Issues in Mental Health Nursing最新文献_第2页

The Effect of Art-Psychodrama Group Intervention on Alexithymia and Psychological Flexibility in Adolescents with Substance Use Disorders. 艺术-心理剧团体干预对青少年物质使用障碍述情障碍和心理灵活性的影响。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-09-04 DOI: 10.1080/01612840.2026.2701694

Cemile Fındık, Ege Anlı

{"title":"The Effect of Art-Psychodrama Group Intervention on Alexithymia and Psychological Flexibility in Adolescents with Substance Use Disorders.","authors":"Cemile Fındık, Ege Anlı","doi":"10.1080/01612840.2026.2701694","DOIUrl":"10.1080/01612840.2026.2701694","url":null,"abstract":"Objective: This study investigated the effects of an art psychodrama-based group intervention on psychological flexibility and alexithymia in adolescents with substance use disorders undergoing inpatient treatment at a ÇEMATEM unit.Methods: A randomized controlled experimental design was used. Adolescents were assigned to experimental or control groups. The Multidimensional Psychological Flexibility Inventory-Short Form and the Toronto Alexithymia Scale were administered pre- and post-intervention. Within- and between-group comparisons were performed.Results: No significant pre-post change was observed in the rigidity subdimension of psychological flexibility, though the experimental group showed a decreasing trend. A significant reduction was found in the difficulty identifying feelings subscale of the TAS in the experimental group compared to controls (p = 0.044). Decreases in difficulty describing feelings, externally oriented thinking, and total alexithymia scores were not statistically significant (p > 0.05). Psychological flexibility scores increased in the experimental group, but this improvement was not statistically significant.Conclusion: The art psychodrama-based intervention improved emotional identification in adolescents with substance use disorders. However, effects on psychological flexibility and other alexithymia dimensions were limited. Larger randomized controlled trials are needed to confirm clinical effectiveness.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1095-1103"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148891575","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Contested Moral Logics of Care with Infanticidal Mothers: A Critical Nursing Research. 有争议的道德逻辑护理与杀婴母亲：一个关键的护理研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-09-15 DOI: 10.1080/01612840.2026.2724409

Dave Holmes, Jean-Laurent Domingue, Rochelle Einboden, Jennifer Kilty, Julie Chartrand, Chad Hammond

{"title":"Contested Moral Logics of Care with Infanticidal Mothers: A Critical Nursing Research.","authors":"Dave Holmes, Jean-Laurent Domingue, Rochelle Einboden, Jennifer Kilty, Julie Chartrand, Chad Hammond","doi":"10.1080/01612840.2026.2724409","DOIUrl":"10.1080/01612840.2026.2724409","url":null,"abstract":"Infanticide is defined as the killing of a child under one year of age by their mother. In Canada and many other jurisdictions, infanticide is a legal offense that can only be committed by women. Although rare and complex, infanticide is surrounded by gendered social and legal attitudes toward women. In this study, a qualitative critical discourse analysis (CDA), informed by feminist and poststructuralist theories, was conducted to examine forensic psychiatric nurses' perspectives on the moral subjectivities of mothers convicted of infanticide. Five forensic psychiatric nurses who had provided care to infanticidal mothers were interviewed, revealing that care within the forensic psychiatric unit and staff relationships with infanticidal mothers were shaped by competing interpretations of illness, culpability, and deservingness. Staff members, including nurses, psychoeducators, and security personnel, did not share a unified moral orientation toward these women. While some participants emphasized separating the offense from the person, they operated within an environment where others foregrounded punishment, risk, and moral responsibility, which influenced how care was enacted. Care thus emerged not as a neutral professional obligation but as a negotiated moral practice. Further, analysis of the care provided for women who committed infanticide renders disciplinary power over motherhood visible.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1140-1151"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148968385","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

"They Looked at Me Like I Was Crazy": Practitioner Experiences Among People Engaging in Hair-Pulling. “他们看着我就像我疯了一样”：从事拔头发的人的实践者经验。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-09-15 DOI: 10.1080/01612840.2026.2714289

