Archives of Psychiatric Nursing最新文献_第10页

ISPN Board

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-08-01 DOI: 10.1016/j.apnu.2025.151948

引用次数: 0

Relationship between family protective factors and codependency in nurses: A cross-sectional study 家庭保护因素与护士相互依赖关系的横断面研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-30 DOI: 10.1016/j.apnu.2025.151957

Meryem Ozen , Sultan Tas Bora

Objective

The phenomenon of codependency, characterized by pathological relational patterns, is widely prevalent among nurses. It is believed to develop in dysfunctional family systems. This study aims to investigate the level of codependency among nurses by examining its relationship with family protective factors and personal characteristics.

Methods

This descriptive and correlational study was conducted online using Google Forms between January 2024 and March 2024. The study population comprised nurses between the ages of 18 and 65 who had a minimum of six months of professional experience. Data were collected using the demographic questionnaire, the Codependency Assessment Tool (CODAT), and the Inventory for Family Protective Factors (IFPF).

Results

It was concluded that codependency levels were significantly higher among nurses with chronic physical illness or those receiving mental health treatment. As a result of the correlation analysis, it was found that the total codependency score had a significant negative correlation with the subdimensions of the family protective factors scale: fewer stressors (r = −0.16, p < 0.01), adaptive appraisal and compensating experiences (r = −0.28, p < 0.01), and social support (r = −0.18, p < 0.01). Adaptive appraisal and compensating experiences in the family explained 8 % of codependency in nurses.

Conclusion

These findings suggested that enhancing protective factors, especially adaptive appraisal and compensating experiences within the family environment, could potentially mitigate codependency issues among nurses. Further research is needed to explore targeted interventions that strengthen these protective factors, thereby promoting better mental health outcomes in this vulnerable population.

目的护理人员普遍存在以病态关系模式为特征的相互依赖现象。它被认为是在不正常的家庭系统中发展起来的。本研究旨在探讨护士相互依赖水平与家庭保护因素及个人特征的关系。方法本研究于2024年1月至2024年3月在网上使用谷歌表格进行描述性和相关性研究。研究人群包括年龄在18到65岁之间的护士，他们至少有6个月的专业经验。使用人口统计问卷、相互依赖评估工具（CODAT）和家庭保护因素清单（IFPF）收集数据。结果慢性躯体疾病患者和接受心理健康治疗的护士相互依赖水平显著高于其他人群。相关分析发现，总相互依赖得分与家庭保护因素量表的子维度呈显著负相关：压力源较少(r = - 0.16, p <；0.01)，适应性评价和补偿经验(r = - 0.28, p <；0.01)，社会支持(r = - 0.18, p <；0.01)。家庭中的适应性评价和补偿经验解释了8%的护士相互依赖。结论加强保护因素，特别是家庭环境中的适应性评价和补偿经验，可能会减轻护士的相互依赖问题。需要进一步的研究来探索有针对性的干预措施，加强这些保护因素，从而促进这一弱势群体获得更好的心理健康结果。

{"title":"Relationship between family protective factors and codependency in nurses: A cross-sectional study","authors":"Meryem Ozen , Sultan Tas Bora","doi":"10.1016/j.apnu.2025.151957","DOIUrl":"10.1016/j.apnu.2025.151957","url":null,"abstract":"<div><h3>Objective</h3><div>The phenomenon of codependency, characterized by pathological relational patterns, is widely prevalent among nurses. It is believed to develop in dysfunctional family systems. This study aims to investigate the level of codependency among nurses by examining its relationship with family protective factors and personal characteristics.</div></div><div><h3>Methods</h3><div>This descriptive and correlational study was conducted online using Google Forms between January 2024 and March 2024. The study population comprised nurses between the ages of 18 and 65 who had a minimum of six months of professional experience. Data were collected using the demographic questionnaire, the Codependency Assessment Tool (CODAT), and the Inventory for Family Protective Factors (IFPF).</div></div><div><h3>Results</h3><div>It was concluded that codependency levels were significantly higher among nurses with chronic physical illness or those receiving mental health treatment. As a result of the correlation analysis, it was found that the total codependency score had a significant negative correlation with the subdimensions of the family protective factors scale: fewer stressors (<em>r</em> = −0.16, <em>p</em> < 0.01), adaptive appraisal and compensating experiences (<em>r</em> = −0.28, p < 0.01), and social support (<em>r</em> = −0.18, p < 0.01). Adaptive appraisal and compensating experiences in the family explained 8 % of codependency in nurses.</div></div><div><h3>Conclusion</h3><div>These findings suggested that enhancing protective factors, especially adaptive appraisal and compensating experiences within the family environment, could potentially mitigate codependency issues among nurses. Further research is needed to explore targeted interventions that strengthen these protective factors, thereby promoting better mental health outcomes in this vulnerable population.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151957"},"PeriodicalIF":2.2,"publicationDate":"2025-07-30","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749830","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

