Exploring personal aptitudes and personality traits that, together with social determinants, shape health behaviors and conduct: a thematic analysis based on the Capability, Opportunity, Motivation and Behavior (COM-B) change system.

Introduction: Effective implementation of strategies to promote health and prevent noncommunicable illnesses requires a profound understanding of the interaction between the individual and society. This study brings to health research the consideration of psychosocial factors that influence the maintenance and change of health behaviors and conduct. From a primary care perspective, it is crucial to propose a biopsychosocial approach for the development of health promotion and self-care programs that embrace personal aptitudes as a relevant individual aspect. Objectives: To explore experiences related to personal aptitudes and personality traits that influence health behaviors and conduct, taking into account the social determinants of health, through a thematic analysis based on the capability-opportunity-motivation and behavior (COM-B) system. Methods and analysis: This qualitative research is carried out from a descriptive phenomenological perspective, based on 17 focus groups in which 156 people participated. Inductive and deductive analysis techniques were used following Lincoln and Guba's criteria of methodological rigor. In addition to 7 different triangulations of analysts, 6 main categories were identified based on the COM-B system: psychological capacity, physical capacity, physical opportunity, social opportunity, reflective motivation, and automatic motivation. The importance of considering these factors to promote healthy behaviors was stressed. Discussion: This study examined how personal experiences related personal aptitudes and personality traits influence health behaviors and conduct in Spain. It was found that personality traits such as health literacy, self-efficacy, activation, and self-determination can influence the adoption of healthy behaviors. Likewise, the need for control, overthinking, and ambivalence made it impossible. Furthermore, social determinants of health and interpersonal relationships also play an important role. Trial registration: ClinicalTrials.gov, NCT04386135. Registered on April 30, 2020.

Adaptations of interpersonal psychotherapy in psycho-oncology and its effects on distress, depression, and anxiety in patients with cancer: a systematic review.

Objective: Patients with cancer experience significant psychosocial distress. Stressors include interpersonal difficulties like loneliness, isolation, thwarted belongingness, communication impediments, and conflicts. Interventions are required that address their specific psychosocial needs. Interpersonal Psychotherapy (IPT) is a promising concept for the treatment of psychosocial distress associated with cancer because it addresses patients' interactions and role transformations. This review aims to provide an overview of the current evidence regarding interventions for patients with cancer based on IPT. Methods: A systematic review following PRISM guidelines was conducted, including randomized controlled trials of IPT-based interventions in patients with cancer, assessing effects on distress, depression, and anxiety. Results: Eight studies were included, sampling 390 patients in total. Seven out of eight studies assessed exclusively women with breast cancer. Two studies described IPT interventions and showed stronger improvement in depression and anxiety compared to TAU and equal improvement in depression compared to other psychotherapy interventions. Six studies described remote Interpersonal Counselling (IPC). One found remote IPC to be superior to control conditions regarding depression, and one found remote IPC to be superior to attention control, but not active control conditions. No study found remote IPC to be superior to control conditions regarding distress. Discussion: There are few randomized controlled trials of IPT for patients with cancer. Results regarding depression and anxiety are promising for in-person IPT, but mixed for remote IPC. Conclusion: The review suggests in-person IPT, but not remote IPC, may yield benefits for patients with cancer. Research on the subject is scarce, and to inform implementation of IPT interventions, research with diverse groups of patients with cancer is required. Systematic trial registration: PROSPERO, Identifier CRD42023410687.

Do classroom relationships moderate the association between peer defending in school bullying and social-emotional adjustment?

Peer defending has been shown to protect bullied peers from further victimization and social-emotional problems. However, research examining defending behavior has demonstrated positive and negative social-emotional adjustment effects for defending students themselves. To explain these mixed findings, researchers have suggested that associations between defending behavior and social-emotional adjustment may be buffered by protective factors (i.e., defender protection hypothesis) or exacerbated by vulnerability or risk factors (i.e., defender vulnerability hypothesis). Consistent with these hypotheses, the present study aimed to investigate whether relationships with teachers and peers would moderate the association between defending behavior and social-emotional adjustment. This three-wave longitudinal study examined the association between peer nominated defending behavior and later self-reported depressive symptoms and self-esteem in 848 Belgian students in Grades 4-6 (53% girls; Mage = 10.61 years, SD = 0.90 at Wave 1). Peer nominated positive and negative teacher-student relationships (i.e., closeness and conflict) and peer relationships (i.e., acceptance and rejection) were included as moderators. Clustered multiple linear regression analyses demonstrated that defending behavior did not predict later depressive symptoms (ß = -0.04, p = .80) or self-esteem (ß = -0.19, p = .42). The lack of these associations could be explained by the defender protection and vulnerability hypotheses. However, contrary to our expectations, teacher-student closeness and peer acceptance did not play a protective role in the association between defending behavior and social-emotional adjustment (ß = -1.48-1.46, p = .24-0.96). In addition, teacher-student conflict and peer rejection did not put defending students at risk for social-emotional maladjustment (ß = -1.96-1.57, p = .54-0.97). Thus, relationships with teachers and peers did not moderate the association between defending behavior and later depressive symptoms and self-esteem.

