Issues in Mental Health Nursing最新文献

The DSM-5 Cultural Formulation Interview (CFI) is a person-centred tool that systematically evaluates the influence of sociocultural factors in mental health assessment. It is practical, acceptable, and applicable across diverse clinical contexts. Patients and clinicians differing sociocultural views of illness can cause miscommunications that impact clinical communication, diagnosis, and the creation of culturally relevant treatment strategies. This single-case study used the CFI to explore the perspectives of a woman with schizophrenia and her caregiver, focusing on cultural influences. The patient, diagnosed per ICD-10 criteria at a tertiary care facility, underwent CFI and clinical interviews to assess cultural impacts on her illness experience. Her family attributed symptoms such as disrupted sleep, self-talk, and unusual behaviour to supernatural causes like black magic, reflecting community beliefs. Initially, they sought help from faith healers, with limited relief, before turning to psychiatric care, which improved her symptoms. Despite this, religious practices continued alongside treatment. The patient's limited understanding of her illness led to poor medication adherence. This case highlights the value of incorporating cultural perspectives into clinical practice to enhance adherence and outcomes. CFI aids in gaining a comprehensive understanding of illness and integrating cultural insights into care. Further research should explore its clinical relevance.

This study explores the implementation of a lifestyle programme within municipal mental health services from the perspectives of staff working with housing support, focusing on the challenges and facilitators that shaped its delivery over time. Drawing on longitudinal data collected across three time points, the findings highlight the complexity of implementing lifestyle programmes in fragmented service environments. While early stages were marked by staff engagement and contextual adaptation, sustainability was hindered by staff turnover, limited organisational anchoring, and unclear responsibilities. The Consolidated Framework for Implementation Research was used to analyse how organisational context, leadership, and timing influenced outcomes. The study underscores the importance of shared responsibility, embedded support structures, and flexible implementation strategies. It also points to the potential of cross-sector collaboration, particularly with third sector organisations, as a means of sustaining preventive efforts when internal resources are constrained. Overall, the findings contribute to a deeper understanding of how complex interventions can be adapted and maintained in real-world mental health settings.

Intergenerational contact is critical to the health and wellness of individuals across the life course. Multigenerational and communal living has declined, particularly in Western societies, leading to decreased contact between generations and increased isolation of older adults. Intergenerational wellness programs are designed to build or sustain relationships between children or young adults and older adults to promote wellness; however, the concept of intergenerational wellness has evolved over time. We used Rodgers's evolutionary method to examine the concept of intergenerational wellness. The key attribute of intergenerational wellness is meaningful interactions between individuals of one or more generations to support holistic health. Defining attributes included sharing and passing down cultural traditions and life lessons, life review, companionship and emotional support, volunteering, and mentorship. Surrogate and related terms included interactions between generations, a life course perspective, aging well, and generativity. Antecedents included cultural aspects and theoretical approaches. The benefits of contact with individuals across different age groups has resulted in a proliferation of programs designed to enhance intergenerational wellness. Findings from the current analysis underscore the complexity of this concept and how differently it has been both operationalized and implemented across programs in the past decade.

Self-with-other schemata, such as attachment style, partner rejection sensitivity, and intolerance of uncertainty in relationships, shape how people relate to intimate partners as well as mental health. The effects of these self-with-other schemata upon depression and life satisfaction, as well as the potential protective effects of identity resilience and social support were examined in a cross-sectional correlational survey study of 257 lesbian, gay, and bisexual people. Participants provided demographic information, and completed measures of attachment style, partner rejection sensitivity, intolerance of uncertainty in relationships, identity resilience, social support, depression, and life satisfaction. Data were analyzed using hierarchical multiple regression. Depression was associated positively with uncertainty intolerance, and negatively with income, identity resilience, and social support. Life satisfaction was associated positively with income, being partnered, identity resilience, and social support. When identity resilience and social support were inserted in the models, avoidant attachment ceased to be a significant predictor of depression, and anxious and avoidant attachment and partner rejection sensitivity ceased to be significant predictors of life satisfaction. Insecure attachment, partner rejection sensitivity, and uncertainty intolerance are risk factors for poor mental health but identity resilience and social support may have protective effects.

Visually dense social media platforms have reshaped how motherhood is portrayed. Idealized maternal depictions on platforms like Instagram contribute to heightened social expectations, impacting the well-being of working mothers. Nearly 74% of American mothers are in the workforce, and curated portrayals of motherhood online intensify the pressure to balance professional and family responsibilities. This study explored the impacts of idealized portrayals of motherhood online on maternal well-being. A 2 × 2 within-subjects factorial design examined how idealized portrayals and content sources influence maternal self-perception and well-being. Participants (n = 70), full-time working mothers with children three or younger, viewed 16 Instagram posts depicting motherhood before completing measures of perceived similarity, state anxiety (STAI-6), and unfavorable social comparisons. Self-esteem, employment guilt, and social media use were also assessed. Idealized portrayals significantly increased state anxiety and reduced perceived similarity. Effects were most pronounced when the source was a mommy influencer. Everyday mothers elicited stronger negative comparisons than influencers, especially with non-idealized portrayals. Maternal employment guilt and lower self-esteem amplified adverse responses, indicating risk-enriched subgroups. Exposure to idealized portrayals of motherhood, especially from online influencers, can acutely raise anxiety among working mothers. Guilt about employment further heightens maternal vulnerability.

