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۱۶۳ مقاله

Supporting life beyond the finish line: A cross-sectional analysis of retirement transition policies for professional riders in European cycling

Michael Liebrenz Journal Of Science & Cycling, 2026

چکیده

Transitioning out of professional sport can present challenges for athletes and their wider environments, frequently necessitating coordinated physical, psychological, and economic support. Although these concerns have been documented in elite cycling, the extent to which structured transition programmes exist within the sport remains insufficiently understood, particularly in Europe, the historical centre of professional cycling. We conducted a cross-sectional qualitative documentary analysis, distributing a standardised inquiry to all European Cycling Federations (ECFs; N = 51) between December 2024-March 2025. Federations were asked whether they had formal strategies, policies, or resources related to athlete retirement. Responses were categorised as “ECF-level literature or initiative”, “No ECF-level provision”, or “No response” and relevant materials were descriptively synthesised. Amongst the 21 federations that responded, the majority (n = 17; ≈81%) reported no ECF-level retirement initiatives. Common reasons included limited resources, low perceived demand, or reliance on national or international bodies (i.e., Olympic Committees or sport-specific unions). Four ECFs (~19%) described transition-related structures, though these varied considerably in scope, definition, and delivery. Despite well-documented needs, structured retirement support for professional cyclists remains uncommon across European national federations, and existing programmes appear heterogeneously applied. As cycling expands globally, effective transition planning becomes increasingly important for athlete wellbeing and the long-term sustainability of the sport. Holistic, international collaborations led by cycling’s major governance bodies could strengthen career-long support systems, reinforce the public image of cycling as a health-promoting discipline, and create responsible, athlete-centered ecosystems.

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Faktor yang Memengaruhi Kualitas Tidur Pasien Gagal Ginjal Kronik

Sukamdani Amanjaya; Nazaruddin; Asbath Jurnal Riset Keperawatan dan Kesehatan, 2026, Vol. 3, Issue 5, pp. 442-452 https://doi.org/10.71203/jrkk.v3i5.193

چکیده

Background: Patients with chronic kidney disease undergoing hemodialysis frequently experience physical and psychological complaints that may affect their sleep quality. Uremic pruritus, restless legs syndrome, anxiety, and post-hemodialysis fatigue are potential factors that may disrupt sleep quality. Objective: This study aimed to identify the factors influencing the sleep quality of patients with chronic kidney disease undergoing hemodialysis at Bahteramas Regional General Hospital, Southeast Sulawesi Province. Methods: This study employed a quantitative analytical approach with a cross-sectional design. The sample consisted of 83 respondents. Data were collected using the Pittsburgh Sleep Quality Index (PSQI), 5-D Itch Scale, International Restless Legs Syndrome Rating Scale (IRLS), Hospital Anxiety and Depression Scale-Anxiety (HADS-A), and a post-hemodialysis fatigue assessment instrument. Data were analyzed using the Chi-square test and binary logistic regression. Results: Bivariate analysis showed that uremic pruritus (p = 0.046), restless legs syndrome (p = 0.015), anxiety (p = 0.029), and post-hemodialysis fatigue (p = 0.049) were statistically significant factors associated with sleep quality. Simultaneously, the four variables had a statistically significant effect on sleep quality (p = 0.007), with a Nagelkerke R Square value of 0.217. In the multivariable analysis, only anxiety showed a statistically significant independent effect (p = 0.019). Conclusion: Uremic pruritus, restless legs syndrome, anxiety, and post-hemodialysis fatigue were statistically associated with sleep quality in the bivariate analysis. The four variables were jointly significant in the multivariable model, whereas only anxiety remained statistically significant after adjustment for the other variables.

