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Women have unique experiences with mental health challenges that require relevant strategies and interventions that effectively support their mental health. Empowerment interventions that vary in nature and format have the potential to play a key role in supporting women’s mental health. The purpose of this scoping review is to outline empowerment interventions targeting improvement in the mental health of women living in Canada.A search was undertaken using major databases including Medline, Cumulative Index for Nursing and Allied Health Literature (CINAHL), PsycINFO, and the Cochrane Library for studies published between 2013 and 2023. A total of 243 articles were identified, from which 12 were ultimately included in this review. All included studies were conducted in Canada but were diverse in design, setting, and sample size. A total of four types of interventions were identified including mental health and emotional awareness, reading, peer support, and skill building and engagement. The findings of the review inform key insights for mental health care and service providers to focus on sustainable outcomes for women’s mental health. The findings also guide the need for a systematic review to appraise the existing empowerment interventions for women’s mental health outcomes.

It has been suggested that adolescents’ mental health challenges account for half of the disease burden in the world’s adolescents and young adults. In addition to psychological and medical interventions employed to prevent and treat mental health conditions, programmes such as social prescribing which include arts-based activities like dance, are gaining momentum in countries such as the UK. Evidence shows that such activities can produce positive mental and physical well-being outcomes for individuals with the potential to build a sense of belonging and connection among adolescents. This review aims to collate and synthesise findings of studies that explored building a sense of belonging and/or its features in dance with adolescents. The review was reported based on the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) guidelines. We identified 14 studies that met the inclusion criteria which were used to present a narrative synthesis to address the review questions. The findings show the need for more dance research that directly focuses on and explores the role of dance in building a sense of belonging with adolescents and how a sense of belonging can be facilitated through dance.

Background/Objectives: We aim to assess the effect of the Espaijove.net mental health literacy program on adolescents’ quality of life (QOL). Additionally, we aim to describe their QOL and mental well-being. Methods: A multicenter, randomized, controlled trial was conducted, with pre- and post-intervention assessments and 6- and 12-month follow-ups. A total of 1032 students aged 13–14 from 18 schools in Barcelona participated in one of the three following mental health literacy (MHL) programs or were placed in a control group (CG): (1) a 1 h awareness session (G1h); (2) a 6 h MHL program (G6h); (3) a 7 h MHL program with stigma reduction (G7h). Measures: (1) Mental well-being: Strengths and Difficulties Questionnaire (SDQ); (2) QOL: EuroQol 5D-5L with its two parts: the EuroQol 5D-5L Index (0–1) and EuroQol 5D-5L visual analog scale (EQ-VAS) (0–100). Analyses were conducted on an intention-to-treat basis, using data imputation methods for missing data. Intervention effects were assessed using multilevel models. Results: Baseline EQ-VAS and EQ-5D-5L index scores were 77.84 (CI = 76.77–78.91) and 0.91 (CI = 0.90–0.92), respectively. Boys reported higher QOL and SDQ scores (p < 0.001), whereas participants of foreign nationality showed lower scores in QOL (EQ-VAS; p = 0.039) and mental well-being (p < 0.001). Post-intervention, all groups (intervention and control), except G6h, showed QOL improvements. However, in the 6-month follow-up, the CG outperformed the other groups. At 12 months, G7h achieved the highest EQ-VAS scores compared to the other groups. Conclusions: MHL-based interventions improved short-term QOL but failed to sustain these improvements over time. Groups with lower QOL and SDQ scores included girls and adolescents of foreign nationality.

The global prevalence of sedentary lifestyles and the associated health risks, such as cardiovascular, metabolic and mental issues, is an epidemic worldwide problem, particularly in the university population. Background/Objectives: University students are particularly vulnerable because of academic pressure and lifestyle changes. Despite the well-known benefits of physical activity in reducing mental stress and improving physical and mental well-being, the literature lacks effective interventions and standardized protocols for this population. This study aims to investigate the state of the art in literature regarding the correlation between the use of physical activity as a means of prevention and intervention and the effects on university students’ stress and mental well-being. Methods: A scoping review was conducted using the PRISMA protocol for scoping reviews, targeting university population with specific terms. Results: The review analyzed 61 articles and identified a consistent positive correlation between physical activity and stress reduction. Interventions included yoga, tai chi, aerobic exercise and moderate- or high-intensity exercise. A lack of standardized protocols were also evident. Conclusions: Physical activity is an effective means for managing stress and improving mental well-being among university students. An integrated approach combining different forms of exercise and strategies to regulate emotions could provide very effective effects on the mental well-being of students. Universities should propose physical activity programs in several forms to enable students to choose the most appropriate one and keep them active.

The increasing integration of digital technologies into daily life, particularly during the COVID-19 pandemic, has raised concerns about internet and social media addictions and their potential impact on mental health. This study aimed to examine the prevalence of internet and social media addictions among adults in Cyprus in the post-pandemic period and explore their relationship with demographic characteristics, mental well-being (i.e., depression, anxiety, and stress), and self-esteem. Participants included 502 adults from Cyprus recruited using the convenience and snowball sampling methods. The data were collected via an internet-based questionnaire that examined participants’ levels of internet addiction, social media addiction, mental well-being, and self-esteem. The results suggest that (a) while the prevalence of severe addiction was low for both internet and social media addictions, approximately one-third of participants exhibited mild to moderate levels of addiction; (b) younger adults, particularly those between 18 and 28 years of age, were more prone to problematic online behaviors; (c) internet and social media addictions were positively associated with depression, anxiety, and stress and negatively associated with self-esteem; and (d) stress was found to be a significant predictor of both internet and social media addictions, while self-esteem acted as a protective factor against problematic use. These findings highlight the enduring mental health implications of increased digital engagement and emphasize the need for targeted interventions to promote healthy online behaviors, manage stress, and enhance self-esteem.

