Archives of Psychiatric Nursing最新文献

{"title":"Prevalence of depression, anxiety and the coping strategies of patients recovered from COVID-19 infection in a Malaysian tertiary hospital","authors":"Thinesh Kumar Karadapanddy ,&nbsp;Anne Yee ,&nbsp;Thian Chee Loh ,&nbsp;Ong Hui Koh ,&nbsp;Nur 'Aqilah Mohd Hodori","doi":"10.1016/j.apnu.2025.151883","DOIUrl":"10.1016/j.apnu.2025.151883","url":null,"abstract":"<div><h3>Objectives</h3><div>This study evaluates the prevalence of depression and anxiety among patients who recovered from COVID-19 infection, with a focus on the significance of coping strategies, particularly in the culturally diverse country like Malaysia. Understanding these mechanisms is vital for addressing mental health challenges post-pandemic.</div></div><div><h3>Methods</h3><div>A cross-sectional study was conducted among patients treated for COVID-19 in a tertiary hospital in Malaysia. The Depression Anxiety Stress Scale (DASS-21) and Brief-COPE were used to measure mental health and coping strategies. Cultural influences, such as the role of religion and community, were considered alongside coping mechanisms. Non-probability sampling was employed, limiting generalizability. Multivariate logistic regression controlled for confounding variables such as age, gender, and comorbidities.</div></div><div><h3>Results</h3><div>The prevalence of depression and anxiety among participants was 27.9 % and 43.6 %, respectively. Hospitalized respondents showed higher level of anxiety with OR = 5.03 (CI: 1.09–23.23). Avoidant coping increased the odds of depression and anxiety, while approach coping decreased these odds. Although religion is an important cultural factor in Malaysia, it did not emerge as a statistically significant coping mechanism in this study, highlighting the complexity of cultural influences on mental health.</div></div><div><h3>Conclusion</h3><div>Depression and anxiety remain prevalent among COVID-19 survivors, especially among those hospitalized. Targeted mental health interventions that promote approach coping strategies and address cultural influences are essential. Policymakers should focus on providing long-term mental health support, particularly for vulnerable groups, and consider the potential of AI tools to enhance post-pandemic care.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151883"},"PeriodicalIF":2.2,"publicationDate":"2025-05-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116976","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":"“Wrap around wellness takes action where needed which has been the biggest blessing!” improving foster care through wellness coordination: A survey study","authors":"Julie E. Bertram ,&nbsp;Alisha Acosta ,&nbsp;Ann Reali Stratton ,&nbsp;Ololade “Lola” Ekwere","doi":"10.1016/j.apnu.2025.151880","DOIUrl":"10.1016/j.apnu.2025.151880","url":null,"abstract":"<div><div>Young persons in foster care face significant healthcare disparities and higher polypharmacy rates than their peers. To address these issues, we developed a wellness coordination program that is described in this paper. Our survey study evaluates the acceptability of the program and perceptions of cross-system communication among Child Welfare personnel, foster care families, Medical Homes, education professionals, and the court system. Surveys were sent to 40 stakeholders within a private child welfare consortium in the Midwest, USA with 22 participants responding. Data analysis included descriptive statistics and thematic analysis. Findings indicate broad stakeholder acceptance of the program, with five key themes: improved care coordination, increased work efficiency, enhanced communication, stronger team collaboration, and supportive leadership. Two overarching themes emerged: (1)Teamwork enhances efficiency, and (2) Wellness coordinators' unique attributes strengthen service delivery. Sub-themes defining these attributes include (a) coordinators' autonomy, (b) their knowledge base, and (c) effective communication. There were multiple suggestions for continuous quality improvement which are also presented. Further research is needed to build upon the program's impacts. By maintaining a focus on children and adolescents' in foster care (CAFC) needs, we can bridge gaps in mental healthcare access and promote more equitable outcomes.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151880"},"PeriodicalIF":2.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144116977","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":"Identifying facilitators and barriers to professional mental help-seeking behaviors among first generation Iranian Americans: A qualitative analysis","authors":"Mona Mohammadifirouzeh ,&nbsp;Kyeung Mi Oh ,&nbsp;Iccha Basnyat ,&nbsp;Gilbert Gimm ,&nbsp;Briana Lynn Snyder","doi":"10.1016/j.apnu.2025.151882","DOIUrl":"10.1016/j.apnu.2025.151882","url":null,"abstract":"<div><h3>Background and objectives</h3><div>Mental health stigma, cultural factors, high mental health service costs, and knowledge about mental health are known to impact mental help seeking behaviors among immigrants living in the United States (U.S.). This qualitative study aimed to explore the facilitators and barriers to professional mental help-seeking (PMHS) behaviors among first-generation Iranian Americans (FGIAs) living in the U.S.</div></div><div><h3>Method</h3><div>Twenty semi-structured in-depth interviews were conducted, audio recorded, and transcribed verbatim. Data were analyzed using thematic analysis via MAXQDA 2022.</div></div><div><h3>Results</h3><div>The researchers identified three key themes including: 1) navigating barriers in mental health services, 2) knowledge and attitudes shaping seeking professional help, and 3) cultural factors and norms. In addition, several subthemes including facilitators and barriers to professional mental help-seeking behaviors among Iranian Americans were identified.