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Child and adolescent psychiatry outpatient clinic admissions of anorexia nervosa patients before and during the COVID-19 Pandemic (January 2015–January 2022)—A retrospective cohort from a tertiary referral hospital in Turkey COVID-19 大流行之前和期间(2015 年 1 月至 2022 年 1 月)儿童和青少年精神病学门诊收治的神经性厌食症患者--土耳其一家三级转诊医院的回顾性队列
IF 1.5 Q2 Nursing Pub Date : 2023-07-13 DOI: 10.1111/jcap.12435
Hatice Ünver MD, Beyzanur Gökçe Ceylan MD, Ayşe Burcu Erdoğdu Yıldırım MD, Neşe Perdahlı Fiş MD
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引用次数: 0
A qualitative analysis of child and family complaints related to child mental health services 对与儿童心理健康服务相关的儿童和家庭投诉的定性分析
IF 1.5 Q2 Nursing Pub Date : 2023-07-13 DOI: 10.1111/jcap.12436
Laura Darcy PhD, RN, Anna Råberus MScN, RN, Annelie J. Sundler PhD, RN

Problem

Little is known about issues of patient-reported problems, in particular within psychiatric services for children with mental ill health. Child and family complaints related to child mental health services can be analyzed and discussed in light of the universal human right to health and healthcare. Therefore, the aim of this study was to analyze child and family complaints related to child mental health services.

Methods

A retrospective, descriptive design was used. Child and family complaints were analyzed with a qualitative thematic analysis.

Findings

The findings were described in three themes describing lack of access to care, inadequate communication between services and children with mental ill health and their families, and lack of clarity of who is responsible for care, leading to neglect of children's needs. These issues place a huge responsibility on parents or relatives.

Conclusion

Better communication within mental health services, and better collaboration with other services such as school and social services, could limit children's suffering. Healthcare services with named professionals who specialize in child mental health and provide continuity in care, are required. General human rights principles should guide planning and care of children.

问题 我们对病人报告的问题知之甚少,尤其是在为患有精神疾病的儿童提供的精神科服务中。与儿童精神健康服务相关的儿童和家庭投诉可以从健康和医疗保健的普遍人权角度进行分析和讨论。因此,本研究旨在分析与儿童精神健康服务相关的儿童和家庭投诉。 方法 采用回顾性、描述性设计。对儿童和家庭的投诉进行了定性专题分析。 研究结果 研究结果分为三个主题,分别描述了缺乏获得护理的途径、服务机构与患有精神疾病的儿童及其家人之间沟通不足,以及护理责任人不明确,从而导致忽视儿童的需求。这些问题使父母或亲属承担了巨大的责任。 结论 心理健康服务机构内部更好的沟通,以及与其他服务机构如学校和社会服务机构更好的合 作,可以减少儿童的痛苦。医疗保健服务机构需要配备专门从事儿童心理健康工作的专业人员,并提供持续的护理。规划和护理儿童的工作应遵循一般的人权原则。
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引用次数: 0
The impact of mothers and daughters health education on female adolescents' quality of life during the COVID-19 pandemic 新冠肺炎大流行期间,母亲和女儿健康教育对女性青少年生活质量的影响。
IF 1.5 Q2 Nursing Pub Date : 2023-07-12 DOI: 10.1111/jcap.12434
Leila Neisani Samani, Sedigheh Khanjari, Fatemeh Mirmohammadi, Maryam Maadi Esfahan, Shima Haghani, Fereshteh Javaheri Tehrani

Problem

Adolescence is a period of biological, cognitive, psychosocial, and emotional development. Negative experiences of Coronavirus (COVID-19) infection are associated with more changes which impacts on quality of life (QoL). However, parent-proxy and child self-reports may vary, and we have lack of knowledge about these discrepancies. The aim of this study was to identifying the impact of mother−daughter health education on female adolescents' QoL during the COVID-19 pandemic.

Methods

This quasi-experimental study was conducted at two time points; before (T1) and 3 months after health education thorough blended learning (T2) from January to May of 2020. Then 196 participants were divided into intervention (N = 96) and control (N = 100) groups and Health Related QoL was assessed using the PedsQL™.

Results

The results showed significant increase in scores of total QoL and all QoL domains in adolescents by self-reports of adolescents and mothers proxy reports (except emotional performance) compared to the control group at T2 (p < 0.05). Furthermore, mother's rated increase in social performance significantly higher in both groups at T2.