The demand for psychological counselling has grown significantly in recent years, particularly with the global outbreak of COVID-19, which heightened the need for timely and professional mental health support. Online psychological counselling emerged as the predominant mode of providing services in response to this demand. In this study, we propose the Psy-LLM framework, an AI-based assistive tool leveraging large language models (LLMs) for question answering in psychological consultation settings to ease the demand on mental health professions. Our framework combines pre-trained LLMs with real-world professional questions-and-answers (Q&A) from psychologists and extensively crawled psychological articles. The Psy-LLM framework serves as a front-end tool for healthcare professionals, allowing them to provide immediate responses and mindfulness activities to alleviate patient stress. Additionally, it functions as a screening tool to identify urgent cases requiring further assistance. We evaluated the framework using intrinsic metrics, such as perplexity, and extrinsic evaluation metrics, including human participant assessments of response helpfulness, fluency, relevance, and logic. The results demonstrate the effectiveness of the Psy-LLM framework in generating coherent and relevant answers to psychological questions. This article discusses the potential and limitations of using large language models to enhance mental health support through AI technologies.

Background: This study investigated the association of psychological well-being (PWB), resilience, depressive symptoms, and social–emotional learning (SEL) with physical activity (PA) in school-aged children. The objective was to understand how these psychosocial factors influence PA levels and identify gender-specific differences in these relationships. Methods: This cross-sectional study involved 534 fourth grade and sixth grade students from eight schools in the Midwest region of the United States, with data collected through a Qualtrics survey. Multiple linear regression models were used to analyze the data, with gender-specific analyses conducted to identify differences between boys and girls. Results: The models indicated that all psychosocial factors taken together are significantly associated with PA (F = 26.937, p < 0.001). Of the factors, PWB and resilience were associated with higher PA individually for the total sample (β = 0.383, p = 0.001; β = 0.146, p = 0.005). A gender-specific analysis revealed that all factors collectively were significantly associated with PA in boys and girls (F = 15.846, p < 0.001; F = 6.869, p < 0.001). Individually, PWB and resilience were significantly associated with PA in boys (β = 0.358, p = 0.001; β = 0.171, p = 0.013), while only PWB was significantly associated with PA in girls (β = −0.355, p = 0.001). Conclusions: This study highlights the necessity of promoting resilience and psychological well-being through structured physical activities, aiming to reduce the risk of obesity and improve mental health among children. Future research should consider longitudinal designs and objective measures to further elucidate these relationships and inform effective educational strategies.

Background and Objective: This study aimed to explore the impact of physical activity on depression, anxiety, and stress among pregnant women in the Jazan region of Saudi Arabia. Materials and Methods: A descriptive cross-sectional study was conducted among pregnant women attending randomly selected prenatal clinics in primary healthcare hospitals in Jazan, Saudi Arabia. The calculated sample size was 350. Data were collected conveniently through a semi-structured questionnaire covering demographic details, pregnancy-related characteristics, physical activity assessed using the Pregnancy Physical Activity Questionnaire (PPAQ), and mental health parameters evaluated by the Depression, Anxiety, and Stress Scale-21 (DASS-21). The statistical analyses included descriptive statistics and Wilcoxon and Kruskal–Wallis rank sum tests, with significance levels set at p < 0.05. Results: The study involved 406 pregnant females. Nearly a third (31%) had a family history of depression, anxiety, or distress. The prevalence of depression, anxiety, and stress was 62.6%, 68.7%, and 38.4%, respectively. The mean sedentary, light, moderate, vigorous, and total energy expenditures were 1.512, 24.35, 22.32, 4.84, and 53.02 metabolic equivalent tasks/day. Anxious females exhibited higher light activity (median 24, p = 0.033), while stressed ones showed higher light (median 25, p = 0.039), moderate (median 20, p < 0.001), and vigorous activity (median 3, p < 0.001). A significant association was observed between total energy expenditure and stress levels (p < 0.001). Conclusions: This study underscores the importance of physical activity in managing depression, anxiety, and stress among pregnant women in Jazan, Saudi Arabia. The findings suggest a need for tailored interventions to promote physical activity to improve mental well-being during pregnancy.

In the realm of digital transformation, effective leadership and motivation are pivotal for organisations navigating the complexities of today’s systems. This study explores the intersection of intrinsic motivation and mental well-being among mature students—an analogy that sheds light on strategies applicable to organisational contexts. In developed nations like the UK, mental health for mature students is increasingly recognised as a crucial component of their educational journey. Mature students, who typically enrol in higher education after an educational gap and upon turning 21, often face specific challenges that can impact their mental well-being while pursuing academic goals. The primary objective of our study was to assess the relationship between intrinsic motivation and the mental well-being of mature students. The study included 248 full-time undergraduate mature students enrolled in private higher education institutions in the UK. These participants were 21 years and older. The research employed two measurement scales: the four-item Intrinsic Motivation Scale, adapted from Jaramillo, and the Warwick–Edinburgh Mental Well-Being Scale. Data collection utilised online Google Forms with multiple choice self-report formatted questions, and our analysis involved both descriptive and inferential statistics. Our research revealed a significant positive correlation between variables of intrinsic motivation and mental well-being. Confirmatory factor analysis (CFA) results confirmed the construct in the model. The results indicated that intrinsic motivation significantly predicts mental well-being among mature students (Cohen’s effect size value, f2 = 0.54). Recognising and addressing the unique difficulties individuals encounter and providing appropriate support can enhance their well-being and contribute to the overall success of the higher education community.

The aim of this article is to assess which elements of street design impact subjective well-being in the central area of a city in southern Chile, based on residents’ perceptions. Fifty-six semi-structured walking interviews were conducted to obtain records of pedestrians’ self-reported perceptions of their environment. To categorize the emotions reported in the interviews, the Circumplex Model of Affect was used to organize and classify the declared emotions. The results revealed that street design elements such as heritage buildings with well-maintained facades with intense colors in their coatings, spacious front gardens, wooden facades, low fences, wide sidewalks, soft or rubberized floors, and trees with colorful fruits and leaves promote a greater dominance of high-intensity positive emotions such as enjoyment, joy, happiness, liking, and pleasure. In contrast, neglected or abandoned building facades, blind fronts with graffiti or murals, high fences, tall buildings, treeless or vegetation-free sidewalks, untrimmed bushes, and narrow and poorly maintained sidewalks promote negative emotions of both high and low activation such as fear, anger, dislike, rage, unsafety, discomfort, and stress. The article concludes with the development of an emotional map of momentary experiences, identifying places of well-being and discomfort in public spaces. The value of this map is discussed as a tool to inform urban design in the promotion of healthier pedestrian environments in Latin American cities.

