Actas espanolas de psiquiatria最新文献

{"title":"Adult Romantic Attachment and Parental Reflective Functioning in Parents of Pre-School Children: An Association Study With a Sex-Sensitive Approach.","authors":"Leire Erkoreka, Garazi Urrutia","doi":"10.62641/aep.v54i4.2080","DOIUrl":"10.62641/aep.v54i4.2080","url":null,"abstract":"<p><strong>Background: </strong>Parental reflective functioning (PRF) has important developmental roles in the offspring. The relationship between parents' attachment style and PRF, as well as their intergenerational transmission, have been object of investigation in recent years, however, the studies have been mostly limited to mothers and conducted with semi-structured interviews. We aimed to assess this relationship using self-reports (PRF Questionnaire and Experiences in Close Relationships-Revised), and discuss their impact on child development.</p><p><strong>Methods: </strong>A total of 240 parents of 262 pre-school children were recruited via online methods. They completed both questionnaires as well as data regarding sex and age of parents and children. General linear models were conducted to assess the relationship between PRF and attachment dimensions, controlled by potential sex and age confounders.</p><p><strong>Results: </strong>Anxious attachment was significantly associated with the \"prementalization\" and \"certainty about mental states\" subscales, with the models explaining 15.8% and 7% of their variability. These associations remained constant when performing sex-disaggregated analyses, and in both cases the sex-specific models explained a greater variability in men than in women. Attachment style didn't show any significant associations with the \"interest and curiosity\" subscale, nonetheless, differences between fathers and mothers in this latter dimension were also observed in the univariate analysis.</p><p><strong>Conclusions: </strong>Parental attachment styles are significantly associated with specific PRF domains, and these associations differ between mothers and fathers. Our results replicate previous findings, obtained mostly with interview-based assessments, and incorporate a sex-specific approach. Finally, the impact of PRF and adult attachment on the socio-emotional and behavioral development of the offspring is reviewed and discussed, as well as the clinical implications that could be derived from the extensive use of these tools.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1234-1244"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571180/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786867","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":"Changes in Serum GDF-15 in Relation to the Onset of Post-Stroke Depression After Acute Ischemic Stroke and the Development of a Comprehensive Prediction Model.","authors":"Chengzhi Guo, Xiuyan Liu, Yu Yun, Zhihuan Mi","doi":"10.62641/aep.v54i4.2230","DOIUrl":"10.62641/aep.v54i4.2230","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to investigate the relationship between serum growth differentiation factor-15 (GDF-15) levels and the development of post-stroke depression (PSD) following acute ischemic stroke (AIS) and to construct an integrated predictive model.</p><p><strong>Methods: </strong>This retrospective study enrolled 302 patients with AIS admitted to Siyang County Hospital of Traditional Chinese Medicine between January 2023 to October 2025. Among them, 100 patients developed PSD, and the remaining 202 patients did not. Serum GDF-15 levels at admission, general clinical data and disease-related information were compared between groups. Logistic regression identified independent risk factors for PSD, and a nomogram-based prediction model was developed. Model performance was assessed using receiver operating characteristic (ROC) analysis.</p><p><strong>Results: </strong>Compared with the non-PSD group, the PSD group had older age, higher National Institutes of Health Stroke Scale (NIHSS) scores, and a greater proportion of patient with a family history of psychiatric disorders and frontal lobe infarction (p < 0.05). Serum level of high-sensitivity C-reactive protein (hs-CRP), homocysteine, uric acid, Interleukin-6 (IL-6), neurofilament light chain (NfL) and GDF-15 were elevated, whereas left ventricular ejection fraction was lower in the PSD group (p < 0.05). Logistic regression showed that higher NIHSS scores (odds ratio (OR) = 1.230, 95% confidence interval (CI): 1.045-1.447), family history of psychiatric disorders (OR = 7.760, 95% CI: 1.709-35.238), frontal lobe infarction (OR = 5.275, 95% CI: 1.574-17.678), and elevated level of IL-6 levels (OR = 1.319, 95% CI: 1.089-1.599), NfL (OR = 1.103, 95% CI: 1.018-1.195), and GDF-15 (OR = 1.021, 95% CI: 1.009-1.033) were independent risk factors for PSD in patients with AIS (p < 0.05). The nomogram achieved an area under the ROC curve of 0.863 (95% CI: 0.810-0.885) for predicting PSD in patients with AIS.