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Digital dinacharya and workplace burnout: a cross-sectional analytical study of occupational health

Neha S. Maske; Kirti Bhausaheb Gaikwad; Meera K Bhojani International Journal of Research in Medical Sciences, 2026, Vol. 14, Issue 11, pp. 5233-5240 https://doi.org/10.18203/2320-6012.ijrms20264183

چکیده

Background: Prolonged screen exposure, after-hours connectivity, and sedentary work are linked to poor sleep and occupational burnout among Indian working professionals. Ayurvedic Dinacharya regulates waking, Vyayama, Bhojana Vidhi, and Nidra Vidhi; however, digital-era disruption of these domains among working adults remains unstudied. This study aimed to assess digital lifestyle behaviours mapped to Dinacharya principles as behavioural markers of Pragyaparadha, in relation to sleep quality and occupational burnout among working adults, and to identify behaviours independently associated with poor sleep and higher burnout. Methods: A cross-sectional analytical survey (STROBE-reported) was conducted at the All-India Institute of Ayurveda (AIIA), New Delhi, during (January 2026 to July 2026), among 400 working adults aged 25-40 years with ≥1 year of occupational experience. A structured proforma captured sociodemographic details and Dinacharya-mapped digital behaviours across five domains (morning routine, bedtime device use, after-hours connectivity, screen breaks/sedentary time, mealtime practices). Sleep quality and burnout were assessed using the PSQI and Copenhagen burnout inventory. Results: Of 400 participants, 56.8% had poor sleep quality, 61% personal burnout, and 55.8% work-related burnout. Bedtime device use and inadequate screen breaks/sedentary behaviour independently predicted poor sleep (aOR 1.76 and 1.98). After-hours connectivity, sedentary behaviour, and mealtime digital engagement predicted personal burnout; bedtime device use, sedentary behaviour, mealtime digital engagement, and digital overload predicted work-related burnout (all p<0.05). Conclusions: Digital lifestyle behaviours reflect patterns of Pragyaparadha in daily digital conduct. Interpreted through Dinacharya and Nidra, the findings support a culturally grounded, preventive Digital Dinacharya framework for digital-era occupational health.

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Childhood Emotional Neglect, Psychological Distress: Moderating role of Peer Support in Young Adults

Saba Noreen; Zarrin Atif International Journal of Emerging Multidisciplinaries Social Science, 2026, Vol. 5, Issue 6, pp. 18-45 https://doi.org/10.54938/ijemd-ss.2026.05.6.875

چکیده

Psychological distress during young adulthood may be influenced by early emotional experiences and current interpersonal relationships. The current study investigates the relationship between childhood emotional neglect, peer support and psychological distress in young adults. A quantitative research design was used with 200 participants aged 18-25 years selected through purposive sampling from educational institutions of Lahore. Childhood emotional neglect, peer support and psychological distress were measured with the Childhood Emotional Neglect Questionnaire (CENQ), Multidimensional Scale of Perceived social support (MSPSS), and Kessler Psychological Distress Scale (K10), respectively. Data were analyzed using Pearson- product moment correlation, hierarchical regression, PROCESS moderation analysis and one way ANOVA. Childhood emotional neglect was significantly and positively associated with psychological distress while peer support was not significantly and directly associated with psychological distress. Hierarchical regression indicates that psychological distress was significantly predicted by childhood emotional neglect, while peer support was not a significant direct predictor. The regression model explained 12.5% of variance in psychological distress. Moderation analysis showed significant interaction effects of friends’ support (P= .017) and family support (P= .032), indicating that these sources of support moderated the relationship between childhood emotional neglect and psychological distress. There were significant socio-economic differences for childhood emotional and peer support, but not for psychological distress. The findings highlight the importance of considering childhood emotional experiences and interpersonal resources when understanding psychological distress among young adults.

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Music interventions in exercise performance, recovery and sleep: a scoping review

Mahi Parikh; Adarsh Keshari International Journal of Research in Medical Sciences, 2026, Vol. 14, Issue 11, pp. 5562-5570 https://doi.org/10.18203/2320-6012.ijrms20264228

