JournalTOCs

Global Mental Health
Number of Followers: 13

This is an Open Access Journal

Open Access journal
ISSN (Print) 2054-4251 - ISSN (Online) 2054-4251
Published by Cambridge University Press

[353 journals]

Using theory of change to plan for the implementation of a psychological
intervention addressing alcohol use disorder and psychological distress in
Uganda
- Authors: van der Boor; Catharina, Andersen, Lena S., Massazza, Alessandro, Tol, Wietse A., Taban, Dalili, Roberts, Bayard, Ssebunnya, Joshua, Kinyanda, Eugene, May, Carl, Nadkarni, Abhijit, Fuhr, Daniela
  First page: 6
  Abstract: In conflict-affected settings, prevalence of alcohol use disorders (AUDs) can be high. However, limited practical information exists on AUD management in low-income settings. Using a theory of change (ToC) approach, we aimed to identify pathways influencing the implementation and maintenance of a new transdiagnostic psychological intervention (“CHANGE”), targeting both psychological distress and AUDs in humanitarian settings. Three half-day workshops in Uganda engaged 41 stakeholders to develop a ToC map. ToC is a participatory program theory approach aiming to create a visual representation of how and why an intervention leads to specific outcomes. Additionally, five semi-structured interviews were conducted to explore experiences of stakeholders that participated in the ToC workshops. Two necessary pathways influencing the implementation and maintenance of CHANGE were identified: policy impact, and mental health service delivery. Barriers identified included policy gaps, limited recognition of social determinants and the need for integrated follow-up care. Interviewed participants valued ToC’s participatory approach and expressed concerns about its adaptability in continuously changing contexts (e.g., humanitarian settings). Our study underscores ToC’s value in delineating context-specific outcomes and identifies areas requiring further attention. It emphasizes the importance of early planning and stakeholder engagement for sustainable implementation of psychological interventions in humanitarian settings.
  PubDate: 2024-01-08
  DOI: 10.1017/gmh.2023.93
A counsellor-supported ‘PTSD Coach’ intervention versus enhanced
Treatment-as-Usual in a resource-constrained setting: A randomised
controlled trial
- Authors: Bröcker; Erine, Olff, Miranda, Suliman, Sharain, Kidd, Martin, Greyvenstein, Lyrése, Seedat, Soraya
  First page: 7
  Abstract: To widen treatment access for posttraumatic stress disorder (PTSD) in resource-constrained South Africa, we evaluated the feasibility and effectiveness of a counsellor-supported PTSD Coach mobile application (app) (PTSD Coach-CS) intervention on PTSD and associated sequelae in a community sample. Participants (female = 89%; black = 77%; aged 19–61) with PTSD were randomised to PTSD Coach-CS (n = 32) or enhanced Treatment-as-Usual (n = 30), and assessed with the Clinician-Administered PTSD Scale (CAPS-5), PTSD Checklist (PCL-5) and Depression, Anxiety and Stress Scale-21 items, at pre- to post-treatment and follow-up (1 and 3 months). We also collected data on user experiences of the PTSD Coach app with self-administered surveys. We conducted an intent-to-treat analysis and linear mixed models. A significant (group × time) effect for the CAPS-5 (F3.136 = 3.33, p = 0.02) indicated a greater reduction in PTSD symptom severity over time for the intervention group with a significant between-group effect size detected at 3-month follow-up. Significant between-group effect sizes were detected in self-reported stress symptom reduction in the intervention group at post-treatment and 3-month follow-up. Participants perceived the app as helpful and were satisfied with the app. Findings suggest PTSD Coach-CS as a suitable low-cost intervention and potential treatment alternative for adults with PTSD in a resource-constrained country. Replication in larger samples is needed to fully support effectiveness. Pan African Trial Registry: PACTR202108755066871.
  PubDate: 2024-01-03
  DOI: 10.1017/gmh.2023.92
Inclusive mental health support for international students: Unveiling
delivery components in higher education
- Authors: Sakız; Halis, Jencius, Marty
  First page: 8
  Abstract: This study examines the delivery components of inclusive mental health services in higher education, centering on international university students. Through interviews with 32 participants at a state university in the United States, including students, counseling staff, and faculty, six key themes emerged: mental health professionals’ multicultural self-awareness, focus on reparative services, mainstream mental health theories and approaches, professionals’ cultural background, faculty involvement and physical space and confidentiality. These findings underscore the importance of training for professionals, expansive mental health offerings, incorporation of diverse approaches, confidentiality, active faculty participation and suitable physical environments. By addressing these components, universities can enhance the quality of mental health support for international student populations, promoting their overall well-being and academic success.
  PubDate: 2024-01-12
  DOI: 10.1017/gmh.2024.1
Integrating mental health into primary care in Nigeria: Implementation
outcomes and clinical impact of the HAPPINESS intervention
- Authors: Iheanacho; Theddeus, Chu, Casey, Aguocha, Chinyere M., Nwefoh, Emeka, Dike, Charles
  First page: 9
  Abstract: BackgroundThe Health Action for Psychiatric Problems In Nigeria including Epilepsy and SubstanceS (HAPPINESS) intervention is a multicomponent, community-based, mobile technology-supported intervention that integrates mental health into primary health care centers in Nigeria using the World Health Organization’s Mental Health Gap Action Programme-Intervention Guide (mhGAP-IG). This study evaluates its implementation and patient-level clinical impact using a quasi-experimental design (single cohort with pre- and post-measures).FindingsThe HAPPINESS intervention implementation demonstrated high feasibility with 84% adoption rate (% of participating primary health centers that completed its roll out) and 81% fidelity (% of clinicians who completed required intervention components according to the protocol). Retention rate in care at 12 months was 86%. Among patients with complete clinical records analyzed (n = 178), there was a statistically significant reduction in 9-item Patient Health Questionnaire scores from baseline (Md = 9.5) to 6 months (Md = 3.0) post-intervention (z = 80.5, p
  PubDate: 2024-01-12
  DOI: 10.1017/gmh.2024.4
Predictors, moderators and mediators of psychological therapies for
perinatal depression in low- and middle-income countries: a systematic
review
- Authors: Elias; Alexa, Seward, Nadine, Lund, Crick
  First page: 10
  Abstract: Psychological interventions have demonstrated effectiveness in treating perinatal depression (PND), but understanding for whom, how and under what conditions they improve symptoms in low- and middle-income countries (LMICs) is largely unknown. This review aims to synthesise current knowledge about predictors, moderators and mediators of psychological therapies to treat PND in LMICs. Five databases were searched for studies quantitatively examining the effects of at least one mediator, moderator or predictor of therapies for PND in LMICs. The review sampled seven publications evaluating findings from randomised trials conducted in Asia and sub-Saharan Africa. The small number of included studies limited generalisability of findings. Analyses of trials with acceptable quality suggest that patient activation in Pakistan and social support in both India and Pakistan may mediate psychotherapy effectiveness, higher baseline depression severity may moderate treatment response in South Africa, and shorter depression duration at baseline may moderate intervention response in India. This review highlights current gaps in evidence quality and the need for future trials exploring PND psychotherapy effectiveness in LMICs to follow reporting guidelines to facilitate appropriate predictor, moderator and mediator analyses.
  PubDate: 2024-01-17
  DOI: 10.1017/gmh.2024.3
The association between the use of video games, social media and online
dating sites, and the symptoms of anxiety and/or depression in adults aged
25 and over
- Authors: El Haddad; Maria, Hecker, Irwin, Wallez, Solène, Mary-Krause, Murielle, Melchior, Maria
  First page: 11
  Abstract: People tend to spend more time in front of their screens, which can have repercussions on their social life, physical and mental health. This topic has mainly been studied in adolescents. Therefore, our study tested associations between the use of video games, social media and online dating leading to sexual relations (ODLSR), and symptoms of anxiety and/or depression among adults aged 25 and over. Data from the 2018 TEMPO cohort study were analyzed (n = 853, 65.0% women, aged 25–44, with an average of 37.4 ± 3.7 years). The exposure variables were as follows: (a) the frequency of video game use, (b) time spent on social media and (c) ODLSR. Data were analyzed using multivariate logistic regression models, adjusted for participants’ sociodemographic characteristics as well as history of mental health problems. Among the participants, 8.6% presented symptoms of anxiety and/or depression. An association between ODLSR and symptoms of anxiety and/or depression was found, especially among women. The results of this study will facilitate the improvement of support and care for adults, especially those with symptoms of anxiety and/or depression using dating applications. Future studies should investigate the determinants of using online meeting websites and their relationship with the occurrence of psychological difficulties in longitudinal studies to establish causality.
  PubDate: 2024-01-18
  DOI: 10.1017/gmh.2024.2
Factors associated with depression, anxiety, and satisfaction with life
among Malaysian parental caregivers of adolescent psychiatric patients: A
cross-sectional study
- Authors: Cham; Choy Qing, Ibrahim, Norhayati, Kalaman, Clarisse Roswini, Ho, Meng Chuan, Visvalingam, Uma, Ahmad Shahabuddin, Farah, Abd Rahman, Fairuz Nazri, Halim, Mohd Radzi Tarmizi A., Harbajan Singh, Manveen Kaur, Azhar, Fatin Liyana, Yahya, Amira Najiha, Roslan, Samsilah, Siau, Ching Sin
  First page: 12
  Abstract: Depression and anxiety are prevalent mental health issues worldwide, especially among parental caregivers. By expanding the family stress model, this cross-sectional study investigated the relevant factors associated with depressive symptoms, anxiety symptoms, and satisfaction with life among Malaysian parental caregivers of adolescent psychiatric patients. Data were collected through questionnaires (N = 207) across five major public hospitals through convenience sampling. Participants answered questionnaires measuring financial strain, caregiver burden, relationship quality, belief in mental illness, perceived COVID-19 stress, satisfaction with health services, depressive symptoms, anxiety symptoms and life satisfaction. Findings revealed that relationship quality among spouses, COVID-19 stress and caregiver burden were significantly correlated with anxiety symptoms, depressive symptoms and satisfaction with life. The multiple regression model also suggested that depressive symptoms (β = .613, p < .001), anxiety symptoms (β= .657, p < .001) and relationship quality among spouses (β = .264, p < .001) were the most influential predictors of anxiety symptoms, depressive symptoms and satisfaction with life respectively. By addressing the mental health needs of parental caregivers, this study can contribute to improving the overall quality of care and support provided to adolescent patients and their caregivers in Malaysia and beyond.
