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Exploring the Mediation Effect of Academic Self-Efficacy on Academic Procrastination, Performance, and Satisfaction [Response to Letter]. 学业自我效能感对学业拖延、学业成绩和学业满意度的中介作用研究[回复]。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-16 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S511145
Qi Tian, Siti Maziha Mustapha, Jie Min
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引用次数: 0
Depression Severity Mediates the Relationships Between Parenting Styles, Peer-Victimization and Mobile Phone Dependence in Adolescents. 青少年抑郁程度在父母教养方式、同伴伤害与手机依赖之间起中介作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S489357
Qianqian He, Xiaofen Hu, Yunzhe Chen, Yan Li, Yunhan Zhao, Yongjie Zhou, Liang Liu

Purpose: Negative parenting styles, peer victimization, and mobile phone dependence (MPD) are prevalent public health problems among adolescents. Parenting styles and peer victimization were reported to affect MPD, but their interaction and the mechanism underlying this association still need to be explored. This study aimed to examine how these factors affect MPD in adolescents with depression.

Methods: Data was collected from 2324 participants diagnosed with depression aged 12-18 years in 11 provinces in China in the cross-sectional study. The scales of Mobile Phone Addiction Index, Patient Health Questionnaire-9, Parental Bonding Instrument, and Multidimensional Peer Victimization were adopted to measure the smartphone dependence, the severity of depressive symptoms, parenting styles, and multiple facets of peer victimization, respectively, for all adolescents. Hierarchical regressions were used to explore the main effect and interaction of parenting styles and peer-victimization on depression and MPD. A structural equation model was constructed to examine the direct and indirect effects of parenting styles and peer-victimization on MPD and the role of depression severity.

Results: After controlling for gender, age, education, parental education, the study found that parental overprotection and peer victimization significantly predict higher levels of depression and higher risk of MPD. Parental care significantly predicts lower levels of depression. Higher levels of depression were associated with a higher risk of MPD. Further, depression partially mediated the relationship between parental overprotection, peer victimization, and MPD, and fully mediated the relationship between parental care and MPD. These results showed the pathway how parenting styles and peer victimization affect MPD directly and indirectly.

Conclusion: Adolescents who experienced negative parenting styles and peer victimization were prone to develop serious depression, then leading to MPD, providing possible intervention directions by changing parenting styles and avoid peer victimization in depression adolescents with MPD.

目的:消极的父母教养方式、同伴伤害和手机依赖(MPD)是青少年中普遍存在的公共卫生问题。据报道,父母教养方式和同伴受害会影响MPD,但它们之间的相互作用和这种关联的机制仍有待探索。本研究旨在探讨这些因素如何影响青少年抑郁症患者的MPD。方法:采用横断面研究方法,收集中国11个省份的2324名12-18岁抑郁症患者的数据。采用手机成瘾指数量表、患者健康问卷-9量表、父母关系量表和多维同伴伤害量表分别测量了所有青少年的智能手机依赖、抑郁症状严重程度、父母教养方式和同伴伤害的多个方面。采用层次回归方法探讨父母教养方式和同伴伤害对抑郁和重度抑郁的主要影响和交互作用。通过构建结构方程模型,探讨父母教养方式和同伴受害行为对抑郁障碍的直接和间接影响以及抑郁严重程度的作用。结果:在控制性别、年龄、受教育程度、父母受教育程度等因素后,研究发现父母过度保护和同伴伤害显著预测高抑郁水平和高MPD风险。父母的照料显著地预示着较低的抑郁水平。抑郁程度越高,患MPD的风险越高。此外,抑郁在父母过度保护、同伴伤害和同伴伤害之间起到部分中介作用,在父母关爱和同伴伤害之间起到完全中介作用。这些结果揭示了父母教养方式和同伴伤害如何直接和间接影响MPD的途径。结论:经历过消极父母教养方式和同伴伤害的青少年容易发生严重抑郁,进而导致抑郁伴MPD,为改变父母教养方式,避免同伴伤害抑郁伴MPD的青少年提供了可能的干预方向。
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引用次数: 0
Effect of Perfectionism on Interpersonal Sensitivity Among Nursing Students: The Mediating Role of Coping Style and Subjective Well-Being. 完美主义对护生人际关系敏感性的影响:应对方式和主观幸福感的中介作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S483966
Guangli Lu, Yueming Ding, Yongkang Fu, Yixin Luo, Wenfang Li, Chaoran Chen

Aim: To explore the connection between perfectionism and interpersonal sensitivity among nursing students and to examine the intermediary effects of coping style and subjective well-being within this association.

