Minimal research has delved into the latent categories of cyberchondria among undergraduate nursing students and its correlation with eHealth literacy and health anxiety. In this study, convenience sampling was employed to conduct a survey among 713 undergraduate nursing students utilizing a General Information Survey Form, the Chinese Version of the Brief Cyberchondria Scale, the Chinese Version of the eHEALS Scale, and the Chinese Version of the Brief Health Anxiety Inventory, yielding 692 valid responses. Through latent profile analysis, this research categorized cyberchondria among nursing students into three distinct profiles: 'Low Search-Low Disturbance Group' (12.3%), 'High Search-Low Disturbance Group' (41.3%), and 'High Search-High Disturbance Group' (46.4%). Key determinants influencing these cyberchondria profiles among nursing students were identified as gender, decision-making capability, the fear of becoming ill, and the fear of the negative consequences associated with illness ( < 0.05). The study unveils that cyberchondria levels are significantly high among undergraduate nursing students, influenced by various factors. Strategic interventions encompassing cognitive, emotional, and social dimensions are suggested to decrease the prevalence of cyberchondria within this demographic.

Previous research has demonstrated associations between work-family conflict (WFC) and obesity-related eating behaviors (OEB). However, the mechanism underlying this relationship remain unclear, especially regarding the differential impacts of work-to-family conflict (WtFC) and family-to-work conflict (FtWC). Based on conservation of resources theory, this study investigated how WtFC and FtWC influences OEB through self-efficacy and anxiety, and whether intention to have the first-child (IC1) and second-child (IC2) moderates these relationships. Data were collected from 1,708 Chinese employees aged 19-35 using a cross-sectional survey. Results showed that both WtFC and FtWC positively predicted OEB ( = 0.141,  = 0.001;  = 0.223,  < 0.001). FtWC predicted OEB through two pathways: directly through anxiety ( = 0.066, 95% CI: 0.045 to 0.089) and sequentially through self-efficacy and anxiety ( = 0.003, 95% CI: 0.001 to 0.006). WtFC showed no significant indirect effects through these pathways. IC2 strengthened the mediating effect of anxiety in the FtWC-OEB relationship (Index = 0.011, 95% CI: 0.003 to 0.019), while no significant moderating effect was found for IC1. These findings reveal distinct mechanisms through which WtFC and FtWC influence eating behaviors among Chinese employees, highlighting the complex interplay between work-family dynamics, psychological resources, emotions, and health behaviors. The results provide insights for developing targeted interventions to address OEB in workplace settings.

This study investigates the role of wellbeing literacy as part of a dual-factor model of mental health in Chinese college students. Utilising latent profile analysis (LPA) with data from over 11 000 participants, the research identifies four distinct mental health profiles: complete mental health, vulnerable, symptomatic with high WBL, and troubled. These categories highlight the diversity in mental health status among the students, influenced by demographic factors such as gender, age, and social circles. The findings reveal that female students and those with fewer friends are more likely to fall into vulnerable or troubled groups, whereas having a larger social network serves as a protective factor enhancing wellbeing. Consequently, the incorporation of wellbeing literacy proves essential for an enriched understanding of mental health beyond mere symptom assessment. The research outlines that younger and early college-year students are particularly at risk, underscoring the need for targeted interventions that integrate wellbeing literacy into mental health frameworks. Despite several limitations, including its cross-sectional nature and regional sampling, this study provides a novel approach to mental health assessment by integrating wellbeing literacy with traditional diagnostic measures, offering critical insights for improving mental health interventions in educational settings.

