Issues in Mental Health Nursing最新文献

We aimed to explore the effect of cognitive behavior intervention on violent behavior in female patients with schizophrenia (SP). A total of 86 female SP patients who were treated in Fuyang Third People's Hospital from January 2021 to January 2023 were included, and they were randomly divided into control and cognitive behavior intervention groups (n = 43). Patients in the control group received routine psychiatric nursing measures, including basic nursing, drug guidance, safety management, and psychological nursing. Those in the cognitive behavior intervention group received cognitive behavioral intervention based on routine nursing measures, including evaluating the condition and establishing a treatment alliance in the first week, knowledge training in the second week, cognitive reconstruction in the third week, and cognitive behavior training in the fourth week. The number of violent incidents after intervention was compared between the two groups. The Brief Psychiatric Rating Scale (BPRS) was used to compare the nursing effects. The incidence of violent behavior after nursing in the cognitive behavior intervention group was 13.9% (6/43), which was lower than that in the control group (39.5%, 17/43). There was no significant difference in BPRS between the two groups before nursing intervention (p > 0.05). After intervention, BPRS was notably decreased in the two groups than before intervention (p < 0.05), and the BPRS factor scores in the cognitive behavior intervention group were significantly lower than those in the control group (p < 0.05). This study provides preliminary evidence that CBI may reduce the incidence of violent behaviors in female patients with schizophrenia, with the intervention group demonstrating a lower rate of violent incidents compared to the control group. While these findings suggest the potential clinical utility of CBI for managing violence risk in this population, several important limitations must be acknowledged, including the restricted sample size and the exclusion of male patients.

Dramatic increases in adolescent social media use have occurred alongside worsening adolescent mental and behavioral health and associated risk factors, including adverse childhood experiences (ACEs). Understanding these relationships is important for mental health nurses working with adversity-impacted adolescents. This study examined the association between ACEs exposure and problematic social media use (PSMU), and the moderating role of emotional and behavioral dysregulation among a diverse sample of young United States' (US) adolescents (10-14 years old). A secondary analysis using mixed-effects linear modeling was used to analyze adolescent and parent self-report data collected from baseline through 3-year follow-up in the Adolescent Brain Cognitive Development Study (ABCD Study^®). After adjusting for socio-demographic covariates, a significant positive association was found between adolescent cumulative ACEs score at 10-12 years and higher PSMU at 12-14 years: relative to adolescents with low (< 2) ACEs, those with high ($\ge 4$) ACEs reported higher PSMU (β = 1.5, p < 0.001). Adolescent emotional and behavioral dysregulation did not moderate this association. Findings underscore the importance of ACEs and mental health screening, as well as trauma-informed, developmentally appropriate preventative interventions to promote healthy social media use and reduce risk for PSMU among adversity-impacted adolescents.

Background: Mental health disorders are prevalent and often treated with psychotropic drugs; however, concerns remain regarding their efficacy and long-term benefits. Likewise, there has been increasing attention on limiting psychotropic drug use to the minimum necessary level. Several studies have focused on deprescribing, often supported by various non-pharmacological interventions (NPIs). This study aimed to explore recent literature on the use of NPIs to support psychotropic drug deprescribing in adults.

Methods: We conducted a narrative review and performed literature search in major electronic databases, including Embase, Medline, PsycInfo, and CINAHL, covering a period of 6 years. The results were screened and selected based on pre-defined eligibility criteria.

Results: We identified eight studies; the majority explored deprescribing of antidepressant medication and benzodiazepines for mood and anxiety disorder. One study focused on deprescribing of antipsychotics. Shared Decision Making, Mindfulness-Based Cognitive Therapy, Cognitive Behavioral Therapy and personal tapering strips for gradual drug reduction were identified as strategies aiming at supporting deprescribing.

Conclusion: This review identified research on NPIs supporting deprescribing in mental health disorders. It highlights the need for individual approaches and strong clinician-patient collaboration. Further rigorous and well-designed research is needed to better understand the benefits, challenges, and role of NPIs in deprescribing.

Empirical understanding of the effects of mindfulness-based interventions for post-traumatic stress disorder (PTSD) across different racial groups remains limited. This secondary analysis of a randomised controlled trial examined racial differences in trauma-related outcomes among U.S. frontline nurses traumatised by the COVID-19 pandemic. Participants (N = 56) were randomly assigned to either the MABSA intervention (Mindfulness and Acceptance-Based Smartphone App), a mindfulness app grounded in Acceptance and Commitment Therapy, or a wait-list control group. Outcomes included PTSD symptoms, experiential avoidance, rumination, mindfulness, and resilience. The intervention significantly reduced PTSD symptoms, experiential avoidance, and rumination for both Black and White participants compared to controls. A significant interaction effect was found for experiential avoidance, with Black participants showing greater improvement than their White counterparts. Across groups and time points, Black participants also consistently reported higher levels of rumination and mindfulness. These findings suggest that there may be differences in how individuals from different racial groups respond to mindfulness-based interventions, highlighting the importance of developing culturally informed PTSD treatments.

