BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an e...BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.展开更多
Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of th...Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.展开更多
Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This...Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.展开更多
The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 ...The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 affected globally,older adults also experience significant psychological impact including depression,anxiety,and cognitive impairment.The implications of vision-related challenges extend far beyond mere sight.Depression and anxiety,exacerbated by social isolation and reduced physical activity,underscore the need for comprehensive interventions that address both medical and psychosocial dimensions.By recognizing the profound impact of ocular morbidities like strabismus,myopia,glaucoma,and age-related macular degeneration on mental health and investing in effective treatments and inclusive practices,society can pave the way for a healthier,more equitable future for affected individuals.There is evidence that myopic children experience a higher prevalence of depressive symptoms compared to their normal peers,and interventions like the correction of strabismus can enhance psychological outcome-demonstrating the value of an integrated management approach.展开更多
There has been an increase in mental health problems in Sub-Saharan Africa.Considering this,it is critical to track the region’s level of mental health literacy(MHL)to identify key mental health priorities and to dir...There has been an increase in mental health problems in Sub-Saharan Africa.Considering this,it is critical to track the region’s level of mental health literacy(MHL)to identify key mental health priorities and to direct the most effective interventions.The purpose of this study was to review the existing literature on MHL in sub-Saharan Africa.EBSCOhost(inclusive of Academic Search Ultimate,MEDLINE,APA PsycINFO,APA Psych Articles,and Global Health),CINAHL with full text,Wiley Online Library,Taylor and Francis Online Journals and Google Scholar databases were searched to retrieve relevant articles.The study only considered original full-text,peer-reviewed,English-written research on MHL carried out in sub-Saharan Africa and published between 2015 and 2023.Scoping review steps by Arksey and O’Malley(2005)were followed.Grey literature,review studies,and review protocols were excluded.The data was analysed using reflexive thematic analysis(RTA).The results showed that MHL varies within the region,making it difficult to determine the exact state.Furthermore,the study uncovered factors that contribute to both poor and better MHL in the region.Poor MHL was linked to residing in the township and being male.Better MHL was associated with higher education levels,being female,urban residence,and having a history of mental illness,among other factors.The studyfindings provide evidence-based recommendations for regional,policy,or legislative-led interventions and prioritisations of mental health education programs and public mental health campaigns to increase awareness of mental health.展开更多
Mental health disorders have emerged as a critical global health challenge,profoundly impacting individuals,communities,and societies worldwide.The prevalence of mental health problems has been steadily increasing,wit...Mental health disorders have emerged as a critical global health challenge,profoundly impacting individuals,communities,and societies worldwide.The prevalence of mental health problems has been steadily increasing,with~1 in 8 people,equivalent to 970 million individuals suffering from a mental disorder in 2019(https://vizhub.healthdata.org/gbd-results).Anxiety and depressive disorders are predominant,contributing significantly to the burden of mental health issues,according to the World Health Organization.The COVID-19 pandemic has further exacerbated this situation.It led to a notable upsurge in anxiety and major depressive disorders in 2020.Estimates indicate a 26%rise in anxiety and a 28%increase in depression within that year(https://www.who.int/publications/i/item/WHO-2019-nCoVSci_Brief-Mental_health-2022.1)[1].展开更多
As the population of older Asian Americans continues to grow rapidly,understanding their mental health needs has become increasingly critical.This literature review summarizes current issues,developments,and future di...As the population of older Asian Americans continues to grow rapidly,understanding their mental health needs has become increasingly critical.This literature review summarizes current issues,developments,and future directions in addressing the mental health challenges faced by older Asian Americans in the last five years.We briefly touch on the comparative prevalence of mental health disorders experienced by ethnic subgroups.Additionally,we review recent studies highlighting the role of the coronavirus disease 2019,racism,social support,cultural stigma,and self-rated health as significant factors influencing mental well-being of this population.We discuss the utilization of health services among older Asian Americans.We conclude with thoughts for future research,emphasizing the importance of longitudinal studies,consideration of diverse Asian American ethnic subgroups,and culturally sensitive diagnostic and treatment approaches.展开更多
Background and objectives:The ongoing mpox outbreaks have garnered significant attention due to their public health implications,particularly the potential mental health impacts.Despite the growing concern,there has b...Background and objectives:The ongoing mpox outbreaks have garnered significant attention due to their public health implications,particularly the potential mental health impacts.Despite the growing concern,there has been limited exploration of the intersection between mpox and mental health within the research literature.This study aims to conduct a comprehensive bibliometric analysis to examine global research trends,regional distribution,and thematic focus areas related to mpox's psychological and psychiatric implications.Methods:We conducted a bibliometric analysis using Scopus and the Web of Science database.The analysis was carried out using the R-bibliometrics package and involved identifying literature on mpox and mental health,focusing on global research trends,regional distribution,and thematic areas of study.The analysis included 416 documents obtained from 295 sources from January 1,2014 to August 27,2024.Results:Our analysis revealed a growing but unevenly distributed literature on mpox and mental health.Most studies concentrated on the relationship between mpox and conditions such as depression and anxiety,while other psychiatric outcomes remain underexplored.The geographic distribution of research was also uneven,with regions like Europe and the Americas receiving more focus than others.Conclusions:The study highlights the need for more targeted research on the mental health sequelae of mpox,particularly for vulnerable populations and regions that are currently underrepresented in the literature.Future research should include longitudinal studies to assess the long-term effects of mpox on mental health and the development of robust methodologies to establish causality.Integrating mental health considerations into public health responses to mpox outbreaks is crucial,with significant implications for research,policy,and clinical practice.展开更多