Psychoeducation after a traumatic event can help reduce negative effects by providing a cognitive framework for one's experience. It can also enable trauma survivors to increase their ability to help coping. The aim of this study was to examine the effect of psychoeducation on hope, loneliness and depression in nursing students who experienced 6 February 2023 Turkey earthquake. The study, which was conducted in experimental design, included 40 students who experienced the February 6 earthquake. 20 students were assigned to the psychoeducation group and 20 students to the control group. Students in the psychoeducation group received six sessions of psychoeducation, while students in the control group were not intervened. 'Personal Information Form', 'Beck Hopelessness Scale', 'UCLA Loneliness Scale' and 'Beck Depression Scale' were used to collect the data. Mean, standard deviation and percentage calculations, chi-square test and t test were used to analyze the data. Sociodemographic characteristics of the students in the psychoeducation and control groups were similar except for the place of residence ( > 0.05). It was determined that the mean score of the hope sub-dimension of the 'Beck Hopelessness Scale' was statistically significantly higher in the control group ( < 0.05). It was determined that there was no statistically significant difference between the students in the psychoeducation and control groups in terms of hopelessness levels and mean scores of 'UCLA Loneliness Scale' and 'Beck Depression Scale' ( > 0.05). There was a statistically significant difference between the students in the psychoeducation and control groups in terms of depression levels ( < 0.05). In conclusion, psychoeducation was partially effective on hope and depression and not on loneliness in students who experienced the earthquake. Students in the psychoeducation group had lower levels of depression. It is recommended that students experiencing natural disasters such as earthquakes should be monitored by a specialized psychologist and the duration of psychoeducation should be regulated.

Pregnancy is associated with an increased psychological burden on women. This burden may be worsened by uncertainty occasioned by pandemics such as the recent coronavirus disease 2019 (COVID-19). The study aims to investigate the psychological status of pregnant women following the COVID-19 pandemic in Kenya. This descriptive cross-sectional study was conducted amongst 126 pregnant women at the Kenyatta National Hospital, Nairobi. Data on the women's sociodemographic and obstetric factors, levels of depression, anxiety, and insomnia were recorded on a questionnaire. SPSS version 29 was used to perform paired t-test and multivariate regression analysis to assess for statistically significant association between sociodemographic, obstetrics factors, and related factors on COVID-19-related stressors with depression, anxiety, and insomnia. High levels of depression, anxiety, and insomnia were noted with a mean Edinburgh Postnatal Depression Scale (EPDS) score of 14.90 ± 5.25, State-Trait Anxiety Inventory (STAI) score of 44.12 ± 9.73 and Women's Health Initiative Insomnia Rating Scale (WHIIRS) score of 10.07 ± 5.81 respectively. There was a strong association between depression, anxiety, and insomnia with specific factors. In conclusion, pregnant women in Kenya experienced significant symptoms of depression, anxiety, and insomnia following the onset of the COVID-19 pandemic.

Previous studies had identified the significant issue of burnout and sleep quality in medical students. However, no studies have explored the interactions between learning burnout and sleep quality on a symptom level. This study used network analysis to explore the interaction and construct the network structure of learning burnout and sleep quality among medical students in China. We recruited 553 medical students to participate in our study. Learning Burnout of Undergraduates and Scale (LBUS) and the Pittsburgh Sleep Quality Index (PSQI) were used to measure learning burnout and sleep quality. Expected influence and bridge expected influence were used to identify the central and bridge symptoms. Results showed 'B9' (Tired of learning) and 'B17' (I want to learn but feel bored with it) had the highest expected influence. 'B12' (I often fall asleep while studying) and 'P_DD' (Daytime dysfunction) had the highest bridge expected influence. Our findings revealed the characteristics of learning burnout and sleep quality in online learning and provided information to further understand the difference in the influence of mental health between online and offline learning.

Previous studies have investigated the relationship between psychological flexibility and psychological well-being among several populations. In addition to examine the relationship between these two variables, this study enhances our understanding about the process underlying the relationship between psychological flexibility and psychological well-being among women with breast cancer. The aim of the present study is to test the mediating role of self-compassion in the relationship between psychological flexibility and psychological well-being among Iranian women with breast cancer. The participants of this study, 220 women with breast cancer (ages 28-58 years, mean age: 42.16, SD: ±6.9.54), from three hospitals in Tehran, Iran, completed questionnaires about psychological flexibility, self-compassion, and psychological well-being. The results from structural equation modeling indicated that psychological flexibility and self-compassion positively predicted psychological well-being and psychological inflexibility negatively predicted psychological well-being among breast cancer patients. The findings from mediation analysis demonstrated that self-compassion partially mediated the relationships between psychological flexibility and psychological inflexibility with psychological well-being. The present study brings to light an underlying mechanism of the relationships between psychological flexibility and psychological inflexibility with psychological well-being via the mediating variable of self-compassion for patients with breast cancer.

