Mental Health Research Articles

Advance Parenting: Advice for Helping Kids Through Diagnoses, Differences, and Mental Health Challenges

Advance Parenting: Advice for Helping Kids Through Diagnoses, Differences, and Mental Health Challenges

Characteristics and Management of Laryngopharyngeal Reflux in The Elderly : A Case Report

Laryngopharyngeal reflux is a condition resulting from the retrograde flow of stomach acid through the distal esophagus into the laryngopharyngeal area. The prevalence of laryngo-pharyngeal reflux in the elderly population remains uncertain. Therefore, the symptoms, findings, and therapy for laryngopharyngeal reflux in the elderly require further investigation. To analyze the characteristics and management of laryngopharyngeal reflux in the elderly. A case of laryngopharyngeal reflux in a 70-year-old woman who frequently experiences sudden choking sensations is presented in this report. Other symptoms include hoarseness, a sensation of throat obstruction, and chest burning. We explored literature on laryngopharyngeal reflux in the elderly through PubMed, PMC, and Google Scholar databases to discuss the case. Laryngopharyngeal reflux in the elderly has a lower reflux symptoms index but a higher reflux finding score. Mental health factors significantly influence laryngopharyngeal reflux incidence in the elderly. Therefore, besides pharmaco-logical therapy, additional non-pharmacological therapies need to be considered to ensure effective laryngopharyngeal reflux treatment. Elderly patients diagnosed with laryngopharyngeal reflux have different presentations and management of the disease compared with younger patients.

History of Psychopathology and Therapeutic Interventions, a perspective of Classical Islamic Scholars

The works of Al-Razi, Ibn Sina, and Al-Balkhi on the contributions of classical Islamic scholars to understanding and treatment have been discussed. An analysis is done with a critical approach to provide insight into their holistic approaches that deal with the integration of health dimensions in a physical, psychological, and spiritual aspect. The early classifications made by them about mental disorders, cognitive-behavioral techniques, and lifestyle interventions have also been investigated, showing the similarity in such practices with those of current therapies. This approach emphasizes the cultural and ethical value attached to these historical insights in modern mental health care. The findings suggest that ideas from these thinkers will enhance contemporary mental health care since the thoughts provided a more humane, ethical, and culturally appropriate care.

Mini Commentary on ‘Pregnancy and Birth Complications and Maternal Mental Health—The Case is Clear’

Mini Commentary on ‘Pregnancy and Birth Complications and Maternal Mental Health—The Case is Clear’

PREVALÊNCIA DOS SINTOMAS DO TDAH EM CRIANÇAS COM BAIXO RENDIMENTO ESCOLAR SUBMETIDAS AO P.A.P.E. NO ANO 2022 EM PRESIDENTE PRUDENTE

Specific learning disorder impairs the brain's ability to process information, affecting around 30-40% of students. These disorders represent 35-45% of mental health visits and 35% of visits to pediatricians. In 2018, Presidente Prudente/SP launched the Specialized Pedagogical Support Program (PAPE) to offer support to students with learning difficulties in the Municipal Network. The study, including 136 students evaluated by MTA-SNAP IV, revealed that ADHD and ODD are common in the school age group, especially in elementary school and more frequent among boys, with inattention being the main characteristic. The research highlighted the effectiveness of the questionnaire in improving intervention and support methods, improving students' quality of life and academic performance. Greater involvement of the Municipal Health Department is recommended to enhance children's care and learning, preventing future problems such as school dropout and difficulties in adult life.

Exploring the Role of Creativity in Psychological Resilience

This paper investigates the intersection between creativity and psychological resilience, examining how creative processes and expressions contribute to the development and strengthening of resilience in individuals facing adversity. Psychological resilience, often defined as the capacity to recover from stress or trauma, and creativity, regarded as the ability to generate novel ideas and solutions, are analyzed through theoretical models, empirical research, and practical interventions. The paper reviews biopsychosocial, ecological, and developmental frameworks of resilience, highlighting the critical role creativity plays in fostering adaptive coping mechanisms and enhancing mental well-being. It further explores the empirical evidence linking creative behaviors to resilience-building, particularly in response to trauma and stress. Finally, practical implications and interventions for leveraging creativity to enhance resilience across diverse populations are discussed, suggesting tailored approaches for educators, mental health professionals, and community leaders. Keywords: Psychological Resilience, Creativity, Coping Mechanisms, Stress and Trauma, Creative Expression.

