Objective. This study aims to explore the mediation role of perceived stress between nonrestorative sleep (NRS) and emotional distress, as well as the moderation role of resilience among NRS, perceived stress, and emotional distress in university students. Method. We recruited 851 students from the Be Resilient to Nursing Career program (BRNC, registration number: NFYKDX002) in June 2022. Nonrestorative sleep scale (NRSS), 10-item perceived stress scale (PSS-10), 10-item Kessler psychological distress scale (K10), and 10-item Connor–Davidson resilience scale (CD-RISC-10) were administered through a paper questionnaire. Latent profile analysis and moderated mediation analysis were performed. Results. Three profiles of perceived stress were identified: high ability-low stress (24.5%), middle ability-high stress (65.0%), and low ability-middle stress (10.5%). The mediation role of perceived stress between NRS and emotional distress was significant (SE = 0.025; 95% confidence interval = −0.369, −0.269). The moderation role of resilience among NRS, perceived stress, and emotional distress was not significant. Conclusion. Heterogeneity exists in freshmen students’ perceived stress. Perceived stress plays a significant mediating role between NRS and emotional distress, while resilience cannot significantly moderate the associations among NRS, perceived stress, and emotional distress. The trial is registered with ChiCTR2000038693.
{"title":"Associations between Nonrestorative Sleep, Perceived Stress, Resilience, and Emotional Distress in Freshmen Students: A Latent Profile Analysis and Moderated Mediation Model","authors":"Shuhan Li, Yuan Liao, Xiaona Wu, Xiaoxiao Mei, Yihao Zeng, Jiahua Wu, Zengjie Ye","doi":"10.1155/2023/8168838","DOIUrl":"https://doi.org/10.1155/2023/8168838","url":null,"abstract":"Objective. This study aims to explore the mediation role of perceived stress between nonrestorative sleep (NRS) and emotional distress, as well as the moderation role of resilience among NRS, perceived stress, and emotional distress in university students. Method. We recruited 851 students from the Be Resilient to Nursing Career program (BRNC, registration number: NFYKDX002) in June 2022. Nonrestorative sleep scale (NRSS), 10-item perceived stress scale (PSS-10), 10-item Kessler psychological distress scale (K10), and 10-item Connor–Davidson resilience scale (CD-RISC-10) were administered through a paper questionnaire. Latent profile analysis and moderated mediation analysis were performed. Results. Three profiles of perceived stress were identified: high ability-low stress (24.5%), middle ability-high stress (65.0%), and low ability-middle stress (10.5%). The mediation role of perceived stress between NRS and emotional distress was significant (SE = 0.025; 95% confidence interval = −0.369, −0.269). The moderation role of resilience among NRS, perceived stress, and emotional distress was not significant. Conclusion. Heterogeneity exists in freshmen students’ perceived stress. Perceived stress plays a significant mediating role between NRS and emotional distress, while resilience cannot significantly moderate the associations among NRS, perceived stress, and emotional distress. The trial is registered with ChiCTR2000038693.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"41592348","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. Individuals with attention deficit and hyperactivity disorder (ADHD) have experienced exacerbated symptoms and negative effects during the pandemic on both physical and mental health. However, the leading global news websites did not cover the vulnerabilities and special needs of individuals with ADHD in the context of the neurodiversity approach. I argue that both cnn.com and bbc.com did not incorporate the neurodiversity approach aiming to increase acceptance and inclusion of the differences without viewing them as deficits. Methods. The present study explores online news media portrayal of ADHD during the COVID-19 pandemic through content analysis between March 2020 and October 2022. The news articles mentioning ADHD (64 from bbc.com and 56 from cnn.com) were analyzed. Results. Findings show that ADHD was dominantly framed as a medical issue, far from the neurodiversity perspective. Only 13 news articles among 64 (approximately 20%) on bbc.com and 4 among 56 (less than 10%) on cnn.com incorporated the neurodiversity approach that would benefit both individuals with ADHD and the whole society during the pandemic. Practice Implications. The findings show a need for more awareness of neurodiversity in the news media and a broader coverage of ADHD-related neurodiversity during the pandemic.