The Influence of Gifted Children's Stress Management on Parental Stress Levels.

This study explores the associations between gifted children's stress management and parental stress level. A sample of 78 primary school children and their 76 parents took part in this study. Children were screened for intelligence and emotional quotients, while parents were tested for stress levels. Results show that the more children are aware of their stress-management skills, the less parents are stressed out. Moreover, the intelligence quotient is not significant in mediating this association, supporting the idea that it is not an a priori protective factor from a developmental perspective. The study findings suggest that when a child is equipped with the skills to handle stress by harnessing their emotional intelligence, it can have a beneficial effect on the entire family's well-being. Given that these skills can be developed, and the significant positive influence they have on a child's growth and adaptation, it is essential to offer specialized educational programs to gifted children. These programs should aim to enhance their emotional skills, which, in turn, can indirectly bolster the psychological health of the family unit as a whole.

Multiple Informant Cluster Analysis Findings: Which Military-Connected Preschool Aged Children Are Doing Well and Why?

Informed by models of resilience in military families, we explored factors theorized to be associated with social-emotional resilience and risk among young military-connected children. Our secondary analysis of cross-sectional data from 199 military-connected families (n = 346 parents) with at least one preschool-age child in the home (n = 199) led to the empirical identification of two distinct clusters: families with children demonstrating healthy social-emotional functioning and those showing indicators of poor social-emotional functioning. We then identified factors associated with membership in each cluster to determine which deployment and parental wellbeing variables were salient for young child adjustment. Parent psychological health symptoms, parenting, child behavior, and parent-child relationships were measured by parent report and observed interaction. Children with healthier social-emotional functioning were found to be residing with families experiencing less stress and distress. The importance of maternal trauma history is highlighted in our study, as elevated maternal symptoms across all three posttraumatic stress disorder symptom domains were associated with child social-emotional risk. Basic family demographic characteristics did not contribute significantly to the cluster distinctions, nor did military service factors such as active duty, reserve or veteran status, military rank or parent deployment history. These findings are important as the results deemphasize the importance of military service characteristics and highlight the importance of parent wellbeing when considering social-emotional risk and resilience of young children within military families.

A supposedly objective thing I'll never use again: Word association and the quest for validity and reliability in emotional adjustment research from Carl Jung to Carl Rogers (1898-1927).

As the first two decades of the 20th century unfolded, clinical psychologists, who had until then been mainly associated with intelligence testing, attempted to implement a specific psychological method-Carl Gustav Jung's (1875-1961) word-association "test"-in individual personality assessments. As one of the early clinical psychologists who attempted to use the method, Carl Ransom Rogers (1902-1987) is conspicuously absent from the historiography of clinical psychological testing. In fact, historians have recently suggested that we are lacking narratives about Rogers' early ideas and techniques in the context of both the development of clinical psychology and the emergence of psychological testing as clinicians' foremost scholarly activity. In light of the above, this paper pursues two main goals. First, it attempts to reconstruct Rogers' first original research project on emotional adjustment testing in young children in the broader context of the development of word-association tests as carried out by Jung and Whately Smith (1892-1947). Second, it aims to reconstruct Rogers' earliest theoretical ideas as well as his epistemological assumptions regarding test objectivity, validity and reliability. By drawing on unpublished documents and heretofore overlooked primary sources I show that although Rogers initially drew from Jung and Smith's complex and refined tradition, he ultimately rejected it as well as the tests themselves. At first drawn to Smith's quantitative, empiricist and experimental philosophy of psychology, Rogers was deterred when the data gathered through his own research in 1927 suggested that word association tests had no real, effective clinical value when used in children. By showcasing the complex process of test construction and validation undertaken by 1920s clinical psychologists, Rogers' case illustrates the research practices, the methodological problems and the epistemological dilemmas faced by most if not all of his contemporaries.

