Journal of Child and Adolescent Psychiatric Nursing最新文献

{"title":"Perceived Stress, Loneliness, and Resilience in Relation to Game Addiction Among Adolescents in Bangkok During the COVID-19 Pandemic Transition Period","authors":"Prangwalai Attasara,&nbsp;Tusana Thaweekoon,&nbsp;Wilai Napa","doi":"10.1111/jcap.70044","DOIUrl":"10.1111/jcap.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>The COVID-19 pandemic has led to an increase in adolescent gaming due to lockdowns and the shift to online learning. Although factors linked to game addiction in adolescents before and during the pandemic have been explored, research on patterns following the easing of restrictions is limited.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study examined the relationship between perceived stress, loneliness, resilience, and game addiction among adolescents in Bangkok during the COVID-19 pandemic transition period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This correlational study included 346 high school students from two schools in Bangkok, Thailand, selected using a proportional stratified random sampling method. Data were collected from November to December 2022 during Thailand's reclassification of COVID-19 as a communicable disease under a surveillance system. Descriptive statistics and Spearman's correlation were used for the analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The findings showed that 15.0% of adolescents were at risk of game addiction, with 4.4% being addicted. Most (87.3%) engaged in gaming, and 38.7% played games daily. Perceived stress (r_(s) = 0.14, <i>p</i> = 0.01) and loneliness (r_(s) = 0.25, <i>p</i> &lt; 0.001) were positively correlated with game addiction, while resilience was negatively correlated (r_(s)= −0.26, <i>p</i> &lt; 0.001). All resilience components—“I have” (external support) (r_(s) = −0.21), “I am” (inner strength) (r_(s) = −0.28), and “I can” (interpersonal and problem-solving skills) (r_(s)= −0.24)—were negatively correlated with game addiction (<i>p</i> &lt; 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>This study identified perceived stress and loneliness as risk factors for game addiction, and resilience as a protective factor. These findings offer valuable insights for professionals, including nurses, to develop targeted prevention programs for adolescents during the pandemic transition period and in the event of future crises.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459683","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 Evaluation of Emotional Abuse Situations of Turkish and Migrant Children","authors":"Melike Yavaş Çeli̇k,&nbsp;Musa Güler","doi":"10.1111/jcap.70043","DOIUrl":"10.1111/jcap.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The research was conducted to evaluate the emotional abuse experienced by Turkish and immigrant children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>The sample of the descriptive study consisted of 300 children (150 Turkish and 150 Syrian nationals). The data of the study were collected by the face-to-face interview method using the Data Collection Form and Emotional Abuse Questionnaire. SPSS 24.0 statistical program was used to evaluate the data. Significance was assessed at <i>p</i> &lt; 0.05 level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>In the comparison of the sociodemographic characteristics of Syrian and Turkish students according to the groups, significant differences were found in the variables of age and number of siblings. It was seen that the total mean score of the Emotional Abuse Scale was 44.95 ± 20.56 in Syrian students and 35.37 ± 20.13 in Turkish students. Significant differences were determined between the responses of Syrian and Turkish students to the Emotional Abuse Scale items. The comparison of the mean scores of the emotional abuse scale and subdimensions of Syrian and Turkish students revealed a statistically significant difference between them.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>In the study, it was determined that both Turkish and Syrian students experienced emotional abuse. However, it was determined that Syrian students experienced more emotional abuse. This situation was seen as a reflection of the migration that immigrants experienced due to war.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402386","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":"Risk and Protective Factors Associated With Suicide Attempts: A Qualitative Study Among Hospitalized Patients in Turkey","authors":"Mehmet Fatih Şiraz,&nbsp;Ali Eryılmaz,&nbsp;Hacer Yıldırım-Kurtuluş,&nbsp;Mehmet Sabri Bozdaş,&nbsp;Murat Yıldırım","doi":"10.1111/jcap.70040","DOIUrl":"10.1111/jcap.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study aimed to investigate the contributing factors to suicidal behavior and to gather insights from individuals who have attempted suicide regarding potential clinical, psychosocial, and family-based prevention resources.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative research design was employed to explore participants' lived experiences and perceptions surrounding suicidal behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Data were collected through semi-structured interviews with 12 individuals (four men and eight women) who had previously attempted suicide, selected using purposive sampling. All participants were admitted to the Emergency Department of a public hospital in Kayseri immediately following their suicide attempts and were subsequently referred to the inpatient psychiatry service for treatment. The data were analyzed using Interpretative Phenomenological Analysis (IPA) to explore participants' lived experiences and meanings. Frequency counts of emergent themes and subthemes were also noted to illustrate their relative prominence, but IPA remained the primary analytic approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Three main themes emerged from the data: individual, environmental, and relational factors. Individual factors included risk elements such as irrational beliefs, negative emotions, and physical health problems, as well as protective factors like emotional regulation, religious beliefs, and medication use. Environmental factors encompassed financial difficulties and lack of social support as risks, with the presence of social support acting as a protective element. Relational factors involved betrayal, arguments, violence, and punitive desires as risks, while commitment to family members served as a protective factor. Overall, protective factors such as religious beliefs, social support, and family connectedness appear to be particularly effective in reducing suicidal thoughts.