SSM. Mental health最新文献_第8页

Group-based Self-Help Plus, Problem Management Plus and pre-exposure prophylaxis to improve mental health and reduce HIV risk in survivors of rape in KwaZulu-Natal, South Africa: A pilot and feasabilty randomised study 在南非夸祖鲁-纳塔尔省，以群体为基础的自助+、问题管理+和暴露前预防改善强奸幸存者的心理健康和降低艾滋病毒风险：一项试点和可行性随机研究

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-03 DOI: 10.1016/j.ssmmh.2025.100513

J. Nöthling , S. Willan , G. Gigaba , E. Chirwa , S. Mhlongo , B. Myers , B. Spooner , S. Seedat , C. Garcia-Moreno , R. Jewkes , N. Abrahams

Introduction

Gender-based violence (GBV) and HIV are highly prevalent in South Africa and are significant public health problems. Rape is a risk factor for both HIV acquisition and adverse mental health outcomes. Post-rape interventions targeting HIV and mental health are needed to mitigate risk and aid recovery.

Methods

Self-Help Plus (SH+) and Problem Management Plus (PM+) are lay counsellor-facilitated, group-based mental health interventions. We adapted them for KwaZulu-Natal, South Africa and translated them into isiZulu. 106 women who had been raped were randomized, in groups of 8–10, to a post-rape mental health intervention group (RI) or to a rape-survivor waitlisted control (RC) group. Additionally, we included an intimate partner violence shelter intervention (SI) group (n = 38). All participants completed questionnaires at baseline, 3- and 6-months. The intervention groups completed SH+ and PM+ in the first 3 months after completing the baseline assessment. All HIV-negative women were offered once daily, oral Truvada as Pre-Exposure Prophylaxis (PrEP) for HIV.

Results

The RI group showed a significant decline in depression at 3-months (β = −5.41, p = 0.017) and at 6-months (β = −10.23, p = 0.005) compared to the RC group. The SI group showed a significant decline in PTSD scores at 6-months (β = −3.5, p = 0.031). Both groups, RI (β = −4.91, p = 0.026) and SI (β = −3.5, p = 0.026), showed a significant decline in symptoms of complex PTSD (i.e., disturbances in self organization) at 3-months. 65 % of eligible participants (n = 85) in all groups took up PrEP with relatively high adherence.

Conclusion

In this pilot and feasibility trial, SH+ and PM + show promise in reducing depression, PTSD and cPTSD scores over time in women after rape and IPV. PrEP uptake was favorable, suggesting that after rape, many women are open to long-term HIV prophylaxis with PrEP, however uptake can be improved with additional measures.

基于性别的暴力（GBV）和艾滋病毒在南非非常普遍，是重大的公共卫生问题。强奸是感染艾滋病毒和不良心理健康结果的一个危险因素。需要针对艾滋病毒和心理健康的强奸后干预措施，以减轻风险并帮助恢复。方法自助+ (SH+)和问题管理+ (PM+)是由非专业咨询师协助的、以群体为基础的心理健康干预措施。我们把它们改编成南非夸祖鲁-纳塔尔省的版本，并翻译成伊祖鲁语。106名被强奸的妇女被随机分成8-10人一组，分别被分为强奸后心理健康干预组（RI）和强奸幸存者候补对照组（RC）。此外，我们还纳入了亲密伴侣暴力庇护所干预组（n = 38）。所有参与者在基线、3个月和6个月时完成问卷调查。干预组在完成基线评估后的前3个月内完成SH+和PM+。所有HIV阴性妇女每天口服一次特鲁瓦达作为HIV暴露前预防（PrEP）。结果与RC组相比，RI组在3个月时（β = - 5.41, p = 0.017）和6个月时（β = - 10.23, p = 0.005）抑郁明显下降。SI组在6个月时PTSD得分显著下降（β = - 3.5, p = 0.031）。RI组（β = - 4.91, p = 0.026）和SI组（β = - 3.5, p = 0.026）在3个月时均表现出复杂创伤后应激障碍症状（即自我组织障碍）的显著下降。所有组中65%的符合条件的参与者（n = 85）接受了PrEP，依从性相对较高。结论在这项试点和可行性试验中，SH+和PM +有望随着时间的推移降低强奸和IPV后妇女的抑郁、PTSD和cPTSD评分。PrEP的吸收是有利的，这表明在强奸后，许多妇女对PrEP的长期艾滋病毒预防持开放态度，但可以通过其他措施改善吸收。

