INTRODUCTION: Eating disorders are a serious public health problem prevalent among adolescents, young adults, and women, and they have negative physical and psychological consequences. Art therapy can offer a safe space to understand the underlying dynamics of eating disorders and promote resilience. This study aims to examine the long-term group art psychotherapy process in individuals diagnosed with eating disorders and the problems experienced by these individuals through the artworks they produce.
METHODS: The study was conducted with 11 female patients with anorexia nervosa, bulimia nervosa, and binge eating disorder. Art therapy lasted for two years and consisted of a total of 58 sessions, held for 2 hours per week. The art psychotherapy interventions used were semi-structured and planned. Qualitative data were evaluated through artworks, video recordings, and session reports. The approach in this study was used as a psychotherapy method to activate various senses and facilitate the symbolic expression of emotions and thoughts, helping to uncover the underlying conflicts generating the symptoms and thereby supporting psychological growth and recovery.
RESULTS: Group interactions and artworks produced during therapy initially focused on symptoms but evolved into more in-depth individual sharing in the later phase. Through the artworks created during art psychotherapy, themes such as distorted body image, negative self-perception, loneliness, inhibited emotional expression, depressive mood, high anxiety, feelings of guilt, obsessive thinking, low functioning, relationship problems, sociocultural pressures on the body, cognitive distortions related to the body, and denial of sexuality emerged. By understanding these themes reflected in the artworks and their connections to symptoms during psychotherapy sessions, these problems could be addressed psychotherapeutically.
DISCUSSION AND CONCLUSION: Patients developed in-depth awareness of both themselves and others. It was observed that their functioning increased in various areas of life, such as returning to work and school. The study contributes to clinical practice by enhancing understanding of eating disorders and informing the development of effective psychological treatments.

INTRODUCTION: Sexual violence remains widely underreported, often described as the “tip of the iceberg,” due to survivors’ fear, stigma, and uncertainty about seeking help. Although reporting rates in Indonesia have increased, the processes through which survivors decide to seek support remain insufficiently understood. This study aimed to explore the decision-making experiences of survivors of sexual violence in seeking help.
METHODS: A qualitative descriptive design was employed using purposive sampling. Participants were survivors of sexual violence who had sought help and had been screened for post-traumatic stress disorder (PTSD). Data were collected through in-depth interviews and analyzed using thematic analysis.
RESULTS: Seven interrelated themes emerged, including the chronological context of sexual violence experiences, survivors’ initial ignorance of sexual violence, multidimensional life changes following trauma, self-denial after sexual violence, decision-making processes driven by the refusal to fall into depression, the role of support from trusted individuals, and survivors’ experiences after seeking help.
DISCUSSION AND CONCLUSION: This study highlights the complexity of survivors’ help-seeking decision-making and underscores the importance of trauma-informed and culturally sensitive mental health nursing care. Strengthening community education on sexual violence, supporting families in responding appropriately to disclosure, and developing targeted nursing interventions may facilitate survivors’ recovery and engagement with professional services. Future research should further examine factors influencing help-seeking and evaluate the effectiveness of nursing interventions for survivors experiencing PTSD.

INTRODUCTION: Insufficient physical activity, which is one of the unhealthy lifestyle behaviors, is more common in individuals diagnosed with psychiatric disorders. This experimental study aimed to examine the effect of psychiatric nurses’ counseling role on improving exercise behavior in individuals diagnosed with psychiatric disorders through the TTM framework.
METHODS: This randomized controlled trial, with pretest, posttest, and follow-up assessments, included 61 patients from a community mental health center (intervention, n=30; control, n=31). The study data were collected using the “Information Form”, “Exercise Change Stages Scale”, “Exercise Processes of Change Scale”, “Exercise Self-Efficacy Scale”, and “Exercise Decisional Balance Scale”.
RESULTS: The proportion of participants in the "preparation" phase after the intervention increased (n=15, 48.4%) in the intervention group, while the rate of participants in the "preparation" phase remained the same in the control group (n=8, 26.7%). The intervention group showed increases in the “Exercise Self-Efficacy Scale” and “Exercise Decisional Balance Scale” pros scores from baseline to post-intervention, with these gains persisting at follow-up. As a result, it was observed that the counseling role of psychiatric nurses through the Transtheoretical Model was effective in improving exercise behavior and physical health conditions of individuals diagnosed with psychiatric disorders.
DISCUSSION AND CONCLUSION: The counseling role of psychiatric nurses based on the Transtheoretical Model has been found to be effective in improving exercise behavior among individuals diagnosed with psychiatric disorders, thereby reducing risks associated with physical illnesses. Additionally, the findings suggest that Transtheoretical Model-based counseling can be effectively utilized in the independent practices of psychiatric nurses, thereby strengthening their counseling role.

