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.
{"title":"Mental Health of Adolescents Orphaned by COVID-19 and Service System Responses: A Longitudinal Study","authors":"Hassan Soleimani-Rad, Saeed Ariapooran, Zahra Karami","doi":"10.1111/jcap.70041","DOIUrl":"10.1111/jcap.70041","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Objective</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Method</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>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.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-16","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145303937","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}
Jeffrey V. Tabares, Alexander Muela, Ennio Ammendola, Jon García-Ormaza
Introduction
Suicide represents a public health concern with international reach that challenges healthcare systems and policies. Despite high rates of death by suicide among adolescents, few studies have examined suicide risk factors among this group (generally) and within a vulnerable adolescents placed in residential care (specifically). This preliminary study utilizes simulation network models to identify structural differences in suicide risk factor networks when comparing adolescents who either reported or did not report suicidal ideation.
Methods
Adolescents from residential care units in the Basque Country (northern Spain) were recruited for this study (age 12–18, n = 415). Adolescents completed baseline measures on suicidal cognitions, entrapment, mental pain, depression, suicide attempts before baseline, hopelessness, perceived burdensomeness, thwarted belongingness, and exposure to suicidal behavior. Data from these measures were used to create separate networks demarcated by respondent reporting of suicidal ideation (i.e., a network for participants reporting ‘Yes’ and a separate network for participants reporting ‘No’).
Results
‘Yes’ and ‘No’ networks had differences in risk factor connectivity, but also in influential risk factors. ‘Yes’ was driven primarily by perceived burdensomeness, suicidal cognitions, and entrapment while ‘No’ was driven by perceived burdensomeness, entrapment, and psychache.
Discussion
Separate ‘Yes’ and ‘No’ networks indicate differential structure and influential risk factors among adolescents. Those identified influential risk factors could serve as intervention targets to disrupt suicide risk networks (and, by extension, prevent suicidal behavior).
{"title":"Simulation Networks Elucidate the Preliminary Structure of Suicide Risk Factors Among Adolescents","authors":"Jeffrey V. Tabares, Alexander Muela, Ennio Ammendola, Jon García-Ormaza","doi":"10.1111/jcap.70037","DOIUrl":"10.1111/jcap.70037","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Introduction</h3>\u0000 \u0000 <p>Suicide represents a public health concern with international reach that challenges healthcare systems and policies. Despite high rates of death by suicide among adolescents, few studies have examined suicide risk factors among this group (generally) and within a vulnerable adolescents placed in residential care (specifically). This preliminary study utilizes simulation network models to identify structural differences in suicide risk factor networks when comparing adolescents who either reported or did not report suicidal ideation.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>Adolescents from residential care units in the Basque Country (northern Spain) were recruited for this study (age 12–18, <i>n</i> = 415). Adolescents completed baseline measures on suicidal cognitions, entrapment, mental pain, depression, suicide attempts before baseline, hopelessness, perceived burdensomeness, thwarted belongingness, and exposure to suicidal behavior. Data from these measures were used to create separate networks demarcated by respondent reporting of suicidal ideation (i.e., a network for participants reporting ‘Yes’ and a separate network for participants reporting ‘No’).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>‘Yes’ and ‘No’ networks had differences in risk factor connectivity, but also in influential risk factors. ‘Yes’ was driven primarily by perceived burdensomeness, suicidal cognitions, and entrapment while ‘No’ was driven by perceived burdensomeness, entrapment, and psychache.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Discussion</h3>\u0000 \u0000 <p>Separate ‘Yes’ and ‘No’ networks indicate differential structure and influential risk factors among adolescents. Those identified influential risk factors could serve as intervention targets to disrupt suicide risk networks (and, by extension, prevent suicidal behavior).</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239866","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}
Itziar Escofet-Colet, Lina Cristina Casadó-Marín, Lydia Orós-Navas, Rosa Raventós-Torner
