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Abstract Introduction: The Perceived Stress Scale-4 (PSS-4) is an ultra-brief self-report measure to assess psychological stress. This study evaluated the psychometric properties of the PSS-4 in Colombia. Method: A total of 1,911 adult participants with a university education completed the PSS-4. The characteristics of the items and the subscales were explored. The dimensionality was assessed using principal component analysis and confirmatory factor analysis (CFA), incorporating an examination of invariance (configural, metric, scalar, and strict) across socio-demographic characteristics. Construct validity (convergent and discriminant), reliability indices, know-groups, and predictive validity were also computed. Results: CFA showed that the one-factor model (psychological stress) with method effects (correlated error terms on the negative-phrased items) was the most appropriate according to fit indices and parsimony considerations, being invariant across gender and age, but not across income level and work status. Internal consistency was adequate for the PSS-4. Significant positive correlations of the PSS-4 were identified with depression and anxiety, as well as significant negative correlations were identified with post-traumatic growth and resilience. The PSS-4 showed adequate capacity to predict potential depressive and anxiety symptoms, as well as protective factors such as resilience and post-traumatic growth. Higher scores on the PSS-4 were observed among young people, as well as among people with lower incomes and those who are unemployed. Conclusions: These findings suggest that the PSS-4 can be a reliable and valid tool for assessing psychological stress in Colombians with a university education.

Resumen Introducción: La Escala de Estrés Percibido-4 (EEP-4) es una medida de autoinforme ultrabreve para evaluar el estrés psicológico. Este estudio evaluó las propiedades psicométricas del EEP-4 en Colombia. Método: Un total de 1911 participantes adultos con educación universitaria completaron el EEP-4. Se exploraron las características de los ítems y las subescalas. La dimensionalidad se evaluó mediante análisis de componentes principales y análisis factorial confirmatorio (AFC), incorporando una examinación de invarianza (configural, métrica, escalar y estricta) según las características sociodemográficas. También se calculó la validez de constructo (convergente y discriminante), los índices de fiabilidad, los grupos conocidos y la validez predictiva. Resultados: El AFC mostró que el modelo de un factor (estrés psicológico) con efectos de método (términos de error correlacionados en los ítems con frases negativas) era el más apropiado según los índices de ajuste y las consideraciones de parsimonia, siendo invariante según el género y la edad, pero no según el nivel de ingresos y la situación laboral. La consistencia interna fue adecuada para el EEP-4. Se identificaron correlaciones positivas significativas del EEP-4 con la depresión y la ansiedad, así como correlaciones negativas significativas con el crecimiento postraumático y la resiliencia. El EEP-4 mostró una capacidad adecuada para predecir posibles síntomas de depresión y ansiedad, así como factores protectores como la resiliencia y el crecimiento postraumático. Se observaron puntuaciones más altas en la EEP-4 entre los jóvenes, así como entre las personas con ingresos más bajos y en situación de desempleo. Conclusiones: Estos hallazgos sugieren que la EEP-4 podría ser una herramienta fiable y válida para evaluar el estrés psicológico en colombianos con educación universitaria.

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Uncontrolled population growth has raised serious concerns among future policymakers. Although fertility rate has declined substantially over time, in developing countries the rate is still very high. Most of these countries face serious issues such as; severe poverty, malnutrition, unemployment, homelessness, financial insecurity, and medical insufficiency, leading to psychological distress. This article explores the mechanisms of psychological stress and its potential effects on human fertility. An attempt is made to differ from the existing claim that stress is anti-steroidogenic. This counter was based on earlier studies on adaptation of acute stress and overcoming stress stimuli. Which have asserted that individual adaptive abilities can alter the negative outcome of psychological stress depending on genetic, environmental, and behavioural factors. One of such adaptations comes from mitochondrial efficiency. An extensive energy demand during stress is achieved through competitive mitochondrial biogenesis. Earlier studies have noted that psychological stress triggers mitochondrial biogenesis. Thus, theoretically, mitochondrial biogenesis may also contribute in augmenting quality of sperm. In conclusion, stress induced biogenesis of mitochondria may contribute in enhancing fertility. Future studies on the degree of psychological stress and its possible retaliation through mitochondrial biogenesis, and subsequent responses to metabolic, and mechanical pathways, would open new avenues in understanding human fertility.

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As disfunções temporomandibulares são uma série de alterações que afetam os músculos mastigatórios, a articulação temporomandibular e as estruturas associadas. Sua etiologia é multifatorial e inclui fatores como hábitos parafuncionais desencadeados ou intensificados por condições psicológicas como o estresse emocional. Este artigo tem como objetivo investigar a frequência de sintomas de disfunções temporomandibulares e de hábitos parafuncionais e sua associação com estresse percebido em estudantes de uma universidade pública da cidade de Salvador. Os dados primários foram coletados por meio de um questionário sociodemográfico, do questionário anamnésico de Fonseca, da Lista de Verificação dos Comportamentos Orais e da Escala de estresse Percebido. Os dados foram analisados de forma descritiva e a análise estatística realizada por meio do teste qui-quadrado de Pearson e do teste exato de Fisher. Participaram do estudo 149 estudantes de Fisioterapia. A frequência de sintomas de disfunções temporomandibulares foi elevada (83,9%), como também uma maior prática de hábitos parafuncionais (55%). Observou-se associação positiva entre os hábitos parafuncionais e os sintomas temporomandibulares. Um alto nível de estresse foi encontrado em 92,8% dos estudantes com a presença de disfunção e em 71% dos alunos com maior prática de hábitos parafuncionais, sendo ambas as associações estatisticamente significativas. Assim, as frequências de sintomas de disfunções temporomandibulares e de hábitos parafuncionais foram elevadas e estão associadas ao estresse percebido em estudantes universitários. Sugere-se a realização de estudos com amostras mais robustas que busquem estabelecer relações de causalidade entre as variáveis estudadas.

Temporomandibular disorders constitute a series of changes that affect the masticatory muscles, the temporomandibular joint, and their associated structures. Its multifactorial etiology includes factors such as parafunctional habits triggered or intensified by psychological conditions such as emotional stress. The purpose is to investigate the frequency of symptoms of temporomandibular disorders and parafunctional habits and their association with perceived stress in students at a public university in the municipality of Salvador. Primary data collected by a sociodemographic questionnaire, the Fonseca anamnestic questionnaire, the Oral Behaviors Checklist, and the Perceived Stress Scale. Data were descriptively analyzed, and a statistical analysis was performed using the Pearson's chi-squared and Fisher's exact tests. Overall, 149 physical therapy students participated in this study. They showed a high frequency of temporomandibular disorder symptoms (83.9%) and more frequent parafunctional habits (55.0%). This study found a positive association between parafunctional habits and temporomandibular symptoms. It also observed a high level of stress in 92.8% of students with the dysfunction and in 71.0% of students with more common practice of parafunctional habits, statistically significant associations. This study found a high frequency of temporomandibular disorder and parafunctional habit symptoms, which are associated with perceived stress in college students. It is suggested to carry out studies with more robust samples that seek to establish causal relationships between the studied variables.