[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and ex...[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and explore an integrated management path that is applicable to rural areas.[Methods]A cross-sectional survey,in conjunction with a retrospective cohort analysis,was conducted.The samples were obtained from the National Management Information System for Severe Mental Disorders(2020-2024),and all registered rural patients in Zhushan County were included through cluster sampling.All participants provided informed consent,and the study received approval from the Ethics Committee of the Zhushan County Mental Health Center.Diagnoses were made in accordance with the International Classification of Diseases,10 th Revision(ICD-10).The research utilized a self-developed socio-ecological scale,which was validated through two rounds of the Delphi method conducted by an expert group,yielding a Cronbach sαof 0.82.The data were collected by trained investigators who conducted household visits.The data entry process involved double entry by two individuals to ensure accuracy for system review.Statistical analysis was performed using SPSS 26.0,employing the chi-square(χ2)test and logistic regression models for analysis.[Results]Schizophrenia was identified as the predominant disorder,affecting 68.4%of the patient population,followed by bipolar disorder,which accounted for 18.8%.Notably,individuals aged over 60 years constituted 40.36%of the sample.Furthermore,the poverty rate within this population was alarmingly high at 87.87%,while the illiteracy rate stood at 41.37%.The treatment experienced a significant delay,with a median duration of 14.2 months.Additionally,there was a substantial gap in standardized treatment,measured at 23.59%.The family care function was found to be inadequate,particularly for families lacking guardianship capacity,which was reported at 11.31%.An analysis of the underlying causes indicates that social structural imbalances(such as left-behind children and marital breakdown),along with economic poverty and insufficient educational opportunities,were critical risk factors contributing to these issues.The development of a model that integrates dynamic screening,full-chain intervention,and collaborative management is beneficial for fostering the efficient and systematic advancement of the rural mental health system.[Conclusions]Patients with mental disorders residing in rural areas face dual vulnerabilities.Therefore,it is essential to implement integrated management that encompasses early screening,standardized treatment,family support,and policy assistance.It is recommended that these elements should be integrated into the framework for local health policy development to enhance equitable access to mental health services and to provide psychological support for rural revitalization efforts.展开更多
Background:Employment can support the recovery of individuals with Severe Mental Disorders by promoting autonomy,reducing hospital admissions and associated costs,fostering social connections,and providing structure t...Background:Employment can support the recovery of individuals with Severe Mental Disorders by promoting autonomy,reducing hospital admissions and associated costs,fostering social connections,and providing structure to their daily lives.The objective of this pilot study was to analyse job satisfaction and perceived social support in people with severe mental disorders who are users of an Employment Guidance and Support Service in southern Spain.Methods:A descriptive cross-sectional pilot study was carried out with a sample of 39 workers with mental disorders from the province of Huelva(southern Spain)who were users of the Employment Guidance and Support Service of the Regional Government of Andalusia(Spain).Perceived Organisational Support was assessed with the Spanish short version of the Survey of Perceived Organizational Support and the S10/12 Job Satisfaction Questionnaire.Results:As findings,87.2%of the sample reported high levels of job satisfaction,and 61.5%of the subjects surveyed perceived high levels of support.Regarding the variable Perceived Support,84%of workers from ordinary companies and 50%of those from Special Employment Centres(SECs)considered that they had sufficient support.There was a positive correlation between support and satisfaction(Spearman’s Rho=0.423).Conclusion:The results suggest a positive relationship between support and satisfaction,warranting further longitudinal research with larger samples.This pilot study provides preliminary insights into the relationship between perceived organizational support and job satisfaction among workers with severe mental disorders.展开更多
Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component o...Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component of mental healthcare,with positive effects on physical health,mental health,and quality of life.However,to date,there is limited evidence regarding the implementation of varied styles of supported exercise therapy within outpatient,transdiagnostic mental health services.This protocol paper outlines the methods for a hybrid effectiveness-implementation trial implementing two styles of supported exercise within an outpatient mental health hospital.Methods:Participants will be allocated to either in-person supervised exercise sessions,or independent,remotely supported exercise programs.Both intervention arms will have the target of 150 minutes of moderate intensity exercise per week across the 12-week intervention period,along with a 12-week maintenance period following the intervention periods.Assessments will be conducted at intake,intervention midpoint(i.e.,week 6–7),intervention conclusion(i.e.,week 13),and at follow-up(i.e.,week 25).Results:The evaluation of the exercise interventions will consist of implementation and effectiveness outcomes during the intervention and at follow-up.Conclusions:The outcomes from this trial will add to the ever-increasing evidence for the incorporation of exercise within care for severe mental illness.This trial will report on the implementation and effectiveness of varied levels of support in exercise therapy for consumers with severe mental illness,which may in turn guide the future implementation and improve provision of exercise therapy in hospital mental health services.展开更多
Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low...Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low-and middle-income regions(e.g.,sub-Saharan Africa and Southeast Asia),threatening the lives of patients and imposing significant psychosocial burdens.Recent studies have highlighted the crucial role of psychosocial factors,including socioeconomic status,disease severity,and social support systems in recovery.However,research gaps persist in developing TBM-specific psychosocial interventions.This narrative review summarizes and organizes the key findings of observational studies,cohort studies,and intervention trials published between 2015 and 2024.Databases including PubMed,Scopus,and Web of Science were searched for terms related to TBM,psychosocial risk factors and mental health interventions.Studies were screened for relevance and quality,focusing on those that examined the psychological and social determinants of mental health outcomes in patients with TBM.展开更多
