Archives of Psychiatric Nursing最新文献

Implementation of screening, brief intervention, and referral to treatment (SBIRT) utilizing the CRAFFT+N among pediatric patients at an outpatient psychiatric practice

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-21 DOI: 10.1016/j.apnu.2025.151863

Shawna Witt, Brayden Kameg, Jamie Zelazny

{"title":"Implementation of screening, brief intervention, and referral to treatment (SBIRT) utilizing the CRAFFT+N among pediatric patients at an outpatient psychiatric practice","authors":"Shawna Witt, Brayden Kameg, Jamie Zelazny","doi":"10.1016/j.apnu.2025.151863","DOIUrl":"10.1016/j.apnu.2025.151863","url":null,"abstract":"<div><h3>Background</h3><div>Substance use among adolescents poses a significant public health challenge, with escalating rates over recent decades contributing to preventable morbidity and mortality. Despite its prevalence, only a fraction of affected individuals receive intervention, emphasizing the need for comprehensive healthcare strategies. The CRAFFT is a common tool used to evaluate substance use in youths, but limited studies have examined the innovative CRAFFT+N, which includes a nicotine screen. Thus, this study aimed to evaluate the feasibility and fidelity of pediatric SBIRT in an outpatient psychiatric setting through retrospective chart review, and secondary aims were to explore rates of pediatric substance use and associations with psychiatric variables and modality of visits, in addition to trends over time.</div></div><div><h3>Methods</h3><div>A retrospective chart review of electronic health record data was completed. Chi-squared analyses were used to compare which psychiatric diagnoses and psychotropic medications were associated with positive CRAFFT+N scores.</div></div><div><h3>Results</h3><div>A total of 455 patient encounters were reviewed, revealing concerning rates of substance and nicotine use, with approximately 20 % screening positive on the CRAFFT+N. Depressive disorders (p < 0.001), OCD (p = 0.012), and neurodevelopmental disorders (p = 0.015) were associated with positive CRAFFT scores. Positive nicotine scores were associated with bipolar disorders (p < 0.001), psychotic disorders (p = 0.001), and other psychiatric disorders (p = 0.039). Mood stabilizers were the only medication class associated with positive CRAFFT+N scores (both p < 0.001).</div></div><div><h3>Conclusions</h3><div>The new CRAFFT+N tool can be used to implement SBIRT into the workflow in an outpatient setting interested in assessing substance use in those aged 12–21 years.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151863"},"PeriodicalIF":2.2,"publicationDate":"2025-03-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143715879","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

Nursing staff attitudes toward family involvement in the care of psychiatric inpatients

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-17 DOI: 10.1016/j.apnu.2025.151861

Anwar Khatib , Ahmad Khatib

{"title":"Nursing staff attitudes toward family involvement in the care of psychiatric inpatients","authors":"Anwar Khatib , Ahmad Khatib","doi":"10.1016/j.apnu.2025.151861","DOIUrl":"10.1016/j.apnu.2025.151861","url":null,"abstract":"<div><h3>Background</h3><div>Historically, families were excluded from psychiatric inpatient care due to misconceptions about their role in illness development. However, contemporary views recognize families as essential support systems that enhance treatment outcomes. Despite this, practical implementation of family involvement remains inconsistent, with many families reporting minimal interaction with nursing staff.</div></div><div><h3>Objectives</h3><div>This study explored psychiatric nursing staff attitudes toward family involvement in treating hospitalized patients with mental disorders in Israel, a previously unexamined area.</div></div><div><h3>Methods</h3><div>A qualitative study was conducted using thematic and content analysis for methodological triangulation. Semi-structured interviews were held with 32 psychiatric nurses (20 female, 12 male) from four northern Israeli medical centers. Participants, aged 29–54 (mean = 39.6), had an average of 13.34 years of experience. Interviews, lasting approximately 90 min, followed Braun and Clarke's six-step framework to assess perspectives on family involvement.</div></div><div><h3>Results</h3><div>Attitudes varied based on personal experience, training, and institutional influences. Resistance was linked to workload concerns and limited awareness of benefits.</div></div><div><h3>Conclusion</h3><div>Increasing awareness and training on family involvement could enhance its implementation in psychiatric settings, improving patient care and family satisfaction.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151861"},"PeriodicalIF":2.2,"publicationDate":"2025-03-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686429","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

