Archives of Psychiatric Nursing RSS feed: Current Issue. Archives of Psychiatric Nursing disseminates original, peer-reviewed research that is of interest to psychiatric and mental health care nurses. The field is considered in its broadest perspective, including theory, practice and research applications related to all ages, special populations, settings, and interdisciplinary collaborations in both the public and private sectors. Through critical study, expositions, and review of practice, Archives of Psychiatric Nursing is a medium for clinical scholarship to provide theoretical linkages among diverse areas of practice.http://www.psychiatricnursing.org/?rss=yesElsevier Inc.en © 2010 Published by Elsevier Inc. Archives of Psychiatric Nursing0883-9417241February 2010 © 2010 Published by Elsevier Inc. healthpermissions@elsevier.comhttp://www.psychiatricnursing.org/article/PIIS0883941709001381/abstract?rss=yesI recently had the honor of speaking on the broad topic of mental health to undergraduate students in South Korea. None of the students were health professionals so the presentation was geared to the general student, with particular attention to what could be done to make mental health services more available and acceptable in their country. I was not totally unaware of the needs of the country. I have had some long-term involvement in mental health in Korea, participating in the first United Nations Development Project, which provided funding for service provision for mentally ill individuals.The World Health Organization and Mental HealthJoyce J. Fitzpatrick10.1016/j.apnu.2009.10.002Archives of Psychiatric Nursing 24, 1 (2010)2010-02-01Archives of Psychiatric Nursing2010-02-01241S0883-9417(09)X0007-5Editorial11http://www.psychiatricnursing.org/article/PIIS0883941709001174/abstract?rss=yesWE THANK THE author for his thoughtful letter () regarding our study reported in the October 2008 issue of this journal (). We recognize Dr. Schwebel's substantive contributions to the injury field and expertise in the areas of disruptive behavior disorders and unintentional injuries in young children. We are also passionate about reducing the significant public health burden that results from unintentional childhood injuries.Author's Response to Letter Regarding Unintentional Injury Risk Among Preschoolers With Behavior DisordersDawn Lee Garzon10.1016/j.apnu.2009.08.003Archives of Psychiatric Nursing 24, 1 (2010)2009-10-16Archives of Psychiatric Nursing2009-10-16241S0883-9417(09)X0007-5Letter to the Editor22http://www.psychiatricnursing.org/article/PIIS0883941709000430/abstract?rss=yesThis article examines the use of physical restraints through the four broad principles of ethics common to all helping professions. It asks whether the continued use of physical restraints is consistent with ethical practice through the lens of those principles. It also examines where the necessity to use restraints in the absence of empirically supported alternatives leaves professionals in terms of conflicts between ethical principles and makes recommendations for changes in education and clinical practice. It concludes that an analysis through a bioethics lens demonstrates that the use of restraints as a tool in psychiatric settings is a complex and multifaceted problem. Principles of ethics may often be in conflict with each other in instances where patients must be physically restrained.Restraints and the code of ethics: An uneasy fitWanda K. Mohr10.1016/j.apnu.2009.03.003Archives of Psychiatric Nursing 24, 1 (2010)2009-08-07Archives of Psychiatric Nursing2009-08-07241S0883-9417(09)X0007-5314http://www.psychiatricnursing.org/article/PIIS0883941709000028/abstract?rss=yesAggression is common in mental health services, but little research has examined exposure to aggression and its impact on staff in children and adolescent settings. Staff members within a child and adolescent psychiatric inpatient unit were interviewed to examine exposure to aggression and perceptions about the impact of aggression. Involvement in episodes of physical aggression was common (84.8%, 28/33) and was linked to difficulty attending work and other emotional and professional sequelae. These findings suggest that aggression is an important issue for staff working in child and adolescent settings and that aggression may impair the therapeutic capacity of staff.Exposure to Aggression and the Impact on Staff in a Child and Adolescent Inpatient UnitAngela J. Dean, Peter Gibbon, Brett M. McDermott, Tim Davidson, James Scott10.1016/j.apnu.2009.01.002Archives of Psychiatric Nursing 24, 1 (2010)2009-03-27Archives of Psychiatric