stress

This study examines the relationship between cognitive processes and job performance in teachers at the Cruz del Norte Educational Unit, focusing on attention, planning, organization, anxiety, and job stress. A mixed-method design was applied, combining quantitative and qualitative techniques such as psychometric tests, Pearson correlation, multiple regression analysis, Student’s t-test, the Delphi method, and the Ishikawa diagram. The results show that executive functions, particularly planning and organization, have a significant positive impact on job performance. Teachers with higher levels of these skills demonstrate better performance, with strong correlations (r = 0.72, p = 0.001; r = 0.65, p = 0.003). In contrast, anxiety and stress act as limiting factors. Multiple regression analysis indicates that anxiety (β = -0.4946, p < 0.0001) and stress (β = -0.3721, p < 0.001) negatively predict job performance. Additionally, job indiscipline—reflected in absenteeism and lateness—shows a strong negative correlation with performance (r = -0.74, p < 0.000). These findings highlight the importance of time management and organizational commitment, as well as the need to implement training and psychological support strategies to improve teacher performance and educational quality.

این مطالعه به بررسی رابطه بین فرایندهای شناختی و عملکرد شغلی در معلمان واحد آموزشی Cruz del Norte می‌پردازد و بر توجه، برنامه‌ریزی، سازمان‌دهی، اضطراب و استرس شغلی تمرکز دارد. از طرح پژوهشی ترکیبی استفاده شده است که تکنیک‌های کمی و کیفی مانند آزمون‌های روان‌سنجی، همبستگی پیرسون، تحلیل رگرسیون چندگانه، آزمون t استیودنت، روش دلفی و نمودار ایشیکاوا را ترکیب می‌کند. نتایج نشان می‌دهد که کارکردهای اجرایی، به‌ویژه برنامه‌ریزی و سازمان‌دهی، تأثیر مثبت معناداری بر عملکرد شغلی دارند. معلمانی که سطوح بالاتری از این مهارت‌ها را دارا هستند، عملکرد بهتری از خود نشان می‌دهند و همبستگی‌های قوی (r = ۰.۷۲, p = ۰.۰۰۱؛ r = ۰.۶۵, p = ۰.۰۰۳) مشاهده شده است. در مقابل، اضطراب و استرس به‌عنوان عوامل محدودکننده عمل می‌کنند. تحلیل رگرسیون چندگانه نشان می‌دهد که اضطراب (β = -۰.۴۹۴۶, p < ۰.۰۰۰۱) و استرس (β = -۰.۳۷۲۱, p < ۰.۰۰۱) پیش‌بینی‌کننده منفی عملکرد شغلی هستند. همچنین، بی‌انضباطی شغلی—که در غیبت و تأخیر منعکس می‌شود—همبستگی منفی قوی با عملکرد دارد (r = -۰.۷۴, p < ۰.۰۰۰). این یافته‌ها اهمیت مدیریت زمان و تعهد سازمانی و همچنین ضرورت اجرای راهبردهای آموزشی و حمایت روان‌شناختی برای بهبود عملکرد معلمان و کیفیت آموزشی را برجسته می‌کند.

This study examines the relationship between cognitive processes and job performance in teachers at the Cruz del Norte Educational Unit, focusing on attention, planning, organization, anxiety, and job stress. A mixed-method design was applied, combining quantitative and qualitative techniques such as psychometric tests, Pearson correlation, multiple regression analysis, Student’s t-test, the Delphi method, and the Ishikawa diagram. The results show that executive functions, particularly planning and organization, have a significant positive impact on job performance. Teachers with higher levels of these skills demonstrate better performance, with strong correlations (r = 0.72, p = 0.001; r = 0.65, p = 0.003). In contrast, anxiety and stress act as limiting factors. Multiple regression analysis indicates that anxiety (β = -0.4946, p < 0.0001) and stress (β = -0.3721, p < 0.001) negatively predict job performance. Additionally, job indiscipline—reflected in absenteeism and lateness—shows a strong negative correlation with performance (r = -0.74, p < 0.000). These findings highlight the importance of time management and organizational commitment, as well as the need to implement training and psychological support strategies to improve teacher performance and educational quality.

این مطالعه به بررسی رابطه بین فرایندهای شناختی و عملکرد شغلی در معلمان واحد آموزشی Cruz del Norte می‌پردازد و بر توجه، برنامه‌ریزی، سازمان‌دهی، اضطراب و استرس شغلی تمرکز دارد. از طرح پژوهشی ترکیبی استفاده شده است که تکنیک‌های کمی و کیفی مانند آزمون‌های روان‌سنجی، همبستگی پیرسون، تحلیل رگرسیون چندگانه، آزمون t استیودنت، روش دلفی و نمودار ایشیکاوا را ترکیب می‌کند. نتایج نشان می‌دهد که کارکردهای اجرایی، به‌ویژه برنامه‌ریزی و سازمان‌دهی، تأثیر مثبت معناداری بر عملکرد شغلی دارند. معلمانی که سطوح بالاتری از این مهارت‌ها را دارا هستند، عملکرد بهتری از خود نشان می‌دهند و همبستگی‌های قوی (r = ۰.۷۲, p = ۰.۰۰۱؛ r = ۰.۶۵, p = ۰.۰۰۳) مشاهده شده است. در مقابل، اضطراب و استرس به‌عنوان عوامل محدودکننده عمل می‌کنند. تحلیل رگرسیون چندگانه نشان می‌دهد که اضطراب (β = -۰.۴۹۴۶, p < ۰.۰۰۰۱) و استرس (β = -۰.۳۷۲۱, p < ۰.۰۰۱) پیش‌بینی‌کننده منفی عملکرد شغلی هستند. همچنین، بی‌انضباطی شغلی—که در غیبت و تأخیر منعکس می‌شود—همبستگی منفی قوی با عملکرد دارد (r = -۰.۷۴, p < ۰.۰۰۰). این یافته‌ها اهمیت مدیریت زمان و تعهد سازمانی و همچنین ضرورت اجرای راهبردهای آموزشی و حمایت روان‌شناختی برای بهبود عملکرد معلمان و کیفیت آموزشی را برجسته می‌کند.

Purpose: This study aimed to examine the relationship between ambivalence over emotional expressiveness and suicidal ideation in veterans, with posttraumatic stress disorder (PTSD) symptoms considered as a mediating variable. Methods and Materials: This descriptive-correlational, cross-sectional study included 100 Iran–Iraq War veterans hospitalized at Fajr Hospital who were recruited through convenience sampling. Participants completed the Ambivalence over Emotional Expressiveness Questionnaire, the Beck Scale for Suicide Ideation, and the Mississippi Scale for Combat-Related PTSD. Pearson’s correlation was used to examine relationships among the variables. Structural equation modeling with maximum likelihood estimation was conducted in Mplus version 8 to test the mediation model. Normality was assessed using skewness and kurtosis, and multicollinearity was evaluated through variance inflation factors. Model fit was assessed using the chi-square-to-degrees-of-freedom ratio, comparative fit index, Tucker–Lewis index, and root-mean-square error of approximation. Bootstrapping was used to test the indirect effect. Findings: Suicidal ideation was significantly correlated with ambivalence over emotional expressiveness and PTSD symptoms. Ambivalence over emotional expressiveness significantly predicted suicidal ideation in the model without the mediator. In the mediation model, ambivalence over emotional expressiveness significantly predicted PTSD symptoms, and PTSD symptoms significantly predicted suicidal ideation. However, the direct path from ambivalence over emotional expressiveness to suicidal ideation was not statistically significant after PTSD symptoms were entered into the model. The indirect effect of ambivalence over emotional expressiveness on suicidal ideation through PTSD symptoms was statistically significant. The structural model demonstrated acceptable fit to the data. Conclusion: PTSD symptoms fully mediated the relationship between ambivalence over emotional expressiveness and suicidal ideation, suggesting that interventions targeting emotional-expression conflicts and trauma-related symptoms may help reduce suicidal ideation among veterans.

هدف: این پژوهش با هدف بررسی رابطه بین دوسوگرایی نسبت به ابراز هیجانات و افکار خودکشی در جانبازان، با در نظر گرفتن علائم اختلال استرس پس از سانحه (PTSD) به عنوان متغیر میانجی انجام شد. روش‌ها و مواد: این مطالعه توصیفی-همبستگی از نوع مقطعی بود و ۱۰۰ نفر از جانبازان جنگ ایران و عراق بستری در بیمارستان فجر به روش نمونه‌گیری در دسترس انتخاب شدند. شرکت‌کنندگان به پرسشنامه دوسوگرایی نسبت به ابراز هیجانات، مقیاس بک برای افکار خودکشی و مقیاس می‌سی‌سی‌پی برای اختلال استرس پس از سانحه مرتبط با جنگ پاسخ دادند. برای بررسی روابط بین متغیرها از همبستگی پیرسون استفاده شد. مدل‌یابی معادلات ساختاری با برآورد حداکثر درست‌نمایی در نرم‌افزار Mplus نسخه ۸ برای آزمون مدل میانجی‌گری به کار رفت. نرمال بودن داده‌ها با استفاده از چولگی و کشیدگی و چندهمخطی بودن با استفاده از شاخص‌های تورم واریانس ارزیابی شد. برازش مدل با استفاده از نسبت کای‌دو به درجه آزادی، شاخص برازش تطبیقی، شاخص تاکر-لوییس و ریشه میانگین مربعات خطای تقریب بررسی شد. برای آزمون اثر غیرمستقیم از بوت‌استرپ استفاده شد. یافته‌ها: افکار خودکشی با دوسوگرایی نسبت به ابراز هیجانات و علائم اختلال استرس پس از سانحه همبستگی معناداری داشت. دوسوگرایی نسبت به ابراز هیجانات در مدل بدون متغیر میانجی، پیش‌بینی‌کننده معنادار افکار خودکشی بود. در مدل میانجی‌گری، دوسوگرایی نسبت به ابراز هیجانات پیش‌بینی‌کننده معنادار علائم اختلال استرس پس از سانحه و علائم اختلال استرس پس از سانحه نیز پیش‌بینی‌کننده معنادار افکار خودکشی بود. با این حال، مسیر مستقیم از دوسوگرایی نسبت به ابراز هیجانات به افکار خودکشی پس از وارد کردن علائم اختلال استرس پس از سانحه به مدل، از نظر آماری معنادار نبود. اثر غیرمستقیم دوسوگرایی نسبت به ابراز هیجانات بر افکار خودکشی از طریق علائم اختلال استرس پس از سانحه از نظر آماری معنادار بود. مدل ساختاری برازش قابل قبولی با داده‌ها نشان داد. نتیجه‌گیری: علائم اختلال استرس پس از سانحه به طور کامل رابطه بین دوسوگرایی نسبت به ابراز هیجانات و افکار خودکشی را میانجی‌گری کردند و این امر نشان می‌دهد که مداخلات هدفمند بر تعارضات ابراز هیجانی و علائم مرتبط با تروما می‌تواند به کاهش افکار خودکشی در جانبازان کمک کند.

Generation Alpha (born 2010-2024) and Generation Beta (born 2025-2039) represent an unprecedented developmental archetype defined by total digital integration and ubiquitous artificial intelligence (AI). This empirical study evaluated specialized psychological adaptation mechanisms, parenting models, and mental health intervention frameworks across these cohorts. Utilizing a mixed-methods design, quantitative data were gathered from $N = 300$ parents (Gen Alpha parents and expectant/early Gen Beta parents) using the Modified Parental Stress Scale (PSS) and Child Behavior Checklist (CBCL), supplemented by qualitative interviews with $N = 20$ pediatric mental health experts. Independent samples $t$-tests confirmed that Gen Alpha/Beta display significantly higher digital dependency anxiety ($M = 38.60, p < .001$) alongside superior visual-spatial intelligence ($M = 44.10, p < .001$) relative to normative baselines. Crucially, a proactive "Digital Integration" co-navigation parenting framework yielded significantly lower parental stress ($M = 29.50$) compared to rigid "Digital Detox" restriction models ($M = 42.80, p < .001$). A preventive clinical framework focusing on Social-Emotional Learning (SEL) and cognitive impulse management is proposed.

The stress facing the educational leadership as school principals are required to deal with administrative management, supervision of staff, academic performance and institutional development. There are specific issues that may affect female principals in addition to the other factors listed above: Interpersonal demands, competing professional demands, and work–life balance. Problem-Focused Coping Strategies (PFCS) may be a way to cope with stress by identifying the sources of stress, planning and problem solving, prioritizing and making positive decisions. The present study investigated the correlation between PFCS and Stress Management (SM) of female school principals. The method of quantitative research was employed and data was gathered from 74 principals (females). Analysis of the correlation showed a weak negative correlation between PFCS and SM (r = -.117). The regression model accounted for about 1.4% of the variability in SM (R2 = .014). The overall regression model was not significant (F (1,72) = 1.005, p = .319). The regression coefficient for PFCS was also negative and not significantly different from 0 (B = -.254, β = -.117, p = .319). The results of this study suggest that there was no statistically significant predictive relationship found between the female principals who participated in the study and PFCS and SM. The results do not show that problem-focused coping is not effective, however; it does imply that it may be insufficient to account for variations in stress management in this sample. The results indicate that there is a need to explore further individual and organizational factors, such as workload, institutional support, leadership experience, resources, and work–life balance. More research is needed using larger samples, measuring instruments that have been established and validated, and using longitudinal or intervention designs to investigate the role of problem-focused coping in stress management. Other professional development programs that could be beneficial for educational authorities include those related to problem solving, time management, delegation, and conflict resolution. The research brings insights from the sphere of stress amongst female educational leaders to the discussion and provides some insights for future research directions.

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.

The purpose of this study is to examine how parentification and perceived stress impact adolescents' psychological and behavioural adjustment. This study explored the associations between parentification, perceived stress, and disruptive behaviour, and the predictive and mediating effects of these variables. The method of the research was descriptive cross sectional, purposive sampling was used for gathering samples, the number of samples obtained was 250.The methods used were descriptive cross sectional design, purposive sampling was used for sampling. The Parentification Inventory, Perceived Stress Scale (PSS-10) and Disruptive Behaviour Scale were used to collect the data. The SPSS Version 26 was used for descriptive statistics, Pearson correlation, regression analysis and Hayes’ PROCESS Macro (Model 4). Results showed that parentification was not a significant predictor of perceived stress and disruptive behaviour. Perceived stress, however, was a strong predictor of disruptive behaviour. Indirect effect of parentification on disruptive behaviour via perceived stress was also non-significant. Impression of stress seems to be a key factor related to disruptive behaviour among adolescents, while the impact of parentification could differ based on contextual and cultural factors. The results emphasize the need for stress reduction and psychological health promotion initiatives for youth in Pakistan.

Stress arising from academic, professional and financial demands is common among students and young professionals, and the coping methods within easiest reach, such as listening to music, do not always suffice. This paper presents a survey-driven design for a virtual reality (VR) gadget that combines selectable immersive natural environments, environment-matched sound therapy and heart-rate biofeedback for short relaxation sessions. An online questionnaire completed by 24 respondents, mostly college students, supplies the user requirements. Among those who answer the relevant items, 65.2% report daily stress, 73.9% name academic or job pressure as the main cause, and 47.8% state that a busy schedule prevents regular yoga or meditation. Music is the most common coping method (63.6%). Asked about a 10–15 minute VR relaxation session described as free of side effects, 83.3% answer “yes, definitely” and 8.3% answer “maybe” if the price is under Rs. 5000. The findings yield design requirements, a system architecture, a session workflow and a protocol for comparing the gadget with guided breathing, meditation and relaxing music. That comparison is planned, not yet carried out: the prototype has not been tested with users, and the paper makes no claim of clinical effectiveness.

Emotional contagion refers to the process through which people's emotions may be influenced by the emotional states and expressions of others. This study examined self-reported responses to stress in other people and explored their association with perceived stress. A quantitative, cross-sectional online questionnaire was completed between October 25 and 27, 2026. Of 33 submissions, 32 participants consented and were included in the emotional-response analysis; 31 had sufficient responses for the preliminary perceived-stress analysis. The questionnaire included 15 researcher-developed statements about responses to others' stress and 10 perceived-stress questions resembling the Perceived Stress Scale?10 (PSS-10). Descriptive results showed that 90.6% of participants agreed or strongly agreed that they could sense stress in people around them, while 75.0% reported that stress in family, workplace, or educational settings affected their emotional well-being. An exploratory Spearman correlation indicated a positive association between the emotional-response composite and perceived-stress scores (rs = .526, p = .002, n = 31). This association must be interpreted cautiously because the emotional-response questionnaire was not validated and the exact perceived-stress instrument requires confirmation. Findings provide preliminary descriptive insight but do not establish causation.

Abstract Background Repetitive negative thinking (RNT) is a transdiagnostic process relevant to common mental health problems in primary care. RNT-ACT is a brief acceptance and commitment therapy-based protocol targeting RNT in two sessions. This pilot study assessed the feasibility of RNT-ACT compared with therapist-supported internet-based cognitive behavioural therapy (iCBT) in Swedish primary care. Methods Thirteen participants were randomised: 7 to RNT-ACT and 6 to iCBT. The primary feasibility outcomes were recruitment rate, intervention non-completion, and patient satisfaction measured with the Client Satisfaction Questionnaire (CSQ-8). Symptom and process measures were secondary outcomes. Secondary outcomes were assessed at baseline and at 1- and 3-month follow-ups. Analyses were descriptive and exploratory, based on available observations without imputation of missing data. Results Thirteen of 20 eligible individuals were enrolled (65%), corresponding to 35% of all 37 individuals screened. All participants in the RNT-ACT group completed the intervention, whereas 4 of 6 participants in the iCBT group did not complete the intervention. Mean CSQ-8 scores were 27.8 (SD 3.7; n = 5) in the RNT-ACT group and 23.0 (SD 0.0; n = 2) in the iCBT group. Conclusions The small sample size and high iCBT non-completion limit between-group comparisons. Further investigation of recruitment, treatment engagement, and patient and therapist experiences is needed before determining whether and how to proceed to a full-scale RCT. Trial registration ClinicalTrials.gov NCT05946382 registered July 14, 2023.

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.

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.

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.

The present study aimed at examining relationship between sociotropy and autonomy with self-esteem and anxiety in adults in Pakistan and to test the moderation effect of perceived social support in the relationships between sociotropy and autonomy with self-esteem and anxiety. Methods: A quantitative correlational design was used. The sample consisted of 500 healthy unmarried individuals aged 18-29 years who were selected from government and private universities across the country, using a purposive sampling technique. The Personal Style Inventory, Multidimensional Scale of Perceived Social Support, Rosenberg Self-Esteem Scale, and the anxiety subscale of the Depression Anxiety Stress Scales-21 were all filled out by the participants. Data were processed in SPSS version 26, descriptive statistics, Pearson product-moment correlation, Hayes' PROCESS Macro Model 1 and internal consistency analysis were used. Results: There was a significant correlation between sociotropy and anxiety (r=.22, p<.01) and with perceived social support (r=.29, p<.01), but not with self-esteem (r=-.05, p=.267). Self-esteem (r=.15, p<.01), anxiety (r=.12, p<.01) and perceived social support (r=.20, p<.01) were positively related to autonomy. Perceived social support was shown to be significantly positively related to self-esteem (r=.14, p<.01) and, surprisingly, not significantly related to anxiety (r≈0, p=.977). Sociotropy × perceived social support interactions were significant for self-esteem (B=.002, p=.026) and anxiety (B=.001, p=.010), but the autonomy × perceived social support interactions were not significant for self-esteem (B≈0, p=.750) or anxiety (B≈0, p=.569). Conclusion: The results suggest that the sociotropic orientation is related to higher anxiety and that perceived social support modifies the relationship between sociotropy and self-esteem and anxiety. A positive relationship was found between autonomy and self-esteem and autonomy and anxiety; and perceived social support did not significantly change these relationships. These findings underline the need for taking both vulnerability and inter-personal resources into account to comprehend anxiety in young adults in Pakistan.

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.

Nurses delivered much of the direct care to COVID-19 patients and were repeatedly exposed to death, infection risk, and shortages of equipment, yet little is known about how Pakistani nurses experienced and managed posttraumatic stress symptoms (PTSS). This qualitative study explored PTSS, experiences of trauma, perceived psychological impact, and coping strategies among nurses who cared for COVID-19 patients during peak pandemic waves. Eight registered nurses working in COVID wards and intensive care units of public hospitals in Islamabad and Rawalpindi were recruited through purposive sampling and took part in individual semi-structured interviews conducted in Urdu and basic English. Data were analysed using Braun and Clarke’s thematic analysis. Four themes were generated: (a) symptoms related to trauma (altered sleep, changes in temperament, emotional reactivity, diminished interest in social life, flashbacks); (b) threats and stress due to COVID-19 (increased workload, direct threat to self and others, sense of isolation, lack of knowledge and equipment); (c) psychological impact of trauma (increased mental health concerns, burnout and compassion fatigue, elevated death anxiety, lack of optimism about the future); and (d) strategies to cope (sharing workload with the team, emotional support from colleagues). Seven of eight nurses described flashbacks, and accounts spanned several DSM-5 symptom clusters, although no diagnostic assessment was used. Peer teamwork and emotional support were the only coping resources reported, and no participant had received formal counselling. Peer solidarity seems to have been an informal resource of resilience where organizational support was absent and institutional psychological services should be built around it.

Rapid eye movement (REM) sleep behavior disorder (RBD) is a parasomnia in which the normal muscle atonia of REM sleep is lost, and patients act out their dreams.Serotonergic antidepressants such as selective serotonin reuptake inhibitors (SSRIs) are a recognized trigger, but in psychiatric patients the nocturnal behaviors are easily attributed to stress or to the primary illness.We report the case of a 46-year-old man with schizoaffective disorder, depressive type, maintained on aripiprazole 15 mg daily, who was started on escitalopram 10 mg at bedtime (day one); the dose was reduced to 5 mg on day 77.Around day 430, about 14 months after starting escitalopram and while taking 5 mg, he began to walk in his sleep and act out his dreams, including punching movements and, on one occasion, walking while holding a clothing iron, with no recollection on waking.The episodes occurred late in the night, with his eyes closed, two to three times a month and were accompanied by sleep paralysis and daytime sleepiness.His mental status examination and routine blood tests were unremarkable.He declined polysomnography and brain imaging, so a diagnosis of probable RBD, possibly associated with escitalopram, was made on clinical grounds; a non-REM parasomnia could not be excluded.On day 616, escitalopram was stopped and clonazepam 0.5 mg at bedtime was started at the same time.The episodes had stopped by day 665.Clonazepam was discontinued on day 772, and at the latest follow-up on day 1962 there had been no recurrence.Because clonazepam was started when escitalopram was withdrawn, the improvement cannot be attributed to stopping escitalopram alone, although the absence of recurrence after clonazepam was discontinued supports a role for the antidepressant.Clinicians who prescribe serotonergic antidepressants should take a sleep history from patients and their bed partners, arrange polysomnography where it is available, and review the suspected drug.

Background: Emergency nurses in earthquake prone regions require psychological resources to maintain resilience, manage occupational stress, and deliver effective care during disasters. Self confidence may contribute to their ability to adapt to challenging clinical situations. Objectives: This study examined the association between self confidence and resilience among emergency department nurses at Sayang Regional General Hospital, Cianjur Regency, Indonesia. Methods: A quantitative cross sectional study involved 50 emergency department nurses recruited through total sampling. Self confidence and resilience were assessed using structured questionnaires. Associations were examined using the Chi square test, with odds ratios (OR) and 95% confidence intervals (CI) calculated to estimate association strength. Results: High self confidence was reported by 34 nurses (68.0%), while 35 nurses (70.0%) demonstrated high resilience. Statistical analysis revealed a significant association between self confidence and resilience (p = 0.005; OR = 6.00; 95% CI: 1.60–22.55), indicating greater odds of high resilience among nurses with high self confidence. Conclusion: Self confidence was significantly associated with resilience among emergency nurses. Integrating psychological capacity building into hospital disaster preparedness programs may strengthen nurses' adaptive capabilities and support emergency care readiness.

زمینه: پرستاران اورژانس در مناطق زلزله‌خیز به منابع روان‌شناختی برای حفظ تاب‌آوری، مدیریت استرس شغلی و ارائه مراقبت مؤثر در هنگام بلایا نیاز دارند. اعتماد به نفس ممکن است به توانایی آن‌ها در سازگاری با موقعیت‌های بالینی چالش‌برانگیز کمک کند. اهداف: این مطالعه ارتباط بین اعتماد به نفس و تاب‌آوری را در میان پرستاران بخش اورژانس بیمارستان عمومی منطقه‌ای Sayang، شهرستان Cianjur، اندونزی مورد بررسی قرار داد. روش‌ها: یک مطالعه مقطعی کمی با مشارکت ۵۰ پرستار بخش اورژانس که از طریق نمونه‌گیری کل انتخاب شدند، انجام شد. اعتماد به نفس و تاب‌آوری با استفاده از پرسشنامه‌های ساختاریافته ارزیابی شد. ارتباطات با استفاده از آزمون کای دو بررسی شد و نسبت شانس (OR) و فاصله اطمینان ۹۵٪ (CI) برای برآورد قدرت ارتباط محاسبه گردید. نتایج: ۳۴ پرستار (۶۸٫۰٪) اعتماد به نفس بالا و ۳۵ پرستار (۷۰٫۰٪) تاب‌آوری بالا را گزارش کردند. تحلیل آماری ارتباط معناداری بین اعتماد به نفس و تاب‌آوری نشان داد (p = 0.005؛ OR = 6.00؛ 95% CI: 1.60–22.55)، که نشان‌دهنده شانس بیشتر تاب‌آوری بالا در میان پرستارانی با اعتماد به نفس بالا است. نتیجه‌گیری: اعتماد به نفس با تاب‌آوری در میان پرستاران اورژانس ارتباط معناداری داشت. ادغام برنامه‌های توانمندسازی روان‌شناختی در برنامه‌های آمادگی بیمارستان برای بلایا می‌تواند قابلیت‌های سازگاری پرستاران را تقویت کرده و آمادگی مراقبت اورژانس را حمایت کند.

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.

This study aimed to analyze the mediating role of parent–school interaction disturbance in the relationship between parental job burnout and children’s academic burnout among workers in the petrochemical industries of Ardabil. A descriptive correlational design using structural equation modeling was employed with a sample of 218 working parents. Standardized instruments were used to assess parental job burnout, parent–school interaction, and children’s academic burnout. The results showed that parental job burnout had a positive and significant effect on parent–school interaction disturbance and children’s academic burnout. Parent–school interaction disturbance also had a positive and significant effect on children’s academic burnout. In addition, the indirect effect of parental job burnout on children’s academic burnout through parent–school interaction disturbance was statistically significant, confirming partial mediation. The findings indicate that the consequences of parental job burnout may extend beyond the occupational domain and affect children’s educational experiences. The study highlights the importance of reducing parental occupational stress and strengthening the relationship between families and schools as relevant strategies for preventing children’s academic burnout.

ABSTRACT Disasters caused by the eruption of Mount Semeru not only cause physical damage but also affect the mental condition of the victims, especially teenagers as one of the vulnerable groups who are going through psychosocial development in their lives. Teenagers after a disaster can experience anxiety, stress, depression, and even PTSD. This community service aims to improve stress management skills, rebuild a sense of safety, and enhance social connections within the community. This community service applied a psychosocial intervention method to improve knowledge, stress management skills, and peer support using growth focus resilience questionsare. From the analysis of measurement results from 19 respondents who underwent psychosocial interventions, there was a tendency for their psychological conditions to improve. This is evidenced by the average score increasing from 66.11 to 75.00 out of a maximum score of 80, indicating the potential of REM-JIWA in enhancing the adaptive ability and psychological resilience of post-disaster adolescents. Psychosocial interventions can reduce stress levels in teenagers and improve their knowledge of stress management and resilience in adolescents. Keywords: Semeru Eruption, Psychosocial Intervention, Semeru Eruption, Post- Disaste, Adolescents.

