Positive functioning as an outcome in its own right.
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5301 to 5325 of 6,178The prevalence, characteristics, and psychological wellbeing of unpaid carers in the United Kingdom.
Background: This study sought to describe the characteristics of unpaid carers in the UK and assess levels of depression, anxiety, and mental health treatment seeking behaviours in this population.
Methods: Data was derived from Wave 9 (n = 2790) of the COVID-19 Psychological Research Consortium (C19PRC) study, a longitudinal survey of adults in the UK. Logistic regression analyses were conducted to examine the characteristics of unpaid carers, association between caregiver status and psychological wellbeing, and caregiver-specific factors associated with risk of poor psychological wellbeing.
Results: Approximately 15% (n = 417) of the sample reported providing unpaid care. Younger age, having three or more children in the household, and lower income were identified as significant correlates of caregiver status. Unpaid caregivers were at increased risk of depression or anxiety and mental…
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An Exploration of the Relationships Between Mental Wellbeing and Religion Amongst Students Attending Post-Primary Schools in Ireland.
The current study aimed to explore the relationships between mental wellbeing and religion amongst adolescent students attending post-primary/second-level schools in Ireland. Adolescent student participants (N = 7) attending post-primary schools in Ireland completed online, semi-structured interviews on their perceptions regarding the relationship between mental wellbeing and religion. Reflexive thematic analysis from the critical realist perspective was employed to analyse the qualitative data. The results revealed a positive relationship between mental wellbeing and religion amongst participants. Specifically, aspects of religiosity, such as personal prayer, holding religious beliefs and religious practice were mentioned by participants as being beneficial for their mental wellbeing. Similarly, the practice of positive religious coping methods, such as reading of scripture for strength…
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An exploration of the costs of family and group conferencing pathways in adult social care and mental health: A scenario-based cost analysis.
Context: Family and Group Conferencing (FGC) is a strengths-based approach to social work, originating from New Zealand and now used internationally. Previous research on FGC has focused largely on the context of children's services but, FGC also aligns with the principle of the Care Act in England to prevent, reduce or delay the need for long-term (and potentially costly) adult care services. Limited previous research has tended to explore potential cost savings associated with FGC, without accounting for the cost of the intervention itself, risking biased results.
Objective: This paper aims to identify resource use and associated monetary costs associated with FGC services in English adult social care and mental health settings.
Methods: Framework development was informed by previously published work establishing programme theory for FGC, extended by expert opinion and published source…
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"Religious Coping Fosters Mental Health": Does Psychological Capital Enable Pakistani Engineers to Translate Religious Coping into Mental Wellbeing?
Turning toward religion to make sense of and cope with challenging circumstances is an area of interest for many recent researchers working on wellbeing and mental health. The present study extends this interest by assessing whether psychological capital explains the association between religious coping and mental wellbeing in Pakistani engineers. Psychological capital was assessed from four factors, namely optimism, resilience, hope, and self-efficacy. A sample of 501 Muslim engineers from Pakistan (M age = 33.41, SD = 6.37 years) was assessed on measures of religious coping, psychological capital, and mental wellbeing. Results from correlation and a multimediation model showed that positive religious coping was positively predictive of mental wellbeing and psychological capital; however, negative religious coping remained insignificant for mental wellbeing. Further analysis showed that…
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Spiritual orientation and mental health: an SEM analysis of meaning and death attitudes as mediators in Turkish religious officials.
This study examines the relationships between spiritual orientation, meaning in life, attitudes towards death, and indicators of psychological health (depression, anxiety, and stress) among 348 Muslim religious officials in Turkey (28% female). Using structural equation modelling (SEM), the results showed that spiritual orientation directly and indirectly reduces psychological distress by enhancing personal meaning and fostering more accepting attitudes towards death. Results showed a moderate positive association between spiritual orientation and meaning in life, and weak but significant negative associations between meaning/attitudes towards death and psychological symptoms. As one of the first empirical studies to examine the mediating role of death attitudes in this population, the research highlights the theoretical relevance of existential frameworks such as logotherapy. The study …
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Tang J, Zhang J, Li W, Wang M, Cheng J, Zhang B, Zhu W, Qiu S, Cui G, Yu Y, Liao W, Zhang H, Gao B, Xu X, Yang Y, Han T, Yao Z, Zhang Q, Qin W, Liu F, Liang M, Wang S, Xu Q, Xu J, Fu J, Ji Y, Liu N, Zhang P, Shi D, Wang C, Lui S, Yan Z, Chen F, Shen W, Miao Y, Wang D, Xian J, Zhang X, Xu K, Zuo XN, Zhang L, Ye Z, Geng Z, Gao JH, Yu C, CHIMGEN Consortium (2025)MEDLINE-indexed journal, not yet read by usNature human behaviour1 citations How growing up without siblings affects the adult brain and behaviour in the CHIMGEN cohort.