</p><p><strong>Conclusions: </strong>Serum GDF-15 is closely associated with PSD onset after AIS. A comprehensive prediction model integrating GDF-15 with other clinical factors demonstrates high clinical utility for predicting PSD risk.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1179-1188"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571207/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786864","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":"Being on the Same Page: Ongoing Adjustment of the Therapeutic Contract When Treating Pathological Narcissism and Narcissistic Personality Disorder.","authors":"Giancarlo Dimaggio, Gabriele De Gabrielis, Angus MacBeth, Felix Inchausti","doi":"10.62641/aep.v54i4.2305","DOIUrl":"10.62641/aep.v54i4.2305","url":null,"abstract":"<p><p></p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1350-1353"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571177/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786932","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":"Clinical Utility of Cariprazine in the Management of Acute Schizophrenia: Current Evidence and Practical Recommendations.","authors":"José Manuel Montes-Rodríguez, Francisco Collazos-Sánchez, José Martínez-Raga, José de Blas-Soto, Moisés Bolivar-Perálvarez, Luis Gutiérrez-Rojas","doi":"10.62641/aep.v54i4.2145","DOIUrl":"10.62641/aep.v54i4.2145","url":null,"abstract":"<p><strong>Background: </strong>The management of schizophrenia in acute care units presents significant challenges, particularly in addressing negative symptoms and functional impairment. Cariprazine, a dopamine D3/D2 receptor partial agonist, offers a unique pharmacological profile in this setting. This review aims to provide an expert consensus on the clinical utility of cariprazine in acute settings and establish practical recommendations for its use.</p><p><strong>Methods: </strong>A comprehensive literature review was conducted across specialized databases, including PubMed/MEDLINE, EMBASE, PsycINFO, and the Cochrane Library, ensuring a robust evidence base. The consensus was developed by a panel of six senior experts during a formal consensus meeting held in Madrid. Following a structured discussion and evidence synthesis, a modified Delphi-like process was employed to refine the recommendations. The quality of evidence and the strength of the recommendations were assessed using the grading of recommendations assessment, development, and evaluation (GRADE) approach.</p><p><strong>Results: </strong>The evidence confirms cariprazine's efficacy in acute exacerbations, with a distinct advantage in treating predominant negative symptoms and hostility compared to other second-generation antipsychotics (SGAs). Its metabolic-neutral profile and D3-mediated impact on craving also make it a strategic option for patients with dual diagnosis.</p><p><strong>Conclusions: </strong>Cariprazine is a valuable tool for the stabilization and long-term functional recovery of patients in acute psychiatric units. The consensus provides a practical framework to optimize its clinical application based on high-quality evidence.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1331-1349"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571208/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786872","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":"Effect of Mobile Application-Based Cognitive Behavioural Therapy on Atopic Dermatitis Comorbid With Obsessive-Compulsive Disorder: A Retrospective Study.","authors":"Dan Liang, Lihong Yang, Xian He","doi":"10.62641/aep.v54i4.2300","DOIUrl":"10.62641/aep.v54i4.2300","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to evaluate the effect of mobile application-based cognitive behavioural therapy (MCBT) in patients with atopic dermatitis (AD) and comorbid obsessive-compulsive disorder (OCD).</p><p><strong>Methods: </strong>This retrospective study analysed 100 patients with AD and comorbid OCD treated at Chengdu First People's Hospital from January 2024 to December 2025. Patients were divided into an MCBT group (n = 50) and a conventional group (n = 50) according to the treatment they received. All patients received routine medication. The conventional group received conventional cognitive behavioural therapy (CBT), whereas the MCBT group received MCBT via mobile applications. Treatment duration was 12 weeks for both groups. The Eczema Area and Severity Index (EASI), Yale-Brown Obsessive Compulsive Scale (Y-BOCS), Dermatology Life Quality Index (DLQI), and treatment adherence were compared between the two groups before and after treatment.