搜索结果：Nature. Mental health

The increasing incidence of cancer and the fact that the family is an important factor in cancer care; attention to the positive mental health of cancer patients should be sought to provide solutions to improve the mental health of these caregivers. The present study aimed to investigate the effect of web-based education on positive mental health of family caregivers of breast cancer patients undergoing chemotherapy in educational and treatment centers of Zahedan University of Medical Sciences. This study is a semi-experimental study. The statistical population of the study included all family members of breast cancer patients undergoing chemotherapy who referred to Imam Ali Hospital in Zahedan in 1402. The samples included 70 people who were randomly assigned to two groups: the intervention group and the control group. Caregivers in the intervention group received the necessary training and education for 20 days through a website prepared by the researcher. Data collection was carried out using the demographic information formula and the 9-question positive mental health questionnaire of Lockett before the intervention and 30 days after the intervention. The data were analyzed using descriptive and analytical tests using SPSS 27 statistical software and independent t-tests, paired t-tests, and chi-square tests. Before the intervention, there was no significant difference between the two groups in terms of positive mental health (p = 0.43). However, after web-based training, the results of the analysis of covariance (ANCOVA) with adjustment for pre-test scores showed that the positive mental health score in the intervention group was 19.02 ± 3.05, compared to 15.94 ± 2.61 in the control group (p = 0.0001). The findings of this study suggest that web-based educational programs can enhance the positive mental health of family caregivers of breast cancer patients undergoing chemotherapy. Accordingly, such interventions may be considered an effective supportive approach for family caregivers in oncology care settings.

The demanding nature of modern healthcare systems is associated with substantial fatigue and stress among clinical nurses; however, the joint associations of mental health promotion and sleep concerns with fatigue and stress among nurses remain to be elucidated. A multicenter cross-sectional survey was conducted among clinical nurses from three tertiary hospitals in Anhui Province, China. Mental health promotion, sleep concerns, fatigue, and perceived stress were assessed using the Mental Health Promotion Scale, the Anxiety and Preoccupation about Sleep Questionnaire, the Multidimensional Fatigue Inventory, and the Chinese version of the Perceived Stress Scale, respectively. The complex relationships among these variables, and characterizations of different subgroups, were studied using network analysis and latent profile analysis. All 352 distributed questionnaires were returned, of which 338 valid questionnaires were included in the analysis. Network analysis showed that certain dimensions of mental health promotion (values, personal development, and friendship) were negatively correlated with both fatigue and stress, while sleep concerns, particularly sleep-related preoccupation, were positively correlated with fatigue and stress. Within the network, values showed the highest strength centrality. Physical fatigue, tension, and sleep-related preoccupation were key bridging nodes connecting different construct communities. Latent profile analysis identified three statistically derived fatigue/stress profiles: low fatigue/low stress (n = 33), moderate fatigue/high stress (n = 241), and high fatigue/high stress (n = 64). Mental health promotion showed a negative association with fatigue and stress among clinical nurses, with values representing a core dimension of mental health resources. Furthermore, sleep-related preoccupation was observed as a bridging node between psychological and physical dimensions. These findings identify occupational values, physical fatigue, tension, and sleep-related preoccupation as candidate constructs for evaluation in future longitudinal and intervention studies.

