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Background: Depression and anxiety are prevalent in older adults with cancer but are often undertreated. Older adults are also at increased risk of chemotherapy toxicity (CT). This study evaluated the impact of depression and anxiety symptoms on severe CT risk in older adults with cancer. Methods: This is a secondary analysis of a randomized trial (2:1) evaluating geriatric assessment–driven intervention (GAIN) versus standard of care (SOC) to reduce grade 3+ CT in older adults with cancer. Mental health was assessed via the Mental Health Inventory 13. CT was graded by National Cancer Institute Common Terminology Criteria for Adverse Events, version 4.0. Results: A total of 605 patients enrolled (402 GAIN; 203 SOC). Overall, 35% were depressed and 47% were anxious. Patients with depression had increased CT in the SOC arm (70.7% vs. 54.3%; p =.02) but not in the GAIN arm (54.3% vs. 48.5%; p =.27). CT was more likely in SOC patients with depression (odds ratio [OR], 2.03; 95% CI, 1.10–3.72). This association persisted after adjusting for Cancer and Aging Research Group toxicity score (OR, 1.98; 95% CI, 1.07–3.65) and for demographic, disease, and treatment factors (OR, 2.00; 95% CI, 1.03–3.85). Depression and CT were not associated in the GAIN arm (OR, 1.26; 95% CI, 0.84–1.91). Anxiety and CT were not associated in either arm. Conclusions: Elevated depression symptoms are associated with increased risk of severe CT in older adults with cancer, which was mitigated with GAIN. This suggests that treating depression symptoms may lower toxicity risk. Future studies are needed to confirm and investigate the impact of depression‐specific interventions on outcomes. Depression symptoms are associated with increased risk of severe chemotherapy toxicities in older adults with cancer. This risk is mitigated in those who receive geriatric assessment–driven interventions. [ABSTRACT FROM AUTHOR]

Background: Offspring of parents with affective disorders (OAD) are at risk of developing a wide range of mental disorders. Deficits in the rearing environment and high levels of stress are well‐known risk factors for negative outcomes in OAD. Building on prior research, we aim to examine the longitudinal relationships between family dysfunction, stressful life events, and mental health in OAD and control offspring of parents with no affective disorder. In the present study, we hypothesized that high levels of family dysfunction would be associated with more internalizing and externalizing problems across time in OAD than in controls, and that family dysfunction would mediate the relationship between stressful life events in adolescence and poor mental health in adulthood, particularly in OAD. Methods: As part of the TRacking Adolescents' Lives Survey (TRAILS), 2230 participants (51% female, Mage = 11.1 years, SD = 0.6, at baseline) and their parents completed measures across six time points, spanning 15 years. Mental health, family dysfunction, and stressful life events were assessed with the Youth and Adult Self‐Report, Family Assessment Device, and an in‐house measure, respectively. Results: Multi‐group structured equation modeling revealed that family dysfunction was linked to internalizing and externalizing problems in OAD, but not controls, across time. Risk status did not moderate family dysfunction's mediation of the relationship between stressful life events and negative outcomes in adulthood. Conclusions: OAD show high sensitivity to dysfunction in the rearing environment across childhood and adolescence, which supports the use of family based interventions to prevent the development of mental disorders in high‐risk youth. [ABSTRACT FROM AUTHOR]

Background: There are an estimated 25 million transgender and gender diverse (TGD) individuals worldwide, with 1.2%–2.7% of this population being under the age of 18. Community studies describe increased rates of mental health difficulties such as depression, self‐harm, suicidal ideation and difficulties with peer relationships for TGD youth over cisgender peers. However, comparatively little is known about the mental health symptomatology of TGD youth attending specialist mental health services (CAMHS) in the UK. Method: This cross‐sectional study explored data from 170 young people participating in the Beating Adolescent Self‐Harm (BASH) trial. Baseline data about self‐harm, depression, and impact on daily life was compared for those who identified as TGD (n = 18) with those who identified as cisgender (n = 152). Results: In the transgender group, 18 (100%) scored ≥27 on the MFQ suggesting severe depression and had total scores on the SDQ impact scale of ≥3, in the very high range. In comparison in the cisgender group, 140 (92.1%) scored ≥27 on the MFQ and 103 (67.8%) had total scores on the SDQ impact scale of ≥3. The TGD group reported higher rates of self‐harm, poorer peer relationships, less prosocial behaviour and greater interference with friendships and leisure activities and impact in the classroom. Both groups reported similar symptoms of depression. Conclusions: Whilst this exploratory study has limitations, these results suggest that TGD youth attending CAMHS may experience greater mental health problems than their cisgender peers. [ABSTRACT FROM AUTHOR]

Background: The use of seclusion in Adolescent Inpatient Psychiatric Units is being heavily scrutinised due to its forceful nature and potential to cause harm. This study aimed to understand staff perspectives on reasons for seclusion in an Adolescent Inpatient Psychiatric Unit. Method: A mixed methods approach that included the Attitudes to Seclusion Survey followed by a semi‐structured interview on the reasons for seclusion was used. We recruited 31 participants who worked on the unit of which 27 were involved in seclusion. Results: The findings showed that the majority of staff view seclusion as undesirable and believe it should only be used out of necessity. However, there was disagreement among staff about the reasons why adolescents were secluded and whether those reasons were justified. Staff identified factors that contributed to increases in seclusion but also provided several ways in which seclusion could be reduced. Conclusions: These findings highlight a need for precision on what constitutes justifiable use of seclusion to reduce the potential for misuse. It also shows opportunities exist for further reduction in seclusion through teamwork and communication. [ABSTRACT FROM AUTHOR]

Background: Influence of architectural features in child and adolescent psychiatric wards on coercive measure use has not been investigated so far. We aimed to assess the effect of altering the physical environment of an adolescent psychiatric inpatient unit on the proportion and frequency of adolescents experiencing mechanical coercive measures. Method: In a naturalistic observational design, coercive measures were compared before and after an architectural intervention facilitated by rebuilding a child and adolescent psychiatric department in October 2020. Age, gender, length of stay, main psychiatric diagnosis and indices of coercion in n = 782 admissions to inpatient child and adolescent psychiatry from April 2019 to April 2022 were extracted. Group comparisons were performed using chi‐squared tests for categorical and Mann–Whitney U‐tests for numerical variables. Results: After structural modernization which included amplifying space and with the newly introduced availability of seclusion rooms, significantly fewer patients were affected by mechanical restraint (8.1% vs. 13.7%, p =.013). Rate of seclusion increased to 5.0% (vs. 0%, p <.001). Rate of seclusion and/or restraint decreased from 13.7% to 11.8% (p =.425). The median cumulative duration of all coercive measures per affected case decreased significantly (2.8 vs. 5.4 h, p =.005), as well as its proportion to length of stay (0.8% vs. 2.8%, p =.006). Conclusions: Modernisation and restructuring of buildings hosting psychiatric departments can contribute to a reduction of coercive measures in child and adolescent psychiatric units. [ABSTRACT FROM AUTHOR]

Purpose: Understanding the experiences of people with developmental disabilities during the initial period of COVID‐19 pandemic. Methods: Individuals with developmental disabilities and their caregivers completed baseline and up to five follow‐up online surveys using the CRISIS‐AFAR measures, between July 2020 and September 2021. We used qualitative (thematic analysis) and quantitative (MANOVA) analytic methods. Results: One hundred and eighteen participants (64 caregivers on individuals 6–62 years, 54 self‐reporting individuals aged 17–55 years) completed baseline survey; 46 participants (23 caregivers, 23 self‐reporting adults) completed ≥1 follow‐up. Qualitative themes included uncertainty, and negative and positive influences on behaviours and routines, daily life and mental wellness. Those experiencing positive impacts did not stably perceive so longitudinally. Conclusions: Despite both negative and positive influences on individuals with developmental disabilities and their families, the prolonged pandemic had wide‐ranging repercussions. Emergency preparedness planning should consider the disruptive effects of public health measures on routine and support for this vulnerable population. [ABSTRACT FROM AUTHOR]

