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  • 1
    In: Mindfulness, Springer Science and Business Media LLC, Vol. 12, No. 7 ( 2021-07), p. 1812-1821
    Type of Medium: Online Resource
    ISSN: 1868-8527 , 1868-8535
    Language: English
    Publisher: Springer Science and Business Media LLC
    Publication Date: 2021
    detail.hit.zdb_id: 2543424-X
    SSG: 5,21
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  • 2
    Online Resource
    Online Resource
    MDPI AG ; 2021
    In:  International Journal of Environmental Research and Public Health Vol. 18, No. 8 ( 2021-04-09), p. 3977-
    In: International Journal of Environmental Research and Public Health, MDPI AG, Vol. 18, No. 8 ( 2021-04-09), p. 3977-
    Abstract: Schizophrenia is a mental disease that often leads to chronicity. Social support could reduce the severity of psychotic symptoms; therefore, its influence on remission should be examined. This study investigated the remission rates in community-dwelling schizophrenia patients and examined the association between social support and remission status. A cross-sectional study was conducted in 129 schizophrenia patients in Taiwan. Remission rates were evaluated, and the level of social support, clinical characteristics, sociodemographic variables, and healthy lifestyle status were compared between the remission and nonremission groups. The association between social support and remission was analyzed after adjusting for confounding factors. The mean illness duration is 12.9 years. More than 95% of the participants lived with their families, 63% were unemployed, and 43% achieved remission. Higher social support was observed in the remission group, and a significant correlation was observed between family domain of social support and remission status. Family support was a protective factor of symptomatic remission in community-dwelling schizophrenia patients in Taiwan. The results reflect the effects of a family-centered culture on patients during illness. Consequently, reinforcing family relationships and the capacity of families to manage the symptoms of patients and providing support to families are recommended.
    Type of Medium: Online Resource
    ISSN: 1660-4601
    Language: English
    Publisher: MDPI AG
    Publication Date: 2021
    detail.hit.zdb_id: 2175195-X
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  • 3
    Online Resource
    Online Resource
    Ovid Technologies (Wolters Kluwer Health) ; 2023
    In:  Journal of Nursing Research Vol. 31, No. 1 ( 2023-2), p. e251-
    In: Journal of Nursing Research, Ovid Technologies (Wolters Kluwer Health), Vol. 31, No. 1 ( 2023-2), p. e251-
    Type of Medium: Online Resource
    ISSN: 1948-965X
    Language: English
    Publisher: Ovid Technologies (Wolters Kluwer Health)
    Publication Date: 2023
    detail.hit.zdb_id: 2103410-2
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  • 4
    In: Journal of Advanced Nursing, Wiley, Vol. 78, No. 9 ( 2022-09), p. 2861-2871
    Abstract: To examine the association of the working stress with posttraumatic stress disorder symptoms (PTSD), and burnout as the mediator for this association among emergency nurses during COVID‐19 pandemic. Design Longitudinal survey study. Methods Online survey was used to collect data during the period from August to November 2020 with a sample of 169 emergency nurses. They were invited to complete the following questionnaires at the 6th and 9th months after COVID‐19 outbreak: Posttraumatic Symptom Scale (PTSS‐10), the emergency nurses' COVID‐19 stress questionnaire and Chinese version of 21‐item Copenhagen Burnout Inventory (CBI). Results During the 3‐month follow‐up, there were no changes in the number of suspected PTSD cases (6 and above symptoms): 41% at the 6th month and 33.3% at the 9th month. The increases of the personal burnout levels and living apart from families were the main factors associated with the PTSD symptoms. The risk for emergency nurses suffering from PTSD is through stress levels increasing their burnout levels. Conclusions Over 30 percent of emergency nurses remained at high risk for suspected PTSD. The burnout levels mediated the relationship between the stress levels and the risks of PTSD. Impact Little as know about the impact of COVID‐19 on emergency nurses' stress. This study found emergency nurses remained to be the high risk for the suspected PTSD cases. It is urged to develop a stress‐reduction program targeting at causes of stress and improving burnout for emergency nurses during COVID‐19 pandemic.
