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[The risk of depression among Hungarian female teachers: role of work motivations, burnout, and teacher well-being and resilience].2 days agoDepression, as part of mental health issues among professionals working in the field of education, is associated with burnout and several personal protective and risk factors in relatin to their work environment. Considering gender distribution of the profession, investigation of female educators should get special attention, partly due to their substantial overrepresentation, partly due to their elevated involvement. Therefore, the aim of our study was to analyze risk and protective factors (burnout, work motivatons, teacher resilience and well-being) of depressibe symptomatology in a sample of female educators.
Participants of our online, anonymous, cross-sectional survey were Hungarian female teachers (N = 520). We applied the following scales for measuring variables: Center of Epidemiologic Studies - Depression Scale; The Mini Oldenburg Burnout Inventory; Teacher Subjective Wellbeing Questionnaire; The Multidimensional Work Motivation Scale; Teachers' Resilience Scale. Data analysis was conducted with the help of SPSS, using descriptive statistics, correlation, and logistic regression analyses.
Thirty-five percent of the sample demonstrated depressive symptoms based on the CES-D scale. Risk factors were identified with logistic regression analysis including dimensions of burnout, especially exhaustion, and amotivation. Teacher well-being, intrinsic and identified motivation, personal and social resilience emerged as protective factors.
The novelty of our research is the involvement of occupational factors in relation to mental health. Our findings highlight the great risk of depressive symptoms among female teachers, which has been strongly linked to exhaustion dimension of burnout and amotivation. Screening for depression in due time would be important among teachers as well as strengthening protective factors and detecting workplace stressors, and managing risk factors.Mental HealthAccessAdvocacy -
Analysis of the differences in mental health and influencing factors between urban and rural patients with Pelvic organ prolapse in China.2 days agoThis study aimed to investigate mental health disparities and their underlying determinants among women with pelvic organ prolapse (POP) in urban and rural China.
From August 2022 to August 2023, a convenience sampling method was employed to select 322 POP patients at a tertiary specialized hospital in Nanjing, China. The study used a general information questionnaire, General Health Questionnaire-28, and Perceived Social Support Scale. Influencing factors on mental health were analyzed using univariate and multivariate logistic regression.
Among the 322 POP patients, 68.01% (219 cases) were from urban areas, and 31.99% (103 cases) were from rural areas. Significant baseline differences were observed, with urban patients having higher education levels and rural patients having a greater number of childbirths and longer disease duration. Based on the General Health Questionnaire-28, urban POP patients scored higher on somatic symptoms, anxiety and insomnia, severe depression, and overall score, compared to rural POP patients (P < 0.05).
Mental health issues are prevalent among POP patients, with urban POP female patients facing a greater mental health burden than rural patients. Our findings highlight the need for targeted nursing and psychological interventions for this group, especially for urban patients, to improve health conditions.Mental HealthAccessAdvocacy -
Effectiveness, facilitators and barriers of digital mental health services for First Nations Peoples in Australia: A systematic scoping review.2 days agoFirst Nations peoples in Australia experience inequitable mental health outcomes and service access. Digital mental health (DMH) services, which refer to offering mental health services through digital platforms, are considered potential solutions to address such mental health service inequities and improve First Nations Australians' mental health outcomes. However, evidence on the effectiveness of DMH for First Nations Peoples in Australia is yet to be synthesised.
This systematic scoping review aimed to fill this gap, and to identify the facilitators and barriers that influence the implementation of DMH services in this context.
A systematic search was conducted across six academic databases to search for studies related to DMH services for First Nations Peoples in Australia. Search terms relating to First Nations Peoples, geographic terminologies of Australia, mental health, and digital mental health services were used. Studies were included if they assessed the effectiveness, or determinants of facilitators and barriers of implementing digital mental health interventions among First Nations people in Australia. Data were extracted based on study design, targeted services, and research findings, then synthesised using a thematic analysis framework.
In total, 22 studies met the inclusion criteria. DMH services were used to provide support, treatment, and psychological assessments for First Nations Australians. Evidence of effectiveness was stronger for non-severe mental health conditions. Determinants of facilitators and barriers of the implementation of DMH services included: (i) organisational and administrative factors; (ii) cultural appropriateness; (iii) accessibility; (iv) integration of DMH services to the existing health system; (v) engagement between clients and service providers; (vi) coverage of different conditions and clients; (vii) acceptability to DMH services; (viii) digital literacy, and (ix) efficiency.