Background: Snoezelen is often used for people with profound intellectual and multiple disabilities, but scarcely evaluated. This study aimed to provide insight into the application and perceived effects of snoezelen from the perspective of support persons. Method: We conducted an international survey with professionals (n = 130) and relatives (n = 8) supporting people with profound intellectual and multiple disabilities. Information regarding the application and perceived effects was gathered. Content and descriptive analysis were used. Results: Despite variation, common characteristics were identified regarding purpose, approach and context. Perceived positive effects mostly concerned improved mental health of the person receiving snoezelen (n = 88). A person‐centred approach was reported as important element for positive effects. Conclusions: This study describes the use of snoezelen for people with profound intellectual and multiple disabilities. These insights can be used for future research into working elements and effects of snoezelen and facilitate evidence‐based support. [ABSTRACT FROM AUTHOR]

Background: The review aimed to investigate the effectiveness of parent–child relationship interventions for families of children with intellectual disability up to 12 years old. Methods: Quasi‐experimental or randomised controlled trials (RCTs) of interventions targeting the parent–child relationship where ≥50% of children had an intellectual disability were included. Meta‐analyses of parent–child relationship outcomes and child outcomes used standardised mean difference as the effect size. Results: Twenty‐seven papers were included (N = 1325). Parent–child relationship outcomes improved significantly (n = 1325; g = 1.08, 95% CI: 0.64, 1.52) with a large effect size that was robust to sensitivity analyses. Child developmental outcomes improved significantly (n = 1082; g = 0.65, 95% CI: 0.23, 1.07), and indicated a large effect size for child socialisation and communication. Conclusions: Findings suggest that interventions targeting parent–child relationship quality are associated with substantial improvements in parent–child relationship and may improve child outcomes related to socialisation and communication. [ABSTRACT FROM AUTHOR]

Aim: To investigate the associations between oral health and depression, anxiety and their comorbidity in the UK Biobank cohort. Materials and Methods: Oral health problems were self‐reported at baseline. Symptoms of depression and anxiety were assessed using the Mental Health Questionnaire (PHQ‐4) in a cross‐sectional study. In the cohort study, diagnoses of depression and anxiety disorders were based on hospital records. Logistic regression and Cox regression models were used to analyse the association between oral health and depression/anxiety. Results: A total of 305,188 participants were included in the cross‐sectional study, and multivariate analysis showed that periodontal disease was associated with depression and/or anxiety (odds ratio [OR]: 1.79, 95% confidence interval [CI]: 1.73–1.86). In the prospective cohort study involving 264,706 participants, periodontal disease was significantly associated with an increased risk of depression and/or anxiety (hazard ratio [HR]: 1.14, 95% CI: 1.10–1.19), depression (HR: 1.19, 95% CI: 1.13–1.25) and anxiety (HR: 1.13, 95% CI: 1.07–1.19). Periodontal disease was also significantly associated with comorbid depression and anxiety (HR: 1.27, 95% CI: 1.16–1.38). Multiple mediation analysis using baseline inflammatory factors showed that white blood cell count and C‐reactive protein explained 3.07% and 3.15% of the association between periodontal disease and depression and anxiety, respectively. However, the results of longitudinal multiple mediation analysis of inflammatory factors at first follow‐up (N = 10,673) were not significant. Conclusions: Periodontal disease was found to be consistently associated with an increased risk of depression, anxiety and their comorbidity. [ABSTRACT FROM AUTHOR]

This article offers a narrative analysis of the contributing factors of moral distress (MD) and moral injury (MI) among mental health clinicians working amidst humanitarian crises. It discusses the impact of moral stress on therapeutic relationships in mental health trauma. The article originated from the author's experience developing a peer‐to‐peer support program at a nongovernmental organization (NGO) and conducting peer‐to‐peer support for mental health clinicians and healthcare providers in Ukraine and Turkey. A significant amount of literature has documented the detrimental effects of MD and MI on mental health, job sustainability, and resilience of healthcare providers and first responders. The negative effects of MD and MI are particularly relevant in trauma counseling, where clinicians must draw upon the use of self to develop therapeutic relationships with their clients. This process demands a high level of moral reasoning and self‐awareness, which can be severely tested under the morally challenging conditions of a humanitarian crisis. There is an imperative need to deepen our understanding and to swiftly address the factors that precipitate MD and MI in mental health clinicians working in crisis zones. By doing so, we aim to bolster their resilience and the enduring nature of their commitment to help and save others. This, in turn, will not only contribute to saving more lives but also enable those who are affected by trauma to flourish in the aftermath of their experiences. [ABSTRACT FROM AUTHOR]

Background and aims: Stimulant‐related disorders (SRD), or the continued misuse of illicit or prescribed stimulants, during pregnancy can have adverse health effects for mothers and infants. This study aimed to measure prevalence and trends of SRD diagnosis in pregnancy, and associations between SRD diagnosis and adverse maternal and infant health outcomes, among pregnant individuals in California. Design: Retrospective cohort study. Setting: California, USA. Participants: Pregnant individuals from the Study of Outcomes in Mothers and Infants (SOMI) with singleton live births between 2012 and 2020 (n = 3 740 079). Measurements: SRD diagnosis (excluding cocaine) and maternal (gestational diabetes, gestational hypertension [gHTN], severe maternal morbidity [SMM]) and infant (very preterm birth [gestational age <32 weeks], preterm birth [gestational age 32–37 weeks], neonatal intensive care unit [NICU] admission, small for gestational age [SGA]) outcomes were classified using International Classification of Disease (ICD) codes and vital statistics. Risk ratios were estimated with modified Poisson log linear regression that accounted for sibling pregnancies. Covariates included maternal sociodemographic characteristics, mental and physical health problems, nicotine use and co‐occurrence of other diagnosed substance use disorders. Bias analyses were conducted to address unmeasured confounding and exposure misclassification. Findings SRD diagnosis among pregnant individuals increased from 2012 to 2020 (554 to 748 per 100 000 births). SRD diagnosis was associated with an increased risk of SMM (adjusted risk ratio [aRR] = 2.3; 95% confidence interval [CI] = 2.2–2.5), gHTN (aRR = 1.8; 95% CI = 1.7–1.9), very preterm birth (aRR = 2.2, 95% CI = 2.0–2.5), preterm birth (aRR = 2.1, 95% CI = 2.1–2.2) and NICU admission (aRR = 2.0, 95%CI = 1.9–2.0), and a decreased risk of gestational diabetes (aRR = 0.8; 95% CI = 0.8–0.9). SRD diagnosis was not associated with infants born SGA. Findings were generally robust to unmeasured confounding and misclassification of diagnosis. Conclusions: Stimulant‐related disorder diagnosis during pregnancy appears to be associated with an increased risk for select adverse maternal and infant health outcomes including severe maternal morbidity, gestational hypertension, very preterm birth, preterm birth and neonatal intensive care unit admission. [ABSTRACT FROM AUTHOR]

We collected data from two sources – social media and online questionnaires – to investigate the emotional consequences of social sharing during the COVID‐19 pandemic. Study 1 tracked and analysed sentiment of tweets posted over the course of a month in the crisis period and found that users who tweeted more frequently about COVID‐19 expressed decreasing negative sentiment and increasing positive sentiment over time. Granger causality tests confirmed that this association was better interpreted in the forward direction (sharing levels predicting sentiment) than in the reverse direction (sentiment predicting sharing levels). Study 2 focused on immediate emotional consequences of sharing COVID‐19‐related events and found that participants reported improved overall affect about an event after sharing it, especially when that event was a personal experience rather than a news story. Reported positive feelings about both kinds of events were also significantly higher after sharing. Taken together, both studies suggested that social sharing is linked with emotional relief and may therefore help people to deal with their negative experiences during a persistent collective crisis. [ABSTRACT FROM AUTHOR]

