Journal of Psychosocial Nursing and Mental Health Services最新文献

Purpose: The current study aimed to examine the effects of profound autism on caregiver quality of life (QOL).

Method: This cross-sectional study involved parental caregivers of children aged 3 to 21 years with autism spectrum disorder living in Florida. Data were collected through surveys assessing caregiver QOL across physical, psychological, and environmental domains. Linear regression analyses examined the relationship between profound autism and caregiver QOL.

Results: The prevalence of profound autism in the sample was 22.4%. Regression analyses revealed that profound autism significantly predicted lower QOL in physical (F = 5.07, p = 0.007), psychological (F = 5.92, p = 0.003), and environmental (F = 11.01, p < 0.001) domains. Parental caregivers of children with profound autism reported substantially decreased QOL compared to those with children at other levels of autism severity.

Conclusion: Findings indicate that profound autism is a prevalent condition and significant risk factor for reduced caregiver QOL across multiple domains. The negative impacts on physical, psychological, and environmental well-being highlight the need for targeted support services for families with children who have profound autism.

Purpose: Although electroconvulsive therapy (ECT) has long been used in psychiatry, it remains controversial due to its neurobiological mechanism and side effects. Exploring patient experiences with ECT can provide evidence for-or against-its use. The current study aimed to comprehensively understand patients' ECT experiences by synthesizing results from qualitative studies involving patients who underwent ECT.

Method: A meta-synthesis of studies from 2010 to 2024 was conducted using PubMed, EMBASE, CINAHL, and Web of Science. Of 1,255 articles identified, 12 met inclusion criteria. Authors independently extracted and coded data, categorized it into subthemes, and integrated it into synthesized themes.

Results: We identified nine subthemes and three primary themes: (1) Preconceptions and Decision-Making Pathways, (2) Interpersonal Contexts in the Delivery of ECT, and (3) The Therapeutic Encounter: Between Hope and Trauma at the Last Resort.

Conclusion: Findings reveal conflicting patient experiences. Further research is required to explore the experiences of patients, families, and nurses involved in ECT.

Purpose: To examine the relationship between digital device addiction and anxiety and depression in early adolescents.

Method: A cross-sectional correlational study was conducted with 1,566 students (grades 5 to 8) in 2023. Data were analyzed using linear regression.

Results: A 1-unit increase in digital device addiction increased total anxiety symptoms by 0.301 units (p < 0.001) and depression symptoms by 0.418 units (p < 0.001). Anxiety and depression levels varied significantly by sex, family's perception of academic success, and digital device use when alone or for entertainment (p < 0.001).

Conclusion: Greater digital device addiction levels were associated with increased anxiety and depression symptoms. Female sex, lower family perception of academic success, use of digital devices alone, and use of digital devices for music and/or movies increased risk of anxiety and depression symptoms. Collaboration among families, schools, and adolescents is essential to mitigate the mental health risks associated with digital device addiction.

Purpose: The current meta-analysis sought to evaluate the effectiveness of mindfulness-based training (MBT) in alleviating stress and burnout among nurses, providing critical insights for their support and management in clinical environments.

Method: A literature review was conducted from April 15 to June 20, 2024, across various databases. Inclusion criteria were randomized controlled trials (RCTs) that examined the influence of MBT on stress and burnout in nurses. A meta-analysis was performed to synthesize results.

Results: Ten RCTs, involving 912 nurses, were included, with 455 individuals participating in MBT. Aggregated data revealed that MBT reduced stress levels (standardized mean difference [SMD] = -0.99, 95% confidence interval [CI] [-1.38, -0.60]; p < 0.001) and job burnout (SMD = -0.45, 95% CI [-0.76, -0.14]; p = 0.005) among nurses. In addition, Egger's regression test did not detect any publication bias within the consolidated findings.

Conclusion: Results of our investigation underscore the high efficacy of MBT in mitigating stress and burnout among nursing professionals. Although our data suggest that MBT offers a promising short-term strategy for addressing these challenges, further research is needed to assess the durability of its effects and sustainability of its benefits.

Purpose: To determine the relationship between engulfment and hope in individuals diagnosed with schizophrenia.

Method: A descriptive, correlational, cross-sectional study was conducted in Türkiye with individuals who met inclusion criteria and provided consent to participate. Data were collected using a Personal Information Form, the Engulfment Scale, and Herth Hope Scale.

