搜索结果：The Psychiatric quarterly

In 2017, the Icahn School of Medicine at Mount Sinai (ISMMS) conducted a survey in Jarabacoa, Dominican Republic that revealed a high rate of mental health disorders. To address the shortage of mental health services, ISMMS collaborated with the Instituto Terapéutico y Psicológico para la Familia (INTEP) to provide training sessions to local primary care providers (PCPs) and psychologists in psychopharmacotherapy and cognitive behavioral therapy, respectively. The aim of this study was to evaluate the impact of the training on providers' confidence about and attitudes towards providing mental health care. Trainees were administered a survey pre, immediate post, and three-months following training sessions to assess their comfort in diagnosing and treating psychiatric conditions. Post-training interviews were conducted to assess the impact of the training. A total of 78 PCPs participated in the initial training session. Chi-squared and Fisher Exact analyses conducted on PCPs' responses to individual survey items revealed significant increases in the proportion of respondents agreeing to feeling comfortable managing targeted psychiatric conditions after training as compared to before training. Interviews with 28 PCPs supported these results. Five of the 12 trained psychologists were interviewed and endorsed success in integrating the training into their practice, noting improved patient outcomes. Both PCPs and psychologists described an enhanced sense of confidence in managing patients with mental health disorders after training, emphasizing the positive impact that psychiatric training initiatives in primary care settings have in promoting sustainable mental healthcare systems in low-resource settings.

Cognitive Behavioral Therapy (CBT) is increasingly recognized as a pivotal adjunctive treatment for schizophrenia, aiming to address persistent symptoms and enhance functional recovery beyond pharmacotherapy. Despite a significant growth in CBT-related publications in recent years, comprehensive bibliometric and scientometric syntheses remain scarce. This study aims to systematically analyze the global research landscape, intellectual structures, and emerging thematic trends in CBT for schizophrenia, providing an evidence-based overview of developments and research gaps from a bibliometric perspective. The Core databases of Web of Science, Scopus, and PubMed were utilized to retrieve articles on Cognitive Behavioral Therapy in Schizophrenia that were published up to December 2025. Bibliometrics was applied to perform both quantitative and qualitative analyses of authors, institutions, countries, journals, references, and keywords, leveraging tools such as VOSviewer, Microsoft Excel. A total of 1,587 articles were encompassed in this study, comprising 1,210 original research articles and 377 review papers. The United States emerged as the country with the highest productivity and citation counts, contributing 486 publications and accumulating 21,412 citations, followed by the United Kingdom and Canada. King's College London stood out as the leading institution in the field, with the highest number of publications and citation impact among academic centers. However, the article with the highest average citation rate was authored by Douglas Turkington, highlighting his pivotal role in CBT research for schizophrenia. Schizophrenia Bulletin proved to be the most influential journal in this domain, with its articles being cited over 7,800 times, positioning it as a core platform for scholarly dissemination. This bibliometric and scientometric study comprehensively maps global research on CBT for schizophrenia, highlighting key contributors, collaboration networks, and thematic evolutions from inception to 2025. Current research hotspots focus on integrating CBT with antipsychotic treatments and evaluating efficacy through randomized trials. Future research trends are anticipated to pivot towards digital health interventions, teletherapy modalities, and AI-assisted assessments, with an urgent need to develop standardized outcome measures and age-adapted CBT protocols. Addressing these conceptual and methodological gaps, alongside fostering broader international collaborations, will be essential for advancing evidence-based, patient-centered CBT applications in schizophrenia.

