PURPOSE:To evaluate the effects of an online stress management (OSM) program on perceived stress and coping mechanisms among young women who experienced emotional abuse. METHOD:A randomized controlled trial was conducted with 52 women, divided into experimental and control groups. The OSM program comprised five weekly sessions delivered online. Data were collected at baseline, immediately postintervention, and at 1- and 3-month follow up using the Perceived Stress Scale (PSS) and Coping Style Scale. RESULTS:There was a significant difference between groups in the amount of change in PSS score from baseline to 3-months postintervention (p < .001). The experimental group showed a significant reduction in perceived stress, and improvements became more pronounced at 1- and 3-month follow up. The experimental group had higher scores on the self-confident approach and significantly lower scores on the helpless and submissive approaches (p < .001). CONCLUSION:The OSM program effectively reduced stress and promoted adaptive coping in young women who experienced emotional abuse.
PURPOSE:To evaluate the effect of a program based on Pender's Health Promotion Model (HPM) and motivational interviewing on healthy lifestyle behaviors in individuals with schizophrenia. METHOD:A randomized controlled trial was conducted involving 60 individuals with schizophrenia and other psychotic disorders at a community mental health center. A program based on Pender's HPM and motivational interviewing was implemented over a 6-week period and follow up was conducted at 3 and 6 months. RESULTS:After implementation of the intervention, stress levels decreased (intervention group: mean = 22.33 [SD = 4.45], p < .01; control group: mean = 13.70 [SD = 2.13], p = .177), and sleep levels (intervention group: mean = 10.70 [SD = 1.3], p < .01; control group: mean = 7.97 [SD = 2.35], p < .01) and healthy lifestyle behaviors (intervention group: mean = 137.66 [SD = 14.11], p < .01; control group: mean = 91.60 [13.23], p = .001) increased significantly in the intervention group compared to the control group (p < .05). CONCLUSION:Pender's HPM and motivational interviewing have a positive effect on the development of healthy lifestyle behaviors in individuals with schizophrenia.
PURPOSE:The current narrative review synthesizes evidence on human capacity across emotional, cognitive, physical, and relational domains, providing psychiatric-mental health nurses (PMHNs) with evidence-based strategies to foster patient resilience and workforce sustainability. Capacity depletion affects patients and nurses, yet traditional assumptions that capacity restores naturally with time are contradicted by research. METHOD:CINAHL, PsycINFO, PubMed/MEDLINE, and Scopus were searched for studies published from 2005 to 2025 on capacity-building interventions in psychiatric-mental health settings, using the Critical Appraisal Skills Programme and Joanna Briggs Institute quality appraisal tools. RESULTS:Mindfulness-based interventions, cognitive remediation therapy, progressive exercise programs, and peer support models produce measurable improvements across all domains. CONCLUSION:PMHNs can integrate assessment tools (e.g., Patient Health Questionnaire-9, Montreal Cognitive Assessment, 6-Minute Walk Test, UCLA Loneliness Scale), dose-specific interventions, and outcome tracking to systematically address capacity deficits while applying similar strategies to mitigate burnout and enhance professional resilience.
PURPOSE:Spiritual psychotherapy has been increasingly used in nursing; however, conceptual diversity limits its consistent use in addressing psychological and spiritual distress. The current article presents a concept analysis of spiritual psychotherapy as a nursing intervention to define its attributes, antecedents, consequences, and operational meaning for psychosocial and spiritual nursing practice. METHOD:An international literature review was conducted using Walker and Avant's concept analysis to identify recurring psychospiritual patterns. RESULTS:Five defining attributes were identified: guided meaning-making, therapeutic spiritual presence, activation of inner healing, mind-spirit integration, and a sacred therapeutic relationship. Antecedents included spiritual or existential distress, emotional vulnerability, spiritual readiness, a trusting nurse-patient relationship, supportive environments, and nurses' spiritual awareness. Conceptual consequences comprised enhanced spiritual well-being, emotional regulation, resilience, meaning reconstruction, and reduced existential distress. CONCLUSION:This clarification of spiritual care provides a conceptual foundation for psychosocial and mental health nursing practice, supporting its intentional integration into holistic nursing interventions.