Internalized stigma and depressive severity in Taiwanese gay men: A moderated mediation model of resilience and positive identity 台湾男同志内化污名与抑郁严重程度：心理弹性与积极认同之中介模型

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-29 DOI: 10.1016/j.apnu.2025.151963

Te-Sheng Chang , Yen-Fan Lee , Hung-Che Wang

Background

Internalized sexual stigma is a significant psychological stressor contributing to depression among gay men. While resilience and positive sexual identity are known protective factors, their combined roles remain understudied in non-Western contexts, particularly in East Asian societies like Taiwan.

Purpose

This study investigated whether resilience mediates and positive sexual identity moderates the association between internalized stigma and depressive severity among Taiwanese gay men.

Methods

A cross-sectional online survey was conducted with 234 self-identified gay men in Taiwan. Participants completed validated measures of internalized stigma, resilience, positive sexual identity, and depressive severity. Moderated mediation was tested using Hayes' PROCESS macro (Model 8) with 5000 bootstrap samples.

Results

Internalized stigma was positively associated with depressive severity. Resilience significantly mediated this relationship, while positive sexual identity moderated the direct effect. Specifically, the association between internalized stigma and depression was weaker among individuals with higher levels of positive identity.

Conclusions

The findings extend the minority stress model to an East Asian context and highlight the protective roles of resilience and identity in gay men's mental health. Culturally sensitive, identity-affirming care is essential for psychiatric nurses to reduce the psychological impact of internalized stigma.

内化性耻感是导致男同性恋者抑郁的重要心理压力源。虽然适应力和积极的性别认同是已知的保护因素，但它们在非西方背景下的综合作用仍未得到充分研究，特别是在台湾等东亚社会。目的本研究探讨台湾男同性恋者内在污名与抑郁严重程度的关联是否在心理弹性中起中介作用，而积极的性认同是否起调节作用。方法对234名台湾男同性恋者进行横断面在线调查。参与者完成了内化耻辱、恢复力、积极的性认同和抑郁严重程度的有效测量。采用Hayes’PROCESS宏（模型8）对5000个bootstrap样本进行调节中介检验。结果内化病耻感与抑郁严重程度呈正相关。弹性显著调节了这一关系，而积极的性别认同则调节了这一直接影响。具体而言，在积极认同水平较高的个体中，内化耻辱与抑郁之间的关联较弱。结论本研究结果将少数民族压力模型扩展到东亚地区，并强调了弹性和身份在男同性恋者心理健康中的保护作用。文化敏感，身份肯定护理是必不可少的精神科护士，以减少内化耻辱的心理影响。

{"title":"Internalized stigma and depressive severity in Taiwanese gay men: A moderated mediation model of resilience and positive identity","authors":"Te-Sheng Chang , Yen-Fan Lee , Hung-Che Wang","doi":"10.1016/j.apnu.2025.151963","DOIUrl":"10.1016/j.apnu.2025.151963","url":null,"abstract":"<div><h3>Background</h3><div>Internalized sexual stigma is a significant psychological stressor contributing to depression among gay men. While resilience and positive sexual identity are known protective factors, their combined roles remain understudied in non-Western contexts, particularly in East Asian societies like Taiwan.</div></div><div><h3>Purpose</h3><div>This study investigated whether resilience mediates and positive sexual identity moderates the association between internalized stigma and depressive severity among Taiwanese gay men.</div></div><div><h3>Methods</h3><div>A cross-sectional online survey was conducted with 234 self-identified gay men in Taiwan. Participants completed validated measures of internalized stigma, resilience, positive sexual identity, and depressive severity. Moderated mediation was tested using Hayes' PROCESS macro (Model 8) with 5000 bootstrap samples.</div></div><div><h3>Results</h3><div>Internalized stigma was positively associated with depressive severity. Resilience significantly mediated this relationship, while positive sexual identity moderated the direct effect. Specifically, the association between internalized stigma and depression was weaker among individuals with higher levels of positive identity.</div></div><div><h3>Conclusions</h3><div>The findings extend the minority stress model to an East Asian context and highlight the protective roles of resilience and identity in gay men's mental health. Culturally sensitive, identity-affirming care is essential for psychiatric nurses to reduce the psychological impact of internalized stigma.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151963"},"PeriodicalIF":2.2,"publicationDate":"2025-07-29","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749831","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

