Positive Health Outcomes Research Articles

Terrestrial Animal Source Foods and Health Outcomes for Those with Special Nutrient Needs in the Life Course.

Background. Animal source foods are under scrutiny for their role in human health, yet some nutritionally vulnerable populations are largely absent from consideration. Methods. Applying a Population Intervention/Exposure Comparator Outcome (PICO/PECO) framework and prioritizing systematic review and meta-analyses, we reviewed the literature on terrestrial animal source foods (TASFs) and human health, by life course phase. Results. There were consistent findings for milk and dairy products on positive health outcomes during pregnancy and lactation, childhood, and among older adults. Eggs were found to promote early childhood growth, depending on context. Unprocessed meat consumption was associated with a reduced risk for anemia during pregnancy, improved cognition among school-age children, and muscle health in older adults. Milk and eggs represent a risk for food sensitivities/allergies, though prevalence is low, and individuals tend to outgrow the allergies. TASFs affect the human microbiome and associated metabolites with both positive and negative health repercussions, varying by type and quantity. Conclusions. There were substantial gaps in the evidence base for studies limiting our review, specifically for studies in populations outside high-income countries and for several TASF types (pig, poultry, less common livestock species, wild animals, and insects). Nonetheless, sufficient evidence supports an important role for TASFs in health during certain periods of the life course.

The Role of Medical and Legal Gender Affirmation in Shaping Positive Mental Health Outcomes for Transgender and Gender Diverse People in Australia

The Role of Medical and Legal Gender Affirmation in Shaping Positive Mental Health Outcomes for Transgender and Gender Diverse People in Australia

Better sleep, lower blood pressure, and less stress following sex: Findings from a large-scale ecological momentary assessment study.

Previous cross-sectional studies have shown that more (vs. less) sexually active individuals tend to be mentally and physically healthier, but little is known about the proximal mechanisms underlying such associations. We analyzed two experience sampling data sets (N = 8,452, 66,181 observations; 72% male, age M = 46.42, 76% White) to examine changes in sleep, cardiovascular responses, and affect in the morning following sex, putative processes implicated in long-term mental and physical health benefits of sex. Consistent with previous findings, our results showed significant between-person associations, suggesting more positive daily health outcomes for more sexually active individuals. Further, we found significant within-person associations suggesting that when people reported having (vs. not having) sex the previous night, they experienced better sleep quality, fewer sleep disturbances and shorter wake after sleep onset, lower blood pressure, less stress, more positive affect, and better coping in the morning. None of these associations were moderated by gender or relationship status. Our findings provide novel evidence suggesting short-term psychological and physiological benefits of sex, which may accrue to create better health over time. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Self-compassion and association with distress, depression, and anxiety among displaced Syrians: A population-based study.

Displaced communities are at increased risk of poor mental health with limited resources for treatment. Self-compassion moderates the impacts of stressors on mental health in high-income country general population samples, but its impact has not been described among people who have experienced displacement and associated trauma. The aim of this study was to characterize the associations between self-compassion, mental health, and resilience in a sample of displaced Syrian adults living in Jordan. This is a cross-sectional study using four validated survey tools measuring self-compassion, resilience, mental health, and traumatic exposure. Syrian adults who presented to four different community organizations serving refugees within Amman, Jordan were invited to participate. A total of 272 displaced Syrians were included in the final analysis. A majority of those surveyed were positive for emotional distress (84.6%), depression (85.7%), and anxiety (76.5%). In univariate analysis there was a significant lower risk of emotional distress, depression, and anxiety, with both higher resilience and self-compassion. However, in the multivariate model only self-compassion remained significantly associated with less emotional distress, depression, and anxiety, independent of resilience and other covariates. Female gender, poor financial stability, and high levels of traumatic exposure were also identified as persistent predictors of mental health morbidity. The findings of this study suggest that self-compassion is associated with less distress, depression, and anxiety in displaced individuals; suggesting it might be protective against poor mental health. Self-compassion is a modifiable factor that can be utilized as a tool by healthcare professionals and communities caring for refugees to promote positive mental health outcomes.

The Mindful Brain: A Systematic Review of the Neural Correlates of Trait Mindfulness.