The aging population is transforming societies worldwide, necessitating a shift from deficit-based models of care to approaches that promote thriving, purpose, and well-being across the lifespan. The current article reframes aging as an opportunity for innovation and value creation, highlighting the critical role of psychiatric-mental health professionals in leading this transformation. Four key pillars are emphasized-reframing aging as opportunity, enhancing communication as a catalyst for change, transitioning from reactive to proactive care, and leveraging technology while aligning innovation with compassion. Psychiatric-mental health nurses are uniquely positioned to integrate mental, physical, and social care while addressing social determinants of health and reducing ageism. Through inclusive communication and system-level strategies, they can reshape care delivery and societal narratives around aging. Ultimately, redefining professional value in a longevity society requires a commitment to equity, dignity, and human-centered innovation, ensuring that older adults not only live longer but live well and thrive.
PURPOSE:To examine the effects of individually delivered, nurse-led mindfulness-based psychotraining on internalized stigma and healthy lifestyle behaviors among individuals with schizophrenia. METHOD:The current study was conducted in a community mental health center in Turkey with 40 outpatients diagnosed with schizophrenia (experimental group, n = 20; control group, n = 20). The intervention included 12 individual mindfulness-based sessions over 6 weeks. Outcomes were assessed at baseline and postintervention using the Internalized Stigma of Mental Illness Scale and Healthy Lifestyle Behaviors Scale. RESULTS:The intervention did not result in a significant reduction in internalized stigma (p > .05). In contrast, significant interaction effects were found for lifestyle behaviors (p = .001), indicating greater improvements in the experimental group. CONCLUSION:Although short-term, individually delivered mindfulness-based psychotraining was not sufficient to directly reduce internalized stigma, it demonstrated moderate-to-large effects on healthy lifestyle behaviors, particularly in nutrition and stress management.
PURPOSE:To evaluate the effects of Benson relaxation exercise (BRE) on anxiety levels and sleep quality among adolescents receiving inpatient treatment in a psychiatric clinic. METHOD:The current study used a randomized controlled experimental design. The intervention group (n = 30) performed BRE five times. The control group (n = 30) did not receive any intervention. Both groups completed a pretest, post-test (Day 6), and follow-up test (Day 10). RESULTS:The intervention group's state anxiety level was found to be significantly lower than that of the control group in the posttest and follow-up test. Sleep quality of the intervention group was also significantly better than that of the control group in the posttest and follow-up test. CONCLUSION:BRE is effective in reducing anxiety levels and improving sleep quality in adolescents in psychiatric clinics.
Purpose: To investigate the relationship between the timing of perinatal depressive symptoms and breastfeeding self-efficacy, while also exploring the moderating effect of breastfeeding knowledge. Method: The current prospective cohort study was performed from October 2021 to June 2023 at a tertiary hospital in Hunan, China. Depressive symptoms were measured during each trimester of pregnancy and at 1 week, 6 weeks, 3 months, and 6 months postpartum. Breastfeeding knowledge was assessed during the third trimester of pregnancy. Breastfeeding self-efficacy was evaluated at the same postpartum intervals. Participants were grouped into no, antenatal, post-partum, and persistent depressive symptoms. Generalized linear mixed models were used to compare breastfeeding self-efficacy across groups, with interaction terms included to test the moderating role of breastfeeding knowledge. Results: A total of 258 women were included. Antenatal and persistent depressive symptoms were significantly associated with lower breastfeeding self-efficacy scores. Breastfeeding knowledge moderated these effects in antenatal (β = 1.061, 95% confidence interval [CI] [0.428, 1.695], p = .001) and persistent (β = 0.734, 95% CI [0.271, 1.197], p = .002) groups. Conclusion: Breastfeeding knowledge can mitigate the negative effect of antenatal and persistent depressive symptoms on breastfeeding self-efficacy. Clinical nurses should integrate breastfeeding education into antenatal care, routinely screen for persistent depression, and deliver additional educational interventions to affected mothers.
