Journal of Psychosocial Nursing and Mental Health Services最新文献

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.

Purpose: To explore how insight into illness affects the relationship between self-stigma and perceived dignity among individuals with schizophrenia.

Method: We conducted a cross-sectional study involving a convenience sample of 202 participants with schizophrenia at two psychiatric hospitals in eastern Taiwan. Data were collected via a structured questionnaire, including the Perceived Psychiatric Stigma Scale, Dignity Instrument, and item G12 from the Positive and Negative Syndrome Scale to assess perceived stigma, dignity, and insight into illness, respectively. The moderation regression model was analyzed.

Results: Findings revealed that self-stigma was negatively associated with perceived dignity among individuals with chronic schizophrenia. Moreover, insight into illness played a conditional moderating role in the relationship between self-stigma and perceived dignity.

Conclusion: Findings indicate that the impact of self-stigma on perceived dignity varies depending on the level of insight into illness.

Purpose: Youth suicide and suicidality are significant public health concerns, with rates continuing to rise. Suicidality can be chronic, requiring ongoing management and support. The current article presents a case study exploring the chronicity of suicidality, mental health workforce challenges, and the critical role of primary care in youth suicide prevention.

Method: Evidence-based practices for how primary care providers can screen, assess, intervene, and follow up with youth experiencing suicidality and their families are presented.

Results: Recommended solutions to address the suicide prevention gaps in primary care, including workforce education and training, care integration, and expansion of care delivery models, are offered.

Conclusion: Youth suicide prevention is the responsibility of all care providers and requires a coordinated approach across a child's entire system of care.

Purpose: To determine the mediating role of resilience and predictive variables in posttraumatic growth (PTG) among health care professionals working during disasters.

Method: This descriptive, cross-sectional, correlational study was conducted with 151 health care professionals who worked in disaster environments. Data for this study were collected using a researcher-prepared sociodemographic questionnaire, the Posttraumatic Growth Inventory (PTGI), and Brief Resilience Scale (BRS).

Results: Statistically significant relationships were found between occupation, the unit in which participants worked, whether participants were trained in disaster management, whether participants thought about the need for psychological support for health workers working in a disaster area, and PTGI total score (p < 0.05). In addition, there was a statistically significant relationship between the time it took to start working in the region after the disaster occurred and BRS total score (p < 0.05).

Conclusion: Results showed that BRS scores significantly predicted PTG.

Purpose: To evaluate the effect of multiple occupational therapy (mOT) on functional remission and subjective recovery of individuals with schizophrenia.

Method: Individuals with schizophrenia (N = 26) were randomly divided into two groups. The intervention group participated in routine community mental health center (CMHC) services and a total of 24 sessions of mOT three times per week. The control group participated in routine CMHC services only. Data were collected using the Subjective Recovery Assessment Scale and Functional Remission of General Schizophrenia Scale.

Results: An increase was observed in the functional remission and subjective recovery levels of the intervention group after mOT. When the effect size of the change over time between groups was examined, it was determined that mOT was effective in improving functional remission and subjective recovery.

Conclusion: mOT can increase functional remission and subjective recovery of individuals with schizophrenia. Further studies with larger sample sizes and those that evaluate the long-term effects of mOT are needed.

Trichotillomania and excoriation/skin-picking disorder involve repetitive behaviors, such as hair pulling leading to hair loss or skin picking leading to skin lesions, that cause physical complications, significant mental distress, and functional impairment despite attempts to stop. Currently, no first-line pharmacological treatments are approved for these disorders, although glutamatergic agents, select antidepressants, and other medications have demonstrated some benefit. The therapeutic potential of N-acetylcysteine (NAC) is promising. NAC helps maintain glutamate homeostasis in the brain, thereby reducing compulsive and habitual behaviors. In addition, NAC is recognized as a low-risk, well-tolerated, and accessible dietary supplement with valuable therapeutic potential. Deficiencies in pharmacological protocols and lack of government controls place individuals at risk; therefore, health care providers are well positioned to provide reliable information and educate individuals to make informed decisions about their health.