Methods: Utilizing a cross-sectional approach, this study assessed 682 nursing students at two Henan Province universities in China, employing the Multidimensional Perfectionism Scale, Interpersonal Sensitivity Questionnaire, Coping Style Scale, and Subjective Well-being Scale. The data were subjected to descriptive statistics, Pearson correlation, and regression analysis with a macro process model.

Results: Maladaptive perfectionism showed a strong positive link with interpersonal sensitivity (r = 0.42, p < 0.01) and a negative coping style (r = 0.18, p < 0.01), and a marked negative link with subjective well-being (r = -0.23, p < 0.01). Coping style and subjective well-being acted as sequential mediators in the relationship between perfectionism and interpersonal sensitivity.

Conclusion: Perfectionism has a direct impact on the interpersonal sensitivity of nursing students and also influences it indirectly through coping strategies and subjective well-being. These findings offer theoretical backing and direction for research into and enhancement of nursing students' interpersonal sensitivity, underscoring the significance of interventions designed to mitigate maladaptive perfectionism, foster constructive coping styles, and bolster subjective well-being.

目的:探讨护生完美主义与人际敏感的关系,并探讨应对方式与主观幸福感在这种关系中的中介作用。方法:采用横断面研究方法,采用多维完美主义量表、人际敏感性问卷、应对方式量表和主观幸福感量表对河南省两所高校682名护生进行测评。对数据进行描述性统计、Pearson相关分析和宏观过程模型回归分析。结果:适应不良完美主义与人际敏感性(r = 0.42, p < 0.01)、消极应对方式(r = 0.18, p < 0.01)呈显著正相关,与主观幸福感呈显著负相关(r = -0.23, p < 0.01)。应对方式和主观幸福感在完美主义与人际敏感的关系中起序贯中介作用。结论:完美主义对护生的人际关系敏感性有直接影响,并通过应对策略和主观幸福感间接影响。这些研究结果为护理学生人际关系敏感性的研究提供了理论支持和方向,强调了旨在减轻适应不良完美主义、培养建设性应对方式和增强主观幸福感的干预措施的重要性。
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引用次数: 0
Analysis of Influencing Factors and Construction of Nomogram of School Bullying Suffered by Middle School Students in Beijing in 2022. 2022年北京市中学生校园欺凌影响因素分析及Nomogram建构
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-14 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S495658
Ruoyi Gao, Hai Zhao, Huijuan Luo, Huining Kuang, Boran E, Xin Guo

Purpose: School bullying has become increasingly serious among children, causing serious damage to their physical and mental health. Previous studies lacked data on bullying of middle school students in Beijing and rarely visualized the risks of bullying. This study investigated the situation and related risk factors of school bullying of middle school students in Beijing in 2022 and established a Nomogram prediction model to visualize the risk of school bullying for its prevention.

Methods: This study is a cross-sectional survey conducted from September 2022 to November 2022 to investigate the bullying situation and related risk factors of the 17729 middle school students in 16 districts of Beijing. Logistic regression is used to analyze the influencing factors of bullying, and then a Nomogram prediction model is established to quantitatively analyze the risk of bullying.

Results: In 2022, 2.69% of middle school students in Beijing reported being bullied. Multivariate analysis results showed that in the past 30 days, being beaten by parents, abnormal families, poor diet, depression, and internet addiction were risk factors for school bullying. Being female, non-residents, moderate-to-high-intensity exercise 3 to 4 days per week, and 2 to 3 physical education classes per week were protective factors against bullying.

Conclusion: Parents, schools, and society should form a joint force, pay attention to parent-child relationships and mental health, encourage students to go outside, strengthen physical exercise, and prevent the occurrence of school bullying.