PURPOSE:Parkinson's disease (PD) caregivers face significant emotional, physical, and social challenges that result in poor health outcomes. Despite their critical role, caregivers receive limited support from health care systems. The current study explored the feasibility and acceptability of a student-led virtual support group for PD caregivers. METHOD:The goal of the support group was to provide a safe space for peer connection, emotional processing, and health education. Feasibility was assessed through participation metrics alongside program surveys measuring loneliness, self-care engagement, satisfaction, and student learning. RESULTS:Results indicated that caregivers reported moderate levels of loneliness and inconsistent self-care but expressed satisfaction and perceived benefit from the group. Students reported gains in empathy, active listening, and confidence in group facilitation. This model provided meaningful caregiver support and valuable experiential student learning. CONCLUSION:Findings offer a delivery model to address the unmet mental health needs of caregivers and psychiatric-mental health nurse training.
PURPOSE:To compare the levels of negative automatic thoughts (NATs) and self-efficacy among individuals with different mental disorders and examine the relationship between NATs and self-efficacy levels across the sample. METHOD:This cross-sectional study was conducted with 187 individuals diagnosed with bipolar disorder, depression, schizophrenia and other psychotic disorders, anxiety, and substance use disorder (SUD) who attended a psychiatry outpatient clinic. Data were collected using the Negative Automatic Thoughts Questionnaire (NATQ) and General Self-Efficacy Scale (GSE). RESULTS:Mean GSE total score of individuals with SUD and schizophrenia and other psychotic disorders was lower and mean NATQ total score was higher than other groups (p < .001). A significant negative correlation was found between mean GSE total score and mean NATQ total score (r = -0.983; p < .001). Mean NATQ total score explained 96.7% of the score obtained from the GSE (R2 = 0.967; p < .001). CONCLUSION:Individuals with mental disorders had high levels of NATs and low levels of self-efficacy. Given the higher levels of NATs and lower self-efficacy observed among individuals with SUD and schizophrenia, these groups may benefit from additional support and interventions targeting cognitive distortions and self-efficacy.
PURPOSE:To compare levels of depression, perceived loneliness, and relationship-related cognitive distortion in older adults living alone and with their families in rural areas, and determine the mediating relationship between relationship-related cognitive distortion and depression and loneliness. METHOD:Participants comprised 193 older adults, with 105 living alone and 88 living with their families. Data were collected using a Personal Information Form, the Geriatric Depression Scale-Short Form (GDS-15), Interpersonal Cognitive Distortions Scale, and Loneliness Scale for the Elderly (LSFE). RESULTS:Participants living alone scored significantly higher on the GDS-15 (t = 6.064, p = .001) and LSFE (t = 4.727, p = .001) than participants living with their families. Geriatric depression levels significantly predicted cognitive distortion levels (β = 0.7849, p < .001); however, the effect of cognitive distortion levels on loneliness was not statistically significant (β = 0.0325, p = .2121). CONCLUSION:Depression and loneliness levels of participants living alone were higher than those of participants living with their families. Participants living alone did not tend to establish close relationships.
Purpose: To explore the experiences of individuals with mental disorders participating in a nurse-led group yoga practice in an acute psychiatric inpatient setting. Method: A descriptive qualitative design was used. The study sample comprised patients with mental disorders hospitalized in a psychiatric unit of a university hospital in Türkiye; 26 patients participated in the yoga program, and interviews were conducted with 14 participants who attended at least eight sessions over 4 weeks. Data were collected through semi-structured interviews and analyzed using reflexive thematic analysis informed by a analytic framework. Results: Four main themes emerged: Emotional and Mental Well-Being, Reflecting Relaxation, Emotional Regulation, and Enhanced Self-Awareness ; Physical Effects and Body Awareness (including increased bodily awareness and breath control); The Power of Shared Experience (highlighting motivation and social connectedness fostered through group practice); and Challenges and Recommendations (addressing physical strain, environmental limitations, and suggestions for structured and supportive implementation). Conclusion: Nurse-led group yoga appears to be a holistic and supportive intervention for psychiatric inpatients, improving psychological well-being, physical awareness, and social connectedness. Integrating structured, nurse-led yoga sessions into psychiatric wards can promote recovery-oriented, holistic care.
