The World Health Organization (WHO) recognises the need to improve the quality of care and ensure full respect for the human rights of people with mental health problems and psychosocial disabilities. The participation of both inpatients and professionals is essential to understand and improve mental health care. This study aimed to describe and compare the perceptions of care quality between inpatients and health professionals in mental health hospitalisation units, and to determine possible relationships between these perceptions and other study variables. A descriptive cross‐sectional comparative study was conducted. The study population was recruited through nonprobabilistic convenience sampling. The quality of care was measured using the QPC‐IP and QPC‐IPS instruments, each with 30 items assessing six dimensions. A descriptive analysis of the database was performed, generating descriptive statistics for numerical variables and frequency tables for categorical variables. Data analysis was carried out using IBM SPSS v.28. The sample consisted of 150 inpatients and 163 professionals from mental health hospitalisation units in the Barcelona area (Spain). Final results showed high overall levels of care quality from both patients’ ( m = 94.20 ± 15.59) and staff’s ( m = 91.32 ± 12.42) perspectives. Both inpatients and staff gave high scores to the dimensions of Encounter (patients: 3.3 ± 0.6; professionals: 3.4 ± 0.5) and Support (patients: 3.2 ± 0.7; professionals: 3.4 ± 0.5), while the dimensions rated lowest in terms of quality were Secluded Environment (patients: 2.6 ± 0.7; professionals: 2.5 ± 0.8) and Secure Environment (patients: 2.9 ± 0.8; professionals: 2.5 ± 0.7). Conclusions: Continuous evaluation of quality in mental health hospitalisation settings is essential to ensure the highest quality of care. This guarantees full respect for rights and dignified care, considering the perspectives of the main stakeholders.
Introduction Schizophrenia is a severe mental illness characterized by cognitive impairment, with a global prevalence of approximately 1% and a generally poor prognosis. Mental rehabilitation aims to improve the symptoms and cognitive impairments of patients with schizophrenia through multidimensional interventions, enhancing their quality of life and social functioning. This study assesses the current global research landscape, highlights key research topics, and explores future directions in the field of schizophrenia and mental rehabilitation. Methods We extracted review articles on schizophrenia and mental rehabilitation from the Web of Science (2004–2023). A bibliometric analysis was conducted using VOSviewer 1.6.18.0, Scimago Graphica, and CiteSpace 6.2.R2 to visualize contributions by countries, institutions, journals, authors, citations, and keywords. Results A total of 3692 articles were analyzed. Over 2 decades, publications and citations showed steady growth. The US, the UK, and China ranked the highest in publication output. Core institutions included King’s College London and Harvard University. High‐impact authors were Kim T. Mueser, Davy Vancampfort, and Brendon Stubbs. Psychological Rehabilitation Journal had the highest publication volume, while Schizophrenia Bulletin exhibited the strongest influence. Recent research themes included COVID‐19, ultrahigh‐risk populations, metabolic syndrome, gene expression, physical activity, internalized stigma, mHealth, peer support, and virtual reality. Early intervention (such as ultrahigh‐risk detection) and functional recovery remained central foci. Conclusion The current research hotspots are the management of comorbidities, the application of VR technology, evidence‐based practice in vocational rehabilitation, and interdisciplinary comprehensive intervention. In the future, it is necessary to strengthen international cooperation, optimize multidimensional rehabilitation strategies, explore precise treatment pathways (such as Psymatik decision tools), integrate digital technologies (such as mHealth platforms), and promote the clinical translation of VR technology, which is expected to become a cutting‐edge research direction for the adjuvant treatment of schizophrenia.
