{"title":"Two-way perspective on problematic internet use in adolescent psychiatric patients: predictive and associated factors.","authors":"Melike Kevser Gul, Esra Demirci, Sevgi Ozmen","doi":"10.1080/08039488.2025.2508947","DOIUrl":"https://doi.org/10.1080/08039488.2025.2508947","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate the relationship between problematic Internet use (PIU) and suicide probability, aggression, and impulsivity in an adolescent clinical sample.</p><p><strong>Methods: </strong>Four hundred and eighty-four adolescents who applied to the child psychiatry outpatient clinic of a university hospital were included in the study. They filled out a sociodemographic data form, the Internet Addiction Test (IAT), the Suicide Probability Scale (SPS), the Barratt Impulsiveness Scale-11-Short Form (BIS-11-SF), and the Buss-Perry Aggression Questionnaire (BPAQ).</p><p><strong>Results: </strong>The time spent on the Internet, BIS-11-SF/MI, BIS-11-SF/AI, SPS subscales, and BPAQ scores of adolescents with PIU were significantly higher compared to those of normal Internet users. Having a computer at home, having a smartphone, time spent on the Internet, older age, SPS/hopelessness, and BPAQ scores were found to be predictive factors of PIU, but psychiatric diagnoses had no predictive effect (<i>p</i> > 0.05). SPS/hopelessness and BPAQ scores were statistically significant in distinguishing adolescents with PIU from those without. BIS-11-SF, SPS/hopelessness scores, and time spent on the Internet were the most important factors in predicting IAT total scores.</p><p><strong>Conclusions: </strong>Determining the relationship between PIU, aggression, suicidal behavior, and impulsivity in adolescents will be effective in protecting them from potential harm.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144128187","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}
Ann Christin Andersen, Per Hove Thomsen, Stian Lydersen, Anne Mari Sund, Anne-Lise Juul Haugan, Torunn Stene Nøvik
{"title":"Behaviour ratings of executive functions in adolescents with ADHD: correlation with core symptoms and functional impairment measured by multiple informants.","authors":"Ann Christin Andersen, Per Hove Thomsen, Stian Lydersen, Anne Mari Sund, Anne-Lise Juul Haugan, Torunn Stene Nøvik","doi":"10.1080/08039488.2025.2506558","DOIUrl":"https://doi.org/10.1080/08039488.2025.2506558","url":null,"abstract":"<p><strong>Background: </strong>Executive functional deficits (EFDs) are very common in patients with Attention Deficit/Hyperactivity Disorder (ADHD). Behavioural ratings of executive functions have high ecological value but vary between informants and observational settings. Objectives of this study were to describe correlations between ratings on behavioural executive functions, ADHD symptoms and functional impairment between different informants.</p><p><strong>Materials and methods: </strong>The study includes 100 adolescents aged 14-18 with ADHD still experiencing clinically impairing symptoms despite standard treatment. Ratings of EFDs were obtained from teachers, parents and self-reports. Parents and adolescents also rated core symptoms of ADHD and functional impairment. A clinician assessed overall global functioning. The relationship between measures and informants were analysed using Pearson correlations.</p><p><strong>Results: </strong>There was a significant, strong, positive correlation between all measures reported by the same informant. The overall correlation was small to medium between teacher reported EFDs and both core symptoms of ADHD and functional impairment as reported by parents and adolescents. There was a significant negative correlation between clinicians' assessment of global functioning and ratings of EFDs by all informants.</p><p><strong>Conclusions: </strong>We found that EFDs were strongly correlated both with higher levels of core symptoms of ADHD, and higher level of functional impairment as reported by the same informant. We also found, in line with previous research, that ratings of symptoms and impairment differs between informants and settings. Our findings underline the importance of multiple informants in both assessment and treatment planning.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-7"},"PeriodicalIF":1.5,"publicationDate":"2025-05-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144120390","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}
Louise M Stubberup, Jeanette R Christensen, Dorte Melgaard, Rikke Jørgensen