Background: The COVID-19 pandemic heightened exposure to potentially traumatic events (PTEs), such as severe illness or the loss of a loved one. Its prolonged nature may have influenced how mental health symptoms evolved.Objective: This study examined changes in posttraumatic stress symptoms (PTSS) and mental wellbeing over time and identified factors contributing to differences in these outcomes.Method: Panel survey data were collected from Dutch youth and adults between March 2022 and June 2024. Participants reported PTEs during the pandemic and whether they still felt affected by these events. PTSS were measured with the PCL-5, anchored to their most distressing event. Mental wellbeing was assessed using the MHI-5. Mixed-effects models examined how risk factors influence severity of PTSS and mental wellbeing. Qualitative analysis of an open-ended question provided insight into the influence of the COVID-19 pandemic on how participants' coped with PTEs.Results: 5,782 observations (of 3,445 individuals) were analysed. PTSS declined slightly over time, but personal vulnerability factors were more strongly associated with PTSS than event-related factors. For mental wellbeing, only personal vulnerability factors were significant covariates. Thematic analysis of the open question revealed four main themes: lack of social contact and support, (interference with) mourning rituals, fear and uncertainty surrounding infection, and renewed appreciation for life and relationships with others.Conclusions: Our findings indicate that personal vulnerability factors and the broader pandemic context, which disrupted normal social coping mechanisms, played a prominent role in the aftermath of pandemic-related trauma. In future public health crises, policies should aim to maintain social connectedness and emotional support to promote psychological recovery. Posttraumatic stress symptoms declined slightly over time in Dutch youth and adults exposed to pandemic-related traumatic events.Personal vulnerability factors showed stronger associations with posttraumatic stress symptoms and mental wellbeing than event-related factors.The pandemic disrupted normal coping processes by hindering social support, mourning rituals, and increasing fear and uncertainty. Antecedentes: La pandemia de COVID-19 aumentó la exposición a eventos potencialmente traumáticos (PTEs en su sigla en inglés), como una enfermedad grave o la pérdida de un ser querido. Su naturaleza prolongada pudo haber influido en cómo evolucionaron los síntomas de salud mental. Objetivo: Este estudio examinó los cambios en los síntomas de estrés postraumático (SEPT) y el bienestar mental a lo largo del tiempo, identificando factores que contribuyen a las diferencias en estos resultados. Método: Se recopilaron datos de encuesta panel de jóvenes y adultos holandeses entre marzo de 2022 y junio de 2024. Los participantes informaron los PTEs durante la pandemia y si aún se sentían afectados por estos eventos. Los SEPT se midieron con el PCL-5, anclados a su evento más angustiante. El bienestar mental se evaluó utilizando el MHI-5. Los modelos de efectos mixtos examinaron cómo los factores de riesgo influyen en la gravedad de los SEPT y el bienestar mental. El análisis cualitativo de una pregunta abierta proporcionó una visión sobre la influencia de la pandemia de COVID-19 en cómo los participantes afrontaron los PTEs. Resultados: Se analizaron 5.782 observaciones (de 3.445 individuos). Los SEPT disminuyeron ligeramente con el tiempo, pero los factores de vulnerabilidad personal se asociaron más fuertemente con los SEPT. Para el bienestar mental, solo los factores de vulnerabilidad personal fueron covariables significativas. El análisis temático de la pregunta abierta reveló cuatro temas principales: falta de contacto social y apoyo, (interferencia en) los rituales de duelo, miedo e incertidumbre en torno a la infección, y renovada apreciación por la vida y las relaciones con los demás. Conclusiones: Nuestros hallazgos indican que los factores de vulnerabilidad personal y el contexto pandémico más amplio, que alteraron los mecanismos sociales normales de afrontamiento, desempeñaron un papel destacado tras el trauma relacionado con la pandemia. En futuras crisis de salud pública, las políticas deberían buscar mantener la conexión social y el apoyo emocional para promover la recuperación psicológica.

The increasing prevalence of autism spectrum disorder (ASD) highlights the importance of understanding caregivers' experiences in accessing mental healthcare for their children, particularly given the demanding nature of supporting children with ASD in resource-constrained settings. This study aimed to explore the experiences of caregivers of children with ASD when accessing mental healthcare services in South Africa. This qualitative study was conducted at the Child and Adolescent Psychiatric Unit at Weskoppies Hospital, a tertiary-level hospital in Pretoria West, Gauteng province, South Africa. This qualitative case study purposively sampled 15 caregivers of children with ASD at a tertiary psychiatric facility in South Africa. Data were gathered through in-depth interviews and analysed using a Grounded Theory-informed thematic analysis approach. Five main themes emerged: (1) challenges in accessing mental health care services, (2) delays in screening and early diagnosis, (3) limited ongoing education and knowledge-sharing, (4) the need for emotional support and counselling, and (5) facilitating referrals to specialised schools and allied health care services. The study identified significant barriers to mental health service utilisation, underscoring the urgent need for improved service accessibility, caregiver support and increased public awareness. The findings advocate for strengthened mental healthcare access and targeted caregiver support for families of children with ASD in South Africa.