Trait self-report mindfulness scales measure one's disposition to pay nonjudgmental attention to the present moment. Concerns have been raised about the validity of trait mindfulness scales. Despite this, there is extensive literature correlating mindfulness scales with objective brain measures, with the goal of providing insight into mechanisms of mindfulness, and insight into associated positive mental health outcomes. Here, we systematically examined the neural correlates of trait mindfulness. We assessed 68 correlational studies across structural magnetic resonance imaging, task-based fMRI, resting-state fMRI, and EEG. Several consistent findings were identified, associating greater trait mindfulness with decreased amygdala reactivity to emotional stimuli, increased cortical thickness in frontal regions and insular cortex regions, and decreased connectivity within the default-mode network. These findings converged with results from intervention studies and those that included mindfulness experts. On the other hand, the connections between trait mindfulness and EEG metrics remain inconclusive, as do the associations between trait mindfulness and between-network resting-state fMRI metrics. ERP measures from EEG used to measure attentional or emotional processing may not show reliable individual variation. Research on body awareness and self-relevant processing is scarce. For a more robust correlational neuroscience of trait mindfulness, we recommend larger sample sizes, data-driven, multivariate approaches to self-report and brain measures, and careful consideration of test-retest reliability. In addition, we should leave behind simplistic explanations of mindfulness, as there are many ways to be mindful, and leave behind simplistic explanations of the brain, as distributed networks of brain areas support mindfulness.

For Grades or for Learning? Influence of Academic Orientations on Vietnamese Undergraduates' Learning Strategy Use and Mental Well-Being

<p style="text-align:justify">The use of grades as an extrinsic motivator in formal schooling has been demonstrated in previous research to have negative implications for students’ learning and mental health. This subject matter has been particularly absent from the research literature in Vietnam, where the obsession with grades is self-evident. The present study aims to explore Vietnamese university students’ orientations toward learning and grades, learning strategy use, mental well-being, and how these variables correlate. In addition, the study examines the potential interplay between learning orientation and grade orientation to influence the latter two variables. A quantitative research design was employed to achieve these goals. Survey responses were collected from 38 second- and third-year students majoring in English Language at a large, public university during a summer semester. Specifically for learning strategy use, participants were directed to pull from their experiences in a Public Speaking course that they had completed in the previous semester. Results revealed that a learning orientation was moderately related to both adaptive learning strategy use and mental wellness, whereas a grade orientation was only negatively related to learning strategy use and unrelated to mental well-being. Moreover, a strong learning orientation alone resulted in the most positive outcomes for both learning and mental health, and higher levels of grade orientation weakened those outcomes. Limitations of the study, directions for future research in this area, and implications for students and educators are then discussed. </p>

Mentalization-based interventions in schools for enhancing socio-emotional competencies and positive behaviour: a systematic review.

Mentalization-based interventions (MBIs) have been increasingly applied in school settings to support the social-emotional development and mental health of children and adolescents. This systematic review aimed to synthesize the evidence on the effectiveness of MBIs implemented in educational contexts for students aged 6-18 years. A comprehensive search was conducted in PsychInfo, MEDLINE, EMBASE, Web of Science, and ERIC databases from inception to October 2023. The search strategy combined terms related to mentalization, school-based interventions, and the target age group. The review protocol was registered with PROSPERO (CRD42022302757). Inclusion criteria included peer-reviewed publications in English, studies published between 1980 and 2023, interventions based on mentalization principles, and a primary focus on children aged 6 to 18 years. Exclusion criteria involved non-mentalization based interventions and research outside the 6-18 age range. The risk of bias was assessed using the Quality Assessment Tools from the National Institutes of Health (NIH). Data were synthesized narratively due to the heterogeneity of study designs and outcomes. Of the 5,250 articles screened, 21 studies met the inclusion criteria, comprising over 7,500 participants. The reviewed interventions targeted various aspects of mentalizing, such as emotion-understanding, empathy, perspective-taking, and Theory of Mind. Significant improvements were found in social-cognitive abilities, emotion regulation, and mental health outcomes, including reductions in disruptive behaviours. Interventions that combined mentalizing training for both students and teachers showed promising results. However, the long-term sustainability of these benefits remains unclear. Limitations of the reviewed studies include the lack of control groups, small sample sizes, and variations in outcome measures. The findings highlight the potential of MBIs as a promising approach to fostering socio-emotional competence, positive behaviour, and well-being in school-aged children. Future research should aim to establish the active components and optimal delivery of these interventions through well-designed randomized controlled trials with larger, more diverse samples and extended follow-up periods. The integration of MBIs within educational systems holds promise for promoting resilience and positive mental health outcomes in young people. Embedding MBIs within school curriculums and evaluating cost-effectiveness are important next steps to guide widespread implementation.