{"title":"Bridging the gap between sectors in transition from mental health hospitals to communities - determining and mediating the need for assistance in daily living for patients with mental illness.","authors":"Louise M Stubberup, Jeanette R Christensen, Dorte Melgaard, Rikke Jørgensen","doi":"10.1080/08039488.2025.2506561","DOIUrl":"https://doi.org/10.1080/08039488.2025.2506561","url":null,"abstract":"<p><strong>Background: </strong>Patients with mental illness often experience difficulties with participating in daily activities. Before discharge, it is therefore essential to assess patients' occupational performance to enable the municipalities to assign appropriate assistance. It is known that insufficient assistance in daily living may negatively affect health and well-being.</p><p><strong>Aims: </strong>To explore which knowledge the municipalities need to assign appropriate assistance after discharge, the applicability of the knowledge delivered by the assessors and how they generated this knowledge.</p><p><strong>Materials and methods: </strong>A qualitative interview study with 11 assessing occupational therapists and eight social workers.</p><p><strong>Results: </strong>Most importantly was the type of occupations where the patients' needed assistance, and the type and amount of assistance. The knowledge delivered by the occupational therapists was in congruence with the municipal demands. However, generating the necessary knowledge was challenging, as the available evidence-based tools were not always found applicable.</p><p><strong>Conclusions: </strong>The municipalities needed detailed descriptions of the patients' occupational performance to assign the appropriate assistance. The occupational therapists used both standardized and non-standardized assessment tools and faced difficulties in adhering to an evidence-based practice.</p><p><strong>Significance: </strong>The findings underpin the municipal need for knowledge when assigning assistance and the need for evidence-based assessment tools for the occupational therapists working in mental health hospitals.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102141","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}
Sabrina Trappaud Rønne, Sidse Marie Arnfred, Peter Haulund Gæde, Bryan Cleal, Rikke Jørgensen
{"title":"Recruiting underrepresented populations for surveys: the case of people with schizophrenia and coexisting diabetes.","authors":"Sabrina Trappaud Rønne, Sidse Marie Arnfred, Peter Haulund Gæde, Bryan Cleal, Rikke Jørgensen","doi":"10.1080/08039488.2025.2502932","DOIUrl":"https://doi.org/10.1080/08039488.2025.2502932","url":null,"abstract":"<p><strong>Aim: </strong>To describe the challenges and strategies involved in recruiting adults to a cross-sectional survey study on psychosocial health and support, with individuals with schizophrenia and type 2 diabetes as the case.</p><p><strong>Materials and methods: </strong>This descriptive study tracked the recruitment process for a Danish survey study in a register, systematically synthesising all relevant information. This included details on how eligible patients were identified and invited to the study and their reasons for declining. Two recruitment strategies were employed: (1) Recruitment <i>via</i> mental health professionals in psychiatric outpatient clinics in Region Zealand, and (2) Recruitment <i>via</i> phone calls to eligible patients. Descriptive analyses of the recruitment data were conducted.</p><p><strong>Results: </strong>Three challenges were identified and described: (1) Challenges in identifying eligible patients, (2) Challenges in having mental health professionals to recruit participants, and (3) Patients' inability to complete the questionnaire. The first two challenges were addressed through practical approaches: (1) Identifying eligible patients <i>via</i> electronic health records and medication types, and (2) Directly inviting patients <i>via</i> phone calls from a member of the research team. No additional initiatives were implemented to address the third challenge. Approximately 15% of all eligible patients declined to participate, indicating a high willingness to participate among the remaining individuals.</p><p><strong>Conclusions: </strong>Exploring various challenges was crucial for understanding the difficulties in recruiting this population, initiating new approaches to address these challenges, and recognising the high willingness to participate. Greater emphasis should be placed on patients' rights to make their own decisions regarding participation in research.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-6"},"PeriodicalIF":1.5,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144102101","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}
