Research in Nursing & Health最新文献_第7页

The Differential Impact of Emotional Support on Social Problem-Solving and Mental Health Among Latina Immigrant Survivors of Adverse Childhood Experiences. 情绪支持对童年不良经历的拉丁裔移民幸存者社会问题解决和心理健康的差异影响。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2025-12-09 DOI: 10.1002/nur.70038

Laura Mata Lopez, Owen Smith, Maria Jose Sanchez-Roman, Lia Escobar-Acosta, Carmen Alvarez

{"title":"The Differential Impact of Emotional Support on Social Problem-Solving and Mental Health Among Latina Immigrant Survivors of Adverse Childhood Experiences.","authors":"Laura Mata Lopez, Owen Smith, Maria Jose Sanchez-Roman, Lia Escobar-Acosta, Carmen Alvarez","doi":"10.1002/nur.70038","DOIUrl":"10.1002/nur.70038","url":null,"abstract":"Adverse childhood experiences (ACEs) are often positively associated with mental health conditions. We examined whether emotional support attenuates the association between ACE clusters and both social problem solving and mental health assessments (depression, anxiety, post-traumatic stress disorder (PTSD) symptoms). A convenience sample of 336 Latina immigrant women completed questionnaires about their ACEs, emotional support, social problem-solving, and depression, anxiety, and PTSD symptoms. Using PROCESS SPSS Macro version 4.0 we conducted four separate moderation analyses. We identified 5 ACEs clusters from our sample (n = 336): Global ACEs (15.5%), Community Violence and Physical Abuse (23.8%), Physical and Emotional Abuse (21.4%), Household Dysfunction with Physical and Emotional Abuse (16.7%), and Low ACEs (22.6%). Emotional support served as a protective moderator with differential effects, providing the greatest benefit to women who experienced high levels of abuse. For social problem-solving abilities, significant interactions emerged for the Physical and Emotional Abuse and Household Dysfunction clusters, indicating that as emotional support increases, the difference in social problem-solving between these high-ACE clusters and the Low ACEs cluster decreased. For PTSD symptoms, women in the Global ACEs cluster showed significantly higher symptoms than the Low ACEs group when emotional support was low. The clusters did not differ at high emotional support levels, indicating that adequate social support can reduce the negative effects of ACEs on both PTSD symptoms and effective problem-solving. These findings underscore the need for trauma-informed, culturally responsive care models that integrate ACE screening and guide future interventions to strengthen social support networks for ACE survivors.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"341-352"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369839/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145710444","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}

引用次数: 0

Tailored Personas for Self-Care in Older Adults With Intrinsic Capacity Decline: A Mixed-Methods Study. 有内在能力下降的老年人自我照顾量身定制的人物角色：一项混合方法研究。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 DOI: 10.1002/nur.70110

Kai Yu, Xiaoqing Wang, Yuexian Shi

{"title":"Tailored Personas for Self-Care in Older Adults With Intrinsic Capacity Decline: A Mixed-Methods Study.","authors":"Kai Yu, Xiaoqing Wang, Yuexian Shi","doi":"10.1002/nur.70110","DOIUrl":"https://doi.org/10.1002/nur.70110","url":null,"abstract":"Strengthening self-care is critical to preventing older adults with declining intrinsic capacity (IC) from progressing to disability. However, self-care among older adults with IC decline demonstrates heterogeneity, and standardized interventions often fail to fully meet the needs of this heterogeneous group. This study aimed to examine the self-care characteristics and needs of older adults with IC decline and develop tailored personas. We conducted an explanatory sequential mixed-methods study. The quantitative phase collected numerical data from a sample of 350 community-dwelling older adults with IC decline to identify clusters of self-care. These findings informed the purposive sampling and interview guide for the subsequent qualitative phase, in which 36 participants were selected for in-depth, semi-structured interviews to explore the characteristics and needs within each cluster. This study identified four distinct self-care personas among older adults with IC decline: (I) The Proactive Collaborator; (II) The Symptom-Triggered Reactor; (III) The Social Mimic; and (IV) The Passively Compliant. Developing personalized intervention strategies tailored to these personas, such as enhancing health literacy, providing collaborative platforms, offering psychological support, and implementing positive incentives, is crucial for improving self-care of older adults with IC decline. These findings equip healthcare professionals with actionable insights to optimize support strategies for older adults with IC decline, thereby helping to prevent disability.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":""},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148654886","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}

引用次数: 0

Positive Childhood Experiences and Flourishing Among Young Adults in China: Does Emotion Regulation Explain Associations? 积极的童年经历与中国年轻人的成长：情绪调节能解释关联吗？

