Mental health science最新文献

The contribution of companion animals to human mental wellbeing has received an increasing amount of scientific interest. Research findings concerning the nature of this relationship are however mixed. Variability in behavior and characteristics of the animal might explain this heterogeneity. The main aim of the present study is to investigate the association between companion animals and mental wellbeing in daily life and the role that animal characteristics play in this association, using an ecological momentary assessment approach. The sample will comprise of adult owners of a dog and/or a cat. Participants will start with a baseline assessment including demographic characteristics of the owner and the animal, as well as the C-BARQ or Fe-BARQ to assess general behavior of the animal. After the baseline assessment, a signal-contingent scheme with semi-random intervals will be used to examine human–animal interaction (HAI) in the natural setting of pet-owners' daily lives. Participants will complete up to ten short assessments per day over the course of 5 days, reporting on the presence of-, interaction with-, and behavior of the companion animal. They also report on stressful activities and events, and on their current positive and negative affect. Multilevel regression analysis will be used to investigate the relationship between HAI, animal characteristics and mental wellbeing. With this study we hope to provide insight into the type of animal, behavior of the animal and specific elements of interaction with an animal, and their potential associations with human wellbeing. The knowledge gathered in this study will add to unraveling mechanisms underlying HAI and help to identify in which contexts and under what conditions HAI can have the greatest impact.

Social rank theory states that achieving enhanced social rank is an essential biosocial goal for human beings, with individuals considering themselves to be high or low social rank on the basis of how they perceive that others view them. High social rank is associated with assertiveness, competence, and talent, whereas low social rank is associated with feelings of defeat and inferiority and submissive behavior. This theory has been applied to understand the etiology and psychopathology of eating disorders (EDs). The objective of this narrative systematic review was to summarize existing literature exploring perceptions of social rank and related constructs (e.g., submissiveness and inferiority) in EDs, to shed light on how individuals with EDs perceive their social rank, and to examine the relationship between perceived social rank and ED psychopathology. A systematic search of cross-sectional or longitudinal studies involving a clinical sample of individuals with EDs and using a validated measure of social rank or a related construct was conducted for studies published up to September 12, 2023 (PROSPERO, CRD42021227028). Five databases (Embase, Medline, PsycINFO, Web of Science, and PubMed) were systematically searched. Altogether, 1106 studies were included in the title and abstract screening. Seventeen studies (13 cross-sectional, 3 prospective cohort studies, and 1 ecological momentary assessment study) were included in the analysis and data extraction. The methodological quality of the studies was rated as generally good. There was evidence that individuals with EDs perceive their social rank as lower compared with healthy controls (N = 5 studies) and present features indicative of perceptions of low social rank (N = 9 studies). The perception of being of low social rank was significantly associated with more severe ED psychopathology (N = 10 studies). The findings of the review are discussed alongside limitations, implications for treatment models, and directions for future research.

The aims of this study were to (1) determine the impact of social media use on the dietary behaviors of young Australian adults, (2) explore the relationship between social media use and wellbeing, and (3) determine how social media influences dietary behaviors. Young Australian adults (18–25 years) were recruited by social media to complete an anonymous online survey (n = 107) and follow-up focus groups (n = 5). The cross-sectional survey collected demographic data, WHO-5 Wellbeing scores, and information about social media use and its impact on dietary behaviors. Focus groups explored salient findings in more detail. Participants altered their dietary habits due to social media (51%) and were inspired to make healthy choices they saw modeled (71%). However, participants who spent more time on social media had lower WHO-5 Wellbeing scores and were more likely to report social media had not had a positive impact on their diet (H = 10.38, p = 0.02, df = 3). Focus groups revealed that social media influenced attitudes, not behaviors; young adults trust credible social media creators; and food and nutrition literacy serve as a shield against misinformation. Further studies are needed to explore longitudinal impacts of social media use on wellbeing and dietary behaviors.

