World Journal of Psychiatry最新文献

{"title":"Correlation between self-management, psychological cognitive impairment, and quality of life in elderly chronic obstructive pulmonary disease patients.","authors":"Xiao-Li Zhang, Su-Shu Li, Jian-Qing Qin, Xiao-Yu Han, Xing-Hui Su, Liu-Mei Qin, Chang Pan","doi":"10.5498/wjp.v15.i4.102494","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102494","url":null,"abstract":"<p><strong>Background: </strong>The correlation conclusions between self-management, frailty, and quality of life (QoL) of chronic obstructive pulmonary disease (COPD) patients are inconsistent.</p><p><strong>Aim: </strong>To comprehensively assess the current status of self-management, psychological cognitive impairment, and QoL in elderly patients with COPD.</p><p><strong>Methods: </strong>Convenient sampling was employed to select 312 elderly patients with COPD who were receiving treatment in the respiratory and critical care medicine department of a tertiary grade A hospital from November 2023 to February 2024. The study utilized demographic information and clinical characteristics, self-management behavior, occurrence of psychological cognitive impairment, and QoL as evaluated through general information questionnaires, the COPD patient self-management scale, simple frailty scale, simple mental status scale, clinical dementia assessment scale, and the clinical COPD assessment test questionnaire. This research aims to describe the current status and correlations among self-management behavior, cognitive impairment occurrence, and QoL.</p><p><strong>Results: </strong>The average score for self-management behavior in elderly COPD patients was 136.00 (119.00, 164.50), indicating a moderate level overall. There were 98 cases of cognitive impairment, accounting for 31.4%, with a mental status score of 3 (2, 3.75). The average QoL score was 24 (19, 28), indicating a low level. Additionally, there was a negative correlation between total self-management behavior score and cognitive impairment occurrence (<i>r</i> = -0.589, <i>P</i> < 0.001), and QoL total score (<i>r</i> = -0.409, <i>P</i> < 0.001). Cognitive impairment occurrence was positively correlated with QoL total score (<i>r</i> = 0.345, <i>P</i> < 0.001). Disease course and self-management behavior score were independent factors affecting the total QoL score in elderly COPD patients (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>The self-management behavior of elderly patients with COPD is at a moderate level. However, the occurrence of cognitive impairment is high and significantly influenced by disease course, level of self-management, and mental status. The QoL is low, emphasizing the urgent need to intervene in the self-management behaviors of elderly COPD patients, actively reduce the occurrence of cognitive impairment, and mitigate the impact of the disease on QoL.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102494"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038684/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144000724","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":"Dysfunctional attitudes, social support, and adolescent depression.","authors":"Xi Yang, Peng Li, Gui-Ying Liu, Dan Shan","doi":"10.5498/wjp.v15.i4.100758","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.100758","url":null,"abstract":"<p><p>Adolescent depressive symptoms represent a significant public health concern, with negative life events and dysfunctional attitudes playing pivotal roles in their development. A cross-sectional study by Yu <i>et al</i> assessed the interplay between dysfunctional attitudes, social support, and depressive symptoms in 795 Chinese adolescents (49.9% male, mean age 15.2 ± 1.8 years, age range 11-18 years) from five middle schools in Shandong Province. Using the Dysfunctional Attitudes Scale, Adolescent Life Events Scale, Beck Depression Inventory, and Social Support Rating Scale, the study identified that dysfunctional attitudes, particularly over-autonomy and over-perfectionism, mediate the relationship between negative life events and depressive symptoms. Social support moderated this relationship, significantly reducing depressive symptoms. These findings underscore the need for preventive and therapeutic strategies targeting dysfunctional attitudes and enhancing social support to address adolescent depressive symptoms. In this article, we extend their findings to highlight the significance of culturally tailored interventions that incorporate familial and community dynamics in mitigating depressive symptoms, particularly in collectivist societies.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"100758"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038658/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144036800","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":"Optimizing chemotherapy outcomes: The role of mindfulness in Epirubicin treatment for urinary tumors.","authors":"Pouria Abolfazli, Cristina Nkene Apue Nchama, Brandon Lucke-Wold","doi":"10.5498/wjp.v15.i4.102852","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102852","url":null,"abstract":"<p><p>This manuscript comments on the article published in a recent issue of <i>World Journal of Psychology</i>. We emphasize the potential of combining Epirubicin (EPI) chemotherapy with mindfulness-based interventions (MBIs) to optimize cancer care for urinary system tumors. The long-term use EPI is associated with depression and in short-term has shown side effects such as fatigue, nausea, and occasional abdominal pain, which can impact patient adherence. MBIs address the psychological burdens, such as depression and anxiety, that accompany cancer treatment, enhancing emotional well-being, immune function, and treatment adherence. Integration of MBIs alongside EPI offers improved clinical outcomes by lowering stress and reducing side effects, ultimately supporting both psychological and physical recovery. This comprehensive care model can potentially promote long-term health and quality of life for cancer patients.