There is increasing evidence that green care (from nature-in-everyday life and nature-based health promotion to nature-based therapy) can promote mental health and well-being. However, there is contradictory evidence and few large-scale international studies focused on health inequities. The GreenME project aims to identify ways in which effective green care can be scaled-up to improve adult mental health and well-being equity while contributing to multiple socio-ecological co-benefits across the Global North. GreenME's approach is threefold: (i) to diagnose the current status of green care in project consortium countries through a grey literature review and stakeholder interviews, (ii) to increase scientific evidence on the relationship between green care and mental health and well-being equity using modified randomised controlled trials and a population-level socioecological cross-sectional survey study and (iii) to empower green care actors by co-creating a set of tools with consortium countries' participating stakeholders. GreenME will: (a) produce a catalogue of identified successful green care models and best practices; (b) design a robust but adaptable protocol for testing the pathways, effectiveness and cost-effectiveness of nature-based therapies; (c) identify the mental health equity impact of green care and (e) co-create solutions for national and EU-level policies and develop online resources for nature-based therapy providers. GreenME is conceptualised and designed to increase the use of green care and its integration within a multi-scalar green care framework which could ultimately promote just and sustainable healthy communities. Ethical approval has been obtained individually from each partner/site (UAB CERec 6594, 6851, UAB-CERec180, UAB-CERec178 and CEEAH 7269; UOC CE23-PR29, CE240PR07, CE24-PR59, CE24-PR55; l'Hospital de Mataró CEIm 11/2; CEIm Fundació Sant Joan de Déu PIC-82-25; Alma Mater Stadiorum Universita di Bologna, Proj nos. 0157655, 0075975; ILS, no number 'Survey in Workpackage 2', no number 'Workshops in Workpackage 5'; Swedish Ethics Review Committee, 2024-2810-01, 2025-0195401; University of Kent, CREAG064-04-024; University of Salford Ethics Administration, Ref 0189, 4552; Institute of Psychiatry and Neurology Bioethics Committee, no number; Committees on Ethics and Scientific Research, Res no 32/RKF/2023U). All study results will be disseminated through peer-reviewed publications, scientific conferences and via reports and workshops for stakeholders at the regional (European Union), national and local levels. ISRCTN13105773, ISRCTN71485431, ISRCTN11841855, ISRCTN14970007 and ISRCTN15381820.

PurposeTo identify a consensus-based subset of NANDA-I nursing diagnoses (NDs) specifically relevant to mental health and addiction care, facilitating their integration into clinical practice and electronic health records (EHRs).MethodsA multiphase e-Delphi study was realized engaging 33 international nurses with experience in the fields of interest and in standardized nursing languages. Participants evaluated the relevance of 267 NANDA-I NDs (12th edition) using a 9-point scoring system, allowing for the immediate inclusion of 130 NDs with high consensus (median scores of 7-9). Further five uncertain NDs were included after undergoing a second Delphi round.FindingsA total of 135 NDs (50.6% of NANDA-I taxonomy) were identified as essential for mental health and addiction care. Domains such as self-perception, coping/stress tolerance, and interpersonal relationships had the highest inclusion rates, reflecting the psychosocial and cognitive complexity of care in these settings. Conversely, NDs belonging to domains like growth/development, safety/protection, and elimination/exchange were selected in a more focused way, limiting to conditions reflecting expected side effects of psychiatric medications or substance misuse or risks for other- or self-directed injuries.ConclusionsThe identified subset of NDs seems to have the potential to capture the multifaceted nature of mental health and addiction nursing. This targeted approach addresses the unique needs of these populations and highlights nursing's critical role in holistic care delivery.Implications for Nursing PracticeImplementing this NDs subset into EHRs can streamline clinical reasoning, enhance interdisciplinary communication, and align interventions with patient needs. By focusing on a refined set of diagnoses, nurses can improve care quality, optimize outcomes, and contribute to evidence-based decision making in mental health and addiction care. Future research should evaluate the subset's impact on patient outcomes and healthcare efficiency.