Perceived stress, optimism-pessimism, psychological adjustment, and death distress of nurses during the COVID-19 pandemic / Estrés percibido, optimismo-pesimismo, ajuste psicológico y angustia ante la muerte en profesionales de enfermería durante la pandemia de COVID-19 / Estresse percebido, otimismo-pessimismo, ajuste psicológico e angústia de morte em profissionais de enfermagem durante a pandemia de COVID-19

Objective: the aim of this study is to investigate the relationship between death distress, psychological adjustment, optimism, pessimism and perceived stress among nurses working during the COVID-19 pandemic. Method: this study was designed as cross-sectional/cohort. The population of the study involved 408 nurses from Northern Cyprus, which are registered as full members of the Nurse Council. The sample comprised 214 nurses, who volunteered to participate in the study. The study data was collected using a web-based online survey (Demographic form, the Coronavirus Stress Measure, The Optimism and Pessimism Questionnaire, The Brief Adjustment Scale-6, The Death Distress Scale). Results: the results indicated that perceived stress significantly and negatively predicted optimism (β = -0.21, p < 0.001) and pessimism (β = 0.38, p < 0.001). Perceived stress had significant and positive predictive effects on psychological adjustment (β = 0.31, p < 0.001) and death distress (β = 0.17, p < 0.01). Further analysis results revealed that pessimism mediates the association of stress with psychological adjustment and death distress; however, optimism only mediates the effect of stress on psychological adjustment among nurses. Conclusion: a low level of pessimism is effective in strengthening nurses' psychological adjustment skills againt perceived stress and death distress. Nurses should consider behavioral strategies to help reduce the level of pessimism during periods such as pandemics.

Objetivo: el objetivo de este estudio fue investigar la relación entre la ansiedad ante la muerte, el ajuste psicológico, el optimismo, el pesimismo y el estrés percibido entre los profesionales de enfermería que trabajaron durante la pandemia de COVID-19. Método: este estudio se diseñó como un estudio transversal/de cohortes. La población del estudio incluía a 408 profesionales de enfermería del Chipre del Norte registrados como miembros de pleno derecho del Consejo de Enfermería. La muestra consistió en 214 profesionales de enfermería que se ofrecieron voluntariamente a participar en el estudio. Los datos del estudio se recogieron a través de una encuesta online basada en la web (formulario demográfico, Medida de Estrés por Coronavirus, Cuestionario de Optimismo y Pesimismo, Escala Breve de Adaptación-6 y Escala de Sufrimiento por Muerte). Resultados: los resultados indicaron que el estrés percibido predecía significativa y negativamente el optimismo (β = -0,21, p < 0,001) y pesimismo (β = 0,38, p < 0,001). El estrés percibido tuvo efectos predictivos significativos y positivos sobre el ajuste psicológico (β = 0,31, p < 0,001) y angustia de muerte (β = 0,17, p < 0,01). Los resultados de otros análisis revelaron que el pesimismo es mediador en la asociación del estrés con el ajuste psicológico y la angustia de muerte; sin embargo, el optimismo sólo es mediador del efecto del estrés sobre el ajuste psicológico entre los profesionales de enfermería. Conclusión: un bajo nivel de pesimismo es eficaz para reforzar las habilidades de ajuste psicológico de los profesionales de enfermería frente al estrés percibido y la angustia por la muerte. Los profesionales de enfermería deberían considerar estrategias conductuales para ayudar a reducir el nivel de pesimismo durante periodos como las pandemias.

Objetivo: o objetivo deste estudo é investigar a relação entre angústia de morte, ajuste psicológico, otimismo, pessimismo e estresse percebido entre profissionais de enfermagem que trabalham durante a pandemia de COVID-19. Método: este estudo foi concebido como estudo transversal/coorte. A população do estudo envolveu 408 profissionais de enfermagem do Chipre do Norte, que estão registrados como membros plenos do Conselho de Enfermagem. A amostra foi composta por 214 profissionais de enfermagem que se ofereceram para participar do estudo. Os dados do estudo foram coletados por meio de uma pesquisa online baseada na web (formulário demográfico, Medida de Estresse por Coronavírus, Questionário de Otimismo e Pessimismo, Escala Breve de Ajuste-6 e Escala de Sofrimento por Morte). Resultados: os resultados indicaram que o estresse percebido previu significativa e negativamente o otimismo (β = -0,21, p < 0,001) e pessimismo (β = 0,38, p < 0,001). O estresse percebido teve efeitos preditivos significativos e positivos sobre o ajuste psicológico (β = 0,31, p < 0,001) e angústia de morte (β = 0,17, p < 0,01). Os resultados de outras análises revelaram que o pessimismo é mediador da associação do estresse com o ajuste psicológico e a angústia de morte; no entanto, o otimismo é mediador apenas do efeito do estresse sobre o ajuste psicológico entre os profissionais de enfermagem. Conclusão: um baixo nível de pessimismo é eficaz para fortalecer as habilidades de ajuste psicológico dos profissionais de enfermagem contra o estresse percebido e a angústia por morte. Os profissionais de enfermagem devem considerar estratégias comportamentais para ajudar a reduzir o nível de pessimismo durante períodos como os de pandemias.

Chinese Mothers' Reactions to Adolescents' Positive Emotions: Relations to Adolescents' Emotional Adjustment and Mothers' Socialization Goals.

