{"title":"Effects of Guided Imagery-Supported Psychoeducation on Self-Esteem, Perceived Stress, and Depressive Symptoms in Patients with Depression: A Randomized Controlled Trial.","authors":"Çiğdem Özdemir, Derya Özbaş Gençarslan","doi":"10.1080/01612840.2026.2704655","DOIUrl":"https://doi.org/10.1080/01612840.2026.2704655","url":null,"abstract":"<p><p>Depression is a common mental disorder associated with elevated perceived stress and low self-esteem, adversely affecting functioning and quality of life. Although guided imagery is a promising intervention for reducing depressive symptoms, evidence regarding its use with psychoeducation remains limited. This randomized controlled study examined the effects of guided imagery-supported psychoeducation on depressive symptoms, self-esteem, and perceived stress in individuals with depression. Sixty psychiatric outpatients were randomly assigned to an experimental group (<i>n</i> = 30) or a control group (<i>n</i> = 30). The experimental group received guided imagery-supported psychoeducation, while the control group received routine treatment. Data were collected using the Beck Depression Inventory (BDI), Rosenberg Self-Esteem Scale (RSES), and Perceived Stress Scale (PSS). Following the intervention, PSS scores decreased from 39.6 ± 6.74 to 22.0 ± 6.35 and BDI scores from 29.3 ± 8.5 to 12.63 ± 7.48 in the experimental group. Two-way mixed ANOVA revealed significant group × time interactions for perceived stress (<i>F</i> = 33.69, <i>p</i> < 0.01, ηp<sup>2</sup>=0.367) and depressive symptoms (<i>F</i> = 2.03, <i>p</i> < 0.01, ηp<sup>2</sup>=0.342). No significant interaction was found for self-esteem (<i>F</i> = 1.237, <i>p</i> > 0.05, ηp<sup>2</sup>=0.021). Findings suggest that guided imagery-supported psychoeducation may reduce depressive symptoms and perceived stress. This study adds evidence on combining guided imagery and psychoeducation in depression and highlights its potential value in psychiatric nursing practice.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-11"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919846","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}
{"title":"Internal Experiences of Self-Stigma Among Patients with Schizophrenia Based on the Common-Sense Model: A Qualitative Study.","authors":"Miao Lu, Qiufeng Wu, Jianhua Li, Ying Zhang, MingRu Hou","doi":"10.1080/01612840.2026.2704666","DOIUrl":"https://doi.org/10.1080/01612840.2026.2704666","url":null,"abstract":"<p><p>Patients with schizophrenia endure not only severe symptom burden but also prolonged exposure to public stigma, with self-stigma emerging as a critical psychological barrier to recovery. Previous studies have primarily examined the association between illness perception and self-stigma using quantitative approaches, yet the underlying mechanisms and dynamic interactions remain insufficiently understood. Guided by the Common-Sense Model (CSM), this study focuses on how illness perceptions shape and reinforce self-stigma experiences, thereby addressing the gap in mechanistic understanding. This study aims to explore the characteristics of illness perceptions in patients with schizophrenia and elucidate the mechanisms by which illness perceptions contribute to self-stigma so as to inform the development of individualised stigma reduction and empowerment-oriented interventions. A purposive sampling strategy was used to recruit patients with schizophrenia between February and April 2024, and semi-structured interviews were conducted, with data analysed using thematic analysis. Fourteen participants were enrolled. Three core themes were derived: (1) fragmented illness perceptions and impaired insight, (2) multidimensional internalisation and dynamic reinforcement of self-stigma, and (3) adaptation difficulties under the reciprocal interaction between illness perceptions and self-stigma. Illness perceptions in patients with schizophrenia are generally deficient and create a vicious cycle with self-stigma, which significantly undermines rehabilitation motivation and social functioning. Grounded in the CSM, this study proposes an \"illness perception reconstruction-stigma deconstruction\" intervention pathway, offering a novel theoretical framework for targeted psychological interventions and rehabilitation support.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-9"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919775","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}
Hong Wang Fung, Grace Wing Ka Ho, Colin A Ross, Vedat Şar, Jacqueline Sin