Conclusions

With high social anxiety due to COVID-19, adolescents may be vulnerable to various risks. Improving mothers understanding of the needs of their adolescents are an important issue; given that it is possible increase their QoL by health education, especially during COVID-19 pandemic. It is recommended to organized health education in schools to increase the knowledge of mother–daughter thorough blended learning.

问题:青春期是一个生理、认知、心理和情感发展的时期。冠状病毒(新冠肺炎)感染的负面体验与影响生活质量(QoL)的更多变化有关。然而,父母代理和孩子的自我报告可能会有所不同,我们对这些差异缺乏了解。本研究的目的是确定新冠肺炎大流行期间母婴健康教育对女性青少年生活质量的影响。方法:这项准实验研究在两个时间点进行;2020年1-5月健康教育前(T1)和健康教育后3个月全面混合学习(T2)。然后196名参与者被分为干预组(N = 96)和对照组(N = 100)组,并使用PedsQL评估健康相关生活质量™.结果:与对照组相比,在T2时,通过青少年和母亲代理报告(情绪表现除外)的自我报告,青少年的总生活质量和所有生活质量领域的得分显著增加(p 结论:由于新冠肺炎导致的高度社交焦虑,青少年可能容易受到各种风险的影响。提高母亲对青少年需求的了解是一个重要问题;鉴于健康教育有可能提高他们的生活质量,特别是在新冠肺炎大流行期间。建议在学校组织健康教育,通过混合学习增加母女的知识。
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引用次数: 0
The pediatric provider communication skills assessment scale 儿科提供者沟通技能评估量表。
IF 1.5 Q2 Nursing Pub Date : 2023-07-02 DOI: 10.1111/jcap.12433
Handan Boztepe PhD, RN, Sevil Çınar Özbay PhD, RN, Aysun Akçam PhD Candidate, Yalçın Kanbay PhD, RN

Problem

Building rapport and trust between healthcare professional and patient/parents would improve satisfaction of patient/parents. The purpose of this study was to develop “The Pediatric Provider Communication Skills Assessment Scale” in this study.

Methods

A trial form, with linguistic and psychometric validation and consisting of 44 statements, was administered to a sample of 325 individuals. Data were collected between January 20 and October 22, 2021. The validity of the scale was concluded after examining its construct validity and internal validity. “Exploratory factor analysis” was used for determining construct validity, and “comparison of lower-upper groups” for internal validity. “Cronbach's α reliability coefficient” and “split half test consistency coefficient” were calculated for testing the reliability of the scale.

Findings

The Pediatric Provider Communication Skills Assessment Scale that we developed consists of one dimension and 20 items, and the variance it can explain was calculated as 62.3%. The Cronbach α reliability coefficient of the scale was calculated as 0.90, indicating high reliability.

Conclusions

According to the findings, “The Pediatric Provider Communication Skills Assessment Scale” is a scale with features that can measure in a valid and reliable way, with high variance and a low number of items. The study aims to develop the “The Pediatric Provider Communication Skills Assessment Scale,” and present it to the literature as a validated and reliable new objective measurement tool. This study will enable us to understand more about the complex communication processes involved in pediatric care and how these may influence care delivery.

问题:在医疗专业人员和患者/父母之间建立融洽的关系和信任将提高患者/父母的满意度。本研究的目的是在本研究中开发“儿科提供者沟通技能评估量表”。方法:对325名个体样本进行了一份由44份陈述组成的经过语言和心理测量验证的试验表。数据收集于2021年1月20日至10月22日。量表的有效性是在考察其结构有效性和内部有效性后得出的。“探索性因素分析”用于确定结构有效性,“上下组比较”用于确定内部有效性。计算“Cronbachα信度系数”和“分半检验一致性系数”来检验量表的信度。研究结果:我们开发的儿科提供者沟通技能评估量表由一个维度和20个项目组成,其可解释的方差计算为62.3%。该量表的Cronbachα可靠性系数计算为0.90,表明其可靠性较高。结论:根据研究结果,“儿科服务提供者沟通技能评估量表”是一种具有有效、可靠测量特点的量表,具有较高的方差和较低的项目数。该研究旨在开发“儿科提供者沟通技能评估量表”,并将其作为一种经过验证和可靠的新的客观测量工具提交给文献。这项研究将使我们能够更多地了解儿科护理中涉及的复杂沟通过程,以及这些过程如何影响护理提供。
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引用次数: 0
The effect of psycho-education given to mothers of children with attention deficit hyperactivity disorder on mother-child interaction and family functionality 对患有注意力缺陷多动障碍儿童的母亲进行心理教育对母子互动和家庭功能的影响。
IF 1.5 Q2 Nursing Pub Date : 2023-06-25 DOI: 10.1111/jcap.12432
Fatma Özgün Öztürk, Mine Ekinci