Analysis of the prevalence and influencing factors of depression in middle-aged women: A nationwide study from CHARLS

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-15 DOI: 10.1016/j.apnu.2025.151859

Zitong Zhou , Yu Jia , Hong Yan

{"title":"Analysis of the prevalence and influencing factors of depression in middle-aged women: A nationwide study from CHARLS","authors":"Zitong Zhou , Yu Jia , Hong Yan","doi":"10.1016/j.apnu.2025.151859","DOIUrl":"10.1016/j.apnu.2025.151859","url":null,"abstract":"<div><div>Depression accounts for a large portion of the global burden of disease, and few large-sample studies have investigated the prevalence of depression in middle-aged women. This study examined the prevalence and factors influencing depression in middle-aged women. Cross-sectional data from the China Health and Retirement Longitudinal Study (CHARLS) were used, selecting middle-aged women aged 45–59 years. Binary logistic regression was used to analyze the influencing factors. 3723 middle-aged women were included in the study, 1537 (41.28 %) had depressive symptoms, 2186 (58.72 %) had no depressive symptoms. The results of binary logistic regression analysis showed that sleep duration, old-age insurance, body pain, drinking, fall, self-related health, life satisfaction, residence, education and marital status were the influencing factors for middle-aged women (P<0.05). Depression in middle-aged Chinese women is influenced by a variety of factors. This study suggests that this population can be targeted for prevention in terms of demographic characteristics, behavioral habits, and healthcare configuration for middle-aged women who are in poor health, and with low life satisfaction.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151859"},"PeriodicalIF":2.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654637","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

Keeping crisis from becoming an emergency: Predictors of ED diversion in police-led behavioral health responses

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-15 DOI: 10.1016/j.apnu.2025.151860

Victor G. Petreca , Joanne T. Barros , Adam Popp , Alexandra A. Burgess , Shari L. Harding

{"title":"Keeping crisis from becoming an emergency: Predictors of ED diversion in police-led behavioral health responses","authors":"Victor G. Petreca , Joanne T. Barros , Adam Popp , Alexandra A. Burgess , Shari L. Harding","doi":"10.1016/j.apnu.2025.151860","DOIUrl":"10.1016/j.apnu.2025.151860","url":null,"abstract":"<div><div>As law enforcement increasingly responds to behavioral health crises, both jail and Emergency Department (ED) diversion are essential considerations, as ED utilization for these cases often leads to extended boarding times and repeat visits, straining healthcare resources. Despite growing implementation of police-led jail diversion programs, a significant gap remains in understanding the specific factors that influence ED diversion outcomes, particularly for behavioral health crisis incidents. To identify predictors of ED diversion, we analyzed 10,904 behavioral health crisis incident records from the Massachusetts Department of Mental Health's Jail Diversion Program database (May–December 2023) using logistic regression and hybrid machine learning techniques. Co-response clinicians achieved the highest diversion rates, followed by CIT-trained officers, while evening/overnight incidents and police referrals were less likely to result in diversion. Community-based assessments showed modest improvements in diversion likelihood. Demographic predictor variables significantly influenced outcomes, while severe psychiatric concerns and substance use decreased diversion probability. These findings highlight the contribution of jail diversion programs, particularly through co-response clinicians, and suggest the need for expanded community mental health resources, particularly during off-hours. Results underscore how psychiatric acuity, substance use, and response team composition influence diversion outcomes, with implications for enhancing mental health nursing practice in crisis response systems.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151860"},"PeriodicalIF":2.2,"publicationDate":"2025-03-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654636","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

Examining the relationship between Theory of Mind functions and emotional and mindful awareness in schizophrenia patients

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-11 DOI: 10.1016/j.apnu.2025.151858

