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Commentary on: Yıldız E, Yıldırım Ö. The mediating role of psychological flexibility in the relationship between psychotic symptom severity and depression in individuals diagnosed with schizophrenia. J Psychiatr Ment Health Nurs. 2024. (in press) doi: 10.1111/jpm.13040.
Implications for practice and research Mental health nurses’ training could be more focused on clinical skills and knowledge in enhancing psychological flexibility to minimize the impact of psychotic symptoms on comorbid depression in people with schizophrenia. Further development of the intervention of building psychological flexibility is of research interest for the clinical management of people with schizophrenia.
Schizophrenia is a mental disorder affecting approximately 23.9 million people worldwide, significantly contributing to the global disease burden, revealing 14.8 (10.9–19.1) million years lived with disability in 2021.
Commentary on: Lykkeberg B, Noergaard MW, Bjerrum M. Experiences and expectations of parents when young people with congenital heart disease transfer from pediatric to adult care: A qualitative systematic review. J Child Health Care. doi:10.1177/13674935241231024
Implications for practice and research To inform family-centred transition programmes, more high-quality qualitative research describing parental experiences should be conducted, particularly in non-European and low- and middle-income countries. Congenital heart disease transition programmes should consider adopting a family-centred approach that incorporates informational and psychosocial support resources for parents.
A growing number of individuals born with congenital heart disease (CHD) are surviving well into adulthood, and a successful transition from paediatric to adult healthcare is essential for their long-term health. However, discontinuity in care is prevalent.
Commentary on: Roden R C, Billman M, Francesco A, Mullin R, Tassi C, Wozolek B, Heppard B, Essayli J, & Stuckey-Peyrot H (2024). Treatment goals of adolescents and young adults for gender dysphoria. Pediatrics, 153(1), e2023062202. https://doi.org/10.1542/peds.2023-062202.
Implications for practice and research Clinicians should individualise gender-affirming care for transgender and non-binary adolescents, respecting their specific medical and surgical treatment goals as presented at initial healthcare appointments. Future research should separately analyse the distinct treatment aspirations of gender-diverse (‘eclectic’) adolescents to refine clinical guidelines and inform public policy.
An increasing number of adolescents and young adults seek medical care for gender affirmation.
Commentary on: Lyon, M. E., Fraser, J. L., Thompkins, J. D., et al (2024). Advance Care Planning for Children With Rare Diseases: A Pilot RCT. Pediatrics, 153(6), e2023064557. https://doi.org/10.1542/peds.2023-064557.
Implications for research and practice Having access to advance care planning, despite social and financial constraints is imperative. It is evident that in the population included in this study, advance care planning was invaluable for those below the 2021 financial poverty line. Further research is required to determine if the current medical model in the USA is meeting the requirements of caregivers and children with rare diseases.
Rare diseases in babies, children and young people (children) are often life-shortening, and children can require constant caregiving. Bösch et al
Commentary on: Spoelma MJ, Sicouri GL, Francis DA, Songco AD, Daniel EK, Hudson JL. Estimated prevalence of depressive disorders in children from 2004 to 2019: A systematic review and meta-analysis. JAMA Pediatrics. 2023;177(10):1017–1027.
Implications for practice and research Clinical practice with young children benefits from knowledge about the prevalence of depressive disorders in childhood and that the well-established sex differences seen for depression in adulthood may not appear until adolescence. Further research is needed to address possible changes in the prevalence of childhood depressive disorders around the world and following the COVID-19 pandemic, and whether these changes are differentially distributed across individuals and communities.
Depression in childhood is a long-documented public health concern.
Commentary on: Gilbert R, Lillekroken D. Caring to the end: an empirical application of Swanson’s caring theory to end-of-life care. ANS Adv Nurs Sci. 2023 Oct 13. doi: 10.1097/ANS.0000000000000515. Epub ahead of print.
Implications for practice and research Nursing theories, like Swanson’s caring theory, can bring visibility to the knowledge and skill harnessed by nurses when caring for dying patients and their families. Further research should explore how nurses’ relational practice is influenced by sociopolitical as well as interpersonal contexts.
‘Caring’ is a critical concept in nursing discourse and many theories about care in nursing have been developed and applied to a variety of settings. One example is Swanson’s caring theory, an empirically derived middle-range nursing theory that situates caring as a relational way of attending to others to whom we have a sense of commitment and responsibility, through the five specific...
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