Children of Parents with a Mental Illness (COPMI) are at elevated risk of developing mental and physical disorders in adulthood. However, there is a knowledge gap regarding the mental healthcare needs of adults with a COPMI background. This study identified long-term psychological and physical consequences of a COPMI background and intervention needs. Methods involved two rounds of assessment, using a mixed quantitative and qualitative approach with explorative thematic analysis. Participants were approached via a national nonprofit organization that supports family members and significant others of people with mental health-related problems. Results of round 1 (N = 59) showed that participants experienced interpersonal (97%), psychological (89.9%), and physical problems (89.1%) in adulthood. All participants stated that a COPMI background requires attention in mental healthcare. In round 2 (N = 35), participants identified the following needs: (1) screening for a COPMI background, (2) information about having a COPMI background and possible implications for mental and physical wellbeing in adulthood, (3) receiving suggestions on how to discuss the COPMI background during treatment, and (4) peer contact and finding stories of others' experiences. These findings indicate that psychological wellbeing and quality of life can be improved by incorporating COPMI background assessments and personalized interventions in clinical care.

In nursing practice, suicide risk is often encountered not only as a crisis of safety, but as a crisis of identity. Individuals facing suicidal despair frequently present with a fractured sense of self, belonging, and future direction - dimensions that are easily overlooked by symptom-based assessments. This article introduces the Character-Setting-Script (CSS) framework, a narrative identity model tailored for nursing and mental health care. Drawing from existential theory and narrative psychology, the CSS model maps suicide risk across three clinical domains: Character (who the person believes they are), Setting (where they come from and what cultural worlds shape them), and Script (what future they can still imagine). Designed to enhance therapeutic engagement and cultural responsiveness, this approach supports nurses in identifying early signs of narrative collapse and facilitating story-based interventions. By helping individuals re-author meaning, coherence, and possibility, the CSS model reframes suicide prevention as a relational, narrative, and deeply human act of care.

This issue has been identified as a public health problem, yet there have been few studies on the mental health and quality of life of nursing students in France. This research had two objectives: to examine the prevalence of psychological disorders (perceived stress, anxiety and depressive disorders) and to evaluate their quality of life. This cross-sectional study employed a descriptive observational design and included a sample of 1,866 nursing students. Socio-demographic and health history data were collected. Perceived stress, anxiety, depressive symptoms and quality of life were assessed using the PSS-14, HADS and WHOQOL-Bref scales. The data underwent descriptive and comparative analysis by gender and education, and correlational analysis. The findings revealed that 63.5% of nursing students had high level perceived stress, 50% had anxiety symptoms, and 14.4% had depressive symptoms. There were gender differences in perceived mental health, perceived stress and anxiety symptoms. There were also differences based on years of education in perceived physical health, anxiety symptoms and depressive symptoms. A negative link was found between the PSS, HAD-A and HAD-D, and WHOQOL. It can be concluded that future interventions to promote the mental health of nursing students should be implemented.

Cardiovascular conditions are the leading cause of pregnancy-related death among African American women (AAW). Stress is a risk factor for cardiovascular conditions that negatively impacts maternal health; however, research on stress management interventions for pregnant AAW is currently limited. Thus, we conducted a scoping review to explore the state of the science on this topic to better understand what types of methods, measures, and components have been utilized in stress management interventions for pregnant AAW. The Preferred Reporting Items for Systematic Reviews and Meta-Analysis Extension for Scoping Reviews (PRISMA-ScR) framework was used to conduct a systematic literature search. Eight studies using quantitative (n = 4), qualitative (n = 2), and mixed methods (n = 2) were identified. Common intervention components were education, social support, mind-body exercises, and reflection. Studies additionally measured physiological stress, anxiety, and depression. Results for stress reduction were mixed; while two studies reported post-intervention decreases in stress, others found no significant changes, highlighting the preliminary nature of existing evidence. The qualitative studies provided information on intervention benefits and barriers to participation. Future intervention studies that are community-based, culturally-relevant, and target contextualized stressors are necessary to build confirmatory evidence on methods of stress management for pregnant AAW.