Archives of Psychiatric Nursing最新文献

{"title":"The effect of physical exercise and nutrition education on healthy lifestyle behaviors and psychological well-being levels of patients diagnosed with schizophrenia","authors":"Sakine Fırıncık ,&nbsp;Nesrin Arslan ,&nbsp;Ebru Başkaya ,&nbsp;Nefise Demir ,&nbsp;Melek Nur Acar","doi":"10.1016/j.apnu.2025.151959","DOIUrl":"10.1016/j.apnu.2025.151959","url":null,"abstract":"<div><div>The aim of this study is to examine the effect of nutrition education combined with physical exercise on healthy lifestyle behaviors and psychological well-being in patients diagnosed with schizophrenia. The study was conducted with a sample of 34 individuals diagnosed with schizophrenia, employing a quasi-experimental research design. Patients were evaluated using pre-test, post-test, follow-up test, ‘Healthy Lifestyle Behaviours Scale (HLBS)’ and ‘Psychological Well-Being Scale (PWBS)’. No significant difference was observed in the mean scores of the HLBS and PWBS in the intervention and control groups at the pre-test stage (p &gt; 0.05). It was established that the post-test and follow-up test scores of patients in the intervention group demonstrated an increase in HLBS and PWBS scores (p &lt; 0.05). This study makes a significant contribution to the existing literature on the subject of physical exercise and nutrition education, as it evaluates the impact of such interventions on both healthy lifestyle behaviors and psychological well-being.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151959"},"PeriodicalIF":2.2,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749885","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":"Global prevalence of metabolic syndrome among individuals with bipolar disorder: A systematic review and meta-analysis","authors":"Nader Salari ,&nbsp;Mehran Asgharpour ,&nbsp;Alireza Daneshkhah ,&nbsp;Hosna Zarei ,&nbsp;Bahareh Asgharpoor ,&nbsp;Seyed Hassan Faghihi ,&nbsp;Masoud Mohammadi","doi":"10.1016/j.apnu.2025.151942","DOIUrl":"10.1016/j.apnu.2025.151942","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic syndrome is a widespread disease in the general population. The purpose of this study is to investigate the global prevalence of metabolic syndrome in the community of people with bipolar disorder through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this study, we conducted a systematic review and meta-analysis using electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and the Google Scholar search engine. The search was performed using the keywords “metabolic syndrome,” “prevalence,” “meta-analysis,” “bipolar disorder,” “prevalence of metabolic syndrome,” “factors affecting metabolic syndrome. We searched for studies until October 2024 and transferred them to the information management software (EndNote). After excluding duplicated studies, we rigorously evaluated the remaining ones based on the inclusion and exclusion criteria in 3 stages (screening, eligibility, and quality assessment).</div></div><div><h3>Results</h3><div>In the review of 56 studies with a sample size of 780,099 people, the I² heterogeneity test showed high heterogeneity (I²: 99.3), and based on this, the random effects method was used to analyze the results. Therefore, based on the meta-analysis, the global prevalence of metabolic syndrome was reported at 32.7 (95 % CI: 25.9–40.2) in bipolar patients.</div></div><div><h3>Conclusion</h3><div>In studying the influential factors, it was found that as the sample size increases, the global prevalence of metabolic syndrome among bipolar patients decreases. Conversely, as the publication year of studies increases, the global prevalence of metabolic syndrome in this population tends to rise. It is important to note that factors such as medication, lifestyle, environment, and genetics directly impact this disease.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151942"},"PeriodicalIF":2.2,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724287","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":"Cyberbullying, psychosocial problems and affecting factors among adolescents [letter]","authors":"Sari Luthfiyah ,&nbsp;Triwiyanto Triwiyanto ,&nbsp;Hery Sumasto ,&nbsp;Mohammed Ismath","doi":"10.1016/j.apnu.2025.151941","DOIUrl":"10.1016/j.apnu.2025.151941","url":null,"abstract":"","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151941"},"PeriodicalIF":2.2,"publicationDate":"2025-07-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656463","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":"Coverage of dissociation and related concepts in psychiatric-mental health nursing textbooks","authors":"Briana L. Snyder ,&nbsp;Caroline C. Cooney ,&nbsp;M. Shae Nester ,&nbsp;Mary Sharon Curran ,&nbsp;Nicholas A. Pierorazio","doi":"10.1016/j.apnu.2025.151940","DOIUrl":"10.1016/j.apnu.2025.151940","url":null,"abstract":"<div><h3>Purpose</h3><div>Nurses and nurse educators perceive a lack of knowledge, education, training, and educational materials related to dissociative disorders (DDs) and dissociative symptoms. Additionally, nurses and nurse educators report bias around the teaching of these concepts. Previous research on undergraduate psychopathology textbooks indicated insufficient and inaccurate coverage of dissociation and related concepts, but no such studies had been conducted within the profession of nursing. Therefore, the purpose of this study was to assess the presentation of DDs, dissociation, and related symptoms in psychiatric-mental health (PMH) nursing textbooks.