Nevin Manimala

Arch Psychiatr Nurs. 2024 Aug;51:282-286. doi: 10.1016/j.apnu.2024.06.014. Epub 2024 Jul 9.

ABSTRACT

OBJECTIVE: Westernized alcohol and commercial tobacco use prevention approaches for Native Americans have not been effective, or sustainable. The overall objective of this study examined the effect of the culturally based Urban Talking Circle (UTC) intervention versus standard education (SE) program for the prevention of alcohol and commercial tobacco use among urban Native American youth.

DESIGN: The study employed a 2-condition quasi-experimental design and utilized convenience and snowball sampling methods for recruiting 100 urban Native American youth participants in two urban Native American community program locations in Florida. Study participants were randomized by their urban Native American community program location to one of the 2-conditions. These included the standard education (SE) program used within United States school systems (drug abuse resistance education) and the Urban Talking Circle (UTC) intervention, culturally tailored and developed for urban Native American youth from the culturally based Talking Circle Intervention for rural Native American Youth. The Native American Alcohol Measure for Youth (NAAMY) and Native Reliance Questionnaire were utilized to collect participants’ data. Participants’ data was analyzed using multivariate analysis of variance to determine differences between the scores on all measures at pre/post-intervention for the 2-conditions.

RESULTS: Study findings indicate that a culturally based intervention was more effective for the reduction of commercial tobacco and alcohol use than a non-culturally based intervention for urban Native American youth.

CONCLUSION: The study findings emphasized that the utilization of the culturally tailored UTC intervention reduced involvement associated with alcohol and commercial tobacco use.

PMID:39034090 | DOI:10.1016/j.apnu.2024.06.014

Arch Psychiatr Nurs. 2024 Aug;51:274-281. doi: 10.1016/j.apnu.2024.06.010. Epub 2024 Jul 1.

ABSTRACT

BACKGROUND: Intimate Partner Violence (IPV) is a significant public health concern that disproportionately impacts Indigenous American women more than any other ethnic/racial group in the United States.

PURPOSE: This study aims to inform the work of nurses and allied health professionals by providing insight into the lived realities of Indigenous women in urban areas and how IPV manifests in the lives of Indigenous women.

METHODS: Postcolonial and Indigenous feminist frameworks informed this qualitative study. Using thematic analysis, we analyzed data from semi-structured individual interviews with 34 Indigenous women in large urban areas in the upper Midwest.

FINDINGS: This manuscript discusses one broad theme: experiences of IPV during pregnancy and the devastating impacts on women and their children in the form of intergenerational trauma. Under this broad theme, we identified two sub-themes: impacts of IPV on individual pregnancy experiences and linkages to adverse pregnancy-related outcomes related to physical IPV during the childbearing years.

CONCLUSION: This Indigenous-led study informs the development of effective Indigenous-specific interventions to minimize barriers to accessing prenatal care and help-seeking when experiencing IPV to reduce the devastating consequences for Indigenous women and their families.

PMID:39034089 | DOI:10.1016/j.apnu.2024.06.010

Arch Psychiatr Nurs. 2024 Aug;51:259-267. doi: 10.1016/j.apnu.2024.06.006. Epub 2024 Jul 1.

ABSTRACT

Enhancing social support and connectedness can reduce suicide risk, yet few studies have examined this effect in American Indian and Alaska Native (AI/AN) adults. We assessed suicidal ideation and behavior, thwarted belongingness, social support, enculturation, historical trauma, and traumatic life events in 709 AI/AN adults at high risk of suicide from five AI/AN communities. Suicidal ideation was associated with thwarted belongingness and protected against by social support and engaging in AI/AN ceremonies. Among those who made lifetime suicide attempts, traumatic life events, symptoms of depression/anxiety due to historical trauma, and thwarted belongingness were linked to more attempts. More engagement in cultural practices was associated with fewer suicide attempts. Higher levels of social support were associated with more suicide attempts, an observation potentially attributable to the cross-sectional nature of the study. Interventions should focus on protective factors and context-specific interventions emphasizing community history, values, and strengths.

PMID:39034087 | DOI:10.1016/j.apnu.2024.06.006

Arch Psychiatr Nurs. 2024 Aug;51:235-240. doi: 10.1016/j.apnu.2024.06.009. Epub 2024 Jul 1.

