Abstract:
PURPOSE:This study aimed to examine the relationship between behavioral variables and aggression among severely and chronically mentally ill inpatients in a Social Learning Program (SLP) at a state psychiatric facility. METHODS:Using archival data over a 24-month period, a total of 23 severely and chronically mentally ill inpatients comprised the sample in this study. The predictor variables included length of current hospitalization; length of stay on SLP; basic activities of daily living (ADLs); instrumental ADLs; attendance in programming; participation in programming; and the number of minor, major, and intolerable infractions received. The criterion variable was number of aggressive episodes (e.g., hitting persons or objects). RESULTS:Results of a standard multiple regression analysis indicated an overall model of two predictors (intolerable infractions and instrumental ADLs) that significantly predicted number of aggressive episodes. Findings suggested that SLP patients who have a tendency to be aggressive are able to adequately and concurrently complete daily hygiene needs and participate in scheduled treatment groups and activities. DISCUSSION:Our findings provide valuable information regarding aggressive tendencies that can inform treatment planning. Specifically, our results suggested there are not necessarily obvious warning signs for aggression among severely and persistently mentally ill inpatients. Rather, other individualized patient factors may be at play in the expression of aggressive impulses, emphasizing the importance of adequate staff-to-patient ratios so that care planning and implementation can be appropriately individualized.
journal_name
Arch Psychiatr Nursjournal_title
Archives of psychiatric nursingauthors
Oehler S,Berman A,Gay C,Manguso R,Espinoza Jdoi
10.1016/j.apnu.2017.09.012subject
Has Abstractpub_date
2018-02-01 00:00:00pages
39-43issue
1eissn
0883-9417issn
1532-8228pii
S0883-9417(17)30040-7journal_volume
32pub_type
杂志文章abstract:INTRODUCTION:Over the last two decades, mental health services internationally have shifted towards intervening early in psychosis. The critical period for intervention is estimated to be five-years and many specialised programs target early psychosis. AIM/QUESTION:This prospective cohort study aimed to evaluate five-...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2017.07.003
更新日期:2017-12-01 00:00:00
abstract::For fear of causing unnecessary distress, ethical concerns have been raised in regard to asking vulnerable persons e.g. sexually traumatized victims to participate in scientific research studies. The current study investigates how victims of sexual assault perceived participating in scientific research in regard to vi...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2016.01.017
更新日期:2016-06-01 00:00:00
abstract::Psychiatric/Mental Health nursing has a long history of professional self-regulation; nevertheless, interest in how governments protect consumers of health care from poor or dangerous practice(s) is on the increase. Correspondingly, there have been calls, in several parts of the world, for greater watchfulness and due...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.03.006
更新日期:2011-10-01 00:00:00
abstract::This study aimed at assessing the psychosocial adjustment, specifically the emotional distress, quality of life (QOL) and personal growth, in a sample of 36 Portuguese young adults with cancer and 435 healthy controls. Cancer patients scored significantly lower than controls in the role, cognitive and social domains o...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2013.08.003
更新日期:2013-12-01 00:00:00
abstract::The 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 receive...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2009.01.004
更新日期:2010-02-01 00:00:00
abstract::When a patient suffering from bipolar II disorder is misdiagnosed as experiencing unipolar depression, the recommended treatment of the latter may precipitate a hypomanic or manic episode. Unchecked hypomanic symptoms may include risky behaviors, through which a patient could sustain irreparable damage to relationship...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2018.06.014
更新日期:2018-12-01 00:00:00
abstract::Specialization within health care is evolving in response to the proliferation of knowledge about disease treatment and health management. The practice of psychiatric consultation-liaison nursing in the acute care hospital is diversifying through subspecialization as a result of this trend. This article examines the c...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(92)90066-r
更新日期:1992-08-01 00:00:00
abstract::Some aggressive incidents in psychiatric wards result in seclusion, whereas others do not. We used the Staff Observation Aggression Scale-Revised and the mental health trust's database to identify determinants that predicted seclusion after aggression. These consisted of demographic, diagnostic, contextual, and aggres...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.10.004
更新日期:2012-08-01 00:00:00
abstract::The purpose of this qualitative study was to identify factors influencing Korean American men's smoking behavior. Focus-group research method was used, and participants were 22 Korean male smokers in New York City. They talked about their experiences of smoking and smoking cessation. Addiction, health, and age emerged...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2004.11.005
更新日期:2005-02-01 00:00:00
abstract:OBJECTIVE:Depression is a common mental disorder and a leading contributor to the global burden of disease. In Australia, depression is reportedly the leading cause of morbidity for young women. In addition to conventional treatments, there is also some evidence that there is common use of complementary and alternative...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.10.002
更新日期:2012-06-01 00:00:00
abstract::Highly suicidal, borderline patients are difficult to treat within the hospital and the community. The institution of managed care necessitates that care for these and other chronically hospitalized populations take place in the community. Psychotherapy has shown moderate success for some borderlines, however, treatme...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/s0883-9417(97)80058-1
更新日期:1997-04-01 00:00:00
abstract::This study describes efforts to reduce turnover of child care workers, one of the many activities undertaken within the Milieu Enhancement Project. This 3-year endeavor, funded by the Division of Nursing of the Department of Health and Human Services, allowed nurses to provide care for orphaned and disadvantaged child...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(91)90053-8
更新日期:1991-08-01 00:00:00
abstract::This review consolidates findings regarding knowledge and attitudes of healthcare professionals, together with challenges faced while caring for patients with eating disorders. A rigorous and systematic approach was taken to identify 21 articles, which include 12 quantitative, 7 qualitative, and 2 mixed-method papers....