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引用次数: 0

‘I am happy because I am pregnant, but becoming a mother is not easy,’ the experience of pregnancy, antenatal depression, and perception of yoga in rural pregnant women in Maharashtra, a qualitative study “我很高兴，因为我怀孕了，但成为一个母亲并不容易”，马哈拉施特拉邦农村孕妇的怀孕经历、产前抑郁和对瑜伽的认知，一项定性研究

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-06-27 DOI: 10.1016/j.ssmmh.2025.100487

Rahul Shidhaye , Kalyani Shinde , Unnati Thete , Sonali Shelke , Chitra Thanage , Shamal Talole , Swapnali Palande , Suryabhan Gore

Background

Antenatal depression is a significant public health problem. It is critical to understand the ‘experience’ of pregnancy and the overall socio-cultural context of pregnant women to design and implement interventions to address antenatal depression effectively. The evidence base in this field is predominantly in the form of quantitative cross-sectional studies. There are few qualitative studies from low- and middle-income country settings. This study is part of the formative work related to the development of a yoga-based intervention for antenatal depression in rural women in Maharashtra, India.

Methods

We contacted pregnant women in the antenatal clinic and community centres in the study area and completed 26 In-Depth Interviews (IDIs). Of the total sample, 16 women had depression (EPDS≥10). All IDIs were conducted in Marathi, audio-recorded, transcribed, and then translated into English. We used NVivo 9 (QSR) to store and code the data, and a thematic content analysis approach to analyse and synthesize the findings.

Results

Five main themes emerged from the data: 1) experience of pregnancy (positive as well as negative), 2) coping strategies used by women, 3) support they receive from family members and professional support, 4) gender expectations, and 5) perception of yoga practice during pregnancy.

Discussion

We found that most women experienced positive emotions about pregnancy, and this was even true for women who screened positive for probable depression. Women reported several psychological problems and felt that the physical symptoms they experienced and interpersonal problems affected their psychological well-being. Husbands, in-laws, and parents supported women during pregnancy. Interestingly, neither community health workers nor obstetricians discussed or provided psychological support. Rest, spending time on social media, and talking to family members were common coping strategies used by women. Women were aware of yoga as they had practiced it during school but reported challenges in undertaking yoga practice during pregnancy.

背景：产后抑郁症是一个重大的公共卫生问题。了解怀孕的“经历”和孕妇的整体社会文化背景对于设计和实施有效解决产前抑郁症的干预措施至关重要。这一领域的证据基础主要是定量横断面研究的形式。很少有来自低收入和中等收入国家环境的定性研究。本研究是印度马哈拉施特拉邦农村妇女产前抑郁症瑜伽干预发展相关形成性工作的一部分。方法与研究区产前门诊和社区中心的孕妇进行接触，完成26次深度访谈（IDIs）。总样本中有16名女性患有抑郁症（EPDS≥10）。所有的idi都是用马拉地语进行的，录音，转录，然后翻译成英语。我们使用NVivo 9 （QSR）对数据进行存储和编码，并采用主题内容分析方法对研究结果进行分析和综合。结果从数据中得出了五个主要主题：1)怀孕经历（积极的和消极的），2)女性使用的应对策略，3)从家庭成员和专业支持中获得的支持，4)性别期望，5)怀孕期间瑜伽练习的感知。讨论我们发现，大多数女性对怀孕都有积极的情绪，甚至对那些可能患有抑郁症的女性来说也是如此。妇女报告了几种心理问题，认为她们经历的身体症状和人际关系问题影响了她们的心理健康。丈夫、姻亲和父母在怀孕期间支持妇女。有趣的是，社区卫生工作者和产科医生都没有讨论或提供心理支持。休息、花时间在社交媒体上、与家人交谈是女性常用的应对策略。女性知道瑜伽，因为她们在学校练过瑜伽，但报告说，在怀孕期间练习瑜伽存在挑战。

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引用次数: 0

Bridging the Gap: Towards a theory of peer-support worker integration within early intervention psychosis services 弥合差距：对早期干预精神病服务中的同伴支持工作者整合理论

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-15 DOI: 10.1016/j.ssmmh.2025.100548

Scott Lamont , Chris McAteer , Leshia Patterson

Background

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.

