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Examining the psychological symptoms of pediatric oncology nurses and barriers to seeking psychological help: A mixed-methods study 检查儿科肿瘤科护士的心理症状和寻求心理帮助的障碍:一项混合方法研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-04 DOI: 10.1016/j.apnu.2025.152036
Nazan Turan

Backgrounds

Evidence suggests that Pediatric Oncology Nurses (PONs) experience stress-related psychological distress and, as a result, consider leaving the pediatric oncology setting. However, there is insufficient evidence to determine whether PONs receive psychological help during this process or, if not, what factors prevent them from seeking help.

Purpose

In this study, the psychological symptom levels of PONs were examined, and the barriers that prevent those with high or very high symptom risk from seeking professional help were identified.

Methods

This study was conducted in X, the capital of X, between August 2024 and January 2025, using a sequential (quantitative–qualitative) mixed-methods design, in accordance with the COREQ and STROBE guidelines. A total of 114 PONs participated in the quantitative phase, and 26 in the qualitative phase. Quantitative data were collected using the Participant Information Form and the Symptom Checklist -90-R (SCL-90-R). Qualitative data were obtained through focus group interviews.

Results

Quantitative analyses indicated that PONs were at high risk for symptoms of somatization, depression, anxiety, anger, and hostility. Additionally, the General Symptom Index (GSI) scores differed significantly based on gender, number of children, and total length of service in the pediatric oncology unit. Qualitative analyses revealed four main factors that prevented PONs from seeking psychological help: (1) stigma (self-stigma/social stigma), (2) status anxiety (loss of status/fear of status), (3) perceived capability for self-management (pharmacological knowledge/ awareness of social support resources/digital competence), and (4) self-efficacy (high levels of self-efficacy/low levels of self-efficacy).

Conclusion

Results indicate that PONs experienced a high or very high risk of psychological symptoms but refrained from seeking psychological help due to factors such as stigma, status anxiety, perceived capability for self-management, and self-efficacy.
背景:有证据表明,儿科肿瘤科护士(PONs)经历了与压力相关的心理困扰,因此考虑离开儿科肿瘤科的工作环境。然而,没有足够的证据来确定在这一过程中PONs是否得到了心理帮助,如果没有,是什么因素阻止了他们寻求帮助。目的本研究对PONs患者的心理症状水平进行调查,找出阻碍高或极高症状风险人群寻求专业帮助的障碍。方法本研究于2024年8月至2025年1月在X首府X进行,采用顺序(定量-定性)混合方法设计,遵循COREQ和STROBE指南。共有114个PONs参加了定量阶段,26个参加了定性阶段。使用参与者信息表和症状检查表-90-R (SCL-90-R)收集定量数据。通过焦点小组访谈获得定性数据。结果定量分析表明,pon患者躯体化、抑郁、焦虑、愤怒和敌意等症状的发生率较高。此外,一般症状指数(GSI)得分根据性别、儿童数量和儿科肿瘤部门的总服务时间而有显著差异。定性分析揭示了阻碍PONs寻求心理帮助的四个主要因素:(1)耻辱感(自我耻辱感/社会耻辱感),(2)地位焦虑(地位丧失/地位恐惧),(3)自我管理能力(药理学知识/社会支持资源意识/数字能力),(4)自我效能感(高水平自我效能感/低水平自我效能感)。结论PONs患者存在较高或极高的心理症状风险,但由于耻辱感、身份焦虑、自我管理能力和自我效能感等因素,不愿寻求心理帮助。
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引用次数: 0
Exploring the predictors of depression among university students: The roles of cyberbullying and emotion regulation strategies 大学生抑郁的预测因素:网络欺凌和情绪调节策略的作用
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.apnu.2025.152029
Emad Shadifat , Amira Alshowkan , Firas Abu-Sneineh , Abdulla Ibrahim
Depression is a growing mental health concern among university students, with factors such as cyberbullying and emotion regulation (ER) potentially serving as significant predictors. This study aimed to determine how cyberbullying victimization, ER, and demographic variables predict depression among university students. A cross-sectional study was conducted among undergraduate students. Data were collected using the Emotion Regulation Questionnaire (ERQ), Patient Health Questionnaire-9 (PHQ-9), and Cyberbullying Victimization Scale (CVS). The study included a sample of 636 students, with a mean age of 21.8 years, of which 69 % were female. Reliability analyses demonstrated strong internal consistency for the Cyberbullying Victimization Scale (α = 0.846), the PHQ-9 depression scale (α = 0.886), and the ERQ (α = 0.911). Approximately one-third of the participants reported elevated levels of cyberbullying victimization (33.2 %) and depressive symptoms (30.5 %). Notably, male students experienced higher rates of cyberbullying, whereas female students reported higher depression scores. Regression analysis revealed that cyberbullying victimization, emotional suppression, female gender, and being in the second year of study were significant predictors of increased depression scores, collectively accounting for 18.2 % of the variance. These findings underscore the necessity for targeted mental health interventions and the implementation of cyberbullying prevention strategies within academic environments.
抑郁症是大学生日益关注的心理健康问题,网络欺凌和情绪调节(ER)等因素可能是重要的预测因素。本研究旨在确定网络欺凌受害者、ER和人口统计学变量如何预测大学生的抑郁。本研究在大学生中进行横断面研究。采用情绪调节问卷(ERQ)、患者健康问卷-9 (PHQ-9)和网络欺凌受害量表(CVS)收集数据。该研究包括636名学生的样本,平均年龄为21.8岁,其中69%是女性。信度分析显示,网络欺凌受害量表(α = 0.846)、PHQ-9抑郁量表(α = 0.886)和ERQ量表(α = 0.911)具有较强的内部一致性。大约三分之一的参与者报告网络欺凌受害程度升高(33.2%)和抑郁症状(30.5%)。值得注意的是,男学生经历了更高的网络欺凌率,而女学生报告了更高的抑郁得分。回归分析显示,网络欺凌受害、情绪压抑、女性性别和学习第二年是抑郁得分增加的显著预测因子,共占方差的18.2%。这些发现强调了有针对性的心理健康干预和在学术环境中实施网络欺凌预防战略的必要性。
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引用次数: 0
Changing undergraduate nursing students' perceptions of opioid use disorder and harm reduction: A brief qualitative report 改变本科护生对阿片类药物使用障碍和减少危害的看法:一份简短的定性报告
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.apnu.2025.152035
Brayden Kameg, Madeline Lepore, Vincent Wood, Tanner Herb, Emily Matthews, Ann Mitchell

