Journal of Child and Adolescent Psychiatric Nursing最新文献

{"title":"Pediatric Medical Traumatic Stress: What Psychiatric Nurses Need to Know","authors":"Elena Abascal Asimow, Kasey Jackman","doi":"10.1111/jcap.70025","DOIUrl":"https://doi.org/10.1111/jcap.70025","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143939313","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Mediating Role of Hopelessness in the Relationship Between Social Media Addiction and Loneliness Among Adolescents","authors":"Mustafa Durmuş,&nbsp;Abdullah Sarman,&nbsp;Necmettin Çiftci,&nbsp;Yusuf Durmuş","doi":"10.1111/jcap.70024","DOIUrl":"https://doi.org/10.1111/jcap.70024","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aims to explore the mediating role of hopelessness in the relationship between social media addiction and loneliness among adolescents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study was conducted using a descriptive cross-sectional correlational design. The study population comprised high school students in a provincial center in eastern Turkey. Through cluster sampling, 946 adolescents were included. This study was conducted between May 2024 and Sep 2024. Data collection involved a personal information form, the Social Media Addiction Scale for Adolescents (SMAAS), the UCLA Loneliness Scale Short Form (ULS-8), and the Beck Hopelessness Scale (BHS). Data analysis was conducted using SPSS 25, G*Power 3.1, and AMOS 24 software.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean scores were as follows: SMAAS (20.44 ± 6.96), ULS-8 (16.14 ± 3.97), and BHS (7.25 ± 5.16). Significant positive correlations were found between the scales. The model describing the relationships among social media addiction, loneliness, and hopelessness was within acceptable limits and yielded significant results (<i>Χ</i>²/df=2.978, RMSEA = 0.052, CFI = 0.962, GFI = 0.971, IFI = 0.912). Social media addiction significantly affected loneliness, and time spent on social media also had a significant impact on loneliness (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Adolescents were found to use social media extensively, mainly for communication with friends and family. Hopelessness and time spent on social media were identified as mediators in the relationship between social media addiction and loneliness. Findings suggest that reducing social media use may help mitigate loneliness and hopelessness. Mental health assessments should consider social media behavior, and educational programs should address its psychological impacts. Child and adolescent psychiatric nurses should be trained to recognize signs of loneliness and hopelessness in adolescents at an early stage.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70024","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143919433","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Promoting Growth in Child and Adolescent Cancer Survivors: The Critical Role of Mental Health Nurses","authors":"Yeter Sinem Üzar-Özçetin","doi":"10.1111/jcap.70023","DOIUrl":"https://doi.org/10.1111/jcap.70023","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-08","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143925978","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Effect of Acceptance and Commitment Group Therapy on Resilience Among Youths With Substance Abuse","authors":"Jinjutha Chaisena Dallas,&nbsp;Duangjai Vatanasin,&nbsp;Pakinee Detchaiyot,&nbsp;Sawitree Wonginjun","doi":"10.1111/jcap.70022","DOIUrl":"https://doi.org/10.1111/jcap.70022","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Strengthening the resilience of young people recovering from substance abuse is essential for effectively preventing relapse.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This study investigated the impact of an Acceptance and Commitment Therapy (ACT) intervention on youths undergoing substance use rehabilitation in the Eastern region of Thailand. Participants in the intervention group received the ACT-based intervention alongside their regular rehabilitation program (<i>n</i> = 50), while the control group received standard treatment (<i>n</i> = 50). Data were collected at three time points: before, immediately after, and 1 month after intervention, using a personal information questionnaire and a resilience scale. The data were analyzed using descriptive statistics and two-way repeated measures ANOVA.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The study found that participants in the intervention group had significantly higher mean resilience scores immediately after the intervention and at the 1-month follow-up compared to the control group (<i>F</i>_{(1, 98)} = 7991.00, <i>p</i> &lt; 0.001). Analysis of the repeated measures ANOVA revealed a statistically significant difference in resilience mean scores between pre-intervention and the 1-month follow-up in the intervention group (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This finding shows that ACT group therapy effectively enhances resilience in youth recovering from substance use. Psychiatric nurses play a crucial role in the recovery process. They can use this therapy to design tailored intervention programs sensitive to youth's cultural and community contexts that fosters adaptive thinking and behaviors, building resilience in this vulnerable population.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143909291","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Seeking Healthcare in Many Different Places: Mental Health Strengths and Challenges Among Omani Female Adolescents","authors":"Zeyana Al Ismaili,&nbsp;Faye Gary,&nbsp;Cheryl M. Killion,&nbsp;Diana Lynn Morris,&nbsp;Sharon E. Milligan,&nbsp;Suad M. Al Junaibi","doi":"10.1111/jcap.70019","DOIUrl":"https://doi.org/10.1111/jcap.70019","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescents undergo overwhelming physiological, psychological, social, and cognitive changes. The stress can be worse when they must meet cultural expectations. However, there is a paucity of literature regarding the cultural impact on adolescent mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The phenomenological study aimed to describe Omani female adolescents' lived experiences with mental health issues within their cultural context and future well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study employed semi-structured individual interview questions using a secured videoconferencing Zoom meeting. The participants were recruited using purposive sampling. The participants included single female Omani adolescents (aged: 18–24 years). A horizontalization analysis followed the transcription, translation, and backward translation process.