Objectives: This study aimed to examine the levels of technology addiction, depression, anxiety, and stress among nursing students in relation to certain variables. Methods: This analytical cross-sectional study included 251 nursing students. Data were collected using the Personal Data Form, the Technology Addiction Scale (TAS), and the Depression, Anxiety, and Stress Scale (DASS). Results: The average daily internet usage time of the students was 3.24 +/- 0.8 hours. The most common reason for connecting to the internet was to use social media applications (91.6%). The mean TAS score of the students was 49.07 +/- 13.96, the mean DASS score for depression was 14.17 +/- 4.99, for anxiety was 12.92 +/- 3.95, and for stress was 14.73 +/- 5.01. Male students' use of online games and websites was higher than female students (p=0.017, t=5.776). First-year students had significantly higher mean scores on the TAS (p=0.001, F=5.494) and the stress scale (p=0.001, t=8.755) compared to other grades. Conclusion: Based on these findings, it is recommended that universities implement preventive and educational programs to enhance mental health and reduce technology addiction.
Objectives: Multiple Sclerosis can lead to significant emotional and physiological challenges, especially during the initial phase following diagnosis. Emotional Freedom Technique, a self-administered intervention combining cognitive and somatic elements, may offer a complementary approach to conventional care. Methods: This randomized controlled trial included 36 participants diagnosed with Multiple Sclerosis within the last three months. The study was registered at ClinicalTrials.gov (NCT number: NCT04969562). Participants were allocated using block randomization to either an intervention group (n=18), which received six sessions of Emotional Freedom Technique in addition to routine care, or a control group (n=18), which received routine care only. Blinding was maintained during the sampling, allocation, data collection, and data analysis stages. Cognitive function was assessed using the Symbol Digit Modalities Test, and psychological distress was measured using the Subjective Units of Distress Scale, with assessments conducted at baseline and after the intervention. Within-group differences were analyzed using the Wilcoxon signed-rank test, and between-group differences were evaluated using the Mann-Whitney U test. Effect sizes (r) were calculated for the outcome variables. Results: No substantial differences were observed between the groups regarding depression, anxiety, or overall psychological distress following the intervention. However, participants in the intervention group demonstrated modest improvements in cognitive function (r=0.54), indicating a moderate-to-large effect size. Conclusion: The findings suggest that Emotional Freedom Technique may have positive effects on cognitive functioning and certain physiological indicators, even if its impact on emotional distress is limited in the short term.
Objectives: Eating disorders are a serious public health problem prevalent among adolescents, young adults, and women, and they have negative physical and psychological consequences. Art therapy can offer a safe space to understand the underlying dynamics of eating disorders and promote resilience. This study aims to examine the long-term group art psychotherapy process in individuals diagnosed with eating disorders and the problems experienced by these individuals through the artworks they produce. Methods: The study was conducted with 11 female patients with anorexia nervosa, bulimia nervosa, and binge eating disorder. Art therapy lasted for two years and consisted of a total of 58 sessions, held for 2 hours per week. The art psychotherapy interventions used were semi-structured and planned. Qualitative data were evaluated through artworks, video recordings, and session reports. The approach in this study was used as a psychotherapy method to activate various senses and facilitate the symbolic expression of emotions and thoughts, helping to uncover the underlying conflicts generating the symptoms and thereby supporting psychological growth and recovery. Results: Group interactions and artworks produced during therapy initially focused on symptoms but evolved into more in-depth individual sharing in the later phase. Through the artworks created during art psychotherapy, themes such as distorted body image, negative self-perception, loneliness, inhibited emotional expression, depressive mood, high anxiety, feelings of guilt, obsessive thinking, low functioning, relationship problems, sociocultural pressures on the body, cognitive distortions related to the body, and denial of sexuality emerged. By understanding these themes reflected in the artworks and their connections to symptoms during psychotherapy sessions, these problems could be addressed psychotherapeutically. Conclusion: Patients developed in-depth awareness of both themselves and others. It was observed that their functioning increased in various areas of life, such as returning to work and school. The study contributes to clinical practice by enhancing understanding of eating disorders and informing the development of effective psychological treatments.