Use of Catha edulis is common among people living with schizophrenia. However, as is the case for most developing countries, the association of Catha edulis use and demographic variables to schizophrenia are not fully understood in Ethiopia. The aim of this study was to determine Catha edulis use and demographic correlates of schizophrenia. Retrospective case-control study was conducted on 37 schizophrenia patients and 103 non schizophrenia patients. Data were collected through face-to-face interviews using structured and pretested questionnaire. Associations between variable were determined using Mantel-Haenszel and Fisher's exact test. Odds ratio and 95% confidence interval were calculated to see the strength of association at 0.05 levels of significance. Findings of the present study show that age 18 to 30 years old (OR = 2.6; p = 0.020), being single (OR = 4.25; p = 0.001), unemployment (OR = 3.82; p = 0.001) and Catha edulis usage (OR = 3.89; p = 0.001) were significantly correlated to schizophrenia.

Research suggests that a disproportionate number of female individuals being treated for an eating disorder (ED) also have autism spectrum disorder (ASD). Alexithymia, or difficulty identifying and describing emotions, may mediate the relationship between ED and ASD. In this study, we explored the association of autistic traits with symptoms of alexithymia and eating pathology, as well as the potential mediating role of alexithymia. Two hundred and twenty-eight female participants aged 18 and older were recruited from online ED support platforms to complete an anonymous online survey via Qualtrics. The survey included three questionnaires: the Toronto Alexithymia Scale-20, the Autism-Spectrum Quotient (AQ), and the 13-item Eating Disorder Examination Questionnaire. More than half (54.8%) of participants met the clinical threshold on the AQ. Participants with a positive screen on the AQ scale also reported more symptoms of alexithymia (92.6% of individuals with a positive AQ vs. 79.8% of those without), B = 9.02, p < 0.001. A positive AQ screen was also associated with significantly greater disordered eating symptoms, B = 4.26, p = 0.031. Alexithymia mediated this association, a × b = 1.98, p < 0.05. The results establish a strong positive relationship between autistic traits and alexithymia, supporting previous data and suggesting that autistic female individuals struggle to identify emotions. Additionally, alexithymia served as a mediator between autistic traits and disordered eating. Understanding this relationship may help inform the treatment of autistic female individuals who are also struggling with ED.

The technology described in this review is QbTest. This evaluation focuses on QbTest in the clinical assessment of attention deficit hyperactivity disorder (ADHD), with emphasis on studies designed to evaluate the performance of QbTest as a decision support tool, that is, the intended use, and studies designed to evaluate discriminatory ability as a diagnostic test. A literature search of publications was made until May 2023. For the first part, studies investigating QbTest as a decision support tool were included. For the second part, studies designed to evaluate QbTest as a stand-alone test were included if sufficient information for a weighted average calculation of discriminatory power was included in the publication. Eleven studies on participants with ADHD were included for which QbTest was used in the diagnostic procedures of the disorder. One prospective randomized controlled study designed to evaluate QbTest when used for its intended purpose demonstrated a reduced time to diagnosis and increased diagnostic confidence. Ten studies designed to evaluate QbTest as a diagnostic test were identified. QbTest performed well with a weighted average sensitivity of 0.89 and specificity of 0.87 across studies with normative controls. In the challenging group of population with differential diagnosis (participants referred to a secondary or tertiary clinical care level), QbTest performed with a weighted average of 0.79 and 0.71 for both sensitivity and specificity. When including only studies of robust sample size (each study arm ≥50), the weighted averages were 0.83 and 0.86 for specificity and sensitivity, respectively. The addition of a QbTest reduced the time to a diagnostic decision without compromising diagnostic accuracy in a randomized control trial. When QbTest was evaluated for discriminative ability, an overall satisfactory weighted average sensitivity and specificity was found. The intended use of QbTest is to be used as a support tool rather than a standalone test in the clinical assessment of ADHD.

