Psychiatry Investigation最新文献

{"title":"The Moderating Effect of Internet Ethics on the Relationship Between Cyberbullying Victimization and Perpetration Among Korean Adults.","authors":"Se-Ri Park, Sung-Man Bae","doi":"10.30773/pi.2024.0127","DOIUrl":"10.30773/pi.2024.0127","url":null,"abstract":"<p><strong>Objective: </strong>Cyberbullying is increasing every year and poses a serious problem worldwide; although the rate of adult cyberbullying is increasing every year, still cyberbullying studies mainly focused on youths. This study examined the moderating effect of Internet ethics on the relationship between cyberbullying victimization and perpetration among adults.</p><p><strong>Methods: </strong>An online self-report survey was conducted with 601 participants aged 20 to 59. A final total of 593 participants were included in the analysis. Confirmatory factor analysis of the Internet Ethics Scale was performed using AMOS 22.0, and the moderating effect was verified using PROCESS Macro v3.5.</p><p><strong>Results: </strong>First, cyberbullying victimization was found to positively predict perpetration. These results indicate that the higher the cyberbullying victim experience, the more the cyberbullying behavior increases. Second, the moderating effect of Internet ethics on the relationship between cyberbullying victimization and perpetration was significant. Third, in the relationship between cyberbullying victimization and perpetration, the moderating effects of respect, responsibility, justice, and non-maleficence, which are subfactors of Internet ethics, were found to be significant.</p><p><strong>Conclusion: </strong>This study demonstrated the preventive effect of Internet ethics on the relationship between cyberbullying victimization and perpetration among adults. Based on this, a theoretical basis for the intervention of education and programs for adult cyberbullying prevention was provided.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"47-56"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788837/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143066215","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Healing Through Loss: Exploring Nurses' Post-Traumatic Growth After Patient Death.","authors":"YongHan Kim, Joon-Ho Ahn, Jangho Park, Young Rong Bang, Jin Yong Jun, Youjin Hong, Seockhoon Chung, Junseok Ahn, C Hyung Keun Park","doi":"10.30773/pi.2024.0253","DOIUrl":"10.30773/pi.2024.0253","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to identify the factors contributing to post-traumatic growth (PTG) among nurses who experienced patient death during the coronavirus disease-2019 (COVID-19) pandemic and to evaluate the necessity of grief support is required.</p><p><strong>Methods: </strong>An online survey was conducted to assess the experiences of nurses at Ulsan University Hospital who lost patients during the past year of the pandemic. In total, 211 nurses were recruited. We obtained information on the participants' demographic and clinical characteristics. For symptoms rating, we used the following scales: the Post-traumatic Growth Inventory (PTGI), Stress and Anxiety to Viral Epidemic-9 (SAVE-9), Patient Health Questionnaire (PHQ-9), Pandemic Grief Scale (PGS), and Utrecht Grief Rumination Scale (UGRS), and Grief Support in Healthcare Scale (GSHCS). Pearson's correlation coefficients, linear regression, and mediation analysis were employed.</p><p><strong>Results: </strong>PTGI scores were significantly correlated with the SAVE-9 (r=0.31, p<0.01), PHQ-9 (r=0.31, p<0.01), PGS (r=0.28, p<0.01), UGRS (r=0.45, p<0.01), and GSHCS scores (r=0.46, p<0.01). The linear regression analysis revealed the factors significantly associated with PTGI scores: SAVE-9 (β=0.16, p=0.014), UGRS (β=0.29, p<0.001), and GSHCS (β=0.34, p<0.001). The mediation analysis revealed that nurses' stress and anxiety about COVID-19 and grief rumination had a direct impact on PTG, with grief support serving as a significant mediator.</p><p><strong>Conclusion: </strong>PTG was promoted by increases in the medical staff's anxiety and stress related to COVID-19, grief rumination, and grief support. For the medical staff's experience of bereavement to result in meaningful personal and professional growth, family members, colleagues, and other associates should provide thoughtful support.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"40-46"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067601","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Loneliness, Social Isolation, and Digital Health Literacy Among Older Women Living Alone in South Korea During the COVID-19 Pandemic.","authors":"Minhwa Hwang, Gahye Kim, Seonghyeon Lee, Yeon-Hwan Park","doi":"10.30773/pi.2024.0210","DOIUrl":"10.30773/pi.2024.0210","url":null,"abstract":"<p><strong>Objective: </strong>While using digital technologies for social health is widely acknowledged, the relationship between loneliness, social isolation, and digital health literacy remains unknown. This study aimed to assess the levels of loneliness, social isolation, and digital health literacy in older women living alone and to explore the associations between these factors.</p><p><strong>Methods: </strong>In August 2021, a cross-sectional survey was conducted on 145 older women living alone, selected using convenience sampling. The study used the University of California, Los Angeles Loneliness Scale (version 3), Lubben Social Network Scale-6, and Digital Health Technology Literacy-Assessment Questionnaire. The collected data were analyzed using descriptive statistics, the Mann-Whitney U test, the Kruskal-Wallis test, Spearman's rho correlation, and a generalized linear model (GLM).