Community indicators for mental health in Europe: a scoping review

Background

Community indicators may predict and influence individuals` mental health, and support or impede mental health management. However, there is no consensus on which indicators should be included in predictions, prognostic algorithms, or management strategies for community-based mental health promotion and prevention approaches. Therefore, this scoping review provides an overview of relevant community-level indicators for mental health in the general as well as risk populations in a European context.

Methods

We conducted a scoping review in the following electronic databases: PubMed, Embase, and PsycInfo. Eligible studies focused on context factors such as either the physical or social environment, reporting at least one mental health outcome and referring to a European population. Publications between 2012 and March 8, 2022 are considered.

Results

In total, the search yielded 12,200 identified records. After the removal of duplicates, 10,059 records were screened against the eligibility criteria. In total, 169 studies were included in the final analysis. Out of these included studies, 6% focused on pan-European datasets and 94% on a specific European country. Populations were either general or high-risk populations (56 vs. 44%, respectively) with depressive disorder as the main reported outcome (49%), followed by general mental health (33%) and anxiety (23%). Study designs were cross-sectional studies (59%), longitudinal (27%), and others (14%). The final set of indicators consisted of 53 indicators, which were grouped conceptually into 13 superordinate categories of community indicators. These were divided into the domains of the physical and social environment. The most commonly measured and reported categories of community indicators associated with mental health outcomes were social networks (n = 87), attitudinal factors toward vulnerable groups (n = 76), and the characteristics of the built environment (n = 56).

Conclusion

This review provides an evidence base of existing and novel community-level indicators that are associated with mental health. Community factors related to the physical and social environment should be routinely recorded and considered as influencing factors or potentially underestimated confounders. The relevance should be analyzed and included in clinical outcomes, data, monitoring and surveillance as they may reveal new trends and targets for public mental health interventions.

Seeking and avoiding contact with Muslims at a Hijab Stall: Evidence for multilayer, multi-determined solidarity, courage, apathy, and moral outrage

Intergroup contact is key to social cohesion, yet psychological barriers block engagement with diversity even when contact opportunities are abundant. We lack an advanced understanding of contact seeking because intergroup contact is often an independent variable in research, and studies on contact seeking have favoured experimental probing of selected factors or measured only broad behavioural intentions. This research carried out the first ecological tests of a novel multilayer-multivariate framework to contact seeking/avoiding. These tests were centred on a Muslim-led community contact-based initiative with visible support from local authorities following a terrorist attack. Non-Muslim Australian women (N = 1,347) contributed field data on their situated contact motivations, choices, and attendance at an intercultural educational stall; many (N = 559) completed a profiling test battery. Among those who responded to the initiative invite, the rate of taking up the high-salience contact opportunity in this heated setting was high and reflected multiple approach/avoidance motivations. Contact seeking/avoiding was not just allophilia/prejudice; it presented as new typologies of politicized solidarity, courage, apathy, and moral outrage. While intergroup predictors were significant across all profiling analyses, intrapersonal and interpersonal predictors also regularly contributed to explain variance in non-Muslims' contact motivations and choices, confirming their multilayer-multivariate nature.

Intergroup contact and willingness for renewed cohabitation in Cyprus: Exploring the mediating and moderating mechanisms

One of the major challenges in divided societies is finding ways to overcome geographical partition by increasing readiness for cohabitation in mixed areas. Cyprus has faced a protracted situation of division (between Greek Cypriots and Turkish Cypriots) for the last 44 years. In this paper, we explore the role of intergroup contact (both quantity and quality of contact) in enhancing the willingness of members of these two communities to reestablish cohabitation, using representative survey samples from both communities. We hypothesize that such an effect is mediated by a decrease in the levels of prejudice between the two communities and an increase in the levels of trust. In addition, we hypothesize that the direct effect of intergroup contact and the indirect effect of intergroup contact through trust and prejudice are both moderated by age. To explore these hypotheses, we collected data from a representative sample of 502 Greek Cypriots and 504 Turkish Cypriots. The hypotheses are tested among the Greek Cypriot and Turkish Cypriot samples separately. In both samples, the results show that the positive effect of intergroup contact on willingness for renewed cohabitation is mediated by both trust and prejudice. There is also some support for the moderating effect of age for both the direct and indirect effects of intergroup contact.

Intended, Unintended, and Unknown Consequences of Contact

Abstract. We investigated the role of positive and negative contact on outgroup attitudes, collective action tendencies, and psychological well-being among minority (Kurds) and majority (Turks) group members in a conflict area ( N = 527), testing ingroup identification, relative deprivation, and perceived discrimination as potential mediators in these associations. Contrary to recent research studies demonstrating the superiority of negative contact effects, positive contact was generally a stronger determinant of the dependent variables, directly and indirectly, in both groups, although negative contact also had some direct and indirect associations with the outcomes. Findings highlight the need to incorporate the role of positive and negative contact to provide a full understanding of the potential benefits/costs of the contact strategy in conflict settings.

Cross-group friendships and psychological well-being: A dual pathway through social integration and empowerment

This study investigated the associations between cross-group friendships and psychological well-being among a sample of physically disabled adults. A total of 269 disabled people (M_age  = 39.13, SD = 13.80; 114 females, 152 males, 3 unknown) completed questionnaires including the quality of their friendships with non-disabled people, perceived majority group's attitudes towards the minority group, collective self-esteem, collective action tendencies, own outgroup attitudes, and psychological well-being. Findings demonstrated that disabled people's cross-group friendships were directly and indirectly associated with higher levels of psychological well-being via two routes: one by promoting perceived majority attitudes which consequently led to more positive own outgroup attitudes (well-being through social integration hypothesis) and the other by leading to higher levels of collective self-esteem which enhanced collective action tendencies (well-being through empowerment hypothesis). Findings offer important insights into the study of cross-group friendships in relation to the psychological well-being of stigmatized minority group members.