Physical therapists (PTs) face various psychosocial risks that affect their mental health; however, profession-specific reports on organizational exposures remain limited. This study aimed to examine total overtime, workplace harassment, and workplace consultation availability and their associations with current mental distress among PTs in Japan.

A nationwide cross-sectional web survey of PTs, conducted from August 12 to September 20, 2025, was analyzed. The primary outcome was current mental distress (yes/no). The main exposures were total overtime in the past 3 months (per 10 h/3 months), workplace harassment (yes/no), and workplace consultation availability (yes/no). Separate multivariable logistic models were fit for each exposure with a common adjustment set (sex, age, tenure in current workplace [midpoint, years], employment status, hospital bed size, and number of PTs). Missing covariates were handled via multiple imputation (multiple imputation by chained equations, m = 15) with pooling by Rubin's rules.

Of the 718 PTs surveyed, 312 (43.5%) were classified as distress present. Mean total overtime was 16.7 ± 15.0 h over 3 months and was higher in the distress-present group. Adjusted associations were total overtime adjusted odds ratio (aOR) 1.13 (95% confidence interval [CI] 0.98-1.31) per additional 10 h, harassment aOR 2.29 (95% CI 1.67-3.14), and workplace consultation availability aOR 0.60 (95% CI 0.43-0.84).

Workplace harassment was associated with higher rates of mental distress, whereas workplace consultation availability was inversely associated. Total overtime showed a positive trend in the adjusted model. These findings point to organizational targets, including overtime management, harassment prevention, and accessible consultation routes.

Depression is highly prevalent among young adults worldwide. While research links health behaviours, such as dietary intake, to depression, few studies have examined these associations in low- and middle-income countries (LMICs), including South Africa. This study investigated whether dietary intake was associated with risk of depression in a cohort of young South African adults, aged 20-30 years, as part of the Global burden of disease Lifestyle And mental Disorder (GLAD) project.

This 5-year prospective cohort study was conducted in the North West Province of South Africa following the GLAD project protocol (DERR1-10.2196/65576). Dietary exposures were evaluated using three non-consecutive 24-h dietary recalls, measuring daily intake of food groups and nutrients defined by the GBD study. Depression outcomes were assessed at baseline (n = 1039) and follow-up (n = 551) using the Patient Health Questionnaire (cut-off ≥10). Logistic and Poisson regression analyses were performed, reporting odds ratios (ORs) and relative risks (RRs). Four models were tested: unadjusted, sociodemographic-adjusted, total energy (TE) intake-adjusted and fully adjusted (both sociodemographic and TE-adjusted). For longitudinal analyses, baseline depression cases were additionally excluded (n = 403).

Participants (mean age 24.55 years; 51.4% female; 48.6% Black) had a 29.45% baseline depression prevalence. Higher milk intake was associated with a lower risk of incident depression (RR = 0.94, 95% CI 0.91-0.98) in the TE-adjusted model. Cross-sectionally, higher sugar-sweetened beverage consumption was associated with higher odds of depression, whereas higher calcium (OR = 0.48, 95% CI: 0.31, 0.76) and vegetable intake (OR = 0.74, 95% CI: 0.61, 0.91) were associated with lower odds after TE adjustment. Higher fibre intake was associated with lower odds in the unadjusted model.

Higher milk intake was associated with lower incident depression, while higher calcium, vegetable and fibre intake were associated with lower depression prevalence, but not when adjusting for sociodemographic information. These findings suggest that sociodemographic context should be considered alongside dietary strategies to support prevention efforts for common mental disorders in young adults. Trial Registration: ClinicalTrials.gov identifier: NCT03292094.

 Siblings of children with attention-deficit/hyperactivity disorder (ADHD) may experience emotional and behavioral difficulties. Shared genetic and environmental factors, family stress, caregiving demands, and potentially unequal parental attention may contribute to these difficulties. However, the mental health needs of these siblings may be overlooked.

 This cross-sectional descriptive study included 95 siblings aged 4-17 years of children with ADHD attending the Department of Psychiatry, BSMMU. Sociodemographic information was collected using a semi-structured questionnaire. Emotional and behavioral difficulties were assessed using the Bangla parent-report Strengths and Difficulties Questionnaire (SDQ); a self-report SDQ was additionally collected from siblings aged 11-17 years. Categorical associations were examined using chi-square tests, and findings involving small subgroup frequencies were interpreted cautiously.