Objectives:Recent research has shown that college students experience high levels of stress from various sources,which contribute to heightened rates of psychological distress and make them particularly vulnerable to ...Objectives:Recent research has shown that college students experience high levels of stress from various sources,which contribute to heightened rates of psychological distress and make them particularly vulnerable to mental health issues.Hence,we conducted a study,aimed to analyze the influence of a mobile-based walking routine on mental health outcomes,such as perceived stress and positive and negative affect.Methods:The participants were divided into two groups:the walking group(N=23)and the control group(N=24).The walking group engaged in an approximately 25-min walking session for at least 3 days per week,which was carefully monitored and facilitated with the help of the Nike Run Club application.The statistical analysis of the quantitative data was carried out with the help of SPSS 25.0.In addition to calculating descriptive statistics,we conducted an independent samples t-test,a repeated-measures ANOVA,and a paired sample t-test to analyze the effectiveness of the intervention.Results:A repeated-measures ANOVA revealed that the walking group exhibited significant reductions in perceived stress(t=2.03,p=0.049,Cohen’s D=0.60)and negative affect(t=2.19,p=0.033,Cohen’s D=0.65)after the intervention,whereas the control group showed no significant changes across time in any of the proposed variables.Conclusion:The results of the study continue to be indicative of the positive effects of regular walking on perceived stress and negative affect,preserving its role as a straightforward and accessible tool for reducing stress and negative affect.展开更多
An individual's mental health influences their capacity to think effectively,feel emotionally stable,and perform daily activities.As mental health concerns become more prevalent worldwide,new awareness and diagnos...An individual's mental health influences their capacity to think effectively,feel emotionally stable,and perform daily activities.As mental health concerns become more prevalent worldwide,new awareness and diagnostic and treatment tactics are needed.Digital tools and technology are helping solve these problems by providing scalable,tailored solutions for large populations.This detailed review examines mental health‐promoting internet tools.Smartphone applications,web‐based therapy systems,wearable tech,artificial intelligence‐powered resources,and virtual reality(VR)technologies were evaluated for efficacy and side effects.PubMed,PsycINFO,Scopus,IEEE Xplore,and Google Scholar were carefully searched.Search terms included“digital mental health tools,”“online therapy,”and“AI in mental health.”Randomized controlled trials,cohort studies,cross‐sectional studies,systematic reviews,and meta‐analyses of digital technology and mental health were included from among the literature published after 2010.Cognitive behavioral therapy methods,mood monitoring,and mindfulness exercises are among the numerous features of smartphone applications that have been demonstrated to mitigate symptoms of anxiety,depression,and tension.Online therapy platforms let marginalized individuals obtain therapy remotely.Wearable technology may detect heart rate,blood pressure,and sleep length,which may reveal mental health difficulties.Chatbots employ machine learning algorithms and natural language processing to deliver customized support and show promise for quick intervention.Exposure therapy for anxiety and trauma is increasingly using virtual reality environments.Although digital mental health therapies face challenges in relation to data privacy,limited long‐term efficacy,and technological inequality,digital technologies are modernizing mental healthcare.By offering inexpensive and effective alternatives to traditional therapies,digital technologies may help healthcare systems meet the growing demand for mental health services and overall well‐being.展开更多
Mental health is a significant issue worldwide,and the utilization of technology to assist mental health has seen a growing trend.This aims to alleviate the workload on healthcare professionals and aid individuals.Num...Mental health is a significant issue worldwide,and the utilization of technology to assist mental health has seen a growing trend.This aims to alleviate the workload on healthcare professionals and aid individuals.Numerous applications have been developed to support the challenges in intelligent healthcare systems.However,because mental health data is sensitive,privacy concerns have emerged.Federated learning has gotten some attention.This research reviews the studies on federated learning and mental health related to solving the issue of intelligent healthcare systems.It explores various dimensions of federated learning in mental health,such as datasets(their types and sources),applications categorized based on mental health symptoms,federated mental health frameworks,federated machine learning,federated deep learning,and the benefits of federated learning in mental health applications.This research conducts surveys to evaluate the current state of mental health applications,mainly focusing on the role of Federated Learning(FL)and related privacy and data security concerns.The survey provides valuable insights into how these applications are emerging and evolving,specifically emphasizing FL’s impact.展开更多
Ajzen’s theory of planned behavior(TPB)suggests that planned behavior is determined by behavioral intention.Despite extensive literature based on TPB,household mental budgeting behavior explained by TPB is underexplo...Ajzen’s theory of planned behavior(TPB)suggests that planned behavior is determined by behavioral intention.Despite extensive literature based on TPB,household mental budgeting behavior explained by TPB is underexplored.The current study empirically tested TPB factors in light of mental budgeting behavior.The hypothesized model was tested using partial least squares structural equation modeling(PLS-SEM).PLS-SEM was employed using a Likert-scaled questionnaire administered to 275 households.The results indicate that mental budgeting attitude and mental budgeting past behavior strongly predict mental budgeting intention,and mental budgeting intention predicts mental budgeting behavior.Further,mental budgeting intention partially mediates the relationship between mental budgeting attitude and mental budgeting behavior,and mental budgeting past behavior and mental budgeting behavior.This study contributes to the academic interest in theoretical progress in household behavior.展开更多
Objective This study aimed to analyse the trend of the mental disorder spectrum in children and adolescents from 2014 to 2022 in one city in Central China and to provide actionable recommendations for the prevention a...Objective This study aimed to analyse the trend of the mental disorder spectrum in children and adolescents from 2014 to 2022 in one city in Central China and to provide actionable recommendations for the prevention and management of mental disorders.Methods In this hospital-based retrospective study,we utilized child and adolescent medical records data from the Wuhan Mental Health Center from January 2014 to December 2022 and examined the top 5 mental disorders(schizophrenia,depressive episode,bipolar disorder,pervasive developmental disorder,and unspecified mood disorder)that accounted for the overall proportion of patients admitted.The rank and proportion of these mental disorders,demographic characteristics and disease indicators were analysed.Results There was a significant upwards trend in the number of children and adolescents diagnosed with mental disorders over the past 9 years,with a sharp decline in 2020 due to the COVID-19 pandemic,followed by a rebound in 2021 and a sustained level above prepandemic figures by 2022.The average age of hospitalization decreased significantly from 20.7 to 16.2 years,with a marked increase in the 12-17-year-old age group.The proportion of female hospitalizations increased from 39.2%to 55.2%,with a corresponding decrease in male hospitalizations.There was a notable decrease in the proportion of schizophrenia cases and an ascent of depressive episode to the most prevalent position.Conclusion This study emphasizes the critical need for targeted interventions and resources for severe mental disorders in children and adolescents and the importance of early detection and management of mental disorders to mitigate long-term effects on well-being and development.展开更多
