Search

BACKGROUND: Weight stigma is a fundamental cause of health inequality. Body positivity may be a counterbalance to weight stigma. Social media is replete with weight-stigmatizing content and is a driver of poor mental health outcomes; however, there remains a gap in understanding its potential to mitigate the prevalence and impact of harmful messaging and to promote positive effects on a large scale. OBJECTIVE: We selected musical artist Lizzo, whose brand emphasizes body positivity and empowerment, for an instrumental case study on the discourse on social media and specifically Instagram. We focused on 3 domains, including body positivity, physical health, and emotional well-being. These domains challenge social norms around weight and body size and have the potential to positively affect the physical and psychological health of people with diverse body sizes. METHODS: We evaluated posts by Lizzo, comments from Instagram users, and replies to comments over a 2-month period (October 11 to December 12, 2019). Two coders rated Lizzos posts and Instagram users comments for their sentiments on the 3 domains. Replies to Instagram users comments were assessed for their reactions to comments (ie, did they oppose or argue against the comment or did they support or bolster the comment). Engagement metrics, including the number of likes, were also collected. RESULTS: The final sample included 50 original posts by Lizzo, 250 comments from Instagram users, and 1099 replies to comments. A proportion of Lizzos content included body positive sentiments (34%) and emotional well-being (18%); no posts dealt explicitly with physical health. A substantial amount Instagram users comments and replies contained stigmatizing content including the use of nauseated and vomiting emojis, implications that Lizzos body was shameful and should be hidden away, accusations that she was promoting obesity, and impeachments of Lizzos health. In spite of the stigmatizing content, we also discovered content highlighting the beneficial nature of having positive representation of a Black woman living in a larger body who is thriving. Moreover, analysis of the discourse between users illustrated that stigmatizing expressions are being combated online, at least to some degree. CONCLUSIONS: This study demonstrates that Lizzo has exposed millions of social media users to messages about body positivity and provided more visibility for conversations about weight and shape. Future research should examine the extent to which body positive messages can lead to greater acceptance of individuals living in larger bodies. Instagram and other social media platforms should consider ways to reduce body-shaming content while finding ways to promote content that features diverse bodies. Shifting the landscape of social media could decrease stereotypes about weight and shape while increasing dialog about the need for greater acceptance and inclusion of people with diverse bodies.

BACKGROUND: Nutritional impairment is associated with treatment toxicity and worse overall survival in patients with cancer. We aimed to (1) evaluate the association of nutritional impairment with psychological health and quality of life (QOL) and (2) examine which measures of nutrition had the strongest association with psychological health and QOL among older adults receiving cancer treatment with palliative intent. METHODS: This secondary analysis was performed on baseline data from a nationwide cluster randomized clinical trial (ClinicalTrials.gov identifier: NCT02107443; PI: Mohile). Adults age ≥70 with advanced cancer and ≥1 geriatric assessment (GA) impairment were enrolled from 2014 to 2017. In line with geriatric oncology standards, we defined nutritional impairment as Mini Nutritional Assessment Short Form (MNA-SF) ≤11, body mass index (BMI) 10% involuntary weight loss in the past 6 months. We conducted multivariable linear regressions to evaluate the association of nutritional impairment with each measure of psychological health and QOL: Geriatric Depression Scale (GDS-15, range 0-15), Generalized Anxiety Disorder-7 (GAD-7, range 0-21), NCCN Distress Thermometer (NCCN DT, range 0-10), and Functional Assessment of Cancer Therapy-General (FACT-G, range 0-108). Analyses were adjusted for patient demographics, clinical characteristics, and GA. RESULTS: Among 541 patients, the mean age was 77 (range 70-96) and 60% had nutritional impairment. Mean baseline scores: GDS-15 3.1 (SD 2.7), GAD-7 2.9 (SD 4.0), NCCN DT 2.9 (SD 2.7), and FACT-G 80 (SD 15). In the adjusted model, compared to those with no nutritional impairment, older adults with nutritional impairment had greater depression (β = 0.79, 95% CI 0.36-1.23) and anxiety severity (β = 0.86, 95% CI 0.19-1.53), and worse QOL (β = -6.31, 95% CI -8.62 to -4.00). Of the measures of nutrition, MNA-SF ≤11 demonstrated the strongest associations with depression, anxiety, distress, and QOL. CONCLUSION: Nutritional impairment is associated with impaired psychological health and worse QOL. Clinicians should use the MNA-SF to screen older adults for nutritional impairment and offer tailored supportive interventions.

Context Premenstrual syndrome (PMS) affects approximately 48% of women of reproductive age worldwide. It can lead to functional impairment, lower quality of life, and decreased work productivity. Despite the availability of medical treatment options, women are seeking alternative interventions because of concerns of harmful side effects and limited evidence of efficacy associated with pharmacological treatments. To date, high-quality research investigating the effects of dietary and nutrient intervention on PMS is limited. Objective This systematic review investigated the effect of nutritional interventions on the psychological symptoms of PMS. Data Sources Five electronic databases were searched for randomized controlled trials (RCTs) published in English from inception to October 2022. Trials eligible for inclusion were nutritional intervention studies involving women of reproductive age that measured PMS-associated psychological outcomes. Data Extraction Articles were selected using prespecified inclusion criteria. Data screening and extraction and risk-of-bias assessments were conducted by 3 independent reviewers using article screening software and the Cochrane Risk of Bias 2 tool. Data Analysis Thirty-two articles reporting on 31 RCTs involving 3254 participants, ranging in age from 15 to 50 years were included and narratively reviewed. Only 1 of the included studies had a low risk of bias. Treatment with vitamin B6, calcium, and zinc consistently had significant positive effects on the psychological symptoms of PMS. There was insufficient evidence to support the effects of vitamin B1, vitamin D, whole-grain carbohydrates, soy isoflavones, dietary fatty acids, magnesium, multivitamin supplementation, or PMS-specific diets. Conclusions There is some evidence to support the use of nutritional interventions for improving psychological symptoms of PMS. However, more research using consistent protocols, procedures to minimize risk of bias, intention-to-treat analysis, and clearer reporting is required to provide conclusive nutritional recommendations for improving PMS-related psychological outcomes. PROSPERO registration no CRD42022369999. [ABSTRACT FROM AUTHOR]

