Journal of Child and Adolescent Psychiatric Nursing最新文献

Practice and Educational Interventions for Nurses to Reduce Restrictive Measures in Pediatric Mental Health: A Scoping Review. 护士减少儿童心理健康限制措施的实践和教育干预：范围综述。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2026-02-01 DOI: 10.1111/jcap.70049

Katy Fisher-Cunningham, Andri Hardman, Shari Clifton, Brayton Amidon

Background: Pediatric mental health crises are increasing in both frequency and severity, with restrictive measures such as restraint and seclusion (R/S) frequently used during episodes of acute behavioral escalation. Despite the known risks, there is limited evidence on pediatric-specific interventions, particularly those led or implemented by nurses, to reduce R/S.

Objectives: This scoping review aimed to map the breadth and nature of evidence on nurse-led or nurse-implemented educational and practice interventions designed to reduce the use of restrictive measures in pediatric mental health settings among children 12 years or younger.

Data sources: Guided by JBI methodology, Arksey and O'Malley's scoping review framework, and PRISMA-ScR reporting guidelines, comprehensive searches were conducted across MEDLINE, CINAHL, and PsycINFO. Studies published in English between 2014 and 2025 were screened. Eligible studies focused on nurses caring for children aged ≤ 12 years in inpatient, residential, or emergency psychiatric settings and reported on interventions aimed at reducing restrictive measures.

Conclusions: Nine U.S.-based studies met inclusion criteria, primarily quality improvement and quasi-experimental in design. Interventions included trauma-informed care, simulation-based training, early warning assessment tools, and collaborative problem-solving approaches. Multimodal strategies emphasizing workforce development and cultural transformation were most effective. Notably, few interventions were nurse-initiated or included nursing perspectives during development.

Implications for practice: Nurses play a critical role in preventing behavioral escalation and R/S use. Interventions tailored to the nursing role, supported by leadership, and embedded into organizational policy are essential. Future research should prioritize nurse-designed, pediatric-specific, and culturally responsive strategies to enhance safety and therapeutic care.

背景：儿童心理健康危机的频率和严重程度都在增加，在急性行为升级发作期间经常使用约束和隔离（R/S）等限制性措施。尽管存在已知的风险，但关于儿科特定干预措施，特别是由护士领导或实施的措施，以减少R/S的证据有限。目的：本范围综述旨在绘制护士主导或护士实施的旨在减少12岁或以下儿童心理健康机构使用限制性措施的教育和实践干预措施的证据的广度和性质。数据来源：在JBI方法、Arksey和O'Malley的范围审查框架和PRISMA-ScR报告指南的指导下，在MEDLINE、CINAHL和PsycINFO上进行了全面的搜索。对2014年至2025年间发表的英文研究进行了筛选。符合条件的研究侧重于在住院、住院或紧急精神病院照顾≤12岁儿童的护士，并报告了旨在减少限制措施的干预措施。结论：9项基于美国的研究符合纳入标准，主要是质量改进和准实验设计。干预措施包括创伤知情护理、基于模拟的培训、早期预警评估工具和协作解决问题的方法。强调劳动力发展和文化转型的多式联运战略最为有效。值得注意的是，在发展过程中，很少有干预措施是护士发起的或包含护理观点的。对实践的启示：护士在预防行为升级和R/S使用方面发挥着关键作用。针对护理角色量身定制的干预措施，在领导的支持下，并融入组织政策是必不可少的。未来的研究应优先考虑护士设计，儿科特异性和文化响应策略，以提高安全性和治疗性护理。

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引用次数: 0

Gender Differences in Psychological Strengths Among Rural Adolescents 农村青少年心理优势的性别差异

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-12-15 DOI: 10.1111/jcap.70048

Angela J. Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler

Purpose

Rural adolescents often lack access to mental health care along with increased rates of depression and suicide completion. While psychological strengths have been associated with positive outcomes globally, little is known regarding the prevalence of these indicators (hope, self-efficacy, resilience, optimism, and gratitude) among adolescents living in rural Texas. The purpose of this study was to describe how rural adolescents report their psychological strengths and examine the data for potential gender differences.

Design and Methods

A secondary analysis of cross-sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics.

Results

There were 425 valid responses. Rural adolescents possessed indicators of psychological strengths at varying levels, with 16.9% reporting high resilience and 9.2% reporting high optimism. Males reported significantly greater levels of hope, self-efficacy, resilience, and gratitude with gender effect sizes ranging from 2% to 5%.

