Journal of Psychosocial Nursing and Mental Health Services最新文献

Nurses working in rural acute and community-based settings are often asked for substance use treatment guidance and education in a health care system with minimal treatment services available. Nursing science provides an alternative answer for nurses to lean on in their clinical practice when working with rural-dwelling youth in the midst of substance misuse. Practical strategies are offered, which nurses may integrate into their routine clinical care to strengthen the nurse-patient relationship and enhance positive attributes among youth. Connective caring practice is essential to support rural youth well-being and recovery in the midst of substance misuse. [Journal of Psychosocial Nursing and Mental Health Services, 62(6), 7-11.].

The current systematic review explored relationships among self-esteem, bullying, and cyberbullying in adolescents. Three databases were used to search for articles pertaining to mental health, health care, and the social sciences. Keywords, including "bully," "victim," "victimization," "harassment," "aggression," and "abuse," were used to describe victims of cyberbullying and locate relevant articles. A total of 861 articles were found during the initial search, 110 were assessed for eligibility, and 10 ultimately met inclusion criteria. Most studies found correlations among self-esteem, bullying, and cyberbullying. Self-esteem was linked to being a victim of cyberbullying but not to being a perpetrator of cyberbullying or bullying in general. Students with high self-esteem at the beginning of the school year were more likely to become bullies as they got older, whereas those with low self-esteem were less likely to do so. In addition, self-esteem was found to have direct negative effects on victimization and cybervictimization, and victimization and cybervictimization were found to have direct negative effects on peer difficulties. Findings suggest that adolescent bullying and cyberbullying perpetration may be mitigated by higher levels of self-esteem. Parents should pay close attention to and limit adolescents' exposure to bullying and cyberbullying and stressful life events. Psychiatric nurses should routinely screen adolescents and develop interventions to enhance self-esteem and reduce bullying and cyberbullying. [Journal of Psychosocial Nursing and Mental Health Services, 62(5), 11-17.].

Anxiety disorders are the most common mental illnesses and frequently co-occur with other mental and somatic symptoms or disorders. Primary care nurse practitioners (NPs) are key in reducing the treatment gap through early identification, treatment, and/or referral to behavioral health providers. Confronting primary care NPs are problems with time constraints, multiple comorbidities, and limited mental health training, particularly in relation to the differences in pharmacokinetic and pharmacodynamic actions of first-line anxiety disorder medications across age groups. The current article provides a brief summary of evidence-based treatment focusing on pharmacotherapy for anxiety disorders in the primary care setting. [Journal of Psychosocial Nursing and Mental Health Services, 62(5), 7-10.].

The current scoping review aimed to provide an overview of family empowerment strategies used in relapse prevention among individuals with schizophrenia. Three major topics were explored: (a) the family empowerment model used in relapse prevention among individuals with schizophrenia; (b) family intervention strategies; and (c) special considerations for integrating family empowerment in relapse prevention among individuals with schizophrenia. There is a need to identify and use family resources and strengths, such as acceptance of schizophrenia, development of spirituality, involvement in daily activities, and understanding of behaviors that exacerbate symptoms, to reduce relapse risk. The family empowerment paradigm incorporates new information and coping skills, family support, meaning-making, life objectives, self-reflection, and good family experiences. Families as agents of care at home should be provided with stress management and family psychoeducation to improve family resilience. Further research is needed to understand family empowerment and develop comprehensive guidelines regarding relapse prevention management among individuals with schizophrenia. [Journal of Psychosocial Nursing and Mental Health Services, 62(5), 19-27.].

Purpose: Frailty is a complex age-related clinical condition among older adults. Quality of life (QOL) among older adults with frailty is an important topic of interest. The current cross-sectional study aimed to develop a structural equation model to identify factors affecting QOL.

Method: A total of 180 older adults with frailty were recruited from general units in two hospitals in Fuzhou, China. Data were collected using the World Health Organization Quality of Life Brief Version, Pittsburgh Sleep Quality Index, Geriatric Depression Scale-15, and Simplified Coping Style Questionnaire. Structural equation modeling was used to analyze data.

Results: The final model exhibited a good fit. Poor sleep quality was associated with depression, passive coping style, and poor QOL. Depression was also associated with poor QOL. Passive coping style was associated with better QOL.

Conclusion: This study demonstrated that sleep quality has direct and indirect effects on QOL of older adults with frailty through depression and passive coping style. Recommendations are that care providers pay attention to biological and physiological variables, symptom status, and functional status of older adults with frailty. This study also provides a theoretical basis for developing interventions that may lead to improvements in QOL among older adults with frailty. [Journal of Psychosocial Nursing and Mental Health Services, 62(5), 49-55.].