Academic Psychiatry and Psychology Journal

Nursing Care for Alcohol-Dependent Patients in the Rehabilitation Phase at a Psychiatric Home Ward :A Case Study on the Use of Telepsychiatry

2025-09-19T07:41:12+07:00

This study aimed to compare the conditions before and after nursing care in two patients with alcohol dependence in the rehabilitation phase. Both cases were admitted in psychiatric home ward, with ongoing therapeutic and rehabilitation interventions through a telepsychiatry service system. Patient assessments were conducted using the Stages of Change Assessment, Mental Status Examination (MSE), Health of the Nation Outcome Scales (HoNOS), Gordon’s 11 Functional Health Patterns, the Five-Step Nursing Record, Depression Assessment Tool, and complete patient medical record. In-depth interviews and continuous psychosocial interventions were also employed. Data were collected in June 2025, and patients were followed up once per week for a duration of one month.

The results revealed that both patients received holistic nursing care and continuous psychosocial therapy, which enabled them to successfully abstain from alcohol use. Their motivation to quit drinking increased, with behavioral change advancing to Stage 4 (Action). The psychiatric health score related to alcohol or substance use (Category 3) decreased from 1 to 0 in both cases. In the second case, symptoms related to hallucinations or delusions (Category 6) also decreased from 2 to 1.

Therefore, nursing care for alcohol-dependent patients in the rehabilitation phase at a psychiatric home ward enables patients to successfully abstain from alcohol, cooperate with treatment, and maintain a normal daily life.

The Association Between Parental Psychological Control and Depression among University Students in Chengdu, China

2025-09-15T19:26:38+07:00

Objective: This study aims to examine the association between parental psychological control and depression among university students, with particular emphasis on the serial mediation roles of attributional style and resilience within this process.

Materials and methods: This cross-sectional study employed a quantitative approach. Data were collected through an online questionnaire over a two-week period, from June 5 to June 17, 2025. The sample consisted of 220 undergraduate students (approximately 18-25 years old) from universities in Chengdu, China. The research instruments were Chinese versions culturally adapted for the target population, including the Parental Psychological Control Questionnaire, the Center for Epidemiological Studies Depression Scale, the Attributional Style Questionnaire, and the Connor-Davidson Resilience Scale.

Results: The findings indicated that parental psychological control was associated with depression both directly (42.2%) and indirectly (57.8%). The most significant indirect pathway was through negative event attributional style (32.9%, effect = .12), followed by resilience (15.7%, effect = .06). Additionally, a smaller but statistically significant serial mediation pathway was observed (9.1%, effect = .03).

Conclusion: Parental psychological control, particularly negative event attributional style and resilience, is associated with depression among university students.

Factors Predicting the Mental Health Problems Among School Aged Children (Grades 4-6) Education Students in Mueang District, Nakhon Sawan Province

2025-08-31T11:32:22+07:00

Objective: To investigate predictive factors of mental health problems among elementary school students in grades 4-6 in Mueang Nakhon Sawan District, Nakhon Sawan Province.

Materials and methods: A predictive correlational study was conducted among school aged children (grades 4-6) in Muang District, Nakhon Sawan Province, from June to August 2023. The research instruments were general information questionnaires and the Depression, Anxiety, and Stress Scale (DASS-21). Data analysis involved descriptive statistics, chi-square test, point biserial correlation coefficient, and logistic regression analysis to identify relationships and predict mental health status.

Results: The sample consisted of 258 individuals, with females comprising 57.8%. Approximately 43% had a daily income ranging from 41 to 60 Baht, and 96.5% received financial support from parents or cohabiting individuals. Moreover, 62% lived in families with both parents, and 88.4% reported no learning-related issues. In terms of mental health problems, 51.1% of students experienced anxiety, 32.5% reported stress, and 12.2% indicated symptoms of depression. Predictive factors for anxiety included family status (OR=2.19; 95%CI=1.29, 3.74; p=.00) and learning-related issues (OR=3.07; 95%CI=1.41, 6.68; p=.00). For stress, gender was a significant factor (OR=1.85; 95%CI=1.12, 3.05; p=.01), while income source was identified as a predictor for depression (OR=6.06; 95%CI=1.54, 23.89; p=.01).

Conclusion: Elementary school students in grades 4-6 in Mueang District, Nakhon Sawan Province, predominantly experience mental health issues, namely anxiety, stress, and depression, respectively. Gender is associated with anxiety, while family status and academic problems are related to stress. Additionally, income and academic problems are associated with depression. When analyzing predictive factors, gender was found to be a predictor of anxiety, while family status and academic problems were predictors of stress. The findings of this study provide a foundation for developing programs to appropriately reduce mental health problems among at-risk elementary school students in grades 4-6 based on their specific context

Burnout Syndrome: Nursing and Biological Perspectives

2025-04-16T19:40:14+07:00

The study of burnout in the workplace primarily focuses on mental and social aspects rather than biological health. This article aims to help psychiatric nurses study the causes and biological mechanisms contributing to burnout and nursing care in order to improve patient outcomes.

Burnout syndrome involves biological changes such as increased heart rate and blood pressure, as well as elevated cortisol levels, which affect serotonin function and reduce the ability to cope with stress. Genetically, genes that regulate neurotransmitter function play a key role in emotional regulation and stress management, contributing to the development of burnout syndrome. Psychiatric nurses should provide care that encompasses all four dimensions: promotion, prevention, treatment, and rehabilitation.

Burnout syndrome is a significant issue that is often overlooked due to the unclear understanding of its biological factors. Therefore, psychiatric nurses should assess the causes and biological factors involved, and provide knowledge on hormonal changes, brain function, the immune system, and sleep patterns, along with continuous follow-up.

Pathophysiology and Pharmacology for Psychiatric Nurses in Caring Patients Receiving Antidepressant

2025-06-24T20:30:26+07:00

Depression is a mood disorder that severely affects patients' thoughts, emotions, and behaviors. Without proper treatment, it may lead to self-harm or suicide. Pathophysiology involves imbalances in neurotransmitters, genetics, hormones, and the sleep-wake cycle.

This article reviews the biological mechanisms of depression and the pharmacology of antidepressants, including the newest drug classes such as Agomelatine and Esketamine. It compares their mechanisms of action, side effects, and nursing considerations. Additionally, it emphasizes the psychiatric nurse's role in providing comprehensive care based on the nursing process to prevent complications and reduce relapses.

This article highlights the importance of knowledge in pathophysiology and pharmacology to enhance the competency of psychiatric nurses in delivering comprehensive and safe care for patients with depression, especially when using newer antidepressants that require close monitoring and evaluation.