{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,10,16]],"date-time":"2026-10-16T06:06:38Z","timestamp":1792130798674,"version":"4.4.0"},"reference-count":31,"publisher":"Wiley","issue":"5","license":[{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/onlinelibrary.wiley.com\/termsAndConditions#vor"},{"start":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T00:00:00Z","timestamp":1781481600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"funder":[{"DOI":"10.13039\/501100004252","name":"Qatar University","doi-asserted-by":"publisher","award":["QF\u2010QBB\u2010RES\u2010ACC\u20100017"],"award-info":[{"award-number":["QF\u2010QBB\u2010RES\u2010ACC\u20100017"]}],"id":[{"id":"10.13039\/501100004252","id-type":"DOI","asserted-by":"publisher"}]}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Psychiatric Ment Health Nurs"],"published-print":{"date-parts":[[2026,10]]},"abstract":"<jats:title>ABSTRACT<\/jats:title>\n                  <jats:sec>\n                    <jats:title>Background<\/jats:title>\n                    <jats:p>Depression is a major global health concern, yet population\u2010based evidence on depressive symptom patterns and associated lifestyle factors in Qatar remains limited. Understanding symptom distribution is important for informing nurse\u2010led prevention and early identification strategies.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A cross\u2010sectional secondary analysis was conducted using data from 1098 adults enrolled in the Qatar Biobank. Depressive symptoms were assessed using the nine\u2010item Patient Health Questionnaire. Descriptive statistics summarized total scores, severity categories and individual symptoms. Bivariate analyses and hierarchical multivariable regression were conducted to examine associations between depressive symptoms and selected sociodemographic and behavioural variables including screen\u2010based digital device exposure (television, mobile phone, tablet and computer).<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      The mean nine\u2010item Patient Health Questionnaire (PHQ\u20109) score was 5.28, indicating overall low symptom severity. More than half of participants (52.7%) reported no depressive symptoms, while 30.9% reported mild symptoms. Moderate to severe symptoms were observed in a minority of participants. Low energy and sleep\u2010related symptoms were most frequently reported, whereas suicidal ideation was least endorsed. Higher screen\u2010based digital device use showed small but statistically significant associations with multiple depressive symptoms (\n                      <jats:italic>r<\/jats:italic>\n                      \u22480.06\u20130.10), indicating small effect sizes with limited clinical significance, although these associations were not retained after adjustment in multivariable analysis.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusions<\/jats:title>\n                    <jats:p>Depressive symptoms in this population were generally mild. The findings highlight the relevance of symptom\u2010focused assessment and consideration of digital behaviours in psychiatric and mental health nursing practice, supporting nurse\u2010led preventive and health promotion initiatives in Qatar.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Relevance to Psychiatric and Mental Health Nursing<\/jats:title>\n                    <jats:p>Psychiatric and mental health nurses are central to early identification and prevention of depressive symptoms in primary care and community settings in Qatar. This study provides population\u2010based evidence on depressive symptom patterns and their associations with screen\u2010based digital device exposure among adults. Findings support symptom\u2010focused screening beyond total depression scores and highlight the need to routinely assess digital behaviours, sleep\u2010related complaints and fatigue as part of nurse\u2010led mental health assessment. The results inform culturally responsive health promotion, brief interventions and referral pathways that nurses can implement to prevent progression from mild symptoms to clinically significant depression.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1111\/jpm.70159","type":"journal-article","created":{"date-parts":[[2026,6,15]],"date-time":"2026-06-15T12:18:11Z","timestamp":1781525891000},"page":"813-823","update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":2,"title":["Depressive Symptom Patterns and Digital Screen Exposure Among Adults in Qatar: A Cross\u2010Sectional Study With Implications for Psychiatric and Mental Health Nursing Practice"],"prefix":"10.1111","volume":"33","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-0899-7883","authenticated-orcid":false,"given":"Fadwa","family":"Alhalaiqa","sequence":"first","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Fadi","family":"Khraim","sequence":"additional","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-7193-835X","authenticated-orcid":false,"given":"Ahmad