This review aimed to fill the literature gaps and provide a robust and up-to-date account of the efficacy of mindfulness-based interventions on the quality of life and psychological well-being of individuals with obesity. The prevalence of overweight and obesity are gaining more prominence globally; and several studies have highlighted the effectiveness of mindfulness-based interventions (MBIs) in assisting psychological issues associated with obesity. However, the awareness of MBIs' impact is yet to be established globally. A systematic review adhering to the PRISMA protocol was conducted, involving searches across five electronic databases. The review encompassed English language publications from January 2013 to July 2023. The inclusion criteria were met by twenty-two eligible randomized controlled trials (RCT) and quasi-experimental studies, involving a total of 1,729 participants. These studies assessed the impact of MBIs on quality of life and various psychological well-being components. The majority of the reviewed studies revealed a positive effect of MBIs on the quality of life and psychological well-being among individuals with obesity. However, more research is needed, particularly studies incorporating an active control group, focusing on Asian populations, and utilizing larger sample sizes, in order to ascertain the effectiveness of MBIs comprehensively. The findings of this review have significant implications and offer directions for the development of MBIs tailored to address weight-related challenges and enhance both physical and psychological well-being.

Effective interventions that can prevent sleep deprivation are needed for the healthy development of adolescents. Examining the underlying mechanisms that may lead to sleep deprivation is essential in this context. This cross-sectional study was conducted in Türkiye and employed a correlational research design with a large sample of 1,166 Turkish adolescents aged 15-17 years (Mage = 15.82, SD = 0.80). Data were collected using the Child and Adolescent Mindfulness Measure (CAMM), the General Scale of Phubbing (GSP), and the General Procrastination Scale (GPS). Analyses were conducted using PROCESS Macro Model 6 to examine the relationships among variables and potential serial mediation effects. Correlation analysis results indicated that, in adolescents, mindfulness levels were negatively associated with general phubbing, general procrastination, and sleep deprivation, while phubbing and procrastination behaviors were positively correlated with each other and with sleep deprivation. Mediation analyses indicated that the relationship between mindfulness and sleep deprivation occurred both directly and indirectly through phubbing, procrastination, and serial mediation via phubbing and procrastination, with approximately 42.33% of the total effect accounted for by the indirect pathways. In conclusion, the findings indicate that increasing adolescents' levels of mindfulness may reduce phubbing and general procrastination behaviors, thereby playing a protective role against sleep deprivation. Theoretically, the results contribute to a better understanding of the processes through which mindfulness relates to sleep deprivation via smartphone use and general procrastination in adolescents. Practically, interventions aimed at enhancing adolescents' mindfulness levels may serve as a potential approach to prevent sleep deprivation through the reduction of procrastination and phubbing. Accordingly, such interventions may offer valuable implications for prevention, intervention, and policy practices, as well as for professionals working with adolescents.

We aimed to examine the relationship between impulsivity and Internet Addiction (IA) evaluating autism symptoms, inattention, hyperactivity, loneliness, anxiety, and depression in adolescents with Autism Spectrum Disorders (ASD). We also investigated whether symptoms of autism, anxiety or depression moderate and/or mediate the relationship between impulsivity and study variables in predicting the severity of IA. Participants (n&#x2009;=&#x2009;46 adolescents with ASD, ages 12-18) were assessed through Autism Spectrum Screening Questionnaire (ASSQ), Revised Child Anxiety and Depression Scales, Turgay DSM-IV-Based Disruptive Behavioral Disorders Screening and Rating Scale, The Barratt Impulsiveness Scale-Brief, Young Internet Addiction Scale, and UCLA Loneliness Scale. For all the mediation models, total effect of impulsivity on IA was statistically significant (b&#x2009;=&#x2009;0.329, p&#x2009;<&#x2009;0.05). The mediator effects of Separation Anxiety Disorder (SpAD) (b&#x2009;=&#x2009;0.495, CI&#x2009;=&#x2009;0.039-1.256), and Generalized Anxiety Disorder (GAD) (b&#x2009;=&#x2009;0.786, CI&#x2009;=&#x2009;0.113-1.811) were statistically significant on the path between impulsivity and IA. The direct effect of impulsivity on SpAD was moderated by ASSQ (b&#x2009;=&#x2009;0.041, p&#x2009;<&#x2009;0.05). SpAD and GAD mediates the relationship between impulsivity and IA. The higher the autism level, the more likely the individual with ASD is to become an internet addict, strengthening higher relationship between impulsivity, SpAD, and GAD.

