Purpose. This study aimed to examine the association between hedonic hunger and night-eating syndrome (NES) with difficulties in emotion regulation (DER) among young adults. Design and Methods. This cross-sectional, descriptive study was conducted on a voluntary basis at a private foundation university, involving a total of 1010 students enrolled in the 2020-2021 academic year. Data were collected through an online application of an information form, which assessed demographic characteristics, the Power of Food Scale (PFS), the Night-Eating Questionnaire (NEQ), and the Difficulties in Emotion Regulation Scale-Short Form (DERS-16). The data were analyzed using IBM SPSS26® software. Findings. Women made up 80.4% of the students in the study. The mean age was 21.58 ± 2.98 years, and the mean body mass index (BMI) was 22.06 ± 3.71 kg/m2. The results indicated that 68.1% of the students reported hedonic hunger and 88.7% had NES. Moreover, DER was found to be more prevalent among women (p=0.031). In addition, the DERS-16 score increased by 6.5% (p=0.040) with each increase in age and by 6.8% (p=0.031) with each increase in BMI. Furthermore, the total PFS score increased by 32.5% (p<0.001), and the total NEQ score increased by 22.4% (p<0.001), corresponding to an increase in the total DERS-16 score. Practice Implications. These findings suggest that an increase in the difficulties experienced in emotion regulation is associated with higher levels of hedonic hunger and night-eating tendencies among young adults.
{"title":"The Relationship of Hedonic Hunger and Night-Eating Symptoms with Difficulties in Emotion Regulation in Young Adults","authors":"P. Hamurcu, Beyzanur Çamlıbel","doi":"10.1155/2023/6672383","DOIUrl":"https://doi.org/10.1155/2023/6672383","url":null,"abstract":"Purpose. This study aimed to examine the association between hedonic hunger and night-eating syndrome (NES) with difficulties in emotion regulation (DER) among young adults. Design and Methods. This cross-sectional, descriptive study was conducted on a voluntary basis at a private foundation university, involving a total of 1010 students enrolled in the 2020-2021 academic year. Data were collected through an online application of an information form, which assessed demographic characteristics, the Power of Food Scale (PFS), the Night-Eating Questionnaire (NEQ), and the Difficulties in Emotion Regulation Scale-Short Form (DERS-16). The data were analyzed using IBM SPSS26® software. Findings. Women made up 80.4% of the students in the study. The mean age was 21.58 ± 2.98 years, and the mean body mass index (BMI) was 22.06 ± 3.71 kg/m2. The results indicated that 68.1% of the students reported hedonic hunger and 88.7% had NES. Moreover, DER was found to be more prevalent among women (p=0.031). In addition, the DERS-16 score increased by 6.5% (p=0.040) with each increase in age and by 6.8% (p=0.031) with each increase in BMI. Furthermore, the total PFS score increased by 32.5% (p<0.001), and the total NEQ score increased by 22.4% (p<0.001), corresponding to an increase in the total DERS-16 score. Practice Implications. These findings suggest that an increase in the difficulties experienced in emotion regulation is associated with higher levels of hedonic hunger and night-eating tendencies among young adults.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"19 43","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139156252","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}
Steven Krozer, Karen L. Johnston, D. Najarian, Steven Wang, Sherry Fua, Jennifer Kern Sliwa, Oliver Lopena
Purpose. This post hoc analysis assessed the importance of proper paliperidone palmitate (PP) dose preparation prior to administration and evaluated injection site reactions after dorsogluteal injection of PP once-every-6-months (PP6M) and once-every-3-months (PP3M) formulations from a double-blind (DB) noninferiority study. Design and Methods. Clinically stable patients receiving moderate/high doses of PP once-monthly (PP1M) (156 mg/mL; 234 mg/1.5 mL) or PP3M (546 mg/1.75 mL; 819 mg/2.63 mL) were randomly assigned 2:1 to corresponding dorsogluteal injections of PP6M (1092 mg/3.5 mL; 1560 mg/5 mL) or PP3M (546 mg/1.75 mL; 819 mg/2.63 mL) during a 12-month DB phase. Patients receiving PP6M injections received alternating matching placebo injections every 3 months between active doses to maintain blinding. Prior to administration, each PP formulation was prepared per specific instructions to ensure complete resuspension of the medication. Findings. Of 895 PP6M injections, one of two incomplete injections was possibly related to insufficient shaking before administration; neither resulted in an adverse reaction. After dorsogluteal administration, 59 of 478 patients who received PP6M (12.3%) and 11 of 224 patients who received PP3M (4.9%) reported an injection site–related treatment-emergent adverse event (TEAE), with pain being the most commonly reported (7.7% and 4.0%, respectively). Patient-reported pain decreased from baseline to end point in both groups. During the DB phase, injection site-related TEAEs associated with PP6M injections up to 5 mL and PP3M injections up to 2.63 mL were mild to moderate in severity; none were reported as serious, resulted in treatment discontinuation, or required dermatological consultation. Practice Implications. These results inform provider and patient expectations of PP6M administration and reinforce the importance of proper PP dose preparation and administration; future work could assess safety data from real-world clinical practice. This trial is registered with NCT03345342.
