This study aimed to examine the relationship between primary school students' levels of privacy awareness and their knowledge of child sexual abuse, with particular attention to demographic and contextual factors including gender, socioeconomic status, and academic achievement.
Methods
A descriptive correlational research design was employed. The sample consisted of primary school students enrolled in public schools in Türkiye during the 2023–2024 academic year. Data were collected using validated measures of privacy awareness and child sexual abuse knowledge. Descriptive statistics, independent samples t-tests, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis were conducted to analyse the data.
Findings
The findings indicated that female students and older primary school students demonstrated significantly higher levels of both privacy awareness and knowledge of child sexual abuse. Students from higher socioeconomic backgrounds and those with higher academic achievement also showed greater awareness and knowledge. Overall, privacy awareness and sexual abuse knowledge were found to be at a moderate level but were strongly and positively correlated (r = 0.807, p < 0.01). Regression analysis further revealed that privacy awareness was a significant predictor of children's knowledge of sexual abuse (β = 0.819, p < 0.01).
Conclusion
The results highlight the critical role of privacy awareness in enhancing children's protective knowledge against sexual abuse. Integrating systematic privacy education into primary school curricula may serve as an effective preventive strategy to strengthen children's self-protection skills and overall wellbeing.
{"title":"The Role of Privacy Awareness in Preventing Sexual Abuse: A Study on Primary School Students in Türkiye","authors":"Alperen Avcı","doi":"10.1111/jcap.70050","DOIUrl":"10.1111/jcap.70050","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study aimed to examine the relationship between primary school students' levels of privacy awareness and their knowledge of child sexual abuse, with particular attention to demographic and contextual factors including gender, socioeconomic status, and academic achievement.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A descriptive correlational research design was employed. The sample consisted of primary school students enrolled in public schools in Türkiye during the 2023–2024 academic year. Data were collected using validated measures of privacy awareness and child sexual abuse knowledge. Descriptive statistics, independent samples <i>t</i>-tests, one-way ANOVA, Pearson correlation analysis, and multiple linear regression analysis were conducted to analyse the data.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>The findings indicated that female students and older primary school students demonstrated significantly higher levels of both privacy awareness and knowledge of child sexual abuse. Students from higher socioeconomic backgrounds and those with higher academic achievement also showed greater awareness and knowledge. Overall, privacy awareness and sexual abuse knowledge were found to be at a moderate level but were strongly and positively correlated (<i>r</i> = 0.807, <i>p</i> < 0.01). Regression analysis further revealed that privacy awareness was a significant predictor of children's knowledge of sexual abuse (β = 0.819, <i>p</i> < 0.01).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The results highlight the critical role of privacy awareness in enhancing children's protective knowledge against sexual abuse. Integrating systematic privacy education into primary school curricula may serve as an effective preventive strategy to strengthen children's self-protection skills and overall wellbeing.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"39 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146229168","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Practice and Educational Interventions for Nurses to Reduce Restrictive Measures in Pediatric Mental Health: A Scoping Review","authors":"Katy Fisher-Cunningham, Andri Hardman, Shari Clifton, Brayton Amidon","doi":"10.1111/jcap.70049","DOIUrl":"10.1111/jcap.70049","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"39 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2026-02-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"146107752","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Gender Differences in Psychological Strengths Among Rural Adolescents","authors":"Angela J. Preston, Jodi Bullard, Rachel Smith, Ashlyn Peppler","doi":"10.1111/jcap.70048","DOIUrl":"10.1111/jcap.70048","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design and Methods</h3>\u0000 \u0000 <p>A secondary analysis of cross-sectional data was performed on the RStudio platform using tests of central tendency and inferential statistics.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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%.