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/j.apnu.2016.09.002
更新日期:2017-02-01 00:00:00
abstract::The objective of this study was to determine the paternal depression rates and affecting factors in prenatal and postpartum periods. The study, which was descriptive and cross-sectional, was conducted with 92 volunteer couples that suited the criteria for the sample. These participants were selected from couples that ...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2016.07.005
更新日期:2016-12-01 00:00:00
abstract::Munchausen's syndrome by proxy (MSBP) is an emotional disorder in which the parent, almost always the mother, induces or fabricates illness in her child in order to gain medical attention. Although numerous case studies exist in pediatric and medical literature, most nurses are unaware of the warning signs of this dis...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/0883-9417(90)90050-u
更新日期:1990-10-01 00:00:00
abstract::Resilience describes a process whereby people bounce back from adversity and go on with their lives. It is a dynamic process highly influenced by protective factors. Protective factors are specific competencies that are necessary for the process of resilience to occur. Competencies are those healthy skills and abiliti...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/s0883-9417(96)80036-7
更新日期:1996-10-01 00:00:00
abstract::This article proposes a deliberative nursing process for ethical decisions about the withdrawal of life-saving treatments from terminally ill patients. It highlights the role of the psychiatric consultation liaison nurse in facilitating this process and the growing need for an expanded nursing role, presents relevant ...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(90)90028-j
更新日期:1990-12-01 00:00:00
abstract::The aim of this study was to investigate how self-assessments of perceived distress and quality of life in patients with schizopsychotic illness are associated with nurse assessments of symptoms, function and life situation. Data were obtained through interviews that used evidence-based rating and visual analogue self...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2015.05.001
更新日期:2015-10-01 00:00:00
abstract::Currently there are approximately 31.5 million Americans 65 years and older. This number is expected to reach 39.3 million by 2010. This group represents 12% of the population, however, they use 25% to 40% of the prescription medications, averaging 4.5 medications daily; 75% of them use over-the-counter medications as...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/s0883-9417(98)80062-9
更新日期:1998-04-01 00:00:00
abstract:AIM:The aim of this study was to evaluate the quality of nursing care in psychiatric wards and compare it between hospitals of different types. RESULTS:Significant differences between hospitals were found in: personnel benevolence (p=0,006219) and response to patient needs (p=0,011446) as well as patients' sense of sa...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2016.03.006
更新日期:2016-12-01 00:00:00
abstract::This study aimed to explore relationships of premorbid personality and behavioral responses to stress with wandering behavior of persons with dementia in long-term care facilities. Ambulatory residents (N = 108) with dementia were selected from 21 long-term care facilities. The Mini-Mental State Examination, the NEO F...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2007.10.008
更新日期:2008-12-01 00:00:00
abstract::This descriptive study examined depressive symptoms impacting the performance of self-care behaviors in patients (N = 62) who have experienced a myocardial infarction (MI). Having had a prior MI is inversely associated with decreased self-care behaviors at 30 days. Depressive symptoms of agitation and loss of energy s...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2011.06.004
更新日期:2012-04-01 00:00:00
abstract::People with mental disorder experience a heavy burden of physical ill-health. This, alongside structural health-system changes, means more people with mental disorder are being cared for in non-psychiatric hospitals. This article reports on 32 studies that have investigated the care and outcomes of people with comorbi...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章,评审
doi:10.1016/j.apnu.2013.10.009
更新日期:2014-04-01 00:00:00
abstract::This study, conducted at two public-sector psychiatric hospitals in a south-eastern state, investigated satisfaction with inpatient services and treatment outcomes among 204 hospitalized mental health consumers. A simple survey design with nonrandom sampling technique was used; instruments included the KY-CSI, the 21-...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/s0883-9417(03)00096-7
更新日期:2003-10-01 00:00:00
abstract:BACKGROUND:Smoking cessation may lead to depression in some smokers and result in increased risk of suicide. OBJECTIVE:To compare the risk of suicide attempts/behaviors associated with different smoking cessation medications among schizophrenic patients. METHODS:A retrospective cohort study was conducted using Genera...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2016.08.001
更新日期:2017-02-01 00:00:00
abstract::The aim of this descriptive study was to determine social functioning and internalized stigma in individuals with substance use disorder. The study sample consisted of 105 patients diagnosed with substance use disorder according to the DSM-IV-TR diagnostic criteria. A Descriptive Information Form, Internalized Stigma ...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2015.07.008
更新日期:2015-12-01 00:00:00
abstract::The study of engagement in people with dementia is important to determine the effectiveness of interventions that aim to promote meaningful activity. However, the assessment of engagement for people with dementia in relation to our current work that uses social robots is fraught with challenges. The Video Coding - Inc...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2015.06.019
更新日期:2015-12-01 00:00:00
abstract::This aim of this preliminary experimental study was to integrate effective evidence-based community-care services that are subjected to heavy caseloads, and to then examine the effects on individuals with schizophrenia. Using a cluster sampling method, four homecare nurses were randomly assigned to either the experime...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/j.apnu.2015.08.018
更新日期:2016-02-01 00:00:00
abstract::High environmental and psychosocial stress contribute to the onset and relapse of major psychiatric disorders. High sound levels in general hospitals are common and may be indirectly associated with negative physical effects because of increased physiological stress on the body. Excessive sound also interferes with co...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/s0883-9417(99)80042-9
更新日期:1999-06-01 00:00:00
abstract::In this study a symptom self-regulation model was used as a framework to examine the characteristics and stability of indicators of illness identified by individuals with schizophrenia. Subjects were interviewed to determine if they could identify indicators of illness and describe characteristics of their primary ind...
journal_title:Archives of psychiatric nursing
pub_type: 杂志文章
doi:10.1016/0883-9417(92)90084-v
更新日期:1992-12-01 00:00:00