Emerging research suggests that reproductive coercion and abuse (RCA), like intimate partner violence (IPV), is associated with poorer mental and sexual health outcomes, including greater symptoms of post-traumatic stress disorder (PTSD) and depression and poorer markers of physical and sexual health such as sexually transmitted infections, unplanned pregnancies and lowered sexual agency. Although victims/survivors of RCA report long-lasting impacts on future relationships, including fear and anxiety, little is known about impacts of RCA on anxiety and general wellbeing, nor emotional and mental components of sexual health that comprise a person's sexual self-concept. With community samples of participants in Australia, we conducted two studies to explore the impact of RCA and IPV on psychological (study 1) and sexual (study 2) health outcomes. Study 1 (n = 368) found that experiencing IPV and RCA both significantly and uniquely contributed to poorer mental health outcomes. After controlling for age and IPV, RCA significantly predicted symptoms of depression, anxiety, stress, PTSD, and reduced satisfaction with life. Study 2 (n = 329) found that IPV and RCA differentially predicted various components of sexual health. IPV predicted decreased sexual satisfaction and increased sexual anxiety, depression, and fear of sexual encounters. After controlling for age and IPV, RCA significantly and uniquely predicted lower levels of sexual assertiveness and increased sexual depression and fear of sexual encounters, but not sexual satisfaction or anxiety. We conclude that RCA is associated with significant psychological distress and a negative sexual self-concept that may impact future relationships. Screening for both IPV and RCA across settings is warranted. [ABSTRACT FROM AUTHOR]

This study investigates the health status of China's elderly population, emphasizing the influence of socioeconomic status (SES) and the mediating role of exercise frequency. Using data from the 2021 Chinese General Social Survey (CGSS) and an ordered logistic regression model, SES is assessed through income, education, social class, and social insurance. The findings reveal that income, education, and social class positively correlate with health outcomes, with income showing a slightly stronger impact on women. Urban elderly populations particularly benefit from higher education and social class, while the effects of medical and pension insurance are mixed, suggesting that insured individuals often have pre-existing health issues. Exercise frequency yielded limited effectiveness in improving health for those from lower socioeconomic backgrounds. Gender and marital status also influenced outcomes: men reported better health than women, and marriage positively affected rural but not urban elderly individuals. These results highlight the critical role of socioeconomic factors in shaping elderly health and underscore the need for policies addressing urban–rural gaps and improving socioeconomic conditions to enhance overall health in this demographic. [ABSTRACT FROM AUTHOR]

Background: Patients with psoriasis also often experience stigma due to skin lesions, and this stigma further leads to severe psychological problems such as anxiety and depression. However, it is unclear how, and under what conditions, stigma relates to mental health. This study aimed to investigate the current status and interrelationships between stigma, social appearance anxiety, alexithymia, and mental health in patients with psoriasis. It also sought to identify the factors that influenced their mental health and to examine the mediating roles of social appearance anxiety and alexithymia in the relationship between stigma and psychological health. Method: From June to December 2023, patients with psoriasis were recruited from the outpatient department or ward of the dermatology department of a tertiary hospital in Guangzhou. Patients were assessed using the General Information Questionnaire, the Psoriasis Stigma Scale, the Social Appearance Anxiety Scale, the Toronto Alexithymia Scale, and the Satisfaction with Life Scale. Structural equation modeling (SEM) was conducted using Amos 24.0 to explore the relationships among the variables, and mediation effects were tested using SPSS 26.0. Results: A total of 317 psoriasis patients were recruited to participate in the survey. The total score of stigma of patients was (82.03 ± 1.52), which was at a moderate level. The total score of social appearance anxiety scale was (49.38 ± 1.00), which was at a high level. The total score of negative mental health of patients was (2.77 ± 0.14), which was at a low level. The total score of positive mental health of patients was (20.14 ± 0.36), which was at a medium level. The findings revealed that social appearance anxiety and alexithymia play significant chain mediating roles between stigma and negative mental health in patients with psoriasis, with an effect size of -0.031. Similarly, these factors also mediate the relationship between stigma and positive mental health, with an effect size of 0.056. Conclusion: Stigma in patients with psoriasis can directly impact their mental health and can also influence it indirectly through social appearance anxiety and alexithymia. Both social appearance anxiety and alexithymia serve as mediators in the relationship between stigma and mental health in these patients. [ABSTRACT FROM AUTHOR]

With the rapid development of the global economy and society, mental health issues have become increasingly prominent, and the critical role of physical education in promoting mental resilience is gaining recognition. This study aims to analyze the current state of research, key focuses, and future trends concerning the effects of physical education on mental health resilience from an international perspective. Relevant publications were retrieved from the Web of Science Core Collection, and a bibliometric analysis was conducted using VOSviewer and CiteSpace. The methodology involved clustering cooccurrences of authors, institutions, and keywords; generating keyword time-zone views; and performing burst analysis to identify development trends in the field. The results indicate that the volume of publications in this domain has been increasing, especially after 2019, with significant contributions from European countries and the United States. However, there is a relatively low overall connection strength among institutions, highlighting the need for enhanced international cooperation. Research in this field clusters into three main categories: physiological health and activity; autonomy and intrinsic motivation; and learning performance and educational environment. Future research trends may focus on interdisciplinary integration, personalized physical education programs through data science and artificial intelligence, the role of cultural and social contexts, and the use of innovative technologies like wearable devices and virtual reality. This study provides a comprehensive overview of the domain, elucidating how physical education can improve mental health among college students, and offers insights for practitioners to leverage physical education benefits while addressing associated challenges and impacts. [ABSTRACT FROM AUTHOR]

Background: Spinal cord injury (SCI) results in severe physical impairments and significant lifestyle disruptions, including paralysis, increased dependence on caregivers, and a tendency toward social isolation. These challenges deeply affect the psychological health and overall quality of life (QOL) of those impacted, especially in younger patients. Investigating the psychological and QOL outcomes in individuals with stable SCIs is crucial for developing tailored rehabilitation strategies. Aim: The study aimed to investigate the psychological health and QOL in patients with stable SCIs. Materials and Methods: This observational cross-sectional study involved patients with stable traumatic SCIs recruited through WhatsApp support groups from two major centers in India. Eligible participants were adults who were at least 1-year postinjury. Those with severe head injuries or nontraumatic spinal injuries were excluded. Participants provided sociodemographic information and injury history and completed assessments evaluating psychological health and QOL. Data were analyzed using IBM SPSS software, and statistical significance was determined through Chi-square tests. Results: Psychological distress was identified in 26.2% of the participants. Younger participants exhibited significantly poorer QOL in the psychological domain (P = 0.02). Employment status showed a significant association with the physical domain (P = 0.037) and overall QOL scores (P = 0.046). Socioeconomic status was significantly correlated with both the psychological (P = 0.004) and social domains (P = 0.009). Conclusions: The study underscores the considerable impact of SCI on psychological health and overall QOL, with younger individuals disproportionately affected. Healthcare providers should prioritize the integration of psychological support and counseling in SCI rehabilitation programs. [ABSTRACT FROM AUTHOR]

