Crick Lund
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View article: Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure: A Mixed-Method Study Among Adolescents in Nepal
Translation and Adaptation of the Child and Youth Resilience Measure-Revised and Rugged Resilience Measure: A Mixed-Method Study Among Adolescents in Nepal Open
Resilience, the capacity to adapt positively in adversity, is a key protective factor for adolescent well-being, particularly for depression and anxiety, which are highly prevalent among adolescents in Nepal. Accurate measurement across cu…
View article: The costs, outcomes and returns on investment of a package of intersectoral interventions for mental, neurological, and substance-use disorders, and intellectual disabilities in South Africa
The costs, outcomes and returns on investment of a package of intersectoral interventions for mental, neurological, and substance-use disorders, and intellectual disabilities in South Africa Open
South Africa faces a significant burden from mental, neurological, and substance-use (MNS) conditions, with a substantial treatment gap that hampers the country's progress toward universal health coverage (UHC). Despite National Health Ins…
View article: Rethinking Resting Heart Rate Variability: No Evidence of Association With Self‐Regulation and Psychopathology in a Cross‐Sectional Study Among Adolescents in Colombia, Nepal, and South Africa
Rethinking Resting Heart Rate Variability: No Evidence of Association With Self‐Regulation and Psychopathology in a Cross‐Sectional Study Among Adolescents in Colombia, Nepal, and South Africa Open
Resting‐state heart rate variability (HRV) has been proposed by some researchers as a potential transdiagnostic measure of psychopathology. It is often found to be reduced across a range of mental health conditions and is thought to reflec…
View article: Relationship between poverty and symptoms of depression and anxiety among adolescents in Nepal: Examining the mediating effect of external and internal resilience
Relationship between poverty and symptoms of depression and anxiety among adolescents in Nepal: Examining the mediating effect of external and internal resilience Open
This study expands the evidence on the mediating effect of external resilience in the association between poverty and depression and anxiety in Nepali adolescents. The mediating effect was stronger for depressive outcomes than for anxiety.…
View article: Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal
Assessment and management of suicidality in a mental health survey among poverty affected adolescents in Nepal Open
Overall, integrating suicidality measures in mental health surveys was found to be effective suicide assessment and preventive strategy for adolescents in Nepal. Developing suicide management protocols within mental health surveys is essen…
View article: Fiscal realities and future directions: insights and innovations from South Africa’s Mental Health Investment Case
Fiscal realities and future directions: insights and innovations from South Africa’s Mental Health Investment Case Open
Aim Mental health is increasingly recognised as a key component of national development and health equity, yet investment remains insufficient. This paper presents the South African Mental Health Investment Case, which aims to inform polic…
View article: Putting child and adolescent mental health at the centre: building an ecosystem of support
Putting child and adolescent mental health at the centre: building an ecosystem of support Open
Aim This paper synthesises the latest evidence on child and adolescent mental health in South Africa, arguing that early investments therein are essential for breaking the inter-generational cycle of violence, poverty, discrimination, and …
View article: Evaluating the reliability and validity of the 12-item WHODAS 2.0 among people with mental health conditions in seven low- and middle-income countries: analysis of secondary data
Evaluating the reliability and validity of the 12-item WHODAS 2.0 among people with mental health conditions in seven low- and middle-income countries: analysis of secondary data Open
Background The World Health Organization Disability Assessment Schedule (WHODAS 2.0) has been validated across various settings and health conditions. However, few studies have evaluated the 12-item WHODAS 2.0 within low- and middle-income…
View article: Exploring the role of resilience in selective prevention intervention for adolescents at risk of depression and anxiety in Nepal: findings from a pilot cluster randomized controlled trial
Exploring the role of resilience in selective prevention intervention for adolescents at risk of depression and anxiety in Nepal: findings from a pilot cluster randomized controlled trial Open
Background Understanding the mechanisms of change has recently been emphasized as crucial for advancing research on preventive interventions. This study, embedded within a pilot trial, aimed to explore the mediating effects of resilience f…
View article: Food insecurity and postnatal depression: the mediating effect of perceived social support among women in Khayelitsha, South Africa
Food insecurity and postnatal depression: the mediating effect of perceived social support among women in Khayelitsha, South Africa Open
Purpose Understanding the mechanisms through which poverty influences perinatal depression can provide insight into how to develop interventions to improve maternal mental health. To address this question, we aim to estimate indirect effec…
View article: “I take a deep breath first”: Adolescent self‐regulation and co‐regulation in contexts of urban poverty in Bogotá, Colombia
“I take a deep breath first”: Adolescent self‐regulation and co‐regulation in contexts of urban poverty in Bogotá, Colombia Open
Previous research shows that poverty can hinder the development of self‐regulation skills, yet little is known about how individuals living in poverty experience self‐regulation. This qualitative study aims to understand young people's exp…
View article: Acceptability and perceived impact of a mental health and disability programme in Ghana
Acceptability and perceived impact of a mental health and disability programme in Ghana Open
Background: Ghana Somubi Dwumadie aimed to improve wellbeing of people with disabilities, including people with mental health conditions, through four pillars: strengthening policies and systems; scaling up integrated, accessible mental he…
View article: Protocol to develop and pilot a primary mental healthcare intervention model to address the medium- to long-term Ebola associated psychological distress and psychosocial problems in Mubende District in Central Uganda (the Ebola+D project)
Protocol to develop and pilot a primary mental healthcare intervention model to address the medium- to long-term Ebola associated psychological distress and psychosocial problems in Mubende District in Central Uganda (the Ebola+D project) Open
Ebola Virus Disease (EVD) presents significant global health challenges, including high mortality and substantial physical morbidity among patients and survivors. Beyond immediate health impacts, EVD survivors, frontline healthcare workers…
