INTRODUCTION: This study aims to analyze the effectiveness of family motivational interviewing in improving families’ ability to motivate people with severe mental illness (SMI) in Indonesia.
METHODS: This study employed a quasi-experimental pre-posttest design with a control group. Sampling was con-ducted using proportionate stratified random sampling of families with members diagnosed with severe mental illness, as recorded in the mental health report at the Babakan Sari Public Health Center during the January–December 2022 period (n=62). The intervention group received family motivational interviewing for four weeks. Family ability was measured using the Family Motivational Interview (FMI) instrument. Data were analyzed using paired t-tests and independent t-tests.
RESULTS: A significant difference was found between the intervention and control groups after the motivational interviewing intervention in terms of the family’s ability to motivate individuals with SMI (p-value < 0.01). These results indicate that family motivational interviewing effectively improves families’ ability to encourage medication adherence and regular performance of activities of daily living among people with severe mental illness.
DISCUSSION AND CONCLUSION: Family motivational interviewing is effective in enhancing families’ ability to motivate individuals with SMI. It is hoped that this approach can serve as a supportive medium to boost motivation among people with SMI. Community nurses are encouraged to continuously provide information and motivation to families accessing primary health care services. Further research is recommended to evaluate the long-term effects of family motivational interviewing on health outcomes in individuals with severe mental illness.

INTRODUCTION: This study explores the lived experiences of adolescents and young adults in a Nigerian psychiatric inpatient setting, focusing on the interplay of cultural beliefs, stigma, coping mechanisms, and systemic barriers. The aim is to inform the development of culturally sensitive, family-centred, and systemically supported interventions for this vulnerable population.
METHODS: An Interpretative Phenomenological Analysis design was employed to examine the experiences of 28 participants aged 13 to 28 years diagnosed with various mental health conditions. Data were collected over nine months through in-depth semi-structured interviews. The analysis involved an iterative process incorporating reflexivity, member checking, and validation to ensure credibility and contextual relevance.
RESULTS: The findings revealed evolving understandings of mental health, as participants transitioned from culturally rooted misconceptions to biomedical frameworks. Social relationships were significantly shaped by stigma-induced isolation, shifting familial roles, and mixed peer interactions within the hospital environment. Participants employed various coping mechanisms, including reliance on spirituality and creative outlets, but highlighted the unmet need for structured psychological support. The therapeutic environment was both a source of safety and a challenge, with participants navigating overcrowding, lack of privacy, and inconsistent interactions with staff. These narratives underscored the complex interplay of cultural beliefs, systemic barriers, and individual resilience in shaping mental health experiences.
DISCUSSION AND CONCLUSION: The study highlights the need for culturally tailored psychoeducation, family-centred interventions, and systemic improvements in mental health care for adolescents and young adults in resource-constrained settings. Expanding access to structured psychological support and enhancing therapeutic environments are critical to fostering sustainable recovery and improving care outcomes.

INTRODUCTION: This study was conducted to examine the level of mental health literacy and the barriers to seeking mental health counseling in adults.
METHODS: The study employed a descriptive and cross-sectional design. Data were collected between January 2, 2023, and March 31, 2023, by reaching individuals across Turkey through online platforms such as Facebook, Instagram, and WhatsApp, using Google Forms and snowball sampling. The data collection process was completed with 348 participants. The Personal Information Form, Mental Health Literacy Scale, and Barriers to Seeking Mental Health Counseling Scale were used for data collection.
RESULTS: The mean score of the Mental Health Literacy Scale (12.37±3.14) was average, while the mean score for the Barriers to Seeking Mental Health Counseling Scale (70.46±20.94) was below average. A negative correlation was found between mental health literacy and barriers to seeking mental health counseling (p<0.05).
DISCUSSION AND CONCLUSION: Among the barriers to seeking mental health counseling, the most critical factors affecting mental health literacy levels were lack of knowledge, limited access to resources, negative perceived value, emotional discomfort, and cultural barriers. It is recommended that future studies more comprehensively identify these barriers and the influencing factors.