Introduction

A harm reduction approach to opioid use disorder (OUD) and overdose prevention is effective in reducing risk of overdose. The purpose of this study was to evaluate nursing students' perceptions of OUD and harm reduction following participation in an opioid overdose prevention workshop.

Methods

We conducted focus groups with undergraduate nursing students who participated in an opioid overdose prevention workshop.

Findings

Themes elicited included improvement in stigma and perceptions of individuals with OUD, usefulness of harm reduction as an evidence-based intervention, and recognition of contributing factors to OUD.

Conclusions

Nursing faculty should be cognizant of including content on OUD and harm reduction into curricula.
减少阿片类药物使用障碍(OUD)和过量预防的危害方法在降低过量风险方面是有效的。本研究的目的是评估护理学生在参加阿片类药物过量预防研讨会后对OUD和减少危害的看法。方法对参加阿片类药物过量预防研讨会的本科护生进行焦点小组调查。研究结果引出的主题包括改善对OUD患者的耻辱感和认知,减少危害作为循证干预的有用性,以及认识到导致OUD的因素。结论护理人员应认识到在课程中加入有关OUD和减少伤害的内容。
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引用次数: 0
The relationship between psychotic symptoms and aggressive behaviors among inpatients with schizophrenia: A cross-sectional study 住院精神分裂症患者精神病症状与攻击行为的关系:一项横断面研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.apnu.2025.152030
Abdel-Haleem Al-Khawaldeh , Abdallah Abu Khait , Yasmin Al-Shannaq

Background

Aggressive behaviors are prevalent and consistently linked with experiencing psychotic symptoms among patients with schizophrenia. However, the associations between dimensions of psychotic symptoms and specific types of aggressive behaviors need further investigation. The primary purpose of this research is to examine the relationship between psychotic symptoms and aggressive behaviors in a sample of patients with schizophrenia.

