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Analyzing the relationships among psychosocial variables associated with resilience 分析与复原力相关的社会心理变量之间的关系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-03 DOI: 10.1016/j.apnu.2024.09.006

Kosuke Niitsu , Julia F. Houfek , Michael J. Rice , Scott F. Stoltenberg , Kevin Kupzyk , Cecilia Barron

Potentially Traumatic Events (PTEs) are common in current society, including college life. When exposed to PTE, stress reactions are greatly heterogeneous, and what contributes to psychological resilience is not well known. The purpose of the present study is to investigate the relationships among the antecedents, defining attributes, and consequences of resilience in a sample of 450 college students. Students completed an online questionnaire about PTEs, ego-resiliency, emotion regulation strategies and flexibility, perceived social support, mental health outcomes, and Sense of Coherence (SOC). The majority were young (average age = 20.4 years), White/Caucasian (80.0 %), and single (98.0 %) females (79.3 %). First, the bivariate correlation analyses indicated PTEs and emotion regulation suppression were negatively associated with some but not all variables at a significant level. Second, simple linear regression indicated the number of PTEs significantly predicted negative mental health outcomes (β = −2.98, t = −0.63, p < .001) and SOC (β = −2.05, t = −5.69, p < .001). Third, multiple regression analysis revealed that social support significantly moderated the relationship between PTEs and mental health outcomes, F (14, 382) = 14.13, p < .001. More specifically, perceived affectionate social support moderated the relationship between PTEs and mental health outcomes among women. Nurses may deliver interventions to promote these resilience factors, such as social support, and the results suggest that young women may benefit more from perceived affectionate social support after being exposed to PTEs. Further studies, ideally with a longitudinal design, are needed to understand resilience in this population more deeply.

潜在创伤事件（PTE）在当前社会中很常见，包括大学生活。当面临潜在创伤事件时，应激反应千差万别，而促成心理复原力的因素却不甚了解。本研究的目的是以 450 名大学生为样本，调查复原力的前因、定义属性和后果之间的关系。学生们填写了一份在线问卷，内容涉及PTEs、自我复原力、情绪调节策略和灵活性、感知到的社会支持、心理健康结果和连贯感（SOC）。调查对象大部分是年轻人（平均年龄 20.4 岁）、白人/高加索人（80.0%）、单身（98.0%）、女性（79.3%）。首先，双变量相关分析表明，PTEs 和情绪调节抑制与某些变量（而非所有变量）呈显著负相关。其次，简单线性回归表明，PTEs 的数量可显著预测负面心理健康结果（β = -2.98，t = -0.63，p <.001）和 SOC（β = -2.05，t = -5.69，p <.001）。第三，多元回归分析表明，社会支持在很大程度上调节了 PTE 与心理健康结果之间的关系，F（14，382）= 14.13，p <.001。更具体地说，感知到的亲情社会支持调节了 PTEs 与女性心理健康结果之间的关系。护士可以采取干预措施来促进这些复原力因素（如社会支持），而研究结果表明，年轻女性在接触 PTEs 后可能会从感知到的亲情社会支持中获益更多。要更深入地了解这一人群的复原力，还需要进一步的研究，最好是采用纵向设计。

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引用次数: 0

Impact of sociodemographic factors and depression on medication adherence in schizophrenia: Cross sectional study in Morocco 社会人口因素和抑郁症对精神分裂症患者坚持服药的影响：摩洛哥横断面研究

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-10-03 DOI: 10.1016/j.apnu.2024.09.008

Jalal Doufik , Laila Lahlou , Omar El Oumary , Zineb Salehddine , Amine Tbatou , Mohammed El Abbani , Fouad Laboudi , Dawn McCormack , Khalid Mouhadi , Ismail Rammouz

Background

Medication non-adherence in schizophrenia is a major cause of relapse and hospitalization, presenting a significant challenge for clinicians. This study was conducted to estimate the prevalence of medication non-adherence and identify the impact of depression, as well as other factors, on medication adherence in individuals with schizophrenia.

Methods

This was a cross-sectional study conducted among individuals with schizophrenia, both outpatients and inpatients. Data on sociodemographic, clinical, and therapeutic factors were collected using a dedicated questionnaire. Medication adherence and depression were assessed using two validated scales, the Medication Adherence Rating Scale (MARS) and the Calgary Depression Scale for Schizophrenia (CDSS), respectively.

Results

Among the 305 participants included in this study, 21.3 % had poor medication adherence according to the MARS scores. The logistic regression model showed that only work and depression were significant predictors of poor medication adherence in individuals with schizophrenia.