 The mean age of siblings was 7.21 ± 3.01 years; 72.6% were male and 77.9% lived in nuclear families. Abnormal SDQ scores were identified for emotional problems in three siblings (3.2%), conduct problems in 11 siblings (11.6%), hyperactivity problems in seven siblings (7.4%), peer problems in 12 siblings (12.6%), and prosocial-behavior problems in two siblings (2.1%).

 Abnormal SDQ scores were identified in a proportion of siblings of children with ADHD attending this tertiary-care setting. These findings suggest that clinicians may consider asking about sibling wellbeing during family assessment. Larger multicenter studies with appropriate comparison groups are needed to clarify the extent of these difficulties and to determine whether routine sibling-focused screening should be incorporated into ADHD care.

Coordinated, multi-sectoral community responses to youth mental health represent a promising yet undertheorized approach to addressing the service fragmentation that characterizes collaborative work across education, health, policing, and community services. This article presents qualitative findings from a larger sequential mixed-methods study of Strathcona County's Violence, Trauma, and Suicide Prevention (VTSP) Protocol. The VTSP Protocol is a coordinated community framework designed to address youth mental health, community safety, and wellbeing in Alberta, Canada. The larger study combined social network analysis with qualitative inquiry; this article reports on the qualitative strand, which comprised 12 semi-structured interviews with key stakeholders purposively sampled from across the VTSP network. Thematic analysis of interview transcripts identified four interwoven themes that together describe the relational, communicative, and capacity-building labours through which the protocol is sustained: leadership as relational infrastructure, shared processes and communication structures, cross-sectoral relationships and joint purpose, and capacity building and shared language. Across all four themes, collaboration emerged not as a stable institutional achievement but as a fragile accomplishment, strong yet precarious, requiring continual renewal rather than resting on structural stability. The findings are theoretically grounded in Ecological Systems Theory and Relational Coordination Theory. Implications for the design, sustainability, and transferability of coordinated community response models in other communities and school authorities are discussed.

Vocational college students face elevated risks of psychological distress due to academic, interpersonal and family stressors. However, longitudinal evidence tracking their two-year mental health shifts and relevant ecological correlates remains scarce. This study analyzed two-year mental health changes among vocational college students and examined correlations between family background variables and co-curricular activities (locally named "second classroom").

A two-year longitudinal survey was conducted with 1,277 students recruited from one vocational college in Anhui, China. Mental distress was measured via the Symptom Checklist-90 (SCL-90). Analyses included independent-samples t-tests, paired-samples t-tests, Pearson correlation, and multiple linear regression adjusted for baseline mental health scores.

Students exhibited statistically significant reductions in SCL-90 total scores at the two-year follow-up (p < 0.001), indicating improved psychological status. Family financial hardship and childhood left-behind experience correlated with higher levels of psychological distress. Co-curricular credit accumulation showed a weak negative correlation with post-test SCL-90 scores (r = -0.140, p < 0.001).

Vocational students presented overall mental health improvements across two academic years. Family disadvantage correlates with higher psychological distress, while co-curricular participation only shows a mild negative correlation with follow-up mental symptoms with low explanatory power; co-curricular participation exhibits a potential supportive association with students' mental wellbeing, yet it is merely one of numerous relevant factors shaping students' psychological status. Optimizing structured co-curricular schemes can serve as one auxiliary mental health measure rather than a dominant intervention path.

In 2020, Oregon became the first US state to legalize state-regulated psilocybin services. This study aims to examine: (1) the clinical and demographic characteristics, (2) psilocybin use motivations, and (3) differences in preparedness among patients seeking care in an Oregon-based pilot consult service specializing in psilocybin risk reduction.

This exploratory retrospective chart review abstracted sociodemographics, trauma history, and medical and psychiatric risks of patients (November 2023-September 2025). The Psychedelic Preparedness Scale (PPS), a validated self-report questionnaire, measured preparedness. Two sample t-tests examined associations of PPS scores by insurance, consult motivations, and prior psychedelic use.

