Mental health science最新文献

Persons with mental illness (PWMI) continue to encounter stigma from the public with negative outcomes. Recent stigma discourse points to power differentials as key in shaping stigma related to mental illness within social settings. The perceived social injustice towards PWMI is known to exist both anecdotally and in documented discourses. Stigma constitutes the product of public attitudes and behaviors that characterize labeling, stereotyping, prejudice, cognitive separation, status loss, and discrimination that lead to responses that may include stress and esteem-related appraisal of experienced, anticipated, perceived, or personal endorsement of societal actions that are anchored by existing power relational differentials. The potential consequence of such societal injustices (unfair treatments) towards PWMI may result in stigma and its sequels, including low socioeconomic status, stress, low self-esteem, unemployment, homelessness, exclusion, and human rights abuse. This paper proposes an Interprofessional Health Education framework and discusses the implications of such unfair social treatments for Professional knowledge development and practice among healthcare professionals, with the view to improving collaboration and patient care outcomes. A more collaborative model of care, where service users and clinicians regard each other as knowledgeable with shared power to achieve healthy outcomes, empowers patients even more in areas where they fall short.

Intolerance of uncertainty (IU; the tendency to find uncertainty aversive) and paranoia (e.g., excessive mistrust of others), are both associated with anxiety and depression symptoms. While previous research has primarily focused on IU and paranoia separately, there is recent evidence to suggest that IU and paranoia are linked and may interact to increase risk for anxiety, depression, and schizophrenia-spectrum conditions. The aims of the current study were to assess: (1) the extent to which IU (total score and subscales), paranoia, anxiety, and depression are associated and (2) whether the interaction between IU and paranoia is associated with greater anxiety and depression symptoms. To examine these aims, we conducted a survey in an international multisite sample (n = 2510). Questionnaires included: IU (total score and subscales), paranoia (RGPTS persecution subscale), anxiety, and depression. The findings revealed that: (1) IU was positively associated with paranoia (r = 0.43), anxiety (r = 0.48), and depression (r = 0.49), and (2) People with high scores on IU and paranoia showed higher anxiety and depression symptoms. Importantly, these effects remained when controlling for negative beliefs about the self and others and demographic factors. Additionally, the inhibitory IU subscale (uncertainty paralysis) was related to paranoia, anxiety, and depression. However, the prospective IU subscale (desire for predictability) was only related to depression, but not paranoia and anxiety. Overall, these findings reliably demonstrate that IU and paranoia are linked, and that IU and paranoia interactions may synergistically work to affect current levels of anxiety and depression symptoms.

Depressive symptoms are common among individuals with schizophrenia spectrum disorders, yet few studies have examined how various psychosocial factors and psychosis symptoms relate to depression in an early phase of psychosis illness. A greater understanding regarding the connection between psychosis symptoms and depressive symptoms is needed to inform assessment and intervention efforts in this population. The current study examined the relationships between psychosocial factors (distress, peer rejection, emotional support, perceived hostility), psychosis symptoms (positive, negative, general), and depression among individuals in an early phase of psychosis illness. Data were obtained from the Human Connectome Project for Early Psychosis including 167 individuals between the ages of 16 and 35 at the time of consent who met criteria for having onset of affective or nonaffective psychosis within 5 years. Clinical assessments and questionnaires were administered, and data were analyzed in SPSS and MPlus. Peer rejection (p < 0.05), distress (p < 0.001), perceived hostility (p < 0.05), and general symptoms of psychosis (p < 0.001) significantly related to depression. Bivariate associations existed between all psychosocial factors and psychosis symptoms with the exception of negative symptoms. Understanding symptoms and factors that associate with depression among individuals with psychosis in an early phase of illness can inform tailored intervention approaches of clinicians to focus on distress, peer rejection, perceived hostility, and general psychosis symptoms.