This systematic review aims to identify and analyze factors affecting mental health among high‐achieving students through a comprehensive examination of personal, family, school, and social dimensions. Four electronic databases (PubMed, Web of Science, PsycINFO, and ERIC) were systematically searched through December 31, 2024, examining literature published between 2014 and 2024. Studies were included if they: (1) focused on students in the top 10% of academic performance through standardized measures or formal gifted identification; (2) examined mental health outcomes using validated instruments; (3) employed quantitative or mixed‐methods designs. We excluded qualitative‐only studies, dissertations, and conference abstracts. Study quality was assessed using established frameworks: STROBE for cross‐sectional studies, TREND for quasiexperimental designs, and MMAT for mixed‐methods studies, with triple independent review achieving high inter‐rater reliability. Data were synthesized using thematic synthesis guided by ecological systems theory, categorizing factors into personal, family, school, and social/contextual domains. After screening 931 articles and removing duplicates, 39 studies met the inclusion criteria. Analysis of 39 studies revealed perfectionism as the most extensively studied factor, with three distinct profiles identified: adaptive perfectionists, maladaptive perfectionists, and nonperfectionists. Maladaptive perfectionism consistently predicted elevated anxiety, depression, and emotional exhaustion, with effects moderated by cognitive flexibility and emotional intelligence. Significant cultural variations emerged—East Asian students demonstrated distinct academic pressure responses compared to Western contexts. Protective factors included cognitive flexibility, resilience, and family support; risk factors encompassed maladaptive perfectionism and achievement‐oriented parental psychological control. Key limitations include the predominance of cross‐sectional designs (approximately 62% of studies) limiting causal inference, geographic concentration in Western and East Asian contexts with underrepresentation of African and Latin American research, and English‐language restriction potentially excluding relevant non‐English studies. Educational institutions should implement comprehensive support systems that address both individual and environmental factors affecting high‐achieving students’ mental health, with particular attention to cultural contexts. Interventions should focus on enhancing protective factors while addressing risk factors through culturally sensitive approaches.
IntroductionThis study aims to examine the perceptions of belonging and life satisfaction among physicians and nurses who have emigrated from T & uuml;rkiye to abroad. MethodsThis descriptive and cross-sectional study was conducted between October 2024 and July 2025 with 87 physicians and nurses working abroad. Data were collected using a "Sociodemographic Data Form," a "Data Form on Cultural Characteristics," the "Life Satisfaction Scale," and the "General Belongingness Scale." ResultsIt was determined that 83.91% of the participants were physicians and 16.09% were nurses, with 40.23% having emigrated to Germany. A high-level, positive, and significant correlation was found between the life satisfaction and general belongingness levels of the emigrated healthcare professionals (r = 0.666; p < 0.001). Acceptance and rejection subdimensions, together with these variables, were identified as significant predictors of life satisfaction (R = 0.669, R-2 = 0.447, adjusted R-2 = 0.434, F (2,84) = 33.940, p < 0.001). According to this model, 44.7% of the variance in life satisfaction is explained by the acceptance and rejection variables. The acceptance subdimension significantly predicted life satisfaction in a positive direction (B = 0.22, SE = 0.07, Beta = 0.41, t = 3.17, p = 0.002, 95% CI [0.08, 0.36]). Conversely, the rejection variable was found to significantly predict life satisfaction in a negative direction (B = -0.14, SE = 0.06, Beta = -0.29, t = -2.25, p = 0.027, 95% CI [-0.26, -0.02]). ConclusionThe results of the study indicate that the life satisfaction of Turkish physicians and nurses who have emigrated is strongly and positively associated with their general belongingness levels. In particular, the perception of acceptance was found to be a significant predictor that increases life satisfaction, whereas the perception of rejection was found to decrease it. It is concluded that strengthening individuals' sense of social acceptance and belonging during the migration process plays a critical role in enhancing their life satisfaction.
IntroductionSuicide remains a pressing public health concern, and inpatient psychiatric settings are common places for individuals with suicide thoughts and behaviors to receive care. While increasing focus has been placed on inpatient environment safety and suicide prevention in recent decades, little research has focused on patients' perspectives of safety measures and associated impact on the overall healing and therapeutic nature of psychiatric inpatient settings.MethodsA total of 50 patients within 48 h of discharge from an inpatient psychiatric setting provided informed consent to engage in a brief survey and qualitative interview with trained research staff regarding perceptions and experiences in an inpatient psychiatric environment. Clinical and demographic characteristics were explored quantitatively, and qualitative data were analyzed using an open coding technique.ResultsMost patients in the study were hospitalized in relation to suicide (n = 41, 82%). The majority endorsed satisfaction with the healing and/or therapeutic nature of the psychiatric setting (n = 44, 88%), such as art activities. Patients overall perceived the setting to be very safe (n = 39, 78%) from a suicide prevention standpoint. Qualitative themes that emerged from patient interviews included the setting's physical/environmental space (e.g., pleasant wall color), patient access (e.g., visitors), programming and policies (e.g., art activities), clinical care (e.g., addressing root issues), hospital setting culture and values (e.g., inclusion), and staff/interpersonal interactions (e.g., attentive staff).DiscussionFindings emphasize two overarching implications: (1) patients appreciate suicide prevention and risk management in inpatient care and (2) wellness-focused programming promotes both healing and safety. Inpatient psychiatric settings should continue to consider and promote a balance of suicide prevention, safety, and risk management with opportunities to engage in therapeutic programming in a healing environment.