</div></div><div><h3>Method</h3><div>Qualitative content analysis was used to evaluate the coverage of DDs, dissociation, and related concepts in eight popular PMH nursing textbooks.</div></div><div><h3>Results</h3><div>Following qualitative content analysis of the eight PMH nursing textbooks, four categories were generated: (1) <em>Dissociation and DDs have many risk factors, but nurses should examine these phenomena through a trauma-informed lens</em>; (2) <em>What nurses can expect: Assessment findings for individuals who dissociate</em>; (3) <em>Ongoing controversy and stigma exist related to the diagnosis and treatment of dissociation, DDs, and related symptoms</em>; and (4) <em>Evidence-based nursing interventions are effective in the prevention and treatment of dissociation, DDs, and management of related symptoms.</em></div></div><div><h3>Conclusions</h3><div>With the exception of one PMH nursing textbook that was reviewed, coverage of dissociation and related concepts was generally adequate, evidence-based, and in some cases, quite extensive and robust. Supported by the accurate, comprehensive coverage of dissociation, DDs, and related concepts in PMH nursing textbooks, nurse educators should routinely incorporate this content into their PMH nursing courses.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151940"},"PeriodicalIF":2.2,"publicationDate":"2025-07-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144656462","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":"Antipsychotic medication non-adherence and its associated factors among patients with schizophrenia in Ethiopia: A cross-sectional study","authors":"Yuxin Huang ,&nbsp;Tafesse Adigawe ,&nbsp;Siyuan Tang ,&nbsp;Mei Sun","doi":"10.1016/j.apnu.2025.151939","DOIUrl":"10.1016/j.apnu.2025.151939","url":null,"abstract":"<div><h3>Objectives</h3><div>This study aimed to assess antipsychotic medication non-adherence among patients with schizophrenia in Ethiopia, and to explore its associated factors based on the Multidimensional Adherence Model.</div></div><div><h3>Methods</h3><div>This study is a cross-sectional study using convenience sampling enrolled 406 schizophrenia patients from July 17 to August 25, 2023. Data collection included medication non-adherence, sociodemographic factors, patient-related factors, therapy-related factors, condition-related factors, and healthcare system-related factors. Medication non-adherence was measured via the Morisky Medication Adherence Scale. Social support was assessed using the Oslo-3 social support scale (OSSS-3), and medication attitudes were measured via the drug attitude inventory-10 (DAI-10). Logistic regression analyzed associations between these factors and medication non-adherence.</div></div><div><h3>Results</h3><div>The antipsychotic medication non-adherence rate among Ethiopian schizophrenia patients was 42.4 %, with significant associated factors including no formal education (AOR = 3.093, 95 %CI: 1.426–6.709, <em>P</em> = 0.004), impaired insight (poor insight: AOR = 3.151, 95 %CI: 1.765–5.624, <em>P</em> &lt; 0.001; partial insight: AOR = 4.309, 95 %CI: 2.463–7.539, <em>P</em> &lt; 0.001), perceived stigma because of schizophrenia (AOR = 1.904, 95 %CI: 1.201–3.016, <em>P</em> = 0.006), polypharmacy (AOR = 2.133, 95 %CI: 1.339–3.396, <em>P</em> = 0.001), disease duration &lt;5 years (AOR = 2.313, 95 %CI: 1.361–3.932, <em>P</em> = 0.002), and current substance use (AOR = 2.007, 95 %CI: 1.266–3.181, <em>P</em> = 0.003).</div></div><div><h3>Conclusion</h3><div>In this research, the antipsychotic medication non-adherence was relatively high, and seven significant associated factors were identified. Future research should target these factors to develop more effective strategies to improve antipsychotic medication adherence among patients with schizophrenia in Ethiopia.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151939"},"PeriodicalIF":2.2,"publicationDate":"2025-07-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724285","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":"Evaluation of family-centered care practices in a neonatal intensive care unit from the perspective of mothers: A cross-sectional study","authors":"Özlem Bozbuğa ,&nbsp;Zehra Çalışkan ,&nbsp;Nalan Gördeles Beşer","doi":"10.1016/j.apnu.2025.151936","DOIUrl":"10.1016/j.apnu.2025.151936","url":null,"abstract":"<div><h3>Background</h3><div>Despite the multitude of advantages that family-centered care offers for both parents and their children/babies, its implementation has not yet achieved the desired level of effectiveness.