Effects of psychosocial support-based psychoeducation for Turkish pregnant adolescents on anxiety, depression and perceived social support: a randomized controlled study.

INTRODUCTION: In this study, a psychosocial support-based (PSSB) psychoeducation program was provided to pregnant adolescents for improving their mental health and providing them with knowledge and skills to make positive behavioral changes. This study aimed to determine the effect of PSSB psychoeducation on anxiety, depression and perceived social support. METHODS: This study was conducted using a pre-test-post-test randomized controlled design. The population of the study included pregnant adolescents presenting to the obstetrics and gynecology outpatient clinic of a state hospital located in eastern Turkey. The sample size, determined using power analysis, included 105 pregnant adolescents (experimental group n=50, control group n=55). The participants in the experimental group were given PSSB psychoeducation. The control group did not receive any intervention. The data were collected using an introductory characteristics form, the Beck Anxiety Inventory, the Edinburgh Postpartum Depression Scale and the Multidimensional Scale of Perceived Social Support. SPSS v24.0 was used to analyze the data, and p-values less than 0.05 were accepted as statistically significant. RESULTS: It was established that there was a significant decrease in the anxiety and depression levels and a significant increase in the perceived social support levels in the experimental group in comparison to the control group after the PSSB psychoeducation intervention (p<0.05). In the intragroup comparisons, the difference between the pre-test and post-test scores for anxiety, depression and perceived social support was statistically significant in the experimental group (p<0.05), whereas this difference was insignificant in the control group (p>0.05). CONCLUSION: The PSSB psychoeducation program reduced anxiety and depression and increased perceived social support levels of the pregnant adolescents. The PSSB psychoeducation program is a useful practical intervention for the mental health of pregnant adolescents. Thus, we recommend that psychiatric nurses take an active role in planning and implementing psychosocial interventions for pregnant adolescents and develop culture-specific interventions.

The effect of positive psychotherapy-based training on psychological well-being and hope level in women receiving infertility: experimental study.

BACKGROUND: Infertility is a multidimensional problem, which negatively affects the mental health of couples, especially women. Therefore this study was conducted to determine the effect of positive psychotherapy (PPT)-based training on psychological well-being and hope level of women receiving infertility treatment. METHOD: The research was carried out in two Research Hospitals OGPH between November 2019 and December 2020 as an experimental model with pre-test-post-test control groups. Sample size for the study was determined by using the G.Power 3.1.9.2 program. The study was completed with 104 women (62 in the control group, 42 in the experimental group) receiving infertility treatment. The infertile women who were included in the study were determined by using the computer-assisted simple random sampling method. 8-session PPT-based training was provided for the women in the experimental group while no intervention was applied to the women in the control group. The trainings were carried out as individual and face-to-face training with the women in the experimental group. RESULTS: After the PPT-based training, it was determined that the psychological well-being and hope levels of the women in the experimental group increased compared to the women in the control group. CONCLUSION: In the study, it was found out that PPT-based training has a positive effect on increased psychological well-being and hope levels of infertile women.

The Effect of Positive Psychotherapy-Based Training on Stigma and Self-Efficacy in Women Receiving Infertility Treatment.

BACKGROUND: Infertility has increased in recent years. Infertility can cause many mental problems. The place of psychoeducation based on positive psychotherapy (PPT) is important in coping with mental problems. AIMS: The aim of this study is to determine the effect of PPT-based training on stigma and self-efficacy in women receiving infertility treatment. METHODS: This experimental study with randomized control group was completed with 64 women receiving infertility treatment. While the women in the experimental group received an 8-session PPT-based training, no intervention was applied to those in the control group. RESULTS: A statistically significant difference was observed (p= .001) between the stigma and self-efficacy levels of the experimental group after the PPT-based training. CONCLUSIONS: It was found that the PPT-based training was effective in decreasing stigma level of the women who received infertility treatment and increasing their self-efficacy level.

The effect of cognitive behavioral therapy-based psychoeducation on internalized stigma and functional remission in individuals diagnosed with schizophrenia.