Insurance type is a key indicator of structural vulnerability in pediatric mental health care and may be associated with differences in psychiatric presentation, treatment course, and diagnosis among hospitalized youth, particularly Black and Hispanic/Latino children insured by Medicaid. Despite these inequities, their impact remains understudied among psychiatrically hospitalized pediatric populations. This retrospective study analyzed 1,101 child and adolescent psychiatric patients admitted to an urban psychiatric hospital between June 2018 and November 2021. Clinical presentation, psychiatric history, treatment course, and discharge diagnoses were compared between patients' insurance by Medicaid (72%) and those with commercial insurance (28%). Compared with commercially insured patients, children and adolescents with Medicaid were more likely to be Black or Hispanic/Latino and had higher rates of trauma exposure, prior psychiatric emergency visits, and higher rates of attention-deficit/hyperactivity disorder (ADHD), impulsive/behavioral disorders, and developmental/intellectual disorders. They were more frequently admitted for aggression-related crises, more likely to receive emergency injectable medications for agitation, and had longer hospital stays. Commercially insured patients had higher rates of anxiety disorders and suicide attempt related admissions. These findings suggest children and adolescents with Medicaid who required psychiatric hospitalization had greater severity of psychosocial histories and higher-acuity inpatient courses, highlighting how structural inequities reflected by insurance type, may shape differing psychiatric treatment pathways, underscoring the need for equity-oriented interventions, particularly during periods of healthcare system strains.

Early identification of executive dysfunction in children by non-specialist through task-shifting is imperative to attaining universal health coverage in sub-Saharan Africa. We assessed the potential burden of executive dysfunction seen by local health workers, and the potential for integrating them into assessment for cognitive functioning of children within the local healthcare system. This study was a cross-sectional in-person and online survey of 133 health workers in rural and urban Ghana and Nigeria from primary, secondary and tertiary tiers of the healthcare system. Adolescents (11 - 18&#xa0;years) were the most seen age-category in primary and secondary care and by non-specialists, while school-age children (6 - 9&#xa0;years) and pre-schoolers (1 - 5&#xa0;years) were most seen by specialists. In decreasing order of frequency, the reported conditions likely to be associated with executive dysfunction and the cadres of workers who saw them were epilepsy and seizure-related (all workers), brain injury and neurodevelopmental delay-related complaints (secondary care workers), Attention Deficit Hyperactivity Disorder related complaints (specialists in referral centres), anxiety-related complaints (specialists in primary care) and school difficulties-related complaints (secondary care workers and non-specialists). Adolescents with Attention Deficit Hyperactivity Disorder may be going unrecognised. The Wechsler Intelligence Scale for Children/Wechsler Preschool and Primary Scale of Intelligence and the Kaufman Assessment Battery for Children (not ecologically validated) and clinical history with Mental State Exam were the most common means of assessing cognitive functioning. Potential burden of executive dysfunction among children in Ghana and Nigeria is high, and involvement of non-specialist health workers in cognitive functioning assessment is needed.

The 2023 Kahramanmara&#x15f;-Hatay earthquakes caused widespread collective trauma across T&#xfc;rkiye, affecting both directly and indirectly exposed populations. This crisis underscored the urgent need to understand psychological factors that foster resilience and mental well-being in disaster-affected groups. Positive childhood experiences (PCEs) are key developmental assets that shape mental health across the lifespan. Yet, the mechanisms through which these early relational strengths influence adult well-being, particularly in non-Western and ecologically disrupted contexts, remain underexplored. Drawing on resilience theory and psychological flexibility frameworks, this study tested a serial mediation model in which resilience and psychological flexibility sequentially mediate the relationship between PCEs and adult mental well-being. Data were collected from 952 adults (91.5% female; Mage&#x2009;=&#x2009;39.48, SD&#x2009;=&#x2009;8.71, range&#x2009;=&#x2009;18-66) across 75 Turkish cities in the post-earthquake period, offering a unique context to examine protective psychological mechanisms under macro-level adversity. Structural equation modeling confirmed the hypothesized model, revealing significant indirect effects of PCEs on mental well-being through both resilience and psychological flexibility. This study contributes to the literature by (1) offering a dynamic, process-oriented framework explaining how early developmental strengths promote adult mental health; (2) extending resilience theory to a national post-disaster context, emphasizing how early assets buffer against collective trauma; and (3) broadening positive psychology research through a socioeconomically and geographically diverse Turkish sample. The findings underscore the importance of culturally sensitive interventions that strengthen early relational resources and promote adaptive psychological capacities to sustain lifelong mental well-being.

