence, and mental health","authors":"Kaitlin Shartle ,&nbsp;Jennifer E. Lansford ,&nbsp;Marcos Vera-Hernández ,&nbsp;Arnab Mukherji ,&nbsp;Manoj Mohanan ,&nbsp;Joanna Maselko","doi":"10.1016/j.ssmmh.2025.100547","DOIUrl":"10.1016/j.ssmmh.2025.100547","url":null,"abstract":"<div><div>Activity of daily living (ADL) limitations, such as difficulty walking or dressing, are increasing as populations age and experience more chronic conditions. To understand the scope of ADLs and make interventions more effective, it is important to examine ADLs beyond the individual to other levels and contexts, such as the household. Thus, using household and individual level survey data in India, we assess how household ADLs relate to the mental health of others in the household. We find that around 40 % of households have at least one resident with an ADL limitation, with ADL limitations more likely in households that are in rural areas, have older residents, and are socioeconomically disadvantaged. Household ADL limitations are associated with increased symptoms of depression and anxiety with the relation varying by the number of household members with an ADL limitation. For adults, having any household member with an ADL limitation is associated with increased mental health symptomology, whereas for young adults, this association only appears for those with multiple household members with an ADL limitation. Further, we find that the relation between household ADL limitations and mental health is stronger for those living in rural areas compared to urban areas. That is, when comparing individuals with the same number of household members with ADL limitations, predicted mental health symptomology is higher for those living in rural areas than for those in urban areas. These findings suggest the need for household centered accommodations and supports that consider the social and environmental context.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100547"},"PeriodicalIF":2.6,"publicationDate":"2025-10-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320185","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 logics of self-responsibility and moral selection: Neoliberal (mis)framing as symbolic violence in Norwegian municipal mental healthcare","authors":"Oda Woll Naug","doi":"10.1016/j.ssmmh.2025.100546","DOIUrl":"10.1016/j.ssmmh.2025.100546","url":null,"abstract":"<div><div>This article explores the interconnection between municipal mental healthcare provision for patients with co-occurring disorders and the overreaching discourse of individualization in healthcare governance. The central research question is: In which way do the (orthodox) neoliberal discourse of individualization manifest within the subfield of mental healthcare, and how does individualization crystallize in service delivery for patients with co-occurring disorders in Norway? The study is based on interviews with ten municipal healthcare providers in rehabilitation, residential and follow-up services. The logics of self-responsibility and moral selection are identified as key logics in service provision and delivery. These logics overlap with the orthodox neoliberal discourse of individualization in welfare state governance, emphasizing patients' independence, empowerment and self-management. Individual-specific characteristics such as insight, motivation and substance use functions as selection criteria when patients seek help from municipal services. These logics reveal a paradox wherein patients are perceived as simultaneously capable and incapable of exercising rational control over their own action and yet are expected to take responsibility for their recovery. The article argues that the discourse of individualization, prominent in mental healthcare traditions like recovery and evidence-based practice, veils logics of self-responsibility and moral selection, placing more responsibility on patients to adapt to the healthcare system's framework. The symbolic power embedded in the ‘common sense’ discourse of individualization contributes to the (re)production of systemic marginalization, where structural barriers are obscured, and the patient's ability to adapt becomes essential in determining whether they are (mis)framed as “treatable,” “treatment-resistant,” or “too ill” to be helped.