When adolescents have positive emotions, parents' reactions that enhance or dampen the intensity or duration of adolescents' emotions have been documented to play a critical role in adolescents' emotional adjustment in Western societies. These parental reactions are theorized to be culturally embedded parenting practices in the emotion socialization process. However, research is limited in examining the implications of parents' enhancing and dampening reactions for adolescents' emotional adjustment in non-Western societies. Moreover, it remains to be explored how these parental reactions might be guided by parents' culturally shaped socialization goals for adolescents, and further influence adolescents' adjustment. To address these key issues, a two-wave longitudinal study spanning approximately 1.5 years was conducted among adolescents in China (N = 233; Mage = 12.19 years, SD = 0.60; 48% girls). Based on adolescents' reports, it was found that Chinese mothers' enhancing reactions to adolescents' positive emotions, which were related to their greater endorsement of self-development socialization goals (i.e., wanting adolescents to develop confidence, autonomy, and uniqueness), predicted adolescents' increased emotional well-being (i.e., self-esteem, vitality, and experience of positive emotions) and decreased emotional ill-being (i.e., depression, anxiety and experience of negative emotions) over time. Contrastingly, mothers' dampening reactions to adolescents' positive emotions, which were related to their less endorsement of self-development and greater endorsement of filial piety socialization goals (i.e., wanting adolescents to respect and obey parents), predicted adolescents' decreased emotional well-being over time. The findings broaden the cultural understanding of parents' emotion-related socialization practices, and provide insights into practical endeavors at optimizing parents' reactions to adolescents' positive emotions in culturally sensitive ways and ultimately promoting adolescents' mental health.

"I was very sad, but not depressed": phenomenological differences between adjustment disorder and a major depressive episode.

Introduction: Adjustment disorder (AD) is a diagnosis that must be differentiated from major depressive episode (MDE) because of the therapeutic implications. The aim of this study is to understand the experience of patients who in their lifetime have been diagnosed with AD as well as MDE to establish the characteristics of each disorder. Methods: A descriptive phenomenological approach was used with in-depth interviews to four patients and the method proposed by Colaizzi to understand the experiences and reach the description of both disorders. Results: Three women and one man, with advanced schooling were interviewed. The participants emphasized the existence of differences that were grouped in: the attribution made by the individual, the theme of cognitions, the variability in the course, the possibility of mood modulation, the syndrome severity, the presence of hopelessness and the perceived course. Conclusion: Phenomenological differences were found in the subjective experience of MDE and AD. The MDE would be described as an intense state of generalized shutdown of the subject's own life, with little response to events, and the AD, as a dynamic reaction attributed to a stressful event, with high variability in the course of symptoms due to the dependence on such event, with the preserved hope that it will end.

Emotional Adjustment among Adolescent Students with and without Specific Learning Disabilities.

Adolescence is a psychologically vulnerable stage in which problems of emotional adjustment and psychological well-being can appear. The aim of this study is to analyse the relationship and comparison of emotional deficits and resources among adolescents with or without specific learning disabilities. We evaluated 80 students distributed into two groups: 40 adolescents with specific learning disabilities and 40 normative adolescents matched with the previous group in terms of age, sex, and school year. The study variables are internalising problems (anxiety and depression), externalising problems (aggression, anger control, defiant behaviour, and antisocial behaviour), and personal resources (self-esteem, social competence and integration, and awareness of problems), evaluated by means of the SENA test. The results indicate a positive relationship between externalising and internalising problems and a negative relationship between the latter and some personal resources in both groups. We also found that adolescents with specific learning disabilities displayed more internalising and externalising symptoms than their peers, greater awareness of their emotional difficulties, and lower self-esteem and social integration and competence. The findings highlight the need for preventive interventions that promote the psychological well-being and mental health of adolescents within the school setting at an early age.

Inteligencia emocional y resiliencia en universitarios: Influencia de la cultura, del género y del deporte competitivo / Inteligência emocional e resiliência em universitários: Influência da cultura, gênero e de desporto competitivo / Emotional intelligence and resilience in university students: Influence of culture, gender, and competitive sport