Objectives: This study aimed to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health. Methods: This cross-sectional study recruited 135 patients with PsA from Xiangya Hospital of China between October 2021 and July 2022. The visual analogue scale was used to assess the disease activity of PsA, and an absolute difference of ≥ 10 points between the patient-physician global assessment on visual analogue scale was regarded as a clinically relevant discordance. In addition, the patients' clinical data and self-reported questionnaire responses were collected to screen depressive and anxiety symptoms. Results: Discordance in patient-physician assessment of psoriatic arthritis activity occurred in 88 (65.2%) patients, while concordance occurred in 47 (34.8%) patients. Depressive symptoms (AOR: 4.43, 95% CI:1.85–10.61), as well as anxiety symptoms (AOR: 3.95, 95% CI:1.70–9.16), were associated with the discordance in disease activity assessment between the patients and physicians. Conclusion: This study suggests that the discordance in patient-physician assessment of psoriatic arthritis activity is associated with the patient's psychological health. Therefore, sufficient assessment of patient's psychological health is indispensable from a comprehensive understanding of the disease activity in patients with psoriatic arthritis. Key Points • This is the first study to evaluate the discordance in patient-physician assessment of psoriatic arthritis disease activity and its association with the patient's psychological health. [ABSTRACT FROM AUTHOR]

This provides an effective way to break away from traditional inefficient evaluation methods for monitoring and analyzing the psychological status of a large number of school sports athletes, the author proposes an intelligent monitoring system for sports psychological health status based on big data. Applying big data technology to mental health assessment, using real-time monitoring and analysis of athlete unified EEG waves, dividing athlete EEG waves into frequency bands, and conducting mental health analysis. The author validated the effectiveness of the system through simulation experiments, and the results showed that the psychological states of the subjects were not the same during the early and fatigue stages of training. In the early stages of training, the brainwave frequency band was mainly in the Beta and Gamma bands, accounting for 37% and 41%, respectively. Concentration was greater than relaxation, while in the fatigue stage of homework, the brainwave frequency band was mainly in the Delta and Thata bands, accounting for 43% and 45%, respectively, and concentration was less than relaxation. The psychological monitoring system designed by the author can provide a technical foundation for a series of strategies to promote training efficiency while ensuring the mental health of athletes. [ABSTRACT FROM AUTHOR]

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Copyright of Retos: Nuevas Perspectivas de Educación Física, Deporte y Recreación is the property of Federacion Espanola de Asociaciones de Docentes de Educacion Fisica and its content may not be copied or emailed to multiple sites or posted to a listserv without the copyright holder's express written permission. However, users may print, download, or email articles for individual use. This abstract may be abridged. No warranty is given about the accuracy of the copy. Users should refer to the original published version of the material for the full abstract. (Copyright applies to all Abstracts.)

Background Objective Search Strategy Data Collection and Analysis Results Conclusion The increasing prevalence of psychological distress among mothers is outpacing the effectiveness of conventional coping methods like cognitive behavioral therapy. The efficacy of alternatives such as writing therapy for maternal psychological well‐being remains uncertain due to a lack of extensive research and inconsistent findings.The aim of this study was to evaluate the effectiveness of expressive writing therapy in comparison to standard postpartum care for alleviating psychological distress, encompassing symptoms of depression, anxiety, or stress, in postpartum women.For this purpose, seven bibliographic databases, including CINAHL, Cochrane Library, EMBASE, PsycINFO, PubMed, Scopus, and Web of Science, and gray literature were examined up to December 27, 2022 for randomized controlled trials, comparing expressive writing against standard care or controlled writing among postpartum women with psychological distress.Data was collected using a random effect model for meta‐analysis.A meta‐analysis of five studies with 483 participants found that expressive writing therapy was more effective than standard care or controlled writing in reducing postpartum depression and stress among women with psychological distress. Expressive writing resulted in a significant reduction in initial depression with standard mean difference (SMD) = −0.65%, 95% confidence interval (CI) = −1.08 to −0.22, Z = 2.96, P = 0.003, in comparison to controlled writing as an intervention. Regarding expressive writing versus standard care, a narrative review was conducted due to an I2 above 75%. The results showed significant improvements compared to the baseline at the seventh day and third month post‐intervention. In terms of stress scores, there was a significant difference favoring expressive writing over standard care at the first month (SMD = −0.80%, 95% CI = −1.35 to −0.24, Z = 2.81, P = 0.005) and third month (SMD = −0.53%, 95% CI = −0.86 to −0.20, Z = 3.13, P = 0.002) post‐intervention. Stress scores are also greatly reduced for expressive writing versus controlled writing with SMD = −0.79%, 95% CI = −1.03 to −0.55, Z = 6.48, P < 0.00001. However, the effectiveness of expressive writing on postpartum anxiety should be interpreted cautiously due to low certainty.Expressive writing serves as an effective alternative for non‐pharmacological intervention for postpartum women with depression and stress, but more research is needed for postpartum anxiety. As substantial heterogeneity was detected, results must be interpreted cautiously. Postpartum women with psychological distress are encouraged to use expressive writing as an affordable way to promote maternal mental health for the benefit of both the mother and the child. [ABSTRACT FROM AUTHOR]

Introduction: Pregnant women require social support and healthcare treatments that are specifically designed to address their quality of life (QoL) during this time, as this will help them get through this crucial stage with more resilience and comfort. Objective: This study aimed to assess the relationship between the QoL of pregnant women and social support. Methods: A cross-sectional study was conducted involving 423 pregnant women. Data were gathered through the SF-36 scale and the "Multidimensional Scale of Perceived Social Support" in the period of June 1 to September 1, 2023. Results: The physical health level was moderate (M = 46.22 ± 16.1), and the mental health level was also moderate (M = 46.12 ± 21.8). Social support was rated high (M = 5.3 ± 1.0), with the highest score in the significant other subscale (M = 5.9 ± 1.2) and the lowest in the friend's subscale (M = 4.4 ± 1.6). Furthermore, the analysis revealed a significant positive association between the QoL scores and social support (p <.05). Conclusions: The study confirmed that Palestinian pregnant women had a moderate level of QoL and a high level of perceived social support. Additionally, it established a significant small positive relationship between the QoL scores and social support among pregnant women. [ABSTRACT FROM AUTHOR]

AbstractBackgroundMethodsResultsConclusionEvaluate evidence for the effects of exercise on psychological health in adults diagnosed with cancer. Investigate the effects of different exercise frequencies, intensities, durations, and types on specific psychological health outcomes measuring depression, anxiety, mood, or quality of life.Six electronic databases searched from inception to May 2024. Randomised Control Trials (RCTs) evaluating effects of exercise on psychological health in adults diagnosed with cancer were included. A random-effects meta-analysis was completed to evaluate effect. Separate meta-analyses were conducted, with subgroups, to evalutate effect of exercise frequency, intensity, duration, and type.Eighty-one studies were included, yielding 205 individual effect sizes across various psychological health outcomes. Exercise interventions demonstrated small to moderate positive effects on psychological health outcomes (combined effect size: d = 0.32, 95%CI 0.22; 0.42). Subgroup analysis revealed positive effects across specific outcomes (depression, anxiety, mood, quality of life). Notably, effect sizes varied between specific outcome measures and exercise variable subgroups.To achieve optimal positive outcomes for psychological health, exercise dosages should consider psychological symptom profile alongside patient characteristics and physical capacity. This meta-analysis provides robust evidence to support the effectiveness of various exercises dosages targeting specific psychological health conditions and symptoms among individuals diagnosed with cancer. [ABSTRACT FROM AUTHOR]

