Journal of Psychosocial Nursing and Mental Health Services

Includes bibliographical references.

Guest editorial -- Commentary -- Clip & Save: drug chart anticonvulsant drugs -- Treatment-Resistant Depression: Identification and Treatment Strategies -- Opioids: Literature Findings and Recommendations -- Lean Perspectives: A Case for Implementing Parent-Child Relational Problem Screening -- Irritability and Parenting Styles in Adolescents With Attention-Deficit/Hyperactivity Disorder: A Controlled Study -- A Grounded Theory Investigation Into Sophomore Students' Recall of Depression During Their Freshman Year in College: A Pilot Study -- Degree of Anger During Anger-Generating Situations Among Psychiatric Staff Nurses: Association Between Nurses' Attitudes Toward Service Users' Aggression and Confidence in Intervening in Aggressive Situations -- CNE quiz -- NARSAD artworks.

[Article Title: Treatment-Resistant Depression: Identification and Treatment Strategies / Barbara J. Limandri, p. 11-15] Abstract: Treatment-resistant depression (TRD) refers to depression that fails to remit after at least two to four medication and psychotherapy treatment strategies. TRD carries significant personal burden and risk for suicide and poses substantial burden to society. Less than 30% of individuals diagnosed with major depressive disorder achieve complete remission of symptoms. Using the evidence-based predictors of TRD in the initial assessment of patients, clinicians can arrive at a treatment plan to improve outcomes. The current article includes first-line medications based on symptom presentation as well as augmentation and more aggressive treatment recommendations for patients who continue to experience depressive symptoms beyond 6 months of effective dose and time trials of treatment.;[Article Title: Opioids: Literature Findings and Recommendations / Hunter Jones and Tamatha Arms, p. 17-24] Abstract: The opioid epidemic is a national public health concern. Nurses are the largest portion of the health care workforce and play a critical role in education, recognition, and referral to treatment. The purpose of the current article is to offer recommendations for nurses caring for individuals using opioid drugs. Searches for abuse, nursing, opioid, opiate, prescription, identify, and treatment were performed using Ovid Nursing, PubMed, and CINAHL databases. Articles were judged based on title, keywords, and abstract to determine inclusion. Thirty-three articles were chosen for review. Articles were chosen based on relevance to nurses' roles in care for individuals who were prescribed or misusing opioid drugs. Nurses are health care providers who can assess patients for opioid use and/or dependency. Recognizing substance use disorders early may prevent death due to opioid drug misuse. Through patient assessment, education, and treatment referrals, nurses can reduce fatal consequences that may result from opioid drug use.;[Article Title: Lean Perspectives: A Case for Implementing Parent-Child Relational Problem Screening / Bryson C. Okeoma, p. 27-32] Abstract: The purpose of the current study was to make a case for instituting parent-child relational problem (PCRP) screening as a standard of care in pediatric inpatient psychiatric units due to increasing evidence that PCRP may be an underreported problem that affects more adolescents than currently realized. Adolescents who are admitted to the hospital for mood exacerbation, suicidal ideation, self-harm behavior, or behavioral escalation may improve and be discharged. However, these adolescents often are readmitted, which may be associated with parent-child relational factors. By identifying adolescents with PCRP and initiating holistic therapy/intervention that addresses the underlying cause of their PCRP, it may be possible to improve the parent-adolescent relationship and break the cycle of admission, discharge, and readmission. PCRP is increasingly recognized as a risk factor for development and progression of childhood mental illnesses. Investment in screening and treatment for PCRP may result in significant cost savings from prevention or reduction of rehospitalization and/or amelioration of disability. ;[Article Title: Irritability and Parenting Styles in Adolescents With Attention-Deficit/Hyperactivity Disorder: A Controlled Study / Halit Necmi Uçar and Ayşe Pınar Vural, p. 33-43] Abstract: Attention-deficit/hyperactivity disorder (ADHD) affects functioning of the family, decreasing interactions and loyalty and increasing conflict between adolescents with ADHD and their families. Irritable mood and difficulties with emotional dysregulation are common in children with ADHD. The objective of the current study was to assess levels of irritability in adolescents with ADHD using self- and parent-report scales, and investigate the relationship between irritability levels and parental attitudes. A total of 47 adolescents with ADHD and 39 adolescents with typical development participated in the current study. Findings demonstrated that higher levels of parent-reported irritability were associated with decreased egalitarian attitudes in the ADHD group. Although other parental attitudes were not associated with self- and parent-reported irritability, evaluation of the relationship between parental attitudes and irritability in adolescents with ADHD, which can guide diagnosis and treatment of ADHD, is of critical importance.;[Article Title: A Grounded Theory Investigation Into Sophomore Students' Recall of Depression During Their Freshman Year in College: A Pilot Study / Julie M. Brandy, Theresa A. Kessler and Christina H. Grabarek, p. 44-50] Abstract: Using a grounded theory approach, the current descriptive qualitative design was conducted with sophomore students to understand the meaning participants gave their freshman experiences with depression. Twelve participants were recruited using scripted class announcements across campus. After informed consent, interviews began with the question: What was the experience of your freshman year in college? All interviews were completed with the primary investigator and transcribed verbatim. Interviews were analyzed using constant comparative methodology. Data collection continued until saturation was achieved. Four major categories emerged, including the category of symptoms and emotions. This category included the subcategories expressions of stress, changes in eating habits, sleep issues, and procrastination. Descriptive examples of each were found throughout the interview data. With greater understanding of living with depression as a college freshman, health care and college student affairs professionals will have additional evidence to guide their practices. ;[Article Title: Degree of Anger During Anger-Generating Situations Among Psychiatric Staff Nurses: Association Between Nurses' Attitudes Toward Service Users' Aggression and Confidence in Intervening in Aggressive Situations / Seiji Shimosato and Aimi Kinoshita, p. 51-59] Abstract: Some situations require psychiatric staff nurses to respond to service users' negativity or aggression. As a result, psychiatric staff nurses may experience anger. The current study examined how anger levels of psychiatric staff nurses triggered by anger-generating situations by service users affected nurses' confidence and attitudes. A questionnaire survey was administered among 386 psychiatric staff nurses. The questionnaire surveyed anger levels in anger-generating situations, aggressiveness, nurses' attitudes toward aggression, and self-efficacy of intervening in aggressive situations. Path analysis revealed differences between male and female nurses. Male nurses' anger in response to physical aggression was mild when they were confident in handling aggression. Furthermore, female nurses who had high confidence in intervening in an aggressive situation had low anger levels. Confidence in intervening in aggressive situations appeared to dissipate anger and ease nurses during aggressive interactions.