Archives of Psychiatric Nursing最新文献

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Enhancing warning signs of mental health literacy: Evaluating a digital base intervention for health profession students

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2025.01.005

Abeer Selim , Christopher Newby , Anwar Almutairy , Abdulrahman Aldossari , Fahad Alkabba , Saeed Arabi , Mohamed Ali Zoromba , Mohamed Hussein Ramadan Atta , Nashwa Ibrahim

Background

Despite its importance, Mental health literacy (MHL) among nursing and other health profession students often remains inadequate, potentially impacting their future roles as healthcare providers. This inadequacy can lead to delayed or inappropriate care for individuals with mental health concerns, perpetuating adverse outcomes and increasing the burden on healthcare systems.

Aim

To evaluate a digital-based intervention designed to enhance the warning signs of mental health literacy among health profession students.

Design

A quasi-experimental, one-group pretest-posttest study design was used to conduct the current study.

Methods

A non-randomized trial was conducted using digital mental health literacy intervention about the warning signs of mental illness (DWS), involving a convenience sample of 493 undergraduate health profession students. Mental Health Literacy Survey About Warning Signs of Mental Illness was developed and validated to measure the participants' mental health literacy before and after the intervention.

Results

Almost all Warning Signs of Mental Illness Literacy items were significantly increased from pre- to post-intervention. Both sub-sums representing the knowledge subscale (items 1 to 11) and attitude subscale (items 12 to 15) significantly increased to 4.4 (CI 3.7, 5.0) and 0.7 (CI 0.5, 0.9), respectively. Differences were more extensive and significant on the knowledge subscale items 0.4 (CI 0.3, 0.5) than on the attitude subscale mean items 0.2 (CI 0.1, 0.2).

Conclusion

The DWS is an effective and easy-to-use education program for health profession students. The current study is an initial step toward building a body of knowledge about mental health literacy in the region.

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引用次数: 0

The influence of family resilience on non-suicidal self-injury among Chinese adolescents: The mediating roles of mindfulness and individual resilience

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2025.01.003

Guangzhe F. Yuan , Shuang Zhong , Caimeng Liu , Jiaxin Liu , Jufen Yu

Previous research has documented that family-related supportive factors (e.g., family resilience) can protect adolescents from risky behaviors. However, the data regarding the potential psychological mechanism linking family resilience and non-suicidal self-injury (NSSI) remain scarce. This study aimed to explore the possible serial mediational roles of mindfulness and individual resilience in the relationship between family resilience and NSSI. A sample including 548 Chinese adolescents (M_age = 16.10, SD = 1.61; 50.9 % male) with a six-month interval and two waves (Time 1, T1 - September 25, 2023 – October 13, 2023; Time 2, T2 - March 9, 2024 – March 22, 2024) of follow-up was used in the present study. Results showed that, within the examined model, mindfulness at T2 mediated the relation between family resilience at T1 and NSSI at T2; individual resilience at T2 mediated the association between family resilience at T1 and NSSI at T2; and the relationship between family resilience at T1 and NSSI at T2 was fully serially mediated by mindfulness and individual resilience at T2. The findings suggest that family resilience may reduce the likelihood of NSSI by enhancing adolescents' mindfulness and individual resilience. Future interventions aimed at reducing NSSI may benefit from incorporating strategies to strengthen family resilience, promote mindfulness practices, and enhance individual resilience in adolescents.

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引用次数: 0

A community child and adolescent psychiatry fellowship for nurse practitioners

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2024.12.002

Alexandra Sietsma, Hilary Gould, Anna Pasternak, Emily Troyer, Steve Koh

Over the past three decades, there has been a well-documented shortage of child and adolescent psychiatric medical providers while demand continues to rise. Youth from minority racial and ethnic backgrounds, low-income families, and rural settings are disproportionately affected, increasing disparity in access and quality of services. While psychiatric mental health nurse practitioners (PMHNP) can deliver a full range of mental health care services across the lifespan, there are discrepancies across training programs in exposure to child and adolescent cases and high quality training. To address workforce capacity needs and to improve access to psychiatric treatment for underserved youth, a PMHNP post-graduate fellowship program in community child and adolescent psychiatry was established in 2020. During the one-year program, fellows rotate in emergency settings, specialty partial hospitalization clinics, collaborative care settings, and outpatient clinics treating a wide range of psychiatric disorders. Psychiatric clinical training, didactic curriculum, and supervision cover core nurse practitioner competencies, child-adolescent, and community-public sector psychiatry. Implementation strategies are discussed in detail including financing, stakeholder input, sustainability, barriers, and successes.

