International Journal of Mental Health Nursing最新文献

{"title":"The Centrality of Compassion in Mental Health Nursing","authors":"Carmel Bond, Kim Usher, Debra Jackson","doi":"10.1111/inm.70048","DOIUrl":"https://doi.org/10.1111/inm.70048","url":null,"abstract":"<p>Compassion is central to mental health nursing, deeply embedded in the ethos of care and principles of recovery. However, at a time of increasing clinical demands and workforce shortages, the expression of compassion in nursing may be constrained. How can nurses ensure that compassion remains central to their practice, even in challenging circumstances? In this editorial, we consider the vital role of compassion in nursing, highlighting its impact on patient outcomes, its role in fostering therapeutic relationships through effective communication, and its contribution to professional resilience.</p><p>Over the last 15 years, a substantial body of empirical work has reinforced the significance of compassion for patients, families, and healthcare professionals (Sinclair et al. <span>2016</span>, <span>2024</span>). Recognised as a deliberate and ethical response, compassion involves understanding, acknowledging, and alleviating the suffering of others through meaningful engagement and purposeful action (Sinclair et al. <span>2016</span>, <span>2018</span>). Compassion remains central to the delivery of high-quality, patient-centred care and is a fundamental principle of medical ethics worldwide (General Medical Council <span>2024</span>; American Medical Association <span>2024</span>; NHS England <span>2015</span>).</p><p>Despite its recognised importance, the way compassion is expressed can vary among practitioners. In a study that sought to identify the characteristics of a compassionate nurse, Durkin, Gurbutt, et al. (<span>2019</span>), identified eight elements and these included: self-care, connection, empathy, interpersonal skills, communication, and engagement. A systematic review by Durkin, Usher, et al. (<span>2019</span>) explored how nurses demonstrate compassion and how patients experience it. These authors found that nurse's express compassion through actions such as spending time with patients and engaging in effective communication, while patients perceive compassion as a sense of togetherness with their caregivers. However, high acuity areas as well as other workforce pressures may make compassion ‘difficult’.</p><p>Compassion is a fundamental aspect of mental health nursing, deeply valued by patients. As Wildbore et al. (<span>2024</span>) explain, compassion often emerges as a central theme when individuals discuss their healthcare experiences. This underscores the centrality of compassion in relation to the underlying perceptions patients have about the care they receive. The authors outline three essential aspect of mental health care that are central the patient's ‘felt sense response’ in relation to the ‘feeling’ of receiving compassion. The first is the nurses' ‘presence’ which means being fully attentive and available to the person sitting in front of them; conveying genuine interest and concern. The second is seeking to understand the individual holistically by engaging in accepting and non-judgmental ways. Finally, exh","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70048","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818700","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness and Rurality: Important Risk Factors for Young Australians' Mental Health","authors":"Mary C. Kaspar, Kim J. Usher, Kylie Rice","doi":"10.1111/inm.70047","DOIUrl":"https://doi.org/10.1111/inm.70047","url":null,"abstract":"<p>We are in the midst of a youth mental health crisis. Internationally, youth mental health is a recognised priority, with global prevalence of adolescent mental health disorders estimated to be 15%, and suicide recognised as the third leading cause of death for 15–29-year-olds (World Health Organisation <span>2024</span>). Concerningly, in Australia, the reported rates are even higher. The Australian Bureau of Statistics (ABS, <span>2023</span>) recently reported that in the 2020–2022 period, 38.8% of young people in Australia aged 16–24 years experienced a mental health disorder. In addition, suicide is recognised as the leading cause of death among Australians aged 15–24 years (Australian Institute of Health and Welfare <span>2024</span>). These statistics are alarming and highlight the need for urgent action to improve mental health outcomes for Australian young people.