Negative experiences with police present serious risks for mental health. However, interpretation plays a meaningful and little understood role in the effects of those experiences. This study expands on previous work exploring coping responses to negative police experiences and investigates the relation between negative experiences with police and mental health outcomes. Participants (N = 198) were from a diverse sample of young adults at a minority‐serving institution. Black/African American, Hispanic/Latinx, and Middle Eastern/North African participants reported significantly more negative police experiences than White and Asian/Asian American participants. Black/African American and Hispanic/Latinx also showed more negative perceptions of police. Negative police experiences were positively related to depression but not posttraumatic stress symptoms. There were also meaningful interactive effects between negative experiences and perceptions of police on levels of posttraumatic stress and depression, suggesting negative perceptions of police may buffer negative effects of negative police experiences. Our findings point to the importance of addressing negative encounters with police as mental health stressors, as well as effects of crucial differences in perceptions of police by race. This research contributes to a growing understanding of the complex nature and effects of experiences with police on mental health. [ABSTRACT FROM AUTHOR]

This article explores the factors contributing to drug‐related deaths in English and Welsh prisons between 2015 and 2020. Based on content analysis of all Prison and Probation Ombudsman 'other non‐natural' fatal incident investigation reports, descriptive statistics were generated. Qualitative analysis explored the circumstances surrounding deaths and key risk factors. Most deaths were of men, whose mean age was 39 years. Drug toxicity was the main factor in causing death, exacerbated by underlying physical health conditions and risk‐taking behaviours. A variety of substances were involved. New psychoactive substances became more important over time. A high proportion had recorded histories of substance use and mental illness. During this period, the prison system was under considerable stress creating dangerous environments for drug‐related harm. This study highlights the process of complex interaction between substances used, individual characteristics, situational features and the wider environment in explaining drug‐related deaths in prisons. Implications for policy and practice are discussed. [ABSTRACT FROM AUTHOR]

Teachers play a critical role in school mental health. They aid in the identification and referral of students in need of mental health services and are key players in implementing interventions. Nevertheless, teachers often lack the education and training needed to support youths' mental health. Increasing teachers' mental health literacy (MHL) is recognized as a needed area of focus in improving systems' responses to youths' mental health needs, yet no current tools assess teachers' complete MHL. A measure of MHL for in‐service teachers based on current conceptualizations of MHL in the context of schools was developed and tested. The 24‐item scale was tested in a sample of 407 full‐time teachers in the United States and initial psychometric testing supports its use. The analytic strategy included an exploratory factor analysis (EFA), reliability analysis via Cronbach's α, and convergent validity analysis via zero‐order correlations between the Teachers' MHL Scale and theoretically linked constructs. The final scale includes four subscales that measure teachers' understanding of how to promote well‐being, recognize potential problems, link students in need to appropriate resources, and the link between well‐being and school success. The underlying theory supporting the tool's development and suggestions for its use are discussed. Practitioner Points: Increasing teachers' mental health literacy (MHL) is recognized as a needed area of focus to improve systems' responses to youths' mental health needs, yet no current tools assess teachers' complete MHL.Teachers' MHL is a multidimensional construct that includes promoting well‐being, recognizing potential problems, linking students to resources, and believing students with mental health needs can learn.The Teachers' MHL Scale is a 24‐item scale that can be used to measure in‐service teachers' MHL, gauge teachers' needs, support their professional development, and guide ongoing efforts to engage educators in school mental health. [ABSTRACT FROM AUTHOR]

Suicide is a complex, multifaceted crisis affecting children and adolescents, and has become a major public health concern. While there is a plethora of research on this topic among neurotypically developing youth, much less is known about the nature of suicidality in autistic individuals. Autistic youth show an increased vulnerability for suicidal tendencies that are poorly understood among school mental health (SMH) professionals, who report a range of competency and self‐efficacy to address suicidality in school settings (Debski et al., 2007; O'Neill et al., 2020). Co‐occurring mental health difficulties pose significant challenges in the early detection of suicide risk in autistic youth. Given that suicide is the leading cause of death among autistic individuals, the incidence of suicidality among autistic youth is of particular concern. This article provides a practice‐friendly review of the research outlining innate vulnerabilities that present risk factors for suicide among autistic youth, along with assessment considerations that help inform the management of suicide risk in autistic youth. We conclude with recommendations for integrating a multi‐tiered neurodiverse‐affirming approach with sensitivity for student intersecting identities and system‐level influences on student mental health that enables SMH professionals to create supportive school environments for autistic youth that prevent further harm. Practitioner Points: Autistic youth show higher rates of suicidality compared to rates seen in nonautistic youth.Common approaches to suicide screening and prevention in schools do not adequately address issues of mental health, self‐harm, and suicidal intent in autism.A neurodiverse‐informed approach can help school mental health professionals understand suicide risk presentation and enhance safe and affirming school environments. [ABSTRACT FROM AUTHOR]

Youth work is a practice that supports young people and bolsters mental health and well‐being. In the aftermath of the Covid‐19 pandemic, young people in the UK have experienced rising levels of mental distress. However, in the broader youth policy field, youth work is rarely acknowledged as a mental health support. This article draws upon research uncovering to what extent youth workers provide mental health support for young people. A survey questionnaire was distributed to youth workers across selected local authorities in central Scotland and north‐east England. Our original findings show that most youth workers provide initial mental health support for young people and, since the pandemic, this has become a key component of youth work practice. The youth workers surveyed were confident that they had the skills, experience and training to provide such support but were struggling to meet increased demand due to funding shortages in the sector. [ABSTRACT FROM AUTHOR]

Background: Mindfulness‐based interventions can improve psychological health; yet the mechanisms of change are underexplored. This pre‐registered remote RCT evaluated a freely accessible digital mindfulness programme aiming to improve well‐being, mental health and sleep quality. Health behaviour cognitions were explored as possible mediators. Methods: Participants from 91 countries (N = 1247, Mage = 27.03 [9.04]) were randomized to 30 days of mindfulness practice or attention‐matched control condition. Measures of well‐being, depression, anxiety, stress, sleep quality, barriers self‐efficacy, self‐regulation and behavioural predictors (e.g., attitudes and behavioural intentions) were taken at baseline, 1‐month (post‐intervention) and 2‐months (follow‐up). Linear regression examined intervention effects between and within groups. Longitudinal mediation analyses explored indirect effects through health behaviour cognitions. Results: Three hundred participants completed post‐intervention measures. Those receiving mindfulness training reported significantly better well‐being (Mdifference = 2.34, 95%CIs.45–4.24, p =.016), lower depression (Mdifference = −1.47, 95%CIs −2.38 to −.56, p =.002) and anxiety symptoms (Mdifference = −.77, 95%CIs −1.51 to −.02, p =.045) than controls. Improvements in well‐being and depression were maintained at follow‐up. Intervention effects on primary outcomes were mediated by attitudes towards health maintenance and behavioural intentions. Mediating effects of attitudes remained when controlling for prior scores in models of depression and well‐being. Conclusions: Digital, self‐administered mindfulness practice for 30 days meaningfully improved psychological health, at least partially due to improved attitudes towards health behaviours and stronger behavioural intentions. This trial found that digital mindfulness is a promising and scalable well‐being tool for the general population, and highlighted its role in supporting health behaviours. [ABSTRACT FROM AUTHOR]

Background: Maudsley Model of Anorexia nervosa (AN) Treatment for Adults (MANTRA) is recommended by NICE for the treatment of adults with AN. However, despite this fact, the approach remains relatively understudied. The aim of this study was to systematically update the research evidence regarding the use of the MANTRA in the treatment of Eating Disorders (ED). Method: The databases used were Web of Science, Scopus, and PsycInfo, including studies up to 31 May 2023. PRISMA guidelines were followed, and Cochrane tools were used to assess the risk of bias. The search focused on identifying published articles that discussed the usefulness of MANTRA as a component of treatment for ED, following PICO criteria. Results: Nine studies spanning the period from 2011 to 2023 were included. Findings suggested that MANTRA was effective in improving body mass index (BMI), eating symptomatology and emotional state. There were generally no significant differences compared to other treatment conditions. Limitations to interpreting this systematic review include the methodological quality of included studies and the elevated risk of bias. Conclusions: This review was the first to examine the effectiveness of MANTRA. The results indicate that MANTRA has shown effectiveness similar to other treatments for adults AN patients in addressing key clinical variables. It has been used in different populations (adolescents, males, inpatients) and formats (group, online) However, more research is needed to determine its effectiveness. Highlights: This systematic review is based on a rigorous methodology, following the recommendations of the PRISMA and PICOS guide to guarantee its rigour. It adopts a critical and up‐to‐date perspective to analyse the extensive number of studies that provide evidence on this programme.MANTRA appears to be as effective as CBT and SSCM for anorexia nervosa, showing favourable results in body mass index (BMI), eating disorder symptomatology and emotional state. More research is needed to establish its effectiveness in addressing the interpersonal and cognitive factors for which it was also designed.The adaptability of MANTRA is highlighted. It has been used in adolescent population, in group and online format, with inpatients and in males. However, more research is needed to determine its effectiveness. [ABSTRACT FROM AUTHOR]