Nursing2009-03-27241S0883-9417(09)X0007-51526http://www.psychiatricnursing.org/article/PIIS0883941709000600/abstract?rss=yesThis study explored the associations among childhood emotion regulation, overt aggression, relational aggression, and adolescent deviant social behaviors. Data were drawn from the Family Health Project, a longitudinal study conducted over 4 years. The sample consisted of 111 children at Time 1 who ranged in age from 51/2 to 12 years at Time 1 and 8 to 14 years at Time 3. A significant finding was that, for girls, lower emotion regulation predicted later relational aggression (β = −2.95, P < .05). Moreover, low prosocial skills coupled with relational aggression were associated with deviant social behaviors.Understanding the Gender Differences in Pathways to Social Deviancy: Relational Aggression and Emotion RegulationBonnie H. Bowie10.1016/j.apnu.2009.04.007Archives of Psychiatric Nursing 24, 1 (2010)2009-08-17Archives of Psychiatric Nursing2009-08-17241S0883-9417(09)X0007-52737http://www.psychiatricnursing.org/article/PIIS0883941709000612/abstract?rss=yesThis study was aimed to test the structured anger management nursing program for the family members of patients with alcohol use disorders (AUDs). Families with the AUDs suffer from the dysfunctional family dynamic caused by the patients' deteriorative disease processes of alcohol dependence. Family members of AUDs feel bitter and angry about the uncontrolled behaviors and relapses of the patients in spite of great effort for a long time. This chronic anger threatens the optimal function of the family as well as obstructs the family to help the patients who are suffering from AUDs. Sixty three subjects were participated who were referred from community mental health centers, alcohol consultation centers, and an alcohol hospital in Korea. Pre-post scores of the Korean Anger Expression Inventory were used to test the program. An anger management program was developed and implemented to promote anger expression and anger management for the family members of the patients with AUDs. The total anger expression score of the experimental group was significantly more reduced as compared with that of the control group. Subjects in the experimental group reported after the program that they felt more comfortable and their life was changed in a better way. The anger management program was effective to promote anger expression and anger management for family members of AUDs. Nurses need to include family members in their nursing process as well as to care of patients with AUDs to maximize nursing outcome and patient satisfaction.The Effect of an Anger Management Program for Family Members of Patients With Alcohol Use DisordersJu-Young Son, Yun-Jung Choi10.1016/j.apnu.2009.04.002Archives of Psychiatric Nursing 24, 1 (2010)2009-08-07Archives of Psychiatric Nursing2009-08-07241S0883-9417(09)X0007-53845http://www.psychiatricnursing.org/article/PIIS0883941709000648/abstract?rss=yesObjective: The aim of this article is to present a current discussion related to the nursing care of clients treated with atypical antipsychotic medicines and who have a risk of developing metabolic instability and/or Type 2 diabetes. The importance of such a discussion is to provide both the novice and the experienced nurse with additional knowledge of this current health issue with which to inform their nursing practice.Discussion: The potential for psychosis to be a chronic condition is very high, and often people require antipsychotic medicine for lengthy periods throughout their lives. Sometimes, treatment is for life. The second generation of antipsychotic medicines was greeted with much enthusiasm since it was better tolerated than the first generation. However, each medication has desired and adverse effects and, when taken for lengthy periods, these effects may produce physical illness. Studies show that the prevalence of Type 2 diabetes and the metabolic syndrome was significantly higher in clients with a chronic psychiatric disorder, particularly schizophrenia.Conclusions: Metabolic instability, especially weight gain, is associated with some psychotropic medicines. Nursing interventions need to include care assessment, planning, intervention, and evaluation for clients treated with antipsychotic medicines in terms of risk minimization strategies in routine nursing care.Nursing Care of Clients Treated with Atypical Antipsychotics Who Have a Risk of Developing Metabolic Instability and/or Type 2 DiabetesKaren-leigh Edward, Bodil Rasmussen, Ian Munro10.1016/j.apnu.2009.04.009Archives of Psychiatric Nursing 24, 1 (2010)2009-08-07Archives