IntroductionAggression in psychiatric settings is a significant occupational hazard, particularly for nurses working on long-stay closed wards. This study investigates (1) the behavioural and emotional consequences of aggressive incidents for nurses at a psychiatric long-stay closed ward; (2) whether these emotional states and experiences are associated with functioning both in personal and professional life and (3) whether these emotional states and experiences predict future occurrence of aggressive incidents.MethodThis study utilised the experience sampling method to collect real-time data from nurses working on a long-stay closed admission unit within a mental healthcare institution in the Netherlands.ResultsA total of 946 questionnaire responses were yielded. Aggression incidents were associated with a negative atmosphere at the ward and increased use of de-escalation techniques. The nurses' emotional state at the start of the day was associated with a change in their perception of the ward atmosphere. Gender, age and work experience were not associated with aggressive incidents.ConclusionThese findings suggest taking care of nurses' emotional well-being before shifts start may alter the way nurses are able to react with de-escalating behaviour to reduce aggression incidents in long-term psychiatric care. Preserving an agreeable ward atmosphere may prevent new aggression incidents.
IntroductionOpioid maintenance treatment is the dominant treatment for treating opioid dependence. The treatment is individualised and combines pharmaceuticals with psychosocial support.AimThis study aimed to increase the understanding of the pathway to recovery, by illustrating the life course of patients within OMT before and after starting treatment using time-geographic life charts.MethodsInterviews were conducted with 13 patients using the software GeoLifeGraph. The patients' life charts were based on household moves, social and stressful events, substance use and contacts with medical or social services. The material was analysed according to a manifest content analysis.ResultsFive categories were identified: social network and resources, destructive behaviour and stressful events, feelings of alienation, professional support and social and personal integration.DiscussionLife charts enabled both nurse and patient to visualise patterns and events, enhancing understanding of the patient's life course. Knowledge about the patients' narrative story is important to individualise the care. Using time-geographic life charts in an OMT programme can promote the patients' social and personal integration and coherence. This method is in line with person-centred care and can help the nursing staff to better meet the patients' needs for recovery.
Objective Premenstrual dysphoric disorder (PMDD) is highly prevalent among women of reproductive age. However, the heterogeneity and complexity of PMDD symptoms present considerable challenges for accurate diagnosis. This study aims to investigate the heterogeneity of symptoms among Chinese female college students to identify clinical subtypes based on PMDD symptomatology. Methods A total of 669 Chinese female college students participated in the study and were assessed using a standardized set of questionnaires, including the Chinese version of CTDP-DSM-5 (CTDP-C), the Patient Health Questionnaire-9 (PHQ-9), and the General Anxiety Disorder-7 (GAD-7). A total of 218 participants were identified as PMDD-positive based on the Chinese version of the CTDP-DSM-5. Latent class analysis (LCA) was conducted on the CTDP-C scores of the 218 participants diagnosed with PMDD to empirically evaluate the validity of proposed PMDD subtype classifications. Results LCA identified two distinct phenotypic subtypes of PMDD. Class 1 (severe subtype; mean CTDP-C score = 8.78) was characterized by a range of comorbid psychological symptoms (e.g., emotional lability, irritability, and anxiety) as well as physical manifestations (e.g., fatigue, bloating, and pain). In contrast, Class 2 (mild subtype; mean CTDP-C score = 1.52) exhibited attenuated and atypical symptoms. Notably, significant differences were observed between the two classes in 90% of the CTDP-C items (p < 0.001). Physical comorbidities, especially dysmenorrhea (p < 0.001), were identified as key contributing factors, suggesting potential shared pathophysiological mechanisms. Conclusions Two distinct subtypes of PMDD were identified: one characterized by severe symptoms and the other by milder manifestations, with either psychological or physical symptoms predominating, or a combination of both. Further investigation into the heterogeneity of PMDD is crucial to delineate more distinct phenotypes, which will facilitate advancements in future biological and genetic research.
