MBSR therapy can reduce work stress, anxiety, depression, and other negative emotions among psychiatric nurses and improve their mental health.

BackgroundAbout 1 million people worldwide commit suicide each year, and college students with suicidal ideation are at high risk of suicide. The prevalence of suicidal ideation in college students has been estimated extensively, but quantitative syntheses of overall prevalence are scarce, especially in China. Accurate estimates of prevalence are important for making public policy. In this paper, we aimed to determine the prevalence of suicidal ideation in Chinese college students.Objective and MethodsDatabases including PubMed, Web of Knowledge, Chinese Web of Knowledge, Wangfang (Chinese database) and Weipu (Chinese database) were systematically reviewed to identify articles published between 2004 to July 2013, in either English or Chinese, reporting prevalence estimates of suicidal ideation among Chinese college students. The strategy also included a secondary search of reference lists of records retrieved from databases. Then the prevalence estimates were summarized using a random effects model. The effects of moderator variables on the prevalence estimates were assessed using a meta-regression model.Results A total of 41 studies involving 160339 college students were identified, and the prevalence ranged from 1.24% to 26.00%. The overall pooled prevalence of suicidal ideation among Chinese college students was 10.72% (95%CI: 8.41% to 13.28%). We noted substantial heterogeneity in prevalence estimates. Subgroup analyses showed that prevalence of suicidal ideation in females is higher than in males.ConclusionsThe prevalence of suicidal ideation in Chinese college students is relatively high, although the suicide rate is lower compared with the entire society, suggesting the need for local surveys to inform the development of health services for college students.

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As the link between maternal obesity and risk of autism among offspring is unclear, the present study assessed this association. A systematic search of an electronic database was performed to identify observational studies that examined the association between maternal obesity and autism. The outcome measures were odds ratios comparing offspring autism risk between obese and normal-weight mothers. Five observational studies were included in the meta-analysis. A fixed-effects model was used since low heterogeneity was observed between studies. The pooled adjusted odds ratio was 1.47 (95 % CI 1.24-1.74). The meta-analysis results support an increased risk of autism spectrum disorder in children of women who were obese during pregnancy. However, further study is warranted to confirm these results.

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ObjectiveAs the discipline of nursing has advanced, research capacity in nursing has become increasingly important to the discipline’s development. However, research capacity in nursing is still commonly used as a buzzword, without a consistent and clear definition. The purpose of this study is to clarify the concept of research capacity in nursing by identifying its conceptual components in the relevant nursing literature using the Pragmatic Utility method.DesignA Pragmatic Utility concept analysis based on a scoping review.Data sourcesAcademic literature retrieved from PubMed, Cumulative Index to Nursing and Allied Health Literature (CINAHL), PsycINFO, Scopus, Web of Science and ProQuest Dissertations and Theses (PQDT).Eligibility criteriaQualitative studies, quantitative studies, mixed method studies or literature reviews focusing on research capacity in nursing published in English between 2009 and 2019.ResultsCompetence, motivation, infrastructure and collaboration for nursing research are the antecedents of research capacity in nursing. The attributes of research capacity in nursing are ‘non-individual level’, ‘context-embeddedness’ and ‘sustainability’. The direct outcome of research capacity in nursing is nursing research. The allied concepts identified are nursing research competency, nursing research capability and evidence-based practice capacity in nursing.ConclusionsResearch capacity in nursing is the ability to conduct nursing research activities in a sustainable manner in a specific context, and it is normally used at a non-individual level. Research capacity in nursing is critical for the development of the nursing discipline, and for positive nurse, patient and healthcare system outcomes. More studies are needed to further explore the allied concepts of research capacity in nursing, and to better understand relationships among these allied concepts.