Dan Jenkins, Rizwana Roomaney

{"title":"\"They Looked at Me Like I Was Crazy\": Practitioner Experiences Among People Engaging in Hair-Pulling.","authors":"Dan Jenkins, Rizwana Roomaney","doi":"10.1080/01612840.2026.2714289","DOIUrl":"10.1080/01612840.2026.2714289","url":null,"abstract":"Trichotillomania is a disorder affecting 1-2% of the population during their lifetime and is characterised by recurrent hair-pulling that often leads to distress, low self-esteem, social ostracism, and lowered relationship satisfaction. Despite the availability of effective therapies, individuals with trichotillomania frequently report dissatisfaction with clinical care. This qualitative study explored the experiences of 20 adults with trichotillomania, focusing on their interactions with mental health practitioners. Using reflexive thematic analysis of semi-structured interviews, we constructed two themes: feeling (mis)understood and therapeutic (dis)connections. Participants described significant challenges in finding knowledgeable, compassionate practitioners, often encountering practitioners with dismissive attitudes, inaccurate assumptions, or misunderstanding of their condition. A common frustration involved practitioners conflating hair-pulling with self-harm, which many participants viewed as invalidating. However, some participants reported supportive therapeutic relationships that fostered acceptance and coping. Positive experiences were marked by practitioner empathy, validation, and tailored advice. These findings highlight the critical role of therapeutic alliance and practitioner compassion in treatment satisfaction and engagement. Greater awareness of trichotillomania and sensitivity to individuals' explanatory models among practitioners are essential for improving clinical outcomes.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1131-1139"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148968342","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Young Adults' Experiences of Seclusion in Acute Mental Health Settings: A Community-Engaged Interpretive Description Study. 青少年在急性心理健康环境中的隔离经历：一项社区参与的解释性描述研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 DOI: 10.1080/01612840.2026.2739238

Allie Slemon, Shivinder Dhari, Trevor Goodyear, Sage Schmied, Jaymelyn Hubert, Zoë Newson, Aria Stewart, Chloe Fisher

{"title":"Young Adults' Experiences of Seclusion in Acute Mental Health Settings: A Community-Engaged Interpretive Description Study.","authors":"Allie Slemon, Shivinder Dhari, Trevor Goodyear, Sage Schmied, Jaymelyn Hubert, Zoë Newson, Aria Stewart, Chloe Fisher","doi":"10.1080/01612840.2026.2739238","DOIUrl":"https://doi.org/10.1080/01612840.2026.2739238","url":null,"abstract":"Despite global calls to reduce and eliminate the practice of seclusion-confinement of a person in an isolated locked room-this practice remains frequently used among young adults. In context of limited research examining lived experiences of seclusion, this community-engaged qualitative study explores young adults' experiences of seclusion within acute mental health settings. Through a theoretical lens of Foucault's confinement, this study utilized community-engaged approaches and interpretive description methodology to guide research inquiry. People with lived experience were engaged as co-researchers through a Peer Advisory Committee. Participants (N = 17) engaged in in-depth individual interviews, sharing their experiences of seclusion. A process of reflexive thematic analysis generated four central themes: (i) seclusion experienced as dehumanizing and traumatizing; (ii) seclusion emphasized relations of power and compliance; (iii) seclusion exacerbated mental health challenges; and (iv) seclusion led to lasting consequences for mental health and well-being. Findings illustrate the considerable harms and trauma associated with seclusion, particularly amidst the developmental and mental health transitions associated with young adulthood. This research emphasizes the need for mental health systems reforms to remediate these harms associated with seclusion, including through directly integrating the voices of young people with lived experience in guiding nurses' and other health providers' practices.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-10"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"149109779","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Post-Incidence Reviews After Involuntary Admissions-A Qualitative Study of Users' and Professionals' Experiences. 非自愿入院后的发病后评价——对患者和专业人员经历的定性研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-06-23 DOI: 10.1080/01612840.2026.2679700