The article examines the potential of mindfulness exercises for promoting students’ well-being and improving the effectiveness of English language teaching in higher education institutions of Ukraine. The relevance of the study is due to the increasing levels of stress, anxiety, emotional exhaustion, and reduced motivation among students, particularly in the context of the ongoing war in Ukraine, which highlights the need for educational approaches that support both academic achievement and psychological well-being. The paper reviews contemporary theoretical and empirical research on mindfulness, outlines its core principles, and analyses their application to the foreign language classroom. Particular attention is paid to the contribution of mindfulness to reducing foreign language anxiety, strengthening emotional regulation, increasing resilience, motivation, self-efficacy, concentration, memory, communication skills, and speaking performance. The article also discusses the pedagogical principles underlying effective mindfulness instruction, including intention, attention, attitude, inquiry-based learning, and the creation of a supportive and non-judgemental learning environment. Furthermore, the principles of non-judgement, acceptance, beginner’s mind, patience, non-striving, trust, letting go, and compassion are interpreted in relation to English language learning. Based on the analysed literature, the paper proposes a set of practical mindfulness activities that can be integrated into English language lessons, including mindful breathing, listening, writing, conversations, body scanning, movement, grounding, visualisation, art practices, and savouring. These activities may be used as lesson warm-ups, fillers, transitions, or independent learning tasks to foster students’ emotional well-being while simultaneously developing their communicative competence. It is concluded that mindfulness represents a valuable pedagogical approach capable of creating psychologically safe and engaging learning environments that support both language acquisition and personal development.

Academic stress is a significant psychological and educational concern among undergraduate students because university study involves high academic workload, frequent examinations, strict performance expectations, overlapping deadlines, adjustment to new learning environments, and crucial decisions about future careers. Anxiety may increase substantially when students perceive academic demands as exceeding their available coping resources, whereas self-efficacy refers to students' internal beliefs about their capability to successfully organize and execute courses of action required to manage academic tasks. The present study proposes to examine the complex relationship among academic stress, anxiety, and self-efficacy among undergraduate students. A quantitative, cross-sectional, correlational research design will be used. Undergraduate students meeting the inclusion criteria will be recruited using an appropriate non-probability sampling technique. Data will be collected using a demographic information sheet and standardized self-report measures of academic stress, anxiety, and general/academic self-efficacy. Descriptive statistics, reliability analysis, Pearson correlation, and multiple regression will be used to examine the study variables. The findings may assist counselling psychologists, student-support services, faculty members, and educational institutions in identifying modifiable psychological factors relevant to undergraduate adjustment.

Psychosocial risks are an important occupational health concern and may be associated with emotional exhaustion through psychological mechanisms related to employees’ appraisal of adverse working conditions. This secondary analysis used a quantitative, cross-sectional design and data from 458 university employees to examine the mediating role of perceived stress and the moderating role of resilience in the association between psychosocial risks and emotional exhaustion. Correlation, mediation, and moderation analyses were performed, with bootstrap estimation based on 10,000 resamples. Greater psychosocial risk was associated with higher perceived stress and emotional exhaustion, whereas resilience was associated with lower perceived stress. Perceived stress partially mediated the association between psychosocial risks and emotional exhaustion, accounting for approximately 32.5% of the total association. The stress–resilience interaction was statistically significant in the unadjusted model, although its incremental contribution was small (ΔR² = 0.004); after adjustment for sociodemographic and occupational covariates, the interaction retained a similar direction but did not reach conventional statistical significance (p = 0.058). The model accounted for 59.6% of the variance in emotional exhaustion. Given the cross-sectional design, these findings represent statistical associations and do not establish temporal or causal relationships. The results support considering organizational psychosocial conditions, perceived stress, and resilience jointly when examining occupational well-being among university employees.

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.

Background While the COVID-19 pandemic caused major disruptions to social connections and lifestyles, many countries continued the sale of alcohol as an essential commodity. Evidence on change in alcohol use, and its association with mental health and wellbeing during the pandemic is, however, mixed and limited to initial periods of the pandemic. This study aimed to address these research gaps. Methods Data were drawn from the COVID-19 Risks Across the Lifespan (CORAL) Study, a three-wave longitudinal study conducted between May 2020 and April 2021. The present sample included 2,369 participants (age M = 38.81 ± 16.94 years, range = 11–100; 90% females) from the United Kingdom, United States, and Australia. Measures included pre-pandemic alcohol use and changes in consumption frequency, quantity, drinking behaviours (e.g., drinking earlier in the day), and motivations (e.g., drinking for enjoyment) during the pandemic. General perceived stress, COVID-19-related stress, loneliness, and symptoms of depression and anxiety were also assessed. Findings Drinking frequency and quantity remained stable across the first year of the pandemic; however, non-linear age associations were found. Young individuals aged between 11 to 20 years, and mid-aged individuals aged between 50 to 70 years, had the highest probability of increased alcohol use frequency and quantity. Drinking behaviours and motivations also remained largely stable, although age- and country-specific differences emerged, potentially reflecting policy differences such as alcohol access restrictions and lockdown measures. Finally, loneliness unidirectionally predicted subsequent alcohol use quantity. Conclusions These findings highlight the heterogeneous alcohol use patterns across age groups and countries during the pandemic, and underscore loneliness as an important public health issue with implications for alcohol misuse.

Stress is an important physiological and psychological reaction which, when prolonged, has a negative impact on the health and well-being of humans. Traditional stress assessment methods tend to be subjective and are not scalable in real-time. In this research, a lightweight machine learning framework to predict stress from easily measurable environmental and activity-related features, temperature, humidity, and steps, is introduced. The proposed method is different from the approach that depends on complex physiological signals and uses minimal non-invasive inputs that can be applied in the wearable and IoT field. The stress level is considered as the target variable, and all the features used as input variables are independent from each other to prevent data leakage. There are several machine learning and deep learning models and their performances are measured, such as LightGBM, Support vector machine (SVM), AdaBoost, Gated Recurrent Unit (GRU). Bayesian hyperparameter optimization is used to improve the performance of the model and guarantee strong generalization. Experimental results show that LightGBM outperforms the other models, giving an accuracy of 97% and a balanced precision, recall and F1 score of 95%. The results demonstrate promising predictive performance on the evaluated dataset. However, since the model was validated on a relatively small publicly available dataset, further evaluation using larger and more diverse real-world datasets is required before practical deployment.

In volleyball, as in other sports, special attention should be paid to the individual characteristics of the athlete. However, this is often neglected. Most problems arise when the selection criteria for a role are not a player’s personal qualities, but rather their technical and tactical skills (tallness, a strong dominant arm, etc.). Here, it’s not just the player’s skills that matter, but also how they present themselves as a person. Many personal qualities are determined by a person’s genetic code, which cannot be changed. The nervous system, temperament, and character play a crucial role in success in volleyball. Athletes’ activities during volleyball are subject to many specific characteristics inherent to the game. The fast pace, the variety and unexpectedness of game situations, the interaction with teammates, the intermittent pace, and other characteristics place mental demands on volleyball players that are markedly different from those placed on, for example, a gymnast during gymnastics exercises. A volleyball player must be able to quickly and accurately navigate changing conditions, instantly switch from one situation to another, and be prepared for any actions by teammates and opponents. The time constraints of fast-paced play place high demands on reaction time and decision-making. Two main types of neuropsychological resilience can be distinguished: players with an unstable nervous system and those with an inert nervous system. In the former case, a player may involuntarily change their mental state before an important game, sometimes becoming calm, sometimes excited. It is important to properly prepare such volleyball players. High-intensity and prolonged training before the game will help them focus and distract themselves from external stress. An athlete with this type of nervous system should focus on the technique and precision of the elements they perform. In the case of an inert nervous system, training should be focused on mental work. Before the game, a volleyball player should begin psychological preparation, which will consist of positive and negative mental stimulation based on the athlete’s personal experience. When working during training or warm-ups, it’s important to emphasize the athlete’s potential dangers.

Sports betting has expanded across sub-Saharan Africa, increasingly intersecting with young people’s aspirations, technological accessibility, and economic insecurity. Although awareness of gambling-related risks may influence young people’s decisions, recognising such risks does not necessarily lead to cessation of betting. This study explored how young bettors understood betting risks in Shibai Street, Buhongwa Ward, Mwanza, Tanzania. A qualitative cross-sectional study employing ethnographic methods was conducted between July and August 2025. Data were collected from 18 purposively selected active bettors aged 18-29 years through in-depth semi-structured interviews, non-participant observation, and informal conversations. Interviews were conducted in Kiswahili, audio-recorded, transcribed into English, and analysed thematically following Braun and Clarke’s approach. The findings were interpreted using Verstehen, strain, and rational choice perspectives. Participants identified financial loss, difficulty stopping, stress and mental distress, relationship conflict, theft, reduced attention to work or learning, reduced work-seeking, dishonesty, deepening poverty, and loss of personal possessions as important betting-related risks. However, awareness of these risks did not consistently result in withdrawal from betting. Some participants continued because betting provided hope, expectations of quick financial gains, peer influence, and a perceived opportunity to escape poverty. The study concludes that understanding betting risks among youth requires attention to the meanings attached to betting and the economic and social circumstances within which participation occurs. Risk education should therefore be complemented by livelihood opportunities, community support, counselling, and appropriate harm-prevention measures.

Cyberbullying has become an important concern for adolescent well-being because online harassment can continue beyond school settings and expose young people to repeated social stress. This study examined the relationships between cyberbullying exposure, emotion-regulation strategies, and mental health among adolescents. A quantitative, cross-sectional correlational design was used with 100 secondary-school adolescents aged 13-18 years (M = 15.42, SD = 1.38). Measures included the Cyber-Victimization Scale (CYBVICS), Emotion Regulation Questionnaire (ERQ), and Early Adolescent Mental Health Scale (EAMHS). Descriptive statistics, Pearson product-moment correlations, and simple linear regression analyses were reported. Cyberbullying exposure was negatively correlated with cognitive reappraisal (r = -.42, p < .001) and mental health (r = -.58, p < .001), and positively correlated with expressive suppression (r = .48, p < .001). Cognitive reappraisal was positively associated with mental health (r = .51, p < .001), whereas expressive suppression was negatively associated with mental health (r = -.46, p < .001). Regression analysis indicated that cyberbullying exposure accounted for 33.6% of the variance in mental-health scores, R? = .336, F(1, 98) = 49.68, p < .001. The findings indicate meaningful associations among online victimization, emotion regulation, and adolescent well-being. Because the study is cross-sectional and relies on self-report measures, the findings do not establish causality.

Mothers often manage everyday discipline while also carrying the strain and worry that come with raising a child, yet these experiences are rarely studied together in Indian samples. This study examined the relationship between parenting attitude, parental stress, and anxiety in mothers. A quantitative, cross-sectional correlational design was used with 59 mothers selected through convenience sampling. Participants completed a 30-item questionnaire rated on a five-point Likert scale, in which parenting attitude was assessed through three dimensions (laxness, over-reactivity, and verbosity), and parental stress and anxiety were each assessed with ten study-developed items. Data were analysed using descriptive statistics, Cronbach's alpha, and Pearson's correlation, with Spearman's rank correlation as an additional check. Mean scores were 3.30 (SD = 0.54) for parenting attitude, 3.06 (SD = 0.89) for parental stress, and 3.16 (SD = 0.72) for anxiety. Significant positive correlations were found between parenting attitude and parental stress (r = .52, p < .001), parenting attitude and anxiety (r = .44, p < .001), and parental stress and anxiety (r = .51, p < .001), and all three remained significant in a sensitivity analysis. Over-reactivity and verbosity were more strongly related to stress than laxness was. The findings suggest that difficulties in discipline, parenting strain, and worry tend to occur together, and that support for mothers could address emotional strain alongside parenting skills.

Background: Rural women in India are often confronted with situations that make it difficult for them to access formal mental health services such as inaccessibility, internalized stigma, believing that suffering is due to external causes and gender inequalities. These barriers delay receiving formal care for mental health and make these women resort to informal ways of coping such as community support and local faith healers. Methods: This study aimed to explore the informal coping strategies and beliefs around mental health among 100 rural women over the age of 18 years residing in Amroha district of Uttar Pradesh, India. Being a qualitative study, the method employed for the survey was focused group discussions and the participants were included through a convenience snowball sampling. The discussions were held in Hindi language for the ease of the participants and were recorded for analysis which was done through a thematic analysis approach. Results: The results highlighted six broad themes: (1) burden of responsibilities and emotional burnout, (2) physiological manifestations of psychological distress, (3) normalization of chronic stress, (4) psychological distress arising from marital conflict and gender-based adversity, (5) reliance on spiritual and informal coping strategies in place of formal mental healthcare, and (6) emotional suppression and silent tolerance. Conclusions: The findings suggest the urgent need to design culturally aligned psychotherapeutic interventions that focus on creating awareness through psychoeducation that could reduce stigma as well as helping rural women deal with their unmet mental health challenges.

Abstract Purpose Forced migration increases vulnerability to exploitation. Globally, around 50 million people are affected by human trafficking, which often involves trauma with negative mental health effects. Forced migrants already face elevated risks of PTSD, depression, and anxiety, yet the specific association of trafficking on their mental health remains unclear. Methods Symptoms of posttraumatic stress disorder (PTSD), depression, anxiety, and overall stress were assessed using standardized screening instruments (PC-PTSD-5, PHQ-4, and the Distress Thermometer). Experiences of human trafficking were measured with a modified version of the Adult Human Trafficking Screening Tool (AHTST) among forced migrants in Germany. Missing data were handled using multiple imputation. Logistic regression analyses were conducted to examine the association between human trafficking and positive screenings for the respective mental health conditions. Results A total of N = 1108 forced migrants participated in the study. Depending on the imputation model, between 49% and 56% of all participants screened positive for PTSD, 60% to 71% for depression, and 41% to 52% for an anxiety disorder. Among participants who screened positive for these mental health conditions, a positive screen for human trafficking was associated with a 30–40% higher probability of screening positive for PTSD and a 15% to 20% higher probability of screening positive for depression or anxiety disorder. Conclusions Forced migrants with a history of human trafficking are at elevated risk for PTSD, depression, and anxiety than those without, underscoring the need for early identification and tailored psychosocial support.

The aim of the study consists in the theoretical substantiation of the psychological preparation of basketball players before important matches and the identification of the most effective methods of regulating the psycho-emotional state of athletes. Research methods: theoretical analysis and generalisation of scientific and methodological literature. Research results. Analysis of scientific sources and practice of training basketball teams allows us to state that responsible matches are accompanied by significant psycho-emotional stress. It can be associated with the importance of the result, the level of the opponent, the expectations of the coach, partners and fans, as well as with previous experience of victories or defeats. One of the most common psychological states before a responsible game is pre-start anxiety. Its excessive level can negatively affect the accuracy of throws, speed of decision-making, coordination of movements and the ability to act in accordance with the tactical plan. At the same time, moderate mental stress can have a positive meaning, as it helps to mobilize forces, increase the activity and concentration of the athlete. An important result of the study is the statement that the psychological readiness of a basketball player is formed in the following main areas: the formation of self-confidence, the development of concentration, the use of breathing exercises and muscle relaxation, the use of mental rehearsal (imitation of competitive moments), the formation of team psychological readiness, the importance of the coach’s activities. Conclusions. Psychological preparation is an important component of the overall preparation of basketball players and directly affects the stability of their competitive activity. Before important matches, athletes may experience increased anxiety, emotional tension, lack of self-confidence, decreased concentration, and fear of making mistakes. The optimal mental state of a basketball player before the game involves a sufficient level of mobilization, emotional balance, self-confidence, concentration, and readiness for team interaction. The most effective methods of psychological preparation are breathing exercises, muscle relaxation, positive self-suggestion, mental rehearsal, modeling competitive situations, individual methods of preparing for the match, and team guidelines. Psychological preparation should be carried out systematically throughout the entire training process. Conducting it only on the eve of a critical match does not provide a sufficient level of psychological readiness.

The article is devoted to substantiating the structural components of stress resilience of future managers in the process of professional training in institutions of professional pre- higher education. The relevance of the study is determined by the growing demands on the professional activity of a modern manager, which is characterized by high responsibility, the dynamic nature of management processes, the need for prompt decision-making, constructive interaction with people, and effective functioning under conditions of constant change and psycho- emotional workload. Based on the analysis of scientific sources, it has been established that there is no unified approach to determining the structure of stress resilience in contemporary psychological and pedagogical literature. Depending on their conceptual foundations, researchers focus on its emotional, cognitive, behavioral, motivational, and personal characteristics. In this study, stress resilience is considered as a form of psychological resilience that ensures an individual’s ability to adapt effectively to the influence of stressors, maintain the productivity of professional activity, and act constructively in complex managerial situations. The author’s structure of stress resilience of future managers has been substantiated, comprising motivational-value, cognitive- behavioral, emotional-regulatory, and reflexive-communicative components. It has been established that the motivational-value component determines an individual’s orientation towards developing their own stress resilience and awareness of its professional significance; the cognitive-behavioral component characterizes the level of knowledge about the nature of stress and the ability to apply effective ways of coping with it; the emotional-regulatory component ensures self-control, emotional balance, and the ability to act under conditions of psychological tension; the reflexive-communicative component is associated with self-analysis of professional activity, constructive interaction within a team, and readiness for personal and professional self-improvement. The proposed component structure can be used as a theoretical basis for developing criteria, indicators, pedagogical conditions, and a model for developing stress resilience in future managers.

Digital technologies have become integral to higher education, yet the psychological strain they create for students is still poorly understood from the students’ own perspective, particularly in developing countries. This qualitative study explored university students lived experiences of digital stress (used interchangeably with technology stress and technostress to denote stress arising from digital devices and technology-based academic systems), including its sources, psychological impacts, and coping strategies. A phenomenological qualitative design was employed. Fifteen students (7 male, 8 females; aged 19–28 years) enrolled in BS, MS/MPhil, and PhD programmes at public and private universities in Islamabad and Rawalpindi, Pakistan, were selected through purposive sampling and interviewed using semi-structured, in-depth interviews. The data were analysed using the thematic analysis approach of Braun and Clarke (2006). Five themes were identified: (1) Academic Digital Overload, (2) Technological Anxiety and Uncertainty, (3) Emotional and Cognitive Exhaustion, (4) Constant Connectivity Pressure, and (5) Coping Strategies for Digital Stress. Students described managing multiple platforms and a continuous digital workload, fear of technical failure during examinations and submissions, mental fatigue, reduced concentration and irritability, and an expectation of being permanently available. Despite these stressors, students used time management, digital breaks, and peer support to cope. Interpreted through Technostress Theory and the Transactional Model of Stress and Coping, the findings show that digital stress is a multidimensional phenomenon shaped by academic demands, technological environments, and coping resources. Universities should develop student-centred digital learning systems that reduce technology-induced stress and promote psychological well-being.

Abstract Subclinical depression among peacekeeping veterans remains understudied despite its prevalence and potential to progress to major depression. This study examined associations between deployment-related traumatic stressors and subclinical depressive symptoms in 2,258 Finnish peacekeeping veterans. Subclinical depression was measured using the Depression Scale (DEPS) and traumatic stressor exposure via a 16-item questionnaire. Frequent traumatic stressor exposure was associated with an increased risk of subclinical depression, with 5 out of 16 stressors showing significant associations. The strongest predictor was feeling powerless to help sufficiently within one’s role as peacekeeper, suggesting moral injury significantly contributes to the development of subclinical depression. These results highlight the importance of developing post-deployment screening to detect non-danger-based stressors and subclinical conditions that carry the risk of progressing into severe mental health disorders.

Mothers handle everyday discipline while also carrying the strain and worry of the parenting role, yet these experiences are often studied separately. This study examined the relationships between parenting attitude, parental stress, and anxiety among mothers. A quantitative, cross-sectional correlational design was used with a convenience sample of 59 mothers, who completed a 30-item questionnaire rated on a five-point Likert scale. Parenting attitude was assessed through three discipline dimensions based on the Parenting Scale (laxness, over-reactivity, and verbosity), and parental stress and anxiety were each assessed with ten statements developed for the study. Data were analysed using descriptive statistics, Cronbach's alpha, and Pearson and Spearman correlations. Mean scores were 3.30 (SD = 0.54) for parenting attitude, 3.06 (SD = 0.89) for parental stress, and 3.16 (SD = 0.72) for anxiety. Parenting attitude correlated positively with parental stress (r = .52, p < .001) and anxiety (r = .44, p < .001), and parental stress correlated with anxiety (r = .51, p < .001). Over-reactivity and verbosity were more closely related to stress than laxness was. Internal consistency was high for the stress (α = .91) and anxiety (α = .88) scales. The findings suggest that discipline difficulties, stress, and worry tend to occur together in mothers, although the design does not permit causal conclusions. Support programmes for mothers may benefit from addressing stress and worry alongside parenting skills.

The rapid growth of social media has transformed communication and information sharing; however, excessive use can promote procrastination and avoidance of academic tasks, contributing to increased test anxiety among students. This study explores how social media use and procrastination contribute to test anxiety among the said population. A cross-sectional design was employed with sample of 284 university students (M = 110, F = 160) with a mean X age=20.8 years selected through convenience. Social media was measured through Social Media Use Questionnaire (Xanidis and Brignell, 2016), procrastination was assessed using the Lay Procrastination Scale (Lay, 1986) and test anxiety was evaluated by Westside Test Anxiety Scale (Driscoll, 2004). Data was analyzed using correlation and regression analysis. The results revealed significant positive correlation between social media use, procrastination, and test anxiety. Regression analysis showed that both the use of social media and procrastination significantly forecasted test anxiety, indicating that an increased occurrence of problematic digital engagement and reduced self-control leads to academic stress. These findings highlight the fact that university-level interventions encourage healthier digital habits and stronger individual control of students. Also, it emphasizes the need for parents and educators to promote effective study habits and self-regulation, as excessive social media use limits students’ available study time.

Background: Examinations can trigger stress related to performance expectations, uncertainty, and the consequences of receiving a particular grade. Stress may be especially salient for students seeking the highest grade and for students who need a minimum passing grade to complete a course. Objective: To outline a comparative investigation of pre-examination stress among students at Gori State University and European University, with particular attention to students aiming for an A (91–100 points) and students for whom an E-range result (51–60 points) may be sufficient to complete the subject. Methods: The proposed cross-sectional study includes 50 students, 25 from each university. A brief questionnaire should record perceived stress before the examination, grade-related expectations, perceived consequences of the result, and basic demographic/academic variables. Results: The numerical example in this draft is illustrative only and does not represent verified participant data. It demonstrates a reporting structure in which stress scores are compared by university and by grade-related concern. Conclusion: Grade-related expectations and fear of failing may represent different pathways to examination stress. Actual conclusions require analysis of the completed dataset.

Background: Examination periods can coincide with psychological stress, sleep difficulties, and uncertainty about academic performance. Students may continue to feel tense while waiting for results or further assessment, particularly when they are unsure how well they answered the examination questions. Objective: To describe students’ reported stress and sleep difficulties before and after examinations at Gori State University and European University, and to explore themes appearing in anonymous open-ended questionnaire responses. Methods: The study is described as a comparative questionnaire study involving 50 students, with 25 participants from each university. Anonymous questionnaires were administered before and after an examination. The questionnaire asked about stress, sleep, feeling tired or sleepless, waiting for further assessment or results, and students’ perceptions of how they had answered the test. Results: The preliminary account supplied for this draft indicates that sleep difficulty associated with stress and concern while waiting for further assessment were recurring concerns in open-ended responses. The initial estimate was approximately 5% of students reporting satisfaction with their answers. With 50 participants, the closest possible whole-person counts are 2 students (4%) or 3 students (6%); the original questionnaires must be checked to establish which count is correct. No further frequency estimates or statistical tests are reported because participant-level data were not provided for analysis. Conclusion: Anonymous pre- and post-examination questionnaires may help educators identify students’ concerns about sleep, stress, and uncertainty. Findings should be interpreted as preliminary until response counts, scoring procedures, ethics information, and the exact number of students reporting satisfaction are verified.

Background Academic burnout is a concern among undergraduate sports majors. Although previous studies have emphasized training- and school-related stressors, less is known about the role of family resources and related psychological mechanisms. Objective This study examined the associations among family capital, academic self-efficacy, and academic burnout, including differences across family capital dimensions and the mediating role of academic self-efficacy. Methods This cross-sectional study included 325 first- and second-year students enrolled in sports-related degree programs at a sports university in Yunnan Province, China. Pearson correlation, one-way ANOVA, and mediation analysis using PROCESS Model 4 with 5,000 bootstrap resamples were conducted. Results Family capital was positively associated with academic self-efficacy (r = 0.554, p < 0.001) and negatively associated with academic burnout (r = −0.575, p < 0.001). Cultural and social capital were significantly associated with higher self-efficacy and lower burnout, whereas economic capital was not significantly associated with burnout. Students with lower family capital reported lower self-efficacy and higher burnout. Academic self-efficacy partially mediated the association between family capital and burnout (B = −0.52, 95% CI [−0.66, −0.40]), accounting for 44.33% of the total effect. Conclusion Family capital was associated with academic burnout among undergraduate sports majors, with stronger associations for cultural and social capital than for economic capital. Academic self-efficacy represented a partial mediating pathway. Universities should provide targeted academic guidance, learning support, and educational and career information for students with limited family resources and lower academic self-efficacy.

Background Sleep problems are common among university students due to academic stress, lifestyle factors, and psychological distress and may adversely affect physical and mental health, academic performance, and social functioning. Mindfulness-based interventions (MBIs) have increasingly been used as a non-pharmacological approach to improve sleep health; however, previous findings remain inconsistent, and evidence specifically addressing sleep quality in university students remains limited. This study aimed to systematically evaluate the effects of MBIs on sleep quality in university students and explore factors that may account for variations in intervention effects. Methods We searched seven databases—PubMed, Web of Science, EBSCO, the Cochrane Library, Scopus, Embase, and ScienceDirect—from inception to June 26, 2026. Randomized controlled trials (RCTs) evaluating MBIs for sleep quality in university students were included. Two reviewers independently conducted study selection, data extraction, and risk-of-bias assessment using the RoB 2 tool. Meta-analysis was conducted in Stata 17.0 using a random-effects model. Subgroup analyses, sensitivity analyses, publication bias assessment, and GRADE assessment were also performed. Results Ten RCTs involving 638 university students were included, with 335 participants in the intervention groups and 303 in the control groups. MBIs significantly improved sleep quality [SMD = −0.97, 95% CI (−1.43, −0.51), p < 0.001], although substantial heterogeneity was observed ( I 2 = 85.1%). Subgroup analyses revealed statistically significant between-group differences with respect to sleep-outcome measurement instrument ( p = 0.001), intervention type ( p = 0.009), and session duration ( p = 0.030), indicating that these variables may partially account for the observed heterogeneity. Sensitivity analyses supported the robustness of the pooled results. Egger’s test revealed no evidence of significant publication bias ( p = 0.270). The certainty of the evidence was rated as low according to the GRADE framework. Conclusion MBIs may improve sleep quality in university students. However, given the substantial heterogeneity and low certainty of evidence, further high-quality RCTs are needed to confirm these findings. Systematic review registration CRD420261458068, https://www.crd.york.ac.uk/PROSPERO/view/CRD420261458068 .