Objectives: Sexual violence remains widely underreported, often described as the "tip of the iceberg,"due to survivors' fear, stigma, and uncertainty about seeking help. Although reporting rates in Indonesia have increased, the processes through which survivors decide to seek support remain insufficiently understood. This study aimed to explore the decision-making experiences of survivors of sexual violence in seeking help. Methods: A qualitative descriptive design was employed using purposive sampling. Participants were survivors of sexual violence who had sought help and had been screened for post-traumatic stress disorder (PTSD). Data were collected through in-depth interviews and analyzed using thematic analysis. Results: Seven interrelated themes emerged, including the chronological context of sexual violence experiences, survivors' initial ignorance of sexual violence, multidimensional life changes following trauma, self-denial after sexual violence, decision-making processes driven by the refusal to fall into depression, the role of support from trusted individuals, and survivors' experiences after seeking help. Conclusion:This study highlights the complexity of survivors' help-seeking decision-making and underscores the importance of trauma-informed and culturally sensitive mental health nursing care. Strengthening community education on sexual violence, supporting families in responding appropriately to disclosure, and developing targeted nursing interventions may facilitate survivors' recovery and engagement with professional services. Future research should further examine factors influencing help-seeking and evaluate the effectiveness of nursing interventions for survivors experiencing PTSD.
Objectives: HIV is a sexually transmitted virus. After infection, the sexual lives of individuals and their compatibility with their partners may be adversely affected.This study aimed to compare sexual self-consciousness, self-confidence, self-efficacy, sexual satisfaction, and dyadic adjustment between People Living With HIV (PLWH) and HIV-negative individuals. Methods:This case-control study was conducted with 52 PLWH and 225 HIV(-) individuals between June 1 and July 31, 2022. All individuals were asked to complete the Introductory Information Form, the Sexual Self-Consciousness Scale, the Sexual Self-Confidence Scale, the Sexual Self-Efficacy Scale, the New Sexual Satisfaction Scale, and the Revised Dyadic Adjustment Scale. Results: In PLWH, the mean scores of sexual self-confidence, sexual self-disclosure, sexual satisfaction, and self-centered sexual satisfaction were found to be significantly lower, whereas the mean score of sexual self-efficacy was higher than those of HIV(-) individuals. It was found that being single, living in an extended family, and living in a city center increased exposure to HIV. It was determined that sexual self-disclosure reduced exposure to HIV, whereas sexual awareness and sexual self-efficacy increased exposure to HIV. In PLWH, sexual self-consciousness was found to negatively affect sexual satisfaction; sexual self-confidence and dyadic adjustment were found to increase sexual satisfaction; and sexual satisfaction was found to positively affect dyadic adjustment. Conclusion: Living with HIV negatively affects self-confidence and satisfaction related to sexuality. Awareness and self-efficacy regarding sexuality increase, whereas sexual self-disclosure decreases after exposure to HIV. Integrating sexual health counseling that focuses on sexual self-confidence, self-disclosure, and couple dynamics into routine HIV care may contribute to improving sexual satisfaction and relationship adjustment in people living with HIV.
Objectives: This study aims to determine the psychosocial care competence, therapeutic alliance, and burnout levels of nurses and examine the relationships between them. Methods: The study was conducted between January and April 2025 with 226 nurses working at Malatya Turgut & Ouml;zal Medical Center. Data were collected using a Sociodemographic Information Form, the Psychosocial Care Competence Self-Assessment Scale, the Brief Revised Working Inventory/bond subscale, and the Maslach Burnout Inventory via Google Forms. Descriptive statistics, the Kolmogorov-Smirnov test, the Kruskal-Wallis test, the Mann-Whitney U test, and Spearman's correlation test were used in the analysis of the data. Results: The mean age of the participants was 30.63 +/- 6.43. Psychosocial care competence levels showed significant differences based on education and income status, while therapeutic alliance/bond levels showed significant differences based on education (p<0.001). A weak negative relationship was found between the psychosocial care competence and burnout levels of the participants, while there was a moderate positive relationship between their psychosocial care competence and therapeutic alliance/bond levels, and there was a weak negative relationship between their burnout and therapeutic alliance/bond levels (p<0.001). Conclusion: It was determined that as the psychosocial care competence and therapeutic alliance/bond levels of nurses increased, their burnout levels decreased. Based on the findings of this study, initiatives aimed at increasing the psychosocial care competence and therapeutic alliance levels of nurses may shed light on the development of effective interventions for nurses to cope with burnout.
