{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,27]],"date-time":"2026-07-27T21:25:00Z","timestamp":1785187500782,"version":"3.55.0"},"reference-count":48,"publisher":"Wiley","issue":"4","license":[{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"},{"start":{"date-parts":[[2026,4,14]],"date-time":"2026-04-14T00:00:00Z","timestamp":1776124800000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,8]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Introduction<\/jats:title>\n                    <jats:p>Early psychosis represents a critical period that may profoundly affect not only individuals but also their family members, often leading to increased psychological distress, stigma and caregiving burden.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Aim<\/jats:title>\n                    <jats:p>This study aimed to evaluate the effects of online Acceptance and Commitment Therapy (ACT) on self\u2010stigma, stress coping strategies and resilience levels among family members of individuals with early psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>\n                      This study was designed as an exploratory randomized controlled trial. The study population consisted of 41 caregivers of individuals diagnosed with schizophrenia and other psychotic disorders according to DSM\u20105 criteria, who had received their diagnosis within the past three years and applied to a psychiatry outpatient clinic at a training and research hospital between August and October 2024. Eligible participants were randomly allocated to the intervention group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200920) or the control group (\n                      <jats:italic>n<\/jats:italic>\n                      \u2009=\u200921). The intervention group participated in an eight\u2010session online group\u2010based Acceptance and Commitment Therapy program, while the control group did not receive any structured intervention. Data were collected using the Self\u2010Stigma Inventory for Family Members, the Stress Coping Strategies Inventory and the Brief Resilience Scale. Evaluations were conducted at pre\u2010test, post\u2010test and three\u2010month follow\u2010up.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      No significant differences were observed between groups at baseline (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&gt;\u20090.05). Post\u2010intervention and follow\u2010up assessments showed significantly lower self\u2010stigma scores in the intervention group compared to controls (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05). Additionally, coping strategies and resilience scores were significantly higher in the intervention group at post\u2010test and follow\u2010up (\n                      <jats:italic>p<\/jats:italic>\n                      \u2009&lt;\u20090.05).\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>The findings suggest that online ACT may be effective in reducing self\u2010stigma and improving coping strategies and resilience among family members of individuals with early psychosis.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Practice<\/jats:title>\n                    <jats:p>ACT\u2010based interventions may represent a promising approach to supporting family members during early psychosis. Psychiatric nurses may play a central role in integrating ACT\u2010informed approaches into routine mental health services, thereby supporting family\u2010centered care. Online delivery may serve as a complementary method to facilitate and support the delivery of nursing care by enhancing accessibility and continuity of psychosocial support.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance Statement<\/jats:title>\n                    <jats:p>This study is relevant to psychiatric mental health nursing as it addresses the role of family\u2010centered care during early psychosis. The findings demonstrate that ACT\u2010informed psychosocial approaches may reduce self\u2010stigma and enhance coping and resilience among family members. Psychiatric nurses are well\u2010positioned to identify family needs, deliver psychoeducation and support adaptive coping within routine care. Integrating such approaches into practice may strengthen holistic care and improve outcomes for both individuals with early psychosis and their families.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Trial Registration<\/jats:title>\n                    <jats:p>\n                      <jats:ext-link xmlns:xlink=\"http:\/\/www.w3.org\/1999\/xlink\" xlink:href=\"http:\/\/clinicaltrials.gov\">ClinicalTrials.gov<\/jats:ext-link>\n                      ID: NCT06655688\n                    <\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70130","type":"journal-article","created":{"date-parts":[[2026,4,15]],"date-time":"2026-04-15T05:19:28Z","timestamp":1776230368000},"page":"599-613","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Effects of Online Acceptance and Commitment Therapy for Family Members of Individuals With Early Psychosis on Self\u2010Stigma, Coping Strategies and Resilience: A Randomized Controlled Trial"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0001-5800-5099","authenticated-orcid":false,"given":"Duygu","family":"\u00d6zer","sequence":"first","affiliation":[{"name":"Department of Nursing, Faculty of Health Sciences Bartin University  Bartin T\u00fcrkiye"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,4,14]]},"reference":[{"key":"e_1_2_16_2_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.schres.2012.05.007"},{"key":"e_1_2_16_3_1","doi-asserted-by":"publisher","DOI":"10.1111\/papt.12282"},{"key":"e_1_2_16_4_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888-024-05993-9"},{"key":"e_1_2_16_5_1","doi-asserted-by":"publisher","DOI":"10.1007\/s12671-018-0887-2"},{"issue":"1","key":"e_1_2_16_6_1","first-page":"93","article-title":"Adaptation of the Brief Resilience Scale Into Turkish: A Validity and Reliability Study","volume":"3","author":"Do\u011fan T.","year":"2015","journal-title":"Journal of Happiness & Well\u2010Being"},{"key":"e_1_2_16_7_1","doi-asserted-by":"publisher","DOI":"10.3371\/CSRP.DOSH.123015"},{"issue":"1","key":"e_1_2_16_8_1","first-page":"1","article-title":"The Impact of Family Environment on Self\u2010Stigmatization and Social Functionality Among Schizophrenic Patients","volume":"36","author":"Duran S.","year":"2022","journal-title":"Ethiopian Journal of Health Development"},{"key":"e_1_2_16_9_1","doi-asserted-by":"publisher","DOI":"10.1186\/s42506-020-00059-6"},{"key":"e_1_2_16_10_1","doi-asserted-by":"publisher","DOI":"10.32598\/hms.25.4.298"},{"key":"e_1_2_16_11_1","doi-asserted-by":"publisher","DOI":"10.1080\/13607863.2021.1942432"},{"key":"e_1_2_16_12_1","doi-asserted-by":"publisher","DOI":"10.2307\/2136617"},{"key":"e_1_2_16_13_1","doi-asserted-by":"publisher","DOI":"10.2196\/67545"},{"key":"e_1_2_16_14_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jcbs.2020.10.004"},{"key":"e_1_2_16_15_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.comppsych.2014.03.003"},{"key":"e_1_2_16_16_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jbtep.2015.10.001"},{"key":"e_1_2_16_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/bjc.12265"},{"key":"e_1_2_16_18_1","doi-asserted-by":"publisher","DOI":"10.1037\/sah0000474"},{"key":"e_1_2_16_19_1","doi-asserted-by":"publisher","DOI":"10.1192\/bjp.bp.117.201475"},{"key":"e_1_2_16_20_1","doi-asserted-by":"publisher","DOI":"10.3390\/ijerph192113943"},{"key":"e_1_2_16_21_1","doi-asserted-by":"publisher","DOI":"10.1007\/s40474-021-00228-y"},{"key":"e_1_2_16_22_1","doi-asserted-by":"publisher","DOI":"10.1177\/13623613231172241"},{"key":"e_1_2_16_23_1","doi-asserted-by":"publisher","DOI":"10.1111\/jan.13405"},{"key":"e_1_2_16_24_1","first-page":"289","article-title":"Relationship Between Family Attitude, Symptoms' Severity and Social Functioning of People Suffering From Schizophrenia Over 20\u2009Years. 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