INTRODUCTION: This study aimed to examine the levels of technology addiction, depression, anxiety, and stress among nursing students in relation to certain variables.
METHODS: This analytical cross-sectional study included 251 nursing students. Data were collected using the Personal Data Form, the Technology Addiction Scale (TAS), and the Depression, Anxiety, and Stress Scale (DASS).
RESULTS: The average daily internet usage time of the students was 3.24±0.8 hours. The most common reason for connecting to the internet was to use social media applications (91.6%). The mean TAS score of the students was 49.07±13.96, the mean DASS score for depression was 14.17±4.99, for anxiety was 12.92±3.95, and for stress was 14.73±5.01. Male students' use of online games and websites was higher than female students (p=0.017, t=5.776). First-year students had significantly higher mean scores on the TAS (p=0.001, F=5.494) and the stress scale (p=0.001, t=8.755) compared to other grades.
DISCUSSION AND CONCLUSION: Based on these findings, it is recommended that universities implement preventive and educational programs to enhance mental health and reduce technology addiction.

INTRODUCTION: This study aims to evaluate the effectiveness of Psychoeducational and Supportive Therapy (PeSo) on the resilience of families with members suffering from mental disorders.
METHODS: This study employed a quasi-experimental pre-test and post-test control group design. A total of 120 families were recruited and divided into two groups: the intervention group (n=60) and the control group (n=60). The intervention group received the Psychoeducational and Supportive Therapy (PeSo) module, which was conducted in 6 sessions. Data were collected using a Family Resilience Questionnaire and analyzed using dependent and independent t-tests.
RESULTS: In the intervention group, the mean family resilience score before therapy was 1.87 (SD=0.676), increasing to 2.57 (SD=0.500) after therapy, with a mean difference of 0.700 (SD=0.591), a 95% confidence interval ranging from 0.853 to 0.547, and a p-value<0.001. In the control group, the mean score before therapy was 1.85 (SD=0.685) and 1.97 (SD=0.610) after therapy, with a mean difference of 0.117 (SD=0.415), a 95% confidence interval of 0.224 to 0.009, and a p-value=0.034, indicating a statistically significant improvement in both groups. However, the intervention group showed a much more significant improvement compared to the control group (p<0.001).
DISCUSSION AND CONCLUSION: Psychoeducational and Supportive Therapy (PeSo) significantly improves the resilience of families with mental disorders. This therapy is recommended as an effective nursing intervention to be integrated into community mental health services to support family caregivers.

INTRODUCTION: This study aims to determine the psychosocial care competence, therapeutic alliance, and burnout levels of nurses and examine the relationships between them.
METHODS: The study was conducted between January and April 2025 with 226 nurses working at Malatya Turgut Özal Medical Center. Data were collected using a Sociodemographic Information Form, the Psychosocial Care Competence Self-Assessment Scale, the Brief Revised Working Inventory/bond subscale, and the Maslach Burnout Inventory via Google Forms. Descriptive statistics, the Kolmogorov-Smirnov test, the Kruskal-Wallis test, the Mann-Whitney U test, and Spearman’s correlation test were used in the analysis of the data.
RESULTS: The mean age of the participants was 30.63±6.43. Psychosocial care competence levels showed significant differences based on education and income status, while therapeutic alliance/bond levels showed significant differences based on education (p<0.001). A weak negative relationship was found between the psychosocial care competence and burnout levels of the participants, while there was a moderate positive relationship between their psychosocial care competence and therapeutic alliance/bond levels, and there was a weak negative relationship between their burnout and therapeutic alliance/bond levels (p<0.001).
DISCUSSION AND CONCLUSION: It was determined that as the psychosocial care competence and therapeutic alliance/bond levels of nurses increased, their burnout levels decreased. Based on the findings of this study, initiatives aimed at increasing the psychosocial care competence and therapeutic alliance levels of nurses may shed light on the development of effective interventions for nurses to cope with burnout.