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102852"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038652/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019034","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":"Associations of social isolation with sleep duration and sleep quality in the elderly: Mediating influence of depression.","authors":"Hong-Ying Yang, Lian Li, Lu-Jie Yu, Guo-Lin Bian","doi":"10.5498/wjp.v15.i4.102447","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102447","url":null,"abstract":"<p><strong>Background: </strong>Sleep disorders are common health problems in the elderly. The effect of social isolation on sleep duration and sleep quality remains unclear in the Chinese community-dwelling elderly.</p><p><strong>Aim: </strong>To explore the associations of social isolation with sleep duration and sleep quality in community-dwelling elderly people.</p><p><strong>Methods: </strong>A total of 7762 community-dwelling elderly people aged 60 years and older in Ningbo were recruited from June 2022 to August 2022. Data were collected using a questionnaire. Multivariate logistic regression was used to analyze the associations of social isolation with sleep duration and sleep quality. The KHB mediating effect model was used to test the mediating effect of depression and anxiety on these associations.</p><p><strong>Results: </strong>Among the participants, 2656 (34.2%) had abnormal sleep duration (< 6 hours or > 8 hours), 1115 (14.4%) had poor sleep quality, and 917 (11.8%) had social isolation. After adjusting for confounding factors, compared with the elderly without social isolation, the odds ratios (95%CI) of abnormal sleep duration and poor sleep quality in the elderly with social isolation were 1.49 (1.29-1.73) and 1.32 (1.09-1.59), respectively. Depression partially mediated the associations of social isolation with sleep duration and sleep quality, accounting for 5.68% and 9.87% of the mediating effect, respectively.</p><p><strong>Conclusion: </strong>Social isolation was found to be associated with sleep duration and sleep quality in community-dwelling elderly people. More attention should be paid to social isolation in the elderly.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102447"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038676/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144056338","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":"Research progress of postoperative delirium in neurosurgery.","authors":"Xue-Jian Wang","doi":"10.5498/wjp.v15.i4.104708","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.104708","url":null,"abstract":"<p><p>Delirium is a transient and acute syndrome of encephalopathy, characterized by disturbances in consciousness, orientation, cognition, perception, and emotional regulation, often accompanied by hallucinations, illusions, psychomotor agitation, and restlessness. Postoperative delirium (POD), a common complication particularly in elderly patients, significantly impacts recovery by prolonging mechanical ventilation, neurosurgical intensive care unit stays, and overall hospitalization durations, while severely diminishing patients' quality of life after discharge. Despite its prevalence, POD remains underrecognized in clinical practice, with significant gaps in its diagnosis and management. This review explores the definition, diagnostic criteria, underlying pathogenesis, and associated risk factors of POD in neurosurgical patients, aiming to offer valuable insights for improving clinical diagnosis and therapeutic strategies.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"104708"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144043251","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":"Link of gray matter volume to cognitive and motor function in elderly patients with mild cognitive impairment.","authors":"Yue-Bing Yue, Man-Fei Xu, Zheng Xu, Jian-Xia Xu, Min Lin, Yi Yang","doi":"10.5498/wjp.v15.i4.99859","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.99859","url":null,"abstract":"<p><strong>Background: </strong>Mild cognitive impairment (MCI) is a transitional state between normal aging and Alzheimer's disease (AD), characterized by subtle cognitive decline. Amnestic MCI (aMCI), in particular, is a critical precursor often progressing to AD. There is growing interest in understanding the neuroanatomical correlates of aMCI, especially the role of gray matter volume (GMV) in cognitive and motor function decline. This study hypothesized that aMCI patients will exhibit reduced GMV, particularly in brain regions associated with cognition and motor control, impacting both cognitive performance and motor abilities.</p><p><strong>Aim: </strong>To investigate the association of GMV with cognitive and motor functions in aMCI.