Numerous studies have examined the impact of the built environment on mental health, yet there remains an underexplored area concerning how microenvironments within educational buildings affect students’ mental well-being from a physical environment standpoint. This paper fills this gap by utilizing data from 440 valid questionnaires to develop regression models that assess students’ perceptions of physical environment factors in college teaching buildings and their impact on anxiety likelihood. This study examined the physical environment of the teaching building’s interior, courtyard, and semi-outdoor areas. Findings indicate that students’ perceptions of specific physical environment factors—such as classroom ventilation (p < 0.01, OR = 0.330), lighting (p < 0.01, OR = 0.444), noise conditions (p < 0.01, OR = 0.415), courtyard thermal comfort (p < 0.01, OR = 0.504), and the views from semi-outdoor areas (p < 0.01, OR = 2.779)—significantly influence the likelihood of experiencing anxiety. Optimal physical conditions are linked to reduced student anxiety. The suitability of the physical environment of teaching buildings is interrelated, and it is urgently necessary to address issues related to unsuitable lighting in window areas of classrooms, as well as problems with ventilation, lighting, and noise caused by the corridor layout within teaching buildings. These insights are crucial for the design and renovation of academic buildings to enhance students’ mental well-being.

Circumpolar Indigenous People, such as the Sámi, confront significant challenges stemming from environmental shifts and interrelated issues, profoundly affecting their mental health. Nonetheless, they possess invaluable knowledge and capabilities to navigate and adapt to these transformations. This review aims to investigate peer-reviewed scientific literature, exploring the nexus between environmental changes and mental well-being within the broader Circumpolar Indigenous community, with a special focus on the Sámi People. Conducting a systematic literature review with two arms, one encompassing the broader Circumpolar Indigenous population and the other focusing specifically on the Sámi, followed by thematic analysis, we delved into their experiences of environmental changes, perceptions regarding the intertwining of environmental shifts and mental well-being, and insights into protective factors and resilience-promoting elements. By engaging with Indigenous perspectives, public health initiatives can pinpoint and leverage existing strengths within Indigenous communities and families to bolster their ability to navigate environmental shifts and safeguard mental well-being. However, our review highlighted a lack of scientific investigation of ’strength-based’ factors fostering mental resilience among Indigenous populations inhabiting the Circumpolar North, such as the Sámi. Future qualitative research can address this gap, incorporating the viewpoints of individual Circumpolar Indigenous groups to explore both their distinctiveness and interconnectedness.

Cyberbullying has emerged as a pervasive problem among high school students, with potentially severe consequences for their mental well-being. This study aimed to investigate the prevalence, risk factors, and associations of cyberbullying with stress and mental well-being among high school students in Zagazig, Egypt. A cross-sectional study was conducted among 562 high school students using a random sampling technique. The data were collected using a self-administered questionnaire that included the Cyberbullying Scale, Perceived Stress Scale (PSS-10), and General Health Questionnaire (GHQ-12). Descriptive statistics, independent samples t-tests, multiple regression, mediation, and logistic regression analyses were employed for data analysis. The prevalence of cyberbullying victimization was 38.3%, with 20.6% exposed to two or three cyberbullying behaviors and 4.1% exposed to four or more. Female students, those under 18 years old, those with lower educational achievement, and those with higher daily internet use were more likely to experience cyberbullying. Cyberbullied students reported significantly higher levels of perceived stress and poorer mental well-being compared to non-cyberbullied students. Perceived stress likely mediated the relationship between cyberbullying victimization and general psychological health. Cyberbullying is a significant problem among high school students in Zagazig, Egypt, with detrimental effects on their stress levels and mental well-being. Targeted interventions and prevention strategies are needed to address cyberbullying and promote the well-being of adolescents in the digital age.

Digital health apps have become a staple in daily life, promoting awareness and providing motivation for a healthier lifestyle. With an already overwhelmed healthcare system, digital therapies offer relief to both patient and physician alike. One such planned digital therapy application is the incorporation of an emotion recognition model as a tool for therapeutic interventions for people with autism spectrum disorder (ASD). Diagnoses of ASD have increased relatively rapidly in recent years. To ensure effective recognition of expressions, a system is designed to analyze and classify different emotions from facial landmarks. Facial landmarks combined with a corresponding mesh have the potential of bypassing hurdles of model robustness commonly affecting emotion recognition from images. Landmarks are extracted from facial images using the Mediapipe framework, after which a custom mesh is constructed from the detected landmarks and used as input to a graph convolution network (GCN) model for emotion classification. The GCN makes use of the relations formed from the mesh along with the special distance features extracted. A weighted loss approach is also utilized to reduce the effects of an imbalanced dataset. The model was trained and evaluated with the Aff-Wild2 database. The results yielded a 58.76% mean accuracy on the selected validation set. The proposed approach shows the potential and limitations of using GCNs for emotion recognition in real-world scenarios.

Background/ Objectives: Surgical residency is widely recognized as a highly stressful phase due to long working hours and the challenges of managing complex cases. Additionally, family responsibilities, such as being a spouse or parent, can have a positive or negative impact on residents' well-being. This study aimed to explore the relationship between clinical supervision and mental well-being among otolaryngology residents in Saudi Arabia, focusing on how supervision conditions influence well-being at different stages of training., Methods: This was an analytical cross-sectional correlational study conducted among Saudi otolaryngology head and neck surgery residents. An online survey was used to collect data from 64 residents, utilizing the Dutch Residents Educational Climate Test (D-RECT) to assess clinical supervision and the Warwick-Edinburgh Mental Well-being Scale (WEMWBS) to measure well-being. The data were analyzed to determine the association between supervision conditions and well-being across different residency levels., Results: The results showed that the majority of residents reported higher mean scores for items such as "I've been feeling useful" (3.53 ± 1.23), "I've been feeling interested in new things" (3.28 ± 1.13), and "I've been dealing with problems well" (3.27 ± 1.10). No statistically significant difference in overall WEMWBS scores was found between junior and senior residents. However, mental well-being was significantly associated with all four D-RECT domains (supervision, feedback, coaching assessment, and consultant attitude), with a positive correlation observed between clinical supervision and well-being., Conclusions: This study highlights the critical role of clinical supervision in supporting the mental well-being of otolaryngology residents. Enhanced supervision practices, particularly those emphasizing constructive feedback and supportive consultant attitudes, could mitigate burnout and improve resident outcomes. These findings underscore the need for targeted interventions in residency programs to promote well-being and optimize the learning environment.