Abstract 4118183: Anxiety disorder, depression and coronary artery disease: associations and modification by genetic susceptibility

Background: Associations of anxiety disorder and depression with coronary artery disease (CAD) are heterogeneous between populations. Research questions: How does genetic susceptibility to CAD alter the associations between anxiety and depression and incident CAD? Aims: To investigate how genetic susceptibility to CAD alters the associations of anxiety and depression with incident CAD, comparing and combining anxiety and depression. Methods: This is a prospective cohort study using UK Biobank. Diagnoses of anxiety disorder and depression before the baseline assessment were ascertained through linked hospital admission data. Incident CAD was ascertained through hospital admission and death certificate data after baseline. CAD polygenic risk score (PRS) was obtained from CARDIoGRAMplus4 and categorised into low, intermediate, and high. Cox proportional hazard models were used to examine associations between anxiety and depression and CAD. The product term of PRS and these mental health conditions, and the relative excess risk due to interaction (RERI), were used to investigate the presence of multiplicative and additive interactions, respectively. Results: Our study included 288,152 participants of whom 54.4% were female, with a mean age of 56.4 years. Both anxiety disorder (HR: 2.24, 95% CI: 1.86–2.70) and depression (HR: 2.04, 95% CI: 1.80–2.32) were associated with CAD after adjusting for sociodemographic confounders. There was an addictive interaction between depression and PRS (RERI: 0.86; 95% CI: 0.06–1.65) such that the association between depression and CAD was strongest among those with a high PRS whilst there was no such evidence for anxiety disorder. Anxiety only (HR 1.69, 95% 1.17–2.45), depression only (HR 2.01, 95% CI 1.62–2.49) and concomitant anxiety and depression (HR 3.51, 95% CI 2.26–5.45) were associated with CAD even among people with a low PRS. Lifestyle mediators attenuated all these associations across PRS categories. Conclusions: CAD genetic susceptibility might partly contribute to the clustering of depression and CAD but does not provide a full explanation, nor does it explain the association between anxiety disorder and CAD. Therefore, other mechanisms should be explored.

Examining The Variables That Impact Academic Performance In Higher Education

This research paper examines the multifaceted variables that impact academic performance in higher education, with a particular focus on time management skills. Academic performance is influenced by a complex interplay of economic, social, psychological, environmental, and personal factors, each of which plays a role differently in a student's success. The objective of this study is to explore how these factors, especially time management, influence academic outcomes, and to provide a comprehensive review of the literature surrounding this topic. Academic performance in higher education is a multifaceted phenomenon influenced by an intricate mix of economic, social, psychological, environmental, and personal factors. This review critically examines key variables affecting student performance, focusing on underexplored areas such as time management skills, psychological well-being, and the changing landscape of digital learning environments. Drawing from extensive literature, this paper identifies gaps in current research and evaluates how higher education institutions can address these issues through targeted interventions. The results highlight the need for greater emphasis on mental health support, personalized learning approaches, and strategies to enhance students' time management and adaptability in evolving academic contexts. This paper highlights the significance of addressing both external and internal factors that affect academic performance. By fostering a supportive environment, providing necessary resources, and offering time management interventions, institutions can better support students in achieving academic success.

Abstract 4120458: Predictors of School Non-Engagement in School Aged Children and Adolescents Born with Heart Disease