Improving adolescent well-being: The importance of self-efficacy and healthy lifestyle beliefs in preventing digital game addiction 提高青少年幸福感：自我效能感和健康生活方式信念在预防数字游戏成瘾中的重要性

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-29 DOI: 10.1016/j.apnu.2025.151964

Untung Muhdiarta , Chatarina Suryaningsih , Muhammad Najih Vargholy , Santi Febri Arianti , Delta Khairunnisa , Muhamad Habibi , Irman Syahriar , Janio Tilman , Erfan Ramadhani

引用次数: 0

Smartphone usage habits among french nursing students: A monocentric mixed-methods study 法国护理专业学生的智能手机使用习惯：一项单中心混合方法研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-28 DOI: 10.1016/j.apnu.2025.151958

Anaëlle THEBAULT , Pascale BELONI , Jean TONIOLO

Background

Smartphones, first introduced in 1992 in the United States, have evolved into essential communication tools due to their convenience and increasing functionalities. Their widespread use has significantly impacted daily life, leading to various psychological and physical consequences, particularly among young adults. In France, Interministerial Mission to Combat Drugs and Addictive Behavior (MILDECA) reports a high prevalence of intensive smartphone usage among individuals aged 15–24, with many acknowledging their inability to control their screen time. This trend is particularly concerning among nursing students, where excessive smartphone use has been linked to issues such as stress, anxiety, and diminished academic performance. Despite the benefits of smartphones in accessing educational resources, problematic usage remains a growing concern.

This study aimed to describe nursing students' smartphone usage habits, assess addiction and ocular discomfort, and evaluate their knowledge of risks and preventive measures to inform targeted prevention strategies.

Method

A cross-sectional, monocentric mixed-methods study was conducted with 50 first- and second-year nursing students. Data were collected through questionnaires assessing smartphone use, addiction, and health impacts, followed by semi-structured interviews with 12 participants. Quantitative and qualitative analyses were performed to explore usage patterns, addiction, and preventive awareness.

Results

The average daily smartphone usage was 6 h and 15 min. Of the participants, 86 % showed signs of smartphone addiction, while 66 % exhibited subjective convergence insufficiency, indicating potential ocular discomfort. Although students had some awareness of harmful effects, many struggled to regulate their smartphone use effectively.

Conclusion

This study reveals excessive smartphone use among nursing students, contributing to addiction and ocular discomfort. Despite awareness of its negative impacts, students lack effective preventive strategies. Integrating digital health literacy and targeted prevention measures into nursing curricula is essential to address these risks and promote healthier smartphone use.

Reporting method

COREQ, STROBE.

智能手机于1992年首次在美国推出，由于其便利性和不断增加的功能，已经发展成为必不可少的通信工具。它们的广泛使用严重影响了日常生活，导致各种心理和身体后果，特别是在年轻人中。在法国，打击毒品和成瘾行为部际任务（MILDECA）报告称，在15-24岁的年轻人中，智能手机的使用率很高，许多人承认他们无法控制自己的屏幕时间。这一趋势在护理专业的学生中尤其令人担忧，过度使用智能手机与压力、焦虑和学习成绩下降等问题有关。尽管智能手机在获取教育资源方面有很多好处，但使用问题仍然是一个日益严重的问题。本研究旨在描述护生的智能手机使用习惯，评估成瘾和眼部不适，评估其风险知识和预防措施，为有针对性的预防策略提供信息。方法采用横断面、单中心混合方法对50名护理专业一、二年级学生进行研究。数据是通过评估智能手机使用、成瘾和健康影响的问卷收集的，然后是对12名参与者的半结构化访谈。进行定量和定性分析以探索使用模式、成瘾和预防意识。结果平均每天使用智能手机的时间为6小时15分钟。在参与者中，86%的人表现出智能手机成瘾的迹象，66%的人表现出主观收敛能力不足，这表明潜在的眼部不适。尽管学生们对智能手机的有害影响有一定的认识，但许多人仍难以有效地管理自己的智能手机使用。结论护生过度使用智能手机可能导致成瘾和眼部不适。尽管意识到它的负面影响，学生缺乏有效的预防策略。将数字健康素养和有针对性的预防措施纳入护理课程，对于解决这些风险和促进更健康地使用智能手机至关重要。报告方法coreq， STROBE。