Transgender individuals often face elevated mental health challenges due to gender dysphoria, but gender-affirming treatments such as surgery and hormone therapy have been linked to significant improvements in mental well-being. The potential influence of time and circadian rhythms on these treatments is prevalent. The intricate interplay between hormones, clock genes, and fertility is profound, acknowledging the complexity of reproductive health in transgender individuals. Furthermore, risks associated with gender-affirming hormonal therapy and potential complications of puberty suppression emphasize the importance of ongoing surveillance for these patients and the need of fertility preservation and family-building options for transgender individuals. This narrative review delves into the intricate landscape of hormone therapy for transgender individuals, shedding light on its impact on bone, cardiovascular, and overall health. It explores how hormone therapy affects bone maintenance and cardiovascular risk factors, outlining the complex interplay of testosterone and estrogen. It also underscores the necessity for further research, especially regarding the long-term effects of transgender hormones. This project emphasizes the critical role of healthcare providers, particularly obstetricians and gynecologists, in providing affirming care, calling for comprehensive understanding and integration of transgender treatments. This review will contribute to a better understanding of the impact of hormone therapy on reproductive health and overall well-being in transgender individuals. It will provide valuable insights for healthcare providers, policymakers, and transgender individuals themselves, informing decision-making regarding hormone therapy and fertility preservation options. Additionally, by identifying research gaps, this review will guide future studies to address the evolving healthcare needs of transgender individuals. This project represents a critical step toward addressing the complex healthcare needs of this population. By synthesizing existing knowledge and highlighting areas for further investigation, this review aims to improve the quality of care and support provided to transgender individuals, ultimately enhancing their reproductive health and overall well-being.

Activities in the digital economy driven by information technology have rapidly increased in scope and speed in the aftermath of COVID-19. Meanwhile, social isolation accelerated by quarantine measures has increased concerns about individuals’ mental health. However, little is known about the specific consequences of online interactions, especially when applied in online fan community-based relationships. Therefore, we examined the impact of loneliness in the context of COVID-19 on online interaction with other fans and parasocial relationships with celebrities on the Weverse platform. We also examined how these interactions influence mental well-being and the sense of virtual community. With 202 valid data samples acquired from global BTS fandom, this study conducted a partial least squares–structural equation modeling analysis. The empirical results demonstrate a significant positive relationship between loneliness and the extent of online interaction, while no significant impact on parasocial relationships was observed. Both online interaction and parasocial relationships were found to enhance both well-being and SOVC. However, these results were observed to differ between Weverse paid subscribers and free users.

Neural networks are increasingly able to outperform traditional machine learning and filtering approaches in classification tasks. However, with the rise in their popularity, many unknowns still exist when it comes to the internal learning processes of the networks in terms of how they make the right decisions for prediction. As a result, in this work, different attention modules integrated into a convolutional neural network coupled with an attention-guided strategy were examined for facial emotion recognition performance. A custom attention block, AGFER, was developed and evaluated against two other well-known modules of squeeze–excitation and convolution block attention modules and compared with the base model architecture. All models were trained and validated using a subset from the OULU-CASIA database. Afterward, cross-database testing was performed using the FACES dataset to assess the generalization capability of the trained models. The results showed that the proposed attention module with the guidance strategy showed better performance than the base architecture while maintaining similar results versus other popular attention modules. The developed AGFER attention-integrated model focused on relevant features for facial emotion recognition, highlighting the efficacy of guiding the model during the integral training process.

Health crises across the globe bring dramatic changes to the lives of individuals and organizations. These crises have some psychological effects on society. The COVID-19 pandemic also caused some serious problems for individual and organizational life. Globally, the COVID-19 situation precipitated various economic and psychological issues that are far-reaching and exceptional. Health crises are increasing following the occurrence of COVID-19 due to its psychological effects on individuals worldwide. The current study highlighted the impact of COVID-19 fear on mental well-being (MWB). Most studies have examined the MWB of nursing staff and related their MWB to psychological factors. Few studies have considered the health crisis factors that are important in terms of bringing about variation in the MWB of nursing staff. Nursing staff MWB is impacted by various health crises (including COVID-19) at the global level and it has been ignored by researchers. In this study, a list of 1940 healthcare units with 6758 nursing staff was obtained. A total of 822 nurses were selected with the help of random sampling. The collected data were analyzed using correlation analysis, SPSS (statistical package for social sciences) version 23, and SEM. Thus, in this study we examined the effect of a health crisis (i.e., COVID-19) fear on the MWB of nurses. Moreover, we also examined the extent to which perceived stress (PS) influences the link between COVID-19 fear and MWB. The study’s findings confirmed that COVID-19 fear shown negative effect on MWB, while PS mediated the link between COVID-19 fear and MWB.

The onset of the COVID-19 pandemic rendered daily life overwhelmingly difficult for many children. Given the compelling evidence for the physical and mental health benefits of interaction with nature, might it be the case that time spent interacting with nature buffered the negative effects of the pandemic for children? To address this question, we conducted a longitudinal investigation with a cohort of 137 Girl Scouts across two time periods: right before the onset of the pandemic (December 2019–February 2020) and one year later (December 2020–February 2021). We found that during the pandemic (compared to pre-pandemic), Girl Scouts fared worse on measures of physical activity, positive emotions, negative emotions, anxiety, behavioral difficulties, and problematic media use. However, by using mixed models, we also found that, on average, Girl Scouts who spent more time interacting with nature fared less poorly (in this sense, “did better”) on measures of physical activity, positive emotions, anxiety, and behavioral difficulties, irrespective of the pandemic. Further analysis revealed that these advantageous associations were present even when accounting for the amount of nature near each child’s home (as measured by the normalized difference vegetation index, percent of natural land cover, and self-reported access to nature). To the best of our knowledge, this is the first study investigating nature interaction and children’s well-being to use data collected from the same cohort prior to and during the pandemic. In addition, we discuss the importance of opportunities to interact with nature for children’s well-being during future periods of social upheaval.