Practice Implications

Within school and community settings, nurses and adults who interact with rural adolescents should consider incorporating tailored strategies that promote growth of psychological strengths, with particular consideration for targeted screening and interventions for at-risk groups.

目的：农村青少年往往缺乏获得精神卫生保健的机会，同时抑郁症和自杀完成率也在上升。虽然心理优势在全球范围内都与积极的结果有关，但人们对生活在德克萨斯州农村的青少年中这些指标（希望、自我效能、弹性、乐观和感恩）的普遍程度知之甚少。本研究的目的是描述农村青少年如何报告他们的心理优势，并检查潜在的性别差异的数据。设计和方法：在RStudio平台上使用集中趋势检验和推理统计检验对横断面数据进行二次分析。结果：有效问卷425份。农村青少年具有不同程度的心理优势指标，其中16.9%的青少年表现为高弹性，9.2%的青少年表现为高乐观。男性报告的希望、自我效能、适应力和感激程度明显更高，性别效应大小在2%到5%之间。实践意义：在学校和社区环境中，与农村青少年互动的护士和成年人应考虑采用量身定制的策略，促进心理优势的增长，并特别考虑对高危群体进行有针对性的筛查和干预。

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引用次数: 0

Association Between Loneliness and Suicidal Behaviors Among Korean Adolescents: A Nationwide Cross-Sectional Study 韩国青少年孤独感与自杀行为的关系：一项全国性的横断面研究

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-12-02 DOI: 10.1111/jcap.70047

Jaeyoung Lee, Mikyoung Angela Lee

Problem

Suicide remains one of the leading causes of death among adolescents. Adolescence is a critical developmental period marked by increased vulnerability to emotional and social stressors. Loneliness has gained recognition as a factor linked to poor mental health outcomes, including suicidal behaviors. However, its relationship with suicidal behaviors has not been thoroughly examined.

Methods

A secondary analysis was conducted using data from the 19th Korea Youth Risk Behavior Survey, which included responses from 52,880 adolescents aged 12–18 years, collected from August to October 2023. Associations between loneliness and suicidal behaviors were analyzed using complex sample multiple logistic regression.

Findings

Suicidal ideation, plans, and attempts were reported by 13.5%, 5.3%, and 3.2% of adolescents, respectively, with variations by socio-demographic, mental health, and problem behavior characteristics. 81.3% of adolescents reported loneliness, with 18.2% indicating they felt ‘Often’ or ‘Always lonely.’ Loneliness was significantly associated with all forms of suicidal behavior (p < 0.001); even after controlling for 19 covariates, adolescents with moderate or high loneliness had substantially higher odds of SI, SP, and SA compared to those with no loneliness.

Conclusions

The significant association between loneliness and suicidal behaviors highlights the importance of incorporating loneliness assessments into adolescent suicide prevention strategies. Collaborative efforts involving schools, parents, and healthcare providers are critical to address risky behaviors and provide effective mental health support. Psychiatric mental health nurses can play a pivotal role in identifying at-risk youth, delivering therapeutic interventions, and coordinating care to reduce adolescent suicide risk.

自杀仍然是青少年死亡的主要原因之一。青春期是一个关键的发育时期，其特点是更容易受到情绪和社会压力的影响。孤独已经被认为是导致包括自杀行为在内的心理健康状况不佳的一个因素。然而，它与自杀行为的关系尚未得到彻底的研究。方法利用第19次韩国青少年危险行为调查的数据进行二次分析，该调查包括2023年8月至10月收集的52,880名12-18岁青少年的回复。采用复样本多元逻辑回归分析孤独感与自杀行为的关系。调查结果自杀意念、计划和企图分别由13.5%、5.3%和3.2%的青少年报告，随社会人口统计学、心理健康和问题行为特征的变化而变化。81.3%的青少年表示感到孤独，18.2%的人表示他们“经常”或“总是”感到孤独。孤独与所有形式的自杀行为显著相关（p < 0.001）；即使在控制了19个协变量之后，与没有孤独感的青少年相比，中度或高度孤独的青少年患SI、SP和SA的几率也明显更高。结论孤独感与自杀行为之间的显著相关性突出了将孤独感评估纳入青少年自杀预防策略的重要性。涉及学校、家长和医疗保健提供者的合作努力对于解决危险行为和提供有效的心理健康支持至关重要。精神科心理健康护士可以在识别高危青少年、提供治疗干预和协调护理以降低青少年自杀风险方面发挥关键作用。