Aim and background: Sleep is a biological necessity essential for physical and mental well-being, yet many young adults, particularly college students, experience sleep disruptions due to major life changes and poor sleep hygiene.This study aimed to identify the determinants of insomnia among undergraduate female students in a rural area of Haryana.Materials and methods: A mixed-method study was conducted between May 2024 and May 2025 involving 340 undergraduate female students.Quantitative data were collected using a semi-structured socio-demographic questionnaire and the insomnia severity index (ISI).Qualitative insights were gathered through in-depth interviews (IDI) with 15 students identified with clinically significant insomnia.Statistical analysis was performed using SPSS software version 26, with significance set at p < 0.05.Results: The prevalence of clinically significant insomnia in the cohort was 5.6% (n = 19).Quantitative analysis revealed that the participant's state of origin was the only statistically significant socio-demographic determinant (p = 0.031).Students from states other than Haryana reported a significantly higher insomnia prevalence (12.5%) compared to those from Haryana (4.2%).Factors such as age, socio-economic status, and type of occupancy showed no significant correlation.Qualitative themes highlighted academic performance, overuse of electronic devices, social environment, and psycho-social stress as primary triggers.Conclusion: While the prevalence of insomnia is relatively low, it is significantly driven by academic transitions, excessive screen time, and communal living challenges.A notable awareness-action gap exists, as students recognize the importance of sleep but prefer self-management or mindfulness over professional clinical help.

Stress is a major contributor to physical and mental health disorders, underscoring the need for reliable and interpretable detection systems. We present an interpretable multimodal deep learning framework that integrates electrocardiogram (ECG), electrodermal activity (EDA), and respiration signals using modality-specific neural architectures complemented by feature-based classical models. To ensure robustness and generalizability, the framework was evaluated under both subject-independent and subject-dependent protocols. Results show that multimodal fusion consistently outperformed single modalities, achieving 94.8% accuracy, 93.9% F1-score, and 0.97 AUC under subject-independent validation, compared with 86–91% accuracy for individual signals. In subject-dependent experiments, performance reached 97.2% accuracy and 96.8% F1-score. Comparative analysis with recent state-of-the-art methods demonstrated the competitiveness of our approach, while ablation studies confirmed the contribution of each modality and fusion strategy. Statistical significance testing with ( p < 0.05) further validated the reliability of these gains. Importantly, interpretability analyses using Grad-CAM and attention visualization provided physiological insights, revealing that the model emphasizes clinically meaningful regions such as ECG R-peaks and phasic EDA fluctuations. By uniting high performance, robustness, and interpretability, this work advances stress detection research and offers a physiologically grounded framework for continuous mental health monitoring.

Aim and background: Excessive daytime sleepiness (EDS) is reported far less often than poor nocturnal sleep quality in Indian medical students.We aimed to estimate EDS prevalence and its independent correlates (primary), and to compare these with poor sleep quality correlates in the same cohort and relate both to examination performance (secondary).We hypothesized that sleep hygiene behavior, not global sleep quality category, would dominate.Materials and methods: Prospective cross-sectional study of 354 of 450 eligible MBBS students (78.7%) at a Southern Indian college, sampled by stratified proportional randomization.Under supervised standardized administration, they completed the Epworth Sleepiness Scale (ESS; EDS >10), Pittsburgh Sleep Quality Index (PSQI), and Sleep Hygiene Index (SHI), with screen time, stress, mood, lifestyle, clinical covariates, and the latest university examination percentage.Excessive daytime sleepiness correlates were examined by logistic regression with a pre-specified confounder-adjusted sensitivity model.Results: Excessive daytime sleepiness affected 21.5% [95% confidence interval (CI) 17.5-26.0],more often among poor than good sleepers (27.7% vs 18.6%).Adjusted [area under the receiver operating characteristic curve (AUC) 0.773, 0.714-0.832],only poorer sleep hygiene remained independent [odds ratio (OR) 1.12 per point, 1.07-1.18],unchanged after adjustment for all measured confounders (1.12, 1.06-1.17).Examination percentage did not differ by sleep status (67.33 ± 5.16 vs 68.07 ± 5.72; p = 0.229); academic stage and sex, not sleep, predicted marks (R² = 0.152).Conclusion: In this cross-sectional sample, EDS was associated more closely with sleep hygiene behavior than with global sleep quality category, and the two had distinct correlation profiles.Screening for sleepiness alongside sleep quality, and addressing bedtime device use, merit consideration in student health services.These are associations only; no direction of effect can be inferred.Clinical significance: Measuring EDS alongside global sleep quality identifies a partly distinct at-risk group, for whom brief counselling on bedtime device use may be more specific than generic sleep hygiene advice.

Introduction This simulation-based computational study develops a non-linear state-space framework for stress-related negative cognitive bias and multivariate EEG/ERP observations. Methods A three-state model represents negative bias, cognitive control, and arousal, while symptom load and normalized model stress input reshape a quartic bias potential. N2, P3, late positive potential, frontal theta, frontal alpha asymmetry (FAA), and frontoparietal phase locking provide complementary observation channels. Additional checks distinguish the non-linear benchmark from additive and interaction-only competing generators, examine equilibria of the full coupled system, and perturb the observation model. Results We establish bounded stochastic dynamics, a conditional scalar multistability boundary, stable-branch stress sensitivity, and a sufficient local state-observability condition. A seeded benchmark with 180 simulated participants yields model-implied stress-by-symptom slopes of 66.83 ms for response time, 1.12 μV for LPP, 0.775 dB for frontal theta, 0.133 for FAA, and 0.0769 for frontoparietal PLV. Under a non-linear generating process, mean held-out RMSE was 0.060 for the pre-specified quartic candidate vs. 0.436 for the interaction-only candidate. State-reconstruction RMSE increased from 0.152 under the nominal loading matrix to 0.232 under 15% loading perturbations. Discussion These results demonstrate implementation consistency and characterize model sensitivity; they are not clinical effect estimates or evidence of empirical parameter identifiability.

Developing effective therapeutic protocols for LGBTQIA+ individuals requires a commitment to practices that do not perpetuate suffering. Addressing negative internalizations and minority stress are two common transdiagnostic aspects within this population. Therapeutic models, such as Schema Therapy (ST), have emerged as a promising strategy; however, research in this area is scarce. This study aimed to evaluate an Affirmative ST program for LGB individuals. The program was tested in a pilot study involving nine participants. A total of 10 sessions were conducted, and the evaluation focused on: positive and negative affect, anxiety, stress (including minority stress), and depression. The effects of the intervention were analyzed using the Hageman-Arrindell approach and GEE. Significant differences were found for: reduction in depression; stress; anxiety; negative affect; and an increase in positive affect and stigma perception. This research represents a pioneering effort in the field of ST with LGBTQIA+ individuals, and further studies are encouraged.

The aim of this systematic review is to comprehensively evaluate recent research examining the relationships between teachers’ psychological resilience, burnout, and related variables from a holistic perspective. In this context, empirical and review studies published between 2020 and 2025 and conducted with teacher samples were analyzed using a systematic review methodology. The literature search was carried out in the Social Sciences Citation Index (SSCI), Emerging Sources Citation Index (ESCI), and Scopus databases, and studies were selected based on predetermined inclusion and exclusion criteria. As a result of this process, 23 empirical studies and 4 review studies were included in the systematic review.The findings indicate that teachers’ psychological resilience is negatively associated with the emotional exhaustion and depersonalization dimensions of burnout, while it is positively related to favorable outcomes such as professional efficacy, well-being, and work engagement. Teachers with higher levels of psychological resilience appear to be more resistant to occupational demands and experience lower levels of burnout symptoms. While some of the reviewed studies identified psychological resilience as a direct predictor of burnout, others revealed indirect effects through variables such as job stress, teacher self-efficacy, motivation, and organizational conditions. The findings of the review studies further support these results and emphasize the importance of conceptualizing teachers’ psychological resilience within a framework of individual and organizational resources.In conclusion, this systematic review demonstrates that teachers’ psychological resilience functions as a significant protective factor against burnout. The findings suggest that interventions aimed at strengthening teachers’ psychological resilience at both individual and organizational levels may play a critical role in promoting sustainable teacher well-being.

Background: Spouses of persons with psychosis carry a distinct caregiving burden, but Indian studies often group them with other relatives. The study aims to assess anxiety and stress among spouses of persons with psychosis, examine their association with coping and family functioning, and explore differences by gender and marriage duration. Materials and Methods: In this cross-sectional analytical study, 80 spouses (32 men, 48 women) were recruited by purposive sampling at a tertiary psychiatric hospital in Goa. Anxiety and stress were measured with DASS-21 subscales, family functioning with the General Functioning subscale of the McMaster Family Assessment Device (FAD-GF), and coping with a 10-item researcher-constructed questionnaire. Results: Severe or extremely severe anxiety was reported by 95.0% of spouses, while 86.3% had moderate stress. Anxiety (ρ = 0.31, p = 0.005) and stress (ρ = 0.42, p < 0.001) were positively correlated with FAD-GF scores, indicating poorer family functioning with greater psychological distress. Coping scores were negatively correlated with anxiety (ρ = −0.27, p = 0.015) and FAD-GF scores (ρ = −0.30, p = 0.007), indicating that lower coping scores, defined as more frequent and effective coping, were unexpectedly associated with greater anxiety and poorer family functioning. The correlation between coping and stress was not statistically significant (ρ = −0.21, p = 0.062). Women reported higher anxiety than men (p = 0.047). Family functioning differed across marriage-duration groups (p = 0.036), although no pairwise differences remained significant after Bonferroni correction. Conclusion: Severe anxiety was very common among spouses and was associated with poorer family functioning. Because the design is cross-sectional, the sample is small and from one centre, and the coping scale is not validated, the findings show association only. Routine assessment of spouses and family-focused support are indicated. Keywords: Spouses; psychosis; anxiety; stress; coping; family functioning

Developmental Coordination Disorder (DCD) is associated with elevated rates of anxiety and depression, as well as reduced quality of life, yet the mechanisms linking motor difficulties to these outcomes remain incompletely specified. This article presents and critically evaluates the Integrated Stress-Adaptation Framework for DCD (ISAF-DCD), which synthesizes empirical findings on DCD with established stress theories, including the Environmental Stress Hypothesis, the transactional model of stress, and the Conservation of Resources model. Although the framework is presented with reference to comorbid neurodevelopmental conditions broadly, its evidential basis and worked examples concentrate specifically on attention-deficit/hyperactivity disorder (ADHD) and autism spectrum disorder (ASD); generalization to other neurodevelopmental conditions is plausible but has not been evaluated here. ISAF-DCD proposes that motor coordination difficulties influence mental, cognitive, and physical health through interacting environmental demands, primary and secondary stressors, appraisal and response processes, and personal and social factors. The framework is bidirectional and developmentally sensitive, allowing outcomes to feed back into subsequent stress and adaptation processes across the lifespan. I examine the model’s conceptual coherence, empirical support, and potential clinical utility, arguing that ISAF-DCD offers a theoretically grounded heuristic for organizing a fragmented literature while remaining provisional. Its proposed contributions include clarifying the multiple roles of resilience and social support, refining the classification of environmental demands, incorporating neurodevelopmental comorbidity as a cross-cutting factor, and representing reciprocal relationships between stress and motor functioning. To improve falsifiability, I specify the temporal and functional roles of key dual-role constructs and derive five core, empirically distinguishable propositions that differentiate ISAF-DCD from an expanded Environmental Stress Hypothesis. Direct empirical support for some components, particularly the proposed corticolimbic mechanisms, remains limited. ISAF-DCD should therefore be treated as a hypothesis-generating framework, focused primarily on ADHD and ASD as comorbid conditions and on mental health as its central but not exclusive outcome domain, that requires rigorous longitudinal and intervention-based evaluation.

Background Perceived social support is an important psychosocial resource for competitive athletes, while perceived stress is closely associated with athlete burnout. Drawing on conservation of resources theory and the cognitive-transactional model of stress, this study examines the relationships among perceived social support, perceived stress, and athlete burnout. Objectives This study aims to investigate the associations among perceived social support, perceived stress, and athlete burnout in competitive athletes, with particular attention to the statistical mediating role of perceived stress. Results Using cluster sampling, questionnaire data were collected from 252 competitive athletes across various sports, including track and field, swimming, and football. The results showed that perceived social support was negatively correlated with perceived stress ( r = -0.478, p < 0.01) and athlete burnout ( r = -0.282, p < 0.01), whereas perceived stress was positively correlated with athlete burnout ( r = 0.421, p < 0.01). Mediation analysis revealed a significant indirect association between perceived social support and athlete burnout through perceived stress ( B = -0.161, 95% CI [-0.240, -0.093]). The direct association was not statistically significant after accounting for perceived stress ( B = -0.095, p = 0.109). Conclusion Perceived social support is associated with lower levels of athlete burnout, both through its overall negative association with burnout and through a significant statistical indirect pathway involving perceived stress. These findings highlight the importance of strengthening athletes’ social support systems and addressing perceived stress in competitive sports settings. Given the cross-sectional design, the findings should be interpreted as associations rather than evidence of causal mediation.

Introduction This study examined the moderating role of positive emotion in the relationship between trait-like stress reactivity and negative emotion, and whether this moderating effect varies by cognitive performance and cognitive decline across nine years. Methods Using data from 2,041 participants in the Midlife in the United States (MIDUS) study (mean age = 65.52 years), hierarchical regression models were conducted to predict negative emotion from trait-like stress reactivity, positive emotion, and their interaction, controlling for age, gender, years of education, depressed mood, and neuroticism. Simple slope analyses were conducted to test the direction of significant interactions. Analyses were repeated within subgroups of cognitive performance and cognitive decline across 9 years. Results The interaction between positive emotion and trait-like stress reactivity was significant, with higher positive emotion associated with a weaker relationship between stress reactivity and negative emotion. This moderating effect was observed across low, moderate, and high cognitive performance groups; a three-way interaction further indicated that the moderating effect becomes stronger as cognitive performance increases. For cognitive decline, the moderating effect was significant only among individuals with relatively greater cognitive decline, although the three-way interaction was not significant. Conclusion Positive emotion may buffer the relationship between trait-level stress reactivity and negative emotion across the cognitive performance range, although this moderating effect appears weaker at lower cognitive performance. Findings for cognitive decline were less conclusive, as a subgroup-specific association among participants with greater decline was not confirmed when cognitive decline was analyzed as a continuous moderator.

Final-year engineering students frequently face severe psychological stress driven by demanding capstone projects and rigorous accreditation standards. This research proposes a novel decision-support framework to objectively evaluate, categorize, and systematically manage academic stress among engineering undergraduates. By integrating automated non-parametric machine learning with a multi-criteria network decision model, the research bridges diagnostic psychological profiling and strategic institutional intervention. Data were gathered from six hundred eleven final-year students across four engineering departments using a validated psychometric questionnaire. The automated classification engine utilizes a nearest-neighbor algorithm based on spatial Euclidean proximity to categorize individual distress severity into depression, anxiety, and stress levels without relying on rigid parametric assumptions. Subsequently, a strategic situational assessment and a multi-perspective personal performance framework were established to translate abstract psychological findings into measurable indicators. Clinical experts and academic domain specialists evaluated these indicators using an analytical network process, incorporating complex interdependencies and feedback loops to compute steady-state priority weights. Empirical results revealed that over ninety percent of respondents experienced at least moderate psychological distress. Crucially, the mathematical prioritization demonstrated that the financial perspective holds the paramount priority weight, followed by internal cognitive resilience, continuous knowledge acquisition, and external social relationships. This proves that financial stability serves as a foundational prerequisite for academic recovery and intellectual execution. The primary contribution of this research lies in converting static psychometric evaluations into a dynamic, clinically validated decision-support tool. Higher education institutions and academic counselors can implement this prioritized framework to allocate institutional resources effectively, design targeted financial relief initiatives, and optimize student well-being alongside academic excellence.

Purpose: This study aims to identify the factors influencing teachers’ job satisfaction using a middle school in Dazhou City, Sichuan Province, China. Research design, data and methodology: A quantitative research design was adopted. Questionnaire surveys were distributed to 90 teachers at a middle school in Tongchuan District using stratified random sampling. Multiple linear regression was used to examine the relationships between working hours, work pressure, organizational commitment, teacher self-efficacy, teacher career motivation, and job satisfaction. In addition, a 16-week strategic planning program was implemented with 30 teachers to improve job satisfaction. Paired sample t-tests were applied to compare the pre- and post-intervention results. Results: The multiple linear regression results show that organizational commitment, teacher career motivation, and teacher self-efficacy have significant positive effects on job satisfaction. Working hours and work pressure do not show significant direct effects in the regression model. After the program implementation, the paired sample t-test results indicate significant improvements in working hours, work pressure, organizational commitment, teacher self-efficacy, teacher career motivation, and overall job satisfaction. Conclusions: The findings suggest that school management practices that strengthen organizational commitment, support teachers’ professional motivation, and improve working conditions can enhance teachers’ job satisfaction. Practical actions such as flexible work arrangements, professional development opportunities, and participatory school governance may help improve teachers’ workplace experiences and support sustainable educational development.

Introduction: During the first year of the COVID-19 pandemic, the global prevalence of anxiety and depression rose by about 25%, with women and young people most affected. Now that the emergency phase is over, it is necessary to know the mental health status of university students' families, a group that is rarely measured directly. Objective: To describe the levels of anxiety, depression and perceived stress among nursing students and their family members, and to explore their relationship with age, gender, socioeconomic stratum and religion. Methods: Quantitative, descriptive, cross-sectional study with non-probability convenience sampling. Thirty-nine people aged 17 to 79 took part: third-semester nursing students at Universidad Metropolitana de Barranquilla and their family members. The GAD-7, the PHQ-9 and the 10-item Perceived Stress Scale (PSS-10) were administered. Associations were tested with the chi-square test and, because of the small cell counts, with an exact test estimated by Monte Carlo simulation.Results: Of the participants, 67% were women, 31% were aged 17 to 25, 49% belonged to socioeconomic stratum 2 and 87% were Catholic. Absence of symptoms and mild levels predominated. Mild anxiety was the most frequent category among those aged 17 to 25 (66.7%), and 25% of those aged 44 to 52 had severe anxiety. The chi-square test suggested an association between age and anxiety (p = 0.046), but the exact test did not confirm it (p = 0.080). No other variable was significantly associated with anxiety, depression or stress. Conclusions: Participants mostly showed mild or no symptoms, with no significant differences by sociodemographic variables. The cross-sectional design and the sample size do not allow these levels to be attributed to the pandemic, but the cases of severe anxiety and moderately severe depression among middle-aged family members warrant follow-up of family mental health in the post-pandemic period.

Academic expectations can be an important part of adolescent development, but students may experience these expectations as pressure. This study examined perceived parental pressure and academic stress among school students aged 16-18 years in Thanjavur, Tamil Nadu, and assessed the association between the two variables. A quantitative, descriptive-correlational, cross-sectional design was used. Convenience sampling yielded 61 consenting students. Data were collected through an online structured questionnaire containing a 20-item perceived parental-pressure measure and a 30-item academic-stress measure. Descriptive statistics, Cronbach's alpha, and Pearson's product-moment correlation were used. The mean perceived parental-pressure score was 52.31 (SD = 17.07), and the mean academic-stress score was 85.62 (SD = 22.59). Internal consistency was high in this sample (α = .95 and .96, respectively). Perceived parental pressure was positively associated with academic stress, r = .38, p = .003, 95% CI [.14, .57]. Students reporting greater perceived parental pressure tended to report greater academic stress. Because the study was cross-sectional and used a convenience sample, the findings do not establish causation and should not be generalised to all adolescents. The results highlight the value of realistic academic expectations, supportive family communication, and accessible school-based student support.

Sleep quality is fundamental to college students’ physical and psychological health and academic functioning. Amid increasing digitalization and stress, sleep problems remain prevalent among college students. Previous research has shown that physical activity, cognitive processing styles, and behavioral regulation patterns are associated with sleep outcomes, but these variables have often been examined separately, with limited attention to their integrated association structure. Based on cross-sectional survey data, this study used latent-variable structural equation modeling to examine the sequential indirect association pattern among physical activity, negative attentional bias, bedtime procrastination, and sleep quality. Using cluster sampling, data were collected from 921 college students from four universities in East China (439 males, 482 females; M_age = 20.34, SD = 1.59). Measures included the Physical Activity Rating Scale (PARS-3), Negative Attentional Bias Scale, Bedtime Procrastination Scale, and Pittsburgh Sleep Quality Index (PSQI). Structural equation modeling and bootstrap methods examined indirect associations. Results indicated that physical activity was significantly associated with lower PSQI scores, indicating better sleep quality (B_total = −0.072, β _total = −0.440, p < 0.001). Negative attentional bias and bedtime procrastination both showed significant partial indirect associations. The simple indirect associations through negative attentional bias and bedtime procrastination accounted for 20.8 and 15.3% of the total association, respectively. The sequential indirect association “physical activity → negative attentional bias → bedtime procrastination → sleep quality” was also significant, although its proportion was relatively small (4.2%). Overall, the total indirect association accounted for 40.3% of the total association. Multi-group structural analysis indicated that the association structure was broadly comparable across gender groups, although associations involving bedtime procrastination appeared stronger among female students. By integrating cognitive processing and behavioral regulation perspectives, this study provides a more integrative view of the association between physical activity and sleep quality. The findings suggest that college students’ sleep problems may be embedded within a broader system of health behaviors and psychological processes. Given the cross-sectional design, future longitudinal or experimental studies should examine the dynamic associations among these variables.

Introduction Deception elicits measurable cognitive and linguistic changes, yet accurately identifying deceptive language in high-stakes environments remains a persistent challenge. Although natural language processing (NLP) and machine learning (ML) techniques have shown promise in detecting misinformation and low-stakes deception, their performance on spontaneous, stress-induced speech remains poorly understood. This study investigates linguistic markers of deception and evaluates the performance of supervised ML models and a knowledge-grounded language model, FranklinAsk™, across both synthetic and real-world datasets. Methods Linguistic analyses were conducted on responses from a National Center for Credibility Assessment (NCCA) military training exercise involving truthful and deceptive participants. A synthetic dataset was generated using MOSTLYAI to provide a balanced corpus for ML training. Linguistic features were extracted using pretrained NLP models, and supervised classifiers, including logistic regression, Random Forest, Naïve Bayes, and Support Vector Machine (SVM), were trained using LIWC-22 features with 10-fold cross-validation. The FranklinAsk™ RAG system was evaluated using the same participant responses to compare knowledge-grounded reasoning with statistical learning. Results Two linguistic features, cardinal numbers (nominal p = 0.041) and particles (nominal p = 0.0486), reached the unadjusted significance threshold, each with a moderate effect size ( d = 0.55); neither remained statistically significant after Benjamini-Hochberg FDR correction (adjusted p = 0.668 for both). No significant sentiment differences were observed. On the synthetic dataset, logistic regression performed best (F1 = 0.930; ROC AUC = 0.978), but all supervised models showed substantial performance declines when applied to the real-world dataset. In contrast, FranklinAsk™ achieved the highest F1-score (0.519), highest accuracy (0.487), and second-highest recall (0.700) on the military exercise data. Discussion These findings highlight the limited generalizability of synthetic-trained deception models to real-world, high-stakes communication and motivate further investigation of knowledge-grounded language models as an alternative approach when labeled real-world training data are limited. Future research should prioritize expanding ecologically valid datasets and exploring hybrid approaches that combine statistical modeling with knowledge-grounded reasoning.

Background Everyday stress and social inhibition are relevant to mental health during emerging adulthood. Daily psychological richness may help explain the temporal association between perceived stress and subsequent social inhibition. Methods In a 15-day diary study, 186 emerging adults provided 2,790 observations of perceived stress, psychological richness, and social inhibition. Perceived social support was assessed at the person level. Two-level dynamic structural equation modeling (DSEM) was used to examine lagged associations and cross-level moderation. Results Higher perceived stress was associated with lower psychological richness the following day [estimate = −0.588, 95% highest posterior density credible interval (HPD CrI) (−0.672, −0.501)]. Psychological richness was negatively associated with social inhibition on the subsequent day [estimate = −0.093, 95% HPD CrI (−0.108, −0.079)], and perceived stress showed a positive direct association with social inhibition 2 days later [estimate = 0.224, 95% HPD CrI (0.192, 0.257)]. Higher perceived social support was associated with weaker stress–richness and direct stress–inhibition associations. The credible interval for moderation of the richness–inhibition path included zero. The conditional indirect association was smaller at high than low support [difference = −0.040, 95% HPD CrI (−0.065, −0.016)]. Conclusion The findings identify a temporally ordered indirect association involving daily psychological richness and support-related differences in stress-linked pathways. They inform further research on everyday psychosocial experiences and social functioning among emerging adults.

The increasing participation of women in the workforce has been accompanied by growing professional and personal demands that may affect the psychological well-being of career women. The World Health Organization (WHO) reports that approximately 15% of the working-age population experiences mental health problems, while work-related pressures contribute to approximately 12 billion lost working days annually. These conditions highlight the importance of resilience as a psychological resource that enables career women to adapt, recover, and function effectively when facing workplace challenges. This study aimed to examine the predictive relationships of self-esteem and emotion regulation with resilience among career women. A quantitative cross-sectional survey design was employed involving 200 career women in Semarang City, Indonesia, selected through purposive sampling. Data were collected using questionnaires measuring self-esteem, emotion regulation, and resilience on a five-point Likert scale. The data were analyzed using Structural Equation Modeling–Partial Least Squares (SEM-PLS) with SmartPLS 4 through the evaluation of the measurement model, structural model, and hypothesis testing using a bootstrapping procedure. The findings showed that self-esteem and emotion regulation were positive predictors of resilience among career women. Self-esteem demonstrated a relatively stronger contribution than emotion regulation, while the overall model explained part of the variance in resilience. These findings indicate that career women with more positive self-esteem and better emotion regulation tend to demonstrate greater resilience. The study highlights the importance of self-esteem and emotion regulation as psychological resources that may be considered in organizational programs aimed at supporting women's resilience, psychological well-being, and sustainable career development. ABSTRAK Meningkatnya partisipasi perempuan dalam dunia kerja diikuti dengan semakin kompleksnya tuntutan profesional dan kehidupan personal yang berpotensi memengaruhi kondisi psikologis wanita karier. Organisasi Kesehatan Dunia (WHO) melaporkan bahwa sekitar 15% penduduk usia produktif mengalami gangguan mental, sementara tekanan kerja menyebabkan hilangnya sekitar 12 miliar hari kerja setiap tahun. Kondisi tersebut menunjukkan pentingnya resiliensi agar wanita karier mampu bertahan, beradaptasi, dan bangkit dari berbagai tekanan. Penelitian ini bertujuan menganalisis hubungan prediktif self-esteem dan regulasi emosi dengan resiliensi pada wanita karier. Penelitian menggunakan pendekatan kuantitatif dengan desain cross-sectional melalui metode survei terhadap 200 wanita karier di Kota Semarang yang dipilih menggunakan teknik purposive sampling. Data dikumpulkan menggunakan kuesioner yang mengukur self-esteem, regulasi emosi, dan resiliensi dengan skala Likert lima tingkat. Data dianalisis menggunakan Structural Equation Modeling–Partial Least Squares (SEM-PLS) dengan bantuan SmartPLS 4 melalui evaluasi model pengukuran, model struktural, dan pengujian hipotesis menggunakan prosedur bootstrapping. Hasil penelitian menunjukkan bahwa self-esteem dan regulasi emosi merupakan prediktor positif terhadap resiliensi pada wanita karier. Self-esteem menunjukkan kontribusi yang relatif lebih kuat dibandingkan regulasi emosi, sedangkan model penelitian secara keseluruhan mampu menjelaskan sebagian variasi resiliensi. Temuan ini menunjukkan bahwa wanita karier dengan penghargaan diri yang lebih positif dan kemampuan regulasi emosi yang lebih baik cenderung memiliki resiliensi yang lebih tinggi. Penelitian ini menegaskan pentingnya self-esteem dan regulasi emosi sebagai sumber daya psikologis yang dapat dipertimbangkan dalam pengembangan program organisasi untuk mendukung resiliensi, kesejahteraan psikologis, dan keberlanjutan karier perempuan.