Patients (N = 29) had a mean age of 47.14 years (SD = 15.9), were majority female (55.2%); White (82.8%); and privately insured (62.1%). Patients mostly sought psilocybin to address only a psychiatric concern (75.9%); 27.6% anticipated naturalistic (non-state regulated) use. Most patients were deemed low risk for adverse events. Prevalence of prior challenging psychedelic experiences (CPE) was 17.2%; 58.6% reported lifetime psilocybin use. 86.2% endorsed ≥1 form of lifetime trauma. Of PPS completers (N = 23, 79%), mean score was 91.3 (SD = 23.99). Scores did not significantly differ by insurance; consultation motivation; CPE; prior psilocybin or psychedelic use.

Patients utilizing a novel consultation service demonstrate a high prevalence of trauma, prior psilocybin use, and baseline preparedness. While preliminary, this study is among the first describing patients seeking medical and psychiatric consultation when considering psilocybin and highlights potential roles of healthcare systems in providing evidence-based patient education and risk reduction as interest in psychedelics grows.

Informal caregivers make up a large share of the care provided to people living with dementia, and experience an elevated risk for anxiety, depression, and caregiving burden. Technology-based interventions, such as mobile apps, aim to support informal caregivers by providing information, training, and mental or social support. Considering the diverse nature of the caregiver experience, AI is being incorporated into such interventions to create more tailored and specific support; however, AI hesitancy may serve as a significant barrier to usage.

The study aimed to preliminarily assess the levels of AI acceptance in adult informal caregivers of people living with dementia, and generate hypotheses regarding the psychological and contextual factors of AI acceptance.

Adult, unpaid caregivers were recruited through social media and community partners. A cross-sectional, web-based survey was administered through Qualtrics (Qualtrics, LLC) to evaluate AI acceptance and psychological flexibility (PF). AI acceptance was measured using the Attitude Towards Artificial Intelligence (ATTARI-12) scale, while PF was measured using the Personalized Psychological Flexibility Index (PPFI). Social needs were assessed by the 'Accountable Health Communities Health Related Social Needs (AHC-HRSN) tool (Centers for Medicare and Medicaid Services). Descriptive, correlational, and regression analyses were performed to examine the associations between these factors and AI acceptance.

Overall, 31 informal caregivers of people living with dementia completed the survey. With an average age of 60 (SD 10.6) years old, the majority of caregivers were women (29/31, 94%), Caucasian (25/31, 81%), highly educated (24/31, 77% completed some form of higher education), and currently serving in a caregiver role (21/31, 68%). Mean PPFI and ATTARI-12 scores were moderate (66.4, SD 10.3, and 3.01, SD 0.55, respectively), demonstrating a neutral attitude regarding AI use. In bivariate analyses, ATTARI-12 differed by the caregiver-perceived illness severity (P<.001). Linear regression suggested trends that the PPFI acceptance subscale (β=.05, 95% CI 0.002-0.097; P=.04) was associated with ATTARI-12 scores.

This study suggests that caregivers' acceptance of such technology may vary according to their care recipient's disease severity and the acceptance subscale of the PPFI. Additionally, the study provides justification for using the ATTARI-12 and PPFI scales to assess AI acceptance and PF in informal caregivers of people living with dementia, respectively. Future research should explore these factors across a larger and more diversified cohort to further generalize and confirm our findings.

Protective factors and resources to recovery in urban milieus remain poorly understood, calling for user-led initiatives to develop relevant interventions embedded in patients' daily-life environments. Experience-based co-design is key to need-based interventions in real-life settings and calls for novel methodologies.

This multi-stakeholder (service users, psychiatrists, geographers, community actors and public authorities) initiative aims to identify key elements of an 'urban recovery milieu for psychosis' in Lausanne, Switzerland based on a Living Lab approach. Beyond questions of usage, feasibility and acceptability, we will identify which types of interventions are more useful for which group of patients. This pilot phase may pave the way towards a future randomized control trial and the definition of the most appropriate sample size for it.

Qualitative data are collected through field notes, audio-recorded walk-alongs, workshops and focus groups with care teams and participants. The quantitative analysis is based on observational and correlational study design. We will assess how 55 patients of two psychosis-specialized cohorts use the urban interventions in their day-to-day practices and monitor psychometric variables before and after the experimentation. The data stems from tailor-made questionnaires (City avoidance questionnaire, Urban remediation questionnaire, etc.), clinical rating scales (ASI, RAS, TEPS, ISMI and CRDPS) and routine follow-up procedures (SOFAS, GAF, CGI, WHOQOL and PAS).