La Inteligencia Emocional (IE) permite identificar y manejar las propias emociones y reconocer las de los demás impactando en la satisfacción vital y bienestar psicológico; a su vez, la resiliencia permite superar adversidades, siendo procesos importantes en el ámbito universitario. Los objetivos de esta investigación consistieron en describir la IE en sus factores atención, claridad, reparación emocional, y resiliencia en estudiantes universitarios y compararlas en función del país (México y España), género y práctica deportiva con fines competitivos. Participaron 423 estudiantes universitarios (M = 22.83; DT = 4.71; 49% mexicanos, 51% españoles; 66.5% mujeres, 32.3% hombres, 1.2% no binarios; 17.5% practican deporte con fines competitivos). A través de un diseño descriptivo, comparativo transversal no probabilístico y transcultural, se completaron los cuestionarios de Escala Rasgo de Metaconocimiento Emocional (TMMS-24) y Escala de Resiliencia Connor-Davidson (CD-RISC). Los hallazgos principales de la prueba t-Student fueron diferencias significativas en: 1) reparación emocional, donde los universitarios de México presentan medias mayores (t = 2.23); 2) atención emocional, reparación emocional y resiliencia en función del género (t = 2.57, -3.46, -4.42); y 3) reparación emocional y resiliencia en función de la práctica de deporte con fines competitivos (t = -2.08, -3.36). El MANOVA reveló significancia en el cruce por país y deporte (F = 3.22). Estos resultados sugieren que la IE y la resiliencia en universitarios, se ven influidas por el país, el género y la práctica de deporte con fines competitivos, aportando evidencia para futuras líneas de investigación transcultural de la IE en el deporte.(AU)

Emotional Intelligence (EI) allows to identify and manage own emotions and recognize them in others impacting on life satisfaction and psychological well-being; on the other hand, resilience allows overcoming adversities, being importantprocesses in the university environment. Therefore, the aims of this research were to describe EI in its emotional attention, clarity and repair factors, and resilience in university students and to compare them depending on the country (Mexico and Spain), gender, and sports practice for competitive purposes. A total of 423 university students participated (M = 22,83; SD = 4,71; 49% Mexican, 51% Spanish; 66.5% women, 32.3% men, 1.2% non-binary; 17.5% practice sports for competitive purposes). Through a descriptive, comparative cross-sectional non-probabilistic, and cross-cultural design, it was completed the Emotional Meta-knowledge Trait Scale (TMMS-24) and Connor-Davidson Resilience Scale (CD-RISC) questionnaires. The main findings of the t-Student test were significant differences in 1) emotional repair where university students in Mexico present higher means (t = 2.23); 2) emotional attention, emotional repair, and resilience based on gender (t = 2.57, -3.46, -4.42); and 3) emotional repair and resilience depending on the practice of sport for competitive purposes (t = -2.08, -3.36). The MANOVA revealed significance in the crossover by country and sport (F = 3.22). These results suggest that EI and resilience in university students are influenced by the country, gender, and the practice of sports for competitive purposes, providing evidence for future lines of cross-cultural research on EI in sports. (AU)

A Inteligência Emocional (IE) permite identificar e gerir as próprias emoções e reconhecê-las nos outros impactando na satisfação com a vida e no bem-estar psicológico. Por outro lado, a resiliência permite a superação das adversidades, sendo processos importantes no ambiente universitário. Portanto, os objetivos deste estudo consistiram em descrever a IE nos seus factores atenção, clareza e reparação emocional, e resiliência nos estudantes universitários e compará-los de acordo com o país (México e Espanha), géneroe prática desportiva competitiva. Um total de 423 estudantes universitários (M = 22,83; DT = 4,71; 49% mexicanos, 51% espanhóis; 66,5% femininos, 32,3% masculinos, 1,2% não binários; 17,5% praticantes de desporto para fins competitivos) participaram nesteestudo. Por meio de um delineamento descritivo, comparativo, transversal, não probabilístico e transcultural, foram preenchidos os questionários Escala de Traços de Metaconhecimento Emocional (TMMS-24) e Escala de Resiliência de Connor-Davidson (CD-RISC).Os principais resultados a partir do teste t de Student foram os seguintes: diferenças significativas nareparação emocional com estudantes universitários mexicanos com meios mais elevados (t = 2.23);atenção emocional, reparação emocional e resiliênciaem função do sexo (t = 2.57, -3.46, -4.42); e reparação emocional e resiliência em função da prática desportiva de competição (t = 2.08, -3.36). A MANOVA revelou diferenças significativas no cruzamento por país e por desporto (F = 3,22). Estes resultados sugerem que a IE e a resiliência em estudantes universitários são influenciadas pelo país, gênero e prática desportiva para fins competitivos, fornecendo evidências para futuras linhas de investigação transcultural sobre IE no desporto. (AU)

The Dark Side of Multimedia Devices: Negative Consequences for Socioemotional Development in Early Childhood.

There is growing concern about the relationship between screen use by young children and negative effects on their development, as children with developmental and socioemotional impairments tend to have difficulties in their relationships and increased academic problems. The aim of our study was to analyse the relationship between the use of multimedia devices and paediatric symptoms in children below 5 years old. Data from 534 Portuguese parents of children aged from 18 to 57 months were collected via a self-report questionnaire. Children's daily exposure to multimedia devices was nearly 2 h per day. Paediatric symptoms were positively associated with watching television and screen time and negatively associated with parents' working hours. Touchscreen use was more frequent among girls and older children. Parents' working hours comprised the most significant predictor of paediatric symptoms. Our findings reinforce past findings on the adverse links between the use of multimedia devices and paediatric symptoms and also highlight the influence of other variables like the child's age and gender, as well as parental factors. The need to both create a more comprehensive framework regarding the long-term effects of multimedia device use and delineate effective strategies for prevention and intervention with parents and children is discussed.