There is limited research on the relationship between type D personality, dyadic coping, and quality of life (QoL), with most studies focusing on the individual perspective rather than the dyadic perspective. Additionally, evidence for the systemic-transaction model (STM) is limited, and research on infertile couples is scarce. This study investigated the relationship between type D personality and QoL in couples with infertility through the mediation of dyadic coping mechanisms. The present descriptive cross-sectional study recruited 452 infertile couples ( = 904) receiving in vitro fertilization (IVF) treatment from a tertiary hospital in Hefei, China, between January and May of 2022. Information on sociodemographic and clinical characteristics, type D personality, dyadic coping, and the QoL of the dyads was collected. The dyadic data were examined using the Actor-Partner Interdependence Mediation Model approach (APIMeM). The results suggest that type D personality, dyadic coping, and QoL in infertile couples have Actor-Partner Interdependence effects. The negative impact of Type D personality can spill over from individuals to the dyadic domain of couples. In the later stage, the negative impact of type D personality on QoL can be reduced by enhancing the dyadic coping level of both members of the infertile couple.

Chronic migraine is a highly burdening neurological condition that is often associated with psychiatric complications such as distress symptoms. Many studies showed that pain interference may determine different degrees of adaptation to the condition, while other findings suggest that traumatic experiences are common in individuals suffering from chronic migraine. Failures in reflective functioning may be useful for the understanding of how these experiences may impact one's individual functioning. The present study sought to test the hypothesis that an association between traumatic experiences and general distress (depression, anxiety, and stress) in individuals with chronic migraine would be mediated by failures in reflective functioning, also examining the relations with pain interference. 332 individuals (93% women) with a clinical diagnosis of chronic migraine ( = 37.89; SD = 10.74) filled out a protocol to assess traumatic experiences, failures in reflective functioning, pain interference, and general distress. Structural Equation Modelling was used to assess the relationship between the observed variables. Significant paths were found from traumatic experiences to failures in reflective functioning, pain interference, and distress. Furthermore, significant paths were found from failures in reflective functioning to pain interference and distress. Furthermore, a significant path was found from pain interference to distress. Moreover, significant indirect effects were found from traumatic experiences to distress via failures in reflective functioning, and from traumatic experiences to distress by pain interference. Results underscore the importance of both traumatic experiences and failures in reflective functioning for determining levels of distress in individuals with chronic migraine. The implications of the findings for future empirical investigation and clinical intervention were deepened.

Among men who have sex with men (MSM), chemsex is strongly associated with condomless anal sex, contributing to the increased burden of HIV and others sexually transmitted infections (STIs) in the community. In regions with limited accessibility to HIV pre-exposure prophylaxis, condoms remain a critical method for HIV prevention. However, there is a notable lack of research examining the impact of chemsex on condom use self-efficacy. This study aimed to examine condom use self-efficacy among chemsex users and to explore its interrelationship with chemsex and condomless anal sex. Adult MSM in Hong Kong were recruited in 2021. Logistic regression analysis was employed to explore factors associated with condomless anal sex, while mediation analysis was employed to examine the relationships among chemsex, condom use self-efficacy, and condomless anal sex. The analysis included 316 MSM, 51 (16.14%) of whom engaged in chemsex in the last three months, with significantly lower condom use self-efficacy scores. Multiple logistic regression analysis indicated that chemsex engagement was significantly associated with a higher likelihood of condomless sex. Mediation analysis showed that chemsex engagement indirectly increased the likelihood of condomless anal sex through its negative impact on condom use self-efficacy, with an odds ratio of 3.52 (95% CI: 2.12-7.09). Furthermore, sexual orientation was found to moderate this indirect effect. Among gay men, the indirect effect was more pronounced (odds ratio: 3.74, 95% CI: 2.20-7.71) compared to bisexual men (odds ratio: 2.01, 95% CI: 1.18-4.12). These findings highlight the importance of targeted interventions aimed at enhancing condom use self-efficacy among MSM, particularly among those engaging in chemsex. Strengthening self-efficacy may play a critical role in promoting condom use and reducing the risk of HIV and STIs in this population.