{"title":"Importance of Long-Acting Injectable Antipsychotic Preparation, Administration, and Injection Site Tolerability: A Focus on Paliperidone Palmitate Once-Every-6-Months Formulation","authors":"Steven Krozer, Karen L. Johnston, D. Najarian, Steven Wang, Sherry Fua, Jennifer Kern Sliwa, Oliver Lopena","doi":"10.1155/2023/3237737","DOIUrl":"https://doi.org/10.1155/2023/3237737","url":null,"abstract":"Purpose. This post hoc analysis assessed the importance of proper paliperidone palmitate (PP) dose preparation prior to administration and evaluated injection site reactions after dorsogluteal injection of PP once-every-6-months (PP6M) and once-every-3-months (PP3M) formulations from a double-blind (DB) noninferiority study. Design and Methods. Clinically stable patients receiving moderate/high doses of PP once-monthly (PP1M) (156 mg/mL; 234 mg/1.5 mL) or PP3M (546 mg/1.75 mL; 819 mg/2.63 mL) were randomly assigned 2:1 to corresponding dorsogluteal injections of PP6M (1092 mg/3.5 mL; 1560 mg/5 mL) or PP3M (546 mg/1.75 mL; 819 mg/2.63 mL) during a 12-month DB phase. Patients receiving PP6M injections received alternating matching placebo injections every 3 months between active doses to maintain blinding. Prior to administration, each PP formulation was prepared per specific instructions to ensure complete resuspension of the medication. Findings. Of 895 PP6M injections, one of two incomplete injections was possibly related to insufficient shaking before administration; neither resulted in an adverse reaction. After dorsogluteal administration, 59 of 478 patients who received PP6M (12.3%) and 11 of 224 patients who received PP3M (4.9%) reported an injection site–related treatment-emergent adverse event (TEAE), with pain being the most commonly reported (7.7% and 4.0%, respectively). Patient-reported pain decreased from baseline to end point in both groups. During the DB phase, injection site-related TEAEs associated with PP6M injections up to 5 mL and PP3M injections up to 2.63 mL were mild to moderate in severity; none were reported as serious, resulted in treatment discontinuation, or required dermatological consultation. Practice Implications. These results inform provider and patient expectations of PP6M administration and reinforce the importance of proper PP dose preparation and administration; future work could assess safety data from real-world clinical practice. This trial is registered with NCT03345342.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"2 2","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-12-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"138959809","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}
A. Shaker, Stephen F. Austin, John Aasted Sørensen, Kristine Tarp, Henrik Bechmann, Erik Simonsen
Introduction. Multiple efficacy studies have shown that treatment provided via video consultation (VC) can be equivalent to in-person (IP) consultation for people with psychiatric diagnoses. However, despite the great promise of VC, it has not been widely implemented in psychiatric outpatient services. This study investigated the feasibility aspects of VC in clinical practice and examined a range of factors associated with the implementation of this modality of treatment within psychiatric outpatient services. Methods. This study had a pragmatic design, where 40 consecutive referrals for people with anxiety, personality, or depressive disorders were given the choice to receive eight weekly treatment sessions via VC or IP modality within an outpatient psychiatric setting. Information on demand, acceptance, engagement, implementation, and potential negative effects for treatment conducted via VC were collected to help identify factors that may impact on the uptake of VC within the psychiatric outpatient service. Results. There was a high demand and acceptance for VC, with 44% (n = 15) of the patients choosing to receive eight weekly treatment sessions via VC, and acceptance was rated highly. Engagement with VC modality was good, with only a very small percentage (13%, n = 2) not completing treatment. A good level of working alliance was established and largely maintained throughout treatment for patients and case managers. There were differences in the utilization of VC compared to the IP modality, with the VC modality having a greater focus on supportive counseling and IP modality having a greater focus on psychotherapy. Overall, the duration of treatment conducted via VC was also slightly shorter than that of IP consultations. There were no negative effects registered for consultations via video. Conclusions. Findings suggest a high patient demand and acceptance for VC within psychiatric services, with good levels of engagement and alliance reported. Differences in focus and duration in VC compared to IP may reflect clinicians’ different attitudes and/or approaches to providing treatment, depending on whether it is VC or IP consultations.