Evidence on the use of digital mental health (DMH) services for First Nations Australians remains heterogeneous in study design and outcome measurement. DMH services appear most effective for managing non-severe mental health conditions. Successful implementation requires multi-level structural support, including policy and organisational commitment, enhanced digital infrastructure, workforce training and engagement, and the design of culturally responsive DMH models to improve uptake and equitable access to mental health care among First Nations Australians.Mental HealthAccess -
Application of user profiling in mental health management: a scoping review.2 days agoMental health disorders affect 970 million people globally, yet treatment access remains limited by stigma and resource constraints. User profiling technology leverages AI and multi-source data to enable personalized mental healthcare.
This scoping review synthesizes evidence on user profiling applications in patient mental health management to inform evidence-based practice.
Following established scoping review methodology, we systematically searched seven databases (Wanfang, CNKI, PubMed, Embase, Web of Science, Scopus, Cochrane Library) from 1 January 1964 to 28 May 2025. Two researchers independently screened records against eligibility criteria and extracted data.
Eighteen studies were included. User profiling construction encompassed three core phases: multidimensional data acquisition, feature extraction, and visualization. Applications spanned diverse populations including adolescents, young adults, and psychiatric patients, facilitating personalized intervention planning, resource allocation, and crisis management. Implementation demonstrated enhanced service accessibility, intervention precision, user experience optimization, and remote intervention efficacy.
User profiling technology delivers personalised mental health services through the integration of multidimensional data. This approach demonstrates significant advantages in enhancing intervention effectiveness, reducing healthcare costs, and improving user satisfaction, positioning it as a promising technology within the field of digital psychological interventions. However, its practical application still faces numerous challenges, including the long-term validation of current intervention outcomes and limitations in technological universality.Mental HealthAccess -
"It didn't feel like they cared": exploring factors that influence privacy and disclosure in disordered eating and eating disorders (DEEDs).2 days agoDisordered eating (DE) affects millions of individuals each day as they are exposed to diet culture, normalization of restricting foods, and public perception of a "healthy" body and diet. Persistent DE behaviors may progress in severity and frequency, leading to harmful behaviors that result in physical and psychological health outcomes, ultimately meeting the diagnostic criteria for an eating disorder (ED). The purpose of this study was to identify what factors influence disordered eating and eating disorders (DEED), why individuals do not disclose their experiences, and what could have been done to help them with their DEED.
Using the Communication Privacy Management theory to develop questions, qualitative semi-structured interviews were conducted with 15 participants. A thematic analysis was conducted from interview transcripts to develop overarching themes.
Five key themes emerged from participant interviews: family influence and comments, social media influence, healthcare influence, justification factors, and comorbidities. These themes reflect influences on participants developing DEEDs and barriers to getting help such as stigma associated with mental health issues and healthcare providers' unwillingness to discuss their DEED. Many participants also noted that family influences, particularly mothers, were a contributing factor to their DEED as well as playing sports and social media like Tumblr or "What I eat in a day" videos on TikTok.
These findings highlight the complex social, cultural, and structural factors that shape privacy management and the development and disclosure of DEED. Public health professionals can use these results to help bridge the gap between education, policy reform, and accessible healthcare to address the often-overlooked public health issues of DEED.Mental HealthAccess -
Cost-effectiveness of psychological treatment and support interventions for people living with HIV/AIDS: state of the evidence and policy considerations.2 days agoAntiretroviral therapy (ART) has significantly improved the survival and quality of life of people living with HIV (PLHIV). However, many still face persistent physical, emotional, and social challenges. Integrating psychological treatments into HIV care has demonstrated potential for enhancing mental health, improving treatment adherence, and achieving better clinical outcomes. While the effectiveness of these interventions is well-documented, evidence on their cost-effectiveness remains limited and lacks systematic synthesis. This study addresses this gap by evaluating the current evidence on the cost-effectiveness of psychological treatment and support interventions for PLHIV.
A comprehensive search was conducted in PubMed, PsycINFO, Embase, and EconLit via EBSCO for English-language, peer-reviewed studies on the cost-effectiveness of psychological interventions for individuals living with HIV/AIDS. No restrictions were placed on the publication year. Searches were performed in January, June, August, and October 2024, supplemented by citation tracking. Three reviewers independently screened studies in two stages, resolving disagreements through discussion. Data were extracted using a standardized table aligned with Joanna Briggs Institute guidelines to capture study characteristics, interventions, outcomes, and methodologies. Study quality was assessed using the Quality of Health Economic Studies (QHES) instrument.