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2022
    detail.hit.zdb_id: 2009963-0
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  • 5
    In: Journal of Advanced Nursing, Wiley, Vol. 77, No. 6 ( 2021-06), p. 2565-2580
    Abstract: To evaluate the effects of mindfulness‐based intervention on psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, anxiety, and rehospitalization. Design A meta‐analysis of randomized controlled trials. Data Sources Medline, Embase, Cochrane Central Register of Controlled Trials, PsycINFO, CINAHL, National Digital Library of Theses and Dissertations in Taiwan, and Airiti Library were searched from their earliest available date up to April 2019. Review Methods The guidelines of the Cochrane Collaboration were followed to report this systematic review. Two authors conducted this meta‐analysis independently. Results Nine randomized controlled trials were included. Meta‐analysis showed that mindfulness‐based intervention significantly decreased psychotic symptoms, positive symptoms, negative symptoms, depressive symptoms, and duration of rehospitalization among patients with schizophrenia, and that the reduction in negative symptoms lasted through short‐term follow‐up. The moderation analysis showed that significantly decreased positive symptoms occurred in the nurse‐led intervention group, while no significant impact was found in the psychologist‐led intervention group. Conclusion The psychotic symptoms of the patients with schizophrenia are improved after mindfulness‐based intervention and the effects on the negative symptoms can be maintained for at least 3 to 6 months. Mindfulness‐based intervention provided by nurses produces more improvements in positive symptoms than intervention provided by psychologists. Impact A growing number of mindfulness‐based interventions have been implemented for patients with schizophrenia, although the effectiveness had not previously been established by meta‐analysis. Mindfulness‐based interventions appear to reduce the symptom severity of schizophrenia patients. Further suggestions for healthcare providers and researchers are provided and discussed.
    Type of Medium: Online Resource
    ISSN: 0309-2402 , 1365-2648
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 2009963-0
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  • 6
    In: Journal of Clinical Nursing, Wiley, Vol. 32, No. 13-14 ( 2023-07), p. 3682-3694
    Abstract: This study examined the changes in patients' parental functioning and the associated factors, including manic, depressive symptoms and social support from before discharge to 6 months post‐discharge. Background For parents with bipolar disorder and major depression, parenting is a recovery factor for patients, but little research examines the dynamic parental functioning from acute hospitalisation to a remission stage. Design A longitudinal design was used. The STROBE Checklist were used in presenting this research. Methods Participants were inpatients with bipolar disorder or major depression ( n  = 33) recruited within one week before discharge from the acute psychiatric ward in Taiwan. Data on parental functioning was collected four times: before discharge (T1), the 1st (T2), the 3rd (T3) and the 6th (T4) months of post‐discharge. Baseline parental functioning before admitting to the acute word was retrospectively assessed at T0. The questionnaires included positive and negative domains of parenting practice, hypomanic/manic symptoms, depressive symptoms and social support. Generalised estimating equations were applied for data analysis. Results The negative parenting domains (poor monitoring, inconsistent discipline) decreased during hospitalisation but increased at one month post‐discharge, except corporal punishment at 3‐months discharge. The positive parenting domains (parental involvement and nurturance/responsiveness) did not recovery to baseline. While clinical symptoms remained stable during 6 months post‐discharge, social support decreased at 3 and 6 months post‐discharge. Higher depressive symptoms and low social support were associated with positive parenting domains but not related to negative parenting domains. Manic symptoms were not associated with positive or negative parenting domains. Conclusions Positive parenting domains did not fully return to the usual situation during 6 months post‐discharge. Relevance to clinical practice Parenting functioning recovery program targeting at the impacts of depressive symptoms on the parenting functioning and insufficient social support is needed from hospitalisation to post‐discharge.