Aim

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.

Methods

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.

Results

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: Navigating Uncertainty and Discovering Value, Building Engagement through Trust and Relatability, Structural and Relational Conditions Shaping the Functions of PSWs, and Recognising Impact in the Absence of Formal Structures.

Conclusion

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.

同伴支持工作者越来越被认为是全球精神卫生服务中以人为本的护理提供的组成部分，他们在早期干预服务中的存在正在扩大。同伴支持工作者提供的好处是众所周知的，但对于如何快速有效地将其纳入早期干预服务以最大限度地发挥其作用，人们知之甚少。目的本研究通过涉及服务使用者、同伴支持工作者和临床医生的多方利益相关者的感知和见解，探讨了在早期干预服务中有效实施同伴支持工作者角色的障碍和促进因素。方法在英格兰西北部的NHS基金会信托内进行定性、多地点研究。对三个利益相关者群体的18名参与者进行了半结构化访谈，规范化过程理论指导了参与者数据的收集和解释，以确定障碍和推动因素。使用六阶段演绎方法对数据进行主题分析。4个核心主题和9个子主题从整理的参与者数据中浮现出来，提供了标准化过程理论构建的背景。四个核心主题涉及：导航不确定性和发现价值，通过信任和相关性建立参与，结构和关系条件塑造psw的功能，以及在缺乏正式结构的情况下认识影响。结论在这种情况下，有效的整合是由动态的、相关的因素支撑的。开发了集成理论和逻辑模型，以支持政策和实施工作。这些建议强调需要有全面的入职和评价机制，并考虑到这些作用的可持续性。

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引用次数: 0

The role of defensive functioning in positive deviance in psychological wellbeing amongst young women living in Soweto, South Africa 在生活在南非索韦托的年轻女性中，防御功能在积极偏差心理健康中的作用

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-10-30 DOI: 10.1016/j.ssmmh.2025.100557

Catherine E. Draper , Claire Hart , Nosibusiso Tshetu , Nokuthula Nkosi , Stephen J. Lye , Shane A. Norris

This qualitative study explored how mature defence mechanisms support positive deviance in health and wellbeing among young women facing adversity in Soweto, South Africa. Drawing from the Bukhali randomized controlled trial in Soweto, which targets improved health trajectories for young women, this study focused on a group of participants who exhibited positive deviance in the trial by being employed or studying, engaging actively in the trial, and showing favourable physical and mental health indicators despite living in a context marked by poverty, inequality, and trauma. Eight in-depth interviews were conducted with participants who met selection criteria, and data were analysed using a codebook thematic approach, incorporating a psychoanalytic framework of defensive functioning. Participants demonstrated frequent use of high adaptive defences, such as anticipation, self-observation, sublimation, and self-assertion, which enabled emotional regulation, agency, and healthy coping. Self-isolation and low affiliation, often seen as withdrawal, were reframed as protective strategies when balanced with meaningful social connections. These findings offer a psychologically rich understanding of how young women in challenging environments navigate complex social landscapes. By integrating positive deviance with defensive functioning, the study extends psychoanalytic theory to marginalized contexts, revealing how mature defence mechanisms contribute to resilience. The insights have implications for designing strength-based mental health interventions tailored to the realities and psychological capacities of marginalized populations.

本定性研究探讨了成熟的防御机制如何支持南非索韦托面临逆境的年轻妇女在健康和福祉方面的积极偏差。根据索韦托的Bukhali随机对照试验，该试验旨在改善年轻妇女的健康轨迹，本研究侧重于一组参与者，他们在试验中表现出积极的偏差，通过就业或学习，积极参与试验，尽管生活在以贫困、不平等和创伤为标志的环境中，仍表现出良好的身心健康指标。与符合选择标准的参与者进行了八次深度访谈，并使用密码本主题方法分析数据，结合了防御功能的精神分析框架。参与者表现出频繁使用高适应性防御，如预期、自我观察、升华和自我主张，这有助于情绪调节、代理和健康应对。自我孤立和低隶属关系，通常被视为退缩，当与有意义的社会关系平衡时，被重新定义为保护策略。这些发现为年轻女性在充满挑战的环境中如何驾驭复杂的社会景观提供了丰富的心理理解。通过将积极偏差与防御功能相结合，本研究将精神分析理论扩展到边缘环境，揭示了成熟的防御机制如何促进心理弹性。这些见解对根据边缘化人群的现实和心理能力设计基于力量的心理健康干预措施具有影响。

