Journal of Child and Adolescent Psychiatric Nursing最新文献_第6页

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

Journal of Child and Adolescent Psychiatric 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

Journal of Child and Adolescent Psychiatric 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

Loneliness, affective disorders, suicidal ideation, and the use of psychoactive substances in a sample of adolescents during the COVID-19 pandemic: A cross-sectional study 新冠肺炎大流行期间青少年样本中的孤独感、情感障碍、自杀念头和精神活性物质的使用：一项横断面研究。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-15 DOI: 10.1111/jcap.12423

Diana Gomes Pereira MSc, RN, Luís Miguel Francisco MSc, RN

引用次数: 0

Analyzing the network of parent-rated ADHD symptoms before and 2 weeks after the onset of pharmaceutical treatment 分析药物治疗开始前和开始后2周父母评定的多动症症状网络。

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-08 DOI: 10.1111/jcap.12421

Payam Sadeghi Shabestari, Sareh Zendehrouh, Atefeh Ahmadi, Sajad Jafari, Nooshin Parvaresh, Mahin Eslami

Problem

Via a network analysis approach, following 2 weeks of the medication Ritalin, the present study investigated the quality of symptom interactions and the pattern of behavior changes to identify locations of functional weaknesses in the network interactions of symptomology.

Methods

Ritalin® prescribed for 112 children (aged 4–14) with attention deficit hyperactivity disorder (ADHD) as diagnosed by five child and adolescent psychiatrists. Their parents completed Swanson, Nolan, and Pelham-IV questionnaire (SNAP-IV) before and after Ritalin® onset as the pre and post-test, respectively. Then, the network analysis approach was used to discover the pattern of changes in symptom interactions.

Findings

The results indicated that in 2 weeks following its initiation, Ritalin significantly reduced restlessness and interactions between symptoms of impulsivity. “Inability to follow instructions” and “difficulty waiting their turn” symptoms were the most central symptoms of strength. Three symptoms, “Often has difficulty waiting their turn,” “runs and climbs in situations where it is inappropriate” and “does not follow through on instructions,” had the most expected influence. In the 14-day period of investigation, Ritalin® was effective in breaking some interactions and components of ADHD, but no significant mitigation of other components of the detected symptomatology network.

Conclusion

Follow-up investigations using network analysis can clarify the dynamics of the network changes after initiation of medications.

问题：通过网络分析方法，在服用利他林2周后，本研究调查了症状相互作用的质量和行为变化模式，以确定症状学网络相互作用中功能弱点的位置。方法：由五名儿童和青少年精神科医生为112名患有注意力缺陷多动障碍（ADHD）的儿童（4-14岁）开具Ritalin®处方。他们的父母分别在Ritalin®发作前后完成了Swanson、Nolan和Pelham IV问卷（SNAP-IV）作为测试前和测试后。然后，使用网络分析方法来发现症状相互作用的变化模式。研究结果：结果表明，在开始服用后的2周内，利他林显著减少了烦躁不安和冲动症状之间的相互作用。“无法听从指示”和“难以等待轮到他们”的症状是力量的最核心症状。三种症状，“经常很难等待轮到他们”、“在不合适的情况下跑步和攀爬”和“没有按照指示完成”，产生了最预期的影响。在14天的调查期间，Ritalin®有效地打破了多动症的一些相互作用和成分，但对检测到的症状网络的其他成分没有显著缓解。结论：使用网络分析的随访调查可以阐明用药后网络变化的动力学。

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引用次数: 0

The relationship between internet addiction and peer bullying level of sixth and seventh grade secondary school students 六、七年级中学生网络成瘾与同伴欺凌水平的关系

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-01 DOI: 10.1111/jcap.12420

Eda Gülbetekin, Fatma Gül Can

Problem

The research aimed to determine the relationship between internet addiction and peer bullying in sixth and seventh-grade students.

Method

The population of the study consisted of students in the sixth and seventh grades of secondary schools in a province in eastern Turkey. The data were collected throughout the 2021–2022 academic year from 1201 sixth and seventh graders who voluntered to participate in the research. The data were collected using the Bullying Scale and the Internet Addiction Scale for Adolescents (IAA).