Problem

One of the most prevalent psychiatric conditions in children is attention deficit hyperactivity disorder (ADHD). Regular psycho-education for people with chronic illnesses and their families is beneficial for prevention, treatment, and rehabilitation. This study aimed to determine the effect of psycho-education given to mothers of children with ADHD on mother-child interaction and family functionality.

Methods

The sample of the study consisted of 98 mothers and children (50 participants for the intervention group and 48 participants for the control group). Mothers in the intervention group were given psycho-education. Pre and post-tests were completed by mothers.

Findings

Post-test mean scores in terms of warmth/affection, hostility/aggression, indifference/neglect, and control subscales of the Parental Acceptance-Red/Control Scale were statistically significantly lower among the intervention group. Post-test mean scores in terms of communication, showing interest, and the behavior control subscales of the family assessment device were statistically significantly lower in the intervention group.

Conclusions

For families dealing with a child with ADHD, psychoeducation increased mother-child interaction and family functioning Therefore, psychoeducation should be widespread in the treatment of ADHD. When ADHD causes problems with mother-child contact, maternal psychoeducation may be helpful.

问题:注意力缺陷多动障碍是儿童最常见的精神疾病之一。对慢性病患者及其家人进行定期的心理教育有利于预防、治疗和康复。本研究旨在确定对患有多动症儿童的母亲进行心理教育对母子互动和家庭功能的影响。方法:研究样本包括98名母亲和儿童(干预组50名参与者,对照组48名参与者)。干预组的母亲接受了心理教育。测试前和测试后由母亲完成。研究结果:在干预组中,父母接受红/对照量表的温暖/情感、敌意/攻击性、冷漠/忽视和对照分量表的测试后平均得分在统计学上显著较低。干预组在沟通、表现兴趣和家庭评估设备的行为控制分量表方面的测试后平均得分在统计学上显著较低。结论:对于患有多动症的儿童的家庭,心理教育增加了母子互动和家庭功能。因此,心理教育应广泛用于多动症的治疗。当多动症导致母子接触出现问题时,母亲的心理教育可能会有所帮助。
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引用次数: 0
Reduction of adverse events in a psychiatric inpatient eating disorder unit during the COVID-19 pandemic 新冠肺炎大流行期间精神病住院饮食失调病房不良事件的减少。
IF 1.5 Q2 Nursing Pub Date : 2023-06-23 DOI: 10.1111/jcap.12430
Simone Arbour PhD, Sayani Paul PhD, Mark Rice MSW

Topic

Globally, the COVID-19 pandemic had impacted the health care delivery including inpatient psychiatric facilities. Within psychiatric settings, life of inpatients was profoundly altered.

Purpose

This paper aimed to understand if pandemic-related changes within an inpatient Eating Disorder Unit in a specialized psychiatric hospital in Ontario, Canada impacted incidence of aggression and use of coercive methods among adolescents.

Source Used

An exploratory study design was used to examine incidence of aggression, self-harm, code whites, staff assist, restraints and seclusion, and nasogastric feeding (NGF) among adolescents with eating disorders before and after the modified service delivery within the inpatient unit. Descriptive analyses were conducted.

Results

Analyses revealed a complete reduction in episodes of self-harm, aggression, staff assists, use of restraint and seclusion as well as an 80.14% reduction on average use of NGF.

Conclusion

Authors speculate that the change in environment and program delivery method, peer influence, and shift in power relations between patient and staff may have resulted in improved experiences. This report provides insights to adopt a recovery-oriented service delivery for adolescents with eating disorders in inpatient settings.