导言。多项疗效研究表明，通过视频会诊（VC）为精神疾病患者提供的治疗效果等同于面对面会诊（IP）。然而，尽管视频会诊大有可为，但尚未在精神科门诊服务中广泛实施。本研究调查了 VC 在临床实践中的可行性，并研究了在精神科门诊服务中实施这种治疗方式的一系列相关因素。研究方法本研究采用务实设计，让 40 名连续转诊的焦虑症、人格障碍或抑郁症患者选择在精神科门诊接受每周八次的 VC 或 IP 治疗。研究收集了通过 VC 进行治疗的需求、接受度、参与度、实施情况和潜在负面影响等方面的信息，以帮助确定可能影响精神科门诊服务中 VC 使用率的因素。结果患者对虚拟视像技术的需求和接受度都很高，44%（n = 15）的患者选择通过虚拟视像技术接受每周八次的治疗，接受度也很高。患者对 VC 模式的参与度很高，只有极少数患者（13%，n = 2）没有完成治疗。患者和个案管理者建立了良好的工作联盟关系，并在整个治疗过程中基本保持了这种关系。与 IP 模式相比，VC 的使用情况有所不同，VC 模式更侧重于支持性咨询，而 IP 模式更侧重于心理治疗。总体而言，通过自愿咨询进行治疗的时间也略短于 IP 咨询。通过视频进行的会诊没有负面影响。结论研究结果表明，在精神科服务中，患者对视频会诊的需求和接受度都很高，参与度和联盟度都很高。与 IP 会诊相比，VC 会诊的重点和持续时间有所不同，这可能反映了临床医生在提供治疗时的不同态度和/或方法，这取决于是 VC 会诊还是 IP 会诊。
{"title":"Implementing Video Consultations in a Rural Psychiatric Outpatient Clinic: A Feasibility Study","authors":"A. Shaker, Stephen F. Austin, John Aasted Sørensen, Kristine Tarp, Henrik Bechmann, Erik Simonsen","doi":"10.1155/2023/4282468","DOIUrl":"https://doi.org/10.1155/2023/4282468","url":null,"abstract":"Introduction. Multiple efficacy studies have shown that treatment provided via video consultation (VC) can be equivalent to in-person (IP) consultation for people with psychiatric diagnoses. However, despite the great promise of VC, it has not been widely implemented in psychiatric outpatient services. This study investigated the feasibility aspects of VC in clinical practice and examined a range of factors associated with the implementation of this modality of treatment within psychiatric outpatient services. Methods. This study had a pragmatic design, where 40 consecutive referrals for people with anxiety, personality, or depressive disorders were given the choice to receive eight weekly treatment sessions via VC or IP modality within an outpatient psychiatric setting. Information on demand, acceptance, engagement, implementation, and potential negative effects for treatment conducted via VC were collected to help identify factors that may impact on the uptake of VC within the psychiatric outpatient service. Results. There was a high demand and acceptance for VC, with 44% (n = 15) of the patients choosing to receive eight weekly treatment sessions via VC, and acceptance was rated highly. Engagement with VC modality was good, with only a very small percentage (13%, n = 2) not completing treatment. A good level of working alliance was established and largely maintained throughout treatment for patients and case managers. There were differences in the utilization of VC compared to the IP modality, with the VC modality having a greater focus on supportive counseling and IP modality having a greater focus on psychotherapy. Overall, the duration of treatment conducted via VC was also slightly shorter than that of IP consultations. There were no negative effects registered for consultations via video. Conclusions. Findings suggest a high patient demand and acceptance for VC within psychiatric services, with good levels of engagement and alliance reported. Differences in focus and duration in VC compared to IP may reflect clinicians’ different attitudes and/or approaches to providing treatment, depending on whether it is VC or IP consultations.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"105 4","pages":""},"PeriodicalIF":2.3,"publicationDate":"2023-11-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"139267803","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}
Background. The purpose of this study was to determine pediatric nurses’ knowledge of autism spectrum disorders (ASD). Methods. We conducted a population-based online survey of 273 pediatric nurses in eastern Saudi Arabia using convenience sampling method. Perceived knowledge was assessed using the knowledge of childhood autism among Health Professionals Questionnaire (KCAHW) that was translated into Arabic. We used multivariate regression analysis to determine the influence of demographic factors on the perceived knowledge. Using Pearson’s correlation analysis, we assessed the correlation between the outcome variables and the predictor variables. Results. ASD knowledge is generally higher among pediatric nurses with higher academic qualifications (r = 0.29, < 0.001). They scored higher on general knowledge (M = 21.5, SD = 5.7) and lower on signs and symptoms (M = 15.2, SD = 4.3), diagnosis (M = 13.8, SD = 3.9), and management of ASD (M = 12.4, SD = 4.1). A significant correlation was found between mean KCAHW and age (r = 0.12, = 0.029), sex (r = 0.18, = 0.003), years of experience (r = 0.25, < 0.001), education level (r = 0.34, < 0.001), and hospital type (r = 0.21, = 0.001). Predictors of knowledge and understanding were level of education (β = 0.23, = 0.001), formal training (β = 0.16, = 0.012), and years of experience (β = 0.19, = 0.005). The majority could not define ASD or recognize early signs and symptoms or associated comorbidities. Lack of social and emotional reciprocity and impaired language development have been reported, as well as the perception of ASD as a neurodevelopmental disorder. Conclusion. Higher academic qualifications are associated with high general knowledge of ASD; however, nurses in this cohort performed poorly in ASD sign and symptom recognition, diagnosis, and management.