With the worldwide increase in only-child families, it is crucial to understand the effects of growing up without siblings (GWS) on the adult brain, behaviour and the underlying pathways. Using the CHIMGEN cohort, we investigated the associations of GWS with adult brain structure, function, connectivity, cognition, personality and mental health, as well as the pathway from GWS to GWS-related growth environments to brain and to behaviour development, in 2,397 pairs of individuals with and without siblings well matched in covariates. We found associations linking GWS to higher language fibre integrity, lower motor fibre integrity, larger cerebellar volume, smaller cerebral volume and lower frontotemporal spontaneous brain activity. Contrary to the stereotypical impression of associations between GWS and problem behaviours, we found positive correlations of GWS with neurocognition and menta…
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Understanding and optimising gratitude interventions: the right methods for the right people at the right time.
Objective: Gratitude has consistently been associated with various beneficial health-related outcomes, including subjective wellbeing, positive mental health, and positive physical health. In light of such effects, positive psychology researchers and practitioners have often implemented gratitude interventions in an attempt to build individuals' orientations toward appreciation and thankfulness. Recent meta-analyses and reviews have revealed, however, that these interventions often have mixed effects on gratitude or other health outcomes. With this issue in mind, we aimed to identify (a) contextual considerations that may impact the effectiveness of these approaches, and (b) recommendations for the optimisation of gratitude interventions.
Methods and measures: Seventeen mental health professionals or experienced health psychology researchers engaged in semi-structured interviews to addre…
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Supplementary grandparent caregiving and psychological wellbeing: the role of character strengths.
Objective: This study analyses the role of character strengths in grandparents' psychological wellbeing. Following the Lazarus and Folkman's stress model, we included three groups of variables that may be related to grandparents´ psychological wellbeing: personal characteristics (sex, age, and marital status), stressful event (conducting a caregiver or non-caregiver role) and coping strategies (character strengths).
Methods: A sample of 536 Spanish grandparents participated. The average age was 70.23 (SD = 7.17). We conducted a multiple regression analysis.
Results: Multiple regression analysis evidenced that the character strengths optimism, humour, courage, justice and problem solving explained the 34.7% of grandparents' psychological wellbeing variance.
Conclusions: The results have shown that, when faced with a stressful event, such as the supplementary care of grandchildren in this …
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Income inequality and adherence to 24-hour movement guideline recommendations among adolescents: a multilevel growth curve analysis using longitudinal data from three waves of the Cannabis, Obesity, Mental health, Physical activity, Sedentary behaviour and Smoking (COMPASS) study (2016-2019).
Background: There is a paucity of literature regarding income inequality and adolescent movement behaviours (physical activity, sedentary behaviours, sleep). This study examined whether income inequality was associated with meeting Canadian 24-Hour Movement Guidelines (24HMG) recommendations among adolescents over time.
Methods: Longitudinal data from adolescents (n=9299) in the Cannabis, Obesity, Mental health, Physical activity, Sedentary behaviour and Smoking study (2016-2017 to 2018-2019) were linked with income data at the census division (CD) level from the 2016 Canadian Census. Adolescents (aged 13-19 years) reported on their physical activity, sleep duration and screen time via questionnaire. Gini coefficients were calculated at the CD level using after-tax household income from the 2016 Canadian Census. Multilevel logistic regression analyses were performed to test the associati…
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Martin A, Miller EB, Gross RS, Morris-Perez PA, Shaw DS, da Rosa Piccolo L, Hill J, Scott MA, Messito MJ, Canfield CF, O'Connell L, Sadler RC, Aviles AI, Krug CW, Kim CN, Gutierrez J, Shroff R, Mendelsohn AL (2025)MEDLINE-indexed journal, not yet read by usSocial science & medicine (1982)2 citations Economic hardships during COVID-19 and maternal mental health: Combining samples with low incomes across three cities.