Objective: Eating disorders (EDs) represent a major public health burden. Increasingly, studies suggest mental health (MH) fields are failing to improve the effectiveness of treatments and that alternative models of care must be considered. Precision mental health (PMH) seeks to tailor treatment to individual needs and relies on a comprehensive understanding of the neurobiological and physiological underpinnings of mental illness. Methods: In this narrative review, published literature with focus on biological application of PMH strategies for EDs is reviewed and summarised. Results: A total of 39 articles were retained for the review covering a variety of themes with relevance to PMH. Many studies of biological markers with PMH applicability focused on anorexia nervosa. Although a variety of potential PMH research applications were identified, the review failed to identify any evidence of implementation into routine ED practice. Conclusions: Despite the theoretical merit of biological application of PMH in ED treatment, clinical applications for standard practice are lacking. There is a need to invest further in studies that seek to identify biological markers and investigate neurobiological underpinnings of disease in hopes of targeting and developing treatments that can be better tailored to the individualised needs of patients. Highlights: Despite the theoretical merit of biological application of precision mental health (PMH) in eating disorder (ED) treatments, clinical applications for standard practice are lacking.The majority of identified studies with PMH application in EDs involved patients with anorexia nervosa.There is a need to invest further in studies that seek to identify biological markers and investigate neurobiological underpinnings of disease in hopes of targeting and developing PMH treatments that can be better tailored to the individualised needs of patients. [ABSTRACT FROM AUTHOR]

Background: Reproductive health and mental health are intertwined, but studies investigating family planning needs and desire for children in mental healthcare are scarce. Methods: We studied the experiences of (former) patients, those with close relationships with the (former) patients (close ones) and mental health professionals (MHP) on discussing family planning and desire for children in mental healthcare. We combined quantitative (two nationwide surveys) and qualitative data (four focus groups) in a mixed‐methods approach with sequential analytical design. Results: Combined data from focus groups (n = 19 participants) and two surveys (n = 139 MHPs and n = 294 (former) patients and close ones) showed that a considerable group of MHPs (64.0%), patients (40.9%) and close ones (50.0%) found that family planning should be discussed by a psychiatrist. However, several obstacles impeded a conversation, such as fear of judgment, lack of time and knowledge and limited opportunity for in‐depth exploration of life themes in therapeutic relationships. Conclusions: To increase the autonomy of patients in discussing family planning, we suggest MHPs explore the desire to discuss family planning with all patients in the reproductive phase of life, prior to discussing contraceptive care. MHPs should receive education about psychiatric vulnerability in relation to family planning and desire for children, and patients and close ones should be empowered to initiate a conversation themselves. [ABSTRACT FROM AUTHOR]

Introduction: Depression is one of the most common co‐morbidities during pregnancy; with severe symptoms, antidepressants are sometimes recommended. Social determinants are often linked with antidepressant use in the general population, and it is not known if this is the case for pregnant populations. Our objective was to determine if social determinants are associated with prenatal antidepressant intake via a systematic review and meta‐analysis. Methods: A systematic search of five databases was conducted to identify publications from inception to October 2022 that reported associations with prenatal antidepressant intake (use/continuation) and one or more social determinants: education, race, immigration status, relationship, income, or employment. Eligible studies were included in random effects meta‐analyses. Results: A total of 23 articles describing 22 studies were included. Education was significantly and positively associated with prenatal antidepressant continuation and heterogeneity was moderate. (Odds ratio = 0.83; 95% CI, 0.78 to 0.89; p < 0.00001; I2 = 53%). Meta‐analyses of antidepressant use and education, race, and relationship status, and antidepressant continuation and income were not significant with high levels of heterogeneity. Discussion: While most social determinants in this review were not linked with prenatal antidepressant intake, lower maternal education level does seem to be associated with lower rates of prenatal antidepressant continuation. Conclusions: Education appears to be linked with prenatal antidepressant intake. The low number of included studies precludes conclusive evidence for other social determinants. [ABSTRACT FROM AUTHOR]

Background: This systematic review and meta‐analysis aim to synthesize the available evidence and determine the overall brain‐derived neurotrophic factor (BDNF) levels in individuals diagnosed with perinatal depression (PND). Methods: We performed a thorough search of electronic databases, including PubMed, Embase, PsycINFO, and Web of Science, from their start until April 30, 2023. Our search strategy involved using specific keywords and medical subject headings (MeSH) terms related to BDNF, perinatal, post‐partum, and antepartum depression. In the meta‐analysis, we employed a random‐effects model, and subgroup analyses were conducted to investigate any variations in the results. Results: A total of 15 studies met the inclusion criteria, of which 10 were used in the quantitative analysis. The meta‐analysis demonstrated a significant decrease in BDNF levels in both individuals with antepartum depression (SMD: –0.31; 95% CI: −0.48 to −0.13; p‐value = 0.0008; I2 = 71%), and post‐partum depression (SMD: –0.61; 95% CI: −0.99 to −0.22; p‐value = 0.0002 I2 = 77%). Furthermore, a significantly higher rate of PND among individuals in the lowest BDNF quartile (OR: 2.64; 95% CI: 1.01 to 6.89; p‐value = 0.05; I2 = 90%) was seen. The results of subgroup analyses showed a statistically significant effect of the depression assessment tool on overall heterogeneity between studies. Conclusion: This systematic review and meta‐analysis provide evidence of lower BDNF protein levels in individuals diagnosed with PND. The results indicate that BDNF dysregulation may play a part in the development of PND. More research is needed to understand the mechanisms behind this and explore potential therapeutic applications. [ABSTRACT FROM AUTHOR]

The perception of signals from within the body, known as interoception, is increasingly recognized as a prerequisite for physical and mental health. This study is dedicated to the development of effective technological approaches for enhancing interoceptive abilities. We provide evidence of the effectiveness and practical feasibility of a novel real‐time haptic heartbeat supplementation technology combining principles of biofeedback and sensory augmentation. In a randomized controlled study, we applied the developed naturalistic haptic feedback on a group of 30 adults, while another group of 30 adults received more traditional real‐time visual heartbeat feedback. A single session of haptic, but not visual heartbeat feedback resulted in increased interoceptive accuracy and confidence, as measured by the heart rate discrimination task, and in a shift of attention toward the body. Participants rated the developed technology as more helpful and pleasant than the visual feedback, thus indicating high user satisfaction. The study highlights the importance of matching sensory characteristics of the feedback provided to the natural bodily prototype. Our work suggests that real‐time haptic feedback might be a superior approach for strengthening the mind–body connection in interventions for physical and mental health. In the study, we evaluate the efficacy of a newly developed interoceptive training—supplementation of heartbeat sensations through real‐time haptic feedback. We revealed that the haptic feedback technology improves interoceptive accuracy, increases confidence, and shifts attention toward bodily sensations more effectively than the traditional visual feedback approach, opening new possibilities for clinical and neurowellness applications. [ABSTRACT FROM AUTHOR]