</p><p><strong>Results: </strong>After 12 weeks of treatment, EASI, Y-BOCS, and DLQI scores significantly reduced from baseline in both groups (all <i>p</i> < 0.01). Moreover, the MCBT group had significantly lower EASI [10.5 (3.7, 18.6)], Y-BOCS (10.2 ± 2.1), and DLQI (5.3 ± 1.8) scores than the conventional group [14.4 (6.8, 26.9), 15.5 ± 2.3, 10.6 ± 2.7] (all <i>p</i> < 0.01). The overall treatment adherence rate was significantly higher in the MCBT group (82.0%) than in the conventional therapy group (64.0%; χ² = 4.110, <i>p</i> = 0.042).</p><p><strong>Conclusions: </strong>MCBT combined with conventional therapy may alleviate dermatological and obsessive-compulsive symptoms in patients with AD and OCD, while also improving treatment adherence and quality of life. Given its simplicity and feasibility, further large-scale prospective studies are warranted to validate its clinical value.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1150-1158"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571209/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148786868","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":"Research Progress on Light Therapy to Improve Depressive Symptoms of Bipolar Depression.","authors":"Yutong Cui","doi":"10.62641/aep.v54i4.2255","DOIUrl":"10.62641/aep.v54i4.2255","url":null,"abstract":"<p><p>Bipolar depression is the predominant and most disabling phase of bipolar disorder, featured by recurrent depressive episodes that impair psychosocial function and quality of life. Conventional pharmacotherapy has limited efficacy and carries a risk of mood destabilization (e.g., affective switch). Light therapy, a nonpharmacological chronotherapeutic intervention, has shown potential to improve bipolar depression symptoms by regulating circadian rhythms and mood regulating neural circuits. This review synthesized domestic and international research advances regarding light therapy for bipolar depression, focusing on the mechanisms of action, clinical efficacy, application protocols, safety, and limitations, aiming to provide evidence based clinical guidance for optimization of therapeutic strategies.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 4","pages":"1324-1330"},"PeriodicalIF":2.1,"publicationDate":"2026-08-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13571182/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148787125","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":"Effect of PERMA Model on Anxiety, Depression, Post-Traumatic Stress Symptoms and Quality of Life in Patients With Scar Plastic Surgery After Burn.","authors":"Yan Zhong, Zhihui Wu","doi":"10.62641/aep.v54i3.2182","DOIUrl":"10.62641/aep.v54i3.2182","url":null,"abstract":"<p><strong>Background: </strong>This study aimed to explore how Positive Emotion, Engagement, Relationships, Meaning, and Accomplishment (PERMA)-based nursing anxiety, depression, post-traumatic stress symptoms (PTSD) and quality of life in patients with post-burn scar plastic surgery.</p><p><strong>Methods: </strong>A retrospective cohort study was conducted using data from patients who underwent scar plastic surgery for burn-related scar at our hospital between January 2023 and January 2025. Based on the type of nursing care they received, we divided patients into two groups: 51 patients who received PERMA-based nursing were assigned to the PERMA nursing group, and 51 patients who received routine nursing only were assigned to the routine nursing group. Both groups received 12 weeks of nursing care. We assessed all outcome measures, including the Self-Rating Anxiety Scale (SAS), Self-Rating Depression Scale (SDS), PTSD Checklist-Civilian Version (PCLC), Simplified Coping Style Questionnaire (SCSQ), SelfAcceptance Questionnaire (SAQ), and Generic Quality of Life Inventory-74 (GQOL-74), were assessed at baseline and again after the 12-week nursing period in both groups. Pearson correlation analysis was performed to evaluate the relationships among the psychological improvement scores.</p><p><strong>Results: </strong>After the nursing intervention, both groups showed decreases in SAS scores, SDS scores, PCL-C scores, and negative coping scores of both groups decreased after the nursing, and those of the PERMA nursing group were lower (p < 0.05). The positive coping scores and SAQ scores of both groups increased, and those of the PERMA nursing group were higher (p < 0.05). The GQOL-74 scores of both groups increased after the nursing, and those of the PERMA nursing group were higher (p < 0.05). Correlation analysis revealed that anxiety relief (∆SAS) was significantly tied to improvements in both depression and PTSD symptoms. Furthermore, reductions in negative coping strategies (∆negative coping) acted as a key factor that correlated with lower levels of anxiety and traumatic stress.