背景。本研究的目的是了解儿科护士对自闭症谱系障碍(ASD)的认知。方法。我们采用方便抽样的方法对沙特阿拉伯东部273名儿科护士进行了一项基于人群的在线调查。使用翻译成阿拉伯语的卫生专业人员儿童自闭症知识调查表(KCAHW)评估感知知识。我们使用多元回归分析来确定人口学因素对感知知识的影响。使用Pearson相关分析，我们评估结果变量与预测变量之间的相关性。结果。学历越高的儿科护士对ASD的了解程度普遍越高(r = 0.29, p <0.001)。他们在一般知识(M = 21.5, SD = 5.7)方面得分较高，而在症状和体征(M = 15.2, SD = 4.3)、诊断(M = 13.8, SD = 3.9)和ASD管理(M = 12.4, SD = 4.1)方面得分较低。平均KCAHW与年龄(r = 0.12, p = 0.029)、性别(r = 0.18, p = 0.003)、工作年限(r = 0.25, p <0.001)、教育程度(r = 0.34, p <0.001)、医院类型(r = 0.21, p = 0.001)。知识和理解的预测因子为教育水平(β = 0.23, p = 0.001)、正规培训(β = 0.16, p = 0.012)和经验年数(β = 0.19, p = 0.005)。大多数不能定义ASD或识别早期体征和症状或相关合并症。缺乏社交和情感互惠，语言发育受损，以及将ASD视为一种神经发育障碍都有报道。结论。较高的学历与ASD的高常识相关;然而，该队列中的护士在ASD症状和体征的识别、诊断和管理方面表现不佳。
{"title":"An Assessment of Pediatric Nurses Awareness and Perceived Knowledge of Autism Spectrum Disorders: A Gulf State Survey","authors":"Majed Alruwaili, Osama Mohamed Elsayed Ramadan, Mostafa shaban, Abeer Alruwaili, Nourah Alsadaan, Sayed Ali, Abdulellah Al Thobaity, Dauda Salihu","doi":"10.1155/2023/4815914","DOIUrl":"https://doi.org/10.1155/2023/4815914","url":null,"abstract":"Background. The purpose of this study was to determine pediatric nurses’ knowledge of autism spectrum disorders (ASD). Methods. We conducted a population-based online survey of 273 pediatric nurses in eastern Saudi Arabia using convenience sampling method. Perceived knowledge was assessed using the knowledge of childhood autism among Health Professionals Questionnaire (KCAHW) that was translated into Arabic. We used multivariate regression analysis to determine the influence of demographic factors on the perceived knowledge. Using Pearson’s correlation analysis, we assessed the correlation between the outcome variables and the predictor variables. Results. ASD knowledge is generally higher among pediatric nurses with higher academic qualifications (r = 0.29, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>p</mi> </math> < 0.001). They scored higher on general knowledge (M = 21.5, SD = 5.7) and lower on signs and symptoms (M = 15.2, SD = 4.3), diagnosis (M = 13.8, SD = 3.9), and management of ASD (M = 12.4, SD = 4.1). A significant correlation was found between mean KCAHW and age (r = 0.12, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M2\"> <mi>p</mi> </math> = 0.029), sex (r = 0.18, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M3\"> <mi>p</mi> </math> = 0.003), years of experience (r = 0.25, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M4\"> <mi>p</mi> </math> < 0.001), education level (r = 0.34, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M5\"> <mi>p</mi> </math> < 0.001), and hospital type (r = 0.21, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M6\"> <mi>p</mi> </math> = 0.001). Predictors of knowledge and understanding were level of education (β = 0.23, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M7\"> <mi>p</mi> </math> = 0.001), formal training (β = 0.16, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M8\"> <mi>p</mi> </math> = 0.012), and years of experience (β = 0.19, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M9\"> <mi>p</mi> </math> = 0.005). The majority could not define ASD or recognize early signs and symptoms or associated comorbidities. Lack of social and emotional reciprocity and impaired language development have been reported, as well as the perception of ASD as a neurodevelopmental disorder. Conclusion. Higher academic qualifications are associated with high general knowledge of ASD; however, nurses in this cohort performed poorly in ASD sign and symptom recognition, diagnosis, and management.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"79 10","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135093230","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}
Older adults are a vulnerable group and face a series of problems that are preventable by changing their lifestyle, so it is necessary to understand the healthy lifestyle and its related factors in older adults. This study aimed to determine the relationship between healthy lifestyle, self-esteem, and subjective vitality in the older adults of Sirjan. This descriptive-analytical cross-sectional study included 200 older adults referred to community health centers in Sirjan in 2021. Older adults with inclusion criteria were selected by two-stage cluster sampling. Data were collected by demographic information questionnaire, the healthy lifestyle questionnaire for elderly, the Rosenberg self-esteem scale, and the subjective vitality scale. The data were analyzed using SPSS20 and descriptive and inferential statistics (Mann–Whitney U test, Kruskal–Wallis, post hoc tests, and Spearman correlation coefficient). A significance level <0.05 was considered. The study results showed that the mean scores of healthy lifestyle, self-esteem, and subjective vitality were 134.42 ± 13.78, 36.34 ± 4.62, and 21.80 ± 2.85, respectively. We observed a direct and significant relationship between healthy lifestyle, self-esteem, and subjective vitality ( ). Considering the relationship between healthy lifestyle, self-esteem, and subjective vitality in older adults, managers and planners can help older adults to promote their healthy lifestyles.