</p><p><strong>Methods: </strong>In this cross-sectional study conducted from March 2022 to March 2024, 45 aMCI patients and 45 normal controls from our Department of Geratology were enrolled. Voxel-based morphometry was used to compare GMV between groups. Correlation of differential GMV with cognitive scores and gait parameters was assessed <i>via</i> partial correlation analysis. Linear regression was used to assess associations between whole-brain GMV and gait measures.</p><p><strong>Results: </strong>GMV of aMCI region of interest (ROI) 1 and ROI2 was negatively correlated with Activities of Daily Living (ADL) score. GMV of ROI6 was positively correlated with the total scores of Mini-Mental State Examination and Cambridge Cognitive Examination-Chinese Version (CAMCOG-C) and negatively correlated with ADL score. In the partial correlation analysis of cognitive and motor function parameters, age, gender, educational level, height, and weight were controlled, and the results showed that CAMCOG-C was negatively correlated with Dual Task of Time Up and Go Test (TUG) duration in the aMCI group. The volume of the left occipital gray matter in the aMCI group was negatively correlated with TUG. GMV of the bilateral frontal gyrus, right orbitofrontal gyrus, right occipital cleft, right supraoccipital gyrus, and left anterior central gyrus was positively correlated with walking speed.</p><p><strong>Conclusion: </strong>GMV reduction in aMCI correlates with impaired cognition and motor function, emphasizing key roles for prefrontal, occipital, and central regions in gait disorders.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"99859"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144050780","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 cognitive combined with mindfulness-based stress reduction and sleep in patients with diabetes and endometrial cancer.","authors":"Qing-Song Zhang, Wei Zhang, Yun Mao, Xiao-Shi Wang, Jin-Wei Zhang, Ying-Jiu Cao","doi":"10.5498/wjp.v15.i4.100849","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.100849","url":null,"abstract":"<p><strong>Background: </strong>Seek highly effective treatment measures for improving mood and sleep.</p><p><strong>Aim: </strong>To explore the effects of mood and depression in patients with endometrial cancer after cognitive behavioral therapy (CBT) and mindfulness-based stress reduction.</p><p><strong>Methods: </strong>In a prospective study, 90 patients with diabetes, endometrial cancer, and depression were selected from January 2023 to January 2024 in our hospital. There were 45 patients in the control group and 45 patients in the observation group. In addition to the conventional treatment, the control group received cognitive behavioral treatment, and the observation group: Control group was given to compare changes in mood state and sleep quality before and after the intervention. Follow-up was performed3 months after treatment completion.</p><p><strong>Results: </strong>Before treatment, the mood and sleep quality scores between the two groups (<i>P</i> > 0.05); in the observation group, the 5 negative mood scores were lower and lower than the control group; the 2 positive mood scores were higher than in the control group, and the difference was statistically significant (<i>P</i> < 0.05); compared with before treatment, the 7 sleep quality scores and Pittsburgh sleep quality index scale total score in the observation group and lower in the control group (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>In patients with diabetes and endometrial cancer, mood state and sleep quality significantly improved after CBT and breathing relaxation. These findings provide new and effective treatment strategies in clinical practice.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"100849"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144037304","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":"Influence of cervical balloon fluid volume on maternal labor process, maternal and infant outcomes, and pregnancy-related anxiety.","authors":"Ni Wang, Jie Zhou, Li-Juan Ding, Li Qian, Chen Chen, Xiao-Shi Wang, Na Xu","doi":"10.5498/wjp.v15.i4.101256","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.101256","url":null,"abstract":"<p><strong>Background: </strong>The full implementation of the national two-child policy has presented significant challenges in ensuring the safety of pregnant women.</p><p><strong>Aim: </strong>To investigate the effect of cervical balloon fluid volume on maternal processes, maternal and infant outcomes, and anxiety during pregnancy.</p><p><strong>Methods: </strong>A total of 100 singleton term pregnancies with cervical maturity induction and anxiety were selected using a lottery method; 50 women were included. Cervical balloons were used for all participants. In the control group, 80 mL of fluid was injected into both balloons; in the observation group, 80 and 100 mL were injected into the vaginal and cervical balloons, respectively. The two groups were compared for cervical maturity, labor duration, anxiety, maternal and infant outcomes, and effects on cervical ripening.