ABSTRACT

Indigenous youth in the United States are at high-risk for experiencing homelessness related to adverse childhood experiences such as parental substance use and low educational attainment. Such experiences may lead to adverse physical and mental health issues; these youth also have positive attributes of psychological capita (hope, self-efficacy, resilience, optimism) that are related to health outcomes. The purpose of this secondary analysis was to describe demographic attributes and psychological capital in Indigenous youth experiencing homelessness (IYEH) who participated in a longitudinal intervention study related to safe sex behaviors and life satisfaction. From a total of 602, Indigenous participants (n = 111; mean age 21.25 ± 1.82 years) were recruited from drop-in centers in Austin, Texas and Columbus, Ohio. Data were collected immediately after the intervention and at 3- and 6-month intervals. For this analysis, only data collected at the final time-point were used. Valid scales with Cronbach alphas of 0.75-0.92 (Hope, Resilience, Optimism, Self-efficacy for Substance Refusal, Self-efficacy for Safer Sex, Safe Sex Behaviors, Social Connectedness, and Life Satisfaction) were used. The majority of the IYEH reported smoking, drinking, and using drugs. Psychological capital variables of hope, self-efficacy for negotiating safer sex, resilience, and optimism were significantly related to one another, but not to safe sex behaviors or intention to use condoms. Resilience and optimism were significantly related to social connectedness but not to other psychological capital variables. Life satisfaction was significantly associated with hope, resilience, and optimism. Findings have implications for further theory and research development.

PMID:39034083 | DOI:10.1016/j.apnu.2024.06.009

Arch Psychiatr Nurs. 2024 Aug;51:228-234. doi: 10.1016/j.apnu.2024.07.005. Epub 2024 Jul 6.

ABSTRACT

AIM: This study was carried out to determine the effect of progressive muscle relaxation exercises (PMR) on premenstrual syndrome (PMS) symptoms.

METHODS: The study was designed in a single-blind randomized controlled type. The study was conducted in a hospital in Western Türkiye. Seventy-nine single women who experienced PMS who met the inclusion criteria were randomly assigned to the experimental group in which PMR would be applied, and the control group to continue their routine coping habits regarding PMS. PMR were applied to the experimental group every day for 8 weeks. At the end of 8 weeks, the experimental and control groups were re-evaluated with the Premenstrual Syndrome Scale (PMSS).

RESULTS: At the beginning of the study, it was observed that the individual, health characteristics and PMSS mean scores of the women in the experimental and control groups were similar (p > 0.05). At the end of eight weeks, it was seen that the mean PMSS score of the experimental group was lower than that of the control group, and the difference was statistically significant (p < 0.001). When in-group comparisons were made at the end of the exercise program, no significant difference was found in the mean PMSS score of the control group compared to the beginning (p > 0.05). The PMSS score of the experimental group decreased significantly and the difference was statistically significant (p < 0.001).

CONCLUSION: In this study, it was seen that PMR were effective in improving PMS.

PMID:39034082 | DOI:10.1016/j.apnu.2024.07.005

Arch Psychiatr Nurs. 2024 Aug;51:222-227. doi: 10.1016/j.apnu.2024.06.017. Epub 2024 Jul 2.

ABSTRACT

This study aimed to evaluate the relationship between nursing students’ mental health literacy and resilience levels. This cross-sectional study included 676 nursing students who completed the Information Form, Mental Health Literacy Scale (MHLS), and Brief Resilience Scale (BRS). The total mean scores of the students’ MHLS and BRS were 102.53 ± 11.49 and 18.19 ± 4.02 respectively. Correlation analysis revealed a very weak positive correlation between MHLS and BRS total scores. The nursing students’ mental health literacy and resilience levels were moderate. Of them, those with high mental health literacy levels also had higher levels of resilience. This study may provide evidence that increasing societies’ mental health literacy levels can also improve resilience levels.

PMID:39034081 | DOI:10.1016/j.apnu.2024.06.017

Arch Psychiatr Nurs. 2024 Aug;51:194-200. doi: 10.1016/j.apnu.2024.06.018. Epub 2024 Jul 4.

ABSTRACT

INTRODUCTION: India is the second largest consumer of tobacco in the world and accounts for 70% of global deaths due to smokeless tobacco (SLT) use.

