Archives of Psychiatric Nursing最新文献

Factors associated with family caregivers' quality of life during psychiatric hospitalization 精神科住院期间与家庭照顾者生活质量相关的因素

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-02-02 DOI: 10.1016/j.apnu.2026.152060

Waed Samara , Irit Bluvstein , Violetta Rozani

Background

The quality of life of caregivers of individuals with mental disorders is a critical component of their well-being, particularly during psychiatric hospitalization, a period characterized by intensified emotional, physical, and social caregiving demands.

Aim

To examine the relationships between caregiving burden, family resilience, caregiving self-efficacy, and quality of life among family caregivers of individuals with mental disorders during psychiatric hospitalization.

Design

A cross-sectional study using a convenience sample.

Method

A total of 139 caregivers completed a self-administered questionnaire collecting data on socio-demographic characteristics, caregiving burden, family resilience, caregiver self-efficacy, and quality of life. Data were analyzed using Spearman correlations, ANOVA, t-tests, and two-step hierarchical linear regression analyses.

Results

Family caregivers who reported better health (β = 0.170; p = 0.055), stronger family resilience (β = 0.283; p = 0.001), higher self-efficacy (β = 0.285; p = 0.001), and more informal caregiving hours (β = 0.152; p = 0.039) experienced a higher quality of life. Caregiving burden was not significantly associated with quality of life. The model was significant (p < 0.001), explaining 38.0% of the variance (R² = 0.380; R² Adjusted = 0.352).

Conclusion

The findings indicate that family caregivers' quality of life during psychiatric hospitalization is more strongly associated with positive factors, such as family resilience and caregiver self-efficacy, than with caregiving burden. These results underscore the importance of a holistic approach in psychiatric nursing practice, emphasizing interventions that strengthen caregivers' resilience and self-efficacy, while addressing caregiving demands within the inpatient setting.

精神障碍患者照护者的生活质量是其福祉的关键组成部分，特别是在精神科住院期间，这一时期的特点是情绪、身体和社会照护需求加剧。目的探讨精神障碍患者住院期间家庭照顾者的照顾负担、家庭弹性、照顾自我效能感与生活质量的关系。设计一个使用方便样本的横断面研究。方法对139名照护者进行问卷调查，收集社会人口学特征、照护负担、家庭复原力、照护者自我效能感和生活质量等方面的数据。数据分析采用Spearman相关、方差分析、t检验和两步层次线性回归分析。结果健康状况较好（β = 0.170; p = 0.055）、家庭弹性较强（β = 0.283; p = 0.001）、自我效能感较高（β = 0.285; p = 0.001）、非正式照顾时间较长（β = 0.152; p = 0.039）的家庭照顾者生活质量较高。照料负担与生活质量无显著相关。该模型具有显著性（p < 0.001），解释了38.0%的方差（R2 = 0.380； R2调整后= 0.352）。结论精神科住院期间家庭照顾者的生活质量与家庭弹性、照顾者自我效能感等积极因素的相关性大于与照顾负担的相关性。这些结果强调了精神科护理实践中整体方法的重要性，强调了加强护理人员的适应能力和自我效能的干预措施，同时解决了住院患者环境中的护理需求。

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引用次数: 0

Effects of a virtual nature-enhanced stationary bike on stress reduction and health promotion 虚拟自然增强固定自行车对减轻压力和促进健康的影响

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-20 DOI: 10.1016/j.apnu.2026.152057