目的:校园欺凌现象在儿童中日益严重,对儿童的身心健康造成严重损害。以往的研究缺乏关于北京中学生欺凌的数据,也很少可视化欺凌的风险。本研究对2022年北京市中学生校园欺凌现状及相关危险因素进行了调查,并建立了Nomogram预测模型,对校园欺凌风险进行可视化预测,为预防校园欺凌提供依据。方法:采用横断面调查方法,于2022年9月至2022年11月对北京市16个区17729名中学生的校园欺凌情况及相关危险因素进行调查。采用Logistic回归分析霸凌的影响因素,建立Nomogram预测模型,定量分析霸凌风险。结果:2022年,北京市2.69%的中学生报告遭受欺凌。多因素分析结果显示,在过去30天内,被父母殴打、家庭异常、饮食不良、抑郁、网瘾是校园欺凌的危险因素。女性、非本地居民、每周3至4天的中高强度运动和每周2至3节体育课是免受欺凌的保护因素。结论:家长、学校和社会应形成合力,重视亲子关系和心理健康,鼓励学生外出,加强体育锻炼,防止校园欺凌的发生。
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引用次数: 0
The Relationship Between Family Communication and Adolescent Problematic Internet Use: The Chain Mediation Effects of Loneliness and Depression. 家庭沟通与青少年问题网络使用的关系:孤独感和抑郁的连锁中介效应。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-13 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S486192
Duo Zhang, Yuan You, Lin Cai, Wenjing Zhang, Kai Zhang, Yibo Wu

Introduction: Problematic internet use (PIU) is a significant issue during adolescence. It is recognized as a condition for further study in the DSM-5 and may also be a consequence of underlying psychopathologies, as suggested by previous studies. Poor family communication is an important predictor of adolescent PIU. However, it remains unclear how family communication impacts adolescent PIU from the perspective of underlying psychopathologies. This study tested the chain mediating effect of loneliness and depression as well as the moderating effect of developmental stage in this chain mediation model to uncover the mechanisms underlying this association.

Methods: This cross-sectional study recruited a total of 1,377 participants (53% male) from 23 provinces across China, all aged 12 to 17. Family communication was assessed using the FCS-10, which measures aspects such as openness, emotional expression, and problem-solving abilities within family interactions. PIU was assessed using the PIUQ-SF-6, loneliness was measured by the T-ILS, and depression was assessed using the PHQ-9. The chain mediating effects were tested using bias-corrected percentile bootstrap (sample = 5000).

Results: The results indicated that (a) poor family communication was positively associated with adolescent PIU; (b) loneliness and depression mediated the link between family communication and adolescent PIU; (c) loneliness and depression sequentially mediated the link between family communication and adolescent PIU; (d) the developmental stage of adolescence (early vs late) moderated the relationship between depression and PIU in the chain mediation model.

Conclusion: This study reveals that depression, as a potential underlying psychopathology, may precede PIU. It also establishes a link between family communication and PIU, showing that loneliness resulting from poor family communication contributes to the development of depression in adolescents. The connection between depression and PIU is particularly pronounced in late adolescence. These findings highlight the importance of addressing underlying psychopathologies when screening and treating adolescent PIU.

简介问题性网络使用(PIU)是青少年时期的一个重要问题。根据以往的研究,它也可能是潜在精神病理学的结果。家庭沟通不良是青少年 PIU 的一个重要预测因素。然而,从潜在心理病理学的角度来看,家庭沟通对青少年 PIU 的影响尚不清楚。本研究测试了孤独和抑郁的连锁中介效应,以及发展阶段在这一连锁中介模型中的调节效应,以揭示这一关联的内在机制:这项横断面研究共招募了来自全国23个省份的1377名参与者(53%为男性),年龄均在12至17岁之间。家庭沟通采用FCS-10进行评估,该量表可测量家庭互动中的开放性、情感表达和解决问题的能力等方面。PIU采用PIUQ-SF-6进行评估,孤独感采用T-ILS进行测量,抑郁采用PHQ-9进行评估。使用偏差校正百分率引导法(样本 = 5000)对连锁中介效应进行了检验:结果表明:(a) 家庭沟通不良与青少年 PIU 呈正相关;(b) 孤独和抑郁在家庭沟通与青少年 PIU 之间起中介作用;(c) 孤独和抑郁依次在家庭沟通与青少年 PIU 之间起中介作用;(d) 在链式中介模型中,青少年的发育阶段(早期与晚期)调节抑郁与 PIU 之间的关系:本研究揭示了抑郁症作为一种潜在的潜在心理病理学,可能先于 PIU 出现。本研究还在家庭沟通和 PIU 之间建立了联系,表明家庭沟通不畅导致的孤独感是青少年抑郁的诱因。抑郁症与 PIU 之间的联系在青春期后期尤为明显。这些发现强调了在筛查和治疗青少年 PIU 时解决潜在心理病理学问题的重要性。
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引用次数: 0
The Mediating Role of Attitudes Towards Eating in the Relationship Between Compulsive Instagram Use and Orthorexia in Adults. 成人强迫性使用 Instagram 与厌食症之间的关系中,饮食态度的调节作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S491268
Gonca Ayse Unal, Ufuk Kocatepe Avcı

Purpose: The purpose of this study is to examine the relationship between compulsive use of social media and orthorexia, with a focus on the mediating role of eating attitudes.