This study addressed the critical need for an integrated,personalized approach to perimenopausal mental health,addressing both biological and psychosocial fac-tors.Current research highlighted the influence of hormona...This study addressed the critical need for an integrated,personalized approach to perimenopausal mental health,addressing both biological and psychosocial fac-tors.Current research highlighted the influence of hormonal fluctuations,genetic predispositions,and lifestyle factors in shaping perimenopausal mental health outcomes.This transitional period is marked by significant hormonal fluctuations contributing to heightened anxiety,depression,and sleep disturbances,affecting the women’s quality of life.Traditional pharmacological treatments,including selective serotonin reuptake inhibitors and hormone replacement therapy,have limitations due to variable efficacy and side effects,emphasizing the need for precision medicine.Advancements in pharmacogenomics and metabolomics provide new avenues for individualized treatments,with genetic markers(e.g.,Solute carrier organic anion transporter family member 1B1,estrogen receptor 1/estrogen receptor 2,and tachykinin receptor 3)guiding hormone therapy resp-onses.Emerging digital health technologies,such as artificial intelligence-driven diagnostics,wearable monitoring,and telehealth platforms,offer scalable,real-time mental health support,though regulatory and clinical validation challenges remain.Furthermore,integrative treatment models combining hormone-based therapy with non-pharmacological interventions demonstrate significant efficacy in alleviating perimenopausal symptoms.Future directions should prioritize the clinical validation and ethical implementation of digital health solutions,ensuring safety,efficacy,and user accessibility.A multidisciplinary,patient-centric model,incorporating genetics,endocrinology,digital health,and psychosocial interventions,is essential for optimizing perimenopausal mental health outcomes.展开更多
Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mind...Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.展开更多
Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for ...Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for stakeholders and the entire community.Aims This study aims to establish a multidisciplinary consensus of principles for ethical governance of clinical BCI research for mental disorders and offer practical ethical guidance to stakeholders involved.Methods A systematic literature review,symposium and roundtable discussions,and a pre-Delphi(round 0)survey were conducted to form the questionnaire for the three-round modified Delphi study.Two rounds of surveys,followed by a third round of independent interviews of 25 experts from BCI-related research domains,were involved.We conducted quantitative analysis of responses and agreements among experts to reveal the consensus and differences regarding the ethical governance of mental BCI research from a multidisciplinary perspective.Results The Delphi panel emphasised important concerns of ethical review practices and ethical principles within the BCI context,identified qualified and highly influential institutions and personnel in conducting and advancing clinical BCI research,and recognised prioritised aspects in the risk-benefit evaluation.Experts expressed diverse opinions on specific ethical concerns,including concerns about invasive technology,its impact on humanity and potential social consequences.Agreement was reached that the practices of ethical governance of clinical BCI for mental disorders should focus on patient voluntariness,autonomy,long-term effects and related assessments of BCI interventions,as well as privacy protection,transparent reporting and ensuring that the research is conducted in qualified institutions with strong data security.Conclusions Ethical governance of clinical research on BCI for mental disorders should include interdisciplinary experts to balance various needs and incorporate the expertise of different stakeholders to avoid serious ethical issues.It requires scientifically grounded approaches,continuous monitoring and interdisciplinary collaboration to ensure evidence-based policies,comprehensive risk assessments and transparency,thereby promoting responsible innovations and protecting patient rights and well-being.展开更多
基金Supported by Inter Disciplinary Direction Cultivation Project of Hunan University of Chinese Medicine,No.2025JC01032025 Hunan Province Science and Technology Innovation Plan Project,No.2025RC9012+2 种基金2022"Unveiling and Leading"Project of Discipline Construction at Hunan University of Chinese Medicine,No.22JBZ044Changsha Municipal Natural Science Foundation,No.kq2402174Hunan Provincial Science Popularization Fund Project,No.2025ZK4223.
文摘BACKGROUND Timely and accurate evaluation of mental disorders in adolescents using appropriate mental health literacy assessment tools is essential for improving their mental health literacy levels.AIM To develop an evaluation index system for the mental health literacy of adolescent patients with mental disorders,providing a scientific,comprehensive,and reliable tool for the monitoring and intervention of mental health literacy of such patients.METHODS From December 2022 to June 2023,the evaluation index system for mental health literacy of adolescents with mental disorders was developed through literature reviews,semi-structured interviews,expert letter consultations,and the analytic hierarchy process.Based on this index system,a self-assessment questionnaire was compiled and administered to 305 adolescents with mental disorders to test the reliability and validity of the index system.RESULTS The final evaluation index system for mental health literacy of adolescents with mental disorders included 4 first-level indicators,10 second-level indicators,and 52 third-level indicators.The overall Cronbach’sαcoefficient of the index system was 0.957,with a partial reliability of 0.826 and a content validity index of 0.975.The cumulative variance contribution rate of 10 common factors was 66.491%.The correlation coefficients between each dimension and the total questionnaire ranged from 0.672 to 0.724,while the correlation coefficients in each dimension ranged from 0.389 to 0.705.CONCLUSION The evaluation index system for mental health literacy of adolescents with mental disorders,developed in this study,demonstrated notable reliability and validity,making it a valuable tool for evaluating mental health literacy in this population.
文摘Recently,inflammatory cytokine profiles have been linked to suicide risk in adolescents with non-suicidal self-injury,highlighting a promising biological dimension of suicide risk assessment.Clinical translation of the cytokine profiles into practice will require frontline engagement of the workforce.Mental health nurses are frequently the most accessible professionals in schools,communities,and low-resource settings and are prime candidates to bridge this gap.By integrating psychosocial evaluation with emerging biomarker data,they can deliver systematic risk assessment,continuous monitoring,and timely intervention.This role would not replace psychiatric expertise;it would extend the reach of psychiatric services,embedding suicide prevention across the continuum of care.For health systems,nurse-led integration may enhance capacity,equity,and resilience in responding to adolescent suicide risk.This editorial demonstrates that empowering nurses to operationalize biomarker-informed strategies is needed for advancing effective and sustainable suicide prevention in this vulnerable population.