Purpose: To increase posttraumatic stress disorder (PTSD) awareness and anesthetic implications among certified nurse anesthetists in a large academic affiliated health care facility. Method: The project introduced a PTSD screening tool, online educational modules, 13-question Likert-type pre- and post-surveys, and an evidence-based PTSD fact sheet. Results: Participants demonstrated a significant increase in knowledge regarding PTSD awareness. Nonpharmacological interventions were found to be useful >90% of the time. Easy implementation was the most common reason for their selection. Conclusion: This project highlighted the need for continuous research and systematic efforts to optimize care for patients with PTSD, emphasizing the importance of ongoing collaboration across disciplines.
Purpose: To examine relationships among women's adverse childhood experiences (ACEs), attachment styles, psychological well-being, and Cinderella Syndrome (CS). Method: This descriptive cross-sectional study included 334 women. Data were collected using the Personal Information Form, Early Life Experiences Scale, Three Dimensional Attachment Style Scale, Psychological Well-Being Scale, and Cinderella Syndrome Scale (CSS). Results: Correlation analyses showed positive associations between CSS scores and threatening childhood memories, submissive and threatening experiences, avoidant and anxious-ambivalent attachment styles, age, and number of children, and negative associations with secure attachment and psychological well-being (all p < .001). Multiple regression analyses revealed that threatening childhood memories (B = 0.70 to 1.52, p < .001) and anxious-ambivalent attachment (B = 0.29 to 0.52, p < .001) were consistent positive predictors across CSS subdimensions and total scores. Conclusion: ACEs and insecure attachment patterns significantly contribute to CS tendencies, whereas higher educational level and psychological well-being act as protective factors. Findings emphasize the importance of incorporating psychosocial assessments, trauma-informed care, and attachment-focused interventions in nursing practice to support women's mental health and promote autonomy and resilience.
Purpose: To explore the relationship between depressive symptoms and fear of falling (FoF) to identify shared risk factors and inform integrated prevention strategies. Method: A cross-sectional correlational design was conducted in three phases to examine relationships between depressive symptoms and FoF in 354 community-dwelling older adults. Depressive symptoms were assessed with the Patient Health Questionnaire-9, FoF with the Short Falls Efficacy Scale-International, and individual differences in behavioral inhibition and action with the Behavioral Inhibition System and Behavioral Activation System. Results: Depressive symptoms were significantly associated with falls and FoF beyond other factors. The regression model showed that FoF independently predicted depressive symptoms, indicating a direct role in depression. Other factors (age, living alone) may operate through shared pathways. Conclusion: Findings support existing research, suggesting that psychological factors, such as FoF, play a key role in the mental health of older adults.
PURPOSE:The current scoping review examined resilience-promoting interventions for adolescents and young adults, with a focus on those designed or delivered by nurses. METHOD:A systematic search across multiple databases identified 3,092 records, with 14 studies meeting inclusion criteria. RESULTS:Interventions, implemented in various settings, such as schools and health care facilities, included strength-based training, mindfulness, psychoeducation, and cognitive-behavioral approaches, typically lasting 4 to 10 weeks. Outcomes assessed included resilience, emotional regulation, depression, anxiety, stress, self-esteem, and self-efficacy. Results indicated that these interventions consistently improved coping skills, enhanced resilience, and reduced psychological distress. Notably, nurse-led programs demonstrated feasibility and effectiveness in delivering these interventions. CONCLUSION:Findings suggest that resilience-building strategies are crucial for adolescent mental health, underscoring the vital role of nurses in their implementation. Future research should focus on scalable, nurse-led models and their implications for psychiatric-mental health nursing practice, education, and policy.