View article: Sociodemographic and health-related factors associated with viral load non-suppression and body mass index in adults with depression symptoms receiving antiretroviral therapy in South African primary care: secondary analysis of randomised trial data
Sociodemographic and health-related factors associated with viral load non-suppression and body mass index in adults with depression symptoms receiving antiretroviral therapy in South African primary care: secondary analysis of randomised trial data Open
Introduction Unsuppressed viral load during antiretroviral therapy (ART) is associated with health decline and HIV transmission. Being overweight or obese increases the risk of non-communicable diseases, increasing the risk of multimorbidi…
View article: Food insecurity and mental health among children and adolescents in sub-Saharan Africa: systematic review
Food insecurity and mental health among children and adolescents in sub-Saharan Africa: systematic review Open
Background: Food insecurity and mental health conditions are important public health problems among children and adolescents in sub-Saharan Africa (SSA). Many potential biological, psychological and social mechanisms may explain the associ…
View article: A Behavioral Activation Digital Intervention Incorporating Gamification and Peer Support for Adolescent Depression in Rural South Africa: A Pilot Randomized Controlled Trial (the DoBAt Study)
A Behavioral Activation Digital Intervention Incorporating Gamification and Peer Support for Adolescent Depression in Rural South Africa: A Pilot Randomized Controlled Trial (the DoBAt Study) Open
Objective: Effective and scalable interventions to address adolescent depression are urgently needed. This study evaluated the feasibility, acceptability, and preliminary efficacy of digitally delivered Behavioral Activation therapy. Metho…
View article: Rethinking Resting Heart Rate Variability: No Evidence of Association with Self-Regulation and Psychopathology in a Cross-Sectional Study Among Adolescents in Colombia, Nepal and South Africa.
Rethinking Resting Heart Rate Variability: No Evidence of Association with Self-Regulation and Psychopathology in a Cross-Sectional Study Among Adolescents in Colombia, Nepal and South Africa. Open
Resting-state heart rate variability (HRV) has been proposed by some researchers as a potential transdiagnostic measure of psychopathology. It is often found to be reduced across a range of mental health conditions and is thought to reflec…
View article: Economic Inequality and Mental Health: Causality, Mechanisms, and Interventions
Economic Inequality and Mental Health: Causality, Mechanisms, and Interventions Open
Almost all countries in the world have witnessed a rapid increase in levels of economic inequality, a measure of the distribution of income and wealth across the population, since the advent of neoliberal economic policies in the 1970s. In…
View article: Effectiveness of combining psychological prevention interventions with interventions that address the social determinants of mental health in low- and middle-income countries: a systematic review and meta-analysis
Effectiveness of combining psychological prevention interventions with interventions that address the social determinants of mental health in low- and middle-income countries: a systematic review and meta-analysis Open
Question Task-shared preventive psychological interventions combined with interventions addressing social determinants of mental health may prevent common mental health conditions (CMHCs), particularly in low- and middle-income countries (…
View article: The effect of expanded access to mental health care on economic status of households with a person with a mental disorder in rural Ethiopia: a controlled before-after study
The effect of expanded access to mental health care on economic status of households with a person with a mental disorder in rural Ethiopia: a controlled before-after study Open
The District mental health care plan intervention increased household income and reduced catastrophic out-of- pocket payment. Our findings support global initiatives to scale up mental healthcare as part of universal health coverage initia…
View article: A pilot cluster-controlled trial of interventions to improve detection of depression in primary healthcare in Ethiopia
A pilot cluster-controlled trial of interventions to improve detection of depression in primary healthcare in Ethiopia Open
Trial ID: PACTR202206723109626. Registration date: 21 June 2022. Retrospectively registered.
View article: The importance of social support and food insecurity in improving outcomes for perinatal depression: A causal mediation analysis of the AFFIRM-SA trial
The importance of social support and food insecurity in improving outcomes for perinatal depression: A causal mediation analysis of the AFFIRM-SA trial Open
Our findings suggest that psychological interventions that combine psychological components with interventions that directly target social determinants of mental health (such as food insecurity and social support) could substantially impro…
View article: Mental health policy implementation in low- and middle-income countries: a realist review protocol
Mental health policy implementation in low- and middle-income countries: a realist review protocol Open
Introduction Formulating and implementing mental health policy is foundational to public mental health. The implementation of mental health policy varies in low- and middle-income countries (LMICs), with some countries having better implem…
View article: Stigma reduction in a disability and mental health programme in Ghana: Lessons in participation
Stigma reduction in a disability and mental health programme in Ghana: Lessons in participation Open
Background: Stigma is a barrier to inclusion for people with disabilities and mental health conditions. There is increasing recognition of the need to address stigma within disability inclusive programmes, but limited research is available…
View article: Implementation outcomes of the waves for change community-based task-shared prevention intervention for adolescent mental health in South Africa
Implementation outcomes of the waves for change community-based task-shared prevention intervention for adolescent mental health in South Africa Open
Adolescents face increased vulnerability to mental health conditions, particularly when exposed to multidimensional poverty and trauma and pronounced treatment gaps. Waves for Change, a Sport for Development (SfD) intervention, employs tas…
View article: Intersectional discrimination, exclusion and the socio-political economy of global mental health: A systematic scoping review of the literature
Intersectional discrimination, exclusion and the socio-political economy of global mental health: A systematic scoping review of the literature Open
Social determinants literature has reinforced the importance of social landscapes to poor mental health. However, such frameworks face critique linked to their limited acknowledgement of structural determinants and the complex social proce…