<div> <section> <h3> Background</h3> <p>Non-suicidal self-injury can be defined as self-inflicted behaviour that involves the direct and deliberate destruction of one's own body tissue without suicidal intent. In recent years, scientific evidence has shown a significant increase in the prevalence rates of non-suicidal self-injury among the adolescent population.</p> </section> <section> <h3> Objectives</h3> <p>The aim of this study was to examine the existing psychotherapeutic interventions and prevention programmes available for addressing non-suicidal self-injury in the adolescent population.</p> </section> <section> <h3> Data Sources</h3> <p>A systematic review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This review was not prospectively registered in PROSPERO. However, it was conducted in accordance with established methodological frameworks, including PRISMA and STROBE. Detailed reporting of the methods enhances transparency and supports replicability. The review included observational studies published between 2013 and 2023. The databases consulted were PubMed, CINAHL, SCOPUS and Web of Science. Out of 1343 initial records, 13 studies met the inclusion criteria.</p> </section> <section> <h3> Conclusions</h3> <p>The results indicated that interventions such as the peer-to-peer prevention programme and Happyles programmes significantly reduced non-suicidal self-injurious behaviours and improved emotional regulation. Effective components of the interventions included self-help kits with sensory regulation tools. The main risk factors identified included poor sleep quality, lack of parental support and adverse childhood experiences. Despite the growing concern about this phenomenon, there is little information on specific interventions targeting self-injurious behaviours, or on preventive programmes.</p> </section> <section> <h3> Implications for Practice</h3> <p>The findings from this study offer guidance to enhance nursing competencies in the early identification, risk assessment, and therapeutic management of non-suicidal self-injury among adolescents. Specifically, the results support the integration of evidence-based interventions such as emotional regulation training, mindfulness techniques, and psychoeducation into nursing practice. Moreover, this knowledge can inform the development of school-based prevention programmes led by community nurses and targeted in
背景：非自杀性自伤可以定义为没有自杀意图的直接和故意破坏自己身体组织的自我造成的行为。近年来，科学证据表明，青少年非自杀性自伤的患病率显著上升。目的：本研究的目的是检查现有的心理治疗干预和预防方案，可用于解决青少年人群中的非自杀性自伤。数据来源：按照系统评价和荟萃分析指南的首选报告项目对文献进行了系统评价。该综述未在PROSPERO中前瞻性登记。但是，它是按照包括PRISMA和STROBE在内的既定方法框架进行的。方法的详细报告提高了透明度并支持可复制性。该综述包括2013年至2023年间发表的观察性研究。参考的数据库有PubMed、CINAHL、SCOPUS和Web of Science。在1343项初始记录中，13项研究符合纳入标准。结论：研究结果表明，同伴预防计划和Happyles计划等干预措施显著减少了非自杀性自伤行为，改善了情绪调节。干预措施的有效组成部分包括带有感官调节工具的自助工具包。确定的主要风险因素包括睡眠质量差、缺乏父母支持和不良的童年经历。尽管人们对这一现象日益关注，但关于针对自残行为的具体干预措施或预防方案的信息却很少。实践意义：本研究结果为提高青少年非自杀性自伤的早期识别、风险评估和治疗管理方面的护理能力提供了指导。具体来说，研究结果支持在护理实践中整合基于证据的干预措施，如情绪调节训练、正念技术和心理教育。此外，这方面的知识可以为制定由社区护士领导的以学校为基础的预防方案和由精神卫生护士进行有针对性的干预提供信息，旨在减少非自杀性自伤行为的发生率和复发率。
{"title":"Non-Suicidal Self-Injury in Adolescents: A Systematic Review on Prevention and Intervention Programmes","authors":"Itziar Escofet-Colet, Lina Cristina Casadó-Marín, Lydia Orós-Navas, Rosa Raventós-Torner","doi":"10.1111/jcap.70039","DOIUrl":"10.1111/jcap.70039","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Non-suicidal self-injury can be defined as self-inflicted behaviour that involves the direct and deliberate destruction of one's own body tissue without suicidal intent. In recent years, scientific evidence has shown a significant increase in the prevalence rates of non-suicidal self-injury among the adolescent population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Objectives</h3>\u0000 \u0000 <p>The aim of this study was to examine the existing psychotherapeutic interventions and prevention programmes available for addressing non-suicidal self-injury in the adolescent population.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Data Sources</h3>\u0000 \u0000 <p>A systematic review of the literature was conducted following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses guidelines. This review was not prospectively registered in PROSPERO. However, it was conducted in accordance with established methodological frameworks, including PRISMA and STROBE. Detailed reporting of the methods enhances transparency and supports replicability. The review included observational studies published between 2013 and 2023. The databases consulted were PubMed, CINAHL, SCOPUS and Web of Science. Out of 1343 initial records, 13 studies met the inclusion criteria.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The results indicated that interventions such as the peer-to-peer prevention programme and Happyles programmes significantly reduced non-suicidal self-injurious behaviours and improved emotional regulation. Effective components of the interventions included self-help kits with sensory regulation tools. The main risk factors identified included poor sleep quality, lack of parental support and adverse childhood experiences. Despite the growing concern about this phenomenon, there is little information on specific interventions targeting self-injurious behaviours, or on preventive programmes.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Implications for Practice</h3>\u0000 \u0000 <p>The findings from this study offer guidance to enhance nursing competencies in the early identification, risk assessment, and therapeutic management of non-suicidal self-injury among adolescents. Specifically, the results support the integration of evidence-based interventions such as emotional regulation training, mindfulness techniques, and psychoeducation into nursing practice. Moreover, this knowledge can inform the development of school-based prevention programmes led by community nurses and targeted in","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12502457/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145239874","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}