</p><p>One recognised risk factor for the mental health outcomes of Australian young people is rurality (Seidler et al. <span>2020</span>). Young people in rural communities have higher rates of self-harm and suicide, and limited access to specialist psychological care than their counterparts in urban locations (Fitzpatrick et al. <span>2021</span>). The National Strategic Framework for Rural and Remote Health (Department of Health and Aging <span>2011</span>) recognised the disadvantage faced by young people in geographical regions where socio-economic and rural risk factors intersect, and relate to poorer health outcomes. Service access and treatment difficulties are recognised structural barriers for rural Australian young people, with challenges of travel, stigma, cost, confidentiality in small communities, waiting lists, and a lack of services contributing to mental health outcomes (Seidler et al. <span>2020</span>). Novel approaches emphasise the need for discoveries made through psychological science to reach those who will benefit from them (Wiltsey Stirman and Beidas <span>2020</span>). For rural young people, this means co-developing specific strategies to address their needs, and adopting innovative solutions that overcome the barriers to accessing services.</p><p>Navigating social relationships is among the key developmental challenges of adolescence. Young people's relationships with their peers are related to their mental health and academic adjustment (Véronneau and Trempe <span>2022</span>), and relational bullying has been found to predict a range of mental health symptomology (Ferraz de Camargo et al. <span>2022</span>). Poor relationship experiences, including the experience of relational aggression such as exclusion, gossip and teasing, can take a significant negative emotional toll on young people, as does upward social comparisons when viewing social media (Moore et al. <span>2014</span>; Samra et al. <span>2022</span>).</p><p>Quality friendships and feeling connected have an important role in young people's wellbeing and engagement in school and the comm","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70047","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818564","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effectiveness of Suicide Prevention Programmes Among Adolescents and Sociocultural Adaptation of Programmes: A Systematic Review","authors":"Rita Pokharel Poudel,&nbsp;Sheeja Perumbil Pathrose,&nbsp;Diana Jefferies,&nbsp;Lucie M. Ramjan","doi":"10.1111/inm.70038","DOIUrl":"https://doi.org/10.1111/inm.70038","url":null,"abstract":"<p>Suicide is a leading cause of adolescent death and is preventable through school-based programs. This review aimed to identify available suicide prevention programmes for adolescents, their contextualisation, and effects on suicidal behaviours, help-seeking, knowledge, attitude and coping. This review was conducted by searching four databases following PRISMA guidelines. Articles published till September 2023 were searched, and the search was re-run in June 2024. All types of studies conducted among adolescents, outside healthcare facilities and published in English were included. Studies that included adolescents with pre-existing mental health conditions, gender and sexual minority groups were excluded. Quality was assessed using Joanna Briggs Institute tools. The review protocol was registered in PROSPERO (CRD42023469637). A total of 53 of 3663 identified articles were included. There were 41 different suicide prevention programmes used across the 53 studies. Data extraction focused on author, published year, country, study aims, population, interventions, comparison groups, contextualisation and the outcomes of interventions. Most of the studies (64.2%) were conducted in the United States of America. Three studies mentioned the contextualisation of the programme without details. Of the studies measuring suicidal behaviours (82.1%), help-seeking (66.7%), knowledge (93.8%), attitude (81.8%) and coping (50%), all reported on the effectiveness of programmes. Studies from low- and middle-income countries could not be identified, and very few studies mentioned the contextualisation of programmes. The heterogeneity of the studies and diversity of the programmes, tools, standards of delivery and follow-up times across the studies made it difficult to draw conclusions about the overall effectiveness of programmes.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70038","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143809766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Role of Siblings in Caring for Middle-Aged and Older People With Severe Mental Illness: A Scoping Review","authors":"Jialiang Cui,&nbsp;Siyuan Guo,&nbsp;Kangwei Xun,&nbsp;Wan Sang Kan,&nbsp;Lin Zhang,&nbsp;Xin He,&nbsp;Renxing Chen,&nbsp;Na Chen","doi":"10.1111/inm.70040","DOIUrl":"https://doi.org/10.1111/inm.70040","url":null,"abstract":"<p>The intersection of severe mental illness (SMI) and ageing poses significant health and psychosocial challenges for middle-aged and older adults with SMI. Informal care from siblings can be crucial for this group, who are less likely to have the involvement of spouses or children in their ageing. Despite growing interest in sibling support within mental health research, there is a lack of comprehensive understanding regarding siblings' roles in caring for their ageing relatives with SMI. We conducted a scoping review following Arksey and O'Malley's approach and reported results using the PRISMA-ScR guidelines. Identifying 28 English-language studies