  PubDate: 2024-01-23
  DOI: 10.1017/gmh.2024.5
Determinants of anxiety and depression among type 2 diabetes mellitus
- Authors: Hossen; Md. Toufik, Shuvo, Suvasish Das, Mazumdar, Sanaullah, Hossain, Md. Sakhawot, Riazuddin, Md., Roy, Deepa, Mondal, Bappa Kumar, Parvin, Rashida, Paul, Dipak Kumar, Adnan, Md. Moshiuzzaman
  First page: 13
  Abstract: Anxiety and depression are common psychological disorders in patients with type 2 diabetes mellitus (T2DM), which was upsurging worldwide amid the COVID-19 pandemic. This study aimed to explore factors associated with anxiety and depression among T2DM patients in Bangladesh during the COVID-19 pandemic. A cross-sectional study was conducted among T2DM patients using face-to-face interviews. Anxiety and depressive symptoms were measured using the CAS and PHQ-9 scales. Outcomes were assessed including sociodemographic, lifestyle, anthropometric, and challenges of getting routine medical and healthcare access-related questions. The prevalence of anxiety and depressive symptoms were 29.8% and 22.7%, respectively. Regression analysis reported that males older than 50 years, illiterate, unemployed or retired, urban residents, below the recommended level of moderate to vigorous physical activity (MVPA), low dietary diversity score (DDS) and obese respondents were associated with higher odds of anxiety and depressive symptoms. Moreover, respondents with transport difficulties, unaffordable medicine, medicine shortages, close friends or family members diagnosed with COVID-19 and financial problems during COVID-19 had higher odds of anxiety and depressive symptoms than their counterparts, respectively. Our study suggests providing psychological support, such as home-based psychological interventions, and highlighting policy implications to ensure the well-being of T2DM patients in Bangladesh during the pandemic.
  PubDate: 2024-01-19
  DOI: 10.1017/gmh.2024.8
Changes in depression trends during and after the COVID-19 pandemic among
older adults in Korea
- Authors: Jeong; Kyu-Hyoung, Ryu, Ju Hyun, Lee, Seoyoon, Kim, Sunghee
  First page: 14
  Abstract: This study aimed to complement the previous studies conducted within a short period of time by examining the long-term trends in depression levels of older adults through a longitudinal study that includes the period following the onset of COVID-19. For analysis, this study used the data from the 12th (2017) through 16th (2021) Korea Welfare Panel Study, and 2,716 data of older adults 65 years and older were included. Variables included gender, age, equalized annual income (USD $), education background, residential area, living alone and disability status. As a result, two types of changes in depression were identified: the ‘rapidly rising’ type and the ‘steadily increasing’. We found that the lower the equalized annual income, women, the lower the education, living in urban and living alone showed a higher likelihood of belonging to the ‘rapidly rising’ type. The result suggests that those at risk of depression are at much higher risk during and after the COVID-19 pandemic. It is also necessary to provide timely and effective guidelines to prevent depression in older adults when implementing policies in response to an outbreak of infectious diseases, such as COVID-19.
  PubDate: 2024-01-12
  DOI: 10.1017/gmh.2023.90
The role of mental health and protective factors in student academic
persistence and retention during a global crisis
- Authors: Zhai; Yusen, Carney, JoLynn V.
  First page: 15
  Abstract: The COVID-19 pandemic has exacerbated challenges for millions of students globally, leading to enrollment cliff. This study addresses the existing research gap by investigating the influence of students’ mental health and various protective factors (i.e., optimism, help-seeking behaviors, social support) on academic persistence, an indicator of student retention. We utilized the structural equation modeling approach to examine the effect of students’ mental health conditions, risk perception of COVID-19 and protective factors on academic persistence through a sample of 1,051 students from 45 states. Students’ mental health positively predicted academic persistence. Risk perception of COVID-19 was negatively associated with mental health but positively predicted academic persistence and help-seeking behaviors. Optimism fully mediated the effect of mental health on help-seeking behaviors but did not mediate the effect of risk perception on help-seeking behaviors. Social support positively predicted academic persistence. This study underscores the integral role of mental health and protective factors in supporting student retention. Universities should develop targeted programs to address students’ mental health needs and promote protective behaviors. These initiatives can enhance academic persistence, thereby aiding in the retention of students affected by this pandemic or any future global crisis.
  PubDate: 2024-02-05
  DOI: 10.1017/gmh.2024.12
Gender differences in life expectancy free of depressive symptoms in Chile
between 2003 and 2016
- Authors: Moreno; Ximena, Monsalves, María José, Rueda, Sarahí, Dagnino, Paula, Borghero, Francesca
  First page: 16
  PubDate: 2024-01-23
  DOI: 10.1017/gmh.2024.9
“A labor of love”: Integrating mental health and HIV care: Lessons
from a multicountry mental health learning network
- Authors: Moitra; Modhurima, Gonese, Gloria, Mukherjee, Madhuri, White, Belinda, Young, Dorraine, Collins, Pamela Y.
  First page: 17
  Abstract: Mental health conditions among people living with HIV (PLWH) are important to address as they adversely affect quality of life, impede adherence to HIV treatment and increase mortality. Planning for integrating mental health care in resource-limited HIV care settings requires substantial effort. Learning networks are a useful way to exchange knowledge between countries about best and current practices in planning mental health care for PLWH. This paper describes the launch of a mental health learning network within a global health implementing center and the lessons learned across participating members from six countries: the United States, Jamaica, Trinidad and Tobago, Zimbabwe, Malawi and India. Lessons learned from the learning network sessions spanned four broad domains: (i) the need for routine and integrated mental health data collection, (ii) developing standardized protocols to implement mental health care, (iii) adequate training and supervision of health care staff and (iv) prioritization of mental health care integration by program funders. We find that time and resource constraints can be barriers to shared leadership and sustainability of learning networks. Prioritizing learning networks as an important component of integrated HIV and mental health care programs is one of the potential strategies to ensure long-term continuity.
  PubDate: 2024-02-01
  DOI: 10.1017/gmh.2024.6
Adverse childhood experiences, emotional distress and dissatisfaction with
motherhood among first-time mothers: Mediations and child differences
- Authors: Akintunde; Tosin Yinka, Chen, Shaojun, Isangha, Stanley Oloji, Di, Qi
  First page: 18
  PubDate: 2024-02-08
  DOI: 10.1017/gmh.2024.15
COVID-19 knowledge and mental health impact assessment in Haiti
- Authors: Park; Taehwan, Pierre-Louis, Jean, Jean, Tachel, Barua, Prachurjya, Ilma, Taheera T., Pinanez, Mariana A., Ravenell, Joseph, Castor, Chimene, Gousse, Yolene
  First page: 19
  Abstract: Mental health is a significant public health challenge globally, and one anticipated to increase following the COVID-19 pandemic. In many rural regions of developing nations, little is known about the prevalence of mental health conditions and factors that may help mitigate poor outcomes. This study assessed the impact of the COVID-19 pandemic on mental health and social support for residents of rural Haiti. Data were collected from March to May 2020. The Patient Health Questionnaire subscales for anxiety and depression, and the Perceived Stress Scale were utilized in addition to tailored questions specific to COVID-19 knowledge. Half (51.8%) of the 500 survey respondents reported COVID-19-related anxiety and worrying either daily or across a few days. Half (50.2%) also reported experiencing depression daily or across several days. Most (70.4%) did not have any social support, and 28.0% experienced some stress, with 13.4% indicating high perceived stress. Furthermore, 4.6% had suitable plumbing systems in their homes. The results were immediately actionable, informing the implementation of a mental health counseling program for youth following a loss of social support through school closures. Long-term investments must be made as part of public health responses in rural communities in developing nations, which remain under-studied.
  PubDate: 2024-01-29
  DOI: 10.1017/gmh.2024.10
Scaling up the task-sharing of psychological therapies: A formative study
of the PEERS smartphone application for supervision and quality assurance
in rural India
- Authors: Singla; Daisy R., Fernandes, Luanna, Savel, Katarina, Shah, Ankita, Agrawal, Ravindra, Bhan, Anant, Nadkarni, Abhijit, Sharma, Akshita, Khan, Azaz, Lahiri, Anuja, Tugnawat, Deepak, Lesh, Neal, Patel, Vikram, Naslund, John
  First page: 20
  Abstract: Measurement-based peer supervision is one strategy to assure the quality of psychological treatments delivered by non-mental health specialist providers. In this formative study, we aimed to 1) describe the development and 2) examine the acceptability and feasibility of PEERS (Promoting Effective mental healthcare through peER Supervision)—a novel smartphone app that aims to facilitate registering and scheduling patients, collecting patient outcomes, rating therapy quality and assessing supervision quality—among frontline treatment providers delivering behavioral activation treatment for depression. The PEERS prototype was developed and tested in 2021, and version 1 was launched in 2022. To date, 215 treatment providers (98% female; ages 30–35) in Madhya Pradesh and Goa, India, have been trained to use PEERS and 65.58% have completed the supplemental, virtual PEERS course. Focus group discussions with 98 providers were examined according to four themes—training and education, app effectiveness, user experience and adherence and data privacy and safety. This yielded commonly endorsed facilitators (e.g., collaborative learning through group supervision, the convenience of consolidated patient data), barriers (e.g., difficulties with new technologies) and suggested changes (e.g., esthetic improvements, suicide risk assessment prompt). The PEERS app has the potential to scale measurement-based peer supervision to facilitate quality assurance of psychological treatments across contexts.