{"title":"Online News Media Portrayal of ADHD on the Websites of BBC and CNN International during the COVID-19 Pandemic","authors":"Alev Yücel","doi":"10.1155/2023/4338593","DOIUrl":"https://doi.org/10.1155/2023/4338593","url":null,"abstract":"Purpose. Individuals with attention deficit and hyperactivity disorder (ADHD) have experienced exacerbated symptoms and negative effects during the pandemic on both physical and mental health. However, the leading global news websites did not cover the vulnerabilities and special needs of individuals with ADHD in the context of the neurodiversity approach. I argue that both cnn.com and bbc.com did not incorporate the neurodiversity approach aiming to increase acceptance and inclusion of the differences without viewing them as deficits. Methods. The present study explores online news media portrayal of ADHD during the COVID-19 pandemic through content analysis between March 2020 and October 2022. The news articles mentioning ADHD (64 from bbc.com and 56 from cnn.com) were analyzed. Results. Findings show that ADHD was dominantly framed as a medical issue, far from the neurodiversity perspective. Only 13 news articles among 64 (approximately 20%) on bbc.com and 4 among 56 (less than 10%) on cnn.com incorporated the neurodiversity approach that would benefit both individuals with ADHD and the whole society during the pandemic. Practice Implications. The findings show a need for more awareness of neurodiversity in the news media and a broader coverage of ADHD-related neurodiversity during the pandemic.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"45547780","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}
Nerea De-la-Morena-Perez, I. Corral-Liria, Javier Sanchez-Alfonso, R. Becerro-de-Bengoa-Vallejo, M. Losa-Iglesias, Raquel Jiménez-Fernández
Purpose. To explore the experiences of women diagnosed with borderline personality disorder (BPD) from a holistic perspective, incorporating their experiences in the social and health fields and their perception of motherhood, and to analyse the influence of the social construction of gender. Design and Methods. Qualitative study with a hermeneutic phenomenological design. Eight women with a diagnosis of borderline personality disorder participated in the in-depth interviews. Findings. The trauma, stigma, and difficulty associated with motherhood and being a woman are determinants in the experience of symptoms and the recovery from them. Practical Implications. The findings offer keys to improving the quality of women’s nursing care and the treatment they are provided according to gender factors.
{"title":"Experiences of Women Diagnosed with Borderline Personality Disorder: Perception of Motherhood, Social, Health, and Construction of Gender","authors":"Nerea De-la-Morena-Perez, I. Corral-Liria, Javier Sanchez-Alfonso, R. Becerro-de-Bengoa-Vallejo, M. Losa-Iglesias, Raquel Jiménez-Fernández","doi":"10.1155/2023/5345101","DOIUrl":"https://doi.org/10.1155/2023/5345101","url":null,"abstract":"Purpose. To explore the experiences of women diagnosed with borderline personality disorder (BPD) from a holistic perspective, incorporating their experiences in the social and health fields and their perception of motherhood, and to analyse the influence of the social construction of gender. Design and Methods. Qualitative study with a hermeneutic phenomenological design. Eight women with a diagnosis of borderline personality disorder participated in the in-depth interviews. Findings. The trauma, stigma, and difficulty associated with motherhood and being a woman are determinants in the experience of symptoms and the recovery from them. Practical Implications. The findings offer keys to improving the quality of women’s nursing care and the treatment they are provided according to gender factors.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48610915","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}
Daniel Mahfoud, J. El Ahdab, Sami Helwe, Michael Topalian, C. Tarabay, Karim Rifi, G. Haddad, S. Obeid, S. Hallit
Background. Because nightmares seem to be associated with depression in schizophrenia, detecting them early in therapeutic practice might be critical to ensuring effective avoidance of the development of depressive symptomatology. This helps promote well-being and improve the patient’s quality of life and illness prognosis. Therefore, the aim of this study was to examine the indirect effect of depression between nightmares and well-being in a Lebanese sample of patients with schizophrenia. Method. This monocentric cross-sectional study, conducted in July 2022, enrolled patients with chronic schizophrenia admitted to the Psychiatric Hospital of the Cross. Data were collected from a total of 148 participants through face-to-face interviews. The questionnaire included a nightmares measure, PSYRATS, Calgary depression scale for schizophrenia, PTSD checklist for DSM-5, the digit span subset, and WHO-5Well-Being Index. Results. The presence of nightmares was significantly associated with more depression, whereas higher depression was significantly associated with lower well-being. It is noteworthy that the presence of nightmares was not directly associated with well-being. Conclusion. Nightmares lead indirectly to lower well-being in schizophrenia patients, with depression serving as a mediating factor in this association. This suggests that interventions aiming at improving dream content may also have a beneficial effect in reducing depression in schizophrenia leading therefore to better well-being of the patients.