{"title":"The role of defensive functioning in positive deviance in psychological wellbeing amongst young women living in Soweto, South Africa","authors":"Catherine E. Draper , Claire Hart , Nosibusiso Tshetu , Nokuthula Nkosi , Stephen J. Lye , Shane A. Norris","doi":"10.1016/j.ssmmh.2025.100557","DOIUrl":"10.1016/j.ssmmh.2025.100557","url":null,"abstract":"<div><div>This qualitative study explored how mature defence mechanisms support positive deviance in health and wellbeing among young women facing adversity in Soweto, South Africa. Drawing from the <em>Bukhali</em> randomized controlled trial in Soweto, which targets improved health trajectories for young women, this study focused on a group of participants who exhibited positive deviance in the trial by being employed or studying, engaging actively in the trial, and showing favourable physical and mental health indicators despite living in a context marked by poverty, inequality, and trauma. Eight in-depth interviews were conducted with participants who met selection criteria, and data were analysed using a codebook thematic approach, incorporating a psychoanalytic framework of defensive functioning. Participants demonstrated frequent use of high adaptive defences, such as anticipation, self-observation, sublimation, and self-assertion, which enabled emotional regulation, agency, and healthy coping. Self-isolation and low affiliation, often seen as withdrawal, were reframed as protective strategies when balanced with meaningful social connections. These findings offer a psychologically rich understanding of how young women in challenging environments navigate complex social landscapes. By integrating positive deviance with defensive functioning, the study extends psychoanalytic theory to marginalized contexts, revealing how mature defence mechanisms contribute to resilience. The insights have implications for designing strength-based mental health interventions tailored to the realities and psychological capacities of marginalized populations.</div></div>","PeriodicalId":74861,"journal":{"name":"SSM. Mental health","volume":"8 ","pages":"Article 100557"},"PeriodicalIF":2.6,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145465636","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}

引用次数: 0

Transforming mental health care in Kenya: The critical role of routine outcomes monitoring in specialized services 肯尼亚精神卫生保健的变革：常规结果监测在专业服务中的关键作用

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-12-05 DOI: 10.1016/j.ssmmh.2025.100570

Clara Paz , Anne A. Obondo , Ian Kanyanya , Caleb Othieno , Manasi Kumar

This short communication advocates for the strategic implementation of Routine Outcome Monitoring (ROM) systems within Kenya's specialized mental health institutions, especially teaching and referral hospitals. The proposed shift aims to transform these institutions into learning health systems, dynamic structures that systematically capture and utilize data from everyday clinical practice to drive continuous improvement in care quality, accountability, and population mental health outcomes. Kenya's mental health system, while advancing in policy and infrastructure, still faces a critical gap in routine, data-driven practices that support outcome-based care. ROM offers a practical and scalable solution to bridge this divide.

We emphasize that this transition requires more than technological adoption. It demands a systemic reorientation: establishing digital standards for outcome tracking, allocating protected time for data reflection, strengthening referral pathways, and aligning local practices with national health indicators. These changes can help institutions become national exemplars, where evidence from clinical encounters informs policy, enhances training, and fosters research capacity.

ROM is framed not as a technical add-on but as a transformative tool capable of reshaping how care is delivered, evaluated, and improved over time. It can anchor Kenya's mental health care in real-time learning, ensuring that services adapt responsively to the needs of patients and communities. With political will, stakeholder collaboration, and thoughtful implementation, Kenya has the opportunity to lead among LMICs in establishing a mental health system that is evidence-informed, equitable, and sustainable.