{"title":"Why Mental Health Nurses Should Recognize Dissociative Disorders: A Call for Awareness, Nursing Research, and Training.","authors":"Hong Wang Fung, Grace Wing Ka Ho, Colin A Ross, Vedat Şar, Jacqueline Sin","doi":"10.1080/01612840.2026.2711135","DOIUrl":"https://doi.org/10.1080/01612840.2026.2711135","url":null,"abstract":"","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-4"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919833","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}
Obumneke Obieche, Jing-Yu Benjamin Tan, Sita Sharma, Daniel Bressington, Tao Wang
{"title":"Mental Health Professionals' Perspectives on Essential Elements of Telehealth Family Psychoeducation for Major Depressive Disorder: An Exploratory Study.","authors":"Obumneke Obieche, Jing-Yu Benjamin Tan, Sita Sharma, Daniel Bressington, Tao Wang","doi":"10.1080/01612840.2026.2704658","DOIUrl":"https://doi.org/10.1080/01612840.2026.2704658","url":null,"abstract":"<p><p>Family-inclusive interventions, such as family psychoeducation (FPE), improve outcomes in major depressive disorder (MDD), particularly when tailored to the needs of individuals with MDD, their families, and carers. This study explored mental health professionals' (MHPs) perspectives on the essential elements of telehealth FPE for MDD, including patients' and their families' informational and support needs. An exploratory cross-sectional study was conducted as part of the Supportive Program for Advancing Recovery, Knowledge, and Empowerment in Depression (SPARKED) research project, using an online questionnaire targeting MHPs within a regional area of Australia. Data analysis included descriptive statistics and quantitative and qualitative content analysis, with categories and subcategories derived from data-identified codes. Thirty-two completed questionnaires were analysed, revealing five categories of essential elements of telehealth FPE for MDD: topics for FPE regarding MDD; professional competence and person-centred care; adaptive and interactive telehealth FPE delivery; accessible telehealth FPE for MDD; and safety planning and risk management. Additionally, four categories of informational and support needs of patients with MDD and their families were identified: understanding MDD; MDD treatment modalities; safety measures and coping with MDD; and family and community-based support. Despite a few concerns about telehealth, 27 participants (84%) reported that telehealth FPE would positively impact MDD outcomes. These findings can inform the intervention development. Further research should survey a broader group, include other stakeholders, and use qualitative methods to enhance understanding.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919764","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}
{"title":"Person Mapping and Tier-Class Symptom Status: A Framework for Collaborative Mental Health Assessment Across Clinical Settings.","authors":"Samantha B Tallman","doi":"10.1080/01612840.2026.2710858","DOIUrl":"https://doi.org/10.1080/01612840.2026.2710858","url":null,"abstract":"<p><p>Mental health symptoms are encountered across virtually every healthcare setting, yet assessment often occurs under conditions of diagnostic uncertainty, time constraints, and evolving clinical presentations. Although diagnostic classification systems provide an essential shared language for communication, treatment planning, and reimbursement, clinicians often require additional approaches to organize symptom information, assess functional impact, communicate clinical risk, and support person-centered care prior to diagnostic stabilization. This paper proposes two complementary conceptual frameworks: **Person Mapping** and **Tier-Class Symptom Status**. Person Mapping is a longitudinal formulation framework that organizes current symptoms, functional impact, developmental and trauma history, sociocultural context, strengths, worldview, and patient-defined goals. Tier-Class Symptom Status complements this process by describing current mental health status through dimensional severity tiers and primary symptom domains. Together, the frameworks provide a structured yet flexible approach to supporting symptom-based assessment, interdisciplinary communication, continuity of care, longitudinal monitoring, and stepped-care decision-making without requiring immediate categorical diagnosis. They are intended to complement, rather than replace, established diagnostic systems while promoting ethical, person-centered assessment across clinical settings. Future research should evaluate the feasibility, reliability, clinical utility, and outcomes associated with implementation across diverse practice environments.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919792","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}
