Archives of Psychiatric Nursing最新文献

{"title":"Effectiveness of theory-based health education in reducing stress among nursing students: A systematic review and meta-analysis","authors":"Xiujuan Dong ,&nbsp;Norliza binti Ahmad ,&nbsp;Kit-Aun Tan ,&nbsp;Khuan Lee ,&nbsp;Nor Afiah binti Mohd Zulkefli ,&nbsp;Kan Guo ,&nbsp;Liping He","doi":"10.1016/j.apnu.2025.151915","DOIUrl":"10.1016/j.apnu.2025.151915","url":null,"abstract":"<div><h3>Objective</h3><div>To synthesize evidence on the effectiveness of theory-based health education interventions in reducing stress among nursing students.</div></div><div><h3>Methods</h3><div>A systematic review and meta-analysis were conducted to examine the effect of theory-based health education intervention on stress in nursing students. A comprehensive search of Medline, PsycINFO, CINAHL, PubMed, and Scopus were performed on December 5, 2024, without restrictions on publication date. Eligible studies were identified and meta-analysis using a fixed-effect model was conducted to determine the effect size. The risk of bias was assessed by Joanna Briggs Institute critical appraisal checklist. The extent of theory applications was evaluated by a modified version of the Theory Coding Scheme.</div></div><div><h3>Results</h3><div>Twelve studies involving 925 participants met the inclusion criteria, with eight studies included in the present meta-analysis. The findings suggest that theory-based health education interventions have a moderate effect on stress reduction, with a standardized mean difference (SMD) of −0.68, 95 % confidence interval (CI) [−0.83, −0.52], <em>p</em> &lt; 0.001, Interventions incorporating multi-structural theoretical frameworks demonstrated a larger effect size (SMD = −0.84), 95 % CI [−1.09, −0.63], <em>p</em> &lt; 0.001. Similarly, interventions with a higher intensity of theoretical application exhibited stronger effects (SMD = −0.64), 95 % CI [−0.81,−0.46], <em>p</em> &lt; 0.001.</div></div><div><h3>Conclusion</h3><div>Theory-based health education interventions were moderately effective in reducing stress among nursing students, with stronger effects observed in interventions that apply multiple theories and higher levels of theoretical integration. These findings highlight the importance of grounding stress reduction programs in well-developed theoretical frameworks.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151915"},"PeriodicalIF":2.2,"publicationDate":"2025-06-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144556758","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":"Prevalence of depression and its associated factors among Korean women: A cross-sectional study in Seoul","authors":"Thi Thanh Lan Nguyen ,&nbsp;Van Cuong Nguyen","doi":"10.1016/j.apnu.2025.151928","DOIUrl":"10.1016/j.apnu.2025.151928","url":null,"abstract":"<div><h3>Background</h3><div>Depression is a common mental health disorder characterized by persistent sadness and a loss of interest. Symptoms include changes in appetite, sleep disturbances, fatigue, and reduced well-being. This study assessed the prevalence of depression among Korean women and examined the factors associated with its occurrence.</div></div><div><h3>Methods</h3><div>This study utilized survey data collected in 2022 by the Seoul Foundation of Women and Family, focusing on women aged 19 and older to assess their mental health. Bivariate analysis and multiple logistic regression models were conducted to explore the data.</div></div><div><h3>Results</h3><div>This study included 1015 Korean women aged 19–71, with an overall depression prevalence of 19.9 %. Women aged 19–39 had the highest prevalence (28.2 %), compared to 15.0 % among those aged 40–59 and 12.6 % among those aged 60–71. Depression rates were particularly high among those in poor health (45.1 %), those dissatisfied with life (40.0 %), and those with low self-esteem (38.2 %). The relative risk of depression was 2.75 times higher among those living alone compared to those living with a spouse, 3.73 times higher among those in poor health, 3.35 times higher among those dissatisfied with life, and 3.18 times higher among those with low self-esteem.</div></div><div><h3>Conclusions</h3><div>This study examined sociodemographic characteristics, social experiences, and self-perception factors associated with depression among Korean women. The prevalence was particularly high among women with poor health, life dissatisfaction, and low self-esteem. Effective health and welfare policies are necessary to improve women's health, enhance quality of life, and reduce depression rates.