Issues in Mental Health Nursing最新文献_第8页

Digital Game-Based Learning Interventions to Alleviate Depressive Symptoms in Adolescents and Young Adults: A Scoping Review. 以数字游戏为基础的学习干预以减轻青少年和年轻人的抑郁症状：一项范围审查。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2657409

Chotip Phonkusol, Chia-Yi Wu

{"title":"Digital Game-Based Learning Interventions to Alleviate Depressive Symptoms in Adolescents and Young Adults: A Scoping Review.","authors":"Chotip Phonkusol, Chia-Yi Wu","doi":"10.1080/01612840.2026.2657409","DOIUrl":"10.1080/01612840.2026.2657409","url":null,"abstract":"Depression is the most common mental health problem among adolescents and young adults (AYA), affecting approximately 25-27% globally. Digital game-based learning (GBL) represents a promising innovation that integrates psychological theory with gamification for alleviating depressive symptoms. However, synthesized evidence on GBL effectiveness and characteristics for youth depression remains limited, limiting clinical application by nurses and healthcare providers. To synthesize evidence on the effectiveness and characteristics of GBL interventions for alleviating depressive symptoms among AYA, a scoping review was conducted following PRISMA-ScR guidelines. Five databases were searched for studies published between 2012 and 2025. Inclusion criteria focused on GBL interventions targeting depression reduction among AYA aged 10-24 years. Ten studies (8 RCTs, 2 quasi-experimental) were included. Findings were mixed; five studies demonstrated significant depression reduction, while five showed no significant differences. Most interventions were delivered via mobile apps or computer-based programs, used CBT-based frameworks, and hybrid models combining gameplay with professional support. In conclusion, GBL interventions show promise for youth depression, though evidence remains mixed. Future research should employ rigorous designs with standardized outcome measures and adequate sample sizes. Nurses and interprofessional teams should consider these findings when integrating GBL into preventive care for depression among young people.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"849-858"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277204","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

An AI-Supported Virtual Patient Application Using a Structured Prompting Framework to Develop Mental Status Examination Skills in Psychiatric Nursing Internship Students: An Interventional Mixed-Methods Study. 使用结构化提示框架开发精神科护理实习学生心理状态检查技能的人工智能支持的虚拟患者应用：一项介入性混合方法研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-08-17 DOI: 10.1080/01612840.2026.2710861

Gülsüm Zekiye Tuncer, Zekiye Çetinkaya Duman, Başak Kilinçkaya

{"title":"An AI-Supported Virtual Patient Application Using a Structured Prompting Framework to Develop Mental Status Examination Skills in Psychiatric Nursing Internship Students: An Interventional Mixed-Methods Study.","authors":"Gülsüm Zekiye Tuncer, Zekiye Çetinkaya Duman, Başak Kilinçkaya","doi":"10.1080/01612840.2026.2710861","DOIUrl":"10.1080/01612840.2026.2710861","url":null,"abstract":"The aim of this study is to evaluate the effect of an artificial intelligence (AI)-powered virtual patient application (ChatGPT) on the development of Mental Status Examination (MSE) skills in psychiatric nursing internship students and to explore how this process is reflected in their experiences. This study employed a sequential explanatory mixed-method design, consisting of a quantitative pre/post-test phase followed by a qualitative phase. In the quantitative phase, the MSE Competency Assessment scores of 27 undergraduate psychiatric nursing internship students were evaluated using a pre-test/post-test model. In the qualitative phase, in-depth individual interviews were conducted with 18 volunteer students. As part of the intervention, students participated in the \"AI-Supported Virtual Patient Intervention: Structured Prompting Framework\". The quantitative findings of the study revealed that the mean MSE Competency Assessment scores increased from 42.00 ± 6.43 in the pre-test to 49.57 ± 3.44 in the post-test (Z = -6.266, p < 0.001). Thematic analysis of the qualitative data yielded five main themes: Skill Development, Learning Experience, Impact of AI, Debriefing, and Limitations. Students reported that the application enhanced their MSE examination and communication skills; they also described a unique learning experience through AI, highlighted the importance of guided support.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"817-827"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793202","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

Repressed Anxiety: A Concept Analysis. 压抑焦虑：一个概念分析。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-07-13 DOI: 10.1080/01612840.2026.2688855