文摘Healthy behavior has long been linked to mental health outcomes.However,the role of artificial intelligence(AI)literacy in shaping healthy behaviors and its potential impact on mental health remains underexplored.This paper presents a scoping review offering a novel perspective on the intersection of healthy behaviors,mental health,and AI literacy.By examining how individuals’understanding of AI influences their choices regarding nutrition and their susceptibility to mental health issues,the current study explores emerging trends in health behavior decision-making.This emphasizes the need for integrating AI literacy into mental health and health behaviors education,as well as the development of AI-driven tools to support healthier behavior choices.It highlights that individuals with low AI literacy may misinterpret or overly depend on AI guidance,resulting in maladaptive health choices,while those with high AI literacy may be more likely to engage reflectively and sustain positive behaviors.The paper outlines the importance of inclusive education,user-centered design,and community-based support systems to enhance AI literacy for digitally marginalized groups.AI literacy may be positioned as a key determinant of health equity,better allowing for interdisciplinary strategies that empower individuals to make informed,autonomous decisions that promote both physical and mental health.
文摘The intersection of visual impairment and mental health has profound effects on quality of life and warrants attention from healthcare providers,educators,and policymakers.With 20 million children under the age of 14 affected globally,older adults also experience significant psychological impact including depression,anxiety,and cognitive impairment.The implications of vision-related challenges extend far beyond mere sight.Depression and anxiety,exacerbated by social isolation and reduced physical activity,underscore the need for comprehensive interventions that address both medical and psychosocial dimensions.By recognizing the profound impact of ocular morbidities like strabismus,myopia,glaucoma,and age-related macular degeneration on mental health and investing in effective treatments and inclusive practices,society can pave the way for a healthier,more equitable future for affected individuals.There is evidence that myopic children experience a higher prevalence of depressive symptoms compared to their normal peers,and interventions like the correction of strabismus can enhance psychological outcome-demonstrating the value of an integrated management approach.
文摘There has been an increase in mental health problems in Sub-Saharan Africa.Considering this,it is critical to track the region’s level of mental health literacy(MHL)to identify key mental health priorities and to direct the most effective interventions.The purpose of this study was to review the existing literature on MHL in sub-Saharan Africa.EBSCOhost(inclusive of Academic Search Ultimate,MEDLINE,APA PsycINFO,APA Psych Articles,and Global Health),CINAHL with full text,Wiley Online Library,Taylor and Francis Online Journals and Google Scholar databases were searched to retrieve relevant articles.The study only considered original full-text,peer-reviewed,English-written research on MHL carried out in sub-Saharan Africa and published between 2015 and 2023.Scoping review steps by Arksey and O’Malley(2005)were followed.Grey literature,review studies,and review protocols were excluded.The data was analysed using reflexive thematic analysis(RTA).The results showed that MHL varies within the region,making it difficult to determine the exact state.Furthermore,the study uncovered factors that contribute to both poor and better MHL in the region.Poor MHL was linked to residing in the township and being male.Better MHL was associated with higher education levels,being female,urban residence,and having a history of mental illness,among other factors.The studyfindings provide evidence-based recommendations for regional,policy,or legislative-led interventions and prioritisations of mental health education programs and public mental health campaigns to increase awareness of mental health.
基金supported by the National Natural Science Foundation of China(T2241028)STI2030-Major Projects[2021ZD0203000(2021ZD0203003)].
文摘Mental health disorders have emerged as a critical global health challenge,profoundly impacting individuals,communities,and societies worldwide.The prevalence of mental health problems has been steadily increasing,with~1 in 8 people,equivalent to 970 million individuals suffering from a mental disorder in 2019(https://vizhub.healthdata.org/gbd-results).Anxiety and depressive disorders are predominant,contributing significantly to the burden of mental health issues,according to the World Health Organization.The COVID-19 pandemic has further exacerbated this situation.It led to a notable upsurge in anxiety and major depressive disorders in 2020.Estimates indicate a 26%rise in anxiety and a 28%increase in depression within that year(https://www.who.int/publications/i/item/WHO-2019-nCoVSci_Brief-Mental_health-2022.1)[1].
文摘As the population of older Asian Americans continues to grow rapidly,understanding their mental health needs has become increasingly critical.This literature review summarizes current issues,developments,and future directions in addressing the mental health challenges faced by older Asian Americans in the last five years.We briefly touch on the comparative prevalence of mental health disorders experienced by ethnic subgroups.Additionally,we review recent studies highlighting the role of the coronavirus disease 2019,racism,social support,cultural stigma,and self-rated health as significant factors influencing mental well-being of this population.We discuss the utilization of health services among older Asian Americans.We conclude with thoughts for future research,emphasizing the importance of longitudinal studies,consideration of diverse Asian American ethnic subgroups,and culturally sensitive diagnostic and treatment approaches.