{"title":"The Indirect Effect of Depression between Nightmares and Well-Being in Lebanese Patients with Schizophrenia","authors":"Daniel Mahfoud, J. El Ahdab, Sami Helwe, Michael Topalian, C. Tarabay, Karim Rifi, G. Haddad, S. Obeid, S. Hallit","doi":"10.1155/2023/5511158","DOIUrl":"https://doi.org/10.1155/2023/5511158","url":null,"abstract":"Background. Because nightmares seem to be associated with depression in schizophrenia, detecting them early in therapeutic practice might be critical to ensuring effective avoidance of the development of depressive symptomatology. This helps promote well-being and improve the patient’s quality of life and illness prognosis. Therefore, the aim of this study was to examine the indirect effect of depression between nightmares and well-being in a Lebanese sample of patients with schizophrenia. Method. This monocentric cross-sectional study, conducted in July 2022, enrolled patients with chronic schizophrenia admitted to the Psychiatric Hospital of the Cross. Data were collected from a total of 148 participants through face-to-face interviews. The questionnaire included a nightmares measure, PSYRATS, Calgary depression scale for schizophrenia, PTSD checklist for DSM-5, the digit span subset, and WHO-5Well-Being Index. Results. The presence of nightmares was significantly associated with more depression, whereas higher depression was significantly associated with lower well-being. It is noteworthy that the presence of nightmares was not directly associated with well-being. Conclusion. Nightmares lead indirectly to lower well-being in schizophrenia patients, with depression serving as a mediating factor in this association. This suggests that interventions aiming at improving dream content may also have a beneficial effect in reducing depression in schizophrenia leading therefore to better well-being of the patients.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48545628","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}
K. Mishina, J. Berg, Veera Vainila, Mikko Korte, M. Lahti
Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.
{"title":"Safety Incidents in Psychiatric Inpatient Care: A Qualitative Content Analysis of Safety Incident Reports","authors":"K. Mishina, J. Berg, Veera Vainila, Mikko Korte, M. Lahti","doi":"10.1155/2023/3159566","DOIUrl":"https://doi.org/10.1155/2023/3159566","url":null,"abstract":"Introduction. Safety is an essential factor in patient recovery, occupational well-being, and a well-functioning care environment. To identify and understand potential safety risks, information from safety incidents is needed. Aim. To describe safety incidents that occurred on psychiatric inpatient wards. Method. A retrospective register study. The data were collected from a web-based incident reporting database (HaiPro) from six Finnish psychiatric inpatient wards. The incident reports (N = 76) were analysed with descriptive statistics and inductive content analyses. Results. The incidents were verbally or physically aggressive situations, rule violations, or challenges in the ward’s basic activities. The incidents resulted in consequences for patients, personnel, and the wards with varying severity. Some of the incidents could have possibly been prevented with simple, practical measures, such as sharing information, being prepared for safety practices, and having comprehensively planned care. Discussion. Safety incidents cause fear and challenges and could partly be prevented with multiprofessional and multilevel cooperation. Implications for Practice. Preventative actions include multidisciplinary and ward-specific education for safety practices, ensuring resources and not having too many patients on the ward. Multiprofessional communication and mutual understanding, including patient participation, are central. Wards should be designed or renovated so that safe environments can be guaranteed.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"64793453","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}
H. Elsayes, Marwa Abdelfatah Ahmed Zewiel, Amina Ahmed Wahba, Nagwa Ibrahim Abass Ghoneim, Amira Mohammed Saad Mohammed, N. Almadani, Jalal Alharbi, Selwa Y. Abdeldafie, Fatmah Hazza Alsharif, Shaimaa Mosad Elrefaay
The nursing staff is more likely to experience drastic stress, which can compromise their physical and mental health and affect the quality of their work. This study aimed to assess the attachment type and affective temperament in connection to the psychological effects of the COVID-19 pandemic on psychiatric hospital nurses. We conducted a cross-sectional online survey utilizing a convenience sample population of 100 nurses who served on the front lines during the COVID-19 outbreak. The key findings showed that most nurses reported moderate attachment anxiety, moderate affective temperament, and mild psychological distress. It is crucial to offer nurses psychological support during COVID-19 through various channels.