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引用次数: 0

Stress Management and Resilience Training on Nursing Undergraduates in Hong Kong: A Feasibility Study 香港护理本科生压力管理及弹性训练的可行性研究。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-11-21 DOI: 10.1111/jcap.70045

Julia Sze-Wing Wong, Helen Yue-Lai Chan, Iris Fung-Kam Lee, Mark Cheuk-Man Tsang, Stephanie Wai-Shun Wong, Meyrick Chum-Ming Chow

Background

Resilience, the ability to adapt and thrive under adversity, is essential for nursing students vulnerable to stress, burnout, and psychological distress. Strengthening resilience may protect well-being and enhance patient care.

Methods

This feasibility study employed a one-group pretest–posttest design. A face-to-face stress management and resilience training (SMART) programme was delivered to 40 nursing undergraduates at a self-financing institution in Hong Kong. Resilience and stress were measured at baseline (T0), 2 weeks (T1), and 3 months (T2) using the Connor-Davidson Resilience Scale-10 (CD-RISC-10) and Perceived Stress Scale-10 (PSS-10). A post-training satisfaction survey was also conducted.

Results

Thirty-one participants completed all assessments. CD-RISC-10 scores increased significantly from 22.00 (SD = 4.11) at T0 to 27.81 (SD = 7.39) at T1 and 26.42 (SD = 6.45) at T2. Improvements were significant between T0–T1 (p < 0.001) and T0–T2 (p = 0.004). PSS-10 scores declined slightly (18.61 at T0 to 17.65 at T2) but without statistical significance (p = 0.123). Satisfaction ratings were high (mean 5.38–5.60/6), particularly for trainer performance and content.

Conclusion

The SMART programme was feasible, well-received, and effective in improving resilience among Hong Kong nursing undergraduates. Findings support its potential integration into undergraduate nursing curricula.

背景：弹性，即在逆境中适应和茁壮成长的能力，对于易受压力、倦怠和心理困扰的护理学生来说是必不可少的。加强复原力可以保护病人的健康并加强对病人的护理。方法：本可行性研究采用单组前测后测设计。在香港一间自负盈亏机构，为40名护理本科生提供面对面的压力管理及应变训练课程。在基线（T0）、2周（T1）和3个月（T2）使用Connor-Davidson弹性量表-10 （CD-RISC-10）和感知压力量表-10 （PSS-10）测量弹性和压力。培训后满意度调查也进行了。结果：31名参与者完成了所有评估。CD-RISC-10评分从T0时的22.00分（SD = 4.11）上升至T1时的27.81分（SD = 7.39）， T2时的26.42分（SD = 6.45）。T0-T1 （p < 0.001）和T0-T2 （p = 0.004）间改善显著。PSS-10评分略有下降（T0时为18.61分，T2时为17.65分），但无统计学意义（p = 0.123）。满意度评分很高（平均5.38-5.60/6），特别是对培训师的表现和内容。结论：SMART项目在提高香港护理本科生的心理韧性方面是可行的、受欢迎的和有效的。研究结果支持将其整合到本科护理课程中。

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引用次数: 0

How Is Parental Burnout Related to Emotional Problems? Exploring the Roles of Coparenting and Parent-Child Conflict in Chinese Children 父母的职业倦怠与情绪问题有何关系？父母教养与亲子冲突在中国儿童中的作用探讨。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-11-12 DOI: 10.1111/jcap.70046

Xiaoyan Xu

Background

The study of parental burnout has become an emerging topic in the field of parenting and in the field of mental health. Its negative effects are especially noteworthy. However, research on the potential mechanisms through which parental burnout may influence emotional problems in childhood remains limited. This study aims to examine the association between parental burnout and children's emotional problems and the underlying mechanism.

Methods

A short-term longitudinal survey by 1-month interval was conducted by using the Short Version of Parental Burnout Assessment (Time 1), Coparenting Relationship Scale (Time 1), Parent-child Relationship Scale (Time 2) and the Strengths and Difficulties Questionnaire (Time 3), which were administered to the parents (Mean = 37.66 years old) of 621 elementary school children (50.9% boys; Mean = 8.93 years old). SPSS PROCESS models 4 and 8 were used to examine the moderated mediation model.

