Journal of Psychosocial Nursing and Mental Health Services最新文献

Purpose: To assess the influence of the Part-to-Whole Program on functional remission levels in individuals with schizophrenia enrolled at a community mental health center (CMHC).

Method: Sixty individuals receiving follow up and treatment at two CMHCs were randomly allocated to intervention and control groups. The Part-to-Whole Program was implemented in the intervention group over a 5-week period. The program's efficacy was assessed using the Functional Remission of General Schizophrenia Scale (FROGS).

Results: Posttest scores of the intervention group in the FROGS sub-dimensions (social functioning, health and treatment, daily life, and occupational functioning) were found to be considerably higher than those in the control group (p < 0.05).

Conclusion: The Part-to-Whole Program, led by nurses in CMHCs, is an effective and feasible intervention that improves social functioning, health and treatment, daily life, and occupational functioning of individuals with schizophrenia.

Purpose: The current article highlights the renewed significance and innovative methods for developing and integrating an interdisciplinary psychotherapy training program within the psychiatric-mental health nurse practitioner (PMHNP) curriculum.

Method: An outline of the program's pilot framework, which incorporates evidence-based psychotherapy modalities, interprofessional collaboration, and experiential learning opportunities scaffolded across a PMHNP curriculum, is highlighted.

Results: Outcomes from a pilot implementation indicate improvements in students' therapeutic skills and increased confidence in delivering psychotherapeutic interventions. These skills better prepared students for increasingly complex patient interactions in the current clinical practice environment.

Conclusion: This initiative addresses existing gaps in PMHNP competency-based education and prepares future practitioners to navigate the multifaceted landscape of mental health care effectively. Implications for curriculum design and future research directions are discussed, emphasizing the ongoing need for innovation in mental health training.

Purpose: To examine the relationship of mental health literacy with beliefs toward mental illness and attitudes toward seeking psychological help in Turkish society.

Method: This study was a descriptive cross-sectional and correlational study comprising 400 participants (mean age = 28.65 years, SD = 9.83 years). Data were collected using a Personal Information Form, Mental Health Literacy Scale (MHL), Beliefs Toward Mental Illness Scale (BMI), and Attitudes Toward Seeking Psychological Help Scale (ASPH-S).

Results: A statistically significant negative weak correlation was observed between MHL and BMI total scores (r = -0.170; p < 0.001). A statistically significant negative weak correlation was also observed between BMI and ASPH-S total scores (r = -0.186; p < 0.001). Mental health literacy accounted for 5.4% of the variability in BMI scores (F = 11.486; p < 0.001).

Conclusion: Mental health literacy positively affects beliefs toward mental illness. Intervention programs should include knowledge about mental disorders and stigma, which will help promote positive beliefs toward mental illness.

Purpose: The current study explored adolescents' experiences in seeking professional psychological help for depressive disorder, aiming to inform targeted health education and intervention programs.

Method: Semi-structured in-depth interviews were conducted with 19 adolescent inpatients with depressive disorder at a tertiary psychiatric hospital in Henan Province between June and September 2024, using purposive sampling. Interview data were systematically analyzed using Colaizzi's seven-step method.

Results: Three main themes and nine sub-themes emerged: (1) Cognitive Bias (poor knowledge of the disease, stigma); (2) Perceived Barriers to Help-Seeking (economic burden, skepticism about professional help, limited access to professional psychological help, alexithymia); and (3) Facilitators of Help-Seeking (relief of mental and physical symptoms, emotional stability, social support).

Conclusion: Mental health professionals should pay close attention to the challenges and needs faced by adolescents in the help-seeking process, provide guidance to correct misconceptions, reduce self-stigma, encourage emotional expression, and expand access to professional psychological help, to increase the likelihood of adolescents seeking psychological treatment.

Purpose: To determine the effects of an innovative nursing practice approach based on the Roy Adaptation Model (RAM) integrated with virtual reality (VR) on social anxiety levels among young adults.

Method: A single-blind, randomized controlled trial was conducted with 55 young adults aged 18 to 25 years. The intervention, based on the RAM, comprised six sessions focusing on psychoeducation, relaxation, and cognitive restructuring. VR was integrated into four of the sessions, aiming to simulate social situations and provide real-time feedback. Data were collected using the Liebowitz Social Anxiety Scale (LSAS), Life Satisfaction Scale (LSS), and an individual introduction form, with pretest, posttest, and follow-up measurements.

Results: LSAS scores indicated that the intervention had a significant positive impact on the experimental group regarding anxiety (F = 24.005, p < 0.001) and avoidance (F = 44.915, p < 0.001), as well as total scale scores. However, LSS scores revealed no significant differences between experimental and control groups (F = 0.429, p = 0.654).

Conclusion: Nursing interventions based on the VR-integrated RAM significantly reduced social anxiety among young adults. VR should be incorporated into nursing interventions to provide innovative, cost-effective therapy for patients, especially those with anxiety disorders. In addition, VR-focused training programs for nurses and inclusion of VR in nursing curricula could enhance nurses' skills in modern therapeutic approaches from the undergraduate level.

Purpose: To determine the effect of recreational activities on functionality and internalized stigma levels in individuals with serious mental illness (SMI).

Method: This study was conducted using a pre-/posttest design with experimental and control groups. Participants comprised 90 individuals with SMI, with 45 in the experimental group and 45 in the control group. A personal information form, Functioning Assessment Short Test (FAST), and Internalized Stigma of Mental Illness Scale (ISMI) were used for data collection. The experimental group participated in a program comprising 10 sessions of recreational activities.

Results: There was a statistically significant difference between FAST mean scores and ISMI subscale and overall scores in the experimental group before and after recreational activities.

Conclusion: Recreational activities have positive effects on individuals with SMI.

Purpose: To investigate parental reports of anxiety and depression in typically developing school-aged children with and without siblings with special health care needs (SHCNs). The study also examined how the age gap between siblings impacts anxiety and depression levels.

Method: This cross-sectional study involved 242 parents of children aged 8 to 12 years, including 133 parents of children with a SHCN. Data were collected using the Parent Version of the Revised Children's Anxiety and Depression Scale.

Results: Children with a sibling with a SHCN had higher anxiety and depression levels than those without. However, the sibling age gap did not influence these mental health outcomes.

Conclusion: Findings emphasize the importance of nurses and health care professionals assessing children's mental well-being and the need for preventive interventions to help manage stress.

Schizophrenia is a severe mental illness associated with significant psychosocial impairment, morbidity, and mortality. There are novel, emerging interventions in the treatment of schizophrenia, and advanced practice psychiatric nurses should be familiar with innovative treatments for schizophrenia. The current article provides a brief overview of xanomeline and trospium chloride (Cobenfy™) for the treatment of schizophrenia.