{"title":"The Relationship between Healthy Lifestyle, Self-Esteem, and Subjective Vitality in the Older Adults of Sirjan","authors":"Somayeh Alizadeh, Vahidreza Borhaninejad, Reza Sadeghi, Narges Khanjani, Maryam Saber, Parniya Abolghaseminejad","doi":"10.1155/2023/5522664","DOIUrl":"https://doi.org/10.1155/2023/5522664","url":null,"abstract":"Older adults are a vulnerable group and face a series of problems that are preventable by changing their lifestyle, so it is necessary to understand the healthy lifestyle and its related factors in older adults. This study aimed to determine the relationship between healthy lifestyle, self-esteem, and subjective vitality in the older adults of Sirjan. This descriptive-analytical cross-sectional study included 200 older adults referred to community health centers in Sirjan in 2021. Older adults with inclusion criteria were selected by two-stage cluster sampling. Data were collected by demographic information questionnaire, the healthy lifestyle questionnaire for elderly, the Rosenberg self-esteem scale, and the subjective vitality scale. The data were analyzed using SPSS20 and descriptive and inferential statistics (Mann–Whitney U test, Kruskal–Wallis, post hoc tests, and Spearman correlation coefficient). A significance level <0.05 was considered. The study results showed that the mean scores of healthy lifestyle, self-esteem, and subjective vitality were 134.42 ± 13.78, 36.34 ± 4.62, and 21.80 ± 2.85, respectively. We observed a direct and significant relationship between healthy lifestyle, self-esteem, and subjective vitality ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>p</mi> <mo><</mo> <mn>0.001</mn> </math> ). Considering the relationship between healthy lifestyle, self-esteem, and subjective vitality in older adults, managers and planners can help older adults to promote their healthy lifestyles.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"29 3","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774486","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}
Jaakko Varpula, Tella Lantta, Mari Lahti, Johanna Berg, Päivi Soininen, Maritta Välimäki
Purpose. To understand nursing practice in seclusion and mechanical restraint events in psychiatric inpatient care. Design and Methods. Non-participant video observation was used to collect data from seclusion and mechanical restraint events. Nursing interventions were analysed using deductive content analysis. Findings. Video recordings (n = 36) showed that nurses were present for 4.1% of the duration of seclusion and mechanical restraint events. The nursing interventions focused on meeting patients’ basic needs, maintaining safety, and interaction. Practice Implications. Nursing must be founded on a thorough assessment of patients’ physical and psychosocial needs and meeting those needs with appropriate nursing interventions.
{"title":"Nursing Interventions during Seclusion and Mechanical Restraint: A Video-Observation Study in Inpatient Psychiatric Care","authors":"Jaakko Varpula, Tella Lantta, Mari Lahti, Johanna Berg, Päivi Soininen, Maritta Välimäki","doi":"10.1155/2023/6376463","DOIUrl":"https://doi.org/10.1155/2023/6376463","url":null,"abstract":"Purpose. To understand nursing practice in seclusion and mechanical restraint events in psychiatric inpatient care. Design and Methods. Non-participant video observation was used to collect data from seclusion and mechanical restraint events. Nursing interventions were analysed using deductive content analysis. Findings. Video recordings (n = 36) showed that nurses were present for 4.1% of the duration of seclusion and mechanical restraint events. The nursing interventions focused on meeting patients’ basic needs, maintaining safety, and interaction. Practice Implications. Nursing must be founded on a thorough assessment of patients’ physical and psychosocial needs and meeting those needs with appropriate nursing interventions.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"29 5","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-11-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135774485","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}
Objectives. Only a few studies have explored the association between social support and resilience, coping style, and posttraumatic growth (PTG) in breast cancer. The current research aimed to identify the latent subtypes of social support in patients with breast cancer (BC) who underwent surgery. Moreover, the mediating role of resilience and the moderating role of coping style were investigated. Methods. This cross-sectional study enrolled 115 patients from Be Resilient to Breast Cancer between September 2021 and April 2022 using the convenience sampling method. Then, the Perceived Social Support Scale, Connor–Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Posttraumatic Growth Inventory were utilized. A latent profile analysis and a moderated mediation analysis were performed. Results. Three subtypes of social support were identified as low (16.5%), middle (53.0%), and high (30.4%). Social support, resilience, and coping style were found to be positively associated with PTG (r = 0.373, < 0.01; r = 0.427, < 0.01; r = 0.218, < 0.05). Resilience played a significant role in mediating the association between social support and PTG ( < 0.05). However, coping style did not significantly moderate the association between resilience and PTG ( > 0.05). Conclusions. Heterogeneous subgroups of social support have been identified in patients with BC. Resilience significantly mediates the association between social support and PTG. Meanwhile, coping style does not significantly moderate the association between resilience and PTG.