Los trastornos temporomandibulares son una serie de cambios que afectan a los músculos masticatorios, la articulación temporomandibular y estructuras asociadas. Su etiología es multifactorial e incluye factores como hábitos parafuncionales desencadenados o intensificados por condiciones psicológicas como el estrés emocional. el objetivo es determinar la frecuencia de los síntomas de trastornos temporomandibulares y de hábitos parafuncionales y su asociación con el estrés percibido en estudiantes de una universidad pública de la ciudad de Salvador (Brasil). Los datos primarios se recolectaron de un cuestionario sociodemográfico, del cuestionario anamnésico de Fonseca, de la Lista de Comportamientos Orales y de la Escala de Estrés Percibido. Los datos se analizaron de forma descriptiva, y el análisis estadístico se realizó mediante la prueba de chi-cuadrado de Pearson y la prueba exacta de Fisher. Participaron en el estudio 149 estudiantes de fisioterapia. La frecuencia de los síntomas de trastornos temporomandibulares fue alta (83,9%), así como una mayor práctica de hábitos parafuncionales (55,0%). Se observó una asociación positiva entre hábitos parafuncionales y síntomas temporomandibulares. Se encontró un alto nivel de estrés en el 92,8% de los estudiantes con presencia de disfunción y en el 71,0% de los estudiantes con mayor práctica de hábitos parafuncionales, y ambas asociaciones fueron estadísticamente significativas. La frecuencia de los síntomas de trastornos temporomandibulares y de los hábitos parafuncionales fue alta, y estuvo asociada con el estrés percibido en estudiantes universitarios. Se sugiere realizar estudios con muestras más robustas para establecer relaciones causales entre las variables estudiadas.

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Introduction: the modern lifestyle, characterized by intense routines and inadequate diets, contributes to the increase in non-communicable diseases (NCDs), especially obesity, which can be influenced by stress. The relationship between stress, nutritional status, and NCDs lacks comprehensive studies, especially concerning public security professionals. Objective: to evaluate abdominal obesity and its association with stress symptoms in public safety personnel in a metropolitan region of a Brazilian capital. Methods: the study is part of the "SOMA-SI" program, which investigated the health of public security agents in Espírito Santo between April and December 2022. The sample included police officers, firefighters, and municipal guards (n=216). Healthy adults, who were public safety personnel, were included, while those on leave or under psychiatric treatment were excluded. Blood pressure measurements, anthropometric assessments, and the Lipp's Inventory of Stress Symptoms for adults were among the variables measured. The Statistical Package for Social Science (SPSS) v. 25 for Windows® was used for statistical analyses. Chi-square and Mann-Whitney tests were performed at a significance level of 5%, exploring associations between categorical variables and differences in median stress scores. Results: the sample consisted of 216 participants, predominantly men (75.5%) and non-white (63.7%), revealing that 61.6% had more than 15 years of work experience, 81.1% had income above six minimum wages, and 77.3% had completed higher education. Military police officers represented the majority (67.6%), with 72.2% being parents, 57.9% alcohol consumers, and 9.3% smokers. Most participants had excess body fat (70.8%) and weight (77.3%). Statistical associations were observed between waist circumference and stress symptoms (p = 0.004). Conclusion: the study uncovered a prevalent occurrence of abdominal adiposity and stress among public safety personnel. Furthermore, it elucidates a significant prevalence of excess weight within the sample, coupled with a pronounced incidence of stress symptoms. These findings underscore a complex and mutually influential relationship between these variables. However, they also emphasize the critical need for more extensive research efforts to understand the impact of stress on individuals working in public safety roles.

Introdução: O estilo de vida moderno, marcado pela rotina intensa e alimentação inadequada, contribui para o aumento das Doenças Crônicas Não Transmissíveis, especialmente a obesidade, que pode ser influenciada pelo estresse. A relação entre estresse, estado nutricional e Doenças Crônicas Não Transmissíveis carece de estudos abrangentes no Brasil e no mundo, principalmente quando se refere aos profissionais de segurança pública. Objetivo: avaliar a obesidade abdominal e sua associação com sintomas de estresse em profissionais de segurança pública na região metropolitana de uma capital do Brasil. Método: o estudo faz parte do programa "SOMA-SI", que investigou a saúde de agentes de segurança pública do Espírito Santo entre abril e dezembro de 2022. A amostra incluiu policiais, bombeiros e guardas municipais (n=216). Foram incluídos profissionais de segurança pública, adultos saudáveis e excluiu-se os servidores afastados ou sob tratamento psiquiátrico. Dentre as variáveis mensuradas incluiu-se as medidas de pressão arterial, avaliação antropométrica e Inventário de Sintomas de Estresse de Lipp. Utilizou-se o Statistical Package for Social Science (SPSS) v. 25 for Windows® para as análises estatísticas. Foram realizados testes qui-quadrado e Mann-Whitney a 5% de significância, explorando associações entre variáveis categóricas e diferenças nas medianas dos escores de estresse. Resultados: a amostra foi composta predominantemente homens (75,5%) e não brancos (63,7%), revelou 61,6% com mais de 15 anos de trabalho, 81,1% com renda acima de seis salários mínimos e 77,3% com ensino superior completo. Os policiais militares representaram a maioria (67,6%), sendo 72,2% pais , 57,9% consumidores de álcool e 9,3% fumantes. A maioria apresentou excesso de peso (77,3%). Associações estatísticas foram observadas entre circunferência da cintura e sintomas de estresse (p = 0,004). Conclusão: o estudo revelou uma ocorrência prevalente de adiposidade abdominal e estresse entre os agentes de segurança pública. Além disso, elucida uma prevalência significativa de excesso de peso na amostra, aliada a uma incidência pronunciada de sintomas de estresse. Estas descobertas sublinham uma relação complexa e mutuamente influente entre estas variáveis. No entanto, também enfatizam a necessidade de esforços de investigação mais amplas de modo a compreender o impacto do estresse nos indivíduos que trabalham em funções de agentes de segurança pública.