Findings

After controlling for background information, this three-wave longitudinal study showed that (1) parental burnout was associated with greater emotional problems among children; (2) parent–child conflict partially mediated the relationship between parental burnout and children's emotional problems; (3) coparenting moderated the relationship between parental burnout and parent-child conflict.

Conclusion

The study's findings provide insight into the relationship between parental burnout and children's emotional problems as well as the process underlying this relationship, which may contribute to the prevention of parental burnout and children's emotional problems.

背景：父母职业倦怠的研究已成为育儿和心理健康领域的一个新兴课题。其负面影响尤其值得注意。然而，关于父母倦怠影响儿童情绪问题的潜在机制的研究仍然有限。本研究旨在探讨父母职业倦怠与儿童情绪问题的关系及其机制。方法：采用《父母职业倦怠简易量表》（时间1）、《亲子关系量表》（时间1）、《亲子关系量表》（时间2）和《优势与困难问卷》（时间3）对621名小学生家长（平均年龄37.66岁，男生占50.9%，平均年龄8.93岁）进行1个月的短期纵向调查。采用SPSS PROCESS模型4和8检验有调节的中介模型。结果：在对背景信息进行控制后，本研究发现：(1)父母职业倦怠与儿童更大的情绪问题相关；(2)亲子冲突在父母倦怠与儿童情绪问题的关系中起部分中介作用；(3)父母教养对父母倦怠与亲子冲突的关系有调节作用。结论：本研究结果揭示了父母职业倦怠与儿童情绪问题的关系及其过程，为预防父母职业倦怠和儿童情绪问题提供了理论依据。

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引用次数: 0

Perceived Stress, Loneliness, and Resilience in Relation to Game Addiction Among Adolescents in Bangkok During the COVID-19 Pandemic Transition Period 在2019冠状病毒病大流行过渡期，曼谷青少年与游戏成瘾相关的感知压力、孤独感和复原力

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-11-07 DOI: 10.1111/jcap.70044

Prangwalai Attasara, Tusana Thaweekoon, Wilai Napa

Background

The COVID-19 pandemic has led to an increase in adolescent gaming due to lockdowns and the shift to online learning. Although factors linked to game addiction in adolescents before and during the pandemic have been explored, research on patterns following the easing of restrictions is limited.

Purpose

This study examined the relationship between perceived stress, loneliness, resilience, and game addiction among adolescents in Bangkok during the COVID-19 pandemic transition period.

Methodology

This correlational study included 346 high school students from two schools in Bangkok, Thailand, selected using a proportional stratified random sampling method. Data were collected from November to December 2022 during Thailand's reclassification of COVID-19 as a communicable disease under a surveillance system. Descriptive statistics and Spearman's correlation were used for the analysis.

Results

The findings showed that 15.0% of adolescents were at risk of game addiction, with 4.4% being addicted. Most (87.3%) engaged in gaming, and 38.7% played games daily. Perceived stress (r_(s) = 0.14, p = 0.01) and loneliness (r_(s) = 0.25, p < 0.001) were positively correlated with game addiction, while resilience was negatively correlated (r_(s)= −0.26, p < 0.001). All resilience components—“I have” (external support) (r_(s) = −0.21), “I am” (inner strength) (r_(s) = −0.28), and “I can” (interpersonal and problem-solving skills) (r_(s)= −0.24)—were negatively correlated with game addiction (p < 0.001).

Conclusions

This study identified perceived stress and loneliness as risk factors for game addiction, and resilience as a protective factor. These findings offer valuable insights for professionals, including nurses, to develop targeted prevention programs for adolescents during the pandemic transition period and in the event of future crises.