Finding

It was determined that gender, grade level, status of having a mobile phone, and age influenced children's participation in peer bullying. Also, variables of gender, grade level, and status of having a mobile phone affected internet addiction levels. Furthermore, when the correlation between the two scales was analyzed, a strong positive correlation was determined.

Conclusions

In line with the findings of this study, interventions that may lower levels of bullying include delivering training on bullying and internet addiction to families, encouraging children to participate in activities that would reduce the amount of time they spend on the internet, and investigating the reasons for bullying.

本研究旨在确定六年级和七年级学生网络成瘾与同伴欺凌之间的关系。方法研究对象为土耳其东部某省中学六年级和七年级学生。这些数据是在2021-2022学年期间从自愿参与研究的1201名六年级和七年级学生中收集的。数据采用欺凌量表和青少年网络成瘾量表(IAA)收集。研究发现，性别、年级、是否拥有手机以及年龄对儿童参与同伴欺凌行为有影响。此外，性别、年级水平和拥有手机的状态等变量也会影响网络成瘾水平。进一步分析两个量表之间的相关性，发现两者之间存在较强的正相关关系。与本研究的结果一致，可能降低欺凌水平的干预措施包括向家庭提供有关欺凌和网络成瘾的培训，鼓励儿童参加可以减少他们在互联网上花费的时间的活动，以及调查欺凌的原因。

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引用次数: 0

The effect of nursing care based on human caring theory on posttraumatic growth in parentally bereaved adolescents: Action research 基于人文关怀理论的护理对失亲青少年创伤后成长的影响:行动研究

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-05-01 DOI: 10.1111/jcap.12419

Buket Şimşek Arslan, Kadriye Buldukoğlu

Problem

The death of a parent is a traumatic experience for adolescents. Studies to ensure post-traumatic growth in adolescents are limited. The aim of this study to evaluate the effect of nursing care based on Watson's Theory of Human Caring on posttraumatic growth in parentally bereaved adolescents.

Methods

This study was participatory action research. The study was carried out with four participants through online interviews. In the study, pre- and post-action data were obtained through individual interviews and scales. During the action process, nursing care based on the Theory of Human Caring was provided to the participants individually tracked through the Omaha System. Pre and post-action qualitative data were analyzed using the descriptive analysis method. In quantitative data, scale total and sub-scores were documented.

Findings

During the action, it was determined via Omaha System coding that the participants mostly experienced grief and mental health problems. In the pre-action, the participants stated that they experienced various difficulties regarding grief. In the post-action, the participants stated that the meaning of parental loss,its effects on life, and their ability to cope with loss changed and they experienced positive changes. In addition, when the scale scores of the participants' pre- and post-action were compared, it was found that the Mourning Scale scores decreased, and the Post-traumatic Growth Inventory scores increased.

Conclusions

The result of this study demonstrate that nursing care based on Theory of Human Caring reduces the grief symptoms and contributes to post-traumatic growth in parentally bereaved adolescents.

父母的去世对青少年来说是一种痛苦的经历。确保青少年创伤后成长的研究是有限的。本研究旨在探讨基于沃森人类关怀理论的护理对失亲青少年创伤后成长的影响。方法采用参与式行动研究。这项研究是通过在线访谈对四名参与者进行的。在研究中，通过个人访谈和量表获得行动前和行动后的数据。在行动过程中，通过奥马哈系统对参与者进行个体跟踪，提供基于人类关怀理论的护理。采用描述性分析方法对前后定性数据进行分析。在定量数据中，记录了量表总分和分值。在行动中，通过奥马哈系统编码确定参与者大多经历悲伤和心理健康问题。在行动前，参与者表示他们经历了与悲伤有关的各种困难。在行动后，参与者表示失去父母的意义，对生活的影响，以及他们应对失去的能力发生了变化，他们经历了积极的变化。此外，当比较被试行动前后的量表得分时，发现哀悼量表得分下降，创伤后成长量表得分上升。结论基于人文关怀理论的护理可减轻丧亲青少年的悲伤症状，促进创伤后成长。