Transgender and gender nonconforming (TGNC) individuals experience higher levels of psychological distress than cisgender individuals. Social identity has been linked to mental health through its role in satisfying core psychological needs, including belonging, self-esteem, control, and meaningful existence. Social identity is a multidimensional construct that includes affective identification with the group and cognitive centrality, the latter encompassing identity importance and identity salience, which may relate differently to mental health outcomes. This study examined these associations among TGNC individuals in Chile, a context in which such processes remain understudied. We hypothesized that identity centrality would be positively associated with psychological distress, whereas affective identification would be negatively associated with distress. We further hypothesized that identity salience, rather than identity importance, would show the strongest association with distress, and that psychological needs satisfaction would mediate these relationships. A cross-sectional survey was conducted with 155 TGNC adults, and data were analyzed using path analysis. Results indicated that psychological needs satisfaction mediated the protective effect of affective identification, while identity salience was associated with greater psychological distress through reduced needs satisfaction. These findings underscore the importance of considering the multidimensional nature of social identity when examining mental health among TGNC populations.

In most parts of the world, people with disabilities are deprived of education, employment, health, and social and political rights. Moreover, women with disabilities can be subjected to double discrimination because of their gender and are more likely to experience physical, mental, and sexual abuse. Because of the nature of their disability, women with intellectual disability in particular face stigma and discrimination in accessing sexual and reproductive healthcare, which in turn affects their decision-making abilities regarding sexuality. In Ethiopia, due to a lack of resources and limited awareness, women with intellectual disabilities have difficulties accessing sexual and reproductive healthcare to meet their needs. We, therefore, aimed to explore the barriers and facilitators impacting access to sexual and reproductive health services in Gondar, Ethiopia. The study employed a qualitative descriptive approach to explore the existing barriers and facilitators impacting access to sexual and reproductive health services, aiming to inform how to improve service provision for women with intellectual disabilities in Gondar, Ethiopia. Using a semi-structured interview guide, we conducted interviews in Amharic with 17 purposively selected women with intellectual disability, aged 15-49, in Gondar, Ethiopia. After the interviews were transcribed, we conducted a thematic analysis using both inductive and deductive approaches in NVivo 14. The analysis of the study resulted in six themes reflecting on different barriers and facilitators impacting Sexual and reproductive healthcare access: sexual and reproductive health education, contraception, prevention of sexual abuse, prevention of sexually transmitted infections, pregnancy and parenthood, and the roles of community-based rehabilitation impacting access to Sexual and reproductive health services. Study findings showed the barriers and facilitators impacting access to sexual and reproductive health services for women with intellectual disability, based on firsthand information and experiences of these women embedded in structural and sociocultural factors. The study's findings could guide future researchers, healthcare policymakers and healthcare practitioners to design culturally appropriate and disability inclusive interventions promoting sexual and reproductive healthcare access and improved outcomes among women and girls with intellectual disability.

Reasonable accommodation for persons with severe mental disorders is a critical aspect in ensuring their successful employment and integration into society. Providing reasonable accommodations is essential in employing individuals with cognitive disabilities. The current study used a qualitative approach to understand the perspectives of mental health professionals (MHPs) on the construct of reasonable accommodation at the workplace for persons with severe mental disorders (PwSMD). Applying a purposive sampling technique, twelve MHPs were selected to participate in this study. All interviews were audio recorded, and session notes were added to the existing data and later transcribed. Thematic analysis was used to identify key themes. Seven themes emerged such as Interview and Selection Phase, Work Schedule Modification, Modification in Breaks and Leaves, Work Nature Modification, Work Environment Modification, Empathy and Warmth during Supervision, Multi Stakeholder Collaborations. MHPs with expertise in understanding SMDs and their impact on individuals' lives play a vital role in shaping and advocating for effective RA practices. However, providing RA for PwSMD is a multifaceted issue that involves legal, social, and individual considerations. It is essential to understand the facilitating factors, legal provisions, and employer perspectives to ensure the successful employment of individuals with mental disabilities.