  PubDate: 2024-02-05
  DOI: 10.1017/gmh.2024.11
The impact of mental health and psychosocial support programmes on
children and young people’s mental health in the context of humanitarian
emergencies in low- and middle-income countries: A systematic review and
meta-analysis
- Authors: Bangpan; Mukdarut, Felix, Lambert, Soliman, Farida, D’Souza, Preethy, Jieman, Anna-Theresa, Dickson, Kelly
  First page: 21
  Abstract: Humanitarian emergencies pose a significant global health challenge for children and young people’s mental and psychological health. This systematic review investigates the effectiveness of mental health and psychosocial support (MHPSS) programmes delivered to children and young people affected by humanitarian emergencies in low- and middle-income countries (LMICs). Twelve electronic databases, key websites and citation checking were undertaken. Forty-three randomised controlled trials (RCTs) published in English between January 1980 and May 2023 were included in the review. Overall, the findings suggest that cognitive behavioural therapy may improve depression symptoms in children and young people affected by humanitarian emergencies. Narrative exposure therapy may reduce feelings of guilt. However, the impact of the other MHPSS modalities across outcomes is inconsistent. In some contexts, providing psychosocial programmes involving creative activities may increase the symptoms of depression in children and young people. These findings emphasise the need for the development of MHPSS programmes that can safely and effectively address the diverse needs of children and young people living in adversarial environments.
  PubDate: 2024-02-12
  DOI: 10.1017/gmh.2024.17
Assessing harmonized intelligence measures in a multinational study
- Authors: DeSerisy; Mariah, Wall, Melanie M., Goldberg, Terry E., Batistuzzo, Marcelo C., Keyes, Katherine, de Joode, Niels T., Lochner, Christine, Marincowitz, Clara, Narayan, Madhuri, Anand, Nitin, Rapp, Amy M., Stein, Dan J., Simpson, H. Blair, Margolis, Amy E.
  First page: 22
  Abstract: Studies examining the neurocognitive and circuit-based etiology of psychiatric illness are moving toward inclusive, global designs. A potential confounding effect of these associations is general intelligence; however, an internationally validated, harmonized intelligence quotient (IQ) measure is not available. We describe the procedures used to measure IQ across a five-site, multinational study and demonstrate the harmonized measure’s cross-site validity. Culturally appropriate intelligence measures were selected: four short-form Wechsler intelligence tests (Brazil, Netherlands, South Africa, United States) and the Binet Kamat (India). Analyses included IQ scores from 255 healthy participants (age 18–50; 42% male). Regression analyses tested between-site differences in IQ scores, as well as expected associations with sociodemographic factors (sex, socioeconomic status, education) to assess validity. Harmonization (e.g., a priori selection of tests) yielded the compatibility of IQ measures. Higher IQ was associated with higher socioeconomic status, suggesting good convergent validity. No association was found between sex and IQ at any site, suggesting good discriminant validity. Associations between higher IQ and higher years of education were found at all sites except the United States. Harmonized IQ scores provide a measure of IQ with evidence of good validity that can be used in neurocognitive and circuit-based studies to control for intelligence across global sites.
  PubDate: 2024-02-23
  DOI: 10.1017/gmh.2024.22
Determinants of substance use among young people attending primary health
centers in India
- Authors: Venkatesh; U., Aparnavi, P., Mogan, K.A., Durga, R., Pearson, Jennifer, Kishore, Surekha, Joshi, Hari Shanker, Nair, Naveen Sukumaran, Nisha, B., Agrawal, Renu, Vidusha, Karavadi, Chenkual, C. Vankhuma, Nath, Bhola, Epari, Venkata Rao, Kumari, Ranjeeta, Goyal, Pooja, Ahamed, Farhad, Baruah, Madhurjya, Anil, R., Swami, Amrut Arun, Kamble, Bhushan Dattatray, Sharma, Gopal Ashish, Sharma, Akash, Bera, Om Prakash, Grover, Ashoo, Verma, Shikhar Kishore, ,
  First page: 23
  PubDate: 2024-02-12
  DOI: 10.1017/gmh.2024.13
Identifying core global mental health professional competencies: A
multi-sectoral perspective
- Authors: Karadzhov; Dimitar, Lee, Joanne, Hatton, George, White, Ross G., Sharp, Laura, Jalloh, Abdul, Langan Martin, Julie
  First page: 24
  Abstract: Concerned with sustainably alleviating mental distress and promoting the right to health worldwide, global mental health (GMH) is practised across various contexts spanning the humanitarian-development-peace nexus. The inherently intersectoral and multidisciplinary nature of GMH calls for competency frameworks and training programmes that embody diversity, decolonisation and multiprofessionalism. Existing competency frameworks have failed to capture the multi-sectoral, inter-professional nature of contemporary GMH practice. In response to these needs, a qualitative content analysis of relevant job advertisements was conducted to distil a comprehensive set of professional competencies in contemporary GMH practice. Approximately 200 distinct skills and competencies were extracted from 70 job advertisements and organised into four meta-dimensions: ‘skills’, ‘sector’, ‘self’ and ‘subject’. The first known systematic attempt at a multi-sectoral GMH competency framework, it offers a springboard for exploring vital yet overlooked professional competencies such as resilience, self-reflection, political skills and entrepreneurialism. On this basis, recommendations for building a competent, agile and effective GMH workforce with diversified and future-proof skillsets are proposed. The framework can also inform inter-professional training and curriculum design, and capacity-building initiatives aimed at early-career professional development, particularly in low- and middle-income settings.
  PubDate: 2024-02-22
  DOI: 10.1017/gmh.2024.26
Mental healthcare access among resettled Syrian refugees in Leipzig,
Germany
- Authors: Schoenberger; Samantha F., Schönenberg, Kim, Fuhr, Daniela C., Nesterko, Yuriy, Glaesmer, Heide, Sondorp, Egbert, Woodward, Aniek, Sijbrandij, Marit, Cuijpers, Pim, Massazza, Alessandro, McKee, Martin, Roberts, Bayard
  First page: 25
  Abstract: Our aim was to examine mental health needs and access to mental healthcare services among Syrian refugees in the city of Leipzig, Germany. We conducted a cross-sectional survey with Syrian refugee adults in Leipzig, Germany in 2021/2022. Outcomes included PTSD (PCL-5), depression (PHQ-9), anxiety (GAD-7) and somatic symptom (SSS-8). Descriptive, regression and effect modification analyses assessed associations between selected predictor variables and mental health service access. The sampling strategy means findings are applicable only to Syrian refugees in Leipzig. Of the 513 respondents, 18.3% had moderate/severe anxiety symptoms, 28.7% had moderate/severe depression symptoms, and 25.3% had PTSD symptoms. A total of 52.8% reported past year mental health problems, and 48.9% of those participants sought care for these problems. The most common reasons for not accessing mental healthcare services were wanting to handle the problem themselves and uncertainty about where to access services. Adjusted Poisson regression models (n = 259) found significant associations between current mental health symptoms and mental healthcare service access (RR: 1.47, 95% CI: 1.02–2.15, p = 0.041) but significance levels were not reached between somatization and trust in physicians with mental healthcare service access. Syrian refugees in Leipzig likely experience high unmet mental health needs. Community-based interventions for refugee mental health and de-stigmatization activities are needed to address these unmet needs in Leipzig.
  PubDate: 2024-02-06
  DOI: 10.1017/gmh.2024.16
Unveiling the relationships between eco-anxiety, psychological symptoms
and anthropocentric narcissism: The psychometric properties of the Turkish
version of the Hogg eco-anxiety scale
- Authors: Çimşir; Elif, Şahin, Murat Doğan, Akdoğan, Ramazan
  First page: 26
  PubDate: 2024-02-14
  DOI: 10.1017/gmh.2024.20
The COVID-19 pandemic’s effects on mental and psychosocial health in the
Philippines: A scoping review
- Authors: Ocampo; Joanne Michelle F., Santos, Raisa Alexis N., Sevilleja, Jesus Emmanuel A.D., Gloria, Christian T.
  First page: 27
  PubDate: 2024-02-08
  DOI: 10.1017/gmh.2024.14
Poor sleep quality and its associated factors among working adults during
COVID-19 pandemic in Malaysia
- Authors: Aye; Lwin Mie, Lee, Wei Hao
  First page: 28
  Abstract: BackgroundIn Malaysia, a nationwide movement control order (MCO), implemented to curb the COVID-19 spread, impacted on the lives of the working population which could impair sleep quality.ObjectiveThis study aims to find the sleep quality status and its association with the socioeconomic, employment and lifestyle factors of working adults during the MCO period.MethodsA cross-sectional study was conducted among 500 eligible working adults. Data were collected using a structured questionnaire consisting of the Pittsburg Sleep Quality Index.ResultsThe proportion of poor sleep quality is found to be 59.4%. Analysis shows that the use of electronic devices before sleep (OR = 2.33, 95% CI = 1.02–5.35, p-value = 0.046), increased amount of workload (OR = 0.45, p-value = 0.005), decreased in amount of workload (OR = 0.48, p-value = 0.003) and distracted while working (OR = 0.57, p-value = 0.014) are the factors significantly associated with and are predictors of poor sleep quality.ConclusionDuring crisis, there is a need for public health interventions for the working population to adopt a healthy lifestyle. Employers are recommended to support employees’ well-being and to provide a healthy workplace during challenging times. Policy recommendations are also made to implement flexible working arrangements, workload management, workplace mental health support and legal protections on reasonable working hours, rest breaks and time off during crises.