这种简短的沟通倡导在肯尼亚的专业精神卫生机构，特别是教学和转诊医院内战略性地实施常规结果监测（ROM）系统。拟议的转变旨在将这些机构转变为学习型卫生系统，即系统地捕获和利用来自日常临床实践的数据的动态结构，以推动护理质量、问责制和人口心理健康结果的持续改进。肯尼亚的精神卫生系统虽然在政策和基础设施方面取得了进展，但在支持基于结果的护理的常规、数据驱动的实践方面仍面临重大差距。ROM提供了一种实用且可扩展的解决方案来弥合这一鸿沟。我们强调，这一过渡需要的不仅仅是采用技术。它要求进行系统的重新定位：为结果跟踪建立数字标准，为数据反思分配受保护的时间，加强转诊途径，并使地方做法与国家卫生指标保持一致。这些变化可以帮助机构成为国家典范，从临床经验中获得的证据为政策提供信息，加强培训，并促进研究能力。ROM不是作为一种技术附加，而是作为一种变革性工具，能够随着时间的推移重塑护理的交付、评估和改进方式。它可以将肯尼亚的精神卫生保健固定在实时学习中，确保服务能够响应患者和社区的需求。有了政治意愿、利益攸关方合作和周到的实施，肯尼亚有机会在中低收入国家中率先建立循证、公平和可持续的精神卫生系统。

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引用次数: 0

Examining subpopulation differences in self-reported mental health following the Robb Elementary School shooting in Uvalde, Texas 在德克萨斯州乌瓦尔德的罗布小学枪击事件后，对自我报告心理健康的亚人群差异进行了研究

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-08-14 DOI: 10.1016/j.ssmmh.2025.100511

Camerin A. Rencken , Ali Rowhani-Rahbar , Isaac C. Rhew , Carol A. Davis , Alice Ellyson

Objective

Since 1999, over 390,000 students in the United States (US) have experienced firearm violence in schools, with research linking these events to adverse mental health impacts. However, the broader societal effects remain understudied. This study investigates the mental health impact of the Robb Elementary School shooting in Uvalde, TX, in May 2022, across subpopulations including the Hispanic community, parents, females, Texas residents, and those with depression.

Methods

This quasi-experimental study analyzed data from the Behavioral Risk Factor Surveillance System, with 139,638 adults interviewed between April 24 and August 21, 2022. The outcome was poor mental health days in the past 30 days, with exposure defined by interview timing relative to the shooting. Two-part negative binomial hurdle regressions were used, including subpopulation analyses of stratified samples.

Results

Characteristics between exposed and unexposed groups were similar, with roughly 3% residing in Texas. Exposure to the shooting was linked to increased poor mental health days, with the largest increase in poor mental health days among Hispanic individuals (Count Ratio [CR] = 1.06; 95% CI: 1.00 – 1.12). For the US population, the increase was 2% (95 % CI: 1.00-1.04). Time-varying analyses showed the strongest increase among Hispanic individuals (12%) 2–4 weeks post-shooting (95% CI: 1.02-1.23).

Conclusion

Exposure to the shooting was linked to modest increases in poor mental health across most subpopulations, with the strongest and most-significant effects among Hispanic individuals. Beyond ethical responsibility, the increase in poor mental health could have significant economic and social consequences, emphasizing the need for evidence-based public health policies and interventions.

自1999年以来，美国有超过39万名学生在学校经历过枪支暴力，研究将这些事件与不良的心理健康影响联系起来。然而，更广泛的社会影响仍未得到充分研究。本研究调查了2022年5月德克萨斯州乌瓦尔德罗布小学枪击事件对心理健康的影响，涉及包括西班牙裔社区、父母、女性、德克萨斯州居民和抑郁症患者在内的亚人群。方法采用准实验研究方法，对2022年4月24日至8月21日期间139638名成年人的行为风险因素监测系统数据进行分析。结果是，在过去的30天里，心理健康状况不佳的日子是由与枪击事件相关的采访时间决定的。采用两部分负二项障碍回归，包括分层样本的亚种群分析。结果暴露组和未暴露组的特征相似，约3%居住在德克萨斯州。暴露于枪击事件与心理健康不良天数增加有关，其中西班牙裔个体的心理健康不良天数增加最多（计数比[CR] = 1.06; 95% CI: 1.00 - 1.12）。对于美国人口，增加了2% （95% CI: 1.00-1.04）。随时间变化的分析显示，在注射后2-4周，西班牙裔个体的发病率增加最多（12%）（95% CI: 1.02-1.23）。结论：在大多数亚群体中，接触枪击事件与心理健康状况不佳的适度增加有关，其中西班牙裔个体的影响最强、最显著。除了道德责任之外，心理健康不良现象的增加还可能产生重大的经济和社会后果，强调需要有循证的公共卫生政策和干预措施。