{"title":"Attachment Style, Affective Temperament, and Psychological Distress among Mental Health Nurses during the COVID-19 Pandemic","authors":"H. Elsayes, Marwa Abdelfatah Ahmed Zewiel, Amina Ahmed Wahba, Nagwa Ibrahim Abass Ghoneim, Amira Mohammed Saad Mohammed, N. Almadani, Jalal Alharbi, Selwa Y. Abdeldafie, Fatmah Hazza Alsharif, Shaimaa Mosad Elrefaay","doi":"10.1155/2023/7281075","DOIUrl":"https://doi.org/10.1155/2023/7281075","url":null,"abstract":"The nursing staff is more likely to experience drastic stress, which can compromise their physical and mental health and affect the quality of their work. This study aimed to assess the attachment type and affective temperament in connection to the psychological effects of the COVID-19 pandemic on psychiatric hospital nurses. We conducted a cross-sectional online survey utilizing a convenience sample population of 100 nurses who served on the front lines during the COVID-19 outbreak. The key findings showed that most nurses reported moderate attachment anxiety, moderate affective temperament, and mild psychological distress. It is crucial to offer nurses psychological support during COVID-19 through various channels.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46280829","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}
Oya Gümüşkaya, Sevim Şen, I. Işık, Volkan Ayaz, H. Arslan Özkan, Rhonda L. Wilson
Purpose. This study investigated the experiences and expectations of unpaid caregivers who were members of a nonprofit social support organisation. Design and Methods. Colaizzi’s phenomenological exploration was followed. Data were saturated after 15 in-depth individual interviews at a centre for people affected with dementia. Findings. The themes reported with the COREQ checklist were contributory to caregiver burden, the escalation of dementia symptoms, changes in family roles, psychological distress, social challenges, membership in a social network, and developing effective coping skills. Practice Implications. Access, availability, and continuity of psychosocial support programs are vital for the wellbeing of people affected with dementia.
{"title":"Urban Share of the “Burden”: Impact of a Support Organisation on Caregiver Burden of People Affected by Dementia","authors":"Oya Gümüşkaya, Sevim Şen, I. Işık, Volkan Ayaz, H. Arslan Özkan, Rhonda L. Wilson","doi":"10.1155/2023/2706698","DOIUrl":"https://doi.org/10.1155/2023/2706698","url":null,"abstract":"Purpose. This study investigated the experiences and expectations of unpaid caregivers who were members of a nonprofit social support organisation. Design and Methods. Colaizzi’s phenomenological exploration was followed. Data were saturated after 15 in-depth individual interviews at a centre for people affected with dementia. Findings. The themes reported with the COREQ checklist were contributory to caregiver burden, the escalation of dementia symptoms, changes in family roles, psychological distress, social challenges, membership in a social network, and developing effective coping skills. Practice Implications. Access, availability, and continuity of psychosocial support programs are vital for the wellbeing of people affected with dementia.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-04-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"46089954","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. Mental health literacy (MHL) has been proposed as a factor in facilitating the utilization of mental health services. This study examined MHL among the Palestinian-Arab minority in Israel, based on Jorm’s six-dimension framework, and the contribution of each MHL dimension to mental health service use. Methods. A cross-sectional study consisting of a convenience sample of 214 Palestinian-Arabs (Mage = 36.40 ± 10.77 years, 68.2% female), who completed measures of MHL, psychological distress, mental health service use, and sociodemographic characteristics. The differences between participants who reported using mental health services (30.38%) and those who did not were examined using t- and χ2 tests. Binary logistic regression analysis was conducted to identify service use determinants. Results. Participants reported moderate or high levels on all MHL dimensions. Compared to those who did not report mental health service use, those who did had significantly ( p < 0.001 ) higher MHL levels on three dimensions: knowledge of professional help available, knowledge of where to seek information, and attitudes that promote recognition or appropriate help-seeking behavior. The regression analysis indicated that the main determinants of mental health service use were psychological distress (OR = 1.70, 95% CI: 1.44–2.01), knowledge of where to seek information (OR = 1.16, 95% CI: 1.02–1.32), and attitudes that promote recognition or appropriate help-seeking behavior (OR = 1.08, 95% CI: 1.02–1.14). Practice implications. This study underlines MHL’s crucial role and indicates that it is not only objective characteristics or psychological distress that determine service use among Palestinian-Arabs in Israel. Rather, individuals’ knowledge of where to seek information and attitudes promoting recognition or help-seeking behavior are also important determinants. Interventions targeting these two MHL dimensions may help increase mental health service use among this population.