Additionally, insights from this study will inform mental health plan on municipal level and be upscaled for broader public benefits.

To reach expert consensus on the content of an instrument to assess psychological distress in women following multifetal pregnancy reduction (MFPR) and to provide a reference for frontline nurses in conducting psychosocial assessment and care planning.

A two-round Delphi expert consensus study.

The initial item pool was conceptualized based on an integrated framework combining the Dual-Process Model and the Post-Traumatic Stress Disorder model and generated through a literature review and semi-structured interviews. The degree of consensus was assessed by measuring the concentration and coordination of expert opinions. Content validity of the preliminary instrument was evaluated using the scale-level content validity index.

Experts reached consensus on the preliminary Post-Multifetal Pregnancy Reduction Maternal Psychological Distress Scale (PMRPDS), comprising 16 items across four dimensions: Post-traumatic Stress Response (5 items), Depression and Guilt (4 items), Health Anxiety and Concerns (3 items) and Psychological Adjustment and Coping (4 items). The positive coefficients of the two Delphi rounds were 90.9% and 91.7%, respectively; the authority coefficients were 0.885 and 0.889, respectively; the Kendall's W values for the two rounds were 0.142 and 0.159, respectively, with statistical significance (p < 0.001). The content validity index scored 0.983.

Expert consensus was reached on the content of the preliminary PMRPDS, demonstrating established content validity for assessing MFPR-related distress and guiding targeted psychosocial nursing interventions.

The PMRPDS is helpful for nursing staff in systematically assessing psychological distress in women following MFPR. Nursing staff can use the instrument as an assessment and intervention tool to enhance patient-centred perinatal psychosocial care.

What problem did the study address? The lack of a specialized assessment tool for psychological distress after MFPR. What were the main findings? A 16-item scale across four core dimensions was developed through a Delphi expert consensus study. Where and on whom will the research have an impact? The research will impact perinatal mental health clinicians, researchers and ultimately, the care received by women undergoing MFPR.

This study adhered to the Conducting and REporting of DElphi Studies (CREDES) reporting guidelines.

No Patient or Public Contribution. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Provides the first structured instrument to assess complex psychological distress following MFPR. Establishes a consensus-based foundation for future cross-cultural validation and research, facilitating improved perinatal mental health care protocols.

Early detection of neurocognitive disorders is crucial for timely intervention in older adults. The Six-Item Cognitive Impairment Test (6-CIT) is a brief screening tool designed for rapid cognitive assessment, but a validated Persian version has not been available to date. This study aimed to translate, culturally adapt, and psychometrically evaluate the Persian version of the 6-CIT among Iranian older adults.

In this prospective cross-sectional psychometric validation and diagnostic accuracy study, 180 participants aged ≥ 60 years were recruited from outpatient geriatric clinics and categorized into three equal groups: normal cognition, Mild Cognitive Impairment (MCI), and dementia. Diagnoses were established by a geriatric psychiatrist using DSM-5 criteria, and severity was staged using the Clinical Dementia Rating (CDR) criteria. Reliability was assessed through internal consistency (Cronbach's α) and test-retest stability (intraclass correlation coefficient, ICC 3,1). Validity was examined via convergent validity with the Mini-Mental State Examination (MMSE) and exploratory principal component analysis (PCA). Diagnostic accuracy, sensitivity, and specificity were evaluated using receiver operating characteristic (ROC) analysis and Youden's J index.

The Persian 6-CIT demonstrated good internal consistency (Cronbach's α = 0.836) and strong test-retest reliability (ICC = 0.849). A strong negative correlation with the MMSE supported convergent validity (ρ = -0.919, p < 0.001). PCA supported a unidimensional structure explaining 71.72% of the total variance. ROC analysis for dementia yielded an AUC of 0.984 (95% CI: 0.961-1.000); a cutoff score of ≥ 11 provided 96.7% sensitivity and 85.8% specificity, while a cutoff of ≥ 14 maximized overall mathematical accuracy (93.3% sensitivity, 94.2% specificity). Furthermore, diagnostic accuracy for MCI was also high (AUC = 0.976, 95% CI: 0.947-0.997), with an optimal cutoff of ≥ 2 yielding 96.7% sensitivity and 96.7% specificity.

The Persian 6-CIT is a brief, reliable, and valid instrument for screening both MCI and dementia among Iranian older adults in specialized outpatient settings.