This study aimed to analyze the feasibility of anxiety-targeted care combined with seamless care for patients undergoing gastroscopy, and to investigate its effects on patients' psychological state, stress response and examination results. 120 patients undergoing gastroscopy were divided into a study group (anxiety care + seamless care, 70 cases) and a control group (routine care, 50 cases). The differences in SAS and SDS scores before the intervention did not differ between two groups ( > 0.05) and they were lower in observation group than in control group after the intervention ( < 0.05); The heart rate, systolic and diastolic blood pressure of patients in the study group were significantly lower than those in the control group at 10 min before intubation (T0), upon intubation (T1), 1 min after intubation (T2) and upon extubation (T3) ( < 0.05); The mean time to intubation was shorter and first-pass intubation success rate was higher in the study group than in the control group ( < 0.05); The complication rate in the study group was significantly lower than that in the control group (4.29% vs 16.00) ( < 0.05). Anxiety care combined with seamless care is feasible for patients undergoing gastroscopy.

Depression has long been recognized as the most common mental disorders of rheumatoid arthritis (RA) patients. This study aimed to compare and rank the efficacy of different psychological interventions for reducing depressive symptoms among RA patients. The PubMed, Embase, PsycINFO, the Cochrane Library, China National Knowledge Infrastructure (CNKI), Wanfang databases, and grey literature were searched between inception and 1 June 2023. Pairs of reviewers screened studies, abstracted aggregate-level data, and appraised risk of bias with the Cochrane risk of bias tool. The study was conducted using the STATA software version 14.0. A total of 23 randomized controlled trials, involving 1885 participants and 16 interventions were included in our analyses. In this network meta-analysis, two interventions were associated with a greater reduction in symptoms of depression compared with treatment as usual care group: mindfulness-based cognitive therapy (MBCT) and combined psychological interventions (CP). Although most psychological interventions showed non-significant effects, the surface under the cumulative ranking curve (SUCRA) values revealed that the best psychological intervention for depression was MBCT (99.9%), followed by CP (85.6%). MBCT may be the most recommended intervention against the depression among RA patients according to our network meta-analysis results. Considering the methodological limitations of the included studies, more high-quality and large-sample RCTs are needed to confirm this result in the future.

The isotemporal substitution model can be used to explore the impact of the isotemporal substitution of different behaviors on human health. The association between sleep duration and mental health may be non-linear, but the relationship between the isotemporal substitution of movement behaviors and mental health in different sleep duration groups has not been explored. A questionnaire survey was conducted among Grade 1-3 students in 14 vocational schools in China, and 8149 valid questionnaires were obtained, of which 58.80% were in sleep-insufficient group, and 32.56% were detected with depression symptoms. The isotemporal substitution model was used for analysis. In the sleep-insufficient group, substituting 10 minutes/day of vigorous physical activity (β=-0.318, 95%I = -0.498~-0.138), walking (β=-0.254, 95%I = -0.381~-0.126) and sedentary behavior (β=-0.234, 95%I = -0.337~-0.130) with isotemporal moderate physical activity, or substituting vigorous physical activity (β=-0.465, 95%I = -0.577~-0.353), moderate physical activity (β=-0.147, 95%I = -0.263~-0.031), walking (β=-0.400,95%I = -0.476~-0.324) and sedentary behavior (β=-0.380,95%I = -0.434~-0.327) with isotemporal sleep, were negatively associated with depression; and substituting moderate physical activity (β = 0.318, 95%CI = 0.138 ~ 0.498) and sleep (β = 0.465, 95%CI = 0.353 ~ 0.577) with isotemporal vigorous physical activity was positively associated with depression. In the sleep-sufficient group, replacing sedentary behavior (β=-0.129, 95%I = -0.244~-0.013) with equivalent moderate physical activity was negatively associated with depression; replacing moderate physical activity (β = 0.219, 95%CI = 0.101 ~ 0.338), walking (β = 0.112, 95%CI = 0.040 ~ 0.185) and sedentary behavior (β = 0.091, 95%CI = 0.058 ~ 0.124) with equivalent sleep was positively associated with depression. For the sleep-insufficient group, substituting vigorous physical activity, walking, and sedentary behavior with isotemporal moderate physical activity and sleep had greater negative association with depression than the sleep-sufficient group. In conclusion, for the sleep-insufficient group, the substitution that was largest negatively associated with depression was sleep for other behaviors, and for sleep-sufficient group it was moderate physical activity for other behaviors. In future interventions, the sleep-insufficient group may achieve greater effects than the sleep-sufficient group if they use moderate physical activity and sleep instead of other behaviors.