Results: Mean score on the Engulfment Scale was 77.9 (SD = 12.7), whereas mean score on the Herth Hope Scale was 37.7 (SD = 11.7). A significant moderate negative correlation was found between Engulfment Scale and Herth Hope Scale scores (r = -0.741, p < 0.001). Regression analysis showed that hope levels accounted for 69.8% of the variance in engulfment.

Conclusion: Participants exhibited higher-than-average levels of engulfment and low levels of hope. A significant relationship was identified between engulfment and hope levels, indicating that increased hope is associated with reduced engulfment. Findings suggest the importance of culturally sensitive nursing interventions in Türkiye aimed at reducing engulfment and enhancing hope among individuals with schizophrenia.

Purpose: The current study was conducted to determine the effects of a 6-week mindfulness-based stress reduction (MBSR) program provided to parents of children with autism spectrum disorder (ASD).

Method: The study had an experimental design based on a pre-/posttest model with experimental (n = 40) and control (n = 40) groups. Parents of children with ASD who attend education and rehabilitation centers were included in the MBSR program, which taught effective coping using stress methods, breathing meditation, sitting meditation, body scan, and mindful eating.

Results: Upon completion of the MBSR program, participants showed a significant increase in posttest (mean = 78.525) compared to pretest (mean = 57.925) mindfulness (t = -11.221; p < .01; d = 1.774; 95% confidence interval [-24.313, -16.887]). There was no change in the control group. Posttest scores increased significantly compared to pretest scores for self-confident and optimistic approaches, and posttest scores for helpless and submissive approaches also showed significant differences (t[78] = -3.208; p < .05).

Conclusion: The MBSR program provided to parents of children with ASD was effective in increasing mindfulness and coping with stress. Parents' mindfulness can contribute to reducing their children's stress levels and making their lives meaningful.

Purpose: To investigate the posttraumatic growth (PTG) process of adolescents with mood disorders and non-suicidal self-injury (NSSI) to inform precision nursing interventions.

Method: Four rounds of semi-structured interviews were conducted with 12 adolescents diagnosed with mood disorders and NSSI at a tertiary psychiatric hospital from June 2024 to February 2025. Data were analyzed via constructivist grounded theory.

Results: Four sequential PTG stages emerged: (1) conflict and release; (2) de-construction and reconstruction; (3) activation and validation; and (4) growth and transformation.

Conclusion: As PTG progresses dynamically and nonlinearly, nurses should track stage-dependent changes and provide phase-specific guidance to support cognitive reorganization and personal growth.

Purpose: To test whether a financial education program (FEP) helps Korean individuals with chronic mental illness, and raise awareness of the importance of this education as a component of rehabilitation education among mental health nurses who manage such patients.

Method: A quasi-experimental study was conducted to determine how a FEP affects the financial attitudes and financial management behaviors of individuals with chronic mental illness. This FEP comprised 12 sessions over 6 weeks.

Results: Significant differences in financial attitudes and financial management behaviors (e.g., planning, rationality, responsibility) were found between experimental and control groups.

Conclusion: Results suggest that community mental health nurses should develop various FEP interventions for individuals with chronic mental illness.

Purpose: To explore the real-life caregiving experiences and needs of family caregivers of adolescents with depression and somatic symptoms.

Method: A descriptive qualitative study was performed. Using purposive sampling, family caregivers (N = 19) of adolescents with depression and somatic symptoms were recruited from outpatient and inpatient departments of a psychiatric hospital in China and completed semi-structured interviews.

Results: Three main themes and nine subthemes emerged: (1) Disease Cognition Dilemma (subthemes: misattribution of physical symptoms; concerns about drug side effects and addiction; optimistic bias triggered by symptom relief); (2) Multiple Role Conflicts (subthemes: role conflict between caregiver and disease manager; role conflict between emotional supporter and self-suppressor; conflict between career development needs and care responsibilities); and (3) Lack of Support System (subthemes: insufficient medical resource support; insufficient professional care guidance; inadequate adaptation of the education system).

Conclusion: Psychiatric-mental health nurses should enhance family caregiving capabilities by providing structured illness education, care skills training, and social resource integration interventions, thereby promoting the recovery process of adolescents. Future research should focus on developing a nurse-led family support model and exploring the application of digital intervention technologies to build a more complete family care support system.