{"title":"Mental Health Literacy among the Palestinian-Arab Minority in Israel and Its Correlates with Mental Health Service Use","authors":"Fareeda Abo-Rass, S. Abu-Kaf","doi":"10.1155/2023/3001191","DOIUrl":"https://doi.org/10.1155/2023/3001191","url":null,"abstract":"Background. Mental health literacy (MHL) has been proposed as a factor in facilitating the utilization of mental health services. This study examined MHL among the Palestinian-Arab minority in Israel, based on Jorm’s six-dimension framework, and the contribution of each MHL dimension to mental health service use. Methods. A cross-sectional study consisting of a convenience sample of 214 Palestinian-Arabs (Mage = 36.40 ± 10.77 years, 68.2% female), who completed measures of MHL, psychological distress, mental health service use, and sociodemographic characteristics. The differences between participants who reported using mental health services (30.38%) and those who did not were examined using t- and χ2 tests. Binary logistic regression analysis was conducted to identify service use determinants. Results. Participants reported moderate or high levels on all MHL dimensions. Compared to those who did not report mental health service use, those who did had significantly (\u0000 \u0000 p\u0000 <\u0000 0.001\u0000 \u0000 ) higher MHL levels on three dimensions: knowledge of professional help available, knowledge of where to seek information, and attitudes that promote recognition or appropriate help-seeking behavior. The regression analysis indicated that the main determinants of mental health service use were psychological distress (OR = 1.70, 95% CI: 1.44–2.01), knowledge of where to seek information (OR = 1.16, 95% CI: 1.02–1.32), and attitudes that promote recognition or appropriate help-seeking behavior (OR = 1.08, 95% CI: 1.02–1.14). Practice implications. This study underlines MHL’s crucial role and indicates that it is not only objective characteristics or psychological distress that determine service use among Palestinian-Arabs in Israel. Rather, individuals’ knowledge of where to seek information and attitudes promoting recognition or help-seeking behavior are also important determinants. Interventions targeting these two MHL dimensions may help increase mental health service use among this population.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-03-14","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49394002","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. To establish a depression risk warning model for patients with pulmonary nodules and to provide a theoretical basis for medical staff to identify high-risk patients early and quickly and take timely intervention measures. Methods. A total of 535 hospitalized patients with pulmonary nodules were selected, and the relevant data were analyzed by single-factor analysis. Binary logistic regression analysis was used to determine the independent risk factors for depression in patients with pulmonary nodules and to establish a risk warning model. The Hosmer−Lemeshow test and receiver operating characteristic (ROC) curve were used to evaluate the goodness of fit and prediction effect of the model, and the cross-validation method was used to verify the efficacy of the model. Results. The prevalence of depression in patients with pulmonary nodules was 47.29%. Univariate analysis showed that CRP, albumin, creatinine, phosphorus, calcium, triglyceride, cholesterol, low-density lipoprotein, high-density lipoprotein, β2-microglobulin, objective support, social support, and education level were related to depression in patients with pulmonary nodules P < 0.05 . Binary logistic regression analysis showed that serum CRP, calcium, social support, and education level were independent risk factors for depression in patients with pulmonary nodules. The area under the ROC curve/sensitivity/specificity of serum CRP, calcium, social support, and education level was 0.78/86.88%/80.65%, 0.79/84.40%/75.59%, 0.83/89.91%/80.22%, and 0.81/85.96%/79.19%, and the accuracy of cross-checked risk warning model was 84.97%. In the Hosmer−Lemeshow test, P = 0.926, area under the ROC curve was 0.98, sensitivity was 98.17%, and specificity was 93.55%. The accuracy of the cross-checked risk warning model was 84.97%, indicating that the prediction effect of the model was good. Conclusions. Serum CRP, calcium, social support, and education level are the independent risk factors of depression in patients with pulmonary nodules, and the risk warning model based on them has a good early warning effect on depression in patients with pulmonary nodules. The risk warning model established in this study has a good predictive effect on depression in patients with pulmonary nodules.