This study investigated whether non-drinking adolescents (n = 195), with no previous experience with alcohol, differed over time from drinking adolescents (n = 406). Potential differences in psychological health (mental well-being, psychosomatic symptoms, conduct problems), social interaction frequencies (new friends, time spent with friends and social interaction through a screen device), psychoactive substance use, and positive attitudes towards alcohol was investigated. Additionally, the study examined whether these attributes in 9th grade could predict total abstinence two years later. Non-drinkers were consistently characterized by fewer social interactions, less positive attitudes towards alcohol, a lower probability of using other drugs, and fewer conduct problems from 14 to 17 years, which may imply a more introverted personality function. This study contributes insights into predicting factors linked to alcohol abstinence in adolescence, particularly the characteristics of non-drinking adolescents in a society where a declining trend of alcohol consumption is emerging. [ABSTRACT FROM AUTHOR]

The psychological health of university students, who represent the future skilled workforce, is crucial for their success in professional life after graduation and their ability to become productive individuals for themselves and society. Therefore, examining the factors that predict the psychological health of current university students, who will form the future skilled workforce, is a topic that requires further investigation. In this study, the relationships between cyberbullying, cybervictimization levels and depression, anxiety, stress levels of university students studying in private universities were examined. The study was conducted in Istanbul and 323 private university students were participated in the research. The data were obtained using the Demographic Information Form, CyberVictimization - Bullying Scale and DASS-21 Scale. Research results showed that university students' cyberbullying and cybervictimization levels predict their depression, anxiety and stress levels. The findings were evaluated and discussed within the framework. [ABSTRACT FROM AUTHOR]

Background/Objective: Aging is associated with both cognitive and physical decline. Some factors, such as lifestyle and environment, can significantly contribute to accelerating or slowing down the decline processes. Our study aimed to evaluate the impact of lifestyle (active vs. non-active) and environmental context (institutionalized vs. non-institutionalized) on the cognitive functioning, psychological well-being, sleep quality, and daily living skills of elderly people. Methods: Our sample consisted of 182 subjects divided into active and non-active groups (subjects who engage or not in physical and social activities, respectively; mean age in years: 67.19 vs. 68.75) and 245 subjects divided into institutionalized and non-institutionalized groups (i.e., living in a nursing home or not, respectively; mean age in years: 79.49 vs. 71.72). Participants were enrolled voluntarily and randomly in the city of L'Aquila. A battery of psychological instruments was administered to evaluate general cognitive decline, depressive symptoms, self-assessed sleep quality, and daily living skills. Results: Regarding lifestyle, the active group exhibited significantly lower levels of depression, better sleep quality, and daily living skills with respect to the non-active group. Regarding environmental context, institutionalized subjects showed higher levels of depression and reduced cognitive functioning, which were linked to reduced sleep quality and worsened daily living skills. When comparing the non-active with the institutionalized group, the latter showed higher levels of depression and reduced cognitive functioning, more sleep complaints, and reduced daily living skills. Conclusions: Our study highlights that an active lifestyle and a non-institutionalized environment, both allowing greater mobility and autonomy, are two factors that positively contribute to the mental and physical well-being of elderly individuals. Furthermore, the healthcare institution context appears to have a greater negative impact on the psycho-physical well-being of the subjects involved compared to a non-active lifestyle. [ABSTRACT FROM AUTHOR]

In India, extreme economic inequalities with a sizeable population below the poverty line are the harsh realities forcing a section to beg for their survival and existence. The paper reports beggars' perception of social–economic status and their stigmatization. The participants were 58 beggars (male 27 and female 31) who earned their living by begging on the streets, around the temples of Allahabad, a middle size city of northern India. Each participant was contacted and interviewed to complete the Social Stigma Scale which included perceived economic status, social stigma, attribution of causality, and coping. The participants attributed their condition to God's wishes, fate, and rated negative personal identity. Humiliation and fate attributions were the most significant predictors of both physical and psychological health. The results facilitate our understanding of the beggars' socio-economic status, their marginalization in society and provide insights for their rehabilitation. [ABSTRACT FROM AUTHOR]

The paper reports research findings of the Indian eunuch's perceived stigmatization experiences, economic deprivation, and physical and mental well-being. The participants constituted 42 eunuchs from Uttar Pradesh, India, selected through the technique of convenience sampling. The sample characteristics varied over three dimensions: education, religion, and caste. They rated their perception and experiences on the Socio-Economic Survey Measurement Scale, which included the Social Stigma Scale that covered various dimensions such as stigma, dehumanization, identity, attribution to their present status, coping, and physical and mental well-being. The findings reveal that eunuchs experience high stigmatization, dehumanization, low self-esteem, and poor physical and psychological health. In addition, physical health problems were negatively associated with attribution to fate and psychological health problems were positively related to fatalism and fightback, coping strategies. The findings indicate a mismatch between the political efforts toward the inclusion of eunuch in the mainstream and the actual ground state of their experiences. [ABSTRACT FROM AUTHOR]

The major objectives of the present study were (a) to explore the perception of stigma associated with HIV/AIDS among people living with HIV/AIDS (PLWHAs); (b) to investigate the relationship between stigma, self-esteem and psychological health, and; (c) to examine the mediating role of self-esteem in the relationship between (a) felt stigma and psychological health, and; (b) enacted stigma and psychological health. The sample consisted of 200 HIV positive individuals (100 females and 100 males) from Prayagraj (North India). Data were collected using a set of questionnaires (self-report measure). It contained questions related to demographic information (age, gender, marital status, education and income), the experience of stigma, self-esteem and psychological health. Results revealed that perceived and enacted stigma were negatively correlated with self-esteem and psychological health. Enacted stigma emerged as a significant predictor (negative) of self-esteem and psychological health. Self-esteem also emerged as a significant predictor of psychological health. It also revealed that the relationship between enacted stigma and psychological health was significantly mediated by self-esteem. Based on the findings, it is suggested that PLWHAs should be treated with respect and dignity, and efforts should be made to align them with the mainstream. Further, they should be encouraged to think above stigma in order to have a better quality of life. [ABSTRACT FROM AUTHOR]