  PubDate: 2024-03-13
  DOI: 10.1017/gmh.2024.23
Mental health challenges in Nigeria: Bridging the gap between demand and
resources
- Authors: Fadele; Kehinde Precious, Igwe, Stephen Chukwuemeka, Toluwalogo, Niji-Olawepo, Udokang, Ephraim Ikpongifono, Ogaya, Jerico B., Lucero-Prisno, Don Eliseo
  First page: 29
  Abstract: This study discusses the significant topic of mental health challenges in Nigeria, focusing on the shortage of mental health professionals, particularly psychiatrists, and the factors influencing medical students’ hesitation to pursue psychiatry as a career path. We examine the multifaceted difficulties in Nigeria’s mental health environment using various sources, including research studies and statistical data. The scarcity of psychiatrists, with only 250 for a population of 200 million, underscores the urgent need for attention to mental health within the country. Factors such as brain drain, inadequate learning infrastructure, limited research exposure and insufficient health coverage contribute to this crisis. Additionally, societal stigma and financial constraints discourage students from pursuing psychiatry as a career. To address these challenges comprehensively, we propose a holistic approach that involves cross-disciplinary collaboration, robust mental health education in all healthcare programs, community-based awareness initiatives and transdisciplinary teamwork among mental health providers. We highlight the importance of mentorship, scholarships and national advocacy to encourage more individuals to enter the mental health profession, emphasizing the need for diversity and inclusiveness. Furthermore, our paper stresses the significance of research and innovation in advancing mental health treatment and inspiring passion for mental health among students and aspiring professionals. By embracing this comprehensive set of recommendations, we aim to cultivate a diverse, talented and compassionate workforce capable of effectively addressing Nigeria’s pressing mental health challenges.
  PubDate: 2024-02-16
  DOI: 10.1017/gmh.2024.19
Workforce migration and brain drain – A nationwide cross-sectional
survey of early career psychiatrists in Nigeria
- Authors: Essien; Emmanuel Aniekan, Mahmood, Mohammed Yusuf, Adiukwu, Frances, Kareem, Yesiru Adeyemi, Hayatudeen, Nafisatu, Ojeahere, Margaret Isioma, Salihu, Mumeen Olaitan, Sanni, Kamaldeen Adeyinka, Omotoso, Ayotunde Bolatito, Pinto da Costa, Mariana
  First page: 30
  Abstract: BackgroundNigeria’s shortage of psychiatrists is exacerbated due to health worker migration.AimThis study explores migration experiences and tendencies among early-career psychiatrists in Nigeria.MethodsWe conducted a cross-sectional survey covering Nigeria’s six geopolitical zones, using a 61-item online questionnaire assessing short-term mobility, long-term migration experiences and migration attitudes. Data was analysed using IBM SPSS version 29.ResultsOf 228 early-career psychiatrists surveyed, 9.7% had short-term mobility and 8.0% had long-term migration experiences. However, 85.8% had ‘ever’ considered migration, 69.2% were planning to leave ‘now’, and 52.9% had taken ‘practical migration steps’. Over half (52.7%) said they would be working abroad in 5 years, with 25.2% indicating they would migrate within a year. The top reasons to leave were financial and academic, while personal and cultural factors were the key reasons to stay. Income dissatisfaction (OR = 2.27, 95%, CI = 1.05–4.88) predicted planning to leave ‘now’, while being in a relationship (OR = 3.46, 95%CI = 1.06–11.30) predicted taking ‘practical migration steps’. Attractive job features were good welfare (85.4%) and high salaries (80.3%). Improvements in finances (90.8%) and work conditions (86.8%) were requested.ConclusionsSystemic changes to address psychiatrists’ migration from Nigeria are needed.
  PubDate: 2024-02-29
  DOI: 10.1017/gmh.2024.25
Associations between water insecurity and mental health outcomes among
lesbian, gay, bisexual, transgender and queer persons in Bangkok, Thailand
and Mumbai, India: Cross-sectional survey findings
- Authors: Logie; Carmen H., Newman, Peter A., Admassu, Zerihun, MacKenzie, Frannie, Chakrapani, Venkatesan, Tepjan, Suchon, Shunmugam, Murali, Akkakanjanasupar, Pakorn
  First page: 31
  PubDate: 2024-02-29
  DOI: 10.1017/gmh.2024.27
Strategies to improve the implementation and effectiveness of
community-based psychosocial support interventions for displaced, migrant
and host community women in Latin America
- Authors: Greene; M. Claire, Wimer, Gabrielle, Larrea, Maria, Mejia Jimenez, Ingrid, Armijos, Andrea, Angulo, Alejandra, Guevara, Maria Esther, Vega, Carolina, Heard, Emily W., Demis, Lina, Benavides, Lucia, Corrales, Christine, de la Cruz, Ale, Lopez, Maria Jose, Moyano, Arianna, Murcia, Andrea, Noboa, Maria Jose, Rodriguez, Abhimeleck, Solis, Jennifer, Vergara, Daniela, Andersen, Lena S., Cristobal, Maria, Wainberg, Milton, Bonz, Annie G., Tol, Wietse
  First page: 32
  Abstract: As evidence supporting the effectiveness of mental health and psychosocial interventions grows, more research is needed to understand optimal strategies for improving their implementation in diverse contexts. We conducted a qualitative process evaluation of a multicomponent psychosocial intervention intended to promote well-being among refugee, migrant and host community women in three diverse contexts in Ecuador and Panamá. The objective of this study is to describe the relationships among implementation determinants, strategies and outcomes of this community-based psychosocial intervention. The five implementation strategies used in this study included stakeholder engagement, promoting intervention adaptability, group and community-based delivery format, task sharing and providing incentives. We identified 10 adaptations to the intervention and its implementation, most of which were made during pre-implementation. Participants (n = 77) and facilitators (n = 30) who completed qualitative interviews reported that these strategies largely improved the implementation of the intervention across key outcomes and aligned with the study’s intervention and implementation theory of change models. Participants and facilitators also proposed additional strategies for improving reach, implementation and maintenance of this community-based psychosocial intervention.
  PubDate: 2024-03-08
  DOI: 10.1017/gmh.2024.29
A systematic review of binge drinking interventions and bias assessment
among college students and young adults in high-income countries
- Authors: Bonsu; Laurencia, Kumra, Priyambda, Awan, Asma, Sharma, Manoj
  First page: 33
  PubDate: 2024-02-23
  DOI: 10.1017/gmh.2024.24
Inequality on the frontline: A multi-country study on gender differences
in mental health among healthcare workers during the COVID-19 pandemic
- Authors: Czepiel; Diana, McCormack, Clare, da Silva, Andréa T.C., Seblova, Dominika, Moro, Maria F., Restrepo-Henao, Alexandra, Martínez, Adriana M., Afolabi, Oyeyemi, Alnasser, Lubna, Alvarado, Rubén, Asaoka, Hiroki, Ayinde, Olatunde, Balalian, Arin, Ballester, Dinarte, Barathie, Josleen A.l., Basagoitia, Armando, Basic, Djordje, Burrone, María S., Carta, Mauro G., Durand-Arias, Sol, Eskin, Mehmet, Fernández-Jiménez, Eduardo, Frey, Marcela I. F., Gureje, Oye, Isahakyan, Anna, Jaldo, Rodrigo, Karam, Elie G., Khattech, Dorra, Lindert, Jutta, Martínez-Alés, Gonzalo, Mascayano, Franco, Mediavilla, Roberto, Narvaez Gonzalez, Javier A., Nasser-Karam, Aimee, Nishi, Daisuke, Olaopa, Olusegun, Ouali, Uta, Puac-Polanco, Victor, Ramírez, Dorian E., Ramírez, Jorge, Rivera-Segarra, Eliut, Rutten, Bart P.F., Santaella-Tenorio, Julian, Sapag, Jaime C., Šeblová, Jana, Soto, María T. S., Tavares-Cavalcanti, Maria, Valeri, Linda, Sijbrandij, Marit, Susser, Ezra S., Hoek, Hans W., van der Ven, Els
  First page: 34
  Abstract: Healthcare workers (HCWs) were at increased risk for mental health problems during the COVID-19 pandemic, with prior data suggesting women may be particularly vulnerable. Our global mental health study aimed to examine factors associated with gender differences in psychological distress and depressive symptoms among HCWs during COVID-19. Across 22 countries in South America, Europe, Asia and Africa, 32,410 HCWs participated in the COVID-19 HEalth caRe wOrkErS (HEROES) study between March 2020 and February 2021. They completed the General Health Questionnaire-12, the Patient Health Questionnaire-9 and questions about pandemic-relevant exposures. Consistently across countries, women reported elevated mental health problems compared to men. Women also reported increased COVID-19-relevant stressors, including insufficient personal protective equipment and less support from colleagues, while men reported increased contact with COVID-19 patients. At the country level, HCWs in countries with higher gender inequality reported less mental health problems. Higher COVID-19 mortality rates were associated with increased psychological distress merely among women. Our findings suggest that among HCWs, women may have been disproportionately exposed to COVID-19-relevant stressors at the individual and country level. This highlights the importance of considering gender in emergency response efforts to safeguard women’s well-being and ensure healthcare system preparedness during future public health crises.