Methods

This study used a cross-sectional, correlational design. A convenience sampling technique was employed to recruit 222 patients diagnosed with schizophrenia.

Results

The study findings revealed a statistically significant positive correlation between all dimensions of psychotic symptoms and all subtypes of aggressive behaviors. All dimensions of psychotic symptoms were found to be statistically significant predictors (p < .00001) for all subtypes of aggressive behaviors in regression analyses.

Conclusions

This study's findings highlight the significant role of dimensions of psychotic symptoms as predictors of aggressive behavior subtypes. These results emphasize the need to design practical measures that aid in controlling psychotic symptoms and mitigating aggression in the schizophrenia context. Investigating the predictive role of psychotic symptoms on certain subtypes of aggressive behaviors could help psychiatric nurses identify high-risk patients and develop timely and proactive interventions that address aggression and promote safety.
背景:在精神分裂症患者中,攻击行为普遍存在,并且始终与精神病症状有关。然而,精神病症状的维度与特定类型的攻击行为之间的关联需要进一步研究。本研究的主要目的是检查精神分裂症患者的精神病症状和攻击行为之间的关系。方法本研究采用横断面相关设计。采用方便抽样方法,对222例精神分裂症患者进行了调查。结果研究结果显示,精神症状各维度与攻击行为各亚型之间存在显著正相关。在回归分析中发现,精神病症状的所有维度都是所有亚型攻击行为的统计显著预测因子(p < .00001)。结论本研究结果强调了精神病症状维度作为攻击行为亚型预测因子的重要作用。这些结果强调需要设计实用的措施,以帮助控制精神分裂症的精神病症状和减轻攻击。研究精神病症状对某些亚型攻击行为的预测作用可以帮助精神科护士识别高危患者,并制定及时和积极的干预措施,以解决攻击和促进安全。
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引用次数: 0
Addressing psychosis stigma in urban Pakistan through participatory forum theatre: A pilot implementation study 通过参与式论坛剧场解决巴基斯坦城市精神病污名问题:一项试点实施研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-03 DOI: 10.1016/j.apnu.2025.152032
Ashley Boscoe , Onaiza Qureshi , Zahra Khan , Aneeta Pasha , Ciarán O'Driscoll , Madiha Shaikh

Introduction

Stigma remains a major barrier to treatment and recovery for individuals with psychosis, particularly in low- and middle-income countries (LMICs) like Pakistan, where access to mental health services is limited and cultural perceptions of mental illness are often shaped by supernatural beliefs. This pilot study employed Forum Theatre, a participatory, arts-based method rooted in Augusto Boal's Theatre of the Oppressed (TO), to engage communities and reduce psychosis-related stigma through co-created performance and dialogue. The intervention was co-produced with individuals with lived experience of psychosis, caregivers, performers, and TO experts.

Methods

Using a mixed-methods design and guided by the Standards for Reporting Implementation Studies (StaRI) framework, the study evaluated the feasibility and acceptability of Forum Theatre to address psychosis related stigma in urban Pakistan. Phase 1 involved participatory workshops to co-develop a script to be performed to community audiences. Phase 2 included public performances followed by audience interaction. Data were collected via semi-structured interviews, audience intercept “vox pops” and pre/post-performance stigma questionnaires (CAMI-12 and KAP) at three time points.

Results

Overall, the intervention was well-received, with high retention (75 % workshops; 70.5 % follow-up). Quantitative findings showed an increase in psychosis knowledge, though no statistically significant change in stigma scores. Thematic analysis identified eight key themes, from positive impact of workshop participation to calls for expansion, highlighting logistical barriers and power dynamics as areas for further review.