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引用次数: 0

Foundations of the ALIVE National Centre for Mental Health Research Translation: Impact evaluation protocol ALIVE国家心理健康研究中心基金会翻译：影响评估协议

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-08 DOI: 10.1016/j.ssmmh.2025.100525

Nizam Abdu , Caroline V. Robertson , Justin Chapman , Victoria J. Palmer , Michelle Banfield , Amanda J. Wheeler , Amanda L. Neil

The ALIVE National Centre for Mental Health Research Translation was established in 2021. Funded by the Australian National Health and Medical Research Council's Special Initiative in Mental Health, the Centre aims to foster innovation in mental health care. Central to this aim is embedding the voices of those with lived experience into all Centre structures and activities including leadership and co-design of research priorities for mental health research implementation and translation. This manuscript details the Centre's impact evaluation protocol. Comprised of two Streams, the impact evaluation aims to 1) evaluate the implementation of the Centre's National Roadmap for mental health care ecosystem regeneration across the mental health sector; and 2) describe the broader social value created by the Centre. This work is intended to inform future research and funding decisions across the mental health sector and bring about a paradigm shift in mental health research translation in Australia.

ALIVE国家心理健康研究翻译中心于2021年成立。该中心由澳大利亚国家卫生和医学研究委员会精神卫生特别倡议资助，旨在促进精神卫生保健方面的创新。这一目标的核心是将有实际经验的人的声音纳入中心的所有结构和活动，包括领导和共同设计精神卫生研究实施和翻译的研究重点。这份手稿详细说明了中心的影响评估方案。影响评价包括两个方面，其目的是：1)评价该中心在整个精神卫生部门制定的精神卫生保健生态系统再生国家路线图的执行情况；2)描述该中心创造的更广泛的社会价值。这项工作旨在为整个精神卫生部门未来的研究和资助决策提供信息，并在澳大利亚精神卫生研究翻译方面带来范式转变。

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引用次数: 0

Post-traumatic stress disorder and associated factors among soldiers retiring from active service in Uganda: Across sectional study 乌干达退役士兵的创伤后应激障碍及其相关因素：横断面研究

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-08-21 DOI: 10.1016/j.ssmmh.2025.100515

Dan Mwangye Bigirwa , Godfrey Zari Rukundo , Joseph Kirabira , Samuel Maling , Alain Favina , Moses Muwanguzi , Herbert Elvis Ainamani , Scholastic Ashaba

Background

Post-traumatic stress disorder (PTSD) is one of the commonest mental health challenges among veterans and service members. However, studies on PTSD and its associated factors among military personnel in Uganda are limited. This study estimated the prevalence of PTSD and associated factors among soldiers retiring from active service in Uganda.

Methods

In this cross-sectional study we recruited 247 retiring soldiers and assessed for PTSD using the PTSD check list for DSM-5. We also collected information on socio-demographic characteristics including gender, age, number of years in military service, level of education, and marital status, alcohol use, drug use, exposure to life, childhood trauma, and depression. participants.

Results

Of the 247 participants, 97 % (n = 239) were male, 47 % (n = 115), the average age was 46 (SD = 8.03) years, and the average duration of military service was 22 (SD = 8.36) years. The prevalence of PTSD among study participants was 13 % (n = 32). The factors associated with PTSD were moderate to hazardous alcohol consumption (aOR = 3.44; 95 % CI = 1.27–9.28; p = 0.02) and depression (aOR = 6.19; 95 % CI = 2.15–17.84; p = 0.0010).

Conclusion

This study found a 13 % prevalence of PTSD among retiring military personnel in Uganda, with depression and hazardous alcohol use significantly increasing its odds. These findings underscore the need for targeted mental health screening and intervention during the transition to civilian life, particularly addressing depression and alcohol use.