The COVID-19 pandemic increased maternal depression and anxiety, imperiling both mothers' own wellbeing and that of their children. To date, however, little is known about the extent to which these increases are attributable to economic hardships commonly experienced during the pandemic: income loss, job loss, and loss of health insurance. Few studies have examined the individual impacts of these hardships, and none have lasted beyond the first year of the pandemic. This study harmonizes data from six evaluations of pediatric-based parenting programs for women with young children and low incomes across three U.S. cities (N = 1,254). Low-income mothers are of special interest because their families have been disproportionately affected by economic shocks due to COVID-19, and mothers of young children have been more distressed than other mothers by COVID-19. The studies' combined window of…
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Zhou LH, Yu B, Xiao CC, Chen J, Zhu YZ, Yu QY, Zhang TH, Xiong L, Li N, Gong YJ, Zhang JL, Yan H (2025)MEDLINE-indexed journal, not yet read by usZhonghua liu xing bing xue za zhi = Zhonghua liuxingbingxue zazhi1 citations [Dose-dependent associations between screen time, contents and adolescents' mental health].
Objective: To investigate the relationship between screen time and content, and the mental health status of adolescents. The findings will inform the formulation of targeted intervention policies to enhance adolescent mental health. Methods: Between September and November 2023, 5 197 students from 64 junior high, senior high, and vocational schools across 13 districts in Wuhan were recruited, using the stratified whole-cluster random sampling to investigate their screen behavior and mental health status. Mental health status was measured using the Mental Health Inventory for Chinese Middle School Students (MMHI-60). A generalized additive model was used to explore the nonlinear association between screen time and mental health status. Additionally, a mixed-effects model was utilized to explore the dose-response associations between average daily total screen time, screen time for differe…
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Addictive Screen Use Trajectories and Suicidal Behaviors, Suicidal Ideation, and Mental Health in US Youths.
Importance: Increasing child and adolescent use of social media, video games, and mobile phones has raised concerns about potential links to youth mental health problems. Prior research has largely focused on total screen time rather than longitudinal addictive use trajectories.
Objectives: To identify trajectories of addictive use of social media, mobile phones, and video games and to examine their associations with suicidal behaviors and ideation and mental health outcomes among youths.
Design, setting, and participants: Cohort study analyzing data from baseline through year 4 follow-up in the Adolescent Brain Cognitive Development Study (2016-2022), with population-based samples from 21 US sites.
Exposures: Addictive use of social media, mobile phones, and video games using validated child-reported measures from year 2, year 3, and year 4 follow-up surveys.
Main outcomes and measures:…
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Compounding stress: A mixed-methods study on the psychological experience of miscarriage amid the COVID-19 pandemic.
Background: Experiencing a miscarriage can have profound psychological implications, and the added strain of the COVID-19 pandemic may have compounded these effects. This study aimed to explore the psychological experiences, assess the levels of psychological distress (depression, anxiety, and post-traumatic stress disorder), and examine the relationships of personal significance of miscarriage and perceived stress with psychological distress of women in North Carolina who suffered a miscarriage of a desired pregnancy between March 30, 2020, and February 24, 2021, of the COVID-19 pandemic, at 14 to 31 months after the loss.
Methods: We conducted a cross-sectional mixed-methods study using a convergent parallel design. A total of 71 participants from North Carolina completed the online survey and 18 completed in-depth interviews. The survey assessed demographics, mental health and reprodu…
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Kiviruusu O, Ranta K, Lindgren M, Haravuori H, Silén Y, Therman S, Lehtonen J, Sares-Jäske L, Aalto-Setälä T, Marttunen M, Suvisaari J (2024)MEDLINE-indexed journal, not yet read by usThe lancet. Psychiatry40 citations Mental health after the COVID-19 pandemic among Finnish youth: a repeated, cross-sectional, population-based study.
Background: High levels of mental health problems among young people were reported during the COVID-19 pandemic, but studies of the post-pandemic period are scarce. We assessed mental health problems among Finnish youth before, during, and after the COVID-19 pandemic using nationwide population-based samples. Our aim was to examine in which direction the heightened levels of adolescent mental health problems have developed after the pandemic.
Methods: In this national, repeated cross-sectional, population-based study in Finland, we recruited students at lower and upper secondary level (aged 13-20 years) who were taking part in the Finnish School Health Promotion (SHP) survey in 2015-23 (119 681-158 897 participants per round). The SHP is based on total sampling and conducted biennially between March and May. Self-reports covered the seven-item Generalized Anxiety Disorder Scale; the two-…
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Developing a hope-focused intervention to prevent mental health problems and improve social outcomes for young women who are not in education, employment, or training (NEET): A qualitative co-design study in deprived coastal communities in South-East England.