Patients and methods: The study involved 255 participants between the ages of 18-65 who did not have any psychiatric disorders or developmental disabilities. The participants completed a Sociodemographic Information Form, Orthorexia Nervosa Inventory, Social Media Addiction Scale, and Eating Attitudes Test.

Results: The results showed a positive correlation between orthorexia and all other scales and sub-scales. Multiple regression analyses revealed that eating attitudes were a significant predictor of all sub-dimensions of orthorexia. Additionally, the sub-dimension of Conflict on the Social Media Addiction Scale was found to predict the Impairments sub-dimension of orthorexia. Further analysis using the PROCESS macro showed that compulsive use of social media not only directly predicted orthorexia, but also indirectly through eating attitudes.

Conclusion: These findings emphasize the importance of addressing both compulsive use of social media and eating attitudes when working with individuals who exhibit orthorexic symptoms in clinical settings.

目的:本研究的目的是研究强迫性社交媒体使用与厌食症之间的关系,重点研究饮食态度的中介作用。患者和方法:该研究涉及255名年龄在18-65岁之间的参与者,他们没有任何精神障碍或发育障碍。参与者完成了社会人口学信息表、神经性厌食症量表、社交媒体成瘾量表和饮食态度测试。结果:正常饮食与其他量表及子量表均呈正相关。多元回归分析显示,饮食态度是饮食不良各子维度的显著预测因子。此外,我们还发现社交媒体成瘾量表中的冲突子维度能够预测正常进食障碍子维度。使用PROCESS宏观的进一步分析表明,强迫性使用社交媒体不仅直接预测了厌食症,还间接影响了饮食态度。结论:这些发现强调了在临床环境中处理表现出厌食症状的个体时,解决强迫性使用社交媒体和饮食态度的重要性。
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引用次数: 0
Psychological Effects of Noise Exposure on Personnel in Central Sterile Supply Department in China. 噪声暴露对中国中央消毒供应部人员的心理影响。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S473194
Wen-Jun Wang, Shu-Ping Zhou, Yun Liang, Chan-Juan Ma, Xin-Cui Wan

Objective: This study aimed to investigate whether noise exposure in hospital sterile supply centers exacerbated the psychological burden on staff, potentially mediated by concerns about physiological health.

Methods: Between July 5 and August 4, 2023, 308 staffs from central sterile supply departments in 30 hospitals in Hainan were chosen by convenient sampling method. They completed self-administered questionnaires to assess noise exposure status and used the Self-Reporting Inventory-90 to quantify the psychological state of staff across three dimensions: somatization, anxiety, and sleep and diet. Binary logistic regression analysis was used to assess the influencing factors of their psychological symptoms, while a mediation model was used to analyze the pathway of noise affecting psychology.

Results: (1) Predominantly, respondents reported air gun sounds (76.3%) and pressure steam sterilizer noises (78.2%) within central sterile supply departments to be the most troublesome. (2) Approximately 25.33% of participants expressed that their sleep was significantly impacted by noise, while 32.14% expressed concerns about the potential serious effects on their health. (3) Logistic regression analysis revealed that age (OR,1.06, 95% CI, [1.01, 1.11]), educational background (OR, 0.65, 95% CI, [0.49, 0.85]), perceived noise exposure (OR,1.57, 95% CI, [1.04, 2.48]), health concerns (OR, 1.91, 95% CI, [1.06, 3.52]), and hearing loss (OR, 1.46,95% CI [1.02, 2.10]) emerged as significant influencing factors of psychological symptoms. (4) Mediation effect model analysis demonstrated that health concerns (mediation effect value=0.11, 95% CI [0.08, 0.16], Effect ratio=53.83%) mediated the impact of noise affecting psychological state.

Conclusion: Noise exposure represents a concealed risk factor for service quality within hospital central sterile supply departments, with health concerns serving as a mediating factor in the relationship between noise exposure and psychological well-being.

