Anger Scores Research Articles

Psychological distress among postpartum women who took opioids during pregnancy: the role of perceived stigma in healthcare settings

This study examined the relationship between perceived stigma in healthcare settings during pregnancy and psychological distress and well-being in the postpartum period among individuals who took opioids while pregnant. Analyses included 134 birth mothers of opioid-exposed infants. At 0–1 months postpartum, perceived stigma and psychological distress were measured using the Prenatal Opioid use Perceived Stigma scale and measures from the Patient-Reported Outcome Measurement Information System (PROMIS). Food insecurity, housing instability, and Adverse Childhood Experiences (ACEs) were also assessed. Linear and generalized linear mixed-effect models were conducted to compare PROMIS scale scores and unmet needs by stigma, adjusting for site/location, age, race/ethnicity, marital status, education, public insurance, and parity. More than half of participants (54%) perceived stigma in healthcare settings. Individuals reporting stigma had higher depression, anxiety, and anger scores (p < 0.001) indicating greater psychological distress in the postpartum period compared to those reporting no stigma, after controlling for demographic characteristics. In addition, they scored significantly lower on the PROMIS meaning and purpose scale, an indicator of well-being (p = 0.002). Those reporting stigma were more likely to have food insecurity (p = 0.003), three or more ACEs (p = 0.040), verbal or physical abuse during pregnancy (p < 0.001), and less emotional support (p = 0.006) than those who did not. An association was observed between perceived stigma in the prenatal period and psychological distress in the postpartum period, providing support for stigma reduction interventions and education for healthcare providers on trauma-informed care.

The Relation Between Sleep Quality and Anger Expression That Occur in Nurses: A Cross-Sectional Study

AimThe study examined the relationship between sleep quality and anger expression in nurses. MethodsThis cross-sectional study was carried out in a city hospital in the Mediterranean Region of Turkey from February 2020 to November 2020. The sample included 340 nurses. The data collection form, Pittsburgh Sleep Quality Index, Trait Anger, and Anger Expression Style Scales were used. Data were evaluated with Mann–Whitney U-test, Kruskal–Wallis H, Bonferroni correction test, and Spearman correlation coefficient. ResultsNurses' Pittsburgh Sleep Quality Index was found as 8.26 ± 2.88, the trait anger score was 20.42 ± 5.11, the anger control score was 21.49 ± 4.49, and the anger-out score was 14.28 ± 3.73. There was a statistically significant relationship between nurses' Pittsburgh Sleep Quality Index and trait anger; a negative relationship in anger control, and a positive relationship in anger-in (p ˂ .05). ConclusionIt was concluded that there is a relationship between sleep quality and anger expression style occurring in nurses. In-service training on anger expression and anger control for nurses after graduation is believed to be essential and also to arrange nurses' working hours to increase sleep quality and to provide anger management.

Combined training in addition to cortisol reduction can improve the mental health of girls with precocious puberty and obesity.

Obesity and central precocious puberty (CPP) are associated with increased anxiety, depression, and anger in girls. The contribution of exercise as an efficacious component in decreasing anxiety, depression, and anger has been increasingly recognized. This study aims to evaluate the effects of combined training on cortisol, anxiety, depression, and anger in overweight and obese girls with CPP. The study involved 30 girls aged 7-9 years diagnosed with CPP (undergoing triptorelin treatment) and dealing with obesity. In addition, these girls scored higher than the cut-off line for anxiety, depression, and anger. The participants were divided into two groups, with 15 individuals in each group. The exercise group engaged in 60 min of combined aerobic and resistance training three times per week for a duration of 12 weeks. On the other hand, the control group did not receive any training. Throughout the study, the serum cortisol levels were measured in both groups. Anxiety, anger, and depression questionnaires were also completed at three different stages, namely, baseline, 12 weeks, and 16 weeks (after a 4-week period of detraining). In the exercise group, there was a significant decrease (P < 0.05) in cortisol serum levels and anxiety, depression, and anger scores. These changes were observed consistently during detraining (P > 0.05). However, in the control group, only the depression score significantly decreased (P < 0.05). Based on the results, it can be concluded that combined training is a method to improve the mental health of CPP girls. https://en.irct.ir/trial/61990, identifier IRCT20170411033378N10.