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Introducción: Identificar el nivel de adaptación da las pautas del efecto que tuvo la pandemia de COVID-19 en los adultos mayores, así como determinar si hubo relación con el estrés. Objetivo: Analizar la relación del nivel de adaptación y el estrés percibido en adultos mayores ante la pandemia de COVID-19 en tres municipios del Estado de Hidalgo. Material y métodos: Estudio transversal y de alcance correlacional realizado en una muestra no probabilística por conveniencia de 375 adultos mayores. El estudio contó con la aprobación del comité de ética y los participantes firmaron carta de consentimiento informado previo a su participación. Se empleó la Escala de Estrés Percibido para medir el grado de estrés de los participantes. Se utilizó el instrumento de Adaptación del Adulto Mayor Activo, que evalúa los modos adaptativos fisiológico, autoconcepto, interdependencia y función del rol. Resultados: La media de edad de los participantes fue de 68.7 años con una desviación estándar de ± 7.8 años, 53. 3% de los participantes fueron mujeres. Se observó una correlación baja entre el nivel de adaptación y el estrés percibido. Discusión: El 58% de adultos mayores reportan estrés, además, se observa alta adaptación fisiológica e integración en roles, pero diferencias en autoconcepto e interdependencia, posiblemente impactadas por el COVID-19. Conclusión: Existe una relación entre el nivel de adaptación y el estrés en los adultos mayores ante la pandemia de COVID-19 en tres municipios del Estado de Hidalgo.

Introduction: Identifying the level of adaptation gives patterns of the effect that the COVID-19 pandemic had on older adults, as well as determining if there was a relationship with stress. Objective: To analyze the relationship between the level of adaptation and perceived stress in older adults during the COVID-19 pandemic in three municipalities of the State of Hidalgo. Material and methods: Cross-sectional and correlational study conducted in a non-probabilistic convenience sample of 375 older adults. The study was approved by the ethics committee and participants signed a letter of informed consent before participation. The Perceived Stress Scale was used to measure the degree of stress of the participants. The Adaptation of the Active Older Adult instrument was used, which assesses physiological adaptive modes, self-concept, interdependence, and role function. Results: The mean age of the participants was 68.7 years with a standard deviation of ± 7.8 years, 53.3% of the participants were female. A low correlation was observed between the level of adaptation and perceived stress. Discussion: 58% of older adults report stress; in addition, high physiological adaptation and role integration are observed, but with differences in self-concept and interdependence, possibly impacted by COVID-19. Conclusion: There is a relationship between the level of adaptation and stress in older adults during the COVID-19 pandemic in three municipalities of the State of Hidalgo.

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Resumo. Objetivo. O objetivo foi descrever como os fatores legais do trabalho se relacionam com o estresse ocupacional dos profissionais de saúde forense. Buscou-se identificar os principais fatores do trabalho que constituem estressores ocupacionais dos profissionais de saúde forense. Método. oi realizada revisão sistemática da literatura com metassíntese, baseada no método Cochrane e PRISMA-P, com onze artigos recuperados entre o período de 1987 a 2020. Resultados. Como resultado, os estressores ocupacionais que afetam os profissionais de saúde forense podem ser divididos em categorias psicológicas, organizacionais e legais. A concepção teórica dos estressores ocupacionais é multifacetada, como a organizacional, psicológica e legal, pois avalia, analisa e enfatiza um desses aspectos dos estressores ocupacionais, a depender da teoria.

Abstract. Objective. The objective was to describe how the legal factors at work relate to the occupational stress of forensic health professionals. We sought to identify the main work factors that constitute occupational stressors for forensic health professionals. Method. A systematic literature review was carried out with meta-synthesis, based on the Cochrane method and PRISMA-P, with eleven articles retrieved between 1987 and 2020. Results. As a result, occupational stressors that affect forensic health professionals can be divided into psychological, organizational, and legal. The theoretical conception of occupational stressors is multifaceted such as organizational, psychological, and legal, as it assesses, analyzes, and emphasizes one of these aspects of occupational stressors, depending on the theory.

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Durante a pandemia de covid-19, os profissionais de saúde que atuaram na linha de frente viveram um cenário desafiador, com constante risco de infecção pelo SARS-CoV-2, uma demanda de trabalho aumentada e muitas incertezas. O objetivo deste estudo foi analisar as repercussões da covid-19 na saúde de fisioterapeutas baianos atuantes na linha de frente no ambiente hospitalar. Fisioterapeutas baianos participaram deste estudo, respondendo questões referentes aos seus dados sociodemográficos, à qualidade do sono e aos sintomas de ansiedade e depressão, através de um formulário eletrônico (Google Forms). Responderam ao formulário 38 fisioterapeutas residentes em Salvador (BA). A metade deles atua em Unidades de Terapia Intensiva (UTI) e, destes, 65% são trabalhadores do setor privado. Além disso, 68% foram infectados pelo SARS-CoV-2 uma ou mais vezes. O constante medo de infectar seus familiares foi declarado por 77,3% deles e, após o expediente, 36% dos profissionais apresentavam exaustão emocional; 34,2%, estresse psicológico; e 26%, cansaço físico. Os fisioterapeutas baianos relataram que durante a pandemia de covid-19 houve grandes desafios no local de trabalho, como o medo de adoecer e de transmitir a doença e, sobretudo, o medo da morte. O cansaço e o estresse psicológico foram constantes na prática profissional, mas, apesar disso, a maioria dos fisioterapeutas sentiu satisfação por ter atuado de forma tão indispensável em um momento delicado e único.

During COVID-19, health services and professionals who worked on the front line experienced a challenging scenario with a constant risk of infection by SARS-CoV-2, an increased demand for work, and many uncertainties. This study analyzed the repercussions of COVID-19 on the health of Bahian physical therapists working on the hospital front line. Bahian physical therapists participated in this study, answering questions related to their sociodemographic data, sleep quality, and symptoms of anxiety and depression by an electronic form (Google Forms). Overall, 38 physiotherapists living in Salvador (Bahia) answered this form. In total, 50% worked in Intensive Care Units (ICUs); 65%, in the private sector, and 68% suffered infection from SARS-CoV-2 one or more times. This study found that 77.3% of participants reported the constant fear of infecting their family members and 36% showed emotional exhaustion after working hours; 34.2%, psychological stress; and 26%, physical fatigue. Bahian physical therapists reported that COVID-19 brought major confrontations in the workplace, such as the fear of getting sick and transmitting the disease and, above all, death. Fatigue and psychological stress remained constant in the professional practice, but, despite this, most physical therapists felt satisfied for having acted in such an indispensable way in a delicate and unique moment.

