Journal of the American Psychiatric Nurses Association最新文献

{"title":"Nurse-led Interpersonal Psychotherapy (IPT) for Perinatal Women With Depression and Anxiety.","authors":"Rachel Sabbagh, Eden Brauer, Wei-Ti Chen, Misty C Richards, Nataly Petrovic, Kristen Choi","doi":"10.1177/10783903261466151","DOIUrl":"https://doi.org/10.1177/10783903261466151","url":null,"abstract":"<p><strong>Background: </strong>Depression is the leading cause of disability worldwide and disproportionately affects women during the perinatal period. Although Interpersonal Psychotherapy (IPT) is supported as an effective treatment, access to IPT in routine care remains limited.</p><p><strong>Aims: </strong>This project implemented a nurse-led virtual IPT intervention and compared outcomes between group and individual formats to evaluate the feasibility of this intervention for improving care quality.</p><p><strong>Methods: </strong>This quality improvement project was conducted at the Maternal Outpatient Mental Health Services (MOMS) Clinic in Los Angeles, California. Eighteen perinatal women experiencing depressive and/or anxiety symptoms elected to participate in either virtual group or individual IPT sessions over nine weeks, with an optional in-person final group session. Outcome measures included the Beck Depression Inventory-II (BDI-II), Generalized Anxiety Disorder-7 (GAD-7), and Duke-UNC Functional Social Support Questionnaire (FSSQ). Statistical analyses included paired and independent t-tests and correlation analyses.</p><p><strong>Results: </strong>Both group and individual IPT formats demonstrated significant improvements in depressive and anxiety symptoms. Across the sample, BDI-II scores decreased by an average of 10.2 points and GAD-7 scores by 5.9 points. Perceived social support improved in both groups, with slightly higher gains in the individual IPT group, although differences between formats were not statistically significant. Qualitative feedback reflected high satisfaction, emotional support, and strengthened interpersonal relationships.</p><p><strong>Conclusion: </strong>Nurse-led virtual IPT, offered in either group or individual formats, is feasible for improving depression and anxiety care quality among perinatal women. These findings support incorporating nurse-led IPT into perinatal care and highlight the utility of virtual models to expand care access.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261466151"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148603841","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":"Lifestyle and Occupational Factors Associated with Premenstrual Dysphoric Disorder Symptoms in Chinese Nurses: A Cross-Sectional Study.","authors":"Ying Chen, Meiyan Luo, Ying Chen, Ting Mao, Qiao Zhang, Tingting Liang, Jinjin Liu, Yuqun Zhang","doi":"10.1177/10783903261466139","DOIUrl":"https://doi.org/10.1177/10783903261466139","url":null,"abstract":"<p><strong>Background: </strong>Premenstrual dysphoric disorder (PMDD) impairs quality of life in reproductive-aged women. Clinical nurses facing high occupational stress and irregular work schedules may be particularly vulnerable. Identifying modifiable risk factors in this population is crucial for developing effective prevention strategies.</p><p><strong>Aims: </strong>This study aimed to investigate associations between lifestyle factors, work patterns (specifically night shifts), and PMDD symptoms among Chinese female nurses.</p><p><strong>Methods: </strong>A cross-sectional study was conducted among 1,031 Chinese female nurses. Assessments included the Chinese version of the Core Symptoms of Premenstrual Dysphoric Disorder Questionnaire (CTDP-C), Patient Health Questionnaire-9 (PHQ-9), Generalized Anxiety Disorder-7 (GAD-7), Pittsburgh Sleep Quality Index (PSQI), and Medical Staff Stressor Scale (MSSS).</p><p><strong>Results: </strong>The prevalence of PMDD symptoms was 42.4% in Chinese female nurses. Higher PMDD risk was associated with a body mass index (BMI) of 24-27.9 kg/m² (<i>p</i> < .05), weekly exercise <30 min (<i>p</i> < .05), a history of alcohol use (<i>p</i> < .05), and ≥ two night shifts/week (<i>p</i> < .001). CTDP-C scores showed strong positive correlations with depression (<i>r</i> = 0.702), anxiety (<i>r</i> = 0.680), poor sleep quality (<i>r</i> = 0.493), and occupational stress scores (<i>r</i> = 0.500) (all <i>p</i> < .01). Multivariate regression confirmed BMI, exercise, alcohol use, night shift frequency, and physical health conditions as significant predictors.</p><p><strong>Conclusions: </strong>PMDD symptoms are highly prevalent among Chinese nurses, influenced by modifiable lifestyle and occupational factors. These findings highlight the need to integrate screening (night shifts, alcohol use) into occupational health exams. Nurse administrators should implement shift optimization, wellness programs, and stress management to protect reproductive mental health.