OBJECTIVES: This study aims to evaluate the effectiveness of Psychoeducational and Supportive Therapy (PeSo) on the resilience of families with members suffering from mental disorders. METHODS: This study employed a quasi-experimental pre-test and post-test control group design. A total of 120 families were recruited and divided into two groups: the intervention group (n=60) and the control group (n=60). The intervention group received the Psychoeducational and Supportive Therapy (PeSo) module, which was conducted in 6 sessions. Data were collected using a Family Resilience Questionnaire and analyzed using dependent and independent t-tests. RESULTS: In the intervention group, the mean family resilience score before therapy was 1.87 (SD=0.676), increasing to 2.57 (SD=0.500) after therapy, with a mean difference of 0.700 (SD=0.591), a 95% confidence interval ranging from 0.853 to 0.547, and a p-value<0.001. In the control group, the mean score before therapy was 1.85 (SD=0.685) and 1.97 (SD=0.610) after therapy, with a mean difference of 0.117 (SD=0.415), a 95% confidence interval of 0.224 to 0.009, and a p-value=0.034, indicating a statistically significant improvement in both groups. However, the intervention group showed a much more significant improvement compared to the control group (p<0.001). CONCLUSION: Psychoeducational and Supportive Therapy (PeSo) significantly improves the resilience of families with mental disorders. This therapy is recommended as an effective nursing intervention to be integrated into community mental health services to support family caregivers.
Objectives: Insufficient physical activity, which is one of the unhealthy lifestyle behaviors, is more common in individuals diagnosed with psychiatric disorders. This experimental study aimed to examine the effect of psychiatric nurses' counseling role on improving exercise behavior in individuals diagnosed with psychiatric disorders through the TTM framework. Methods: This randomized controlled trial, with pretest, posttest, and follow-up assessments, included 61 patients from a community mental health center (intervention, n=30; control, n=31). The study data were collected using the "Information Form", "Exercise Change Stages Scale", "Exercise Processes of Change Scale", "Exercise Self-Efficacy Scale", and "Exercise Decisional Balance Scale". Results: The proportion of participants in the "preparation" phase after the intervention increased (n=15, 48.4%) in the intervention group, while the rate of participants in the "preparation" phase remained the same in the control group (n=8, 26.7%).The intervention group showed increases in the "Exercise Self-Efficacy Scale" and "Exercise Decisional Balance Scale" pros scores from baseline to post-intervention, with these gains persisting at follow-up. As a result, it was observed that the counseling role of psychiatric nurses through the Transtheoretical Model was effective in improving exercise behavior and physical health conditions of individuals diagnosed with psychiatric disorders. Conclusion: The counseling role of psychiatric nurses based on the Transtheoretical Model has been found to be effective in improving exercise behavior among individuals diagnosed with psychiatric disorders, thereby reducing risks associated with physical illnesses. Additionally, the findings suggest that Transtheoretical Model-based counseling can be effectively utilized in the independent practices of psychiatric nurses, thereby strengthening their counseling role.
