Title Participants Abstract "Intégration de la santé mentale dans les services de soins de santé primaires en République démocratique du Congo. Integration of mental health in health care services in the Democratic Republic of Congo" "Erick Mukala Mayoyo, Willem van de Put, Sara Van Belle, Bibiane van Mierlo, Bart Criel" "Objective: The study aims to document the experience of integrating a mental health care package into the general health care system of Lubero district in the Democratic Republic of Congo (DRC) between 2011 and 2015, and more specifically, the effects of this integration on the access to and use of health services offering mental health care.Method: This is a retrospective study using a case study design. Data collected from different project documents and an analytic review of the official reports of the Ministry of Public Health were used for an analysis of the results of the integration.Results: The results indicate that 3,941 patients with mental health problems used the care offered at the health centers and the district hospital between 2012 and 2015. In 2015, the average utilization rate of curative care in health centers for mental health problems was 7 new cases/1,000 inhabitants/year. The majority of these patients were treated on an outpatient basis, at primary health care level.Discussion: Our study shows that it is possible to integrate mental health into existing general health services in the DRC. Nevertheless, the major problems in terms of access and use of basic care in the Lubero district indicate that the success of such an integration depends on the quality of the health system in place and the involvement of a wide range of both health and non-health actors, including key people within communities." "Cost-effectiveness of health promotion targeting physical activity and healthy eating in mental health care" "Nick Verhaeghe, Lea Maes, Lieven Annemans" "Social inequalities in mental health: results from the EU contribution to the World Mental Health Surveys Initiative" "Ronny Bruffaerts" "PURPOSE: The objective of the present study was to provide updated data from nine European countries about the impact of social inequalities in the prevalence of common mental disorders. METHODS: Cross-sectional household survey of a representative sample of the adult general population of Belgium, Bulgaria, Germany, Italy, The Netherlands, Northern Ireland, Portugal, Romania and Spain. In total, 34,395 individuals were included. Social inequalities in 12-month mood, anxiety and alcohol-related disorders were evaluated. RESULTS: In Europe, income seems not to be related to the prevalence of mental disorders. Unemployment and disablement are associated with mental disorders. Lower educational level augments the risk for mood disorders. Living in small (rural) areas decreases the risk for mood disorders and living in urban settings increases it. Northern Ireland, Portugal and Belgium are the countries with the highest risks for mental disorders. CONCLUSIONS: Despite some contradictions with previous literature, in Europe there are social inequalities in the prevalence of mental disorders. However, income showed not to be associated with inequalities in mental health. Being younger, unemployed or disabled, with no education or incomplete primary studies, living in urban settings, and in Northern Ireland, Portugal or Belgium were associated to an augmented prevalence of mental disorders. Policy makers could focus on mental health promotion and mental disorders prevention programmes for risk groups such as unemployed/disabled individuals. Support to vulnerable groups (unemployed or those with less education) and mental health literacy can improve European citizens' mental health." "A critical perspective on mental health news in six European countries : how are 'mental health/illness' and 'mental health literacy' rhetorically constructed?" "Laura Van Beveren, Kris Rutten, Gunnel Hensing, Ntani Spyridoula, Viktor Schønning, Malin Axelsson, Claudi Bockting, Ine De Neve, Mattias Desmet, Alexis Dewaele, Theodoros Giovazolias, Dewi Hannon, Konstantinos Kafetsios, Reitske Meganck, Simon Øverland, Sofia Triliva" "Perceptions of mental health nurses and patients about health promotion in mental health care: a literature review" "Nick Verhaeghe, Lea Maes, Lieven Annemans" "Health promotion in mental health care : perceptions from patients and mental health nurses" "N. Verhaeghe, No name available, Lea Maes, C. Van Heeringen, Lieven Annemans" / "Health promotion in mental health care: perceptions from patients and mental health nurses" "Nick Verhaeghe, Lea Maes, Lieven Annemans" "The use of mental health care, psychotropic drugs and social services by divorced people: does informal support matter?,L'utilisation des soins de santé mentale, des médicaments psychotropes et des services sociaux par les divorcés: qu'importe le soutien" "Veerle Buffel, Elien Colman, R. Dereuddre, Piet Bracke" "This study compares the mental health care, psychotropic drugs and social service use of divorced people (re-partnered or single) with that of married people. This paper questions whether the availability of informal support facilitates or substitutes for formal care seeking. Data from the Divorce in Flanders survey of 2009–2010 are used. Logistic regression analyses are performed separately for women (N = 3450) and men (N = 3020). Greater use of mental health care, psychotropic drugs and social services by single divorced men is explained by their higher need for care, while divorced women (especially single divorced) more frequently contact a general practitioner (GP), a psychiatrist, or a psychologist, regardless of their mental health, socio-economic background and informal support. Women who have support from non-family members are more inclined to use social services and to contact a GP, while support from family members is only positively related to GP consultations. With regard to men, informal support from non-family members positively influences each type of formal care seeking. Our results suggest that non-family members (and only among women, family members as well) can provide help and advice about seeking professional mental health care and social services, but they do not have an influence on psychotropic drug use." "A healthy lifestyle is positively associated with mental health and well-being and core markers in ageing" "Pauline HAUTEKIET, Nelly SAENEN, Dries MARTENS, Margot Debay, Johan Van der Heyden, Tim NAWROT, Eva M. De Clercq" "Background Studies often evaluate mental health and well-being in association with individual health behaviours although evaluating multiple health behaviours that co-occur in real life may reveal important insights into the overall association. Also, the underlying pathways of how lifestyle might affect our health are still under debate. Here, we studied the mediation of different health behaviours or lifestyle factors on mental health and its effect on core markers of ageing: telomere length (TL) and mitochondrial DNA content (mtDNAc). Methods In this study, 6054 adults from the 2018 Belgian Health Interview Survey (BHIS) were included. Mental health and well-being outcomes included psychological and severe psychological distress, vitality, life satisfaction, self-perceived health, depressive and generalised anxiety disorder and suicidal ideation. A lifestyle score integrating diet, physical activity, smoking status, alcohol consumption and BMI was created and validated. On a subset of 739 participants, leucocyte TL and mtDNAc were assessed using qPCR. Generalised linear mixed models were used while adjusting for a priori chosen covariates. Results The average age (SD) of the study population was 49.9 (17.5) years, and 48.8% were men. A one-point increment in the lifestyle score was associated with lower odds (ranging from 0.56 to 0.74) for all studied mental health outcomes and with a 1.74% (95% CI: 0.11, 3.40%) longer TL and 4.07% (95% CI: 2.01, 6.17%) higher mtDNAc. Psychological distress and suicidal ideation were associated with a lower mtDNAc of - 4.62% (95% CI: - 8.85, - 0.20%) and - 7.83% (95% CI: - 14.77, - 0.34%), respectively. No associations were found between mental health and TL. Conclusions In this large-scale study, we showed the positive association between a healthy lifestyle and both biological ageing and different dimensions of mental health and well-being. We also indicated that living a healthy lifestyle contributes to more favourable biological ageing." "De 'Belgian Mental Health Monitor Covid-19', een methode om de overheidsrespons op de impact van covid-19 op de mentale gezondheid van de Belgische bevolking op te volgen" "Adélaïde Blavier, Ronny Bruffaerts, Marc Calmeyn, Hannah De Laet, Inez Germeys, Lode Godderis, Olivier Luminet, Frieda Matthys, Maxime Résibois, Kris Van den Broeck, Nele Van den Cruyce, Mieke Van Gramberen, Elke Van Hoof, Frederique Van Leuven, Annemie Vandamme"