Discussion

Forum Theatre shows potential as a feasible and culturally relevant approach to address stigma in LMICs. Further research with validated measures and wider recruitment is warranted to assess its broader impact and sustainability.
污名仍然是精神病患者治疗和康复的主要障碍,特别是在巴基斯坦等低收入和中等收入国家,在这些国家,获得精神卫生服务的机会有限,对精神疾病的文化观念往往受到超自然信仰的影响。这项试点研究采用了论坛剧院(Forum Theatre),这是一种基于艺术的参与式方法,植根于奥古斯托·鲍尔(Augusto Boal)的被压迫者剧院(TO),通过共同创作的表演和对话,吸引社区参与,减少与精神病相关的耻辱。干预是由有精神病生活经验的个人、护理人员、表演者和TO专家共同制作的。方法采用混合方法设计,在报告实施研究标准(StaRI)框架的指导下,研究评估了论坛剧院解决巴基斯坦城市精神病相关污名的可行性和可接受性。第一阶段包括参与讲习班,共同编写一个剧本,向社区观众表演。第二阶段包括公开表演,然后是观众互动。在三个时间点,通过半结构化访谈、观众拦截“民意测验”和表演前/后耻辱问卷(CAMI-12和KAP)收集数据。结果总体而言,干预效果良好,保留率高(75%为讲习班,70.5%为随访)。定量调查结果显示,精神病知识有所增加,尽管在污名得分上没有统计学上的显著变化。专题分析确定了八个关键主题,从参加讲习班的积极影响到扩大的呼吁,突出了后勤障碍和权力动态作为进一步审查的领域。DiscussionForum Theatre展示了作为一种可行且与文化相关的方法解决中低收入国家的耻辱问题的潜力。有必要采用有效的措施和更广泛的招聘进行进一步研究,以评估其更广泛的影响和可持续性。
{"title":"Addressing psychosis stigma in urban Pakistan through participatory forum theatre: A pilot implementation study","authors":"Ashley Boscoe ,&nbsp;Onaiza Qureshi ,&nbsp;Zahra Khan ,&nbsp;Aneeta Pasha ,&nbsp;Ciarán O'Driscoll ,&nbsp;Madiha Shaikh","doi":"10.1016/j.apnu.2025.152032","DOIUrl":"10.1016/j.apnu.2025.152032","url":null,"abstract":"<div><h3>Introduction</h3><div>Stigma remains a major barrier to treatment and recovery for individuals with psychosis, particularly in low- and middle-income countries (LMICs) like Pakistan, where access to mental health services is limited and cultural perceptions of mental illness are often shaped by supernatural beliefs. This pilot study employed Forum Theatre, a participatory, arts-based method rooted in Augusto Boal's Theatre of the Oppressed (TO), to engage communities and reduce psychosis-related stigma through co-created performance and dialogue. The intervention was co-produced with individuals with lived experience of psychosis, caregivers, performers, and TO experts.</div></div><div><h3>Methods</h3><div>Using a mixed-methods design and guided by the Standards for Reporting Implementation Studies (StaRI) framework, the study evaluated the feasibility and acceptability of Forum Theatre to address psychosis related stigma in urban Pakistan. Phase 1 involved participatory workshops to co-develop a script to be performed to community audiences. Phase 2 included public performances followed by audience interaction. Data were collected via semi-structured interviews, audience intercept “vox pops” and pre/post-performance stigma questionnaires (CAMI-12 and KAP) at three time points.</div></div><div><h3>Results</h3><div>Overall, the intervention was well-received, with high retention (75 % workshops; 70.5 % follow-up). Quantitative findings showed an increase in psychosis knowledge, though no statistically significant change in stigma scores. Thematic analysis identified eight key themes, from positive impact of workshop participation to calls for expansion, highlighting logistical barriers and power dynamics as areas for further review.</div></div><div><h3>Discussion</h3><div>Forum Theatre shows potential as a feasible and culturally relevant approach to address stigma in LMICs. Further research with validated measures and wider recruitment is warranted to assess its broader impact and sustainability.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"60 ","pages":"Article 152032"},"PeriodicalIF":2.2,"publicationDate":"2025-12-03","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693927","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 tidal model-based emotion regulation nursing interventions on recovery in individuals with depression: A randomized controlled trial 基于潮汐模型的情绪调节护理干预对抑郁症患者康复的影响:一项随机对照试验
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.apnu.2025.152028
Gülsenay Taş Soylu , M. Olcay Çam , Nabi Zorlu

Background

The development of emotion regulation skills is crucial for supporting recovery among individuals experiencing mental illness. Nurses play a vital role in this process. However, there appears to be no theoretical basis to support the effectiveness of nursing care in improving emotion regulation skills based on evidence.

Aim

The aim of this study is to evaluate the impact of Tidal Model-Based Emotion Regulation Interventions (TMBERI) on emotion regulation skills, depression levels, recovery and nursing outcomes in individuals with depression.