</p><p><strong>Conclusions: </strong>PERMA-based nursing is associated with reduced anxiety, depression, and PTSD symptoms, as well as improved coping strategies, self-acceptance, and improved quality of life in patients undergoing scar plastic surgery after burn.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"764-773"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294835/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315313","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":"The Impact of Emergency Department Process Optimization Combined With Health Education on the Treatment Outcomes and Anxiety and Depression in Patients With Acute Ischemic Stroke.","authors":"Xiaodong Xie, Shouzhang Wang, Mingying Zhang, Lifen Tang","doi":"10.62641/aep.v54i3.2175","DOIUrl":"10.62641/aep.v54i3.2175","url":null,"abstract":"&lt;p&gt;&lt;strong&gt;Background: &lt;/strong&gt;To explore the association between an optimised emergency procedure combined with structured health education and anxiety, depression and treatment outcomes in patients with acute ischaemic stroke (AIS).&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Methods: &lt;/strong&gt;We conducted a retrospective cohort study of 114 AIS patients admitted to our stroke centre between January and December 2023. On the basis of the admission timeframe, patients were divided into a conventional care group (n = 57, January to June 2023, routine care) and a comprehensive nursing group (n = 57, July to December 2023, optimised integrated care). Emergency nursing outcomes were assessed after stabilisation and before ward transfer. Neurological recovery was assessed with the European Stroke Scale (ESS); anxiety and depression were assessed with the Generalized Anxiety Disorder-7 (GAD7) and Patient Health Questionnaire-9 (PHQ-9) as primary psychological indicators. Process times and nursing satisfaction were also evaluated. Data analysis was conducted using SPSS 27.0. Normality was verified using the Shapiro-Wilk test. Normally distributed data were expressed as mean ± standard deviation and analysed using an independent samples t-test, whereas non-normal data were expressed as median (interquartile range) and analysed using the Mann-Whitney U test. Categorical data were analysed using chi-square test. Multivariate linear and logistic regression were used to analyse indicators such as neurological function and nursing satisfaction, adjusting for confounding factors. A p-value &lt; 0.05 was considered statistically significant.&lt;/p&gt;&lt;p&gt;&lt;strong&gt;Results: &lt;/strong&gt;Compared with the conventional care group, the waiting time, diagnosis time, emergency room waiting time and recanalisation time of patients in the comprehensive nursing group were significantly shortened (p &lt; 0.05). The degree of improvement in ESS (∆ESS) in the comprehensive nursing group was significantly higher, and the reductions in GAD-7 and PHQ-9 scores were also significantly greater (p &lt; 0.05). Patient and family satisfaction in the comprehensive nursing group were significantly higher than those in the conventional care group (p &lt; 0.05). Through multivariate linear regression analysis, with baseline National Institutes of Health Stroke Scale (NIHSS) score, time from onset to visit, hypertension and diabetes as adjustment factors, allocation to the comprehensive nursing group was still significantly correlated with ∆ESS (β [95% confidence interval (CI)] = 8.15 [5.72 to 10.58], p &lt; 0.001), ∆GAD-7 (β [95% CI] = -2.18 [-2.92 to -1.44], p &lt; 0.001), and ∆PHQ-9 (β [95% CI] = -2.65 [-3.32 to -1.98], p &lt; 0.001). The results of multivariate logistic regression analysis showed that, after adjusting for the above confounding factors, inclusion in the comprehensive nursing group was independently associated with a significantly higher likelihood of obtaining a satisfactory nursing evaluation (adjusted OR = 8.915, 95% CI: 2.45","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"833-844"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294853/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315075","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":"ADHD, Subtypes and Cognitive Performance: WISC-V as a Support Tool for Diagnostic Assessment.","authors":"Rocío Lavigne-Cerván, Joshua Collado-Valero, Ignasi Navarro-Soria, Megan Rosales-Gómez, Manuel Torrecillas-Martínez","doi":"10.62641/aep.v54i3.2122","DOIUrl":"10.62641/aep.v54i3.2122","url":null,"abstract":"<p><strong>Background: </strong>Attention-Deficit/Hyperactivity Disorder (ADHD) is a neurodevelopmental condition characterized by impairments in working memory (WM) and processing speed (PS). Previous studies using earlier editions of the Wechsler Intelligence Scale for Children (WISC) have identified a cognitive response pattern defined by lower Cognitive Proficiency Index (CPI). However, evidence using the Wechsler Intelligence Scale for Children-Fifth Edition (WISC-V) remains limited. This study aimed to examine whether the WISC-V identifies a characteristic cognitive profile in ADHD and to evaluate its discriminative capacity.