INTRODUCTION: The aim of this study was to examine the correlation of alexithymia, functioning, and perceived social support in patients after a manic episode.
METHODS: Sample selection was not carried out in this descriptive study, and 267 patients who met the inclusion criteria constituted the sample. Data collection was performed via face-to-face interviews using the Personal Information Form, Toronto Alexithymia Scale (TAS-20), Bipolar Disorder Functioning Questionnaire (BDFQ), and the Multidimensional Scale of Perceived Social Support (MSPSS). The data were analyzed using the SPSS program.
RESULTS: It was determined that 19.5% (n=52) of the patients included in the study were alexithymic. A significant negative correlation was identified between alexithymia and perceived social support (r=–0.313; p<0.05) and functioning (r=–0.467; p<0.05), and a significant positive correlation was found between functioning and perceived social support (r=0.504; p<0.05). According to linear regression analysis, the alexithymia scores of the participants explained 22% of the variance in their functioning scores (R²=0.218, F=73.797, p<0.001, 95% CI: 0.399–0.250), and alexithymia scores explained 10% of the variance in perceived social support scores (R²=0.098, F=28.880, p<0.001, 95% CI: 0.308–0.143).
DISCUSSION AND CONCLUSION: This study found that functioning and perceived social support decreased as alexithymia increased in post-manic patients. Functioning and perceived social support affect each other in the same direction. Interventions aimed at reducing alexithymia in patients after manic episodes may be useful in preventing episodes by maintaining functionality and increasing perceived social support.

INTRODUCTION: This study aims to investigate the relationship between secondary traumatic stress among social media users, coping mechanisms, and disaster preparedness, as well as the factors influencing earthquake preparedness following the Turkey–Syria earthquake on February 6, 2023. Additionally, it seeks to identify the key variables influencing earthquake preparedness in this context.
METHODS: The study sample comprised 785 participants. Data were collected using the Sociodemographic Characteristics Form, the Secondary Traumatic Stress Scale for Social Media Users (STSS-SM), the Coping with Earthquake Stress Scale (CESS), and the Disaster Preparedness Scale (DPS). Descriptive statistics, including frequencies, percentages, means, standard deviations, and ranges, were used to summarize the data. The relationships between the scales were analyzed using appropriate statistical methods.
RESULTS: The findings revealed a negative correlation between secondary traumatic stress (STSS-SM) and positive reappraisal, whereas a positive correlation was observed between secondary traumatic stress and disaster preparedness. Although no significant relationship was found between religious coping and disaster preparedness, positive reappraisal and social support coping strategies demonstrated a positive association with disaster preparedness. Based on multiple linear regression analyses, the model incorporating STSS-SM, religious coping, positive reappraisal, social support, gender, marital status, and educational status was found to be statistically significant, accounting for 19.8% of the variance in disaster preparedness.
DISCUSSION AND CONCLUSION: This study underscores the relationship between secondary traumatic stress, coping mechanisms, and disaster preparedness among social media users. Additionally, it identifies key variables influencing disaster preparedness, highlighting the importance of considering gender, educational and marital status, stress levels, and coping strategies when formulating measures to enhance disaster preparedness.

INTRODUCTION: This study aimed to determine the missed nursing care needs in psychiatric clinics.
METHODS: This descriptive and cross-sectional study was conducted with 155 nurses working in psychiatric clinics between March and May 2023. Data were collected using the "Personal Information Form" and "The MISSCARE Survey-Turkish."
RESULTS: The mean score of missed nursing care needs (Part A) was 21.34±9.91. The primary reasons for missed nursing care were identified as insufficient labor, material deficiencies, and lack of communication. Gender and the mean number of patients cared for during day and night shifts were found to be associated with missed nursing care needs. Additionally, gender, working in rotation, allocating sufficient time for care, perceived competence in psychiatric nursing practice, and participation in a certificate program were associated with the reasons of missed nursing care services.
DISCUSSION AND CONCLUSION: The study revealed that various factors contribute to missed care needs among nurses working in psychiatric clinics. Managerial interventions that strengthen patient safety culture and foster a positive work environment are essential to reducing missed nursing care.

