Search Results (297)

The Emporia State University (ESU) /Kansas Arts Commission (KAC) Arts in Medicine Partnership exemplifies interdisciplinary collaboration and the capacity of art therapy to impact mental health and well-being. Through the partnership, art therapy services were offered to medical agencies across the state of Kansas. Participants included medical patients, families, caregivers, staff, and professionals. The article introduces (1) the profession of art therapy and the subspecialty of medical art therapy, (2) the ESU/KAC Arts in Medicine Partnership, (3) examples of positive psychology-informed arts-based experiences, and (4) a pilot study designed to explore the impact of group art therapy sessions with medical teaching faculty. Full article

Demand for mental health support has exerted unprecedented pressure on statutory services. Innovative solutions such as Green or Nature-Based Social Prescribing (NBSP) programmes may help address unmet need, improve access to personalised treatment, and support the sustainable delivery of primary services within a prevention model of population health. We piloted an innovative health economics-informed Social Return on Investment (SROI) analysis and forecast of a ‘Making Well’ therapeutic craft and horticulture programme for mental health between October 2021 and March 2022. Quantitative and qualitative outcome data were collected from participants with mild-to-moderate mental health conditions at baseline and nine-weeks follow-up using a range of validated measures, including the Short Warwick–Edinburgh Mental Well-being Scale, ICEpop CAPability measure for Adults (ICECAP-A), General Self-Efficacy Scale (GSES), and a bespoke Client Service Receipt Inventory (CSRI). The acceptability and feasibility of these measures were explored. Results indicate that the Making Well programme generated well-being-related social value in the range of British Pound Sterling (GBP) GBP 3.30 to GBP 4.70 for every GBP 1 invested. Our initial pilot forecast suggests that the programme has the potential to generate GBP 5.40 to GBP 7.70 for every GBP 1 invested as the programme is developed and delivered over a 12-month period. Despite the small sample size and lack of a control group, our results contribute to the evidence-base for the effectiveness and social return on investment of NBSP as a therapeutic intervention for improving health and well-being and provides an example of the use of health economic well-being outcome measures such as ICECAP-A and CSRIs in social value analysis. Combining SROI evaluation and forecast methodologies with validated quantitative outcome measures used in the field of health economics can provide valuable social cost–benefit evidence to decision-makers. Full article

Background/Objectives: This study evaluates the effects of a personalized exercise program on symptoms (pain, fatigue, sleep, cognitive function, physical function), resilience, and health-related quality of life (HRQOL) and compares the effectiveness of in-person versus telehealth delivery. Methods: A secondary data analysis was conducted on two 12-week randomized control pilot studies for solid tumor cancer survivors. One study involved in-person home visits with telephone follow-ups. The second utilized weekly exercise recommendations via a smartphone app. Both studies had control participants who received the standard care. Symptoms, resilience, and HRQOL were measured at baseline and after 12 weeks. Paired t-tests were conducted for intervention effects and ANCOVA for group differences, adjusting for age and education. Results: The analysis included 75 program completers: 15 in-person (iHBE), 38 telehealth (TEHE), and 22 who received standard care. Those receiving exercise interventions reported improvements in physical (t = 3.0, p < 0.01) and mental fatigability (t = 3.1, p < 0.01) at program completion compared to baseline. Comparing the mean changes between participants receiving exercise interventions in-person and via telehealth, there were no significant differences between the two delivery methods except perceived visuo-perceptual cognitive difficulty (F = 3.55, p = 0.027), where telehealth showed a slight advantage. Conclusions: The study provides initial evidence of the effectiveness of a telehealth personalized exercise on fatigability and cognitive difficulty, suggesting it is a potential viable alternative to in-person intervention. Further research with a larger cohort is essential to ascertain the effects of these interventional modalities on cancer-related health outcomes. Full article