</p><p><strong>Methods: </strong>The sample consisted of 188 participants aged 6-16 years, including a control group (n = 56) and two clinical ADHD groups: The combined presentation of ADHD (ADHD-C; n = 57) and the predominantly inattentive presentation of ADHD (ADHD-I; n = 75). Cognitive functioning was assessed using the WISC-V. Group differences were examined using Multivariate and Univariate Analyses of Covariance (MANCOVA/ANCOVA). Binary logistic regression analyses were conducted to evaluate the predictive capacity of WISC-V.</p><p><strong>Results: </strong>Compared with controls, the clinical ADHD group showed significant multivariate differences. Univariate analyses revealed significantly lower performance in the working memory index (WMI; p < 0.001), processing speed index (PSI; p < 0.001), CPI (p < 0.001), and Full-Scale Intelligence Quotient (FSIQ; p = 0.005), in the clinical ADHD group. Differences between ADHD-C and ADHD-I were observed, with the ADHD-I group showing lower scores in WMI (p = 0.016), PSI (p < 0.001), CPI (p < 0.001), and FSIQ (p = 0.016). Logistic regression analyses indicated that WMI (B = -0.067; p < 0.001), PSI (B = -0.043; p = 0.007), and CPI (B = -0.091; p < 0.001) significantly predicted control versus clinical ADHD group membership. When comparing ADHD presentations, PSI (B = -0.055; p = 0.001) and CPI (B = -0.063; p < 0.001) emerged as significant predictors.</p><p><strong>Conclusions: </strong>The findings support the use of the WISC-V as a complementary tool in the diagnostic assessment of ADHD.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"797-807"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294843/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315296","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":"Assessment of Mental Health Nurses' Competences: A Scoping Review.","authors":"Javier Sanz Calvo, Alina Mariana Renghea, Mercedes Gómez Del Pulgar García-Madrid","doi":"10.62641/aep.v54i3.2069","DOIUrl":"10.62641/aep.v54i3.2069","url":null,"abstract":"<p><strong>Background: </strong>Research has explored how undergraduate nursing students or Registered Nurses acquire and assess competences through simulations or training programs. However, there is limited evidence regarding Mental Health Nurses (MHNs) in regular clinical practice. This review aims to identify the clinical competences-knowledge, skills, or attitudes-of MHNs in their clinical practice, and how these are evaluated.</p><p><strong>Methods: </strong>A scoping review was conducted across four databases (PubMed, CINAHL, MEDLINE, PsycInfo) adhering to the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) extension guidelines, applying a double screening process.</p><p><strong>Results: </strong>Twenty-three studies were selected, focusing on nursing competency acquisition programs and assessments tools. The quality of the included studies was deemed acceptable. The findings indicated that educational programs improved professional competences. Among the assessment tools identified, sixty-six were validated while thirty-four were researcher-developed. Most tools targeted core MHN competences, such as physical health (Physical Health Attitude Scale for Mental Health Nurses) and psychiatric emergencies (Attitudes towards Containment Measures Questionnaire). Fewer tools addressed crosscutting competences (Clinical Competency of Mental Health Nursing).</p><p><strong>Conclusions: </strong>There is a clear need to develop tools specifically designed to assess mental health nursing within Specialized Health Training Programs. To strengthen competency acquisition and evaluation, it is recommended that complementary methods, such as simulations, feedback, and targeted tools, be integrated into MHN training and assessment.</p>","PeriodicalId":7251,"journal":{"name":"Actas espanolas de psiquiatria","volume":"54 3","pages":"929-948"},"PeriodicalIF":2.1,"publicationDate":"2026-06-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13294836/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"148315286","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}