</div></div><div><h3>Conclusions</h3><div>Increased awareness about mental health could improve the utilization of mental health services in this community. Furthermore, enhancing the cultural acceptability, accessibility, and approachability of mental health services are essential for efficiently addressing specific needs of this population.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151882"},"PeriodicalIF":2.2,"publicationDate":"2025-05-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089687","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":"Spiritual well-being, depressive symptoms and HIV preventive self-efficacy as predictors of sexual risk behaviors among college students","authors":"Ali Salman ,&nbsp;Yi-Hui Lee ,&nbsp;Ann M. Stalter ,&nbsp;Deborah L. Ulrich","doi":"10.1016/j.apnu.2025.151885","DOIUrl":"10.1016/j.apnu.2025.151885","url":null,"abstract":"<div><div>Understanding the psychosocial factors that are associated with young people's sexual risk behaviors is essential for designing targeted and effective HIV prevention programs. College students are particularly vulnerable to engaging in sexual risk behaviors. The aim of this cross-sectional study was to gain insights into whether spiritual well-being, depressive symptoms, and HIV preventive self-efficacy play a predictive role in college students' sexual risk behaviors. A convenience sample of 437 college students who were ages 18 to 24 years and enrolled in undergraduate programs at a public university in the United States were recruited, and several self-administered, reliable, and valid questionnaires were used to collect data. Descriptive statistical analyses, <em>t</em>-test, correlation coefficient analyses, and hierarchical regression were utilized to analyze data. Results indicated higher spiritual well-being was significantly related to higher HIV preventive self-efficacy (<em>r</em> = 0.190, <em>p</em> &lt; .001) and less depressive symptoms (<em>r</em> = −0.618, <em>p</em> &lt; .001). Furthermore, spiritual well-being, HIV preventive self-efficacy, and depressive symptoms together significantly predicted 29.5 % of college students' sexual risk behaviors. This study suggests that spiritual well-being and mental health may play significant roles in HIV prevention. Nurses and healthcare providers may need to consider the influences of mental health and spiritual well-being when designing HIV prevention interventions aimed at boosting self-efficacy and reducing sexual risk behaviors among college students.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151885"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089688","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 grounded theory of Creating Connection between peer support workers and clients","authors":"Samantha Perry,&nbsp;Jinny Choi,&nbsp;Jennifer Jackson","doi":"10.1016/j.apnu.2025.151884","DOIUrl":"10.1016/j.apnu.2025.151884","url":null,"abstract":"<div><h3>Background</h3><div>It has been widely reported that peer support workers (PSWs) in addictions services are an invaluable part of supporting clients. However, it is unknown how PSWs create benefits with clients through a therapeutic relationship.</div></div><div><h3>Aim</h3><div>We aim to identify the process by which PSWs create better outcomes with clients with addictions.</div></div><div><h3>Method</h3><div>We used grounded theory methodology to study the process of peer support worker engagement with clients. We completed semi-structured interviews with 17 peer support workers via Zoom, for up to 60 min.</div></div><div><h3>Results</h3><div>We identified a four-stage process of Creating Connection PSWs apply with clients: the first step is building trust with clients, which offers the predictive capacity in this grounded theory. The second step is fostering the relationship, followed by PSWs bridging clients to other services. The final step is PSWs launching clients towards their independence and use of natural supports.</div></div><div><h3>Conclusion</h3><div>Our grounded theory illustrates how PSWs create benefits with clients, which can inform workplace and professional supports for PSWs. This grounded theory can help PSWs move away from nebulous job descriptions to be fully realized members of the healthcare team.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151884"},"PeriodicalIF":2.2,"publicationDate":"2025-05-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144089686","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":"Psychosocial health needs of mediterranean vulnerable migrants settling in Europe: A systematic review of contributing factors","authors":"Mariachiara Figura ,&nbsp;Silvio Simeone ,&nbsp;Paola Arcadi ,&nbsp;Ercole Vellone ,&nbsp;Rosaria Alvaro ,&nbsp;Gianluca Pucciarelli","doi":"10.1016/j.apnu.2025.151879","DOIUrl":"10.1016/j.apnu.2025.151879","url":null,"abstract":"&lt;div&gt;&lt;h3&gt;Background&lt;/h3&gt;&lt;div&gt;Irregular migration via the Mediterranean Sea has risen significantly in recent years, with approximately 353,300 migrants entering Europe in, 2023 alone. Mediterranean migrants, often fleeing conflict, persecution, or extreme poverty, face multidimensional vulnerabilities throughout the migration journey, including pre-migration trauma, perilous transit conditions, and post-migration challenges like social exclusion, poor living conditions, and limited access to healthcare. These factors collectively impair their psychosocial health, defined as the dynamic interplay between psychological, social, cultural, and environmental determinants, and increase their level of vulnerability. Despite extensive studies exploring mental health conditions, social isolation, and cultural barriers among migrants, the evidence remains fragmented.