{"title":"Smartphone usage habits among french nursing students: A monocentric mixed-methods study","authors":"Anaëlle THEBAULT , Pascale BELONI , Jean TONIOLO","doi":"10.1016/j.apnu.2025.151958","DOIUrl":"10.1016/j.apnu.2025.151958","url":null,"abstract":"<div><h3>Background</h3><div>Smartphones, first introduced in 1992 in the United States, have evolved into essential communication tools due to their convenience and increasing functionalities. Their widespread use has significantly impacted daily life, leading to various psychological and physical consequences, particularly among young adults. In France, Interministerial Mission to Combat Drugs and Addictive Behavior (MILDECA) reports a high prevalence of intensive smartphone usage among individuals aged 15–24, with many acknowledging their inability to control their screen time. This trend is particularly concerning among nursing students, where excessive smartphone use has been linked to issues such as stress, anxiety, and diminished academic performance. Despite the benefits of smartphones in accessing educational resources, problematic usage remains a growing concern.</div><div>This study aimed to describe nursing students' smartphone usage habits, assess addiction and ocular discomfort, and evaluate their knowledge of risks and preventive measures to inform targeted prevention strategies.</div></div><div><h3>Method</h3><div>A cross-sectional, monocentric mixed-methods study was conducted with 50 first- and second-year nursing students. Data were collected through questionnaires assessing smartphone use, addiction, and health impacts, followed by semi-structured interviews with 12 participants. Quantitative and qualitative analyses were performed to explore usage patterns, addiction, and preventive awareness.</div></div><div><h3>Results</h3><div>The average daily smartphone usage was 6 h and 15 min. Of the participants, 86 % showed signs of smartphone addiction, while 66 % exhibited subjective convergence insufficiency, indicating potential ocular discomfort. Although students had some awareness of harmful effects, many struggled to regulate their smartphone use effectively.</div></div><div><h3>Conclusion</h3><div>This study reveals excessive smartphone use among nursing students, contributing to addiction and ocular discomfort. Despite awareness of its negative impacts, students lack effective preventive strategies. Integrating digital health literacy and targeted prevention measures into nursing curricula is essential to address these risks and promote healthier smartphone use.</div></div><div><h3>Reporting method</h3><div>COREQ, STROBE.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151958"},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724286","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

Women veterans and risk of illicit substance use and use disorders, 2015–2019 and 2021: A secondary analysis of the National Survey on Drug Use and Health 2015-2019年和2021年，女性退伍军人与非法药物使用和使用障碍的风险：对全国药物使用和健康调查的二次分析

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-28 DOI: 10.1016/j.apnu.2025.151962

Brayden Kameg

Background

Women veterans are at risk for substance use and substance use disorders, although there remains limited data on substance use in women veterans.

Methods

A secondary analysis of data from the National Survey on Drug Use and Health from 2015 to 2019 and 2021 was conducted to compare women veterans with women non-veterans and men veterans on substance-related outcomes, including lifetime substance use, frequency of past 30-day substance use, and past-year substance use disorders for cannabis, opioids, and stimulants.

Results

From 2015 to 2019, women veterans were about 53 % and 24 % more likely to have used cannabis in their lifetime compared to women non-veterans and men veterans, respectively. Approximately 1 % and 5.3 % of women veterans were diagnosed with a cannabis use disorder from 2015 to 2019 and in 2021, respectively. From 2015 to 2019, women veterans were about 45 % less likely to have experienced a cannabis use disorder within the past year compared to women non-veterans (p = 0.007). In 2021, women veterans were less likely than women non-veterans to have been diagnosed with a past-year stimulant use disorder (p = 0.008). Women veterans reported higher lifetime rates of prescription opioid, non-prescribed prescription opioid, and stimulant use, although they were not more likely to have a use disorder.

Conclusions

Women veterans differ from their peers related to substance use trends, and thus, there is a need for the development of gender-focused interventions to both identify and manage substance use-related issues in this population.

女性退伍军人有药物使用和药物使用障碍的风险，尽管关于女性退伍军人药物使用的数据仍然有限。方法对2015年至2019年和2021年全国药物使用与健康调查的数据进行二次分析，比较女性退伍军人与女性非退伍军人和男性退伍军人的物质相关结果，包括终生药物使用、过去30天药物使用频率以及过去一年大麻、阿片类药物和兴奋剂的物质使用障碍。结果从2015年到2019年，与女性非退伍军人和男性退伍军人相比，女性退伍军人在一生中使用大麻的可能性分别高出53%和24%。2015年至2019年和2021年，分别约有1%和5.3%的女性退伍军人被诊断患有大麻使用障碍。从2015年到2019年，与非退伍军人女性相比，女性退伍军人在过去一年中经历大麻使用障碍的可能性低约45% （p = 0.007）。2021年，女性退伍军人被诊断患有过去一年兴奋剂使用障碍的可能性低于非退伍军人（p = 0.008）。女性退伍军人报告说，她们一生中使用处方阿片类药物、非处方阿片类药物和兴奋剂的比例更高，尽管她们不太可能有使用障碍。结论：女性退伍军人在药物使用趋势方面与同龄人不同，因此，有必要制定以性别为重点的干预措施，以识别和管理这一人群中与药物使用相关的问题。