目的:本研究旨在探讨医院无菌供应中心的噪声暴露是否会加重工作人员的心理负担,可能是由对生理健康的担忧介导的。方法:采用方便抽样法,于2023年7月5日至8月4日抽取海南省30家医院中心无菌供应科308名工作人员。他们完成了自我管理的问卷,以评估噪音暴露状况,并使用自我报告清单-90从躯体化、焦虑、睡眠和饮食三个方面量化员工的心理状态。采用二元logistic回归分析评估其心理症状的影响因素,采用中介模型分析噪声影响心理的途径。结果:(1)受访者认为中心无菌供应部门最令人头疼的是气枪噪音(76.3%)和压力蒸汽灭菌器噪音(78.2%)。(2)大约25.33%的参与者表示他们的睡眠受到噪音的显著影响,而32.14%的参与者表示担心他们的健康可能受到严重影响。(3) Logistic回归分析显示,年龄(OR,1.06, 95% CI,[1.01, 1.11])、教育背景(OR, 0.65, 95% CI,[0.49, 0.85])、感知噪声暴露(OR,1.57, 95% CI,[1.04, 2.48])、健康问题(OR, 1.91, 95% CI,[1.06, 3.52])和听力损失(OR, 1.46,95% CI[1.02, 2.10])是心理症状的显著影响因素。(4)中介效应模型分析表明,健康问题(中介效应值=0.11,95% CI[0.08, 0.16],效应比=53.83%)在噪声对心理状态的影响中起中介作用。结论:噪声暴露是影响医院中心无菌供应科服务质量的隐性危险因素,健康问题是噪声暴露与心理健康关系的中介因素。
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引用次数: 0
Influence of Work-Life Balance on Mental Health Among Nurses: The Mediating Role of Psychological Capital and Job Satisfaction. 工作生活平衡对护士心理健康的影响:心理资本和工作满意度的中介作用。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-11 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S497305
Jian Zhang, Shazia Rehman, Abdullah Addas, Jamal Ahmad

Background: Nurses constitute the backbone of the healthcare sector, often confronting elevated levels of work-related stress and emotional demands that can profoundly impact their mental well-being. Mental health is critical to nursing practice as it directly influences job performance, patient care quality, and workforce sustainability. This study examines the effects of work-life balance on the mental health of nurses in Pakistan while examining the intermediary effects of psychological capital and job satisfaction.

Methods: A descriptive cross-sectional survey was conducted from twenty-seven public and private hospitals in Multan, Pakistan, between December 2023 and March 2024. The research employed meticulously validated measurement tools: Work-Life Balance (WLB) Scale, Psychological Capital Questionnaire 12 (PCQ-12), Job Satisfaction Survey (JSS), and General Health Questionnaire 12 (GHQ-12) to collect data on 578 participants. Statistical analysis was performed using SPSS and AMOS to investigate direct and indirect relationships among study constructs.

Results: The results indicated that work-life balance positively influences both psychological capital (β = 0.083, p < 0.05) and job satisfaction (β = 0.113, p < 0.01), which, in turn, significantly contributes to better mental health outcomes among nurses. Sequential mediation analysis confirmed that psychological capital and job satisfaction (Indirect effect=0.022, 95% CI: 0.01-0.037) mediate between work-life balance and mental health, suggesting that a healthy work-life balance enhances psychological resources and job satisfaction, thereby improving mental health.

Conclusion: The findings highlight the importance of fostering a supportive work environment within the nursing community that promotes work-life balance, enhances psychological resources, and improves job satisfaction to maintain nurses' overall mental health.