Hsien-Jang HONG , Hsin-Yen YEN , Hao-Yun HUANG

Virtual reality may offer a more engaging experience to enhance the health effects of exercise programs by bringing the outdoor natural environment indoors. The purpose was to examine the health effects of a virtual nature-enhanced stationary bike program by comparing it to a traditional stationary bike program without virtual reality. This preliminary study design was a non-randomized controlled trial conducted between September 2021 and June 2022. Participants were healthy adults. Forty participants were assigned to the experimental group, while 31 participants were assigned to the control group. The experimental group rode a stationary bike and wore a head-mounted display headset which delivered virtual nature. The control group only rode a stationary bike. The intervention was conducted for 30 min a session, once a week for 12 weeks. Participants in the experimental group had improved light-intensity physical activity and positive affects. The experimental group was associated with more favorable changes in vigorous-intensity physical activity, perceived stress, muscle mass, and body fat compared with the control group. These findings suggest a potential benefit; however, they should be interpreted cautiously due to baseline group differences. Virtual reality can create a natural experience from a traditional stationary bike with potential mental health benefits for riders. Virtual reality nature-enhanced stationary bikes may help sustain engagement by reducing the monotony of traditional stationary exercise.

虚拟现实可以提供一种更吸引人的体验，通过将室外的自然环境带入室内来增强锻炼项目对健康的影响。目的是通过将虚拟自然增强的固定自行车项目与没有虚拟现实的传统固定自行车项目进行比较，来检查其对健康的影响。这项初步研究设计是在2021年9月至2022年6月期间进行的一项非随机对照试验。参与者都是健康的成年人。40名参与者被分配到实验组，31名参与者被分配到对照组。实验组骑着一辆固定自行车，戴着头戴式显示耳机，这是一种虚拟的自然体验。对照组只骑固定自行车。干预每次30分钟，每周一次，持续12周。实验组的参与者改善了低强度的体力活动，并产生了积极的影响。与对照组相比，实验组在高强度体力活动、感知压力、肌肉质量和体脂方面的变化更有利。这些发现表明了潜在的好处；然而，由于基线组差异，应谨慎解释。虚拟现实可以在传统的固定自行车上创造一种自然的体验，对骑车人的心理健康有潜在的好处。虚拟现实自然增强的固定自行车可以通过减少传统固定运动的单调性来帮助保持参与。

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引用次数: 0

The evolution, intellectual structure, and developmental trends of global mental health nursing research: A bibliometric analysis (2015–2025) 2015-2025年全球心理健康护理研究演变、知识结构与发展趋势：文献计量分析

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-12 DOI: 10.1016/j.apnu.2026.152055

Özcan Özdemir

Introduction

The high prevalence of mental disorders and the central role of nursing in mental health care highlight the necessity of systematically mapping scientific trends. Such analyses provide a critical evidence base for guiding future research priorities, curriculum design, and clinical strategies.

Aim

This study investigates the global evolution, intellectual foundations, and thematic trajectories of mental health nursing literature published between 2015 and 2025 through bibliometric methods.

Methods

Publications indexed in the Web of Science Core Collection between 2015 and 2025 were analyzed using the bibliometrix package and Biblioshiny interface in R. Performance analyses identified annual publication trends, leading authors, and institutions, while Multiple Correspondence Analysis (MCA) and thematic mapping were applied to explore the conceptual structure of the field.

Results

From 1695 publications, 853 articles meeting the inclusion criteria were selected. The field demonstrated an annual growth rate of 1.36%. Conceptual mapping revealed multidimensional themes clustered around clinical practice, patient experiences, professional roles, and complex clinical contexts. Over time, research has shifted from a predominantly clinical orientation toward preventive approaches and innovative interventions, with a growing emphasis on digital technologies and emerging subspecialties.

Discussion

Mental health nursing has evolved into a mature specialty within the discipline of nursing, extending beyond clinical care to encompass patient experiences, professional identity, and interdisciplinary collaboration. The findings underscore the need for a paradigm that is patient-centered, evidence-based, and technologically integrated.

Relevance for clinical practice

As concepts such as recovery and therapeutic relationships gain prominence, clinical practice must increasingly embrace patient-centered models, evidence-informed interventions, and the integration of novel technologies.