Excoriation or skin picking disorder or Dermatillomania is a Mental disorder associated with Obsessive Compulsive Disorder. It occurs at the age of 13 onwards till any age with two types Automatic and focused. It caused by various reasons like Genetics, Anatomical alteration, stress, anxiety, tension and introspection. There are many signs and symptoms in that few are Grasping, Excavating, Pulling and Scratching. We can diagnose this with Physical Examination, Health History, Current Situation and Diagnostic evaluation. Criteria can be used to diagnose Dermatillomania are Ongoing or recurrent skin picking, Attempts to stop or reduce the behavior, Feelings of shame, embarrassment, or other negative emotions related to skin picking that interfere with work and social interactions, Non-medical conditions or drug side effects as the reason for skin picking, Absence of other mental health conditions. There is a possibility to treat this condition with Cognitive Behaviour Therapy, Habit reversal therapy, Acceptance and Commitment therapy, Anti depressants, Anti Psychotics and Nutraceuticals. Physician can help to pinpoint the causes of skin-picking behavior and modify behavior in ways that will enhance quality of life. If they get help, most people are able to resist the need to pick at their skin.
Background: Palliative care aims to enhance the quality of life for patients with life-limiting illnesses. While much attention is given to patient comfort, the vital role of primary caregivers often family members who provide continuous physical and emotional support is frequently overlooked. These caregivers face a multitude of hidden struggles that include emotional exhaustion, physical fatigue, social isolation, and financial strain. Objectives: This study aims to explore the lived experiences and hidden burdens of primary caregivers in palliative care environments. It seeks to understand their emotional, physical, social, and financial challenges, identify coping mechanisms, and gather their suggestions for support. Methods: A qualitative phenomenological research design was employed. Primary caregivers of patients receiving palliative care were selected using purposive sampling. In-depth, semi-structured interviews were conducted until data saturation was achieved. Thematic analysis was used to analyze the narratives and identify recurring patterns and themes. Results: Emerging themes included emotional vulnerability, disrupted personal lives, lack of formal support, cultural expectations of caregiving, and adaptive coping strategies such as spiritual reliance and informal peer support. Many caregivers reported neglect of self-care, anxiety, anticipatory grief, and a desire for structured support systems including respite care and psychological counseling. Conclusion: The study reveals that caregiving in palliative care settings entails profound, often invisible burdens. There is a critical need to integrate caregiver focused support services within the palliative care framework. Recognizing caregivers as co-recipients of care, rather than mere providers, can contribute significantly to holistic and compassionate palliative care.
Objectives: The integration of technology into healthcare has accelerated, encompassing all healthcare services worldwide. If anxiety toward technology can be identified during the student period and appropriate measures can be taken, the use of health-related technologies in professional life may be facilitated and service quality improved. From this perspective, it is necessary to directly measure students'technology-related anxiety before their professional careers. This study aims to adapt the Abbreviated Technology Anxiety Scale to Turkish culture among nursing students. Methods: This methodological study was conducted with 274 nursing students. Language, content, construct, and criterion-related validity analyses were performed. Reliability was assessed using internal consistency coefficients, item-total correlations, lower-upper 27% group analyses, and test-retest reliability (n=184). Results: Exploratory factor analysis revealed a two-factor structure, differing from the original scale, explaining 55.67% of the total variance across 11 items. The Cronbach's alpha coefficient for the scale was 0.87. Differences between the lower and upper 27% groups were significant for all items. High and positive correlations were found between subscale totals and total scale scores obtained from the first and second administrations. Confirmatory factor analysis indicated a good model fit. Conclusion: The 11-item, two-factor Abbreviated Technology Anxiety Scale obtained through this adaptation study is a valid and reliable measurement tool for use in Turkish culture.
Objectives: The aim of this study is to determine the level of social distancing among nurses working in non-psychiatric clinics toward individuals diagnosed with mental disorders and the associated factors. Methods: The study was conducted using a descriptive and correlational research design. Data were obtained from 217 nurses working in non-psychiatric clinics. Data were collected using an individual information form and the 'social distance scale,' which includes two separate scenarios regarding anxiety and schizophrenia diagnoses. The SPSS (Statistical Package for Social Sciences for Windows 22.0) and AMOS programs were used in the data analysis. Results: The social distance score was found to be 3.86 +/- 1.75 for the anxiety disorder case and 5.98 +/- 1.36 for the schizophrenia case. In both cases, the statement "Suppose that you have a sister. Would it bother you if your sister wanted to marry this person?" had the highest mean score. It was found that nurses most frequently reported the emotion of 'compassion' toward the anxiety disorder case and 'unhealthiness and fear' toward the schizophrenia case. Conclusion: According to the study findings, it can be stated that nurses working in non-psychiatric clinics have higher levels of social distance toward people diagnosed with schizophrenia compared to those diagnosed with anxiety disorder. Therefore, training programs aimed at reducing social distance can be organized for nurses who also provide care to people with mental disorders in the clinics where they work.