</p><p><strong>Results: </strong>Of the participants, 22.8% (n=33) reported moderate loneliness, 20.7% (n=30) reported severe loneliness, and 36.6% (n=53) were at risk for social isolation. The mean digital health literacy score among participants was 4.85 (SD=6.92), which is relatively low. Importantly, our findings using a GLM to control for covariates revealed a significant association between loneliness (B=-0.013, p=0.018) and digital health literacy.</p><p><strong>Conclusion: </strong>The increased loneliness experienced during the pandemic may contribute to low digital health literacy, alienating these individuals from the benefits of digital technologies. Therefore, in developing digital health programs or policies, it is imperative to consider the psychosocial status of individuals, including loneliness, while enhancing digital health literacy.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"75-83"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067637","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Inflexibility, Cognitive Fusion, and Thought-Action Fusion as a Transdiagnostic Construct: Direct Comparisons Among Major Depressive Disorder, Obsessive-Compulsive Disorder, and Healthy Controls.","authors":"Sang Won Lee, Seung Jae Lee, Mina Choi","doi":"10.30773/pi.2024.0209","DOIUrl":"10.30773/pi.2024.0209","url":null,"abstract":"<p><strong>Objective: </strong>Evidence suggests that acceptance and commitment therapy (ACT) processes function as transdiagnostic factors in both major depressive disorder (MDD) and obsessive-compulsive disorder (OCD) individually. However, few studies have directly compared these two clinical disorders. Therefore, this study aimed to identify potential transdiagnostic factors associated with ACT across MDD, OCD, and healthy control (HC) groups.</p><p><strong>Methods: </strong>A total of 34 MDD patients, 43 OCD patients, and 46 HCs were recruited through subway advertisements and outpatient services at a university hospital. Participants completed the Acceptance and Action Questionnaire-II, Cognitive Fusion Questionnaire, thought-action fusion (TAF) scale, and symptom severity scales.</p><p><strong>Results: </strong>Direct group comparisons revealed higher psychological inflexibility, cognitive fusion, and likelihood of TAF in the clinical groups compared to the HCs, with no differences between the MDD and OCD groups. These three transdiagnostic factors were variously correlated with both depressive and obsessive-compulsive (OC) symptoms in all groups. Regression analyses demonstrated that the three transdiagnostic factors accounted for 26% of the depressive symptoms in the MDD group (R2=0.26, p=0.028) and 27% of the OC symptoms in the OCD group (R2=0.27, p=0.014).</p><p><strong>Conclusion: </strong>These findings from the direct group comparisons of the three groups confirmed that psychological inflexibility, cognitive fusion, and likelihood of TAF are potential transdiagnostic factors that moderately contribute to the primary symptoms of both MDD and OCD. From another perspective, these results also highlight the need to consider how ACT addresses disorder-specific variations beyond what is explained by these transdiagnostic factors in the future.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"93-101"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788840/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067645","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Effects of Methylphenidate and Atomoxetine Treatment on Improvement of Motor Coordination in Children With Attention-Deficit/Hyperactivity Disorder.","authors":"Ju Yeon Kim, Eunji Jung, Taeyeop Lee, Kee Jeong Park, Yoo-Sook Joung, Hyo-Won Kim","doi":"10.30773/pi.2024.0198","DOIUrl":"10.30773/pi.2024.0198","url":null,"abstract":"<p><strong>Objective: </strong>To investigate the effects of methylphenidate and atomoxetine treatment on motor coordination in children with attention-deficit/hyperactivity disorder (ADHD).</p><p><strong>Methods: </strong>In this single-site, open-label, naturalistic follow-up study, 157 children (7.6±1.4 years; 139 males) with ADHD were recruited between March 2015 and May 2020 from the Department of Psychiatry, Asan Medical Center, and treated for 12 weeks with methylphenidate (n=48) or atomoxetine (n=109). Children completed the Advanced Test of Attention (ATA), and caregivers completed the ADHD Rating Scale (ARS) questionnaire and Developmental Coordination Disorder Questionnaire (DCDQ) at baseline and at 12 weeks. Paired t-tests, a mixed-effects model, and linear regression were used to compare treatment groups and assess factors influencing motor coordination changes.</p><p><strong>Results: </strong>Methylphenidate and atomoxetine resulted in significant improvement in DCDQ fine motor/handwriting, general coordination, and total scores over 12 weeks. Fine motor/handwriting had a significant main effect for time (F1=16.64, p<0.001, η2=0.097); however, the interaction effect between group and time was not significant (F1=0.24, p=0.625, η2=0.002). Changes in parent-reported ARS inattention scores (β=-0.174, p=0.029) and auditory commission errors of ATA (β=0.191, p=0.022) were significantly associated with changes in fine motor/handwriting. Additionally, changes in parent-reported ARS inattention scores (β=-0.177, p=0.034) and rater-reported ARS inattention scores (β=-0.198, p=0.017) were significant predictors of improvements in general coordination in separate models.