Introduction: School engagement, or caring about doing well and doing required homework, is an important factor for academic success and may contribute to poorer academic outcomes in children born with heart disease (HD), compared to heart-healthy peers. Factors that influence lack of school engagement in children born with HD are not well known. Research Question: What factors predict school non-engagement in students with HD? Aims: To identify factors that predict school non-engagement in students with HD to assist in earlier detection and support for students at increased risk. Methods: We analyzed data from the 2022 National Survey of Children’s Health (NSCH), using procedures for complex weighted survey data. School-related outcomes in children ages 6 to 17 years born with and without HD were compared using Chi-square tests. Multivariate logistic regression was used to examine predictors of school non-engagement in students with HD. Results/Data: Of 54,065 NSCH responses, 34,284 were children ages 6 to 17 years, and 826 of these were born with HD. Children born with HD had lower school engagement (p<0.001) and missed more days of school (p<0.001) than peers not born with HD, but grades were not different between groups. Students born with HD were more likely than peers not born with HD to be bullied (p = 0.001), have a diagnosis of anxiety (3.71% vs 1.95%, p<0.001) or depression (3.56% vs 2.09%, p =0.012), require a Special Education Plan (34.9% vs 16.1%, p<0.001), or to receive mental health services (23% vs 14%, p <0.001). Multivariate logistic regression identified factors that significantly predicted school non-engagement in students born with HD, including diagnosis of attention deficit/hyperactivity disorder (ADHD) (aOR 1.94, 95% CI [1.20, 4.58], p=0.013), behavior/conduct problems (aOR 2.77, 95% CI [1.46, 5.23], p=0.002), or learning disability (aOR 3.44, 95% CI [1.79, 6.59], p<0.001). Sociodemographic variables, days of missed school, anxiety, depression, intellectual disability, autism spectrum disorder, and speech disorder were not significant predictors of school non-engagement. Special healthcare needs status neared significance in predicting lack of school engagement (p = 0.056) Conclusions: We identified ADHD, behavior/conduct problems, and learning disabilities as predictors of school non-engagement in students with HD. This information can be used to identify at-risk students born with HD who may benefit from proactive screening and support.

Disseminated Knowledge: The Advancement of Finnish Occupational Medicine and Work Psychology in a Transnational Context, c. 1945–1952

Summary This article focuses on the advancement of Finnish occupational medicine in the immediate post-war period, situating its development within a transnational context. Its objective is to offer insight into Finnish post-war industrial medicine and particularly developments in mental health care. The empirical methodology addresses a previously unexplored case study: the connections between the Finnish Institute of Occupational Health (FIOH) and Roffey Park Rehabilitation Centre, established in 1943 to address various cases of industrial neurosis. The case study sheds light on the ways in which FIOH adopted reformist ideas from transnational medical communities by aligning them with the needs of Finland’s war reparations industry. The article argues that FIOH’s experts advanced new theories of mental disorder for Finland’s newly modern industrial society, and that these initiatives should be situated within broader transnational endeavours in the mental hygiene movement.

Life Skills and Adolescent Mental Health; Can Kids Be Taught to Master Life?

Life Skills and Adolescent Mental Health; Can Kids Be Taught to Master Life?

Self Help Groups as a Support System: Their Influence on Stress Levels in New Nursing Students

New students must adapt to a new environment because of the differences in the nature of education in Senior High School (SMA) and college. If students are unable to meet the demands in college, it can cause stress. One of the therapeutic activities that aims to improve and maintain mental health in students is Self Help Group (SHG) therapy . The purpose of this study was to determine the effect of Self Help Group (SHG) on stress levels in new students of the Nursing Study Program at the University of Muhammadiyah Gresik. This study uses a one group pretest-posttest approach. The population is 48 new students of the Nursing Study Program, Muhammadiyah University of Gresik, class of 2023. The sampling technique uses total sampling , with the research sample being all new students of the Nursing Study Program. Data collection uses questionnaires and Self Help Group (SHG) therapy observation sheets. Data analysis uses the parametric statistical test of the paired T-test (Paired Sample T-Test). The results of the study on stress levels before being given Self Help Group (SHG) therapy were that almost half of the students experienced severe stress as many as 21 (48.8%) and after being given Self Help Group (SHG) therapy, almost half of them experienced a decrease in severe stress levels in new students as many as 16 (37.2%) students. The results of the Paired Sample T-Test statistical test obtained a ρ value of 0.038 <α 0.05. There is an influence of Self Help Group (SHG) on stress levels in new students of the Nursing Science Study Program, Muhammadiyah University of Gresik.

The Role of Shyness and Fear of Negative Evaluation in Predicting the Mental Health of Academic Staff: A Cross-Sectional Study

The Role of Shyness and Fear of Negative Evaluation in Predicting the Mental Health of Academic Staff: A Cross-Sectional Study

Exploratory analyses of sleep intraindividual variability and fatigue in parents of children on the autism spectrum