Navigating the battlefield within: Exploring the interplay of political armed conflict, mental health, and emotion regulation

The study explored the intricate relationship between political armed conflict, mental health outcomes, and emotion regulation strategies, focusing on cognitive reappraisal and emotion suppression. Drawing on extensive literature, we examined the impact of the Israel-Hamas war on mental health, particularly post-traumatic stress symptoms (PTSS) and anxiety. Using data from a nationally representative sample of 517 Israeli adults surveyed four weeks after the October 7 war began, we conducted path analysis to examine the direct and indirect effects of conflict exposure on mental health outcomes mediated by emotion regulation. Cognitive reappraisal was positively associated with well-being, while emotion suppression was linked to higher levels of PTSS and anxiety and lower levels of well-being. Subjective exposure to war events was associated with higher levels of anxiety and PTSS, and cognitive reappraisal served as a protective factor for overall well-being. We also observed ethnicity, age, and gender differences in exposure levels and mental health outcomes. Emotion regulation emerges as a crucial factor in navigating the psychological challenges posed by war exposure, with cognitive reappraisal associated with positive mental health outcomes and emotion suppression linked to adverse effects.

NICU Warriors: Engaging and Promoting the Mental Health of Black Fathers

ABSTRACT Although newborn intensive care (NICU) research highlights the mental health and support needs of parents, a majority of the research and interventions focus on the needs of the mother. Engaging and partnering with male caregivers (like female caregivers) in the care of their NICU infants yields positive health outcomes for the infant and better mental health outcomes for the father. Yet there are few articles about male NICU caregiving experiences, and scant articles exploring the mental health and support needs of Black NICU fathers. Utilizing two case studies of Black fathers, this paper will identify their mental health needs. This article will outline and integrate the Recommendation for Psychosocial Support of NICU Families and existing literature to these case studies. Based on their unique needs, NICU providers must do more to engage Black fathers and explore alternative models of care that are culturally aware for psychosocial support.

The role of social support in the decision to migrate for childbirth: qualitative evidence from India.

Temporary Childbirth Migration (TCM) involves women returning to their natal homes during or after pregnancy, a common but understudied practice in India and South Asia. This study examines social support practices influencing TCM decisions among Indian women. Factors such as family support, especially from husband, in-laws and parents, play a crucial role in migration decisions during the perinatal period. Understanding these factors is essential for improving maternal and child health outcomes and for developing targeted policies and interventions. Cultural influences also contribute to TCM decisions, impacting the timing, duration, and motivations behind women's choices to migrate during or after delivery. Our study was conducted at the Vadu Health and Demographic Surveillance System (HDSS) in Western Maharashtra, India. We conducted 41 in-depth interviews with triads of women, their husbands, and mothers-in-law from Vadu HDSS, focusing on perceptions, timing, reasons, decision-making, and support related to Temporary Childbirth Migration (TCM). Participants varied in age, education, occupation, marriage type, migration type, delivery method, and included women who recently delivered or had infants up to two years old. The qualitative data were analyzed using both rapid analysis and traditional analysis using coded transcripts, incorporating both predefined and emergent codes to capture a wide range of participant characteristics and experiences. We later categorized our findings in Social support domains. Social support, including emotional, financial, instrumental, and informational, is a critical factor in TCM. Emotional support from mothers is highly valued, providing a stress-free environment. Financial support from husbands, in-laws, or parents influences the decision, with financial responsibilities sometimes dictating the choice of residence. Instrumental support, such as help with household chores, is essential, with varying levels of support at different locations. Informational support from experienced family members also guides expectant mothers. Healthcare access, household status, and the role of husbands further impact TCM decisions. Women prioritize proximity to medical facilities, comfort, and freedom in their natal homes. The inclusive decision-making process often involves women, in-laws, parents, and husbands. The study's findings highlight the complex interplay of social support, cultural norms, and practical considerations in TCM decisions, underscoring the need for more research to understand and support women's choices during the perinatal period. In conclusion, social support is a key driver of TCM and women's status in their households affects their support needs. Recognizing the importance of emotional, financial, informational, and instrumental support will help healthcare providers and policymakers to better assist expectant mothers, promoting positive maternal and child health outcomes.