{"title":"Women veterans and risk of illicit substance use and use disorders, 2015–2019 and 2021: A secondary analysis of the National Survey on Drug Use and Health","authors":"Brayden Kameg","doi":"10.1016/j.apnu.2025.151962","DOIUrl":"10.1016/j.apnu.2025.151962","url":null,"abstract":"<div><h3>Background</h3><div>Women veterans are at risk for substance use and substance use disorders, although there remains limited data on substance use in women veterans.</div></div><div><h3>Methods</h3><div>A secondary analysis of data from the National Survey on Drug Use and Health from 2015 to 2019 and 2021 was conducted to compare women veterans with women non-veterans and men veterans on substance-related outcomes, including lifetime substance use, frequency of past 30-day substance use, and past-year substance use disorders for cannabis, opioids, and stimulants.</div></div><div><h3>Results</h3><div>From 2015 to 2019, women veterans were about 53 % and 24 % more likely to have used cannabis in their lifetime compared to women non-veterans and men veterans, respectively. Approximately 1 % and 5.3 % of women veterans were diagnosed with a cannabis use disorder from 2015 to 2019 and in 2021, respectively. From 2015 to 2019, women veterans were about 45 % less likely to have experienced a cannabis use disorder within the past year compared to women non-veterans (<em>p</em> = 0.007). In 2021, women veterans were less likely than women non-veterans to have been diagnosed with a past-year stimulant use disorder (<em>p</em> = 0.008). Women veterans reported higher lifetime rates of prescription opioid, non-prescribed prescription opioid, and stimulant use, although they were not more likely to have a use disorder.</div></div><div><h3>Conclusions</h3><div>Women veterans differ from their peers related to substance use trends, and thus, there is a need for the development of gender-focused interventions to both identify and manage substance use-related issues in this population.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151962"},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144757939","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

Implementing ecological resilience interventions in mental health nursing: A four-dimensional approach for adolescent post-discharge care 在心理健康护理中实施生态弹性干预：青少年出院后护理的四维方法

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-28 DOI: 10.1016/j.apnu.2025.151961

Guangzhe Frank Yuan , Yi Rong , Caimeng Liu , Qian Zhu , Wenkai Wang , Xia Xu , Jing Liang , Yuan Tao

Adolescents transitioning from inpatient psychiatric care face heightened vulnerability, with traditional post-discharge approaches failing to address multifaceted mental health challenges. The purpose of this article is to explore the implementation of ecological resilience interventions through a four-dimensional framework comprising family system integration, school collaboration, community resource mobilization, and healthcare coordination to enhance adolescent post-discharge outcomes. This newly proposed integrated approach recognizes resilience emerges from dynamic interactions between individual characteristics and environmental supports across multiple ecological levels. Evidence demonstrates multi-level interventions targeting family functioning, educational environments, community connections, and healthcare coordination show superior effectiveness compared to single-intervention strategies in reducing symptoms, improving functional outcomes, and preventing relapse. The four-dimensional ecological resilience framework represents a paradigm shift in mental health nursing practice, offering evidence-based strategies for addressing interconnected factors influencing adolescent mental health during critical post-discharge transitions.

从住院精神病治疗过渡的青少年面临着更高的脆弱性，传统的出院后方法未能解决多方面的心理健康挑战。本文的目的是通过包括家庭系统整合、学校合作、社区资源动员和医疗保健协调在内的四维框架，探讨生态弹性干预措施的实施，以提高青少年出院后的结果。这一新提出的综合方法认识到，弹性来自于多个生态水平上个体特征和环境支持之间的动态相互作用。证据表明，针对家庭功能、教育环境、社区联系和卫生保健协调的多层次干预在减轻症状、改善功能结局和预防复发方面比单一干预策略更有效。四维生态弹性框架代表了心理健康护理实践的范式转变，为解决出院后关键过渡期间影响青少年心理健康的相互关联因素提供了循证策略。