Signe Wegmann Düring, Trine Botfeldt Møller-Pedersen, Oliver Rumle Hovmand
{"title":"Psychotic symptoms following consumption of energy drinks: a systematic review.","authors":"Signe Wegmann Düring, Trine Botfeldt Møller-Pedersen, Oliver Rumle Hovmand","doi":"10.1080/08039488.2025.2499593","DOIUrl":"https://doi.org/10.1080/08039488.2025.2499593","url":null,"abstract":"<p><strong>Introduction: </strong>Energy drinks (EDs) is an umbrella term for a family of beverages which contain high dosages of caffeine. ED consumption is increasing worldwide, and it is possible that excess ED consumption can cause or worsen symptoms of severe mental disorders (SMD) such as schizophrenia and bipolar affective disorder.</p><p><strong>Methods: </strong>We searched three electronic databases for studies on patients with SMD who had experienced psychotic symptoms following the consumption of energy drinks, as well as patients who developed psychotic symptoms after ED consumption without any prior severe psychiatric disorder. We conducted and reported this systematic review following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) statement. We assessed the included case reports with the CARE criteria.</p><p><strong>Results: </strong>We included 11 publications, all of which were case reports. Two of these described two patients with a primary diagnosis of schizophrenia and three described six patients with a primary diagnosis of bipolar disorder. The remaining eight case reports described eight patients with no prior psychiatric diagnosis. All had experienced deterioration or onset of psychotic symptoms following intake of EDs.</p><p><strong>Discussion: </strong>ED use may be an emerging clinical challenge in psychiatry. However, it is also possible that EDs are simply a surrogate which indicate the occurrence of other factors associated with psychosis, such as male sex and poor socioeconomic status. Overall, limited research exists on the subject. Future research could aim at quantifying the use of EDs among psychiatric patients, and patients with SMH specifically.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"1-8"},"PeriodicalIF":1.5,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144029579","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}
Nurgül Özdemir, Şengül Kocamer Şahin, Fatima Özdemir Şiğva, Ali Rıza Türkmen
{"title":"Treatment-seeking methods, internalized stigma, and perceived social support levels of patients with mental disorders in different cultures: comparison of Eastern and Western examples in Turkiye.","authors":"Nurgül Özdemir, Şengül Kocamer Şahin, Fatima Özdemir Şiğva, Ali Rıza Türkmen","doi":"10.1080/08039488.2025.2486380","DOIUrl":"10.1080/08039488.2025.2486380","url":null,"abstract":"<p><strong>Purpose: </strong>This study investigated treatment-seeking methods, internalized stigma levels, and perceived social support among mental disorder patients in the eastern and western regions of Turkiye.</p><p><strong>Materials and methods: </strong>The study was conducted between April 10, 2022, and October 10, 2022, in two centers: Mardin Research and Training Hospital Psychiatry Outpatient Clinic (Southeastern Anatolia Region) and Bagcilar Research and Training Hospital Psychiatry Outpatient Clinic (Marmara Region). Simple random sampling method was used in the selection of participants. 238 patients (119 from each center) diagnosed with DSM-5 disorders participated. Assessment tools included the Help-Seeking Behavior Evaluation Form, Short Form of the Attitude Scale for Seeking Psychological Help (ATSPHS), Internalized Stigma Scale in Mental Illnesses (ISMI), and Multidimensional Perceived Social Support Scale (MSPSS). Data were analyzed using descriptive statistics, chi-square tests, and independent <i>t</i>-tests.</p><p><strong>Results: </strong>Patients in the western region reported higher perceived support from family and friends, while those in the eastern region experienced greater internalized stigma, including alienation, stereotype endorsement, perceived discrimination, and social withdrawal. Patients in the eastern region demonstrated a stronger preference for traditional healers. Conversely, patients in the western region were more likely to consult psychiatrists.</p><p><strong>Conclusion: </strong>The study concludes that cultural factors significantly influence patients' attitudes toward treatment and mental health care. It emphasizes the need for culturally sensitive approaches in mental health interventions, particularly in rural and disadvantaged areas. Community-based psychoeducation programs could help reduce stigma and encourage earlier help-seeking behaviors.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"288-296"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143995713","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}