The Association Between Witnessing Interparental Violence and Adolescents' Anger Expression Styles.

The purpose of this research was to determine the association between witnessing interparental violence and anger expression styles in adolescents. Previous studies have generally focused on the attitudes to violence of individuals witnessing it. However, the present research specifically investigated the association between witnessing interparental violence and anger. The research was performed as a descriptive and correlational study. The research sample consisted of 1,000 adolescents aged 15 to 19 contacted via social media platforms using the convenience sample method. An online data collection form containing questions was prepared to determine adolescents' sociodemographic characteristics and contained questions from the Witnessing Interparental Violence Scale and Trait Anger Expression Inventory. Statistical analysis was performed on SPSS 21.0 software. In all, 446 (44.6%) adolescents had witnessed interparental violence. Trait, externalized, and internalized anger scores were higher among adolescents who had witnessed interparental violence compared to those who had not. This research shows that witnessing interparental violence has significant effects on the individual's trait anger and anger expression styles. We recommend that the effects of exposure to violence and witnessing interparental violence be compared and that witnessing violence in different cultural environments be evaluated in future studies.

Vocal emotion perception in schizophrenia and its diagnostic significance

BackgroundCognitive and emotional impairment are among the core features of schizophrenia; assessment of vocal emotion recognition may facilitate the detection of schizophrenia. We explored the differences between cognitive and social aspects of emotion using vocal emotion recognition and detailed clinical characterization.MethodsClinical symptoms and social and cognitive functioning were assessed by trained clinical psychiatrists. A vocal emotion perception test, including an assessment of emotion recognition and emotional intensity, was conducted. One-hundred-six patients with schizophrenia (SCZ) and 230 healthy controls (HCs) were recruited.ResultsConsidering emotion recognition, scores for all emotion categories were significantly lower in SCZ compared to HC. Considering emotional intensity, scores for anger, calmness, sadness, and surprise were significantly lower in the SCZs. Vocal recognition patterns showed a trend of unification and simplification in SCZs. A direct correlation was confirmed between vocal recognition impairment and cognition. In diagnostic tests, only the total score of vocal emotion recognition was a reliable index for the presence of schizophrenia.ConclusionsThis study shows that patients with schizophrenia are characterized by impaired vocal emotion perception. Furthermore, explicit and implicit vocal emotion perception processing in individuals with schizophrenia are viewed as distinct entities. This study provides a voice recognition tool to facilitate and improve the diagnosis of schizophrenia.

The relationship between smartphone and computer games and anger in adolescents

Objective: In this study, it was aimed to determine the relationship between the causes and duration of gaming and types of games and&#x0D; levels of anger among Turkish adolescents studying at high schools.&#x0D; Materials and Methods: The study was conducted using a cross-sectional descriptive design with adolescents enrolled in high schools&#x0D; in an Eastern Turkish province. A total of 819 adolescent students aged 13-18 were included in the study. Data were collected online&#x0D; through Google Forms, utilizing both the “Sociodemographic Form” and the “Adolescent Anger Rating Scale.”&#x0D; Results: The mean age of the adolescents was 15.52±1.29. Gender, academic performance, daily sleep duration, and daily walking&#x0D; distance were not found to be associated with anger levels. Additionally, there was no significant correlation between anger scores and&#x0D; the status of computer and smartphone usage. However, individuals who used smartphones for 3 hours or more for purposes such as&#x0D; gaming, entertainment, chatting, messaging, and socializing exhibited higher anger scores.&#x0D; Conclusion: Academic grades, the duration of smartphone usage, computer and smartphone use for gaming/entertainment, chatting,&#x0D; messaging, and socializing were found to be associated with anger. Specifically, extended periods of playing war, fighting, and similar&#x0D; games on both computers and smartphones were correlated with higher levels of anger. It would be advantageous for parents to monitor&#x0D; and regulate the content of the games their adolescents play, observe any behavioral differences, and take necessary precautions.