The mental health of prekindergarten (PK)-12th grade students is of extreme importance. Therapy dogs are a unique intervention to address mental health needs in educational frameworks. The purpose of this pilot study is to examine the components of a PK-12 district-wide therapy dog program and the implications for the mental health and well-being of students, faculty, and staff. This research used qualitative methods for semi-structured interviews with therapy dog handlers, observations including photographs, and researcher field notes of therapy dogs and handlers in their education environment. Thematic analysis of transcripts from semi-structured interviews was used for qualitative analysis. The results indicated that the strategic implementation of a district-wide therapy program supported a sustainable program that is integrated into the educational ecosystem. The participants perceived that the therapy dogs impacted mental health in the domains of social, emotional, and behavioral support. A district-wide systematic approach to addressing mental health and well-being needs of students, faculty, and staff with therapy dogs’ hinges on a comprehensive training and evaluation process, district-level support, and consistent implementation across educational settings. Therapy dogs can be embedded within educational structures to create a multilevel impact from the classroom to school to district level for a sustainable program. Therapy dogs positively contribute to the mental health and well-being of students, faculty, and staff in PK-12 education settings. Full article

Background: Antenatal depression and anxiety contribute significantly to maternal morbidity and adverse pregnancy outcomes. However, structured screening and targeted interventions are largely absent from standard prenatal care in many Eastern European countries, including Bulgaria. This study examines the prevalence and psychosocial predictors of antenatal psychosocial risk using the validated Antenatal Risk Questionnaire–Revised (ANRQ-R) in a nationally underrepresented population. Methods: A cross-sectional survey was conducted among 216 third-trimester pregnant women in Bulgaria. Data on sociodemographic characteristics, health behaviours, and reproductive history were collected. Multivariate logistic regression identified predictors of elevated psychosocial risk. Results: A total of 65.7% of participants met the criteria for elevated psychosocial risk. Significant risk factors included passive smoking exposure during pregnancy (OR = 5.03, p < 0.001), physical activity prior to pregnancy (OR = 1.81, p = 0.004), and a family history of hereditary disease (OR = 42.67, p < 0.001). Protective factors were better self-rated current health (OR = 0.37, p = 0.004), the presence of chronic illness (OR = 0.42, p = 0.049), previous childbirth experience (OR = 0.11, p = 0.032), and residence in Northwestern Bulgaria (OR = 0.31, p = 0.028). Despite the high prevalence of psychosocial vulnerability, only 9.5% of affected women sought professional help. Conclusions: While our findings point to important unmet needs in antenatal mental health, further research is required before national screening policies can be implemented. Pilot programs, cultural validation of tools, and system-level readiness assessments should precede broad adoption. Full article

Background: Today, young people face a variety of social, environmental and psychological challenges, making them more vulnerable to developing mental health issues. Worldwide 15% of adolescents experience poor mental health, with the majority not seeking help or receiving care. Therefore, it is critical that youth mental health services become more youth-friendly to encourage help-seeking. This study examines a new pilot volunteer model of care introduced into a youth mental health service in Melbourne, Australia. The aim of the study is to explore staff perspectives of the volunteer model. Methods: A qualitative research design was undertaken using semi-structured one-on-one interviews. Eight staff participated. Data was thematically analysed using an inductive approach. Results: Two main themes, ‘promoting service use’ and ‘implementation to practice’, were generated, along with sub-themes. The themes highlight benefits to staff such as reductions in workload and benefits to volunteers through the gaining of experience and knowledge. However, there was a need to support volunteers through greater training and supervision. Conclusions: Volunteers in youth mental health services can create a welcoming environment which enhances access and engagement for young people seeking help. Volunteers in a youth mental health setting can enhance accessibility, reducing staff workload and fostering meaningful engagement. Full article

Background: The aim of this study was to assess the experiences and attitudes of dentists toward treating patients with mental disorders and to investigate how these attitudes correlate with factors such as sex, age, and years of clinical experience. Methods: A cross-sectional pilot study was conducted from March to July 2021 via an online questionnaire. The questionnaire consisted of four sections: demographic information, self-assessment of experiences and attitudes toward treating patients with mental disorders, knowledge of psychotropic drugs and their interactions, and personal experiences with patient care. Results: Overall, 101 dentists, mostly females (78.22%), completed the questionnaire, of which 65.35% consistently checked whether their patients were taking psychotropic drugs and 48.51% inquired about mental disorders when taking medical history. Still, 39.60% reported unpleasant experiences when treating such patients—mostly female dentists—and as many as 14.85% of all dentists refused to treat them. More than 94% of dentists recognized that patients with mental disorders are at greater risk for poor oral health and in need of early referral and professional support. Older dentists demonstrated better knowledge of oral manifestations and drug interactions relevant to dental treatment. Conclusions: Our findings highlight the need for improved training, an interdisciplinary approach, and greater dissemination of new scientific evidence for managing patients with mental disorders in dental practice. Considering that this is a pilot study using a combination of non-probabilistic convenience and snowball sampling method, the findings should be considered preliminary and interpreted with caution, as the sampling method limits the ability to make statistical inferences. Full article