چکیده

Music has been investigated as a potential influence on exercise performance, perceived exertion, recovery, and sleep. However, studies vary in their interventions, populations, exercise contexts, and measured outcomes. This scoping review aimed to map experimental evidence on music interventions in resistance, isometric and handgrip, aerobic exercise, acute recovery, and sleep, and to identify evidence gaps. PubMed/MEDLINE, SPORTDiscus, Scopus, and Web of Science were searched for studies published between 1980 and October 2026. Eligible studies involved human participants, compared a music intervention with a control or alternative condition, and reported exercise performance, perceived exertion, psychological responses, physiological recovery, or sleep outcomes. Screening was conducted using Rayyan. Findings were synthesised descriptively across four domains. Thirty studies involving 1,183 participants were included. Studies were published between 1981 and 2021 and examined resistance exercise (n=11), isometric and handgrip exercise (n=8), aerobic exercise and acute recovery (n=7) and sleep (n=4). The evidence maps a broad range of music interventions and outcomes, with variable findings across exercise and sleep contexts. Research gaps include limited participant diversity and insufficient investigation of sleep and recovery in athletic populations. Further studies are needed to clarify how music characteristics, individual preferences, and task demands relate to outcomes.

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Psychological stress among faculty members of colleges and universities: a survey study

Prabhjot Kaur; Supreet Bindra; Pankajpreet Singh; Sukhpreet Kaur International Journal of Research in Medical Sciences, 2026, Vol. 14, Issue 11, pp. 5241-5246 https://doi.org/10.18203/2320-6012.ijrms20264184

چکیده

Background: Psychological stress is a common issue among faculty members due to increasing academic, administrative, and professional responsibilities. Prolonged stress negatively affect mental well-being, job satisfaction, and work performance. Therefore, assessing the level of psychological stress among faculty members is essential for identifying the need for stress-management strategies. This study aimed to evaluate the level of psychological stress among faculty members of colleges and universities. Methods: A cross-sectional survey was conducted among 101 faculty members from colleges and universities. Participants were recruited using a convenience sampling technique. Data were collected through structured online questionnaire consisting of demographic information and the Perceived Stress Scale (PSS). Descriptive statistics, including frequencies and percentages, were used for data analysis. Results: A total of 101 faculty members participated in the study. The majority of participants were above 30 years of age (46%), female (64%), worked 40-50 hours per week (41%), and possessed a master's degree (68%). Assessment of stress levels using the perceived stress scale revealed 91% of participants experienced moderate stress, 6% experienced low stress, and 3% experienced high stress. Most respondents reported experiencing stress-related feelings such as being upset unexpectedly, inability to control important things in life, nervousness, and difficulty coping "sometimes," indicating a moderate level of perceived psychological stress. Conclusions: The findings indicate that psychological stress is prevalent among faculty members of colleges and universities, with moderate stress being the most commonly reported level. These results highlight need for effective stress-management interventions and workplace wellness programs to promote psychological well-being among faculty members.

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Ergonomic Risk and Musculoskeletal Disorders in Computer Users: A ROSA-NMQ Literature Review

Neli Witasari; Agung Kristanto Metode Jurnal Teknik Industri, 2026, Vol. 12, Issue 2, pp. 208-217 https://doi.org/10.33506/mt.v12i2.5562

چکیده

The increasing use of computers, predominantly involving prolonged static sitting, may increase the risk of musculoskeletal disorders (MSDs). This study aims to examine workstation ergonomic risk and musculoskeletal disorders among computer users through a literature review based on the Rapid Office Strain Assessment (ROSA) and the Nordic Musculoskeletal Questionnaire (NMQ). A systematic search was conducted in PubMed and Google Scholar for articles published between 2020 and 2025, following PRISMA guidelines. A total of nine studies that met the inclusion criteria were analyzed narratively. The results indicate that most studies reported moderate to high levels of ergonomic risk, with chair-related factors as the dominant contributors. The prevalence of musculoskeletal complaints was also high, particularly in the neck, shoulders, and lower back. However, the relationship between ROSA scores and musculoskeletal complaints was inconsistent across studies, suggesting the influence of multifactorial determinants. Therefore, ROSA is more appropriately used as a screening tool for ergonomic risk, while NMQ complements it by capturing subjective complaints. The combined use of both instruments is essential to support a more comprehensive ergonomic assessment and the development of effective interventions.