{"title":"Construction and Validation of a Risk Warning Model of Depression in Patients with Pulmonary Nodule","authors":"Jiaojiao Sun, Yunxu Zhou, Zhiqiang Wang","doi":"10.1155/2023/3449836","DOIUrl":"https://doi.org/10.1155/2023/3449836","url":null,"abstract":"Background. To establish a depression risk warning model for patients with pulmonary nodules and to provide a theoretical basis for medical staff to identify high-risk patients early and quickly and take timely intervention measures. Methods. A total of 535 hospitalized patients with pulmonary nodules were selected, and the relevant data were analyzed by single-factor analysis. Binary logistic regression analysis was used to determine the independent risk factors for depression in patients with pulmonary nodules and to establish a risk warning model. The Hosmer−Lemeshow test and receiver operating characteristic (ROC) curve were used to evaluate the goodness of fit and prediction effect of the model, and the cross-validation method was used to verify the efficacy of the model. Results. The prevalence of depression in patients with pulmonary nodules was 47.29%. Univariate analysis showed that CRP, albumin, creatinine, phosphorus, calcium, triglyceride, cholesterol, low-density lipoprotein, high-density lipoprotein, β2-microglobulin, objective support, social support, and education level were related to depression in patients with pulmonary nodules \u0000 \u0000 \u0000 \u0000 P\u0000 \u0000 <\u0000 \u0000 0.05\u0000 \u0000 \u0000 \u0000 . Binary logistic regression analysis showed that serum CRP, calcium, social support, and education level were independent risk factors for depression in patients with pulmonary nodules. The area under the ROC curve/sensitivity/specificity of serum CRP, calcium, social support, and education level was 0.78/86.88%/80.65%, 0.79/84.40%/75.59%, 0.83/89.91%/80.22%, and 0.81/85.96%/79.19%, and the accuracy of cross-checked risk warning model was 84.97%. In the Hosmer−Lemeshow test, P = 0.926, area under the ROC curve was 0.98, sensitivity was 98.17%, and specificity was 93.55%. The accuracy of the cross-checked risk warning model was 84.97%, indicating that the prediction effect of the model was good. Conclusions. Serum CRP, calcium, social support, and education level are the independent risk factors of depression in patients with pulmonary nodules, and the risk warning model based on them has a good early warning effect on depression in patients with pulmonary nodules. The risk warning model established in this study has a good predictive effect on depression in patients with pulmonary nodules.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-03-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"48794179","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. To analyse the concept of patient violence towards mental health nurses. Design and Methods. A hybrid model was adopted with literature review of 103 studies and interviews with seven mental health nurses. Findings. Patient violence was defined as a violent incident committed by patients towards nurses vulnerable to physical, verbal, emotional, and sexual violence. It was a common and frequent phenomenon with multifactorial causes and is prone to be unreported. Practice Implications. Our study findings function as the conceptual framework to measure patient violence in relevant research and allow policy development to protect mental health nurses at the practice.
{"title":"Patient Violence towards Mental Health Nurses: A Concept Analysis","authors":"Youngshin Cho, Kyu-seoug Lim, Heejung Kim","doi":"10.1155/2023/9496021","DOIUrl":"https://doi.org/10.1155/2023/9496021","url":null,"abstract":"Purpose. To analyse the concept of patient violence towards mental health nurses. Design and Methods. A hybrid model was adopted with literature review of 103 studies and interviews with seven mental health nurses. Findings. Patient violence was defined as a violent incident committed by patients towards nurses vulnerable to physical, verbal, emotional, and sexual violence. It was a common and frequent phenomenon with multifactorial causes and is prone to be unreported. Practice Implications. Our study findings function as the conceptual framework to measure patient violence in relevant research and allow policy development to protect mental health nurses at the practice.","PeriodicalId":20019,"journal":{"name":"Perspectives in Psychiatric Care","volume":null,"pages":null},"PeriodicalIF":2.3,"publicationDate":"2023-02-22","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"49398758","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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