  PubDate: 2024-03-04
  DOI: 10.1017/gmh.2024.18
Mapping the evidence on psychosocial interventions for migrant
populations: Descriptive analysis of a living database of randomized
studies
- Authors: Cadorin; Camilla, Purgato, Marianna, Turrini, Giulia, Prina, Eleonora, Cabral Ferreira, Madalena, Cristofalo, Doriana, Bartucz, Monica B., Witteveen, Anke B., Sijbrandij, Marit, Papola, Davide, Barbui, Corrado
  First page: 35
  Abstract: Migrant mental health is a pressing public health issue with wide-ranging implications. Many randomized controlled trials (RCTs) have been conducted in this population to assess the effects of psychosocial interventions. However, the available evidence is characterized by controversy and fragmentation, with studies focusing on different migrant populations, interventions, outcomes, delivery modalities and settings. Aiming to promote systematic reviews of the effectiveness of psychosocial interventions in different migrant groups, we have developed a living database of existing RCTs. The development of the database provides an opportunity to map the existing RCT evidence in this population. A total of 135 studies involving 24,859 participants were included in the living database. The distribution of studies by year of publication aligns with the increasing global migrant population in recent years. Most studies focus primarily on adult participants, with a limited representation of children and adolescents, and a prevalence of female participants, which is consistent with epidemiological data, except for older adults, who are underrepresented in research. Studies predominantly focus on refugees and asylum seekers, likely due to their elevated risk of mental health issues, despite the substantial presence of economic migrants worldwide. While studies mainly involve migrants from the Middle East and East Asia, epidemiological data suggest a broader geographic representation, with migrants coming from Eastern Europe, Latin America and South Asia. The present descriptive analysis of RCTs on mental health and psychosocial interventions for migrant populations provides valuable insights into the existing research landscape. It should be used to inform future research efforts, ensuring that studies are more representative of the global migrant population and more responsive to the mental health needs of migrants in different contexts.
  PubDate: 2024-03-08
  DOI: 10.1017/gmh.2024.33
Participants’ experiences of a counsellor-supported PTSD Coach
intervention in a resource-constrained setting
- Authors: Bröcker; Erine, Scheffler, Freda, Suliman, Sharain, Olff, Miranda, Seedat, Soraya
  First page: 36
  Abstract: We explored participants’ experiences of a counsellor-supported PTSD Coach mobile application intervention (PTSD Coach-CS) in a randomised controlled trial. PTSD Coach-CS participants, who received the intervention and self-completed a custom-designed questionnaire at intervention completion were included (n = 25; female = 20; ages 19–59; isiXhosa = 22). This questionnaire comprised questions regarding the feasibility, acceptability and potential impact of the PTSD Coach-CS intervention, and general psychological support in our setting. Data were analysed using Braun and Clarke’s thematic analysis. Three main themes emerged. (i) Participants’ largely positive experiences of treatment procedures included the safe space created by the counsellor support in combination with the PTSD Coach application, allowing them to learn about and understand their lived experiences, and to accept their PTSD diagnoses. (ii) Positive perceptions of the PTSD Coach application, yet raising important concerns (e.g., lack of family involvement) for future consideration. (iii) Intervention-specific and systemic treatment barriers (e.g., stigma) providing important information to inform and increase the usefulness of the PTSD Coach-CS intervention. The findings suggest that the PTSD Coach-CS intervention may help address the need for access to suitable care for South African adults with PTSD. Some contextual barriers must be considered in further intervention implementation.
  PubDate: 2024-03-11
  DOI: 10.1017/gmh.2024.34
Stakeholder perspectives of mental healthcare services in Bangladesh, its
challenges and opportunities: a qualitative study
- Authors: Koly; Kamrun Nahar, Saba, Jobaida, Rao, Mala, Rasheed, Sabrina, Reidpath, Daniel D., Armstrong, Stephanie, Gnani, Shamini
  First page: 37
  Abstract: This study explores Bangladesh’s mental health services from an individual- and system-level perspective and provides insights and recommendations for strengthening it’s mental health system. We conducted 13 in-depth interviews and 2 focus group discussions. Thirty-one participants were recruited using a combination of purposive and snowball sampling methods. All interviews and group discussions were audio-recorded and transcribed, and key findings were translated from Bengali to English. Data were coded manually and analysed using a thematic and narrative analysis approach. Stakeholders perceived scarcity of service availability at the peripheral level, shortage of professionals, weak referral systems, lack of policy implementation and regulatory mechanisms were significant challenges to the mental health system in Bangladesh. At the population level, low levels of mental health literacy, high societal stigma, and treatment costs were barriers to accessing mental healthcare. Key recommendations included increasing the number of mental health workers and capacity building, strengthening regulatory mechanisms to enhance the quality of care within the health systems, and raising awareness about mental health. Introducing measures that relate to tackling stigma, mental health literacy as well as building the capacity of the health workforce and governance systems will help ensure universal mental health coverage.
  PubDate: 2024-03-12
  DOI: 10.1017/gmh.2024.30
Training community health volunteers to use mobile platform during the
COVID-19 pandemic: The Kenya experience
- Authors: Mbwayo; Anne W., Mathai, Muthoni, Mutavi, Teresia, Waruinge, Stella, Triplett, Noah, Concepcion, Tessa, Collins, Pamela Y., Dorsey, Shannon
  First page: 38
  Abstract: This study describes an alternative to face-to-face training method for community health volunteers (CHVs) as used by a collaborative group from the University of Nairobi, University of Washington and the Nairobi Metropolitan Mental Health Team during the COVID-19 lockdown in Kenya. This qualitative study describes the experiences of 17 CHVs enrolled in a training study, required to utilize different digital platforms (Google Meet or Jitsi) as a training forum for the first time. Verbatim extracts of the participants’ daily experiences are extracted from a series of write-ups in the group WhatsApp just before the training. Daily failures and success experiences in joining a Google meet or Jitsi are recorded. Then, 17 participants, 10 women and 7 men, aged between 21 and 51 years (mean = 33), owning a smartphone, were enrolled in the study. None had used Jitsi or Google meet before. Different challenges were reported in login to either and a final decision to use Jitsi, which became the training platform. Training CHVs to deliver a psychosocial intervention using smartphones is possible. However, the trainer must establish appropriate and affordable methods when resources are constrained.
  PubDate: 2024-03-22
  DOI: 10.1017/gmh.2024.35
Perceptions regarding the Indian Mental Healthcare Act 2017 among
psychiatrists: Review and critical appraisal in the light of CRPD
guidelines
- Authors: Uvais; N.A., Joag, Kaustubh
  First page: 39
  Abstract: BackgroundInformed by the UN Convention on the Rights of Persons with Disabilities, the Indian government replaced the 1987 Mental Health Act with the transformative “Indian Mental Healthcare Act, 2017” (IMHCA 2017), which gained presidential approval on April 7, 2017. While the new act aligns with CRPD guidelines, emphasizing the promotion, protection and realization of complete and equitable human rights, legal capacity, equality and dignity for persons with mental illness, it has faced diverse criticism from various stakeholders, particularly psychiatrists. This study systematically explores the critiques and apprehensions expressed by psychiatrists regarding the IMHCA 2017 using available published resources and assesses these criticisms within the context of CRPD guidelines.MethodologyWe conducted a scoping review of the literature, using two search engines like PubMed and Scopus. The review covered academic publications, reports and documents from both national and international sources, authored by psychiatrists and psychiatric organizations, related to the IMHCA 2017. The primary search term “IMHCA 2017” was used without temporal restrictions. Publications authored by mental health professionals from India and around the world were included in the final analysis. Through qualitative analysis, key themes reflecting psychiatrists’ viewpoints were identified. These themes, marked by substantial criticism, were then assessed in accordance with the guiding principles of the CRPD, including its optional protocol and general comments.ResultsThe study analyzed 33 manuscripts discussing criticisms and concerns about IMHCA 2017. Manuscript types included opinion papers (60.6%), original research articles (21.21%), review articles (9.09%), editorials (6.06%) and comments (3.03%). All but one article were authored by psychiatrists, with five by non-Indian authors and the rest by Indian psychiatrists. Most articles were published in the Indian Journal of Psychiatry (75.76%), with some in other journals. About 54.55% critically scrutinized act provisions, while 45.45% highlighted positive aspects. The analysis identified seven prominent criticism themes: clinical apprehensions, lack of clarity and comprehensiveness, feasibility challenges, neglect of caregivers, mistrust toward psychiatrists, crises in general hospital psychiatry units and ideological reservations.ConclusionsEach theme was critically assessed in the context of CRPD guidelines, and corresponding recommendations were formulated.