</div></div><div><h3>Objectives</h3><div>This cross-sectional study focused on how mothers viewed family-centered care (FCC) in a neonatal intensive care unit (NICU).</div></div><div><h3>Design and methods</h3><div>The sample consisted of 350 mothers of NICU infants. Data were collected using a personal information form and the Family-Centered Care Scale in Neonatal Intensive Care Unit (FCCS-NICU). The data were analyzed using descriptive statistics, independent <em>t</em>-tests, analysis of variance (ANOVA) (Posthoc Bonferroni), and multiple regression analysis.</div></div><div><h3>Results</h3><div>Participants had a mean age of 26.92 ± 5.73 years. They had a total mean FCCS-NICU score of 3.89 ± 0.66, suggesting that mothers believe that the FCC in the NICU is effective and efficient. Participants had high mean FCCS-NICU “information sharing” and “participation in care” subscale scores, while they had a low mean FCCS-NICU “collaboration with the family” subscale score.</div></div><div><h3>Conclusion</h3><div>Our participants considered FCC in the NICU effective and efficient. They had high scores on information sharing and participation in care. Mothers need social support and someone taking care of their other children at home. These factors contribute to FCC.</div></div><div><h3>Implications for clinical practice</h3><div>During crises like the COVID-19 pandemic, it is essential to recognize that mothers with babies hospitalized in the NICU require not only healthcare support but also extended family and spousal support. It is recommended that further research be conducted on how to ensure the continuity of FFC during crisis periods.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151936"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580986","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":"Effectiveness of the motivational interviewing technique on self-efficacy and self-esteem in women facing/experiencing intimate partner violence","authors":"Maryam Seyyedi Nasooh Abad ,&nbsp;Seyedeh Zahra Aemmi ,&nbsp;Gilberto Turati ,&nbsp;Habibollah Esmaily","doi":"10.1016/j.apnu.2025.151938","DOIUrl":"10.1016/j.apnu.2025.151938","url":null,"abstract":"<div><h3>Purpose</h3><div>Intimate partner violence against women is prevalent and strongly associated with physical and mental health problems. This significant yet preventable public health problem affects millions of women. The present research aimed to evaluate the effectiveness of motivational interviewing techniques on self-efficacy and self-esteem of women experiencing intimate partner violence.</div></div><div><h3>Methods</h3><div>This study used a randomized clinical trial design. In the intervention group, women facing/experiencing IPV participated in five motivational interviewing sessions. Women in two groups (intervention = 65 and routine care = 65) completed the self-efficacy and self-esteem questionnaire at baseline and after one month.</div></div><div><h3>Results</h3><div>Based on our results, there was a significant difference in the mean score of self-efficacy and self-esteem between the intervention and the routine care group one month after the intervention (<em>p</em> &lt; 0.001) and also before the intervention (<em>p</em> &lt; 0.001).</div></div><div><h3>Conclusions</h3><div>Our findings support motivational interviewing as a supportive intervention in improving the self-efficacy and self-esteem of women facing spousal violence.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151938"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144604799","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":"Sense of coherence as a mediator in the relationship between belonging and suicide tendency in nursing students","authors":"Derya Dağdelen ,&nbsp;Filiz Özkan ,&nbsp;Nurcan Uzdil","doi":"10.1016/j.apnu.2025.151937","DOIUrl":"10.1016/j.apnu.2025.151937","url":null,"abstract":"<div><h3>Aim</h3><div>This study was conducted to examine the mediating role of a sense of coherence in the relationship between belonging and suicide tendency in nursing students.</div></div><div><h3>Method</h3><div>Our descriptive and correlational study was conducted with 606 nursing students enrolled in a university, stratified randomly sampled by classes, between December 2022 and February 2023. The data were collected using the Characteristics Form, Sense of Coherence Scale, Belonging Scale, and Suicide Tendency Subscale.</div></div><div><h3>Results</h3><div>In our study, a negative statistically significant relationship was found between the mean scores of the Sense of Coherence and Belonging Scale and the mean scores of the Suicidal Tendency Subscale of nursing students. The mediating role of a sense of coherence in the relationship between belonging and suicide tendency was found to be at a high level. The Sense of Coherence and Belonging Scale explains 38.5 % of students' suicide tendency scores.