Durante la pandemia de la COVID-19, los profesionales de la salud que trabajaban en primera línea vivieron un escenario desafiante, con un riesgo constante de infección por SARS-CoV-2, una mayor demanda de trabajo y muchas incertidumbres. El objetivo de este estudio fue analizar las repercusiones de la COVID-19 en la salud de los fisioterapeutas de Bahía, Brasil, que trabajan en primera línea en el ambiente hospitalario. En este estudio participaron 38 fisioterapeutas residentes en Salvador (Bahía, Brasil) que respondieron a un cuestionario electrónico (Google Forms) con preguntas relacionadas a sus datos sociodemográficos, calidad del sueño y síntomas de ansiedad y depresión. El 50% de ellos trabajan en Unidades de Cuidados Intensivos (UCI) y, de estos, el 65% pertenecen al sector privado. El 68% se ha infectado con el SARS-CoV-2 una o más veces. El miedo constante a contagiar a sus familiares fue declarado por el 77,3% de ellos, y después de la jornada laboral, el 36% de los profesionales presentaron agotamiento emocional; el 34,2%, estrés psicológico; y el 26%, fatiga física. Los fisioterapeutas de Bahía relataron que durante la pandemia de la COVID-19 hubo grandes retos en el lugar de trabajo, como el miedo a enfermarse y transmitir la enfermedad y, sobre todo, el miedo a la muerte. Aunque el cansancio y el estrés psicológico fueron constantes en la práctica profesional, la mayoría de los fisioterapeutas sintieron satisfacción por haber actuado de manera tan indispensable en un momento delicado y único.

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Resumen El proceso de enseñanza en medicina tiene desafíos que pueden inducir estrés académico y con ello afectaciones a la salud mental, por lo que es imprescindible el cuidado de la salud mental de los futuros médicos. Este estudio quiso identificar los factores asociados a la salud mental de estudiantes de medicina de una universidad privada en Colombia, ajustados por estrés académico. Mediante un diseño transversal, se reclutaron 443 estudiantes (68.4% mujeres, 31.6% hombres) quienes completaron un cuestionario con variables sociodemográficas, académicas, el Inventario Cognitivo Sistémico para el Estudio del Estrés Académico y el inventario Symptom Checklist-90-Revised. Los factores de riesgo se analizaron utilizando un Modelo Lineal Generalizado por la familia de Poisson y log link. El 38,3% de los estudiantes presentó un nivel de riesgo en salud mental. Los factores protectores incluyeron actividad física regular (RPa = 0.78) y actividades extracurriculares (RPa = 0.75), mientras que los factores de riesgo fueron uso de sustancias psicoactivas (RPa = 1.36), bebidas energéticas (RPa = 1.35) y tener una ocupación alternativa al estudio (RPa = 1.47). La salud mental de los estudiantes de medicina presenta riesgos más allá de la misma exigencia académica. Hay elementos del individuo y la institución formadora que pueden actuar como factores protectores, lo que se convierte en un insumo para la creación de programas de cuidado y mantenimiento de la salud mental.

Abstract The teaching process in medicine has challenges that can induce academic stress and thus affect mental health, so it is essential to take care of the mental health of future physicians. This study aimed to identify the factors associated with the mental health of medical students at a private university in Colombia, adjusted for academic stress. Using a cross-sectional design, 443 students were recruited (68.4% women, 31.6% men) who completed a questionnaire with sociodemographic and academic variables, the Systemic Cognitive Inventory for the Study of Academic Stress and the Symptom Checklist-90-Revised inventory. Risk factors were analyzed using a Generalized Linear Model by Poisson family and log link. Thirty-eight point three percent of the students presented a level of mental health risk. Protective factors included regular physical activity (RPa = 0.78) and extracurricular activities (RPa = 0.75), while risk factors were psychoactive substance use (RPa = 1.36), energy drinks (RPa = 1.35) and having an alternative occupation to studying (RPa = 1.47). The study provided information on the need for intervention in factors beyond academic stress, seeking to maintain the well-being of students and thus avoid academic dropout.

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Background: The objective of this study was to determine the factors associated with the psychological impact on patients due to the COVID-19 pandemic in primary care. Methods: Study was analytical cross-sectional, prior authorization from the local research committee and informed consent, a survey was applied to 468 beneficiaries of the family medicine unit number 2 of Mexico City, which contained sociodemographic aspects, background, habits and behaviors, styles of coping, fear of death, and the DASS-21 scale. Descriptive and analytical statistics were used Chi square OR CI at 95% considering significance when p<0.05. Results: The sociodemographic profile of the studied population were 61.3% women, 40.6% in the range of 35-59 years, 44.4% undergraduate education, 42.1% single marital status and 23.5% professionals. 56% reported symptoms in any of the mental health subscales, of which 35% were depressive symptoms, 44.9% anxiety symptoms and 37.8% stress symptoms. Associated factors were fear of the pandemic, having suffered from COVID-19, being a professional, feeling of loneliness, changes in character. p 0.00. Conclusions: The pandemic affected mental health, so it is important to carry out an intentional search for the degree of repercussions to provide timely treatment as part of comprehensive care at the first level of care.

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The COVID-19 is a severe respiratory pathogen infection, showing a distinct "hospital cluster" transmission characteristics. This paper illustrated the concept of occupational exposure and COVID-19. Combined with the actual situation of COVID-19, the infection status of medical personnel in this outbreak was analyzed from three aspects: the transmission risk and infection rate of medical personnel, the clinical characteristics and the undiscovered super-spreader. Through the analysis of the present situation, this paper summarized the possible occupational exposure risk factors of medical personnel in COVID-19 from five aspects: biological occupational risk factors, chemical occupational risk factors, physical occupational risk factors, violence factors and psychological factors. From isolating the source of infection and cutting off the transmission route, the "safety supervisor" mechanism is established to avoid the risks of biological, chemical and physical occupational exposure, from providing professional psychological counseling for medical personnel to reduce their psychological stress, and from improving the relevant legal level to reduce the risk of medical personnel’s violent occupational exposure.

