Objectives:Suicidal ideation(SI)among university students is a growing concern,influenced by anxiety,depression,and bullying.However,family closeness and peer support may act as protective factors,reducing the risk of...Objectives:Suicidal ideation(SI)among university students is a growing concern,influenced by anxiety,depression,and bullying.However,family closeness and peer support may act as protective factors,reducing the risk of SI.Therefore,this study aims to investigate the key factors influencing SI among university students,focusing on the effects of anxiety,depression,and bullying,along with the roles of family closeness and peer support.The research also explores the interactions and mechanisms between these variables.Methods:A sample of 318 university students was surveyed,evaluating six main factors:anxiety,depression,bullying,family closeness,peer support,and SI.Using the Structural Equation Modeling(SEM)and Artificial Neural Networks(ANN)approach,both compensatory and non-compensatory relationships were examined.Results:Anxiety,depression,and bullying significantly contribute to SI,with depression mediating the link between anxiety,bullying,and SI.Additionally,family closeness moderates the effects of anxiety and bullying on SI,while peer supportmoderates the effects of depression and bullying.Themultilayer perceptron analysis identifies peer support as the most influential predictor,followed by bullying,family closeness,depression,and anxiety.Conclusion:The study identifies anxiety,depression,and bullying as key factors influencing suicidal ideation(SI)among university students.Family closeness and peer support act as protective factors,moderating the effects of these variables on SI.展开更多
To the editor:Peer workers-people with personal experiences of using mental health services,trained to provide support to others currently using similar services--are increasingly integrated into the workforce of ment...To the editor:Peer workers-people with personal experiences of using mental health services,trained to provide support to others currently using similar services--are increasingly integrated into the workforce of mental health systems internationally.展开更多
This retrospective cohort study from Rwanda demonstrated the likelihood of maternal disclosure and peer support in preventing mother-to-child human immunodeficiency virus(HIV)transmission.High sustained maternal viral...This retrospective cohort study from Rwanda demonstrated the likelihood of maternal disclosure and peer support in preventing mother-to-child human immunodeficiency virus(HIV)transmission.High sustained maternal viral load suppression(91.0%)and exceptional infant testing uptake(100%at 6 weeks)correlated with a low 0.7%infant HIV incidence.To eliminate mother-to-child transmission of HIV,effective strategies must engage male partners in disclosure,reduce stigma,improve health literacy,and provide structural peer-support for enhancing adherence and mental health.展开更多
This study explored how mental health professionals collaborate with peer supporters with mental disabilities in a community mental health institution.From January 19 to February 23,2021,three 60 min interviews were c...This study explored how mental health professionals collaborate with peer supporters with mental disabilities in a community mental health institution.From January 19 to February 23,2021,three 60 min interviews were conducted with six mental health professionals working at a Korean community center.The results were qualitatively analyzed and divided into four themes and eight categories.The four themes were the perceptions of and challenges in working with peer supporters with mental disabilities,conflict and confusion about working with peer supporters,forming partnerships with peer supporters,and policy support for peer supporters’job security.Participants reported vague anxiety about working with a peer supporter and difficulties with the trial-and-error process of adjusting to the role as challenging.Over time,however,they realized that they needed to make an effort to develop meaningful relationships with peer supporters and mental health professionals.Thus,through this study,we realized that there was a need to improve the system,such as building infrastructure for job stability for peer support workers and capacity building tailored to the mental disorders.Although peer supporters play various roles while working with mental health professionals,this study showed the possibility of mutual growth through communication and cooperation.These findings will help prepare systems necessary for collaboration between the two teams amidst the increasing institutionalization of peer support for mental disorders.展开更多
Objective: This study aims to explore the effect of peer support in improving self-efficacy of rural patients with type 2 diabetes and the application of drugs to reduce the pain from diabetes. Methods: Patients with ...Objective: This study aims to explore the effect of peer support in improving self-efficacy of rural patients with type 2 diabetes and the application of drugs to reduce the pain from diabetes. Methods: Patients with type 2 diabetes in the rural area were selected and they were divided into the peer group and control group with voluntary. The patients in peer support group applied six kinds of activity patterns, while the control group was carried out with routine activities. Results: Comparison indexes for the two groups are mastering degree of related knowledge to diabetes, control compliance rate of indicators related to diabetes, and management of diabetes self-efficacy. Comparing with the control group, indexes in peer support group were significantly increased (P < 0.01). Meanwhile, in the table of diabetes distress, 17 items have been improved and the occurrence rate of painful diabetic decreased significantly (P < 0.01). Conclusion: Peer support can improve the rural patients’ self-efficacy of type 2 diabetes and decrease patients’ pain from type 2 diabetes mellitus.展开更多