Kennedy Diema Konlan, David Adedia, Felix Kwasi Nyande
<div> <section> <h3> Background</h3> <p>Family planning significantly reduces maternal mortality and contributes to achieving the Sustainable Development Goals. However, the unmet need for family planning in Ghana is still relatively high. This study assessed the factors influencing the use of family planning in a resource-limited setting.</p> </section> <section> <h3> Methods</h3> <p>The study used 384 adults (17–56 years) in the Navrongo central sub-municipality, selected using the multi-stage sampling method. Data was cleaned in Microsoft Excel 365 before being transferred to SPSS version 27 and R for analysis. Composite scores were determined and transformed into percentages. The percentage scores of more than 75% were coded as utilisation or good knowledge of modern family planning, depending on the specific section. The Pearson Chi-square test was performed to examine the relationship between the independent variables on overall utilisation and overall knowledge of family planning. Logistic regression and complementary log-log models were used to model the predictors of the utilisation and knowledge of modern family planning. All <i>p-values</i> ≤ 0.05 were deemed statistically significant.</p> </section> <section> <h3> Results</h3> <p>The overall utilisation of modern family planning was not very high (43.2%). Overall, the respondents showed good knowledge (81.3%) of modern family planning. Married young adults (RR = 2.1, 95% CI: 1.39–3.27, <i>p-value</i> = 0.001) were more likely to utilise modern contraceptives. Male young adults are less likely to utilise family planning (RR = 0.21, 95% CI: 0.12–0.34, <i>p</i> < 0.001) than females. Those aged at least 37 years (RR = 1.72, 95% CI: 1.11–2.71, <i>p-value</i> = 0.017) were more likely to have good knowledge of modern family planning than those aged 17 to 26 years. Compared with those with tertiary education, those below SHS (RR = 2.53, 95% CI: 1.54–4.31, <i>p-value</i> < 0.001) and those with SHS education (RR = 1.79, 95% CI: 1.27–2.55, <i>p-value</i> = 0.001) were more likely to have good knowledge of modern family planning. Those with household income between 500 and 1000 (RR = 5.39, 95% CI: 2.18–17.99, <i>p-value</i> = 0.002) and household income more than 1000 cedis (RR = 5.12, 95% CI: 2.04–17.25, <i>p-value</i> = 0.003) were more likely to have good knowledge of family planning than those with household income below 500 cedis per month.</p> </section> <section> <h3> Conclusion</h3> <p>This study revealed a high level of knowledge and relatively low utilization of modern family planning. Family planning interventions must incorporate behaviour change theoretical m
{"title":"Factors Associated With the Utilization of Family Planning Among Young Adults. A Comparative Cross-Sectional Study in the Kassena Nankana Municipality, Ghana","authors":"Kennedy Diema Konlan, David Adedia, Felix Kwasi Nyande","doi":"10.1111/jcap.70038","DOIUrl":"https://doi.org/10.1111/jcap.70038","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Family planning significantly reduces maternal mortality and contributes to achieving the Sustainable Development Goals. However, the unmet need for family planning in Ghana is still relatively high. This study assessed the factors influencing the use of family planning in a resource-limited setting.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>The study used 384 adults (17–56 years) in the Navrongo central sub-municipality, selected using the multi-stage sampling method. Data was cleaned in Microsoft Excel 365 before being transferred to SPSS version 27 and R for analysis. Composite scores were determined and transformed into percentages. The percentage scores of more than 75% were coded as utilisation or good knowledge of modern family planning, depending on the specific section. The Pearson Chi-square test was performed to examine the relationship between the independent variables on overall utilisation and overall knowledge of family planning. Logistic regression and complementary log-log models were used to model the predictors of the utilisation and knowledge of modern family planning. All <i>p-values</i> ≤ 0.05 were deemed statistically significant.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The overall utilisation of modern family planning was not very high (43.2%). Overall, the respondents showed good knowledge (81.3%) of modern family planning. Married young adults (RR = 2.1, 95% CI: 1.39–3.27, <i>p-value</i> = 0.001) were more likely to utilise modern contraceptives. Male young adults are less likely to utilise family planning (RR = 0.21, 95% CI: 0.12–0.34, <i>p</i> < 0.001) than females. Those aged at least 37 years (RR = 1.72, 95% CI: 1.11–2.71, <i>p-value</i> = 0.017) were more likely to have good knowledge of modern family planning than those aged 17 to 26 years. Compared with those with tertiary education, those below SHS (RR = 2.53, 95% CI: 1.54–4.31, <i>p-value</i> < 0.001) and those with SHS education (RR = 1.79, 95% CI: 1.27–2.55, <i>p-value</i> = 0.001) were more likely to have good knowledge of modern family planning. Those with household income between 500 and 1000 (RR = 5.39, 95% CI: 2.18–17.99, <i>p-value</i> = 0.002) and household income more than 1000 cedis (RR = 5.12, 95% CI: 2.04–17.25, <i>p-value</i> = 0.003) were more likely to have good knowledge of family planning than those with household income below 500 cedis per month.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>This study revealed a high level of knowledge and relatively low utilization of modern family planning. Family planning interventions must incorporate behaviour change theoretical m","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-10-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145224356","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}
