Positive functioning as an outcome in its own right.
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5976 to 6000 of 6,178Marketing mental health to men: theoretical and practical considerations.
The current paper addresses the importance of and relevant challenges pertaining to the marketing of mental health to men. Included are pertinent definitions, a review of related research, and a discussion of recent large-scale gender-specific mental health campaigns. In addition, central aspects of the social marketing framework considered to be particularly useful for addressing men's resistance to help seeking are reviewed. Suggestions for future research topics are also provided.
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Psychiatric disorders and mental health service use among caregivers of advanced cancer patients.
Purpose: Despite research demonstrating the psychological burden of caregiving for advanced cancer patients, limited information exists on the prevalence of psychiatric disorders and mental health service use among these informal caregivers.
Methods: Two hundred informal caregivers of advanced cancer patients were interviewed and administered the Structured Clinical Interview of the Diagnostic and Statistical Manual of Mental Disorders Fourth Edition and an assessment of mental health service use.
Results: Thirteen percent of caregivers met criteria for a psychiatric disorder; 25% accessed treatment for mental health concerns since the patient's cancer diagnosis. The frequencies of current psychiatric disorders were as follows: panic disorder, 8.0% (95% CI, 4.6% to 12.7%), major depressive disorder, 4.5% (95% CI, 2.1% to 8.4%), post-traumatic stress disorder, 4.0% (95% CI, 1.7% to 7.7%),…
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Long-term consequences of childhood sexual abuse by gender of victim.
Background: Childhood sexual abuse (CSA) is a worldwide problem. Although most studies on the long-term consequences of CSA have focused on women, sexual abuse of both boys and girls is common. Thus, a comparison of the long-term effects of CSA by gender of the victim will provide perspective on the need for future research, prevention activities, and treatment of survivors.
Methods: A retrospective cohort study was conducted from 1995 to 1997 among 17,337 adult HMO members in San Diego, California. Participants completed a survey about abuse or household dysfunction during childhood, and multiple other health-related issues. Multivariate logistic regression was used to examine the relationships between severity of CSA (intercourse vs no intercourse) and long-term health and social problems (substance use and abuse, mental illness, and current problems with marriage and family) by gender…
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Hope, meaning, and growth following the September 11, 2001, terrorist attacks.
Positive psychologists found the increase of seven character strengths that encompass the so-called theological virtues, including hope and spirituality, in Americans after the September 11, 2001, attacks. Little is known about how they may affect post-September 11, 2001, mental health. Using multivariate analysis, this study investigated the relationship of hope and spiritual meaning with depression and anxiety in a sample of 457 students 3 months after September 11, 2001. Both characters contributed to lower levels of symptoms. In qualitative analysis, of 313 answers to an open-ended question regarding personal change, four categories emerged. The first three were consonant with other studies on posttraumatic growth (PTG), including changes in the self or behavior, relationships, and worldviews. The fourth category unique to September 11, 2001, was changes in political views. These fin…
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Shields M, McAusland L, Heintz M, Rittenbach K, Tsuyuki R, Box A, Emery J, Zwicker J, Arnold P, Newton A, Bousman C (2026)MEDLINE-indexed journal, not yet read by usJournal of personalized medicine Pharmacogenetic-Guided Antidepressant Prescribing in Adolescents (PGx-GAP): Study Protocol for a Randomized Controlled Trial.
Background: Treating depression and anxiety in adolescents can be challenging due to interindividual variability in medication response. With current trial-and-error prescribing practices, adolescents may undergo multiple medication changes over months or years before an effective and tolerated drug and dose are identified. Pharmacogenomic (PGx) testing can identify interindividual differences in drug metabolism, and evidence supporting PGx-guided prescribing in adults with mental disorders is growing. However, its impact on pediatric psychotropic prescribing remains underexplored. Methods: This is a protocol for a parallel-arm, multicentre, randomized controlled trial. Canadian adolescents aged 12-17 years who are initiating or switching a selective serotonin reuptake inhibitor (SSRI) for depression and/or an anxiety disorder under physician care are eligible. A total of 452 participant…
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Amin Z (2026)MEDLINE-indexed journal, not yet read by usJournal of health psychology The sacred strain: Religion as both resource and burden in the psychological well-being of Pakistani women navigating postpartum depression.