published between 2000 and 2024 from PubMed, Scopus, PsycINFO, Ovid MEDLINE and ProQuest, we synthesised key themes concerning the involvement of siblings in caring for individuals with SMI. The findings reveal a widespread willingness among siblings to provide care, though they often adopt a cautious approach. Many siblings feel unprepared to assume parental roles in long-term care, showing reluctance to engage in regular, intensive daily care activities. The extent of their involvement, its impact and their coping strategies are intricately linked to (1) the triangular relationship among parents and siblings with and without SMI, (2) socio-economic status and emotional and educational resources and (3) socio-cultural values. This review contributes to the development of scholarship by identifying critical directions for future research, practice and policy.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70040","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143818563","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Optimising Psychosocial Interventions for People With Severe and Enduring Eating Disorders (SEED) Perspectives of Healthcare Professionals in Ireland: A Qualitative Study","authors":"Kate Mooney,&nbsp;Ann-Marie Bright,&nbsp;Annmarie Grealish","doi":"10.1111/inm.70037","DOIUrl":"https://doi.org/10.1111/inm.70037","url":null,"abstract":"<p>To date, no studies have explored healthcare professionals' perceptions on the acceptability and effectiveness of psychosocial interventions for patients with severe and enduring eating disorders in Ireland. The aims of this study were to explore how healthcare professionals view the use of psychosocial interventions for patients with severe and enduring eating disorders and how these approaches can be improved. A qualitative study design was utilised to explore perceptions and opinions. Semi-structured, one-to-one interviews were used to collect data from healthcare professionals (<i>n</i> = 16) in mental health settings. Interviews were audio-recorded and transcribed verbatim before being analysed using thematic analysis. Four themes were identified: (1) therapeutic relationship, (2) patient-centred approaches, (3) co-morbidities and (4) pathway of care and services. Findings strongly suggest the need for patients with severe and enduring eating disorders to set their own goals to improve treatment outcomes and quality of life. Furthermore, findings also suggest a strong correlation between a history of trauma and the diagnosis of severe and enduring eating disorders. Therefore, training for healthcare professionals to provide trauma-informed care is needed.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70037","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793590","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Carers’ Understanding of Recovery-Oriented Practice in Mental Health Settings: A Systematic Review and Narrative Synthesis","authors":"Birhanie Mekuriaw,&nbsp;Natalie Ann Cutler,&nbsp;Jo River","doi":"10.1111/inm.70035","DOIUrl":"https://doi.org/10.1111/inm.70035","url":null,"abstract":"<p>Recovery-oriented practice is a contemporary and internationally accepted approach to mental health care. Moving away from privileging ‘clinical recovery’, it recognises and supports ‘personal recovery’, defined as living a meaningful life. Family and carers' (carers) understanding, and support of recovery-oriented practice is crucial to the provision of comprehensive and continuous mental health care. Few studies exist on carers' knowledge and experiences of recovery-oriented practice. We conducted a systematic review to explore carers' understanding of recovery-oriented practice in mental health settings. A narrative synthesis was undertaken using both deductive and inductive approaches, guided by the established framework for recovery-oriented practice by Le Boutillier and colleagues. Findings indicated that carers have a grasp of the principles and aims of recovery-oriented care, which aligned with the selected framework. However, carers' comprehension also identified shortcomings in how recovery-oriented practices were currently implemented in mental health services. Extending the work of Le Boutillier and colleagues, this review found that carers experienced a ‘disillusionment with mental health services’. While carers were keen to be involved and support recovery, they often felt excluded by mental health workers and the broader mental health system. This sense of exclusion led to carers feeling unsupported and disinclined to engage with the service, and this adversely affected their well-being. Findings suggest that operationalising recovery-oriented practice requires more genuine involvement of carers in decision-making forums such as care planning meetings, and formal feedback mechanisms be made available to integrate their perspectives into service development.