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Objective&lt;/h3&gt;&lt;div&gt;To synthesize evidence on the social, psychological, cultural, and environmental factors affecting the psychosocial health of Mediterranean vulnerable migrants settling in European countries after crossing the Mediterranean routes irregularly.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Design&lt;/h3&gt;&lt;div&gt;A systematic review adhering to PRISMA guidelines was conducted, focusing on studies published between 2004 and, 2023. Searches were performed in databases such as PubMed, CINAHL, Scopus, APA PsycArticles, APA PsycInfo, and the Psychology and Behavioral Sciences Collection. A convergent qualitative synthesis approach was applied, integrating findings from qualitative, quantitative, and mixed-method studies into qualitative themes. Methodological quality was assessed using Joanna Briggs Institute (JBI) tools.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Findings&lt;/h3&gt;&lt;div&gt;Seventeen articles were included after the selection process. The review identified five key themes shaping the psychosocial health of Mediterranean vulnerable migrants: sociodemographic physical, social, psychological, cultural, and environmental factors. Sociodemographic factors included age, gender, education level, and marital status. Physical factors included pre-existing physical health conditions, the impact of the migration journey on physical health, and long-term health trajectories. Social factors included family dynamics, social isolation, and economic instability. Psychological factors included mental health challenges and coping mechanisms. Cultural factors included acculturation, language barriers, discrimination, and spirituality. Environmental factors included living conditions, access to healthcare, and duration of migration. Protective factors were also found, including strong family and community networks, religious involvement, and a sense of continuity in unfamiliar environments.&lt;/div&gt;&lt;/div&gt;&lt;div&gt;&lt;h3&gt;Discussion and conclusions&lt;/h3&gt;&lt;div&gt;The findings highlighted the complexity of psychosocial health determinants among Mediterranean VM, emphasizing the need for integrative approaches that address these intersecting challe","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151879"},"PeriodicalIF":2.2,"publicationDate":"2025-05-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921675","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":"Unexpected deaths within psychiatric setting: A scoping review","authors":"Jing Ling Tay,&nbsp;Ling Zhang,&nbsp;Jie Sang,&nbsp;Keng Boon Ong","doi":"10.1016/j.apnu.2025.151878","DOIUrl":"10.1016/j.apnu.2025.151878","url":null,"abstract":"<div><h3>Background</h3><div>Unexpected deaths have been associated with a variety of factors within the inpatient psychiatric setting.</div></div><div><h3>Aims</h3><div>This scoping review aims to evaluate the contributing/risk factors and preventive strategies of unexpected deaths.</div></div><div><h3>Methods</h3><div>This study is guided by the PRISMA extension for scoping review and the PRISMA 2020 statement. Six databases were searched from database inception to 18 December 2023, using the keywords: death* or mortality or autopsy AND (mental health) or psychiat* AND inpatient*. Studies published in English that explored the causes, contributing factors, risk factors, and preventive strategies of unexpected death within the inpatient psychiatric settings were included.</div></div><div><h3>Results</h3><div>Twenty-seven articles were included. The articles explored contributing factors (100 %, n = 27), and strategies (59.3 %, n = 16) surrounding unexpected deaths within inpatient psychiatry setting. Studies attributed the causes to (1) medical conditions, (2) restraints, (3) asphyxia, and (4) catatonia or extreme agitation. Studies, mostly case reports, described deaths in those who utilised (5) antipsychotics but greater quality studies, such as case controls denied this association. Corresponding preventive strategies included, (1) medical assessment and treatment (especially cardiovascular disorders and their related risk factors), collaboration with medical physicians, staff training, staffing (increasing physician numbers), (2) usage of better alternatives like counselling, rapid tranquilisation, usage of restraints cautiously as a last resort with thorough observation, (3) risk assessment, training, (4) prompt treatment of catatonia and, (5) simplification of antipsychotic regimen.</div></div><div><h3>Conclusion</h3><div>More good quality studies are required to examine this controversial topic. An evidence-based understanding of this important topic can save lives in psychiatry.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"56 ","pages":"Article 151878"},"PeriodicalIF":2.2,"publicationDate":"2025-05-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143921674","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":"masthead, subscriber information","authors":"","doi":"10.1016/S0883-9417(25)00042-1","DOIUrl":"10.1016/S0883-9417(25)00042-1","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151871"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785519","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":"ISPN Board","authors":"","doi":"10.1016/S0883-9417(25)00043-3","DOIUrl":"10.1016/S0883-9417(25)00043-3","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151872"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785520","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}

{"title":"TOC","authors":"","doi":"10.1016/S0883-9417(25)00040-8","DOIUrl":"10.1016/S0883-9417(25)00040-8","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151869"},"PeriodicalIF":2.2,"publicationDate":"2025-04-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143785517","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}