PURPOSE: The aim of this study is to determine the effect of cognitive behavioral therapy-based psychoeducation provided to individuals diagnosed with schizophrenia on internalized stigma and functional remission. DESIGN AND METHODS: The study was conducted based on the quasi-experimental design with pretest-posttest control group with 100 individuals, who were diagnosed with schizophrenia, in a Community Mental Health Center between September 2020 and June 2021. FINDINGS: It was determined that after the cognitive behavioral therapy-based psychoeducation, the internalized stigma level decreased and the functional remission level increased in the experimental group compared with the control group. PRACTICE IMPLICATIONS: In the study, it was determined that the experimental and control groups had low levels of functional remission and high levels of internalized stigma before the cognitive behavioral therapy-based psychoeducation, and the functional remission levels increased and the internalized stigma levels decreased in the experimental group compared with the control group after the cognitive behavioral therapy-based psychoeducation.

The Effect of Spiritual Well-being on Hope in Immobile Patients Suffering From Paralysis Due to Spinal Cord Injuries.

This study aimed to determine the effect of spiritual well-being on hope in immobile patients suffering from paralysis due to spinal cord injuries. The sample size of this cross-sectional study was determined to be 100 immobile patients suffering from paralysis due to spinal cord injuries via power analysis. "Descriptive Characteristics Form," "Spiritual Well-being Scale," and "Dispositional Hope Scales" were used to collect the data. It was determined that participants' spiritual well-being scores were 22.25 ± 9.62 and their hope scores were 29.53 ± 9.83. There was a weak but positive correlation between the total scores on the hope scale and the spiritual well-being scale (p = 0.001, r = 0.477). Among immobile patients suffering from paralysis due to spinal cord injury, spiritual well-being levels accounted for 22% of the variance in hope levels (p = 0.001, R2 = 0.22). This study showed that as patients' spiritual well-being levels increased, their hope levels also increased.

Effect of Perceived Social Support on Self-care Agency and Loneliness Among Elderly Muslim People.

This study was conducted to investigate the effect of perceived social support on self-care agency and loneliness among elderly Muslim people. This study used a cross-sectional design and included 965 elderly individuals who met the inclusion criteria. There was a positive correlation between perceived social support and self-care agency and a negative correlation between perceived social support and loneliness in elderly muslim individuals (p < 0.05). It is recommended that psychiatric nurses should activate the social support mechanisms of elderly individuals, and necessary follow-ups to increase self-care agencies must be conducted.

The Effects of Mindfulness-Based Stress Reduction Training on Hope, Psychological Well-Being, and Functional Recovery in Patients with Schizophrenia.

This study tested the effects of mindfulness-based stress reduction (MBSR) training on multiple outcomes in patients with schizophrenia. We compared MBSR, psychoeducation, and control groups in a randomized controlled research design. Outcome measures assessed hope, psychological wellbeing, and functional recovery over three time points in 137 participants. The results of this study indicate that MBSR training was more effective in terms of increasing the level of hope, psychological well-being, and functional recovery of schizophrenia patients when compared with psychoeducation and control patients.

Does Spiritual Well-Being Affect Medication Adherence in Individuals Diagnosed with Mental Illness in Turkey?

Spiritual well-being has been evaluated as an important factor for both physical and mental recovery. The aim of this study was to determine the correlation between spiritual well-being and medication adherence in individuals diagnosed with mental illness. The study was conducted as a correlational descriptive study. The study sample consisted of 410 individuals diagnosed with mental illness. The study was conducted in the psychiatry clinic of a university hospital. The data were collected using a descriptive information form, the spiritual well-being scale, and the Morisky medication adherence scale. There was a statistically significant positive correlation between spiritual well-being and treatment adherence (r = 0.856, p = 0.002). Patient spiritual well-being was significant in explaining medication adherence (R2 = 0.48, p = 0.000). This study showed that spiritual well-being affected medication adherence in individuals diagnosed with mental illness.

The Association Between Religious Belief and Treatment Adherence Among Those with Mental Illnesses.

This study was conducted to determine the association between religious belief and treatment adherence among those with mental illness. The sample size of this cross-sectional study was determined to be 255 patients diagnosed with mental illness via power analysis. A descriptive characteristics form prepared by the researcher, the Systems of Belief Inventory, and the Morisky Medication Adherence Scale were used to collect data. Patients were listed and chosen by using a simple random sampling method. This study found no significant correlation between religious belief and treatment adherence (p > .05). It was determined that treatment adherence was moderate in patients with high religious beliefs and that treatment adherence was low in patients with low religious beliefs. Religious belief was not a factor influencing treatment adherence among those with mental illness.

