Archives of Psychiatric Nursing最新文献

{"title":"Nursing staff attitudes toward family involvement in the care of psychiatric inpatients","authors":"Anwar Khatib ,&nbsp;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}

{"title":"Analysis of the prevalence and influencing factors of depression in middle-aged women: A nationwide study from CHARLS","authors":"Zitong Zhou ,&nbsp;Yu Jia ,&nbsp;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&lt;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}

{"title":"Keeping crisis from becoming an emergency: Predictors of ED diversion in police-led behavioral health responses","authors":"Victor G. Petreca ,&nbsp;Joanne T. Barros ,&nbsp;Adam Popp ,&nbsp;Alexandra A. Burgess ,&nbsp;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}

{"title":"Examining the relationship between Theory of Mind functions and emotional and mindful awareness in schizophrenia patients","authors":"Buse Nur Gedik ,&nbsp;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> &lt; 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}

{"title":"A grain of sand for schizophrenia: Unmet needs","authors":"Constanza Morén","doi":"10.1016/j.apnu.2025.151857","DOIUrl":"10.1016/j.apnu.2025.151857","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151857"},"PeriodicalIF":2.2,"publicationDate":"2025-03-11","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143654638","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 relationship between problematic media use and sleep problems in preschool children: A descriptive cross-sectional study","authors":"Pınar Bekar ,&nbsp;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}

{"title":"Resilience in people with first-episode psychosis: The relevance of depression","authors":"Clara Serra-Arumí ,&nbsp;Regina Vila-Badia ,&nbsp;Alícia Colomer-Salvans ,&nbsp;Núria Del Cacho ,&nbsp;Anna Butjosa ,&nbsp;Manuel Abella ,&nbsp;Júlia Rolduà-Ros ,&nbsp;Angélica Cuautle ,&nbsp;Aida Fernández-Sanz ,&nbsp;Jorge Cuevas-Esteban ,&nbsp;Montse Dolz ,&nbsp;PROFEP Group ,&nbsp;Judith Usall","doi":"10.1016/j.apnu.2025.151853","DOIUrl":"10.1016/j.apnu.2025.151853","url":null,"abstract":"<div><div>Resilience encompasses personal coping resources to adapt to stressful life situations. In patients with first-episode psychosis (FEP), resilience has been associated with symptomatology, among other variables. Our objective in this study was to explore which sociodemographic, psychosocial, and clinical variables in the onset of FEP are related to resilience. Eighty-seven participants with FEP were included (25 females and 62 males). Resilience was assessed with the Connor-Davidson Resilience Scale 10-item version (CD-RISC-10). Depression was found to be the most relevant variable associated with resilience in first-episode psychosis. The results highlight the importance of specific interventions in the resilience of the FEP population to prevent and improve depression.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151853"},"PeriodicalIF":2.2,"publicationDate":"2025-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609814","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":"Investigation of the effectiveness of short-term grief-focused group intervention for 1st degree losses in earthquake","authors":"Fatih Bal ,&nbsp;Gülşen Filazoğlu Çokluk ,&nbsp;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}

{"title":"A scoping review of literature: What has been studied about mental health problems among individuals with ankylosing spondylitis?","authors":"Xiaoxiao Mei ,&nbsp;Wing-Fai Yeung ,&nbsp;Yule Hu ,&nbsp;Mengting He ,&nbsp;Wenze Lu ,&nbsp;Jonathan Bayuo ,&nbsp;Tella Lantta ,&nbsp;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}

{"title":"The relationship between response to treatment and perceived stress, childhood trauma and psychological resilience in anxiety disorders and attention-deficit hyperactivity disorder in adolescents: A comparative study from Türkiye","authors":"Melike Kevser Gul,&nbsp;Busra Cagir,&nbsp;Esra Demirci,&nbsp;Sevgi Ozmen","doi":"10.1016/j.apnu.2025.151856","DOIUrl":"10.1016/j.apnu.2025.151856","url":null,"abstract":"<div><h3>Objective</h3><div>In recent years, personalized treatments and factors affecting treatment response have gained importance in psychiatry. This study aimed to evaluate the effect of perceived stress, childhood trauma, and resilience levels on response to treatment in anxiety disorders (AD) and attention-deficit hyperactivity disorder (ADHD) in adolescents.</div></div><div><h3>Method</h3><div>A total of 202 adolescents were included in this study. The treatment response of patients with AD and ADHD who were diagnosed according to DSM-5 criteria and used pharmacological treatment was determined by using the Clinical Global Impression- Improvement scale in their control examinations. Forty patients with AD who responded to treatment (AD/Responder), 35 patients who did not respond (AD/Non-responder), 55 treatment responder patients with ADHD (ADHD/Responder), and 21 non-responder patients (ADHD/Non-responder), and 51 healthy controls (HC) were included in the study. They completed the Perceived Stress Scale (PSS), Childhood and Youth Resilience Measure-12 (CYRM-12), and Childhood Trauma Questionnaire (CTQ).</div></div><div><h3>Results</h3><div>The PSS score was found to be significantly lower in the ADHD/Responder group compared to AD/Responder and ADHD/Non-responder groups. The PSS score was lower, and CYRM-12 score was significantly higher in the ADHD/Responder and HC groups compared to the AD/Non-responder group. Emotional abuse scores, a subscale of CTQ, were considerably higher in the AD/Non-responder group compared to AD/Responder and ADHD/Responder. There were significant positive correlations between PSS and CTQ and its subscale scores; negative correlations were found between CYRM-12 and CTQ scores and CYRM-12 and PSS scores in groups.</div></div><div><h3>Conclusions</h3><div>There were considerable relationships between treatment response and resilience, perceived stress and emotional abuse in adolescents with AD and ADHD. In addition to drug treatments, resilience and stress-based interventions can be used to increase treatment response especially in AD.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"55 ","pages":"Article 151856"},"PeriodicalIF":2.2,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143609709","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}