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Trait Mindfulness as a Buffer: Exploring its Association with Negative Emotional States among University Students

Shazia Jabeen; Farah Iqbal Pakistan Journal of Positive Psychology, 2026, Vol. 3, Issue 9, pp. 120-127 https://doi.org/10.67785/pjpp.9.410

چکیده

The present study investigated the predictive role of trait mindfulness in relation to depression, anxiety, and stress among Pakistani young adults. The following hypotheses were formulated: H1: Trait mindfulness will significantly and negatively predict depression among Pakistani young adults. H2: Trait mindfulness will significantly and negatively predict anxiety among Pakistani young adults. H3: Trait mindfulness will significantly and negatively predict stress among Pakistani young adults. A sample of 405 participants (189 males, 216 females; aged 18–30 years, M = 22.39, SD = 2.823) completed an online survey including the Mindful Attention Awareness Scale (MAAS) and the Depression Anxiety Stress Scale (DASS-21). Reliability and normality assessments confirmed the adequacy of the measures. Linear regression analyses revealed that trait mindfulness significantly and negatively predicted depression (R² = .237, p < .001), anxiety (R² = .210, p < .001), and stress (R² = .201, p < .001). These findings were consistent with the hypotheses formulated and the theoretical perspectives. The study adds value to global evidence in relation to the Pakistani context, highlighting trait mindfulness as a preventive factor against negative emotions and emphasizing the need for culturally adapted mindfulness-based interventions to enhance psychological resilience among young adults.

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Kombinasi Terapi Musik dan Hand Massage untuk Stabilitas Hemodinamik Pasien Post Craniotomy

Fadillah Nur Fajri; Anisa A'in Jurnal Riset Keperawatan dan Kesehatan, 2026, Vol. 3, Issue 5, pp. 425-432 https://doi.org/10.71203/jrkk.v3i5.191

چکیده

Background: Patients recovering from craniotomy in the Intensive Care Unit (ICU) are at risk of hemodynamic changes related to stress responses, neurological impairment, pain, and environmental stimuli. A combination of music therapy and hand massage may help maintain hemodynamic stability in these patients. Objective: To describe the application of combined music therapy and hand massage to support hemodynamic stability in post-craniotomy patients in the ICU. Methods: This evidence-based nursing intervention was implemented with three post-craniotomy patients admitted to the ICU of Abdul Wahab Sjahranie Regional General Hospital, Samarinda. The intervention consisted of 15 minutes of instrumental or classical music followed by 15 minutes of effleurage hand massage. Systolic and diastolic blood pressure, mean arterial pressure (MAP), heart rate (HR), respiratory rate (RR), and oxygen saturation (SpO₂) were measured before and after each intervention. The intervention was conducted over three days, with each patient’s clinical changes monitored. Results: The case study findings indicated greater stability in blood pressure, MAP, HR, RR, and SpO₂ following the intervention. Conclusion: Combined music therapy and hand massage may be a safe, non-pharmacological intervention to support nursing care and maintain hemodynamic stability in post-craniotomy patients. Further research is needed to assess its effects on other outcomes, including biochemical changes.

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Carrying the Weight of the Exam: Stress, Coping, and Help-Seeking Among Civil Services Aspirants in Thiruvananthapuram

Jinaraj B International Journal of Science and Research (IJSR), 2026, Vol. 15, Issue 10, pp. 2050-2052 https://doi.org/10.21275/sr261029181550

چکیده

Preparing for the Civil Services Examination is long, costly, and uncertain, yet little research has listened to aspirants in India's Tier 2 cities. This descriptive survey asked 523 aspirants enrolled in coaching in Thiruvananthapuram, Kerala, about their stress, coping, attitudes to professional mental-health support, and the support their institutions offer. More than half (55.8%) called the past month very or extremely stressful, and financial strain, family expectations, and fear of judgement were prominent. Aspirants coped through peers, breaks, and planning, yet 84.3% felt they had not found a strategy that worked. Most (90.6%) thought professional help reasonable, but only 23.9% had used it, mainly held back by fear of peer judgement, cost, and confidentiality worries. Most (84.1%) rated stress-related support from their institutions as inadequate or absent. The findings are descriptive, not causal, and suggest support should change the conditions of preparation as well as strengthen individual coping.

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Factores psicológicos y estrés post pandemia COVID-19 en adultos de América Latina.