Mental health problems are ubiquitous, yet public schooling lacks comprehensive mental health curricula. The purpose of public education, in part, is to prepare people to face life and contribute to society. In the same vein as physical education (PE), we argue that a universal mental health curriculum could benefit the entire population. Schools across the globe, including in the United States, are beginning to explore universal mental health curricula, which could yield benefits that reach beyond mental health and wellness, to improve physical health, reduce behavioral problems, and increase academic performance. But the road ahead is marked with considerable economic and political barriers. We argue for incorporating mental health into the PE curriculum to gain traction toward a more comprehensive mental health curriculum.

The positive psychology approach to mental-health-related interventions suggests that a dual focus on positive and problematic characteristics is beneficial and that positive and negative characteristics interact. The present study explored the link between optimism and depression outcomes in intervention studies that assessed both optimism and depression outcomes. A meta-analysis examined effect sizes for depression and optimism and links between depression and optimism outcomes. Eighteen studies with a total of 2153 participants were included. Across studies the weighted effect sizes for the impact of interventions on both depression (g = 0.46) and optimism (g = 0.38) were significant. Optimism and depression outcomes were associated with one another (r(17) = 0.58). Meta-regression analyses also indicated linkages between the two outcomes in that the optimism effect sizes moderated depression effect sizes and depression effect sizes moderated optimism effect sizes. The results of the study lend support to a dual focus on positive and problematic characteristics.

This study's purpose is to introduce a new measurement system that objectively assesses the social validity of behavioral feeding intervention from the child's perspective via the concurrent measurement of two dimensions of emotion. To date, the primary measures of social validity for behavioral feeding intervention are caregiver treatment acceptability and satisfaction surveys. This is the first study to objectively measure two dimensions of emotion, physiological arousal and emotional valence, while children received behavioral intervention for feeding difficulties. Data collectors used a new open-source data collection software, cometrics, developed to synchronize and record physiological and observational data. Physiological data was collected using a wearable biosensor and observers recorded an index of child happiness, unhappiness, or neither using definitions by Phipps et al. (2022) for six children with a pediatric feeding disorder. Two out of six children needed programmed habituation to the device before data collection. All children assented to wearing the device during data collection. Recorded indices mapped to separable physiological states using electrodermal activity and its constituent components, skin conductance responses and skin conductance level, in addition to skin temperature. Findings demonstrated the feasibility of measuring two dimensions of child emotions during behavioral feeding intervention and revealed that children's physiological responses were distinctly different during intervals scored as happy, unhappy, or neither. This new data collection system has implications for future research on the child's emotional experience of behavioral feeding treatment and increases the possibilities for improving clinical practice.

Binge-eating disorder (BED) involves recurrent binge-eating episodes with significant distress and is associated with adverse psychological and social problems. Previous studies in adults have suggested that presence of overvaluation of shape and weight may be a clinically relevant subtype of BED. The purpose of this study was to examine if overvaluation represents an important subtype of BED in children. It was hypothesized that children with both BED and overvaluation will have a higher body mass index z-scores (BMI-z) and internalizing psychopathology and lower cognitive functioning scores. Participants included a diverse sample of children between the ages of 9 and 10 years old from the baseline wave of the Adolescent Brain Cognitive Development study. Caregivers completed the Kiddie Schedule for Affective Disorders and Schizophrenia, the Child Behavior Checklist, and measures of demographics, and children completed neurocognitive tests and had their height and weight measured. The analytic sample included 7200 children. There were no interactions between BED status and overvaluation in relation to outcome variables. Yet, BED and overvaluation were independently associated with higher internalizing symptoms, higher BMI-z, and poorer cognitive functioning. Contrary to the expectations, results did not support significant interactions between BED status and overvaluation in children. However, the study highlights the independent clinical significance of BED and overvaluation with higher BMI-z, higher internalizing symptoms, and poorer cognitive functioning. Future studies are necessary to determine the developmental trajectories of BED and overvaluation into adolescence and adulthood.