Background: Atrial fibrillation is the most common cardiac arrhythmia, which has effects that goes beyond the heart, often affecting mental health. Over the years, increasing evidence has highlighted a bidirectional connection between anxiety and atrial fibrillation. However, the connection between the two in clinical practice is vague. Objective: This systematic review aims to investigate the relationship between anxiety and atrial fibrillation, including how anxiety might contribute to the onset and relapse of atrial fibrillation, how it may impact the treatment outcomes and its effects on the patient's overall quality of life. Methods: We conducted an extensive search of PubMed, Scopus, Embase, and Cochrane to systematically identify studies between 2020 and 2025. Adult patients with atrial fibrillation diagnosis who were assessed for anxiety were included using validated scales. A total of 84 articles met the inclusion criteria, with data extracted on anxiety measures, features of atrial fibrillation, clinical impact, and treatment effects. Results: Among the reviewed studies, anxiety was both prevalent in AF patients and significantly associated with poorer clinical outcomes across the majority of included studies, though the strength and nature of associations varied across study designs and populations. Patients with higher levels of anxiety had a higher probability of recurrent atrial fibrillation, increased symptom burden, and lower health-related quality of life. Anxiety also influenced treatment outcomes and adherence, particularly regarding anticoagulation and ablation therapy. Notably, several interventions including catheter ablation and structured patient education were associated with reductions in anxiety and improvements in outcomes. Importantly, one Mendelian randomisation study found no causal relationship between anxiety and AF, while depression and panic disorder showed causal associations, underscoring the need for cautious interpretation of observational findings. Conclusion: Anxiety and atrial fibrillation appear to share a complex, predominantly bidirectional association. While most observational studies support a link between anxiety and worse AF-related outcomes, evidence from Mendelian randomisation does not confirm a causal role for anxiety in AF onset, suggesting that residual confounding may partly account for observational associations. Addressing mental health in AF care is nonetheless clinically important. Incorporating psychological assessment and support into AF management may reduce symptom burden and improve treatment adherence and quality of life. Further research, particularly longitudinal interventional studies using standardised instruments, is required to guide more comprehensive, patient-centred care.

Although adverse childhood experiences (ACEs) increase risk for mental illness at the population level, existing ACEs screens are less helpful in forecasting individual outcomes, suggesting they may not capture significant elements of childhood adversity. We have previously identified unpredictable parental and household experiences as an ACE that portends poorer cognitive and mental health. However, the contribution of unpredictability to established ACEs in real-world settings is unknown. Here, leveraging existing ACEs screening in California, we added the five-item Questionnaire on Unpredictability in Childhood (QUIC-5) in 19 pediatric clinics spanning broad sociodemographic constituencies and compared in ~30,000 children the link of each screen with mental health diagnoses. Scores on either the ACEs or QUIC-5 associated with probabilities of depression, externalizing symptoms, sleep disorders, anxiety and somatic symptoms. Each screen provided unique contributions and combining them often doubled the strength of associations. For depression and sleep disorders, the QUIC-5 identified vulnerable individuals missed by ACEs screen, improving risk detection and facilitating future interventions.

Cigarette smoking is associated with adverse mental and sexual health outcomes, yet the effects of dual use of electronic and conventional cigarettes remain unclear, particularly in Southeast Asian populations. This study examined the association between dual nicotine use, mental health, and sexual functioning among Malaysian adults. In this cross-sectional study, 132 participants completed validated measures of nicotine dependence, depression, anxiety, stress, and sexual function. Convenience sampling was used due to the exploratory nature of the study and the difficulty of identifying dual users through probability-based sampling. This study was conducted within a multi-ethnic Malaysian context, allowing examination of substance use behavior within culturally diverse populations. Dual users demonstrated significantly higher sexual desire scores compared with cigarette-only smokers, while no significant differences were observed in psychological outcomes. These findings provide preliminary evidence that dual nicotine use may be associated with variations in sexual desire, although clinical significance remains uncertain. Further longitudinal and mechanistic studies are required to clarify neurobiological and sociocultural pathways linking nicotine exposure with psychological and sexual health outcomes.