During the COVID-19 pandemic, children and teenagers with autism exhibited behavioral changes, which contributed to increased parenting stress. This study focused on caregivers' experiences in Thailand, as they often lacked information on how to address these issues, and it may serve as a valuable source of essential information for further interventions for parents.
Purpose
To explore caregivers' experiences while caring for children and teenagers with autism.
Methodology
The researcher conducted a qualitative study to explore caregivers' experiences regarding caregiving for children and teenagers with autism during the COVID-19 pandemic. A total of 15 participants, who were caregivers, were interviewed using a semi-structured questionnaire until data saturation was achieved. The data set was transcribed verbatim by professionals and analyzed using thematic analysis.
Results
The participants' experiences were reflected in four themes: (a) facing difficulties with behavioral changes; the caregivers faced the behaviors changing such as decreasing connecting behaviors, children's self-stimulating behaviors, losing control of their eating, and time spent watching their screens (b) caring adaptation: caregivers adapted their caregiving strategies to manage child-developmental training and infection prevention; (c) confronting emotions: caregivers experienced anxiety and stress while caring for their children; and (d) assistance: caregivers received help from local volunteers who delivered food and medicine.
Conclusion
The caregivers' experiences included dealing with changing behaviors, adapting to care, and facing negative emotions while caring for their loved ones. Health professionals should provide parents with information about managing changing behaviors and reducing parenting stress. Additionally, they should deliver information via alternative platforms, such as telemedicine phone calls, when needed.
{"title":"Caregivers' Experiences Taking Care of Children and Teenagers With Autism Spectrum Disorders During the COVID-19 Pandemic in Thailand: A Qualitative Approach","authors":"Chalisa Rujilekpanya, Wilai Napa, Tusana Thaweekoon","doi":"10.1111/jcap.70036","DOIUrl":"10.1111/jcap.70036","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>During the COVID-19 pandemic, children and teenagers with autism exhibited behavioral changes, which contributed to increased parenting stress. This study focused on caregivers' experiences in Thailand, as they often lacked information on how to address these issues, and it may serve as a valuable source of essential information for further interventions for parents.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>To explore caregivers' experiences while caring for children and teenagers with autism.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>The researcher conducted a qualitative study to explore caregivers' experiences regarding caregiving for children and teenagers with autism during the COVID-19 pandemic. A total of 15 participants, who were caregivers, were interviewed using a semi-structured questionnaire until data saturation was achieved. The data set was transcribed verbatim by professionals and analyzed using thematic analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>The participants' experiences were reflected in four themes: (a) facing difficulties with behavioral changes; the caregivers faced the behaviors changing such as decreasing connecting behaviors, children's self-stimulating behaviors, losing control of their eating, and time spent watching their screens (b) caring adaptation: caregivers adapted their caregiving strategies to manage child-developmental training and infection prevention; (c) confronting emotions: caregivers experienced anxiety and stress while caring for their children; and (d) assistance: caregivers received help from local volunteers who delivered food and medicine.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>The caregivers' experiences included dealing with changing behaviors, adapting to care, and facing negative emotions while caring for their loved ones. Health professionals should provide parents with information about managing changing behaviors and reducing parenting stress. Additionally, they should deliver information via alternative platforms, such as telemedicine phone calls, when needed.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 4","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-09-20","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70036","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145092616","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}
Autism spectrum disorder (ASD) has the potential to create a number of challenges and problems for parents due to having lifelong problem behaviors.