This mixed-methods study examines religion's dual role in postpartum depression (PPD) among 350 Pakistani women. Quantitative findings indicate that positive religious coping strategies, such as Tawakkul and Sabr, were associated with reduced PPD severity, whereas negative religious coping predicted higher symptom severity, mediated by internalized stigma. Qualitative interviews with 45 participants revealed recurring themes of spiritual guilt, the paradox of the "Ideal Muslim Mother," and tensions between faith-based meanings of suffering and biomedical mental health care. While religious beliefs provided comfort, meaning, and resilience for many women, they also contributed to moral pressure and self-blame that pathologized psychological distress. The study proposes the Sacred Strain Model, highlighting religion as both a protective resource and a potential burden. Findings underscore …
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Experiencing awe in daily life is linked to lower loneliness.
Loneliness affects 55% of healthcare workers, putting them at risk for health problems. These include mental health issues (e.g., depression and anxiety) and physical ailments (e.g., inflammation, heart disease, and increased substance abuse). Despite the well-established link between loneliness and health, research on healthcare workers’ experiences of loneliness remains limited. To address this gap, we conducted a 22-day daily diary study to test whether daily awe predicts reduced loneliness in healthcare workers. Our within-person analyses showed that participants who experienced more awe than usual reported less loneliness on the same day. Notably, this association remained significant after controlling for other positive emotions known to benefit well-being and was replicated in a community sample. Further analysis showed that the sense of connectedness, central to awe, accounted fo…
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Rutledge K (2025)MEDLINE-indexed journal, not yet read by usFrontiers in psychiatry2 citations Rethinking pathways to well-being: the function of faith practice in distress alleviation among displaced Muslim women affected by war.
Background: For many populations globally, coping approaches employed during times of extreme adversity are rooted in religious convictions. Positive religious coping following potentially traumatic events and in times of crisis is widely evidenced as resilience promoting. Despite international mandates for aid and mental health responses to enable such coping, there is limited guidance for work with distinct faith groups and limited quantitative evidence overall. This mixed methods study examined the role of faith in mental health among displaced Muslim women affected by conflict, highlighting implications for responders.
Methods: A total of 160 questionnaires, 50 interviews, and four focus groups were conducted among 160 Sunni Muslim women in an Iraqi internally displaced persons (IDP) camp with subjects who had been affected by the Islamic State of Iraq and Syria (ISIS) conflict. A to…
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Goodyear VA, Randhawa A, Adab P, Al-Janabi H, Fenton S, Jones K, Michail M, Morrison B, Patterson P, Quinlan J, Sitch A, Twardochleb R, Wade M, Pallan M (2025)MEDLINE-indexed journal, not yet read by usThe Lancet regional health. Europe13 citations School phone policies and their association with mental wellbeing, phone use, and social media use (SMART Schools): a cross-sectional observational study.
Background: Poor mental health in adolescents can negatively affect sleep, physical activity and academic performance, and is attributed by some to increasing mobile phone use. Many countries have introduced policies to restrict phone use in schools to improve health and educational outcomes. The SMART Schools study evaluated the impact of school phone policies by comparing outcomes in adolescents who attended schools that restrict and permit phone use.
Methods: We conducted a cross-sectional observational study with adolescents from 30 English secondary schools, comprising 20 with restrictive (recreational phone use is not permitted) and 10 with permissive (recreational phone use is permitted) policies. The primary outcome was mental wellbeing (assessed using Warwick-Edinburgh Mental Well-Being Scale [WEMWBS]). Secondary outcomes included smartphone and social media time. Mixed effects …
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Using experience-based co-design approach to address mental health issues among healthcare workers and leaders in long-term care.
Introduction: Burnout remains a critical issue within the long-term care (LTC) sector, underscoring the urgent need for early detection and prevention strategies targeting the healthcare workforce. This paper aimed to describe the processes of uncovering the underlying drivers of burnout and distress among LTC workers, providing a foundational understanding to inform the development of a Burnout Assessment Tool (BAT).
Materials and methods: Using an experience-based co-design approach, 11 focus groups were held with a purposive sample of 24 Ontario LTC workers between July 2023 and October 2024. Each session, lasting 2 h, included 4-5 participants representing a diverse range of professional and occupational roles, including personal support workers, nurses, social workers, and administrators or leaders. The objectives of this approach were two-fold: (1) to explore the work-related exper…
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Associations between Smartphone Usage with Upper-Body Abnormalities, Obesity, Mental Wellbeing and Physical Fitness of High-School Male Students.
Background: The growing prevalence of smartphone usage among adolescents has not been adequately addressed in terms of its impact on their physical and mental health in prior research. Therefore, the objective of this study was to explore the relationships between smartphone usage and upper body abnormalities, obesity, mental well-being, and physical fitness among male high school students.