Patient aggression is a pervasive challenge in global mental healthcare. Although de-escalation is a cornerstone of non-coercive care, a significant theory-practice gap persists. This is often attributed to a research focus on fragmented techniques rather than on de-escalation as a continuous, relational process embedded in clinical practice. This gap is particularly pronounced in China's unique socio-cultural context, characterized by high-context communication and pronounced hierarchical power dynamics, which directly shape trust-building and authority navigation during de-escalation. This study aimed to bridge this gap by exploring the lived experiences of psychiatric nurses in China, reconceptualizing de-escalation, and generating an integrated practice framework. A qualitative descriptive study with interpretive thematic analysis was conducted using semi-structured, in-depth interviews with thirty registered psychiatric nurses from multiple tertiary hospitals across China. Data were analyzed using reflexive thematic analysis. The analysis yielded a novel four-phase process model: pre-emptive prevention ('building a defensive levee'), an in-the-moment operational trilogy ('Stabilise, Connect, Resolve'), and post-intervention consolidation ('achieving a therapeutic closed-loop'), all sustained by an organizational ecosystem. The model repositions effective de-escalation not as an isolated skill but as a multidimensional outcome of relational, cognitive, and systemic factors. The model's novelty lies in its integration of discrete skills into a temporal, phase-based process, emphasizing the cyclical nature of relational work and the foundational role of the organizational ecosystem. Thus, it moves beyond a 'technocratic' training focus on fragmented skills in isolation. The core operational trilogy ("Stabilise, Connect, Resolve") provides a cognitive-behavioral framework for in-the-moment clinical reasoning. This study provides a robust, experience-based framework that addresses the theory-practice gap by capturing de-escalation as a complex, continuous process. The findings underscore the necessity of moving beyond technocratic training towards systemic, relationship-centered support, offering a critical foundation for safer and more therapeutic mental healthcare environments.

Burnout and occupational stress among mental health providers within the U.S. Veterans Health Administration are of critical concern, particularly for clinicians providing trauma-focused evidence-based psychotherapies. Burnout has been defined and measured in different ways across studies. In this article, burnout is conceptualized as a work-related syndrome involving emotional exhaustion, cynicism, and reduced professional efficacy, while recognizing that other constructs such as secondary traumatic stress and moral distress may also affect provider well-being. This article describes the Intensive Virtual Evidence-Based Psychotherapy Team at the Veterans Affairs Pacific Islands Health Care System, a fully virtual 2- to 4-week program that delivers massed prolonged exposure therapy or the Unified Protocol with Whole Health integration. Although the Intensive Virtual Evidence-Based Psychotherapy Team was developed as a clinical care model for Veterans, it was also intentionally structured in ways that support provider well-being at the service-delivery, team, and individual levels. Preliminary local program evaluation findings are presented. In a small retrospective pre-post evaluation, staff reported greater perceived support and lower burnout, secondary traumatic stress, and moral distress after joining the Intensive Virtual Evidence-Based Psychotherapy Team. A second 8-week Employee Whole Health initiative showed favorable descriptive trends and positive qualitative feedback regarding job satisfaction, collegial support, and accountability for personal wellness goals. Findings should be interpreted as preliminary given the nature of the small program evaluation. This article highlights one approach to promote provider well-being and embed sustainable practices into clinical program design in Veterans Health Administration mental health settings. (PsycInfo Database Record (c) 2026 APA, all rights reserved).

Advances in data science and medical artificial intelligence (AI) raise complex philosophical and ethical quandaries about what it means to know a person or a community through data and what kinds of people and societies we are becoming in this era of predictive data science. Drawing on four lightly fictional but reality-informed case studies in mental health, radiology, genomics and environmental public health, we reflect on how AI technologies, largely built on Western biomedical traditions, may conflict with relational, spiritual and Indigenous understandings of health and wellbeing. This may manifest as epistemic friction, algorithmic fatalism and diminished trust in patient-clinician relationships. Besides familiar concerns regarding bias and transparency, this paper advances the discourse on the ethics of medical AI and data science in healthcare by shifting the analysis from epistemology (how AI systems know, classify and predict) to ontology (the study of the nature of being, as reconfigured by data and AI). We argue that AI systems may inflict significant ontological harm by reconfiguring identity, moral agency and imagined futures and advocate for a renewed medical humanism driven by inter- philosophies dialogue, cross-cultural ethics and ecocentric approaches to care. From Bamenda, Cameroon, to Mthatha, South Africa and Toronto, Canada, the future of medical AI must be defined by the moral and philosophical traditions that people already live by. African, Indigenous, Islamic, Buddhist, Confucian and marginalised Western worldviews should not be treated as peripheral critiques, but as constitutive resources for building inclusive, human-centred health technologies. We conclude that bioethics should be recognised as a core infrastructure in global health, on equal footing with data science, medicine, biomedical research and health innovation.