Objectives: Psychosocially unsafe workplaces are related to burnout, especially amongst trainees and psychiatrists. Burgeoning research on psychosocial workplace safety indicates the importance of organisational governance to reduce adverse professional, and consequently patient, outcomes in healthcare by balancing job demands and resources. We provide a brief commentary on the relevance of the concept of the Psychosocial Safety Climate model for mental health services and healthcare workers, and considerations for action. Conclusions: Based on the Extended Job Demand-Resource model, the Psychosocial Safety Climate model has been developed and validated in community and healthcare environments. Psychosocial safety is also an Australian workplace safety requirement. An important direction to improve working conditions, reduce adverse outcomes, and improve recruitment and retention of healthcare workers, may be to adopt and formalise psychosocial workplace safety as a key performance indicator of equal importance to productivity for mental healthcare services. [ABSTRACT FROM AUTHOR]

Objective: College students' psychological health has been negatively impacted by the COVID-19 pandemic (e.g., 1). We investigated whether students' psychological health was related to their orientation toward the future and mindfulness while considering previously-identified correlates of psychological health such as perceived risks of COVID-19. Participants: Participants were 278 college students at a mid-Atlantic US university in November and December 2020. Method: Using a self-report survey, we measured three aspects of psychological health (depression, anxiety, and stress) and future orientation, mindfulness, perceptions of risk, and the personal impact of COVID-19 on students' lives. Results: Multiple linear regression analyses showed that greater mindfulness and focusing less on a limited future were related to less depression, anxiety, and stress. Conclusions: Encouraging students to be mindful and focus on the present instead of focusing on a limited future may be beneficial for their psychological well-being during the COVID-19 pandemic. [ABSTRACT FROM AUTHOR]

Children's independent mobility (CIM) represents their freedom to travel in their neighborhood without adult supervision. Secular declines in CIM coincided with a major increase in mental health problems among children. We investigated relationships between two indicators of CIM and parent-perceived child distress in a national longitudinal study involving 2,291 Canadian parents of 7- to 12-year-olds at baseline (December 2020) with up to four follow-ups, every six months. We assessed mobility licenses (i.e. children's permission to do certain activities on their own) with 6 items, and home range (i.e. how far [in minutes] children can roam with friends and/or siblings) with a 4-point item. We used generalized estimating equations controlling for children's age and gender, household income, study wave, school attendance, and COVID-19 isolation in the week preceding the survey. At each successive time point, 51.8%, 44.0%, 43.2% and 42.4% of children experienced clinically elevated distress. Compared to children allowed to roam <5 min, children allowed to roam 5–15 min (OR = 0.76; 95% CI: 0.67–0.88) or >15-minutes (OR = 0.61; 95% CI: 0.51–0.72) had lower odds of elevated distress. However, CIM licenses were not associated with distress. Our findings underscore the need to support extending children's home range. [ABSTRACT FROM AUTHOR]

Aim: To explore the relationship between mental health parameters and sports motivation among junior athletes. Methods: The research sample included junior athletes aged 15-19 who trained regularly and pursued sports as a means of professional self-realization. An equal number of male (n = 32; 50.00%) and female athletes (n = 32; 50.00%) were selected. The sample maintained a balance between individual and team sports, with n = 32 (50.00%) participants from individual sports and n = 32 (50.00%) from team sports. Descriptive statistics for the sample were as follows: M = 18.12; SD = ±2.97; Me = 18.00. The parameters of mental health, the level of juniors' positive mental health and health status, and groups of intrinsic and extrinsic motives were measured with valid and reliable psycho-diagnostic tools. Standard coefficients were used to establish statistical significance. Results. Two athletes' profiles were created: a three-dimensional profile of mental health and a profile of sports motivation. Eighteen significant correlations between the parameters of groups of intrinsic and extrinsic motives and the mental health of athletes were established (p = .050; p = .010; p = .001), three of them being inverse. The motive of skill development has the strongest correlations with an internal locus of control over health, positive mental health, and health status. The comparative matrix allowed for identifying the superiority of Group 1 (a high level of the parameters of mental health) in four pairs of dimensions: positive mental health and positive emotions; an internal locus of control and skill development; positive mental health and skill development; health status and skill development. No significant difference was found in the level of health status (Group 1 > 38.00 = 1 Group 2) in the parameter "demotivation". Discussion and conclusions. It was substantiated that systematic work on oneself, which manifests in self-improvement of technical and practical skills, allows purposeful and hard-working junior athletes to achieve remarkable sports results. The motives of learning new things and positive emotions with four direct correlations each are the most dependent ones. There is a caveat that junior athletes' health status as a complex state of physical, emotional, and mental well-being may weaken sports motivation. It was recommended that the results obtained should be considered by administrators, coaches, psychologists, and managers of sports institutions who work with junior athletes. [ABSTRACT FROM AUTHOR]

Lirong Zhang,1 Shaocong Zhao,1 Shuangyin Zhao,1 Hua Zheng,2 Yizhen Ke,1 Weichen Yang,1 Mingxing Lei3,4 1Department of Physical Education, Xiamen University of Technology, Xiamen, Fujian, 361024, People’s Republic of China; 2College of Physical Education and Health Science, Chongqing Normal University, Chongqing, 401331, People’s Republic of China; 3Department of Orthopaedics, Hainan Hospital of Chinese PLA General Hospital, Sanya, 572013, People’s Republic of China; 4Nursing Department, The First Medical Center of Chinese PLA General Hospital, Beijing, 100853, People’s Republic of ChinaCorrespondence: Lirong Zhang, Department of Physical Education, Xiamen University of Technology, No. 600, Ligong Road, Jimei District, Xiamen, 361024, Fujian, People’s Republic of China, Tel +86 13806063882, Email 22674481@qq.com Mingxing Lei, Department of Orthopedic Surgery, Chinese PLA General Hospital, Beijing, 100039, People’s Republic of China, Tel +86 18811772189, Email leimingxing2@sina.comBackground: Sedentary lifestyles among adolescents have been associated with various health concerns, particularly regarding psychological well-being and sleep quality. However, the associative relationship between sedentary behavior and these health outcomes remains unclear. This study aims to clarify the association between sedentary lifestyle and psychological and sleep health among adolescents through propensity scores matching analysis.Methods: A total of 2,846 adolescents from three universities participated in the study. Data on demographics, exercise habits, eating patterns, sedentary behavior, psychological health, sleep health, self-esteem, and social support were collected. A sedentary lifestyle was defined as sitting for more than six hours daily. Psychological health was assessed using the Generalized Anxiety Disorder-7 (GAD-7) scale for anxiety and the Patient Health Questionnaire-9 (PHQ-9) for depression, while sleep quality was measured using the Pittsburgh Sleep Quality Index (PSQI). Self-esteem was evaluated with the Self-Esteem Scale (SES), and social support was measured using the Social Support Rating Scale (SSRS). Propensity scores matching analysis was employed to investigate the associative relationship between sedentary lifestyles and the measured outcomes.Results: Prior to propensity scores matching, significant differences were observed in baseline characteristics between participants with and without sedentary lifestyles, including gender (P=0.01), dietary habits (P< 0.001), mobile device usage (P< 0.001), stress events (P=0.001), physical activity (P< 0.001), and chronic diseases (P=0.024). Participants with sedentary lifestyles exhibited higher scores on the GAD-7 (P< 0.001), PHQ-9 (P< 0.001), and PSQI (P< 0.001), along with lower self-esteem (SES, P=0.041) and social support (SSRS, P< 0.001) compared to their more active counterparts. Following propensity scores matching, no significant differences in baseline characteristics were found between the two groups (All P> 0.282), indicating a successful matching process. Post-matching analysis revealed that individuals with sedentary lifestyles had significantly higher GAD-7 (P=0.002), PHQ-9 (P=0.013), and PSQI scores (P=0.001) than those without sedentary lifestyles, while no significant differences were found in SES (P=0.755) and SSRS (P=0.676).Conclusion: Our findings indicate that a sedentary lifestyle is associated with poorer psychological health and sleep quality among adolescents, even after controlling for various demographic and lifestyle factors. These results underscore the importance of promoting physical activity and reducing sedentary behavior in this population to enhance their overall well-being.Keywords: sedentary lifestyle, psychological health, anxiety, depression, sleep health, propensity scores matching analysis