Jhon Bryan Mina Ortiz; Samantha Morán; Ludy Taina Escalante-Tomalá; Jeraida Nayeli Chompol-Morán Innova Science Journal, 2026, Vol. 4, Issue 4, pp. 429-446 https://doi.org/10.63618/omd/isj/v4/n4/432

چکیده

The COVID-19 pandemic brought about consequences extending beyond the health crisis itself, particularly affecting the mental health of the adult population in Latin America—a region where structural inequalities and healthcare deficiencies exacerbated the emotional impact of lockdowns, economic uncertainty, and the fear of infection. This study aimed to identify and analyze the psychological factors linked to stress levels experienced by adults in the region following the health emergency, utilizing a systematic literature review conducted in accordance with PRISMA guidelines. The process began with 543 records identified in databases such as PubMed, SciELO, and Elsevier, from which 30 publications covering the 2022–2026 period were selected. Findings revealed that anxiety, depression, emotional fatigue, and post-traumatic stress were the predominant manifestations, associated with social isolation, economic instability, academic and work-related overload, and low socioeconomic status. Resilience and family support served as protective factors against these manifestations. The study concludes that post-pandemic stress has a multifactorial origin and that its effects can persist over time, highlighting the need to strengthen public mental health policies for the adult population.

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Technostress and Psychological Well-Being among Undergraduate Students at University Level: A Correlational Study

Tayyaba Muhammad Akram; Nageen Mansoor; Rabia Hafeez; Asim Nazir Pakistan Journal of Positive Psychology, 2026, Vol. 3, Issue 9, pp. 77-89 https://doi.org/10.67785/pjpp.9.404

چکیده

Digital technologies are now at the center of university teaching and learning. They can also cause technostress, a strain that arises when technology demands outpace a person's capacity to cope. This study examined how technostress relates to psychological well-being in undergraduates and how these variables differ across demographic and academic groups. The study used a cross-sectional survey design. Using multi-stage sampling, the study selected 1001 undergraduate students (317 male and 684 female). They were enrolled in the faculties of Education, Arts, and Science at two public and two private universities in Lahore District, Pakistan. The study used a 21-item scale to assess technostress across five creators: overload, complexity, uncertainty, insecurity, and invasion. Well-being was assessed with the 42-item form of the Ryff scales. In a pilot sample of 300 students, internal consistency was .71 for technostress and .880 for well-being. Analyses were run in SPSS version 21 and included correlation, t tests for two groups, and ANOVA for more than two groups. The pilot study aimed to determine the instrument’s Cronbach's alpha reliability (TS = 0.705 and RSPW = 0.840). Experts were consulted to confirm the instrument's validity. The study tested the hypotheses using both descriptive and inferential statistics. The findings revealed a weak positive relationship between technostress and psychological well-being among undergraduate students (r = 0.22), which was statistically significant. There was no significant difference between male and female students in technostress and psychological well-being. However, the mean values indicate that females (M = 68.38) have slightly higher technostress than males (M = 67.16). Therefore, universities should foster a supportive digital environment that helps diminish the negative effects of technostress on students’ psychological well-being.

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Prevalence and psychosocial correlates of mental health difficulties among children and youth: A moderating role of age and gender

Mikateko Adolphina Mantsena; Jace Pillay; Thomas Ogbeche Akobi International Journal of Studies in Psychology, 2026, Vol. 6, Issue 3, pp. 26-33 https://doi.org/10.66434/ijspsy.v6i3.623

چکیده

Despite growing concerns about mental health difficulties among children and youth, limited empirical evidence exists on the extent to which adverse childhood experiences and resilience predict mental health difficulties among school-going children and youth in rural communities. This research explored the prevalence and psychosocial predictors of mental health difficulties among children and youth. The study adopted a correlational and descriptive research design. Respondents consisted of 837 children and youth, who were selected from Johannesburg West Education District. They were assessed using the Strengths and Difficulties Questionnaire (SDQ), the Adverse Childhood Experiences Questionnaire (ACE-Q), and the Child and Youth Resilience Measure (CYRM) as data-collection instruments. Frequencies and percentages, regression analysis, and moderation analysis were conducted using Hayes' PROCESS Macro. Findings revealed that about 44.4%, 18.3%, and 37.3% of the participants were within the normal, borderline, and abnormal ranges of mental health well-being, respectively. Adverse childhood experiences (ACEs) significantly predicted mental health difficulties (β = .238, t = 7.071, p < .001), contributing about 5.6% of the variation in mental health difficulties among youth and children. Resilience is also a significant predictor (β = −.121, t = −3.524, p < .001), accounting for about 1.5% of the variation in mental health problems; higher resilience was associated with lower levels of mental health difficulties. Moderation analyses showed that age and gender did not significantly moderate the relationships between ACEs, resilience, and mental health difficulties. The study concludes that ACEs constitute a significant risk factor, whereas resilience serves as a protective factor. The findings highlight the need for trauma-informed interventions, resilience-building programmes, and comprehensive mental health support services to promote positive mental health outcomes among children and youth.