Lenka Sivak, Ilkka Ojansuu, Jari Tiihonen, Markku Lähteenvuo, Jonas Forsman
{"title":"Sweden vs. Finland - forensic psychiatric care and subsequent recidivism in violent crime.","authors":"Lenka Sivak, Ilkka Ojansuu, Jari Tiihonen, Markku Lähteenvuo, Jonas Forsman","doi":"10.1080/08039488.2025.2497816","DOIUrl":"10.1080/08039488.2025.2497816","url":null,"abstract":"<p><strong>Introduction: </strong>Legal and medical approaches to mentally ill offenders vary internationally, but those with severe mental disorders are often sentenced to forensic psychiatric care, where one of the main objectives is to prevent recidivism. This retrospective cohort study compared violent recidivism after discharge from such treatment in Sweden and Finland.</p><p><strong>Methods: </strong>The Swedish cohort included patients discharged between 2009 and 2019, with recidivism data collected until December 2019. Finnish patients discharged between 1999 and 2018 were followed for recidivism until 2019. Violent recidivism was analyzed using cumulative incidence curves and Cox regression models for relevant variables.</p><p><strong>Results: </strong>The violent recidivism rate was 3294 per 100,000 person-years in Sweden versus 1083 in Finland. The estimated cumulative incidence of violent crime in Sweden was 6.3% at 12 months, 9.9% at 24 months, and 13.6% at 60 months, versus 0.4% at 12 months, 2.7% at 24 months, and 7.6% at 60 months in Finland. Among Swedish patients with schizophrenia spectrum disorder, the recidivism rate was 11.5% at 60 months. A history of substance use disorder was associated with a more than two-fold risk of committing a violent crime in both Sweden and Finland. Conversely, higher age at discharge reduced the risk in both countries.</p><p><strong>Conclusion: </strong>The rate of violent recidivism among former forensic psychiatric patients is higher in Sweden than in Finland, with the cumulative incidence at five years being 1.8-fold in Sweden (1.5-fold among patients with psychosis). History of substance use disorder and higher age at discharge significantly influenced recidivism risk in both countries.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"314-320"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144002979","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}
Kristīne Ozoliņa, Inese Gobiņa, Anda Ķīvīte-Urtāne, Lukas Blinka
{"title":"Problematic gaming, problem gambling: co-occurrence and association with depression and generalised anxiety disorder among working-age adults in Latvia.","authors":"Kristīne Ozoliņa, Inese Gobiņa, Anda Ķīvīte-Urtāne, Lukas Blinka","doi":"10.1080/08039488.2025.2494838","DOIUrl":"10.1080/08039488.2025.2494838","url":null,"abstract":"<p><strong>Aims: </strong>This study aimed to investigate the prevalence of problematic gaming and gambling and the co-occurrence of these behaviours in association with depression and generalised anxiety disorder in a representative general working-age adult population in Latvia.</p><p><strong>Methods: </strong>Data from a survey of 4,912 respondents aged 15-64 in the general population of Latvia were studied. The Game Addiction Scale, the Problem Gambling Severity Index, and the PHQ-9 and GAD-7 scales were used to obtain self-reported data for the target study variables. Descriptive statistics and binary logistic regression models assess the prevalence of the variables and estimate the odds ratios for depression and generalised anxiety disorder.</p><p><strong>Results: </strong>By adjusting for age, sex, and income level, both problematic gaming and gambling significantly increased the odds of depression and anxiety by an average of three times. The prevalence of the co-occurrence of problematic gaming and gambling was 0.8%, and it did not elevate the odds of depression and anxiety compared to having either problematic gaming or gambling alone, which maintains the overall threefold increase of both depression and anxiety (<i>p</i> < 0.05).