背景：由于封锁和转向在线学习，2019冠状病毒病大流行导致青少年游戏增加。虽然在疫情前和疫情期间已经探讨了与青少年游戏成瘾有关的因素，但对放松限制后的模式的研究有限。目的：本研究考察了2019冠状病毒病大流行过渡期曼谷青少年感知压力、孤独感、恢复力和游戏成瘾之间的关系。方法：采用比例分层随机抽样方法，选取泰国曼谷两所学校的346名高中生进行相关研究。在泰国将COVID-19重新分类为监测系统下的传染病期间，于2022年11月至12月收集了数据。采用描述性统计和Spearman相关进行分析。结果：15.0%的青少年存在游戏成瘾风险，4.4%的青少年存在游戏成瘾风险。大多数人（87.3%）玩游戏，38.7%的人每天玩游戏。感知压力（r(s)= 0.14, p = 0.01）和孤独感（r(s)= 0.25, p < 0.001）与游戏成瘾呈正相关，心理弹性（r(s)= -0.26, p < 0.001）呈负相关。所有弹性成分——“我有”（外部支持）（r(s)= -0.21）、“我是”（内在力量）（r(s)= -0.28）和“我能”（人际关系和解决问题的能力）（r(s)= -0.24）——与游戏成瘾呈负相关（p < 0.001）。结论：本研究发现，感知压力和孤独是游戏成瘾的风险因素，而适应力是保护因素。这些发现为包括护士在内的专业人员提供了宝贵的见解，以便在大流行过渡时期和未来发生危机时为青少年制定有针对性的预防方案。

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引用次数: 0

The Evaluation of Emotional Abuse Situations of Turkish and Migrant Children 土耳其和流动儿童的情绪虐待状况评估。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-10-30 DOI: 10.1111/jcap.70043

Melike Yavaş Çeli̇k, Musa Güler

Aim

The research was conducted to evaluate the emotional abuse experienced by Turkish and immigrant children.

Method

The sample of the descriptive study consisted of 300 children (150 Turkish and 150 Syrian nationals). The data of the study were collected by the face-to-face interview method using the Data Collection Form and Emotional Abuse Questionnaire. SPSS 24.0 statistical program was used to evaluate the data. Significance was assessed at p < 0.05 level.

Results

In the comparison of the sociodemographic characteristics of Syrian and Turkish students according to the groups, significant differences were found in the variables of age and number of siblings. It was seen that the total mean score of the Emotional Abuse Scale was 44.95 ± 20.56 in Syrian students and 35.37 ± 20.13 in Turkish students. Significant differences were determined between the responses of Syrian and Turkish students to the Emotional Abuse Scale items. The comparison of the mean scores of the emotional abuse scale and subdimensions of Syrian and Turkish students revealed a statistically significant difference between them.

Conclusion

In the study, it was determined that both Turkish and Syrian students experienced emotional abuse. However, it was determined that Syrian students experienced more emotional abuse. This situation was seen as a reflection of the migration that immigrants experienced due to war.

目的：本研究旨在评估土耳其及移民儿童所经历的情绪虐待。方法：描述性研究的样本包括300名儿童（150名土耳其和150名叙利亚国民）。研究数据采用面对面访谈法，采用《数据收集表》和《情绪虐待问卷》进行收集。采用SPSS 24.0统计程序对数据进行评价。结果：在按组比较叙利亚和土耳其学生的社会人口学特征时，在年龄和兄弟姐妹数量变量中发现了显著差异。结果显示，叙利亚学生的情绪虐待量表总均分为44.95±20.56分，土耳其学生的情绪虐待量表总均分为35.37±20.13分。叙利亚和土耳其学生对情绪虐待量表项目的回答存在显著差异。比较叙利亚和土耳其学生的情绪虐待量表和子维度的平均得分，两国学生之间有统计学上的显著差异。结论：在研究中，土耳其和叙利亚的学生都经历过情感虐待。然而，据确定，叙利亚学生经历了更多的情感虐待。这种情况被认为是移民因战争而迁移的反映。

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引用次数: 0

Risk and Protective Factors Associated With Suicide Attempts: A Qualitative Study Among Hospitalized Patients in Turkey 与自杀企图相关的风险和保护因素：土耳其住院患者的定性研究

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-10-21 DOI: 10.1111/jcap.70040

Mehmet Fatih Şiraz, Ali Eryılmaz, Hacer Yıldırım-Kurtuluş, Mehmet Sabri Bozdaş, Murat Yıldırım

Aim

This study aimed to investigate the contributing factors to suicidal behavior and to gather insights from individuals who have attempted suicide regarding potential clinical, psychosocial, and family-based prevention resources.

Design

A qualitative research design was employed to explore participants' lived experiences and perceptions surrounding suicidal behavior.