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引用次数: 0

Trends in the youth risk behavior survey: Areas of great concern 青少年危险行为调查趋势:值得高度关注的领域

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-04-22 DOI: 10.1111/jcap.12418

Kathleen R. Delaney

引用次数: 0

A Hero's Journey: Supporting children throughout inpatient psychiatric hospitalization using a therapeutic comic book 英雄之旅:使用治疗性漫画书支持住院精神病患者的儿童

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-04-14 DOI: 10.1111/jcap.12415

Simone Hasselmo AB, Isaiah Thomas BA, José Páez MD, Sarah Kowalski RN, Laurie Cardona PsyD, Andrés Martin MD, MPH

Problem

Art- and narrative-based interventions are an integral component of pediatric inpatient psychiatric care. We describe a novel therapeutic comic book we developed for hospitalized children and young adolescents.

Methods

A Hero's Journey is a 38-page zine that can be freely downloaded and photocopied for distribution. The short booklet is intended to demystify and offer guidance throughout the experience of hospitalization, promote interaction and socialization, provide scaffolding for skill-building, and prepare patients for moving forward after discharge.

Findings

The underlying foundations of the booklet include: 1) Theoretical sources (Joseph Campbell's hero's journey; Donald Schön's reflective practice; and the principles of narrative medicine); and 2) Clinical sources (collaborative problem solving; cognitive-behavioral therapy, and trauma-informed care). We articulate how each page relates to the different components, and how individual pages can be used as worksheets for practice of specific skills. We next provide suggestions on how best to use the booklet: from arrival at the emergency room, through inpatient hospitalization, and toward discharge. We also propose ways for staff, caregivers, and any child-facing adult to make use of this clinical resource in support of a patient's recovery and reintegration into their community.

Conclusions

Even though not yet empirically tested, this therapeutic comic book is available for dissemination free of cost. We encourage leaders in nursing and therapeutic recreation to try using this resource in their emergency room and milieu settings.

问题艺术和叙事为基础的干预是儿科住院精神病护理的一个组成部分。我们描述了我们为住院儿童和青少年开发的一本新颖的治疗性漫画书。方法《英雄之旅》是一本38页的杂志，可以免费下载和影印分发。这本小册子的目的是在整个住院经历中消除神秘感并提供指导，促进互动和社会化，为技能培养提供脚手架，并为患者出院后的生活做好准备。这本小册子的基础包括:1)理论来源(约瑟夫·坎贝尔的英雄之旅;Donald Schön的反思实践;以及叙事医学的原则);2)临床资源(协作解决问题;认知行为疗法和创伤知情护理)。我们阐明了每个页面与不同组件的关系，以及如何将单个页面用作练习特定技能的工作表。接下来，我们就如何最好地使用这本小册子提供了建议:从到达急诊室，到住院，再到出院。我们还建议工作人员、护理人员和任何面对儿童的成年人利用这种临床资源来支持患者的康复和重新融入他们的社区。尽管尚未经过实证检验，但这本治疗性漫画书可以免费传播。我们鼓励护理和治疗娱乐的领导者尝试在他们的急诊室和环境设置中使用这种资源。

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引用次数: 1

The relationship between peer bullying, loneliness, and social support in refugee adolescents 难民青少年同伴欺凌、孤独和社会支持之间的关系

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-04-12 DOI: 10.1111/jcap.12417

Ozlem Karakus, Busra Altinel, Arzu Kocak Uyaroglu

Problem

This study was conducted to investigate the relationship between peer bullying, loneliness and perceived social support in refugee adolescents.

Methods

This research was conducted with 514 refugee adolescents living in the Central Anatolia region of Turkey. In this descriptive correlational study, data were collected using the Peer Bullying Scale Adolescent Form, the Loneliness Scale, and the Multidimensional Scale of Perceived Social Support.