Although depression is common in primary care, challenges to timely intervention exist, particularly for communities of color and lower socioeconomic status. Our objective was to understand barriers and facilitators to mental healthcare access among a sample of patients receiving care at a federally qualified health center (FQHC) in Minnesota, United States. We qualitatively interviewed 34 patients of an urban FQHC, purposively sampled on race/ethnicity, insurance status, language, and depression symptom status (based on Patient Health Questionnaire-9 responses). We inductively and deductively analyzed interview data, leveraging theory in both the codebook development and analysis processes. Participants, who were predominantly English-speaking, female, not privately insured, and people of color, shared numerous barriers and facilitators to accessing mental healthcare. Prominent barriers primarily concerned healthcare providers, including perceived dismissal of mental health concerns and challenges with provider continuity. Additional barriers included the costs of mental health care, communication breakdowns, the patient portal, and community-specific perceptions of mental health. Prominent facilitators included clinic organizational factors (internal and external) and staff friendliness and warmth. Other factors including consideration of patients' financial situation, integrated management of behavioral and physical health conditions, language concordant staff, the telehealth visit modality, and the clinic's social mission were also raised as facilitating access. Patient voices from a single FQHC illustrate the challenges and possibilities of providing mental healthcare in safety net settings. Clinical, strategy, and policy solutions can be tailored to minimize barriers and optimize facilitators documented herein.

Much of our knowledge about the relationship between psychological variables related to sport and adolescent mental health is based on research from elite athletes. However, the vast majority of adolescents who engage in sports do so at the grassroots level. We therefore sought to understand how self-reported psychological variables and sleep may be associated with symptoms of depression and anxiety across one season in grassroots adolescent netball. We collected self-report, paper-based questionnaire data from adolescent netball players at one large netball club based in the West Midlands of the United Kingdom at the start of the season (timepoint 1, September 2018, N = 140) and end of the season (timepoint 2, March 2019, N = 132). Ages ranged from 11 to 19 (M = 13.54), which were categorized as under 14s (U14, ages 11–14) and under 19s (U19, ages 15–19). Participants self-reported symptoms of depression and anxiety, basic psychological needs related to netball, demands and resources related to netball, and sleep quality at each time point. We used standardized residual change scores to test whether changes in the psychological variables related to their engagement in grassroots netball (basic psychological needs, demands and resources) and sleep quality were associated with changes in depression and anxiety symptoms over time. We report that increases in perceived sporting demands and reductions in sleep quality were associated with elevated symptoms of depression over the season. Reductions in perceptions of autonomy were associated with increases in symptoms of anxiety. We report novel evidence that self-reported, malleable psychological variables related to sports participation, and sleep quality, are associated with mental health in youth female athletes competing at the grassroots level. It would be worthwhile to explore whether mental health interventions and/or education delivered via grassroots sports clubs may be an effective method for promoting mental health resilience in adolescent athletes.

Few studies have explored the views of fathers in relation to daughters diagnosed with anorexia nervosa (AN). The aim of this study was to investigate this aspect. This study was part of a larger study. Fourteen fathers (age 46–68 years) of 14 daughters (age 19–29 years) diagnosed with AN were interviewed between 1996 and 2002. The interview consisted of 15 open-ended questions exploring the views of fathers in relation to their daughters later diagnosed with AN. Following transcription, thematic analysis was used to identify main themes and subthemes based on the data. We identified three themes: “Family dynamic,” “Proximity and distance to the daughter,” and “Commitment and knowledge seeker,” and 10 subthemes. The fathers were involved during the upbringing and the relation to the daughter was important. Different studies show the importance of the paternal role for the daughter's healthy development, and for AN. Not sharing equally, the responsibility of early childcaring, could foster the experience of inadequacy regarding the paternal role in the future. In our study, the fathers considered the mothers to be the experts during the daughters' adolescence. This attitude could have hindered them from understanding their daughters pathological eating problems. This and other studies indicate the importance of viewing the fathers as a resource when planning treatment approaches.