Journal of Psychiatric and Mental Health Nursing最新文献

{"title":"Contextualizing Cumulative Trauma in Psychiatric Mental Health Nursing.","authors":"Linghua Fan, Ran Xing","doi":"10.1111/jpm.70195","DOIUrl":"https://doi.org/10.1111/jpm.70195","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148820088","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Bridging Homelessness and Mental Health Crisis Care in Indonesia: A Nursing Response to Gilmore Et al.","authors":"Raup Padillah","doi":"10.1111/jpm.70181","DOIUrl":"https://doi.org/10.1111/jpm.70181","url":null,"abstract":"<p><p>This paper is highly relevant to mental health nursing because it highlights the critical role of psychiatric and mental health nurses in addressing the intersection between homelessness, social exclusion, mental health crisis and substance-use problems. It emphasises that nurses are not only involved in crisis assessment and clinical care, but also in outreach, trauma-informed communication, continuity of medication, discharge planning, family engagement and coordination with community and social services. By proposing integrated, low-threshold and community-based crisis pathways in Indonesia, the paper strengthens the contribution of mental health nursing to equity, dignity, prevention and rights-based care for vulnerable populations.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809448","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"An Umbrella Review of Artificial Intelligence Applications in Mental Health Care.","authors":"Jonathan Odame, Gabriel Obeng-Gyamfi, Dayeon Heo, Audrey Boahemaa Kusi, Charles Kwanin, Michael Agyemang Adarkwah, Evans Appiah Osei","doi":"10.1111/jpm.70180","DOIUrl":"10.1111/jpm.70180","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;Artificial intelligence (AI) is increasingly used in mental health care to address rising demand, workforce shortages and access barriers; however, evidence remains scattered across multiple systematic reviews, limiting synthesis and practical application.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Objective: &lt;/strong&gt;To synthesise evidence on AI applications in mental health care, including trends, uses, benefits, challenges and risk-mitigation strategies, guided by an ethics of care framework.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;This umbrella review of systematic reviews followed the PRISMA 2020 guidelines. Five databases (Web of Science, Scopus, PubMed, PsycINFO and CINAHL) were searched for peer-reviewed studies published between 2021 and 2025, with additional studies identified through backward and forward citation tracking. Eligible studies were systematic reviews examining artificial intelligence (AI) applications in mental health care involving human participants. Exclusion criteria included non-systematic reviews, non-AI studies, grey literature and non-English publications. Three reviewers independently screened titles, abstracts and full texts according to predefined inclusion and exclusion criteria. Methodological quality was assessed using the AMSTAR-2 tool, and data were extracted on AI type, mental health focus, end-user applications, benefits and challenges. Extracted data were analysed thematically using an iterative coding process to identify recurring patterns on AI type, mental health focus, applications, benefits and challenges.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Twenty-seven systematic reviews with over 14 million participants were included. Findings converged across four primary themes. First, AI enhances early detection and risk stratification, particularly for depression, anxiety, stress, PTSD and suicidal ideation. Second, AI-enabled digital tools, such as chatbots and mobile platforms, expand access and engagement by supporting symptom monitoring, self-management and continuity of care. Third, structural and ethical fragilities were noted, including data bias, limited external validity, methodological heterogeneity and insufficient transparency. Fourth, AI demonstrated greatest value when embedded within human-centred, hybrid care models that preserve clinical judgement, relational care and accountability. Evidence supporting AI applications was stronger for screening and predictive tasks than for sustained therapeutic interventions. Among the 54 reviews assessed for methodological quality, 27 achieved moderate or high confidence ratings on the AMSTAR-2 tool, with stronger evidence observed in reviews evaluating AI interventions for early detection and risk prediction.