Introduction: Obstetric violence, defined as disrespectful or abusive treatment of women during healthcare services, is a significant global health issue affecting women during pregnancy, childbirth, and the postpartum period. Objective This study aimed to investigate the outcomes of a training program on preventing obstetric violence, focusing on midwives, nurses, and the women receiving care. Methods: A cluster randomized trial design was adopted, and the sample included 84 midwives and nurses in the experimental group and 84 midwives and nurses in the control group. In addition, independent samples consisting of 158 women who received care before the training program and 158 women who received care after the training program were also included. Women received care as part of prenatal follow-up, childbirth-related services, postnatal care, and women's health services. A 16-session training program was applied to the experimental group, covering obstetric violence, women's and fetal rights, factors leading to obstetric violence, communication skills, and evidence-based care practices. Data were collected using the Caring Behaviors Inventory-30, Communication Skills Scale, and Care Satisfaction Evaluation Form. Statistical analyses were performed using SPSS software with independent/paired samples t-tests and chi-square tests. Statistical significance was accepted at p < 0.05. Results: The positive care perceptions and communication skills of midwives and nurses in the experimental group increased significantly after the training program, and the difference between the experimental and control groups was found to be statistically significant (p < 0.001). Furthermore, the perceptions of care and satisfaction levels of women receiving care after the training program increased significantly compared to women receiving care before the program (p < 0.001), with large effect sizes observed across the main outcomes. Conclusion: The findings indicate that the training program improved midwives' and nurses' communication skills and perceptions of care, as well as the perceptions of care and satisfaction among women receiving care. It is recommended that obstetric violence prevention training programs be integrated into routine in-service training for healthcare professionals.
IntroductionNursing students' AI self-efficacy and AI literacy influence their attitudes toward artificial intelligence (AI). This, in turn, may affect the use of AI in nursing practices. In this study, nursing students' attitudes toward AI, AI literacy, and AI self-efficacy levels were examined.MethodsThe study was designed as a descriptive and cross-sectional type. This study was conducted with 400 students enrolled in the nursing department. The sample was selected using a convenience sampling method based on voluntary participation. Data were collected between December 2024 and January 2025 using the Descriptive Information Form, the General Attitude Toward Artificial Intelligence Scale, and the Artificial Intelligence Literacy.ResultsThe mean score of students' positive attitude toward AI was calculated as 44.65 +/- 7.09, and the mean score of students' negative attitude was calculated as 24.49 +/- 5.88. While the total score mean of the AI literacy scale was 3.61 +/- 1.17, the total score mean of the AI self-efficacy scale was 3.34 +/- 0.61. It was determined that those studying in the 4th grade had a more positive attitude toward AI. In addition, positive attitude toward AI and AI literacy were among the variables predicting AI self-efficacy.ConclusionsWhile nursing students' positive attitudes toward AI are at a high level, their literacy and self-efficacy are at a moderate level. It is thought that eliminating students' lack of knowledge about AI will positively affect their AI self-efficacy.Implications for PracticeDespite the growing interest in AI, there are substantial gaps in nursing education. Integrating AI tools into undergraduate education will reduce the gap between theoretical knowledge and clinical practice. By bridging the gap between theoretical learning and clinical applications, it can support the development of students' critical and clinical decision-making skills and help them become more competent and have stronger self-efficacy in using AI in patient care. It is necessary to improve nurses' ability to use AI while providing patient care in different fields (psychiatric nursing, oncology nursing, and so on). This should be provided to nursing students during their undergraduate education.
One of the sectors most profoundly affected by the COVID-19 pandemic was education, with students requiring clinical skills training experiencing particularly significant disruptions. This study aimed to explore the COVID-19-related ruminations of senior nursing students who encountered the full range of educational challenges brought about by the pandemic. Using an exploratory qualitative design, the study was conducted online with 20 senior nursing students. Two main themes emerged from the analysis: (1) cognitions about qualifications and (2) questioning the profession. Students expressed ruminative thoughts regarding their perceived competence, largely stemming from receiving online education without adequate clinical practice. Additionally, witnessing nurses working under highly demanding conditions led many to question aspects of the profession. Despite uncertainties about translating theoretical knowledge into practice, participants emphasized a strong desire to join the workforce and support nurses during this critical period. These findings offer valuable insights into the experiences of senior nursing students who were required to graduate with limited clinical exposure due to the pandemic.