文摘Background and objectives:The ongoing mpox outbreaks have garnered significant attention due to their public health implications,particularly the potential mental health impacts.Despite the growing concern,there has been limited exploration of the intersection between mpox and mental health within the research literature.This study aims to conduct a comprehensive bibliometric analysis to examine global research trends,regional distribution,and thematic focus areas related to mpox's psychological and psychiatric implications.Methods:We conducted a bibliometric analysis using Scopus and the Web of Science database.The analysis was carried out using the R-bibliometrics package and involved identifying literature on mpox and mental health,focusing on global research trends,regional distribution,and thematic areas of study.The analysis included 416 documents obtained from 295 sources from January 1,2014 to August 27,2024.Results:Our analysis revealed a growing but unevenly distributed literature on mpox and mental health.Most studies concentrated on the relationship between mpox and conditions such as depression and anxiety,while other psychiatric outcomes remain underexplored.The geographic distribution of research was also uneven,with regions like Europe and the Americas receiving more focus than others.Conclusions:The study highlights the need for more targeted research on the mental health sequelae of mpox,particularly for vulnerable populations and regions that are currently underrepresented in the literature.Future research should include longitudinal studies to assess the long-term effects of mpox on mental health and the development of robust methodologies to establish causality.Integrating mental health considerations into public health responses to mpox outbreaks is crucial,with significant implications for research,policy,and clinical practice.
基金Supported by TCM Scientific Research Guidance Program of Hubei Provincial Administration of Traditional Chinese Medicine(ZY2023F074).
文摘[Objectives]To systematically analyze the epidemiological characteristics and influencing factors associated with a cohort of 3273 rural patients diagnosed with mental disorders in Zhushan County,Hubei Province and explore an integrated management path that is applicable to rural areas.[Methods]A cross-sectional survey,in conjunction with a retrospective cohort analysis,was conducted.The samples were obtained from the National Management Information System for Severe Mental Disorders(2020-2024),and all registered rural patients in Zhushan County were included through cluster sampling.All participants provided informed consent,and the study received approval from the Ethics Committee of the Zhushan County Mental Health Center.Diagnoses were made in accordance with the International Classification of Diseases,10 th Revision(ICD-10).The research utilized a self-developed socio-ecological scale,which was validated through two rounds of the Delphi method conducted by an expert group,yielding a Cronbach sαof 0.82.The data were collected by trained investigators who conducted household visits.The data entry process involved double entry by two individuals to ensure accuracy for system review.Statistical analysis was performed using SPSS 26.0,employing the chi-square(χ2)test and logistic regression models for analysis.[Results]Schizophrenia was identified as the predominant disorder,affecting 68.4%of the patient population,followed by bipolar disorder,which accounted for 18.8%.Notably,individuals aged over 60 years constituted 40.36%of the sample.Furthermore,the poverty rate within this population was alarmingly high at 87.87%,while the illiteracy rate stood at 41.37%.The treatment experienced a significant delay,with a median duration of 14.2 months.Additionally,there was a substantial gap in standardized treatment,measured at 23.59%.The family care function was found to be inadequate,particularly for families lacking guardianship capacity,which was reported at 11.31%.An analysis of the underlying causes indicates that social structural imbalances(such as left-behind children and marital breakdown),along with economic poverty and insufficient educational opportunities,were critical risk factors contributing to these issues.The development of a model that integrates dynamic screening,full-chain intervention,and collaborative management is beneficial for fostering the efficient and systematic advancement of the rural mental health system.[Conclusions]Patients with mental disorders residing in rural areas face dual vulnerabilities.Therefore,it is essential to implement integrated management that encompasses early screening,standardized treatment,family support,and policy assistance.It is recommended that these elements should be integrated into the framework for local health policy development to enhance equitable access to mental health services and to provide psychological support for rural revitalization efforts.
文摘Background:Employment can support the recovery of individuals with Severe Mental Disorders by promoting autonomy,reducing hospital admissions and associated costs,fostering social connections,and providing structure to their daily lives.The objective of this pilot study was to analyse job satisfaction and perceived social support in people with severe mental disorders who are users of an Employment Guidance and Support Service in southern Spain.Methods:A descriptive cross-sectional pilot study was carried out with a sample of 39 workers with mental disorders from the province of Huelva(southern Spain)who were users of the Employment Guidance and Support Service of the Regional Government of Andalusia(Spain).Perceived Organisational Support was assessed with the Spanish short version of the Survey of Perceived Organizational Support and the S10/12 Job Satisfaction Questionnaire.Results:As findings,87.2%of the sample reported high levels of job satisfaction,and 61.5%of the subjects surveyed perceived high levels of support.Regarding the variable Perceived Support,84%of workers from ordinary companies and 50%of those from Special Employment Centres(SECs)considered that they had sufficient support.There was a positive correlation between support and satisfaction(Spearman’s Rho=0.423).Conclusion:The results suggest a positive relationship between support and satisfaction,warranting further longitudinal research with larger samples.This pilot study provides preliminary insights into the relationship between perceived organizational support and job satisfaction among workers with severe mental disorders.
基金sponsored by the University of Western Australia with first author CM completing this protocol paper and the associated research while receiving an Australian Commonwealth Government Research Training Program stipendwith research support and funding received from the University of Western Australia.
文摘Objectives:People living with severe mental illness have a reduced life expectancy when compared to the general population largely due to physical health comorbidities.Exercise is a valuable,evidence-based component of mental healthcare,with positive effects on physical health,mental health,and quality of life.However,to date,there is limited evidence regarding the implementation of varied styles of supported exercise therapy within outpatient,transdiagnostic mental health services.This protocol paper outlines the methods for a hybrid effectiveness-implementation trial implementing two styles of supported exercise within an outpatient mental health hospital.Methods:Participants will be allocated to either in-person supervised exercise sessions,or independent,remotely supported exercise programs.Both intervention arms will have the target of 150 minutes of moderate intensity exercise per week across the 12-week intervention period,along with a 12-week maintenance period following the intervention periods.Assessments will be conducted at intake,intervention midpoint(i.e.,week 6–7),intervention conclusion(i.e.,week 13),and at follow-up(i.e.,week 25).Results:The evaluation of the exercise interventions will consist of implementation and effectiveness outcomes during the intervention and at follow-up.Conclusions:The outcomes from this trial will add to the ever-increasing evidence for the incorporation of exercise within care for severe mental illness.This trial will report on the implementation and effectiveness of varied levels of support in exercise therapy for consumers with severe mental illness,which may in turn guide the future implementation and improve provision of exercise therapy in hospital mental health services.