</p><p><strong>Conclusion: </strong>Methylphenidate and atomoxetine had a positive effect on motor coordination in children with ADHD. Improvement in motor coordination was associated with ADHD symptom improvement.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"84-92"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067595","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Memory Decline and Aberration of Synaptic Proteins in X-Linked Moesin Knockout Male Mice.","authors":"Hua Cai, Seong Mi Lee, Yura Choi, Bomlee Lee, Soo Jung Im, Dong Hyeon Kim, Hyung Jun Choi, Jin Hee Kim, Yeni Kim, Boo Ahn Shin, Songhee Jeon","doi":"10.30773/pi.2024.0186","DOIUrl":"10.30773/pi.2024.0186","url":null,"abstract":"<p><strong>Objective: </strong>This study aims to investigate may moesin deficiency resulted in neurodevelopmental abnormalities caused by negative impact on synaptic signaling ultimately leading to synaptic structure and plasticity.</p><p><strong>Methods: </strong>Behavioral assessments measured neurodevelopment (surface righting, negative geotaxis, cliff avoidance), anxiety (open field test, elevated plus maze test), and memory (passive avoidance test, Y-maze test) in moesin-knockout mice (KO) compared to wild-type mice (WT). Whole exome sequencing (WES) of brain (KO vs. WT) and analysis of synaptic proteins were performed to determine the disruption of signal pathways downstream of moesin. Risperidone, a therapeutic agent, was utilized to reverse the neurodevelopmental aberrance in moesin KO.</p><p><strong>Results: </strong>Moesin-KO pups exhibited decrease in the surface righting ability on postnatal day 7 (p<0.05) and increase in time spent in the closed arms (p<0.01), showing increased anxiety-like behavior. WES revealed mutations in pathway aberration in neuron projection, actin filament-based processes, and neuronal migration in KO. Decreased cell viability (p<0.001) and expression of soluble NSF adapter protein 25 (SNAP25) (p<0.001) and postsynaptic density protein 95 (PSD95) (p<0.01) was observed in days in vitro 7 neurons. Downregulation of synaptic proteins, and altered phosphorylation levels of Synapsin I, mammalian uncoordinated 18 (MUNC18), extracellular signal-regulated kinase (ERK), and cAMP response element-binding protein (CREB) was observed in KO cortex and hippocampus. Risperidone reversed the memory impairment in the passive avoidance test and the spontaneous alternation percentage in the Y maze test. Risperidone also restored the reduced expression of PSD95 (p<0.01) and the phosphorylation of Synapsin at Ser605 (p<0.05) and Ser549 (p<0.001) in the cortex of moesin-KO.</p><p><strong>Conclusion: </strong>Moesin deficiency leads to neurodevelopmental delay and memory decline, which may be caused through altered regulation in synaptic proteins and function.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"10-25"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788833/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067642","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A New Agenda for Optimizing Roles and Infrastructure in a Mental Health Service Model for South Korea.","authors":"Eunsoo Kim, Hyeon-Ah Lee, Yu-Ri Lee, In Suk Lee, Kyoung-Sae Na, Seung-Hee Ahn, Chul-Hyun Cho, Hwoyeon Seo, Soo Bong Jung, Sung Joon Cho, Hwa-Young Lee","doi":"10.30773/pi.2024.0189","DOIUrl":"10.30773/pi.2024.0189","url":null,"abstract":"<p><strong>Objective: </strong>As the demand for community mental health services continues to grow, the need for well-equipped and organized services has become apparent. This study aimed to optimize the roles and infrastructure of mental health services, by establishing, among other initiatives, standardized operating models.</p><p><strong>Methods: </strong>The study was conducted in multiple phases from May 12, 2021, to December 29, 2021. Stakeholders within South Korea and metropolitan mental health welfare centers were targeted, but addiction management support centers, including officials, patients, and their families, were integrated as well. A literature review and survey, focus group interviews, a Delphi survey, and expert consultation contributed to comprehensive revisions and improvements of the mental health service model.</p><p><strong>Results: </strong>The proposed model for community mental health welfare centers emphasizes the expansion of personnel and infrastructure, with a focus on severe mental illnesses and suicide prevention. The model for metropolitan mental health welfare centers delineates essential tasks in areas such as project planning and establishment, community research, and education about severe mental illnesses. The establishment of a 24-hour emergency intervention center was a crucial feature. In the integrated addiction support center model, the need to promote addiction management is defined as an essential task and the establishment of national governance for addiction policies is recommended.</p><p><strong>Conclusion: </strong>This study proposed standard operating models for three types of mental health service centers. To meet the increasing need for community care, robust mental health service delivery systems are of primary importance.