Out of 3,410 records identified, 2,852 remained after duplicate removal, and eight studies met the inclusion criteria. Studies were conducted in the USA (n = 3), Uganda (n = 3), the Netherlands (n = 1), and Tanzania (n = 1), using randomized controlled trials, observational designs, and modeling approaches. Seven of the eight interventions demonstrated cost-effectiveness when evaluated against country-specific willingness-to-pay thresholds. Reported incremental cost-effectiveness ratios ranged from $13-$397 per DALY averted in low-income settings and $13,316-$36,166 per QALY gained in high-income settings, consistently falling below accepted thresholds. Several interventions showed high probabilities of cost-effectiveness (≥ 94%) and, in some cases, cost savings. One psychosocial group intervention in Tanzania exceeded GDP-based thresholds but was still considered a potentially affordable alternative given limited access to mental health services.
The findings indicate that psychological treatment and support interventions for PLHIV are generally cost-effective across both developed and developing settings, enhancing mental health outcomes while optimizing healthcare resource use. However, the evidence base remains limited to eight studies from four countries, underscoring the need for further research across diverse contexts to reinforce the economic case for integrating psychological services into HIV care frameworks.Mental HealthAccessCare/Management -
Should voluntary assisted dying be available to people with mental illness? The example of Canada.2 days agoMental HealthCare/Management
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[Tailored Treatment: Opportunities for Algorithm-Based Modular Psychotherapy in Hungarian Mental Health Care].2 days agoThe efficacy of psychotherapeutic interventions remains limited for many mental disorders, particularly in cases involving comorbidities and histories of childhood trauma. Traditional diagnosis-specific protocols often fail to address patients' underlying transdiagnostic mechanisms, which may hinder therapeutic success. Algorithm-Based Modular Psychotherapy (MoBa) is a personalized, mechanism-focused treatment model that integrates empirically supported therapeutic modules selected through a decision-making algorithm tailored to each patient. This article reviews the theoretical background of MoBa, key international findings, the structure of the modular approach, and its core transdiagnostic targets (e.g., rejection sensitivity, emotion dysregulation, impaired social cognition). Special emphasis is placed on the potential implementation of MoBa in the Hungarian mental health system, including clinical and institutional challenges. The authors provide practical recommendations for adapting MoBa in Hungary and outline directions for future research. Keywords: algorithm-based psychotherapy, MoBa, transdiagnostic approach, depression, personalized treatment, psychotherapy modules.Mental HealthCare/Management
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[The role of positive childhood experiences in adult well-being: Theoretical frameworks and applications].2 days agoChildhood experiences play a decisive role in shaping long-term physical and mental health as well as overall well-being in adulthood. In recent years, alongside adverse childhood experiences, increasing attention has been directed toward positive childhood experiences, which not only compensate negative effects, but also independently contribute to resilience and to maintaining mental health. This paper reviews how these experiences support adult well-being, outlines the theoretical frameworks that help in understanding their diversity and impact mechanisms, and highlights potential measurements in science and intervention practice. Special emphasis is placed on the importance of strengthening positive, protective and compensatory experiences in the fields of prevention, health promotion, and clinical interventions. Our aim is to demonstrate how positive childhood experiences can open new perspectives in understanding and supporting well-being. Keywords: adverse childhood experiences, positive childhood experiences, protective and compensatory experiences, resilience, well-being, mental health, developmental assets, supportive relationships, health promotion, trauma-informed approach.Mental HealthCare/ManagementAdvocacyEducation
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Examining the Associations Between Objectively Measured Sleep Quality and Multidimensional Mental Health in Older Adults.2 days agoThis study investigated the associations between objective sleep quality parameters and multidimensional mental health, including depression and quality of life (QoL), in community-dwelling older adults.
The data came from an ongoing cross-sectional study involving older adults aged ≥60, residing in an urban city. Nighttime sleep metrics were derived from wrist-worn actigraphy (ActiGraph-GT9X). Domain-specific QoL and depression were assessed using the standardized WHO-QoL-BREF and CES-D scales, respectively. Correlation and regression analyses examined the associations of interest, and subgroup analyses explored sex-specific patterns.
Among 47 participants [mean age = 70.3 ± 6.1 years; female = 53.2%], most participants had short total sleep time (TST; mean = 6.8 h). Significant associations were observed between sleep quality and mental health (rs = .4), with TST serving as a significant predictor of the QoL-Physical [β (95% CI) = 0.005 (0.0001-0.011), p = .042] and QoL-Social [β (95% CI) = 0.005 (0.0001, 0.010), p = .039]. Associations between TST and the QoL-Psychological [β (95% CI) = 0.008 (0.0001-0.017), p = .047] and QoL-Social [β (95% CI) = 0.011 (0.001-0.021), p = .036] were significant only in males.
Actigraphy-measured sleep quality, particularly increased TST, was associated with better domain-specific mental health in older adults, with patterns differing by sex.
These findings underscore the need for targeted strategies to promote adequate sleep and well-being in the older population.Mental HealthCare/Management