目标。只有少数研究探讨了社会支持与乳腺癌患者恢复力、应对方式和创伤后生长(PTG)之间的关系。目前的研究旨在确定乳腺癌(BC)手术患者的潜在社会支持亚型。此外，还考察了心理弹性的中介作用和应对方式的调节作用。方法。这项横断面研究在2021年9月至2022年4月期间使用方便抽样方法招募了115名来自Be Resilient to Breast Cancer的患者。采用感知社会支持量表、康诺-戴维森弹性量表、医疗应对方式问卷和创伤后成长量表。进行了潜在剖面分析和有调节的中介分析。结果。社会支持分为低(16.5%)、中(53.0%)和高(30.4%)三个亚型。社会支持、心理弹性和应对方式与PTG呈正相关(r = 0.373, P <0.01;r = 0.427, P <0.01;r = 0.218, P <0.05)。心理弹性在社会支持与焦虑焦虑之间的中介作用显著(P <0.05)。然而，应对方式并没有显著调节心理弹性与PTG之间的关系(P >0.05)。结论。在BC患者中发现了不同的社会支持亚群。心理弹性在社会支持与PTG之间具有显著中介作用。同时，应对方式对心理弹性与PTG之间的关系没有显著调节作用。
{"title":"Social Support and Posttraumatic Growth among Postoperative Patients with Breast Cancer: A Latent Profile and Moderated Mediation Analysis","authors":"Yingxuan Gu, Fenggui Bie, Meixia Hu, Linfeng Huang, Jiaping Chen, Xiaohui Hu, Caixia Luo, Zengjie Ye","doi":"10.1155/2023/9289446","DOIUrl":"https://doi.org/10.1155/2023/9289446","url":null,"abstract":"Objectives. Only a few studies have explored the association between social support and resilience, coping style, and posttraumatic growth (PTG) in breast cancer. The current research aimed to identify the latent subtypes of social support in patients with breast cancer (BC) who underwent surgery. Moreover, the mediating role of resilience and the moderating role of coping style were investigated. Methods. This cross-sectional study enrolled 115 patients from Be Resilient to Breast Cancer between September 2021 and April 2022 using the convenience sampling method. Then, the Perceived Social Support Scale, Connor–Davidson Resilience Scale, Medical Coping Modes Questionnaire, and Posttraumatic Growth Inventory were utilized. A latent profile analysis and a moderated mediation analysis were performed. Results. Three subtypes of social support were identified as low (16.5%), middle (53.0%), and high (30.4%). Social support, resilience, and coping style were found to be positively associated with PTG (r = 0.373, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>P</mi> </math> < 0.01; r = 0.427, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M2\"> <mi>P</mi> </math> < 0.01; r = 0.218, <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M3\"> <mi>P</mi> </math> < 0.05). Resilience played a significant role in mediating the association between social support and PTG ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M4\"> <mi>P</mi> </math> < 0.05). However, coping style did not significantly moderate the association between resilience and PTG ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M5\"> <mi>P</mi> </math> > 0.05). Conclusions. Heterogeneous subgroups of social support have been identified in patients with BC. Resilience significantly mediates the association between social support and PTG. Meanwhile, coping style does not significantly moderate the association between resilience and PTG.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"12 4","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"136234125","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}
Purpose. Violence is a factor that is frequently encountered in health systems and causes problems of various sizes. Nursing students who take an active role in health environments and are also inexperienced are also exposed to this workplace violence. Mental health nurses and nursing students practicing in this field aim to improve the quality of patient care while managing violence and aggression. It is thought that the inability of nursing students practicing in the field of mental health to successfully manage violence and demonstrate resilience may affect their clinical performance and reduce the quality of patient care. This study was conducted to determine the psychological resilience levels, caring behaviors, and violence management competencies of nursing students and to reveal the relationship between the variables. Design and Methods. The type of study is descriptive and cross-sectional. The sample of the study consisted of 452 nursing students who agreed to participate in the study. The data of the study were collected using the personal information form, Adult Resilience Scale, Caring Behaviors Scale-24, and Violence Management Competency Scale for nursing students in practice areas. This study was reported following the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) recommendations. Findings. A statistically significant positive correlation was found among the psychological resilience levels, caring behaviors, and violence management proficiency of the students participating in the study ( ). Practice Implications. It is very important to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students, who are the professionals of the future, to present nursing care from a holistic framework and to increase the quality of the care provided. In this context, it is recommended to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students in their education and training processes.