{"title":"Genetic Predisposition and Awareness: Mental Health Literacy Among University Students with a Family History of Mental Illness.","authors":"Nihan Altan Sarikaya, Selda Ozturk Kaygan","doi":"10.1080/01612840.2026.2711130","DOIUrl":"https://doi.org/10.1080/01612840.2026.2711130","url":null,"abstract":"<p><p>Young adults with a family history of mental illness are at a higher risk of mental health problems owing to genetic and environmental factors. Therefore, determining the mental health literacy levels of university students is important in planning preventive interventions for at-risk groups. This study aimed to assess the mental health literacy levels of university students with a family history of mental illness and examine whether these levels differ according to individual characteristics. This descriptive, cross-sectional study was conducted with 74 university students with at least one family history of mental illness. The participants had a moderate level of mental health literacy. Students with a history of psychiatric illness had significantly higher mental health literacy scores. Gender significantly differed in belief-oriented subscale scores, with female students scoring higher. Resource-oriented subscale scores differed significantly based on students' experiences with psychiatric illness and prior knowledge of psychiatric disorders. Furthermore, positive correlations were found between age and the total mental health literacy and resource-oriented subscale scores. These findings highlight the need for preventive and educational interventions for at-risk students and the importance of improving mental health literacy.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-6"},"PeriodicalIF":2.0,"publicationDate":"2026-09-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148919844","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}
{"title":"Effects of a Peer Support Programme on Medication Adherence and Subjective Recovery in Individuals with Schizophrenia: A Quasi-Experimental Study.","authors":"Abdurrahman Yakışır, Zekiye Çetinkaya Duman","doi":"10.1080/01612840.2026.2710860","DOIUrl":"https://doi.org/10.1080/01612840.2026.2710860","url":null,"abstract":"<p><p>Peer support is increasingly recognised in schizophrenia care, but evidence of its effects on medication adherence and recovery remains limited. This study examined a structured, face-to-face peer support programme in community mental health centres. A non-randomised quasi-experimental time-series study allocated 40 participants by centre to intervention and comparison groups, assessed at baseline, post-intervention, and 9-month follow-up. The intervention comprised eight peer-led group sessions delivered under a structured framework and professional supervision. Outcomes were assessed using the Scale of Medication Adherence in Individuals Diagnosed with Mental Illness and the Subjective Recovery Assessment Scale. Mixed-design analyses demonstrated significant group-by-time interactions for both medication adherence and subjective recovery. Medication adherence and subjective recovery improved in the intervention group and were largely maintained at follow-up, whereas no comparable improvement occurred in the comparison group. Although the non-randomised design requires cautious interpretation, the observed pattern suggests that structured peer support may represent a feasible and promising adjunct to routine community mental health services for individuals with schizophrenia. The findings also highlight the relevance of integrating recovery-oriented peer interventions into community-based mental health nursing practice, particularly in settings where nurses play a central role in care coordination, continuity, and the implementation of structured psychosocial interventions.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"1-13"},"PeriodicalIF":2.0,"publicationDate":"2026-09-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148880380","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}
{"title":"Beyond Bullying: Digital Platforms, Power and the New Landscape of Violence Against Nurses.","authors":"Rachel Kornhaber, Michelle Cleary, Debra Jackson","doi":"10.1080/01612840.2026.2676205","DOIUrl":"10.1080/01612840.2026.2676205","url":null,"abstract":"<p><p>Digital communication channels and social media platforms have created new terrains in which nurses can be scrutinised, targeted, and attacked in ways that are often difficult to anticipate, detect, or contain. In this discursive paper, we draw on relevant published literature to examine digitally mediated violence against nurses as a form of occupational harm that is persistent, scalable, and difficult to contain. We consider how online harassment, intra-professional hostility in digital channels, and the non-consensual disclosure of personal information can erode wellbeing, professional identity, and workforce stability. We argue that digital aggression should be recognised and managed as a workplace safety issue rather than an individual burden. Implications are outlined for organisations, regulators, educators, and professional bodies, including clearer reporting and response pathways, workforce education for digital safety, and stronger protections for nurses who are targeted online. If left unaddressed, digitally mediated violence will continue to compound workforce pressures and retention risks.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"907-914"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148375751","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}