Young women who are not in education, employment, or training (NEET) experience poorer health and social outcomes compared to non-NEET young women and to NEET young men, especially in deprived areas with intersecting inequalities. The evidence on effective public health approaches is scarce. Interventions that target hope, which NEET young women notably lack, offer a promising theory-driven and intuitive means to prevent mental health problems and improve social outcomes. Hope can be defined as a goal-focused mindset comprising self-agency (motivation and self-belief) and pathways (identifying routes to achieving goals). Hope is implicated in a variety of evidence-based psychosocial interventions for young people, but is not directly targeted by existing prevention programmes for NEET populations. The current study used a phased qualitative research design and participatory methods to mo…
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Emotional responses and psychological health among young people amid climate change, Fukushima's radioactive water release, and wars in Ukraine and the Middle East, and the mediating roles of media exposure and nature connectedness: a cross-national analysis.
Background: New global crises are emerging, while existing global crises remain unabated. Coping with climate change, the radioactive water released into the Pacific Ocean subsequent to the Fukushima nuclear accident in Japan, and the wars in Ukraine and the Middle East (hereafter referred to as the wars) as individual crises can negatively affect the psychological health of young people, but little is known about the compounded impact of multiple crises. We aimed to examine: (1) the emotional responses of young people towards each individual crisis, (2) how aggregate levels of emotional engagement in global crises might pose different potential trajectories in psychological health, and (3) the protective or exacerbating role of media exposure and nature connectedness as mediators on psychological health outcomes of young people.
Methods: We conducted a cross-national online survey among…
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Young, Muslim and poor: The persistent impacts of the pandemic on mental health in the UK.
Muslims in the UK experienced a much larger decline in mental health than the rest of the population during the pandemic and this decline persisted even as mental health in the rest of the population bounced back to pre-pandemic levels. We use panel data from the UK Household Longitudinal Study (UKHLS) to decompose the mental health gap between Muslims and non-Muslims into those attributable to differences between the characteristics of the two groups and find that these differences - particularly Muslims being younger and being substantially overrepresented at the bottom of the income distribution - explain a substantial proportion of this gap. However, over a third of the Muslim-non-Muslim mental health gap remains unexplained by these factors and is driven by the experiences of Muslims who are neither young nor poor suggesting that this may be a result of discrimination experienced by…
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Marital loss, gender and their association with mental health and physical health outcomes in Bosnian refugees: lesson reminder in a time of war.
Introduction: Mental health disorders and chronic health diseases are highly prevalent and impactful consequences of distressful experiences among refugees, yet a comprehensive conceptual model encompassing biopsychosocial factors is lacking. This study aims to assess the relevance of widowhood to PTSD and major depression maintenance as well as to adverse health outcomes in a cohort of Bosnian refugees.
Methods: This longitudinal study included 526 subjects followed up for 3 years. The interviews were conducted in refugee camps in Varaždin, Croatia, in the Bosnian language. Data were collected using the Harvard Trauma Questionnaire and Hopkins Checklist-25, respectively. Physical health disorders were self-reported.
Results: Both at baseline and endpoint female gender and marital loss are associated with a statistically significant higher burden of psychological and physical health outc…
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Chow DWS, Goi A, Salm MF, Kupewa J, Mollel G, Mninda Y, Ambonisye J, Malongo A, Ketang'enyi E, Sanga E, Ngowi H, William R, Msuya E, Mmbaga BT, Mpili A, Dow DE (2024)MEDLINE-indexed journal, not yet read by usFrontiers in public health7 citations Through the looking glass: empowering youth community advisory boards in Tanzania as a sustainable youth engagement model to inform policy and practice.
More young people are living in the world than ever before, 90% of whom reside in low and middle income countries (LMICs). To address their needs, it is critical to have sustainable youth engagement when determining policy and to advance effective implementation of youth-focused interventions. Youth Community Advisory Boards (CABs) are a sustainable mechanism to achieve this goal. This paper describes engagement with youth CAB members across four locations in Tanzania. To set youth CAB meeting agendas and priorities, we asked youth CAB members to write (using free text) the top five challenges faced by young people in their communities (highest to lower priority). The Google Forms survey link was presented at the May 2023 youth CAB meeting and disseminated through WhatsApp. The survey was completed by smartphone, tablet, or paper provided to the youth liaison for data entry. Results were…
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Screen time and mental health: a prospective analysis of the Adolescent Brain Cognitive Development (ABCD) Study.
Background: Despite the ubiquity of adolescent screen use, there are limited longitudinal studies that examine the prospective relationships between screen time and child behavioral problems in a large, diverse nationwide sample of adolescents in the United States, which was the objective of the current study.
Methods: We analyzed cohort data of 9,538 adolescents (9-10 years at baseline in 2016-2018) with two years of follow-up from the Adolescent Brain Cognitive Development (ABCD) Study. We used mixed-effects models to analyze associations between baseline self-reported screen time and parent-reported mental health symptoms using the Child Behavior Checklist, with random effects adjusted for age, sex, race/ethnicity, household income, parent education, and study site. We tested for effect modification by sex and race/ethnicity.