Method

This parallel group randomized controlled trial utilizes a pre-post-test design, with a total of 46 individuals. The intervention group received Tidal Model-Based Emotion Regulation Interventions in addition to routine control.

Results

After TMBERI, a statistically significant difference was found in the mean scores RAS (Z = −4.617, p < 0.05), DERS (Z = −4.944, p < 0.05), HDRS (Z = −4.534, p < 0.05). Also, a statistically significant difference was found in NOC1208, NOC1409 and NOC1204 mean scores (Z = −4.562, p < 0.05; Z = −3.532, p < 0.05; Z = −4.540, p < 0.05, respectively). A significant negative correlation was observed between DERS and RAS (r = −0.796, p < 0.05).

Conclusion

TMBERI is effective in increasing recovery, decreasing the level of depression, and the difficulties in emotion regulation in individuals with depression. This study highlights the potential effectiveness of emotion regulation interventions based on the nursing model in clinics. Nurses can use emotion regulation interventions while providing care for individuals with mental illness.

Clinical Trials number

NCT06022497, ClinicalTrials.gov
情绪调节技能的发展对于支持精神疾病患者的康复至关重要。护士在这个过程中起着至关重要的作用。然而,似乎没有理论依据来支持护理在改善情绪调节技能方面的有效性。目的探讨基于潮汐模型的情绪调节干预(TMBERI)对抑郁症患者情绪调节技能、抑郁水平、康复和护理结果的影响。方法平行组随机对照试验采用前-后试验设计,共46例。干预组在常规控制的基础上给予基于潮汐模型的情绪调节干预。结果经TMBERI治疗后,两组患者RAS (Z = - 4.617, p < 0.05)、DERS (Z = - 4.944, p < 0.05)、HDRS (Z = - 4.534, p < 0.05)的平均评分差异均有统计学意义。在NOC1208、NOC1409和NOC1204的平均评分中,差异均有统计学意义(Z = - 4.562, p < 0.05; Z = - 3.532, p < 0.05; Z = - 4.540, p < 0.05)。DERS与RAS呈显著负相关(r = - 0.796, p < 0.05)。结论tmberi能有效提高抑郁症患者的康复率,降低抑郁程度,减轻情绪调节困难。本研究强调了基于临床护理模式的情绪调节干预的潜在有效性。护士可以在照顾精神疾病患者的同时使用情绪调节干预。临床试验编号:bernct06022497, ClinicalTrials.gov
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引用次数: 0
The transformative impact of spiritual wellness on depression and suicidal tendencies: A new nursing perspective on patient recovery 精神健康对抑郁症和自杀倾向的变革性影响:病人康复的新护理观点
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.apnu.2025.152033
Ayman Mohamed El-Ashry , Mohamed Ali Zoromba , Eman Sameh Abdelhay , Mahmoud Abdelwahab Khedr , Radwa Ahmed Abd El Razek , Mona Metwally El-Sayed

Background

The relationship between spiritual wellness and mental health, particularly in depression and suicidal tendencies, is increasingly recognized in nursing and healthcare; however, limited research explores this connection in non-Western contexts.

Objective

Examine the transformative impact of spiritual wellness on depression and suicidal tendencies among patients with depressive disorders.

Design

A cross-sectional descriptive design was employed. Data were collected from April to September 2024 at the outpatient psychiatric clinic.

Methods

A convenience sample of 145 patients. Participants completed the Validated Beck Depression Inventory (BDI-II), Suicidal Ideation Attributes Scale (SIDAS), and Spiritual Well-Being Scale (SWBS).

Results

Existential well-being emerged as the strongest predictor of lower depression (β = −0.548, p < .001) and suicidal ideation (β = −0.495, p < .001). Religious well-being showed weaker correlations. Age, marital status, and education level also significantly influenced outcomes.

Conclusion

Spiritual wellness, particularly existential well-being, plays a critical role in reducing depression and suicidal tendencies among patients with depressive disorders.