Background/Objectives: The pediatric mental health crisis in the United States has reached unprecedented levels. Severe shortages in specialized health care professionals, particularly child and adolescent psychiatrists (CAPs), exacerbate the challenge of delivering timely and quality mental health care, especially in rural areas like Kansas. Innovative models such as Pediatric Mental Health Care Access (PMHCA) programs and School-Based Health Clinics (SBHCs) aim to integrate mental health expertise into primary care settings to address this gap. Methods: This paper examines an integrated care model to support SBHCs developed by the Kansas PMHCA. The Interprofessional Child-Centered Integrated Care Model (ICX2) was implemented within an SBHC in Haysville, KS. ICX2 utilizes biweekly collaborative team meetings (CTMs) via zoom involving primary care, psychology, child psychiatry, social work, and school resource coordinators to discuss patient cases and enhance the primary care management of pediatric mental health. This descriptive study analyzes data from January 2023 to June 2023, focusing on patient demographics, case characteristics discussed during CTMs, and recommendations made by the interprofessional team. Results: Findings illustrate the complex biopsychosocial needs of patients seen and define themes of case consultation and recommendations. Conclusions: Integrated care programs like ICX2 can be feasibly implemented through PMHCA programs and may be an efficient intervention to bridge resource gaps. Full article

Occupational stress is a major contributor to mental and physical health problems, yet individuals vary in how they appraise and respond to stress, even in identical situations. This study investigates whether motivational goals and internalized conflict schemas—as proposed by Grawe’s Consistency Theory—account for these differences by intensifying subjective stress when approach and avoidance goals are simultaneously activated. In a vignette-based pilot study, we validated 12 workplace scenarios varying in incongruence levels. In the main study (N = 482; mean age 25 years; 83.2% female), participants completed the FAMOS questionnaire to assess approach and avoidance goals and were randomly assigned to 4 out of the 12 pretested vignettes. Subjective stress was measured before and after vignette exposure using the SSSQ, and subjective wellbeing was measured using the PANAS. Multilevel modeling showed that participants with stronger avoidance goals and conflict schemas reported higher baseline stress, and that experimentally induced high incongruence led to greater increase in stress levels compared to low incongruence in three out of four scenarios. These findings suggest that psychological inconsistencies—particularly avoidance goals, conflict schemas, and goal incongruence—serve as internal stressors that intensify stress responses. The results highlight the importance of considering individual motivational patterns in stress research and intervention. Full article

Background: Over the last 30 years, stress and anxiety in children have risen exponentially, especially as a result of school expectations. As no studies have examined the effect of increased outdoor recess on children’s chronic stress levels, this preliminary work focused on comparing hair cortisol concentration (HCC) scores of elementary children who received varied amounts of daily recess. Methods: HCC scores were collected from 4th grade elementary children (N = 130) from three intervention schools (45 min daily recess) (N = 64; M = 35; F = 29) and three control schools (30 min daily recess) (N = 66; M = 31; F = 35). Results: A two-way ANOVA, F(1, 123) = 5.47, p = 0.021, ω² = 0.034, showed that the intervention group reflected lower HCC levels (marginal M = 5.69, 95% CI [−1.92, 13.30]) than the control group (marginal M = 18.22, 95% CI [10.83, 25.61]). Post hoc analysis revealed an estimated marginal mean difference of −12.53 (SE = 5.36, p = 0.021). Sample t-tests compared HCC levels against the pre-COVID normative value of 7.5 pg/mg. The intervention group HCC mean (M = 5.85, SD = 6.26) was significantly lower than the normative value, t(61) = −2.08, p = 0.042. The control group’s mean HCC (M = 18.22, SD = 41.39) was significantly higher than the normative value, t(64) = 2.09, p = 0.041. Conclusions: Increasing daily recess may contribute to lower chronic stress levels among 4th grade children. With obesity and mental health disorders on the rise and American students’ academic performance on the decline, these pilot results cannot be overlooked or dismissed. Full article