We present a system designed to monitor the well-being of older adults during their daily activities. To automatically detect and classify their emotional state, we collect physiological data through a wearable medical sensor. Ground truth data are obtained using a simple smartphone app that provides ecological momentary assessment (EMA), a method for repeatedly sampling people’s current experiences in real time in their natural environments. We are making the resulting dataset publicly available as a benchmark for future comparisons and methods. We are evaluating two feature selection methods to improve classification performance and proposing a feature set that augments and contrasts domain expert knowledge based on time-analysis features. The results demonstrate an improvement in classification accuracy when using the proposed feature selection methods. Furthermore, the feature set we present is better suited for predicting emotional states in a leave-one-day-out experimental setup, as it identifies more patterns.

Background: Since the onset of the COVID-19 pandemic in early 2020, the importance of timely and effective assessment of mental well-being has increased dramatically. Machine learning (ML) algorithms and artificial intelligence (AI) techniques can be harnessed for early detection, prognostication and prediction of negative psychological well-being states. Methods: We used data from a large, multi-site cross-sectional survey consisting of 17 universities in Southeast Asia. This research work models mental well-being and reports on the performance of various machine learning algorithms, including generalized linear models, k-nearest neighbor, naïve Bayes, neural networks, random forest, recursive partitioning, bagging, and boosting. Results: Random Forest and adaptive boosting algorithms achieved the highest accuracy for identifying negative mental well-being traits. The top five most salient features associated with predicting poor mental well-being include the number of sports activities per week, body mass index, grade point average (GPA), sedentary hours, and age. Conclusions: Based on the reported results, several specific recommendations and suggested future work are discussed. These findings may be useful to provide cost-effective support and modernize mental well-being assessment and monitoring at the individual and university level.

Skilled immigrants are critical assets to the social and economic dynamism of Canada. However, they are less likely to find employment matching their skillset due to a lack of inclusive post-immigration professional integration policies and support. They generally earn less and often live below the low-income cutoff relative to their Canadian-born counterparts. This paper aims to review the current situation of low job market integration (LJMI) of skilled immigrants in Canada and its implications on their social integration and mental well-being. Skilled immigrants continue to face disparities in getting desired jobs, despite having sufficient skills and credentials similar if not superior to that of Canadian-borns. Based on the existing literature, this study demonstrates that low job market integration limits skilled immigrants’ productivity, and they experience a lower level of social integration and deteriorated mental well-being. Therefore, initiatives from multidisciplinary and multisector stakeholders are necessary to improve skilled immigrants’ mental well-being by providing equal opportunities devoid of social exclusion and marginalization.

(1) Background: In Italy, the components of adolescents’ mental well-being (psychological symptomatology and cognitive perception of life satisfaction) showed different temporal trends, suggesting the adoption of a multidimensional conceptualization. We aimed to assess temporal patterns and provide additional insights into Italian adolescents’ mental well-being in the last decade by adopting the Dual Factor Model; (2) Methods: We used nationally representative samples of Italian students (n = 165,000) aged 11, 13, and 15 years across the three more recent Italian Health Behaviour in School-aged Children (HBSC) surveys. Two measures of mental well-being were used: life satisfaction (LS, indicator of positive subjective well-being) and psychological health complaints (PHC, indicator of mental illness); (3) Results: Our study showed that the overall sample has been moving from a Complete Mental Health (Flourishing) to an Incomplete Mental Illness (Struggling) condition. Among 13- and 15-year-old girls, a jump from one to the other mental condition was observed in the 2014–2018 and 2010–2014 time periods, respectively; (4) Conclusions: Our findings suggest that Italian adolescents, especially older girls, have been shifting from Complete Mental Health to Incomplete Mental Illness in the last decade. Further research is needed to investigate this breaking up of the connection between psychological symptomatology and cognitive perception of life satisfaction.

This article argues how the clinical psychology of religion can support mental health and mental health care. The starting point is an ecological–existential approach to mental health, that stresses the interactions between person and environment, with an emphasis on the existential dimension of interactions. This approach will be related to religion and spirituality (R/S) and the study of R/S and mental health. To show the added value of an ecological–existential approach, the emotion of shame will be discussed as an illustrative case. Finally, implications for clinical psychology of religion and mental health care will be outlined and a clinical case report will be presented.

The study surveyed 1547 secondary school students’ mental health when they resumed in-person classes by examining the prevalence of depressive symptoms with the abridged Beck Depression Inventory II. Chi-square test found a significant association between location and depression levels, with a higher proportion of rural students reporting a higher depression level. One-way ANOVA detected significant differences within levels of secondary classes, where post hoc analysis found higher depressive levels with final year students. As schools prepare to transit from the pandemic to endemic phase, the study highlighted the specific students who need attention to tailor specific programmes to targeted groups and enhance resources efficiency.

Background/objectives: The stress levels in emergency services are enormous. The resulting stress can range from psychological irritation to burnout. This study examines the importance of resilience in the German EMS and its significance for the risk of irritation and burnout among EMS personnel., Methods: A quantitative cross-sectional online survey was conducted among 285 EMS personnel in Germany. Resilience was measured by the RS-13 Scale, irritation by the Irritation Scale (IS), and burnout by the Maslach Burnout Inventory (MBI). Sociodemographic and job-related data were also collected. A classification into resilient groups was used to compare stress levels., Results: More than one-third (39%) of the participants had a low level of resilience. EMS personnel with high levels of resilience had significantly lower scores on the cognitive and emotional irritation dimensions, as well as on the burnout dimensions of emotional exhaustion and cynicism., Conclusions: Resilience plays an important role in the safety culture of emergency services. The results support the hypothesis that high levels of resilience lead to less stress and help people cope better with stress. Almost two-fifths of the participants had lower resilience, underscoring the need for safe communication and targeted measures to strengthen resilience. Regular training, a supportive work environment, and promoting team cohesion and social support can improve emergency responders' mental health and job performance. Future research should develop specific intervention strategies and evaluate their effectiveness to ensure the long-term health of emergency responders and improve the quality of emergency care.

