ArticleInternational nursing review2026
Cognitive Restructuring for Depressive Symptoms Applied by Mental Health Nurses: Designing the Structure and Contents.
Article in International nursing review, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
aimTo design the structure and content of a cognitive restructuring intervention for people with depressive symptoms.
backgroundGiven the limited number of psychotherapeutic interventions currently available to mental health nurses, there is a pressing need to develop new evidence-based approaches.
methodsA focus group methodology was used, informed by the findings of a previous scoping review. Data were collected from 11 experts during two focus group sessions and analyzed using content analysis. The Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist was followed.
resultsGuidelines have been defined for theoretical conceptualization, inclusion and exclusion criteria, therapeutic objectives, diagnostic assessment tools, clinical practice context, number and duration of sessions, type of the intervention, and session content. The contents were defined and grouped into seven sessions and a prior evaluation session: (1) welcome; (2) exploration; (3) identification; (4) understanding; (5) change; (6) consolidation; and (7) follow-up session. DISCUSSION: The design of the intervention will allow it to be applied in a structured and uniform way, enabling the evaluation of its efficacy and contributing to the advancement of research in the field of mental health nursing.
conclusionThe focus group made it possible to design a structured cognitive restructuring intervention that could be applied by mental health nurses. IMPLICATIONS FOR NURSING: The developed intervention provides a structured framework that may support future nurse-led psychotherapeutic care and inform the evolution of mental health nursing practice and education, pending validation through feasibility and effectiveness studies. IMPLICATIONS FOR HEALTH POLICY: If validated in future studies, the intervention may inform guidelines and policies supporting nurse-led psychotherapeutic care.
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