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151928"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489690","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":"Mothers of children with autism spectrum disorder: Their views on their children's hospital experiences, expectations from nurses, and a hospital environment sensitive to differences – A qualitative study","authors":"Tugce Kolukisa ,&nbsp;Nursan Cinar","doi":"10.1016/j.apnu.2025.151912","DOIUrl":"10.1016/j.apnu.2025.151912","url":null,"abstract":"<div><h3>Purpose</h3><div>Children with Autism Spectrum Disorder (ASD) tend to require healthcare services more frequently than their neurotypical peers. With the increasing prevalence and high rates of medical comorbidities, it has become increasingly important for healthcare providers and care systems to meet the healthcare requirements of children with ASD. This study aims to examine the hospital experiences of mothers raising children with ASD, their expectations from nurses, and their views on a hospital environment sensitive to differences.</div></div><div><h3>Material and methods</h3><div>A qualitative research framework was used in this study, drawing from phenomenology. The study population consisted of mothers with children aged 2–6 years with ASD in three different provinces across three geographical regions of Turkey. The study sample consisted of 30 mothers whose children had an autism diagnosis based on the DSM-V criteria and met the inclusion requirements.</div></div><div><h3>Results</h3><div>After analyzing the obtained data during the interviews, three themes and 36 codes were identified. The themes are as follows: Evaluations of Autism Spectrum Disorder, Evaluations of Nursing Care, and Recommendations.</div></div><div><h3>Conclusion</h3><div>Given the high prevalence of ASD and the documented challenges that children with ASD encounter in accessing healthcare services, this research aims to enhance the quality of hospital care for children with ASD, offering valuable insights.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151912"},"PeriodicalIF":2.2,"publicationDate":"2025-06-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144469916","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":"“Dementia friendly communities: A concept analysis” [Volume Issue: Volume 57, August 2025, 151895]","authors":"Xiaohong Yu ,&nbsp;Jing Wang ,&nbsp;Siyi Qin ,&nbsp;Enjia Du ,&nbsp;Yueheng Yin ,&nbsp;Enfang Shan ,&nbsp;Xianwen Li","doi":"10.1016/j.apnu.2025.151924","DOIUrl":"10.1016/j.apnu.2025.151924","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151924"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338480","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":"Examination of the relationship between internalized stigma and coping strategies in patients with trichotillomania","authors":"Dilan Altınmakas ,&nbsp;Hasan Demirci ,&nbsp;Efruz Pirdoğan Aydın ,&nbsp;Aynur Feyzioğlu","doi":"10.1016/j.apnu.2025.151925","DOIUrl":"10.1016/j.apnu.2025.151925","url":null,"abstract":"<div><h3>Background</h3><div>This study aimed to examine the relationship between internalized stigma and coping strategies in patients with trichotillomania (TTM).</div></div><div><h3>Method</h3><div>The study included 34 patients with TTM and 34 healthy controls. The Sociodemographic Data Form, Beck Depression Inventory (BDI), and the Revised Coping Orientations to Problems Experienced (R-COPE) were administered to the TTM and control groups. In addition, the Massachusetts General Hospital Hair Pulling Scale (MGH-HPS) and the Internalized Stigma of Mental Illness Scale (ISMI) were administered to the TTM group.</div></div><div><h3>Results</h3><div>The scores of patients with TTM from the R-COPE self-help subscale were significantly lower than those of the control group, and the scores of the R-COPE avoidance and self-punishment subscales were significantly higher. A negative relationship was found between the R-COPE accommodation scores of patients with TTM and ISMI-discrimination experience scores. A positive relationship was found between R-COPE avoidance and ISMI-total scores, stereotype endorsement, and discrimination experience subscale scores. A positive relationship was found between the R-COPE self-punishment score and ISMI-total score, alienation, and social withdrawal scores.</div></div><div><h3>Conclusion</h3><div>It was observed that the TTM group used maladaptive coping strategies more in the face of stressors than the control group and that they resorted to maladaptive coping attitudes more as their internalized stigma levels increased. These results show that more attention should be paid to the thoughts and coping attitudes of people with TTM regarding their disorder.