Dating violence is a serious public health issue among adolescents due to the detrimental short- and long-term consequences. The purpose of this study is to examine the relationship between adolescent dating violence (ADV) and adverse health behavioral outcomes related to substance abuse, mental health, and select risky health behaviors such as feeling unsafe, school performance, and inadequate sleep within the state of Florida. This study used data from the 2015 Youth Risk Behavior Survey (YRBS). The high school students represented a weighted total of 542,818 ( n = 4301). Logistic regression analyses, stratified by gender, examined the relationship between ADV and health risk behaviors after adjusting for race and grade. Proportions of ADV were as follows: 3.1% of students reported being abused both physically and sexually; 3.4% reported being abused only physically; 3.9% reported being abused only sexually; and 89.6% were uninvolved. ADV was associated with almost all the health risk behavior outcomes studied, with a few exceptions. Experiencing both kinds of abuse held the highest odds ratio among the four mutually exclusive categories of ADV. The findings from this study could be helpful in identifying youths who demonstrate warning signs of ADV abuse and thus could provide opportunities for targeted preventive interventions.

The issues related to the urban environment and mental well-being have become increasingly important in recent decades. Although this association has been mainly investigated in developed countries, there is limited knowledge on whether similar results can be acquired in the urban environments of developing countries like Iran. This study intends to present a new dynamic and active approach to determine the environmental quality characteristics that influence the mental well-being of urban residents and to engage people to healthy urban public environments. In this respect, the research is directed by both qualitative and quantitative surveys in the public open spaces of Kermanshah, Iran. Firstly, the data are collected by Grounded Theory (GT) to identify significant environmental quality characteristics related to mental well-being by applying 24 semi-structured interviews. Secondly, the questionnaire survey based on Structural Equation Modeling (SEM) is applied to examine the association between each characteristic of the developed conceptual framework. The results reveal that the environmental quality characteristics of public open spaces, directly and indirectly, relate to users’ mental well-being. It should be noted that the public open spaces with unique functional and intrinsic features seem to have different impacts on mental well-being.

The increasingly ageing population and the tendency to live alone have led science and engineering researchers to search for health care solutions. In the COVID 19 pandemic, the elderly have been seriously affected in addition to suffering from isolation and its associated and psychological consequences. This paper provides an overview of the RobWell (Robotic-based Well-Being Monitoring and Coaching System for the Elderly in their Daily Activities) system. It is a system focused on the field of artificial intelligence for mood prediction and coaching. This paper presents a general overview of the initially proposed system as well as the preliminary results related to the home automation subsystem, autonomous robot navigation and mood estimation through machine learning prior to the final system integration, which will be discussed in future works. The main goal is to improve their mental well-being during their daily household activities. The system is composed of ambient intelligence with intelligent sensors, actuators and a robotic platform that interacts with the user. A test smart home system was set up in which the sensors, actuators and robotic platform were integrated and tested. For artificial intelligence applied to mood prediction, we used machine learning to classify several physiological signals into different moods. In robotics, it was concluded that the ROS autonomous navigation stack and its autodocking algorithm were not reliable enough for this task, while the robot’s autonomy was sufficient. Semantic navigation, artificial intelligence and computer vision alternatives are being sought.

As governments around the globe rushed to contain the spread of the deadly COVID-19 pandemic, the imposed lockdowns led to the closure of several sectors of economy and educational institutions including schools. People were advised to stay at home and maintain social and physical distancing. The destructive socio-economic effects of the pandemic were felt worldwide. Amid these traumatic times, several studies explored the impacts of lockdown on the well-being of the general population. However, very few investigated the devastating effect of COVID lockdown on children, and even fewer talked about the lived experiences of this vulnerable group of our society. This study reports on what the children went through during lockdown by focusing on the research and data available about the impact of COVID-19 lockdown on children. The study analyses children’s experiences of this lockdown in light of the United Nations Convention on the rights of the child. The findings reveal that as a result of the mitigating measures implemented to control the spread of COVID-19, many children’s rights are being neglected. The lockdowns and school closures have disproportionately affected children’s well-being and have heightened huge disparities that exist between the advantaged and the disadvantaged. There is a need to understand how children are being impacted by the ongoing restrictions and to safeguard rights of all children. The study’s findings are to be considered while devising policy around children who are unable to make their voices heard by those whose decisions impact their well-being.

To reduce the spread of COVID-19, countries worldwide placed limitations on social interaction, which is anticipated to have severe psychological consequences. Although findings are inconsistent, prior research has suggested that companion animals may positively influence human well-being and reduce loneliness. In the context of COVID-19, this has important implications, as companion animal guardians may be less negatively affected by the pandemic. The primary aim of this research was to investigate the influence of companion animals on mental well-being and loneliness during the pandemic, with specific interest in the role of ornamental fishes. A mixed-methods study was conducted, using an international sample. Quantitative data were collected via an online survey (n = 1199) and analysed using robust hierarchical multiple regression analyses; the influence of level of engagement with companion animals was examined for dogs, cats and ornamental fishes. There was no evidence that companion animal guardianship was associated with loneliness and mental well-being during the pandemic but spending more time engaging physically or socially with dogs (and to a lesser extent cats) was generally associated with poorer outcomes. Qualitative data were collected through open-ended survey responses (n = 757) and semi-structured interviews (n = 25) and analysed using reflexive thematic analysis. Two themes were developed—one related to companion animals as providers of social and emotional support, and the other to companion animals as providers of purpose and perspective. Concerns regarding the impact of the pandemic on animal welfare were also identified. Compared to other animal types, more participants expressed indifference regarding the impact of their fishes on their well-being during the pandemic, possibly because fishes cannot provide comfort via physical touch. The findings of this study reflect the wider field of human–animal interaction; although qualitative data suggest guardians believe their companion animals are a positive influence in their lives, there is little convincing quantitative data to support these beliefs. This highlights the need to refine theories regarding which aspects of companion animal guardianship may influence human well-being; the findings from this research may be useful in the refinement of such theories.