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Digital Screen Addiction and Psychological Well-Being among Ghanaian Basic School Children: A School Management Perspective

Oheneba Kofi Nti; Racheal Amoah; Emmanuel Duncan British Journal of Education Learning and Development Psychology, 2026, Vol. 9, Issue 2, pp. 93 https://doi.org/10.52589/bjeldp-pd7dweva

چکیده

The digital revolution has fundamentally transformed childhood experience across the globe. In Ghana, rapid mobile internet penetration, the proliferation of low-cost smartphones, and COVID-19-induced remote learning have dramatically intensified basic school children's exposure to digital screens. Emerging evidence links digital screen addiction (DSA) to significant impairments in children's psychological well-being encompassing emotional, cognitive, social, and behavioural dimensions. Yet, school management responses in Ghanaian basic schools remain underdeveloped and largely uncoordinated. This narrative literature review synthesizes global and sub-Saharan African evidence on digital screen addiction and its psychological well-being consequences among basic school children (ages 5–15), critically examines existing school management frameworks, and proposes a School-Based Digital Wellness Management Framework (SBDWMF) for Ghanaian basic schools. A narrative synthesis approach was employed. Literature was sourced from PubMed, Google Scholar, Scopus, PsycINFO, African Journals Online (AJOL), and grey literature from the WHO, UNESCO, UNICEF, Ghana Education Service (GES), Ghana Health Service (GHS), and the Ministry of Education. Peer-reviewed empirical studies, systematic reviews, meta-analyses, and policy documents published from 2010 to 2024 were included, with a total of 72 sources forming the evidence base. DSA is prevalent among basic school-age children globally, with pooled prevalence estimates ranging from 19% to 38% depending on measurement tools and contexts. Excessive screen exposure is consistently associated with psychological distress, anxiety, depression, attentional difficulties, emotional dysregulation, impaired self-esteem, peer-relationship deficits, and poor academic well-being. In Ghana, contextual risk amplifiers, including parental digital literacy gaps, absent school mental health services, post-COVID normalization of extended screen use, and fragmented policy, compound the psychological burden. School management frameworks in Ghanaian basic schools are largely inadequate to address DSA, with critical deficits in policy, counselling capacity, teacher training, and parental engagement. DSA poses a mounting psychological well-being challenge for Ghanaian basic school children, demanding an urgent, evidence-informed school management response. The proposed six-pillar SBDWMF offers a practical governance architecture for Ghanaian basic school heads, district education officers, and national policymakers to address DSA comprehensively within the school setting.

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Coping Strategies and Psychological Well-Being among Indian IT Professionals: A Narrative Review with a Gender Lens

Atin Sehgal International Journal of Science and Research (IJSR), 2026, Vol. 15, Issue 10, pp. 1932-1937 https://doi.org/10.21275/sr261027113758

چکیده

Information technology (IT) professionals in India work under tight deadlines, long hours, job insecurity and rapid technological change, and Indian studies report substantial levels of stress, depressive symptoms and burnout in this group. How employees cope may help explain why some function well under these conditions while others do not. This narrative review synthesises research on coping strategies and psychological well-being among Indian IT professionals, drawing also on studies of other Indian occupational groups and international technology workers, with particular attention to gender. The evidence shows that approach-oriented strategies such as planning, active coping, positive reframing, acceptance and seeking support are generally associated with better well-being, whereas denial, behavioural disengagement, substance use and self-blame are associated with poorer well-being. Gender findings are inconsistent: some studies report higher stress or burnout among women, while others find no gender difference in depression, anxiety or well-being. Most studies are cross-sectional, use differing measures and were conducted during the COVID-19 pandemic. The review identifies the need for strategy-level analysis of coping, gender-balanced samples, research in under-studied IT hubs such as Gurgaon, and longitudinal designs.