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151925"},"PeriodicalIF":2.2,"publicationDate":"2025-06-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144489691","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":"Correlation between digital literacy, digital game addiction, and healthy lifestyle beliefs in adolescents: Structural equation model analysis","authors":"Mumin Savaş ,&nbsp;Ayla Tuzcu Ince ,&nbsp;Irem Huri Karabiyik ,&nbsp;Omer Odek","doi":"10.1016/j.apnu.2025.151921","DOIUrl":"10.1016/j.apnu.2025.151921","url":null,"abstract":"<div><h3>Background</h3><div>With the development of technology, digital game addiction has become a significant public health problem. With the increase in digital game addiction (DGA), there have been changes in healthy lifestyle habits (HLB). Digital literacy (DL) plays an important role in creating a routine for adolescents using digital technologies. This study aimed to evaluate the correlation between DL, DGA, and HLB of adolescent students.</div></div><div><h3>Methods</h3><div>A descriptive cross-sectional study. This study was conducted with 938 secondary school students in three schools in one of the largest cities in Turkiye between May and June 2024. The study data were collected using a descriptive characteristics form, the DGA Scale for Children, the DL scale, and the HLB Scale for Adolescents.</div></div><div><h3>Results</h3><div>The mean scores of the DGA, HLB, and DL scales were found to be 15.60 ± 5.32, 59.81 ± 11.71, and 72.36 ± 14.49, respectively. Higher DL of the adolescents positively affected their DGA and the HLB. On the other hand, higher DGA of the adolescents caused a negative effect on their HLB.</div></div><div><h3>Conclusions</h3><div>Promoting non-digital gaming activities and social responsibility projects in schools can support adolescents to adopt a healthier lifestyle by improving their time management skills. Furthermore, it is of great importance to raise awareness among parents about DL. School health and psychiatric nurses can direct adolescents to alternative sports and non-game activities state to minimize technology addiction.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151921"},"PeriodicalIF":2.2,"publicationDate":"2025-06-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144480513","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":"Posttraumatic embitterment and suicidality among unemployed adults in Korea: Buffering effects of self-compassion","authors":"Danbi Oh ,&nbsp;Young-Eun Jung ,&nbsp;Hyunjoo Na","doi":"10.1016/j.apnu.2025.151923","DOIUrl":"10.1016/j.apnu.2025.151923","url":null,"abstract":"<div><div>The significant increase in unemployment during the global pandemic led to heightened psychological distress among those who lost their jobs, underscoring the need to assess mental health in this population. This study employed secondary data analysis to identify levels of posttraumatic embitterment and suicidality among unemployed adults in Korea, examine their sociodemographic differences, and determine the buffering effects of self-compassion on the posttraumatic embitterment-suicidality relationship during the COVID-19 pandemic. The subjects were 624 unemployed adults in a region in South Korea. Self-report scales were used to measure posttraumatic embitterment, suicidality, and self-compassion. The data collected were analyzed with SPSS 27.0, and PROCESS macro Model 1 analysis was conducted to determine the moderating effect of self-compassion on the relationship between posttraumatic embitterment and suicidality. The study found that young adults and women exhibited higher levels of posttraumatic embitterment than older adults and men, with long-term unemployment further increasing both embitterment and suicidality. Self-compassion moderated the impact of posttraumatic embitterment on suicidality, suggesting that increased self-compassion buffers this effect. This study emphasizes the importance of proactive prevention strategies targeting high-risk groups, such as women, young adults, and the long-term unemployed. Additionally, the findings suggest that mental health providers should develop vocational and self-compassion-focused interventions tailored to high-risk unemployed individuals, particularly young adults, to enhance resilience and support suicide prevention efforts.