Machine learning (ML) is widely used to predict and detect stress and anxiety. Early detection of stress or anxiety is crucial for clinical pathways to enhance the supportive environment in society, particularly among female students. This study aims to assess and improve the accuracy of detecting stress and anxiety among female students using machine learning algorithms and functions. Three primary features are cigarette smoking, physical activity and grade point average (GPA). The multiple linear regression analysis conducted on 160 datasets obtained from the State-Trait Anxiety Inventory (STAI) at the University of Belgrade was selected. A heat map was utilised to identify the least engaging areas of the model along with most state anxiety factors. Additionally, R-squared (R), mean absolute error (MAE), mean squared error (MSE) and root mean squared error (RMSE) were employed to assess the errors of the linear regression model for both pre-intervention and post-intervention, focusing on key features related to female students' anxiety. Using the K-Means algorithm, cluster analysis was executed on samples ( = 160) with three key features. The total average anxiety score was 44.39% (out of 80%) and is considered moderate. The heat map indicated a strong relationship between the variables. Overall, the post-intervention stage yielded acceptable results compared to the pre-intervention stage. Two clusters of anxiety among female students were identified, demonstrating that these features can accurately detect anxiety in female students. This research aims to analyse female students' stress and anxiety better using the linear regression algorithm. Additionally, ML functions demonstrated that smoking cigarettes, physical activity and GPA related to the stress and anxiety of female students have reduced errors during anxiety detection.

The proportion of Indonesian junior and senior high school students considering suicide was around 5.2% in 2015. This research analysed the association between social supports and suicidal ideation based on gender differences among adolescents in Indonesia.

Adoption of health-promoting behaviors is crucial for improving people's well-being. As future health promoters, nursing students are encouraged to lead healthy lifestyles. The aim of this study was to investigate the status of health-promoting behaviors among nursing students and determine their associations with e-health literacy. The mediating effect of self-efficacy on the relationship between e-health literacy and health-promoting behaviors was also explored. A cross-sectional design was adopted to enroll 494 nursing students from the Hunan College of Foreign Studies in China. An online survey based on the simplified Chinese version of the e-Health Literacy Scale (SC-eHEALS), the General Self-Efficacy Scale (GSE), and the Chinese version of the Health Promoting Lifestyle Profile-II (HPLP-IICR) were used to collect data. Statistical analysis was conducted using SPSS 27.0 and PROCESS macro. It was observed that self-efficacy mediated the relationship between e-health literacy and health-promoting behaviors among nursing students, and the mediating effect accounted for 35.10%% of the total effect ( < 0.001). Collectively, these findings indicate that nursing students have a moderate level of health-promoting behaviors, and that e-health literacy can improve health-promoting behaviors by enhancing self-efficacy.