创伤后应激障碍（PTSD）是退伍军人和服役人员中最常见的心理健康挑战之一。然而，对乌干达军事人员创伤后应激障碍及其相关因素的研究有限。本研究估计了乌干达退役士兵中创伤后应激障碍的患病率及其相关因素。方法在本横断面研究中，我们招募了247名退役士兵，并使用DSM-5的PTSD检查表对其进行PTSD评估。我们还收集了社会人口学特征的信息，包括性别、年龄、服兵役年数、教育水平、婚姻状况、酒精使用、药物使用、生活暴露、童年创伤和抑郁症。参与者。结果247名参与者中，男性占97% (n = 239)，男性占47% (n = 115)，平均年龄为46 （SD = 8.03）岁，平均服兵役时间为22 （SD = 8.36）年。PTSD在研究参与者中的患病率为13% （n = 32）。与PTSD相关的因素为中度至危险饮酒（aOR = 3.44; 95% CI = 1.27-9.28; p = 0.02）和抑郁（aOR = 6.19; 95% CI = 2.15-17.84; p = 0.0010）。结论：本研究发现，乌干达退役军人中PTSD患病率为13%，抑郁症和危险饮酒显著增加了其患病率。这些发现强调，在向平民生活过渡期间，有必要进行有针对性的心理健康筛查和干预，特别是针对抑郁症和酗酒问题。

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引用次数: 0

Mental health self-stigma moderates the effect of social support on depression, anxiety and stress among young adult Pacific Islanders 心理健康自我耻辱感调节了社会支持对太平洋岛民青年抑郁、焦虑和压力的影响

IF 4.1 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-06-15 DOI: 10.1016/j.ssmmh.2025.100471

Melanie D. Sabado-Liwag , James Russell Pike , Mayra Zamora , Cindy Garcia , Lolofi Soakai , Genesis Lutu , Paula H. Palmer , Sherine El-Toukhy , Patchareeya P. Kwan

Objectives

In the United States, Pacific Islanders have a high documented prevalence of depression, anxiety, and stress yet report low use of mental health services. Little is known about their risk and protective factors against psychological distress, such as self-stigma and social support. The aim of the current study was to investigate how perceived levels of social support and levels of self-stigma moderate mental health outcomes (depression, anxiety, and stress).

Methods

A cross-sectional study was conducted in Southern California from May 2018 to June 2019 of 213 Pacific Islanders aged 18–35 years who had never been medically diagnosed with a severe mental condition. Each participant completed an online survey that assessed their demographics, mental health, perceptions of mental health, and perceived social support. The independent and synergistic effects of mental health self-stigma and social support on self-reported depression, anxiety, and stress were examined in a series of demographics-adjusted linear regression models.

Results

Social support from family members exhibited a protective effect on all three outcomes. Social support from friends was associated with higher levels of depression, anxiety, and stress. Self-stigma acted as a moderator that either amplified the deleterious effects associated with social support from friends or altered the protective effect of support from family.

Conclusions

Findings suggest that social support from friends may play a role in the presence of self-stigma through peer stigmatization of psychological distress. Family- and peer-centric interventions are needed to reduce self-stigma and improve mental health among young adult Pacific Islanders.

在美国，太平洋岛民有很高的抑郁、焦虑和压力患病率，但报告心理健康服务的使用率很低。人们对他们的风险和防止心理困扰的保护因素知之甚少，例如自我耻辱和社会支持。本研究的目的是调查感知到的社会支持水平和自我耻辱水平如何调节心理健康结果（抑郁、焦虑和压力）。方法2018年5月至2019年6月，在南加州对213名年龄在18-35岁、从未被医学诊断患有严重精神疾病的太平洋岛民进行了一项横断面研究。每位参与者都完成了一份在线调查，评估他们的人口统计、心理健康、心理健康感知和感知的社会支持。在一系列人口统计学调整的线性回归模型中，研究了心理健康、自我污名和社会支持对自我报告的抑郁、焦虑和压力的独立和协同作用。结果来自家庭成员的社会支持对这三个结果都有保护作用。来自朋友的社会支持与更高程度的抑郁、焦虑和压力有关。自我耻辱起到了调节作用，要么放大了来自朋友的社会支持的有害影响，要么改变了来自家庭支持的保护作用。结论研究结果表明，来自朋友的社会支持可能通过同伴污名化的心理困扰在自我污名化中发挥作用。需要采取以家庭和同伴为中心的干预措施，减少太平洋岛民的自我耻辱感，改善他们的心理健康。

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引用次数: 0

In memoriam: Professor Lonnie R. Snowden 纪念：朗尼·r·斯诺登教授

IF 2.6 Q1 PSYCHIATRY

SSM. Mental health

Pub Date : 2025-12-01 Epub Date: 2025-09-24 DOI: 10.1016/j.ssmmh.2025.100534

Yunyu Xiao

引用次数: 0