</p><p><strong>Conclusions: </strong>In the general adult population, the presence of problematic gaming and gambling indicates a higher likelihood for the individual burden of mental health problems due to the co-existence of depression or anxiety. Thus, the complexity of problematic gaming and gambling has to be taken into account when planning and implementing effective mental health interventions.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"297-302"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144032577","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":"Cognitive disengagement syndrome symptoms in obsessive-compulsive disorder with and without attention deficit hyperactivity disorder.","authors":"Yigit Ozaydin, Doga Sevincok, Ufuk Uyar, Borte Gurbuz Ozgur, Hatice Aksu, Levent Sevincok","doi":"10.1080/08039488.2025.2488386","DOIUrl":"10.1080/08039488.2025.2488386","url":null,"abstract":"<p><strong>Objective: </strong>Comorbidity between Obsessive-Compulsive Disorder (OCD) and Attention Deficit/Hyperactivity Disorder (ADHD) appears complex in terms of etiology, phenomenology, and treatment. There is a need to identify possible factors which are related to the co-occurrence of OCD and ADHD in adults. Cognitive Disengagement Syndrome (CDS) may contribute to this comorbidity through its associations with ADHD, emotional dysregulation, cognitive processes, and neuropsychological deficits.</p><p><strong>Methods: </strong>In this study, we compared CDS and various sociodemographic and clinical characteristics in OCD patients with (<i>n</i> = 44) and without ADHD (<i>n</i> = 72), and healthy controls (<i>n</i> = 43), using the Yale Brown Obsessive-Compulsive Scale, Wender Utah Rating Scale, Adult ADD/ADHD DSM-IV Based Diagnostic Screening and Rating Scale, Barkley's Adult Sluggish Cognitive Tempo Rating Scale, Beck Depression Inventory, and Beck Anxiety Inventory.</p><p><strong>Results: </strong>In addition to contamination obsessions (OR = 7.733, <i>p</i> = 0.002), male gender (OR = 3.732, <i>p</i> = 0.031), high anxiety (OR = 1.053, <i>p</i> = 0.02), and high CDS symptoms (OR = 1.145, <i>p</i> = 0.037) were associated with comorbidity between OCD and ADHD.</p><p><strong>Conclusion: </strong>We suggest that CDS may serve as a valuable construct for understanding the nature of comorbidity between OCD and ADHD.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":" ","pages":"264-271"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143795835","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}
Johanna Salberg, Timo Hursti, Lisa Ekselius, Caisa Öster
{"title":"Evaluation of Steps Towards Recovery - attitudes towards and experiences of a recovery-oriented nursing programme as an approach to evidence-based nursing practice in psychiatric in-patient care.","authors":"Johanna Salberg, Timo Hursti, Lisa Ekselius, Caisa Öster","doi":"10.1080/08039488.2025.2492157","DOIUrl":"10.1080/08039488.2025.2492157","url":null,"abstract":"<p><strong>Purpose: </strong>The study aimed to (1) explore nursing staff attitudes towards evidence-based practice in conjunction with implementation of Steps Towards Recovery, and (2) describe nurses' and nurse managers' experiences of working with Steps Towards Recovery, as an example of evidence-based practice.</p><p><strong>Materials and methods: </strong>The study was carried out in two parts. Part 1 incorporated quantitative questionnaire data using descriptive, non-parametric statistical analyses. Part 2 incorporated qualitative data, from both individual and focus group interviews, using qualitative content analysis and focus group data analysis.</p><p><strong>Results: </strong>In part 1, positive attitudes were reported. Openness to evidence-based practice was significantly higher after implementation. In part 2, the nursing programme was found to be seen as an important contribution to nursing in psychiatric in-patient care. Evidence-based practice was seen as important but insufficiently used.</p><p><strong>Conclusion: </strong>Integrating results from nursing research into daily nursing work is described as challenging in psychiatric in-patient care. There is a need to illuminate the gap between theory and practice to achieve evidence-based nursing. Nurses' professional role and responsibility for the development and improvement of nursing are crucial in doing so and must be addressed in nursing education, by nurses themselves, as well as by managers at all levels of health care.</p>","PeriodicalId":19201,"journal":{"name":"Nordic Journal of Psychiatry","volume":"79 4","pages":"280-287"},"PeriodicalIF":1.5,"publicationDate":"2025-05-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144026330","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}