  PubDate: 2024-03-19
  DOI: 10.1017/gmh.2024.31
Perspectives and presentation of mental health among women from rural
Maharashtra (India): A qualitative study
- Authors: Gala; Pooja, Ticku, Arunima, Pawar, Tanvi, Sapre, Shivani, Gupta, Pooja, Iyer, Kaavya, Kapoor, Hansika, Kalahasthi, Rupa, Kulkarni, Savita, Iyer, Poorvi
  First page: 40
  PubDate: 2024-03-06
  DOI: 10.1017/gmh.2024.28
Psychotherapy training in postgraduate psychiatry training in Nigeria –
Are we doing enough'
- Authors: Adiukwu; Frances Nkechi, Adedapo, Oluwadolapo Olujinmi, Ojeahere, Margaret Isioma, Musami, Umar Baba, Mahmood, Mohammed Yusuf, Saidu Kakangi, Amina, Salihu, Mumeen Olaitan, Pinto da Costa, Mariana
  First page: 41
  PubDate: 2024-03-21
  DOI: 10.1017/gmh.2024.32
Improving psychosocial well-being and parenting practices among refugees
in Uganda: Results of the journey of life effectiveness trial
- Authors: Stark; Lindsay, Meinhart, Melissa, Hermosilla, Sabrina, Kajungu, Rehema, Cohen, Flora, Agaba, Gary S., Obalim, Grace, Knox, Justin, Onyango Mangen, Patrick
  First page: 42
  Abstract: Caregivers play a critical role in mediating the impacts of forced displacement on children; however, humanitarian programming remains hampered by a lack of evidence-based programming. We present findings from an evaluation of a group-based curriculum delivered over the course of 12 sessions, journey of life (JoL). A waitlist-control quasi-experimental design was implemented in the Kiryandongo refugee settlement (intervention n = 631, control n = 676). Caregiver mental distress, measured using the Kessler-6, was the primary outcome. Secondary outcomes included (a) functioning, (b) social support and (c) caregiving attitudes and behaviors. Propensity score matching (PSM) and Cohen’s d estimates were used to examine the intervention effects. According to our primary PSM analysis, JoL led to significant improvements in mental distress (coef.: 2.33; p
  PubDate: 2024-03-27
  DOI: 10.1017/gmh.2024.38
A systematic review of reviews on the advantages of mHealth utilization in
mental health services: A viable option for large populations in
low-resource settings
- Authors: Khosravi; Mohsen, Azar, Ghazaleh
  First page: 43
  PubDate: 2024-04-04
  DOI: 10.1017/gmh.2024.39
Evaluation of autism awareness and knowledge levels among Syrian migrants
living in Türkiye
- Authors: Davun; Selin, Sezerol, Mehmet Akif
  First page: 44
  Abstract: This study was conducted to evaluate the autism knowledge level and awareness of individuals over the age of 18 who applied to immigrant health centers in Istanbul, Gaziantep and Kilis, where the Syrian immigrant population is dense. This cross-sectional study was conducted between December 2022 and April 2023 in 896 immigrants. The sample of the research consists of immigrants residing in Türkiye and who applied to the immigrant health centers in Istanbul, Gaziantep and Kilis for any reason at the time of the research. A questionnaire consisting of three parts was applied to the immigrant people face-to-face. While 38.4% of the participants were female, 61.6% were male. The mean age of the participants is 34.63 ± 10.74. It was determined that people’s place of residence, whether they have children, marital status and income status have significant effects on autism knowledge levels (p
  PubDate: 2024-04-01
  DOI: 10.1017/gmh.2024.45
“Early in the morning, there’s tolerance and later in the day it
disappears” – The intersection of resource scarcity, stress and stigma
in mental health and substance use care in South Africa
- Authors: Hines; Abigail C., Rose, Alexandra L., Regenauer, Kristen S., Brown, Imani, Johnson, Kim, Bonumwezi, Jessica, Ndamase, Sibabalwe, Ciya, Nonceba, Magidson, Jessica F., Myers, Bronwyn
  First page: 45
  Abstract: Stress is a challenge among non-specialist health workers worldwide, particularly in low-resource settings. Understanding and targeting stress is critical for supporting non-specialists and their patients, as stress negatively affects patient care. Further, stigma toward mental health and substance use conditions also impacts patient care. However, there is little information on the intersection of these factors. This sub-analysis aims to explore how substance use and mental health stigma intersect with provider stress and resource constraints to influence the care of people with HIV/TB. We conducted semi-structured interviews (N=30) with patients (n=15) and providers (n=15, non-specialist health workers) within a low-resource community in Cape Town, South Africa. Data were analyzed using thematic analysis. Three key themes were identified: (1) resource constraints negatively affect patient care and contribute to non-specialist stress; (2) in the context of stress, non-specialists are hesitant to work with patients with mental health or substance use concerns, who they view as more demanding and (3) stress contributes to provider stigma, which negatively impacts patient care. Findings highlight the need for multilevel interventions targeting both provider stress and stigma toward people with mental health and substance use concerns, especially within the context of non-specialist-delivered mental health services in low-resource settings.
  PubDate: 2024-04-01
  DOI: 10.1017/gmh.2024.41
Gender differences in the prevalence of anxiety and depression and care
seeking for mental health problems in Nepal: Analysis of nationally
representative survey data
- Authors: Shawon; Md Shajedur Rahman, Hossain, Fariha Binte, Hasan, Moushumi, Rahman, Mohammad Rifat
  First page: 46
  Abstract: BackgroundAssessing gender disparity in mental health is crucial for targeted interventions. This study aims to quantify gender disparities in mental health burdens, specifically anxiety and depression, and related care-seeking behaviors across various sociodemographic factors in Nepal, highlighting the importance of gender-specific mental health interventions.MethodsData from the 2022 Nepal Demographic and Health Survey was utilized, employing the Generalized Anxiety Disorder 7 scale (GAD-7) and Patient Health Questionnaire (PHQ-9) scales for anxiety and depression symptoms, respectively. Multiple logistic regression models assessed gender associations with these conditions and care-seeking behaviors.ResultsWomen had a higher point prevalence of anxiety (21.9% vs. 11.3%) and depression (5.4% vs. 1.7%) than men. Large variations were noted in gender disparities in the prevalence of anxiety and depression, influenced by age, geographical areas, level of education and household wealth. After adjustment for sociodemographic factors, women were more likely to experience anxiety (adjusted odds ratio (aOR) = 2.18, 95% confidence interval [CI]: 1.96–2.43) and depression (aOR = 3.21, 95% CI: 2.53–4.07). However, no difference was observed in the rates of seeking care for anxiety or depression (aOR = 1.13, 95% CI: 0.91–1.40).ConclusionsOur findings show a higher point prevalence of mental health issues among women than men, influenced by sociodemographic factors, underscoring the need for gender-focused mental health interventions in Nepal and globally.
  PubDate: 2024-04-04
  DOI: 10.1017/gmh.2024.37
War and women: An analysis of Ukrainian refugee women staying in the Czech
Republic
- Authors: Preiss; Marek, Fňašková, Monika, Berezka, Sofia, Yevmenova, Tetiana, Heissler, Radek, Sanders, Edel, Winnette, Petra, Rektor, Ivan
  First page: 47
  PubDate: 2024-04-08
  DOI: 10.1017/gmh.2024.7
Dimensionality of the Swahili version of the General Health Questionnaire
(GHQ-12) in a Kenyan population: A confirmatory factor analysis
- Authors: Keyan; Dharani, Hadzi-Pavlovic, Dusan, Akhtar, Aemal, Dawson, Katie, Koyiet, Phiona Naserian, Bryant, Richard
  First page: 48
  Abstract: The current study evaluated the Kiswahili version of General Health Questionnaire (GHQ-12) in a Kenyan context comprising of women exposed to gender-based violence. Participants were randomly drawn from community sampling using household screening methods in peri-urban areas in Nairobi. A total of 1,394 participants with varying levels of literacy (years of education: mean [M] = 9.42; standard deviation [SD] = 3.73) and aged between 18 and 89 years were recruited for the study. The observed factor structure of the GHQ-12 was evaluated using six most tested models querying the dimensionality of the instrument insofar as the impacts of positive and negative wording effects in driving multidimensionality. Results from the confirmatory factor analysis supported a bifactor model, consisting of a general distress factor and two separate factors representing common variance due to the positive and negative wording of items. Overall, the findings support the use of the Kiswahili version of the GHQ-12 as a unidimensional construct with method-specific variance owing to wording effects. Importantly, GHQ-12 responses from a sample of Kenyan women with relatively low levels of literacy are congruent with the factor structure observed in other cross-cultural settings in low- and-middle-income countries.
  PubDate: 2024-04-11
  DOI: 10.1017/gmh.2024.46
Psychosocial and psychological interventions for schizophrenia relapse
prevention: A bibliometric analysis
- Authors: Liu; Fang, Qiao, Wei, Yuan, Xiuxia, Hei, Gangrui, Li, Xin, Zhang, Yu, Song, Xueqin, Zhang, Dongqing
  First page: 49
  PubDate: 2024-04-12
  DOI: 10.1017/gmh.2024.49
Demographics and risk factors for suicide in Syria: A retrospective media
content analysis of online news sources
- Authors: Almidani; Salma, Abo Hilal, Mohammad, Alghadban, Marwa, Abou Helal, Omama, Alkourdi, Manal, Kannan, Juman, Ekzayez, Abdulkarim, Patel, Preeti, El Achi, Nassim
  First page: 50
  PubDate: 2024-04-12
  DOI: 10.1017/gmh.2024.47
Nurturing families: A feasibility randomised controlled trial of a
whole-family intervention with vulnerable families in Jordan
- Authors: Brown; Felicity L., Yousef, Hind, Bleile, Alexandra C.E., Mansour, Hadeel, Barrett, Anna, Ghatasheh, Maha, Puffer, Eve S., Mansour, Zeinab, Hayef, Karam, Kurdi, Samer, Ali, Qaasim, Tol, Wietse A., El-Khani, Aala, Calam, Rachel, Abu Hassan, Hana, Jordans, Mark J.D.
  First page: 51
  Abstract: Armed conflict and forced displacement can significantly strain nurturing family environments, which are essential for child well-being. Yet, limited evidence exists on the effectiveness of family-systemic interventions in these contexts. We conducted a two-arm, single-masked, feasibility Randomised Controlled Trial (fRCT) of a whole-family intervention with Syrian, Iraqi and Jordanian families in Jordan. We aimed to determine the feasibility of intervention and study procedures to inform a fully-powered RCT. Eligible families were randomised to receive the Nurturing Families intervention or enhanced usual care (1:1). Masked assessors measured outcomes at baseline and endline; primary outcome measures were caregiver psychological distress, family functioning, and parenting practices. Families and implementing staff participated in qualitative interviews at endline. Of the 62 families screened, 60 (98%) were eligible, 97% completed the baseline and 90% completed the endline. Qualitative feedback indicated specific improvements in adolescent well-being, caregiver distress and parenting, and family relationships. Data highlighted high participant engagement and adequate facilitator fidelity and competence. Outcome measures had good psychometric properties (most α > 0.80) and sensitivity to change, with significant changes seen on most measures in the intervention but not control group. Findings indicate the acceptability and feasibility of intervention and study procedures. Subsequent full-scale evaluation is needed to determine effectiveness.