Low back pain (LBP) constitutes a persistent and burdensome condition, frequently intricately intertwined with negative emotional states. The focus of this study is to discern distinct patterns of negative emotions among individuals experiencing Acute Low Back Pain (ALBP) and Chronic Low Back Pain (CLBP), in comparison to a pain-free control group. The study endeavors to harness the potential of artificial intelligence (AI) models in evaluating the discriminatory capacity of these emotions within the groups, thus addressing the issue of pain chronicity. The participant cohort consisted of 54 chronic patients, 44 acute, and 51 pain-free individuals for comparison purposes. Using Artificial Neural Networks (ANN), the study unveiled discernible patterns of emotional association. Significant disparities in emotional experiences emerged between acute and chronic patients. Anxiety assumed an essential role following the onset of LBP, whereas in the chronic group, depression took precedence, accompanied by an escalation in both anger and anxiety-related comorbidity. It's crucial to emphasize the absence of discernible variations in pain intensity between chronic and acute patients. These findings hold considerable implications, as they contribute to the refinement of LBP diagnosis and proactively hinder its progression. By unraveling the intricate interplay between negative emotions and the temporal course of LBP, this study deepens our comprehension and lays the groundwork for interventions addressing both the physical and emotional dimensions. These insights provide valuable input for effective diagnostic and therapeutic strategies, thereby alleviating the burden of chronic LBP on individuals and healthcare systems.

Dental students may experience psychological disturbance due to the highly stressful dental education process, with no consensus regarding the influence of age, gender, and stage of education. Therefore, the present study aimed to identify sources of stressors that may influence the levels of stress, anxiety, and depression experienced by dental students and examine them based on gender, age, and stage of dental education. A cross-sectional study was conducted in the 2023 academic year with a total of 131 (male = 53, female = 78, mean age = 26.69, range = 22-33) undergraduate dental students. The psychological well-being was assessed using the Depression Anxiety Stress Scale (DASS-21), and the various sources of stress were evaluated using the Dental Environment Stress (DES) questionnaire. The overall prevalence of depression, anxiety, and stress was 52%, 57%, and 55%, respectively. Students in their fifth year (transition between preclinical and clinical years) showed higher depression symptoms compared to students in their fourth or sixth years ( = 0.039). No statistically significant differences were found between gender (males or females) and age regarding DASS symptoms ( > 0.540). The stressors identified as most stressful by all the students were related to academics (amount of classwork, examinations, and grades). The levels of depression, anxiety, and stress among dental students were relatively high. The depression levels among fifth-year students were the highest. Therefore, modifying the academic process to create a positive educational environment should be recommended.

The purpose of the study was to explore distinct profiles of family resilience in a sample of Chinese families with children diagnosed with autism spectrum disorder (ASD). Moreover, we identified socio-demographic predictors of these latent profiles.

This study aimed to assess secondary traumatic stress and coping strategies among caregivers. A descriptive, correlational design was employed, involving 274 caregivers of patients with chronic illnesses. Data were collected through face-to-face interviews using the Stress Coping Strategies Scale and the Secondary Traumatic Stress Scale. The average age of caregivers was 55.88 ± 15.08 years, and the average duration of caregiving was 11.88 ± 7.00 years. It was found that caregivers mostly used ineffective coping methods such as the helpless and submissive approach to cope with stress. The overall secondary traumatic stress level was above the established scale midpoint (43.80 ± 10.46), with the highest scores in the avoidance subdimension and the lowest in the intrusion subdimension. The findings highlight that traumatic experiences impact not only those directly affected but also their caregivers. These results underscore the need for structured interventions to support caregivers in managing stress and mitigating secondary traumatic stress.

This study investigates caregiver burden, unmet needs, and quality of life (QoL) in family caregivers (FCs) of patients with advanced hematology malignancies (HMs). A descriptive cross-sectional survey was conducted at a governmental hospital (Between April - July 2021), involving 197 FCs. The survey used three validated tools: Needs Assessment of Family Caregivers-Cancer, Short form Zarit Burden Interview, and Caregiver Quality of Life Index-Cancer. The findings revealed that psychological needs (average score 29.6) and daily activity needs (average score 26.5) were the most unmet. The majority of caregivers reported experiencing a high burden (51.3%) and poor QoL, with an average score of 72.1. Those with higher daily activity unmet needs (β = 0.214,  < 0.001) and higher financial unmet needs (β = 0.696,  = 0.044) were associated with poor QoL. Also, patients with higher psychological unmet needs (β = .414,  < .001) and higher burden scores (β = 0.542,  < 0.001) had poor QoL. These results highlight an urgent requirement for measures addressing the unmet needs of FCs of patients with HMs in Jordan. The study underscores the importance of healthcare professionals recognizing and supporting the mental, psychological, and social needs of FCs.