Victoria Fisher, Linda Carman Copel, Susan Meyers

{"title":"Repressed Anxiety: A Concept Analysis.","authors":"Victoria Fisher, Linda Carman Copel, Susan Meyers","doi":"10.1080/01612840.2026.2688855","DOIUrl":"10.1080/01612840.2026.2688855","url":null,"abstract":"This concept analysis aims to clarify the uncertain and underexplored concept of repressed anxiety, addressing its complexities and ambiguities to better inform nursing practice, research, and the development of clinical interventions. The Walker and Avant method of concept analysis was applied to literature across psychology, nursing, and sociology. Articles were reviewed using search terms such as \"repressed anxiety,\" \"repression,\" \"defense mechanism,\" and \"emotional suppression.\" Antecedents, characteristics, and consequences of repressed anxiety were identified, and model and borderline cases were developed. Five defining characteristics of repressed anxiety were established: unawareness, physical symptoms, emotional dysregulation, impaired relationships, and avoidance behaviors. Antecedents included chronic stress, past trauma, adverse childhood development, personality traits, and cultural, societal, or familial norms. Consequences encompassed heightened stress responses, maladaptive coping, chronic physical conditions, and mental health problems such as depression or generalized anxiety. This analysis clarifies the concept of repressed anxiety, highlighting its hidden but significant impact on health and well-being. A conceptual model for repressed anxiety is then presented. Greater conceptual clarity can aid in the development of assessment tools and inform nursing interventions aimed at enhancing emotional awareness and regulation.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"841-848"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148436752","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

"I Know How to Take Care of Myself.": Composite Narratives Among Rural Black Women Coping with Structural Inequities. “我知道如何照顾自己。”农村黑人妇女应对结构性不平等的复合叙事。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2661072

Wanda M Burton, Shena Sanchez, Sharlene D Newman

{"title":"\"I Know How to Take Care of Myself.\": Composite Narratives Among Rural Black Women Coping with Structural Inequities.","authors":"Wanda M Burton, Shena Sanchez, Sharlene D Newman","doi":"10.1080/01612840.2026.2661072","DOIUrl":"10.1080/01612840.2026.2661072","url":null,"abstract":"The rural mental health crisis is especially pronounced in Black women who are overburdened with social inequities. Persistent poverty and gendered racial microaggressions (GRM) are structural determinants that contribute to the disparities in Black women's health outcomes. Using the Africultural framework and a community-based, qualitative approach, this study illustrates the coping strategies of rural Black women who experience structural inequities. Participants included Black American, rural women in the Alabama Black Belt region. A community meeting (n = 1) was held with 38 participants, a subsample of a larger study. Participants were asked how they cope and to tell stories about managing stressful experiences. We analyzed data from the group interview using an inductive approach and created three composite narratives to examine our participants' perspectives. Narratives revealed the ways poverty and GRM intersect and restrict health, coping behaviors, and financial stability. Participants reported using a variety of coping methods including faith-based, collective, self-care, and resistance coping strategies. Narrative inquiry provides a robust way to understand the mental health and coping behaviors of rural Black women. Structural power dynamics persist and understanding the ways they impact behaviors should inform mental health care, interventions, policies, and services.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"782-791"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277576","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

Artificial Intelligence and Mental Health Discourse: Methodological Reflections for Nursing Practice. 人工智能与心理健康话语：护理实践的方法论思考。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2665756

Chiung-Jung Wu, Patrick C K Hung

{"title":"Artificial Intelligence and Mental Health Discourse: Methodological Reflections for Nursing Practice.","authors":"Chiung-Jung Wu, Patrick C K Hung","doi":"10.1080/01612840.2026.2665756","DOIUrl":"10.1080/01612840.2026.2665756","url":null,"abstract":"Social media offers large-scale access to mental health discourse, enabling population-level insights into distress, support-seeking, and community dynamics relevant to person-centered care. Artificial Intelligence (AI) methods can analyze naturally occurring expressions to complement clinical understanding by identifying patterns across individuals and groups. This study examines interaction-based classification and sentiment analysis approaches-including traditional machine learning, transformer models, and Large Language Models (LLMs) applied to Twitter data from self-disclosing users across multiple mental health conditions. Interaction features showed moderate ability to distinguish mental health -related accounts from controls but limited specificity across conditions. Sentiment patterns were broadly consistent across models, with mostly neutral discourse and higher negative sentiment in some diagnostic communities. However, LLMs demonstrated sensitivity to prompting and occasionally produced inconsistent outputs, raising concerns about reproducibility, interpretability, and ethical use. Overall, AI approaches show promise but remain probabilistic and context dependent. They should complement, not replace, clinical judgment. Transparent methods, attention to bias, and ethical oversight are essential to ensure these tools support equitable, person-centered mental health care.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"802-806"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277608","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