Background: Patients who have low health literacy levels and those who have chronic illnesses tend to have challenges in understanding their illnesses and the entire treatment process. Purpose: This research was aimed at investigating the connection between health literacy rates of palliative care and how nursing care is perceived by patients in palliative care units. Methodology: A cross-sectional correlational and descriptive research design was used in this study. It was carried out on the palliative services in two state hospitals in the southeastern part of the Anatolia region in Turkey. No sampling strategy was employed, and it was aimed to cover all patients in the inpatient setting, above the age of 18. The sample population used in the research was the patients and caregivers who had volunteered to take part in the research study during the months of February to October 2024. The data were gathered on the Descriptive Information Form, Health Literacy Scale, and the Nursing Care Perception Scale. The data were obtained through the face-to-face interviews. Results: The reliability analysis of the scales showed that the reliability levels were very high with alpha values of 0.811-0.980. The average of health literacy was obtained as 47.56 + -9.14, whereas the average score of the nursing care perception scale was 69.74 + -8.89. One-way ANOVA revealed statistically significant differences in the scores of the functional, interactive, and critical health literacy subdimension scores, based on the level of education of the study participants (p < 0.05). Also, the nursing care perception scores were statistically different depending on the previous hospitalization situation of the participants. Care perception of persons who had not been formerly hospitalized was identified to be low as compared to those who had formerly been hospitalized. Conclusion: Health literacy scores and nursing care perception scores were found to have a statistically significant positive correlation.
ObjectiveThis study conducts a bibliometric analysis to examine the scientific development of forensic nursing between 1995 and 2024, identifying research trends, thematic shifts, and patterns of academic collaboration. This analysis adopts a comprehensive definition of forensic nursing that includes clinical forensic care for victims and perpetrators of violence, correctional nursing, forensic psychiatric nursing, death investigation, and broader medicolegal practice domains.MethodsA longitudinal bibliometric analysis was conducted using the Web of Science (WoS) database. The study applied bibliometric mapping techniques with VOSviewer and Biblioshiny to analyze publication trends, citation impact, keyword co-occurrence, and country-based research collaborations.ResultsThe findings indicate a significant increase in forensic nursing publications, particularly after 2008, with annual publications peaking at 50 in 2024. Citation analysis shows a moderate academic impact, with an average of 9.05 citations per article. Keyword analysis highlights a qualitative shift from generalized violence discourse toward specialized medicolegal competencies, including forensic evidence collection, strangulation assessment, and trauma-informed care. While the USA, Canada, and the UK lead in research productivity, international collaborations remain limited, with only 2.6% of US publications involving coauthorship with other countries.ConclusionForensic nursing is undergoing progressive institutional consolidation but faces structural fragmentation due to national legal specificities. Future research should prioritize international protocol standardization, digital forensics, and addressing professional burnout. Strengthening multidisciplinary partnerships is essential to enhancing the field's global visibility and clinical impact.
Background The onset of frailty is not only linked to physiological mechanisms but is also influenced by psychological factors. Patients experiencing a first-ever ischemic stroke may face heightened psychological adjustment challenges, thereby increasing their risk of frailty. The influence of perceived stress as a psychological variable measuring individual stress responses remains unclear in this population. Objective To investigate the prevalence of frailty among patients with first-ever ischemic stroke, analyse the factors influencing frailty and explore the impact of perceived stress on frailty in these patients. Methods A cross-sectional study employing convenience sampling was conducted, selecting patients with ischemic stroke admitted to the Department of Neurology at the Second People's Hospital of Yibin between December 2024 and July 2025 as the study subjects. Collect patient-related data, including the general information questionnaire, FRAIL scale, the Perceived Stress Scale, the Patient Health Questionnaire-9 and the Generalised Anxiety Disorder-7. Patients were categorised into frail and nonfrail groups based on the occurrence of frailty. Logistic regression analysis was used to identify independent risk factors for frailty in patients with first-ever ischemic stroke.ResultsThe prevalence of frailty among patients with first-ever ischemic stroke in this study was 36.1%. Logistic regression analysis revealed that age (OR = 1.039, p = 0.012), mRS score (OR = 1.632, p = 0.004) and perceived stress (OR = 1.072, p = 0.012) constituted risk factors for frailty in patients with first-ever ischemic stroke. No family history of stroke (OR = 0.374, p = 0.004) and per capita monthly household income of 3001-5000 CNY (OR = 0.332, p = 0.015) were protective factors against frailty in patients with a first-ever ischemic stroke. Neither the GAD-7 nor the PHQ-9 scores were statistically significant in the regression model (p > 0.05). Conclusions The incidence of frailty is relatively high among patients experiencing a first-ever ischemic stroke. Healthcare professionals should pay particular attention to elderly patients, those with low income, a family history of stroke or poor neurological function. Perceived stress may be incorporated into routine assessment systems to identify individuals experiencing high psychological stress at an early stage. Targeted psychological counselling and stress management interventions can then be implemented to reduce the risk of frailty onset and improve overall rehabilitation outcomes for patients.