Buse Nur Gedik , Hatice Durmaz

{"title":"Examining the relationship between Theory of Mind functions and emotional and mindful awareness in schizophrenia patients","authors":"Buse Nur Gedik , Hatice Durmaz","doi":"10.1016/j.apnu.2025.151858","DOIUrl":"10.1016/j.apnu.2025.151858","url":null,"abstract":"<div><div>This study was conducted to determine the relationship between the Theory of Mind functions and the emotional and mindful awareness of schizophrenia patients. The sample of the study consisted of 118 schizophrenia patients who were attending the Community Mental Health Center. The data were collected with the Sociodemographic Data Form, Dokuz Eylül Theory of Mind Scale (DETMS), Toronto Alexithymia Scale (TAS), and Mindful Awareness Scale (MAAS). As well as demographic analysis, Pearson Correlation Analysis, and Regression Analysis were used to analyze the study data. The schizophrenia patients received 4.86 ± 2.66 points from DETMS, 51.89 ± 14.29 points from MAAS, and 57.91 ± 12.37 points from TAS. A significant relationship was detected between DETMS, MAAS, and TAS total scores (<em>p</em> < 0.05). As the DETMS score increased, the TAS score decreased and the MAAS score increased. It was found that the TAS score was an effective predictor of Theory of Mind, but the MAAS score was not a significant predictor of Theory of Mind (<em>R</em> = 0.310, R2adjusted = 0.080, F(2.115) = 6.102; <em>p</em> = 0.003). The TAS score explained 8 % of the variation in the Theory of Mind. As a result of the study, it was found that the Theory of Mind functions of schizophrenia patients were at low levels, half of the patients had alexithymia, and their mindful awareness levels were close to the average. It can be argued that emotional awareness is an effective variable in the Theory of Mind. As individuals' Theory of Mind functions increase, their alexithymia levels decrease and mindful awareness increases.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151858"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143686430","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

A grain of sand for schizophrenia: Unmet needs

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-11 DOI: 10.1016/j.apnu.2025.151857

Constanza Morén

引用次数: 0

The relationship between problematic media use and sleep problems in preschool children: A descriptive cross-sectional study

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-10 DOI: 10.1016/j.apnu.2025.151854

Pınar Bekar , Emine Efe

{"title":"The relationship between problematic media use and sleep problems in preschool children: A descriptive cross-sectional study","authors":"Pınar Bekar , Emine Efe","doi":"10.1016/j.apnu.2025.151854","DOIUrl":"10.1016/j.apnu.2025.151854","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to investigate the relationship between problematic media use and sleep problems in preschool children.</div></div><div><h3>Methods</h3><div>A total of 152 children and their parents participated in this descriptive and cross-sectional study. Data were collected through the Descriptive Information Form, the Children's Sleep Habits Questionnaire (CSHQ), and the Problematic Media Use Measure-Short Form (PMUM-SF).</div></div><div><h3>Results</h3><div>The mean age of children included in the study was 5.12 ± 0.62 years. The most frequently used screen-based media device was television (<em>n</em> = 71; 46.7 %). The average screen time was 105.00 ± 63.51 min, with a range of 10–300 min. A statistically significant, positive correlation was found between the Problematic Media Use Measure-Short Form and Children's Sleep Habits Questionnaire scores. Additionally, it was determined that screen time had a statistically significant positive correlation with the Problematic Media Use Measure-Short Form and Children's Sleep Habits Questionnaire scores. Furthermore, problematic media use was determined to significantly affect sleep problems.</div></div><div><h3>Conclusion</h3><div>The study's results confirmed that children's problematic media use had a statistically significant effect on their sleep problems. As children's problematic media use levels increased, their sleep problem levels increased. Our study also showed that as screen time increased, the level of problematic media use and sleep problems increased. To prevent problematic media use and sleep problems in children, intervention programs focused on limiting children's screen time and improving their sleep quality are recommended.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151854"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621091","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

Resilience in people with first-episode psychosis: The relevance of depression 首发精神病患者的恢复能力：抑郁症的相关性

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-10 DOI: 10.1016/j.apnu.2025.151853

Clara Serra-Arumí , Regina Vila-Badia , Alícia Colomer-Salvans , Núria Del Cacho , Anna Butjosa , Manuel Abella , Júlia Rolduà-Ros , Angélica Cuautle , Aida Fernández-Sanz , Jorge Cuevas-Esteban , Montse Dolz , PROFEP Group , Judith Usall