{"title":"Implementing ecological resilience interventions in mental health nursing: A four-dimensional approach for adolescent post-discharge care","authors":"Guangzhe Frank Yuan , Yi Rong , Caimeng Liu , Qian Zhu , Wenkai Wang , Xia Xu , Jing Liang , Yuan Tao","doi":"10.1016/j.apnu.2025.151961","DOIUrl":"10.1016/j.apnu.2025.151961","url":null,"abstract":"<div><div>Adolescents transitioning from inpatient psychiatric care face heightened vulnerability, with traditional post-discharge approaches failing to address multifaceted mental health challenges. The purpose of this article is to explore the implementation of ecological resilience interventions through a four-dimensional framework comprising family system integration, school collaboration, community resource mobilization, and healthcare coordination to enhance adolescent post-discharge outcomes. This newly proposed integrated approach recognizes resilience emerges from dynamic interactions between individual characteristics and environmental supports across multiple ecological levels. Evidence demonstrates multi-level interventions targeting family functioning, educational environments, community connections, and healthcare coordination show superior effectiveness compared to single-intervention strategies in reducing symptoms, improving functional outcomes, and preventing relapse. The four-dimensional ecological resilience framework represents a paradigm shift in mental health nursing practice, offering evidence-based strategies for addressing interconnected factors influencing adolescent mental health during critical post-discharge transitions.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151961"},"PeriodicalIF":2.2,"publicationDate":"2025-07-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144773192","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

Illness uncertainty and the psychological well-being of individuals with schizophrenia: The mediating role of psychological resilience 精神分裂症患者疾病不确定性与心理健康：心理弹性的中介作用

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-27 DOI: 10.1016/j.apnu.2025.151960

Gizem Şahin-Bayındır , Seren Günay , Seda Er , Bülent Kadri Gültekin

Objective

This study aimed to determine the mediating role of psychological resilience in the relationship between illness uncertainty and psychological well-being in individuals with schizophrenia.

Method

A descriptive and correlational study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. A total of 150 participants diagnosed with schizophrenia according to the DSM-5-TR criteria were recruited for the study. Data were collected using the Personal Information Form, the Structured Clinical Interview for DSM-5, the Positive and Negative Syndrome Scale, the Mishel Uncertainty in Illness Scale–Community Form, the Psychological Well-Being Scale, and the Connor–Davidson Resilience Scale.

Results

The mean age of the participants diagnosed with schizophrenia was 37.52 ± 10.62 years, and the mean age at diagnosis of schizophrenia was 30.78 ± 10.88 years. The mediating role of psychological resilience in the effect of uncertainty in illness on psychological well-being was significant (−0.1647, −0.0289).

Conclusion

This study underscores the critical role of resilience in mitigating the negative effect of illness uncertainty and emphasizes the need for health professionals to assess the level of uncertainty experienced by individuals with schizophrenia, its effects on psychological well-being, and their coping mechanisms.

目的探讨心理弹性在精神分裂症患者疾病不确定性与心理健康之间的中介作用。方法根据《流行病学指南中加强观察性研究报告》进行描述性和相关性研究。根据DSM-5-TR标准，共有150名被诊断为精神分裂症的参与者被招募参加这项研究。数据收集采用个人信息表、DSM-5结构化临床访谈、正负综合征量表、Mishel疾病不确定性量表-社区量表、心理健康量表和Connor-Davidson弹性量表。结果被诊断为精神分裂症的平均年龄为37.52±10.62岁，被诊断为精神分裂症的平均年龄为30.78±10.88岁。心理弹性在疾病不确定性对心理健康的影响中的中介作用显著（- 0.1647,- 0.0289）。结论本研究强调了心理韧性在减轻疾病不确定性负面影响中的重要作用，并强调卫生专业人员需要评估精神分裂症患者所经历的不确定性水平、其对心理健康的影响以及他们的应对机制。

{"title":"Illness uncertainty and the psychological well-being of individuals with schizophrenia: The mediating role of psychological resilience","authors":"Gizem Şahin-Bayındır , Seren Günay , Seda Er , Bülent Kadri Gültekin","doi":"10.1016/j.apnu.2025.151960","DOIUrl":"10.1016/j.apnu.2025.151960","url":null,"abstract":"<div><h3>Objective</h3><div>This study aimed to determine the mediating role of psychological resilience in the relationship between illness uncertainty and psychological well-being in individuals with schizophrenia.</div></div><div><h3>Method</h3><div>A descriptive and correlational study was conducted following the Strengthening the Reporting of Observational Studies in Epidemiology guidelines. A total of 150 participants diagnosed with schizophrenia according to the DSM-5-TR criteria were recruited for the study. Data were collected using the Personal Information Form, the Structured Clinical Interview for DSM-5, the Positive and Negative Syndrome Scale, the Mishel Uncertainty in Illness Scale–Community Form, the Psychological Well-Being Scale, and the Connor–Davidson Resilience Scale.</div></div><div><h3>Results</h3><div>The mean age of the participants diagnosed with schizophrenia was 37.52 ± 10.62 years, and the mean age at diagnosis of schizophrenia was 30.78 ± 10.88 years. The mediating role of psychological resilience in the effect of uncertainty in illness on psychological well-being was significant (−0.1647, −0.0289).</div></div><div><h3>Conclusion</h3><div>This study underscores the critical role of resilience in mitigating the negative effect of illness uncertainty and emphasizes the need for health professionals to assess the level of uncertainty experienced by individuals with schizophrenia, its effects on psychological well-being, and their coping mechanisms.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151960"},"PeriodicalIF":2.2,"publicationDate":"2025-07-27","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724281","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 effect of physical exercise and nutrition education on healthy lifestyle behaviors and psychological well-being levels of patients diagnosed with schizophrenia 体育锻炼和营养教育对精神分裂症患者健康生活方式行为和心理健康水平的影响