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100546"},"PeriodicalIF":2.6,"publicationDate":"2025-10-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320190","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":"Support systems impacting the mental health of diverse women in biomedical science programs: An ecological approach","authors":"Ida Salusky ,&nbsp;Robin Remich ,&nbsp;Lidia Monjaras-Gaytan ,&nbsp;Cilka Mayumi Hijara ,&nbsp;Richard McGee","doi":"10.1016/j.ssmmh.2025.100545","DOIUrl":"10.1016/j.ssmmh.2025.100545","url":null,"abstract":"<div><div>Biomedical doctoral trainees experience high rates of mental health distress compared to the general population. Minoritized students are particularly vulnerable to psychological stress during training due to systemic factors including discrimination, bullying, financial constraints, high workloads and constant critical feedback. As such, the mental health of minoritized biomedical trainees is both a social justice and health equity issue. We examined longitudinal narratives of 33 Asian, Black and Latiné women in biomedical doctoral programs to understand how they constructed support systems to manage psychological distress induced by training environments and how institutional agents can effectively support student psychological wellness. By examining the experiences of graduate students over time, we found that students expend time and energy to create support systems using a variety of resources. Using Bronfenbrenner's Ecological Model, the findings show that constructing support can present challenges, particularly when norms and structures of biomedical training conflict with practices to foster good health. We present three themes: 1) students find authentic support through family, friends, and pre-PhD mentors; 2) students seek support from health professionals, though not all services were readily available or perceived as a good fit; and 3) fewer than half of participants experienced support for their mental health from PhD mentors (PIs of their lab).</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100545"},"PeriodicalIF":2.6,"publicationDate":"2025-10-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145320191","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":"Mindfulness-based interventions for mental health in refugee and migrant populations: A scoping review","authors":"Alexis Harerimana ,&nbsp;Julian David Pillay ,&nbsp;Gugu Mchunu","doi":"10.1016/j.ssmmh.2025.100540","DOIUrl":"10.1016/j.ssmmh.2025.100540","url":null,"abstract":"<div><h3>Background</h3><div>The mental health of refugees and migrants is a critical concern, as they often endure high levels of trauma and stress resulting from war, displacement and the challenges associated with resettlement. Mindfulness-based interventions (MBIs) have gained significant traction for their efficacy in enhancing mental health, mitigating stress and promoting wellbeing among the refugee and migrant population.</div></div><div><h3>Aim</h3><div>This scoping review aimed to assess the existing evidence on MBIs for mental health in refugee and migrant populations, highlighting their effectiveness, benefits and implementation challenges.</div></div><div><h3>Methods</h3><div>Following the Levac et al. framework, the following databases were systematically searched: CINAHL, Cochrane Central, Emcare, Medline, PsycInfo, Scopus, Web of Science, Google and Google Scholar—covering literature published between 2014 and 2024. Twenty-one studies were included in the final data extraction and thematic analysis, consisting of 13 qualitative studies, five quantitative studies, and three mixed-methods studies.</div></div><div><h3>Results</h3><div>Across various settings and countries, MBIs demonstrated significant benefits. In Israel, studies indicated that MBTR-R significantly reduced symptoms of PTSD (F = 12.44, η² = .17, p = .001), re-experiencing (F = 9.76, η² = .14), and hyperarousal (F = 23.93, η² = .29), increased self-compassion (.77 → .83) and decreased self-criticism (.47 → .39). In the United States, MTPC enhanced emotion regulation (β = −12.98, d = −.59), self-compassion (β = .50, d = .72), and self-efficacy (β = 2.03, d = .97). In Türkiye, the self-esteem of preschoolers increased from 25.63 to 40.89 (η² = .49). In Uganda, adolescents experienced a reduction in depressive symptoms by 10.72 points (p &lt; .0001). In Australia, a community-based MBI led to a decrease in depression scores from 9.2 to 4.2 (z = −8.48). Collectively, this review's findings suggest that MBIs significantly improve the mental health of migrants and refugees. However, the effectiveness of MBIs implementation was hindered by limited resources, cultural and language barriers, insufficient facilitator training, and a lack of institutional support.</div></div><div><h3>Conclusion</h3><div>Despite implementation challenges, MBIs remain a promising and effective approach to mental health care for refugees and migrants. Future studies should focus on creating culturally appropriate interventions and assessing the long-term effects of MBIs on the mental health of displaced populations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100540"},"PeriodicalIF":2.6,"publicationDate":"2025-10-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265662","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":"2025-10-04","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":"Beyond “Ch'jurnaaq”: Recognizing Maya Indigenous People's perceptions of psychosis and recovery in Santiago Atitlán, Guatemala","authors":"Michelle Marie Pieters ,&nbsp;Diego Sapalú ,&nbsp;Alex Cohen ,&nbsp;Cady Chen ,&nbsp;Jeremy Kane ,&nbsp;Deisy Martinez ,&nbsp;Karla Paniagua Avila ,&nbsp;Alex Petzey ,&nbsp;Ezra Susser ,&nbsp;Alejandra Paniagua-Avila","doi":"10.1016/j.ssmmh.2025.100543","DOIUrl":"10.1016/j.ssmmh.2025.100543","url":null,"abstract":"<div><h3>Introduction</h3><div>Psychotic conditions are major causes of disability in Latin America, where mental healthcare is mostly limited and inadequate. Indigenous People throughout this region experience additional barriers to mental health care, compounded by structural inequities and diverse health practices. This study in Guatemala described the Maya Indigenous People's perceptions about psychosis, its symptoms, causes, responses to, and recovery. Results will inform the design of a community-led, culturally grounded program for people living with psychosis (PLWP).