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2025-10-16 DOI: 10.1002/nur.70025

Zhiyuan Yu, Krista P Woodward, Taylor Hamill, Farah Qureshi, Lin Wang

{"title":"Positive Childhood Experiences and Flourishing Among Young Adults in China: Does Emotion Regulation Explain Associations?","authors":"Zhiyuan Yu, Krista P Woodward, Taylor Hamill, Farah Qureshi, Lin Wang","doi":"10.1002/nur.70025","DOIUrl":"10.1002/nur.70025","url":null,"abstract":"Positive childhood experiences (PCEs), such as supportive relationships and household routines, promote and protect well-being in later life. However, the mechanisms through which PCEs act remain unclear. This study examines whether emotion regulation mediates the association between PCEs and flourishing in a large sample of Chinese young adults. Data were collected from 9468 Chinese university students via online surveys (August-November 2020). Measures included the Chinese versions of the PCE Scale, Flourishing Measure (which characterized point-in-time flourishing and secure flourishing over an extended period), and Emotional Regulation Questionnaire (which assessed cognitive reappraisal and expressive suppression). Bivariate Pearson correlations assessed associations, and mediation analysis was conducted using the PROCESS procedure in SPSS 4.1. Experiencing more PCEs was correlated with greater cognitive reappraisal (r = 0.28, p < 0.01), lower expressive suppression (r = -0.11, p < 0.01), and greater flourishing (r = 0.49, p < 0.01). Cognitive reappraisal was correlated with greater flourishing (r = 0.43, p < 0.01), while expressive suppression was correlated weakly with lower secure flourishing (r = -0.02, p < 0.05). Mediation analysis showed cognitive reappraisal (indirect effect b = 0.06, 95% CI [0.05, 0.06]) and expressive suppression (b = 0.002, [-0.004, -0.001]) significantly mediated the PCEs-flourishing relationship. Similar results were found with secure flourishing. Findings suggest that emotion regulation, particularly cognitive reappraisal, may be a key psychological mechanism linking PCEs to flourishing later in life among young adults in China.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"320-330"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369851/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145304232","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}

引用次数: 0

Do Injury, Depression, and PTSD Mediate the Relationships Between Latent Profiles of Cumulative Lifetime Violence and Chronic Pain Disability in Men? 伤害、抑郁和创伤后应激障碍在男性累积终生暴力和慢性疼痛残疾的潜在特征之间起中介作用吗？

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2025-12-12 DOI: 10.1002/nur.70040

Judith Wuest, Sue O'Donnell, Kelly Scott-Storey, Charlene D Vincent, Jeannie Malcolm

{"title":"Do Injury, Depression, and PTSD Mediate the Relationships Between Latent Profiles of Cumulative Lifetime Violence and Chronic Pain Disability in Men?","authors":"Judith Wuest, Sue O'Donnell, Kelly Scott-Storey, Charlene D Vincent, Jeannie Malcolm","doi":"10.1002/nur.70040","DOIUrl":"10.1002/nur.70040","url":null,"abstract":"Knowledge of association between violence and chronic pain in men is limited by neglect of violence experiences as perpetrator, disregard of heterogeneity in cumulative lifetime violence severity (CLVS), weak understanding of mediation pathways, and inattention to social determinants of health (SDOH). The CLVS-44 measure and identification of four distinct latent profiles of CLVS facilitated addressing these shortcomings. CLVS-44 data from a national cross-sectional community survey of 587 Canadian men who had violence experiences as target and/or perpetrator were used in parallel multiple mediation analysis with a multi-categorical profile antecedent. Differences among CLVS profiles for relative direct and indirect associations through injury, depression, and posttraumatic stress disorder (PTSD) to chronic pain disability were examined. Differences among profiles by SDOH were also explored. Compared to Profile 1 (Lowest CLVS), Profile 4 (Highest Target and Perpetrator) had significant relative direct and indirect effects through lifetime injuries and PTSD, with the highest mean scores for chronic pain disability and all mediators. Indirect effects through PTSD for Profiles 2 (second Lowest Target, Moderate Physical Partner Perpetrator) and 3 (second Highest Target, Low Psychological Perpetrator) were also significant. Masculine discrepancy stress, adverse housing, economic challenges, and substance use were significantly higher for Profile 4. These results demonstrate that high perpetration differentiates men most likely to have the highest chronic pain disability as indicated by direct and indirect pathways. Findings also highlight the need for trauma- and violence-informed approaches to chronic pain assessment and management to avoid re-traumatization. SDOH inequities may identify starting points for strength-based interventions.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"353-364"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369847/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145745766","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}