The transition to motherhood is often perceived positively. However, it is a point during which there is a risk of developing mood disorders. Postpartum anxiety has received less research and clinical attention as compared to other perinatal-specific mental health disorders, such as postpartum depression. This is concerning given evidence that postpartum anxiety may be more prevalent among new mothers than previously thought, with potentially significant negative impacts on both maternal and infant well-being and a substantial burden on healthcare systems. Hence, there is an urgent need for validated tools for measuring postpartum anxiety. Therefore, the present study aimed to translate the Postpartum Specific Anxiety Scale (PSAS) into Dutch and to validate the tool for its use in detecting anxiety specific to motherhood. The study (N = 601) comprised four stages: English-Dutch translation and back-translation to obtain the Dutch version (PSAS-NL); a preliminary pilot study to adapt the scale to the characteristics of the Dutch population; confirmatory factor analyses and internal reliability of the subscales of the PSAS and the PSAS-NL to measure its psychometric properties; and structural equational modeling to test whether the PSAS-NL factors would predict general anxiety and depressive symptoms. The PSAS-NL demonstrated similar psychometric properties as the original PSAS, with the same factor structure and acceptable internal consistency. In addition, the PSAS-NL showed divergent validity. The resulting findings on the PSAS-NL offer a reliable measure of postpartum anxiety in Dutch up to 6 months after birth.
PurposeThis study aimed to examine nursing students' pain experiences, the cognitive-emotional process of pain catastrophizing, and their coping strategies. MethodsAn explanatory, sequential, mixed-method study design was employed. The study was conducted with nursing students at a university between August 2024 and March 2025. A total of 422 students completed quantitative questionnaires, and 21 students participated in qualitative interviews. Quantitative data were collected using a Descriptive Information Form, the Pain Coping Inventory, and the Pain Catastrophizing Scale. Qualitative data were collected through semistructured interviews. ResultsThe mean scores on the Pain Catastrophizing Scale were 22.47 +/- 10.12, while the mean scores on the Active Coping Inventory subscale were 15.59 +/- 4.59 and on the Passive Coping Inventory subscale were 34.3 +/- 6.59. A significant and positive relationship was found between the Passive Coping Inventory subscale and the Pain Catastrophizing Scale (r = 0.602, p < 0.05), whereas no significant relationship was found with the Active Coping Inventory subscale (p > 0.05). Four main themes were identified in the qualitative analysis: "prevalence and locations of pain experiences," "factors causing pain," "reflections of pain," and "pain coping strategies." Students described their pain through metaphors of helplessness, reporting that it led to "mental breakdown," "social isolation," and decreased academic performance. Conclusion Findings indicate that a reliance on passive coping styles was significantly associated with a higher tendency to catastrophize pain. The results highlight a critical gap in nursing education; students struggle to manage their own pain due to stress and clinical demands, which may impact their future professional resilience. Integrating psychological coping skills into the nursing curriculum is essential.
