El-Ashry Ayman Mohamed, Abdelaal Heba Mohamed
Psychiatric and Mental Health Nursing, Faculty of Nursing, Alexandria University, Alexandria, Egypt.
J Psychiatr Ment Health Nurs. 2025 Aug;32(4):964-974. doi: 10.1111/jpm.13172. Epub 2025 Apr 8.
Examine the mediating role of mindfulness between impulsive sensation seeking and readiness for change.
A cross-sectional descriptive correlational study was conducted.
A convenient sample of 200 clients with substance use disorders was recruited. Data were collected using the Five Facet Mindfulness Questionnaire, the Impulsive Sensation Seeking scale, and the Stages of Change Readiness and Treatment Eagerness Scale.
A significant positive correlation was found between mindfulness and readiness for change (r = 0.174, p = 0.014), and a significant negative correlation between readiness for change and impulsive sensation seeking (r = -0.219, p = 0.002). Impulsivity (mean percent score = 80.25%) and sensation-seeking traits (mean percent score = 78.73%) negatively impacted readiness for change. Mindfulness partially mediated the relationship between impulsive sensation seeking and readiness for change (indirect effect = -0.056, p = 0.005).
Mindfulness-based interventions show potential to enhance readiness for change by mitigating impulsivity. Addressing the interplay between impulsive sensation seeking, mindfulness, and readiness for change may promote recovery in clients with substance use disorders. While sustained recovery was not longitudinally assessed, findings suggest pathways for future investigation.
Psychiatric nurses must incorporate mindfulness interventions, regular assessments of impulsivity, and tailored care plans in their care for clients with substance use disorders. Educating patients on mindfulness benefits and providing continuous support through the change process might improve substance use disorders treatment outcomes. By integrating these strategies, psychiatric nurses can significantly enhance the effectiveness of substance use disorders treatments.
探讨正念在冲动性感觉寻求与改变意愿之间的中介作用。
进行了一项横断面描述性相关性研究。
招募了200名患有物质使用障碍的客户作为便利样本。使用五因素正念问卷、冲动性感觉寻求量表和改变准备度与治疗渴望阶段量表收集数据。
正念与改变意愿之间存在显著正相关(r = 0.174,p = 0.014),改变意愿与冲动性感觉寻求之间存在显著负相关(r = -0.219,p = 0.002)。冲动性(平均百分比得分 = 80.25%)和感觉寻求特质(平均百分比得分 = 78.73%)对改变意愿产生负面影响。正念部分中介了冲动性感觉寻求与改变意愿之间的关系(间接效应 = -0.056,p = 0.005)。
基于正念的干预措施显示出通过减轻冲动性来增强改变意愿的潜力。解决冲动性感觉寻求、正念和改变意愿之间的相互作用可能促进患有物质使用障碍的客户的康复。虽然未对持续康复进行纵向评估,但研究结果为未来的调查提供了途径。
精神科护士在对患有物质使用障碍的客户进行护理时,必须纳入正念干预、定期评估冲动性以及制定个性化护理计划。向患者宣传正念的益处,并在整个改变过程中提供持续支持,可能会改善物质使用障碍的治疗效果。通过整合这些策略,精神科护士可以显著提高物质使用障碍治疗的有效性。