</div></div><div><h3>Conclusions</h3><div>As a result of the study, it was determined that suicidal tendencies increased as students' sense of belonging and sense of coherence scores decreased. In addition, it is seen that the development in the sense of coherence has a high level of mediation in both belonging and suicidal tendencies. These results reveal a need for studies to strengthen students' sense of coherence in health protection and promotion practices in their educational and professional lives.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151937"},"PeriodicalIF":2.2,"publicationDate":"2025-07-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144597541","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":"Women Supporting Women Zoom: Outcomes of online supportive/educative groups for diverse women experiencing depression and anxiety","authors":"Mary Molewyk Doornbos ,&nbsp;Gail Landheer Zandee ,&nbsp;Annika G. Bajema ,&nbsp;Laura B. Luchies","doi":"10.1016/j.apnu.2025.151934","DOIUrl":"10.1016/j.apnu.2025.151934","url":null,"abstract":"<div><h3>Background</h3><div>Women are predisposed to elevated levels of depression and anxiety. In the context of long-term academic-community partnerships with three urban, racially/ethnically diverse, under-resourced neighborhoods and via community-based participatory research, supportive/educative groups, called Women Supporting Women (WSW), were developed as a solution to lessen depression and anxiety experienced by women residents. These in-person groups were launched in 2012 and evidence-based as of 2018. The instance of COVID, coupled with several persistent barriers, led to the subsequent development of WSW Zoom.</div></div><div><h3>Methods</h3><div>This study employed a pretest-posttest design to determine the efficacy of WSW Zoom.</div></div><div><h3>Results</h3><div>WSW Zoom resulted in statistically significant reductions in depression and anxiety symptoms and increases in depression and anxiety knowledge for self-care scores from pre-WSW to post-WSW and held to the six-month post-WSW juncture. Participants were very satisfied with the WSW Zoom experience. These results are compared to the 2018 WSW in-person study which also demonstrated statistically significant outcomes.</div></div><div><h3>Conclusions</h3><div>The ability to offer evidence-based WSW in either an in-person or online format may be a viable strategy for enhancing access to care for vulnerable women.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151934"},"PeriodicalIF":2.2,"publicationDate":"2025-07-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144580985","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":"“I was not like this before”: Exploring the lived experiences of adolescents with mental disorders on social media through interpretative phenomenological analysis","authors":"Betul Keles-Gordesli ,&nbsp;Leyla Baysan Arabaci ,&nbsp;Cengiz Cengisiz","doi":"10.1016/j.apnu.2025.151933","DOIUrl":"10.1016/j.apnu.2025.151933","url":null,"abstract":"<div><div>Despite ongoing research, the impact of social media on adolescent mental health remains unclear, primarily due to inconsistent findings and a significant gap in understanding the experiences of adolescents facing mental health challenges. This study aims to provide a comprehensive examination of the lived experiences of adolescents with mental disorders on social media and how these experiences affect their mental health. In-depth interviews were conducted with ten adolescents (seven females and three males, aged 13–17) diagnosed with anxiety, depression, or emotional and behavioural disorder, all of whom were receiving treatment at child and adolescent psychiatry outpatient clinics in a regional psychiatric hospital in Türkiye. Data were collected in 2024. All interviews were audio-recorded, transcribed verbatim, and analysed using interpretative phenomenological analysis. The study is reported using the COREQ checklist. The analysis revealed four main themes: excessive social media use, digital engagement versus cyberbullying, social comparison, and reducing versus increasing stress levels. This study highlights the complex relationship between social media and adolescent mental health, illustrating both the benefits and risks for those with mental health disorders. It advocates for a balanced approach, where strategies are developed to enhance positive social media experiences while mitigating its potential harms, with collaborative efforts from parents, educators, and researchers aimed at improving adolescents' mental health.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"57 ","pages":"Article 151933"},"PeriodicalIF":2.2,"publicationDate":"2025-07-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144581087","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}