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Twelve participants were included which was the point of data saturation. The study's findings revealed the following major themes: 1. The profound influence of Omani culture on female adolescent mental health; 2. The crucial impact of parenting on decision-making; 3. The sensitive issue of cultural taboo and 4. The alarming reality of mental health stigmatization. These findings underscore the urgent need for culturally relevant and age-appropriate interventions, emphasizing the potential impact of this study on the field.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>It is urgent that nurse leaders across levels (practice, education, research, and policy) actively collaborate with other stakeholders. Together, nurse leaders can initiate discussions and negotiations to reflect the health needs of Omani female adolescents through the development of protocols, interventions, guidelines, and policies that are culturally relevant and age-appropriate.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70019","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143909364","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Association Between Gender Perceptions and Fathers' Perceptions of Their Role in Parenting Young Children","authors":"Eda Gülbetekin,&nbsp;Öznur Özdemir Gokmen","doi":"10.1111/jcap.70016","DOIUrl":"https://doi.org/10.1111/jcap.70016","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The aim of this study is to examine the relationship between the perception of gender and the perception of fatherhood role among fathers having 0 to 6 year olds.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study was conducted with descriptive, cross-sectional, and correlational design between December 2022 and March 2023. The sample of the study consisted of 1108 fathers with 0-6 year olds who were selected using the simple random sampling method and were living in different cities of Turkey. “Perception of Gender Scale” and “Perception Measurement for Father's Role” were used in the study.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The fathers who had more egalitarian gender beliefs, knew the concept of gender equality, and believed that their family had gender equality were more likely to take an active role in family functions, fatherhood roles and family processes. Therefore, the perception of fatherhood role was significantly higher in terms of developing a healthy father-child relationship.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In light of results of this study, it is thought that there are important implications for policy makers, practitioners, healthcare professionals working with the family, and nurses who are in contact with the family at every stage, which will contribute to the healthy progress of family processes.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143909292","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Integrated Aftercare Support for Parents and Carers Following a Child's Suicide Attempt: A Qualitative Study","authors":"Michelle Kehoe,&nbsp;Liza Hopkins,&nbsp;Richard Whitehead,&nbsp;Denny Meyer,&nbsp;Maya Nedeljkovic","doi":"10.1111/jcap.70021","DOIUrl":"https://doi.org/10.1111/jcap.70021","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Parents and carers often provide support for their child following a suicide attempt. Yet many parents struggle to obtain support for themselves during this stressful period which can result in feelings of powerlessness and being unheard.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of the current study was to explore the experiences of parents and carers whose child was receiving intensive outreach support following a suicide attempt.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The study used semi-structured interviews with parents and carers. Interviews were conducted via telephone ranging from 14 to 56 min (<i>M</i> = 29 min). An inductive thematic analysis was undertaken to explore the data. Seven parents and carers participated in one-on-one interviews.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>It was found that the outreach support provided was vastly different from prior experiences and this was a pleasant surprise. In addition, parents described the high level of emotional support for both the child and themselves. A highlight of the support was the family peer worker whom they could relate to. Parents acknowledged that contact with the team provided insights on how to change their parenting or relationship practices.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Direct and dedicated parent support is a key aspect that services should consider when implementing a child and youth service to address suicidality, since this enables the family to readjust following a traumatic event.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-05-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70021","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143909293","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Psychological Well-Being of Female High School Students: Effectiveness of Transactional Analysis","authors":"Fatemeh Talebi Siavashani,&nbsp;Fatemeh Bazrafshan,&nbsp;Mehravar Javid,&nbsp;Elaheh Hedayatollahnajafi","doi":"10.1111/jcap.70020","DOIUrl":"https://doi.org/10.1111/jcap.70020","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Adolescence is a critical developmental stage, characterized by personal challenges and transitions, highlighting the importance of psychological well-being in maintaining positive mental health.