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70035","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793593","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Association Between Nurse Staffing and Conflict and Containment in Acute Mental Health Care: A Systematic Review","authors":"Samuel Woodnutt,&nbsp;Simon Hall,&nbsp;Paula Libberton,&nbsp;Jane Ball,&nbsp;Chiara Dall'Ora,&nbsp;Peter Griffiths","doi":"10.1111/inm.70039","DOIUrl":"https://doi.org/10.1111/inm.70039","url":null,"abstract":"<p>Conflict and containment are the most frequently reported incidents in acute mental health care settings. This systematic review seeks to examine and synthesise existing evidence on the association between nurse staffing levels, nursing skill-mix and the occurrence of these incidents in acute mental health wards. Systematic review of quantitative studies examining nurse staffing levels and skill-mix (proportion of nursing shift that are registered or experience levels). Searches were undertaken in CINAHL, Cochrane, Embase, MEDLINE, PsycINFO, SCOPUS and Web of Science. Thirty-five observational studies were reviewed, including 32 on staffing levels (44 analyses) and 12 on skill-mix (14 analyses). Nine analyses found that higher staffing levels were associated with a reduction in reported conflict and containment incidents, while nine found lower staffing levels were associated with reduced incidents. Twenty-six studies found no significant association. For skill-mix, six analyses found that higher skill-mix was associated with a reduction in incidents, seven found no significant association, while one analysis showed reduced skill-mix was associated with a reduction in incidents. The results from analyses are mixed, with no clear conclusions on the relationship of staffing on incident rates. Studies often rely on routine or staff-reported data that are prone to measurement and observer bias, where most analyses did not control for important factors, e.g., patient case-mix or other patient-related factors which could have influenced the results. Although higher staffing levels are sometimes associated with increased incident reporting, this may reflect greater interaction and reporting, or residual (unmeasured) confounding and/or lack of control for mediators and effect modifiers. The review highlights the need for better risk adjustment in observational studies, more refined methodologies and clearer definitions of outcomes to guide workforce planning and policy. Further large-scale research is necessary to understand the complex relationships between staffing, skill-mix and safety in mental health care. There is a major staffing crisis in mental health nursing, but evidence to understand the impact of this on patient outcomes and to guide staffing policies is missing, with several significant limitations in the existing evidence that need to be resolved. Identified evidence on mental health nurse staffing levels and skill-mix is mixed and inconclusive; therefore, no clear implications for workforce planning or deployment can be recommended. However, this prompts debate on the nature and efficacy of routinely collected patient outcomes in clinical practice.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70039","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143793594","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Mixed-Methods Evaluation of a Peer Group Intervention to Promote Wellbeing in Mental Health Nurses","authors":"Alannah L. Cooper,&nbsp;Richard A. Read,&nbsp;Sally Burrows,&nbsp;Janie A. Brown","doi":"10.1111/inm.70032","DOIUrl":"https://doi.org/10.1111/inm.70032","url":null,"abstract":"<p>The work mental health nurses undertake is widely acknowledged as being challenging. Stressors encountered in the workplace can negatively impact nurses' psychological wellbeing and contribute to issues with retaining nurses in the profession. There is limited interventional research that focuses on external factors that foster nurse wellbeing. This study aimed to evaluate a peer group intervention to promote nurse wellbeing. A longitudinal mixed-methods study with an equal status concurrent design was undertaken. Qualitative and quantitative data were collected via semi-structured interviews and surveys across three timepoints, baseline, mid-intervention, and post-intervention. Qualitative data were collected to explore interviewees' experiences of participating in the intervention, and quantitative data were obtained to assess for any measurable effect on wellbeing outcomes. Fifteen peer group participants completed semi-structured interviews. There were <i>n</i> = 28 responses to the baseline survey, <i>n</i> = 27 returned the mid-intervention survey, and <i>n</i> = 25 responded to the post-intervention survey. Qualitative data analysis identified four main themes: Attending Peer Group, Participating in Peer Group, Impact on the Individual, and Unrelated Workplace Change. Wellbeing scores were found to be significantly modified by the number of peer group sessions attended for depression (<i>p</i> = 0.006), stress (<i>p</i> = 0.004), and emotional exhaustion (<i>p</i> = 0.02) By the post-intervention survey, more favourable scores were significantly associated with higher attendance levels for all three measures. Integration of the qualitative findings and quantitative results demonstrated potential benefits of peer groups for nurse wellbeing. Given that greater exposure to the intervention was associated with better outcomes, facilitating attendance is essential to realise the benefits of peer groups.