The objective of this scoping review is to characterize the extent and nature of the available research on photovoice studies examining how greenspaces influence community health, and to identify community actions and advocacy arising from these participatory projects. Greenspaces have been shown to support physical, mental, and social health. Yet research often overlooks community perspectives, particularly in underrepresented environments such as arid regions. Photovoice enables individuals to document and reflect on their lived environments, providing unique insights into the relationships between greenspaces, health, and community wellbeing. Synthesizing photovoice studies that examine how greenspaces impact health across different ecosystems and landscape designs is essential to capture community-driven knowledge and outcomes, including initiatives that inform policy and practice. This review will include primary studies employing photovoice methods with human participants, of any demographic or cultural background, that focus on greenspaces and associated health outcomes. Eligible studies may use qualitative or mixed-methods designs, provided photovoice is a core component. Quantitative-only studies, reviews, editorials, and those addressing distal health measures will be excluded. Searches will be conducted in electronic databases and relevant grey literature sources. No language restrictions will be applied, and the time frame will extend from January 1997, when photovoice was first described, to the present. Screening and data extraction will be conducted in duplicate using Covidence. Findings will be summarized descriptively and synthesized thematically, and confidence in key review findings will be assessed using the JBI Critical Assessment Tools.

[This corrects the article DOI: 10.3389/fnhum.2025.1664304.].

Numerous studies have tried to understand the causes of mental health problems, mostly focusing on single exposures. These approaches often fail to capture the complex and interconnected nature of mental health problems. This study aims to investigate the associations of concurrent age-specific changes in explanatory factors, encompassing personal, health, lifestyle, and social factors and depressive symptoms in individuals aged 15 to 32 years. Individuals born in 1989 were followed from 2004 to 2021 with surveys at ages 15, 18, 21, 28, and 32. Inverse probability weights and multiple imputations with chained equations were used to account for attrition and missing data. Descriptive characteristics for each wave were estimated as well as the changes in depressive symptoms and explanatory variables between each wave. Fixed effect regression models and dominance analyses examined the contribution of change in each explanatory variable to the change in depressive symptoms between each wave. Lastly, analyses of asymmetric change were estimated to detect asymmetric associations of explanatory variables and depressive symptoms. The relative importance of the explanatory variables changed between age points. Between all age points, stress was the most dominant variable with a relative contribution above 30% between all age points, while the contribution of sense of coherence increased through the waves from 17% to 25%. Self-esteem, self-rated health, and psychosomatic symptoms had also high dominance with shifting contributions through the ages. The associations between explanatory factors and depressive symptoms are dynamic and preventive strategies should be tailored towards the different life stages.

Dating violence (DV) represents a critical public health challenge that disproportionately affects adolescents and young people. Among Health Sciences students, early detection is doubly important, both for their personal wellbeing and for their future role as frontline professionals in the identification of victims. The aim is to determine the prevalence and dynamics of dating violence (DV) among Health Sciences university students in Spain and Colombia, analyzing patterns of victimization and perpetration. This multicenter cross-sectional study included 511 Health Sciences students from eight universities in Spain and Colombia. DV was assessed using the Multidimensional Dating Violence Scale (EMVN) developed by García-Carpintero et al. (2018). The study was approved by the Research Ethics Committees of all participating institutions. The findings reveal that control and surveillance, together with sexual violence, are the predominant dimensions, far exceeding physical violence. Digital control behaviors ("persistently sending messages through social media") and subtle grooming behaviors ("giving unsolicited gifts or favors") emerged as the most frequently reported indicators. The bivariate analysis revealed critical gaps: men reported significantly higher levels of perpetration of physical and sexual violence. In addition, the geographical context proved to be a determining factor, showing significant cultural variations in how the phenomenon manifests. The results highlight that dating violence in this population is predominantly psychological and related to control. It is imperative to integrate education on equality and awareness of "warning signs" into the academic curriculum to transform these students into professionals capable of breaking the cycle of violence. This pioneering study provides an international perspective on the vulnerability and perceptions of future health professionals. Its multicenter nature makes it possible to design intervention strategies adapted to specific sociocultural contexts, thereby strengthening the response capacity of health systems to gender-based violence.