Flexible use of emotion regulation (ER) strategies is central to mental health. To advance our understanding of what drives adaptive strategy‐switching decisions, in this preregistered study, we used event‐related potentials (late positive potential, LPP and stimulus preceding negativity, SPN) and facial electromyography (EMG corrugator activity) to test the antecedents and consequences of switching to an alternative ER strategy. Participants (N = 63, Mage = 24.8 years, all female) passively watched and then implemented an instructed ER strategy (reappraisal or distraction) in response to high‐intensity negative pictures that were either easy or difficult to reinterpret (high or low reappraisal affordance, respectively). Next, they decided to "switch from" or "maintain" the instructed strategy and subsequently implemented the chosen strategy. Reappraisal affordance manipulations successfully induced switching. Regarding antecedents, switching was predicted by the reduced ER efficacy of the current strategy (corrugator, but not LPP). Switching to distraction was additionally predicted by increased responses to the stimulus during passive viewing (corrugator and LPP) and increased anticipatory effort in implementing reappraisal (SPN). Concerning consequences, switching to distraction improved, whereas switching to reappraisal impaired post‐choice ER effects (LPP). However, starting with reappraisal was overall more effective than starting with distraction, irrespective of the subsequent decision (corrugator). Our results suggest that switching between ER strategies occurs in accordance with situational demands (stimulus affordances) and is predicted by reduced peripheral physiological ER efficacy. However, only switching to distraction leads to improved regulatory effects. These insights provide neurocognitively grounded starting points for developing interventions targeting ER flexibility. Flexible use of emotion regulation (ER) strategies is central to mental health. This study shows that flexible strategy‐switching decisions can be predicted based on psychophysiological responses that precede the decision to switch to an alternative ER strategy. Moreover, switching between the strategies results in distinctive regulatory effects, depending on the initial and chosen strategy. These insights into antecedents and consequences of strategy‐switching could inspire interventions targeting ER flexibility. [ABSTRACT FROM AUTHOR]

Marketing scholars wield untapped potential to expand research into the wellbeing of consumers with mental illness beyond existing clinical and medical perspectives, enriching the field with unique insights into consumer behavior, market dynamics, and strategic interventions. This scoping review maps over 50 years of research at the intersection of mental illness and marketing in business disciplines. We examine a corpus of 1064 peer‐reviewed journal articles using the population, concept, and context framework to integrate extant knowledge and identify research gaps. We present a comprehensive future‐facing research framework that highlights gaps at the consumer, market, policy, and society levels that marketing researchers are particularly qualified to investigate. Through a series of illustrative research directives, we highlight areas of opportunities for better understanding and addressing the interdependencies that exist within this complex and multidisciplinary domain. [ABSTRACT FROM AUTHOR]

ABSTRACT Nursing students in undergraduate programmes exhibit comparable, sometimes higher, levels of poor mental health and substance use compared to the general population; however, this area remains under‐researched in New Zealand. The study involved 172 nursing students enrolled in the Bachelor of Nursing programme at one tertiary institution in Auckland, New Zealand. Employing a mixed‐methodology approach, a 29‐question survey comprising both open and closed questions was administered to explore the students' experiences with mental health and substance use, as well as their access to support services. Quantitative data were analysed using SPSS version 29 descriptive statistics, while a general inductive approach guided the qualitative analysis. A significant proportion of participants (75%) reported experiencing emotional distress during their studies, with anxiety being the most prevalent (78.5%). A smaller percentage disclosed substance use (8.1%) including excessive alcohol use, cannabis use, nicotine use, vaping cannabis and some refusal to reveal substance use. Surprisingly, less than 1% (n = 0.6) utilised institutional support services. Three qualitative themes were identified including emotional distress and associated effects, emotional and psychological impacts on nursing students' academic journey and tertiary support systems. The findings highlight the urgent need to address the mental health and addiction challenges experienced by nursing students, given their potential adverse effects on academic success and overall well‐being. Urgent action is needed to integrate mental health training into the curriculum and provide faculty support. In this study, the underutilisation and inadequacy of institutional support services signal a need for institutional reforms to provide access and personalised mental health support to nursing students. Providing essential skills and support for student success contributes to the overall well‐being of the nursing workforce. [ABSTRACT FROM AUTHOR]

Introduction Method Consumer and Community Involvement Results Conclusion Parents of children with additional needs experience compromised physical and mental health and higher stress, and their ability to engage in meaningful occupations is impacted by their additional caregiving tasks. Online interventions targeting mental health, stress, and well‐being for parents of children with additional needs have potential to increase supports alongside occupational therapy direct services. The aims of this review are to systematically identify and synthesise evidence of effectiveness of online interventions aimed at improving mental health, stress, and well‐being of parents of children with additional needs.Eight databases were searched up to July 2024 to identify online interventions for parents of children with additional needs. Studies were appraised for methodological quality. Standardised effect sizes were calculated, and meta‐analyses of randomised control trials (RCTs) were conducted on outcomes of mental health, well‐being, and stress.There was no consumer or community involvement.Systematic screening identified 30 papers that met inclusion criteria. Most were RCTs or controlled clinical trials (CCTs) with ‘moderate’ quality ratings: Three were designed by occupational therapists. There was substantial variation in intervention types, methods of delivery, outcomes, and outcome measures used. The pooled standardised effect size estimates (ES) and the lower and upper confidence intervals (CI) of online interventions from RCTs post‐interventions were significant for mental health ES = 0.47, 95% CI (0.18, 0.77), p = 0.002; stress ES = 1.27, 95% CI (0.56, 1.98), p = 0.000; and well‐being ES = 0.65, 95% CI (1.2, 0.06), p = 0.03, respectively.The online interventions that aimed to improve mental health, stress, and well‐being included in this meta‐analysis were effective. Occupational therapists supporting families play an important role in guiding parents of children with additional needs to evidence‐based interventions to support them with addressing their own mental health and well‐being needs. [ABSTRACT FROM AUTHOR]

ABSTRACT Mental health (MH) differences remain an issue in contemporary Chinese society, with various factors influencing individuals' well‐being. This study investigates the complex connection between results related to psychological wellness and social issues, integrating cultural, psychological and technological perspectives. Through a quantitative research methodology, data were collected from 1000 individuals using a questionnaire survey and analysed using SPSS software. The study's findings shed light on the impact of socioeconomic status (SES) on MH stigma, help‐seeking behaviour and overall well‐being. The findings identify that lower SES was associated with heightened levels of MH stigma and decreased the search for assistance actions. Cultural beliefs emphasising MH stigma and societal expectations were identified as mediators in the connection involve SES and MH outcomes. Digital technology use emerged as a moderator, indicating that higher levels of technology utilisation were linked to reduced disparities in accessing MH resources. The novelty of this study lies in its comprehensive examination of the multifaceted factors influencing MH disparities within Chinese society. Additionally, psychological factors such as resilience and social support were observed to mitigate the negative lower SES's effect on MH consequences. The interaction between SES and cultural factors was found to predict MH outcomes, with lower SES exacerbating the effects of MH stigma and cultural barriers. [ABSTRACT FROM AUTHOR]

Background Methods Results Conclusions Parents of twins appear to be at increased risk of postpartum depression (PPD), yet little is known about the magnitude and timing of onset in the postpartum period compared to singleton parents.We conducted a cohort study using the Danish nationwide health registers. We defined a study population of parents that is, mothers and fathers of all twin and singleton livebirths between 1997 and 2019. Postpartum depression was defined as incident depression diagnosis or a redeemed antidepressant prescription from childbirth through 365 days postpartum. We performed a parametric time‐to‐event analysis based on Poisson regression. The time scale was time since birth, modeled using restricted cubic splines. From this we estimated the hazard ratio (HR) representing the momentary risk, and the cumulative risk ratio (RR) over the first year postpartum, in twin compared to singleton parents.The study population was based on 27,095 twin and 1,350,046 singleton births. In adjusted analyses, the HR of twins compared to singletons was highest around 2 months postpartum (HR 1.28, 95% CI 1.10–1.49) for mothers, and around 6 months (1.20, 95% CI 1.02–1.42) for fathers. The 6 months adjusted cumulative RR of PPD in twins compared to singletons was 1.24 (95% CI 1.10–1.40) for mothers and 1.11 (95% CI 0.95–1.30) for fathers.Twin mothers had increased risk of PPD compared to singleton mothers, which was driven by an immediate increase after childbirth. The risk among twin fathers was not increased immediately after childbirth, but we found slightly elevated risk around 6 months postpartum. This could suggest diverse patterns of PPD symptomatology in twin parents compared to singleton parents and between mothers and fathers. Our findings underline parents of twins as a potentially vulnerable group to PPD and emphasize the need for increased awareness of their mental health. [ABSTRACT FROM AUTHOR]