Exploring the impact of a maternal support grant to improve mental health and food security amongst pregnant women in South Africa during the COVID‐19 pandemic

AbstractSocial protection during pregnancy may support pregnant women struggling to meet basic needs to ensure a healthy pregnancy and buffer negative impacts of multiple adversities. We assessed the effect of a bimonthly digital food voucher, delivered to pregnant women during the COVID‐19 pandemic in the Cape Town area, on their mental health, hunger, and dietary diversity. Pregnant women from antenatal clinics in specific high‐poverty areas were invited to join the voucher program; a subset was recruited for in‐depth telephone interviews. Interviews were conducted before, during, and after voucher distribution. Generalized estimating equations were fit to examine whether each outcome was associated with voucher exposure over time. Of the 205 participants, most were aged 25–34, not recently employed, with at least one child in their household. Approximately 1/3 were first‐time mothers and 32% reported mental health difficulties. Voucher exposure over 12 months was associated with significant reductions in mental health symptoms at midline and endline. Maternal hunger was reduced at midline and endline. High mental health scores were significantly associated with increased maternal hunger after adjusting for potential confounders. This study provides preliminary evidence for income support during pregnancy to shape positive health outcomes in South Africa.

Implications of Cash Transfer Programs for Mental Health Promotion among Families Facing Significant Stressors: Using Ecological Systems Theory to Explain Successes of Conditional and Unconditional Programs.

The purpose of this paper is to apply Bronfenbrenner's ecological systems theory to explore the literature on how Conditional Cash Transfer (CCT) and Unconditional Cash Transfer (UCT) programs might support positive mental health outcomes. The paper begins with transnational considerations of stress, such as poverty and COVID-19, and their impact on mental health. Bronfenbrenner's theory is applied to better understand the mechanisms by which CCT and UCT programs can potentially lead to positive outcomes for children and families who face such stressors. The implications of cash transfer programs are subsequently discussed in terms of how they might promote positive mental health outcomes among families globally. This theoretical application paper concludes with a call for transnational research to explore connections between cash transfer programs and mental health outcomes for children/adolescents and their parents/caregivers.

Recent trends and disparities in 24-hour movement behaviors among US youth with mental, behavioral and neurodevelopmental conditions

BackgroundMeeting 24-h movement behaviors (24-HMB: physical activity [PA], screen time [ST], and sleep [SL]) recommendations may be associated with positive health outcomes among youth with specific mental, behavioral, and neurodevelopmental (MBD) conditions. However, temporal trends and disparities in meeting 24-HMB guidelines in these higher-risk groups have not been investigated, hampering the development of evidence-based clinical and public health interventions. MethodsSerial, cross-sectional analyses of nationally National Survey of Children's Health (NSCH) data (including U.S. youth aged 6–17 years with MBD conditions) were conducted. The time-trends survey data was conducted between 2016 and 2021.The prevalence of 24-HMB adherence estimates were reported for the overall sample and for various sociodemographic subgroups. The subgroups analyzed included: age group (children[aged 6 to 13 years], adolescents[aged 14 to 17 years]), sex, socioeconomic status, and ethnicity. ResultsData on 52,634 individuals (mean age, 12.0 years [SD,3.5]; 28,829 [58.0 %] boys) were analyzed. From 2016 to 2021 the estimated trend in meeting PA + ST + SL guidelines declined (−0.8 % [95%CI, −1.0 % to −0.5 %], P for trend <0.001), whereas meeting none of 24-HMB guidelines increased (2.2 % [1.8 % to 2.6 %], P for trend <0.001). White participants, children, and boys reported higher estimated prevalence of meeting full integrated (PA + ST + SL) guidelines. DiscussionThe temporal trends observed in this study highlight the importance of consistently monitoring movement behavior among MBD youth and identifying variations by sociodemographic groups in meeting 24-HMB guidelines for health promotion within these vulnerable groups.