  PubDate: 2024-04-11
  DOI: 10.1017/gmh.2024.43
Congregation leader and member discussions in a church-based family
strengthening, mental health promotion and HIV prevention trial:
Intervention
- Authors: Rasmussen; Justin M., Johnson, Savannah L., Ochieng, Yvonne, Jaguga, Florence, Green, Eric, Puffer, Eve
  First page: 52
  Abstract: Collaboration with African religious congregations can promote psychosocial well-being with greater accessibility. Effective collaboration requires studying congregations as unique intervention contexts. This study explored how an intervention in western Kenya fit within and altered congregational discussion patterns. We conducted a cluster-randomized trial of a church-based intervention to improve family relationships, mental health and sexual health. For each intervention topic covered, we describe baseline and post-intervention changes in church leaders’ beliefs and communication as well as discussion frequency between leaders and members and among members. Mixed-effects logistic regression assessed pre-post change in member-reported discussion frequency. At baseline, members and leaders reported already discussing family, parenting, and emotions frequently and sexuality and finances less frequently. Leaders generally felt they should discuss all topics but were less comfortable and knowledgeable about sexuality and finances than other topics. After the intervention, leader comfort and knowledge increased and discussion frequency increased for nearly all topics, especially those discussed less initially. Good fit between the desires and activities of church members and leaders suggests the potential for further collaboration, especially on mental health and family well-being. Increased discussion of sensitive topics underscores the potential of community-level interventions to affect social norms.
  PubDate: 2024-04-03
  DOI: 10.1017/gmh.2024.44
Improving psychosocial well-being and parenting practices among refugees
in Uganda: Results of the journey of life effectiveness trial –
CORRIGENDUM
- Authors: Stark; Lindsay, Meinhart, Melissa, Hermosilla, Sabrina, Kajungu, Rehema, Cohen, Flora, Agaba, Gary S., Obalim, Grace, Knox, Justin, Onyango Mangen, Patrick
  First page: 53
  PubDate: 2024-05-03
  DOI: 10.1017/gmh.2024.51
Status and influencing factors of nurses’ burnout: A cross-sectional
study during COVID-19 regular prevention and control in Jiangsu Province,
China
- Authors: Mao; Xiaofei, Hou, Tianya, Wang, Hao, Tang, Yun, Ni, Chunyan, Zhang, Yulin, Zhang, Jianguo, Deng, Wenxi, Chen, Liqing, Wang, Xingxing, Li, Ziqiang, Jia, Yan, Dong, Wei, Qian, Xing
  First page: 54
  Abstract: BackgroundChinese nurses working with immense stress may have issues with burnout during COVID-19 regular prevention and control. There were a few studies investigating status of burnout and associated factors among Chinese nurses. However, the relationships remained unclear.ObjectivesTo investigate status and associated factors of nurses’ burnout during COVID-19 regular prevention and control.Methods784 nurses completed questionnaires including demographics, Generalized Anxiety Disorder-7, Patient Health Questionnaire-9, Insomnia Severity Index, Impact of Event Scale-revised, Perceived Social Support Scale, Connor–Davidson Resilience Scale, General Self-efficacy Scale and Maslach Burnout Inventory.Results310 (39.5%), 393 (50.1%) and 576 (73.5%) of respondents were at high risk of emotional exhaustion (EE), depersonalization (DP) and reduced personal accomplishment (PA). The risk of EE, DP and reduced PA were moderate, high and high. Nurses with intermediate and senior professional rank and title and worked>40 h every week had lower scores in EE. Those worked in low-risk department reported lower scores in PA. Anxiety, post-traumatic stress disorder (PTSD), self-efficacy and social support were influencing factors of EE and DP, while social support and resilience were associated factors of PA.ConclusionChinese nurses’ burnout during COVID-19 regular prevention and control was serious. Professional rank and title, working unit, weekly working hours, anxiety, PTSD, self-efficacy, social support and resilience were associated factors of burnout.
  PubDate: 2024-04-15
  DOI: 10.1017/gmh.2024.42
A scoping review of the implementation and cultural adaptation of
school-based mental health promotion and prevention interventions in
low-and middle-income countries
- Authors: Harte; Patricia, Barry, Margaret M.
  First page: 55
  PubDate: 2024-04-12
  DOI: 10.1017/gmh.2024.48
Enhancing mental health and well-being in adults from lower-resource
settings: A mixed-method evaluation of the impact of problem management
plus
- Authors: Marchetti; Michela, Ceccarelli, Caterina, Muneghina, Orso, Stockner, Mara, Lai, Carlo, Mazzoni, Giuliana
  First page: 56
  Abstract: Mental health conditions, recognised as a global crisis, were further exacerbated by the COVID-19 pandemic. Access to mental health services remains limited, particularly in low-income regions. Task-sharing interventions, exemplified by Problem Management Plus (PM+), have emerged as potential solutions to bridge this treatment gap. This study presents an evaluation of the PM+ scale-up in Sub-Saharan Africa (Ethiopia and Benin) and Eastern Europe (Croatia and Bosnia and Herzegovina) as part of a mental health and psychosocial support programming including 87 adult participants. A mixed-method approach assesses the impact of the intervention. Quantitative analyses reveal significant reductions in self-reported problems, depression, anxiety and improved functioning. Qualitative data highlight four main themes: general health, family relationships, psychosocial problems and daily activities. These thematic areas demonstrate consistent improvements across clients, irrespective of the region. The findings underscore the impact of PM+ in addressing a broad spectrum of client issues, demonstrating its potential as a valuable tool for mitigating mental health challenges in diverse settings. This study contributes to the burgeoning body of evidence supporting PM+ and highlights its promise in enhancing mental health outcomes on a global scale, particularly for vulnerable populations.
  PubDate: 2024-04-26
  DOI: 10.1017/gmh.2024.52
Prolonged grief disorder symptomology in three African countries: A
network analysis and comparison
- Authors: Robinson; Martin, Armour, Chérie, Levin, Yafit
  First page: 57
  PubDate: 2024-04-29
  DOI: 10.1017/gmh.2024.54
Understanding mental health stigma and discrimination in Ethiopia: A
qualitative study
- Authors: Girma; Eshetu, Ayele, Bethel, Gronholm, Petra C., Wahid, Syed Shabab, Hailemariam, Ariam, Thornicroft, Graham, Hanlon, Charlotte, Kohrt, Brandon
  First page: 58
  Abstract: BackgroundStigma is significantly impacted by cultural and contextual value systems. People with mental health conditions frequently have to deal with the condition itself and the associated stigma and discrimination. Contextual understanding is essential to design measures and interventions.ObjectiveThis study aimed to explore the experiences and perceptions of people with mental health conditions, their families and key stakeholders.MethodA qualitative method used to understand mental health-related stigma and its local contexts. Sixteen participants, including service users, caregivers, service providers and health service administrators, were interviewed.ResultPeople with mental health conditions and their caregivers experienced various forms of stigmatization which is linked to attributions about the causality of the illness, overt manifestations of mental health condition leading to easy identification and functional impairments that adversely affect participation. Social contact, lived experiences sharing and training of service providers are relevant intervention strategy to address stigma.ImplicationStigma and exclusion are prominent in the experiences of people with mental health conditions and their caregivers in this rural Ethiopian setting. Measurement of stigma and the development of interventions should consider how stigma is socially constructed. Anti-stigma interventions need to be implemented alongside expanded local access to mental healthcare.
  PubDate: 2024-04-30
  DOI: 10.1017/gmh.2024.55
Programmatic implementation of depression screening and remote mental
health support sessions for persons recently diagnosed with TB in Lima,
Peru during the COVID-19 pandemic
- Authors: Contreras; Carmen, Cruz, Janeth Santa, Galea, Jerome T., Chu, Alexander L., Puma, Daniela, Ramos, Lourdes, Tovar, Marco, Peinado, Jesús, Lecca, Leonid, Keshavjee, Salmaan, Yuen, Courtney M., Raviola, Giuseppe
  First page: 59
  PubDate: 2024-04-04
  DOI: 10.1017/gmh.2024.21
“I would prefer to be dead than to live this way”: Lived experiences
of stigma and discrimination against khwaja sira in Swat, Pakistan
- Authors: Azhar; Sameena, Ahmad, Imtyaz, Guzman Herrera, Maria Mercedes, Tariq, Nadeem, Lerner, Riya
  First page: 60
  Abstract: In the present study, we identified three dimensions of gender-nonconformity stigma impacting khwaja sira in Swat, Pakistan: (1) internalized stigma, namely feelings of shame and embarrassment; (2) perceived stigma, namely opinions others had of khwaja sira regarding lack of employability or engagement in sex work; and (3) enacted stigma, namely exclusion from families, in educational settings, in religious spaces, and in healthcare settings.
  PubDate: 2024-04-30
  DOI: 10.1017/gmh.2024.53
Feasibility, acceptability and preliminary effectiveness of a
community-based group psychosocial support model for conflict survivors in
Colombia: An assessment of in-person and remote intervention modalities
during the COVID-19 pandemic
- Authors: James; Leah E., García Mejía, Nicolás, Botero-García, Juan F., Rattner, Michel
  First page: 61
  Abstract: BackgroundCommunity-based psychosocial support (CB-PSS) interventions utilizing task sharing and varied (in-person, remote) modalities are essential strategies to meet mental health needs, including during the COVID-19 pandemic. However, knowledge gaps remain regarding feasibility and effectiveness.MethodsThis study assesses feasibility, acceptability and preliminary effectiveness of a CB-PSS intervention for conflict-affected adults in Colombia through parallel randomized controlled trials, one delivered in-person (n = 165) and the other remotely (n = 103), implemented during the COVID-19 pandemic and national protests. Interventions were facilitated by nonspecialist community members and consisted of eight problem-solving and expressive group sessions.FindingsAttendance was moderate and fidelity was high in both modalities. Participants in both modalities reported high levels of satisfaction, with in-person participants reporting increased comfort expressing emotions and more positive experiences with research protocols. Symptoms of depression, anxiety and posttraumatic stress disorder improved among in-person participants, but there were no significant changes for remote participants in comparison to waitlist controls.ImplicationsThis CB-PSS intervention appears feasible and acceptable in both in-person and remote modalities and associated with reduction in some forms of distress when conducted in-person but not when conducted remotely. Methodological limitations and potential explanations and areas for future research are discussed, drawing from related studies.