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient or Public Contribution</h3>\u0000 \u0000 <p>Participants with lived experience of suicide attempts made unique contributions to this study by sharing their first-hand perspectives on the personal, social, and relational contexts of suicidal behavior. Their narratives not only shaped the thematic analysis but also highlighted prevention opportunities such as strengthening family connectedness and enhancing social support that may not have emerged through quantitative approaches alone.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337782","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 Alexithymia on Emotional Self-Efficacy Among High School Students in Konya Province","authors":"Merve Yazar Renkyorganci,&nbsp;Berna Bayir","doi":"10.1111/jcap.70042","DOIUrl":"10.1111/jcap.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the impact of alexithymia on emotional self-efficacy levels among senior high school students in Konya Province, Türkiye.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional analytical research design was employed, involving 207 senior high school students who were actively enrolled in formal education and consented to participate. Data collection utilized the Introductory Information Form, the Toronto Alexithymia Scale, and the Emotional Self-Efficacy Scale. Statistical analyses included descriptive statistics, independent t-tests, ANOVA, Kruskal-Wallis tests, Tukey tests, Dunnett's C Test, Spearman's correlation, and multiple regression analyses, with a 95% confidence interval.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The mean total score for the Toronto Alexithymia Scale was 55.65 ± 10.82, while the mean total score for the Emotional Self-Efficacy Scale was 107.28 ± 18.39. A significant negative correlation was found between alexithymia levels and emotional self-efficacy. Additionally, perceived academic status of students and their reasons for using technological devices were significantly associated with their emotional self-efficacy scores (<i>p</i> &lt; 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study shows that alexithymia has a negative impact on students' emotional self-efficacy, highlighting the need to strengthen emotional skills during adolescence. Enhancing students' emotional awareness and coping strategies through educational, family, and community-based initiatives may contribute to their psychological well-being and academic success. Interventions that reduce alexithymic characteristics and promote emotional competencies could play a key role in supporting healthier developmental outcomes among high school students.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337783","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":"Mental Health of Adolescents Orphaned by COVID-19 and Service System Responses: A Longitudinal Study","authors":"Hassan Soleimani-Rad,&nbsp;Saeed Ariapooran,&nbsp;Zahra Karami","doi":"10.1111/jcap.70041","DOIUrl":"10.1111/jcap.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>Researchers have predicted increasing and persistent psychological problems among adolescents orphaned by COVID-19. However, empirical evidence in this regard remains scarce. This study aimed to examine the long-term mental health outcomes of adolescents orphaned by COVID-19 and the corresponding mental health service responses.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>This was a longitudinal study. Forty-four adolescents orphaned by COVID-19 and forty-four matched adolescents (based on demographic characteristics) were selected through purposive sampling. Both groups were assessed across five time points over one and a half years using the same set of questionnaires.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Baseline t-test results indicated that the orphaned group exhibited more clinical symptoms—including internalizing and externalizing disorders, social problems, suicidal thoughts, and PTSD symptoms—and lower levels of perceived social support and psychological well-being than the matched group. Repeated measures analyses showed that these differences persisted across the four follow-up stages, except for perceived social support, which increased in the orphaned group. According to Cochran's Q results, the prevalence of internalizing disorders and suicide attempts in the orphaned group increased over time. Mixed model results demonstrated that perceived social support was significantly associated with all clinical symptoms and psychological well-being. Notably, none of the participants had access to mental health services.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The findings indicate a deterioration in the mental health of some adolescents orphaned by COVID-19 over time, with no free or accessible mental health services available to them during or after the pandemic.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303937","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":"Simulation Networks Elucidate the Preliminary Structure of Suicide Risk Factors Among Adolescents","authors":"Jeffrey V. Tabares,&nbsp;Alexander Muela,&nbsp;Ennio Ammendola,&nbsp;Jon García-Ormaza","doi":"10.1111/jcap.70037","DOIUrl":"10.1111/jcap.