引用次数: 0

Generation and Translation of Nursing Science Research Interest and Implementation Group. 护理科学研究兴趣与实施小组的生成与翻译。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2026-05-26 DOI: 10.1002/nur.70087

Adam T Booth, Amy Ramick, Annelies Harrison, Sarah Owens, Modupeola Adebayo, Josie Arnold, Susan B Fowler

引用次数: 0

The Impact of Natural Disasters on Adult Mental Health: An Umbrella Review of Systematic Reviews and Meta-Analyses. 自然灾害对成人心理健康的影响：系统综述和荟萃分析综述。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2025-12-06 DOI: 10.1002/nur.70041

Tiet-Hanh Dao-Tran, Que-Tran Nguyen, Apil Gurung, Namal N Balasooriya, Duc-Binh Nguyen, Hoan Nguyen, Syed Afroz Keramat, Dung Phung

{"title":"The Impact of Natural Disasters on Adult Mental Health: An Umbrella Review of Systematic Reviews and Meta-Analyses.","authors":"Tiet-Hanh Dao-Tran, Que-Tran Nguyen, Apil Gurung, Namal N Balasooriya, Duc-Binh Nguyen, Hoan Nguyen, Syed Afroz Keramat, Dung Phung","doi":"10.1002/nur.70041","DOIUrl":"10.1002/nur.70041","url":null,"abstract":"This umbrella review systematically synthesises the evidence on the impact of natural disasters on adult mental health from existing systematic reviews and/or meta-analyses. Nine electronic databases were searched for peer-reviewed systematic reviews and/or meta-analyses published between 2008 and 2024. The Measurement Tool to Assess Systematic Reviews (AMSTAR) 2 was used to evaluate the methodological quality of the study. Of the 16 included systematic reviews and/or meta-analyses, most of the time, they described the impact of natural disasters generally as a mix of any natural disaster, earthquakes, hurricanes/typhoons/cyclones, floods, wildfires, bushfires, and tsunamis on general mental health, post-traumatic stress disorder, depression, stress, and anxiety. The review found that adults exposed to natural disasters either directly or indirectly can experience the impact on their mental health for a long time. Older people, women, those with lower income, and African Americans exhibited greater vulnerability to mental health issues than others. Findings on the impact of each type of natural disaster on adult mental health from the included systematic reviews and/or meta-analyses were also described in detail. Findings of this review may inform the development of targeted policies and strategies by policymakers and health care professionals to support adults affected by natural disasters. Findings of this review should be interpreted considering its limitations. Several research gaps were identified, underscoring the need for further research.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"365-378"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369828/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145688721","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}

引用次数: 0

Clinicians' Perspectives on Providing Trauma-Informed Perinatal Care. 临床医生对提供创伤知情围产期护理的看法。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2026-03-12 DOI: 10.1002/nur.70068

Ellen Goldstein, Sara Johnson, Yanqiao Li, Megha Shankar, Mary Dawn Koenig

引用次数: 0

Trauma, Stress, and Reproductive Health: A Bio-Psycho-Social Perspective on Violence Exposure in Immigrant Women. 创伤、压力和生殖健康：移民妇女暴力暴露的生物心理社会视角。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2026-04-13 DOI: 10.1002/nur.70076

Bushra Sabri, Douglas A Granger

{"title":"Trauma, Stress, and Reproductive Health: A Bio-Psycho-Social Perspective on Violence Exposure in Immigrant Women.","authors":"Bushra Sabri, Douglas A Granger","doi":"10.1002/nur.70076","DOIUrl":"10.1002/nur.70076","url":null,"abstract":"Marginalized women, particularly immigrants, face disproportionately high levels of violence that can adversely impact their physical and mental health. However, the interconnections among the various drivers of this violence and reproductive health complications remain underexplored. This cross-sectional study utilized a bio-psycho-socio-ecological model to investigate the correlates of cumulative violence exposures and reproductive health complications among 127 immigrant women in the United States who reported lifetime cumulative violence exposures. Results indicated that structural-level stressors, specifically everyday discrimination, were associated with higher cumulative violence exposure. At the individual level, elevated cortisol levels and higher perceived stress were linked to greater lifetime exposure to violence. Additionally, both cumulative violence and everyday discrimination were independently associated with increased reproductive health complications. In contrast, greater endorsement of gender-equitable norms was associated with lower odds of reproductive health complications. These findings underscore the multi-level determinants of violence exposure and their downstream impact on reproductive health, highlighting the need for integrated clinical and public health approaches. Interventions may include trauma-informed reproductive health care that addresses physiological and psychological stress, policies aimed at reducing discrimination, and community-level efforts to transform harmful gender norms and promote gender equity.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"424-434"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13157027/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147678246","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}