精神障碍的高患病率和护理在精神卫生保健中的核心作用突出了系统地绘制科学趋势的必要性。这些分析为指导未来的研究重点、课程设计和临床策略提供了重要的证据基础。目的通过文献计量学方法，探讨2015 - 2025年心理健康护理文献的全球演变、知识基础和主题轨迹。方法利用r中的bibliometrix软件包和Biblioshiny界面对2015 - 2025年被Web of Science核心馆藏收录的出版物进行分析。绩效分析识别年度出版趋势、主要作者和机构，多重对应分析（MCA）和专题映射探索该领域的概念结构。结果从1695篇文献中筛选出符合纳入标准的文献853篇。该领域年增长率为1.36%。概念映射揭示了围绕临床实践、患者经验、专业角色和复杂临床背景聚集的多维主题。随着时间的推移，研究已经从主要的临床方向转向预防方法和创新干预，越来越重视数字技术和新兴的亚专业。心理健康护理已经发展成为护理学科中一个成熟的专业，超越了临床护理，涵盖了患者经验、专业认同和跨学科合作。研究结果强调需要一个以患者为中心、以证据为基础并与技术相结合的范例。临床实践的相关性随着康复和治疗关系等概念日益突出，临床实践必须越来越多地采用以患者为中心的模式、循证干预和新技术的整合。

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引用次数: 0

Gender differences in psychiatric diagnoses and patient-reported experiences with inpatient mental health care in Alberta 艾伯塔省精神病诊断中的性别差异和患者报告的住院精神保健经历

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-11 DOI: 10.1016/j.apnu.2026.152054

Hossam Eldin Elgendy , Reham Shalaby , Ernest Owusu , Wanying Mao , Belinda Agyapong , Wes Vuong , Ejemai Eboreime , Nnamdi Nkire , Yifeng Wei , Vincent I.O. Agyapong

Introduction

Patients' experiences within psychiatric inpatient settings play a vital role in shaping both their overall well-being and therapeutic outcomes. Several core components contribute to a positive hospital experience, including effective care planning, individualized services, coordinated healthcare delivery, clear communication, and the upholding of patient dignity. A structured care planning process, incorporating comprehensive assessments and goal-setting, can significantly enhance patient involvement. Furthermore, emotional support and active participation in treatment decisions strengthen personalization of care, while interprofessional collaboration promotes continuity and integration across services.

Objectives

This study aimes to assess gender differences among psychiatric inpatients in Alberta, focusing on sociodemographic characteristics, clinical diagnoses, and self-reported experiences with core aspects of hospital care.

Methods

Psychiatric inpatients from 11 acute care hospitals in four Alberta cities were invited to complete an online experience survey at discharge. The survey included 21 multiple-choice questions on key care areas and was completed in person using tablets provided by the research team. Clinical and sociodemographic data were also collected. Participation was voluntary and confidential.

Results

Responses from 977 participants revealed significant gender-based differences in psychiatric diagnoses. However, no notable gender disparities were found in patient-reported experiences related to care planning, treatment choices, personalized care, communication, dignity, or staff coordination.

Conclusion

Despite observable gender-based differences in diagnostic patterns, patient-reported experiences regarding the quality and provision of psychiatric care remained consistent. These results suggest that psychiatric inpatient services in Alberta largely succeed in delivering equitable care that meets the needs of individuals across gender groups.

患者在精神科住院环境中的经历在塑造他们的整体幸福感和治疗结果中起着至关重要的作用。有几个核心组成部分有助于提供积极的医院体验，包括有效的护理规划、个性化服务、协调的医疗保健服务、明确的沟通和维护患者尊严。一个结构化的护理计划过程，包括全面的评估和目标设定，可以显著提高患者的参与。此外，情感支持和积极参与治疗决策加强了个性化护理，而跨专业合作促进了服务的连续性和整合。本研究旨在评估艾伯塔省精神科住院患者的性别差异，重点关注社会人口学特征、临床诊断和自我报告的医院护理核心方面的经历。方法对艾伯塔省4个城市11家急症医院的住院精神病患者在出院时进行在线体验调查。该调查包括21个关于关键护理领域的多项选择题，并使用研究小组提供的药片亲自完成。临床和社会人口学数据也被收集。参与是自愿和保密的。结果977名参与者的回答显示精神病学诊断存在显著的性别差异。然而，在患者报告的与护理计划、治疗选择、个性化护理、沟通、尊严或工作人员协调相关的经历中，没有发现显著的性别差异。结论：尽管诊断模式存在明显的性别差异，但患者报告的精神科护理质量和提供方面的经验是一致的。这些结果表明，艾伯塔省的精神病住院服务在很大程度上成功地提供了公平的护理，满足了不同性别群体的个人需求。