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Based on the literature study,the thoughts and possible therapeutic mechanism in treating male infertility from the perspective of spleen and kidney by regulating intestinal flora were explored.Disturbance of intestinal flora is one of the important factors leading to the development of male infertility,and the spleen and kidney have certain similarities to intestinal flora in the physiological function and pathological changes.Moreover,tonifying the kidney and strengthening the spleen can regulate the intestinal flora by fostering the growth of beneficial bacteria,inhibiting the reproduction of pathogenic bacteria,and protecting the barrier of the intestinal mucosa.Therefore,the possible therapeutic mechanisms in treating male infertility with the prescriptions for tonifying the kidney and strengthening the spleen to regulate intestinal flora are as follows:inhibiting the expression of inflammatory factors to reduce the inflammatory reaction of testicular tissues;improving the antioxidant capacity to alleviate the damage of spermatozoa caused by oxidative stress,and improving the bad mood to alleviate the impact of psychological stress on the reproductive system.The exploration of the thoughts for treating male infertility from the perspective of spleen and kidney by regulating intestinal flora may provide a new entry point for modern Chinese medicine clinical treatment of male infertility.

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Objective To evaluate the effects of transcutaneous electrical acupoint stimulation(TEAS)combined with Chinese medicine emotional intervention on immune function and psychological stress in patients undergoing laparoscopic radical rectal cancer surgery.Methods A total of 100 patients hospitalized for laparoscopic radical surgery for rectal cancer were randomly divided into 4 groups of Group A,B,C,and D,25 patients in each group.Group A was given TEAS for 30 minutes before anesthesia,Group B was given TEAS continuously until the end of the surgery,Group C was given TEAS for 30 minutes and Chinese medicine emotional intervention before anesthesia,Group D was given TEAS continuously until the end of the surgery together with Chinese medicine emotional intervention.TEAS was performed at bilateral Zusanli(ST36)points,bilateral Sanyinjiao(SP6)points,Baihui(GV20)points,bilateral Neiguan(PC6)points.The changes of perioperative outcomes and the changes of parameters associated with the immune function,molecular mechanism of Th1/Th2 cells,and psychological stress response before the surgery and 3 days after the surgery in each group were observed.Moreover,the occurrence of adverse reactions in each group was compared.Results(1)The differences of perioperative outcomes operation time,bleeding volume and infusion amount were not statistically significant among the 4 groups(P＞0.05).The Sufentanil dosage,Remifentanil dosage,postoperative awakening time,and 24-hour postoperative pain Visual Analogue Scale(VAS)scores of group D were lower than those of Groups A,B,and C(P＜0.05),and the above indexes of group B and group C were all lower than those of Group A(P＜0.05).(2)Three days after the surgery,the levels of immune function indicators of T lymphocyte subsets CD3+,CD4+ and natural killer(NK)cells in Group D were higher than those in Groups A,B,and C(P＜0.05),while the above indexes in Groups B and C were higher than those in Group A(P＜0.05).(3)Three days after the surgery,the levels of parameters associated with the molecular mechanism of Th1/Th2 cells such as interleukin 2(IL-2)and interferon gamma(IFN-γ)in Group D were higher(P＜0.05),and the serum interleukin 10(IL-10)level was lower than those in Groups A,B,and C(P＜0.05);the serum IL-2 and IFN-γ levels in Group B and C were higher(P＜0.05)and serum IL-10 level was lower than those in Group A(P＜0.05).(4)Three days after the surgery,the scores of the psychological stress response indicators of self-rating anxiety scale(SAS)and self-rating depression scale(SDS)in Group D were lower than those in Groups A,B,and C(P＜0.05),while the above scores in Groups B and C were lower than those in Group A(P＜0.05).(5)In Group A,there was one case of nausea and vomiting;in Group B,there were two cases of nausea and vomiting and one case of dizziness;no adverse reaction occurred in Group C,and there was one case of nausea and vomiting in Group D.The incidences of adverse reactions in Groups A,B,C and D were 4.0%(1/25),12.0%(3/25),0.0%(0/25),and 4.0%(1/25),respectively.The intergroup comparison showed no statistically significant difference among the 4 groups(χ2 = 0.400,P = 0.527).Conclusion In treating patients undergoing laparoscopic radical surgery for rectal cancer,TEAS combined with Chinese medicine emotional intervention can effectively regulate the perioperative immune function,reduce the stress response,and alleviate the anxiety of the patients.Moreover,the therapy exerts certain analgesic effect,which leads to the reduction of the dosage of opioids and the increase of perioperative comfort and surgical tolerance of the patients.

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Introducción: Los estresores académicos tienen efectos negativos en la salud y el desarrollo académico de los estudiantes de educación superior. Objetivo: Identificar los estresores académicos de mayor prevalencia antes y durante la pandemia de COVID-19 y su relación con factores socioacadémicos. Métodos: Se realizó un estudio longitudinal correlacional. La muestra censal en el 2019 fueron 166 y en el 2021, 156 estudiantes de enfermería de una universidad pública andina (Huaraz, Perú). El instrumento fue el Inventario de Estrés Académico. Los análisis estadísticos incluyeron comparación de medias, correlación de Pearson y Rho de Spearman. Resultados: Fueron estresores académicos antes vs. durante la pandemia de COVID-19: sobrecarga académica (3,94vs. 3,51), falta de tiempo (3,75vs. 3,14), trabajos obligatorios (3,12vs. 2,98). Estos correlacionaron antes de la pandemia con: mayor número de cursos e insatisfacción con rendimiento académico y; durante la pandemia: sexo femenino e insatisfacción con situación económica. Las mujeres percibieron cuatro o siete estresores académicos y los varones dos o uno, antes o durante la pandemia de COVID-19, respectivamente. Conclusiones: Los estresores académicos en los estudiantes antes y durante la pandemia de COVID-19 fueron: sobrecarga académica, falta de tiempo para cumplir con las actividades académicas y realización de trabajos obligatorios para aprobar las asignaturas. Las mujeres presentaron más estresores académicos que los varones antes y durante la pandemia. Los estresores académicos correlacionaron con factores académicos antes de la pandemia; y con factores sociales durante la pandemia(AU)

Introduction: Academic stressors have negative effects on the health and academic development of higher education students. Objective: To identify the most prevalent academic stressors before and during the COVID-19 pandemic and their relationship with socio-academic factors. Methods: A longitudinal correlational study was carried out. The census sample in 2019 was 166; and, in 2021, 156 nursing students from an Andean public university (Huaraz, Peru). The instrument was the Academic Stress Inventory. Statistical analyzes included comparison of means, Pearson correlation and Spearman's rho. Results: The following were academic stressors before vs. during the COVID-19 pandemic: academic overload (3.94 vs. 3.51), lack of time (3.75 vs. 3.14), mandatory assignments (3.12 vs. 2.98). These were correlated, before the pandemic, with greater number of courses and dissatisfaction with academic performance; and, during the pandemic, with female sex and dissatisfaction with the economic situation. The women perceived four or seven academic stressors and the male perceived two or one, before or during the COVID-19 pandemic, respectively. Conclusions: The academic stressors in students before and during the COVID-19 pandemic were academic overload, lack of time to complete academic activities, and completing mandatory work to pass the subjects. The women presented more academic stressors than the male before and during the pandemic. Academic stressors were correlated with academic factors before the pandemic and with social factors during the pandemic(AU)