Findings

The mean score of the refugee adolescents on the victim subscale of the Peer Bullying Scale was 86.71 ± 27.51, and on the bully subscale was 68.08 ± 16.41. The mean score of the adolescents on the Loneliness Scale was 49.63 ± 9.50, on the Perceived Social Support was 52.19 ± 1.66. A positive moderate relationship was observed between the bully subscale and the victim subscale of the Peer Bullying Scale (p < 0.05). No relationship was found between the bully and victim subscales of the Peer Bullying Scale and the scores for the Loneliness Scale and the Perceived Social Support (p > 0.05). The male refugee youth were found to have higher mean victim and bully scores than the female refugee youth.

Conclusion

In light of these results, the reasons for the peer bullying of refugee adolescents should be investigated and solutions should be developed based on the reasons. It is recommended to conduct quantitative and qualitative research aimed at revealing the reasons why refugee adolescents may engage in bullying and be exposed to bullying in the future.

本研究旨在探讨难民青少年同伴欺凌、孤独感和感知社会支持的关系。方法对居住在土耳其安纳托利亚中部地区的514名青少年难民进行调查。在本描述性相关研究中，使用同伴欺凌量表、青少年表格、孤独量表和感知社会支持多维量表收集数据。结果难民青少年在同伴欺凌量表受害者分量表的平均得分为86.71±27.51分，在欺凌分量表的平均得分为68.08±16.41分。孤独感量表平均得分为49.63±9.50分，感知社会支持量表平均得分为52.19±1.66分。同伴欺凌量表欺凌子量表与受害者子量表之间存在正相关(p < 0.05)。同伴欺凌量表的欺凌者和受害者分量表与孤独量表和感知社会支持得分之间没有关系(p > 0.05)。男性难民青年的平均受害者和欺凌得分高于女性难民青年。结论根据这些结果，应该调查难民青少年同伴欺凌的原因，并根据原因制定解决方案。建议开展定量和定性研究，旨在揭示难民青少年未来可能从事欺凌和遭受欺凌的原因。

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引用次数: 0

Nursing students' attitudes toward reporting child abuse and neglect: A cross-sectional study in Turkey 护生对报告虐待和忽视儿童的态度:土耳其的一项横断面研究

IF 1.5 Q2 NURSING

Journal of Child and Adolescent Psychiatric Nursing

Pub Date : 2023-04-11 DOI: 10.1111/jcap.12416

Melike Yalçın Gürsoy, Fatme Chousko Mechmet

Topic

Nurses are uniquely positioned to provide early diagnoses and interventions for abused, neglected, or at-risk children. They are also required, by law, to report suspected child abuse. However, little is known about the attitudes of student and registered nurses in reporting cases of abuse.

Purpose

This study aimed to identify nursing students' attitudes and related factors toward reporting child abuse and neglect in Turkey.

Sources

This cross-sectional study was carried out with the online participation of 1170 nursing students. The scale for determining the attitudes of health professionals in reporting child abuse (ACAS) was administered together with questions on demographic information.

Conclusions

ACAS scores of nursing students toward reporting child abuse were average. Younger age, poor perceived academic success, suspecting of a child abuse and neglect case during clinical practice, and male sex were independently associated with higher ACAS scores. Therefore, education programs for nursing students should focus on improving their attitudes toward reporting child abuse and neglect.

主题护士在为受虐待、被忽视或有风险的儿童提供早期诊断和干预方面具有独特的地位。法律还要求他们报告涉嫌虐待儿童的情况。然而，人们对学生和注册护士在报告虐待案件时的态度知之甚少。目的本研究旨在确定土耳其护理专业学生对报告虐待和忽视儿童的态度和相关因素。资料来源：这项横断面研究是在1170名护理专业学生的在线参与下进行的。确定卫生专业人员报告虐待儿童行为态度的量表与人口统计信息问题一起使用。结论护理专业学生报告虐待儿童行为ACAS评分平均。年龄较小、学业成绩不佳、怀疑临床实践中存在虐待和忽视儿童的情况以及男性与较高的ACAS分数独立相关。因此，护理专业学生的教育项目应侧重于改善他们对报告虐待和忽视儿童的态度。

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引用次数: 0