This study aimed to examine the mediating role of fertility health anxiety (M) in the association between fertility health knowledge (X) and climate change anxiety (Y) among women of reproductive age. The study involved 675 women of reproductive age. Data were collected using the Descriptive Information Form, the Fertility Health Knowledge Scale (FHKS), the Fertility Health Anxiety Scale, and the Climate Change Anxiety Scale (CCAS). The mediating role of fertility health anxiety was tested using the PROCESS macro Model 4, with age and marital status included as covariates. The mean age of the women was 27.39 +/- 9.81; 69.5% were single, and 75.3% had no children. Of the participants, 57.2% stated that climate change had an impact on fertility, and 51.4% stated that climate change would be associated with their decision to have children in the future. The analysis revealed a modest positive correlation between FHKS and CCAS scores (r = 0.162, p < 0.01). In the covariate-adjusted mediation model, the total effect of fertility health knowledge on climate change anxiety was significant (b = 0.101, SE = 0.024, beta = 0.162, p < 0.001). The direct effect remained significant (b = 0.110, SE = 0.023, beta = 0.176, p < 0.001). The indirect effect through fertility health anxiety, tested using the bootstrap method with 5000 resamples, was statistically significant but small in magnitude (b = -0.009, BootSE = 0.005, beta = 0.014, 95% CI: [-0.019, -0.001]), accounting for approximately 8% of the total effect, and should be interpreted with caution given its modest substantive size. Among the covariates, age was significantly and positively associated with climate change anxiety (beta = 0.157, p < 0.01), while marital status was not significant. The findings indicate that fertility health knowledge is positively associated with climate change anxiety; however, this association is partially offset through the anxiety-reducing association of fertility health knowledge with fertility health anxiety, highlighting the potential relevance of environmental concerns for reproductive well-being. These findings should be interpreted as preliminary: effect sizes were modest, explained variance was low (R-2 = 0.021-0.071), and the cross-sectional design precludes causal inference. Accordingly, the substantive significance of the indirect effect should not be overstated.
Psychiatric intensive care units provide care for mental health patients in psychiatric crises, often involving violent behaviour. This study aimed to examine the ability of the Dynamic Appraisal of Situational Aggression (DASA) to predict violent acts of different proximal causes in patients. We collected 2467 DASA predictions from 352 patients who had committed 366 violent incidents. All incidents were recorded using a Modified Overt Aggression Scale (MOAS). Receiver operating characteristic (ROC) curve analysis was used to assess the DASA predictive values. DASA demonstrated an overall area under the curve (AUC) of 0.76 (95% confidence interval [CI] [0.72, 0.79]), with similar values for impulsive (AUC = 0.75, 95% CI [0.70, 0.81]) and psychotic (AUC = 0.75, 95% CI [0.70, 0.79]) aetiologies. Notably, the AUC for females was 0.80 (95% CI [0.75, 0.86]), indicating a particularly high predictive validity for women. We also observed that higher DASA scores predict higher incident severity assessed by MOAS scores (Spearman's rho = 0.13, p = 0.03). Most employed nursing interventions included de-escalation techniques (18%) and one-to-one nursing. In patients with high-risk scores, interventions also involved psychopharmacological or even coercive methods. The DASA shows satisfactory predictive validity for both psychotic and impulsive aetiological incidents and demonstrates better predictive validity for women. This study evaluated the predictive validity of DASA for different types of violent acts (psychotic, impulsive and predatory) in both sexes and implemented a set of corresponding interventions. These interventions should be customised to address the specific risk factors in each patient.
Concerns about mental health issues among college students are growing. Enhancing mental health literacy (MHL) is an effective approach to foster knowledge, reduce stigma, and promote help-seeking. This study aimed to explore trends, themes, and research gaps in MHL among college students from 2014 to 2023. A bibliometric analysis was conducted on 799 articles retrieved from the Web of Science Core Collection using CiteSpace. The results revealed a steady rise in scholarly attention, with a notable acceleration after 2019. The United States of America was the most productive country, and the International Journal of Environmental Research and Public Health was the most prolific journal. Strong institutional and international collaboration networks were identified. Core themes included "mental health," "depression," and "attitudes," reflecting a continued emphasis on recognition and stigma reduction. Meanwhile, emerging topics such as "stress" and "qualitative research" exhibited significant citation bursts. These findings provided a comprehensive overview of the evolution, current landscape, and potential future directions of MHL research among college students.
The aim determines the levels of setting life goals and meaning in life in youths between 18 and 24 years who were diagnosed with psychoactive substance use disorder. This study design is a cross-sectional descriptive-related. It was conducted with 302 youths in Akdeniz University Addiction Center. These individuals were selected considering the inclusion criteria, being between 18 and 24 years of age, volunteering to participate in the research, and not having speech, hearing, and cognitive impairments, and the exclusion criteria, having withdrawal syndrome symptoms. Data were collected with a personal description form, the meaning in life questionnaire, and the scale of setting life goals. Youths cannot find sufficient meaning in life and tend to search for meaning in life. The meaning in life, the existence of meaning in life, the setting life goals, and the search for meaning in life are significantly interrelated. Gender, employment, where they live, and the number of substances used have significantly influenced the meaning of life and setting life goals. Healthcare professionals can prevent or treat substance use by helping youths find meaning in life and setting life goals and be aware of substance use and risks.