Euthanasia is a critical component in swine production and veterinarians play an important role in euthanasia protocol development and training. This study aimed to understand veterinarian involvement in and perspectives on euthanasia on pig farms. An online survey was disseminated both at a pig welfare conference and online via a veterinarian e-newsletter. Twenty-five veterinarians participated in the survey. The majority of respondents indicated that caretakers are the individuals making euthanasia decisions and performing the task (n = 17, 68% and 22, 88%, respectively). The majority (22, 88%) of respondents indicated that most of the facilities with which they work have a written euthanasia protocol, and 72% (18) indicated that they assisted in protocol development. Only half of respondents (13, 52%) agreed that “all employees performing euthanasia have been trained adequately”, and 80% (20) identified an interest in delivering more training. Less than half the respondents indicated that strategies for coping with “personal stress” and “emotional wellness” (12, 48%) were included in euthanasia training. While the moral stress of performing euthanasia is recognized, there is opportunity for addressing mental well-being in euthanasia resources. Although preliminary, this study supports the need for further euthanasia training on-farm, involving veterinarians in the process.

Background: During the COVID-19 pandemic, reduced access to care services and fear of infection prompted families to increase home care for their older relatives with long-term care needs. This had negative effects on both members of the caring dyad, impacting their quality of life (QoL) and mental well-being. This study investigated the factors that influenced the mental well-being and QoL of 239 dyads, before and after the first pandemic wave in Italy., Methods: Data were collected through a survey on the use of health and social care services and interventions by older care recipients living in the community and their family caregivers. Factors associated with deterioration of mental well-being and QoL in older care recipients (mean age 86.1 years old) and their family caregivers after the pandemic were studied., Results: The importance attached by family caregivers to the skills and training of healthcare professionals was a protective factor against the deterioration in the well-being of older care recipients. Similarly, the importance associated by family caregivers to the help received from healthcare professionals was a protective factor for QoL. Financial hardship of older care recipients was a risk factor for deterioration in caregivers' mental well-being, while support from other family members was a protective factor for QoL., Conclusions: The presence of attentive healthcare professionals, a supportive family environment, and economic support can reduce the burden on both the caregiver and the older care recipient. These aspects need to be considered in any future emergency situation and when planning care services for community-dwelling older people.

Objectives: The impact of the COVID-19 pandemic on the psychological state of the under-18 population includes an increased risk of psychopathological symptoms development and exacerbation of already present psychiatric disorders. This study aimed to assess the prevalence of mental health problems in Polish children and adolescents with a focus on suicidal and self-harm behavior with the impact of the pandemic., Methods: The questionnaire collected demographic data, information regarding mental states and psychopathological symptoms, history of self-harm and suicidal behaviors, as well as the experience of psychological, and physical violence, and suicidal self-harm behaviors before and during the COVID-19 pandemic., Results: In the final analysis, 782 responses were included. Self-evaluation of general and mental health scores was significantly lower during the pandemic among children (both p < 0.001) and adolescents (both p < 0.001). Moreover, general and mental health scores were lower among adolescents compared to children before (both p < 0.001) and during (both p < 0.001) the pandemic. The frequency of seeking help because of mental health problems increased during the pandemic among children and adolescents, while no changes were observed in the prevalence of psychiatric hospitalizations in either of the populations ( p = 0.317 and p = 1.00, respectively). Out of autoregressive behaviors among children during the pandemic period, only the frequency of thinking about death increased ( p = 0.038). No suicidal attempts were undertaken by children in either of the evaluated time periods. The presence of all autoaggressive behaviors was greater among adolescents compared to children both before and during the COVID-19 pandemic (all p <0.05)., Conclusions: A subjective decrease in psychophysical well-being, an increase in the frequency of seeking mental health help during the pandemic, as well as an increased prevalence of depressive and anxiety symptoms were observed in the under-18 population as a potential consequence of the COVID-19 pandemic and related socioeconomic changes. The marked increase in self-harm behavior in the adolescent population (age > 12) and the marked increase in the frequency of death thinking in children (age ≤ 12) suggests the need for greater awareness and easier access to professional help from mental health specialists, particularly in a time of unprecedented stress and social isolation.

The Australian constitution makes no mention of native animals. Responsibility for animal welfare is largely retained by the states and territories via a fragmented, complex, contradictory, inconsistent system of regulatory management. Given that most jurisdictions have expressly made the possession of wildlife unlawful, the action of taking and possessing an animal, to rehabilitate it, defies the regulatory process. In most jurisdictions, it is illegal to microchip, band, or mark an animal, meaning that no reliable method is available to monitor an animal. Each year, a minimum of 50,000 rehabilitated native animals are released back to the wild, with little post-release monitoring. Where required, the assessments of behavioural and health requirements to confirm suitability for release may be undertaken by people with either negligible or questionable qualifications. Whilst it can be appropriate to rehabilitate and release injured native animals back to the wild, there may be moral, ethical, and practical reasons for not releasing hand-reared orphan native animals. This article examines the evolution, and explains the consequences, of decentralised regulation on wildlife carers and rehabilitating animals. It recommends that the practice of placing hand-reared native animals into the wild, and the regulatory framework that provides for it, should be reviewed.

Mental health concerns have emerged at the university level, with the psychological well-being of students being increasingly affected. This cross-sectional study investigated the proportion of university students having anxiety, and its effects on their visual function and symptomatology. We included 41 students (26.1 ± 4.8 years), and their visual function was assessed through several tests to produce a general visual performance index (VPI). The visual symptomatology was studied using the Conlon Visual Discomfort Survey and the Quality of Vision (QoV) questionnaire. The students were classified into two groups according to the Generalized Anxiety Disorder Screener (GAD-7) test ("no anxiety" and "anxiety" groups). The visual function evaluation indicated significantly worse VPI in the anxiety group ( p = 0.047). These students also showed significantly higher scores in the Conlon survey ( p = 0.004) and two subscales of the QoV questionnaire: symptom severity ( p = 0.041) and symptom bothersomeness ( p = 0.013). Moreover, the multiple linear regression model showed a significant association between visual discomfort according to the Conlon questionnaire and the level of anxiety (r = 0.405; R 2 = 0.164; B = 0.405; p = 0.012). It is important to study the influence of psychological factors on vision, not only for refractive error, but also for binocular and accommodative disorders.