Implications

Psychiatric and mental health nurses should incorporate spiritual care and existential-focused interventions into care plans among patients with depressive disorders. Training programs and interdisciplinary collaboration are essential to address spiritual needs effectively, fostering holistic patient recovery.
精神健康和心理健康之间的关系,特别是抑郁症和自杀倾向,在护理和医疗保健中越来越被认识到;然而,在非西方背景下探索这种联系的研究有限。目的探讨精神健康对抑郁症患者抑郁和自杀倾向的变革性影响。设计采用横断面描述性设计。数据于2024年4月至9月在门诊精神病诊所收集。方法选取145例患者作为方便样本。参与者完成了有效贝克抑郁量表(BDI-II)、自杀意念属性量表(SIDAS)和精神幸福感量表(SWBS)。结果存在幸福感是低抑郁(β = - 0.548, p < .001)和自杀意念(β = - 0.495, p < .001)的最强预测因子。宗教幸福感的相关性较弱。年龄、婚姻状况和教育程度也显著影响结果。结论精神健康,尤其是存在幸福感,在降低抑郁症患者抑郁和自杀倾向中起着关键作用。意义精神病学和精神卫生护士应将精神护理和以存在为重点的干预措施纳入抑郁症患者的护理计划中。培训项目和跨学科合作对于有效地解决精神需求,促进患者的整体康复至关重要。
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引用次数: 0
Comparison of knowledge, attitudes and awareness of women with and without severe mental illness regarding breast cancer: A cross-sectional study 有和没有严重精神疾病的妇女对乳腺癌的知识、态度和意识的比较:一项横断面研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-02 DOI: 10.1016/j.apnu.2025.152031
Müyesser Aşgın Cirit , Sevecen Çelik İnce

Objectives

In this study, it was aimed to compare the knowledge, attitudes and awareness of women with and without SMI towards breast cancer.

Methods

This comparative, cross-sectional study was conducted between March and December 2024 with 109 women with SMI and 109 women without SMI in western of Turkey. The Breast Cancer Awareness Scale was used to measure knowledge, attitudes, and awareness regarding breast cancer. A non-probability sampling method was used. Breast cancer awareness among women with and without SMI was analyzed using the student's t-test.

Results

The mean breast cancer awareness scale score was 0.61 ± 0.67 for women with SMI and 1.05 ± 0.61 for women without SMI. It was found that women with and without SMI had low breast cancer awareness levels, but those without SMI had statistically significantly higher breast cancer awareness than women with SMI (p < 0.001). It has been determined that women without SMI have higher breast cancer awareness scores than women with SMI, based on marital status, employment status, educational status, income status, childbearing status, body mass index, and smoking status.

Implications for practices

It is recommended to determine the factors affecting the low knowledge, attitude and awareness of breast cancer in women with and without SMI and to carry out interventions to increase their knowledge, attitude and awareness of breast cancer.
目的比较重度精神分裂症患者和非重度精神分裂症患者对乳腺癌的认知、态度和意识。方法:这项横断面比较研究于2024年3月至12月在土耳其西部对109名重度精神障碍女性和109名非重度精神障碍女性进行。乳腺癌认知量表用于测量对乳腺癌的知识、态度和认知。采用非概率抽样方法。使用学生t检验分析有和没有重度精神障碍的妇女的乳腺癌意识。结果重度精神分裂症患者乳腺癌认知量表平均得分为0.61±0.67,非重度精神分裂症患者平均得分为1.05±0.61。研究发现,有和没有重度精神分裂症的女性乳腺癌意识水平较低,但没有重度精神分裂症的女性乳腺癌意识水平明显高于有重度精神分裂症的女性(p < 0.001)。从婚姻状况、就业状况、教育状况、收入状况、生育状况、体重指数、吸烟状况等方面确定,非重度精神障碍女性的乳腺癌认知得分高于重度精神障碍女性。对实践的启示建议确定影响有和无重度精神分裂症妇女对乳腺癌的认识、态度和认知度低的因素,并开展干预措施,提高她们对乳腺癌的认识、态度和认知度。
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引用次数: 0
Effects of negative psychosocial experiences and sociodemographic factors on mental health literacy: A community-based inquiry among Black Canadians 负面心理社会经验和社会人口因素对心理健康素养的影响:加拿大黑人社区调查
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apnu.2025.152026
Joseph Adu , Josephine Pui-Hing Wong , Priscilla Boakye , Egbe B. Etowa , Sebastian Gyamfi , Mark F. Owusu

Introduction

Mental health is a basic human right that requires universal access for all people, but a lot of disparities remain in mental health services. Mental health literacy is critical to accessing available mental healthcare and other social support services. Systemic challenges, lack of mental health literacy, and access barriers, including mental illness stigma, have contributed to the increasing mental health disparities in Black communities.