Purpose
The aim of this qualitative study was to explore the experiences, difficulties, and coping mechanisms of parents with children with ASD through a multidisciplinary team approach.
Methodology
This study employed a descriptive qualitative research methodology. Data were collected through semi-structured, face-to-face individual interviews with 12 parents, guided by a structured interview protocol. Data management and analysis were conducted using the MAXQDA program. A thematic approach was used in data analysis.
Results
Participants reported experiencing both challenges and positive emotions related to raising a child diagnosed with ASD, and described a variety of coping strategies. Thematic analysis of the interview data revealed five key themes centered on parental perspectives: (1) parenting a child with ASD, (2) families' reactions to the diagnosis, (3) psychological and social difficulties, (4) future-related concerns, and (5) perceived support needs.
Conclusions
Parents of children have ASD have to cope with many problems throughout their lives. Resources are needed to support parents bio-psycho-socially. Enhancing the provision of standardized education and support to parents can be achieved by improving existing health and social policies, establishing formal support networks, and facilitating access to childcare services.
{"title":"Experiences, Difficulties, and Coping Mechanisms of Parents With Children With Autism: A Phenomenology Study in Türkiye","authors":"Gamze Kaş Alay, Havva Kaçan, Seniha Kurtoğlu","doi":"10.1111/jcap.70035","DOIUrl":"https://doi.org/10.1111/jcap.70035","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background</h3>\u0000 \u0000 <p>Autism spectrum disorder (ASD) has the potential to create a number of challenges and problems for parents due to having lifelong problem behaviors.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The aim of this qualitative study was to explore the experiences, difficulties, and coping mechanisms of parents with children with ASD through a multidisciplinary team approach.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methodology</h3>\u0000 \u0000 <p>This study employed a descriptive qualitative research methodology. Data were collected through semi-structured, face-to-face individual interviews with 12 parents, guided by a structured interview protocol. Data management and analysis were conducted using the MAXQDA program. A thematic approach was used in data analysis.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>Participants reported experiencing both challenges and positive emotions related to raising a child diagnosed with ASD, and described a variety of coping strategies. Thematic analysis of the interview data revealed five key themes centered on parental perspectives: (1) parenting a child with ASD, (2) families' reactions to the diagnosis, (3) psychological and social difficulties, (4) future-related concerns, and (5) perceived support needs.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>Parents of children have ASD have to cope with many problems throughout their lives. Resources are needed to support parents bio-psycho-socially. Enhancing the provision of standardized education and support to parents can be achieved by improving existing health and social policies, establishing formal support networks, and facilitating access to childcare services.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-21","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144881397","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}
{"title":"Family Resilience in Cancer Survivorship: Coping, Caring, and Thriving Together","authors":"Yeter Sinem Üzar-Özçetin","doi":"10.1111/jcap.70034","DOIUrl":"https://doi.org/10.1111/jcap.70034","url":null,"abstract":"","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144833150","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}
Skin-to-skin contact is an effective practice for enhancing clinical and psychological outcomes during the postpartum period. This study aimed to evaluate the effects of skin-to-skin contact on the growth and development of full-term newborns up to 2 months of age.
Methods
A total of 72 pregnant mothers who met the inclusion criteria were randomly allocated into two groups using block randomization. The intervention group received immediate skin-to- skin contact after birth, while the control group received standard postpartum care. Growth and developmental milestones of the infants were assessed at 2 months using an infant growth assessment form, and the Ages and Stages Questionnaire (ASQ).
Results
At 2 months, the average increase in head circumference was significantly higher in the skin-to-skin contact group (4.6 ± 1.1 cm) compared to the standard care group (4.0 ± 0.9 cm; p < 0.05). Weight gain averaged 2.7 ± 0.3 kg in the skin-to-skin group versus 2.2 ± 0.5 kg in the control group (p > 0.05). Length gain was 8.0 ± 1.7 cm in the skin-to-skin group and 8.2 ± 2.1 cm in the standard care group (p > 0.05). Developmentally, 97.2% of infants in the skin-to-skin group exhibited normal developmental status, compared to 69.4% in the standard care group (p < 0.05). There were no significant differences in individual developmental domains between the groups.