Background: The COVID-19 pandemic resulted in unprecedented restrictions on public and private life. The aim of the study was to investigate the impact of the COVID-19 pandemic on the physical and mental health of employees in the public sector, especially patient-related professions., Methods: For the data collection in summer 2021, an online questionnaire was used. Compared to a pre-pandemic point of time, the prevalence, frequency, and intensity of musculoskeletal pain, mental well-being, health status, and quality of life were recorded., Results: The questionnaire was completed by 1678 employees (f: 1045, m: 617). A total of 1504 employees (89.6%) were affected by complaints. Compared to before the pandemic, the prevalence and intensity of musculoskeletal complaints and psychological distress increased significantly. Patient-related professions ( n = 204) showed significantly higher levels of stress and discomfort in several aspects ( p < 0.05)., Conclusions: Due to the COVID-19 pandemic, there was an increase in musculoskeletal complaints and a decrease in psychological well-being. Preventive factors related to mental health were identified as male gender, a middle- to older-age group, employees with children, and working from home. Attention should be drawn to these findings and prevention strategies should be brought into focus to strengthen the employees' health. Special focus should be drawn to patient-related professions who are particularly confronted with pandemic-associated challenges.

Wearable devices (WD) are starting to increasingly be used for interventions to promote well-being by reducing anxiety disorders (AD). Electrocardiogram (ECG) signal is one of the most commonly used biosignals for assessing the cardiovascular system as it significantly reflects the activity of the autonomic nervous system during emotional changes. Little is known about the accuracy of using ECG features for detecting ADs. Moreover, during our literature review, a limited number of studies were found that involve ECG collection using WD for promoting mental well-being. Thus, for the sake of validating the reliability of ECG features for detecting anxiety in WD, we screened 1040 articles, and only 22 were considered for our study; specifically 6 on panic, 4 on post-traumatic stress, 4 on generalized anxiety, 3 on social, 3 on mixed, and 2 on obsessive-compulsive anxiety disorder articles. Most experimental studies had controversial results. Upon reviewing each of these papers, it became apparent that the use of ECG features for detecting different types of anxiety is controversial, and the use of ECG-WD is an emerging area of research, with limited evidence suggesting its reliability. Due to the clinical nature of most studies, it is difficult to determine the specific impact of ECG features on detecting ADs, suggesting the need for more robust studies following our proposed recommendations.

Social networking sites (SNSs) have become ubiquitous in our everyday lives, and for all its communicative benefits, excessive SNS use has been associated with a range of negative health implications. In the present study, the authors use eye-tracking methodology to explore the relationship between individual differences in personality, mental well-being, SNS usage, and the focus of Facebook users’ visual attention. Participants (n = 69, mean age = 23.09, SD = 7.54) completed questionnaire measures for personality and to examine changes in depression, anxiety, stress, and self-esteem. They then engaged in a Facebook session while their eye movements and fixations were recorded. These fixations were coded as being directed to social and update areas of interest (AOI) of the Facebook interface. An exploratory analysis of personality factors revealed a negative correlation between openness to experience and inspection times for the updates AOI and an unexpected negative relationship between extraversion and inspection times for social AOI. There were correlations between changes in depression score and inspection of updates AOI, with reduced depression scores associated with increased inspection of updates. Finally, self-reported duration of participants’ typical Facebook sessions did not correlate with eye-tracking measures but were associated with increased Facebook addiction scores and greater increases in depression scores. These initial findings indicate that there are differences in the outcomes of interacting with Facebook which can vary based on Facebook addiction, personality variables, and the Facebook features that individuals interact with.

Previous studies have revealed various factors related to nurses' resilience and predictors of resilience. However, there are no studies analysing the association of three variables-mental well-being, coping strategies, and stress-with resilience. This study aims to assess the impact of mental well-being, levels of stress, and coping strategies on resilience using path analysis. This study used a cross-sectional approach that involved 763 nurses from 16 major hospitals in the eastern and northern regions of Saudi Arabia during the COVID-19 pandemic. The data gathering was conducted from August to November 2022. The staff nurses possessed positive mental wellness (3.75 ± 1.08), moderate stress levels (3.06 ± 1.21), adequate coping skills (3.33 ± 1.23), and a low level of resilience (2.90 ± 1.040). Age had a small effect on resilience (β = 0.040; p < 0.001) but work experience (β = -0.019; p > 0.139) and marital status (β = 0.019; p > 0.072) were not significant. Conversely, mental well-being (β = 0.043; p < 0.001) and stress (β = -0.089; p < 0.001) had a small effect on resilience, but coping strategies (β = 0.561; p < 0.001) had a large effect on resilience. Therefore, coping strategies must be reinforced at all times to assist nurses and other healthcare professionals in identifying contributing elements that maintain these workers' resilience in the face of unforeseen and protracted pandemics and other life events.

During the great life-altering challenges brought by Coronavirus 2019, school closures and lack of access to exercise and social interactions may have increased students' negative emotions. The current research acts as a follow-up study to the development of the EXSEM-SC, using the Repeated Measures Panel Analysis Framework (RMPAF) to examine the stability of the model in revealing the relationship between physical activity, self-compassion, and mental well-being among Hong Kong adolescents. It is also aimed at examining the changes in physical activity, self-compassion, and mental well-being among Hong Kong adolescents between, before, and after the peak of COVID-19 using the EXSEM-SC Model. The RMPAF has involved 572 (60% Female, Mage = 13.63, SD =1.31) Hong Kong secondary school students. Furthermore, using the abductive qualitative approach, a total of 25 ( Mage = 14.84, SD = 1.40) students were involved in the in-depth interviews to further investigate the relationships within the EXSEM-SC. The quantitative results showed that the relationship between physical activity and self-compassion could be demonstrated by the EXSEM-SC, with a satisfactory goodness-of-fit index in the SEMs, as well as satisfying model construct consistency. Moreover, it showed no significant differences in the level of physical activity, self-compassion, and mental well-being during and after the peak of COVID-19. The qualitative results demonstrated two new categories within the EXSEM-SC variables, which are personality traits and injuries experiences. With the stability of the EXSEM-SC model among adolescents, it is expected that the physical activity intervention, which is based on the EXSEM-SC model, could also aim at easing Hong Kong adolescent's mental health issues. In addition, in terms of generating a long-term impact among students, the physical activity and self-compassionate intervention should be promoted among schools. However, the quantitative properties of the two new categories in the qualitative outcomes should be involved in future investigation.