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Impact of online social participation on older adults’ attitude toward aging in China: a propensity score matching analysis

Zhipeng Han; Hongyan Li; Yulin Wang; Xing Chen; Zhenjie Yu BMC Geriatrics, 2026 https://doi.org/10.1186/s12877-026-08538-9

چکیده

This survey aimed to examine the association between online social participation and attitudes toward aging among older adults within the Chinese socio‑cultural context. Stratified multi‑stage cluster sampling was adopted to obtain sample data. Multiple Linear Regression Model was employed to analyze the factors influencing older adults’ attitudes toward aging. Propensity Score Matching (PSM) was employed to estimate the Average Treatment Effect on the Treated (ATT) of online social participation on aging attitudes. (1) Among the 1,261 respondents, the mean score of attitude toward aging was 10.76 (SD = 5.55, possible range: 0‑20), with 45.0% reporting engagement in online social participation. (2) Multiple linear regression analysis revealed that online social participation, educational level, monthly income, marital status, chronic conditions, and self‑rated health were significant predictors of aging attitudes ( p < 0.01). (3) The ATT values estimated via kernel, radius and nearest neighbor methods were 1.6318, 1.5610 and 1.5549, respectively. (1) Older adults exhibit a relatively low overall level of online social participation, suggesting the necessity of further popularization and improvement. (2) Marital status, educational level, monthly income, self-rated health, and chronic conditions are significant influencing factors of aging attitudes among older adults. (3) Online social participation is significantly positively associated with older adults’ attitude toward aging.

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Integration of mental health services into primary health care in India: scope and challenges

Mehvish Siddique; Weam Ahmed Mohammed Mari; Pooja Sharma International Journal of Community Medicine and Public Health, 2026, Vol. 13, Issue 11, pp. 6914-6921 https://doi.org/10.18203/2394-6040.ijcmph20264127

چکیده

Mental health disorders are a major concern with millions of people living with mental illnesses, but only a small fraction of them have access to treatment due to stigma attached, lack of resources and trained personnel. Therefore, the inclusion of mental healthcare services in primary health care (PHC) is essential for improving its accessibility. The present review investigates the effectiveness, the different models, and the barriers in integrating mental health services into primary health care in India. The review was conducted following the PRISMA protocol using database like PubMed and Scopus between January 2016 and January 2026. The systematic search yielded 62 results, of which 23 were selected based on established inclusion criteria and were subsequently analyzed thematically. Successful integration of mental health services into primary healthcare was identified as including, but not limited to, task-sharing, use of digital technologies, use of telepsychiatry, and creating an improved policy-driven system. Task-sharing with lay personnel was found to greatly increase the identification and management of people with mental illnesses, while digital technology and telepsychiatry led to better access to mental health services, especially in rural areas. Barriers to implementing integrated mental health services included a lack of training, stigma, insufficient workforce, and limited infrastructure. Integrated mental health services into primary healthcare exist and demonstrate positive results, but to sustain successful implementation, the identified barriers to integration must be eliminated or mitigated to reduce the existing treatment gap for mental illness in India.

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Characterization of Countries with High Happiness Index: A Cluster Analysis

Sean Paul Domingo; Latrelle Paul Domingo; Laurence Garcia Asia Pacific Journal of Health Management, 2026, Vol. 21, Issue 2 https://doi.org/10.24083/apjhm.v21i2.4945