Background: Mothers of young children with neurodevelopmental disorders may experience substantial parenting demands, but their recent positive mental well-being varies. Objective: To examine the association between parenting stress and psychological well-being among mothers of children aged 0?6 years diagnosed with neurodevelopmental disorders. Methods: This quantitative cross-sectional correlational study analyzed 85 mothers using the 18-item Parental Stress Scale (PSS-18) and the WHO-5 Well-Being Index. Descriptive statistics, Pearson correlation, and a Spearman sensitivity analysis were reported. Results: Mean PSS-18 was 67.55 (SD = 4.73), and mean WHO-5 transformed score was 64.85 (SD = 12.92). Parenting stress was negatively correlated with well-being (Pearson r = -0.675, 95% CI [-0.777, -0.540], p < .001). Spearman correlation was also negative (? = -0.634, p < .001). Conclusion: Greater reported parenting stress was associated with lower recent subjective well-being in this sample. The cross-sectional design does not establish causation. These findings underscore the relevance of attending to caregivers? psychological experiences alongside child-focused services.

Background: Individuals with complex trauma may continue to experience emotional distress, rumination, and maladaptive response patterns despite pharmacological treatment. Integrative interventions addressing affective responses, maladaptive patterns, and adaptive functioning warrant further clinical investigation. Case presentation: This report describes a 23-year-old woman diagnosed with complex trauma who her psychiatrist referred because she was not responding adequately to prescribed antidepressant and anti-anxiety medication. She received an eight-session intervention delivered in three phases: one session of Wiring Affect with ReAttach (W.A.R.A.®) on Day 1; one session of Brain-Switch 2.0® on Day 2 to address maladaptive brain patterns; and six subsequent ReAttach® sessions, emphasizing Cognitive Bias Modification (CBM) 3, followed by CBM 1 and CBM 2. Clinical observations: Following the Day 1 W.A.R.A.® session, the client reported a quieter mind, reduced rumination, greater calmness, and sleeping that night without sleeping medication. Brain-Switch 2.0® was administered on Day 2, which further enhanced her self-agency. Subsequent ReAttach® sessions integrated her sense of identity and improved boundary setting with her parents. At one-month post-therapy follow-up, the client reported improved management of rumination, greater emotional regulation, anxiety within normal ranges, preserved cognitive functioning despite ongoing family difficulties, and greater satisfaction with herself. Pre–post quantitative electroencephalography (qEEG) data showed changes in several recorded measures. The qEEG data indicated the absence of previous mental sluggishness, a clinically significant improvement in the trauma-related marker and emotional regulation within the normative range, and the absence of a depression-related marker.

Background Digital systems are integral to nursing practice, but sustained digital engagement may be accompanied by fatigue. The roles of general fear of missing out (FoMO) and perceived stress in the association between digital fatigue and nurses’ job burnout remain unclear. Guided by conservation of resources theory, this study examined the separate and serial indirect associations through FoMO and perceived stress. Method A cross-sectional survey included 554 clinical nurses recruited by convenience sampling from five tertiary Grade A hospitals in Hunan, China, between January and May 2026. Self-report measures assessed the four constructs. Structural equation modeling with bootstrap confidence intervals examined the proposed associations. Results Digital fatigue remained positively associated with job burnout when FoMO and perceived stress were included in the model. Positive indirect associations were identified through each variable separately and through FoMO followed by perceived stress (effect = 0.041, 95% CI [0.021, 0.066]). Conclusion Digital fatigue was positively associated with nurses’ job burnout, both directly and indirectly through general FoMO and perceived stress. Hospital managers could assess digital fatigue, stress, and burnout when reviewing digital workflows. Clearer expectations for responding to work messages and protected recovery time warrant prospective evaluation, including effects on staff wellbeing, workflow, and patient safety.

Entry-level managers are usually promoted for their technical skills and are then expected to meet targets, lead teams and resolve conflicts with little preparation for the role. This study examined the relationship between workplace stress, mental health and job satisfaction among entry-level managers in Indian organizations. Using a quantitative correlational design, data were collected through an online questionnaire from 47 managers with up to five years of managerial experience across finance, manufacturing, IT/ITES, healthcare and service operations. Most participants reported moderate workplace stress (61.7%), while nearly half (46.8%) reported high job satisfaction. Workplace stress was positively correlated with mental health difficulty (r = .641) and negatively correlated with job satisfaction (r = -.477), and mental health difficulty was negatively correlated with job satisfaction (r = -.536), all at p < .01. Stress explained 41% of the variance in mental health difficulty, and mental health explained 29% of the variance in job satisfaction. When both were considered together, only mental health remained a significant predictor of satisfaction. The findings suggest that the mental health of new managers is central to their job satisfaction and point to the need for training, mentoring and psychological support early in a managerial career.

Introduction Climate change impacts are not gender-neutral, yet standard reporting relies on aggregate household indicators that obscure intra-household power dynamics and diverse individual vulnerabilities. This review assesses gender-differentiated climate resilience in rural farming households and evaluates the extent to which empirical evidence aligns with the gender-responsive, participatory and transparent mandates of the Paris Agreement. Methods Peer-reviewed studies published between 2015 and 2025 were retrieved from Scopus, Web of Science, AJOL and Google Scholar following PRISMA guidelines. A total of 117 eligible studies were screened and analysed thematically using a hybrid inductive–deductive approach in R. Methodological quality was appraised using the Mixed Methods Appraisal Tool (MMAT), and evidence coverage was characterised using GRADE-CERQual adequacy criteria. Policy alignment was mapped against Articles 2.1b, 7.1, 7.5, 11 and 13. Results Eight interrelated resilience domains were identified: livelihood, water, food, ecological, social, community, agricultural and economic. The review reveals a significant implementation gap between the Paris Agreement and ground-level reality. While Articles 7.5, 11 and 13 emphasise equity and participation, resilience is often achieved through paradoxes of depletion. We propose the Gendered Resilience Paradox Framework (GRPF), a novel theoretical model encompassing resilience as a distributive process rather than a neutral capacity. The framework identifies five interlocking mechanisms—workload-resilience, biological buffer, mobility-stability, restoration-marginalisation and hydrological time-poverty—through which household resilience is achieved via the systematic transfer of adaptation costs onto women’s bodies, time and agency. These paradoxes form a self-reinforcing Depletion Cycle, creating a resilience debt that may compound intergenerationally. A co-occurrence network (n = 117) shows that workload-resilience is the most frequently documented paradox (53.0%) and reveals that embodied paradoxes remain the least studied. Articles 2.1b and 7.1 show partial alignment; Articles 7.5, 11 and 13 show misalignment. Men also face climate-related hardships, including psychosocial stress, migration-induced vulnerabilities and systemic exclusion from aid. Discussion Resilience achieved through depletion is not resilience but a debt. Closing the implementation gap requires distributional indicators, time-releasing infrastructure, secure land tenure, and bundled interventions that address multiple paradoxes simultaneously. Systematic review registration Open Science Framework (OSF https://doi.org/10.17605/OSF.IO/WFR7Q ).

Scholarship initiatives support students by easing the financial burdens of their academic experiences and facilitating access to higher education. Literature on scholarship programs primarily emphasizes their benefits, including reduced stress and broader opportunities. Yet the results show contrasting findings. Some studies report greater persistence and better examination performance among recipients, while others show no statistically significant difference in overall achievement compared to non-recipients. This inconsistency underscores the need to further examine whether academic results consistently differ by scholarship status. Although scholarships are widely recognized to alleviate financial problems and expand access, evidence remains inconclusive about whether these benefits consistently translate into improved academic performance. Thus, this study examined whether accounting students’ final examination scores and General Weighted Average (GWA) differed by scholarship status. These questions were tested using the Jamovi software to determine whether a statistically significant difference exists between the two groups. Results showed a contrasting pattern: scholarship recipients performed better on the final examination, while non-recipients performed better in the GWA. These outcomes indicate that scholarship status was associated with different patterns across the two academic performance measures. Thus, the results provide empirical evidence to inform scholarship program refinement and support higher education policy decisions.

Objective Operating room nurses work long-term in high-intensity, high-risk environments and suffer from a high prevalence of occupational fatigue, which seriously affects their physical and mental health as well as patient safety. Based on the Job Demand-Control-Support (JDCS) model, this study aimed to examine the mediating role of perceived stress between the dimensions of the JDCS model and occupational fatigue—including acute fatigue, chronic fatigue, and inter-shift recovery—among operating room nurses. Methods This multi-center cross-sectional study was conducted from August to September 2026, enrolling 1,122 operating room nurses from 9 tertiary Grade-A hospitals in eastern, central, and western China. A general information questionnaire, the Occupational Fatigue Exhaustion Recovery Scale, the Perceived Stress Scale (PSS-10), and the Job Content Questionnaire (JCQ) were administered. SPSS 25.0 was used for descriptive statistics, difference analysis, correlation analysis, and hierarchical multiple regression; AMOS 21.0 was used to construct a structural equation model, and the bias-corrected Bootstrap method was employed to test mediating effects. Results The scores of acute fatigue, chronic fatigue, and inter-shift recovery among operating room nurses were 45.55 ± 18.77, 44.13 ± 17.89, and 56.27 ± 17.83, respectively, indicating an overall moderate level of occupational fatigue. The perceived stress score was 21.01 ± 5.24; job demand was 36.44 ± 4.80; job control was 71.54 ± 18.07; and social support was 24.02 ± 6.61. Hierarchical regression showed that, after controlling for demographic and work characteristics, job demand, job control, and social support remained independent correlates of all three outcomes (acute fatigue model R 2 = 0.460, chronic fatigue R 2 = 0.305, inter-shift recovery R 2 = 0.353). The structural equation model showed that job demand positively predicted perceived stress ( β = 0.182, p < 0.001), while job control ( β = −0.251, p = 0.033) and social support ( β = −0.168, p = 0.040) negatively predicted perceived stress. Perceived stress positively predicted acute fatigue ( β = 0.336, p < 0.001) and chronic fatigue ( β = 0.209, p < 0.001), and negatively predicted inter-shift recovery ( β = −0.134, p = 0.029). Bootstrap tests indicated that perceived stress played a significant partial mediating role between job demand, job control, and social support and the outcomes of acute fatigue, chronic fatigue, and inter-shift recovery, although the indirect effects were small in magnitude (proportion mediated 3.41–17.35%). Conclusion Occupational fatigue among operating room nurses in 9 tertiary Grade-A hospitals is at a moderate level, and inter-shift recovery needs improvement. Perceived stress acted as a mediating variable linking JDCS dimensions to occupational fatigue, although the mediating effects were modest in magnitude. Nursing managers can improve occupational fatigue and recovery among operating room nurses by reducing unreasonable job demands, enhancing job control, strengthening social support, and alleviating perceived stress.

Few events in recent history have forced clinicians and researchers to rethink mental health quite like COVID-19. In this commentary, we reflect on something that struck us while reading the work of Cantone et al. : the pandemic, for all its devastation, created a kind of unplanned observational window, a chance to study, at population scale, what happens when stress and rhythm disruption hit at the same time. Healthcare Workers (HCWs) were at the epicentre of this. They didn't just witness the crisis; they absorbed it, shift after shift, for months. What the data show is that their depressive symptoms and rhythm instability were not random; they appear systematically linked, and at levels one would more typically associate with mood disorder research. We discuss these findings through the lens of DYMERS (Dysregulation of Mood, Energy, and Social Rhythms Syndrome), a heuristic transdiagnostic construct that, in our view, captures something that standard categorical diagnoses tend to miss: the subthreshold, fluctuating psychopathology that sits just below the threshold of formal diagnosis but causes real impairment. The pandemic may not have created these vulnerabilities, but it may well have sharpened our ability to see them.

This longitudinal study examined the trajectories of healthcare workers’ mental health from the first to the second COVID-19 wave (May 2020–December 2020) in a Swiss tertiary hospital, and their association with individual and organizational factors. For each mental health outcome (depression, anxiety, peritraumatic stress, and well-being), a separate analysis identified two trajectories: one with higher, persistent levels of symptoms and one that was resilient, with low-level symptoms. The persistent trajectory comprised about 25%–30% of participants for anxiety, depression and peritraumatic stress and 47% for well-being; because the classifications were outcome-specific, membership differed across outcomes (about 15% of participants were on a persistent trajectory for all four outcomes and 46% resilient for all four). We found that women, nurses, caregivers, non-managerial employees, and frontline COVID-19 workers were more likely to follow a persistent trajectory. Organizational risk factors were a high workload and an irregular work schedule. These results provide a basis for implementing risk-adapted prevention measures and resilience-promotion programs to protect health workers from the impact of major crises. Future research should address the needs of vulnerable health workers to provide evidence-based health promotion.

Rising living costs and expensive higher education place many students under financial pressure, yet the evidence from Southeast Asia has not been brought together. Following the Arksey and O’Malley framework and PRISMA-ScR reporting guidelines, a total of 239 records were screened, comprising 174 records retrieved from Scopus and 65 records from non-Scopus sources. Eleven studies from five countries (the Philippines, Indonesia, Malaysia, Singapore, and Thailand) were charted and synthesised narratively. Six were quantitative surveys, and five of the eleven appeared in 2025 or 2026. Six themes emerged. First, costs extend beyond tuition: programme costs, rent, and other indirect expenses create hardship even where tuition is free. Second, access to family resources and financial aid is unequal. Third, financial strain is reported alongside psychological distress and academic strain, a pattern of co-occurrence rather than demonstrated cause. Fourth, students cope through income generation, saving and economising, building financial literacy, cognitive reappraisal, spiritual support, and selective use of social support. Fifth, financial literacy and behaviour appear to shape financial well-being, although findings on financial stress conflict. Sixth, authors call for support beyond tuition, but no study evaluated an intervention. The evidence is mostly cross-sectional, and no eligible study came from Vietnam, Myanmar, Cambodia, Laos, Brunei, or Timor-Leste. Malaysia contributes one study, which examines financial well-being rather than coping strategies. Future work needs harmonised measures, longitudinal and intervention designs, and wider country coverage.

Background Clinical research on psychedelic-assisted therapy (PAT) has expanded substantially in recent years, particularly for post-traumatic stress disorder (PTSD) and depressive disorders. Contemporary studies have generally evaluated psychedelic administration within controlled therapeutic settings that include psychological support, preparation, and integration. However, variability in clinical response and methodological challenges have highlighted the importance of individual, relational, and contextual factors, often described as “set and setting,” in understanding therapeutic outcomes. The role of psychotherapy and the broader therapeutic context therefore remains an important area of investigation. Objective This scoping review aimed to map the contemporary evidence on PAT, characterize the clinical and psychotherapeutic approaches used with psilocybin, MDMA, LSD, and DMT, summarize reported clinical and safety findings, and identify methodological, mechanistic, ethical, and implementation considerations across existing protocols. Methods A structured search of PubMed, PsycINFO, Scopus, and ClinicalTrials.gov was conducted on 23 February 2026. Sources published or publicly available between January 2020 and November 2025 were eligible. The review included peer-reviewed and relevant non-peer-reviewed sources addressing psychedelic-assisted interventions, including primary clinical studies, reviews, clinical trial registrations, regulatory documents, and other relevant contextual sources. Records were managed using Zotero and screened against predefined Population, Concept, and Context criteria. Findings were synthesized descriptively according to source type and evidence domain. Results The mapped evidence was most developed for MDMA-assisted therapy in PTSD and psilocybin-assisted interventions for depressive disorders. Randomized clinical trials reported reductions in PTSD and depressive symptoms following MDMA- and psilocybin-based interventions, respectively, while emerging clinical evidence also investigated LSD-based treatment for generalized anxiety disorder. Evidence for DMT-assisted therapy remained comparatively preliminary, with several available sources consisting of trial registrations or industry-reported information. Across the literature, preparation, supervised psychedelic administration, and integration were common therapeutic components, although the structure and intensity of psychotherapy varied substantially. Functional unblinding, expectancy effects, heterogeneity of psychotherapeutic approaches, and limitations in long-term safety data were recurring concerns. Ethical issues included informed consent during altered states of consciousness, therapist competence and boundaries, cultural considerations, and equitable access. Conclusion PAT represents a rapidly developing area of clinical research, but the evidence base remains heterogeneous across compounds, indications, therapeutic models, and levels of evidential maturity. Future research should improve the standardization and reporting of psychotherapeutic interventions, strengthen methods for assessing blinding and expectancy, establish consistent long-term safety monitoring, and develop robust ethical and equity frameworks. Clear distinction between peer-reviewed clinical findings and preliminary or contextual evidence will also be essential as PAT research progresses toward broader clinical implementation.

This study explores the impact of On-the-Job Training (OJT) on the readiness of Aircraft Maintenance Technology students at Indiana Aerospace University for actual line maintenance operations. Serving as a bridge between classroom learning and real-world application, OJT allows students to develop technical skills, professional discipline, and familiarity with industry standards. Using a mixed-methods approach, the study gathered data from 100 randomly selected BSAMT students through five-point Likert scale surveys and structured interviews. Quantitative data were analyzed using weighted mean, percentage, and rank, while qualitative responses were thematically coded. Results show that students generally strongly disagreed with negative statements about their OJT experience, indicating that the training effectively enhanced their technical, practical, and professional competencies. However, challenges such as teamwork issues, adapting to workplace culture, and managing work pressures were commonly reported. The study concludes that OJT significantly contributes to students’ preparedness for line maintenance work and recommends improved teamwork exercises, workplace orientation, and simulation-based learning to strengthen both technical and soft skills.

این پژوهش به بررسی تأثیر آموزش حین کار (OJT) بر آمادگی دانشجویان رشته فناوری نگهداری هواپیما در دانشگاه هوافضای ایندیانا برای عملیات واقعی نگهداری خط می‌پردازد. آموزش حین کار به عنوان پلی میان یادگیری کلاسی و کاربرد عملی در دنیای واقعی، به دانشجویان امکان می‌دهد تا مهارت‌های فنی، انضباط حرفه‌ای و آشنایی با استانداردهای صنعت را توسعه دهند. با استفاده از رویکرد روش‌های ترکیبی، داده‌ها از ۱۰۰ دانشجوی BSAMT که به طور تصادفی انتخاب شده بودند، از طریق پرسشنامه‌های لیکرت پنج‌درجه‌ای و مصاحبه‌های ساختاریافته گردآوری شد. داده‌های کمی با استفاده از میانگین وزنی، درصد و رتبه تحلیل شدند و پاسخ‌های کیفی به صورت موضوعی کدگذاری گردید. نتایج نشان داد که دانشجویان عموماً با گزاره‌های منفی درباره تجربه OJT خود به شدت مخالفت کردند که این امر نشان‌دهنده اثربخشی این آموزش در ارتقای شایستگی‌های فنی، عملی و حرفه‌ای آنان است. با این حال، چالش‌هایی مانند مشکلات کار گروهی، سازگاری با فرهنگ محیط کار و مدیریت فشارهای شغلی به طور رایج گزارش شد. پژوهش نتیجه می‌گیرد که OJT به طور معناداری در آمادگی دانشجویان برای کار نگهداری خط مؤثر است و پیشنهاد می‌کند تمرینات کار گروهی، آشنایی با محیط کار و یادگیری مبتنی بر شبیه‌سازی برای تقویت مهارت‌های فنی و نرم بهبود یابد.

Psychological stress dialogue recognition still lacks sufficient semantic understanding in multimodal information fusion and emotional dynamic modelling. It is difficult to achieve high-precision and robust stress state recognition in complex dialogue scenarios. Combining the advantages of the pre-trained language model BERT (Bidirectional Encoder Representations from Transformers) in semantic understanding and the capabilities of EmoShiftNet (Emotion Shift Network) in emotion transfer modelling, contextual semantic coding is realised through a multi-level Transformer, and a cross-modal Transformer is used to align heterogeneous features such as text, speech, and vision. In terms of multimodal signal representation, the BERT encoder captures fine-grained changes in language semantics, the convolutional-recurrent network extracts speech time–frequency features, the convolutional neural network and optical flow method obtain facial expression dynamics, and finally, realises unified representation through shared embedding space and cross-modal contrast learning. On the five-class psychological stress dialogue task, text semantic features contribute 42.7% of the total discriminative information, and the full multimodal fusion model achieves an overall accuracy of 85.0% (95% CI (Confidence Interval): [83.2%, 86.8%]) on the held-out test set. In the emotion transition detection task, the model achieves 76.2% transfer prediction accuracy with an average detection latency of 13.4 s. Under low signal-to-noise ratio conditions, the speech modality maintains stable performance with an error rate of 4.8% across 59 test samples. The highest accuracy rate of the fusion model under full-modal input reaches 97% on our self-constructed psychological stress dialogue dataset, which is divided strictly at the dialogue level (6391 training, 1484 validations, 2227 test samples) to avoid data leakage. This result significantly outperforms single-modal baselines and four state-of-the-art pre-trained language model baselines.

شناسایی گفت‌وگوی استرس روان‌شناختی همچنان در همجوشی اطلاعات چندوجهی و مدل‌سازی پویایی هیجانی با کمبود درک معنایی کافی مواجه است. دستیابی به شناسایی دقیق و مقاوم وضعیت استرس در سناریوهای گفت‌وگوی پیچیده دشوار است. با ترکیب مزایای مدل زبانی پیش‌آموزش‌یافته BERT (Bidirectional Encoder Representations from Transformers) در درک معنایی و قابلیت‌های EmoShiftNet (Emotion Shift Network) در مدل‌سازی انتقال هیجان، کدگذاری معنایی متنی از طریق ترنسفورمر چندسطحی تحقق می‌یابد و یک ترنسفورمر میان‌وجهی برای هم‌ترازی ویژگی‌های ناهمگن مانند متن، گفتار و بینایی به‌کار می‌رود. در زمینه نمایش سیگنال چندوجهی، رمزگذار BERT تغییرات ریزمعنایی زبان را استخراج می‌کند، شبکه کانولوشن-بازگشتی ویژگی‌های زمانی-فرکانسی گفتار را استخراج می‌کند، شبکه عصبی کانولوشنی و روش جریان نوری پویایی‌های حالت چهره را به‌دست می‌آورند و در نهایت، نمایش یکپارچه از طریق فضای تعبیه مشترک و یادگیری متضاد میان‌وجهی محقق می‌شود. در وظیفه پنج‌کلاسه گفت‌وگوی استرس روان‌شناختی، ویژگی‌های معنایی متنی ۴۲٫۷٪ از کل اطلاعات تمایزبخش را تأمین می‌کنند و مدل همجوشی کامل چندوجهی به دقت کلی ۸۵٫۰٪ (فاصله اطمینان ۹۵٪: [۸۳٫۲٪، ۸۶٫۸٪]) در مجموعه آزمون نگه‌داشته‌شده دست می‌یابد. در وظیفه شناسایی انتقال هیجان، مدل به دقت پیش‌بینی انتقال ۷۶٫۲٪ با میانگین تأخیر شناسایی ۱۳٫۴ ثانیه دست می‌یابد. در شرایط نسبت سیگنال به نویز پایین، وجه گفتاری با نرخ خطای ۴٫۸٪ در میان ۵۹ نمونه آزمون عملکرد پایداری را حفظ می‌کند. بالاترین نرخ دقت مدل همجوشی در ورودی تمام‌وجهی به ۹۷٪ در مجموعه‌داده گفت‌وگوی استرس روان‌شناختی ساخت خود ما می‌رسد که به‌طور دقیق در سطح گفت‌وگو (۶۳۹۱ نمونه آموزش، ۱۴۸۴ نمونه اعتبارسنجی، ۲۲۲۷ نمونه آزمون) تقسیم شده است تا از نشت داده جلوگیری شود. این نتیجه به‌طور معناداری از پایه‌های تک‌وجهی و چهار مدل زبانی پیش‌آموزش‌یافته پیشرفته برتر است.

Background The Depression, Anxiety and Stress Scale for Youth (DASS-Y) has been validated in several countries, but its measurement equivalence between Middle Eastern and East Asian adolescents remains untested, and prior validations primarily relied on single analytic approaches without examining complex factor structures or brief screening forms. This study evaluated the DASS-Y in Lebanese adolescents enduring sociopolitical strain and Chinese adolescents under comparatively stable conditions. Methods The sample comprised 758 Lebanese ( M age = 15.95, SD = 1.78; 63.2% female) and 1,062 Chinese adolescents ( M age = 16.83, SD = 0.59; 47.5% female). Psychometric properties were examined using confirmatory factor analysis, exploratory structural equation modeling (ESEM), and bifactor variants of both. Differential item functioning was assessed using Rasch analysis. Reliability was indexed by composite reliability (CR), average variance extracted (AVE), and person separation reliability. Results Lebanese adolescents showed a largely unidimensional pattern, whereas an ESEM solution better represented the Chinese data. Reliability was strong in both samples (subscale CR = 0.91 to 0.95, AVE = 0.58 to 0.71, person separation reliability = 0.79 to 0.85; total CR = 0.97 in both samples; total AVE = 0.63 for the Lebanese and 0.61 for the Chinese sample). Several items, mainly in the stress subscale, functioned non-equivalently across samples. The 12-item short form performed comparably (subscale CR = 0.88 to 0.92, AVE = 0.65 to 0.73; total CR = 0.96 and 0.94; total AVE = 0.64 and 0.57, respectively). Conclusions Lebanese adolescents’ responses reflected a unitary distress construct, whereas Chinese adolescents’ responses showed greater differentiation among depression, anxiety, and stress, though a general distress factor remained dominant in both samples. Reliability was high throughout, so this divergence is structural rather than a matter of measurement precision. The 12-item form offers a practical screening option pending further cross-national confirmation.

زمینه: مقیاس افسردگی، اضطراب و استرس برای نوجوانان (DASS-Y) در چندین کشور اعتبارسنجی شده است، اما معادل‌سازی سنجشی آن بین نوجوانان خاورمیانه‌ای و شرق آسیایی تاکنون بررسی نشده است و اعتبارسنجی‌های پیشین عمدتاً بر رویکردهای تحلیلی منفرد تکیه داشته‌اند، بدون آنکه ساختارهای عاملی پیچیده یا فرم‌های غربالگری کوتاه را بررسی کنند. این مطالعه به ارزیابی DASS-Y در نوجوانان لبنانی که تحت فشارهای اجتماعی-سیاسی قرار دارند و نوجوانان چینی در شرایط نسبتاً باثبات پرداخت. روش‌ها: نمونه شامل ۷۵۸ نوجوان لبنانی (میانگین سن = ۱۵٫۹۵، انحراف معیار = ۱٫۷۸؛ ۶۳٫۲٪ دختر) و ۱۰۶۲ نوجوان چینی (میانگین سن = ۱۶٫۸۳، انحراف معیار = ۰٫۵۹؛ ۴۷٫۵٪ دختر) بود. ویژگی‌های روان‌سنجی با استفاده از تحلیل عاملی تأییدی، مدل‌یابی معادلات ساختاری اکتشافی (ESEM) و گونه‌های بای‌فاکتور هر دو روش بررسی شد. عملکرد افتراقی گویه‌ها با تحلیل Rasch ارزیابی گردید. پایایی با شاخص‌های پایایی ترکیبی (CR)، واریانس استخراج‌شده متوسط (AVE) و پایایی جداسازی فردی سنجیده شد. نتایج: نوجوانان لبنانی عمدتاً الگوی تک‌بعدی نشان دادند، در حالی که راه‌حل ESEM نمایانگر بهتری برای داده‌های چینی بود. پایایی در هر دو نمونه قوی بود (پایایی ترکیبی زیرمقیاس‌ها = ۰٫۹۱ تا ۰٫۹۵، AVE = ۰٫۵۸ تا ۰٫۷۱، پایایی جداسازی فردی = ۰٫۷۹ تا ۰٫۸۵؛ پایایی ترکیبی کل = ۰٫۹۷ در هر دو نمونه؛ AVE کل = ۰٫۶۳ برای نمونه لبنانی و ۰٫۶۱ برای نمونه چینی). چندین گویه، عمدتاً در زیرمقیاس استرس، عملکرد غیرمعادل در بین نمونه‌ها داشتند. فرم کوتاه ۱۲ گویه‌ای عملکردی مشابه داشت (پایایی ترکیبی زیرمقیاس‌ها = ۰٫۸۸ تا ۰٫۹۲، AVE = ۰٫۶۵ تا ۰٫۷۳؛ پایایی ترکیبی کل = ۰٫۹۶ و ۰٫۹۴؛ AVE کل = ۰٫۶۴ و ۰٫۵۷ به ترتیب). نتیجه‌گیری: پاسخ‌های نوجوانان لبنانی بازتاب‌دهنده یک سازه واحد پریشانی بود، در حالی که پاسخ‌های نوجوانان چینی تمایز بیشتری میان افسردگی، اضطراب و استرس نشان داد، هرچند عامل کلی پریشانی در هر دو نمونه غالب باقی ماند. پایایی در سراسر مطالعه بالا بود، بنابراین این تفاوت ساختاری است نه مربوط به دقت اندازه‌گیری. فرم ۱۲ گویه‌ای، گزینه‌ای عملی برای غربالگری ارائه می‌دهد تا زمانی که تأیید بین‌کشوری بیشتری صورت گیرد.