The correlation between mindfulness and negative automatic thoughts in depression patients.

PURPOSE: The purpose of this study is to determine the correlation between mindfulness and negative automatic thoughts in depression patients. DESIGN AND METHODS: The sample of the study, which was conducted as a correlational descriptive study, was determined as 151 patients with depression via power analysis. The Descriptive Characteristics Form, "Mindful Attention Awareness Scale (MAAS)," and "Automatic Thoughts Questionnaire-Negative (ATQ-N)" were used to collect the data. FINDINGS: It was determined that the total mean score of the participants was 32.59 ± 8.55 in the MAAS and 109.06 ± 15.07 in the ATQ-N. In the study, it was found that there was a statistically negative strong correlation between mindfulness and negative automatic thoughts of patients with depression (p < 0.05). PRACTICE IMPLICATIONS: In the study, it was determined that the patients had higher negative automatic thoughts and lower mindfulness. Also, mindfulness accounted for negative automatic thoughts at the rate of 56%.

The Effect of Religious Belief on Depression and Hopelessness in Advanced Cancer Patients.

This study was conducted to determine the effect of religious belief on depression and hopelessness in advanced cancer patients. The sample size of this cross-sectional study was determined as 267 as a result of the power analysis. The study was carried out between February 2018 and December 2018. "The Patient Information Form", "The Religious Attitude Scale", "The Beck Depression Inventory (BDI)", and "The Beck Hopelessness Scale (BHS)" were used to collect the data. It was determined that the total mean score of the cancer patients participating in the study for Religious Attitude Scale was 4.51 ± 0.44 (high level), their total mean score for depression inventory was 19.06 ± 9.38 (moderate level), and their total mean score for hopelessness scale was 10.23 ± 1.94 (moderate level). In the study, the difference between the religious beliefs and depression and hopelessness levels of the cancer patients was statistically significant (p < 0.05). In the study, it was determined that depression and hopelessness levels of cancer patients were moderate and their religious beliefs were high. It is recommended for healthcare professionals to add spirituality to healthcare in order to provide the spiritual relief of cancer patients.

The relationship between internalized stigma and loneliness in patients with schizophrenia.

PURPOSE: The study was conducted for the purpose of determining the relationship between internalized stigma and loneliness in patients with schizophrenia. DESIGN AND METHODS: The population of this correlational-descriptive study consisted of a total of 200 in patients with schizophrenia. The data were collected using "Form of Descriptive Characteristics", "Internalized Stigma of Mental Illness Inventory (ISMI)", and "UCLA Loneliness Scale". FINDINGS: It was determined that the loneliness level of the patients who participated in the study was 57.20 ± 10.38 and level of of internalized stigma was 79.65 ± 13.48. There was a statistically positive and strong correlation between loneliness and internalized stigma total mean scores of the patients (P = 0.001, r = 0.854). PRACTISE IMPLICATIONS: It was found that the schizophrenic patients had high levels of internalized stigma and loneliness.

The effect of insights on medication adherence in patients with schizophrenia.

PURPOSE: This study was conducted to identify the effect of insights on medication adherence in patients with schizophrenia. DESIGN AND METHODS: This is a cross-sectional study conducted between June 2017 and June 2018 in the Elazig Mental Health and Diseases Hospital. The sample of the study was determined as 300 patients with schizophrenia with the power analysis. Descriptive Characteristics Form, Birchwood Insight Scale, and Morisky Medication Adherence Scale were used to collect the data. In the analysis of data, percentage, arithmetic mean, independent samples t test, the Kruskal Wallis test, analysis of variance, regression analysis, and post hoc-Tukey tests were used. FINDINGS: Approximately 69% of the patients had a moderate level of medication adherence and moderate insight. There was a statistically positive strong correlation between the insights and medication adherence of the patients (P < .05). PRACTISE IMPLICATIONS: The patients with schizophrenia had low insight and moderate medication adherence and as their insight increased their medication adherence increased.