{"title":"Determination of Nursing Students’ Resilience Levels, Care Behaviors, and Violence Management Competencies: A Descriptive, Cross-Sectional, and Relational Study","authors":"Tuba Karabey, Betül Esra Çevik, Burcu Kübra Süha","doi":"10.1155/2023/9067776","DOIUrl":"https://doi.org/10.1155/2023/9067776","url":null,"abstract":"Purpose. Violence is a factor that is frequently encountered in health systems and causes problems of various sizes. Nursing students who take an active role in health environments and are also inexperienced are also exposed to this workplace violence. Mental health nurses and nursing students practicing in this field aim to improve the quality of patient care while managing violence and aggression. It is thought that the inability of nursing students practicing in the field of mental health to successfully manage violence and demonstrate resilience may affect their clinical performance and reduce the quality of patient care. This study was conducted to determine the psychological resilience levels, caring behaviors, and violence management competencies of nursing students and to reveal the relationship between the variables. Design and Methods. The type of study is descriptive and cross-sectional. The sample of the study consisted of 452 nursing students who agreed to participate in the study. The data of the study were collected using the personal information form, Adult Resilience Scale, Caring Behaviors Scale-24, and Violence Management Competency Scale for nursing students in practice areas. This study was reported following the STROBE (Strengthening the Reporting of Observational Studies in Epidemiology) recommendations. Findings. A statistically significant positive correlation was found among the psychological resilience levels, caring behaviors, and violence management proficiency of the students participating in the study ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>p</mi> <mo>=</mo> <mn>0.001</mn> </math> ). Practice Implications. It is very important to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students, who are the professionals of the future, to present nursing care from a holistic framework and to increase the quality of the care provided. In this context, it is recommended to determine the psychological resilience, care behaviors, and violence management competency levels of nursing students in their education and training processes.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"16 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135367287","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}
Objective. Down syndrome (DS) is the most common cause of intellectual disability. Children with DS may have difficulty accessing psychiatric services because their mental health problems are often unrecognized. This study aimed to assess the mental health needs of children with Down syndrome and the elements that may affect their access and referral to psychiatric services. Methods. In this single-center cross-sectional study, we evaluated 72 children with Down syndrome and assessed the factors affecting their use of mental health services by using a questionnaire completed by parents. We compared the clinical symptom profiles of young preschool-aged children with Down syndrome (n = 26) with typical (n = 26), developmental delay (n = 15), and autism spectrum disorder (ASD) group (n = 28) to evaluate mental health problems. The Schedule for Affective Disorders and Schizophrenia for School-Aged Children: Present and Lifetime Version DSM-5 (K-SADS-PL) was administered. Parents completed the child behavior check list for ages 6–18 and 1½-5, depending on the child’s age. Results. Although most patients with Down syndrome (51.4%) had psychiatric symptoms reported by parents at the initial assessment, the most frequent reason (62.5%) for applying to our psychiatric clinic was to submit an application for a medical report. The majority of patients with Down syndrome (56%) had a psychiatric disorder, and attention deficit and hyperactivity disorder was the most common diagnosis. Conclusion. Clinicians should not overlook the need for psychiatric assessment, early diagnosis, and collaboration between pediatricians and child psychiatrists, which are crucial during medical evaluation and follow-up of children with Down syndrome.
{"title":"The Need for Psychiatric Assessment in Children with Down Syndrome and Factors Affecting Their Use of Mental Health Services: A Cross-Sectional Study from Turkey","authors":"Gökçe Yağmur Efendi, Merve Çıkılı Uytun, Esra Yürümez, Didem Behice Öztop, Tuğba Menteşe Babayiğit, Birim Günay Kılıç","doi":"10.1155/2023/3864073","DOIUrl":"https://doi.org/10.1155/2023/3864073","url":null,"abstract":"Objective. Down syndrome (DS) is the most common cause of intellectual disability. Children with DS may have difficulty accessing psychiatric services because their mental health problems are often unrecognized. This study aimed to assess the mental health needs of children with Down syndrome and the elements that may affect their access and referral to psychiatric services. Methods. In this single-center cross-sectional study, we evaluated 72 children with Down syndrome and assessed the factors affecting their use of mental health services by using a questionnaire completed by parents. We compared the clinical symptom profiles of young preschool-aged children with Down syndrome (n = 26) with typical (n = 26), developmental delay (n = 15), and autism spectrum disorder (ASD) group (n = 28) to evaluate mental health problems. The Schedule for Affective Disorders and Schizophrenia for School-Aged Children: Present and Lifetime Version DSM-5 (K-SADS-PL) was administered. Parents completed the child behavior check list for ages 6–18 and 1½-5, depending on the child’s age. Results. Although most patients with Down syndrome (51.4%) had psychiatric symptoms reported by parents at the initial assessment, the most frequent reason (62.5%) for applying to our psychiatric clinic was to submit an application for a medical report. The majority of patients with Down syndrome (56%) had a psychiatric disorder, and attention deficit and hyperactivity disorder was the most common diagnosis. Conclusion. Clinicians should not overlook the need for psychiatric assessment, early diagnosis, and collaboration between pediatricians and child psychiatrists, which are crucial during medical evaluation and follow-up of children with Down syndrome.