</div></div><div><h3>Methods</h3><div>We conducted free listing and semi-structured interviews in Spanish or Maya Tz'utujil language. Participants were PLWP, family caregivers, community leaders, and mental health, traditional, and primary care providers. We followed Kleinman's explanatory model and elicited locally meaningful recovery outcomes. Our team performed a matrix-based thematic analysis.</div></div><div><h3>Results</h3><div>We interviewed 30 participants. Key findings included (1) varying terms and understandings of psychosis symptoms and causes across participant subgroups; (2) extremely limited care, pluralistic treatment practices, and tensions between biomedical and traditional systems; (3) matching community expectations and recovery outcomes, with contrasting views between PLWP, who expressed hope, and family caregivers and providers, who expressed doubts and resignation; and (4) stigma as a cross-cutting barrier towards care and recovery across family-, community- and provider-levels linked to social exclusion among PLWP and family caregivers.</div></div><div><h3>Conclusion</h3><div>Effective community programs must respond to local definitions of recovery, incorporate biomedical, traditional, and spiritual approaches, involve PLWP and family caregivers, and address stigma. Engaging Indigenous peoples’ practices in programs for PLWP can improve their acceptability, reach, and effectiveness.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100543"},"PeriodicalIF":2.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265669","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":"Trusting relationships in prison and well-being after release","authors":"Jason Schnittker","doi":"10.1016/j.ssmmh.2025.100539","DOIUrl":"10.1016/j.ssmmh.2025.100539","url":null,"abstract":"","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100539"},"PeriodicalIF":2.6,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265666","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":"Digital labor as a social determinant of mental health: The case of performative extreme eating in Japan","authors":"Daisuke Hori ,&nbsp;Kei Muroi","doi":"10.1016/j.ssmmh.2025.100537","DOIUrl":"10.1016/j.ssmmh.2025.100537","url":null,"abstract":"<div><h3>Introduction</h3><div>Social media has transformed eating into a global spectacle, with online eating performances emerging as one of the major entertainment genres. While the impact of online performance on viewers is a growing public health concern, the well-being of the performers themselves remains underexplored. This narrative review analyzes “performative extreme eating”—the voluntary, deliberate consumption of excessive food for entertainment or digital labor—framing it as a challenge for mental, behavioral and occupational health.</div></div><div><h3>Methods</h3><div>This narrative review synthesizes information from diverse sources through a non-systematic search of academic literature, supplemented by an analysis of journalistic reports and relevant cultural media to provide a comprehensive overview of the phenomenon, using Japan as a primary case study.</div></div><div><h3>Results</h3><div>Performative extreme eating often appears distinct from clinical eating disorders as it may lack the subjective distress or loss of control required for diagnosis. However, this performative facade can obscure serious underlying vulnerabilities, including undiagnosed binge eating disorder and bulimia nervosa. Our analysis of the Japanese context reveals how precarious digital labor acts as a social determinant of mental health, creating a public health blind spot exacerbated by nascent worker protections and policy inaction.</div></div><div><h3>Conclusion</h3><div>Performative extreme eating is a pressing challenge at the intersection of digital culture, the gig economy, and occupational health. Addressing it requires a multi-pronged strategy: Targeted research on its prevalence and health effects, occupational health guidelines for performers, and thoughtful, evidence-based regulations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100537"},"PeriodicalIF":2.6,"publicationDate":"2025-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145265667","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}