Background: The coronavirus disease 2019 (COVID‐19) pandemic directly affects the psychological well‐being of critical care nurses. Several studies had investigated the psychological impact of the pandemic on nurses caring for patients with COVID‐19, but few were conducted to identify the predictors of this impact.Aims: The objective of this study is to identify the predictors of critical care nurses' stress, anxiety, and depression in response to the COVID‐19 pandemic.Design: A cross‐sectional survey was conducted in five intensive care units in five hospitals in Alexandria, Egypt.Methods: An online questionnaire was distributed. It included socio‐demographic and work‐related data and the depression, anxiety, and stress scale scores of the nurses under study. A multiple linear regression model was developed to identify the predictors of critical care nurses' stress, anxiety, and depression in response to the COVID‐19 pandemic.Results: Two hundred (64%) of 308 nurses completed the electronic questionnaire. Significant predictors of stress included the number of infected colleagues (P < .001) and availability of hospital resources (P = .01). Significant predictors of anxiety were age, gender, satisfactory income (P < .001), years of experience, time spent caring for patients with COVID‐19 (P = .04), continuous training, number of infected colleagues (P = .01), and availability of hospital resources (P = .02). Finally, significant predictors of depression included gender, history of physical problems (P = .04), educational attainment, availability of hospital resources, history of psychological problems (P < .001), and number of infected colleagues (P = .001).Conclusion: The hospital's lack of human and physical resources and the number of colleagues infected with COVID‐19 were the strongest predictors of stress, anxiety, and depression among nurses.Relevance to clinical practice: Identifying the predictors of stress, anxiety, and depression among nurses who care for patients with COVID‐19 is a vital step in developing mental health promotion strategies to support nurses during this pandemic.

Aim: To determine the effect of implementing dialectical behavior therapy (DBT) skills training groups on emotional regulation difficulties, distress tolerance, and social functioning among patients with bipolar disorder (BD). Methods: A randomized controlled trial was conducted with 120 patients diagnosed with BD who were attending follow‐up at the outpatient clinic. Participants were randomly assigned to either the experimental group, which received 16 group psychoeducation sessions held twice weekly, or the control group, which received standard outpatient care. Analysis of variance (ANOVA) with repeated measures was applied to compare normally distributed quantitative variables across more than two time points or stages, with post hoc tests used for pairwise comparisons. Results: The experimental group of DBT skills training demonstrated significant improvement over the control group in the overall emotional regulation difficulties scale ( F = 60.0, p ≤ 0.001, F = 1.0, p = 1.000, respectively), distress tolerance (104.40 ± 2.39 to 60.0 ± 3.55 and 57.70 ± 2.94, p < 0.001), and social functioning ( F = 295.503, p ≤ 0.001, F = 11.107, p = 0.918, respectively). Conclusion: The DBT skills training has demonstrated improvements in all the measured outcomes across the one‐ and 3‐month intervals of follow‐ups. The existing findings suggest replication on a larger scale with diverse populations. Additionally, nurse‐led DBT skills training groups are indicated in tertiary mental health settings. Implication: The structured approach of DBT skills training is well‐suited for addressing the complex needs of patients with BD, enhancing the overall efficacy of the treatment. Further research is needed to identify which skills are best suited for specific issues about emotional regulation. Trial Registration: ClinicalTrials.gov identifier: NCT05741268