Conclusion
Skin-to-skin contact after birth positively influences head circumference growth and supports overall developmental status in infants at 2 months of age.
背景与目的皮肤接触是提高产后临床和心理效果的有效方法。本研究旨在评估皮肤接触对2个月以下足月新生儿生长发育的影响。方法将72例符合纳入标准的孕妇随机分为两组。干预组在出生后立即进行皮肤接触，而对照组则接受标准的产后护理。使用婴儿生长评估表和年龄和阶段问卷（ASQ）在2个月时评估婴儿的生长和发育里程碑。结果在2个月时，皮肤接触组的头围平均增加（4.6±1.1 cm）明显高于标准护理组(4.0±0.9 cm；p < 0.05)。皮肤对皮肤组平均增重2.7±0.3 kg，对照组平均增重2.2±0.5 kg （p > 0.05）。皮对皮组长度增加8.0±1.7 cm，标准护理组长度增加8.2±2.1 cm （p > 0.05）。在发育方面，皮肤对皮肤组97.2%的婴儿发育正常，而标准护理组为69.4% （p < 0.05）。两组间个体发育领域无显著差异。结论出生后皮肤与皮肤的接触对2月龄婴儿头围生长有积极影响，支持婴儿的整体发育状况。
{"title":"The Impact of Immediate Skin-to-Skin Contact Between Mother and Full-Term Newborn on Infant Growth and Development at Two Months of Age","authors":"Zahra Gholampour, Narges Rousta, Gholamreza Parsa, Mitra Safari","doi":"10.1111/jcap.70033","DOIUrl":"https://doi.org/10.1111/jcap.70033","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Background and Objective</h3>\u0000 \u0000 <p>Skin-to-skin contact is an effective practice for enhancing clinical and psychological outcomes during the postpartum period. This study aimed to evaluate the effects of skin-to-skin contact on the growth and development of full-term newborns up to 2 months of age.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A total of 72 pregnant mothers who met the inclusion criteria were randomly allocated into two groups using block randomization. The intervention group received immediate skin-to- skin contact after birth, while the control group received standard postpartum care. Growth and developmental milestones of the infants were assessed at 2 months using an infant growth assessment form, and the Ages and Stages Questionnaire (ASQ).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Results</h3>\u0000 \u0000 <p>At 2 months, the average increase in head circumference was significantly higher in the skin-to-skin contact group (4.6 ± 1.1 cm) compared to the standard care group (4.0 ± 0.9 cm; <i>p</i> < 0.05). Weight gain averaged 2.7 ± 0.3 kg in the skin-to-skin group versus 2.2 ± 0.5 kg in the control group (<i>p</i> > 0.05). Length gain was 8.0 ± 1.7 cm in the skin-to-skin group and 8.2 ± 2.1 cm in the standard care group (<i>p</i> > 0.05). Developmentally, 97.2% of infants in the skin-to-skin group exhibited normal developmental status, compared to 69.4% in the standard care group (<i>p</i> < 0.05). There were no significant differences in individual developmental domains between the groups.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusion</h3>\u0000 \u0000 <p>Skin-to-skin contact after birth positively influences head circumference growth and supports overall developmental status in infants at 2 months of age.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-08-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144814784","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 case supports the rationale for implementing a multi-professional approved clinician (MPAC) role for neurodivergent individuals within child and adolescent mental health services (CAMHS). An MPAC's core discipline is commonly social work, mental health nursing, and occupational therapy, with additional training, experience, and skills in mental health law, policy, and practice. The MPAC role would complement the existing approved clinician role, usually fulfilled by a psychiatrist. Adding the MPAC role would provide a holistic multidisciplinary approach to mental health provision for children and adolescents up to age 25. Furthermore, the introduction of this role will enhance quality of care, improve service efficiency, and generate financial benefits by optimizing resource utilization within CAMHS.