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引用次数: 0

A systematic bibliometric analysis of virtual reality research in mental health: Trends, hotspots, and future directions 心理健康领域虚拟现实研究的系统文献计量分析：趋势、热点和未来方向

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-09 DOI: 10.1016/j.apnu.2025.152044

Nanan Li , Yaqing Wang , Wenzhuo Wei , Lijun Ma , He Du , Mengchen Zhang , Jie Deng , Xiaoming Li

Introduction

With the increasing maturity of the technology and the gradual reduction of costs, virtual reality(VR) is playing an increasingly important role in clinical therapy.

Aim

This study aims to analyze the current status and developmental trends of VR research in mental health.

Method

We utilized Citespace (6.1 R6) to analyze 1116 publications spanning from 1994 to 2022, sourced from the Web of Science. Our analysis included visualization of authorship, institutional affiliations, countries, cited literature, and keywords.

Results

In this study, an overall upward trend in publication numbers from 1994 to 2022. The United States is in an absolute leading position in the application of VR in the field of mental health, with the highest number of contributions (362 papers). Harvard Medical School emerged as the leading institution in terms of publication volume in this field. Post-traumatic stress disorder, anxiety disorders, and schizophrenia as dominant research bursts over the past two decades.

Discussion

Recent trends, point to growing research interests in areas such as geriatric mental health, environmental influences, and pain management. The predominant research bursts over the past two decades have been schizophrenia, anxiety, and post-traumatic stress disorder, with emerging frontiers in the study of environmental factors and pain.

随着技术的日益成熟和成本的逐步降低，虚拟现实（VR）在临床治疗中发挥着越来越重要的作用。目的分析虚拟现实在心理健康领域的研究现状及发展趋势。方法利用Citespace （6.1 R6）数据库，对1994 ~ 2022年的1116篇文献进行分析。我们的分析包括作者身份、机构隶属关系、国家、被引文献和关键词的可视化。结果1994 - 2022年，论文发表数量总体呈上升趋势。美国在VR在心理健康领域的应用方面处于绝对领先地位，贡献数量最多（362篇）。哈佛医学院在这一领域的出版物数量方面处于领先地位。创伤后应激障碍、焦虑症和精神分裂症是过去二十年来研究的主要领域。讨论最近的趋势是，人们对老年心理健康、环境影响和疼痛管理等领域的研究兴趣日益浓厚。在过去的二十年里，主要的研究爆发是精神分裂症、焦虑和创伤后应激障碍，在环境因素和疼痛的研究中出现了新的前沿。

{"title":"A systematic bibliometric analysis of virtual reality research in mental health: Trends, hotspots, and future directions","authors":"Nanan Li , Yaqing Wang , Wenzhuo Wei , Lijun Ma , He Du , Mengchen Zhang , Jie Deng , Xiaoming Li","doi":"10.1016/j.apnu.2025.152044","DOIUrl":"10.1016/j.apnu.2025.152044","url":null,"abstract":"<div><h3>Introduction</h3><div>With the increasing maturity of the technology and the gradual reduction of costs, virtual reality(VR) is playing an increasingly important role in clinical therapy.</div></div><div><h3>Aim</h3><div>This study aims to analyze the current status and developmental trends of VR research in mental health.</div></div><div><h3>Method</h3><div>We utilized Citespace (6.1 R6) to analyze 1116 publications spanning from 1994 to 2022, sourced from the Web of Science. Our analysis included visualization of authorship, institutional affiliations, countries, cited literature, and keywords.</div></div><div><h3>Results</h3><div>In this study, an overall upward trend in publication numbers from 1994 to 2022. The United States is in an absolute leading position in the application of VR in the field of mental health, with the highest number of contributions (362 papers). Harvard Medical School emerged as the leading institution in terms of publication volume in this field. Post-traumatic stress disorder, anxiety disorders, and schizophrenia as dominant research bursts over the past two decades.</div></div><div><h3>Discussion</h3><div>Recent trends, point to growing research interests in areas such as geriatric mental health, environmental influences, and pain management. The predominant research bursts over the past two decades have been schizophrenia, anxiety, and post-traumatic stress disorder, with emerging frontiers in the study of environmental factors and pain.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"60 ","pages":"Article 152044"},"PeriodicalIF":2.2,"publicationDate":"2026-01-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145975924","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":4,"RegionCategory":"医学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}