Objectives: This study aimed to determine the relationship between adversity quotient (AQ) and nurse burnout in a clinical setting, addressing the need for psychological resilience strategies in nursing practice. Methods: A cross-sectional analytical study was conducted among 102 nurses working in inpatient wards at a public hospital in Central Java, Indonesia. Data were collected using the Adversity Response Profile (ARP) to assess AQ and the Burnout Syndrome Assessment Scale for Nurses to measure burnout levels. Spearman rankcorrelation analysis was used to examine the relationship between the two variables. Results: The majority of nurses had low AQ levels (43.1%) and experienced severe burnout (41.2%). A significant negative correlation was found between AQ and burnout (r=-0.775, p<0.0001), indicating that higher AQ was associated with lower levels of nurse burnout. Conclusion: AQ plays a protective role against nurse burnout. Enhancing AQ through structured interventions may help reduce emotional exhaustion and improve psychological well-being in demanding healthcare environments. Further research is needed to evaluate the effectiveness of AQ-based training in clinical settings.
Objectives: The link between theoretical knowledge and practical application in nursing education requires innovative methods to teach crucial skills to future nurses. This review outlines a framework emphasizing simulated training in mental health nursing and aims to consolidate findings on the significance of this training for nursing students globally. Methods: This review utilized five major databases: Scopus, ProQuest Medical Library Database, CINAHL Database via EBSCO Host, PubMed, and Web of Science. Papers related to simulated mental health nursing training for baccalaureate nursing students were searched using specific keywords such as simulated mental health nursing, learning mental illness through simulation, mental health nursing through simulation, and simulation in psychiatric nursing. From the results, papers containing one or more of these keywords within titles, abstracts, or keyword sections were identified. Results: Research indicates that simulated mental health nursing training decreases students' anxiety and enhances their confidence, ultimately resulting in improved patient care. The study emphasizes how simulated mental health nursing training can improve nursing outcomes and patient care by aligning with learners' cognitive abilities and evaluation methods. Conclusion: Simulating mental health nursing enhances the knowledge and skills of nursing students, supporting the development of crucial competencies by linking theory to practice. These simulations serve as an effective educational strategy to address challenges in learning mental health nursing. Simulated mental health nursing training strengthens nursing students'confidence, reduces anxiety, improves their knowledge and skills, and contributes to better patient care outcomes.
Objectives: This study aims to explore senior nursing students' feelings, thoughts, and experiences regarding the clinical practice of the psychiatric nursing course. Methods: A phenomenological approach was used in the research carried out in a qualitative design. The research sample consisted of 15 students who took a mental health and psychiatric nursing course at a private university and performed their clinical practice in a mental health and diseases training and research hospital. The data were collected using a semi-structured interview form and focus group interview method at the end of the fall semester, and the grades were finalized. The data analysis was carried out based on the content analysis method developed by Lundman and Graneheim. The COREQ checklist was followed during the reporting of the qualitative research. Results: Two main themes were identified in the research: (1) Conditions Specific to the Psychiatry Clinic: Characteristics that Distinguish It from Other Clinical Practices, and (2) Transition from Theory to Practice: Growth as a Nurse and as a Person. Conclusion: Students experience stress and fear during clinical practice due to their prejudices against individuals with mental disorders and the physical characteristics of the clinical environment they have entered. To reduce the stress experienced by students in clinical practice and achieve clinical practice learning goals, it is recommended to conduct stakeholder studies involving students and clinical psychiatric nurses by the lecturers of the course.