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Suicide represents a public health concern with international reach that challenges healthcare systems and policies. Despite high rates of death by suicide among adolescents, few studies have examined suicide risk factors among this group (generally) and within a vulnerable adolescents placed in residential care (specifically). This preliminary study utilizes simulation network models to identify structural differences in suicide risk factor networks when comparing adolescents who either reported or did not report suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adolescents from residential care units in the Basque Country (northern Spain) were recruited for this study (age 12–18, <i>n</i> = 415). Adolescents completed baseline measures on suicidal cognitions, entrapment, mental pain, depression, suicide attempts before baseline, hopelessness, perceived burdensomeness, thwarted belongingness, and exposure to suicidal behavior. Data from these measures were used to create separate networks demarcated by respondent reporting of suicidal ideation (i.e., a network for participants reporting ‘Yes’ and a separate network for participants reporting ‘No’).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>‘Yes’ and ‘No’ networks had differences in risk factor connectivity, but also in influential risk factors. ‘Yes’ was driven primarily by perceived burdensomeness, suicidal cognitions, and entrapment while ‘No’ was driven by perceived burdensomeness, entrapment, and psychache.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Separate ‘Yes’ and ‘No’ networks indicate differential structure and influential risk factors among adolescents. Those identified influential risk factors could serve as intervention targets to disrupt suicide risk networks (and, by extension, prevent suicidal behavior).</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239866","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":"Non-Suicidal Self-Injury in Adolescents: A Systematic Review on Prevention and Intervention Programmes","authors":"Itziar Escofet-Colet,&nbsp;Lina Cristina Casadó-Marín,&nbsp;Lydia Orós-Navas,&nbsp;Rosa Raventós-Torner","doi":"10.1111/jcap.70039","DOIUrl":"10.1111/jcap.70039","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Non-suicidal self-injury can be defined as self-inflicted behaviour that involves the direct and deliberate destruction of one's own body tissue without suicidal intent. In recent years, scientific evidence has shown a significant increase in the prevalence rates of non-suicidal self-injury among the adolescent population.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Objectives&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The aim of this study was to examine the existing psychotherapeutic interventions and prevention programmes available for addressing non-suicidal self-injury in the adolescent population.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Data Sources&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;A systematic review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This review was not prospectively registered in PROSPERO. However, it was conducted in accordance with established methodological frameworks, including PRISMA and STROBE. Detailed reporting of the methods enhances transparency and supports replicability. The review included observational studies published between 2013 and 2023. The databases consulted were PubMed, CINAHL, SCOPUS and Web of Science. Out of 1343 initial records, 13 studies met the inclusion criteria.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusions&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The results indicated that interventions such as the peer-to-peer prevention programme and Happyles programmes significantly reduced non-suicidal self-injurious behaviours and improved emotional regulation. Effective components of the interventions included self-help kits with sensory regulation tools. The main risk factors identified included poor sleep quality, lack of parental support and adverse childhood experiences. Despite the growing concern about this phenomenon, there is little information on specific interventions targeting self-injurious behaviours, or on preventive programmes.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Implications for Practice&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The findings from this study offer guidance to enhance nursing competencies in the early identification, risk assessment, and therapeutic management of non-suicidal self-injury among adolescents. Specifically, the results support the integration of evidence-based interventions such as emotional regulation training, mindfulness techniques, and psychoeducation into nursing practice. Moreover, this knowledge can inform the development of school-based prevention programmes led by community nurses and targeted in","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239874","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":"Factors Associated With the Utilization of Family Planning Among Young Adults. A Comparative Cross-Sectional Study in the Kassena Nankana Municipality, Ghana","authors":"Kennedy Diema Konlan,&nbsp;David Adedia,&nbsp;Felix Kwasi Nyande","doi":"10.1111/jcap.70038","DOIUrl":"https://doi.org/10.1111/jcap.70038","url":null,"abstract":"&lt;div&gt;\u0000 \u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Background&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;Family planning significantly reduces maternal mortality and contributes to achieving the Sustainable Development Goals. However, the unmet need for family planning in Ghana is still relatively high. This study assessed the factors influencing the use of family planning in a resource-limited setting.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Methods&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The study used 384 adults (17–56 years) in the Navrongo central sub-municipality, selected using the multi-stage sampling method. Data was cleaned in Microsoft Excel 365 before being transferred to SPSS version 27 and R for analysis. Composite scores were determined and transformed into percentages. The percentage scores of more than 75% were coded as utilisation or good knowledge of modern family planning, depending on the specific section. The Pearson Chi-square test was performed to examine the relationship between the independent variables on overall utilisation and overall knowledge of family planning. Logistic regression and complementary log-log models were used to model the predictors of the utilisation and knowledge of modern family planning. All &lt;i&gt;p-values&lt;/i&gt; ≤ 0.05 were deemed statistically significant.