Irene Wormdahl, Marit Helene Hem, Marianne Borthen, Torunn Hatlen Nøst

{"title":"Post-Incidence Reviews After Involuntary Admissions-A Qualitative Study of Users' and Professionals' Experiences.","authors":"Irene Wormdahl, Marit Helene Hem, Marianne Borthen, Torunn Hatlen Nøst","doi":"10.1080/01612840.2026.2679700","DOIUrl":"10.1080/01612840.2026.2679700","url":null,"abstract":"Involuntary psychiatric admissions raise significant ethical concerns, and effective post-admission interventions remain limited. In this qualitative study, we explored how post-incident reviews after involuntary admissions were experienced and facilitated in primary mental health services in two Norwegian municipalities. We developed data through focus groups with service managers and practitioners, and individual interviews with users. We analysed the material thematically using an inductive approach. Participants described post-incident reviews after involuntary admissions as most valuable when delivered flexibly, grounded in established therapeutic relationships, and integrated into routine community-based practice, rather than as rigid, standardised sessions. Further, the reviews were experienced to support user empowerment, foster mutual understanding, strengthen therapeutic relationships, and improve crisis plans and follow-up strategies. Practitioners also reported strengthened ethical awareness, shifts in staff attitudes, and organisational learning. Key challenges included the need to balance structure with clinical flexibility, variability in implementation and limited collaboration with specialist mental health services. Overall, post-incident reviews after involuntary admissions appear feasible and meaningful in primary mental health care and were perceived to help prevent repeated involuntary admissions. Further research should examine implementation across settings and potential effects on coercion rates.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1063-1072"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148308117","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Relationship Between Empowerment and Mental Health Among the LGBTQ Population: A Scoping Review. LGBTQ群体赋权与心理健康的关系：一个范围综述

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-07-02 DOI: 10.1080/01612840.2026.2675450

Lucas Gabriel de Melo Pedrosa, Matheus William de Oliveira Melo, Mayara Stefanie Sousa Oliveira, Jorgina Sales Jorge, Verônica de Medeiros Alves

{"title":"The Relationship Between Empowerment and Mental Health Among the LGBTQ Population: A Scoping Review.","authors":"Lucas Gabriel de Melo Pedrosa, Matheus William de Oliveira Melo, Mayara Stefanie Sousa Oliveira, Jorgina Sales Jorge, Verônica de Medeiros Alves","doi":"10.1080/01612840.2026.2675450","DOIUrl":"10.1080/01612840.2026.2675450","url":null,"abstract":"Due to discrimination and structural cisheteronormativity, the LGBTQ+ population faces high stress and mental health issues within both historical oppression and the current sociopolitical environment. The historical struggle for rights remains a key pathway to empowerment, a multidimensional process involving control, agency, and participation at intrapersonal, interpersonal/community, and sociopolitical levels. To map the scientific literature on the relationship between empowerment and the mental health of the LGBTQ population. A scoping review in accordance with the guidelines of the Joanna Briggs Institute. A total of 294 publications were identified; after blind and paired assessment of titles, abstracts, and full texts, 25 studies were included. Empowerment in the community (connection and support), intrapersonal (self-acceptance), and sociopolitical (activism) dimensions was associated with positive mental health outcomes, such as greater resilience and lower depression. The absence of empowerment, marked by isolation and limited family support, was linked to worse mental health outcomes, including suicidal risk. Activism showed ambivalent effects, with long-term benefits, but also political fatigue in hostile contexts. This review positions empowerment as a strategic axis for promoting LGBTQ+ mental health, fostering protective factors, reducing vulnerabilities, and promoting well-being, autonomy, and social participation.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1045-1062"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375746","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Verbal and Social Interactions Between Patients and Nursing Staff on Psychiatric Inpatient Wards - Perceptions and Investigation of the Psychometric Properties of the VSI-IP Questionnaire. 精神科住院病房病人与护理人员的言语与社会互动——VSI-IP问卷心理测量特性的认知与调查。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-09-15 DOI: 10.1080/01612840.2026.2710192

Mikael Rask, Agneta Schröder, Lars-Olov Lundqvist, Patrik Rytterström, Tabita Sellin, David Brunt

{"title":"Verbal and Social Interactions Between Patients and Nursing Staff on Psychiatric Inpatient Wards - Perceptions and Investigation of the Psychometric Properties of the VSI-IP Questionnaire.","authors":"Mikael Rask, Agneta Schröder, Lars-Olov Lundqvist, Patrik Rytterström, Tabita Sellin, David Brunt","doi":"10.1080/01612840.2026.2710192","DOIUrl":"10.1080/01612840.2026.2710192","url":null,"abstract":"The aims of this study were to investigate the psychometric properties and dimensionality of the staff and patient versions of the Verbal and Social Interaction questionnaire for psychiatric inpatient care (VSI-IP) and to describe and compare the perceptions of nursing staff and patients concerning the frequency and importance of verbal and social interactions in this setting. The two groups from psychiatric inpatient settings in Sweden completed the questionnaire. A Confirmatory Factor Analysis was performed separately on the patient and staff versions, and a Mann-Whitney U-test was used to compare the perceptions of the patients and the staff. The factor structure of an outpatient version of the questionnaire (VSI-OP) was replicated in the data collected in inpatient settings thus indicating that it could be used for comparisons between settings. We found that the patients rated the frequency of the verbal and social interactions significantly lower than the nursing staff did, which is concerning and possible reasons for this are discussed. Furthermore, the two groups differed greatly in terms of the category 'establishing structure and routines`, which warrants further investigation.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1123-1130"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148968578","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Responsiveness over Duration: Family Caregiver-Patient Interaction Patterns in Digitally Supported Schizophrenia Care. 持续时间的反应性：数字支持的精神分裂症护理中的家庭照顾者-患者互动模式。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-08-20 DOI: 10.1080/01612840.2026.2701700