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261466139"},"PeriodicalIF":2.1,"publicationDate":"2026-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148604429","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":"Fear as a Precursor to Suicide in Adolescents: A Concept Analysis.","authors":"Ashley E Barber, Regena Spratling","doi":"10.1177/10783903261468715","DOIUrl":"https://doi.org/10.1177/10783903261468715","url":null,"abstract":"<p><strong>Objective: </strong>Within the United States, suicide ranks as the second leading cause of death among the adolescent population, with continual increases projected in the future. Ultimately, much research focuses on depression and anxiety in adolescents; however, little focus has been given to the concept of fear and its role as a precursor to suicidal ideation and attempt. The concept of fear is the focus of this concept analysis to further understand its role in adolescent suicide.</p><p><strong>Methods: </strong>For this concept analysis, Walker and Avant's method was utilized to review and thoroughly examine the concept of fear. The Standards for Reporting Qualitative Research (SRQR) guideline is followed.</p><p><strong>Results: </strong>Utilizing specific criteria in narrowing the search, a total of 43 articles were reviewed to identify attributes of the concept fear. After reviewing the literature to identify all possible uses of the concept, such as fear of disclosure, fear of negative evaluation, fear of social exclusion, fear of cultural consequences, and fear in outside contexts, defining attributes consist of dread, stigma, and exclusion. Cases are further examined to show a model, related, contrary, and borderline case. Antecedents, both psychosocial and systemic, are reviewed and established as bullying, social rejection from peers, familial response, perceptions of providers, and gaps in consistent screening. Consequences may cause an adolescent to underreport symptoms or withdraw, leading to potential suicidal ideation and attempt.</p><p><strong>Conclusions: </strong>Ultimately, utilizing routine universal suicide screening and close monitoring within healthcare settings may be the key to reducing fear and preventing adolescent suicide.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261468715"},"PeriodicalIF":2.1,"publicationDate":"2026-07-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148549600","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":"Unveiling the Digital Maze: A Comprehensive Scoping Review on Problematic Media Use and Psychopathology in Children and Adolescents.","authors":"Katelin Crane, Helene Moriarty, Guy Weissinger, Sarah E Domoff, Paul Bernhardt, Sydney Harris, Sarah Hughes, Jennifer Yost","doi":"10.1177/10783903261460003","DOIUrl":"10.1177/10783903261460003","url":null,"abstract":"<p><strong>Background: </strong>While existing research on psychopathology and problematic media use (PMU) in children and adolescents continues to grow and presents a complex, multifaceted issue, the direction of this relationship remains unclear.</p><p><strong>Aim: </strong>This scoping review aims to map the directionality of the relationship between PMU and psychopathology (encompassing both symptoms and diagnoses) in children and adolescents.</p><p><strong>Methods: </strong>This scoping review examines longitudinal studies that addressed the relationship between psychopathology and PMU in children and adolescents (ages 6-18 years old). Searches of databases, reference lists of included studies, and relevant conference abstracts were performed to identify studies meeting the inclusion criteria. Two reviewers used DistillerSR to organize and screen data independently. Disagreements were resolved through discussion or by a third reviewer. Data were summarized narratively to map the evidence by design, developmental age, setting, variables of interest, and relationships evaluated.</p><p><strong>Results: </strong>Sixty-four studies met the inclusion criteria. Adolescents were the primary developmental age studied. Internet addiction was the most common type of PMU studied, and depression and anxiety were frequently identified as psychopathological variables of interest. The synthesis of the directionality of the relationship between PMU and psychopathology yielded mixed results, showing no consistent direction of causation.</p><p><strong>Conclusion: </strong>Given the variability in directionality, further longitudinal, mixed methods, and qualitative research is warranted to elucidate the relationship between PMU and psychopathology to advance our understanding of child and adolescent mental health in the digital age.