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Results&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;The overall utilisation of modern family planning was not very high (43.2%). Overall, the respondents showed good knowledge (81.3%) of modern family planning. Married young adults (RR = 2.1, 95% CI: 1.39–3.27, &lt;i&gt;p-value&lt;/i&gt; = 0.001) were more likely to utilise modern contraceptives. Male young adults are less likely to utilise family planning (RR = 0.21, 95% CI: 0.12–0.34, &lt;i&gt;p&lt;/i&gt; &lt; 0.001) than females. Those aged at least 37 years (RR = 1.72, 95% CI: 1.11–2.71, &lt;i&gt;p-value&lt;/i&gt; = 0.017) were more likely to have good knowledge of modern family planning than those aged 17 to 26 years. Compared with those with tertiary education, those below SHS (RR = 2.53, 95% CI: 1.54–4.31, &lt;i&gt;p-value&lt;/i&gt; &lt; 0.001) and those with SHS education (RR = 1.79, 95% CI: 1.27–2.55, &lt;i&gt;p-value&lt;/i&gt; = 0.001) were more likely to have good knowledge of modern family planning. Those with household income between 500 and 1000 (RR = 5.39, 95% CI: 2.18–17.99, &lt;i&gt;p-value&lt;/i&gt; = 0.002) and household income more than 1000 cedis (RR = 5.12, 95% CI: 2.04–17.25, &lt;i&gt;p-value&lt;/i&gt; = 0.003) were more likely to have good knowledge of family planning than those with household income below 500 cedis per month.&lt;/p&gt;\u0000 &lt;/section&gt;\u0000 \u0000 &lt;section&gt;\u0000 \u0000 &lt;h3&gt; Conclusion&lt;/h3&gt;\u0000 \u0000 &lt;p&gt;This study revealed a high level of knowledge and relatively low utilization of modern family planning. Family planning interventions must incorporate behaviour change theoretical m","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224356","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":"Caregivers' Experiences Taking Care of Children and Teenagers With Autism Spectrum Disorders During the COVID-19 Pandemic in Thailand: A Qualitative Approach","authors":"Chalisa Rujilekpanya,&nbsp;Wilai Napa,&nbsp;Tusana Thaweekoon","doi":"10.1111/jcap.70036","DOIUrl":"10.1111/jcap.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During the COVID-19 pandemic, children and teenagers with autism exhibited behavioral changes, which contributed to increased parenting stress. This study focused on caregivers' experiences in Thailand, as they often lacked information on how to address these issues, and it may serve as a valuable source of essential information for further interventions for parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To explore caregivers' experiences while caring for children and teenagers with autism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The researcher conducted a qualitative study to explore caregivers' experiences regarding caregiving for children and teenagers with autism during the COVID-19 pandemic. A total of 15 participants, who were caregivers, were interviewed using a semi-structured questionnaire until data saturation was achieved. The data set was transcribed verbatim by professionals and analyzed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants' experiences were reflected in four themes: (a) facing difficulties with behavioral changes; the caregivers faced the behaviors changing such as decreasing connecting behaviors, children's self-stimulating behaviors, losing control of their eating, and time spent watching their screens (b) caring adaptation: caregivers adapted their caregiving strategies to manage child-developmental training and infection prevention; (c) confronting emotions: caregivers experienced anxiety and stress while caring for their children; and (d) assistance: caregivers received help from local volunteers who delivered food and medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The caregivers' experiences included dealing with changing behaviors, adapting to care, and facing negative emotions while caring for their loved ones. Health professionals should provide parents with information about managing changing behaviors and reducing parenting stress. Additionally, they should deliver information via alternative platforms, such as telemedicine phone calls, when needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092616","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":"Experiences, Difficulties, and Coping Mechanisms of Parents With Children With Autism: A Phenomenology Study in Türkiye","authors":"Gamze Kaş Alay,&nbsp;Havva Kaçan,&nbsp;Seniha Kurtoğlu","doi":"10.1111/jcap.70035","DOIUrl":"https://doi.org/10.1111/jcap.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Autism spectrum disorder (ASD) has the potential to create a number of challenges and problems for parents due to having lifelong problem behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this qualitative study was to explore the experiences, difficulties, and coping mechanisms of parents with children with ASD through a multidisciplinary team approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This study employed a descriptive qualitative research methodology. Data were collected through semi-structured, face-to-face individual interviews with 12 parents, guided by a structured interview protocol. Data management and analysis were conducted using the MAXQDA program. A thematic approach was used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported experiencing both challenges and positive emotions related to raising a child diagnosed with ASD, and described a variety of coping strategies. Thematic analysis of the interview data revealed five key themes centered on parental perspectives: (1) parenting a child with ASD, (2) families' reactions to the diagnosis, (3) psychological and social difficulties, (4) future-related concerns, and (5) perceived support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents of children have ASD have to cope with many problems throughout their lives. Resources are needed to support parents bio-psycho-socially. Enhancing the provision of standardized education and support to parents can be achieved by improving existing health and social policies, establishing formal support networks, and facilitating access to childcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881397","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}