91 The use of process evaluations in physical activity interventions for older adults: a systematic review

Abstract Background and purpose Development of effective physical activity interventions for older adults is important in eliciting positive health and well-being outcomes. Process evaluations of interventions are important in understanding implementation, mechanisms of impact and contextual factors that may influence these outcomes. However, it is unclear whether process evaluation frameworks are rigourously applied to physical activity interventions with older adults, particularly in relation to Medical Research Council (MRC) process evaluation guidance. This study aimed to systematically review the application and reporting of process evaluations of physical activity interventions for older adults against MRC process evaluation guidance. Methods MEDLINE, EMBASE, CINAHL, AMED, PsycINFO, SPORTDiscus, OpenGrey, ProQuest Dissertations &amp; Theses Database (PQDT) databases were searched. Process evaluation studies of physical activity interventions for older adults which measured at least two key MRC domains of implementation, mechanisms of impact and context were included. Two authors completed independent screening of title, abstract and full-text articles. A bespoke coding frame was developed to map and extract methods and findings on to key MRC process evaluation domains. Given the qualitative nature of the data, a narrative synthesis approach was undertaken. Results 17,002 studies were identified in the search, of which 27 were included. After mapping the methods of included studies against key domains of the coding framework; 21 assessed implementation, 27 assessed mechanisms of impact and 12 assessed context. 16 interventions reported the use of a process evaluation framework, 15 cited the use of a theoretical behavioural model and 7 reported the application of a logic model in intervention design. There were substantial differences in both the extent and quality of process evaluation methods. Such disparities were shaped in part by variations in the application of theoretical models and frameworks. Conclusions When mapping the included studies against MRC process evaluation guidelines, this review presented inconsistencies in how process evaluations have been reported and findings suggest a lack of methodological rigour. Findings highlight the need to extend the scope and quality of process evaluations of physical activity interventions for older adults.

Inequities in Adequacy of Prenatal Care and Shifts in Rural/Urban Differences Early in the COVID-19 Pandemic

BackgroundAdequate prenatal care is vital for positive maternal, fetal, and child health outcomes; however, differences in prenatal care utilization exist, particularly among rural populations. The COVID-19 pandemic accelerated the adoption of telehealth in prenatal care, but its impact on the adequacy of care remains unclear. MethodsUsing Pregnancy Risk Assessment Monitoring System (PRAMS) data, this study examined prenatal care adequacy during the early-pandemic year (2020) and pre-pandemic years (2016–2019) and investigated rural-urban inequities. Logistic regression models assessed the association between the pandemic year and prenatal care adequacy, and considered barriers to virtual care as a covariate. ResultsThe sample consisted of 163,758 respondents in 2016–2019 and 42,314 respondents in 2020. Overall, the study participants were 12% less likely to receive adequate prenatal visits during the early-pandemic year (2020) compared with 2016–2019 (adjusted odds ratio [aOR] = 0.88; 95% confidence interval [CI] [0.86, 0.91]). Respondents in rural areas had lower odds of receiving adequate prenatal care compared with those in urban areas during both pre-pandemic years (aOR = 0.90; 95% CI [0.88, 0.93]) and the early-pandemic year (aOR = 0.94; 95% CI [0.88, 0.99]). However, after adjusting for barriers to virtual care, the difference between rural and urban areas in the early-pandemic year became nonsignificant (aOR = 0.93; 95% CI [0.78, 1.11]). Barriers to virtual care, including lack of phones, data, computers, internet access, and private space, were significantly associated with inadequate prenatal care. ConclusionDuring the early-pandemic year, PRAMS respondents experienced reduced adequacy of prenatal care. Although rural-urban inequities persisted, our results suggest that existing barriers to virtual care explained these inequities. Telehealth interventions that minimize these barriers could potentially enhance health care utilization among pregnant people.

Evaluation criteria for lifestyle applications – The role of MAUQ factors in satisfaction

Abstract The most common health-related apps are lifestyle apps, i.e., fitness, nutrition, diet, and meditation apps, which account for half of all m-health apps on the market. Mobile app-based interventions have been shown to be effective in improving diet-related health outcomes. The aim of this study is to map the usage patterns of lifestyle apps (fitness, diet, and relaxation apps) and identify the role of each factor in the usability of MAUQ (m-Health App Usability Questionnaire) factor - ease of use, interface satisfaction, and usefulness - in overall satisfaction. Data were collected through an online survey in Hungary with 348 users of various lifestyle applications, i.e., fitness (30.2%), nutrition (31.3%), and mindfulness (38.5%) apps. Respondents showed a preference for free apps over paid ones and predominantly used iOS operating systems. The partial least squares structural equation modelling (PLS-SEM) method was used to identify the role of usability dimensions in overall satisfaction. The satisfaction of lifestyle app users is positively influenced by ‘Ease of Use’ and ‘Interface and Satisfaction’. However, effectiveness (positive physical and mental health outcomes) negatively influences satisfaction. Research can be particularly useful for app developers, as usability and design (features) play a particularly important role in satisfaction, so these are primary considerations in development.

Comparative efficacy of pharmacological and non-pharmacological interventions for mitigating pain and anxiety associated with venipuncture: a randomised controlled trial

BackgroundVenipuncture is one of the most commonly performed medical procedures in paediatric care, but it can also be one of the most painful and distressing experiences for patients. Finding effective...