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引用次数: 0

TOC

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/S0883-9417(25)00012-3

引用次数: 0

Uncertainty and our care of community

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2024.12.003

Emily J. Hauenstein

引用次数: 0

masthead, subscriber information

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/S0883-9417(25)00014-7

引用次数: 0

Suicide attempts history and affecting psychosocial challenges in individuals with substance use disorders: A qualitative study from a rural region of Türkiye

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2025.01.002

Sevda Uzun , Çiçek Ediz , Serap Torun , Mehmed Burak Erdaş

Objective

This study aimed to evaluate the suicide attempts histories and affecting psychosocial challenges in individuals with substance use disorders (SUD).

Methods

This study was conducted between August and October 2023 using an inductive qualitative design. Purposive sampling method was used to reach the sample group. The study included individuals with substance use disorders who had attempted suicide at least once. They were being treated at an Alcohol and Substance Addiction Treatment Center in the eastern region of Türkiye. Interviews continued until data saturation was achieved with 13 participants. All interviews were audio recorded and then transcribed. The research adhered to the COREQ checklist.

Results

Three main themes (etiological factors in SUD, challenges in coping with SUD and suicide) and ten sub-themes (family-based factors, environmental factors, traumatic experiences, personal factors, psychological, physical, and social factors, the causes and methods of substance use, and emotions) emerged in the analysis of the data.

Conclusion

Given the connection between substance use and suicide, it is crucial to recognize and comprehend the increased risk of suicide among individuals with SUD and identify potential comorbid disorders and accompanying mental health issues. Psychiatric and mental health nurses can use effective psychosocial interventions to impart knowledge related to SUD management, organize grouptherapy (i.e., peer support), perform to ensure continuity of treatment and improve individuals' self-management skills.

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引用次数: 0

The association between psychotic symptoms and suicidal ideation in a sample of patients with schizophrenia: The moderating effect of the frequency of suicidal thoughts

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/j.apnu.2025.01.004

Abdallah Abu Khait , Austin Menger , Ghada Shahrour , Ayat ALhamdan , Esra'a Issa , Shaher H. Hamaideh

Introduction

Suicidal ideation among patients with schizophrenia is ubiquitous and may lead to premature death. The ideation is a significant determinant of attempting and committing suicide.

Aim

This study aims to examine the moderating role of the frequency of suicidal thoughts on the relationship between psychotic symptoms and suicidal ideation in a sample of Jordanian patients with schizophrenia.

Materials and methods

This cross-sectional study used a non-experimental moderation design to recruit participants using convenience sampling. A total of 204 patients with schizophrenia completed self-administered questionnaires.

Results

The significant predictors of suicidal ideation were sex, whether or not the individual adhered to their medication prescription, age, the number of previous suicidal thoughts an individual had, and negative symptoms. For all suicidal ideation subscales except subscale 3 (suicide contemplation), positive psychotic symptoms were a significant predictor of suicidal ideation. The frequency of suicidal thoughts reduced (moderated) the effect of negative symptoms on suicidal ideation while amplifying the effect of positive psychotic symptoms on all suicidal ideation subscales except subscale 3 (suicide contemplation).

Conclusions

This study's results highlight the necessity of reducing suicidal thoughts to diminish the effect that positive psychotic symptoms have on suicidal ideation in patients with schizophrenia. Further research might explore the intricate relationship between psychotic symptoms and the mechanisms included in their complex link to suicidal ideation.

Implications for the practice

The results will help psychiatric nurses develop timely and accurate preventive strategies to fight suicidal ideation, assist in identifying which subgroups of patients with schizophrenia are vulnerable to suicidal ideation, and potentially lessen the suicide rate.

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引用次数: 0

ISPN Board

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2025-02-01 DOI: 10.1016/S0883-9417(25)00015-9

引用次数: 0

ISPN Board

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-12-01 DOI: 10.1016/S0883-9417(24)00217-6

引用次数: 0

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