</p><p><strong>Results: </strong>After treatment, the cervical maturity test (Bishop) score was significantly higher in the observation group (9.76 ± 1.19) than in the control group (7.62 ± 0.83), and the Hamilton Anxiety Scale score was lower in the observation group (7.32 ± 0.85) than in the control group (13.05 ± 1.12). The observation group showed higher rates of natural delivery and lower rates of cesarean section than the control group. The first and total stages of labor were shorter in the observation than in the control group; no significant differences were found in the second and third stages. The incidence of complications was lower in the observation group [1 (2.00%) <i>vs</i> 9 (18.00%) for complications; 49 (98.00%) <i>vs</i> 41 (82.00%) for non-complications].</p><p><strong>Conclusion: </strong>The selected fluid volumes to promote cervical maturity and induce labor stabilize maternal mood, increase the natural delivery rate, shorten labor, and improve maternal and infant outcomes.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"101256"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038672/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144030695","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":"Perceptions of sex education among college students: A case study of a medical school.","authors":"Shang-Yu Lv, Zhuo-Cong Bao, Zhao-Dong Liu, Ye Zhang, Yu-Le Gu, Bing-Kui Li, Yun-Shu Deng, Yu-Ji Zhang, Yan Zhang","doi":"10.5498/wjp.v15.i4.102624","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102624","url":null,"abstract":"<p><strong>Background: </strong>Sex education was introduced early in foreign countries. For example, there is a more systematic sex education system abroad, which can better achieve the popularization of sex education. China's sex education started relatively late, yet there are many problems in the development of sex education in China; for example, college students lack knowledge of sexuality.</p><p><strong>Aim: </strong>To explore the perception of sex education among medical college students.</p><p><strong>Methods: </strong>Students majoring in medicine in a medical school were selected as the survey subjects. Anonymous online questionnaires were used to conduct the survey, and the results were analyzed using GraphPad Prism, SPSS, Microsoft Excel, and other software. The questionnaire was administered to understand the source of sexual knowledge, sexual responsibility, mastery of sexual knowledge, and distress caused by sexual problems.</p><p><strong>Results: </strong>Most students majoring in medicine had no formal sex education, lacked sexual knowledge, or had a biased understanding of sexual responsibility. This study analyzed future research trends in sex education based on relevant achievements in the Chinese context and abroad to further realize the practical significance and value of sex education popularization in China and provide recommendations for parents and schools at different levels.</p><p><strong>Conclusion: </strong>Sex education should be conducted among college students, and medical colleges and universities should strengthen scientific sex education.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102624"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038680/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144019037","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":"Investigation of the relationship between nurses' levels of mental health literacy, holistic nursing competencies, and professional self-efficacy.","authors":"Kubra Durmus, Havva Akpinar","doi":"10.5498/wjp.v15.i4.102672","DOIUrl":"https://doi.org/10.5498/wjp.v15.i4.102672","url":null,"abstract":"<p><strong>Background: </strong>Given their responsibility for the well-being of individuals, nurses with advanced mental health literacy, along with strong holistic nursing competencies and professional self-efficacy, are better equipped to assess both the mental and physical health of their patients, leading to the provision of holistic nursing care.</p><p><strong>Aim: </strong>To investigate the relationship between nurses' mental health literacy levels and their holistic nursing competencies, as well as their nursing professional self-efficacy.</p><p><strong>Methods: </strong>This study is cross-sectional, correlational research. The study sample consisted of a total of 261 volunteer nurses working in a training and research hospital and a state hospital between March 11, 2024 and April 8, 2024. Data were collected face to face with the \"Descriptive Data Form\", \"Mental Health Literacy Scale (MHLS)\", \"Holistic Nursing Competence Scale (HNCS)\", and the \"Nursing Profession Self-Efficacy Scale (NPSES)\".</p><p><strong>Results: </strong>The mean scale scores for the nurses were as follows: MHLS: 95.88 ± 11.67; HNCS: 179.46 ± 33.82; NPSES: 64.79 ± 11.24. A low-level positive correlation was found between the total scores of the MHLS, HNCS, and NPSES, and a moderate-level positive correlation was observed between the total scores of the HNCS and NPSES. These correlations were statistically significant (<i>P</i> < 0.05).</p><p><strong>Conclusion: </strong>It is recommended that initiatives be undertaken to enhance the mental health literacy and holistic nursing competencies of nurses and that similar studies be conducted with nurses in different institutions and with a larger number of nurses.</p>","PeriodicalId":23896,"journal":{"name":"World Journal of Psychiatry","volume":"15 4","pages":"102672"},"PeriodicalIF":3.9,"publicationDate":"2025-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12038671/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144047449","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}