Fatigue is associated with numerous harmful physical and mental health outcomes. Despite the established relationship between sleep and fatigue, research examining sleep variability within a person (i.e. intraindividual variability; IIV) and fatigue is limited. In addition, the associations between child and parent sleep regarding parent fatigue have not been explicitly explored, which could be relevant for parents of autistic children with increased sleep disturbance likelihood. The current study used two weeks of objective sleep (actigraphy) and subjective fatigue data from 81 parents and their children to explore associations among child sleep IIV, parent sleep IIV, and parent average daily fatigue, including evaluating evidence for mediation. Sleep IIV was estimated using a validated Bayesian model. Linear regression analyses indicated that greater parent total sleep time IIV predicted significantly higher fatigue levels. Child sleep IIV was unrelated to parent sleep IIV and fatigue, unsupportive of hypothesized mediation. Similarly, post hoc analyses examining child sleep averages, parent total sleep time IIV, and average parent fatigue were insignificant. Findings cautiously support the uniqueness of total sleep time IIV within parental sleep’s relationship with fatigue, independent of child sleep. Objective sleep IIV should continue to be examined in addition to average levels. Lay abstract Fatigue is associated with numerous harmful physical and mental health outcomes. Despite research indicating a relationship between fatigue and sleep, there has been a limited focus on how the variability of a person’s sleep may be associated with fatigue. In addition, previous studies have not explicitly explored relationships among child sleep, parent sleep, and parent fatigue. Increasing knowledge about this area of research could be particularly relevant for families with autistic children with an increased likelihood of sleep disturbances. The current study used two weeks of objective sleep (actigraphy) data and subjective ratings of parent fatigue from 81 parents and their autistic children to examine associations among child and parent within-person sleep variability regarding average parent fatigue levels. Evidence was assessed for the role of parent sleep variability in hypothesized connections between child sleep variability and parent fatigue. We found that only greater variability in parents’ total sleep time was associated with higher levels of parents’ average daily fatigue rating over the two weeks. Child sleep variability was not significantly associated with parent sleep variability or average daily fatigue. In addition, average levels of child sleep were unrelated to parent total sleep time variability and fatigue. Although cautious interpretation is required, findings support the idea that variability in total sleep time may be a unique aspect of parental sleep’s association with fatigue, independent of child sleep. In addition, sleep variability could be important to consider when examining sleep in addition to average levels of parameters like total sleep time.

Local and translocal social capital in flood adaptation: evidence from Indonesian coastal communities

ABSTRACT Environmental change and sea level rise challenge urban coastal communities, especially in the Global South. Existing hazard research emphasises the vital role of social capital in adaptation but often overlooks translocal social capital, which encompasses social support and resources that extend beyond local boundaries and connect people at different places. To reduce this research gap, this study investigates the impact of local and translocal social capital on flood-prone households in Padang and Denpasar, Indonesia, using survey data (N = 620) and social network data (N = 1169). The results show translocal contacts provide more emotional, moral, financial, and material support, while local contacts share flood-related knowledge, skills, advice, and practical support. Further, our findings show that the effectiveness of social support varies: local support is strengthened by community ties and diverse forms of support, whereas translocal support's significant role in mental health relies on intimacy and reliability in strong personal relationships. Well-connected support contacts help households to access broader social networks. These findings highlight the different roles of local and translocal social capital in long-term adaptation, which partly complement each other. Households benefit from maintaining diverse support networks, with each type of social capital playing distinct yet interdependent roles in enhancing resilience against environmental changes.

Evaluation of nursing administration records of high‐risk medications at a hospital network: a retrospective audit

AbstractWithin our hospital network, the PINCH acronym (Potassium, Insulin, Narcotics, Chemotherapeutics, Heparin) designates high‐risk medications. As per local guidelines, double‐checking is mandated at the point of administration. This retrospective audit aimed to assess nursing and midwifery staff's ability to recognise PINCH medications by examining their adherence to double‐signing protocols, serving as an indicator of double‐checking. The analysis included overall compliance proportions, categorised by PINCH class and further stratified based on location, specialty, and staffs' level of training. An analysis of the first thousand PINCH medication administrations from 1 January 2023 was conducted, spanning four sites within our hospital network. Data sourced from the Electronic Medication Record system were refined to include one medication per patient per day, totalling 200 administrations per PINCH category. The results revealed that 896 (89.6%) out of 1000 medication administrations were co‐signed, with narcotics showing a co‐signature rate of 100%, followed by potassium at 99%, heparin at 98%, insulin at 97.5%, and chemotherapeutics at 53.5%. Among the orders lacking co‐signature, 90% pertained to chemotherapeutics and the remaining 10% were distributed across other categories. Stratifying by location showed 28 (17.6%) out of 159 administrations in a subacute setting lack co‐signature, compared to 76 (6%) from 841 in an acute setting. Compliance rates were highest in specialty medicine at 94.3%, followed by surgical at 86.2%, general medicine 84.5%, women and children's and mental health units at 83.3% each, and continuing care at 82.2%. Notably, enrolled nurses exhibited the highest level of compliance with co‐signatures. Future research could explore the impact of educational strategies on the administration of high‐risk medications. Ethical approval was granted by the Eastern Health Office of Research and Ethics (Reference no: QA23‐075‐101 386) and the study conforms to the Australian Statement on Ethical Conduct in Human Research.