Due to the widespread use of technology in families today, parent-child technoference-the term for disruptions in parent-child interactions brought on by technology use-has become a prevalent occurrence. Despite the potential adverse effects of parent-child technoference on adolescent problematic social media use (PSMU), the mechanisms behind this link are yet unknown. The current study investigated whether loneliness and maladaptive cognitions serially mediated the relationship between parent-child technoference and adolescent PSMU, and whether adolescent self-compassion moderated this serial mediating process, all within the framework of the Interaction of Person-Affect-Cognition-Execution (I-PACE) model. 901 Chinese teenagers (M&#x2009;=&#x2009;15.84, SD&#x2009;=&#x2009;0.57) filled the self-report questionnaires of parent-child technoference, loneliness, maladaptive cognitions toward social media, self-compassion, and PSMU. Using SPSS PROCESS, a moderated serial mediation model was tested. The results revealed that frequent parent-child technoference was linked to a heightened risk of adolescent PSMU through increased loneliness and maladaptive cognitions. Additionally, self-compassion moderated this mediation pathway in an unexpected direction, rather than showing the anticipated buffering effect, high self-compassion was associated with a stronger link between parent-child technoference and adolescent PSMU via loneliness and maladaptive cognitions. This study contributed to the scarce literature by clarifying the mechanisms behind the correlation between parent-child technoference and adolescent PSMU.

Migrants are often systematically exposed to ethnic microaggressions. It is important to understand the extent to which and how microaggressive experiences affect psychosocial processes in the process of interacting with the local population. In addition, understanding the demographic structures that determine this process will facilitate the handling of the problem as a whole. The aim of this study is to examine the mediating role of intolerance of uncertainty in the effect of ethnic microaggressions on minority stress among Syrian migrants, as well as the moderating effects of age and length of stay. The sample of the study, which was structured according to a cross-sectional design, consisted of 395 Syrian migrants, and the data were collected between January and February 2024. The effect of moderation and mediation was tested with the PROCESS macro (Model 5) for SPSS 23.0 by Hayes using 5000 bootstrap samples. Intolerance of uncertainty has a mediating effect on the relationship between ethnic microaggression and minority stress. Age moderated the relationship between ethnic microaggression and minority stress, while length of stay did not have a significant moderating effect on the same relationship. Excessive exposure to ethnic microaggressions may increase Syrian migrants' intolerance to uncertainty and minority stress, and such psychosocial problems are at higher risk in older migrants.

Despite evidence suggesting links between trauma exposure and dysregulated hypothalamic-pituitary-adrenal (HPA) axis function-often manifesting as altered cortisol reactivity to stress-empirical findings remain inconsistent. These discrepancies may partially stem from reliance on dichotomous trauma classifications (i.e., presence/absence of potentially traumatic events [PTEs]) that fail to capture the subjective and contextual complexity of psychological traumatization. This study examined whether incorporating subjective trauma perceptions-specifically event centrality-and trauma type (interpersonal/non-interpersonal) would clarify associations between PTE exposure and blunted cortisol reactivity. Adults (N= 65; 42 female) participated in the Trier Social Stress Test, provided salivary cortisol samples, and completed trauma surveys. Multiple regression analyses revealed that higher event centrality was unexpectedly associated with greater cortisol reactivity in the full sample-an effect driven by female participants (b=7.46,p=.007,f2=.236). Subsequent analyses clarified that this relation was moderated by trauma type: women reporting highly central interpersonal trauma demonstrated bluntedcortisol reactivity (b=-19.10,p=.012,f2=.207), indicating an interaction between trauma type and subjective event centrality. Findings support the salience of dimensional trauma variables and sex-specific analyses in neurobiological research. The observed associations also present insights for identification of those at risk for dysregulated HPA axis function and targeted intervention design. By integrating both objective and subjective trauma indicators, this study provides nuance to our understanding of the impact of trauma on physiological stress systems-and contributes to a body of evidence suggesting that the subjective meaning of trauma may be a critical consideration in predicting health outcomes.