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-26 DOI: 10.1016/j.apnu.2025.151959

Sakine Fırıncık , Nesrin Arslan , Ebru Başkaya , Nefise Demir , Melek Nur Acar

The aim of this study is to examine the effect of nutrition education combined with physical exercise on healthy lifestyle behaviors and psychological well-being in patients diagnosed with schizophrenia. The study was conducted with a sample of 34 individuals diagnosed with schizophrenia, employing a quasi-experimental research design. Patients were evaluated using pre-test, post-test, follow-up test, ‘Healthy Lifestyle Behaviours Scale (HLBS)’ and ‘Psychological Well-Being Scale (PWBS)’. No significant difference was observed in the mean scores of the HLBS and PWBS in the intervention and control groups at the pre-test stage (p > 0.05). It was established that the post-test and follow-up test scores of patients in the intervention group demonstrated an increase in HLBS and PWBS scores (p < 0.05). This study makes a significant contribution to the existing literature on the subject of physical exercise and nutrition education, as it evaluates the impact of such interventions on both healthy lifestyle behaviors and psychological well-being.

本研究旨在探讨营养教育结合体育锻炼对精神分裂症患者健康生活方式行为和心理健康的影响。这项研究是在34名精神分裂症患者的样本中进行的，采用了准实验研究设计。采用前测、后测、随访、健康生活方式行为量表（HLBS）和心理健康量表（PWBS）对患者进行评估。干预组和对照组在测试前阶段的HLBS和PWBS平均得分无显著差异(p >；0.05)。结果表明，干预组患者的测试后和随访测试分数显示出HLBS和PWBS分数的增加(p <；0.05)。本研究对体育锻炼和营养教育的现有文献做出了重大贡献，因为它评估了这些干预措施对健康生活方式行为和心理健康的影响。

{"title":"The effect of physical exercise and nutrition education on healthy lifestyle behaviors and psychological well-being levels of patients diagnosed with schizophrenia","authors":"Sakine Fırıncık , Nesrin Arslan , Ebru Başkaya , Nefise Demir , Melek Nur Acar","doi":"10.1016/j.apnu.2025.151959","DOIUrl":"10.1016/j.apnu.2025.151959","url":null,"abstract":"<div><div>The aim of this study is to examine the effect of nutrition education combined with physical exercise on healthy lifestyle behaviors and psychological well-being in patients diagnosed with schizophrenia. The study was conducted with a sample of 34 individuals diagnosed with schizophrenia, employing a quasi-experimental research design. Patients were evaluated using pre-test, post-test, follow-up test, ‘Healthy Lifestyle Behaviours Scale (HLBS)’ and ‘Psychological Well-Being Scale (PWBS)’. No significant difference was observed in the mean scores of the HLBS and PWBS in the intervention and control groups at the pre-test stage (p > 0.05). It was established that the post-test and follow-up test scores of patients in the intervention group demonstrated an increase in HLBS and PWBS scores (p < 0.05). This study makes a significant contribution to the existing literature on the subject of physical exercise and nutrition education, as it evaluates the impact of such interventions on both healthy lifestyle behaviors and psychological well-being.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151959"},"PeriodicalIF":2.2,"publicationDate":"2025-07-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144749885","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

Global prevalence of metabolic syndrome among individuals with bipolar disorder: A systematic review and meta-analysis 双相情感障碍患者中代谢综合征的全球患病率：一项系统回顾和荟萃分析

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-07-19 DOI: 10.1016/j.apnu.2025.151942

Nader Salari , Mehran Asgharpour , Alireza Daneshkhah , Hosna Zarei , Bahareh Asgharpoor , Seyed Hassan Faghihi , Masoud Mohammadi

Background

Metabolic syndrome is a widespread disease in the general population. The purpose of this study is to investigate the global prevalence of metabolic syndrome in the community of people with bipolar disorder through a systematic review and meta-analysis.