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"10783903261460003"},"PeriodicalIF":2.1,"publicationDate":"2026-07-18","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148471356","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":"Pharmacogenetic Testing in Patients With Depression: A Quality Improvement Project.","authors":"Jeremy Tyler Rockwell, Amy Y Spurlock, Kerri L Outlaw","doi":"10.1177/10783903261431278","DOIUrl":"10.1177/10783903261431278","url":null,"abstract":"<p><strong>Background: </strong>First-line treatment for major depressive disorders (MDDs) is often antidepressants. These medications are commonly trialed and discontinued due to side effects. Pharmacogenetic testing (PGx) allows psychiatric-mental health nurse practitioners to assess patient drug metabolism with the goal of reducing medication trials.</p><p><strong>Aims: </strong>The purpose of this quality improvement project was to examine the impact of PGx on remission rates and clinical outcomes for MDD compared with the standard of care (SOC) in psychiatry.</p><p><strong>Method: </strong>Outcomes were measured using a problem status system within the site's electronic health record based on patient self-reports and clinician interpretation. No validated scale was used which represents a methodological limitation to the study.</p><p><strong>Results: </strong>The SOC group had higher remission rates of MDD (38%) compared with PGx (9.8%). The PGx group had a higher occurrence of moderate (24.4%) and severe (17.1%) diagnosis of MDD compared with the SOC group (16% and 8%), respectively. The SOC group had a stable problem status (70%) compared with the PGx group (43.9%). The improving status of PGx was 12.2% compared with SOC at 8%, and the worsening problem status of standard care was 10% compared with PGx at 4.9%. Age did not significantly differ by problem status in the PGx group, <i>F</i>_{(3, 37)} = 0.592, <i>p</i> = .624.</p><p><strong>Conclusions: </strong>PGx may offer clinical value for patients with severe depression. Results should be interpreted cautiously, and further studies using validated scales and controlled designs are needed.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"296-302"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574700","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":"Tobacco Treatment Competencies: A Brief Review of Advanced Practice Psychiatric Nursing Education.","authors":"Sara B Adams, Alice Geis, Jenna Wasserman","doi":"10.1177/10783903261427387","DOIUrl":"10.1177/10783903261427387","url":null,"abstract":"<p><strong>Objectives: </strong>Tobacco use increases morbidity and mortality among its users. The rate of tobacco use is declining in the general adult population yet is two to three times higher for those experiencing mental health disorders, specifically those with serious mental illness (SMI). Psychiatric mental health nurse practitioners (PMHNPs) are well-positioned to treat tobacco use in patients with SMI, yet tobacco training during nursing education, both in amount of time spent and content delivered, is not well understood and can leave PMHNPs ill-prepared to intervene.</p><p><strong>Methods: </strong>A cross-sectional descriptive survey design was used to assess PMHNP programs nationwide to determine where tobacco treatment is located in the curriculum, the amount of time spent on tobacco treatment throughout the program, and program directors' general attitude and beliefs about the importance of tobacco treatment related to the scope of practice and impact.</p><p><strong>Results: </strong>Program directors or their representatives responded (<i>N</i> = 34) across all program types. Respondents reported either agreement or strong agreement with the importance of tobacco treatment in PMHNP programs. Most spent less than 1 hour or between 1 and 3 hours on tobacco treatment, primarily in psychiatric assessment and psychopharmacology courses. Most agreed or strongly agreed that this was within the scope of practice, yet agreement was less when asked about impact on outcomes.</p><p><strong>Conclusion: </strong>PMHNP programs have an opportunity to improve perspectives on the impact psychiatric nurse practitioners can have on tobacco treatment outcomes and integrate curricular strategies to robustly integrate tobacco competencies.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"290-295"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574759","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 Sensory Room Interventions on Vagal Function in Individuals With Depression: A Randomized Crossover Trial.","authors":"Hikari Otsuka, Keisuke Irie, Riku Takebuchi, Hiroyuki Inadomi","doi":"10.1177/10783903261433565","DOIUrl":"10.1177/10783903261433565","url":null,"abstract":"<p><p><b>BACKGROUND:</b> Sensory rooms, widely used in psychiatric care, offer customizable environments designed to enhance comfort and reduce distress. Although our previous research demonstrated that sensory room use was associated with increased vagal activity in healthy individuals, its physiological effects in individuals with depression remain unclear. <b>AIM:</b> This study aimed to examine the effects of a