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;Artificial intelligence (AI) has significant potential to enhance mental health nursing by supporting early identification of symptoms, improving access to care and strengthening clinical decision-making. For nursing practic","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148809332","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"A Population-Based Cross-Sectional Study of Trauma and Dissociation in the Community: Theoretical Re-Examination and Implications for Mental Health Nursing.","authors":"Hong Wang Fung, Grace Wing Ka Ho, Stanley Kam Ki Lam, Anson Kai Chun Chau, Jacqueline Sin","doi":"10.1111/jpm.70194","DOIUrl":"https://doi.org/10.1111/jpm.70194","url":null,"abstract":"<p><strong>Introduction: </strong>Trauma is a risk factor for mental health problems. Pathological dissociation is often theorized as a response to trauma, yet it remains a controversial topic.</p><p><strong>Aim: </strong>The present study is one of the very few to examine trauma and dissociation in a representative general population sample and is the first of its kind in the Chinese context. We examined the prevalence of pathological dissociation and its association with trauma, potential iatrogenic effects, and functional impairment.</p><p><strong>Methods: </strong>A random sample of community Hong Kong Chinese adults (N = 945) completed validated measures of trauma exposure, dissociative symptoms, depressive symptoms, and functional impairment.</p><p><strong>Results: </strong>In this sample, 33.3% endorsed at least one potentially traumatic event; 16.5% exhibited clinically significant pathological dissociation, of whom only 14.8% had ever sought professional mental health services. Childhood betrayal and non-betrayal trauma and adulthood betrayal trauma were significantly associated with dissociative symptoms, while adulthood non-betrayal trauma was not. Dissociative symptoms were the strongest predictor of functional impairment (β = 0.443, p < 0.001), even stronger than depressive symptoms (β = 0.384, p < 0.001).</p><p><strong>Discussion: </strong>This study highlights the public health and clinical importance of recognizing dissociation, which is comparably prevalent to depression and even more strongly linked to functional impairment. Our results support the trauma model in general, but do not support the betrayal trauma theory or the iatrogenic model.</p><p><strong>Implications: </strong>Dissociative symptoms are prevalent and clinically significant in the community. Nurses should be trained to identify and support people affected by pathological dissociation.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148800814","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Compassion-Fatigue Latent Profile Analysis A Cross-Sectional Study of Psychiatric Nurses' Typologies and Their Predictors.","authors":"Li Dou, Haiyang Shen, Jie Dou, Xiaoxiao Wang, Xincheng Yao, Ailei Zhang, Ting Li","doi":"10.1111/jpm.70187","DOIUrl":"10.1111/jpm.70187","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Introduction: &lt;/strong&gt;Workplace stress is prevalent in psychiatric nursing, with compassion fatigue significantly challenging nurses' well-being and care quality. Effective prevention requires identifying at-risk nurses using validated assessment frameworks. The contemporary approach to workforce mental health emphasises proactive, targeted interventions tailored to individual risk profiles. Nurses play a central role in sustaining therapeutic environments, and their psychological resources are critical to this process. However, the heterogeneity of compassion fatigue among psychiatric nurses remains underexplored.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Aim: &lt;/strong&gt;To empirically identify distinct subtypes of compassion fatigue among psychiatric nurses and examine their key predictors: METHODS: Using convenience sampling, 297 psychiatric nurses were selected from five Chinese hospitals to participate in a cross-sectional online survey. Measures of sociodemographic traits, occupational stress, social support, psychological resilience, coping methods, and compassion fatigue (as measured by the Professional Quality of Life Scale) were all filled out by the participants. Standardised scores for burnout, secondary traumatic stress, and compassion satisfaction were used as indicators in latent profile analysis. To find the ideal number of profiles, model fit indices such as the Lo-Mendell-Rubin likelihood ratio test, entropy, Bayesian information criterion, and Akaike information criterion were compared. Subsequent multivariate logistic regression examined predictors of profile membership. Data analysis was conducted using statistical methods, and the STROBE guideline was followed in reporting.