文摘Tuberculous meningitis(TBM),which accounts for 1%-5%of global tuberculosis cases,is a severe neurological infection with a mortality rate of 30%-50%.Its high fatality and disability rates disproportionately affect low-and middle-income regions(e.g.,sub-Saharan Africa and Southeast Asia),threatening the lives of patients and imposing significant psychosocial burdens.Recent studies have highlighted the crucial role of psychosocial factors,including socioeconomic status,disease severity,and social support systems in recovery.However,research gaps persist in developing TBM-specific psychosocial interventions.This narrative review summarizes and organizes the key findings of observational studies,cohort studies,and intervention trials published between 2015 and 2024.Databases including PubMed,Scopus,and Web of Science were searched for terms related to TBM,psychosocial risk factors and mental health interventions.Studies were screened for relevance and quality,focusing on those that examined the psychological and social determinants of mental health outcomes in patients with TBM.
基金supported by the Bio&Medical Technology Development Program of the National Research Foundation(NRF)&funded by the Korean government(MSIT)(NRF-2021M3A9E4080780)Hankuk University of Foreign Studies(2024).
文摘Objectives:Recent research has shown that college students experience high levels of stress from various sources,which contribute to heightened rates of psychological distress and make them particularly vulnerable to mental health issues.Hence,we conducted a study,aimed to analyze the influence of a mobile-based walking routine on mental health outcomes,such as perceived stress and positive and negative affect.Methods:The participants were divided into two groups:the walking group(N=23)and the control group(N=24).The walking group engaged in an approximately 25-min walking session for at least 3 days per week,which was carefully monitored and facilitated with the help of the Nike Run Club application.The statistical analysis of the quantitative data was carried out with the help of SPSS 25.0.In addition to calculating descriptive statistics,we conducted an independent samples t-test,a repeated-measures ANOVA,and a paired sample t-test to analyze the effectiveness of the intervention.Results:A repeated-measures ANOVA revealed that the walking group exhibited significant reductions in perceived stress(t=2.03,p=0.049,Cohen’s D=0.60)and negative affect(t=2.19,p=0.033,Cohen’s D=0.65)after the intervention,whereas the control group showed no significant changes across time in any of the proposed variables.Conclusion:The results of the study continue to be indicative of the positive effects of regular walking on perceived stress and negative affect,preserving its role as a straightforward and accessible tool for reducing stress and negative affect.
文摘An individual's mental health influences their capacity to think effectively,feel emotionally stable,and perform daily activities.As mental health concerns become more prevalent worldwide,new awareness and diagnostic and treatment tactics are needed.Digital tools and technology are helping solve these problems by providing scalable,tailored solutions for large populations.This detailed review examines mental health‐promoting internet tools.Smartphone applications,web‐based therapy systems,wearable tech,artificial intelligence‐powered resources,and virtual reality(VR)technologies were evaluated for efficacy and side effects.PubMed,PsycINFO,Scopus,IEEE Xplore,and Google Scholar were carefully searched.Search terms included“digital mental health tools,”“online therapy,”and“AI in mental health.”Randomized controlled trials,cohort studies,cross‐sectional studies,systematic reviews,and meta‐analyses of digital technology and mental health were included from among the literature published after 2010.Cognitive behavioral therapy methods,mood monitoring,and mindfulness exercises are among the numerous features of smartphone applications that have been demonstrated to mitigate symptoms of anxiety,depression,and tension.Online therapy platforms let marginalized individuals obtain therapy remotely.Wearable technology may detect heart rate,blood pressure,and sleep length,which may reveal mental health difficulties.Chatbots employ machine learning algorithms and natural language processing to deliver customized support and show promise for quick intervention.Exposure therapy for anxiety and trauma is increasingly using virtual reality environments.Although digital mental health therapies face challenges in relation to data privacy,limited long‐term efficacy,and technological inequality,digital technologies are modernizing mental healthcare.By offering inexpensive and effective alternatives to traditional therapies,digital technologies may help healthcare systems meet the growing demand for mental health services and overall well‐being.
文摘Mental health is a significant issue worldwide,and the utilization of technology to assist mental health has seen a growing trend.This aims to alleviate the workload on healthcare professionals and aid individuals.Numerous applications have been developed to support the challenges in intelligent healthcare systems.However,because mental health data is sensitive,privacy concerns have emerged.Federated learning has gotten some attention.This research reviews the studies on federated learning and mental health related to solving the issue of intelligent healthcare systems.It explores various dimensions of federated learning in mental health,such as datasets(their types and sources),applications categorized based on mental health symptoms,federated mental health frameworks,federated machine learning,federated deep learning,and the benefits of federated learning in mental health applications.This research conducts surveys to evaluate the current state of mental health applications,mainly focusing on the role of Federated Learning(FL)and related privacy and data security concerns.The survey provides valuable insights into how these applications are emerging and evolving,specifically emphasizing FL’s impact.
文摘Ajzen’s theory of planned behavior(TPB)suggests that planned behavior is determined by behavioral intention.Despite extensive literature based on TPB,household mental budgeting behavior explained by TPB is underexplored.The current study empirically tested TPB factors in light of mental budgeting behavior.The hypothesized model was tested using partial least squares structural equation modeling(PLS-SEM).PLS-SEM was employed using a Likert-scaled questionnaire administered to 275 households.The results indicate that mental budgeting attitude and mental budgeting past behavior strongly predict mental budgeting intention,and mental budgeting intention predicts mental budgeting behavior.Further,mental budgeting intention partially mediates the relationship between mental budgeting attitude and mental budgeting behavior,and mental budgeting past behavior and mental budgeting behavior.This study contributes to the academic interest in theoretical progress in household behavior.