Psychosocial barriers for people with an enterostomy remain a huge challenge for the health system.Recent research findings have shown that peer support has a significant effect on the psychological support of patient...Psychosocial barriers for people with an enterostomy remain a huge challenge for the health system.Recent research findings have shown that peer support has a significant effect on the psychological support of patients undergoing permanent enterostomies.This paper explores the current state of research on peer support for patients with an intestinal stoma through a literature review approach to provide scientific evidence for researchers,clinicians,and policy makers in this field.The findings suggest that the innovative use of peer support in psychological interventions for colorectal cancer stoma patients can provide them with knowledge skills,resource information,emotional support,and assessment support,which can help to facilitate the adaptation of stoma patients to their role,improve their ability to manage their stoma and ensure their physical and psychological well-being.展开更多
BACKGROUND: The inclusion of cardiopulmonary resuscitation(CPR) in formal education has been a useful approach to providing basic life support(BLS) services. However, because not all students have been able to learn d...BACKGROUND: The inclusion of cardiopulmonary resuscitation(CPR) in formal education has been a useful approach to providing basic life support(BLS) services. However, because not all students have been able to learn directly from certified instructors, we studied the educational efficacy of the use of peer-assisted learning(PAL) to train high-school students to perform BLS services.METHODS: This study consisted of 187 high-school students: 68 participants served as a control group and received a 1-hour BLS training from a school nurse, and 119 were included in a PAL group and received a 1-hour CPR training from a PAL leader. Participants' BLS training was preceded by the completion of questionnaires regarding their background. Three months after the training, the participants were asked to respond to questionnaires about their willingness to perform CPR on bystander CPR and their retention of knowledge of BLS.RESULTS: We found no statistically significant difference between the control and PAL groups in their willingness to perform CPR on bystanders(control: 55.2%, PAL: 64.7%, P=0.202). The PAL group was not significantly different from the control group(control: 60.78±39.77, PAL: 61.76±17.80, P=0.848) in retention of knowledge about BLS services.CONCLUSION: In educating high school students about BLS, there was no significant difference between PAL and traditional education in increasing the willingness to provide CPR to bystanders or the ability to retain knowledge about BLS.展开更多
Background:Adolescents are highly vulnerable to depressive symptoms worldwide partially because of limited social supports.However,it still remains largely unknown regarding the associations between social support(s)a...Background:Adolescents are highly vulnerable to depressive symptoms worldwide partially because of limited social supports.However,it still remains largely unknown regarding the associations between social support(s)and depressive symptoms among adolescents living in low-and middle-income countries(LMICs).The aim of this study aimed to explore the associations between different types of social support and depressive symptoms in adolescents from LMICs.Methods:Data were retrieved from the Global School-based Health Survey(GSHS)in which 92,551 adolescents(50.6%females)were included with mean of 15.6 years.Depressive symptoms in the past one month as the dependent variable were measured in combination with social support(was measured by“During the past 30 days,how often were most of the students in your school kind and helpful?”).Multivariable logistic regression and meta-analysis of country-wise estimates were performed to investigate the associations between social support and depressive symptoms,and the heterogeneity of the associations across the countries,respectively.Results:The prevalence of depressive symptoms was 30.9%of adolescents from LMICs.Peer support and parental connectedness were two major factors that were significantly associated with depression symptoms in adolescents.However,the associations of peer support and parental connectedness with depressive symptoms were significant in males and females,respectively.The country-wise analysis indicated that varied inconsistency(small to large)across the associations of peer support and parental connectedness with depressive symptoms in adolescents.Conclusion:Results in this study provides multi-national evidence of the protective roles of social support against depressive symptoms among adolescents.However,the association between social support and depression symptoms may be moderated by sex and types of social support.Although we found that social sup-port may be an important protective factor against depressive symptoms in adolescents from LMICs,specifically designed interventions should be implemented based on sex difference and country difference.展开更多
