Issues in Mental Health Nursing最新文献

This paper explores competing meanings which may arise through receiving a diagnosis of "borderline personality disorder," discussing how this may impact a person's treatment and their sense of self. This paper is informed by qualitative case study research, which utilized interviews to explore experiences of crisis and crisis intervention for people diagnosed with borderline personality disorder, their family and friends, and professionals who work with them. Utilizing this qualitative research data, alongside wider literature, the conceptualization of "borderline personality disorder" and the actual and potential real-world consequences of receiving this label are explored. Potential meanings are mapped onto a "black hole" model where potential competing meanings exist in the same place at the same time, and harm a persons sense of self. "Borderline personality disorder" is the most controversial personality disorder diagnosis. People may conceptualize their distress through four different labels for borderline personality disorder, be seen as "not real mental illness," "borderline of what?", not personality disorder, only personality disorder, and too unstable for therapy. Spaghettification, a term from astrophysics, is used as a metaphor to explain how a persons sense of self can fragment as they are pulled into the confusion of this black hole.

This paper explores compassion and connection through a biophilic lens, examining how human-animal relationships reflect the moral and cultural foundations of nursing. Drawing on Edward O. Wilson's biophilia hypothesis, it considers examples from animal-assisted care with ducks in Tennessee and urban animal interaction spaces in Japan. Across these diverse settings, engagement with animals fostered emotional well-being, reduced anxiety, and reawakened empathy. The analysis situates biophilia within nursing's ethical commitment to compassionate care, proposing that intentional human-animal connection offers a universal pathway to empathy, healing, and quality of life across cultural contexts.

Asian Americans and immigrants (AAIs) faced unprecedented challenges during the pandemic due to anti-Asian racist acts fueled by COVID19 rhetoric and the resulting racial trauma. This study explored AAIs' perceptions of these anti-Asian acts and their impact on psychosocial and mental health in the state of New Mexico (NM). Meyer's Minority Stress Theory provided the conceptual framework for the study. Sixty AAIs were conveniently recruited through various social networks in NM. Semi-structured interviews were conducted remotely, primarily in English. All interviews were transcribed verbatim. Thematic content analysis was used to identify codes, categories, and patterns across the transcripts. Most participants viewed anti-Asian racism as an inseparable part of their lives, describing direct or vicarious experiences of racism as surreal and emotionally torturous. Many reported feelings trapped in a "rabbit hole," alienated from mainstream society, and on the verge of emotional eruption. AAIs employed both unhealthy and healthy coping strategies for survival. The findings highlight the profound, life-altering distress-defined as suffering that disrupts the ability to cope with daily life-experienced by NM AAIs, underscoring the urgent need for long-lasting, tailored resilience programs (e.g. culture-specific counseling) to support their psychosocial and emotional well-being and foster a renewed sense of community-belonging.

Limited lesbian, gay, bisexual, transgender, and queer (LGBTQ) health research exists in many countries, including Thailand. Understanding LGBTQ outness is a key determinant in developing targeted and impactful mental health strategies. Outness among LGBTQ individuals, once safe from potential discrimination, brings significant benefits of acceptance, affirmation, and adequate healthcare access. This study examined outness patterns among 388 Thai LGBTQ adults, using a secondary analysis of a larger cross-sectional descriptive survey on minority stressors and mental health. The Outness Inventory measured identity disclosure and responses to those disclosures in three categories: the World, Family, and Religious Community. Descriptive and bivariate analyses were conducted. Participants reported higher levels of outness to the world (M = 5.55, SD = 1.88) and to their family (M = 5.39, SD = 2.03) compared to their religious communities (M = 3.92, SD = 2.58). Acceptance rates following LGBTQ disclosure were highest in the 'World' category, followed by 'Family' and then 'Religious Communities.' Percentage acceptance ranged from 30.15% for members of religious communities to 64.69% for their heterosexual friends. Overall, less acceptance among family members and religious communities was associated with participants being gay, feminine, and at an older age when first disclosing their LGBTQ identity. Outness has important implications for LGBTQ mental health nursing research. Interventions to support the coming-out process and promote positive attitudes toward LGBTQ individuals are most needed for their families and religious institutions.

Loneliness is a multifaceted phenomenon linked to adverse mental and physical health outcomes, increasingly understood as a relationally embedded experience shaped by sociocultural, cognitive, and emotional factors. While previous research has predominantly relied on surveys and clinical tools, emerging approaches recognize the value of unsolicited narratives shared on digital platforms. This snapshot study examines 498 Reddit posts from the subforums r/lonely and r/offmychest, using a publicly available annotated dataset to examine perceived causes and intensities of loneliness. Each post was annotated for types of loneliness cause and rated for intensity on a five-point scale. Descriptive statistics characterized the annotated dataset, and inferential analyses examined relationships among labels within this sample. Lack of friends emerged as the most frequently identified cause, whereas lack of family contact was associated with the highest perceived intensity. Co-occurring deficits across relational domains were common, particularly between lack of friends and lack of social support. Differences by subreddit and annotation batch were observed descriptively but were not statistically significant. These findings underscore the contextual, multi-causal nature of loneliness and support the value of Reddit as a site for accessing emotionally rich, real-time disclosures. Implications for mental health nursing include allocating space within assessments to explore relational complexity, drawing on patients' digital narratives when they emerge.

This study examined the effect of a self-compassion-oriented mindfulness-based psychoeducation program on internalized stigma in individuals diagnosed with schizophrenia. This single-blind, randomized controlled experimental study was conducted with individuals with schizophrenia who were receiving follow-up care at a Community Mental Health Center in a province in northern Türkiye between June and August 2024. Following the administration of pretest assessments, the sample was randomly allocated into an experimental group (n = 21) and a control group (n = 21) through simple randomization. The psychoeducation program, adapted to the specific needs of this population, was administered to the experimental group. Data were collected using the Internalized Stigma of Mental Illness (ISMI) scale and the Descriptive Characteristics Form. Posttest measurements revealed a statistically significant difference between the experimental and control groups in the total score and the subdimensions of Alienation, Stereotype Endorsement, Perceived Discrimination, and Social Withdrawal (p < 0.05). However, no significant difference was observed between the groups in the Stigma Resistance subdimension scores (p > 0.05). The psychoeducation program significantly reduced the total scores on the ISMI among individuals diagnosed with schizophrenia, demonstrating a large effect size of 17.3% (η2 = 0.173; p = 0.006). These findings suggest that a self-compassion-oriented mindfulness-based psychoeducation program, adapted specifically for individuals with schizophrenia, is an effective intervention for reducing internalized stigma in this population.

Suicide remains a leading cause of death among adolescents in the United States, and instances of death by suicide continue to increase in this population. To mitigate this public health crisis, effective and accessible suicide prevention programming is critical; however, suicide prevention programming is often developed and implemented without input from the adolescents engaged in the training. This study developed themes that emerged from student feedback as to how a school-based suicide prevention training, delivered to adolescents by either their peers or school personnel, could be improved. Data was collected from 2,480 adolescents who completed pre-training and post-training surveys between March 2022 and June 2023. Thematic analysis was used to explore participant responses to an open-ended question included in the post-training survey, which asked whether students had suggestions for improving the training. Four themes were generated: empowerment, self-care, increased sensitivity and discretion, and enhanced interactive learning and engagement. These themes highlight the need to incorporate a flexible, trauma-informed approach into school-based suicide prevention training. Given their role and expertise, nurses are well-suited to implement these strategies. Student perspectives should consistently be sought and integrated into curricula as communities strive to decrease death by suicide among adolescents.