Methods

Data were collected through semi-structured interviews with 12 individuals (four men and eight women) who had previously attempted suicide, selected using purposive sampling. All participants were admitted to the Emergency Department of a public hospital in Kayseri immediately following their suicide attempts and were subsequently referred to the inpatient psychiatry service for treatment. The data were analyzed using Interpretative Phenomenological Analysis (IPA) to explore participants' lived experiences and meanings. Frequency counts of emergent themes and subthemes were also noted to illustrate their relative prominence, but IPA remained the primary analytic approach.

Results

Three main themes emerged from the data: individual, environmental, and relational factors. Individual factors included risk elements such as irrational beliefs, negative emotions, and physical health problems, as well as protective factors like emotional regulation, religious beliefs, and medication use. Environmental factors encompassed financial difficulties and lack of social support as risks, with the presence of social support acting as a protective element. Relational factors involved betrayal, arguments, violence, and punitive desires as risks, while commitment to family members served as a protective factor. Overall, protective factors such as religious beliefs, social support, and family connectedness appear to be particularly effective in reducing suicidal thoughts.

Patient or Public Contribution

Participants with lived experience of suicide attempts made unique contributions to this study by sharing their first-hand perspectives on the personal, social, and relational contexts of suicidal behavior. Their narratives not only shaped the thematic analysis but also highlighted prevention opportunities such as strengthening family connectedness and enhancing social support that may not have emerged through quantitative approaches alone.

目的：本研究旨在探讨自杀行为的影响因素，并从自杀未遂者那里收集潜在的临床、社会心理和家庭预防资源。设计：采用定性研究设计来探讨参与者的生活经历和对自杀行为的看法。方法：采用有目的抽样的方法，对12名曾有过自杀企图的个体（4男8女）进行半结构化访谈，收集数据。所有参与者在自杀未遂后立即被送进开塞利一家公立医院的急诊科，随后被转到住院精神科接受治疗。采用解释现象学分析（Interpretative Phenomenological Analysis， IPA）对数据进行分析，探讨被试的生活经验和意义。还注意到紧急主题和次级主题的频率计数，以说明它们的相对重要性，但国际音标仍然是主要的分析方法。结果：从数据中出现了三个主要主题：个人，环境和相关因素。个人因素包括非理性信仰、消极情绪和身体健康问题等风险因素，以及情绪调节、宗教信仰和药物使用等保护因素。环境因素包括财政困难和缺乏社会支持作为风险，而社会支持的存在是一种保护因素。关系因素包括背叛、争吵、暴力和惩罚性欲望等风险，而对家庭成员的承诺则是保护因素。总的来说，宗教信仰、社会支持和家庭联系等保护性因素似乎在减少自杀念头方面特别有效。患者或公众贡献：有自杀未遂经历的参与者通过分享他们对自杀行为的个人、社会和关系背景的第一手观点，为本研究做出了独特的贡献。他们的叙述不仅塑造了专题分析，而且强调了预防机会，如加强家庭联系和加强社会支持，这些机会可能仅通过定量方法无法实现。

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引用次数: 0

The Impact of Alexithymia on Emotional Self-Efficacy Among High School Students in Konya Province 科尼亚省高中生述情障碍对情绪自我效能的影响

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-10-21 DOI: 10.1111/jcap.70042

Merve Yazar Renkyorganci, Berna Bayir

Aim

This study investigates the impact of alexithymia on emotional self-efficacy levels among senior high school students in Konya Province, Türkiye.

Methods

A cross-sectional analytical research design was employed, involving 207 senior high school students who were actively enrolled in formal education and consented to participate. Data collection utilized the Introductory Information Form, the Toronto Alexithymia Scale, and the Emotional Self-Efficacy Scale. Statistical analyses included descriptive statistics, independent t-tests, ANOVA, Kruskal-Wallis tests, Tukey tests, Dunnett's C Test, Spearman's correlation, and multiple regression analyses, with a 95% confidence interval.

Results

The mean total score for the Toronto Alexithymia Scale was 55.65 ± 10.82, while the mean total score for the Emotional Self-Efficacy Scale was 107.28 ± 18.39. A significant negative correlation was found between alexithymia levels and emotional self-efficacy. Additionally, perceived academic status of students and their reasons for using technological devices were significantly associated with their emotional self-efficacy scores (p < 0.05).