ABSTRACT A prominent gender stereotype claims that “boys are better at learning mathematics than girls.” Confronted with such a parental attitude, how does this affect the well‐being of 11‐ to 18‐year‐old students in Chinese middle schools? Although well‐being has often been shown to be not much gender‐diverse, the intergenerational consequences of such stereotypes are not well studied. Expecting too much from boys and too little from girls might damage self‐esteem among school kids. Using large survey data covering districts all over China reveals that one‐quarter of the parents agree with the math stereotype. It is shown that this has strong detrimental consequences for the offspring's well‐being. Students are strongly more depressed, feeling blue, unhappy, not enjoying life, and sad with no male–female differences, whereas parental education does not matter for this transfer. Various robustness tests including other than math stereotypes and an IV analysis confirm the findings. Moderating such effects, which is in line with societal objectives in many countries, not only supports gender equality but also strengthens the mental health of children. [ABSTRACT FROM AUTHOR]

Objective Methods Results Conclusion To evaluate the use and impact of pathology tests in patients who present to the ED with mental health‐related complaints. The primary objective is to measure the proportion of patients undergoing pathology tests and assess whether these tests trigger a change in management.In this retrospective study, we reviewed all recorded mental health presentations to our regional ED between January and June 2021. Patient characteristics, pathology tests, subsequent change in management, treatment costs and time to Emergency Physician and Psychiatrist were extracted. Descriptive statistics and multivariate analysis were used to explore associations between variables of interest, ED length of stay (LOS) and change in management.Of 37 900 ED visits, 1462 (3.9%) were mental health‐related presentations. Pathology tests were conducted in 47.7% of cases, with 3% leading to a change in management. Pathology tests were associated with increased treatment costs (45% increase for blood tests, 17% for urine), and increased ED LOS (48%). Patients with coexisting medical conditions were three times more likely to have a change in management.Pathology tests should be reserved for patients with high‐risk features and based on clinical assessment. Strategic use of pathology tests could avoid unnecessary delays and costs, enhancing patient care in mental health‐related ED presentations. [ABSTRACT FROM AUTHOR]

This study examined the role of parental involvement in the home learning environment in the association between parental mental health and child cognitive performance. In a sample of 174 three‐ to five‐year‐old children (52% female, 97% White, 7% Hispanic, 2019–2022), playful activities moderated the relation between parental general depression and child verbal reasoning and acquired verbal knowledge. However, there was no evidence that parental involvement moderated the association between parental mental health and child spatial reasoning. These results improve our understanding of the pathways by which parental mental health, even in a non‐clinical community sample, relate to child outcomes and raise the possibility of leveraging playful activities as one mechanism to alleviate the potential role of parental mental health difficulties. [ABSTRACT FROM AUTHOR]

Eating disorders have substantially risen in school‐aged youth, especially in a post‐pandemic world. Impacting children and adolescents across races, ethnicities, genders, and sexual orientations, prevalence rates suggest that eating disorders do not discriminate. Interestingly, despite the rising prevalence rates and increase of eating disorders, many school‐based mental health providers feel ill‐equipped to support children, adolescents, and their families seeking eating disorder treatment due to lack of knowledge or skill. Given the evidence‐based focus on family‐based treatment, many school‐based providers wonder what is best approach to support individuals within a school‐system, for how to best intertwine family‐based recommendations and collaboration with relevant outside clinicians. Given this uncertainty, this piece explores the role of school‐based mental health in supporting family‐based treatment, exploring two prominent systems theories and how providers within schools can adopt these approaches to most ethically aid students within the bounds of competence within a school setting. [ABSTRACT FROM AUTHOR]

ABSTRACT Eating disorders encompass a spectrum of mental health conditions that are characterised by a preoccupation with eating, exercise, body weight or shape. The trajectory of eating disorders can result in hospitalisation for medical complications, such as electrolyte imbalance, extremely low weight and other medical issues that require urgent inpatient attention. Typically, care for adolescents with medically compromised eating disorders occurs in general medical settings, with most care provided by nurses who may or may not have the training and experience to provide quality care for this complex mental health condition. The aim of this scoping review is to examine literature surrounding the experience of nurses caring for adolescents admitted to general medical wards (non‐mental health settings) with medically compromised eating disorders. We used Arksey and O'Malley's (2005) five‐step scoping review process to conduct this review. A systematic search of the literature located 476 relevant papers, and after screening, 10 were included in the final review. Most included papers were qualitative in methodology, with one using a mixed‐methods design. The papers examined in this scoping review found common themes among nurses who were providing care for adolescents with medically compromised eating disorders being cared for in medical wards (non‐mental health settings): a lack of preparation to care for individuals with eating disorders, a high emotional and psychological toll on nurses providing care and a degree of stigma towards adolescents with eating disorders, including a belief that eating disorders were a ‘choice.’ This review indicates that to provide quality and safe care for adolescents with eating disorders admitted to general medical wards, nurses require specialised training. In addition, the care of adolescents with medically compromised eating disorders requires the support of trained mental health nurses, especially where nurses on general medical wards are novice or have limited mental health training. We recommend further research into support structures to prevent burnout and turnover that is prevalent when providing care to individuals with eating disorders. [ABSTRACT FROM AUTHOR]

Entrepreneurship is a typical socially embedded activity and informal social support reflects the functional manifestation of unique social relationships among rural migrants. Given the limited attention in existing research, we employed data from the nationally representative China Labor‐force Dynamics Survey to investigate the impact and mechanism of informal social support on rural migrants' entrepreneurial income. We found that informal social support and its sub‐dimensions (instrumental and emotional support) significantly positively affect rural migrants' entrepreneurial income. A series of endogeneity and robustness tests substantiate this conclusion. Mechanism analysis suggests that these effects occur through the enhancement of entrepreneurial passion and mental health. Furthermore, using a cutting‐edge machine learning method (generalised random forests) to determine the basis for variable selection in heterogeneity testing, the results reveal that industry and age have the highest importance. Subsequent analysis shows that the above effects were more significant among rural migrant entrepreneurs in labour‐intensive industries and the younger generation. Finally, the theoretical and practical significance of this study has been discussed. [ABSTRACT FROM AUTHOR]

Context Objective and Design Results Discussion Conclusion From the results of the 2020 Flemish survey looking into psychiatric patients’ views of the in‐patient care they have received, it appeared that hospital communication is experienced as not sufficiently patient‐centered. In communication research, the quality of written patient materials in physical healthcare has been scrutinized and suggestions for the enhancement of their patient‐centeredness, comprehensibility, and actionability have been made. Yet, a similar research interest in the quality of health communication in mental healthcare has failed to materialize.Against a definition of patient‐centeredness in mental healthcare, this study investigated the quality of 30 psychiatric hospital brochures from a triangulated linguistic and content perspective, using readability formulas as well as the CCI and PEMAT‐P instruments.It appeared that none of the brochures are sufficiently patient‐centered, as they fail to take appropriate and full account of mental health patients’ specific concerns and difficulties.The lack of quality brochures hampers patients’ understanding of their mental health condition and participation in their recovery process, especially when they have a low (mental) health literacy.Together, hospitals and patient organizations, should remedy this situation and thus fortify the public's trust in the evidence‐based and high‐quality patient‐centered care psychiatric hospitals offer. [ABSTRACT FROM AUTHOR]