Aim

This study explored the impact of negative psychosocial experiences and sociodemographic factors on mental health literacy in Black families and communities in Ontario.

Methods

Three hundred and thirty-five Black people of African descent participated in this cross-sectional study (175 women, 156 men, and four persons of other gender identities) using multiple linear regression analysis.

Results

All independent factors in the model jointly contributed at a statistically significant level (X2 = 360.11, p < .001) to variation in mental health literacy among the study population. Two sociodemographic and three psychosocial variables had independent statistically significant association with mental health literacy. Among the sociodemographic variables, age (β = −0.27, CI = −0.42, −0.12, p < .001) had a negative association with MHL; that is, being older by one year correlated with a reduced MHL score by 0.27 units. Similarly, having multiple income sources (β = −6.91, CI: −13.04, −0.78; p < .05) had negative association with MHL, that is, having multiple income sources relating to having one income source correlated with reduced mental health literacy by 6.91 units. Among the psychosocial variables, CAMI (β = −0.51; CI = −0.56, −0.45; p < .001) had a negative association with MHL; that is, a unit increase in CAMI score correlated with a 0.51 unit decrease in MHL score. Likewise, DAS (β = −0.08; CI = −0.15, −0.01; p < .05) had a negative association with MHL, that is, a unit increase in DAS score correlated with a 0.08 unit decrease in MHL score.

Conclusion

Public health interventions that focus on different aspects of the worldview of Black families and communities to create awareness of mental health literacy should be prioritized as a critical approach to mental health promotion.
心理健康是一项基本人权,需要所有人都能普遍获得,但在心理健康服务方面仍存在许多差距。心理健康素养对于获得现有的心理保健和其他社会支持服务至关重要。系统性挑战、缺乏心理健康知识和获取障碍,包括精神疾病污名化,导致黑人社区的心理健康差距越来越大。目的探讨安大略省黑人家庭和社区的消极心理社会经历和社会人口学因素对心理健康素养的影响。方法采用多元线性回归分析方法,对335名非洲裔黑人(女性175人,男性156人,其他性别身份4人)进行横断面研究。结果模型中各独立因素对研究人群心理健康素养差异的共同影响均达到统计学显著水平(X2 = 360.11, p < .001)。两个社会人口学变量和三个社会心理变量与心理健康素养有独立的统计学显著相关。在社会人口学变量中,年龄(β = - 0.27, CI = - 0.42, - 0.12, p < 0.001)与MHL呈负相关;也就是说,年龄增加一岁与MHL评分降低0.27个单位相关。同样,拥有多个收入来源(β = - 6.91, CI: - 13.04, - 0.78; p < 0.05)与MHL呈负相关,即拥有多个收入来源与拥有一个收入来源相关,与心理健康素养降低6.91个单位相关。在社会心理变量中,CAMI (β = - 0.51; CI = - 0.56, - 0.45; p < 0.001)与MHL呈负相关;即CAMI评分每增加一个单位,MHL评分降低0.51个单位。同样,DAS (β = - 0.08; CI = - 0.15, - 0.01; p < 0.05)与MHL呈负相关,即DAS评分每增加一个单位,MHL评分就会减少0.08个单位。结论应优先采取公共卫生干预措施,关注黑人家庭和社区的不同世界观,以提高心理健康素养意识,这是促进心理健康的重要途径。
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引用次数: 0
The effect of motivational interviewing on coping, functioning, and quality of life in patients with bipolar disorder: A randomized controlled study 动机性访谈对双相情感障碍患者应对、功能和生活质量的影响:一项随机对照研究
IF 2.2 4区 医学 Q1 NURSING Pub Date : 2025-12-01 DOI: 10.1016/j.apnu.2025.152023
Halis Yılmaz , Gülay Taşdemir

Background

Coping, functionality, and quality of life levels are known to be lower in patients with bipolar disorder compared to the general population.

Aim

This study aimed to examine the effect of motivational interviewing on coping, functioning, and quality of life in patients with bipolar disorder.

