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JMIR Mental Health
Scopus
ISSN 2368-7959 · JMIR Publications · 975 artikel di indeks
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Artikel Jurnal
Examining the Acceptability and Effectiveness of a Self-Directed, Web-Based Resource for Stress and Coping in University: Randomized Controlled Trial
Abstract BackgroundUniversity students face high levels of stress with limited support for coping and well-being. Campus mental health services are increasingly using digital resources to support students’ stress management and coping capacity. However, the effectiveness of providing this support…
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Prediction of 12-Week Remission in Patients With Depressive Disorder Using Reasoning-Based Large Language Models: Model Development and Validation Study
Abstract BackgroundDepressive disorder affects over 300 million people globally, with only 30% to 40% of patients achieving remission with initial antidepressant monotherapy. This low response rate highlights the critical need for digital mental health tools that can identify treatment response…
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Retention and Engagement in Culturally Adapted Digital Mental Health Interventions: Systematic Review of Dropout, Attrition, and Adherence in Non-Western, Educated, Industrialized, Rich, Democratic Settings
Abstract BackgroundDigital mental health interventions (DMHIs) offer scalable and cost-effective support for mental health but are predominantly developed in WEIRD (western, educated, industrialized, rich, democratic) contexts, raising questions about their global applicability. Dropout, attrition…
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Remote Measurement-Based Care Interventions for Mental Health: Systematic Review and Meta-Analysis
Abstract BackgroundPoor management of mental health conditions leads to reduced adherence to treatment, prolonged illness, unnecessary rehospitalization, and a significant financial burden to the health care system. Recognizing this, ecological momentary assessment (EMA) and remote…
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“It Felt Good to Be Able to Say That Out Loud”—Therapeutic Alliance and Processes in AVATAR Therapy for People Who Hear Distressing Voices: Peer-Led Qualitative Study
BackgroundAVATAR therapy is a novel psychological therapy that aims to reduce distress associated with hearing voices. The approach involves a series of therapist-facilitated dialogues between a voice-hearer and a digital embodiment of their main distressing voice (the avatar), which aim to…
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Artikel Jurnal
Advancing Psychiatric Safety With the Predictive Risk Identification for Mental Health Events Tool: Retrospective Cohort Study
BackgroundPatient safety incidents are a leading cause of harm in psychiatric settings, yet early warning systems (EWS) tailored to mental health remain underdeveloped. Traditional risk tools such as the Dynamic Appraisal of Situational Aggression–Inpatient Version (DASA-IV) offer limited…
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Triaging Casual From Critical—Leveraging Machine Learning to Detect Self-Harm and Suicide Risks for Youth on Social Media: Algorithm Development and Validation Study
BackgroundThis study aims to detect self-harm or suicide (SH-S) ideation language used by youth (aged 13-21 y) in their private Instagram (Meta) conversations. While automated mental health tools have shown promise, there remains a gap in understanding how nuanced youth language around SH-S can be…
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AI-Driven Mental Health Support for Caregivers of Individuals With Alzheimer Disease: Systematic Literature Review and Development of a Conceptual Framework
BackgroundCaregivers supporting individuals with Alzheimer disease and related dementias (AD/ADRD) frequently encounter prolonged emotional strain, psychological distress, and social isolation, yet their needs are largely overlooked in current technological and clinical interventions. The special…
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Resilience as a Mediator in a Web-Based Intervention (MINDxYOU) to Reduce Stress Among Health Care Professionals: Stepped-Wedge Cluster Randomized Trial
Abstract BackgroundThe mechanisms through which mindfulness and third wave–based digital programs exert their effects on stress reduction remain poorly understood. Identifying these mediators is essential to optimize their implementation, particularly in health care settings. This approach is…
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Association of Daily Step Count With Depressive Symptoms in Patients With Major Depressive Disorder Using a Smartphone App (ReMAP): Longitudinal Study
Abstract BackgroundThe benefits of physical activity (PA) for both physical and mental health, including major depressive disorder (MDD), are well established. Mobile devices, such as smartphones, offer a scalable way to monitor PA and its relationship with depressive symptoms in daily life…
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Using Smartphone-Tracked Behavioral Markers to Recognize Depression and Anxiety Symptoms: Cross-Sectional Digital Phenotyping Study
Abstract BackgroundDepression and anxiety are prevalent but commonly missed and misdiagnosed, an important concern because many patients do not experience spontaneous recovery, and the duration of untreated illness is associated with worse outcomes. ObjectiveThis study aims to explore the potential…
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Effectiveness and Experiences of Online Mental Health Peer Support for Young People: Systematic Scoping Review
Abstract BackgroundThe prevalence of mental health conditions among young people is high and further increasing. Despite this considerable need, barriers remain to accessing and engaging with traditional mental health services. Online mental health peer support is increasingly popular among young…
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Detecting Pediatric Emergency Service Use for Suicide and Self-Harm: Multimodal Analysis of 3828 Encounters
Abstract BackgroundSuicide is the second-leading cause of US childhood mortality after 9 years of age. The accurate measurement of pediatric emergency service use for self-injurious thoughts and behaviors (SITB) remains challenging, as diagnostic codes undercount children. This measurement gap…
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Psychotherapeutic Competencies in Blended Care Psychotherapy: Development of a Competence Framework
Abstract BackgroundBlended care psychotherapy (BCP) combines face-to-face psychotherapy with digital interventions, such as videoconferencing, apps, or virtual reality, which can be incorporated in various ways and at different stages of the therapeutic process. Despite its increasing…
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Virtual Reality–Assisted Therapy Compared to Cognitive Behavioral Therapy for Patients With Treatment-Resistant Schizophrenia: Assessor-Blind Randomized Controlled Trial
Abstract BackgroundAuditory verbal hallucinations (AVH) are among the most disabling symptoms of schizophrenia and often persist despite treatment. Virtual reality–assisted therapies (VRTs) are a new generation of relational interventions for AVH, but comparative evidence against active…
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Artikel Jurnal
Psychological Therapy in the Age of Large Language Models: Framework for Therapist-Delivered and AI-Supported Functions
AbstractLarge language models are increasingly used within and alongside therapy. As large language models perform more therapy functions, questions arise about what the future might hold for therapists and what they will do. We argue that the enduring therapist role in the age of AI-assisted care…
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Trajectories of Persistent Exposure to Self-Harm–Encouraging Websites and Subsequent Mental Health Outcomes in US Youth: Longitudinal Cohort Study
Abstract BackgroundSelf-harm, including suicidal thoughts, self-injurious behavior, and disordered eating, is a major public health concern among adolescents and young adults. Youth increasingly encounter self-harm–related content online, including websites that explicitly encourage harmful…
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Tool or Companion? Reframing Conversational AI to Prevent Psychological Harm
AbstractPeople increasingly turn to conversational AI for companionship, emotional support, and well-being, using both purpose-built companion apps, such as Replika and Character.AI, and general-purpose assistants, such as ChatGPT and Claude. While some evidence suggests potential benefits…
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Wisdom and Life Purpose as Predictors of Mental Well-Being Among Middle-Aged to Older Adults: Cross-Sectional Study
Abstract BackgroundPositive aging, a concept found in positive psychology, serves as the theoretical foundation for this study. To age positively, one must manage hidden or unrecognized challenges, show flexibility in behavior and thought, adopt a positive outlook on problems involving regression…