Risk Factors for Non-Suicidal Self-Injury in Adolescents: Evidence from a Meta-Analysis of 18 Longitudinal Studies. 青少年非自杀性自伤的危险因素：来自18项纵向研究的荟萃分析证据。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-08-17 DOI: 10.1080/01612840.2026.2662368

Yanhong Luo, Shijiao Tang, Sixiang Cheng, Xiaoqun Liu

{"title":"Risk Factors for Non-Suicidal Self-Injury in Adolescents: Evidence from a Meta-Analysis of 18 Longitudinal Studies.","authors":"Yanhong Luo, Shijiao Tang, Sixiang Cheng, Xiaoqun Liu","doi":"10.1080/01612840.2026.2662368","DOIUrl":"10.1080/01612840.2026.2662368","url":null,"abstract":"Non-suicidal self-injury (NSSI) is a significant risk factor for subsequent suicidal ideation, suicidal behavior, and psychological disorders. This meta-analysis of published prospective studies has examined the longitudinal predictors of NSSI drawing on 18 published reports and 23,737 independent participants. The random effects model showed that the overall prediction of NSSI was significant (OR = 1.18, 95%CI[1.08-1.28]). These factors, which include depressive symptoms (OR = 1.21, 95%CI[1.10-1.33]), prior history of NSSI (OR = 2.34, 95%CI[1.66,3.29]), being female (OR = 1.59, 95%CI[1.01,2.53]), prior suicidal thought/behavior (OR = 2.35, 95%CI[1.32,4.16]), peer victimization (OR = 1.08, 95%CI[1.04,1.12]), exposure to peer NSSI/suicidal behavior (OR = 1.38, 95%CI[1.20,1.58]) and substance abuse (OR = 1.14, 95%CI[1.02,1.28]), were associated with an increased risk of NSSI among adolescents. This meta-analysis provides relatively strong evidence of the risk factors for NSSI in adolescents, and specific interventions can be targeted at high-risk populations to reduce the occurrence of NSSI. In the future, larger data and longer follow-up cohort studies should be conducted to examine the relationship between various influencing factors and NSSI in adolescents as well as possible related mechanisms.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"792-801"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148793308","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

Clarifying Subthreshold Depression in Adolescents: A Concept Analysis for Mental Health Nursing. 厘清青少年阈下抑郁：心理健康护理的概念分析。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2674275

Shengqing Li, Yanfen Fu, Dan Cui, Aiping He, Jianchao Wang, Haotian Wang, Jianjiao Yu, Xiao Li, Jibiao Huang

{"title":"Clarifying Subthreshold Depression in Adolescents: A Concept Analysis for Mental Health Nursing.","authors":"Shengqing Li, Yanfen Fu, Dan Cui, Aiping He, Jianchao Wang, Haotian Wang, Jianjiao Yu, Xiao Li, Jibiao Huang","doi":"10.1080/01612840.2026.2674275","DOIUrl":"10.1080/01612840.2026.2674275","url":null,"abstract":"Adolescent subthreshold depression (SD) is an increasingly recognized clinical condition marked by significant emotional distress and functional impairment that falls below the diagnostic threshold for major depressive disorder. However, inconsistent terminology and boundary ambiguities continue to hinder effective early assessment in mental health nursing. Utilizing Walker and Avant's framework, this concept analysis aims to clarify the defining attributes, antecedents, consequences, and empirical indicators of adolescent SD based on a systematic search of major Chinese and international databases. The analysis identified five core attributes: core depressive symptoms, subthreshold features, symptom persistence, subjective distress, and developmental functional impairment. Arising from an interplay of internal vulnerabilities and developmental stressors, SD leads to behavioral maladaptation and long-term developmental challenges. Standardized screening tools like the PHQ-9 facilitate early detection but may underrepresent adolescent-specific symptoms. Clarifying this concept provides a robust theoretical foundation for mental health nurses to optimize early risk surveillance and deliver age-appropriate preventive interventions, shifting the clinical perspective from viewing SD as a transient fluctuation to recognizing it as a critical, high-risk clinical entity.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"807-816"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277013","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