  PubDate: 2024-04-30
  DOI: 10.1017/gmh.2024.50
Mental health and psychosocial support programmes for displaced
populations in low- and middle-income countries (LMICs): A systematic
review of process, perspectives and experiences
- Authors: Dickson; Kelly, Ko, Sum Yue (Jessica), Nguyen, Celine, Minchenko, Dayana, Bangpan, Mukdarut
  First page: 62
  PubDate: 2024-05-06
  DOI: 10.1017/gmh.2024.56
Characterizing the clinical and sociodemographic profiles of hospitalized
adolescents with autism spectrum disorder
- Authors: Avrahami; Matan, Ben-Dor, David Haim, Ratzon, Roy, Weizman, Abraham, Perlman Danieli, Polina
  First page: 63
  Abstract: The prevalence of autism spectrum disorder (ASD) is increasing worldwide. Youngsters with ASD demonstrate higher rates of intellectual disabilities (IDs), comorbid psychopathology and psychiatric hospitalizations, compared to children in the general population. This study characterizes the demographics and clinical parameters of adolescent psychiatric inpatients with ASD compared to inpatients without ASD, all hospitalized during the study period. Additionally, within the ASD group, those with ID were compared to those without. The rate of males among participants with ASD was significantly higher than among those without ASD, and the duration of hospitalization was longer. In contrast, the rate of cigarette smoking, major depressive disorder and suicidal thoughts among those with ASD was lower. One-third of those with ASD had moderate to severe ID, about 10% had comorbid epilepsy, and about half of them demonstrated aggressive behavior. Most ASD patients showed significant improvement upon discharge, although the extent of improvement was more prominent among ASD patients with no ID. Our findings, consistent with previous research, indicate that hospitalization is beneficial to youths with ASD, both those with and those without ID. Further studies that include long-term follow-up are needed.
  PubDate: 2024-05-13
  DOI: 10.1017/gmh.2024.63
Psychosocial impacts of Baby Friendly Spaces for Rohingya refugee mothers
in Bangladesh: A pragmatic cluster-randomized controlled trial
- Authors: Nguyen; Amanda J., Murray, Sarah M., Rahaman, Kh Shafiur, Lasater, Molly E., Barua, Suzit, Lee, Catherine, Schojan, Matthew, Tonon, Brigitte, Clouin, Laetitia, Le Roch, Karine
  First page: 64
  Abstract: BackgroundThis study evaluated the effectiveness of Baby Friendly Spaces (BFS), a psychosocial support program for Rohingya refugee mothers of malnourished young children in Bangladesh. Because BFS was already being implemented, we examined the benefit of enhancing implementation supports.MethodsIn matched pairs, 10 sites were randomized to provide BFS treatment as usual (BFS-TAU) or to receive enhanced implementation support (BFS-IE). 600 mothers were enrolled and reported on maternal distress, functional impairment, subjective well-being and coping at baseline and 8-week follow-up. Data were analyzed using multilevel linear regression models to account for clustering; sensitivity analyses adjusted for the small number of clusters.ResultsSignificant within-group improvements in BFSIE were observed for distres (−.48, p = .014), functional impairment (−.30, p = .002) and subjective well-being (.92, p = .011); improvements in BFS-TAU were smaller and not statistically significant. Between-group comparisons favored BFS-IE for distress (β = −.30, p = .058) and well-being (β = .58, p = .038). Sensitivity adjustments produced p-values above .05 for all between-group comparisons.DiscussionFeasible adjustments to implementation can improve program delivery to increase impact on maternal distress and well-being. Although results should be interpreted with caution, study design limitations are common in pragmatic, field-based research.
  PubDate: 2024-05-07
  DOI: 10.1017/gmh.2024.58
Scaling up the task-sharing of psychological therapies: A formative study
of the PEERS smartphone application for supervision and quality assurance
in rural India – CORRIGENDUM
- Authors: Singla; Daisy R., Fernandes, Luanna, Savel, Katarina, Shah, Ankita, Agrawal, Ravindra, Bhan, Anant, Nadkarni, Abhijit, Sharma, Akshita, Khan, Azaz, Lahiri, Anuja, Tugnawat, Deepak, Lesh, Neal, Patel, Vikram, Naslund, John
  First page: 65
  PubDate: 2024-05-30
  DOI: 10.1017/gmh.2024.61
Exploring preference for delivery methods for a psychosocial intervention
for prenatal anxiety: A qualitative study from a tertiary care hospital in
Pakistan
- Authors: Atiq; Maria, Nazir, Huma, Rahman, Atif, Malik, Abid, Atif, Najia, Surkan, Pamela J.
  First page: 66
  Abstract: ObjectiveThis qualitative study explores therapists’ and participants’ preferences for delivery methods (face-to-face and phone sessions) of a cognitive behavioral therapy-based psychosocial intervention for prenatal anxiety delivered in a tertiary care hospital.SettingThe research was conducted in a randomized controlled trial in Pakistan, where a shift from face-to-face to phone-based therapy occurred during the coronavirus disease-2019 (COVID-19) pandemic.ParticipantsTwenty in-depth interviews and a focus group discussion were conducted with participants and therapists, respectively. Transcripts were analyzed using thematic analysis.ResultsParticipants generally preferred face-to-face sessions for rapport building, communication, and comprehension. However, barriers like venue accessibility, childcare, and lack of family support hindered engagement. Telephone sessions were favored for easy scheduling and the comfort of receiving the session at home, but there were challenges associated with phone use, distractions at home, and family members’ limited mental health awareness. A mix of face-to-face and telephone sessions was preferred, with rapport from in-person sessions carrying over to telephone interactions.ConclusionThis study underscores the need for adaptable intervention delivery strategies that consider cultural norms, logistical challenges, and individual family dynamics. By combining the benefits of both delivery methods, mental health interventions can be optimized to effectively address prenatal anxiety and promote well-being in resource-constrained settings like Pakistan.
  PubDate: 2024-05-09
  DOI: 10.1017/gmh.2024.59
The relationship between internet gaming disorder, sleeping quality,
self-compassion, physical activity participation and psychological
distress: A path analysis
- Authors: Wong; Ming Yu Claudia, Yuan, Guangzhe Frank, Liu, Caimeng, Lam, Stanley Kam Ki, Fung, Hong Wang
  First page: 67
  Abstract: The classification of internet gaming disorder (IGD) as a mental condition for further study in 2013 marked the emerging recognition of potential mental health issues associated with internet and gaming addiction. The COVID-19 pandemic and the rapid growth of gaming technology have combined to increase internet gaming, resulting in unhealthy lifestyle behaviors, poor sleep quality and psychological distress. Identifying the complex interplay between internet problem use, sleep disorders and psychological distress is crucial. However, it remains unclear how physical activity and self-compassion could improve sleep quality when individuals experience IGD symptoms. The current study, therefore, examined the relationships between IGD, sleep quality, self-compassion, physical activity and psychological distress using a path analysis approach. The study, targeting young adults (N = 283), found that physical activity played a significant role in connecting the variables and supporting the overall fit of the model. The results suggest that interventions targeting individuals with IGD should focus on promoting physical activity participation and developing self-compassion. Future research should continue to investigate the effectiveness of clinical interventions that incorporate self-compassion and physical activity counseling for individuals with IGD.
  PubDate: 2024-04-01
  DOI: 10.1017/gmh.2024.36
Research breakdowns: A constructive critique of research practice
involving grief, trauma and displaced people
- Authors: Killikelly; Clare, Comtesse, Hannah, Lechner-Meichsner, Franziska, Sam, Johanna, Ogrodniczuk, John S
  First page: 68
  Abstract: Impactful research on refugee mental health is urgently needed. To mitigate the growing refugee crisis, researchers and clinicians seek to better understand the relationship between trauma, grief and post-migration factors with the aim of bringing better awareness, more resources and improved support for these communities and individuals living in host countries. As much as this is our intention, the prevailing research methods, that is, online anonymous questionnaires, used to engage refugees in mental health research are increasingly outdated and lack inclusivity and representation. With this perspective piece, we would like to highlight a growing crisis in global mental health research; the predominance of a Global North-centric approach and methodology. We use our recent research challenges and breakdowns as a learning example and possible opportunity to rebuild our research practice in a more ethical and equitable way.
  PubDate: 2024-05-09
  DOI: 10.1017/gmh.2024.60
Nurturing families: A feasibility randomised controlled trial of a
whole-family intervention with vulnerable families in Jordan – ERRATUM
- Authors: Brown; Felicity L., Yousef, Hind, Bleile, Alexandra C.E., Mansour, Hadeel, Barrett, Anna, Ghatasheh, Maha, Puffer, Eve S., Mansour, Zeinab, Hayef, Karam, Kurdi, Samer, Ali, Qaasim, Tol, Wietse A., El-Khani, Aala, Calam, Rachel, Abu Hassan, Hana, Jordans, Mark J.D.
  First page: 69
  PubDate: 2024-06-04
  DOI: 10.1017/gmh.2024.64

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