Sobrecarga emocional del personal sanitario del Servicio Navarro de Salud durante la pandemia del SARS-CoV-2 / Emotional overload of health personnel of the Navarra Health Service during the SARS-CoV-2 pandemic

Objetivo: Los trabajadores de la salud se enfrentaron a niveles sin precedentes de carga emocional relacionada con la pandemia de la COVID-19. Este estudio pretende conocer la autopercepción del estado de sobrecarga emocional de los profesionales del Servicio Na-varro de Salud-Osasunbidea (SNS-O) en dos momentos durante la pandemia y sus factores asociados.Método: Estudio transversal mediante el uso de un cuestionario que incluye la Escala de Autoevaluación de Sobrecarga Emocional, enviado por correo electrónico a todos los pro-fesionales sanitarios del SNS-O en dos momentos de la pandemia, en octubre de 2020 y octubre de 2021. Los resultados de la escala global y de las subescalas ‘“miedos-ansiedad”’ y ‘“respuesta afectiva”’ se compararon entre los dos momentos de medición según puesto de trabajo, ámbito, área y servicio, mediante modelos ANCOVA?. Resultados: Participaron en la encuesta de 2020 1.485 (11,3%) sanitarios y 950 (7,3%) en la encuesta de 2021 de. La diferencia media para el score global entre 2020 y 2021 fue -1.87 (95% IC: -2.38, -1.35), indicando una reducción de la sobrecarga emocional con la evolución de la pandemia, con algunas diferencias entre categorías profesionales.Conclusiones: El año 2020 tuvo gran impacto en la sobrecarga emocional que disminuyó al año siguiente. Uno de los mayores temores del personal sanitario durante su exposición laboral a enfermedades infecciosas epidémicas sigue siendo el miedo a contraer la enfer-medad y transmitirla a sus familiares y entorno social. Conforme aumenta la proximidad con el paciente y su entorno, incrementa la probabilidad de afectación psicoemocional (AU)

Introduction: Health care workers faced unprecedented levels of emotional burden related to the COVID-19 pandemic.. This study aims to find out the self-perception of the state of emotional overload of the professionals of the Navarre Osasunbidea Health Service (SNS-O) at two moments during the pandemic and its associated factors.Method: Cross-sectional study using a questionnaire that includes the Emotional Overload Self-Assessment Scale sent by email to all SNS-O health professionals at two moments of the pandemic, in October 2020 and October 2021. Results of the global scale and of the sub-scales '“fear-anxiety”' and ““affective response”' were compared between the two moments of measurement according to position, field, area and service using ANCOVA models.Results: The number of responding participants in the 2020 survey was 1 485 (11,3%) and 950 in the 2021 survey (7,3%). The mean difference for overall score between 2020 and 2021 was -1.87 (95% CI: -2.38, -1.35), indicating less worrying results with the passage of time since the start of the pandemic, with some differences accross occupational categories.Conclusions: The year 2020 had a great impact on the emotional overload that decreased the following year. One of the greatest fears of health personnel during their occupational exposure to epidemic infectious diseases continues to be the fear of contracting the dis-ease and transmitting it to their family members and social environment. As the proximity to the patient and their environment increases, the probability of psycho-emotional affectation increases (AU)

Academic Stress and Emotional Adjustment: A Gender-Based Post-COVID Study.

Background: The worldwide spread of COVID-19 infection and its preventive measures has resulted in global disruption of overall functioning of the individuals. In the post-COVID period, several stressors associated with the pandemic have exacerbated adjustment problems in students and impacted their mental health. Purpose: The study aims to assess the Academic Stress and Emotional Adjustment of male and female secondary school students in Uttar Pradesh, post-COVID-19 pandemic lockdown. Methods: A sample of 500 students from various schools in Uttar Pradesh pursuing high school were included in the study. A purposive sampling technique was employed for data collection based on inclusion and exclusion criteria. The Scale for Assessing Academic Stress and the Adolescents Emotional Adjustment Inventory were used to assess the academic stress and emotional adjustment of secondary school students post-COVID-19 pandemic lockdown. Results: The results of the study revealed that there was a significant difference in academic stress and emotional adjustment between male and female secondary school students. A significant positive relationship between academic stress and emotional adjustment was found, which indicates a high level of academic stress perpetuates emotional maladjustment. Furthermore, it was found that the level of academic stress and emotional adjustment were higher among females as compared to males. Conclusion: It can be concluded that the extended impact of COVID-19 has led to a surfeited level of distress propounding that females are more predisposed to academic stress and tend to have poor emotional adjustment than their male counterparts.