INTRODUCTION: HIV is a sexually transmitted virus. After infection, the sexual lives of individuals and their compatibility with their partners may be adversely affected. This study aimed to compare sexual self-consciousness, self-confidence, self-efficacy, sexual satisfaction, and dyadic adjustment between People Living With HIV (PLWH) and HIV-negative individuals.
METHODS: This case–control study was conducted with 52 PLWH and 225 HIV(-) individuals between June 1 and July 31, 2022. All individuals were asked to complete the Introductory Information Form, the Sexual Self-Consciousness Scale, the Sexual Self-Confidence Scale, the Sexual Self-Efficacy Scale, the New Sexual Satisfaction Scale, and the Revised Dyadic Adjustment Scale.
RESULTS: In PLWH, the mean scores of sexual self-confidence, sexual self-disclosure, sexual satisfaction, and self-centered sexual satisfaction were found to be significantly lower, whereas the mean score of sexual self-efficacy was higher than those of HIV(-) individuals. It was found that being single, living in an extended family, and living in a city center increased exposure to HIV. It was determined that sexual self-disclosure reduced exposure to HIV, whereas sexual awareness and sexual self-efficacy increased exposure to HIV. In PLWH, sexual self-consciousness was found to negatively affect sexual satisfaction; sexual self-confidence and dyadic adjustment were found to increase sexual satisfaction; and sexual satisfaction was found to positively affect dyadic adjustment.
DISCUSSION AND CONCLUSION: Living with HIV negatively affects self-confidence and satisfaction related to sexuality. Awareness and self-efficacy regarding sexuality increase, whereas sexual self-disclosure decreases after exposure to HIV. Integrating sexual health counseling that focuses on sexual self-confidence, self-disclosure, and couple dynamics into routine HIV care may contribute to improving sexual satisfaction and relationship adjustment in people living with HIV.

INTRODUCTION: Multiple Sclerosis can lead to significant emotional and physiological challenges, especially during the initial phase following diagnosis. Emotional Freedom Technique, a self-administered intervention combining cognitive and somatic elements, may offer a complementary approach to conventional care.
METHODS: This randomized controlled trial included 36 participants diagnosed with Multiple Sclerosis within the last three months. The study was registered at ClinicalTrials.gov (NCT number: NCT04969562). Participants were allocated using block randomization to either an intervention group (n=18), which received six sessions of Emotional Freedom Technique in addition to routine care, or a control group (n=18), which received routine care only. Blinding was maintained during the sampling, allocation, data collection, and data analysis stages. Cognitive function was assessed using the Symbol Digit Modalities Test, and psychological distress was measured using the Subjective Units of Distress Scale, with assessments conducted at baseline and after the intervention. Within-group differences were analyzed using the Wilcoxon signed-rank test, and between-group differences were evaluated using the Mann–Whitney U test. Effect sizes (r) were calculated for the outcome variables.
RESULTS: No substantial differences were observed between the groups regarding depression, anxiety, or overall psychological distress following the intervention. However, participants in the intervention group demonstrated modest improvements in cognitive function (r=0.54), indicating a moderate-to-large effect size.
DISCUSSION AND CONCLUSION: The findings suggest that Emotional Freedom Technique may have positive effects on cognitive functioning and certain physiological indicators, even if its impact on emotional distress is limited in the short term.

INTRODUCTION: This study aims to systematically review previously published studies conducted in Türkiye on the assessment and management of anger and aggression among adolescents and young adults and to present the general characteristics of the selected studies.
METHODS: This study examined theses and articles published in Türkiye between 2013 and 2023 on the subject among adolescents and young adults aged 14–25. Online search engines (Google Scholar, YÖK) were used to access the studies. The keywords "anger," "anger management," "anger management training," "anger control," "anger control training," and "aggression" were used when searching databases. The PRISMA checklist, preferred for systematic reviews and meta-analyses, was used when reviewing studies in this systematic review.
RESULTS: A total of 1,354 studies were retrieved through electronic databases. Of these, 1,261 studies that did not meet the criteria were removed. Ultimately, 21 studies were systematically presented. It was found that the Trait Anger-Anger Style Scale is the most widely used measurement tool for assessing anger, while the Aggression Scale, the Reactive-Pro-active Aggression Scale, and the Buss-Perry Aggression Scale have been used for assessing aggression. Cognitive-behavioral and skill-based approaches to managing anger and aggression in adolescents and young adults have been determined to be the most widely studied and empirically validated treatment approaches.
DISCUSSION AND CONCLUSION: In conclusion, the results of this systematic review are crucial for mental health and psychiatric nurses to know and use appropriate assessment tools when assessing individuals with anger expression problems. Mental health and psychiatric nurses' knowledge of cognitive behavioral therapy-based anger management interventions and their ability to integrate these methods into nursing care will improve the quality of healthcare. Further studies utilizing techniques from different approaches to anger management are recommended.