Socioeconomic Inequality in Perceived Need for Mental Healthcare in Patients with Type 2 Diabetes Mellitus in Hamadan, Western Iran

Background and aims: The use of mental healthcare services in type 2 diabetes mellitus (T2DM) patients can depend on socioeconomic status (SES). The current study aimed to evaluate socioeconomic inequality in the perceived need for mental healthcare in patients with T2DM in Hamadan, Western Iran. Methods: This cross-sectional study was conducted between March and July 2023 in Hamadan, Western Iran. The study included T2DM patients who were referred to the Diabetes Center of Hamadan. The variables included in the study were demographics, SES, health insurance status, social support, and self-rated mental health. The outcome of interest was the perceived need for mental healthcare. The socioeconomic inequality was evaluated using concentration index and decomposition analysis. Results: A total of 393 patients (mean age: 56.48±10.65, 62% female and 88% urban inhabitants) were enrolled. The prevalence of perceived need for mental healthcare was 43%, and 50.30% of the patients (85) had delay/avoidance of mental healthcare services. The concentration index (95% confidence interval) of perceived mental healthcare needs was -0.24 (-0.18, -0.30), indicating that perceived needs are more concentrated in the socio-economically disadvantaged patients. Decomposition analysis revealed that low economic status and illiteracy were the main contributors to the inequality (approximately 50%). Cost, minimization, and stigma were the most frequently reported reasons for avoidance/delay of mental healthcare services, respectively. Conclusion: There was a pro-poor socioeconomic inequality in perceived need for mental healthcare among T2DM patients. Healthcare policies and facilities to reduce socioeconomic inequality should mainly focus on disadvantaged T2DM patients.

Body Shaming in Online Space: Systematic Review

The main aim of this research paper is to synthesize previous studies and offer a thorough review of the selected body shaming research. Our study summarized the findings of 9 studies that addressed the issues of body shaming, body image, and appreance dissatisfaction in relation to the online space among adolescents and young adults. A systematic review and meta-analysis were conducted following the PRISMA guidelines. In the study, we primarily focused on the age and gender of the participants, protective and risk factors as well as the consequences in connection with the investigated issue. Consequences included low self-esteem, negative feelings related to one's body image, anxiety, depression, shame, comparison, perfectionism about physical appearance, editing photos before sharing on social networks, etc. Interventions discuss positive results in self-compassion, which is directly related to body shaming and body-esteem from previous consequences. Aim The main aim of this research paper is to synthesize previous studies and offer a thorough review of the selected body shaming research. The frequent mentions of terms related to body image and self-esteem in the context of online media suggest a variety of negative consequences for individuals which speaks to the importance of mental health support for those affected by these issues . Methods This study summarized the findings of 9 studies that addressed the issues of body shaming, body image, and appreance dissatisfaction in relation to the online space among adolescents and young adults. The methodology describes the data collection procedure using the ASReview Lab system. A systematic review and meta-analysis were conducted following the PRISMA guidelines. The review we present includes a descriptive analysis of the data. The search strategy included searching abstracts of relevant studies. Automatic random selection was used to identify eligible studies. Abstracts were categorized as relevant or irrelevant according to the keywords entered. The selection process continued until a stopping criterion was reached. ResultsIn the study, we primarily focused on the age and gender of the participants, protective and risk factors as well as the consequences in connection with the investigated issue. Consequences included low self-esteem, negative feelings related to one's body image, anxiety, depression, shame, comparison, perfectionism about physical appearance, editing photos before sharing on social networks, etc. We perceive a correlation with individual consequences and interventions. Striving for positive changes and interventions can be considered as a direct response to the negative consequences mentioned above, such as body shame, low self-esteem, negative body perception, etc. Interventions discuss positive results in self-compassion, which is directly related to body shaming and body-esteem from previous consequences. Similarly, interventions with positive effects on body image are related to several already mentioned consequences, such as worse body image, dissatisfaction with appearance and negative perception of one's own body. Conclusions: The findings suggest an equally high need for prevention strategies and educational interventions that promote media literacy and critical thinking skills for safer interactions in the online space among adolescents and young adults. We believe that our study will be an inspiration for further research, either by supplementing the systematic review with additional studies or empirical interventions in the form of prevention or interventions in connection with the examined issue of physical appearance and online space.