Methods: This was a descriptive correlational study. The statistical sample comprised 384 male students, with a mean age of 17.04 years (±0.83), from high schools situated in the 5th district of Tehran, Iran in 2023. Smartphone usage was measured by asking "How much (in hours) do you use smartphones on average during day". Upper-body-abnormalities was measured using plastic goniometer and flexible ruler. DASS-21 was used for measuring mental wellbeing. Push-up test was used for assessing physical fitn…
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Boujelbane MA, Ammar A, Salem A, Kerkeni M, Trabelsi K, Bouaziz B, Masmoudi L, Heydenreich J, Schallhorn C, Müller G, Merve Uyar A, Ghazzawi HA, Amawi AT, Orhan BE, Grosso G, Abdelkarim O, Driss T, El Abed K, Zmijewski P, Debeaufort F, Benbettaieb N, Poulain C, Reyes L, Gamero A, Cuenca-Ortolá M, Cilla A, Francesca N, Messina CM, Viola E, Lorenzen B, Filice S, Bajoub A, Ajal EM, Ajal EA, Obtel M, Lahiani S, Khaldi T, Souissi N, Boukhris O, Jahrami H, Husain W, Frias-Toral E, Mahdi W, Chtourou H, Schöllhorn WI (2025)MEDLINE-indexed journal, not yet read by usFrontiers in public health15 citations Regional variations in Mediterranean diet adherence: a sociodemographic and lifestyle analysis across Mediterranean and non-Mediterranean regions within the MEDIET4ALL project.
Introduction: The Mediterranean diet (MedDiet) is acknowledged for its health advantages; however, compliance with its principles differs by region and is influenced by geographical, cultural, economic, and life-style factors. This research examines regional differences in sociodemographic and lifestyle factors between Mediterranean (MC) and non-Mediterranean (NMC) countries, with a particular focus on adherence to the Mediterranean diet and lifestyle, as well as the associated barriers in each region.
Methods: The MEDIET4ALL international survey was conducted across 10 countries, and data were collected from 4,010 participants. Dietary adherence was assessed via the MedLife Index, and additional lifestyle measures included physical activity (IPAQ-SF), sleep patterns (PSQI), mental health (DASS-21), and social participation (SSPQL). Statistical analyses included chi-square tests, Mann-Wh…
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Strengthening resilience in the aftermath of adversity: evaluation of the group-based intervention Mind-Spring, a naturalistic mixed-methods study among refugee groups in the Netherlands.
Background: Refugees often experience multiple traumatic events before and during forced migration, compounded by daily stressors in resettlement, which can erode resilience and increase the risk of serious mental disorders. Strengthening resilience in the aftermath of adversity may help prevent such outcomes. Mind-Spring (MS) is a low-threshold, group-based psychosocial intervention designed to enhance resilience and well-being. Intervention groups were organized by language, cultural background, and gender, and co-facilitated by a mental health professional and a peer educator with lived refugee experience, shared culture and language, and long-term settlement in the host country. This study assessed the feasibility of MS and its impact on four mental health domains among refugees and asylum seekers in the Netherlands presenting with early trauma-related symptoms.
Methods: A convergent…
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Li M (2025)MEDLINE-indexed journal, not yet read by usFrontiers in child and adolescent psychiatry The price of possessiveness: how parental materialism undermines child psychological wellbeing.
Materialism, a value system that places the pursuit of possessions at the core of happiness and life meaning, is a dominant cultural force in modern societies. While its associations with individual well-being are well-documented, its intergenerational implications remain understudied. This study conceptualizes materialism as a potential family stressor contributing to the intergenerational transmission of stress. An intergenerational crossover model of materialism was tested using data from 1,996 parent-child pairs in Zhengzhou, China. Results indicate that higher parental materialism is associated with stronger materialistic values in children, weaker family relationships, and more frequent parental comparisons, each of which is linked to greater psychological distress in youth. These patterns suggest that materialism may contribute to intergenerational patterns of vulnerability. The s…
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Psychopathological symptoms in soccer referees: the role of psychological inflexibility and perfectionism.
Background: Refereeing is associated with a high prevalence of mental health issues. Mental health problems are quite common in sport and referees are no exception. In the case of referees, psychological disorders have been associated with a number of factors and lower league officials appear more likely to experience psychological distress compared to their higher league counterparts.
Aim: The aim is to analyze the relationship between psychological inflexibility, perfectionism, and psychopathological symptomatology in soccer officials.