Road traffic accidents (RTAs) are a leading cause of physical injury worldwide, but they also frequently result in post-traumatic stress disorder (PTSD). This systematic review examines the prevalence, predictors, comorbidity, and treatment of PTSD among RTA survivors. Four electronic databases (PubMed, Scopus, EBSCO, and ProQuest) were searched following PRISMA 2020 guidelines. Articles were included if reporting on the presence of post-traumatic stress disorder as a result of a road traffic accident in adults aged 18 years and older. Including peer-reviewed journal articles and awarded doctoral theses across all publication years, and written in English, Macedonian, Serbian, Bosnian, Croatian, and Bulgarian, identified 259 articles, and using Literature Evaluation and Grading of Evidence (LEGEND) assessment of evidence 96 were included in the final review, involving 50,275 participants. Due to the heterogeneity of findings, quantitative data were synthesized thematically rather than through meta-analytic techniques. Findings are reported from Random Control Trial (RCT) and non-RCT studies. PTSD prevalence following RTAs ranged widely across studies, from 20% (using Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, DSM-5 criteria) to over 45% (using International Classification of Diseases, 10th Revision, ICD-10 criteria) within six weeks post-accident (non-RCT). One-year prevalence rates ranged from 17.9% to 29.8%, with persistence of PTSD symptoms found in more than half of those initially diagnosed up to three years post-RTA (non-RCTs). Mild or severe PTSD symptoms were reported by 40% of survivors one month after the event, and comorbid depression and anxiety were also frequently observed (non-RCTs). The review found that nearly half of RTA survivors experience PTSD within six weeks, with recovery occurring over 1 to 3 years (non-RCTs). Even minor traffic accidents lead to significant psychological impacts, with 25% of survivors avoiding vehicle use for up to four months (non-RCT). Evidence-supported treatments identified include Cognitive Behavioural Therapy (CBT) (RCTs and non-RCTs), Virtual Reality (VR) treatment (RCTs and non-RCTs), and Memory Flexibility training (Mem-Flex) (pilot RCT), all of which demonstrated statistically significant reductions in PTSD symptoms across validated scales. There is evidence for policy actions including mandatory and regular psychological screening post RTAs using improved assessment tools, sharing health data to better align early and ongoing treatment with additional funding and access, and support and interventions for the family for RTA comorbidities. The findings underscore the importance of prioritizing research on the psychological impacts of RTAs, particularly in regions with high incident rates, to understand better and address the global burden of post-accident trauma. Full article

Background: In Oman, primary healthcare physicians (PHPs) are often the first point of contact in the healthcare system. Understanding the prevalence and impact of stigma among these professionals is crucial to fostering a supportive work environment and promoting access to mental health care. This study evaluated mental health stigma and its association with help-seeking behaviors among PHPs in Muscat, Oman. Methods: A cross-sectional analytical study was conducted from March to May 2023 using cluster random sampling to recruit 191 PHPs. Participants completed a structured questionnaire that evaluated demographic and clinical characteristics, help-seeking behaviors, and perceived stigma. The PPSS developed for this study underwent expert review, pilot tests, and reliability analysis. Data were analyzed using descriptive statistics, Chi-square tests, and multivariate logistic regression, with a significance set at p < 0.05. Results: Most of the participants were women (78.5%), aged 30–39 years (49.7%), and Omani nationals (71.2%). More than half (57.6%) reported experiencing depressive episodes, yet only 21.8% sought professional help. High levels of stigma were associated with reluctance to seek professional mental health support, and 24.6% of participants preferred not to seek help at all. Those in the stigma group were significantly more likely to rely on family or friends for support (adjusted OR = 2.873; 95% CI = 1.345–6.138; p = 0.006). Common barriers to help-seeking included a lack of belief in the effectiveness of treatment (23.0%) and concerns about confidentiality (19.9%). Conclusions: Mental health stigma remains a widespread problem among primary healthcare physicians in Oman, influencing their behavior and preferences. Interventions to reduce stigma and address barriers to mental health care, such as enhanced confidentiality safeguards and treatment skepticism, are critical to improving physician well-being and healthcare delivery. This study can inform policy and training programs aimed at improving physician well-being and patient care. Full article