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Three distinct compassion fatigue profiles were identified among psychiatric nurses: Mild Fatigue-Traumatic Stress (18.5%, n = 55), Moderate Fatigue-Low Burnout (64.0%, n = 190), and Severe Fatigue (17.5%, n = 52). Multivariate logistic regression revealed that older age, higher work stress, and greater use of negative coping were significant risk factors for more severe profiles, whereas not working night shifts, higher social support, greater positive coping, and higher psychological resilience were associated with reduced risk. The Severe Fatigue group exhibited the most adverse profile-highest work stress, lowest resilience and support, and greatest reliance on negative coping. Conversely, the group with the highest levels of resilience and social support was Mild Fatigue-Traumatic Stress.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Conclusion: &lt;/strong&gt;There are different subgroups of psychiatric nurses who feel compassion fatigue, each with unique risk and protective characteristics. These results highlight the necessity of profile-specific, focused treatments that address organisational and personal issues. Early career nurses and those working night shifts may benefit from priority support to mitigate occupational psychological burden and enhance workforce well-b","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148726113","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"What Were Nurses Responding to, and Which Nurses Responded? Interpreting Nurse-Consumer Differences in Perspectives on Safewards.","authors":"Wanchen Zhao, Hui Zhang, Na Guo","doi":"10.1111/jpm.70193","DOIUrl":"https://doi.org/10.1111/jpm.70193","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702528","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Cumulative Lifetime Trauma Exposure Among Employed Mental Health Care Professionals and Associations With Professional Quality of Life: A Cross-Sectional Survey.","authors":"Jacob Hvidhjelm, Lene Lauge Berring","doi":"10.1111/jpm.70192","DOIUrl":"https://doi.org/10.1111/jpm.70192","url":null,"abstract":"<p><strong>Introduction: </strong>Mental health care professionals face emotionally demanding work and often carry invisible personal trauma histories.</p><p><strong>Aim: </strong>To examine cumulative lifetime trauma exposure among employed psychiatric mental health care professionals and its associations with burnout, secondary traumatic stress, and compassion satisfaction.</p><p><strong>Method: </strong>A cross-sectional survey among 309 staff (31.4% registered nurses, 43.7% healthcare assistants, 12.0% psychiatrists and psychologists, 12.9% other) at a Danish psychiatric centre assessed cumulative lifetime trauma exposure, operationalised as a count of ten potentially traumatic event categories, using the Brief Trauma Questionnaire and professional quality of life (ProQOL).</p><p><strong>Results: </strong>Among those reporting trauma, 34.3% endorsed two or more categories. Higher trauma exposure was associated with secondary traumatic stress (β = 1.27, p = 0.005) and burnout (β = 1.05, p = 0.028) but not compassion satisfaction (p = 0.759).</p><p><strong>Discussion: </strong>Cumulative trauma exposure is a largely invisible background characteristic contributing independently to trauma-related professional strain. Thisis particularly relevant for nursing, as nurses and nursing support staff constitute 75.1% of the inpatient workforce.</p><p><strong>Limitations: </strong>Cross-sectional design and single-centre sample limit causal inference and generalisability.</p><p><strong>Implications: </strong>Findings support universal, trauma-informed organisational approaches that do not require disclosure of personal trauma histories, making them feasible for all staff.</p><p><strong>Recommendations: </strong>Longitudinal studies should examine associations between trauma exposure and occupational demands.</p><p><strong>Relevance statement: </strong>Mental health nursing takes place in emotionally demanding environments where staff are routinely exposed to patients' traumatic experiences. This study demonstrates that employed psychiatric mental health care professionals commonly carry cumulative lifetime trauma histories that are associated with secondary traumatic stress and burnout, independent of workplace exposures. These findings are directly relevant to mental health nursing practice, as they highlight a largely invisible source of workforce vulnerability that is unlikely to be effectively addressed through individual screening or targeted interventions. The findings support the implementation of universal, trauma-informed organisational strategies that protect all mental health care staff, including nursing staff, regardless of personal trauma history.