Informal, family caregiving arrangements are a critical part of the overall health and social care system. However, many family caregivers remain underrecognized and as a result, underserved in programming and policy. These caregivers include the rising number of aging adults caring for children through kinship arrangements, traditionally known as "grandfamilies" - and children who are in their care supporting an aging adult with age-related illness, injury, or disability, known as "youth caregivers," The Aging GRANDfamilies Expanding Healthcare Access Partnership Project(AGE HAPPY) reconceptualizes youth caregivers in kinship care arrangements with aging adults as "intergenerational caregiving teams" and provides emerging evidence of their existence as well as mutual challenges and benefits for intergenerational well-being. The project provides a blueprint for a community-academic-policy partnership designed to recognize this unique population, use lived-experience and community member input to reform service delivery opportunities, and advocate for policy to support and improve the well-being of aging adults with youth caregivers in intergenerational caregiving teams.

Relapse prevention and function rehabilitation of major depressive disorder (MDD) are main issues faced by general public. This study aimed to explore association between pet attachment, sense of alienation, oxytocin (OT), and depressive symptoms in MDD rehabilitees for promoting MDD prevention and rehabilitation. A total of 284 pet dog owners served as study group and 284 non-pet owners as control group were assessed using Lexington Attachment to Pets Scale (LAPS), General Alienation Scale (GAS), and Patient Health Questionnaire-9 (PHQ-9). OT was detected using enzyme-linked immunosorbent assay. The results showed total LAPS score and OT were higher, and 4 dimensional scores of GAS and PHQ-9 were lower in study group. ROC curve, constructed using LAPS as testing variable, showed area under curve was 0.822. Scores of LAPS was higher and of PHQ-9 was lower in urban residents and females. LAPS, GAS, and OT could predict PHQ-9 and account for 74.60% of PHQ-9 variance in study group. Mediating effects of GAS and OT between LAPS and PHQ-9 were 28.46% and 11.09%, respectively. Taken together, pet attachment could alleviate depressive symptoms by reducing sense of alienation and increasing OT. Pet ownership has greater advantages for MDD prevention in females and urban residents.

With the increasing incidence of mental health conditions in Canada and globally, there is a growing understanding of the vital role that families play in supporting their loved ones. Families regularly provide psychological, emotional, physical, and financial assistance; however, they also endure significant burdens in these same areas. This conceptual review discusses the importance of mental health nurses (MHNs) extending their care to include family members, who are frequently ignored in mental health practices. Grounded in Family Systems Theory (FST) and current literature, this article produces three core themes: (1) families as essential partners in mental health, (2) the burden of caregiving on families, and (3) the value of supporting families in care. This article introduces a customized family-centered care framework, PACES, designed to guide MHNs in supporting and collaborating with families. The PACES framework highlights five essential areas: (1) partnership and collaboration, (2) assess needs, (3) communication, (4) education and (5) support family needs. Its implementation can empower MHNs to enhance recovery outcomes for patients while also fostering resilience and well-being within families.

With the escalating issue of population aging, the health of older adults has gained increasing attention. While prior research has predominantly examined the impact of resource flows between generations on older adults' health, the roles of intergenerational relationship quality and cohabitation have been relatively overlooked. Using data from CHARLS 2020, this study investigated how intergenerational relationship quality influenced older adults' mental health and functional capacity. Additionally, it incorporated intergenerational cohabitation as a potential moderating factor within the research framework. The results showed that the intergenerational relationship quality served as a protective factor against disability and depressive symptoms in older adults, significantly reducing these risks. Moreover, intergenerational cohabitation moderated the association between intergenerational relationship quality and disability but did not exhibit a significant effect on depressive symptoms. This study provides deeper insights into the association between intergenerational relationships and the health of older adults.

This study presents a targeted analysis of qualitative data under a parent study integrating the World Health Organization's Age-Friendly Cities, Healthy Cities, and sustainable cities policy frameworks. To focus on implications for mental health promotion and nursing, data-analysis was performed mobilizing the Canada Health Act (CHA) as theoretical framework. Using data from 22 semi-structured interviews with community members (n = 17) and global policy stakeholders (n = 5), this analysis reveals how transportation may be a central factor through which environmental design influences accessibility to health care services, including mental healthcare. Thematic analysis revealed three interrelated factors-transportation cost, travel time, and travel risk-as central to understanding how city planning intersects with preexisting social marginalization to confound psychosocial outcomes. When viewed through the CHA's framework, transportation barriers effectively render public healthcare systems functionally inaccessible for many, particularly individuals facing compounded challenges related to socioeconomic status, age, disability, and limited mobility. Overall, the sub-study suggests that the design of one's physical environment can profoundly shape both access to care and one's perceived ability to find respite from, cope with, or resolve mental health stressors. Conceptualizations of the "world," in alignment with other mental health research, illuminate the ways in which transportation infrastructure and urban planning either expand or contract the scope of lived experience and autonomy to impact daily mental wellbeing. A preliminary framework of mental health nursing understood in terms of environmental and transportation planning concludes the study.