INTRODUCTION: This study aimed to determine the relationship between the opinions of nurses working in psychiatric wards regarding their managers' conflict management styles and their self-perceived stress levels.
METHODS: This was a descriptive, comparative, and correlational study. The population consisted of 580 nurses working in psychiatric clinics of public and private hospitals in Istanbul, and 199 nurses were included in the sample. The "Personal Information Form," "Rahim Organizational Conflict Inventory–II (ROCI-II) Form A," and "Perceived Stress Scale" were used for data collection. Data were analyzed using frequency and percentage distributions, the Kruskal–Wallis test, Spearman correlation analysis, and the Mann–Whitney U test.
RESULTS: The participants’ mean scores on the Conflict Management Scale were as follows: integration subscale 2.50±0.90; obliging subscale 3.03±0.74; dominating subscale 2.92±0.85; avoiding subscale 2.98±0.66; and compro-mising subscale 2.61±0.83. The mean score of the Perceived Stress Scale was 13.78±4.74. The mean score for the perceived stress subdimension was 4.49±2.04, and for the perceived coping subdimension was 9.30±3.45. A statistically significant, weak positive correlation was found between the perceived stress subdimension and the dominating subscale, while a weak negative correlation was observed with the compromising and integration subdimensions. A weak negative correlation was also found between the perceived coping subdimension and the integration, obliging, and compromising subdimensions.
DISCUSSION AND CONCLUSION: According to the nurses, their managers most frequently use obliging, avoiding, dominating, compromising, and integration styles, respectively, in conflict management. As managers’ use of compromising and integration styles increases, the nurses’ perceived stress levels decrease.

INTRODUCTION: Nursing interventions play an important role in preventing relapse in individuals with Alcohol Use Disorder and improving their quality of life to facilitate recovery. This study aimed to determine the effect of individualized nursing interventions based on the Roy Adaptation Model, a nursing model, on recovery in individuals with Alcohol Use Disorder.
METHODS: This was an experimental study with a pretest–posttest, follow-up, and a control group. Seventy individuals who met the inclusion criteria were recruited, and 64 individuals (31 experimental, 33 control) were included in the analysis process. The data were collected using an introductory information form, the Recovery Assessment Scale (RAS), the Turkish version of the World Health Organization Quality of Life Short Form (WHOQOL-BREF-TR), and the Penn Alcohol Craving Scale (PACS). The experimental group received individualized care, and interventions were implemented in accordance with the Roy Adaptation Model. For the comparison of data, the independent samples t-test was used for normally distributed measurements, and the Mann–Whitney U test was applied for non-normally distributed measurements.
RESULTS: The average age of the experimental group was 44.48±8.4 years, while that of the control group was 44.9±8.2 years. The vast majority of the participants were male and employed. Following the interventions based on the Roy Adaptation Model, the experimental group's RAS and WHOQOL-BREF (TR) mean scores were statistically significantly higher than those of the control group, while the PACS scores were statistically significantly lower in the experimental group (p<0.05).
DISCUSSION AND CONCLUSION: It was concluded that nursing interventions based on the Roy Adaptation Model reduced individuals' levels of craving and increased their quality of life and recovery scores.

INTRODUCTION: This study aimed to determine the views, expectations, and experiences of individuals with schizophrenia regarding family support.
METHODS: A descriptive qualitative design was employed. Semi-structured, in-depth interviews were conducted to ascertain the views, expectations, and experiences of individuals with schizophrenia regarding family support. The study was carried out at a Community Mental Health Center in Türkiye between January and June 2022, with the participation of 19 individuals with schizophrenia until data saturation was reached. Qualitative data were analyzed using content analysis.
RESULTS: The analysis of the interviews revealed four themes regarding the definitions and expectations of family support among individuals with schizophrenia: financial support, emotional support, care, and support for socializing. Emotional support emerged as the most emphasized form, with expressions such as “standing behind,” “standing by,” and “taking care of” standing out as key elements of this theme. In the care support theme, concepts such as “help” and “mutualization” were prominent, while “money” and “allowance” were highlighted in the financial support theme. Regarding support for socializing, participants expressed a desire to engage in social activities together.
DISCUSSION AND CONCLUSION: The findings suggest that individuals with schizophrenia experience significant challenges in receiving family support, particularly emotional support. Family intervention programs aimed at increasing awareness and promoting a better understanding of the individual may benefit both patients and their families.