Extensive empirical evidence has demonstrated the detrimental impact of childhood psychological maltreatment on psychological functioning in later life. Nevertheless, the protective factors that may mediate these adverse effects over time remain insufficiently explored. A comprehensive understanding of such mechanisms is critical for informing the development of targeted prevention and intervention strategies aimed at mitigating the negative outcomes associated with early maltreatment. This longitudinal study examined the mediating role of optimism and positive self-beliefs in the relationship between childhood psychological maltreatment and psychological symptoms in young adults. The sample comprised 343 Turkish young adults (64% female), aged between 17 and 46 years (M&#x2009;=&#x2009;21.24, SD&#x2009;=&#x2009;4.61), who completed online surveys at two time points approximately seven months apart. Structural equation modeling indicated that optimism and positive self-beliefs fully mediated the association between childhood psychological maltreatment and psychological symptoms. Initially, childhood psychological maltreatment was positively associated with psychological symptoms; however, this direct effect became non-significant upon inclusion of the mediators in the model. These findings underscore the critical role of optimism and positive self-beliefs as protective psychological resources that may reduce the long-term adverse effects of childhood psychological maltreatment among young adults.

Couple resilience is an emerging dyadic construct of growing interest in the scientific literature. Resilience acts as a protective factor against mental illness and psychiatric disorders. The Couple Resilience Inventory is one of the most frequently used scales to assess it. Our purpose was to develop an Italian adaptation and validation of the CRI in the general population, examining its psychometric properties: factor structure, reliability, convergent validity and divergent validity. Participants were 360 individuals (83.9% women) from 19 to 74&#xa0;years old (M&#x2009;=&#x2009;34.96; SD&#x2009;=&#x2009;12.87). Results from confirmatory factor analysis support the bi-factorial structure of the original validation study: positive couple resilience (PCR) and negative couple resilience (NCR). The model tested proved acceptable goodness-of-fit indices (&#x3c7;2(76)&#x2009;=&#x2009;346.624, p&#x2009;<&#x2009;.001, SRMR&#x2009;=&#x2009;0.052, GFI&#x2009;=&#x2009;0.979, CFI&#x2009;=&#x2009;0.909, NNFI&#x2009;=&#x2009;0.891, RMSEA&#x2009;=&#x2009;0.082, PNFI&#x2009;=&#x2009;0.740). Reliability analysis demonstrated high internal consistency for both PCR (&#x3b1;&#x2009;=&#x2009;.92; &#x3c9;&#x2009;=&#x2009;.92) and NCR (&#x3b1;&#x2009;=&#x2009;.85; &#x3c9;&#x2009;=&#x2009;.87) CRI factors. Excellent item-factor correlations were obtained. Evidence of convergent and divergent validity was provided via a hierarchical regression model that showed significant associations between couple resilience and dyadic coping factors. These findings provide evidence regarding the psychometric properties of the Italian version of the CRI.

This study assessed resident psychiatrist clinical confidence regarding women's mental health (WMH) topics and interest in receiving WMH education. The authors analyzed cross-sectional survey data from 152 Postgraduate year (PGY) 1-4 Residents in U.S. Adult Psychiatry Residency Training Programs between 12/3/2024-5/29/2025. Relative within-individual confidence in perinatal-focused WMH practice compared to general practice was assessed using paired Wilcoxon signed rank tests. Predictors of the relative confidence gap between perinatal and general practice were evaluated using multiple regression analyses. Resident interest in WMH education and preferred educational interventions was summarized using descriptive statistics. Residents were significantly less confident prescribing to pregnant and lactating individuals and counseling patients about risks and benefits of treatment in pregnancy and lactation compared to general practice (all p&#x2009;<&#x2009;0.001). More self-reported WMH didactic hours attenuated the confidence gap for perinatal prescribing and counseling during pregnancy and lactation. The majority (62.5%) were not confident they would receive adequate WMH exposure by the end of residency, including 58.8% of PGY-4 residents. All (100%) expressed support for formal requirements for WMH education during residency. Residents were most interested in additional interactive WMH didactics (78.3%), followed by additional clinical electives (75.7%) or a national or program-specific women's mental health track (65.8%). Many residents are not getting the WMH training they need to serve women across the lifespan. When they do get it, it increases their self-efficacy to provide WMH care. Residents need and are recommending more WMH training so they can provide adequate mental health care to women across the lifespan.