sensory room intervention on autonomic function and psychological outcomes in adults with depression. <b>METHODS:</b> Twenty adults with depression participated in a randomized crossover trial. Each participant completed two 30-min sessions-sensory room use and static seated activities-in a counterbalanced order. Resting vagal activity, vagal reactivity to auditory stimulation, subjective discomfort, mood states, and interoceptive awareness were assessed before and after each session. Vagal indices were derived from respiratory sinus arrhythmia, a heart rate variability measure reflecting parasympathetic cardiac control. Mood was assessed with the Profile of Mood States, Second Edition, and interoceptive awareness with the Multidimensional Assessment of Interoceptive Awareness. <b>RESULTS:</b> Compared to static activities, the sensory room significantly increased resting vagal activity and reduced vagal reactivity to auditory stimuli, indicating enhanced autonomic stability. Although no significant differences were found in subjective discomfort or negative mood states, several aspects of interoceptive awareness, including the Not-Worrying subscale, showed significant improvement following sensory room use. <b>CONCLUSIONS:</b> These findings suggest that sensory rooms may help regulate vagal function and support sensory modulation in individuals with depression, providing a non-pharmacological approach to enhance autonomic regulation and body awareness in psychiatric care.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"252-267"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147581490","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":"Capping the Pipeline: Federal Loan Limits and the Future of Psychiatric-Mental Health Nursing.","authors":"Marvin A Schilt-Solberg","doi":"10.1177/10783903261453891","DOIUrl":"10.1177/10783903261453891","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"237-238"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148150221","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":"PMH Nurse Wellbeing Is Vital to Organizational Resilience.","authors":"Allyson Matney Neal","doi":"10.1177/10783903261456182","DOIUrl":"10.1177/10783903261456182","url":null,"abstract":"","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"303-305"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148302052","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":"Factors Influencing High School Students' Attitudes Toward Seeking Professional Psychological Help.","authors":"Chun-Lin Chen, Yu-Hsuan Chu, Yi-Ju Pan, Mu-Shan Ho, Hsiu-Ju Chang","doi":"10.1177/10783903261422670","DOIUrl":"10.1177/10783903261422670","url":null,"abstract":"<p><strong>Background: </strong>Enhancing adolescents' willingness to seek professional psychological help is essential for improving mental health service utilization. Previous research suggests that depression literacy, stigma, depressive symptoms, and family factors-particularly caregivers' perspectives-play important roles in shaping help-seeking attitudes. However, few studies have simultaneously examined these factors from both adolescents' and caregivers' viewpoints.</p><p><strong>Aims: </strong>This study aimed to examine how depression literacy, stigma, depressive symptoms, and caregivers' attitudes toward professional psychological help influence adolescents' help-seeking attitudes, while controlling for relevant sociodemographic variables.</p><p><strong>Method: </strong>A cross-sectional study was conducted with adolescents and their primary caregivers recruited from public and private high schools in northern Taiwan. Participants completed questionnaires on demographics, depression literacy, stigma, depressive symptoms, and attitudes toward professional psychological help. Hierarchical regression analyses were performed, adjusting for key sociodemographic variables.</p><p><strong>Results: </strong>After controlling for caregivers' religious beliefs, marital status, and education, as well as adolescents' prior use of mental health services, academic satisfaction, and interpersonal difficulties, the strongest predictors of adolescents' help-seeking attitudes were their depressive symptoms, personal stigma, and caregivers' attitudes toward professional psychological help.</p><p><strong>Conclusion: </strong>Adolescents' help-seeking attitudes are shaped by both their own psychological experiences and their caregivers' perspectives. Targeted interventions should prioritize stigma reduction, symptom recognition and management, and caregiver engagement to foster timely and effective help-seeking among adolescents.</p>","PeriodicalId":17229,"journal":{"name":"Journal of the American Psychiatric Nurses Association","volume":" ","pages":"268-289"},"PeriodicalIF":2.1,"publicationDate":"2026-07-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147574708","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}