Background Methods & Procedures Outcomes & Results Conclusions & Implications WHAT THIS PAPER ADDS What is already known on the subject What this paper adds to the existing knowledge What are the practical and clinical implications of this work? Children and adolescents with language problems have poorer mental health compared with their non‐language impaired peers. Less is known about mental health in adults with a history of language problems. This paper presents a systematic review and meta‐analysis that addresses this gap in the literature. Specifically, it summarises the results from studies examining anxiety and depression in adults (aged 18 years and over) who were identified with language impairments or problems earlier in development.Five electronic databases (PsycINFO, ERIC, CINAHL, EMBASE and PubMed) were searched for studies comparing anxiety and/or depression in a sample of adults with and without a history of language problems. Nine studies were found that met the inclusion criteria. From each, an odds ratio (OR) was computed measuring the relationship between childhood language problems and anxiety or depression in adulthood. The OR was computed so values > 1 which indicated anxiety/depression were associated with a history of language problems. ORs were averaged using multilevel random effects meta‐analysis.Averaging the study's findings across both anxiety and depression outcomes, we found that a history of childhood language problems was associated with poorer mental health in adulthood (OR = 1.79, p = 0.004). The association for anxiety was also significant (OR = 1.80, p = 0.012) and close to statistical significance for depression (OR = 1.60, p = 0.054).This review reveals that adults with a history of language problems are more likely to experience poorer mental health outcomes compared with controls. These findings demonstrate childhood language problems affect not only communication but also mental health and well‐being in the long term. Prior research examining mental health in children and adolescents with language problems reveals a twofold increased risk of internalising problems, including anxiety and depression. However, little is known about mental health outcomes in adults with a history of language problems. The main finding was that childhood language problems are associated with increased risk of anxiety and depression in adulthood. First, the study demonstrates childhood language problems increase the risk of poor mental health in adulthood. Second, in adult mental health settings there is a need to screen for language problems and, where applicable, adjust interventions to accommodate communicative needs for patients/clients. Solving these issues requires integration and recognition of the importance of speech–language therapy in the adult mental health system. [ABSTRACT FROM AUTHOR]

Intolerance of uncertainty (IU), a pivotal transdiagnostic risk factor in psychopathology, is defined as a dispositional incapacity to withstand uncertainty distress, driving maladaptive cognitive, emotional and behavioural reactions to uncertainty. However, the intricate interplay among these components, particularly in adolescents, remains underexplored; yet understanding this interplay is crucial for supporting mental health. To address this gap, we employed a network approach to conceptualize IU in 5672 non‐clinical Chinese adolescents (Mage = 14.13 years, SDage = 1.96 years, range = 10–19 years, 46.6% boys), combining graphical Gaussian models (GGM) and directed acyclic graphs (DAG). Our analyses revealed a tripartite network comprising cognitive, behavioural and emotional components. Notably, ‘frustration’ and ‘work with hindrance’ emerged as key drivers, while ‘catastrophizing belief’ served as a critical bridge linking different components. These findings underscore the importance of alleviating uncertainty‐induced frustration and enhancing coping skills for behavioural impediments to mitigate adolescent IU. Additionally, therapeutic interventions should prioritize modifying and re‐evaluating catastrophizing beliefs related to uncertainty. [ABSTRACT FROM AUTHOR]

Introduction Aim Methodology Findings Implications Further Research The Self‐Compassion App is the first commercially available, smartphone app based upon the ideas and practices of Compassion‐Focused Therapy. Through 28 sessions, the app supports individuals to develop compassionate minds and, in doing so, promotes well‐being and reduces psychological distress (e.g. self‐criticism and shame).This study evaluated the impact the app had on participants' levels of compassion, well‐being, self‐criticism and psychological distress.Fifty‐two participants—consisting of staff and students at the University of Salford—took part in this study. Pre‐, post‐ and follow‐up measures were collected to explore changes in levels of compassion, self‐criticism, emotion regulation, well‐being and psychological distress.Statistically significant increases were observed in levels of self‐compassion, self‐reassurance, emotion regulation skills and well‐being. Significant reductions were found in self‐criticism, anxiety and stress, and post‐study, participants became more open to receiving compassion from others.Results from this study are promising and suggest that using the Self‐Compassion App reduces psychological distress and enhances psychological well‐being. Considering interventions that utilise technology with the aim of boosting well‐being, levels of compassion and reducing self‐criticism are potentially important given the difficulties that many students and educators experience, and the current waitlist times for psychological help and support.A randomised control trial and longitudinal study would be beneficial to explore the long‐term benefits of using the app. Further studies, in clinical and non‐clinical populations, will clarify how the app might benefit people and what type of engagement is necessary to derive change. [ABSTRACT FROM AUTHOR]

The COVID‐19 pandemic has led to a global health crisis and a significant increase in psychological distress and psychopathological symptoms. We conducted a randomized controlled trial with two online interventions derived from positive psychology (PP) and acceptance and commitment therapy (ACT) in N = 138 “homestayers” during the first lock‐down period in Germany. PP exercises had a positive impact on anxiety scores, which decreased significantly during the intervention, particularly in participants without access to a garden. Direct or indirect social contact, movement/exercise, and exposure to nature were the most frequently reported helpful coping strategies. We conclude that low‐threshold online interventions with a focus on positive aspects of people's lives may be helpful to support mental health during pandemic crises. From a mental health perspective, the results also reinforce the approach of countries that allow their citizens to, for example, still go for walks during periods of contact restrictions, compared to full lock‐down conditions. [ABSTRACT FROM AUTHOR]

Background Method Results Conclusion Many young people (YP) struggle with their mental health and look online for help. To capitalise on their digital presence, we need to better understand how and where they seek information online and what they think of what they find.We recruited 24 YP (aged 13–18 years). Online interviews were co‐conducted by research team members and trained young researchers. We presented a persona with depression symptoms and asked about potential sources of information/support they might seek. They were also asked to think aloud while searching online and reviewing mental health resources (NHS, Young Minds). We used reflexive thematic analysis.Analysis generated four themes: (1) the online help‐seeking process, showcasing where YP look for information and why; (2) the mismatch between the information YP expected to find and the reality; (3) the strategies YP employed to determine a source's trust and credibility and (4) individual differences that can influence help‐seeking.Participants initiated their online search by Googling symptoms. They trusted NHS websites for basic medical information, while charities provided detailed content. Despite scepticism about content, social media offered validation. Online resources should prioritise visual appeal, user‐friendliness, age‐appropriate and personalised content and peer insights. Codesign is imperative to ensure high‐quality, impactful research. [ABSTRACT FROM AUTHOR]

Although an increasing number of people are now committed to pursuing a healthy diet, it remains unclear how mental health changes during this process. The present study aimed to examine the combined effect of healthy dietary intention and behavior on depression and anxiety across two sub‐studies. This study consisted of two parts: a cross‐sectional survey (Study 1) involving 1,433 college students and an 11‐day daily diary study (Study 2) with 117 college students. Polynomial regression and response surface analysis indicated that in cases of congruence, individuals' intention and behavior align at a high level and were associated with lower levels of depression and anxiety in the motivational phase but were not found similar association in the volitional phase. In cases of incongruence, individuals with high intention‐low behavior tend to experience lower levels of depression and anxiety in the motivational phase. However, individuals with high intention‐low behavior tend to experience higher levels of depression and anxiety in the volitional phase. These findings not only enrich the current understanding of diet and health but also contribute to the development of holistic strategies for promoting a healthy diet. [ABSTRACT FROM AUTHOR]

This study explored young children's mental health trajectories during the pandemic (May 2020 to April 2021) as well as associations with family functioning (i.e., cohesion, conflict, chaos, and routines) using data reported by 204 parents (children Mage 5.49; 45% girls, 90% White). Children's internalizing problems decreased early on with the onset of the pandemic, but then leveled off, while no change in externalizing problems was found. Family conflict and chaos were significantly associated with internalizing and externalizing problems at the within‐ and between‐family level, when examined independently. When family‐level factors were evaluated simultaneously, family conflict emerged as a robust risk factor. Intervention efforts, specifically for families experiencing increased conflict, may help support the mental health needs of children. [ABSTRACT FROM AUTHOR]