Shyness and Socio-Emotional Adjustment among Young Chinese Children: The Moderating Role of Screen Time.

The primary aim of the present study was to examine the potential moderating role of screen time in the links between shyness and indices of socio-emotional adjustment in young Chinese children. Participants were N = 211 children (112 boys, 99 girls) ages 43-66 months (M = 58.84 months, SD = 5.32) recruited from two public kindergartens in Shanghai, People's Republic of China. Mothers completed assessments of children's shyness and screen time, and both mothers and teachers completed measures of indices of children's socio-emotional functioning (prosocial, internalizing problems, learning problems). Among the results, shyness was positively associated with internalizing problems and negatively associated with prosocial behavior, whereas screen time was positively associated with internalizing problems. However, several significant shyness × screen time interaction effects were observed. The pattern of these results consistently revealed that at higher levels of screen time, links between shyness and indices of socio-emotional difficulties were exacerbated. Results are discussed in terms of the implications of shyness and screen time in early childhood.

Resolving relationship dissolution-What predicts emotional adjustment after breakup?

Relationship dissolution is a critical life event individuals have to cope with. Factors like relationship duration and relationship quality or having a new partner are likely to affect how people recover emotionally from a separation, which is linked to long-term adjustment. However, prospective evidence on the role of these factors is scarce. Hence, this study aims to investigate predictors of emotional recovery following relationship dissolution. Pooled data of the German Family Panel pairfam on 3734 separation events of 2709 individuals aged 18 to 48 were used, applying a statistical model called seemingly unrelated regressions to predict emotional outcomes (relief, anger, guilt, and sadness) and the general emotional state regarding separation. Sociodemographic and relationship characteristics, indicators of relationship quality, conditions of the separation, and features of the current situation were considered as potential predictors. Regression analyses evidence strong links of initiator status, having a new partner, time since separation, and satisfaction with the social network to less negative emotional outcomes following separation. Relationship quality or serious problems before the separation only affected some of the investigated emotional outcomes. Interestingly, the predictors investigated were less powerful in explaining respondents' feelings of guilt compared to the other emotions. Overall, these findings provide deeper insight into short-term adjustment to separation. Understanding these processes may help to assess risk factors for negative coping mechanisms and improve tailored counseling strategies.

The relationship between psychological flexibility, self-compassion, and posttraumatic growth in cancer patients in the COVID-19 pandemic.

PURPOSE: The COVID-19 pandemic may have an important long-term emotional impact on patients with cancer diagnosis, as they are in the high-risk group. We aimed to evaluate the relationship between self-compassion, psychological flexibility, and posttraumatic growth, and to examine whether psychological flexibility may serve as a mediator between self-compassion and posttraumatic growth. METHODS: Two hundred fifty-three patients with cancer were included in the study. Sociodemographic and Clinical Features Data Form, Self-Compassion Scale (SCS), Freiburg Mindfulness Inventory (FMI), Acceptance and Action Questionnaire-II (AAQ-II), Cognitive Fusion Questionnaire (CFQ), and Posttraumatic Growth Inventory (PTGI) were applied to all patients. RESULTS: The multivariate analysis with independent variable SCS, FMI, AAQ-II, and CFQ scores explains 49% of the variance in PTGI (F(4,248) = 60,585, p < 0.001). SC and FMI scores were found to have a positive and AAQ-II and CFQ scores a negative predictive effect on PTGI scores. The partial mediational effect of psychological flexibility on the relationship between self-compassion and posttraumatic growth was found to be statistically significant. CONCLUSION: In traumatic life events such as pandemics, the importance of self-compassion for posttraumatic growth and the mediator role of psychological flexibility in this relationship should be considered in order to manage the treatment process in cancer patients. These patients are more affected by the pandemic due to the nature of their malignancy and the strict protective measures they must follow as members of a high-risk group. The significance of therapies focused on psychological flexibility should be emphasized in comprehensive biopsychosocial approaches for the management of cancer patients.

[The Role and Function of Music Therapy in Child-Friendly Healthcare].

Child-friendly healthcare relates to the development and application by professionals of integrated methods specifically for children in any healthcare activity context. Music therapy is one of these methods. Three roles (noise masker, emotional adjustment, and cognitive learning) and two functions (activity participation and non-verbal expression and decision making) of child-friendly-healthcare-related music therapy are presented in this article. Also, suggestions and insights regarding how to optimize the effectiveness of music therapy in the context of pediatric healthcare are provided.