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148702603","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Beyond Individual Acceptance: Mapping the Social Diffusion of Safewards Within Nursing Teams.","authors":"Yu Hong","doi":"10.1111/jpm.70191","DOIUrl":"https://doi.org/10.1111/jpm.70191","url":null,"abstract":"","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680444","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"The Impact of the Strengths Model Strengths-Based Practice on Mental Health Care: A Meta-Ethnography.","authors":"John Pullman, Paul Beckett, Miho Katayama, Luke Molloy","doi":"10.1111/jpm.70188","DOIUrl":"https://doi.org/10.1111/jpm.70188","url":null,"abstract":"<p><strong>Introduction: </strong>The Strengths Model offers a framework for mental health treatment, emphasising individuals' strengths over deficits. Traditional deficit-focused practices often lead to feelings of helplessness among people with mental illness and clinicians. The Strengths Model's alignment with the principles of recovery has seen it become viewed as a synergistic approach to support recovery-oriented practice.</p><p><strong>Aim/question: </strong>This meta-ethnography aims to synthesise qualitative research to understand how the Strengths Model is perceived, experienced and operationalised across different contexts.</p><p><strong>Method: </strong>The review followed Noblit and Hare's meta-ethnography method, synthesising qualitative research studies identified through systematic searching and appraisal of the literature. Seven studies were included, focusing on the Strengths Model in mental health services.</p><p><strong>Results: </strong>Three overarching themes emerged: collaborative practice, empowering people and a mix of limitations. The Strengths Model fosters a therapeutic relationship between service users and clinicians, emphasises strengths over deficits and promotes a recovery-oriented approach.</p><p><strong>Discussion: </strong>The Strengths Model enhances therapeutic relationships and collaborative working alliances, crucial for successful mental health outcomes. However, challenges include its suitability for all service users and potential resistance from clinicians.</p><p><strong>Implications for practice: </strong>The model aligns with recovery-oriented reforms and human rights-based approaches, enhancing personal strengths and goals.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148680662","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

{"title":"Barriers to Psychological Help-Seeking in Postpartum Women With Depression, Anxiety, or Comorbid Conditions: A Qualitative Exploration.","authors":"Elīna Zelčāne, Kristīne Mārtinsone, Anita Pipere, Kristīne Vende, Ance Mestere, Elmārs Rancāns","doi":"10.1111/jpm.70190","DOIUrl":"https://doi.org/10.1111/jpm.70190","url":null,"abstract":"<p><strong>Introduction: </strong>Postpartum mental health research has traditionally focused on depression, though anxiety is gaining attention. Alarmingly, nearly half of the affected women do not seek help, leaving conditions frequently unrecognised and untreated.</p><p><strong>Aim: </strong>This study explores barriers to professional psychological help-seeking among postpartum women in Latvia with postpartum depression (PPD), generalised anxiety disorder (GAD), or both.</p><p><strong>Method: </strong>Using the qualitative comparison groups design and thematic analysis, seventeen semi-structured interviews were conducted, with four participants diagnosed with PPD, six with GAD, and seven with both PPD and GAD.</p><p><strong>Results: </strong>Overarching domains of help-seeking barriers were: (1) Individual barriers (hesitation and internal rationalisations, lack of awareness and information about symptoms, stigmatisation and emotional barriers); (2) Family barriers (difficulties arranging childcare); and (3) Systemic and socioeconomic barriers (financial constraints, accessibility and systemic issues, lack of information). Specifically, women with PPD reported emotional unawareness and guilt; those with GAD feared burdening others. Comorbid cases emphasised logistical and access barriers.</p><p><strong>Implications and recommendations: </strong>Help-seeking behaviour in the postpartum period is influenced by individual, family, and structural factors. To improve access to psychological care, it is essential to foster maternal mental health literacy, normalise help-seeking through public discourse, and ensure health systems proactively support and inform parents.</p>","PeriodicalId":50076,"journal":{"name":"Journal of Psychiatric and Mental Health Nursing","volume":" ","pages":""},"PeriodicalIF":3.1,"publicationDate":"2026-08-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148664861","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}