背景:护士是医疗保健部门的骨干,经常面临工作压力和情绪需求的增加,这可能会深刻影响他们的心理健康。心理健康对护理实践至关重要,因为它直接影响到工作表现、病人护理质量和劳动力的可持续性。本研究考察了工作生活平衡对巴基斯坦护士心理健康的影响,同时考察了心理资本与工作满意度的中介作用。方法:2023年12月至2024年3月,对巴基斯坦木尔坦市27家公立和私立医院进行描述性横断面调查。本研究采用工作与生活平衡量表(WLB)、心理资本问卷(PCQ-12)、工作满意度问卷(JSS)和一般健康问卷(GHQ-12)对578名被试进行了问卷调查。使用SPSS和AMOS进行统计分析,以调查研究结构之间的直接和间接关系。结果:工作与生活平衡对护士心理资本(β = 0.083, p < 0.05)和工作满意度(β = 0.113, p < 0.01)均有正向影响,从而显著改善护士心理健康状况。序贯中介分析证实,心理资本和工作满意度(间接效应=0.022,95% CI: 0.01 ~ 0.037)在工作与生活平衡与心理健康之间起中介作用,表明健康的工作与生活平衡可以提高心理资源和工作满意度,从而改善心理健康。结论:本研究结果强调了在护理社区中营造支持性的工作环境对促进工作与生活的平衡、增强心理资源、提高工作满意度对维护护士整体心理健康的重要性。
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引用次数: 0
Exploring the Mediation Effect of Academic Self-Efficacy on Academic Procrastination, Performance, and Satisfaction [Letter]. 探究学业自我效能感对学业拖延、成绩和满意度的中介效应[信]。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S508235
Bayu Prasetio, Endang Supardi, Hari Mulyadi, Muthia Atika Fajri
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引用次数: 0
Why Mental Health Clinicians are Not Engaging in Advance Care Planning with Older People with Schizophrenia and Other Psychotic Illnesses. 为什么心理健康临床医生不参与老年精神分裂症和其他精神疾病患者的预先护理计划。
IF 2.8 3区 心理学 Q2 PSYCHOLOGY, CLINICAL Pub Date : 2024-12-10 eCollection Date: 2024-01-01 DOI: 10.2147/PRBM.S496651
Anne P F Wand, Aspasia Karageorge, Yucheng Zeng, Roisin Browne, Megan B Sands, Daniella Kanareck, Vasi Naganathan, Anne Meller, Carolyn M Smith, Carmelle Peisah

Purpose: To explore mental health clinicians' attitudes, experiences, and perceived barriers regarding Advance Care Planning (ACP) with older people (aged 55+) with schizophrenia/other psychotic illnesses.

Methods: Qualitative analysis of focus group interviews with multidisciplinary mental health clinicians from public mental health services in Sydney, Australia. A senior external clinician facilitated online focus groups exploring clinicians' attitudes, experiences, and perceived barriers to ACP using a semi-structured interview guide. Transcripts were recorded and transcribed. N-VIVO was used to organise the data, which were subjected to reflexive thematic analysis grounded with an interpretive description framework.

Results: Fifteen mental health clinicians were recruited. Two overarching themes emerged from thematic analysis of focus group transcripts: (1) It is important, and I want to do it: and (2) But I do not do it because of the complexity. Subthemes in relation to this complexity included: (i) fear of harming; (ii) families and culture; (iii) systemic barriers; (iv) capacity and legal issues; (v) timing; (vi) lack of knowledge and training; (vii) neither prioritised nor embedded in practice.

Conclusion: These clinician-identified attitudes, experiences, and barriers to engagement in ACP with older people with psychotic illnesses highlight avenues of potential intervention to facilitate ACP in this cohort. Given the complexity of issues, clinicians need education and training in ACP combined with clear processes and policies to support practice. Clinician insights should be combined with the perspectives of older consumers with psychotic illnesses and their families to inform implementation of ACP.

目的:探讨心理健康临床医生对老年(55岁以上)精神分裂症/其他精神疾病患者预先护理计划(ACP)的态度、经验和感知障碍。方法:对来自澳大利亚悉尼公共精神卫生服务机构的多学科心理健康临床医生进行焦点小组访谈进行定性分析。一位资深外部临床医生利用半结构化访谈指南,协助在线焦点小组探讨临床医生对ACP的态度、经验和感知障碍。抄本被记录和转录。N-VIVO用于组织数据,这些数据受到基于解释性描述框架的反身性主题分析。结果:共招募了15名心理健康临床医生。从焦点小组记录的主题分析中出现了两个主要主题:(1)这很重要,我想这么做;(2)但我没有这么做,因为太复杂了。与这种复杂性有关的次级主题包括:(i)对伤害的恐惧;(ii)家庭和文化;(iii)系统性障碍;(四)行为能力和法律问题;(v)时间;(六)缺乏知识和培训;(vii)既没有优先考虑,也没有纳入实践。结论:这些临床医生确定的态度、经历和对老年精神病患者进行ACP的障碍突出了促进该队列ACP的潜在干预途径。鉴于问题的复杂性,临床医生需要在ACP方面进行教育和培训,并结合明确的流程和政策来支持实践。临床医生的见解应与老年精神病患者及其家人的观点相结合,为ACP的实施提供信息。
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引用次数: 0
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Psychology Research and Behavior Management
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