Abu","family":"Raddaha","sequence":"additional","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Mohammed","family":"Aldalaykeh","sequence":"additional","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-7948-1190","authenticated-orcid":false,"given":"Waqas","family":"Sami","sequence":"additional","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Noof","family":"Al\u2010Kuwari","sequence":"additional","affiliation":[{"name":"College of Nursing Qatar University  Doha Qatar"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Muayyad Mustafa","family":"Ahmad","sequence":"additional","affiliation":[{"name":"Clinical Nursing Department, School of Nursing University of Jordan  Amman Jordan"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,6,15]]},"reference":[{"key":"e_1_2_14_2_1","doi-asserted-by":"publisher","DOI":"10.1155\/2020\/2364571"},{"key":"e_1_2_14_3_1","unstructured":"Al Jammal A.2023.\u201cValidity and Reliability of the Arabic Version of the Patient Health Questionnaire\u20109 (PHQ\u20109) in Patients With Heart Failure (HF) in Lebanon.\u201dAmerican University of Beirut.http:\/\/hdl.handle.net\/10938\/23962."},{"key":"e_1_2_14_4_1","doi-asserted-by":"publisher","DOI":"10.1093\/aje\/kwz084"},{"key":"e_1_2_14_5_1","doi-asserted-by":"publisher","DOI":"10.5339\/qmj.2025.4"},{"key":"e_1_2_14_6_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12991\u2010017\u20100155\u20101"},{"key":"e_1_2_14_7_1","doi-asserted-by":"publisher","DOI":"10.18332\/tid\/203551"},{"key":"e_1_2_14_8_1","volume-title":"Major Depressive Disorder","author":"Bains N.","year":"2023"},{"key":"e_1_2_14_9_1","doi-asserted-by":"publisher","DOI":"10.3390\/bs15111450"},{"key":"e_1_2_14_10_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41392\u2010024\u201001738\u2010y"},{"key":"e_1_2_14_11_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ajmo.2022.100014"},{"key":"e_1_2_14_12_1","doi-asserted-by":"publisher","DOI":"10.1002\/mpr.2008"},{"key":"e_1_2_14_13_1","doi-asserted-by":"publisher","DOI":"10.1007\/s44202\u2010021\u201000009\u2010z"},{"key":"e_1_2_14_14_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyg.2024.1494333"},{"key":"e_1_2_14_15_1","doi-asserted-by":"publisher","DOI":"10.1002\/wps.20821"},{"key":"e_1_2_14_16_1","doi-asserted-by":"publisher","DOI":"10.1046\/j.1525\u20101497.2001.016009606.x"},{"key":"e_1_2_14_17_1","doi-asserted-by":"publisher","DOI":"10.1111\/pcn.13551"},{"key":"e_1_2_14_18_1","doi-asserted-by":"publisher","DOI":"10.3389\/fpsyt.2022.1058572"},{"key":"e_1_2_14_19_1","doi-asserted-by":"publisher","DOI":"10.3389\/fspor.2025.1710832"},{"key":"e_1_2_14_20_1","doi-asserted-by":"publisher","DOI":"10.1192\/j.eurpsy.2024.1756"},{"key":"e_1_2_14_21_1","doi-asserted-by":"publisher","DOI":"10.1038\/s41390\u2010025\u201004108\u20108"},{"key":"e_1_2_14_22_1","doi-asserted-by":"publisher","DOI":"10.1002\/hbe2.256"},{"key":"e_1_2_14_23_1","unstructured":"Samdi M.2022.\u201cDepression Screening Rates and Patterns of Management in Primary Care in Qatar: A Cross\u2010Sectional Study.\u201dQatar University.https:\/\/qspace.qu.edu.qa\/handle\/10576\/32109."},{"key":"e_1_2_14_24_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.wneu.2019.01.234"},{"key":"e_1_2_14_25_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12888\u2010021\u201003234\u2010x"},{"key":"e_1_2_14_26_1","doi-asserted-by":"publisher","DOI":"10.1002\/pon.5192"},{"key":"e_1_2_14_27_1","doi-asserted-by":"publisher","DOI":"10.4172\/2161\u20101165.1000227"},{"key":"e_1_2_14_28_1","doi-asserted-by":"publisher","DOI":"10.3389\/fnut.2023.1198796"},{"key":"e_1_2_14_29_1","unstructured":"World Health Organization. n.d.\u201cMental Disorders Fact Sheet.\u201dAccessed February 7 2025.https:\/\/www.who.int\/news\u2010room\/fact\u2010sheets\/detail\/mental\u2010disorders."},{"key":"e_1_2_14_30_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.jpsychires.2024.07.054"},{"key":"e_1_2_14_31_1","doi-asserted-by":"publisher","DOI":"10.1186\/s12889\u2010024\u201020020\u2010y"},{"key":"e_1_2_14_32_1","doi-asserted-by":"publisher","DOI":"10.1016\/j.ssmmh.2025.100582"}],"container-title":["Journal of Psychiatric and Mental Health Nursing"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70159","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1111\/jpm.70159","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1111\/jpm.70159","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,9,8]],"date-time":"2026-09-08T08:29:37Z","timestamp":1788856177000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1111\/jpm.70159"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2026,6,15]]},"references-count":31,"journal-issue":{"issue":"5","published-print":{"date-parts":[[2026,10]]}},"alternative-id":["10.1111\/jpm.70159"],"URL":"https:\/\/doi.org\/10.1111\/jpm.70159","archive":["Portico"],"relation":{},"ISSN":["1351-0126","1365-2850"],"issn-type":[{"value":"1351-0126","type":"print"},{"value":"1365-2850","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,6,15]]},"assertion":[{"value":"2026-01-15","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-05","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-15","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}]}}