    Type of Medium: Online Resource
    ISSN: 0962-1067 , 1365-2702
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2023
    detail.hit.zdb_id: 2006661-2
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  • 7
    In: Psychology & Health, Informa UK Limited, Vol. 36, No. 9 ( 2021-09-02), p. 1102-1114
    Type of Medium: Online Resource
    ISSN: 0887-0446 , 1476-8321
    Language: English
    Publisher: Informa UK Limited
    Publication Date: 2021
    detail.hit.zdb_id: 2068770-9
    SSG: 5,2
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  • 8
    Online Resource
    Online Resource
    Cambridge University Press (CUP) ; 2023
    In:  Palliative and Supportive Care Vol. 21, No. 3 ( 2023-06), p. 534-546
    In: Palliative and Supportive Care, Cambridge University Press (CUP), Vol. 21, No. 3 ( 2023-06), p. 534-546
    Abstract: This study examined the effects of compassion-based intervention on mental health in cancer patients by using systematic review and meta-analysis of randomized controlled trials (RCTs). Methods Eleven bibliographic databases were searched from their earliest data available date up to March 1, 2022. The databases were PubMed, CINAHL, MEDLINE, PsycINFO, WOS, Cochrane, Embase, Scopus, ProQuest Dissertations, Airiti Library, and the National Digital Library of Theses and Dissertations in Taiwan. Results Ten studies from 2015 to 2021 were included with a total of 771 cancer patients. Most were targeted at women with breast cancer. Brief compassion-based interventions of approximately 30 minutes were conducted by audio file, paper, and web-based self-guided writing prompts. Most were conducted after the completion of active treatment. Anxiety was the most measured outcome. Constructive compassion-based interventions with 4- to 12-week sessions were conducted by a trained facilitator. Most were conducted for patients who had undergone treatment, and depression was the most measured outcome. The meta-analysis indicated that compassion-based interventions had a significant effect of reducing depression and increasing self-compassion. Moderation analysis indicated that constructive intervention showed more benefits of increased self-compassion than brief intervention. Both face-to-face and non-face-to-face web-delivered formats had benefits for increasing self-compassion compared with the control condition. Significance of results Compassion-based interventions might provide an effective strategy for improving self-compassion and depression among patients with breast cancer. Suggestions for further research and health-care providers follow.
    Type of Medium: Online Resource
    ISSN: 1478-9515 , 1478-9523
    Language: English
    Publisher: Cambridge University Press (CUP)
    Publication Date: 2023
    detail.hit.zdb_id: 2121158-9
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  • 9
    In: Nurse Education Today, Elsevier BV, Vol. 96 ( 2021-01), p. 104621-
    Type of Medium: Online Resource
    ISSN: 0260-6917
    Language: English
    Publisher: Elsevier BV
    Publication Date: 2021
    detail.hit.zdb_id: 2009219-2
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  • 10
    In: Psycho-Oncology, Wiley, Vol. 30, No. 6 ( 2021-06), p. 853-862
    Abstract: This study explored the multiple mediating effects of cancer threat appraisal, functional status, and symptom distress on the association between mindfulness and depression in colorectal cancer (CRC) patients at the transition stage after completing cancer treatments. Methods A total of 90 CRC survivors who received cancer treatments within 3 months participated in this cross‐sectional study. The functional status and symptom distress (EORTC‐C30 and EORTC CR29), dispositional mindfulness (Five Facet Mindfulness Questionnaire), cancer threat appraisal ( Constructed Meaning Scale), and depressive symptoms (Beck Depression Inventory‐II scale) were collected. The mediation and moderation analyses were conducted using the PROCESS macros for SPSS. Results Survivors' dispositional mindfulness ( γ  = −0.49, p   〈  0.001) and cancer threat appraisal ( γ  = −0.59, p   〈  0.001) were significantly associated with depressive symptoms. Simple mediation analysis indicated that cancer threat appraisal mediated the relationship between dispositional mindfulness and depression ( β  = −0.02, 95% CI = −0.04 to −0.001). The multiple mediated analysis identified the path between dispositional mindfulness and depression via cancer threat appraisal and colorectal symptom distress ( β  = −0.01, 95% CI = −0.03 to −0.01). In the mediated moderation model, the path between dispositional mindfulness and depression via colorectal function was moderated by cancer threat appraisal ( β  = −0.02, 95% CI = −0.05 to −0.004). Conclusions The two cognitive mechanisms of reducing CRC survivors' depression are as follows: (1) dispositional mindfulness reducing the appraisal of cancer as a threat and increasing positive perceptions of CRC symptoms and (2) the cancer threat appraisal buffered the impacts of CRC's mindfulness and colorectal function on depressive symptoms. Developing mindfulness with cognitive training is recommended for improving depressive symptoms among CRC patients in the transition period.
    Type of Medium: Online Resource
    ISSN: 1057-9249 , 1099-1611
    URL: Issue
    Language: English
    Publisher: Wiley
    Publication Date: 2021
    detail.hit.zdb_id: 1495115-0
    SSG: 5,2
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