引用次数: 0

PTSD-Like Symptoms Among Postpartum Black Women: The Lasting Impact of High-Risk Pregnancies, Birth Trauma, and Mistreatment During Perinatal Care. 产后黑人妇女的ptsd样症状：高危妊娠、分娩创伤和围产期护理不当的持久影响

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2025-11-22 DOI: 10.1002/nur.70032

Shewit Weldense Jaynes, Maggie Mangas, Kristin P Tully

{"title":"PTSD-Like Symptoms Among Postpartum Black Women: The Lasting Impact of High-Risk Pregnancies, Birth Trauma, and Mistreatment During Perinatal Care.","authors":"Shewit Weldense Jaynes, Maggie Mangas, Kristin P Tully","doi":"10.1002/nur.70032","DOIUrl":"10.1002/nur.70032","url":null,"abstract":"Black, Hispanic, and multiracial women in the U.S. experience higher rates of discrimination and mistreatment in perinatal care compared to White women, which can lead to fear, anxiety, and reduced engagement with obstetric healthcare providers. Black women are also more likely to experience high-risk pregnancies and health complications such as gestational diabetes and hypertensive disorders. As a result, Black women face a heightened risk of birth trauma and subsequent posttraumatic stress disorder (PTSD) in the postpartum period. Despite these inequities, little is known about Black birthing individuals' experiences of healthcare interactions. This study explores Black women's accounts of negative experiences of perinatal care in the context of high-risk pregnancy. Fourteen individuals from across the U.S. participated in semi-structured interviews conducted within 6 months postpartum between September 2022 and December 2024. Interview responses were analyzed using directed content analysis, with coding of their emotional distress guided by the Diagnostic and Statistical Manual of Mental Disorders, Fifth Edition, Text Revision (DSM-5-TR) definition of PTSD. Their accounts aligned with the four DSM-5-TR symptom clusters: intrusive symptoms, avoidance, negative alterations in cognition or mood, and alterations in arousal and reactivity. PTSD-like symptoms resulted from pregnancy complications, traumatic birth experiences, mistreatment by clinicians or a combination of these factors. The findings suggest that birth trauma and mistreatment in perinatal care have significant emotional and behavioral impacts on Black women. The study results underscore the urgent need for trauma-informed, antiracist approaches in perinatal care to address these disparities and improve outcomes for Black birthing individuals.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"331-340"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13182258/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145574969","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}

引用次数: 0

Depression Among Black College Women: Mediating Effect of Coping Styles. 黑人女大学生抑郁：应对方式的中介作用。

IF 2.8 4区医学

Research in Nursing & Health Pub Date : 2026-08-01 Epub Date: 2026-06-10 DOI: 10.1002/nur.70088

Wanda Martin Burton, Christina J Ezemenaka

{"title":"Depression Among Black College Women: Mediating Effect of Coping Styles.","authors":"Wanda Martin Burton, Christina J Ezemenaka","doi":"10.1002/nur.70088","DOIUrl":"10.1002/nur.70088","url":null,"abstract":"The complex relationship between depression and gendered racial microaggressions (GRM)-subtle forms of oppression based on race and gender-warrants further study. While it is known that GRM worsens depression among Black college women, less is known about the underlying mechanisms involved. The purpose of this study is to explore the mediating role of coping in the relationship between GRM and depression among Black college women. This secondary data analysis included 145 Black women attending a large university in the southeastern US. Participants completed a survey assessing depression (PHQ-8), coping (Brief COPE), and gendered racism using the Gendered Racial Microaggressions Scale (GRMS). GRMS contains two subscales measuring lifetime frequency and stress appraisal of GRM. Mediation analysis was used to assess the role of coping in the relationship between depression and GRM subscales, controlling for sociodemographic characteristics. Of the 145 participants, 55 (n = 38.0%) reported moderate to severe depression, with a mean PHQ-8 of 8.0. In covariate-adjusted models, GRM frequency and stress appraisal significantly predicted depression. Avoidant coping and emotion-focused coping, but not problem-focused coping, significantly mediated the association between GRM subscales and depression, accounting for up to 50.1% and 20.8% of the total effect, respectively. Coping played a critical mediating role in the relationship between GRM and depression. Future studies should further investigate coping strategies as a key pathway for improving mental health following experiences of GRM and discrimination more broadly among Black college women.","PeriodicalId":54492,"journal":{"name":"Research in Nursing & Health","volume":" ","pages":"435-445"},"PeriodicalIF":2.8,"publicationDate":"2026-08-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13369822/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148213539","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}

引用次数: 0