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Hannon E, Anselimus SM, Bardikoff N, Bulc B, Germann S, Gonsalves PP, Melendez-Torres GJ, Ospina-Pinillos L, Sinha M, Wanjiru M. Why cities matter for adolescent mental health and wellbeing. Lancet 2024; 403:708-710. [PMID: 37827186 DOI: 10.1016/s0140-6736(23)02238-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 10/04/2023] [Accepted: 10/04/2023] [Indexed: 10/14/2023]
Affiliation(s)
| | - Sweetbert M Anselimus
- Tanzania's Psychosocial Welfare Organization, and University of Dar es Salaam, Iringa, Tanzania
| | - Nicole Bardikoff
- Global Mental Health at Grand Challenges Canada, Toronto, ON, Canada
| | - Barbara Bulc
- Global Development and SDG CoLab, Geneva, Switzerland
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Basaraba CN, Stockton MA, Sweetland A, Medina-Marino A, Lovero KL, Oquendo MA, Greene MC, Mocumbi AO, Gouveia L, Mello M, Dos Santos P, Suleman A, Mabunda D, Mandlate F, Xavier A, Fumo W, Massinga L, Khan S, Feliciano P, Kann B, Salem AF, Bezuidenhout C, Mootz JJ, Duarte CS, Cournos F, Wall MM, Wainberg ML. Does It Matter What Screener We Use? A Comparison of Ultra-brief PHQ-4 and E-mwTool-3 Screeners for Anxiety and Depression Among People With and Without HIV. AIDS Behav 2023; 27:1154-1161. [PMID: 36209180 PMCID: PMC10125788 DOI: 10.1007/s10461-022-03852-w] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [Grants] [Track Full Text] [Journal Information] [Subscribe] [Scholar Register] [Accepted: 08/30/2022] [Indexed: 11/01/2022]
Abstract
The burden of depression and anxiety disorders is high in sub-Saharan Africa, especially for people with HIV (PWH). The Patient Health Questionnaire-4 (PHQ-4) and Electronic Mental Wellness Tool-3 (E-mwTool-3) are ultra-brief screening tools for these disorders. We compared the performance of PHQ-4 and E-mwTool-3 for screening MINI-International Neuropsychiatric Interview diagnoses of depression and anxiety among a sample of individuals with and without HIV in two primary care clinics and one general hospital in Maputo City, Mozambique. Areas-under-the-curve (AUC) were calculated along with sensitivities and specificities at a range of cutoffs. For PWH, at a sum score cutoff of ≥ 1, sensitivities were strong: PHQ-4:Depression = 0.843; PHQ-4:Anxiety = 0.786; E-mwTool-3:Depression = 0.843; E-mwTool-3:Anxiety = 0.929. E-mwTool-3 performance was comparable to PHQ-4 among people with and without HIV.
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Affiliation(s)
- Cale N Basaraba
- Area Mental Health Data Science, New York State Psychiatric Institute, New York, USA.
| | | | - Annika Sweetland
- Columbia University Department of Psychiatry/New York State Psychiatric Institute, New York, USA
| | - Andrew Medina-Marino
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
- The Desmond Tutu HIV Centre, University of Cape Town, Cape Town, South Africa
- Research Unit, Foundation for Professional Development, Buffalo City Metro, South Africa
| | - Kathryn L Lovero
- Department of Sociomedical Sciences, Columbia University Mailman School of Public Health, New York, USA
| | - Maria A Oquendo
- Perelman School of Medicine, University of Pennsylvania, Philadelphia, USA
| | - M Claire Greene
- Program on Forced Migration and Health, Heilbrunn Department of Population and Family Health, Columbia University Mailman School of Public Health, New York, USA
| | - Ana Olga Mocumbi
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Lidia Gouveia
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | - Milena Mello
- New York State Psychiatric Institute, New York, USA
| | - Palmira Dos Santos
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | - Antonio Suleman
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Dirceu Mabunda
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Flávio Mandlate
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Amalio Xavier
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | - Wilza Fumo
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | - Luciana Massinga
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Saida Khan
- Department of Mental Health, Ministry of Health, Maputo, Mozambique
| | - Paulino Feliciano
- Universidade Eduardo Mondlane School of Medicine, Maputo, Mozambique
| | - Bianca Kann
- New York State Psychiatric Institute, New York, USA
| | | | - Charl Bezuidenhout
- Department of Global Health, Boston University School of Public Health, Boston, USA
| | | | | | - Francine Cournos
- Clinical Psychiatry (in Epidemiology), Columbia University, New York, USA
| | - Melanie M Wall
- Area Mental Health Data Science, New York State Psychiatric Institute, New York, USA
- New York State Psychiatric Institute, New York, USA
- Department of Biostatistics, Columbia University Mailman School of Public Health, New York, USA
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García-Serna J, Almeida-Huanca G, Huarcaya-Victoria J, Vilela-Estrada AL, Zafra-Tanaka JH, Villarreal-Zegarra D. Characteristics of undergraduate and second speciality mental health programmes in Peru: a cross-sectional study. HUMAN RESOURCES FOR HEALTH 2023; 21:16. [PMID: 36859351 PMCID: PMC9979569 DOI: 10.1186/s12960-023-00805-9] [Citation(s) in RCA: 0] [Impact Index Per Article: 0] [Reference Citation Analysis] [Abstract] [Key Words] [MESH Headings] [Grants] [Track Full Text] [Figures] [Subscribe] [Scholar Register] [Received: 08/05/2022] [Accepted: 02/15/2023] [Indexed: 06/18/2023]
Abstract
BACKGROUND This study aims to describe the training offered and the availability of professionals required by the Ministry of Health for mental health problems management in the community. METHODS A cross-sectional study was carried out on the training offered in mental health in Peruvian universities. A search for programs was conducted using the University Information System database and universities' websites, as well as using the Ministry of Health's database on health personnel and data on the number of enrolled and current students provided by the University Information System database and the Transparency section of the universities. RESULTS There were 214 undergraduate, 55 specialty and 7 subspecialty programmes, of which 39%, 47% and 100%, respectively, were offered in the capital city. The duration ranged from 5 to 7 years for undergraduate programs and from 1 to 3 years for subspecialty and second specialty programs. The cost of undergraduate programs ranged from free of charge up to USD 6863.75 for the first semester of study. Second specialty programs ranged from 720 up to 11 986 USD and subspecialty programs ranged from 2267 up to 9138 USD, with medicine being the most expensive. On the other hand, there are a greater number of psychology students (n = 78 781) pursuing undergraduate studies than working professionals (n = 5368), while in the second specialty of psychiatry there are far fewer students pursuing the specialty (n = 67) than working professionals (n = 454). CONCLUSIONS The problem of professional training in mental health requires that the institutions involved in health and education develop policies to decentralize programs, communicate the demand for professionals in certain areas, make them accessible to the low-income population, respond to mental health problems and guarantee their quality. On the other hand, regarding the low number of mental health personnel working, it is suggested to increase the mental health budget to generate more mental health services and employment.
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Affiliation(s)
| | | | - Jeff Huarcaya-Victoria
- Escuela Profesional de Medicina Humana, Universidad Privada San Juan Bautista, Filial Ica, Ica, Peru
- Unidad de Psiquiatría de Enlace, Departamento de Psiquiatría, Hospital Nacional Guillermo Almenara Irigoyen, EsSalud, Lima, Peru
| | | | | | - David Villarreal-Zegarra
- Instituto Peruano de Orientación Psicológica, Lima, Peru
- South American Center for Education and Research in Public Health, Universidad Privada Norbert Wiener, Lima, Peru
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