{"title":"A Case for a Multi-Professional Approved Clinician Role in Child and Adolescent Mental Health Service Inpatient Units, Crisis, and Liaison","authors":"Naomi Williams","doi":"10.1111/jcap.70031","DOIUrl":"https://doi.org/10.1111/jcap.70031","url":null,"abstract":"<p>This case supports the rationale for implementing a multi-professional approved clinician (MPAC) role for neurodivergent individuals within child and adolescent mental health services (CAMHS). An MPAC's core discipline is commonly social work, mental health nursing, and occupational therapy, with additional training, experience, and skills in mental health law, policy, and practice. The MPAC role would complement the existing approved clinician role, usually fulfilled by a psychiatrist. Adding the MPAC role would provide a holistic multidisciplinary approach to mental health provision for children and adolescents up to age 25. Furthermore, the introduction of this role will enhance quality of care, improve service efficiency, and generate financial benefits by optimizing resource utilization within CAMHS.</p>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://onlinelibrary.wiley.com/doi/epdf/10.1111/jcap.70031","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740569","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}
Victims of bullying often experience a range of psychological consequences, including increased risk for depression, anxiety, and other stress-related disorders.
Purpose
The purpose of this study is to examine the mediating roles of hope and perceived social support in the relationship between bullying victimization and coping strategies among teenage victims in Egypt.
Methods
A cross-sectional descriptive correlational study was conducted in eight governmental middle and secondary schools in Alexandria, Egypt, with 400 teenagers selected randomly from the eight educational zones in the governorate. Participants filled out the Olweus Bullying Questionnaire, Brief Cope Scale, The Children's Hope Scale, and The Multidimensional Scale of Perceived Social Support. Following STROBE principles, data were analyzed using t-test, Pearson correlation, and pathway analysis modeling (SEM).
Findings
Bullying victimization was found to have a significant negative impact on both problem-solving and emotional coping, while showing a positive association with dysfunctional coping. Although hope did not demonstrate significant direct effects on problem-solving, emotional, or dysfunctional coping, it, along with social support, mediated these effects to varying degrees. Notably, social support exhibited a significant positive direct effect on both problem-solving and emotional coping but did not significantly influence dysfunctional coping.
Conclusions
The findings highlight the importance of fostering hope and strengthening support networks to improve coping and reduce bullying's negative effects.
{"title":"Coping With Bullying Among Teenage Victims in Egypt: Mediating Effects of Sense of Hope and Social Support on Coping Styles","authors":"Seham El-Sayed Saleh, Heba Mohamed Abdelaal, Rasha Mohamed Abohadida","doi":"10.1111/jcap.70032","DOIUrl":"https://doi.org/10.1111/jcap.70032","url":null,"abstract":"<div>\u0000 \u0000 \u0000 <section>\u0000 \u0000 <h3> Problem</h3>\u0000 \u0000 <p>Victims of bullying often experience a range of psychological consequences, including increased risk for depression, anxiety, and other stress-related disorders.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Purpose</h3>\u0000 \u0000 <p>The purpose of this study is to examine the mediating roles of hope and perceived social support in the relationship between bullying victimization and coping strategies among teenage victims in Egypt.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Methods</h3>\u0000 \u0000 <p>A cross-sectional descriptive correlational study was conducted in eight governmental middle and secondary schools in Alexandria, Egypt, with 400 teenagers selected randomly from the eight educational zones in the governorate. Participants filled out the Olweus Bullying Questionnaire, Brief Cope Scale, The Children's Hope Scale, and The Multidimensional Scale of Perceived Social Support. Following STROBE principles, data were analyzed using <i>t</i>-test, Pearson correlation, and pathway analysis modeling (SEM).</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Findings</h3>\u0000 \u0000 <p>Bullying victimization was found to have a significant negative impact on both problem-solving and emotional coping, while showing a positive association with dysfunctional coping. Although hope did not demonstrate significant direct effects on problem-solving, emotional, or dysfunctional coping, it, along with social support, mediated these effects to varying degrees. Notably, social support exhibited a significant positive direct effect on both problem-solving and emotional coping but did not significantly influence dysfunctional coping.</p>\u0000 </section>\u0000 \u0000 <section>\u0000 \u0000 <h3> Conclusions</h3>\u0000 \u0000 <p>The findings highlight the importance of fostering hope and strengthening support networks to improve coping and reduce bullying's negative effects.</p>\u0000 </section>\u0000 </div>","PeriodicalId":46587,"journal":{"name":"Journal of Child and Adolescent Psychiatric Nursing","volume":"38 3","pages":""},"PeriodicalIF":1.5,"publicationDate":"2025-07-31","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144740568","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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