Method: A cross-sectional, anonymous, online study was conducted. Psychopathological symptoms were assessed using the Symptom Assessment-45 Questionnaire; the Acceptance and Action Questionnaire was used to assess psychological inflexibility; Perfectionism was assessed using the Multidimensional Perfectionism Scale. Participants are 156 active main refer…
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Impact of religion and spirituality on the incidence of depression and mental health among young adults in the Czech Republic.
Introduction: The issue of the impact of religion and spirituality on mental health is a phenomenon which has recently become increasingly more accentuated. Despite the attention given to the topic, many questions still remain as to whether and how religion and spirituality affect a person's mental wellbeing. In the text below, we have focused on examining the relationship between religion and spirituality and mental health among young adults in the Czech Republic. Research also explored the idea that forgiveness can be viewed as a component of religion or spirituality.
Materials and methods: The research project was executed in close cooperation with STEM/MARK, a renowned data collection agency. The methodological framework was constructed with a dual focus: leveraging standardized questionnaires to ensure data reliability and comparability while also incorporating tailored questions th…
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Mental Health, Sleep Quality, and Psychological Well-Being during the Holy Month of Ramadan.
Objectives: Ramadan, a significant month for Muslims, presents unique challenges, particularly in the context of the USA. This study aimed to explore the relationship between mental health factors (depression, anxiety, and stress), sleep quality, and psychological well-being (subjective happiness and life satisfaction) during the month of Ramadan among participants and by gender.
Methods: This study enlisted 163 participants (74% female, 25.7% male), with an average age of 36.8 years (SD = 13.1), mostly of Middle Eastern descent. Recruitment was conducted via flyers at local community mosques, social media, and outreach through local religious leaders. Data collection took place in the last three weeks of Ramadan, utilizing a Qualtrics survey that included the Depression Anxiety and Stress Scale (DASS-21), the Subjective Happiness Scale (SHS), Satisfaction with Life Scale (SWLS), and the…
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Religion and mental health: an Eastern Mediterranean region perspective.
In the last decade, spirituality gained increasing recognition, with an individualized approach to the significance of symptoms and the purpose of treatment. Many psychiatrists started adopting the term "biopsychosocial-spiritual" management. Modern psychological therapies have drawn from the principles of ancient Eastern traditions. However, the spiritual beliefs within Islam and their impact on mental well-being have yet to be studied sufficiently. The Eastern Mediterranean region is largely Muslim and shares similar cultural beliefs. This paper explores some of these beliefs and their impact on perceptions of mental health and help-seeking behavior. The paper will focus primarily on the religious ideologies, the concepts of punishment and reward from Allah (God) in the context of the high stigma associated with mental illness in the region, and the knowledge, attitudes, and perception…
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Psychological and Physiological Stress and Stressors in Early Childhood Educators: An Observational Pilot Study.
While early childhood educators' mental health is important, it may also affect the well-being and education of their students. Yet, little research has described the stress and stressors of early childhood educators (ECEs), particularly as the pandemic wanes. This pilot study aimed to (1) describe ECEs' psychological and physiological stress and (2) examine the association between ECEs' psychological and physiological stress levels with stressors. A convenience sample of 67 ECEs, serving children 0-5 years old from 13 early educational centers completed surveys on psychological stress (perceived stress, anxiety, and depression), stressors (economic hardship, food insecurity, adverse childhood experiences), and demographics in Fall 2021. A subsample of ECEs provided hair samples, analyzed for cortisol, to estimate physiologic stress. Regarding stress, 63% met the criteria for major depre…
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Sundaram N, Lloyd-Houldey O, Michalopoulou S, Hope S, Sturgess J, Allen E, Legood R, Scott S, Hudson LD, Nicholls D, Christie D, Viner RM, Bonell C (2024)MEDLINE-indexed journal, not yet read by usPilot and feasibility studies3 citations Qualitative study of the feasibility and acceptability of implementation, and potential mechanisms of Learning Together for Mental Health, a whole-school intervention aiming to promote mental health and wellbeing in secondary schools.
Background: Despite high rates of adolescent mental-health problems, there are few effective whole-school interventions to address this. Whole-school interventions offer a feasible and sustainable means of promoting mental health. We previously evaluated the Learning Together (LT) intervention which was effective in preventing bullying (primary outcome), promoting mental well-being, psychological functioning, and reducing substance use (secondary outcomes). We adapted LT to develop Learning Together for Mental Health (LTMH) with a new menu of evidence-based actions to address mental health and an enhanced SEL curriculum.