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The coronavirus disease 2019 (COVID-19) pandemic induced psychological distress, which is linked to emotional eating and symptoms of addiction to ultra-processed foods (UPFs). Objective This study aimed to investigate whether symptoms of addiction to UPFs mediate the relationship between psychological stress due to the COVID-19 pandemic and emotional eating behaviour. Methods A cross-sectional online study was conducted from May to November 2021 among 368 undergraduate Brazilian students. The participants answered demographic questions and completed validated scales, including the Coronavirus Stress Measure, Modified Yale Food Addiction Scale 2.0 and Emotional Eating Questionnaire. Mediation analysis was employed to examine the hypothesised relationships. Results The results revealed a significant indirect effect, indicating that symptoms of food addiction mediated the association between perceived stress during the COVID-19 pandemic and emotional eating behaviour. Specifically, 61% of the influence of perceived stress on emotional eating during the pandemic was explained by symptoms of UPF addiction. Conclusion These findings suggest that addressing symptoms of UPF addiction could be pivotal in public health strategies aimed at promoting healthy eating habits among distressed undergraduate students in the post-COVID-19 era. (AU)

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This cross-sectional study aimed to assess whether levels of anxiety, perceived stress, and self-perception of happiness during the Covid-19 pandemic were lower among Tai Chi (TC) practitioners. An online questionnaire was applied from September 2020 to November 2021 through email list and instant messaging application "WhatsApp". In total 368 individuals, 341 of whom did not practice TC, coming from a university and sports academies and 27 TC practitioners from the Brazilian Society of TC and Oriental Culture were included. Sociodemographic, mental health, habits related to physical activity and the State Anxiety Inventory (STAI), Perceived Stress Scale (PSS14) and the Andrews Faces Scale were collected to assess level of state-anxiety, perceived-stress, and self-perception of happiness, respectively. Each independent variable with the outcome variables (severe anxiety level, severe stress level, moderate/severe stress level and self-perception of happiness) were analyzed for simple and multiple logistic regression model. Individuals who do not practice TC are more likely to have a severe level of anxiety (OR=3.55; CI95%CI: 1.37-9.20) and a moderate/severe level of stress (OR=2.60; 95%CI: 1.07-6.35), p<0.05. TC practitioners are more likely to perceive themselves as happy than non-practitioners (OR=3.18; 95%CI: 1.16-8.71), p<0.05. Do not practice regular physical activity (OR=2.88; 95%CI:1.50-4.34); (OR=1.7; 95%CI: 95%: 1.09-2.74) and being young were associated with high levels of stress, p<0.05. The TC practice during the pandemic promoted lower level of perceived stress, state anxiety and greater self-perception of happiness, showing the importance of TC practice and maintaining the frequency of physical activity during the pandemic.

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Abstract Objectives: verify the factors associated with parental stress in Neonatal Intensive Care Unit (Neonatal ICU) of small municipalities. Methods: cross-sectional quantitative study, with parents of newborns admitted in the neonatal ICU in two philanthropic hospitals. The instruments used were the Parental Stress Scale: Neonatal ICU and Perceptions of Family-Centered Care - Parents. The analysis was performed according to the nature of the distribution of the variables. Results: of the 129 volunteers, 79.8% showed parental stress. The averages of stress in the domains "sights and sounds", "baby looks and behaviors" and "alteration in the mother/father role" was observed, respectively, 1.9, 2.9 and 3.7 in Parental Stress Scale: Neonatal ICU. There was a significant association between the gender of the participants (p=0.0182) and clinical complications during the period of hospitalization (p= 0.0443) with parental stress. A difference was observed in the groups of the variable "hospitalization time to the moment of the data collection" (p= 0.0112), in the domains "respect" (p=0.0266), "collaboration" (p=0.0060) and in the total sum (p= 0.0112) of the Perceptions of Family-Centered Care - Parents scale. Conclusion: parental stress was associated with changes in the role of the mother/father; with the mothers and the occurrence of clinical complications with the baby during its hospitalization.

Resumo Objetivos: verificar fatores associados ao estresse parental em Unidade de Terapia Intensiva Neonatal (UTI Neonatal) de pequenos municípios. Métodos: estudo quantitativo transversal, com pais de recém-nascidos internados em UTI Neonatal de dois hospitais filantrópicos. Os instrumentos utilizados foram Parental Stress Scale: Neonatal ICU e Percepção do Cuidado Centrado na Família - Pais. A análise foi realizada de acordo com a natureza de distribuição das variáveis. Resultados: de 129 voluntários, 79,8% apresentaram estresse parental. As médias de estresse nos domínios "sons e imagens", "aparência e comportamento do bebê" e "alteração no papel da mãe/pai" observadas foram, respectivamente, 1,9, 2,9 e 3,7 na Parental Stress Scale: Neonatal ICU. Houve associação significativa entre gênero dos participantes (p=0,018) e intercorrências clínicas durante a hospitalização (p=0,044) com estresse parental. Observou-se diferença nos grupos na variável "tempo de internação até o momento da coleta de dados" (p=0,011), nos domínios "respeito" (p=0,026), "colaboração" (p=0,006) e na soma total (p= 0,011) da escala Percepção do Cuidado Centrado na Família - Pais. Conclusão: estresse parental esteve associado à alteração no papel de mãe/pai; às mães e à ocorrência de intercorrências clínicas com o bebê durante sua hospitalização.

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Abstract: Psychosocial evaluations are rarely conducted with community-dwelling individuals, especially those with higher risk of cardiovascular disease. This study aims to evaluate the perceptual stress and cardiovascular risk among women in a large cross-sectional study performed in Brazilian communities. Subjects aged over 18 years were included out of 500 public basic health units (BHU) in Brazil. All subjects were subjected to a clinical consultation and questionnaires application. Data were used to identify healthy lifestyle, smoking status, and self-perception of psychological stress. The National Health and Nutrition Examination Survey (NHANES) risk score (NRS) was used to estimate cardiovascular risk. Ethnicity information was self-reported, considering white versus non-white (black, brown, and mixed-race) women. A total of 93,605 patients were recruited from a primary care setting, of which 62,200 (66.4%) were women. Intense and severe auto-perception of stress was higher within non-white women at home (p < 0.001), at work (p = 0.008), socially (p < 0.001), and financially (p < 0.001) compared to white women. Therefore, the NRS indicates that non-white women had higher cardiovascular risk, lower physical activity, and lower daily vegetables/fruits consumption compared to white women (p < 0.001). Non-white women in Brazilian communities are susceptible to increased stress and cardiovascular disease risk, which adds up to disparities in access to the public health system.