Methods

The study was planned as randomized controlled with pre-test, post-test, and follow-up. Participants consisted of 48 individuals diagnosed with bipolar disorder who were selected using a purposive sampling method based on predefined inclusion criteria. They were then randomly assigned to either the intervention or control group, with 24 individuals in each group. A motivational interview for six sessions was applied to those in the intervention group. Data were collected using an information form, the Coping Attitudes Assessment Scale, the Bipolar Disorder Functioning Scale, and the World Health Organization Quality of Life Scale Short Form.

Results

Quality of life, coping, and functioning scores of the intervention group were higher than those of the control group after the intervention and at follow-up. In the intervention group, after the intervention, a statistically significant positive correlation was found between coping and functioning levels, as well as between quality of life and functioning levels (p < 0.05).

Conclusion

We concluded that motivational interviewing was effective in enhancing stress coping, improving functionality, and increasing quality of life in individuals with bipolar disorder. It is suggested that it is important for psychiatric nurses to be familiar with motivational interviewing techniques, and that this practice should be disseminated in psychiatric clinics.
背景与一般人群相比,双相情感障碍患者的应对、功能和生活质量水平较低。目的本研究旨在探讨动机性访谈对双相情感障碍患者应对、功能和生活质量的影响。方法采用随机对照法,采用前测、后测和随访。参与者包括48名诊断为双相情感障碍的个体,他们是根据预定义的纳入标准采用有目的的抽样方法选择的。然后他们被随机分配到干预组或对照组,每组24人。干预组接受了为期6次的动机性访谈。使用信息表、应对态度评估量表、双相情感障碍功能量表和世界卫生组织生活质量量表短表收集数据。结果干预组患者在干预后及随访时的生活质量、应对和功能评分均高于对照组。干预组干预后,应对水平与功能水平、生活质量水平与功能水平呈显著正相关(p < 0.05)。结论:动机性访谈在增强双相情感障碍患者的压力应对能力、改善功能和提高生活质量方面是有效的。建议精神科护士熟悉动机性访谈技术是很重要的,并且这种做法应该在精神科诊所传播。
{"title":"The effect of motivational interviewing on coping, functioning, and quality of life in patients with bipolar disorder: A randomized controlled study","authors":"Halis Yılmaz ,&nbsp;Gülay Taşdemir","doi":"10.1016/j.apnu.2025.152023","DOIUrl":"10.1016/j.apnu.2025.152023","url":null,"abstract":"<div><h3>Background</h3><div>Coping, functionality, and quality of life levels are known to be lower in patients with bipolar disorder compared to the general population.</div></div><div><h3>Aim</h3><div>This study aimed to examine the effect of motivational interviewing on coping, functioning, and quality of life in patients with bipolar disorder.</div></div><div><h3>Methods</h3><div>The study was planned as randomized controlled with pre-test, post-test, and follow-up. Participants consisted of 48 individuals diagnosed with bipolar disorder who were selected using a purposive sampling method based on predefined inclusion criteria. They were then randomly assigned to either the intervention or control group, with 24 individuals in each group. A motivational interview for six sessions was applied to those in the intervention group. Data were collected using an information form, the Coping Attitudes Assessment Scale, the Bipolar Disorder Functioning Scale, and the World Health Organization Quality of Life Scale Short Form.</div></div><div><h3>Results</h3><div>Quality of life, coping, and functioning scores of the intervention group were higher than those of the control group after the intervention and at follow-up. In the intervention group, after the intervention, a statistically significant positive correlation was found between coping and functioning levels, as well as between quality of life and functioning levels (<em>p</em> &lt; 0.05).</div></div><div><h3>Conclusion</h3><div>We concluded that motivational interviewing was effective in enhancing stress coping, improving functionality, and increasing quality of life in individuals with bipolar disorder. It is suggested that it is important for psychiatric nurses to be familiar with motivational interviewing techniques, and that this practice should be disseminated in psychiatric clinics.</div></div>","PeriodicalId":55466,"journal":{"name":"Archives of Psychiatric Nursing","volume":"60 ","pages":"Article 152023"},"PeriodicalIF":2.2,"publicationDate":"2025-12-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145693926","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
期刊
Archives of Psychiatric Nursing
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