Methods: We undertook a feasibility study of LTMH, a whole-school intervention featuring needs assessment, student and staff participation in decision-making via action groups selecting actions from an evidence-based menu, restorative practice, and a SEL and resilience s…
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Language use on Twitter reflects social structure and social disparities.
Large-scale mental health assessments increasingly rely upon user-contributed social media data. It is widely known that mental health and well-being are affected by minority group membership and social disparity. But do these factors manifest in the language use of social media users? We elucidate this question using spatial lag regressions. We examined the county-level (N = 1069) associations of lexical indicators linked to well-being and mental health, notably depression (e.g., first-person singular pronouns, negative emotions) with markers of social disparity (e.g., the Area Deprivation Index-3) and ethnicity, using a sample of approximately 30 million content-coded tweets (U.S. county-level aggregation). Results confirmed most expected associations: County-level lexical indicators of depression are positively linked with county-level area disparity (e.g., economic hardship and inequ…
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Suicidal behaviour in adolescents: A network analysis.
Objective: Suicidal behaviour has not yet been analysed from a network approach in adolescent samples. It is imperative to incorporate new psychological models to understand suicidal behaviour from a different perspective. The main objective of this work was twofold: (a) to examine suicidal behaviour through network analysis and (b) to estimate the psychological network between suicidal behaviour and protective and risk factors in school-age adolescents.
Method: Participants were 443 students (M=14.3 years; SD=0.53; 51.2% female) selected incidentally from different schools. Different instruments were administered to assess suicidal behaviour, emotional and behavioural difficulties, prosocial behaviour, subjective well-being, emotional intelligence, self-esteem, depressive symptomatology, empathy, positive and negative affect, and emotional regulation.
Results: The resulting network of s…
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Sulaiman SK, Tsiga-Ahmed FI, Arora T, Faris ME, Musa MS, Kareem YA, Dayyab FM, Hussein A, Sale S, Javaid SF, Khan MA (2023)MEDLINE-indexed journal, not yet read by usBrain and behavior8 citations Perceived changes in the mental well-being among Nigerians due to Ramadan Intermittent Fasting during the COVID-19 pandemic.
Introduction: Muslims fast every year during the month of Ramadan from dawn until dusk. This study examined mental well-being and correlating factors among Nigerian adults who observed Ramadan intermittent fasting (RIF).
Methods: A validated generalized anxiety disorder-2 and Patient Health Questionnaire-2, the four-item spiritual well-being index, and the Islamic intrinsic religiosity questionnaire were used to collect data about mental well-being (depression, anxiety), spirituality, and intrinsic religiosity through a web-based survey between the May 9, 2021 (27th of Ramadan, 1442) and the June 4, 2021 (29th of Shawwal, 1442). We studied the mental well-being of respondents over a period of 4 weeks before Ramadan (BR) and during the 4 weeks of Ramadan between the April 12, 2021 and the May 12, 2021(DR). Multinomial regression analysis was used to determine the factors associated with d…
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A longitudinal study of interoception changes in the times of COVID-19: Effects on psychophysiological health and well-being.
Background: Interoception - the processing of the internal state of the body - has been consistently tied to well-being and mental health, which in turn have been severely challenged by the COVID-19 pandemic. Moreover, the fact that symptoms of COVID-19 (high temperature, shortness of breath, fatigue, and even gastro-intestinal problems) directly alter interoceptive signals has fueled people's tendency to constantly check their internal bodily state.
Objectives: In this longitudinal study we tested for changes in interoception and psychophysiological health and well-being during different stages of the pandemic in 2020 and assessed their potential association. To highlight this association, we combined both subjective (i.e., self-reported questionnaires) and objective (i.e., measures of heart rate variability, HRV and of interoceptive accuracy) measures.
Methods: 245 Italian participants…
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Participation in Community Gathering Places and Subsequent Health and Well-Being: An Outcome-Wide Analysis.
Background and objectives: Evidence remains inadequate regarding the benefits of participation in community gathering places, which is Japan's primary strategy for preventing functional disability in older adults, in other domains of health and well-being. This longitudinal study examined the associations of participation in community gathering places with an array of subsequent health and well-being outcomes among older adults.
Research design and methods: We used 3-wave data (2013, 2016, and 2019) from Japan Gerontological Evaluation Study (n = 5 879 or 4 232 depending on the outcome). Our exposure was participation in community gathering places in 2016. We assessed 34 health/well-being outcomes in 2019 across 6 domains. We adjusted for pre-baseline covariates including prior outcome values in 2013.
Results: Compared with nonparticipation, participation in community gathering places wa…
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