Background: Out-of-hospital cardiac arrest (OHCA) survivors and their relatives may face challenges following hospital discharge, relating to mood, cognition, and returning to normal day-to-day activities. Identified research gaps include a lack of knowledge around what type of intervention is needed to best navigate recovery. In this study, we investigate the feasibility and patient acceptability of a new virtual psychoeducational group intervention for OHCA survivors and their relatives and compare it to a control group receiving a digital information booklet. Methods: V-CARE is a comparative, single-blind randomized pilot trial including participants at selected sites of the STEPCARE trial, in the United Kingdom and Sweden. Inclusion criteria are a modified Rankin Scale (mRS) ≤ 3 at 30-day follow-up; no diagnosis of dementia; and not experiencing an acute psychiatric episode. One caregiver per patient is invited to participate optionally. The intervention group in V-CARE receives four semi-structured, one-hour-long, psychoeducational sessions delivered remotely via video call by a trained clinician once a week, 2–3 months after hospital discharge. The sessions cover understanding cardiac arrest; coping with fatigue and memory problems; managing low mood and anxiety; and returning to daily life. The control group receives an information booklet focused on fatigue, memory/cognitive problems, mental health, and practical coping strategies. Results: Primary: feasibility (number of patients consented) and acceptability (retention rate); secondary: satisfaction with care (Client Satisfaction Questionnaire 8 item), self-management skills (Self-Management Assessment Scale) and, where available, health-related outcomes assessed in the STEPCARE Extended Follow-up sub-study including cognition, fatigue, mood, quality of life, and return to work. Conclusions: If preliminary insights from the V-CARE trial suggest the intervention to be feasible and acceptable, the results will be used to design a larger trial aimed at informing future interventions to support OHCA recovery. Full article

Burnout is a complex phenomenon influenced by both environmental and individual factors. This pilot study explores the predictive role of occupational noise perception and stress vulnerability on burnout symptoms among industrial workers. A cross-sectional survey was conducted with 119 Portuguese workers exposed to occupational noise. Participants completed validated self-report measures assessing noise perception, stress vulnerability, and burnout. Path analysis revealed that both higher stress vulnerability and greater perceived occupational noise were significant predictors of elevated burnout levels. Furthermore, gender emerged as a relevant predictor, with women reporting significantly higher burnout symptoms than men. Age was inversely related to stress vulnerability, indicating greater resilience among older workers. These findings suggest that individual differences in stress vulnerability and noise perception contribute meaningfully to burnout risk, beyond traditional occupational hazard assessments. The study underscores the need for holistic occupational health strategies, integrating both environmental modifications and psychosocial interventions aimed at enhancing workers’ coping capacities. This study contributes novel insights into the interplay between perceived noise and psychological vulnerability in industrial settings, supporting broader preventive measures for work-related mental health outcomes. Full article

Rising mental health challenges among postsecondary students have increased the demand for scalable, ethical solutions. This paper presents the design, development, and safety evaluation of Luna, a GPT-4-based mental health chatbot. Built using a modular PHP architecture, Luna integrates multi-layered prompt engineering, safety guardrails, and referral logic. The Institutional Review Board (IRB) at the University of Detroit Mercy (Protocol #23-24-38) reviewed the proposed study and deferred full human subject approval, requesting technical validation prior to deployment. In response, we conducted a pilot test with a variety of users—including clinicians and students who simulated at-risk student scenarios. Results indicated that 96% of expert interactions were deemed safe, and 90.4% of prompts were considered useful. This paper describes Luna’s architecture, prompt strategy, and expert feedback, concluding with recommendations for future human research trials. Full article