Background: Parent–child separations have been associated with adverse health and well-being, with most research focusing on prolonged separations driven by war, famine or disease. Verschickungskinder (‘sent-away children’) – the eight to twelve million German children who, in the decades following World War II, were separated from their families for several weeks to stay in so-called children’s health resorts – represent a largely overlooked case of short-term separation. Despite growing recognition of adverse experiences and abuse in these settings, little is known about the long-term mental health of this population or which characteristics of the sent-away experience are associated with these outcomes.Objective: To examine whether sent-away children show more depressive symptoms, anxiety symptoms, and stress overload compared with peers, and to identify which characteristics of the sent-away experience are associated with these outcomes.Method: An anonymous online survey was conducted with 334 sent-away children and 77 participants in a convenience comparison group (M = 61.1 yrs.; 72.7% female). Linear regression models, adjusting for ACEs and sociodemographics, examined group differences and associations between characteristics of the sent-away experience (age at separation, sex, number of separations, emotional memory) and these outcomes.Results: Sent-away children reported more depressive symptoms, anxiety symptoms, and stress overload than comparison participants (all p < .001). Bivariate comparisons among the sent-away children indicated that younger age at separation was associated with more depressive symptoms, repeated separations with higher stress overload, and very negative memories with all three outcomes; no sex differences were observed. When entered simultaneously in regression models, emotional memory of the event was the only sent-away characteristic associated with depressive (p = .02) and anxiety symptoms (p = .009).Conclusions: Findings highlight the potential long-term mental health relevance of the sent-away experience, particularly among those with very negative memories of their experiences.

زمینه: جدایی والد–کودک با پیامدهای نامطلوب سلامت و بهزیستی همراه بوده است و بیشتر پژوهش‌ها بر جدایی‌های طولانی‌مدت ناشی از جنگ، قحطی یا بیماری تمرکز داشته‌اند. کودکان Verschickungskinder («کودکان فرستاده‌شده») – هشت تا دوازده میلیون کودک آلمانی که در دهه‌های پس از جنگ جهانی دوم برای چندین هفته از خانواده‌های خود جدا شده و در به‌اصطلاح آسایشگاه‌های سلامت کودکان اقامت داشتند – نمونه‌ای عمدتاً نادیده‌گرفته‌شده از جدایی کوتاه‌مدت هستند. با وجود افزایش شناخت نسبت به تجارب نامطلوب و سوءاستفاده در این محیط‌ها، اطلاعات اندکی درباره سلامت روانی بلندمدت این جمعیت یا ویژگی‌های تجربه جدایی که با این پیامدها مرتبط است، وجود دارد. هدف: بررسی اینکه آیا کودکان فرستاده‌شده علائم افسردگی، علائم اضطراب و اضافه‌بار استرس بیشتری نسبت به همتایان خود نشان می‌دهند و شناسایی ویژگی‌های تجربه جدایی که با این پیامدها مرتبط است. روش: یک پیمایش آنلاین ناشناس با ۳۳۴ کودک فرستاده‌شده و ۷۷ شرکت‌کننده در گروه مقایسه‌ای در دسترس (میانگین سنی = ۶۱/۱ سال؛ ۷۲/۷٪ زن) انجام شد. مدل‌های رگرسیون خطی با کنترل ACEs و متغیرهای جمعیت‌شناختی، تفاوت‌های گروهی و ارتباط بین ویژگی‌های تجربه جدایی (سن در زمان جدایی، جنسیت، تعداد دفعات جدایی، حافظه هیجانی) و این پیامدها را بررسی کردند. یافته‌ها: کودکان فرستاده‌شده علائم افسردگی، علائم اضطراب و اضافه‌بار استرس بیشتری نسبت به شرکت‌کنندگان گروه مقایسه گزارش کردند (همه p < ۰/۰۰۱). مقایسه‌های دو متغیره در میان کودکان فرستاده‌شده نشان داد که سن پایین‌تر در زمان جدایی با علائم افسردگی بیشتر، جدایی‌های مکرر با اضافه‌بار استرس بالاتر و خاطرات بسیار منفی با هر سه پیامد مرتبط بود؛ تفاوتی از نظر جنسیت مشاهده نشد. زمانی که این متغیرها به طور همزمان در مدل‌های رگرسیون وارد شدند، حافظه هیجانی رویداد تنها ویژگی تجربه جدایی بود که با علائم افسردگی (p = ۰/۰۲) و علائم اضطراب (p = ۰/۰۰۹) ارتباط داشت. نتیجه‌گیری: یافته‌ها بر اهمیت بالقوه بلندمدت سلامت روانی تجربه جدایی، به‌ویژه در میان افرادی که خاطرات بسیار منفی از این تجربه دارند، تأکید می‌کند.

Background: Previous studies have investigated the levels of distress reported by children and adolescents while participating in trauma-focused research. However, the role of complex PTSD in responses to participation in trauma-focused research is unknown. The aim of the study was to investigate adolescents’ positive and negative reactions to trauma-focused research and their associations with lifetime trauma exposure, PTSD, and complex PTSD.Methods: The sample comprised 834 school-based adolescents (40.9% boys), aged 13–18 years (M = 16.17, SD = 1.34) from the general population. Lifetime trauma exposure was measured using the Child and Adolescent Trauma Screen (CATS); PTSD and complex PTSD were measured with the Child and Adolescent version of the International Trauma Questionnaire (ITQ-CA). Positive and negative responses to research were measured with the short version of the Reactions to Research Participation Questionnaire for Children (RRPQ-C).Results: Most adolescents reported neutral or positive reactions to participation: 73.4% did not feel upset or sad, 81.4% did not regret participating, 34.3% reported being glad about participating, and 61.0% felt good about helping. 6.6% reported feeling upset. Lifetime trauma exposure was reported by 74.5% of participants (M = 2.18, SD = 2.18); 6.8% met criteria for PTSD, and 13.1% for complex PTSD. Lifetime trauma exposure, PTSD, and complex PTSD were associated with feeling upset or sad, as well as being glad to participate. PTSD increased the odds of negative reactions to research 2.07 times, and complex PTSD 5.78 times. On the other hand, 42.2% of those with complex PTSD reported being glad they had participated.Conclusions: Adolescents generally responded positively to participating in the study. However, complex PTSD was associated with a higher likelihood of research-related distress, highlighting the need for tailored safety and risk protocols for adolescents with complex PTSD.

زمینه: پژوهش‌های پیشین به بررسی میزان ناراحتی گزارش‌شده توسط کودکان و نوجوانان در حین مشارکت در پژوهش‌های متمرکز بر تروما پرداخته‌اند. با این حال، نقش اختلال استرس پس از سانحه پیچیده (complex PTSD) در واکنش به مشارکت در پژوهش‌های متمرکز بر تروما ناشناخته است. هدف این مطالعه بررسی واکنش‌های مثبت و منفی نوجوانان به پژوهش متمرکز بر تروما و ارتباط آن‌ها با تجربه تروما در طول عمر، PTSD و complex PTSD بود. روش‌ها: نمونه شامل ۸۳۴ نوجوان مدرسه‌ای (۴۰.۹٪ پسر)، در بازه سنی ۱۳ تا ۱۸ سال (میانگین = ۱۶.۱۷، انحراف معیار = ۱.۳۴) از جمعیت عمومی بود. تجربه تروما در طول عمر با استفاده از ابزار Child and Adolescent Trauma Screen (CATS) اندازه‌گیری شد؛ PTSD و complex PTSD با نسخه نوجوانان پرسشنامه بین‌المللی تروما (ITQ-CA) سنجیده شدند. واکنش‌های مثبت و منفی به پژوهش با نسخه کوتاه پرسشنامه واکنش به مشارکت در پژوهش برای کودکان (RRPQ-C) ارزیابی شد. یافته‌ها: اکثر نوجوانان واکنش‌های خنثی یا مثبتی به مشارکت نشان دادند: ۷۳.۴٪ احساس ناراحتی یا غم نکردند، ۸۱.۴٪ از مشارکت پشیمان نشدند، ۳۴.۳٪ اظهار داشتند که از مشارکت خوشحال بودند و ۶۱.۰٪ احساس خوبی نسبت به کمک کردن داشتند. ۶.۶٪ احساس ناراحتی گزارش کردند. ۷۴.۵٪ از شرکت‌کنندگان تجربه تروما در طول عمر را گزارش کردند (میانگین = ۲.۱۸، انحراف معیار = ۲.۱۸)؛ ۶.۸٪ معیارهای PTSD و ۱۳.۱٪ معیارهای complex PTSD را داشتند. تجربه تروما در طول عمر، PTSD و complex PTSD با احساس ناراحتی یا غم و همچنین خوشحالی از مشارکت ارتباط داشتند. PTSD احتمال واکنش منفی به پژوهش را ۲.۰۷ برابر و complex PTSD این احتمال را ۵.۷۸ برابر افزایش داد. از سوی دیگر، ۴۲.۲٪ از افراد دارای complex PTSD اظهار داشتند که از مشارکت خوشحال بودند. نتیجه‌گیری: نوجوانان عموماً واکنش مثبتی به مشارکت در این مطالعه داشتند. با این حال، complex PTSD با احتمال بالاتر ناراحتی مرتبط با پژوهش همراه بود که بر ضرورت تدوین پروتکل‌های ایمنی و مدیریت ریسک متناسب برای نوجوانان دارای complex PTSD تأکید می‌کند.

This special issue brings together six papers exploring how speech prosody intersects with other linguistic, cognitive and social domains, with particular attention to methodological diversity and understudied languages. The collection addresses a range of complementary topics: the role of intonation in resolving lexical ambiguity in Korean; the perceived personality traits of synthetic versus natural voices; prosodic modifications children make in demanding communicative contexts; perceptual cues to lexical pitch accent discrimination in South Kyungsang Korean; rhythmic differences between Hadari and Bedouin Arabic dialects; and durational marking of lexical stress beyond the stressed syllable in Soikkola Ingrian and Ayutla Tlapanec. Collectively, these studies make valuable contributions to the empirical and theoretical foundations of prosody research. By combining diverse methods with a broad linguistic scope, the collection provides a basis for future research on how prosody interacts with other dimensions of language and communication.

این شماره ویژه شامل شش مقاله است که به بررسی چگونگی تلاقی آهنگ گفتار با حوزه‌های زبانی، شناختی و اجتماعی دیگر می‌پردازد و توجه ویژه‌ای به تنوع روش‌شناختی و زبان‌های کمتر مطالعه‌شده دارد. این مجموعه به موضوعات مکمل متعددی می‌پردازد: نقش زیر و بمی صدا در رفع ابهام واژگانی در زبان کره‌ای؛ ویژگی‌های شخصیتی ادراک‌شده در صداهای مصنوعی در مقایسه با صداهای طبیعی؛ تغییرات آهنگی که کودکان در زمینه‌های ارتباطی دشوار ایجاد می‌کنند؛ نشانه‌های ادراکی برای تمایز لهجه زیر و بمی واژگانی در کره‌ای جنوب کیونگ‌سانگ؛ تفاوت‌های ریتمیک میان گویش‌های عربی حضری و بدوی؛ و نشانه‌گذاری زمانی تأکید واژگانی فراتر از هجاهای تأکیدشده در زبان‌های Soikkola Ingrian و Ayutla Tlapanec. این پژوهش‌ها به طور جمعی، سهم ارزشمندی در بنیان‌های تجربی و نظری پژوهش‌های آهنگ گفتار دارند. با ترکیب روش‌های متنوع و دامنه وسیع زبانی، این مجموعه مبنایی برای پژوهش‌های آینده درباره چگونگی تعامل آهنگ گفتار با سایر ابعاد زبان و ارتباط فراهم می‌کند.

Background The International Trauma Questionnaire (ITQ) is a widely used self-report measure of PTSD and Complex PTSD (CPTSD). ‘Clinical checks’ – brief follow up questions verifying respondent comprehension of the symptom item – have recently been developed for the ITQ to reduce false-positive diagnostic cases. This study tested whether the ITQ with clinical checks generates psychometrically sound scores and adds clinically relevant information to standard symptom assessment. Methods Data ( N = 5,070) were collected using quota-based sampling procedures from adults living in five European countries (Czech Republic, Poland, Hungary, Romania, and Slovakia). Results Overall, 82.2% of respondents were trauma-exposed, and 19.2% met diagnostic requirements for PTSD (7.2%) or CPTSD (12.0%) on the standard ITQ. With clinical checks, these fell to 9.8% overall, 3.9% for PTSD, and 5.9% for CPTSD. The ITQ with clinical checks produced scores with excellent factorial validity, internal reliability, and latent classes corresponding to PTSD and CPTSD. Associations with clinically relevant variables including suicidality and anxiety-depression symptoms were stronger with than without the clinical checks. Females, those with more extensive trauma histories, and higher concurrent anxiety-depression symptoms were more likely to retain than lose their diagnostic status when the clinical checks were used. Conclusions The ITQ with clinical checks generated scores with excellent psychometric properties, captured additional clinically relevant information, and yielded more plausible prevalence estimates compared to the standard ITQ scores. The potential value and limitations of using clinical checks in self-report questionnaires are discussed.

زمینه: پرسشنامه بین‌المللی تروما (ITQ) یک ابزار خودگزارشی پرکاربرد برای سنجش PTSD و CPTSD است. «بررسی‌های بالینی» – سؤالات پیگیری کوتاهی که درک پاسخ‌دهنده از ماده علامتی را تأیید می‌کنند – اخیراً برای ITQ توسعه یافته‌اند تا موارد مثبت کاذب تشخیصی را کاهش دهند. این مطالعه بررسی کرد که آیا ITQ همراه با بررسی‌های بالینی، نمرات روان‌سنجی معتبر تولید می‌کند و اطلاعات بالینی مرتبط بیشتری نسبت به ارزیابی استاندارد علائم ارائه می‌دهد یا خیر. روش‌ها: داده‌ها (N = 5,070) با استفاده از روش نمونه‌گیری سهمیه‌ای از بزرگسالان ساکن پنج کشور اروپایی (جمهوری چک، لهستان، مجارستان، رومانی و اسلواکی) جمع‌آوری شد. یافته‌ها: به طور کلی، ۸۲.۲٪ از پاسخ‌دهندگان در معرض تروما قرار گرفته بودند و ۱۹.۲٪ معیارهای تشخیصی PTSD (۷.۲٪) یا CPTSD (۱۲.۰٪) را بر اساس ITQ استاندارد داشتند. با استفاده از بررسی‌های بالینی، این ارقام به ۹.۸٪ در کل، ۳.۹٪ برای PTSD و ۵.۹٪ برای CPTSD کاهش یافت. ITQ همراه با بررسی‌های بالینی، نمراتی با روایی عاملی عالی، پایایی درونی مطلوب و طبقات نهفته منطبق با PTSD و CPTSD تولید کرد. ارتباط با متغیرهای بالینی مرتبط از جمله افکار خودکشی و علائم اضطراب-افسردگی در صورت استفاده از بررسی‌های بالینی قوی‌تر بود. زنان، افرادی با سابقه تروما گسترده‌تر و علائم اضطراب-افسردگی همزمان بالاتر، احتمال بیشتری داشت که با استفاده از بررسی‌های بالینی وضعیت تشخیصی خود را حفظ کنند تا آن را از دست بدهند. نتیجه‌گیری: ITQ همراه با بررسی‌های بالینی، نمراتی با ویژگی‌های روان‌سنجی عالی تولید کرد، اطلاعات بالینی مرتبط بیشتری را ثبت نمود و برآوردهای شیوع معقول‌تری نسبت به نمرات استاندارد ITQ ارائه داد. ارزش بالقوه و محدودیت‌های استفاده از بررسی‌های بالینی در پرسشنامه‌های خودگزارشی مورد بحث قرار گرفته است.

Lesotho has enacted the Lesotho Inclusive Education Policy (LIEP) to guide the conduct of inclusive education. However, the extent of the implementation of the policy on inclusive schooling in the rural communities of Lesotho is yet to be ascertained. Two research questions were raised and answered in this qualitative study. The study adopted the bioecological system theory as a theoretical lens. Data was collected using a discursive semi-structure interview from 21 participants who were the key stakeholders in inclusive education in rural schools `and communities in Lesotho. The participants were recruited using a purposive sampling procedure. The data gathered was analysed using the inductive-deductive thematic data analysis approach. Findings revealed five themes. Three themes addressed the current state of inclusive education practices: overcrowded classrooms, limited supplies and teaching capacity, and limited implementation of the LIEP. Two themes addressed stakeholder concerns: geographical challenges and limited government interventions. Based on the findings, the study advanced the need for the government of Lesotho to establish and adequately equip more inclusive schools so that stress on teachers and learners can reduced significantly.

لسوتو سیاست آموزش فراگیر لسوتو (LIEP) را به منظور هدایت اجرای آموزش فراگیر تصویب کرده است. با این حال، میزان اجرای این سیاست در مدارس فراگیر در جوامع روستایی لسوتو هنوز مشخص نشده است. در این مطالعه کیفی، دو پرسش پژوهشی مطرح و پاسخ داده شد. این پژوهش نظریه نظام زیست‌بوم‌شناختی را به عنوان چارچوب نظری اتخاذ کرد. داده‌ها با استفاده از مصاحبه نیمه‌ساختاریافته گفتمانی از ۲۱ مشارکت‌کننده که ذی‌نفعان کلیدی آموزش فراگیر در مدارس و جوامع روستایی لسوتو بودند، جمع‌آوری شد. مشارکت‌کنندگان با روش نمونه‌گیری هدفمند انتخاب شدند. داده‌های گردآوری‌شده با رویکرد تحلیل داده‌های تماتیک استقرایی-قیاسی تحلیل شدند. یافته‌ها پنج مضمون را آشکار ساختند. سه مضمون به وضعیت فعلی شیوه‌های آموزش فراگیر پرداختند: کلاس‌های شلوغ، منابع و ظرفیت تدریس محدود، و اجرای محدود LIEP. دو مضمون به نگرانی‌های ذی‌نفعان اشاره داشتند: چالش‌های جغرافیایی و مداخلات محدود دولت. بر اساس یافته‌ها، پژوهش بر ضرورت تأسیس و تجهیز مناسب مدارس فراگیر بیشتر توسط دولت لسوتو تأکید می‌کند تا فشار بر معلمان و دانش‌آموزان به طور قابل توجهی کاهش یابد.

Abstract This article offers a theoretical contribution which is conceptual, integrative, and model-oriented in nature, in the form of a critical literature review on empathy. Grounded in a psychodynamic perspective and situated at the intersection of phenomenological, existentialist, and structuralist frameworks, it examines the prevailing humanistic challenges across several sub-Saharan African countries. These nations are currently grappling with sociopolitical shifts, marked by instability in countries such as Mali, Guinea, Burkina Faso, Chad, Sudan, Niger, the Congo, and Cameroon, as well as natural disasters, all of which undermine interpersonal and intergroup (as well as intragroup) interactions. The primary objective is to explain how it is constructed and how it can be reconceptualized, not merely as a personality trait, but as an essential emotion and a vital skill for maintaining civil harmony during times of crisis. The aim is to demonstrate how it functions within a framework of intersubjectivity, rooted in the dynamics of our connection to others, as a means of regulating the psychological and physiological distress (such as stress, anxiety, anguish, depression, trauma, panic, addictions, mania, paranoia, etc.) that arises in contexts of social tension. It is developed as an internal capacity for empathy, structured around three developmental emotional competencies: emotional awareness, which emerges in infancy and grows in complexity into adulthood with the acquisition of a "theory of mind"; emotional expression, understood as a logical mode of verbal and non-verbal socio-affective communication; and emotional regulation, defined as a set of intra- and inter-individual processes used to avoid, transform, minimize, or de-intensify emotion. In conclusion, he establishes that a failure of empathy, characterized by a lack of acceptance of others, impaired awareness, and maladaptive coping, lies at the heart of maladjustment. Conversely, emotional empathy serves a homeostatic and anxiolytic function, operating on individual, collective, and contextual levels. It acts as a cathartic catalyst rooted in sharing, reciprocity, and altruistic awareness—a necessary condition for sustaining social cohesion within an anxiety-inducing environment. Keywords Empathysocial changesemotionconsciousnessexpressionregulation

این مقاله یک مشارکت نظری با ماهیتی مفهومی، تلفیقی و مدل‌محور ارائه می‌دهد که به صورت مروری انتقادی بر ادبیات پژوهش در زمینه همدلی انجام شده است. این پژوهش مبتنی بر رویکرد روان‌پویشی و در تقاطع چارچوب‌های پدیدارشناختی، اگزیستانسیالیستی و ساختارگرایانه قرار دارد و به بررسی چالش‌های انسان‌گرایانه غالب در چندین کشور آفریقای جنوب صحرا می‌پردازد. این کشورها در حال حاضر با تحولات اجتماعی-سیاسی، بی‌ثباتی در کشورهایی مانند مالی، گینه، بورکینافاسو، چاد، سودان، نیجر، کنگو و کامرون و همچنین بلایای طبیعی مواجه هستند که همگی تعاملات بین‌فردی و بین‌گروهی (و همچنین درون‌گروهی) را تضعیف می‌کنند. هدف اصلی، تبیین نحوه ساخت همدلی و بازتعریف آن نه صرفاً به عنوان یک ویژگی شخصیتی، بلکه به عنوان یک هیجان اساسی و مهارتی حیاتی برای حفظ نظم مدنی در دوران بحران است. هدف این است که نشان داده شود همدلی چگونه در چارچوب بین‌ذهنیت، ریشه‌دار در پویایی‌های ارتباط ما با دیگران، به عنوان ابزاری برای تنظیم آشفتگی روانی و فیزیولوژیکی (مانند استرس، اضطراب، رنج، افسردگی، تروما، وحشت، اعتیاد، شیدایی، پارانویا و غیره) که در بستر تنش اجتماعی ایجاد می‌شود، عمل می‌کند. همدلی به عنوان یک ظرفیت درونی، حول سه شایستگی هیجانی رشدی ساختار یافته است: آگاهی هیجانی که از کودکی پدیدار می‌شود و با کسب «نظریه ذهن» در بزرگسالی پیچیده‌تر می‌گردد؛ ابراز هیجانی که به عنوان شیوه‌ای منطقی از ارتباط اجتماعی-عاطفی کلامی و غیرکلامی درک می‌شود؛ و تنظیم هیجانی که به عنوان مجموعه‌ای از فرایندهای درون‌فردی و بین‌فردی برای اجتناب، تغییر، کاهش یا تضعیف هیجان تعریف می‌شود. در پایان، نویسنده نتیجه می‌گیرد که شکست همدلی، که با فقدان پذیرش دیگران، اختلال در آگاهی و مقابله ناسازگارانه مشخص می‌شود، در قلب ناسازگاری قرار دارد. در مقابل، همدلی هیجانی نقش هموستاتیک و ضداضطرابی ایفا می‌کند و در سطوح فردی، جمعی و زمینه‌ای عمل می‌کند. همدلی به عنوان یک کاتالیزور کاتارتیک مبتنی بر اشتراک، دوسویگی و آگاهی نوع‌دوستانه عمل می‌کند که شرط لازم برای حفظ انسجام اجتماعی در محیطی اضطراب‌آور است.

A cross-sectional study was conducted between June and August 2024 involving 445 clinical nurses working conducted between June and August 2024 involved 445 clinical nurses at a tertiary hospital in Turkey to explore how mental fatigue influences examine how mental fatigue affects health self-efficacy and the propensity for medical errors. After obtaining the necessary institutional permissions, After obtaining the necessary institutional permissions, After obtaining the necessary institutional permissions, data were collected through face-to-face interviews using the Descriptive Characteristics Information Form, the Mental Fatigue Scale, the Health Self-Efficacy Scale, and the Medical Error Tendency Scale in Nursing, after obtaining the necessary institutional permissions. The data were analyzed using parametric and nonparametric tests, correlation analysis, and structural equation modeling. Nurses’ mean scores were 15.58±4.82 for mental fatigue, 144.55±18.19 for health self-efficacy, and 199.76±25.65 for medical error tendency. The findings indicated that mental fatigue significantly influenced nurses’ health self-efficacy, but did not affect their tendency toward medical errors. The proposed model explained 33.3% of the variance in health self-efficacy and 94.2% of the variance in medical error tendency. Descriptive analyses and structural equation modeling (SEM) were used to evaluate the proposed model in accordance with STROBE recommendations. These results suggest that reducing mental fatigue may enhance nurses’ health self-efficacy and support safer clinical practices. Therefore, developing and implementing educational and managerial strategies to mitigate mental fatigue is essential to strengthen nurses’ self-efficacy and to minimize risks that threatenthreatening patient and staff safety.

یک مطالعه مقطعی بین ژوئن تا اوت ۲۰۲۴ با مشارکت ۴۴۵ پرستار بالینی شاغل در یک بیمارستان سطح سوم در ترکیه به منظور بررسی تأثیر خستگی ذهنی بر خودکارآمدی سلامت و گرایش به خطاهای پزشکی انجام شد. پس از اخذ مجوزهای نهادی لازم، داده‌ها از طریق مصاحبه‌های حضوری و با استفاده از فرم اطلاعات ویژگی‌های توصیفی، مقیاس خستگی ذهنی، مقیاس خودکارآمدی سلامت و مقیاس گرایش به خطای پزشکی در پرستاری جمع‌آوری گردید. داده‌ها با استفاده از آزمون‌های پارامتریک و ناپارامتریک، تحلیل همبستگی و مدل‌سازی معادلات ساختاری تحلیل شدند. میانگین نمرات پرستاران برای خستگی ذهنی ۱۵٫۵۸±۴٫۸۲، خودکارآمدی سلامت ۱۴۴٫۵۵±۱۸٫۱۹ و گرایش به خطای پزشکی ۱۹۹٫۷۶±۲۵٫۶۵ بود. یافته‌ها نشان داد که خستگی ذهنی تأثیر معناداری بر خودکارآمدی سلامت پرستاران دارد، اما بر گرایش آن‌ها به خطاهای پزشکی تأثیری ندارد. مدل پیشنهادی ۳۳٫۳٪ از واریانس خودکارآمدی سلامت و ۹۴٫۲٪ از واریانس گرایش به خطای پزشکی را تبیین کرد. برای ارزیابی مدل پیشنهادی، تحلیل‌های توصیفی و مدل‌سازی معادلات ساختاری (SEM) مطابق با توصیه‌های STROBE به کار گرفته شد. این نتایج نشان می‌دهد که کاهش خستگی ذهنی می‌تواند خودکارآمدی سلامت پرستاران را افزایش داده و از عملکرد ایمن‌تر بالینی حمایت کند. بنابراین، توسعه و اجرای راهبردهای آموزشی و مدیریتی برای کاهش خستگی ذهنی به منظور تقویت خودکارآمدی پرستاران و به حداقل رساندن خطراتی که ایمنی بیماران و کارکنان را تهدید می‌کند، ضروری است.