چکیده

Objective: This study investigates the common characteristics of countries with high happiness index scores using a cluster analysis of 20 nations. Design: The study is an ecological study where the unit of observation is the population in a country. Setting: Data were drawn from the World Happiness Report, World Bank, WHO, and World Population Review (2023–2025). Main outcome measures: The study focused on five variables: social support, GDP per capita, healthy life expectancy, crude death rate, and health expenditure. Results: Results revealed that countries in higher-performing clusters exhibited consistently strong social support systems, moderate to high GDP per capita, high healthy life expectancy, moderate crude death rates, and substantial public health spending. Among these factors, social support emerged as the most influential determinant, aligning with recent literature emphasizing the psychological and societal benefits of strong interpersonal networks. GDP alone was not a sufficient predictor of happiness; countries with high economic output but lower investment in health and social infrastructure ranked lower in overall well-being. Conclusions: This study demonstrates that countries with high happiness cannot be characterized by economic prosperity alone. The cluster analysis showed that high happiness may coexist with different combinations of economic, social, and health conditions. The study therefore characterizes countries with high Happiness Index scores as heterogeneous rather than uniform.

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Hubungan Durasi Tidur Terhadap Serum Glutamic Oxaloacetic Transaminase dan Serum Glutamic Pyruvic Transaminase Pada Sopir Bus

Shafa Okta Salsabila; Uli Mas’uliyah Indarwati; Retno Sulistiyowati; Cindy Rozza Bella; Supriyadi Supriyadi; Arif Mulyanto MAHESA Malahayati Health Student Journal, 2026, Vol. 6, Issue 11, pp. 164-177 https://doi.org/10.33024/mahesa.v6i11.25298

چکیده

ABSTRACT Insufficient sleep duration among bus drivers has the potential to cause prolonged fatigue, oxidative stress, and elevated liver enzymes such as SGOT and SGPT. Research examining the correlation between sleep duration and SGOT and SGPT levels among bus drivers in Indonesia remains limited. This study aimed to analyze the correlation between sleep duration and SGOT and SGPT levels in bus drivers at Bulupitu Bus Station, Purwokerto. The study employed an analytical observational design with a cross-sectional approach involving 20 bus drivers selected through total sampling. Sleep duration was measured using a questionnaire, while SGOT and SGPT levels were analyzed using the IFCC kinetic method. Correlations between variables were tested using Pearsons correlation with a significance level of 0.05. The average sleep duration of respondents was 6.35-1.59 hours; the mean SGOT level was 29.625-24.94 U/L, and the mean SGPT level was 45,150-33.37 U/L. No significant correlation was found between sleep durition and SGOT levels (r = 0.203: p = 0.391) or SGPT levels (r 0.441, p0.051). Sleep duration did not show a significant correlation with SGOT and SGPT levels in bus drivers. Lifestyle factors and other health conditions may contribute more substantially. Keywords: Sleep Duration, SGOT, SGPT, Bus Drivers. ABSTRAK Durasi tidur yang kurang pada sopir bus berpotensi menimbulkan kelelahan berkepanjangan, stres oksidatif, serta peningkatan enzim hati seperti SGOT dan SGPT. Studi terkait hubungan antara durasi tidur dengan kadar SGOT dan SGPT pada sopir bus di Indonesia masih terbatas. Tujuan dari studi ini adalah untuk menganalisis hubungan antara durasi tidur dengan kadar SGOT dan SGPT pada sopir bus di Terminal Bulupitu Purwokerto. Desain studi ini menggunakan rancangan observasional analitik dengan pendekatan cross-sectional pada 20 sopir bus yang diambil melalui teknik total sampling. Pengukuran durasi tidur dilakukan menggunakan kuesioner, sedangkan kadar SGOT dan SGPT dianalisis dengan metode kinetik IFCC. Hubungan antar variabel dianalisis dengan uji korelasi Pearson pada tingkat signifikansi 0,05. Rata-rata durasi tidur responden adalah 6,35 ± 1,59 jam; rerata kadar SGOT sebesar 29,625 ± 24,94 U/L dan SGPT sebesar 45,150 ± 33,37 U/L. Tidak terdapat hubungan signifikan antara durasi tidur dengan kadar SGOT (r = 0,203; p = 0,391) maupun SGPT (r = –0,441; p = 0,051). Durasi tidur tidak menunjukkan hubungan yang signifikan dengan kadar SGOT dan SGPT pada sopir bus. Faktor gaya hidup dan kondisi kesehatan lain kemungkinan berperan lebih besar. Kata Kunci: Durasi Tidur, SGOT, SGPT, Sopir Bus.

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