引用次数: 0

Investigation of the effectiveness of short-term grief-focused group intervention for 1st degree losses in earthquake

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-10 DOI: 10.1016/j.apnu.2025.151852

Fatih Bal , Gülşen Filazoğlu Çokluk , Esra Savaş

{"title":"Investigation of the effectiveness of short-term grief-focused group intervention for 1st degree losses in earthquake","authors":"Fatih Bal , Gülşen Filazoğlu Çokluk , Esra Savaş","doi":"10.1016/j.apnu.2025.151852","DOIUrl":"10.1016/j.apnu.2025.151852","url":null,"abstract":"<div><div>A considerable number of individuals who lost family members in the 2023 earthquake in Hatay province, Turkey, have been found to experience a range of psychosocial problems and disorders. In this randomised controlled trial, the efficacy of grief-focused group therapy was compared with that of a control group that did not receive any treatment. A total of 10 Turkish adults were randomly assigned to the group therapy group. The participants were evaluated at the outset of the study and at its conclusion in order to ascertain any changes in psychological resilience (Psychological Resilience Scale for Adults), grief symptoms (Grief Scale), and cognitive flexibility (Cognitive Flexibility Inventory). The results of the study are as follows: The results demonstrated that grief-focused group therapy was an effective intervention for reducing grief symptoms and enhancing psychological resilience and cognitive flexibility. A brief grief-focused group intervention has been demonstrated to be an efficacious intervention for earthquake survivors. The brief grief-focused group intervention proved more efficacious than the control condition in enhancing psychological resilience and cognitive flexibility, while concurrently attenuating grief symptoms, among adults who lost first-degree family members in the earthquake. Overall, the Grief Recovery Focused Group Therapy Program yielded a favourable impact on alpha, beta, and gamma scores in the experimental group, while exhibiting no discernible effect on delta and theta scores.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151852"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143593275","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

A scoping review of literature: What has been studied about mental health problems among individuals with ankylosing spondylitis?

IF 2.2 4区医学

Archives of Psychiatric Nursing Pub Date : 2025-03-10 DOI: 10.1016/j.apnu.2025.151855

Xiaoxiao Mei , Wing-Fai Yeung , Yule Hu , Mengting He , Wenze Lu , Jonathan Bayuo , Tella Lantta , Yan Li

{"title":"A scoping review of literature: What has been studied about mental health problems among individuals with ankylosing spondylitis?","authors":"Xiaoxiao Mei , Wing-Fai Yeung , Yule Hu , Mengting He , Wenze Lu , Jonathan Bayuo , Tella Lantta , Yan Li","doi":"10.1016/j.apnu.2025.151855","DOIUrl":"10.1016/j.apnu.2025.151855","url":null,"abstract":"<div><h3>Background</h3><div>Research on mental health problems in individuals with ankylosing spondylitis (AS) has rapidly expanded since 2013. However, the evidence in this field can appear fragmented due to the limited number of existing reviews that synthesize research findings.</div></div><div><h3>Aim</h3><div>To map the evidence regarding the prevalence, correlated factors, and interventions for mental health problems in the AS population.</div></div><div><h3>Methods</h3><div>This review followed Arksey and O’Malley's framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews. Six electronic databases were searched for studies published in English since January 2013. Study quality was assessed using the Mixed Methods Appraisal Tool, and data were narratively summarized and reported.</div></div><div><h3>Results</h3><div>Seventy articles were included in this review. The prevalence rates of depression, anxiety, and sleep disorders ranged from 3.1 % to 66.0 %, 2.7 % to 78.0 %, and 1.7 % to 71.7 %, respectively. Correlated factors included sociodemographic variables, disease-related aspects, physical symptoms and function, and psycho-behavioral factors. Interventions were categorized into physical exercise, therapeutic, and psychosocial approaches.</div></div><div><h3>Conclusions</h3><div>Mental health problems are prevalent among individuals with AS, and the correlated factors are multidimensional. Interventions aimed at physical function, disease activity, and cognitive functions have been identified as critical strategies for addressing mental health problems. Further research is needed to design and develop effective interventions targeting these correlated factors, particularly psycho-social interventions, to prevent future deterioration.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151855"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143621042","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