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70032","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769958","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Qualitative Study of Coping Strategies for Loneliness Among Indonesian Older Adults: Implications for Nursing Practice","authors":"Joko Gunawan,&nbsp; Nazliansyah,&nbsp;Yupin Aungsuroch,&nbsp;Jed Montayre","doi":"10.1111/inm.70033","DOIUrl":"https://doi.org/10.1111/inm.70033","url":null,"abstract":"<div>\u0000 \u0000 <p>Loneliness is a widespread issue that significantly affects the well-being of older adults globally, with cultural shifts and urbanisation increasing their vulnerability to social isolation. Despite growing concern about this issue, there is a lack of research on coping strategies for loneliness among older adults in Indonesia. This study aimed to explore how older adults in Belitung, Indonesia cope with loneliness. A descriptive phenomenology design was used, and in-depth semi-structured focus group discussions (FGDs) were conducted with older adults (aged 60 and above) at two public health centres. The first FGD, with five participants, took place in October 2023, followed by a second FGD with ten participants in March 2024. Both sessions were audio-recorded. The interview data were transcribed verbatim and analysed using Colaizzi's method. The results showed that all participants reported experiencing loneliness and shared various coping strategies. Five themes emerged from the analysis: (1) Cultural and Religious Practices as Coping Mechanisms, highlighting the significance of spirituality; (2) Traditional Social Interactions, such as ‘Ngelakar’ and ‘Begalor,’ which strengthen community bonds; (3) Staying Active through ‘Posyandu Lansia,’ which supports physical and emotional well-being; (4) The Role of Family and Grandchildren, providing emotional warmth and a sense of purpose; and (5) Leisure and Recreational Activities, offering enjoyment and distraction. The findings reveal that older adults use culturally rooted strategies to manage loneliness, emphasising the importance of community, tradition, and spirituality. Gender differences were also noted. These results may inform the development of culturally tailored community nursing interventions aimed at reducing loneliness and enhancing the well-being of older adults.</p>\u0000 </div>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143770108","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Estimating Population-Based Need for Lifestyle Interventions Among Young Adults With Mental Disorders in Australia","authors":"Kate Gossip,&nbsp;Julie John,&nbsp;Charlotte Comben,&nbsp;Imogen Page,&nbsp;Holly E. Erskine,&nbsp;James G. Scott,&nbsp;Sandra Diminic","doi":"10.1111/inm.70034","DOIUrl":"https://doi.org/10.1111/inm.70034","url":null,"abstract":"<p>Lifestyle interventions encompass educational and treatment components addressing health risk behaviours such as sedentary lifestyles, nutrition, tobacco use, alcohol and drug use, sleep hygiene, and sexual health behaviours, and are known to improve symptoms of mental illness. However, these interventions are not widely available to young adults. The aims of this study were to (1) determine the proportion of young adults with mental illness who would benefit from lifestyle interventions and (2) describe the benefits and operational factors that should be considered when planning lifestyle interventions for young adults. A two-stage approach was utilised, including structured consultation with experts in youth mental health (<i>n</i> = 12) and an online Delphi study with respondents with expertise and interest in lifestyle interventions (<i>n</i> = 14). The recommended proportion of young adults benefiting from lifestyle interventions varied between the structured consultation and Delphi study. Generally, the proportion increased with illness severity. Overall, study participants recommended that more young adults should have access to individually delivered interventions compared to group interventions. This study provides provisional estimates and operational details that could be used to increase the availability of lifestyle interventions for young adults, improving mental health, functioning, and physical health, and supporting improved life outcomes.</p>","PeriodicalId":14007,"journal":{"name":"International Journal of Mental Health Nursing","volume":"34 2","pages":""},"PeriodicalIF":3.6,"publicationDate":"2025-04-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/inm.70034","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143769959","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":2,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}