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Practice Implications</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"39 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-15","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12704041/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145758062","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Association Between Loneliness and Suicidal Behaviors Among Korean Adolescents: A Nationwide Cross-Sectional Study","authors":"Jaeyoung Lee, Mikyoung Angela Lee","doi":"10.1111/jcap.70047","DOIUrl":"https://doi.org/10.1111/jcap.70047","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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 (<i>p</i> < 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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"39 1","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-12-02","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145652654","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Stress Management and Resilience Training on Nursing Undergraduates in Hong Kong: A Feasibility Study","authors":"Julia Sze-Wing Wong, Helen Yue-Lai Chan, Iris Fung-Kam Lee, Mark Cheuk-Man Tsang, Stephanie Wai-Shun Wong, Meyrick Chum-Ming Chow","doi":"10.1111/jcap.70045","DOIUrl":"10.1111/jcap.70045","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> < 0.001) and T0–T2 (<i>p</i> = 0.004). PSS-10 scores declined slightly (18.61 at T0 to 17.65 at T2) but without statistical significance (<i>p</i> = 0.123). Satisfaction ratings were high (mean 5.38–5.60/6), particularly for trainer performance and content.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145565820","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"How Is Parental Burnout Related to Emotional Problems? Exploring the Roles of Coparenting and Parent-Child Conflict in Chinese Children","authors":"Xiaoyan Xu","doi":"10.1111/jcap.70046","DOIUrl":"10.1111/jcap.70046","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145497024","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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。
{"title":"Perceived Stress, Loneliness, and Resilience in Relation to Game Addiction Among Adolescents in Bangkok During the COVID-19 Pandemic Transition Period","authors":"Prangwalai Attasara, Tusana Thaweekoon, Wilai Napa","doi":"10.1111/jcap.70044","DOIUrl":"10.1111/jcap.70044","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>This study examined the relationship between perceived stress, loneliness, resilience, and game addiction among adolescents in Bangkok during the COVID-19 pandemic transition period.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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<sub>(s)</sub> = 0.14, <i>p</i> = 0.01) and loneliness (r<sub>(s)</sub> = 0.25, <i>p</i> < 0.001) were positively correlated with game addiction, while resilience was negatively correlated (r<sub>(s)</sub>= −0.26, <i>p</i> < 0.001). All resilience components—“I have” (external support) (r<sub>(s)</sub> = −0.21), “I am” (inner strength) (r<sub>(s)</sub> = −0.28), and “I can” (interpersonal and problem-solving skills) (r<sub>(s)</sub>= −0.24)—were negatively correlated with game addiction (<i>p</i> < 0.001).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-11-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70044","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145459683","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"The Evaluation of Emotional Abuse Situations of Turkish and Migrant Children","authors":"Melike Yavaş Çeli̇k, Musa Güler","doi":"10.1111/jcap.70043","DOIUrl":"10.1111/jcap.70043","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>The research was conducted to evaluate the emotional abuse experienced by Turkish and immigrant children.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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 <i>p</i> < 0.05 level.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145402386","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"Risk and Protective Factors Associated With Suicide Attempts: A Qualitative Study Among Hospitalized Patients in Turkey","authors":"Mehmet Fatih Şiraz, Ali Eryılmaz, Hacer Yıldırım-Kurtuluş, Mehmet Sabri Bozdaş, Murat Yıldırım","doi":"10.1111/jcap.70040","DOIUrl":"10.1111/jcap.70040","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Design</h3>\u0000 \u0000 <p>A qualitative research design was employed to explore participants' lived experiences and perceptions surrounding suicidal behavior.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Patient or Public Contribution</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337782","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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.
{"title":"The Impact of Alexithymia on Emotional Self-Efficacy Among High School Students in Konya Province","authors":"Merve Yazar Renkyorganci, Berna Bayir","doi":"10.1111/jcap.70042","DOIUrl":"10.1111/jcap.70042","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Aim</h3>\u0000 \u0000 <p>This study investigates the impact of alexithymia on emotional self-efficacy levels among senior high school students in Konya Province, Türkiye.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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 (<i>p</i> < 0.05).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145337783","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
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