{"title":"Workplace Bullying and Its Relational Consequences Among Nurses: A Qualitative Study.","authors":"Ayşe Aksu, Burcu Kümbül Güler","doi":"10.1080/01612840.2026.2678926","DOIUrl":"10.1080/01612840.2026.2678926","url":null,"abstract":"<p><p>Workplace bullying in nursing is widely documented, yet its consequences beyond the workplace, particularly for family life, remain insufficiently understood. Guided by spillover-crossover perspectives and the Conservation of Resources (COR) framework, this qualitative study explored how nurses experience workplace bullying and how these experiences extend into family relationships. Semi-structured face-to-face interviews were conducted with nurses in Türkiye (<i>N</i> = 13) who reported exposure to bullying, and the data were analysed using reflexive thematic analysis. The analysis generated three interrelated themes: Institutionalised Workplace Hostility, Psychological Harm and Emotional Depletion, and Relational Consequences in Family Life. Participants described workplace bullying as embedded in organisational practices that contributed to emotional exhaustion and diminished psychological well-being. These experiences frequently spilled over into family life through reduced emotional availability, relational withdrawal, and communication difficulties. In several cases, stress also crossed over to partners, generating tension, protective responses, and shifts in family roles, while spousal support sometimes buffered these effects. The findings suggest that workplace bullying may extend beyond the workplace, shaping nurses' family relationships and everyday relational well-being, with implications for nurses' mental health and the delivery of person-centred care.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"915-925"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148760215","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}
Fadime Kaya Soylu, Nihal Bostanci Daştan, Özgü Tekin Uluman, Berna Aktaş, Nilüfer Kiranşal, Leyla Altun
{"title":"The Mediating Role of Psychological Well-Being in the Relationship Between Gaslighting at the Workplace and Occupational Burnout Among Nurses.","authors":"Fadime Kaya Soylu, Nihal Bostanci Daştan, Özgü Tekin Uluman, Berna Aktaş, Nilüfer Kiranşal, Leyla Altun","doi":"10.1080/01612840.2026.2712530","DOIUrl":"10.1080/01612840.2026.2712530","url":null,"abstract":"<p><p>Psychological well-being refers to an individual's ability to realize one's potential and manage one's challenges. Gaslighting is a type of emotional and psychological abuse, and its occurrence at the workplace can negatively impact psychological well-being, lead to burnout, and turnover. This study aimed to examine the relationship between gaslighting, occupational burnout, and psychological well-being, and the latter's mediating role in this relationship. In total, 443 nurses were recruited between January 26, 2026, and February 13, 2026, using purposive sampling. Data were collected on sociodemographic characteristics and using the Gaslighting at Work Scale, Psychological Well-Being Scale, and Maslach Burnout Inventory. Structural equation modeling and bootstrap techniques were used for analysis. Gaslighting at the workplace had a significant positive effect on occupational burnout (β = 480; <i>p</i> < 0.05), and a significant negative one on psychological well-being (β = -0.160; <i>p</i> < 0.05), while psychological well-being had a significant and negative effect on occupational burnout (β = -0.320; <i>p</i> < 0.05). Gaslighting at the workplace affected occupational burnout directly (β = 480; <i>p</i> < 0.05), and indirectly (β = 0.050; <i>p</i> < 0.05) by reducing employees' psychological well-being. Psychological well-being seems to partially mediate the relationship between workplace gaslighting and occupational burnout.</p>","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"958-966"},"PeriodicalIF":2.0,"publicationDate":"2026-09-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148828523","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}