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"1 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-10-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135689993","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}
Mostafa Rad, Fatemeh Rajab Dizavandi, Ahmad Rajab Dizavandi
Purpose. Family caregivers are under a lot of burden during the treatment of patients with COVID-19. This study aimed at determining the effect of education through telenursing on the caregiver burden among family caregivers of COVID-19 patients. Design and Methods. This was a randomized clinical trial that was performed on 66 caregivers of COVID-19 patients discharged from Vasei Hospital, Sabzevar, Iran, during 6 months from March to August 2021. The research units were selected using the convenience sampling method and were randomly allocated to two groups, intervention and control, by using permutation blocks. The training workshop and telenursing were conducted in the experiment group, and the control group received only usual care. Novak and Guest care burden scale and demographic questionnaire were collected online by caregivers before and one month after the intervention. Data were analyzed by using SPSS version 24 and paired t-test, independent t-test, Fisher’s exact test, chi-square tests, and covariance analysis. The significance level of the tests was considered to be 5%. Findings. After training the intervention group, the mean caregiver burden before and one month after the intervention was significantly decreased compared to the control group ( < 0.001). The groups show a significant difference only in terms of educational resources ( = 0.005). The results of analysis of covariance for the total caregiver burden score in post-test indicated that the mean values of the caregiver burden score between the two groups were statistically significant ( < 0.05). Practice Implications. Telenursing has suggested that health care managers put the telenursing process by creating appropriate policies and careful planning.
目的。在COVID-19患者的治疗过程中，家庭照顾者承受着很大的负担。本研究旨在确定远程护理教育对COVID-19患者家庭照顾者照顾者负担的影响。设计和方法。这是一项随机临床试验，在2021年3月至8月的6个月期间，对66名从伊朗萨布泽瓦尔Vasei医院出院的COVID-19患者的护理人员进行了研究。采用方便抽样法选取研究单位，采用排列块法随机分为干预组和对照组两组。实验组给予培训工作坊和远程护理，对照组仅给予常规护理。在干预前和干预后1个月，由护理人员在线收集诺瓦克和客人护理负担量表及人口统计问卷。数据分析采用SPSS version 24，采用配对t检验、独立t检验、Fisher精确检验、卡方检验和协方差分析。我们认为测试的显著性水平为5%。发现。干预组在干预前和干预后1个月的照顾者平均负担较对照组显著降低(p <0.001)。两组仅在教育资源方面存在显著差异(p = 0.005)。后测照顾者负担总分协方差分析结果显示，两组照顾者负担总分均值差异有统计学意义(p <0.05)。实践意义。远程护理建议卫生保健管理人员通过制定适当的政策和仔细的计划来实施远程护理过程。
{"title":"The Effect of Education through Telenursing on the Caregiver Burden among Family Caregivers of COVID-19 Patients: A Randomized Clinical Trial","authors":"Mostafa Rad, Fatemeh Rajab Dizavandi, Ahmad Rajab Dizavandi","doi":"10.1155/2023/2545639","DOIUrl":"https://doi.org/10.1155/2023/2545639","url":null,"abstract":"Purpose. Family caregivers are under a lot of burden during the treatment of patients with COVID-19. This study aimed at determining the effect of education through telenursing on the caregiver burden among family caregivers of COVID-19 patients. Design and Methods. This was a randomized clinical trial that was performed on 66 caregivers of COVID-19 patients discharged from Vasei Hospital, Sabzevar, Iran, during 6 months from March to August 2021. The research units were selected using the convenience sampling method and were randomly allocated to two groups, intervention and control, by using permutation blocks. The training workshop and telenursing were conducted in the experiment group, and the control group received only usual care. Novak and Guest care burden scale and demographic questionnaire were collected online by caregivers before and one month after the intervention. Data were analyzed by using SPSS version 24 and paired t-test, independent t-test, Fisher’s exact test, chi-square tests, and covariance analysis. The significance level of the tests was considered to be 5%. Findings. After training the intervention group, the mean caregiver burden before and one month after the intervention was significantly decreased compared to the control group ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M1\"> <mi>p</mi> </math> < 0.001). The groups show a significant difference only in terms of educational resources ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M2\"> <mi>p</mi> </math> = 0.005). The results of analysis of covariance for the total caregiver burden score in post-test indicated that the mean values of the caregiver burden score between the two groups were statistically significant ( <math xmlns=\"http://www.w3.org/1998/Math/MathML\" id=\"M3\"> <mi>p</mi> </math> < 0.05). Practice Implications. Telenursing has suggested that health care managers put the telenursing process by creating appropriate policies and careful planning.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":"111 1","pages":"0"},"PeriodicalIF":0.0,"publicationDate":"2023-09-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"135193501","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}
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