Abstract This study investigates the health status of China’s elderly population, emphasizing the influence of socioeconomic status (SES) and the mediating role of exercise frequency. Using data from the 2021 Chinese General Social Survey (CGSS) and an ordered logistic regression model, SES is assessed through income, education, social class, and social insurance. The findings reveal that income, education, and social class positively correlate with health outcomes, with income showing a slightly stronger impact on women. Urban elderly populations particularly benefit from higher education and social class, while the effects of medical and pension insurance are mixed, suggesting that insured individuals often have pre-existing health issues. Exercise frequency yielded limited effectiveness in improving health for those from lower socioeconomic backgrounds. Gender and marital status also influenced outcomes: men reported better health than women, and marriage positively affected rural but not urban elderly individuals. These results highlight the critical role of socioeconomic factors in shaping elderly health and underscore the need for policies addressing urban–rural gaps and improving socioeconomic conditions to enhance overall health in this demographic.

Background and Study Aim. Given the increasing attention to the psychological health and well-being of students, it is important to consider the impact of recreational and rehabilitation aspects. The purpose of this study is to analyze documents from the Web of Science (WoS) database from 2014 to 2024, focusing on the recreational and rehabilitation aspects of students' psychological health and well-being. Materials and Methods. A systematic search was conducted in the Web of Science (WoS) database using keywords related to psychological health, well-being, recreation, and rehabilitation of students. A total of 318 documents (articles) were retrieved. The extracted documents were processed using the PYCharm Community Edition (CE) development environment and special codes in the Python programming language. The K-means method was used for clustering the articles based on the presence of keywords. A total of 294 documents (out of 318) were identified that met the criteria of this study. Cluster analysis was used to group the retrieved articles by topic. Content analysis was applied to identify the main directions and trends in the research. Results. The review identified a significant number of studies dedicated to various aspects of students' psychological health and well-being. These aspects include the impact of physical activity, social support, mindfulness programs, and nutrition. Key factors contributing to the improvement of students' psychological state, as well as the main barriers and problems they face, were identified. The study results showed that physical activity and psychological strategies play a key role in improving students' mental health. Significant differences were found in the levels of stress and well-being depending on participation in recreational and rehabilitation activities. Conclusions. Recreational and rehabilitation activities play an important role in maintaining and improving the psychological health and well-being of students. Students face a complex set of barriers that negatively impact their mental and physical health. These barriers include high levels of stress, lack of physical activity, sleep disturbances, financial difficulties, and social isolation. The war in Ukraine adds another level of stress and trauma, requiring special attention.

The article is devoted to the problem of studying the psychological health of adults. A review of the main works revealing approaches to understanding psychological health as a phenomenon is carried out, a number of scientific papers illustrating the characteristic features of psychological health of persons in different fields and types of activity (students, teachers, medical and social workers, representatives of the Ministry of Internal Affairs system, etc.) are analyzed. The current shortage of knowledge in science regarding psychological health of people who regularly practice dancing. The article also presents the results of a study that describes the peculiarities of the psychological health of people (average age 48 years) who regularly attend dance classes (folk, ballroom, dance vibroplasty).

The concept of “emotional health” is actively discussed in the scientific community and is subject to various interpretations; the lack of its clear definition leads to the use of synonyms such as “emotional well-being” or “mental health” which do not fully reflect the features of the phenomenon. The difficulty in defining emotional health is determined by its connection with the individual mental, psychological and social well-being. Thus, emotional health is assessed with such indicators as stress levels, depression, life satisfaction, happiness indices, etc. The authors emphasize the importance of emotional competence for achieving stable emotional-positive well-being and successful functioning in society. The article presents the results of the qualitative study of various aspects of emotional health as interpreted by representatives of different social-demographic groups: respondents expressed their understanding of emotional health through other types of health, often linking it to psychological, mental or physical health. Emotional health reflects the general emotional state and is related to the ability to experience and manage various emotions, to correctly respond to current events. Emotional health is determined by subjective value perception of one’s condition, is interpreted as a state or a process, activity or passivity, and can be extrapolated to oneself or others. Emotional health is complexly organized and associated with feelings, mood, emotions, experiences; it is not a single fleeting state but rather a combination of one’s states in the past, present and future. Studies of emotional health indicate its complexity and multi-faceted nature, which means the need for an integrative approach for its thorough empirical study and full understanding of its role in human life.

Introduction: Institutionalized senior citizens are facing a lot of psychosocial issues, of which dementia and depression are the most common ones. The present study intends to assess psychological health (cognition, depressive symptoms, self-esteem, sleep quality, and quality of life) among institutionalized senior citizens of Ernakulam district. Materials and Methods: This cross-sectional study was conducted among 236 senior citizens residing at five selected old-age homes of Ernakulam district. Sociopersonal data sheet, Montreal cognitive assessment, Geriatric Depression Scale-Long Form, Rosenberg self-esteem scale, Pittsburgh Sleep Quality Index, and WHOQOL-OLD scale were used to collect data from the study participants. Results: The average age of participants was 71.01 ± 12.01. The mean scores of cognition and quality of life among participants were 15.80 ± 5.51 and 85.05 ± 20.25, respectively. While only 2.5% of participants reported normal cognition, 40.7% of participants had depression of varying severity. The majority of participants had moderate self-esteem (65.3%). About 36.4% were reported as poor sleepers and 15.2% of participants reported poor or very poor quality of life. Participants with high cognitive scores, high self-esteem, better sleep quality, and low depressive symptoms reported better quality of life. As expected, participants with high self-esteem reported less depressive symptoms. Conclusion: The goal of adding quality rather than quantity to lives can be achieved by focusing on the psychological health (cognition, depressive symptoms, self-esteem, and sleep quality) of institutionalized senior citizens.