Abstract 4125263: Influence of sexual orientation-related nondiscrimination laws on 30-year CVD risk among sexual minority and heterosexual adults

Introduction: Discriminatory policies are associated with worse mental health and substance use outcomes among sexual minority adults. Despite a higher risk of cardiovascular disease (CVD) than heterosexual adults, there is limited evidence on structural determinants of cardiovascular health among sexual minority adults. Therefore, we examined whether changes in sexual orientation-related nondiscrimination laws were associated with 30-year CVD risk among sexual minority and heterosexual adults. Hypothesis: We hypothesized that changes in sexual orientation-related nondiscrimination laws would be more strongly associated with 30-year CVD risk among sexual minority adults relative to exclusively heterosexual adults. Methods: We used longitudinal data from Waves III (2001-2002), IV (2008-2009), and V (2016-2018) of the National Longitudinal Study of Adolescent to Adult Health. We assessed changes in four state-level sexual orientation-related nondiscrimination laws (i.e., employment discrimination, same-sex marriage, hate crime statutes, and same-sex adoption) between Waves III and IV. Changes in sexual orientation-related nondiscrimination laws were categorized as unchanged (reference), improved, or worsened. We assessed 30-year CVD risk using the Framingham Risk Score at Wave V. We ran sex-stratified linear regression models adjusted for demographic factors to examine whether the association between change in nondiscrimination laws with 30-year CVD risk was moderated by sexual orientation (i.e., exclusively heterosexual, mostly heterosexual, homosexual/bisexual). Results: The sample included 3,827 participants with a mean age of 28.7 (±1.75) years, of whom 83.1% identified as exclusively heterosexual, 51% as female, and 15% as Black. Compared to heterosexual participants of the same sex, an improvement in nondiscrimination laws was associated with lower 30-year CVD risk among mostly heterosexual women (B -4.57, 95% CI = -8.06, -1.08) and homosexual/bisexual men (B -10.91, 95% CI = -19.33, -2.49). In contrast, compared to exclusively heterosexual women, a worsening of nondiscrimination laws was associated with higher 30-year CVD risk among homosexual/bisexual women (B 5.26, 95% CI = 0.30, 10.21). No differences were found between mostly heterosexual and exclusively heterosexual men. Conclusions: Findings suggest that efforts to enhance policies prohibiting sexual orientation-related discrimination may significantly reduce CVD risk among sexual minority adults.

Therapeutic climbing in inpatient rehabilitation

Abstract: Background: Therapeutic climbing (TC) has been increasingly implemented in the context of mental health care, with promising effects. While most evaluation studies focus on symptom reduction, the specific elements and mechanisms that make climbing effective compared to other therapeutic sports remain unclear. This study explores the subjective experiences of participants of a climbing therapy program in order to explore the underlying processes and the subjectively perceived effects. Method: The study took place at an inpatient rehabilitation facility in southern Germany, where a weekly group TC program was part of the treatment for individuals with mental disorders. Data from 265 participants with ICD-10 mental disorders collected between 2010 and 2022 was analyzed via questionnaires quantitatively assessing physical, psychological, and social improvements with rating items. Additionally open answers on subjectively relevant psychological experiences were analyzed using a qualitative content analysis. Results: Climbing therapy was generally perceived as relevant to their rehabilitation and rated as influential in terms of improving physical and psychological condition as well as sociability. The qualitative analysis identified five main categories being “Successful coping and positive mood”, “Challenge and coping strategies”, “Self-reflection and self-perception”, “Social experiences and belaying” and “Letting go of worries and being in the moment”. Conclusion: The results support previous findings on the benefits of TC and highlight its relevance as a therapeutic tool. Participants with mental disorders reported various positive experiences, emphasizing the unique demands, motivational aspects and social context of climbing. Further high-quality research is needed to compare climbing’s potential with other therapeutic sports across different target groups.