引用次数: 0

The acuity paradox: Development and evaluation of a Milieu Acuity Tool (MAT) for inpatient behavioral health units 尖锐矛盾：发展和评估环境尖锐工具（MAT）的住院行为健康单位

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-07 DOI: 10.1016/j.apnu.2026.152052

Ellen Blair , Tess M. Atkinson , Paul Paseos , Javeed Sukhera

Background

Accurate assessment of clinical acuity in psychiatric nursing is essential for maintaining a safe and therapeutic milieu. Despite frequent use of the term “acuity,” few tools adequately capture the dynamic and multifaceted nature of psychiatric inpatient environments. The Milieu Acuity Tool (MAT) was developed to address this gap.

Purpose

This initial study of the MAT aimed to evaluate the factor structure and assess its practical utility in measuring psychiatric acuity and forecasting key safety outcomes in inpatient psychiatric settings.

Methods

A retrospective analysis was conducted using four years of MAT data across six adult inpatient psychiatric units within a large, diverse hospital system. Robust linear regressions examined the predictive utility of individual MAT items for monthly seclusion, restraint, and assault events. Internal consistency was assessed using Cronbach's alpha, and exploratory factor analysis (EFA) explored the underlying structure.

Results

Several MAT items were individually associated with key clinical outcomes, including seclusion, restraint, and patient-to-staff assaults. Items such as medication against will (MAW), levels of care (LOC), activities of daily living (ADL) assistance, and significant behavioral events explained the most variance. However, internal consistency was poor (α < 0.30), and EFAs yielded unstable factor structures with significant cross-loadings.

Conclusion

While the MAT does not function as a unified psychometric scale, individual items meaningfully predict relevant clinical outcomes. These findings support the MAT's utility as a practical, real-time decision-making aid for psychiatric nurses. Future refinement should enhance interpretability, usability, and psychometric coherence.

背景：在精神科护理中，准确评估临床敏锐度对于维持安全和治疗环境至关重要。尽管经常使用术语“敏锐度”，但很少有工具能充分捕捉精神科住院病人环境的动态和多面性。环境敏锐度工具（MAT）的开发就是为了解决这一差距。目的：本初步研究旨在评估因子结构，并评估其在测量精神敏锐度和预测住院精神病患者关键安全结局方面的实际效用。方法回顾性分析了一个大型、多样化的医院系统中6个成人精神科住院病人4年的MAT数据。稳健的线性回归检验了单个MAT项目对每月隔离、约束和攻击事件的预测效用。内部一致性采用Cronbach's alpha进行评估，探索性因子分析（EFA）探讨潜在结构。结果几个MAT项目单独与关键临床结果相关，包括隔离、约束和患者对工作人员的攻击。诸如违背意愿服药（MAW）、护理水平（LOC）、日常生活活动（ADL）援助和重大行为事件等项目解释了最大的差异。然而，内部一致性较差（α < 0.30）， EFAs产生不稳定的因子结构，具有显著的交叉负载。结论MAT量表虽不能作为统一的心理测量量表，但单项量表能有效预测相关的临床结果。这些发现支持MAT作为精神科护士的实用、实时决策辅助工具的效用。未来的改进应加强可解释性、可用性和心理测量一致性。