AIM: The aim of this study is to understand the perspectives of tobacco users (smokers and SLT users) and practitioners in India to inform cessation interventions.

METHOD: Semi-structured in-depth interviews with tobacco users (smoked and smokeless; n=23), and healthcare practitioners (n=13). Perspectives were triangulated using thematic analysis to examine convergence, divergence and complementarity of findings.

RESULTS: We present the results in a socio-ecological framework to highlight reasons for initiation and continuation of tobacco and motives to quit at the individual, interpersonal, occupational, societal and policy levels. SLT is seen as culturally acceptable compared to smoked forms of tobacco. Emotionally framed messages highlighting negative effects of tobacco on loved ones were perceived to be a better motivator than other types of cessation messages.

DISCUSSION: Nuanced differences exist between smokers and SLT user perspectives which have implications for cessation programs. Our findings supplement similar studies with other South Asian populations.

IMPLICATIONS FOR PRACTICE: Our study provides useful insights to tailor cessation interventions to the type of tobacco consumed in order to enhance their acceptability and effectiveness.

PMID:39034078 | DOI:10.1016/j.apnu.2024.06.018

Arch Psychiatr Nurs. 2024 Aug;51:168-175. doi: 10.1016/j.apnu.2024.06.021. Epub 2024 Jul 2.

ABSTRACT

AIM: The aim of the present study was to determine the effect of education provided to nursing students on MHL levels.

METHODS: The study had a randomized pre-test post-test parallel control group design. Fifty-six (n = 56) first-year nursing students. In this study, CONSORT flow diagram was applied. The data collection forms consist of a personal information form and Mental Health Literacy Scale. In the statistical analysis Wilcoxon signed-rank test, and Mann-Whitney U test were used.

RESULTS: Creative drama education was found to be significantly more effective than classroom education in increasing scores on the mental health literacy scale, including sub-dimensions for awareness of mental disorders, ability to access information, and stigma in nursing students (p < 0.05).

CONCLUSIONS: Classroom education and creative drama are effective in changing mental health literacy scales. It is recommended to spread the use of creative drama, which is one of the artistic and interactive educational techniques in nursing education.

PMID:39034074 | DOI:10.1016/j.apnu.2024.06.021

Arch Psychiatr Nurs. 2024 Aug;51:152-157. doi: 10.1016/j.apnu.2024.06.024. Epub 2024 Jul 2.

ABSTRACT

OBJECTIVE: The purpose of this study was to determine the predictors of social appearance anxiety and social media addiction on objectified body consciousness among adolescents.

METHOD: This descriptive and cross-sectional study included 502 adolescents. The Child and Family Information Form, Social Appearance Anxiety Scale, Objectified Body Consciousness Scale-Youth Form, and Social Media Addiction Scale for Adolescents were used to collect data. Mann-Whitney U test, Kruskal Wallis H test and regression analysis were used.

RESULTS: In the study, being female, being pleased with one’s weight, and following and being influenced by influencers all increase levels of self-objectification. It was found that social media addiction, social appearance anxiety, and self-objectification all have an effect on one another.

CONCLUSION: It was concluded that social media usage characteristics, social media addiction, social appearance anxiety affect self-objectification.

PMID:39034072 | DOI:10.1016/j.apnu.2024.06.024

Arch Psychiatr Nurs. 2024 Aug;51:137-142. doi: 10.1016/j.apnu.2024.06.005. Epub 2024 Jun 12.

ABSTRACT

OBJECTIVES: This study aims to examine the relationship between adolescent’s mental health, well-being and their tobacco use.

METHODS: The study employed a relational survey model. The sample consisted of 691 adolescents aged between 12 and 15. This study deployed “Decisional Balance Scale” to predict and define the adolescents’ tobacco use, and the “Me and My Feelings Scale” to evaluate mental health and well-being. Multiple linear regression analysis was used during data analysis.

RESULT: The results revealed that the emotional difficulties dimension of Me and My Feelings Scale had a statistically significant effect on the Decisional Balance Scale. However, the behavioral difficulties dimension did not have a statistically significant impact on the Decisional Balance Scale.

CONCLUSIONS: Adolescents’ mental health affects their tobacco use at the level of 2.3 %. A significant relationship was noted across the adolescents’ mental health and their perceptions towards smoking.

PMID:39034070 | DOI:10.1016/j.apnu.2024.06.005