Wen Zhang, Li Tong, Yun Luo

{"title":"Responsiveness over Duration: Family Caregiver-Patient Interaction Patterns in Digitally Supported Schizophrenia Care.","authors":"Wen Zhang, Li Tong, Yun Luo","doi":"10.1080/01612840.2026.2701700","DOIUrl":"10.1080/01612840.2026.2701700","url":null,"abstract":"Digital platforms enhance family involvement in in community-based psychiatric care, with nurses playing a central role in coordinating these interventions. However, little is known about which specific patterns of caregiver-patient interaction contribute most to functional recovery. This retrospective observational study investigated how patterns of digitally supported caregiver-patient interaction-frequency, duration, and responsiveness-are associated with functional recovery and caregiver burden in schizophrenia. Digital engagement was quantified via objective system logs (contact frequency, video consultation duration, and response latency). Functional recovery was measured using the Personal and Social Performance (PSP) scale. Data were analysed using linear mixed-effects models, adjusting for baseline characteristics. Higher caregiver responsiveness, indicated by shorter response latency (β = -0.43, p < 0.001), and increased frequency of digital contacts (β = 1.29, p = 0.013) were significantly associated with improved PSP scores. Conversely, cumulative duration of video consultations showed no independent association with functional recovery (p = 0.318). Higher engagement also correlated with significantly reduced caregiver burden on the Zarit Burden Interview. The findings suggest that patterns of caregiver-patient interaction, particularly timely responsiveness and regular contact, may be more closely associated with functional recovery than the overall duration of digital communication.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1104-1110"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793283","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

Determinants of Housing Stability in Serious Mental Illness: An Integrative Review and Implications for Mental Health Nursing. 严重精神疾病患者住房稳定性的决定因素：一项综合综述及其对心理健康护理的影响。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2673376

Christian R Ketel, Debra K Moser, Lora Beebe, Laurie Gavilo-Lane, Lisa C Lindley

{"title":"Determinants of Housing Stability in Serious Mental Illness: An Integrative Review and Implications for Mental Health Nursing.","authors":"Christian R Ketel, Debra K Moser, Lora Beebe, Laurie Gavilo-Lane, Lisa C Lindley","doi":"10.1080/01612840.2026.2673376","DOIUrl":"10.1080/01612840.2026.2673376","url":null,"abstract":"Housing stability is a critical determinant of health and recovery for adults with serious mental illness, yet the mechanisms that support sustained tenancy remain incompletely understood. This integrative review synthesized evidence published from 2015 to 2025 on individual, contextual, and relational determinants of housing stability among adults with serious mental illness, with or without co-occurring substance use disorders. Guided by Whittemore and Knafl's methodology, the review included 26 empirical studies representing supportive housing, Housing First, transitional housing, and related community-based settings across the United States, Canada, and Germany. Findings showed that housing stability was shaped by interacting factors across three domains. Individual determinants included psychiatric symptom burden, substance use, trauma and early adversity, coping, resilience, and person-environment fit. Contextual determinants included housing quality, placement speed, housing type, service intensity, program fidelity, neighborhood conditions, and structural barriers. Relational determinants included social support, peer engagement, and therapeutic alliance. Overall, the review suggests that housing stability is a recovery-relevant, multidimensional process and that mental health nursing research and practice should address housing instability through trauma-informed, recovery-oriented, and relationship-centered approaches.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1033-1044"},"PeriodicalIF":2.0,"publicationDate":"2026-10-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277161","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The Art and Science of Precepting: A Psychodynamic Approach to Developing Psychiatric Mental Health Nurse Practitioners. 感知的艺术与科学：培养精神科心理健康护士从业人员的心理动力学方法。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-10-01 Epub Date: 2026-03-06 DOI: 10.1080/01612840.2026.2632177

Horace Ellis

引用次数: 0