The trajectories at treatment of alcohol use and abuse among adolescents have become a major health concern. The purpose of this paper was to discuss alcohol use and abuse among adolescents and its relationship to soc...The trajectories at treatment of alcohol use and abuse among adolescents have become a major health concern. The purpose of this paper was to discuss alcohol use and abuse among adolescents and its relationship to social support. Integrative review has been utilized to address the issue. There is a presentation of findings from research examining social support concepts and their relationship to adolescents’ alcohol use and abuse. Treatment requires awareness of underlying causes in order to establish effective treatment approaches. Determining these underlying causes requires adequate knowledge of family, peers, and societal influences on adolescents’ alcohol use and abuse. Health professionals across disciplines have an important role in implementing multidisciplinary interventions. The purpose of this paper was to discuss alcohol use and abuse among adolescents and its relationship to social support. Results, controversies and concerns raised by the reported results are addressed. Implications for future research are delineated.展开更多
The employment of peer support workers is widely encouraged in recovery-oriented mental health systems and services, providing a tangible example of how to translate recovery values and principles into actions. In Sco...The employment of peer support workers is widely encouraged in recovery-oriented mental health systems and services, providing a tangible example of how to translate recovery values and principles into actions. In Scotland, despite a long-term policy commitment to recovery approaches, the creation of peer worker roles has been slow and patchy. This paper describes findings from a study on the levers and barriers to the development of peer worker roles in two Scottish health board areas. Findings suggest that new evidence on effective implementation and cost effectiveness should be prioritised to support potentially complex role development in time of reduced resources. We argue that additional evidence on effectiveness is unlikely, by itself, to lead to country-wide employment of peer workers. We therefore suggest that a policy commitment to peer working would be reinforced by not only a strengthened evidence base but also strengthened accountability mechanisms. In the absence of such accountability, decision-makers and planners might reasonably continue to ask "why bother"?展开更多
Objective:Non-suicidal self-injury(NSSI)is a mental health problem that often occurs in adolescents in Indonesia.Even though NSSI does not have the intention of suicide,some cases result in death.This research aimed t...Objective:Non-suicidal self-injury(NSSI)is a mental health problem that often occurs in adolescents in Indonesia.Even though NSSI does not have the intention of suicide,some cases result in death.This research aimed to identify the predisposition and precipitation factors associated with the dynamics of NSSI behaviors among adolescents.Methods:This research is an explanatory research design with a cross-sectional study.Out of 4000 students,904 students from State High School and Vocational School in Central Java Province were selected as respondents using non-probability sampling and a purposive sampling approach.This research was carried out using Google Forms from September to November 2023.The instrument used was the Self-Harm Inventory(SHI).Data analysis in this study used the chi-squared test.Results:The results of this study indicate that the most significant predisposition factors of NSSI behaviors experienced by respondents in this study are introverted personality and the environment that supports NSSI behaviors.In contrast,the precipitation factors are bullying and deep disappointment.Otherwise,based on the data analysis,the maladaptive coping mechanism(P-value=0.029)has become a predisposition factor related to the dynamics of NSSI behaviors.In contrast,bullying(P-value=0.000)and deep disappointment(P-value=0.000)still become precipitation factors related to the dynamics of NSSI behaviors.Conclusions:The results of this study can be evidence-based for stakeholders to provide interventions,especially for the vulnerable population affected by NSSI behaviors.展开更多
文摘Objectives:Suicidal ideation(SI)among university students is a growing concern,influenced by anxiety,depression,and bullying.However,family closeness and peer support may act as protective factors,reducing the risk of SI.Therefore,this study aims to investigate the key factors influencing SI among university students,focusing on the effects of anxiety,depression,and bullying,along with the roles of family closeness and peer support.The research also explores the interactions and mechanisms between these variables.Methods:A sample of 318 university students was surveyed,evaluating six main factors:anxiety,depression,bullying,family closeness,peer support,and SI.Using the Structural Equation Modeling(SEM)and Artificial Neural Networks(ANN)approach,both compensatory and non-compensatory relationships were examined.Results:Anxiety,depression,and bullying significantly contribute to SI,with depression mediating the link between anxiety,bullying,and SI.Additionally,family closeness moderates the effects of anxiety and bullying on SI,while peer supportmoderates the effects of depression and bullying.Themultilayer perceptron analysis identifies peer support as the most influential predictor,followed by bullying,family closeness,depression,and anxiety.Conclusion:The study identifies anxiety,depression,and bullying as key factors influencing suicidal ideation(SI)among university students.Family closeness and peer support act as protective factors,moderating the effects of these variables on SI.
基金funded by National Institute for Health Research(NIHR)(RP-PG-1212-20019)。
文摘To the editor:Peer workers-people with personal experiences of using mental health services,trained to provide support to others currently using similar services--are increasingly integrated into the workforce of mental health systems internationally.