Hubungan Paparan Informasi dengan Tingkat Kecemasan Pada Ibu Hamil

Anxiety is a common experience during pregnancy and can have significant implications for both the mother's health and the developing fetus. One factor that can contribute to maternal anxiety is exposure to information. The vast amount of information available to pregnant women through various sources, such as books, websites, and social media, can be overwhelming and confusing. Furthermore, the quality and accuracy of information available online can vary widely. This can make it difficult for pregnant women to determine which sources are reliable and trustworthy. As a result, they may become overwhelmed with doubt and uncertainty, leading to increased anxiety. The purpose of the study was to determine the relationship between exposure to information and the level of anxiety of pregnant women. The study used a descriptive cross-sectional correlation design using the Pregnancy Anxiety Questionnaire-Revised for All Pregnant Women Regardless of Parity (PRAQ-R2). The sample used 80 respondents using consecutive sampling technique. Data analysis using Chi Square test. The results showed that information exposure including exposure to information (p=0.01), confidence in information (p=0.009), and information support (0.021) were associated with the level of anxiety of pregnant women. This study highlights the importance of providing clear, accurate, and supportive information to pregnant women to help reduce anxiety and promote positive mental health outcomes.

Impacts of Whole-Grain Soft Red, Whole-Grain Soft White, and Refined Soft White Wheat Flour Crackers on Gastrointestinal Inflammation and the Gut Microbiota of Adult Humans.

Consumption of whole-grain wheat has been associated with positive health outcomes, but it remains unclear whether different types of wheat elicit varying effects on the gut microbiome and intestinal inflammation. The objectives of this research were to investigate the effect of two whole-grain wheat flours versus refined wheat flour on the diversity of the human gut microbiota, as well as on butyrate production capacity and gastrointestinal inflammation, using one-week dietary interventions. For this study, 28 participants were recruited, with ages ranging from 18 to 55 years and a mean BMI of 26.0 kg/m2. For four weeks, participants were provided 80 g daily servings of different wheat crackers: Week A was a run-in period of crackers made from soft white wheat flour, Week B crackers were whole-grain soft white wheat flour, Week C crackers were a wash-out period identical to Week A, and Week D crackers were whole-grain soft red wheat flour. At the end of each week, participants provided fecal samples that were analyzed for markers of intestinal inflammation, including lipocalin and calprotectin, using enzyme-linked immunosorbent assays and quantitative real-time PCR. The primary outcome, gut bacterial community alpha and beta diversity, was similar across timepoints. Three taxa significantly differed in abundance following both whole-grain wheat flour interventions: Escherichia/Shigella and Acidaminococcus were significantly depleted, and Lachnospiraceae NK4A136 group was enriched. Secondary outcomes determined that protein markers of intestinal inflammation and genes related to putative butyrate production capacity were similar throughout the study period, with no significant changes. Lipocalin concentrations ranged from 14.8 to 22.6 ng/mL while calprotectin ranged from 33.2 to 62.5 ng/mL across all 4 weeks. The addition of wheat crackers to the adult human subjects' usual diet had a minimal impact on their gastrointestinal inflammation or the gut microbiota.

“Mirroring” the World Versus “World-Making”: The Crisis of Ethics in Indian Mental Health Systems

In the context of neoliberalism and increasing globalization, technocratization, and scientification of mental health care, people suffering from socio-politico-economic problems ranging from poverty to structural violence are often transmogrified into “patients” with mental health problems to be “treated” with psychopharmaceuticals and individualized psychological therapies. Drawing from three socio-political issues India witnessed in the past 3 years, concerning three marginalized sections, namely, farmers, LGBTQIA+ people, and migrant workers, I illustrate the silence of mainstream mental health disciplines in India on sheer instances of structural violence and social suffering. Deflection of attention from human rights violations by mainstream mental health systems raises critical questions about the ethics and politics of mental health disciplines. The social, political, and material contexts that are central to lived experiences are almost always unaccounted in mental health academia, research, and practice. Engaging people with lived experiences advances equity by breaking down power dynamics, establishing collaborative decision-making, and improving equitable outcomes. Thus, knowledge production in mental health becomes irrelevant to political action and transformative policies that are crucial for positive mental health outcomes. By ignoring and thus implicitly sanctioning discriminatory, exploitive neoliberal architecture, mental health systems maintain the very upstream factors that cultivate and sustain mental distress. In this way, mainstream mental health practice in India fails to undertakeworld-making, raising deeper questions in public mental health ethics.