Resumo: Avaliações psicossociais raramente são realizadas com indivíduos residentes na comunidade, especialmente aqueles com maior risco de doença cardiovascular. Este estudo tem como objetivo avaliar o estresse perceptivo e o risco cardiovascular entre mulheres em um grande estudo transversal realizado em comunidades brasileiras. Foram incluídas mulheres com idade superior a 18 anos de 500 unidades básicas de saúde (UBS) públicas do Brasil. Todas as participantes foram submetidas a consulta clínica e aplicação de questionários. Os dados foram utilizados para identificar estilo de vida saudável, tabagismo e autopercepção de estresse psicológico. O índice de risco (NRS) do National Health and Nutrition Examination Survey (NHANES) foi utilizado para estimar o risco cardiovascular. As informações de etnia foram autorreferidas, considerando mulheres brancas versus não brancas (negras, pardas e pardas). Um total de 93.605 pacientes foram recrutados em um ambiente de atenção primária, dos quais 62.200 (66,4%) eram mulheres. A autopercepção intensa e grave de estresse foi maior em mulheres não brancas em casa (p < 0,001), no trabalho (p = 0,008), socialmente (p < 0,001) e financeiramente (p < 0,001) em comparação com mulheres brancas. Portanto, a NRS indica que as mulheres não brancas apresentaram maior risco cardiovascular, menor atividade física e menor consumo diário de vegetais/frutas em comparação às mulheres brancas (p < 0,001). As mulheres não brancas nas comunidades brasileiras são suscetíveis ao aumento do estresse e do risco de doenças cardiovasculares, o que aumenta as disparidades no acesso ao sistema público de saúde.

Resumen: Raramente se realizan evaluaciones psicosociales con personas que viven en la comunidad, especialmente aquellas con mayor riesgo de enfermedad cardiovascular. Este estudio tiene como objetivo evaluar el estrés perceptivo y el riesgo cardiovascular entre las mujeres en un gran estudio transversal realizado en comunidades brasileñas. Se incluyeron mujeres mayores de 18 años de 500 unidades básicas de salud (UBS) públicas de Brasil. Todas las participantes fueron sometidas a una consulta clínica y aplicación de cuestionarios. Los datos se utilizaron para identificar el estilo de vida saludable, el tabaquismo y la autopercepción del estrés psicológico. Se utilizó la puntuación de riesgo (NRS) de la Encuesta Nacional de Examen de Salud y Nutrición (NHANES) para estimar el riesgo cardiovascular. La información étnica fue autoinformada, considerando mujeres blancas versus no blancas (negras, marrones y mestizas). Se reclutó a un total de 93.605 pacientes en un entorno de atención primaria, de los cuales 62.200 (66,4%) eran mujeres. La autopercepción intensa y severa del estrés fue mayor entre las mujeres no blancas en el hogar (p < 0,001), en el trabajo (p = 0,008), socialmente (p < 0,001) y financieramente (p < 0,001) en comparación con las mujeres blancas. Por lo tanto, el NRS indica que las mujeres no blancas tenían mayor riesgo cardiovascular, menor actividad física y menor consumo diario de verduras y frutas en comparación con las mujeres blancas (p < 0,001). Las mujeres no blancas en las comunidades brasileñas son susceptibles a un mayor estrés y riesgo de enfermedades cardiovasculares, lo que se suma a las disparidades en el acceso al sistema de salud pública.

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Introducción: El estrés psíquico en los estudiantes universitarios de Licenciatura en Turismo puede provocar manifestaciones negativas en el orden psíquico, físico y social. Objetivo: Exponer la validez de un procedimiento de masaje terapéutico que contribuya a disminuir el estrés psíquico en los estudiantes de Licenciatura en Turismo en la Universidad de Holguín. Método: Se realizó una investigación cuantitativa, se utilizaron métodos teóricos y empíricos; para el procesamiento de los datos se utilizó la estadística matemática. Se seleccionaron 17 expertos para la valoración del procedimiento empleado, con una experiencia promedio de 17 años, la investigación fue de septiembre 2019 a julio 2022. Se seleccionó una muestra de 82 estudiantes, a la cual se le aplicó un test antes y después de concluir el tratamiento con masaje terapéutico. Resultados: Mediante la observación a los estudiantes en los diferentes contextos de actuación y la revisión de las fuentes de información se evidenció resultados indicadores de estrés psíquico. En encuesta aplicada a los profesores, se demostró pocos conocimientos teóricos y metodológicos para la aplicación del masaje terapéutico para estudiantes universitarios con estrés psíquico. Conclusiones: El procedimiento elaborado para disminuir el estrés se aplicó y demuestra su efectividad en la salud y el bienestar de la muestra seleccionada (AU)

Introduction: Psychological stress in university students studying Bachelor of Tourism can cause negative manifestations in the psychological, physical and social order. Objective: To present the validity of a therapeutic massage procedure that contributes to reducing psychological stress in Bachelor of Tourism students at the University of Holguín. Method: A quantitative research was carried out, theoretical and empirical methods were used.Mathematical statistics were used to process the data.17 experts were selected to evaluate the procedure used, with an average experience of 17 years. The research was from September 2019 to July 2022. A sample of 82 students was selected, to whom a pre-test was applied before treatment,with therapeutic massage, and a post-test at the end. Results: By observing the students in the different contexts of action and reviewing the sources of information, results indicative of psychological stress were evident.In a survey administered to teachers, little theoretical and methodological knowledge was demonstrated for the application of therapeutic massage for university students with psychological stress. Conclusions: The procedure developed to reduce stress was applied and demonstrate its effectiveness on the health and well-being of the selected sample (AU)