文摘This retrospective cohort study from Rwanda demonstrated the likelihood of maternal disclosure and peer support in preventing mother-to-child human immunodeficiency virus(HIV)transmission.High sustained maternal viral load suppression(91.0%)and exceptional infant testing uptake(100%at 6 weeks)correlated with a low 0.7%infant HIV incidence.To eliminate mother-to-child transmission of HIV,effective strategies must engage male partners in disclosure,reduce stigma,improve health literacy,and provide structural peer-support for enhancing adherence and mental health.
基金supported by Basic Science Research Program through the National Research Foundation of Korea(NRF),funded by the Ministry of Education(2019R1F1A1A0057735).
文摘This study explored how mental health professionals collaborate with peer supporters with mental disabilities in a community mental health institution.From January 19 to February 23,2021,three 60 min interviews were conducted with six mental health professionals working at a Korean community center.The results were qualitatively analyzed and divided into four themes and eight categories.The four themes were the perceptions of and challenges in working with peer supporters with mental disabilities,conflict and confusion about working with peer supporters,forming partnerships with peer supporters,and policy support for peer supporters’job security.Participants reported vague anxiety about working with a peer supporter and difficulties with the trial-and-error process of adjusting to the role as challenging.Over time,however,they realized that they needed to make an effort to develop meaningful relationships with peer supporters and mental health professionals.Thus,through this study,we realized that there was a need to improve the system,such as building infrastructure for job stability for peer support workers and capacity building tailored to the mental disorders.Although peer supporters play various roles while working with mental health professionals,this study showed the possibility of mutual growth through communication and cooperation.These findings will help prepare systems necessary for collaboration between the two teams amidst the increasing institutionalization of peer support for mental disorders.
文摘Objective: This study aims to explore the effect of peer support in improving self-efficacy of rural patients with type 2 diabetes and the application of drugs to reduce the pain from diabetes. Methods: Patients with type 2 diabetes in the rural area were selected and they were divided into the peer group and control group with voluntary. The patients in peer support group applied six kinds of activity patterns, while the control group was carried out with routine activities. Results: Comparison indexes for the two groups are mastering degree of related knowledge to diabetes, control compliance rate of indicators related to diabetes, and management of diabetes self-efficacy. Comparing with the control group, indexes in peer support group were significantly increased (P < 0.01). Meanwhile, in the table of diabetes distress, 17 items have been improved and the occurrence rate of painful diabetic decreased significantly (P < 0.01). Conclusion: Peer support can improve the rural patients’ self-efficacy of type 2 diabetes and decrease patients’ pain from type 2 diabetes mellitus.
基金This research was funded by the Youth Science Foundation Project of the National Natural Science Foundation(CN)(81603565)the Graduate Research and Innovation Projects of Tianjin(CN)(2020YJSS179)the Graduate Research and Innovation Projects of Tianjin University of Traditional Chinese Medicine(CN)(YJSKC-20201030).
文摘Psychosocial barriers for people with an enterostomy remain a huge challenge for the health system.Recent research findings have shown that peer support has a significant effect on the psychological support of patients undergoing permanent enterostomies.This paper explores the current state of research on peer support for patients with an intestinal stoma through a literature review approach to provide scientific evidence for researchers,clinicians,and policy makers in this field.The findings suggest that the innovative use of peer support in psychological interventions for colorectal cancer stoma patients can provide them with knowledge skills,resource information,emotional support,and assessment support,which can help to facilitate the adaptation of stoma patients to their role,improve their ability to manage their stoma and ensure their physical and psychological well-being.
文摘BACKGROUND: The inclusion of cardiopulmonary resuscitation(CPR) in formal education has been a useful approach to providing basic life support(BLS) services. However, because not all students have been able to learn directly from certified instructors, we studied the educational efficacy of the use of peer-assisted learning(PAL) to train high-school students to perform BLS services.METHODS: This study consisted of 187 high-school students: 68 participants served as a control group and received a 1-hour BLS training from a school nurse, and 119 were included in a PAL group and received a 1-hour CPR training from a PAL leader. Participants' BLS training was preceded by the completion of questionnaires regarding their background. Three months after the training, the participants were asked to respond to questionnaires about their willingness to perform CPR on bystander CPR and their retention of knowledge of BLS.RESULTS: We found no statistically significant difference between the control and PAL groups in their willingness to perform CPR on bystanders(control: 55.2%, PAL: 64.7%, P=0.202). The PAL group was not significantly different from the control group(control: 60.78±39.77, PAL: 61.76±17.80, P=0.848) in retention of knowledge about BLS services.CONCLUSION: In educating high school students about BLS, there was no significant difference between PAL and traditional education in increasing the willingness to provide CPR to bystanders or the ability to retain knowledge about BLS.