主题:在全球范围内,新冠肺炎大流行影响了包括住院精神病设施在内的医疗保健服务。在精神科环境中,住院患者的生活发生了深刻的变化。目的:本文旨在了解加拿大安大略省一家专门精神病医院住院饮食障碍病房内与疫情相关的变化是否影响了青少年攻击和使用胁迫方法的发生率。所用资料来源:一项探索性研究设计用于检查在住院单元内提供改良服务前后,患有饮食障碍的青少年的攻击性、自残、代码白人、工作人员协助、约束和隔离以及鼻胃喂养(NGF)的发生率。进行描述性分析。结果:分析显示,自残、攻击、员工协助、使用约束和隔离的事件完全减少,NGF的平均使用减少了80.14%。结论:作者推测,环境和项目交付方法的变化、同伴影响以及患者和工作人员之间权力关系的转变可能会改善体验。本报告为在住院环境中为患有饮食障碍的青少年提供以康复为导向的服务提供了见解。
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引用次数: 0
Letter to the editor: Prevalence of depression symptoms among female adolescents in Saudi Arabia 致编辑的信:沙特阿拉伯女性青少年抑郁症状的患病率。
IF 1.5 Q2 Nursing Pub Date : 2023-06-22 DOI: 10.1111/jcap.12431
Diana Gomes Pereira MSc, RN
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引用次数: 0
Prevalence of depression symptoms among female adolescents in Saudi Arabia 沙特阿拉伯女性青少年抑郁症状的患病率。
IF 1.5 Q2 Nursing Pub Date : 2023-05-23 DOI: 10.1111/jcap.12429
Samr Binsaif, Shirley Reynolds, Paul Jenkins

Objective

Epidemiological studies on the prevalence of elevated depression symptoms among female adolescents in Saudi Arabia report a wide variation, ranging from 13.9% to 80.2%. However, different methods of assessment and sampling have been used. The aim of the current study is to estimate the prevalence of elevated depression symptoms amongst female adolescents in Saudi Arabia using a gold-standard self-report measure, the Mood and Feelings Questionnaire (MFQ).

Design and Measures

A cross-sectional study was conducted with 515 female students aged 13−18 years, recruited from public schools. Participants completed the Arabic versions of the MFQ, Rosenberg Self-Esteem Scale and Multidimensional Scale of Perceived Social Support.

Results

Mean MFQ score for this sample was 26.35 and almost half of participants (48.2%) had scores above the cut-off. Severity of depression varied with age, with those aged 13 showing reduced symptoms, and was negatively correlated with self-esteem and perceived social support. There were no associations with other demographic factors.

Conclusion

Elevated levels of depression symptoms were common in this sample. This highlights the need to improve public mental health in this community and to improve methods of identifying and treating depression in female adolescents.

目的:沙特阿拉伯女性青少年抑郁症状升高患病率的流行病学研究报告了很大的差异,从13.9%到80.2%不等。然而,使用了不同的评估和抽样方法。本研究的目的是使用金标准自我报告量表——情绪和感觉问卷(MFQ)来估计沙特阿拉伯女性青少年抑郁症状升高的患病率。设计和测量:对515名13-18岁的公立学校女生进行了横断面研究。参与者完成了阿拉伯语版的MFQ、Rosenberg自尊量表和感知社会支持多维量表。结果:该样本的平均MFQ得分为26.35,几乎一半的参与者(48.2%)的得分高于临界值。抑郁症的严重程度因年龄而异,13岁的患者症状减轻,与自尊和感知的社会支持呈负相关。与其他人口因素没有关联。结论:在该样本中,抑郁症状水平升高是常见的。这突出表明需要改善该社区的公共心理健康,并改进识别和治疗女性青少年抑郁症的方法。
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引用次数: 1
Evaluation of the relationship between food addiction and depression, anxiety, and stress in university students: A cross-sectional survey 大学生食物成瘾与抑郁、焦虑和压力关系的评估:一项横断面调查
IF 1.5 Q2 Nursing Pub Date : 2023-05-22 DOI: 10.1111/jcap.12428
Kübra Kayaoğlu PhD, RN, Kerim Kaan Göküstün, Eda Ay PhD, RN

Purpose

This study was conducted to determine the relationship between food addiction (FA) and depression, anxiety, and stress (DAS) in university students.

Design and Methods

The research was conducted with 362 university students who met the study criteria and volunteered to participate in the study. The study data were collected using a personal information form, the modified Yale food addiction scale 2.0 (mYFAS 2.0), and the depression, anxiety, and stress scale (DASS-21).

Findings

It was determined that 40% of the students participating in the study had FA. The mean score of students with FA on the DASS-21 scale was determined as 25.90 ± 14.56 and the scores they received from the anxiety, depression, and stress subdimension as (8.14 ± 5.57, 9.04 ± 5.46, 8.72 ± 5.60, respectively). The scores of students without FA from the anxiety, depression, and stress subdimension, where the mean score of the DASS-21 scale is 14.79 ± 12.72, were determined as (4.67 ± 4.48, 4.98 ± 4.96, 5.13 ± 5.05, respectively). It was found that the mean scores of participants with FA were higher than those without FA, and the difference between the groups was determined statistically significant (p < 0.05).