of Psychiatric Nursing2009-08-07241S0883-9417(09)X0007-54653http://www.psychiatricnursing.org/article/PIIS0883941709000429/abstract?rss=yesThe WALC intervention was designed to motivate exercise in the elderly. Persons with schizophrenia spectrum disorders (SSDs) face similar exercise barriers. We described theoritical underpinnings of the WALC intervention and how we adapted it for SSDs. We conducted a feasibility study of the adapted intervention in 17 persons with SSDs. The adapted intervention incorporated low intensity stretches, exercise education and exercise cues. The intervention was feasible and acceptable to participants; approximately two-thirds of all groups were attended and nearly half of participants attended at least 75% of groups. Follow up studies should examine the effect of the intervention upon future exercise behavior, with the goal of identifying evidence based interventions to increase exercise in this group.Feasibility of the Walk, Address, Learn and Cue (WALC) Intervention for Schizophrenia Spectrum DisordersLora Humphrey Beebe, Kathlene Smith10.1016/j.apnu.2009.03.001Archives of Psychiatric Nursing 24, 1 (2010)2009-08-07Archives of Psychiatric Nursing2009-08-07241S0883-9417(09)X0007-55462http://www.psychiatricnursing.org/article/PIIS0883941709000181/abstract?rss=yesThe purpose of this study was to evaluate the effects of the suicide awareness program (SAP) in enhancing community volunteers' awareness of suicide warning signs (SWSs). Seventy-six participants were recruited in this study to complete the Awareness of Suicide Warning Signs Questionnaire before and after they received a 90-minute SAP. After the educational intervention, the mean score of the participants on awareness of SWSs was elevated from 3.97 to 4.53. The percentage of SWSs perceived increased from 46.88% to 84.38%. This shows that the SAP for community volunteers is effective in promoting suicide awareness.The Effects of the Suicide Awareness Program in Enhancing Community Volunteers' Awareness of Suicide Warning SignsWen-Pei Tsai, Long-Yau Lin, Wen-Li Chang, Hui-Chin Chang, Ming-Chih Chou10.1016/j.apnu.2009.01.004Archives of Psychiatric Nursing 24, 1 (2010)2009-03-27Archives of Psychiatric Nursing2009-03-27241S0883-9417(09)X0007-56368http://www.psychiatricnursing.org/article/PIIS088394170900137X/abstract?rss=yesDEPRESSION AND ANXIETY are the most common mental health problems affecting children today (). Research has documented an association among anxiety, depression, and psychosocial impairments including immaturity, inattention, concentration problems, academic difficulties, poor peer relations, low self-esteem, and low social competence ().A Pilot Study Examining the Effect of Mindfulness on Depression and Anxiety for Minority ChildrenPatricia Liehr, Naelys Diaz10.1016/j.apnu.2009.10.001Archives of Psychiatric Nursing 24, 1 (2010)2010-02-01Archives of Psychiatric Nursing2010-02-01241S0883-9417(09)X0007-5Research Briefs Column6971http://www.psychiatricnursing.org/article/PIIS0883941709001149/abstract?rss=yesThe Adolescent Coping With Depression Course (CWD-A) is cognitive–behavioral treatment (CBT) group program targeting adolescents with unipolar depression and their parents (). The program has been tested in National Institutes of Health-supported studies and is manualized to be delivered in sixteen 2-hour sessions. In real-world treatment settings, it is not always possible to deliver the full 16-session dose or the parental component. However, a pilot study by demonstrated effectiveness (significant reduction in depressive symptoms) of adapting CWD-A in an 8-session school-based program.Bringing Science to the School CommunityLavena S. Wilkes10.1016/j.apnu.2009.08.001Archives of Psychiatric Nursing 24, 1 (2010)2009-10-19Archives of Psychiatric Nursing2009-10-19241S0883-9417(09)X0007-5Consider This...Column7272http://www.psychiatricnursing.org/article/PIIS088394170900140X/abstract?rss=yesContents10.1016/S0883-9417(09)00140-XArchives of Psychiatric Nursing 24, 1 (2010)2010-02-01Archives of Psychiatric Nursing2010-02-01241S0883-9417(09)X0007-5FrontmatterA1A1http://www.psychiatricnursing.org/article/PIIS0883941709001411/abstract?rss=yesEditorial Board10.1016/S0883-9417(09)00141-1Archives of Psychiatric Nursing 24, 1 (2010)2010-02-01Archives of Psychiatric Nursing2010-02-01241S0883-9417(09)X0007-5FrontmatterA2A2http://www.psychiatricnursing.org/article/PIIS0883941709001423/abstract?rss=yesMasthead10.1016/S0883-9417(09)00142-3Archives of Psychiatric Nursing 24, 1 (2010)2010-02-01Archives of Psychiatric Nursing2010-02-01241S0883-9417(09)X0007-5FrontmatterA3A3