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引用次数: 0

Factors associated with the symptoms, symptom expression, and diagnosis of black patients with schizophrenia spectrum disorders: An integrative review 黑人精神分裂症谱系障碍患者的症状、症状表达和诊断相关因素：一项综合综述

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-07 DOI: 10.1016/j.apnu.2026.152053

Kathryn M. Pitten , Melissa Kalarchian , David Henderson , David Nolfi

Research has demonstrated that Black patients are more likely to be diagnosed with Schizophrenia Spectrum Disorder (SSD) compared to White patients. This integrative review focused on factors associated with symptoms, symptom expression, and the diagnosis of Black patients with SSD. Four data bases were searched from 2013 to 2023 and included studies written in English, studied patients with symptoms or diagnoses of SSDs; reported the symptoms or diagnoses of SSD in Black patients; examined any factors related to symptoms or diagnosis of SSD; and were published in peer-reviewed journals. Studies reported that differences in diagnosis may be due to how Black patients' experience symptoms of SSD, socio-geographic factors such as geography and migration, and provider demographic factors such as age, gender, and race. Results indicate the need for further discussion and awareness of how individual, socio-geographic, and provider factors may be associated with racial differences in symptoms, symptom expression, and the diagnosis of Back patients with SSD.

研究表明，与白人患者相比，黑人患者更容易被诊断为精神分裂症谱系障碍（SSD）。本综合综述的重点是与黑人SSD患者的症状、症状表达和诊断相关的因素。从2013年到2023年检索了四个数据库，包括以英文撰写的研究，研究了有ssd症状或诊断的患者；报告黑人患者SSD的症状或诊断；检查与SSD症状或诊断相关的任何因素；并发表在同行评议的期刊上。研究报告称，诊断差异可能是由于黑人患者经历SSD症状的方式、社会地理因素（如地理和迁移）以及提供者人口因素（如年龄、性别和种族）。结果表明，需要进一步讨论和认识个体、社会地理和提供者因素如何与背部SSD患者的症状、症状表达和诊断的种族差异相关。

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引用次数: 0

The relationship between fear of missing out on social developments in adolescents and loneliness and social anxiety 青少年害怕错过社交发展与孤独和社交焦虑之间的关系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-07 DOI: 10.1016/j.apnu.2026.152051

Saliha Esra Eryilmaz Aydin , Feyza Küçük , Ebru Başkaya

This study aims to examine the relationship between fear of missing out (FoMO) in social settings, loneliness, and social anxiety among adolescents in Turkey. The sample consisted of 456 high school students. Data were collected using an “information form,” the “fear of missing out on developments in social environments scale,” the “UCLA loneliness scale-short form (UCLA-SF),” and the “social anxiety for adolescents (SAS-A) scale.” Data analysis involved the use of frequency, percentage, mean, standard deviation, One-Way ANOVA, correlation, and simple linear regression analysis. The findings revealed that adolescents experience moderate levels of FoMO, loneliness, and social anxiety. Significant positive correlations were found between FoMO and loneliness, FoMO and social anxiety, and loneliness and social anxiety. According to the regression analysis, FoMO was found to significantly predict loneliness by 7.6 % and social anxiety by 23.1 % variance. Additionally, it was found that female students had significantly higher FoMO levels than male students, and individuals with low parental education levels and few close friends had higher loneliness and social anxiety scores. Based on these findings, it is evident that FoMO increases loneliness and social anxiety in adolescents, emphasizing the importance of interventions that support psychological well-being in this age group.