Results: The sample was 48.8% female and racially/ethnicall…
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Religious minority identity associates with stress and psychological health among Muslim and Hindu women in Bangladesh and London.
Objectives: This study examined the association of minority religious identification (Hindu or Muslim) with self-reported stress and psychological symptoms among sedentee and immigrant Bangladeshi women.
Methods: Women, aged 35-59 (n = 531) were drawn from Sylhet, Bangladesh and London, England. Muslim immigrants in London and Hindu sedentees in Sylhet represented minority religious identities. Muslim sedentees in Sylhet and Londoners of European descent represented majority religious identities. In bivariate analyses, minority religious identity was examined in relation to self-reported measures of stress, nervous tension, and depressed mood. Logistic regression was applied to examine the relationship between these variables while adjusting for marital status, parity, daily walking, and perceived financial comfort.
Results: In bivariate analyses, religious minorities reported more stres…
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Hecht J, Kim MT, Horton SEB, Todd A, Williams K, Yaklin S, Ewere T, Cauvin S, Horton D (2024)MEDLINE-indexed journal, not yet read by usProgress in community health partnerships : research, education, and action1 citations Lessons Learned from AMEN: African American Faith-Based Mental Health and Wellness Program.
Background: The COVID-19 pandemic has underscored existing health disparities and inequities faced by African Americans (AAs).
Objectives: This paper highlights the process of establishing collaborative relationships between community and academic partners to enhance mental health through a holistic wellness program implemented with AA churches.
Methods: African American MENtal Health and Wellness Program (AMEN), an ongoing health equity program, uses a mixed-methods approach for process evaluation. The program engages a community-based participatory research team comprising academics, local AA pastors, lay health workers, and community organizations.
Results: The use of a multilevel community-based participa-tory research approach effectively engaged community members in wellness activities and empowered faith leaders to address mental health within diverse church activities.
Conclusion…
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Feeling Connected to Nature Attenuates the Association between Complicated Grief and Mental Health.
Complicated grief (CG) predicts decreased mental health over time. Furthermore, feeling connected to nature (CN) is positively associated with beneficial mental health outcomes, such as psychological wellbeing and perceived psychological resilience. Thus, we hypothesized that CN moderates the association between general grief or CG and negative mental health for bereaved people. Further, we hypothesized that one's physical exposure to nature-that is, estimated time spent in nature and greenness (i.e., vegetation) surrounding one's residential area-might moderate the association between general grief or CG and negative mental health for bereaved people. To test these hypotheses, we conducted a cross-sectional study. We sampled 153 participants who experienced the death of a close other by COVID-19 infection. Participants reported CG, general grief, anxiety symptoms, depression symptoms, C…
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Desirable design: What aesthetics are important to young people when designing a mental health app?
Objectives: Smartphone apps can be highly effective in supporting young people experiencing mood disorders, but an appealing visual design is a key predictor of engagement with such apps. However, there has been little research about the interaction between visual design, mood and wellbeing in young people using a mental health app. This study aimed to explore young people's perspectives on colour and visual design in the development of a music-based app for mood management. Methods: Workshops were conducted with 24 participants (aged 13-25 years) with data analysis following a general inductive approach. Results: Results indicated that colour could impact wellbeing in both positive and negative ways. Participants favoured a subtle use of colour within sophisticated, dark palettes and were influenced by a complex interplay of common semiotic values, experiences with other apps, and mood.…
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Richardson BT, Jackson J, Marable G, Barker J, Gardiner H, Igarabuza L, Leasy M, Matthews E, Zisman-Ilani Y (2024)MEDLINE-indexed journal, not yet read by usPsychiatric services (Washington, D.C.)5 citations The Role of Black Churches in Promoting Mental Health for Communities of Socioeconomically Disadvantaged Black Americans.
Objective: Churches in socioeconomically disadvantaged neighborhoods serve as safe havens in many Black communities. Churches provide faith and charitable services but often have limited resources to address the mental health needs of their communities. This article reports on a collaborative effort, driven by members of a Black church, to understand mental health needs, coping strategies, and resilience factors in a community of socioeconomically disadvantaged Black Americans.
Methods: A community-based participatory research effort was established among a church, a community mental health organization, clinicians, and researchers to interview and survey individuals residing near the church.
Results: The sample consisted of 59 adults, most of whom were ages 46-65 years, men (N=34, 58%), and unemployed (N=46, 78%). Mean scores on the Patient Health Questionnaire-9 (9.2±7.7) and Generaliz…
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