This descriptive and cross-sectional study aimed to determine the job satisfaction, life satisfaction, and burnout levels of radiology technicians working in different hospitals in Türkiye, to examine the relationships between these variables, and to evaluate the sociodemographic, occupational, and psychosocial factors associated with burnout. The research was conducted online using Google Forms between February 10 and May 26, 2025. A total of 619 radiology technicians participated in the study. Data were collected using a Demographic Information Form, the Job Satisfaction Scale, the Life Satisfaction Scale, and the Burnout Scale Short Form. Descriptive statistics, the independent-samples t-test, one-way analysis of variance, Tukey HSD post hoc test, Pearson correlation, and multiple linear regression were used to analyze the data. Effect sizes were calculated using Cohen’s d for two-group comparisons and eta squared (η²) for comparisons involving more than two groups. Because burnout was the primary dependent variable of the study, multivariate analysis was performed for burnoutonly; job satisfaction and life satisfaction were included in the multivariate model as explanatory variables. The participants’ mean scores for job satisfaction, life satisfaction, and burnout were 3.18 ± 0.71, 18.89 ± 6.05, and 3.66 ± 1.12, respectively. Significant differences were found in some scale scores by gender, education level, income level, work arrangement, and work unit (p < 0.05). A moderate positive correlation was found between job satisfaction and life satisfaction (r = 0.529, p < 0.001), whereas moderate negative correlations were found between burnout and job satisfaction (r = -0.308, p < 0.001) and between burnout and life satisfaction (r = -0.473, p < 0.001). In the regression analysis, the model explained 26% of the variance in burnout (R² = 0.260, p < 0.001). Life satisfaction and female gender were significantly associated with burnout (p < 0.001), while other variables were not significant. These findings suggest that burnout among radiology technicians should be considered in relation to sociodemographic, occupational, and psychosocial factors, although life satisfaction remained the only psychosocial variable independently associated with burnout in the multivariable analysis.

این مطالعه توصیفی و مقطعی با هدف تعیین میزان رضایت شغلی، رضایت از زندگی و سطوح فرسودگی شغلی تکنسین‌های رادیولوژی شاغل در بیمارستان‌های مختلف ترکیه، بررسی روابط بین این متغیرها و ارزیابی عوامل جمعیت‌شناختی، شغلی و روانی‌اجتماعی مرتبط با فرسودگی شغلی انجام شد. پژوهش به صورت آنلاین و با استفاده از Google Forms در بازه زمانی ۱۰ فوریه تا ۲۶ مه ۲۰۲۵ انجام گرفت. در مجموع ۶۱۹ تکنسین رادیولوژی در این مطالعه شرکت کردند. داده‌ها با استفاده از فرم اطلاعات جمعیت‌شناختی، مقیاس رضایت شغلی، مقیاس رضایت از زندگی و فرم کوتاه مقیاس فرسودگی شغلی جمع‌آوری شد. برای تحلیل داده‌ها از آمار توصیفی، آزمون t مستقل، تحلیل واریانس یک‌طرفه، آزمون پس از hoc Tukey HSD، همبستگی پیرسون و رگرسیون خطی چندگانه استفاده گردید. اندازه اثر برای مقایسه‌های دو گروهی با استفاده از d کوهن و برای مقایسه‌های بیش از دو گروه با مجذور اتا (η²) محاسبه شد. از آنجا که فرسودگی شغلی متغیر وابسته اصلی پژوهش بود، تحلیل چندمتغیره فقط برای فرسودگی شغلی انجام شد؛ رضایت شغلی و رضایت از زندگی به عنوان متغیرهای تبیینی در مدل چندمتغیره وارد شدند. میانگین نمرات شرکت‌کنندگان برای رضایت شغلی، رضایت از زندگی و فرسودگی شغلی به ترتیب ۳.۱۸ ± ۰.۷۱، ۱۸.۸۹ ± ۶.۰۵ و ۳.۶۶ ± ۱.۱۲ بود. تفاوت معناداری در برخی نمرات مقیاس بر اساس جنسیت، سطح تحصیلات، سطح درآمد، نوع شیفت کاری و واحد کاری مشاهده شد (p < 0.05). همبستگی مثبت متوسطی بین رضایت شغلی و رضایت از زندگی (r = 0.529, p < 0.001) و همبستگی منفی متوسطی بین فرسودگی شغلی و رضایت شغلی (r = -0.308, p < 0.001) و بین فرسودگی شغلی و رضایت از زندگی (r = -0.473, p < 0.001) یافت شد. در تحلیل رگرسیون، مدل ۲۶٪ از واریانس فرسودگی شغلی را تبیین کرد (R² = 0.260, p < 0.001). رضایت از زندگی و جنسیت زن به طور معناداری با فرسودگی شغلی مرتبط بودند (p < 0.001)، در حالی که سایر متغیرها معنادار نبودند. این یافته‌ها نشان می‌دهد که فرسودگی شغلی در میان تکنسین‌های رادیولوژی باید در ارتباط با عوامل جمعیت‌شناختی، شغلی و روانی‌اجتماعی مورد توجه قرار گیرد، هرچند رضایت از زندگی تنها متغیر روانی‌اجتماعی بود که در تحلیل چندمتغیره به طور مستقل با فرسودگی شغلی ارتباط داشت.

Contamination-related obsessive-compulsive disorder (OCD) can cause substantial distress and functional impairment, particularly when compulsive behaviors become intertwined with familial and culturally shaped beliefs about purity and cleanliness.Understanding the distinction between culturally normative practices and clinically impairing compulsions is important for culturally sensitive assessment and treatment.This case report describes an 18-year-old woman with adolescent-onset, contamination-related obsessivecompulsive symptoms that developed at approximately 14-15 years of age during a period of academic and family stress.Her symptoms included persistent feelings of being unclean after toileting, prolonged bathing and toileting, repeated checking of undergarments after urination, counting rituals, avoidance of food and water to reduce elimination-related urges, and avoidance of physical contact in crowded or public settings.A distinctive feature of the presentation was its development within a familial environment in which purity and cleanliness were associated with bodily practices and social boundaries.The patient reported routine post-defecation bathing by family members, restrictions on physical contact with individuals from Scheduled Caste backgrounds, cleansing of the household after such contact, and repeated scrutiny of the adequacy of her own washing.These experiences were considered contextual influences that may have shaped the meaning and reinforcement of contamination concerns rather than direct causes of OCD.Her behaviors were distinguished from the family practices she described by their excessive duration, associated distress, impaired control, and functional interference.The baseline Yale-Brown Obsessive Compulsive Scale (Y-BOCS) score was 24, indicating severe symptoms.Treatment focused on psychoeducation, reduction of ritualized behaviors, distraction and urgemanagement strategies, toilet retraining, relaxation, and supportive psychotherapy, alongside concurrent pharmacological treatment.By sessions six to seven, checking and counting had ceased, bathing and toileting duration had markedly decreased, food and water avoidance had resolved, and previously avoided bus travel and crowded settings were tolerated.At session nine, approximately two months after baseline, the Y-BOCS score had decreased to 4, indicating symptoms in the subclinical range.The remaining sessions focused primarily on maintaining improvement and adjustment to college, with no recurrence of the principal rituals documented through the final session.This case highlights how familial and culturally transmitted concepts of purity may shape the content of contamination-related OCD symptoms.Substantial improvement occurred during a symptom-focused behavioral intervention without directly challenging the family's broader cultural framework.However, concurrent pharmacological treatment and the availability of only one follow-up Y-BOCS assessment limit conclusions about the independent effect of psychotherapy and the durability of improvement.

اختلال وسواس فکری-عملی مرتبط با آلودگی می‌تواند موجب ناراحتی قابل توجه و اختلال عملکرد شود، به‌ویژه زمانی که رفتارهای وسواسی با باورهای خانوادگی و فرهنگی درباره پاکیزگی و طهارت درهم می‌آمیزد. درک تمایز میان رفتارهای هنجار فرهنگی و اجبارهای بالینی که موجب اختلال می‌شوند، برای ارزیابی و درمان حساس به فرهنگ اهمیت دارد. این گزارش موردی به شرح زنی ۱۸ ساله با شروع علائم وسواس فکری-عملی مرتبط با آلودگی در نوجوانی می‌پردازد که این علائم تقریباً در سنین ۱۴ تا ۱۵ سالگی و در دوره‌ای از فشارهای تحصیلی و خانوادگی بروز یافته‌اند. علائم وی شامل احساس مداوم ناپاکی پس از استفاده از سرویس بهداشتی، استحمام و استفاده طولانی از سرویس بهداشتی، بررسی مکرر لباس زیر پس از ادرار، آیین‌های شمارش، اجتناب از خوردن و آشامیدن به‌منظور کاهش تمایلات مرتبط با دفع، و اجتناب از تماس فیزیکی در محیط‌های شلوغ یا عمومی بود. ویژگی متمایز این ارائه، شکل‌گیری آن در محیط خانوادگی بود که در آن پاکیزگی و طهارت با اعمال بدنی و مرزهای اجتماعی مرتبط بود. بیمار گزارش داد که اعضای خانواده به طور معمول پس از اجابت مزاج استحمام می‌کنند، تماس فیزیکی با افراد دارای پیشینه Scheduled Caste محدود می‌شود، پس از چنین تماسی خانه تطهیر می‌شود و شست‌وشوی خود را بارها از نظر کفایت بررسی می‌کند. این تجارب به‌عنوان تأثیرات زمینه‌ای در نظر گرفته شدند که ممکن است معنای نگرانی‌های آلودگی و تقویت آن‌ها را شکل داده باشند، نه علل مستقیم اختلال وسواس فکری-عملی. رفتارهای او از نظر مدت زمان بیش از حد، ناراحتی همراه، کنترل مختل‌شده و تداخل عملکردی از رفتارهای خانوادگی توصیف‌شده متمایز بودند. نمره پایه مقیاس وسواس فکری-عملی ییل-براون (Y-BOCS) برابر با ۲۴ بود که نشان‌دهنده علائم شدید است. درمان بر آموزش روانی، کاهش رفتارهای آیینی، راهبردهای حواس‌پرتی و مدیریت تمایل، بازآموزی توالت، آرام‌سازی و روان‌درمانی حمایتی همراه با درمان دارویی همزمان متمرکز بود. تا جلسات ششم تا هفتم، بررسی و شمارش متوقف شد، مدت زمان استحمام و استفاده از سرویس بهداشتی به طور قابل توجهی کاهش یافت، اجتناب از خوردن و آشامیدن برطرف شد و سفر با اتوبوس و حضور در محیط‌های شلوغ که قبلاً اجتناب می‌شد، تحمل گردید. در جلسه نهم، تقریباً دو ماه پس از خط پایه، نمره Y-BOCS به ۴ کاهش یافت که نشان‌دهنده علائم در محدوده تحت‌بالینی بود. جلسات باقی‌مانده عمدتاً بر حفظ بهبود و سازگاری با دانشگاه متمرکز بود و هیچ عود آیین‌های اصلی تا جلسه پایانی مستند نشد. این مورد نشان می‌دهد که چگونه مفاهیم خانوادگی و فرهنگی انتقال‌یافته درباره طهارت می‌تواند محتوای علائم اختلال وسواس فکری-عملی مرتبط با آلودگی را شکل دهد. بهبود قابل توجهی در طول مداخله رفتاری متمرکز بر علائم بدون به چالش کشیدن مستقیم چارچوب فرهنگی گسترده‌تر خانواده رخ داد. با این حال، درمان دارویی همزمان و وجود تنها یک ارزیابی پیگیری Y-BOCS نتیجه‌گیری درباره اثر مستقل روان‌درمانی و پایداری بهبود را محدود می‌کند.

Depressive, anxiety, and stress symptoms are common among adolescents, yet many studies dichotomise Depression Anxiety Stress Scales-21 (DASS-21) outcomes, potentially losing information across severity levels. This study estimated symptom prevalence and examined factors associated with the severity of depressive, anxiety, and stress symptoms among Vietnamese high school students. A cross-sectional survey was conducted among all Grade 10–12 students at one school in the Mekong Delta, Vietnam. Bivariate and multivariable proportional-odds logistic regression models were fitted for three ordered severity categories: normal, mild/moderate, and severe/very severe. Analyses were performed in R version 4.6.0. Among 366 students, severe/very severe depressive, anxiety, and stress symptoms were reported by 13.4%, 27.9%, and 16.4% of students, respectively. Female sex was associated with greater severity of depressive (aOR = 2.18, 95% CI: 1.41–3.39), anxiety (aOR = 1.88, 95% CI: 1.24–2.86), and stress symptoms (aOR = 2.37, 95% CI: 1.54–3.68). Average/weak academic performance was associated with greater depressive symptom severity (aOR = 2.10, 95% CI: 1.11–4.04). Poor family relationships were associated with greater anxiety (aOR = 1.79, 95% CI: 1.11–2.90) and stress symptom severity (aOR = 2.10, 95% CI: 1.25–3.53), while parental academic expectations were associated with greater anxiety symptom severity (aOR = 1.66, 95% CI: 1.10–2.52). Grade 11 students had lower odds of greater stress symptom severity than Grade 10 students (aOR = 0.50, 95% CI: 0.31–0.80). Female sex, academic performance, family relationships, parental expectations, and grade level were differentially associated with symptom severity. Analyses that preserved the ordered structure of DASS-21 outcomes showed that associated factors differed across symptom domains. These findings support sex-sensitive screening and targeted school- and family-based mental health strategies.

علائم افسردگی، اضطراب و استرس در میان نوجوانان شایع است، با این حال بسیاری از پژوهش‌ها نتایج مقیاس افسردگی، اضطراب و استرس-۲۱ (DASS-21) را دوگانه‌سازی می‌کنند که ممکن است منجر به از دست رفتن اطلاعات در سطوح مختلف شدت شود. این مطالعه شیوع علائم را برآورد کرده و عوامل مرتبط با شدت علائم افسردگی، اضطراب و استرس را در میان دانش‌آموزان دبیرستانی ویتنامی بررسی کرده است. یک مطالعه مقطعی در میان تمامی دانش‌آموزان پایه دهم تا دوازدهم یک مدرسه در دلتای مکونگ، ویتنام انجام شد. مدل‌های رگرسیون لجستیک با شانس‌های متناسب دو متغیره و چندمتغیره برای سه دسته شدت مرتب‌شده (عادی، خفیف/متوسط و شدید/بسیار شدید) برازش داده شد. تحلیل‌ها در نرم‌افزار R نسخه 4.6.0 انجام شد. در میان ۳۶۶ دانش‌آموز، به ترتیب ۱۳.۴٪، ۲۷.۹٪ و ۱۶.۴٪ علائم افسردگی، اضطراب و استرس شدید/بسیار شدید را گزارش کردند. جنسیت مؤنث با شدت بیشتر علائم افسردگی (aOR = 2.18, 95% CI: 1.41–3.39)، اضطراب (aOR = 1.88, 95% CI: 1.24–2.86) و استرس (aOR = 2.37, 95% CI: 1.54–3.68) همراه بود. عملکرد تحصیلی متوسط/ضعیف با شدت بیشتر علائم افسردگی (aOR = 2.10, 95% CI: 1.11–4.04) مرتبط بود. روابط خانوادگی ضعیف با شدت بیشتر علائم اضطراب (aOR = 1.79, 95% CI: 1.11–2.90) و استرس (aOR = 2.10, 95% CI: 1.25–3.53) مرتبط بود، در حالی که انتظارات تحصیلی والدین با شدت بیشتر علائم اضطراب (aOR = 1.66, 95% CI: 1.10–2.52) همراه بود. دانش‌آموزان پایه یازدهم نسبت به پایه دهم احتمال کمتری برای شدت بیشتر علائم استرس داشتند (aOR = 0.50, 95% CI: 0.31–0.80). جنسیت مؤنث، عملکرد تحصیلی، روابط خانوادگی، انتظارات والدین و پایه تحصیلی به طور متفاوتی با شدت علائم مرتبط بودند. تحلیل‌هایی که ساختار مرتب‌شده نتایج DASS-21 را حفظ کردند نشان دادند که عوامل مرتبط در حوزه‌های مختلف علائم متفاوت است. این یافته‌ها از غربالگری حساس به جنسیت و راهبردهای سلامت روان مبتنی بر مدرسه و خانواده حمایت می‌کند.

This study aimed to examine the effect of resilience on psychological well-being among firefighters in Kutai Kartanegara Regency, Indonesia. Firefighters are exposed to high job demands, hazardous working conditions, and repeated traumatic incidents, all of which may adversely affect their psychological state. In this context, resilience is considered a potential factor that enables individuals to adapt to stress and maintain psychological well-being. A quantitative approach with a non-experimental associative design was employed. The sample consisted of 162 firefighters from Kutai Kartanegara Regency who participated as respondents. Data were analyzed using simple linear regression. The results indicated that resilience had a positive and significant effect on psychological well-being, with a regression coefficient of 0.266 and a significance value of p = 0.021 (p < 0.05). These findings suggest that higher levels of resilience are associated with higher levels of psychological well-being among firefighters. The coefficient of determination revealed that resilience contributed 8.7% to the variance in psychological well-being, while the remaining 91.3% was influenced by other factors outside the research model. The findings underscore the importance of resilience as a psychological factor related to the well-being of firefighters.

هدف این پژوهش بررسی تأثیر تاب‌آوری بر بهزیستی روان‌شناختی در میان آتش‌نشانان شهرستان کوتای کارتاگارا، اندونزی بود. آتش‌نشانان با تقاضاهای شغلی بالا، شرایط کاری خطرناک و مواجهه مکرر با رویدادهای آسیب‌زا روبه‌رو هستند که همگی می‌توانند وضعیت روان‌شناختی آن‌ها را به طور منفی تحت تأثیر قرار دهند. در این زمینه، تاب‌آوری به عنوان عاملی بالقوه در نظر گرفته می‌شود که به افراد امکان می‌دهد با استرس سازگار شوند و بهزیستی روان‌شناختی خود را حفظ کنند. رویکرد کمی با طرح همبستگی غیرآزمایشی به کار گرفته شد. نمونه شامل ۱۶۲ آتش‌نشان از شهرستان کوتای کارتاگارا بود که به عنوان پاسخ‌دهنده شرکت کردند. داده‌ها با استفاده از رگرسیون خطی ساده تحلیل شدند. نتایج نشان داد که تاب‌آوری تأثیر مثبت و معناداری بر بهزیستی روان‌شناختی دارد، به طوری که ضریب رگرسیون برابر با ۰٫۲۶۶ و مقدار معناداری p = ۰٫۰۲۱ (p < ۰٫۰۵) به دست آمد. این یافته‌ها حاکی از آن است که سطوح بالاتر تاب‌آوری با سطوح بالاتر بهزیستی روان‌شناختی در میان آتش‌نشانان مرتبط است. ضریب تعیین نشان داد که تاب‌آوری ۸٫۷٪ از واریانس بهزیستی روان‌شناختی را تبیین می‌کند، در حالی که ۹۱٫۳٪ باقی‌مانده تحت تأثیر سایر عوامل خارج از مدل پژوهش قرار دارد. این یافته‌ها اهمیت تاب‌آوری را به عنوان یک عامل روان‌شناختی مرتبط با بهزیستی آتش‌نشانان برجسته می‌کند.

Disasters pose a formidable challenge for mental health support services in terms of resources and timely response. This study evaluated the effects of different types of events on the Mexico City population during the first year of the COVID-19 pandemic, under the assumption that high-resolution time-scale data analysis performed on ICT-based and telehealth systems could contribute to understanding psychological needs and to identifying events associated with short-term outbursts in support demands, estimating their time of occurrence, and the characteristics of calls for service. The study evaluated the effects of public announcements of quarantine measures, mental health press conferences, festivities during 2020, and earthquakes with public early warnings between 2020 and 2023 reported through national public institutions’ databases, the “Screening Tool for Mental Health Problems” and the “Lifeline Emergency Phone Call Service (LEPCS),” comprising 138,471 interactions. The analysis used qualitative and quantitative methods, including principal component analysis, correlations, and one-way ANOVA. The study successfully identified patterns in responses associated with acute stress, depression, and anxiety, as well as possible times of maximum demand associated with different types of events. Complex scenarios with multiple threats were associated with significant short-term outbursts, posing a challenge to support systems, with a documented case with an increase as high as 2651% on a single day. The research is novel in its time-scope analysis and event-wise approach, providing valuable insights for emergency planning and resource allocation. Additionally, the study proposes evaluation criteria for detecting potential system overloads in telehealth services to enable early countermeasures.

بلایا چالشی جدی برای خدمات حمایتی سلامت روان از نظر منابع و پاسخ به‌موقع ایجاد می‌کنند. این پژوهش تأثیر انواع مختلف رویدادها را بر جمعیت شهر مکزیک در نخستین سال همه‌گیری COVID-19 ارزیابی کرد، با این فرض که تحلیل داده‌ها با مقیاس زمانی با وضوح بالا بر روی سامانه‌های مبتنی بر فناوری اطلاعات و ارتباطات و تله‌مدیسین می‌تواند به درک نیازهای روان‌شناختی و شناسایی رویدادهای مرتبط با جهش‌های کوتاه‌مدت در تقاضای حمایت، برآورد زمان وقوع آن‌ها و ویژگی‌های تماس‌های خدماتی کمک کند. این مطالعه تأثیر اعلام عمومی اقدامات قرنطینه، کنفرانس‌های مطبوعاتی سلامت روان، جشن‌ها در سال ۲۰۲۰ و زمین‌لرزه‌ها با هشدار اولیه عمومی بین سال‌های ۲۰۲۰ تا ۲۰۲۳ را که از طریق پایگاه‌های داده نهادهای عمومی ملی، «ابزار غربالگری مشکلات سلامت روان» و «خدمات تماس اضطراری تلفنی (LEPCS)» گزارش شده‌اند و شامل ۱۳۸٬۴۷۱ تعامل بودند، مورد ارزیابی قرار داد. تحلیل با استفاده از روش‌های کیفی و کمی، از جمله تحلیل مؤلفه‌های اصلی، همبستگی‌ها و ANOVA یک‌طرفه انجام شد. این پژوهش موفق به شناسایی الگوهایی در واکنش‌ها شد که با استرس حاد، افسردگی و اضطراب مرتبط بودند و همچنین زمان‌های احتمالی اوج تقاضا که با انواع مختلف رویدادها مرتبط بودند را تعیین کرد. سناریوهای پیچیده با تهدیدهای متعدد با جهش‌های کوتاه‌مدت قابل توجهی همراه بودند که چالشی برای سامانه‌های حمایتی ایجاد کردند، به طوری که یک مورد مستند با افزایش تا ۲۶۵۱٪ در یک روز ثبت شد. این پژوهش از نظر تحلیل مقیاس زمانی و رویکرد رویدادمحور نوآورانه است و بینش‌های ارزشمندی برای برنامه‌ریزی اضطراری و تخصیص منابع ارائه می‌دهد. افزون بر این، مطالعه معیارهایی برای ارزیابی شناسایی احتمال اضافه‌بار سامانه‌ها در خدمات تله‌مدیسین به منظور امکان مقابله زودهنگام پیشنهاد می‌کند.

Background Correctional workers (CWs), are frequently exposed to traumatic workplace events, placing them at higher risk of experiencing mental health disorders, including major depressive disorder (MDD), generalized anxiety disorder (GAD), and posttraumatic stress disorder (PTSD). Despite high prevalence of mental health challenges, CWs underutilize mental health services due to stigma, irregular work schedules, and accessibility issues. While cognitive behavioral therapy (CBT) is effective, it poses accessibility challenges. Electronic CBT (eCBT) offers a scalable, accessible alternative, but use among CWs remains underexplored. Objective This study aimed to evaluate the efficacy of diagnosis-specific eCBT programs designed for CWs in reducing symptoms of MDD, GAD, and PTSD compared to treatment as usual (TAU). Methods A randomized controlled trial (RCT) was conducted with 84 CWs in Ontario, assigned to either eCBT (n=40) or TAU (n=44). The eCBT program provided diagnosis-specific modules with synchronous personalized feedback from care providers over 12-weeks via the Online Psychotherapy Tool (OPTT). Symptom severity was measured at baseline, week-6, and post-treatment using validated scales for depression, anxiety, PTSD, and quality-of-life. Data analysis included paired samples t-tests, mixed linear models, and effect size calculations (Cohen’s d). Results The eCBT group exhibited significant reductions in symptom severity for depression, anxiety, and PTSD from baseline to post-treatment compared to TAU (p<0.01), with a moderate effect size (Cohen’s d=0.68). Symptom severity decreased by 61.37% for eCBT versus 23.29% in TAU. Mixed linear models confirmed a significant treatment-by-time interaction, favoring eCBT (p<0.01). However, no significant differences in quality-of-life improvements were observed between groups. Conclusions Diagnosis-specific eCBT programs are effective in reducing symptoms of depression, anxiety, and PTSD for CWs. The asynchronous, accessible format of eCBT addresses current key barriers. Future research should explore strategies to improve adherence and increase the accessibility of services for CWs.

زمینه: کارکنان اصلاح و تربیت (CWs) به طور مکرر در معرض رویدادهای شغلی آسیب‌زا قرار می‌گیرند و در نتیجه در معرض خطر بالاتر ابتلا به اختلالات سلامت روان، از جمله اختلال افسردگی اساسی (MDD)، اختلال اضطراب فراگیر (GAD) و اختلال استرس پس از سانحه (PTSD) قرار دارند. با وجود شیوع بالای چالش‌های سلامت روان، کارکنان اصلاح و تربیت به دلیل انگ، برنامه‌های کاری نامنظم و مشکلات دسترسی، از خدمات سلامت روان کمتر استفاده می‌کنند. اگرچه درمان شناختی-رفتاری (CBT) مؤثر است، اما چالش‌هایی در دسترسی به آن وجود دارد. درمان شناختی-رفتاری الکترونیکی (eCBT) جایگزینی مقیاس‌پذیر و قابل دسترس ارائه می‌دهد، اما استفاده از آن در میان کارکنان اصلاح و تربیت کمتر مورد بررسی قرار گرفته است. هدف: این مطالعه با هدف ارزیابی اثربخشی برنامه‌های eCBT اختصاصی بر اساس تشخیص برای کارکنان اصلاح و تربیت در کاهش علائم MDD، GAD و PTSD در مقایسه با درمان معمول (TAU) انجام شد. روش‌ها: یک کارآزمایی تصادفی‌شده‌ی کنترل‌شده (RCT) با ۸۴ نفر از کارکنان اصلاح و تربیت در انتاریو انجام شد که به طور تصادفی به گروه eCBT (n=40) یا TAU (n=44) تخصیص یافتند. برنامه‌ی eCBT شامل ماژول‌های اختصاصی بر اساس تشخیص با بازخورد شخصی‌سازی‌شده‌ی همزمان از سوی ارائه‌دهندگان مراقبت طی ۱۲ هفته از طریق ابزار روان‌درمانی آنلاین (OPTT) بود. شدت علائم در ابتدا، هفته‌ی ششم و پس از درمان با استفاده از مقیاس‌های معتبر برای افسردگی، اضطراب، اختلال استرس پس از سانحه و کیفیت زندگی اندازه‌گیری شد. تحلیل داده‌ها شامل آزمون t زوجی، مدل‌های خطی آمیخته و محاسبه‌ی اندازه‌ی اثر (d کوهن) بود. نتایج: گروه eCBT کاهش معناداری در شدت علائم افسردگی، اضطراب و PTSD از ابتدا تا پس از درمان نسبت به TAU نشان داد (p<0.01) و اندازه‌ی اثر متوسط (d کوهن=0.68) به دست آمد. شدت علائم در گروه eCBT به میزان ۶۱.۳۷٪ و در گروه TAU به میزان ۲۳.۲۹٪ کاهش یافت. مدل‌های خطی آمیخته تعامل معنادار درمان-زمان را به نفع eCBT تأیید کردند (p<0.01). با این حال، تفاوت معناداری در بهبود کیفیت زندگی بین گروه‌ها مشاهده نشد. نتیجه‌گیری: برنامه‌های eCBT اختصاصی بر اساس تشخیص در کاهش علائم افسردگی، اضطراب و اختلال استرس پس از سانحه برای کارکنان اصلاح و تربیت مؤثر هستند. قالب غیرهمزمان و قابل دسترس eCBT موانع کلیدی فعلی را برطرف می‌کند. پژوهش‌های آینده باید راهبردهایی برای بهبود پایبندی و افزایش دسترسی به خدمات برای این گروه را بررسی کنند.