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"26-39"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788841/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067632","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Development of a Standardized Suicide Prevention Program for Gatekeeper Intervention in Korea (Suicide CARE Version 2.0) to Prevent Adolescent Suicide: Version for Teachers.","authors":"Hyeon-Ah Lee, Yeon Jung Lee, Kyong Ah Kim, Myungjae Baik, Jong-Woo Paik, Jinmi Seol, Sang Min Lee, Eun-Jin Lee, Haewoo Lee, Meerae Lim, Jin Yong Jun, Seon Wan Ki, Hong Jin Jeon, Sun Jung Kwon, Hwa-Young Lee","doi":"10.30773/pi.2024.0081e","DOIUrl":"10.30773/pi.2024.0081e","url":null,"abstract":"","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"117"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788838/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067634","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Facilitators and Barriers Associated With Mental Health Service Utilization Among Individuals With Alcohol Use Disorder in Korea.","authors":"Eun Sol Lee, Yujeong Ha, Young-Mi Ko, Subin Park","doi":"10.30773/pi.2024.0148","DOIUrl":"10.30773/pi.2024.0148","url":null,"abstract":"<p><strong>Objective: </strong>The treatment rate for alcohol use disorder (AUD) in Korea is significantly lower than its prevalence rate. Because untreated AUD can have harmful consequences, it is important to identify the factors that contribute to individuals with AUD seeking mental health services.</p><p><strong>Methods: </strong>We collected nationally representative data from the National Mental Health Survey of Korea 2021 and analyzed responses from 643 individuals with AUD, of which 76.8% were male. Factors related to mental health service utilization among individuals with AUD were classified into three categories: sociodemographic (such as sex, age, marital status, education, and monthly household income), clinical (including symptom severity, psychiatric comorbidity, suicidality, and physical illness), and psychological characteristics (like perceived stigma, loneliness and social isolation, and resilience). We used multiple logistic regression analyses to examine each characteristic separately and combined in a single model to determine the most significant factors.</p><p><strong>Results: </strong>The three logistic regression models revealed that sex, psychiatric comorbidity, physical illness, and perceived stigma are significantly linked to the utilization of mental health services among individuals with AUD. Results from the comprehensive model indicated that only physical illness and perceived stigma have significant associations with mental health service utilization.</p><p><strong>Conclusion: </strong>These findings can assist in developing targeted interventions for individuals with AUD.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"22 1","pages":"1-9"},"PeriodicalIF":1.8,"publicationDate":"2025-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11788830/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143067598","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Is the Current Lights-Off Time in General Hospitals Too Early, Given People's Usual Bedtimes?","authors":"Eulah Cho, Junseok Ahn, Young Rong Bang, Jeong Hye Kim, Seockhoon Chung","doi":"10.30773/pi.2024.0214","DOIUrl":"10.30773/pi.2024.0214","url":null,"abstract":"<p><strong>Objective: </strong>This study aimed to investigate how shift-working nursing professionals perceive the current lights-off time in wards as early, appropriate, or late and how their perceptions can be influenced when considering people's usual bedtimes.</p><p><strong>Methods: </strong>An online survey was conducted comprising queries about the current lights-off time in wards and respondents' opinions, self-rated psychological status, and perceptions of the current lights-off time considering others' usual bedtimes. Psychological status was evaluated using the Insomnia Severity Index, the Patient Health Questionnaire-9, the Dysfunctional Beliefs and Attitudes about Sleep-16, and the Discrepancy between Desired Time in Bed and Desired Total Sleep Time (DBST) Index, along with the expected DBST Index of others.</p><p><strong>Results: </strong>Of 159 nursing professionals, 88.7% regarded the current lights-off time of 9:46±0:29 PM as appropriate. However, when considering others' usual bedtimes, the proportion perceiving the lights-off time as too early rose from 6.9% to 28.3%. Participants recommended delaying the lights-off time to 10:06±0:42 PM for patients' sleep and 10.22±0:46 PM for nursing care activities. Nursing professionals' insomnia severity was significantly higher among who responded that current light off time is too early after considering usual bedtime of other people.</p><p><strong>Conclusion: </strong>This study underscores the need to reassess lights-off times in wards given individuals' typical bedtimes. The findings emphasize the need to address nursing professionals' perspectives and insomnia severity when optimizing lights-off schedules in healthcare settings.</p>","PeriodicalId":21164,"journal":{"name":"Psychiatry Investigation","volume":"21 12","pages":"1415-1422"},"PeriodicalIF":1.8,"publicationDate":"2024-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11704806/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"142932473","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}