Delusional Disorder and Somatic Type Parasitosis: Do Antipsychotic Medications Make a Difference, and Which One to Use? 妄想障碍和躯体型寄生虫病：抗精神病药物有区别吗？使用哪一种？

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-08-13 DOI: 10.1080/01612840.2026.2694944

Jeremy Mills

引用次数: 0

Experience of Registered Nurses with Missed Nursing Care in Acute Psychiatric Settings: A Descriptive Qualitative Study. 急性精神科注册护士护理缺失的经验：一项描述性质的研究。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-18 DOI: 10.1080/01612840.2026.2674265

Dominika Kohanová, Michala Ivaničová, Martina Dubovcová, Andrea Sollárová

{"title":"Experience of Registered Nurses with Missed Nursing Care in Acute Psychiatric Settings: A Descriptive Qualitative Study.","authors":"Dominika Kohanová, Michala Ivaničová, Martina Dubovcová, Andrea Sollárová","doi":"10.1080/01612840.2026.2674265","DOIUrl":"10.1080/01612840.2026.2674265","url":null,"abstract":"This qualitative study explores the experiences of psychiatric nurses with missed nursing care in an acute inpatient setting. Missed care, defined as any aspect of required care that is omitted or delayed, poses significant risks to patient safety and care quality yet remains under-researched in psychiatric contexts. Using semi-structured interviews with eight nurses from a Slovak psychiatric clinic and reflexive thematic analysis, the study identified key systemic and organizational barriers contributing to missed care. Findings revealed that nurses frequently lack time, resources, and support to provide therapeutic communication, emotional support, and comprehensive patient assessments. These omissions were not due to negligence but to chronic workforce shortages, limited material conditions, and insufficient managerial support. Nurses expressed feelings of moral distress and professional frustration, highlighting a disconnect between institutional expectations and their capacity to deliver holistic, person-centred care. The study underscores the need to recognize relational and psychosocial aspects of psychiatric nursing as essential, not optional. Implications for practice include investing in workforce capacity, improving communication systems, enhancing psychiatric-specific education, and fostering supportive leadership. By addressing these systemic issues, psychiatric services can move closer to delivering safe, recovery-oriented care that values both patients' needs and nurses' professional integrity.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"770-781"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148277381","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

An Exploration of Danish Forensic Hospital Staffs' Clinical Decision-Making about the Least Restrictive Alternative Principle. 丹麦法医学院系人员对最少限制替代原则的临床决策探讨。

IF 2 4区医学

Issues in Mental Health Nursing Pub Date : 2026-08-01 Epub Date: 2026-06-01 DOI: 10.1080/01612840.2026.2664965

Camilla Rosendal Lindekilde, John Baker, Søren Birkeland, Jacob Hvidhjelm, Frederik Gildberg

{"title":"An Exploration of Danish Forensic Hospital Staffs' Clinical Decision-Making about the Least Restrictive Alternative Principle.","authors":"Camilla Rosendal Lindekilde, John Baker, Søren Birkeland, Jacob Hvidhjelm, Frederik Gildberg","doi":"10.1080/01612840.2026.2664965","DOIUrl":"10.1080/01612840.2026.2664965","url":null,"abstract":"The use of restrictive interventions within mental health care is greatly disputed and conflicts with human rights and autonomy principles. The least restrictive alternative principle was enacted in law to support mentally ill individuals' constitutional rights. The least restrictive alternative principle encourages staff to offer service users' the least restrictive treatment, preserving patient autonomy at the highest level possible. Previous studies identified that mental health staff have conflicting attitudes about which interventions are the least restrictive. This study investigates how Danish forensic hospital staffs perceive the least restrictive alternative principle and how these perceptions influence their perceptions of decision-making when choosing among restrictive interventions. A combination of two focus groups with nine staff members and seven individual interviews (10 nursing staff, 6 medical staff) were conducted. The data were thematically analysed, and three themes were identified: 'Staffs understanding of the least restrictive alternative', 'professional assessment', and 'individual and collective staff mechanisms'. Staff perceived clinical decision-making regarding the least restrictive alternative principle is shaped not only by adherence to legislation but also by staff composition, contextual factors, and situational dynamics. This highlights the need for both clear structural frameworks and flexibility to adapt decisions to the realities of everyday clinical practice.","PeriodicalId":14664,"journal":{"name":"Issues in Mental Health Nursing","volume":" ","pages":"828-840"},"PeriodicalIF":2.0,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148138101","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