Introduction Although police personnel are exposed to substantial occupational stress and Kerala has one of the highest suicide rates in India, evidence on suicidal ideation and suicidal behavior among police personnel in the state remains limited. This study estimated the prevalence of suicidal ideation and suicidal behavior and identified their associated factors among police personnel in Kerala, India. Methods A cross-sectional study was conducted among 400 police personnel (mean age 37.94 years; 81% men), from Civil Police Officers (CPOs) to Inspectors, recruited from 15 police stations in Ernakulam and Malappuram districts of Kerala using a multistage cluster sampling approach. Data were collected using a self-administered structured questionnaire. Suicidal ideation and suicidal behavior during the past 12 months were assessed using the Columbia-Suicide Severity Rating Scale (C-SSRS), with the reference period adapted to the past 12 months. Survey-weighted generalised linear models with a Poisson distribution and log link were used to estimate adjusted prevalence ratios (aPRs) and 95% confidence intervals (CIs) for factors associated with suicidal ideation and suicidal behavior. Results The survey-weighted prevalence of suicidal ideation was 9.39% ( n = 36; 95% CI: 6.18–14.01%), while 4.11% ( n = 14; 95% CI: 1.68–9.70%) reported suicidal behavior during the past 12 months. Actual suicide attempts were reported by 1.47% ( n = 6; 95% CI: 0.66–3.25%). Among participants with suicidal ideation, 13.56% ( n = 6) reported active suicidal ideation with a specific plan and intent. A higher prevalence of suicidal ideation was observed among participants aged >36 years (aPR: 2.90; 95% CI: 1.31–6.38), CPOs (aPR: 2.31; 95% CI: 1.59–3.37), those working >12 h per day (aPR: 1.67; 95% CI: 1.05–2.65), those with a previous psychiatric illness (aPR: 1.67; 95% CI: 1.19–2.35), and those reporting workplace violence or harassment (aPR: 3.16; 95% CI: 1.11–9.04). A higher prevalence of suicidal behavior was observed among participants with >15 years of service (aPR: 13.82; 95% CI: 5.00–38.19), CPOs (aPR: 12.32; 95% CI: 6.12–24.80), those with a previous psychiatric illness (aPR: 5.94; 95% CI: 2.58–13.66), and those reporting workplace violence or harassment (aPR: 13.81; 95% CI: 2.71–70.34). Conclusion Nearly one in ten police personnel reported suicidal ideation and approximately one in twenty-five reported suicidal behavior during the past 12 months. The findings highlight the need for workplace mental health strategies addressing occupational stressors and improving access to confidential mental health support among police personnel.

مقدمه: اگرچه کارکنان پلیس در معرض استرس شغلی قابل توجهی قرار دارند و ایالت کرالا یکی از بالاترین نرخ‌های خودکشی در هند را داراست، اما شواهد مربوط به افکار خودکشی و رفتار خودکشی در میان کارکنان پلیس این ایالت همچنان محدود است. این مطالعه شیوع افکار خودکشی و رفتار خودکشی را برآورد کرده و عوامل مرتبط با آن‌ها را در میان کارکنان پلیس در کرالا، هند شناسایی نمود. روش‌ها: یک مطالعه مقطعی در میان ۴۰۰ نفر از کارکنان پلیس (میانگین سنی ۳۷٫۹۴ سال؛ ۸۱٪ مرد) از افسران پلیس مدنی (CPOs) تا بازرس‌ها، که از ۱۵ ایستگاه پلیس در شهرستان‌های ارناکولام و مالاپورام کرالا با استفاده از روش نمونه‌گیری خوشه‌ای چندمرحله‌ای انتخاب شدند، انجام شد. داده‌ها با استفاده از پرسشنامه ساختارمند خودگزارشی جمع‌آوری گردید. افکار خودکشی و رفتار خودکشی در ۱۲ ماه گذشته با استفاده از مقیاس Columbia-Suicide Severity Rating Scale (C-SSRS) و با تطبیق دوره مرجع به ۱۲ ماه گذشته ارزیابی شد. برای برآورد نسبت‌های شیوع تعدیل‌شده (aPRs) و فواصل اطمینان ۹۵٪ (CIs) برای عوامل مرتبط با افکار خودکشی و رفتار خودکشی، از مدل‌های خطی تعمیم‌یافته با توزیع پواسون و لینک لگاریتمی با وزن‌دهی پیمایشی استفاده شد. نتایج: شیوع وزنی افکار خودکشی ۹٫۳۹٪ (n = 36؛ ۹۵٪ CI: ۶٫۱۸–۱۴٫۰۱٪) و رفتار خودکشی ۴٫۱۱٪ (n = 14؛ ۹۵٪ CI: ۱٫۶۸–۹٫۷۰٪) در ۱۲ ماه گذشته گزارش شد. اقدام به خودکشی واقعی توسط ۱٫۴۷٪ (n = 6؛ ۹۵٪ CI: ۰٫۶۶–۳٫۲۵٪) گزارش گردید. در میان شرکت‌کنندگانی که افکار خودکشی داشتند، ۱۳٫۵۶٪ (n = 6) افکار فعال خودکشی با برنامه و قصد مشخص را گزارش کردند. شیوع بالاتر افکار خودکشی در میان شرکت‌کنندگان بالای ۳۶ سال (aPR: 2.90؛ ۹۵٪ CI: ۱٫۳۱–۶٫۳۸)، CPOs (aPR: 2.31؛ ۹۵٪ CI: ۱٫۵۹–۳٫۳۷)، افرادی که بیش از ۱۲ ساعت در روز کار می‌کنند (aPR: 1.67؛ ۹۵٪ CI: ۱٫۰۵–۲٫۶۵)، افراد با سابقه بیماری روانپزشکی (aPR: 1.67؛ ۹۵٪ CI: ۱٫۱۹–۲٫۳۵) و افرادی که خشونت یا آزار در محیط کار را گزارش کردند (aPR: 3.16؛ ۹۵٪ CI: ۱٫۱۱–۹٫۰۴) مشاهده شد. شیوع بالاتر رفتار خودکشی در میان شرکت‌کنندگانی با بیش از ۱۵ سال سابقه خدمت (aPR: 13.82؛ ۹۵٪ CI: ۵٫۰۰–۳۸٫۱۹)، CPOs (aPR: 12.32؛ ۹۵٪ CI: ۶٫۱۲–۲۴٫۸۰)، افراد با سابقه بیماری روانپزشکی (aPR: 5.94؛ ۹۵٪ CI: ۲٫۵۸–۱۳٫۶۶) و افرادی که خشونت یا آزار در محیط کار را گزارش کردند (aPR: 13.81؛ ۹۵٪ CI: ۲٫۷۱–۷۰٫۳۴) مشاهده شد. نتیجه‌گیری: تقریباً یک نفر از هر ده نفر از کارکنان پلیس افکار خودکشی و حدود یک نفر از هر بیست‌وپنج نفر رفتار خودکشی را در ۱۲ ماه گذشته گزارش کردند. یافته‌ها بر ضرورت راهبردهای سلامت روان در محیط کار که به عوامل استرس‌زای شغلی پرداخته و دسترسی به حمایت محرمانه سلامت روان را در میان کارکنان پلیس بهبود می‌بخشد، تأکید می‌کند.

Objective The psychological impact of war on families is profound. However, the mechanisms linking war-related stressors to anxiety among mothers and their children remain insufficiently understood, particularly in Middle Eastern contexts. Grounded in an extended transactional model of stress and coping, this study examined the direct and indirect relationships between war-related stressors, cognitive appraisal, coping strategies, and anxiety among Iranian mothers and their children following a recent military conflict. The study also investigated the mediating roles of appraisal and coping processes and the moderating roles of religiosity and social support. Method A cross-sectional design was employed approximately three months after a major military escalation. A stratified proportional sample of 343 Iranian mothers (aged 24 years and older) with at least one child aged 5–10 years living in conflict-affected areas completed validated self-report measures. Data were analyzed using partial least squares structural equation modeling (PLS-SEM). Results The extends model explained substantial variance in maternal anxiety ( R ² = .80) and child anxiety ( R ² = .72). War-related stressors were significantly and positively associated with both maternal anxiety and child anxiety. In addition, maternal anxiety was significantly associated with child anxiety. Challenge appraisal, problem-focused coping, and cognitive restructuring mediated the relationship between war-related stressors and maternal anxiety. Emotion-focused coping positively mediated the relationship between war-related stressors and child anxiety. Religiosity and social support were found to buffer the association between war-related stressors and maternal anxiety, such that higher levels of religiosity and social support weakened the positive relationship between war-related stressors and anxiety among mothers. Conclusions This study extends the transactional model of stress and coping by supporting an integrated framework within a conflict-affected Middle Eastern population. The findings indicate distinct pathways linking war-related stressors to maternal and child anxiety and highlight the importance of interventions that address cognitive appraisal, strengthen adaptive coping strategies, and mobilize spiritual and social resources in conflict-affected families.

هدف: تأثیر روان‌شناختی جنگ بر خانواده‌ها عمیق است. با این حال، سازوکارهای پیونددهنده عوامل استرس‌زای مرتبط با جنگ و اضطراب در میان مادران و فرزندان آن‌ها، به ویژه در زمینه‌های خاورمیانه‌ای، به اندازه کافی شناخته نشده‌اند. این مطالعه که مبتنی بر مدل تعاملی توسعه‌یافته استرس و مقابله است، روابط مستقیم و غیرمستقیم بین عوامل استرس‌زای مرتبط با جنگ، ارزیابی شناختی، راهبردهای مقابله‌ای و اضطراب را در میان مادران ایرانی و فرزندان آن‌ها پس از یک درگیری نظامی اخیر بررسی کرد. همچنین نقش‌های میانجی ارزیابی و فرایندهای مقابله‌ای و نقش‌های تعدیل‌گر مذهبی بودن و حمایت اجتماعی مورد بررسی قرار گرفت. روش: یک طرح مقطعی تقریباً سه ماه پس از تشدید عمده نظامی به کار گرفته شد. نمونه‌گیری طبقه‌بندی‌شده تناسبی از ۳۴۳ مادر ایرانی (۲۴ سال و بالاتر) با حداقل یک فرزند ۵ تا ۱۰ ساله ساکن مناطق درگیر، که پرسشنامه‌های خودگزارش‌دهی معتبر را تکمیل کردند، انجام شد. داده‌ها با استفاده از مدل‌سازی معادلات ساختاری حداقل مربعات جزئی (PLS-SEM) تحلیل شدند. نتایج: مدل توسعه‌یافته واریانس قابل توجهی از اضطراب مادران (R² = .80) و اضطراب کودکان (R² = .72) را تبیین کرد. عوامل استرس‌زای مرتبط با جنگ به طور معنادار و مثبت با اضطراب مادران و اضطراب کودکان مرتبط بودند. همچنین، اضطراب مادران به طور معنادار با اضطراب کودکان مرتبط بود. ارزیابی چالشی، مقابله متمرکز بر مسئله و بازسازی شناختی، رابطه بین عوامل استرس‌زای مرتبط با جنگ و اضطراب مادران را میانجی‌گری کردند. مقابله متمرکز بر هیجان به طور مثبت رابطه بین عوامل استرس‌زای مرتبط با جنگ و اضطراب کودکان را میانجی‌گری کرد. مذهبی بودن و حمایت اجتماعی نقش تعدیل‌گر در ارتباط بین عوامل استرس‌زای مرتبط با جنگ و اضطراب مادران داشتند، به طوری که سطوح بالاتر مذهبی بودن و حمایت اجتماعی، رابطه مثبت بین عوامل استرس‌زای مرتبط با جنگ و اضطراب در میان مادران را تضعیف کرد. نتیجه‌گیری: این مطالعه مدل تعاملی استرس و مقابله را با حمایت از یک چارچوب یکپارچه در جمعیت خاورمیانه‌ای درگیر در منازعه گسترش می‌دهد. یافته‌ها مسیرهای متمایزی را که عوامل استرس‌زای مرتبط با جنگ را به اضطراب مادران و کودکان پیوند می‌دهد، نشان می‌دهد و اهمیت مداخلاتی را که به ارزیابی شناختی، تقویت راهبردهای مقابله‌ای سازگار و بسیج منابع معنوی و اجتماعی در خانواده‌های درگیر در منازعه می‌پردازد، برجسته می‌کند.

Using Control-Value Theory (CVT) as an interpretive framework, this study examined the statistical associations of perceived academic stress, emotion regulation, and academic buoyancy with psychological well-being among Saudi EFL learners. Rather than testing the appraisal-emotion structure of CVT, the study estimated the relationships among these learner constructs within a single partial least squares structural equation modeling (PLS-SEM) model and used CVT to inform their theoretical interpretation. Data were collected from 250 intermediate-level EFL learners enrolled in institutionally based English programs in Saudi Arabia using the Perception of Academic Stress Scale (PASS), the Emotion Regulation Questionnaire, an adapted Academic Buoyancy Scale, and an adapted Psychological Well-Being Scale. SmartPLS 4 was used to evaluate the measurement and structural models. The measurement results indicated acceptable internal consistency and convergent validity, with Cronbach’s alpha values ranging from 0.858 to 0.943 and AVE values exceeding 0.50. The specified model accounted for 31.2% of the observed variance in psychological well-being. Emotion regulation yielded the largest observed standardized coefficient in its association with psychological well-being (β = 0.316, p < .001), followed descriptively by perceived academic stress (β = 0.193, p = .014) and academic buoyancy (β = 0.145, p = .026). Because the differences among these coefficients were not tested directly, their ordering is descriptive and cannot be taken as evidence of statistically significant differences in association magnitude. Moreover, because perceived control, task value, and achievement emotions were not directly operationalized, the observed associations do not constitute evidence for the appraisal-emotion processes specified by CVT. Likewise, the positive stress-well-being coefficient provides no basis for concluding that learners made challenge appraisals, experienced eustress, or benefited from academic stress. The observed relationships provide a basis for future longitudinal and intervention studies examining whether changes in these constructs are accompanied by subsequent changes in learner well-being.

با استفاده از نظریه کنترل-ارزش (CVT) به عنوان چارچوب تفسیری، این پژوهش به بررسی ارتباطات آماری استرس تحصیلی ادراک‌شده، تنظیم هیجان و تاب‌آوری تحصیلی با بهزیستی روان‌شناختی در میان زبان‌آموزان EFL سعودی پرداخت. به جای آزمون ساختار ارزیابی-هیجان نظریه CVT، این مطالعه روابط میان این سازه‌های یادگیرنده را در قالب یک مدل معادلات ساختاری حداقل مربعات جزئی (PLS-SEM) برآورد کرده و از نظریه CVT برای تفسیر نظری آن‌ها بهره برد. داده‌ها از ۲۵۰ زبان‌آموز سطح متوسط EFL که در برنامه‌های آموزش زبان انگلیسی مبتنی بر مؤسسه در عربستان سعودی ثبت‌نام کرده بودند، با استفاده از مقیاس ادراک استرس تحصیلی (PASS)، پرسشنامه تنظیم هیجان، مقیاس تاب‌آوری تحصیلی اقتباس‌شده و مقیاس بهزیستی روان‌شناختی اقتباس‌شده گردآوری شد. برای ارزیابی مدل‌های اندازه‌گیری و ساختاری از نرم‌افزار SmartPLS 4 استفاده شد. نتایج اندازه‌گیری نشان‌دهنده انسجام درونی قابل قبول و روایی همگرا بود، به طوری که مقادیر آلفای کرونباخ بین ۰.۸۵۸ تا ۰.۹۴۳ و مقادیر AVE بالاتر از ۰.۵۰ به دست آمد. مدل مشخص‌شده ۳۱.۲٪ از واریانس مشاهده‌شده در بهزیستی روان‌شناختی را تبیین کرد. تنظیم هیجان بیشترین ضریب استاندارد مشاهده‌شده را در ارتباط با بهزیستی روان‌شناختی داشت (β = 0.316, p < .001) و پس از آن به ترتیب استرس تحصیلی ادراک‌شده (β = 0.193, p = .014) و تاب‌آوری تحصیلی (β = 0.145, p = .026) قرار گرفتند. از آنجا که تفاوت میان این ضرایب به طور مستقیم آزمون نشده است، ترتیب آن‌ها توصیفی بوده و نمی‌توان آن را به عنوان شواهدی برای تفاوت معنادار آماری در میزان ارتباط تلقی کرد. همچنین، از آنجا که کنترل ادراک‌شده، ارزش تکلیف و هیجان‌های پیشرفت به طور مستقیم عملیاتی نشده‌اند، ارتباطات مشاهده‌شده شواهدی برای فرآیندهای ارزیابی-هیجان مشخص‌شده در CVT محسوب نمی‌شود. به همین ترتیب، ضریب مثبت استرس-بهزیستی مبنایی برای نتیجه‌گیری درباره ارزیابی چالشی، تجربه استرس مثبت یا بهره‌مندی از استرس تحصیلی توسط یادگیرندگان فراهم نمی‌کند. روابط مشاهده‌شده مبنایی برای پژوهش‌های طولی و مداخله‌ای آینده فراهم می‌کند تا بررسی شود که آیا تغییرات در این سازه‌ها با تغییرات بعدی در بهزیستی یادگیرندگان همراه است یا خیر.

Cognitive failures can be an important link between occupational stress and the occurrence of work-related accidents. On the other side, early maladaptive schemas can fundamentally affect cognitive processing and individuals' reactions to stressors. This study modeled the effects between occupational stress and cognitive failures using early maladaptive schemas as a mediating variable among mine workers. This cross-sectional study was carried out on 285 mine workers of eastern Iran. Data were collected by the Osipow occupational stress inventory, Occupational Cognitive Failure Questionnaire (OCFQ), and Young Schema Questionnaire Short Form. This study employed Structural Equation Modeling (SEM) techniques using SmartPLS 3 to analyze data. The results revealed that occupational stress had a significant positive direct effect on cognitive failures (β = 0.375, P < 0.001) and on most early maladaptive schemas domains, with the strongest effect on impaired autonomy and performance (β = 0.459, P < 0.001). Notably, occupational stress showed a significant negative association with impaired limits (β = -0.172, P = 0.004 ). In turn, cognitive failures were most strongly predicted by disconnection and rejection (β = 0.396, P < 0.001) and impaired autonomy and performance (β = 0.278, P < 0.001). Mediation analyses indicated that disconnection and rejection (β = 0.144, P < 0.001) and impaired autonomy and performance (β = 0.127, P < 0.001) served as significant indirect pathways linking occupational stress to cognitive failures. The findings confirmed that occupational stress increases cognitive failures. Moreover, by activating early maladaptive schemas of disconnection and rejection and impaired autonomy and performance, it also indirectly affects these failures. Therefore, mining work environments should pay attention to workers' mental health, as neglecting it can exacerbate maladaptive thought and behavioral patterns. It is recommended that organizational interventions, in addition to reducing workplace stressors, focus on identifying and modifying these schemas and enhancing workers' sense of competence to prevent the occurrence of cognitive failures.

خطاهای شناختی می‌توانند پیوند مهمی میان استرس شغلی و وقوع حوادث مرتبط با کار باشند. از سوی دیگر، طرحواره‌های ناسازگار اولیه می‌توانند به طور بنیادی بر پردازش شناختی و واکنش‌های افراد به عوامل استرس‌زا تأثیر بگذارند. این پژوهش، اثرات بین استرس شغلی و خطاهای شناختی را با استفاده از طرحواره‌های ناسازگار اولیه به عنوان متغیر میانجی در میان کارگران معادن مدل‌سازی کرد. این مطالعه مقطعی بر روی ۲۸۵ نفر از کارگران معادن شرق ایران انجام شد. داده‌ها با استفاده از پرسشنامه استرس شغلی Osipow، پرسشنامه خطاهای شناختی شغلی (OCFQ) و فرم کوتاه پرسشنامه طرحواره Young جمع‌آوری شد. این پژوهش برای تحلیل داده‌ها از تکنیک‌های مدل‌سازی معادلات ساختاری (SEM) با استفاده از نرم‌افزار SmartPLS 3 بهره گرفت. نتایج نشان داد که استرس شغلی اثر مستقیم مثبت معناداری بر خطاهای شناختی دارد (β = ۰.۳۷۵، P < ۰.۰۰۱) و همچنین بر اکثر حوزه‌های طرحواره‌های ناسازگار اولیه، با قوی‌ترین اثر بر حوزه خودمختاری و عملکرد مختل (β = ۰.۴۵۹، P < ۰.۰۰۱). قابل توجه است که استرس شغلی با حوزه محدودیت‌های مختل رابطه منفی معناداری نشان داد (β = -۰.۱۷۲، P = ۰.۰۰۴). به نوبه خود، خطاهای شناختی بیشترین پیش‌بینی را از حوزه بریدگی و طرد (β = ۰.۳۹۶، P < ۰.۰۰۱) و خودمختاری و عملکرد مختل (β = ۰.۲۷۸، P < ۰.۰۰۱) دریافت کردند. تحلیل‌های میانجی‌گری نشان داد که بریدگی و طرد (β = ۰.۱۴۴، P < ۰.۰۰۱) و خودمختاری و عملکرد مختل (β = ۰.۱۲۷، P < ۰.۰۰۱) به عنوان مسیرهای غیرمستقیم معنادار، استرس شغلی را به خطاهای شناختی پیوند می‌دهند. یافته‌ها تأیید کردند که استرس شغلی خطاهای شناختی را افزایش می‌دهد. افزون بر این، با فعال‌سازی طرحواره‌های ناسازگار اولیه بریدگی و طرد و خودمختاری و عملکرد مختل، به طور غیرمستقیم نیز بر این خطاها تأثیر می‌گذارد. بنابراین، محیط‌های کاری معادن باید به سلامت روانی کارگران توجه داشته باشند، چرا که غفلت از آن می‌تواند الگوهای فکری و رفتاری ناسازگار را تشدید کند. توصیه می‌شود مداخلات سازمانی علاوه بر کاهش عوامل استرس‌زای محیط کار، بر شناسایی و اصلاح این طرحواره‌ها و تقویت حس شایستگی کارگران برای پیشگیری از وقوع خطاهای شناختی تمرکز کنند.

Background The 7 October 2023, terrorist attack at the Nova Festival in southern Israel caused deaths, injuries, hostage-taking and prolonged life-threatening exposure, creating an urgent need for early interventions to reduce post-traumatic morbidity. Although prolonged exposure is an established post-traumatic stress disorder (PTSD) treatment, its feasibility and benefit during ongoing threat remain unclear. Aims This preliminary study evaluated a war-adapted brief prolonged exposure protocol (WBPE) delivered shortly after trauma in Nova Festival survivors with acute stress disorder. Method Forty survivors completed the WBPE and were assessed at baseline and immediately post treatment. A subsample of 27 WBPE completers and 18 untreated wait-list controls was reassessed after 5 months. Outcomes were PTSD (PDS-5), depression (PHQ-9) and anxiety (GAD-7) symptom severity. Results WBPE was associated with significant reductions in PTSD, depression and anxiety immediately after treatment. At 5 months, WBPE participants showed greater reductions in PTSD and depressive symptom severity and lower PTSD and depression symptom scores than controls, with large effect sizes. Anxiety symptoms improved in both groups, consistent with possible natural recovery. Clinically significant depressive symptoms (48.15 v . 77.78%) and anxiety symptoms (37.04 v . 72.22%) were less frequent in WBPE participants than controls, whereas probable PTSD rates did not differ significantly. Substance use during the study period was associated with poorer outcomes and smaller symptom reductions. Conclusions WBPE appears feasible and potentially beneficial under wartime conditions, with meaningful improvements in PTSD and depression despite persistent threat. Substance use was linked to poorer recovery and should be systematically assessed in post-trauma care.

زمینه: حمله تروریستی ۷ اکتبر ۲۰۲۳ در جشنواره Nova در جنوب اسرائیل منجر به مرگ، جراحت، گروگان‌گیری و مواجهه طولانی مدت با تهدید جانی شد و نیاز فوری به مداخلات زودهنگام برای کاهش عوارض پس از سانحه را ایجاد کرد. اگرچه مواجهه طولانی مدت به عنوان درمانی اثبات‌شده برای اختلال استرس پس از سانحه (PTSD) شناخته می‌شود، اما امکان‌پذیری و سودمندی آن در شرایط تهدید مداوم همچنان نامشخص است. اهداف: این مطالعه مقدماتی، پروتکل مواجهه طولانی مدت کوتاه‌مدت سازگار با شرایط جنگ (WBPE) را که مدت کوتاهی پس از سانحه در بازماندگان جشنواره Nova مبتلا به اختلال استرس حاد اجرا شد، ارزیابی کرد. روش: چهل نفر از بازماندگان WBPE را تکمیل کردند و در ابتدا و بلافاصله پس از درمان مورد ارزیابی قرار گرفتند. زیرنمونه‌ای متشکل از ۲۷ نفر از افرادی که WBPE را تکمیل کردند و ۱۸ نفر گروه کنترل در فهرست انتظار بدون درمان، پس از ۵ ماه مجدداً ارزیابی شدند. پیامدها شامل شدت علائم PTSD (PDS-5)، افسردگی (PHQ-9) و اضطراب (GAD-7) بود. نتایج: WBPE با کاهش معنادار علائم PTSD، افسردگی و اضطراب بلافاصله پس از درمان همراه بود. پس از ۵ ماه، شرکت‌کنندگان WBPE کاهش بیشتری در شدت علائم PTSD و افسردگی و نمرات پایین‌تر علائم PTSD و افسردگی نسبت به گروه کنترل نشان دادند و اندازه اثر بزرگی مشاهده شد. علائم اضطراب در هر دو گروه بهبود یافت که با بهبودی طبیعی احتمالی سازگار است. علائم بالینی معنادار افسردگی (۴۸٫۱۵ در مقابل ۷۷٫۷۸ درصد) و اضطراب (۳۷٫۰۴ در مقابل ۷۲٫۲۲ درصد) در شرکت‌کنندگان WBPE کمتر از گروه کنترل بود، در حالی که نرخ‌های احتمالی PTSD تفاوت معناداری نداشت. مصرف مواد در دوره مطالعه با پیامدهای ضعیف‌تر و کاهش کمتر علائم همراه بود. نتیجه‌گیری: به نظر می‌رسد WBPE در شرایط جنگی امکان‌پذیر و بالقوه سودمند باشد و با وجود تهدید مداوم، بهبود معناداری در PTSD و افسردگی ایجاد کند. مصرف مواد با بهبودی ضعیف‌تر مرتبط بود و باید به طور نظام‌مند در مراقبت‌های پس از سانحه ارزیابی شود.