本研究旨在探讨土耳其青少年在社交环境中的错失恐惧（FoMO）、孤独感和社交焦虑之间的关系。样本由456名高中生组成。数据是通过“信息表”、“害怕错过社会环境发展量表”、“加州大学洛杉矶分校孤独量表-简表（UCLA- sf）”和“青少年社交焦虑量表（SAS-A）”收集的。数据分析包括使用频率、百分比、平均值、标准差、单因素方差分析、相关分析和简单线性回归分析。研究结果显示，青少年经历了中度的FoMO、孤独感和社交焦虑。FoMO与孤独感、FoMO与社交焦虑、孤独感与社交焦虑呈显著正相关。回归分析发现，FoMO显著预测孤独的方差为7.6%，显著预测社交焦虑的方差为23.1%。此外，我们发现女生的FoMO水平显著高于男生，父母教育水平低、亲密朋友少的个体的孤独感和社交焦虑得分更高。基于这些发现，很明显，FoMO增加了青少年的孤独感和社交焦虑，强调了支持这一年龄组心理健康的干预措施的重要性。

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引用次数: 0

Depression and loneliness in older Chinese rural adults living alone: A network analysis 中国农村独居老年人抑郁与孤独感的网络分析

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-05 DOI: 10.1016/j.apnu.2025.152048

Jiaqi Tian , Ling Zhang , Xiaojun Liu , Lina Wang , Renjie Zhang , Lijuan Yang , Minmin Leng

Background

Depression and loneliness are common. However, the relationship between the two at the symptomatic level remains unclear.

Aim

This study aimed to establish a comorbidity network structure for depression and loneliness and to identify central, bridging symptoms and sex differences among older Chinese rural adults living alone.

Methods

This cross-sectional study included 1115 rural older adults living alone (Mean age: 74.15 ± 7.00; range: 60–93 years; 77.58 % female; 65.83 % illiterate). All participants completed the 9-item Patient Health Questionnaire (PHQ-9) and the 6-item Loneliness Scale (ULS-6). Centrality indices of symptom nodes and network stability were assessed. Network Comparison Test (NCT) was conducted to examine sex differences in network characteristics.

Results

Within the comorbidity network of depression and loneliness, PHQ2 (Sad mood), ULS3 (Feeling left out), and ULS5 (Unhappy being so withdrawn) exhibited the highest strength centrality (1.135, 1.077, and 1.049 respectively). The bridge symptoms in the network were ULS1 (Lack of companionship, r_{bridge strength} = 0.218), PHQ2 (Sad Mood, r_{bridge strength} = 0.170) and ULS6 (People are around me but not with me, r_{bridge strength} = 0.152). No significant sex differences were found in overall network strength (S = 0.250, p = 0.455) or edge weights (M = 0.325, p = 0.059).

Conclusion

Network analysis identified central symptoms PHQ2 (Sad mood), ULS3 (Feeling left out), and ULS5 (Unhappy being so withdrawn) with bridging symptoms ULS1 (Lack of companionship), PHQ2 (Sad Mood) and ULS6 (People are around me but not with me). These symptoms may provide insights for prevention and treatment.

抑郁和孤独是很常见的。然而，两者在症状水平上的关系尚不清楚。目的本研究旨在建立中国农村独居老年人抑郁和孤独的共病网络结构，并确定其中心、桥接症状和性别差异。方法对1115例农村独居老年人进行横断面研究，平均年龄74.15±7.00岁，年龄范围60 ~ 93岁，女性77.58%，文盲65.83%。所有参与者均完成了9项患者健康问卷（PHQ-9）和6项孤独量表（ULS-6）。评估症状节点的中心性指数和网络稳定性。通过网络比较测试（NCT）来检验网络特征的性别差异。结果在抑郁和孤独共病网络中，PHQ2（悲伤情绪）、ULS3（感觉被忽视）和ULS5（不快乐如此孤僻）的强度中心性最高（分别为1.135、1.077和1.049）。网络中的桥梁症状为ULS1（缺乏陪伴，桥梁强度= 0.218），PHQ2（悲伤情绪，桥梁强度= 0.170）和ULS6（有人在我身边，但没有和我在一起，桥梁强度= 0.152）。在总体网络强度（S = 0.250, p = 0.455）和边缘权重（M = 0.325, p = 0.059）方面，性别差异不显著。结论网络分析确定了中心症状PHQ2（悲伤情绪）、ULS3（感觉被忽视）和ULS5（不快乐，如此孤僻）与桥接症状ULS1（缺乏陪伴）、PHQ2（悲伤情绪）和ULS6（有人在我身边，但没有和我在一起）。这些症状可能为预防和治疗提供见解。