An existential vacuum is a pervasive sense of emptiness and meaninglessness that highlights an individual's struggle to find purpose and fulfillment. This article&#xa0;aims to create a valid and reliable Existential Vacuum Scale for adults and test it in a hypothetical model. Accordingly, this research, carried out in three studies, collected data from 28 different countries. In Study 1 (N&#x2009;=&#x2009;547), confirmatory factor analysis validated the 15-item Existential Vacuum Scale. Item Response Analysis showed satisfactory scale item discrimination. The scale's reliability was confirmed by reliability analyses. In Study 2 (N&#x2009;=&#x2009;368), correlations&#xa0;was analyzed. Existential vacuum, depression, anxiety, stress, mental well-being, and Big Five personality traits were strongly correlated. In Study 3 (N&#x2009;=&#x2009;401), structural equation modelling revealed that intolerance of uncertainty partially mediated the relationship between existential vacuum and loneliness. People who feel life lacks meaning may have a lower tolerance to uncertainty and be more lonely. In other words, individuals with high existential vacuum may show lower tolerance for uncertainty, which may contribute to increased levels of loneliness. The presence of partial mediation suggests that intolerance of uncertainty is an important mechanism, but that the relationship between existential vacuum and loneliness can also be explained by other factors. In broadening the literature on existential vacuum, this research pioneers.

In sub-Saharan Africa (SSA), maternal depression remains a public and social challenge. Available studies from high-income countries suggest that affected women do not constitute one homogeneous group in terms of severity, chronicity, and onset of symptoms. However, few studies have captured the distinct characteristics of such depression patterns in SSA. This study adds to the literature by examining depressive symptoms trajectories and associated factors among reproductive age women in Khwisero, western Kenya. It provides a unique contribution by generating evidence from community-based longitudinal data, using a semiparametric, group-based trajectory modeling to identify heterogenous subgroups of women, each following a distinct pattern of depressive symptom development over time, with their own trajectory pattern and growth parameters.&#xa0;We used data collected from community-based longitudinal household surveys from 2019 to 2023. A total of 257 reproductive age (18-49 years) women were assessed for depressive symptoms using Center for Epidemiological Studies Depression (CES-D) scores and included in the analyses. Latent class growth curve mixture and generalized estimating equation models were used to identify trajectories of depressive symptoms and examine factors associated with each trajectory group, respectively. Bayesian information criterion, the probability of group memberships, average posterior probability, odds of correct classification, and biological plausibility were used to identify and determine the trajectory groups. A p-value of 0.05 was set to examine associations of each trajectory with factors.&#xa0;We found four distinct patterns of depressive symptoms among reproductive age women, namely moderately stable depression (19.8%, Group 1), mildly stable depression (56.8%, Group 2), higher but improving depression (18.6%, Group 3), and unstably high depression (4.8%, Group 4). We also found that reproductive age women who reported better self-rated health status and food security were less likely to experience unstable or moderately increasing depressive symptoms.&#xa0;Reproductive age women exhibit distinct forms of depressive symptoms trajectories, underscoring the need to recognize and address heterogeneity in design, development, and delivery of maternal mental health interventions. These findings also provide deeper insights into the dynamic nature of depressive symptoms in under-researched rural African settings. Further research should focus on examining the effect of time varying factors and understanding potential mechanisms of underlying, proximal, and early life factors, including time varying factors, in a more diversified population using life course model and/or socioecological model. The differential impact of belonging in distinct groups of trajectories on women's future health and their children's health, development, and nutritional outcomes also requires further investigations.