Introduction Interventions that dyadically equip families with self-compassion skills represent a promising approach for addressing mental health challenges, particularly during the key transitional period of middle childhood. This study examines changes and candidate processes associated with participation in the Mindfulness and Self-Compassion for Children and Caregivers (MSC-CC) course. Methods Twenty-three caregiver-child dyads (Child, M age =8.78; Caregiver, M age =41.2) participated in MSC-CC, delivered remotely over six weekly group sessions. Pre- and post-intervention assessments included self-report measures of parenting and relational closeness outcomes during a dyadic stressor task (behavior, reflective functioning[RF], and physiology). Analyses investigated pre-post change in primary outcomes and linear mixed-effects models estimated time-related changes and baseline moderators of physiological change. Significance tests identify pre-post increases in parenting and emotion-supportive beliefs. Results and Discussion Physiologically, we detected significant decreases in child physiological arousal. Exploratory moderation analyses suggest, among others, low levels of mindfulness and high RF at baseline predict the largest reductions in child stress physiology. While uncontrolled, the MSC-CC participation was associated with increases in mindful parenting and the caregiver-child relationship and lower child physiological arousal during a dyadic challenge, most prominently in families with lower emotion-supportive beliefs at baseline. Altogether, this highlights candidate processes and moderators of efficacy to be confirmed in a fully powered randomized controlled trial. Trial registration ClinicalTrials.gov , Self-Compassion for Children and Caregivers (SCCC) , NCT05818397, registration and study start on 2023-10-16.

مقدمه: مداخلاتی که به صورت دوتایی خانواده‌ها را به مهارت‌های شفقت به خود مجهز می‌کنند، رویکردی نویدبخش برای مواجهه با چالش‌های سلامت روان، به‌ویژه در دوره‌ی گذار کلیدی کودکی میانی به شمار می‌روند. این پژوهش به بررسی تغییرات و فرایندهای نامزد مرتبط با مشارکت در دوره‌ی ذهن‌آگاهی و شفقت به خود برای کودکان و مراقبان (MSC-CC) می‌پردازد. روش‌ها: بیست‌وسه زوج مراقب-کودک (کودک، میانگین سن = ۸.۷۸؛ مراقب، میانگین سن = ۴۱.۲) در دوره‌ی MSC-CC که به صورت مجازی و طی شش جلسه‌ی گروهی هفتگی برگزار شد، شرکت کردند. ارزیابی‌های پیش و پس از مداخله شامل ابزارهای خودگزارشی درباره‌ی پیامدهای فرزندپروری و نزدیکی رابطه‌ای در حین یک تکلیف استرس‌زای دوتایی (رفتار، عملکرد بازتابی [RF] و فیزیولوژی) بود. تحلیل‌ها تغییرات پیش-پس در پیامدهای اصلی را بررسی کردند و مدل‌های خطی با اثرات مختلط تغییرات مرتبط با زمان و تعدیل‌گران پایه‌ای تغییرات فیزیولوژیک را برآورد نمودند. آزمون‌های معناداری افزایش‌های پیش-پس در باورهای فرزندپروری و حمایت هیجانی را نشان دادند. نتایج و بحث: از نظر فیزیولوژیک، کاهش معناداری در برانگیختگی فیزیولوژیک کودک مشاهده شد. تحلیل‌های اکتشافی تعدیل‌گری نشان می‌دهد، از جمله، سطوح پایین ذهن‌آگاهی و RF بالا در خط پایه بیشترین کاهش در فیزیولوژی استرس کودک را پیش‌بینی می‌کنند. اگرچه مطالعه فاقد گروه کنترل بود، مشارکت در MSC-CC با افزایش فرزندپروری ذهن‌آگاهانه و بهبود رابطه‌ی مراقب-کودک و کاهش برانگیختگی فیزیولوژیک کودک در حین چالش دوتایی همراه بود، به‌ویژه در خانواده‌هایی که در خط پایه باورهای حمایت هیجانی پایین‌تری داشتند. در مجموع، این یافته‌ها فرایندها و تعدیل‌گران اثربخشی را برجسته می‌کند که باید در یک کارآزمایی تصادفی‌شده‌ی کنترل‌شده‌ی با توان کافی تأیید شوند. ثبت کارآزمایی: ClinicalTrials.gov، Self-Compassion for Children and Caregivers (SCCC)، NCT05818397، ثبت و آغاز مطالعه در ۲۰۲۳-۱۰-۱۶.

Time-of-day can affect optimal performance in educational and professional settings.Although institutional schedules such as early morning classes are known to negatively affect sleep and academic outcomes, the impact of assignment deadlines and examination timings is less clear.Here, we examined how the timing of 16,677 assignment deadlines and 1,371 examinations associated with sleep, wellbeing, and academic performance in a cohort of 636 first-year undergraduate students over their first semester at university.Sleep was objectively tracked using a wearable device, whereas well-being was assessed through daily smartphone-delivered ecological momentary assessments.We found that nearly half (44%) of total assignments were submitted within 24 hr of its deadline.Those due earlier in the day were associated with 11-49 min shorter sleep the night before the deadline compared with a typical night.Sleep satisfaction was also poorer with earlier deadlines, whereas stress and sadness levels were highest on days with early morning deadlines.Furthermore, morning examinations were associated with 61-82 min shorter sleep than both afternoon and evening examinations.However, both morning and evening examinations were associated with 5-6 percentage points poorer course grades on average compared with examinations commencing in the afternoon.Regardless of examination time-of-day, sleep the night before an examination was associated with course performance.Notably, each hour less sleep than habitual the night before an examination was associated with a 1.2-to 3-percentage point decrease in marks achieved.These findings suggest timing of assignment deadlines and examinations as a key modulator of student sleep, well-being, and academic success. Educational Impact and Implications StatementLast-minute submissions of student assignments due earlier in the day were linked to shorter and poorer quality sleep, and reduced well-being.Both morning and evening examinations were associated with poorer academic performance compared with afternoon examinations, but scores were moderated by sleep duration the night before.

زمان روز می‌تواند بر عملکرد بهینه در محیط‌های آموزشی و حرفه‌ای تأثیرگذار باشد. اگرچه برنامه‌های نهادی مانند کلاس‌های صبح زود به‌طور شناخته‌شده‌ای بر خواب و پیامدهای تحصیلی اثر منفی دارند، اما تأثیر زمان‌بندی مهلت‌های تحویل تکالیف و زمان برگزاری آزمون‌ها کمتر روشن است. در این پژوهش، بررسی کردیم که زمان‌بندی ۱۶٬۶۷۷ مهلت تحویل تکلیف و ۱٬۳۷۱ آزمون چگونه با خواب، بهزیستی و عملکرد تحصیلی در یک گروه ۶۳۶ نفره از دانشجویان سال اول کارشناسی طی نخستین نیم‌سال تحصیلی در دانشگاه مرتبط است. خواب به‌صورت عینی با استفاده از یک دستگاه پوشیدنی پایش شد و بهزیستی از طریق ارزیابی‌های لحظه‌ای زیست‌محیطی که روزانه توسط تلفن هوشمند ارائه می‌شد، سنجیده شد. دریافتیم که تقریباً نیمی (۴۴٪) از کل تکالیف ظرف ۲۴ ساعت پیش از مهلت مقرر تحویل داده شدند. تکالیفی که موعد تحویل آن‌ها زودتر در روز بود، با ۱۱ تا ۴۹ دقیقه خواب کمتر در شب پیش از مهلت نسبت به یک شب معمولی همراه بود. رضایت از خواب نیز با مهلت‌های زودتر پایین‌تر بود و سطوح استرس و غم در روزهایی با مهلت تحویل صبح زود بالاترین میزان را داشت. افزون بر این، آزمون‌های صبحگاهی با ۶۱ تا ۸۲ دقیقه خواب کمتر نسبت به آزمون‌های بعدازظهر و عصر همراه بودند. با این حال، هم آزمون‌های صبحگاهی و هم آزمون‌های عصرگاهی به‌طور میانگین با ۵ تا ۶ درصد نمره پایین‌تر در مقایسه با آزمون‌هایی که بعدازظهر آغاز می‌شدند، همراه بودند. صرف‌نظر از زمان برگزاری آزمون، خواب شب پیش از آزمون با عملکرد درسی مرتبط بود. به‌ویژه، هر ساعت خواب کمتر از میزان عادی در شب پیش از آزمون با کاهش ۱٫۲ تا ۳ درصدی در نمره کسب‌شده همراه بود. این یافته‌ها نشان می‌دهد که زمان‌بندی مهلت‌های تحویل تکالیف و آزمون‌ها به‌عنوان یک تعدیل‌گر کلیدی خواب، بهزیستی و موفقیت تحصیلی دانشجویان عمل می‌کند. بیانیه تأثیر و پیامدهای آموزشی: تحویل تکالیف دانشجویی در آخرین لحظات، به‌ویژه زمانی که موعد آن‌ها زودتر در روز است، با خواب کوتاه‌تر و با کیفیت پایین‌تر و کاهش بهزیستی مرتبط بود. هم آزمون‌های صبحگاهی و هم عصرگاهی با عملکرد تحصیلی ضعیف‌تر نسبت به آزمون‌های بعدازظهر همراه بودند، اما نمرات با مدت خواب شب پیش از آزمون تعدیل می‌شد.

PURPOSE: Research on coping and parental well-being among Asian parents of children with autism spectrum disorders (ASD) remains limited. This study examined parenting stress, coping strategies, and psychological well-being among Chinese parents in Hong Kong raising children with ASD, compared to parents of typically developing (TD) children. METHODS: A total of 92 Chinese parents in Hong Kong participated in the survey, including 42 parents of children with ASD. Standardized measures were used to assess parenting stress, coping, and psychological well-being. RESULTS: Findings revealed that Chinese parents of children with ASD experienced significantly higher levels of parenting stress, anxiety and depression compared to parents of TD children. They reported using a broad range of coping strategies, including problem-focused, emotion-focused and dysfunctional coping. Subgroup analyses based on educational attainment and household income revealed that elevated parenting stress was consistent across all education levels. Notably, parents at both the highest and lowest ends of each category of education and income reported poorer psychological well-being. Differences in coping strategies between ASD and TD groups were generally not significant, except among parents with mid-range levels of household income and education. CONCLUSION: These findings highlight the urgent need to address parenting stress and psychological well-being among Chinese parents in Hong Kong raising children with ASD, irrespective of socioeconomic background. By situating the study within the Hong Kong cultural context, the research underscores the importance of culturally specific support interventions tailored to the diverse challenges faced by families and extends the broader literature.

هدف: پژوهش‌ها درباره مقابله و بهزیستی والدینی در میان والدین آسیایی کودکان دارای اختلال طیف اوتیسم (ASD) همچنان محدود است. این مطالعه به بررسی استرس والدگری، راهبردهای مقابله‌ای و بهزیستی روان‌شناختی در میان والدین چینی ساکن هنگ‌کنگ که کودکان دارای ASD را پرورش می‌دهند، در مقایسه با والدین کودکان با رشد طبیعی (TD) پرداخت. روش‌ها: در مجموع ۹۲ والد چینی در هنگ‌کنگ در این پیمایش شرکت کردند که شامل ۴۲ والد کودک دارای ASD بود. ابزارهای استاندارد برای سنجش استرس والدگری، مقابله و بهزیستی روان‌شناختی به کار رفت. یافته‌ها: نتایج نشان داد که والدین چینی کودکان دارای ASD به طور معناداری سطوح بالاتری از استرس والدگری، اضطراب و افسردگی را نسبت به والدین کودکان TD تجربه کردند. آن‌ها گزارش دادند که از طیف وسیعی از راهبردهای مقابله‌ای، از جمله مقابله متمرکز بر مسئله، مقابله متمرکز بر هیجان و مقابله ناکارآمد استفاده می‌کنند. تحلیل‌های زیرگروهی بر اساس میزان تحصیلات و درآمد خانوار نشان داد که استرس والدگری بالا در تمامی سطوح تحصیلی ثابت بود. به طور قابل توجهی، والدین در هر دو انتهای بالاترین و پایین‌ترین هر دسته از تحصیلات و درآمد، بهزیستی روان‌شناختی ضعیف‌تری را گزارش کردند. تفاوت‌های راهبردهای مقابله‌ای بین گروه‌های ASD و TD عموماً معنادار نبود، به جز در میان والدین با سطوح متوسط درآمد خانوار و تحصیلات. نتیجه‌گیری: این یافته‌ها بر ضرورت فوری پرداختن به استرس والدگری و بهزیستی روان‌شناختی در میان والدین چینی ساکن هنگ‌کنگ که کودکان دارای ASD را پرورش می‌دهند، صرف‌نظر از زمینه اجتماعی-اقتصادی، تأکید می‌کند. با قرار دادن مطالعه در بستر فرهنگی هنگ‌کنگ، پژوهش بر اهمیت مداخلات حمایتی خاص فرهنگی متناسب با چالش‌های متنوع خانواده‌ها تأکید می‌کند و ادبیات گسترده‌تر را گسترش می‌دهد.

Suicidal ideation in people with suicide attempt histories may reflect dispositional, contextual, and interpersonal factors. We examined associations among Dark Triad traits, life-event stress, perceived social support, and suicidal ideation in 235 adults with suicide attempt histories recruited from several hospitals and clinics in Iran (53.6% women, 46.4% men; mean age = 33.97 years, SD = 7.90). Participants completed validated self-report measures, and data were analyzed using Bayesian path models, regularized partial-correlation networks, and repeated nested cross-validated elastic-net regression. Across analyses, greater life-event stress was associated with lower perceived social support, and lower perceived support was associated with greater suicidal ideation. Narcissism showed the clearest positive association with suicidal ideation among the Dark Triad traits. The network placed perceived social support at a central position in the multivariable system, and cross-validation indicated that models including perceived social support performed better than models without it. These cross-sectional findings identify perceived social support and narcissism as consistent correlates of suicidal ideation but do not establish temporal or causal relations.

افکار خودکشی در افراد با سابقه اقدام به خودکشی ممکن است بازتاب‌دهنده عوامل سرشتی، زمینه‌ای و بین‌فردی باشد. در این پژوهش، ارتباط میان ویژگی‌های سه‌گانه تاریک، استرس رویدادهای زندگی، حمایت اجتماعی ادراک‌شده و افکار خودکشی در ۲۳۵ بزرگسال با سابقه اقدام به خودکشی که از چندین بیمارستان و درمانگاه در ایران جذب شده بودند (۵۳/۶٪ زن، ۴۶/۴٪ مرد؛ میانگین سن = ۳۳/۹۷ سال، انحراف معیار = ۷/۹۰) بررسی شد. شرکت‌کنندگان پرسشنامه‌های خودگزارش‌دهی معتبر را تکمیل کردند و داده‌ها با استفاده از مدل‌های مسیر بیزی، شبکه‌های همبستگی جزئی منظم‌شده و رگرسیون الاستیک نت تودرتو و تکرارشونده با اعتبارسنجی متقاطع تحلیل شدند. در تمامی تحلیل‌ها، استرس بیشتر ناشی از رویدادهای زندگی با حمایت اجتماعی ادراک‌شده کمتر و حمایت اجتماعی ادراک‌شده کمتر با افکار خودکشی بیشتر همراه بود. در میان ویژگی‌های سه‌گانه تاریک، نارسیسیسم بیشترین ارتباط مثبت را با افکار خودکشی نشان داد. شبکه، حمایت اجتماعی ادراک‌شده را در موقعیت مرکزی سیستم چندمتغیره قرار داد و اعتبارسنجی متقاطع نشان داد مدل‌هایی که حمایت اجتماعی ادراک‌شده را دربرمی‌گیرند عملکرد بهتری نسبت به مدل‌های فاقد آن دارند. این یافته‌های مقطعی، حمایت اجتماعی ادراک‌شده و نارسیسیسم را به عنوان همبسته‌های ثابت افکار خودکشی شناسایی می‌کنند اما روابط زمانی یا علّی را اثبات نمی‌کنند.

Background Refugee youth are at elevated risk for post-traumatic stress disorder (PTSD) and other mental health disorders, yet systemic and cultural barriers limit access to care. Scalable, transdiagnostic interventions such as Problem Management Plus (PM+) are promising, but their impact on trauma symptoms is modest. Incorporating brief trauma-focused components may enhance effectiveness. Aims To evaluate the feasibility and acceptability of PM+ with an emotional processing module (PM+EP) for refugee youth aged 16–25 years in the Netherlands. Method Refugee youth with elevated psychological distress (K10 > 15) and impaired functioning (World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) > 16) were randomised into PM+EP, PM+ with supportive counselling (PM+SC), or care as usual (CAU). Feasibility and acceptability were assessed via recruitment, adherence, fidelity and qualitative interviews. Psychological distress, PTSD symptoms, functioning and self-identified problems were measured at baseline, post-intervention and follow-up. Registered in Overview of Medical Research in the Netherlands (OMON; Trial ID: NL-OMON56254). Results Fifty-two participants were randomised (PM+EP: n = 17; PM+SC: n = 19; CAU: n = 16). Attendance and fidelity were high, and PM+ interventions were rated as acceptable and culturally appropriate. No significant between-group differences were observed in the primary analyses. Exploratory analyses suggested greater short-term symptom reduction for probable depression in PM+EP versus CAU ( b = –0.79, s.e. = 0.38, p = 0.04). Effect size estimates ranged from small to large across outcomes (Hedges’ g = –0.98 to 0.19). Conclusions PM+ is feasible, acceptable and safe for refugee youth aged 16 years and older. The potential added value of the EP module remains unclear and warrants further investigation. Trial Registration Number The trial was registered in the Dutch clinical trial registration: Overview of Medical Research in the Netherlands (OMON) (Trial ID: NL-OMON56254; https://onderzoekmetmensen.nl/en/trial/56254 ).

زمینه: جوانان پناهنده در معرض خطر بالاتر ابتلا به اختلال استرس پس از سانحه (PTSD) و سایر اختلالات سلامت روان قرار دارند، اما موانع نظام‌مند و فرهنگی دسترسی به مراقبت را محدود می‌کند. مداخلات مقیاس‌پذیر و فراتشخیصی مانند مدیریت مسئله پلاس (PM+) امیدبخش هستند، اما تأثیر آن‌ها بر علائم تروما متوسط است. افزودن مؤلفه‌های کوتاه‌مدت متمرکز بر تروما ممکن است اثربخشی را افزایش دهد. اهداف: ارزیابی امکان‌سنجی و پذیرش مدیریت مسئله پلاس به‌همراه ماژول پردازش هیجانی (PM+EP) برای جوانان پناهنده ۱۶ تا ۲۵ ساله در هلند. روش: جوانان پناهنده با پریشانی روان‌شناختی بالا (K10 > 15) و اختلال عملکرد (World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2.0) > 16) به‌صورت تصادفی در گروه‌های PM+EP، PM+ به‌همراه مشاوره حمایتی (PM+SC)، یا مراقبت معمول (CAU) قرار گرفتند. امکان‌سنجی و پذیرش از طریق جذب، پایبندی، وفاداری و مصاحبه‌های کیفی ارزیابی شد. پریشانی روان‌شناختی، علائم PTSD، عملکرد و مشکلات شناسایی‌شده توسط خود شرکت‌کنندگان در خط پایه، پس از مداخله و پیگیری اندازه‌گیری شد. این مطالعه در سامانه‌ی Overview of Medical Research in the Netherlands (OMON؛ شماره‌ی کارآزمایی: NL-OMON56254) ثبت شده است. نتایج: پنجاه‌ودو شرکت‌کننده به‌صورت تصادفی تخصیص یافتند (PM+EP: n = 17؛ PM+SC: n = 19؛ CAU: n = 16). حضور و وفاداری بالا بود و مداخلات PM+ به‌عنوان قابل پذیرش و مناسب از نظر فرهنگی ارزیابی شدند. در تحلیل‌های اصلی، تفاوت معناداری بین گروه‌ها مشاهده نشد. تحلیل‌های اکتشافی کاهش علائم کوتاه‌مدت بیشتر برای افسردگی محتمل در گروه PM+EP نسبت به CAU را نشان داد (b = –0.79، s.e. = 0.38، p = 0.04). برآوردهای اندازه‌ی اثر در نتایج مختلف از کوچک تا بزرگ متغیر بود (Hedges’ g = –0.98 تا 0.19). نتیجه‌گیری: PM+ برای جوانان پناهنده ۱۶ ساله و بالاتر امکان‌پذیر، قابل پذیرش و ایمن است. ارزش افزوده‌ی بالقوه‌ی ماژول EP همچنان نامشخص است و نیازمند بررسی بیشتر می‌باشد. شماره‌ی ثبت کارآزمایی: این کارآزمایی در ثبت کارآزمایی بالینی هلند: Overview of Medical Research in the Netherlands (OMON) (شماره‌ی کارآزمایی: NL-OMON56254؛ https://onderzoekmetmensen.nl/en/trial/56254 ) ثبت شده است.

The aim of the study was to determine the effectiveness of the integrated teaching approach regarding the formation of students’ knowledge of quantum biophysics and socio-adaptive skills. For that purpose, three methods were used: analysis of scientific literature to confirm the concept of SAC, and an experimental study involving 60 students to confirm the effectiveness of the integrated teaching method combining the study of quantum biophysical and psychosomatic aspects of education. The theoretical analysis established that the concept of socio-adaptive competence includes three main components – cognitive, emotional, and motivational – and clarified their interrelationship in the process of forming socio-adaptive competence. Furthermore, specific psychodidactic principles and forms of applying the concept within academic courses were identified, ensuring the integration of theoretical knowledge and practical skills. Active engagement with complex quantum biophysical concepts stimulates students’ cognitive processes, increases attentional focus by 28-41%, and fosters self-control skills, while concurrently reducing stress responses (r=-0.31 to -0.42) and enhancing emotional stability (r=0.28-0.38) and cognitive concentration (r=0.33-0.41). It was determined that the integration of psychodidactic principles with practical tasks ensures an optimal interaction between the psyche and physiology, which contributes to an increase in socio-adaptive competence and material retention by 62-68% in the experimental group. The author’s exercises develop cognitive, emotional, and motivational competencies, promote critical thinking, self-regulation, and socio-adaptive behaviour in students. The results can be utilised by educators, educational institution administrators, curriculum developers, and researchers for the implementation and assessment of the development of socio-emotional competence in teachers, with the aim of improving the quality of education, the effectiveness of the learning process, and the psychological well-being of participants in the educational environment.

هدف این پژوهش تعیین اثربخشی رویکرد آموزش تلفیقی در شکل‌گیری دانش دانشجویان درباره زیست‌فیزیک کوانتومی و مهارت‌های سازگاری اجتماعی بود. بدین منظور، سه روش مورد استفاده قرار گرفت: تحلیل ادبیات علمی به منظور تأیید مفهوم SAC و یک مطالعه تجربی با مشارکت ۶۰ دانشجو برای اثبات اثربخشی روش آموزش تلفیقی که جنبه‌های زیست‌فیزیکی کوانتومی و روان‌تنی آموزش را ترکیب می‌کند. تحلیل نظری نشان داد که مفهوم شایستگی سازگاری اجتماعی شامل سه مؤلفه اصلی — شناختی، هیجانی و انگیزشی — است و ارتباط متقابل آن‌ها در فرآیند شکل‌گیری شایستگی سازگاری اجتماعی تبیین شد. افزون بر این، اصول و اشکال روان‌دیداکتیکی خاصی برای به‌کارگیری این مفهوم در دروس دانشگاهی شناسایی گردید که ادغام دانش نظری و مهارت‌های عملی را تضمین می‌کند. مشارکت فعال با مفاهیم پیچیده زیست‌فیزیکی کوانتومی، فرآیندهای شناختی دانشجویان را تحریک می‌کند، تمرکز توجه را بین ۲۸ تا ۴۱ درصد افزایش می‌دهد و مهارت‌های خودکنترلی را تقویت می‌کند، در حالی که همزمان واکنش‌های استرسی را کاهش می‌دهد (r=-0.31 تا -0.42) و پایداری هیجانی (r=0.28-0.38) و تمرکز شناختی (r=0.33-0.41) را افزایش می‌دهد. مشخص شد که ادغام اصول روان‌دیداکتیکی با تکالیف عملی، تعامل بهینه بین روان و فیزیولوژی را تضمین می‌کند که این امر به افزایش شایستگی سازگاری اجتماعی و حفظ مطالب تا ۶۲ تا ۶۸ درصد در گروه آزمایش منجر می‌شود. تمرینات نویسنده، شایستگی‌های شناختی، هیجانی و انگیزشی را پرورش داده، تفکر انتقادی، خودتنظیمی و رفتار سازگاری اجتماعی را در دانشجویان ترویج می‌کند. نتایج می‌تواند توسط مدرسان، مدیران مؤسسات آموزشی، برنامه‌ریزان درسی و پژوهشگران برای اجرای توسعه شایستگی هیجانی-اجتماعی معلمان و ارزیابی آن مورد استفاده قرار گیرد، با هدف ارتقای کیفیت آموزش، اثربخشی فرآیند یادگیری و بهزیستی روان‌شناختی مشارکت‌کنندگان در محیط آموزشی.

Emotions are conceptualised as appraisal-driven processes that shape teachers’ engagement with professional development (PD) and the practices they adopt from it. This systematic literature review examined quantitative self-report instruments used to measure teacher emotions, focusing on their application in PD. A search across six databases (2015–2025) identified 285 records, of which 265 were screened and six validated instruments retained. These ranged from concise scales assessing anger, enjoyment, and anxiety to multidimensional instruments capturing emotions such as fatigue, shame, and hopelessness. A secondary analysis revealed that only one study applied these instruments within PD, exposing a major methodological gap. While recent advances have expanded the range of available instruments, their limited use in PD restricts cumulative understanding of teachers’ emotional experiences. The findings highlight the need to adapt and systematically apply these tools to strengthen the evidence base and support PD that is both cognitively effective and emotionally responsive.

هیجانات به عنوان فرایندهایی مبتنی بر ارزیابی تلقی می‌شوند که نحوه مشارکت معلمان در توسعه حرفه‌ای (PD) و شیوه‌هایی که از آن اتخاذ می‌کنند را شکل می‌دهد. این مرور نظام‌مند ادبیات، ابزارهای خودگزارشی کمی مورد استفاده برای سنجش هیجانات معلمان را با تمرکز بر کاربرد آن‌ها در توسعه حرفه‌ای بررسی کرده است. جستجو در شش پایگاه داده (۲۰۱۵–۲۰۲۵) منجر به شناسایی ۲۸۵ رکورد شد که از میان آن‌ها ۲۶۵ مورد غربال و شش ابزار معتبر حفظ گردید. این ابزارها از مقیاس‌های مختصر برای سنجش خشم، لذت و اضطراب تا ابزارهای چندبعدی که هیجاناتی مانند خستگی، شرم و ناامیدی را اندازه‌گیری می‌کنند، متغیر بودند. تحلیل ثانویه نشان داد که تنها یک مطالعه این ابزارها را در زمینه توسعه حرفه‌ای به کار برده است که شکاف عمده‌ای در روش‌شناسی را آشکار می‌سازد. اگرچه پیشرفت‌های اخیر دامنه ابزارهای موجود را گسترش داده است، اما استفاده محدود آن‌ها در توسعه حرفه‌ای، درک تجمعی از تجارب هیجانی معلمان را محدود می‌کند. یافته‌ها بر ضرورت تطبیق و به‌کارگیری نظام‌مند این ابزارها برای تقویت شواهد و حمایت از توسعه حرفه‌ای که هم از نظر شناختی مؤثر و هم از نظر هیجانی پاسخگو باشد، تأکید می‌کند.