Conclusion

This study shows that alexithymia has a negative impact on students' emotional self-efficacy, highlighting the need to strengthen emotional skills during adolescence. Enhancing students' emotional awareness and coping strategies through educational, family, and community-based initiatives may contribute to their psychological well-being and academic success. Interventions that reduce alexithymic characteristics and promote emotional competencies could play a key role in supporting healthier developmental outcomes among high school students.

目的：探讨述情障碍对基耶省科尼亚高中学生情绪自我效能感水平的影响。方法：采用横断面分析研究设计，选取207名主动参加正规教育并同意参与的高中生为研究对象。数据收集采用介绍信息表、多伦多述情障碍量表和情绪自我效能量表。统计分析包括描述性统计、独立t检验、方差分析、Kruskal-Wallis检验、Tukey检验、Dunnett C检验、Spearman相关和多元回归分析，置信区间为95%。结果：多伦多述情障碍量表的平均总分为55.65±10.82分，情绪自我效能量表的平均总分为107.28±18.39分。述情障碍水平与情绪自我效能呈显著负相关。结论：述情障碍对学生的情绪自我效能有负向影响，强调了青少年时期加强情绪技能的必要性。通过教育、家庭和社区活动来增强学生的情绪意识和应对策略，可能有助于他们的心理健康和学业成功。减少述情特征和促进情感能力的干预措施可能在支持高中生健康发展结果中发挥关键作用。

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引用次数: 0

Mental Health of Adolescents Orphaned by COVID-19 and Service System Responses: A Longitudinal Study 新冠肺炎孤儿青少年心理健康与服务系统响应：一项纵向研究

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2025-10-16 DOI: 10.1111/jcap.70041

Hassan Soleimani-Rad, Saeed Ariapooran, Zahra Karami

Objective

Researchers have predicted increasing and persistent psychological problems among adolescents orphaned by COVID-19. However, empirical evidence in this regard remains scarce. This study aimed to examine the long-term mental health outcomes of adolescents orphaned by COVID-19 and the corresponding mental health service responses.

Method

This was a longitudinal study. Forty-four adolescents orphaned by COVID-19 and forty-four matched adolescents (based on demographic characteristics) were selected through purposive sampling. Both groups were assessed across five time points over one and a half years using the same set of questionnaires.

Results

Baseline t-test results indicated that the orphaned group exhibited more clinical symptoms—including internalizing and externalizing disorders, social problems, suicidal thoughts, and PTSD symptoms—and lower levels of perceived social support and psychological well-being than the matched group. Repeated measures analyses showed that these differences persisted across the four follow-up stages, except for perceived social support, which increased in the orphaned group. According to Cochran's Q results, the prevalence of internalizing disorders and suicide attempts in the orphaned group increased over time. Mixed model results demonstrated that perceived social support was significantly associated with all clinical symptoms and psychological well-being. Notably, none of the participants had access to mental health services.

Conclusion

The findings indicate a deterioration in the mental health of some adolescents orphaned by COVID-19 over time, with no free or accessible mental health services available to them during or after the pandemic.

目的：研究人员预测，新冠肺炎（COVID-19）导致的青少年孤儿心理问题日益严重并持续存在。然而，这方面的经验证据仍然很少。本研究旨在了解新冠肺炎孤儿青少年的长期心理健康状况及相应的心理健康服务反应。方法：本研究为纵向研究。通过有目的抽样，选择44名因COVID-19而成为孤儿的青少年和44名匹配的青少年（根据人口统计学特征）。这两组人在一年半的时间里使用同一套问卷，分五个时间点进行评估。结果：基线t检验结果表明，孤儿组表现出更多的临床症状，包括内在化和外在化障碍、社会问题、自杀念头和创伤后应激障碍症状，并且感知到的社会支持和心理健康水平低于匹配组。反复的测量分析表明，这些差异在四个后续阶段持续存在，除了感知到的社会支持，在孤儿组中有所增加。根据科克伦的Q结果，随着时间的推移，孤儿群体中内化障碍和自杀企图的患病率有所上升。混合模型结果表明，感知到的社会支持与所有临床症状和心理健康显著相关。值得注意的是，没有一个参与者能够获得心理健康服务。结论：研究结果表明，随着时间的推移，一些因COVID-19而成为孤儿的青少年的心理健康状况恶化，在大流行期间或之后，他们无法获得免费或可获得的心理卫生服务。

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引用次数: 0