基金supported by National Natural Science Foundation of China(31871115).
文摘Background:Adolescents are highly vulnerable to depressive symptoms worldwide partially because of limited social supports.However,it still remains largely unknown regarding the associations between social support(s)and depressive symptoms among adolescents living in low-and middle-income countries(LMICs).The aim of this study aimed to explore the associations between different types of social support and depressive symptoms in adolescents from LMICs.Methods:Data were retrieved from the Global School-based Health Survey(GSHS)in which 92,551 adolescents(50.6%females)were included with mean of 15.6 years.Depressive symptoms in the past one month as the dependent variable were measured in combination with social support(was measured by“During the past 30 days,how often were most of the students in your school kind and helpful?”).Multivariable logistic regression and meta-analysis of country-wise estimates were performed to investigate the associations between social support and depressive symptoms,and the heterogeneity of the associations across the countries,respectively.Results:The prevalence of depressive symptoms was 30.9%of adolescents from LMICs.Peer support and parental connectedness were two major factors that were significantly associated with depression symptoms in adolescents.However,the associations of peer support and parental connectedness with depressive symptoms were significant in males and females,respectively.The country-wise analysis indicated that varied inconsistency(small to large)across the associations of peer support and parental connectedness with depressive symptoms in adolescents.Conclusion:Results in this study provides multi-national evidence of the protective roles of social support against depressive symptoms among adolescents.However,the association between social support and depression symptoms may be moderated by sex and types of social support.Although we found that social sup-port may be an important protective factor against depressive symptoms in adolescents from LMICs,specifically designed interventions should be implemented based on sex difference and country difference.
文摘The trajectories at treatment of alcohol use and abuse among adolescents have become a major health concern. The purpose of this paper was to discuss alcohol use and abuse among adolescents and its relationship to social support. Integrative review has been utilized to address the issue. There is a presentation of findings from research examining social support concepts and their relationship to adolescents’ alcohol use and abuse. Treatment requires awareness of underlying causes in order to establish effective treatment approaches. Determining these underlying causes requires adequate knowledge of family, peers, and societal influences on adolescents’ alcohol use and abuse. Health professionals across disciplines have an important role in implementing multidisciplinary interventions. The purpose of this paper was to discuss alcohol use and abuse among adolescents and its relationship to social support. Results, controversies and concerns raised by the reported results are addressed. Implications for future research are delineated.
文摘The employment of peer support workers is widely encouraged in recovery-oriented mental health systems and services, providing a tangible example of how to translate recovery values and principles into actions. In Scotland, despite a long-term policy commitment to recovery approaches, the creation of peer worker roles has been slow and patchy. This paper describes findings from a study on the levers and barriers to the development of peer worker roles in two Scottish health board areas. Findings suggest that new evidence on effective implementation and cost effectiveness should be prioritised to support potentially complex role development in time of reduced resources. We argue that additional evidence on effectiveness is unlikely, by itself, to lead to country-wide employment of peer workers. We therefore suggest that a policy commitment to peer working would be reinforced by not only a strengthened evidence base but also strengthened accountability mechanisms. In the absence of such accountability, decision-makers and planners might reasonably continue to ask "why bother"?
文摘Objective:Non-suicidal self-injury(NSSI)is a mental health problem that often occurs in adolescents in Indonesia.Even though NSSI does not have the intention of suicide,some cases result in death.This research aimed to identify the predisposition and precipitation factors associated with the dynamics of NSSI behaviors among adolescents.Methods:This research is an explanatory research design with a cross-sectional study.Out of 4000 students,904 students from State High School and Vocational School in Central Java Province were selected as respondents using non-probability sampling and a purposive sampling approach.This research was carried out using Google Forms from September to November 2023.The instrument used was the Self-Harm Inventory(SHI).Data analysis in this study used the chi-squared test.Results:The results of this study indicate that the most significant predisposition factors of NSSI behaviors experienced by respondents in this study are introverted personality and the environment that supports NSSI behaviors.In contrast,the precipitation factors are bullying and deep disappointment.Otherwise,based on the data analysis,the maladaptive coping mechanism(P-value=0.029)has become a predisposition factor related to the dynamics of NSSI behaviors.In contrast,bullying(P-value=0.000)and deep disappointment(P-value=0.000)still become precipitation factors related to the dynamics of NSSI behaviors.Conclusions:The results of this study can be evidence-based for stakeholders to provide interventions,especially for the vulnerable population affected by NSSI behaviors.