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151923"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330994","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":"Sex differences in the moderating effect of age on the relationship between social networking service use and self-esteem","authors":"Hyunjoo Na ,&nbsp;Il Hyun Lee ,&nbsp;Gyungjoo Lee","doi":"10.1016/j.apnu.2025.151917","DOIUrl":"10.1016/j.apnu.2025.151917","url":null,"abstract":"<div><div>The relationship between excessive Social Networking Service (SNS) usage and self-esteem is intricate, with ongoing research aiming to better understand this dynamic. This cross-sectional study aimed to examine whether the impact of SNS usage on self-esteem varies by age and sex. This study utilized a nationally representative survey from the 2020 Korea Media Panel Survey, including 9650 respondents aged 13 and older, comprising 4839 female (50.1 %) and 4811 male (49.9 %). To examine the moderated moderation effects of age and sex, Process Macro 4.0 Model 3 was employed. Findings revealed significant sex differences in the moderating effects of age on the relationship between SNS usage and self-esteem. Among women aged 20 and younger, the negative association between SNS usage and self-esteem became stronger as age decreased. Conversely, among women aged 33 years and older, the positive correlation between SNS usage and self-esteem strengthened as age increased. The moderating effect was not significant among men. These findings highlight the critical role of sex and age in the relationship between SNS usage and self-esteem, suggesting that adolescent girls are especially vulnerable to its adverse effects, whereas older women exhibit a positive association with SNS usage. This study provides valuable insights for nurses in designing interventions to mitigate the psychological harm of excessive SNS usage among vulnerable groups, such as adolescent girls, while also informing strategies to leverage SNS as a means of enhancing self-esteem among older women.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151917"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338478","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 mediating effect of moral distress on workplace violence and compassion fatigue in psychiatric nurses","authors":"Li Jie ,&nbsp;Qiu Yuhua ,&nbsp;Shang Chaona ,&nbsp;Yan Fang","doi":"10.1016/j.apnu.2025.151911","DOIUrl":"10.1016/j.apnu.2025.151911","url":null,"abstract":"<div><h3>Aims</h3><div>To examine the associations among compassion fatigue, workplace violence, and moral distress in psychiatric nurses.</div></div><div><h3>Background</h3><div>The demanding environment of psychiatric departments, characterized by frequent exposure to workplace violence, may contribute to both moral distress and compassion fatigue among nurses. This reciprocal relationship underscores the necessity of interventions targeting both issues concurrently, with the goal of enhancing psychiatric nurses' well-being and retention.</div></div><div><h3>Methods</h3><div>A convenience sample of 665 psychiatric nurses was recruited from two tertiary psychiatric hospitals in Beijing and Xinxiang City between July and September 2023. Participants completed the Workplace Violence Scale, the Chinese version of the Nurse Moral Distress Scale, and the Chinese version of the Compassion Fatigue Brief Scale. Data were analyzed using SPSS 25.0 for Spearman correlation analysis and Process v3.4 for mediation analysis.</div></div><div><h3>Results</h3><div>The incidence of workplace violence among psychiatric nurses was 91.9 %. The median (interquartile range) scores for moral distress and compassion fatigue were 45.00 (26.00, 74.00) and 31.00 (18.00, 46.00), respectively. Compassion fatigue was positively correlated with both moral distress and workplace violence (<em>P</em> &lt; 0.05). The mediating effect of moral distress between workplace violence and compassion fatigue was 0.189, representing 20.32 % of the total effect.</div></div><div><h3>Conclusion</h3><div>Moral distress partially mediates the relationship between workplace violence and compassion fatigue in psychiatric nurses. Hospital administrators should prioritize addressing workplace violence among psychiatric nurses, regularly assess and monitor moral distress, and implement evidence-based interventions informed by positive psychology to mitigate compassion fatigue.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151911"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144330996","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 the breakthrough: The practical hurdles of psychedelic therapy","authors":"F.N.U. Shahzaib ,&nbsp;Tariq Mehmood ,&nbsp;Arifa Arifa","doi":"10.1016/j.apnu.2025.151914","DOIUrl":"10.1016/j.apnu.2025.151914","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151914"},"PeriodicalIF":2.2,"publicationDate":"2025-06-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144338479","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}