Objective: This systematic review aims to investigate the impact of adventure education (AE) on children's physical, psychological, and social development (children's age range: 0–18 years old). Methods: The review was reported based on Preferred Reporting Items for Systematic Review and Meta-analysis (PRISMA 2015). Articles were retrieved from seven databases (EMBASE, PubMed, MEDLINE, Web of Science, SPORTDiscus, PsycINFO, and Psychology Database) from 2000 to 2021. Methodological quality was examined according to Version 2 of the Cochrane risk-of-tool for randomized trials (RoB 2). Results: Eighteen studies were screened. AE was found to contribute to the improvement of physical development in nonhealthy children aged 9 to 16 years and nonhealthy children aged 3 to 7 years. All results showed a positive psychological impact of AE except for inconsistent results for self-esteem, self-efficacy, and quality of life. Moreover, AE was found to be an approach that enhanced social development among nonhealthy and healthy children aged 11–17 years and nonhealthy children aged 3–7 years. Conclusion: AE intervention produces physical, psychological, and social benefits in children. Most studies analyzed in this review focused on 9- to 18-year-old unhealthy and healthy children. Only one study involved 3- to 7-year-old unhealthy children. However, most of the studies in this field have weak methodological quality, and thus, the present evidence should be interpreted carefully. Future work with superior methodology in AE intervention would help us establish a greater degree of accuracy in this area of study. Implications: AE intervention with better study design is needed. Research also needs to be conducted to examine the effectiveness of AE on physical, psychological, and social development in healthy younger children. [ABSTRACT FROM AUTHOR]

Background and Objectives: Studies have shown that spirituality and positive psychology constructs are effective factors in the psychological health of students. Accordingly, the current research was conducted to predict the psychological health of students based on the role of spiritual well-being and academic resilience. Methods: The present descriptive-correlational study was conducted on 353 students who were selected using a stratified sampling method. The data collection tools included the spiritual well-being questionnaire by Dehshiri et al., Goldberg’s psychological health questionnaire, and the academic resilience questionnaire by Samuels. SPSS software, version 26 was used for data analysis, employing the Pearson correlation test and multiple regressions. Results: The correlation between spiritual experiences and self-care behaviors with health anxiety was negative and significant (P

With the advent of modern Medicine, the connections between emotions and medical conditions have primarily been described through observational studies, where conclusions are drawn from correlations of observations rather than experimental research. Psychoanalytical theory has often been used to explain many common illnesses. This approach remains prevalent today. Interestingly, despite the wealth of information now available on the influence of emotions on health, the current divide between neurology and psychiatry, as well as the separation between mental health services and primary care, combined with the time constraints and physicians’ workload, have led to a fragmented approach to many disorders. In these cases, psychological and emotional factors play an important role but are often inadequately addressed. The objective of this paper is to analyse the existing evidence on the relationship between anger and health through a narrative review. The evidence and data presented point to the need for analytical studies based on scientific methodology to explore the relationship between anger and health, and particularly to adopt an integral health approach taking into account social determinants and the role of empathy among the healthcare professionals and clinical and social care. The prevention and treatment of problems related to the high prevalence and intensity of anger are particularly relevant, given the potential negative impact this emotion can have on patients’ physical and mental health, as well as their social adjustment and relationships.

Abstract: The Emotion Beliefs Questionnaire (EBQ) assesses beliefs about the controllability and usefulness of positive and negative emotions. The aim of the present study was to establish the construct validity and reliability of the EBQ within the cultural and linguistic context of Norway. The Norwegian version of the EBQ (EBQ-N) was administered to a sample of university students (N = 380, 64.2% females, 93.7% aged 25 or younger). Confirmatory factor analyses indicated that the EBQ-N is best represented by three first-order factors and a higher-order general factor, consistent with the findings of the initial validation study. The items displayed both adequate convergence in assessing their intended constructs and effective discrimination among the three first-order factors. The scale components demonstrated acceptable to good internal consistency. In the context of its intrinsic properties, the EBQ-N appears to be a valid and reliable instrument for assessing emotion beliefs in Norwegian research and clinical settings.

Cardiovascular disease remains a leading cause of morbidity and mortality, a fact that is commonly associated with co-morbidities such as clinical depression. While phase II cardiac rehabilitation is an established intervention for those with cardiovascular disease, its effect on patients who also suffer from depression are under studied. Aim: To quantify Pre- and Post-cardiac rehabilitation questionnaire scores collected from a large patient data registry. For this investigation, 27 ​670 patients completed Patient Health Questionnaire-9 questionnaires both Pre- and Post-rehabilitation (averaging [28.0 ​± ​8.7] phase II sessions). Findings reveal that questionnaire scores decreased by 40%–48% across all groups, a finding that was independent of assigned sex, race, and ethnicity. Moreover, when data were stratified for questionnaire scores that may indicate major and minor depressive disorder, phase II cardiac rehabilitation outcomes were lower by 61% and 49% respectively. While all groups exhibited lower questionnaire scores following cardiac rehabilitation participation, numerical differences at Pre- and Post-rehabilitation time points indicate that males and White patients have more favorable scores. This latter observation, while not confirmed currently, appears to be linked to referral rates to phase II cardiac rehabilitation, which remain poor for females, racial and ethnic minorities.