Introdução: O estresse psicológico em estudantes universitários do Bacharelado em Turismo pode causar manifestações negativas de ordem psicológica, física e social. Objetivo: Apresentar a validade de um procedimento de massagem terapêutica que contribui para a redução do estresse psicológico em estudantes do Bacharelado em Turismo da Universidade de Holguín. Método: Foi realizada uma pesquisa quantitativa, foram utilizados métodos teóricos e empíricos.Estatística matemática foi usada para processar os dados.Para avaliar o procedimento utilizado foram selecionados 17 especialistas, com experiência média de 17 anos. A pesquisa ocorreu de setembro de 2019 a julho de 2022. Foi selecionada uma amostra de 82 estudantes, aos quais foi aplicado um pré-teste antes do tratamento com massagem terapêutica, e um pós-teste no final. Resultados: Ao observar os estudantes nos diferentes contextos de atuação e revisar as fontes de informação, ficaram evidentes resultados indicativos de estresse psicológico.Em pesquisa realizada com professores, foi demonstrado pouco conhecimento teórico e metodológico para a aplicação da massagem terapêutica em estudantes universitários com estresse psicológico. Conclusões: O procedimento desenvolvido para reduzir o estresse foi aplicado e demonstrou sua eficácia na saúde e no bem-estar da amostra selecionada (AU)

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Aim: Burnout syndrome describes the state of long-term physical, emotional and mental exhaustion related to work. This syndrome can cause health problems related to stress, insomnia, cardiovascular and musculoskeletal diseases, including an increase in alcohol consumption and drug use. It is important to recognize the presence of the initial signs of this syndrome, therefore this study aimed to determine the prevalence of the burnout syndrome in peruvian dental students. Methods: The study was observational, cross-sectional, and descriptive. It was carried out from September to November 2018, and it included a total of 154 dental students of four universities of La Libertad region, surveyed by census method. Three were private universities and one was public. Burnout was evaluated through the Maslach Burnout Student Survey Questionnaire (MBI-SS). The results were presented in absolute and percentage frequencies, as well as confidence intervals, using double-entry tables. Results: It was found that 24.68% of the students (24.71% in male students and 24.64% in female students) presented burnout syndrome. The public university of Trujillo presented the highest percentage of affected students (47.37%). A prevalence of 53,90% of emotional exhaustion was also found among the students under evaluation. Conclusions: Almost a quarter of the students surveyed presented burnout. It was also observed that the public University of Trujillo had a higher percentage of burnout than the three private ones. The percentage of prevalence of the burnout syndrome according to sex was similar. However according to dimensions, emotional exhaustion presented the highest percentage

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Introducción: Según la Organización Mundial de la Salud el estrés académico y la ansiedad representan un problema de salud pública. Los estudiantes universitarios enfrentan múltiples factores y desafíos estresantes en el entorno educativo, además de posibles estímulos externos. Esta situación puede provocar que la ansiedad derivada del estrés académico evolucione hacia un estado crónico, con efectos negativos para la salud física y psicológica, aumentando así su prevalencia y el riesgo de padecer trastornos de ansiedad. Objetivo: Determinar la relación del estrés académico con ansiedad en estudiantes universitarios mexicanos. Metodología: Es de tipo cuantitativo, correlacional y transversal. Muestreo no probabilístico a conveniencia, se encuesto a 102 participantes de 3 facultades de la ciudad de Saltillo Coahuila México. Se utiliza los instrumentos del inventario sistémico cognoscitivista del Estrés Académico con un alfa de Cronbach de 0,940 y el Inventario de ansiedad de Beck con un alfa de Cronbach 0,929. Se utiliza el programa SPSS versión 23, se analizaron los datos con estadística descriptiva e inferencial. Resultados: La muestra estuvo conformada por 102 alumnos de las cuales en su mayoría fueron mujeres entre 18 a 23 años con un promedio de 21 años, se encuentra una relación entre el estrés académico y la ansiedad (p= 0.001, R= 0,591). Conclusión: Este análisis permite identificar cómo el estrés académico actúa como un factor desencadenante o agravante de la ansiedad, lo que subraya la necesidad de implementar estrategias de prevención y apoyo psicológico, así como también desarrollar intervenciones efectivas que promuevan la salud mental de los estudiantes.

Introduction: According to the World Health Organization, academic stress and anxiety are significant public health concerns. University students face numerous stressors and challenges within educational settings, besides potential external factors. This situation can make academic stress-induced anxiety progress into a chronic condition, negatively impacting physical and mental health and increasing the prevalence and risk of anxiety disorders. Objective: To determine the relationship between academic stress and anxiety in Mexican university students. Methodology: This quantitative, correlational, cross-sectional study employed convenience sampling. A total of 102 students from three faculties in Saltillo, Coahuila, Mexico, were surveyed. The instruments used included the Systemic-Cognitivist Inventory of Academic Stress, with a Cronbach's alpha of 0.940, and the Beck Anxiety Inventory, with a Cronbach's alpha of 0.929. Data analysis was conducted using SPSS version 23, employing descriptive and inferential statistics. Results: The sample comprised 102 students, primarily women aged 18 to 23, with an average age of 21. A significant relationship was identified between academic stress and anxiety (p = 0.001, R = 0.591). Conclusion: This analysis highlights how academic stress serves as a triggering or exacerbating factor for anxiety. The findings underscore the importance of implementing prevention and psychological support strategies and developing effective interventions to promote the mental health of students.

Introdução: De acordo com a Organização Mundial da Saúde, o estresse acadêmico e a ansiedade representam um problema de saúde pública. Os estudantes universitários enfrentam vários fatores de estresse e desafios no ambiente educacional, além de possíveis estímulos externos. Essa situação pode levar a ansiedade resultante do estresse acadêmico a evoluir para um estado crônico, com efeitos negativos sobre a saúde física e psicológica, aumentando assim sua prevalência e o risco de transtornos de ansiedade. Objetivo: Determinar a relação entre estresse acadêmico e ansiedade em estudantes universitários mexicanos. Metodologia: é quantitativa, correlacional e transversal. Amostragem de conveniência não probabilística, 102 participantes foram pesquisados em 3 faculdades na cidade de Saltillo, Coahuila, México. Os instrumentos usados foram o Inventário de Estresse Acadêmico Cognitivo Sistêmico com um alfa de Cronbach de 0,940 e o Inventário de Ansiedade de Beck com um alfa de Cronbach de 0,929. Foi utilizado o SPSS versão 23 e os dados foram analisados por meio de estatísticas descritivas e inferenciais. Resultados: A amostra foi composta por 102 alunos, a maioria mulheres entre 18 e 23 anos, com idade média de 21 anos. Foi encontrada uma relação entre estresse acadêmico e ansiedade (p= 0,001, R= 0,591). Conclusão: Essa análise nos permite identificar como o estresse acadêmico atua como um fator desencadeante ou agravante da ansiedade, o que ressalta a necessidade de implementar estratégias de prevenção e apoio psicológico, bem como de desenvolver intervenções eficazes que promovam a saúde mental dos alunos.