Misophonia is a disorder characterized by decreased tolerance to specific sounds or stimuli associated with these sounds, such as oral, nasal, or instrument-generated noises. Reported prevalence rates vary widely, ranging from 5% to 49%, with limited studies among children. Therefore, this study aimed to investigate the prevalence of misophonia among children presenting to a public hospital for any reason.&#xa0;1,006 high school students attending six high schools in Kahta district of Ad&#x131;yaman province, voluntarily participated in the study. Each completed a sociodemographic data form and the Misophonia Questionnaire.&#xa0;Clinically significant misophonia was found in 49.7% (n = 500) of students. Higher misophonia scores were observed among female students, those reporting high stress during exam periods, those with poor parental relationships, and those with poor general health (p < 0.05). Students who described themselves as introverted, emotional, indecisive, rule-oriented, ambitious, or detail-oriented had significantly higher misophonia scores than their peers (p < 0.05).&#xa0;This study demonstrates a high prevalence of clinically significant misophonia among high school students in T&#xfc;rkiye and highlights its association with various stress factors and certain personality traits. Future research should focus on individuals with elevated misophonia symptoms to determine, through standardized clinical evaluations, the proportion that meets the criteria for a clinical disorder and to investigate the related sociodemographic and clinical features and the course of the condition.

Stigma is a critical barrier to adolescents' willingness to seek professional mental health support, yet less is known about whether non-stigmatizing attitudes toward peers with mental health problems are associated with adolescents' help-seeking attitudes. This study examined correlates of adolescents' attitudes toward seeking professional psychological help. A sample of 686 Chinese adolescents (Mean age = 16.67 years, SD = 2.39 years; 55.2% were females) completed measures of depressive and anxiety symptoms, non-stigmatizing attitudes toward peers with mental health problems (perceived competence and social acceptance), and attitudes toward seeking professional psychological help. Hierarchical regression analyses indicated that female adolescents reported more positive help-seeking attitudes compared to males. Higher levels of depressive and anxiety symptoms were associated with less favorable help-seeking attitudes. Notably, perceived competence positively predicted help-seeking attitudes, whereas social acceptance showed a negative association. The final regression model accounted for 13.1% of the variance in help-seeking attitudes. These findings suggest that adolescents' help-seeking attitudes are shaped not only by emotional distress, but also by how psychological difficulties are understood and evaluated within the peer context. Interventions may benefit from addressing both emotional distress and peer-related stigma processes while fostering supportive environments that make professional help more acceptable and accessible to adolescents.

Digital mental health interventions (DMHIs) provide tools to seek mental health resources, providers, and facilitate and/or complement in-person treatment. Limited research has examined what factors are associated with DMHI uptake. We used California Health Interview Survey data to examine DMHI use among California adults (2019-2022), estimating three multi-variable logistic regression models to assess if DMHI use to seek mental health support (Model 1), connect with mental health professionals (Model 2), and connect with others with similar concerns (Model 3) varied by psychological distress or sociodemographic variables. We used Wald Chi-square statistics tests to examine reasons for not using DMHIs by the same variables. DMHI use to seek mental health support (OR&#x2009;=&#x2009;1.6) and connect with professionals (OR&#x2009;=&#x2009;1.4) increased between 2019-2022. High psychological distress individuals used DMHIs for all three outcomes significantly more than low/no distress individuals (Model 1: OR&#x2009;=&#x2009;14.9; Model 2: OR&#x2009;=&#x2009;11.9; Model 3: OR&#x2009;=&#x2009;13.0). The top reason for not using online tools regardless of distress was in-person treatment. The second reasons were low perceived treatment utility (high/medium distress individuals), and low perceived need (low/no distress individuals). Overall, younger, female, more educated, insured, unmarried, and non-Hispanic White participants were more likely to use DMHIs than older, male, less educated, uninsured, married, and Asian counterparts. Adult DMHI use to seek mental health support and professional treatment increased between pre-pandemic and pandemic years. Many respondents who did not use DMHIs sought in-person support. Future research can examine how to increase perceived DMHI efficacy among people with high/medium distress.