Despite predictions that neuroscientific discoveries would revolutionize psychiatry, decades of research have not yet led to clinically significant advances in psychiatric care. For this reason, an increasing number of researchers are recognizing the limitations of a purely biomedical approach in psychiatric research. These researchers call for reevaluating the conceptualization of mental disorders and argue for a non‐reductionist approach to mental health. The aim of this paper is to discuss philosophical assumptions that underly neuroscientific research in psychiatry and offer practical tools to researchers for overcoming potential conceptual problems that are derived from those assumptions. Specifically, we will discuss: the analogy problem, questioning whether mental health problems are equivalent to brain disorders, the normativity problem, addressing the value‐laden nature of psychiatric categories and the priority problem, which describes the level of analysis (e.g., biological, psychological, social, etc.) that should be prioritized when studying psychiatric conditions. In addition, we will explore potential strategies to mitigate practical problems that might arise due to these implicit assumptions. Overall, the aim of this paper is to suggest philosophical tools of practical use for neuroscientists, demonstrating the benefits of a closer collaboration between neuroscience and philosophy. [ABSTRACT FROM AUTHOR]

Background: Adolescents and young adults (AYAs) receiving hematopoietic cell transplantation (HCT) are at high risk of poor psychosocial health. This study aimed to determine whether the Promoting Resilience in Stress Management (PRISM) intervention mitigated these risks during the first 6 months posttransplant. Methods: This multisite, parallel, randomized trial was conducted from April 2019 to March 2023. Eligible AYAs were aged 12–24 years, English speaking, and within 1 month of HCT for cancer or cancer predisposition syndrome. They were assigned 1:1 to PRISM (a brief, skills‐based intervention targeting "resilience resources" [stress management, goal setting, cognitive reframing, and meaning making]) or usual care (UC). Outcomes included total symptoms of depression and anxiety (Hospital Anxiety and Depression Scale; primary outcome), hope (Snyder Hope Scale), resilience (10‐item Connor–Davidson Resilience Scale), and health‐related quality of life (HRQOL; Pediatric Quality of Life Inventory Cancer Module). Analyses leveraged multivariable linear regressions; exploratory analyses assessed the influence of baseline depression or anxiety. Results: Of 94 enrolled and randomized AYAs, the mean age was 16.7 years (SD, 4.2); 43 (46%) were female, 56 (60%) were non‐Hispanic White, 22 (23%) were Hispanic, and nine (10%) were Black. Most (77%) had leukemia. Of n = 50 randomized to PRISM and n = 44 to UC, 37 (74%) and 33 (73%) completed all study procedures, respectively. In intention‐to‐treat analyses, PRISM did not affect 6‐month depression and anxiety (β = −1.1; 95% CI, −3.7 to 1.5), hope (β = 0.83; 95% CI, −3.3 to 4.9), resilience (β = −0.01; 95% CI, −3.0 to 3.0), or HRQOL (β = 1.5; 95% CI, −4.7 to 7.9). Among AYAs with preexisting anxiety or depression, PRISM recipients reported greater 6‐month improvements in hope (score change, +3.71; SD, 6.9) versus UC recipients (score change, −2.76; SD, 6.5) (p =.04). Conclusions: Resilience coaching did not influence outcomes in this sample. Exploratory findings suggest it may be more effective when directed toward those with concurrent distress. In a randomized trial conducted during the COVID‐19 pandemic among adolescents and young adults receiving hematopoietic cell transplantation for cancer or cancer predisposition, standardized resilience coaching did not influence patient‐reported depression. Exploratory findings suggest it may have promoted hopeful patterns of thoughts in the subset of participants who reported preexisting depression or anxiety. [ABSTRACT FROM AUTHOR]

Despite the extensive body of evidence documenting how pandemic‐related stressors (e.g., disruptions in daily routine) impact individuals' mental health, research examining family mechanisms through which stressors impact parental stress remains insufficient. The present study aims to address this gap by exploring a moderated mediation model that predicts parental stress resulting from the accumulation of pandemic‐related stressors. Specifically, we hypothesized a second‐stage moderated mediation model in which family resilience beliefs moderated the second‐stage indirect paths through family relationships and marital satisfaction, resulting in conditional indirect effects. Study data were collected from American parents (n = 1386). There was no evidence that family relationships and marital satisfaction mediated the association between stressor pile‐up and parent stress. In addition, family resilience beliefs did not significantly impact how marital satisfaction or family relationships affect parental stress. However, marital satisfaction mediated the relationship between stressor pile‐up and parental stress across all levels of family resilience beliefs. The findings of this study carry significant implications for post‐pandemic family interventions, suggesting the incorporation of resilience belief training and stress management strategies to improve intrafamilial communication. [ABSTRACT FROM AUTHOR]

ABSTRACT Mental health service integration currently has no consensus definition and exists in a variety of settings, including primary care, addiction treatment and chronic disease management, and mental health nurses have often experienced efforts at service integration with varying degrees of success. The intent of mental health service integration is to enable collaboration between mental health services and other healthcare providers to improve service access and the care provided to individuals with mental health issues or mental illness. This scoping review aimed to explore service integration between mental health services and with a specific focus on those evaluated in peer‐reviewed, primary literature, to determine facilitators and barriers to service integration. Using the Arksey and O'Malley's framework for scoping reviews, we located 3148 studies, with screening narrowing final papers for inclusion to 18. Facilitators to service integration included clinician education, adequate resourcing and an interdisciplinary approach, while barriers included staff factors such as a reluctance to work with individuals with mental illness, consumer level barriers such as poor mental health literacy, ‘territorialism’ among staff and organisational climate. Research indicates that service integration is an effective means to detect and treat mental health issues in settings that do not traditionally provide mental health care, lowering the costs of providing healthcare and providing improved care for mental health needs; however, there are several barriers to be addressed to achieve full implementation of integration models. [ABSTRACT FROM AUTHOR]

ABSTRACT The therapeutic relationship plays a crucial role in nursing care for people with mental illness. Adopting a systemic and person‐centred approach that considers the individual experiences and needs of the person is paramount. However, no instruments were found in the literature designed to evaluate the nurse–patient therapeutic relationship from the perspective of a person with mental illness. This study aimed to develop and evaluate the psychometric properties of an instrument for assessing the quality of the nurse–patient therapeutic relationship from the patient's perspective. An e‐Delphi study was conducted to develop the assessment tool, and a psychometric study was carried out to examine its psychometric properties. The sample comprised 240 adults with mental illness. Internal consistency was assessed using Cronbach's alpha and the Omega coefficient. The final structure of the assessment instrument included 24 items distributed across two factors, explaining 64.2% of the variance. Cronbach's alpha was 0.94, and the Omega coefficient was 0.96. The intraclass correlation coefficient was 0.84 (95% CI: 0.66–0.92). The therapeutic relationship assessment scale (TRAS‐Patient) shows good psychometric properties. This is a relevant tool for assessing the quality of the nurse–patient therapeutic relationship from the patient's perspective, thus promoting a patient‐centred approach and responding to the patient's needs. Mental health nurses can access a tool for evaluating the nurse–patient therapeutic relationship centred on disciplinary knowledge. This enables patient involvement in care, enhanced care and person‐centred practice. [ABSTRACT FROM AUTHOR]

ABSTRACT Objective Study Design Methods Results Conclusion To evaluate the impact of climate change education on pregnant women's climate change awareness and anxiety.Quasi‐experimental research with pre‐ and post‐test design.This study was conducted among pregnant women who visited a tertiary maternity hospital between April and June 2023 to assess climate change awareness, perception, knowledge, behavioral and policy expectations, and anxiety before and after the introduction of climate change education. The first phase of the study was conducted by distributing a set of questions related to sociodemographics and completing the Climate Change Awareness Scale and the Climate Change Worry Scale, followed by climate change education where pregnant women were exposed to a brochure entitled “Pregnancy and Climate Change”. After the intervention, pregnant women were assessed using the same questionnaire.There was a significant decrease in pregnant women's anxiety regarding climate change (p < 0.001). Participants' awareness (p < 0.001), perception (p < 0.001), knowledge (p < 0.001), and policy expectations regarding climate change significantly increased (p < 0.001), while their anxiety levels decreased (p < 0.001).The study suggests that climate change education may reduce climate change anxiety among pregnant women while also enhancing their awareness, and improving their perceptions, knowledge, behaviors, and policy expectations about climate change. [ABSTRACT FROM AUTHOR]