The purpose of this study was to identify the predictors of health-related quality of life (HRQOL) among caregivers of children with autism spectrum disorders (ASD) in China. Two hundred and seventy-three caregivers were surveyed using questionnaires on HRQOL, family functioning, coping style, social support, and caregiver burden. Besides socio-demographic characteristics of children with ASD and their caregivers, results demonstrate that family functioning, coping style, social support, caregiver burden are predictors of HRQOL in caregivers of children with ASD, and these predictors correlated with each other.These results indicate that comprehensive intervention, which focuses on improving caregivers' coping strategies, social support (especially from family members and friends) and family functioning, and on releasing caregiver burden, should be provided to caregivers of children with ASD.Keywords: autism spectrum disorder, caregivers, quality of life Studies show that caring for a child with an ASD can be challenging and substantially affects caregivers' health-related quality of life (HRQOL) (Khanna et al., 2011; Kheir et al, 2012; Yamada et al., 2012). HRQOL refers to the physical and mental aspects of health (Testa & Simonson, 1996), which directly correlates with the caregiver's health, and also impacts on the quality of care they provide to children with ASD and their resultant rehabilitation (Beach et al., 2005). Therefore, it is important to identify the predictors of HRQOL and provide effective interventions to caregivers of children with ASD. A C C E P T E D M A N U S C R I P T ACCEPTED MANUSCRIPTPredictorsIn terms of predictors of HRQOL, studies conducted in the USA indicate that coping skills (Zablotsky, Bradshaw & Stuart., 2013), social support (Zablotsky, Bradshaw & Stuart.,2013 ), (Yang & Kleinman, 2008). These cultural concerns can have an adverse effect on the informal support caregivers need. In China, autism rehabilitation centres are mostly privately operated. Previous studies have found that teachers in these autism rehabilitation centres have limited knowledge and several misconceptions regarding autism spectrum disorders (Yang, Guo & Qian, 2012; Zhang, Li, Mao, Wang & Geng, 2012). These may cause lack of formal support among caregivers, because teachers in these autism rehabilitation centres are caregivers' main source of formal support. Several studies reported that parents of children with ASD exhibited lower mental health (Liu et al., 2006) and poorer quality of life (Xie, Liu & Zhang, 2012; Zhou et al., 2010), and were more likely to develop depression and anxiety compared with parents of children with typical development (Guo, Li & Zou, 2006). Researchers have found that caregivers of children with ASD and general population only have limitedknowledge about autism spectrum disorders in China (Wang et al., 2013; Wang, Huang, Xiao, Xie, and Chen, 2009 Methods Study Design and Data CollectionThis is a cross-sectional study, conducted in 15 autism centres in Hunan Provi...

Accessible SummaryWhat is known on the subject? Schizophrenia is a severe and highly stigmatized mental illness. High internalized stigma affects FGs’ quality of life and caregiving capacity. Worldwide studies aimed at internalized stigma among patients diagnosed with mental illness or their FGs have reported significant stigma and some correlates, but studies involving FGs that focus on a specific mental illness (e.g. schizophrenia) and report the impact of potential psychosocial variables (e.g. coping and hope) on internalized stigma are limited. What does the paper add to existing knowledge? Internalized stigma was common among Chinese FGs of patients diagnosed with schizophrenia and half of them presented at a mild level. Internalized stigma was negatively associated with hope and positively associated with passive coping. FGs, who live with patients, have difficulty supervising medication, or care for a male relative has higher internalized stigma. What are the implications for practice? Regarding informative support, interventions (e.g. enhancing mental health literacy programs and cognitive therapies) to provide knowledge about schizophrenia, the skills to manage patients’ adherence to medications, the benefits of treatment and the possibilities of rehabilitation are necessary for FGs. Regarding psychosocial processes, effective interventions (e.g. group psychoeducation and group social skills training) aimed to enhance hope, social support and coping styles towards internalized stigma should be implemented among FGs. Both informative support and psychosocial interventions used to decrease FGs’ internalized stigma can be delivered by healthcare providers or by peer caregivers. AbstractIntroductionInternalized stigma is prevalent among patients diagnosed with schizophrenia. Their family caregivers (FGs) also suffer from internalized stigma, but limited studies have addressed the issue.AimThe aim of this study was to determine the severity of internalized stigma and its correlates among FGs of patients diagnosed with schizophrenia in Changsha, Hunan, China.MethodsA consecutive sample of 299 FGs was recruited at the psychiatric outpatient department of a tertiary hospital in Changsha. This study explored the relationships between internalized stigma and potential factors.ResultsNearly 50% of the FGs perceived mild internalized stigma, 24% of the FGs reported moderate level, and 6% had a severe level. Internalized stigma was associated with patients’ characteristics (severity of illness) and FGs’ characteristics (hope, social support, passive coping, age, education background, residence with the patient, caring for a male or a young patient and difficulty in supervising medication).Discussion and implications for practiceInformative and psychosocial interventions based on education and contact for FGs such as enhancing mental health literacy programs, cognitive therapies and group psychoeducation can provide FGs with a better understanding of schizophrenia and to promote hope, active coping and social support.