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to evaluate the impact of transactional analysis (TA) training in improving psychological well-being among adolescent girls.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>A quasi-experimental study employed convenience sampling with 30 seventh-grade female high school students (M_age = 13.5). The participants were randomly assigned to either an experimental group receiving eight sessions of TA (<i>n</i> = 15) or a waitlist control group (<i>n</i> = 15). Both groups completed the short form version of Ryff's Psychological Well-Being Scale pre- and post-intervention.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>TA significantly improved psychological well-being in the experimental group compared to the control group (<i>F</i> = 4.68, <i>p</i> = 0.04).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings suggest that TA is an effective intervention for enhancing adolescent psychological well-being, highlighting its potential as a valuable mental health strategy.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143865630","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of Adversity and Family Conflict on Risk for Future Substance Use Among Young Adolescents in the Adolescent Brain Cognitive Development Study (ABCD Study): A Cohort Analysis","authors":"Sarah M. Rodrigues,&nbsp;Afsaneh Saghafi,&nbsp;Qiao Wang,&nbsp;Sanghyuk S. Shin,&nbsp;Sarahjane L. Dube,&nbsp;Annabel Diestel,&nbsp;Robin Stevens,&nbsp;Dawn T. Bounds","doi":"10.1111/jcap.70017","DOIUrl":"https://doi.org/10.1111/jcap.70017","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Early initiation of substance use (<span></span><math>\u0000 <semantics>\u0000 <mrow>\u0000 \u0000 <mrow>\u0000 <mo>≤</mo>\u0000 </mrow>\u0000 </mrow>\u0000 <annotation> $le $</annotation>\u0000 </semantics></math> 14 years old) constitutes a key target for intervention strategies. This study investigated associations between exposure to adverse childhood experiences (ACEs) and risk for future substance use among young adolescents in the United States (US); the moderating effect of family conflict was also explored.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Mixed-effects modeling was used to analyze self-report data collected from adolescents and parents at baseline and 3-year follow-up (Y3) in the Adolescent Brain Cognitive Development Study (ABCD Study) (Data Release 5.1, 2016–2022, US).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>After adjusting for socio-demographic covariates, significant positive associations were found between adolescent ACEs score at baseline (ages 9–10) and risk for future alcohol (<i>b</i> = 0.03, <i>p</i> &lt; 0.001), cigarette/<i>e</i>-cigarette (<i>b</i> = 0.04, <i>p</i> &lt; 0.001), and marijuana use (<i>b</i> = 0.06, <i>p</i> &lt; 0.001) at Y3 (ages 12–13) (<i>n</i> = 10,213 dyads). Family conflict reported at baseline was not found to moderate these associations.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Cumulative ACEs exposure was associated with increased risk for future alcohol, cigarette/<i>e</i>-cigarette, and marijuana use among a national sample of young adolescents. Findings highlight the potential for trauma-informed, developmentally appropriate preventative interventions to mitigate risk for future substance use among adversity-impacted adolescents.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70017","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143861458","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Relationship Between Excessive Screen Time, Self-Harm, and Suicidal Behavior in Adolescents During the COVID-19 Pandemic: An Integrative Literature Review","authors":"Mariane Inaraí Alves,&nbsp;Sérgio Alves Dias Junior,&nbsp;Thais Martins,&nbsp;Adriana Olimpia Barbosa Felipe,&nbsp;Patrícia Scotini Freitas,&nbsp;Denis da Silva Moreira","doi":"10.1111/jcap.70015","DOIUrl":"https://doi.org/10.1111/jcap.70015","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Adolescents are being increasingly exposed to digital media, especially in the aftermath of the COVID-19 pandemic. This reality raises concerns over the effects of this exposure, in addition to an increase in suicidal behavior and self-harm.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Aim/Question</h3>\u0000 \u0000 <p>This study aims to analyze the relationship between excessive screen time, self-harm, and suicidal behavior in adolescents during the COVID-19 pandemic.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>This is an integrative literature review. The research question was structured using the PICOT strategy (P—adolescents; I—intensive screen and internet time; O—suicidal behavior and self-harm; and T—pandemic timeframe). The databases included were: Embase, LILACS, PubMed, Scopus, Cinahl, Web of Science, and Google Scholar. Initially, 1645 studies were found; after reviewing their titles and abstracts, 18 studies met the eligibility criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The results revealed concerning associations between prolonged exposure and behaviors such as self-harm and suicidal behavior. Implications for Practice: These findings can assist nurses in identifying young individuals at risk due to inappropriate technology use, enabling the development of tailored interventions, the implementation of educational programs for healthy digital habits, and the promotion of mental well-being.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Recommendation</h3>\u0000 \u0000 <p>In light of the above, measures to mitigate this problem and the risks stemming from prolonged exposure are needed, considering that the adverse effects go beyond the pandemic context.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 2","pages":""},"PeriodicalIF":1.6,"publicationDate":"2025-04-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70015","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143840800","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}