Calidad de vida relacionada con la salud en personas con úlcera venosa / Health-related quality of life of people with venous ulcer / Qualidade de vida relacionada à saúde em pessoas com úlcera venosa

Introducción: la úlcera venosa es la heridade origen vascular que más se presentaen la población adulta; afecta la calidad de vida,por loque se requiereun abordajeinterdisciplinarioparala atenciónde las personas que la padecen. Objetivo:describir las variables clínicas y sociales que interfieren en la calidad de vida relacionada con la salud de un grupo deadultosconúlcera venosa.Métodos:estudio observacional de tipo cohorte; incluyó 80 personas evaluadas en tres clínicas de Medellín(Colombia), en quienes seaplicó elinstrumento de evaluaciónCharing Cross Venous Ulcer Questionnaire. Se describieron las variablessociodemográficas y la evolución de la calidad de vidahasta la cicatrización y se construyó un modelo de regresión logística para explicar las variables asociadas a tener lapeorcalidad de vida. Resultados:el 28,8%de los participantes obtuvieron 64 o más puntos, es decir, grado de afección alto durantela primera mediciónde la calidad de vida;en el 68,8%el puntaje fue63o menos, lo que significó afecciónmoderadaysolo el 2,4%tuvo baja afección.Laspeores puntuaciones se registraron enmujeres,participantes de mayor edad y quienes tenían mayor compromiso de la herida; la afección involucró las dimensiones Estado emocional, Estética, Función social y Actividades domésticas,aunque hubo evolución favorablede la calidad de vidamientrasiba cicatrizandola úlcera. Conclusiones:lacalidad de vida relacionada con la saludestá altamente afectada en las personasque tienen úlcera venosa, siendo más frecuente en quienes tienen dolor constante,heridas más grandes, de mayor tiempo de antigüedad y aquellos con mala percepción desusalud; por tanto,se requiere oportunamentela intervención profesional e interdisciplinaria en salud para el logro de la cicatrizacióny del bienestary para mejorar la calidad de vida.

ntroduction: Venous ulcers are the most common vascular injury in the adult population. They affect the quality of life, so people who suffer from venous ulcers require an interdisciplinary approach to their care. Objective: To describe clinical and social variables that affect the health-related quality of life of a group of adults with venous ulcers. Methods: Observational cohort study carried out with 80 people examined in three medical centers in Medellín (Colombia) and who were given the Charing Cross Venous Ulcer Questionnaire to answer. Sociodemographic variables and the quality-of-life evolution until scarring were described. A logistic regression model was built to explain the variables associated with having the poorest quality of life. Results:There were28.8% of the participants who scored 64 or more points on the first quality of life measurement, which indicates a highly affected quality of life; 68.8% scored 63 or less, indicating a moderately affected quality of life, while only 2.4% indicated a slightly affected quality of life. The worst scores were seen among women, older participants, and those with greater ulcer severity. The dimensions of emotional status, cosmesis, social interaction, and domestic activities were affected, although there was a favorable evolution of the quality of life while the ulcer was healing. Conclusions: Health-related quality of life is highly affected in people with venous ulcers and is more common in those with constant pain, larger and older sores, and those with poor health perceptions. Therefore, timely professional and interdisciplinary healthcare interventions are required to achieve wound healing and wellness and improve quality of life

Introdução:a úlcera venosa é a ferida de origem vascular que ocorre mais frequentemente na população adulta e afeta a qualidade de vida, por isso é necessária uma abordagem interdisciplinar para o cuidado das pessoas que a sofrem. Objetivo:descrever as variáveis clínicas e sociais que interferem na qualidade de vida relacionada à saúde de um grupo de adultos com úlcera venosa.Métodos:estudo de coorte observacional; incluíram-se 80 pessoas avaliadas em três clínicas em Medellín (Colômbia), nas quais foi aplicado o instrumento de avaliação Charing Cross Venous Ulcer Questionnaire. Descreveram-se as variáveis sociodemográficas e a evolução da qualidade de vida até a cicatrizaçãoe construiu-se um modelo de regressão logística para explicar as variáveis associadas à pior qualidade de vida.Resultados: 28,8% dos participantes obtiveram 64 ou mais pontos, ou seja, alto grau de condição na primeira mensuração da qualidade de vida; em 68,8% a pontuação foi de 63 ou menos, o que significa condição moderada e apenas 2,4% em condição baixa. As piores pontuações foram registradas em mulheres, participantes mais velhos e naqueles com maior complicação da ferida; a afecção,envolvia as dimensões Estado Emocional, Estética, Função Social e Atividades Domésticas, embora houvesse evolução favorável da qualidade de vida enquanto a úlcera cicatrizava. Conclusões:a qualidade de vida relacionada à saúde é altamente afetada em pessoas com úlcera venosa, sendo mais frequente naquelas com dor constante, feridasmaiores, mais antigas e com má percepção de saúde; portanto, é necessária intervenção oportuna profissional e interdisciplinar em saúde para alcançar a cicatrização e o bem-estar e melhorar a qualidade de vida