Methods

In this study, we conducted a systematic review and meta-analysis using electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and the Google Scholar search engine. The search was performed using the keywords “metabolic syndrome,” “prevalence,” “meta-analysis,” “bipolar disorder,” “prevalence of metabolic syndrome,” “factors affecting metabolic syndrome. We searched for studies until October 2024 and transferred them to the information management software (EndNote). After excluding duplicated studies, we rigorously evaluated the remaining ones based on the inclusion and exclusion criteria in 3 stages (screening, eligibility, and quality assessment).

Results

In the review of 56 studies with a sample size of 780,099 people, the I² heterogeneity test showed high heterogeneity (I²: 99.3), and based on this, the random effects method was used to analyze the results. Therefore, based on the meta-analysis, the global prevalence of metabolic syndrome was reported at 32.7 (95 % CI: 25.9–40.2) in bipolar patients.

Conclusion

In studying the influential factors, it was found that as the sample size increases, the global prevalence of metabolic syndrome among bipolar patients decreases. Conversely, as the publication year of studies increases, the global prevalence of metabolic syndrome in this population tends to rise. It is important to note that factors such as medication, lifestyle, environment, and genetics directly impact this disease.

代谢综合征是一种在普通人群中广泛存在的疾病。本研究的目的是通过系统回顾和荟萃分析来调查全球双相情感障碍人群中代谢综合征的患病率。方法利用PubMed、Scopus、Web of Science、Embase、ScienceDirect和谷歌Scholar搜索引擎等电子数据库进行系统综述和meta分析。使用关键词“代谢综合征”、“患病率”、“荟萃分析”、“双相情感障碍”、“代谢综合征患病率”、“影响代谢综合征的因素”进行搜索。我们检索到2024年10月的研究，并将其转移到信息管理软件（EndNote）中。在排除重复研究后，我们根据3个阶段（筛选、合格性和质量评估）的纳入和排除标准对剩余研究进行严格评估。结果共纳入56项研究，样本量为780,099人，I2异质性检验显示异质性较高（I2: 99.3），在此基础上采用随机效应法对结果进行分析。因此，基于荟萃分析，报告双相患者代谢综合征的全球患病率为32.7 （95% CI: 25.9-40.2）。结论在研究影响因素时发现，随着样本量的增加，全球双相患者代谢综合征患病率呈下降趋势。相反，随着研究发表年份的增加，该人群中代谢综合征的全球患病率趋于上升。值得注意的是，药物、生活方式、环境和遗传等因素直接影响这种疾病。

{"title":"Global prevalence of metabolic syndrome among individuals with bipolar disorder: A systematic review and meta-analysis","authors":"Nader Salari , Mehran Asgharpour , Alireza Daneshkhah , Hosna Zarei , Bahareh Asgharpoor , Seyed Hassan Faghihi , Masoud Mohammadi","doi":"10.1016/j.apnu.2025.151942","DOIUrl":"10.1016/j.apnu.2025.151942","url":null,"abstract":"<div><h3>Background</h3><div>Metabolic syndrome is a widespread disease in the general population. The purpose of this study is to investigate the global prevalence of metabolic syndrome in the community of people with bipolar disorder through a systematic review and meta-analysis.</div></div><div><h3>Methods</h3><div>In this study, we conducted a systematic review and meta-analysis using electronic databases, including PubMed, Scopus, Web of Science, Embase, ScienceDirect, and the Google Scholar search engine. The search was performed using the keywords “metabolic syndrome,” “prevalence,” “meta-analysis,” “bipolar disorder,” “prevalence of metabolic syndrome,” “factors affecting metabolic syndrome. We searched for studies until October 2024 and transferred them to the information management software (EndNote). After excluding duplicated studies, we rigorously evaluated the remaining ones based on the inclusion and exclusion criteria in 3 stages (screening, eligibility, and quality assessment).</div></div><div><h3>Results</h3><div>In the review of 56 studies with a sample size of 780,099 people, the I<sup>2</sup> heterogeneity test showed high heterogeneity (I<sup>2</sup>: 99.3), and based on this, the random effects method was used to analyze the results. Therefore, based on the meta-analysis, the global prevalence of metabolic syndrome was reported at 32.7 (95 % CI: 25.9–40.2) in bipolar patients.</div></div><div><h3>Conclusion</h3><div>In studying the influential factors, it was found that as the sample size increases, the global prevalence of metabolic syndrome among bipolar patients decreases. Conversely, as the publication year of studies increases, the global prevalence of metabolic syndrome in this population tends to rise. It is important to note that factors such as medication, lifestyle, environment, and genetics directly impact this disease.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"58 ","pages":"Article 151942"},"PeriodicalIF":2.2,"publicationDate":"2025-07-19","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144724287","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