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引用次数: 0

Spirituality, culture, and family resilience in Alzheimer's care: A qualitative descriptive study in Türkiye 阿尔茨海默病护理中的精神、文化和家庭恢复力：一项<s:1> rkiye定性描述性研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2026-01-05 DOI: 10.1016/j.apnu.2025.152050

Orkun Erkayıran , Demet Çelik

Background

Family caregivers of people with Alzheimer's disease face escalating practical and emotional demands. In collectivist settings, caregiving is also shaped by cultural values and spiritual meaning, yet these dimensions remain underexamined in psychiatric nursing contexts.

Objective

To describe how spirituality, cultural norms, and personal meaning-making contribute to family resilience among Turkish female caregivers of relatives with Alzheimer's disease, and to outline implications for psychiatric and geriatric nursing practice.

Methods

We conducted a qualitative descriptive study in Karaman, Türkiye, using purposive sampling in collaboration with the Provincial Directorate of Family and Social Services. Fourteen female family caregivers participated in audio-recorded, semi-structured, face-to-face interviews (30–90 min) conducted in Turkish in participants' homes. Data were transcribed verbatim and analyzed using reflexive thematic analysis. Reporting followed COREQ guidelines.

Results

Analysis revealed six interrelated themes reflecting how Turkish caregivers sustain resilience in Alzheimer's care: collective adaptation within the family, spirituality as an emotional anchor, cultural expectations and moral meaning, personal growth and inner strength, endurance and emotional sacrifice, and hope and acceptance of uncertainty. Together, these themes illustrate a culturally embedded model of resilience in which caregiving is experienced not only as a demanding role but as a meaningful act of faith, moral duty, and emotional transformation.

Conclusions

Caregiving was experienced as a morally and spiritually meaningful family role that fostered resilience while also generating value tensions. Psychiatric and geriatric (geropsychiatry) nurses should incorporate spiritual assessment, culturally congruent care planning, and support for moral distress into routine caregiver care. These findings offer practice-ready guidance for tailoring caregiver support in culturally traditional contexts.

阿尔茨海默病患者的家庭照顾者面临着不断升级的实际和情感需求。在集体主义环境中，护理也受到文化价值观和精神意义的影响，但这些方面在精神科护理环境中仍未得到充分研究。目的：描述精神、文化规范和个人意义创造如何促进患有阿尔茨海默病亲属的土耳其女性照顾者的家庭复原力，并概述精神病学和老年护理实践的含义。方法我们与省家庭和社会服务局合作，在基耶省卡拉曼市进行了一项定性描述性研究。14名女性家庭照顾者参加了在参与者家中用土耳其语进行的录音、半结构化、面对面访谈（30-90分钟）。数据逐字转录并使用反身性主题分析进行分析。报告遵循COREQ指南。结果分析揭示了六个相互关联的主题，反映了土耳其护理人员如何在阿尔茨海默氏症护理中保持弹性：家庭内的集体适应，精神作为情感锚，文化期望和道德意义，个人成长和内在力量，耐力和情感牺牲，以及希望和接受不确定性。总之，这些主题说明了一种文化内嵌的复原力模型，在这种模型中，护理不仅是一种要求很高的角色，而且是一种有意义的信仰、道德责任和情感转变的行为。给予关怀是一种道德和精神上有意义的家庭角色，它培养了韧性，同时也产生了价值紧张。精神科和老年病科（老年精神病学）护士应将精神评估、符合文化的护理计划和对道德困境的支持纳入日常护理中。这些发现为在传统文化背景下定制护理人员支持提供了实践指导。

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