Practice Implications

The rates of DAS of students with FA were found to be higher compared to those without FA. In the treatment of FA in clinical services, nurses and other health professionals should identify and treat psychiatric comorbidities associated with FA, such as depression and anxiety.

目的探讨大学生食物成瘾(FA)与抑郁、焦虑和压力(DAS)的关系。设计与方法本研究以362名符合研究标准并自愿参加研究的大学生为研究对象。研究数据采用个人信息表、改良耶鲁食物成瘾量表2.0 (mYFAS 2.0)和抑郁、焦虑和压力量表(DASS-21)收集。研究结果确定参与研究的学生中有40%患有FA。FA学生的DASS-21量表平均得分为25.90±14.56分,焦虑、抑郁、应激维度得分分别为(8.14±5.57分、9.04±5.46分、8.72±5.60分)。无FA学生的焦虑、抑郁、压力子维度得分分别为(4.67±4.48,4.98±4.96,5.13±5.05),其中das -21量表平均得分为14.79±12.72。发现FA患者的平均得分高于未FA患者,组间差异有统计学意义(p < 0.05)。研究发现,与非FA学生相比,FA学生的DAS发生率更高。在治疗FA的临床服务中,护士和其他卫生专业人员应该识别和治疗与FA相关的精神合并症,如抑郁和焦虑。
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引用次数: 0
The mediating effect of sense of coherence in the relationship between eating attitudes and self-esteem in adolescents 连贯感在青少年饮食态度与自尊关系中的中介作用。
IF 1.5 Q2 Nursing Pub Date : 2023-05-18 DOI: 10.1111/jcap.12422
Yurdagül Günaydin, Nurcan Uzdil

Purpose

This study aimed to examine the mediating effect of a sense of coherence (SOC) in the relationship between eating attitudes and self-esteem in adolescents.

Methods

The study was conducted in a descriptive-correlational exploratory design. The sample of the study consisted of 1175 adolescents who met the inclusion criteria. Data were obtained by the researchers using personal information form, the Sense of Coherence Scale (SOC-13), the Eatıng Attitude Test (EAT-26), and the Rosenberg Self-Esteem Scale (RSES).

Results

SOC-13 mean score was 50.21 ± 11.06, EAT-26 mean score was 14.53 ± 10.17, and RSES mean score was 4.17 ± 1.66. It was found that there was a statistically significant negative relationship between the mean scores of RSES and the EAT, a positive relationship between the mean scores of the RSES and SOC, and a negative relationship between the mean scores of EAT and SOC. Moreover, the mediating role of SOC was found to be moderate. Furthermore, 4.5% of adolescents' SOC scores are explained by eating attitude. On the other hand, 16.4% of self-esteem scores are explained by eating attitude and SOC.

Conclusion

As a result of this study, it was determined that students' SOC moderately mediated the relationship between eating attitude and self-esteem. At the same time, eating attitude had a direct predictive effect on self-esteem.

目的:本研究旨在检验连贯感(SOC)在青少年饮食态度与自尊关系中的中介作用。方法:本研究采用描述性相关探索性设计。该研究的样本包括1175名符合纳入标准的青少年。研究人员使用个人信息表、连贯感量表(SOC-13)、Eatıng态度测试(Eat-26)和Rosenberg自尊量表(RSES)获得数据。结果:SOC-13平均得分为50.21 ± 11.06,EAT-26平均得分为14.53 ± 10.17,RSES平均得分为4.17 ± 1.66.研究发现,RSES的平均得分与EAT之间存在统计学上显著的负相关关系,RSES平均得分与SOC之间存在正相关关系,EAT平均得分与SOC-之间存在负相关关系。此外,SOC的中介作用是中等的。此外,4.5%的青少年SOC得分是由饮食态度来解释的。另一方面,16.4%的自尊得分由饮食态度和SOC来解释。结论:本研究结果表明,学生的SOC在一定程度上介导了饮食态度与自尊之间的关系。同时,饮食态度对自尊有直接的预测作用。
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引用次数: 0
期刊
Journal of Child and Adolescent Psychiatric Nursing
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