Abstract Background Non-motor symptoms (NMS) such as impaired cognition, anxiety, and depression can have a strong adverse effect on the quality of life (QoL) of Parkinson’s disease (PD) patients. The clinical application of cognitive behavioral therapy (CBT) offers an opportunity to improve cognitive function, mental health, and overall QoL for these patients. Objective CBT is frequently applied as a treatment option aimed at benefiting the mental health of PD patients, but the relative utility of CBT in this patient population has yet to be rigorously assessed. The present review was thus conducted with the goal of examining the relative safety and efficacy of CBT as a treatment option for PD patients suffering from cognitive impairment, anxiety, and depression, with a particular focus on the impact of CBT on PD patient QoL. Methods The PubMed, Embase, Medline, and Cochrane Library databases were searched for all studies published from their inception to present using keywords including “cognitive behavioral therapy” and “Parkinson’s disease”. Two reviewers independently screened these published studies and extracted relevant data from studies that met with defined inclusion/exclusion criteria, in addition to assessing the risk of bias. Those randomized controlled trials (RCTs) assessing the impact of CBT on older PD patients were eligible for study inclusion. In total, 22 articles incorporating 1,053 patients were included in this meta-analysis. Study quality was examined as per the Cochrane risk of bias framework. Heterogeneity and associated outcomes were assessed based on mean difference (MD), I2, and 95% confidence interval (95%CI) values. Results In total, 22 RCTs were ultimately found to be eligible for inclusion in the present meta-analysis. The results of this meta-analysis indicated that CBT significantly impacted cognition as compared to other treatment options (including placebo treatment, clinical monitoring, clinic-based treatment, psychoeducation, physical activity training, health enhancement) (I2 = 49%, MD = 0.23, 95%CI: 0.03–0.44, P = 0.03). CBT was also associated with significant improvements in PD patient QoL (I2 = 0%, MD = 3.45, 95%CI: 1.13–5.57, P = 0.04), anxiety symptoms (I2 = 57%, MD = -2.01, 95%CI: -4.01–0.01, P = 0.05), and depression symptoms (I2 = 74%, MD = -3.94, 95%CI: -6.47 to -1.42, P = 0.04). Conclusions These results reveal that CBT can have beneficial effects on PD patient cognitive status and QoL. Notably, CBT represents an effective option for treating NMS such as anxiety and depression in PD patients. These results offer strong evidence in favor of applying CBT as a means of enhancing the mental health, cognition, and QoL of individuals with PD. However, additional high-quality large-scale studies will be essential to confirm and expand upon these results.

The challenges that individuals and teams face in complex and unstable environments can negatively affect individuals' psychological health and team performance. In such contexts, resilience becomes an essential resource for both teams and individuals. It is therefore important to develop a comprehensive approach of resilience at work. The aim of this study is to examine the concurrent and differential effects of individual and team resilience, at both the within-group and between-group levels, on team performance and psychological health (i.e., operationalised as stress and subjective well-being). A cross-sectional survey of 530 employees nested within 68 teams was conducted. Multilevel Structural Equation Modelling analyses indicated that both individual resilience and team resilience at the within-group level were related to psychological health and team performance. Individual resilience was more strongly related to psychological health than to team performance, while the opposite was the case for team resilience. At the between-group level, individual resilience was related to psychological health, while team resilience was related to team performance. These findings suggest that resilience comprises of several components that are equally important but in different ways. Having resilient individuals in a team matters more for psychological health and ensuring that teams sustain a resilient group dynamic is more important for team performance. [ABSTRACT FROM AUTHOR]

Background: The study aims to investigate the wellbeing of mid-achieving university students on campus and the factors affecting it. Given that this group represents a large yet often overlooked portion of higher education, the study endeavors to analyze the specific factors affecting their wellbeing to provide insights to foster a more comprehensive and inclusive educational environment. Methodology: The study adopted a qualitative research method. A total of 30 mid-achieving university students from different departments at Guizhou Medical University in China were interviewed in-depth. The interviews were conducted via the online WeChat platform from 1st March 2024 to 13th September 2024. The semi-structured interviews focused on "moments in campus life that make mid-achieving university students feel happy or joyful." All interviews were audio-recorded and transcribed into text, which was thoroughly coded and analyzed by the researcher using NVIVO 12 software to comprehensively assess the multiple factors that affect the wellbeing of students. Results: The wellbeing of mid-achieving university students is affected by a combination of factors, including freedom and autonomy, social interactions, collective activities, campus environment and facilities, and academic achievement. Conclusion: Enhancing the autonomy of mid-achieving university students can significantly improve their self-efficacy and overall wellbeing. While social interactions and collective activities provide emotional support, they also present interpersonal challenges. Sufficient recreational spaces and a diverse range of food options on campus can help alleviate students' stress and increase their satisfaction with campus services. Conversely, policies banning motorized bicycles may negatively affect students' sense of wellbeing. Theoretically, the study contributes to the literature on student wellbeing in higher education psychology, particularly by offering a deeper understanding of the large but often neglected group of mid-achieving students. Practically, the findings emphasize the importance of creating more supportive and responsive educational environments tailored to the needs of these students, thereby facilitating inclusive campus environments and fully harnessing the learning potential of mid-achieving students. The study also proposes specific improvement strategies, such as optimizing campus facilities, enhancing student autonomy, and bolstering social and academic support systems. These measures are expected to directly improve the daily experiences of mid-achieving students and enhance their overall wellbeing. [ABSTRACT FROM AUTHOR]

Background: Domestic violence has significant psychological consequences for women, with limited research available on the mental health effects faced by battered women in the Babylon Governorate, Iraq. This study aimed to assess the prevalence and severity of depression, anxiety, stress, and post-traumatic stress disorder (PTSD) among battered women in the Babylon Governorate and to examine the relationship between these psychological conditions and demographic factors. Methods: A descriptive correlational study in Al-Hilla City, Iraq, involved 180 battered women seeking healthcare services. Participants were selected through a non-probability (convenience) sampling method. Data were collected using a structured questionnaire, and the analysis involved descriptive and inferential statistics, including correlation analyses. Results: The study revealed that 48.9% of the participants experienced moderate psychological violence, 38.9% reported low physical violence, and 48.9% experienced moderate sexual violence. Severe levels of depression and stress were noted in 49.4% and 55.6% of the participants, respectively, with 55.0% experiencing moderate anxiety. PTSD was predominantly mild, with 73.4% of the participants showing low levels. A significant positive correlation was found between domestic violence and psychological health issues (P = 0.033). Significant relationships were also identified between domestic violence and demographic factors, such as education, marital status, cohabitation, occupation, and economic dependence (P < 0.05), except for age and residency. Conclusion: The findings highlight the growing prevalence of domestic violence and its severe psychological impact on women in the Babylon Governorate, emphasizing the need for coordinated efforts to provide rehabilitation and empowerment services. [ABSTRACT FROM AUTHOR]

Background: With increasing urbanization in China, the community has assumed the important task of social governance and service provision, which has resulted in an increase in community workers' occupational stress. To date, researchers have studied ways to improve community workers' working ability, but have paid less attention to their health, especially their psychological health. This study examined the relationship between occupational stress, social support and community workers' psychological health. Methods: A total of 545 community workers from 14 cities in Liaoning Province completed a questionnaire including the Occupational Adaptability Scale for Employees (OASE), the Social Support Rating Scale (SSRS) and the SCL-90-R scale (a measure of psychological health). Correlational and regression analyses were conducted. Results: Community workers' occupational stress mainly derives from their workload, career development opportunities and performance appraisals. Participant's psychological health scores were significantly negatively correlated with occupational stress and significantly positively correlated with social support. Social support plays a moderating effect in the relationship between community workers' occupational stress and their psychological health. Conclusion: It is necessary to establish an effective community support system, reduce the burden on the community, optimize existing work processes and performance appraisal system, create a positive working environment and organizational culture, and promote employee's psychological health. [ABSTRACT FROM AUTHOR]