Conclusion

The results of this study highlight a less explored factor that can influence medication adherence in individuals with schizophrenia, namely, depression. This underpins the importance of treating the non-psychotic dimensions of schizophrenia in the recovery process. However, further studies are needed to better characterize the pathways of medication adherence in schizophrenia.

背景精神分裂症患者不遵医嘱用药是导致复发和住院治疗的主要原因，给临床医生带来了巨大挑战。本研究旨在估算精神分裂症患者不遵医嘱用药的发生率，并确定抑郁和其他因素对患者遵医嘱用药的影响。使用专门的调查问卷收集了有关社会人口学、临床和治疗因素的数据。研究使用两个经过验证的量表，即用药依从性评定量表（MARS）和卡尔加里精神分裂症抑郁量表（CDSS），对用药依从性和抑郁情况进行了评估。Logistic回归模型显示，只有工作和抑郁是精神分裂症患者服药依从性差的重要预测因素。这证明了在康复过程中治疗精神分裂症的非精神病因素的重要性。然而，要更好地确定精神分裂症患者坚持服药的途径，还需要进一步的研究。

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引用次数: 0

Evaluating the feasibility and effectiveness of an LGBTQ+ cultural humility training for community mental health providers 评估针对社区心理健康服务提供者的 LGBTQ+ 文化谦逊培训的可行性和有效性

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-25 DOI: 10.1016/j.apnu.2024.09.003

Marissa DeCesaris , Laura Fennimore , Krystal Gamez , Brenda Cassidy

Background

LGBTQIA+ patients face significant physical and mental health disparities, and providers often lack the training and knowledge to meet their needs.

Purpose

The purpose of this quality improvement project was to evaluate the feasibility and effectiveness of an LGBTQIA+ cultural humility training program.

Methods

Using a pre-posttest design, 20 community mental health center employees completed surveys on knowledge, attitudes, and skills related to working with LGBTQIA+ patients before and after completion of an interactive online training module.

Results

Results showed statistically significant improvement in clinical preparedness.

Discussion

Further research is needed to determine the impact of improved provider knowledge and skills on patient outcomes.

背景LGBTQIA+ 患者面临着严重的身心健康差异，而医疗服务提供者往往缺乏满足他们需求的培训和知识。方法采用前测-后测设计，20 名社区心理健康中心的员工在完成互动式在线培训模块前后，就与 LGBTQIA+ 患者相关的知识、态度和技能完成了调查。

引用次数: 0

Relationship between nursing students' personality traits and competence in workplace violence management 护理专业学生的人格特质与工作场所暴力管理能力之间的关系

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-24 DOI: 10.1016/j.apnu.2024.09.004

Ayşe SERPİCİ , Derya AKÇA DOĞAN , Derya BIÇAK AYIK

Background

Violence against nursing students is a growing concern in nursing education, clinical practice, and professional development and needs to be managed. The aim of this study was to determine the relationship between nursing students' personality traits and competence in workplace violence management.

Methods

This cross-sectional, descriptive-correlational study was conducted with 321 nursing students between 23 May 2022 and 14 June 2022.

Results

A total of 20.9 % of the nursing students were exposed to violence in clinical practice areas. The personality traits of nursing students and their competence in workplace violence management showed a strong correlation. Increase in personality traits such as extraversion, agreeableness, conscientiousness, and openness resulted in an increase in competency in workplace violence management (p < 0.05). However, a negative correlation was observed between neuroticism and competency in workplace violence management (p < 0.05).

Conclusion

Collaboration between academic institutions and healthcare organizations should be established to increase nursing students' competency in workplace violence management. The personality traits of the students should be evaluated by nurse educators, and education and counseling should be offered on managing violence, especially for students with high neuroticism levels.

背景针对护生的暴力行为是护理教育、临床实践和职业发展中日益关注的问题，需要加以管理。本研究旨在确定护生的人格特质与职场暴力管理能力之间的关系。方法在 2022 年 5 月 23 日至 2022 年 6 月 14 日期间，对 321 名护生进行了横断面描述性相关研究。护生的人格特质与他们在工作场所暴力管理方面的能力表现出很强的相关性。外向性、合意性、自觉性和开放性等人格特质的增加会导致工作场所暴力管理能力的提高（p <0.05）。然而，神经质与职场暴力管理能力之间呈负相关（p < 0.05）。护士教育者应对学生的人格特质进行评估，并提供暴力管理方面的教育和咨询，尤其是针对神经质水平较高的学生。

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引用次数: 0

Bolstering group cohesion & reducing stress through implementation of Stress First Aid 通过实施 "压力急救"，增强团体凝聚力并减轻压力

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-24 DOI: 10.1016/j.apnu.2024.09.002