文摘Objective This study aimed to analyse the trend of the mental disorder spectrum in children and adolescents from 2014 to 2022 in one city in Central China and to provide actionable recommendations for the prevention and management of mental disorders.Methods In this hospital-based retrospective study,we utilized child and adolescent medical records data from the Wuhan Mental Health Center from January 2014 to December 2022 and examined the top 5 mental disorders(schizophrenia,depressive episode,bipolar disorder,pervasive developmental disorder,and unspecified mood disorder)that accounted for the overall proportion of patients admitted.The rank and proportion of these mental disorders,demographic characteristics and disease indicators were analysed.Results There was a significant upwards trend in the number of children and adolescents diagnosed with mental disorders over the past 9 years,with a sharp decline in 2020 due to the COVID-19 pandemic,followed by a rebound in 2021 and a sustained level above prepandemic figures by 2022.The average age of hospitalization decreased significantly from 20.7 to 16.2 years,with a marked increase in the 12-17-year-old age group.The proportion of female hospitalizations increased from 39.2%to 55.2%,with a corresponding decrease in male hospitalizations.There was a notable decrease in the proportion of schizophrenia cases and an ascent of depressive episode to the most prevalent position.Conclusion This study emphasizes the critical need for targeted interventions and resources for severe mental disorders in children and adolescents and the importance of early detection and management of mental disorders to mitigate long-term effects on well-being and development.
基金Supported by the Basic Science Research Program through the National Research Foundation of Korea funded by the Ministry of Education,No.RS-2023-00237287。
文摘This study addressed the critical need for an integrated,personalized approach to perimenopausal mental health,addressing both biological and psychosocial fac-tors.Current research highlighted the influence of hormonal fluctuations,genetic predispositions,and lifestyle factors in shaping perimenopausal mental health outcomes.This transitional period is marked by significant hormonal fluctuations contributing to heightened anxiety,depression,and sleep disturbances,affecting the women’s quality of life.Traditional pharmacological treatments,including selective serotonin reuptake inhibitors and hormone replacement therapy,have limitations due to variable efficacy and side effects,emphasizing the need for precision medicine.Advancements in pharmacogenomics and metabolomics provide new avenues for individualized treatments,with genetic markers(e.g.,Solute carrier organic anion transporter family member 1B1,estrogen receptor 1/estrogen receptor 2,and tachykinin receptor 3)guiding hormone therapy resp-onses.Emerging digital health technologies,such as artificial intelligence-driven diagnostics,wearable monitoring,and telehealth platforms,offer scalable,real-time mental health support,though regulatory and clinical validation challenges remain.Furthermore,integrative treatment models combining hormone-based therapy with non-pharmacological interventions demonstrate significant efficacy in alleviating perimenopausal symptoms.Future directions should prioritize the clinical validation and ethical implementation of digital health solutions,ensuring safety,efficacy,and user accessibility.A multidisciplinary,patient-centric model,incorporating genetics,endocrinology,digital health,and psychosocial interventions,is essential for optimizing perimenopausal mental health outcomes.
文摘Emergency department nurses face severe occupational stress leading to anxiety,depression,and burnout,which significantly impair their well-being and patientcare quality.This narrative review examined the role of mindfulness-based stress reduction(MBSR)in addressing these challenges.Rooted in nonjudgmental present-moment awareness,MBSR enhances emotional regulation and reduces psychological distress by fostering adaptive coping strategies.Studies have demonstrated its efficacy in lowering anxiety,depressive symptoms,and emotional exhaustion,while improving workplace well-being,empathy,and job satisfaction.Mechanistically,MBSR improves interoceptive awareness and autonomic balance,as evidenced by physiological markers such as heart rate variability.However,gaps remain in long-term efficacy assessments,personalized interventions,and integration with multidisciplinary approaches.Future research should prioritize tailored biomarker-driven programs,longitudinal studies,and scalable implementation strategies in high-stress clinical settings.This review underscores MBSR’s potential as a sustainable,evidence-based tool to enhance emergency department nurses’mental health and professional performance,advocating for broader adoption and further refinement of its practical applications.
基金funded by the Shanghai Philosophy and Social Science Planning Project (2021BZX008)the National Social Science Foundation of China (23BZX110)the National Office for Philosophy and Social Science (20&ZD045).
文摘Background Clinical brain-computer interface(BCI)for mental disorders is an emerging interdisciplinary research field,posing new ethical concerns and challenges,yet lacking practical ethical governance guidelines for stakeholders and the entire community.Aims This study aims to establish a multidisciplinary consensus of principles for ethical governance of clinical BCI research for mental disorders and offer practical ethical guidance to stakeholders involved.Methods A systematic literature review,symposium and roundtable discussions,and a pre-Delphi(round 0)survey were conducted to form the questionnaire for the three-round modified Delphi study.Two rounds of surveys,followed by a third round of independent interviews of 25 experts from BCI-related research domains,were involved.We conducted quantitative analysis of responses and agreements among experts to reveal the consensus and differences regarding the ethical governance of mental BCI research from a multidisciplinary perspective.Results The Delphi panel emphasised important concerns of ethical review practices and ethical principles within the BCI context,identified qualified and highly influential institutions and personnel in conducting and advancing clinical BCI research,and recognised prioritised aspects in the risk-benefit evaluation.Experts expressed diverse opinions on specific ethical concerns,including concerns about invasive technology,its impact on humanity and potential social consequences.Agreement was reached that the practices of ethical governance of clinical BCI for mental disorders should focus on patient voluntariness,autonomy,long-term effects and related assessments of BCI interventions,as well as privacy protection,transparent reporting and ensuring that the research is conducted in qualified institutions with strong data security.Conclusions Ethical governance of clinical research on BCI for mental disorders should include interdisciplinary experts to balance various needs and incorporate the expertise of different stakeholders to avoid serious ethical issues.It requires scientifically grounded approaches,continuous monitoring and interdisciplinary collaboration to ensure evidence-based policies,comprehensive risk assessments and transparency,thereby promoting responsible innovations and protecting patient rights and well-being.