Leah Glynn , Sean Convoy , Julie A. Thompson , Richard Westphal , Elaine Kauschinger , Kelia Britt , Sharron Rushton

This quality improvement project sought to help health care workers (HCWs) identify and mitigate work-related stress using Stress First Aid. SFA training was offered to all psychiatric unit employees. Surveys assessing perceived stress, self-efficacy, and program outcomes were administered at four timepoints. Perceived stress significantly decline in the first post (p = .026) and was sustained. Self-efficacy showed no change across the four timepoints (p = .198). Group cohesion showed significant improvement from pre- to 3 months post (p = .002). Stress First Aid (SFA) is an evidence-based intervention that positively assists in the identification of stress and group cohesion.

该质量改进项目旨在帮助医护人员（HCWs）利用压力急救来识别和减轻与工作相关的压力。该项目为精神科的所有员工提供了 SFA 培训。在四个时间点对感知压力、自我效能和项目成果进行了调查。感知到的压力在第一个时间点明显下降（p = .026），并保持不变。自我效能感在四个时间点上没有变化（p = .198）。团体凝聚力在三个月后有了明显改善（p = .002）。压力急救（SFA）是一种以证据为基础的干预措施，可积极帮助识别压力和团体凝聚力。

引用次数: 0

Gender differences in prescription misuse intention among university students: Insights from the theory of planned behaviour 大学生滥用处方药意向的性别差异：计划行为理论的启示

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-11 DOI: 10.1016/j.apnu.2024.09.001

Mohammad Saleem , Touseef Rizvi

Objective

This study aimed to explore the predictors of prescription misuse intentions among university students using the theory of planned behaviour (TPB), with a particular focus on gender differences in the influence of normative pressure, attitudes, and refusal self-efficacy.

Methods

A cross-sectional survey design was employed, a total of 597 (males) and 924 (females) aged (15 to 28), university students from three universities of Kashmir Valley (India) participated in the study using purposive sampling. Structural Equation Modelling (SEM) and multi-group analysis were applied to examine the predictors of prescription misuse intentions and Gender-specific differences in these relationships.

Results

The findings revealed that normative pressure (β = 0.419, p < 0.001) and attitudes towards prescription misuse (β = 0.159, p < 0.001) were positively associated with students' prescription misuse intentions. In contrast, refusal self-efficacy was negatively related to misuse intentions (β = −0.204, p < 0.001). Multi-group analysis showed significant gender differences, particularly in the effect of refusal self-efficacy, with females demonstrating stronger protective effects against misuse (difference = 0.222, p = 0.000). No significant gender differences were found for normative pressure and attitudes.

Conclusion

The study highlights the importance of addressing both normative pressures and attitudes in reducing prescription misuse intentions, with gender-specific interventions focusing on enhancing refusal self-efficacy, particularly for females. These findings have important implications for developing targeted interventions for university students, including nursing students, where the potential for prescription misuse may be elevated due to academic and social pressures.

本研究旨在利用计划行为理论（TPB）探讨大学生滥用处方药意向的预测因素，尤其关注规范压力、态度和拒绝自我效能感的性别差异。研究采用横断面调查设计，通过有目的的抽样，共有来自克什米尔山谷（印度）三所大学的 597 名（男性）和 924 名（女性）年龄在 15 至 28 岁之间的大学生参与了研究。研究结果显示，规范压力（β = 0.419，p < 0.001）和对处方滥用的态度（β = 0.159，p < 0.001）与学生的处方滥用意向呈正相关。相反，拒绝自我效能与滥用意向呈负相关（β = -0.204，p < 0.001）。多组分析显示出显著的性别差异，尤其是在拒绝自我效能感的影响方面，女性对滥用具有更强的保护作用（差异 = 0.222，p = 0.000）。结论：该研究强调了应对规范压力和态度对减少处方药滥用意向的重要性，针对不同性别的干预措施侧重于提高拒绝自我效能，尤其是对女性而言。这些发现对于为包括护理专业学生在内的大学生制定有针对性的干预措施具有重要意义，因为在这些学生中，由于学业和社会压力，滥用处方药的可能性可能会升高。

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editor's page/editorial board 编辑页/编辑委员会

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-10 DOI: 10.1016/S0883-9417(24)00173-0

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ISPN News ISPN 新闻

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-10 DOI: 10.1016/S0883-9417(24)00176-6

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TOC 技术选择委员会

IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-10 DOI: 10.1016/S0883-9417(24)00172-9

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IF 2.2 4区医学 Q1 NURSING

Archives of Psychiatric Nursing

Pub Date : 2024-09-10 DOI: 10.1016/S0883-9417(24)00174-2

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