Understanding the Association of Self-Efficacy, Mood, and Demographics with Physical Activity in Syrian and Iraqi Refugees: A Cross-Sectional Study in Jordan.

This cross-sectional study aimed at investigating the influence of sociodemographic factors on physical activity among Syrian and Iraqi refugees in Jordan. In addition, it sought to determine the predictive ability of self-efficacy and mood in relation to the level of physical activity in this population. A convenient sample of refugees residing in Jordanian cities was collected. Participants completed a self-administered questionnaire pack consisting of a demographic data sheet, a physical activity level questionnaire, the Brunel Mood Scale, and the General Self-Efficacy Scale. Descriptive analysis was used to analyze demographic details, while the chi-square test examined the association between physical activity and demographic factors. The independent t-test assessed differences in self-efficacy and mood subscales in relation to physical activity. Logistic regression analysis was employed to identify potential predictors of the two categories of physical activity. Most participants reported low levels of physical activity. The frequency of moderate-to-high physical activity was higher in male participants, those with higher education, better health, and higher income. Compared to participants of low physical activity, those in the moderate-to-high physical activity category expressed significantly higher mean score of self-efficacy but lower mean scores of tension, depression, anger, vigor, fatigue, and confusion, indicating better mood. The logistic regression analysis for physical activity indicated that the model was significant for education, income, good health perception, self-efficacy, and one mood subscale (vigor), with these variables collectively accounting for 11-18% of the variance (P value <0.001). The higher physical activity level is significantly associated with being male, higher education, higher income, better health, higher self-efficacy, and increased vigor. These findings highlight the importance of considering sociodemographic factors and psychological aspects, such as self-efficacy and mood, when addressing physical activity among refugees in Jordan.

The Psoriasis Disability Index in Romanian Psoriasis Patients during COVID-19 Pandemic: Contribution of Clinical and Psychological Variables.

Psoriasis is one of the most frequent chronic inflammatory skin diseases and has a negative impact on the interpersonal relationship and psychosocial well-being. The aims of this study were to examine the effects of intensity of pruritus on quality of life and depression, to investigate the relationship between anger, self-esteem, and depression, and to compare patients with early and late onset of psoriasis. As our study was carried out during the COVID-19 pandemic, we aimed also to investigate the safety concerns and anxiety related to COVID-19 in psoriasis patients. This cross-sectional study included 137 patients diagnosed with plaque psoriasis. The patients were classified as early-onset (age < 30 years) and late-onset psoriasis (age ≥ 30 years). Duration of disease, pruritus scores, and socio-demographic characteristics were recorded. Measures included the State-Trait Anger Expression Inventory (STAXI), Rosenberg Self-Esteem Scale, Beck Depression Inventory (BDI-II), Psoriasis Disability Index (PDI), and Fear and anxiety in relationship with COVID-19 Scale were used for determining anger, anger expression style, self-esteem, depression, anxiety, and quality of life. The psoriasis patients had a lower score for self-esteem than the normative data from the Romanian general population. The average scores for state anger and trait anger are similar to the normative data from the Romanian general population, but the scores for anger-in and anger-out are higher. Patients with early onset had higher depression scores and lower quality of life. Self-esteem correlates negatively with depression, anger, severity of disability due to psoriasis, number of affected areas, and duration of disease. Lower level of self-esteem led to increased anger. Reduced self-esteem, increased anger levels, and depression are present in psoriasis patients. The effective treatment of psoriasis must, therefore, consist of a multidisciplinary approach, in which the personalized treatment of the skin condition is as important as the adjuvant therapies that reduce the patients' stress level.

Quality of Life and Personality Traits in Dyspepsia Patients and Healthy Individuals: A Case-Control Study

Background: Dyspepsia is a common disorder that puts much socio-economic pressure on patients due to its high prevalence. Various factors can cause this disorder. Objectives: This study investigated the relationship between dyspepsia, quality of life, and personality traits. Methods: This case-control study selected 50 people with dyspepsia and 50 healthy people by simple random method. Patients' demographic information was recorded using a researcher-made checklist. Then, the WHOQOL-BREF questionnaire measured the quality of life, and the NEO-FFI-60 questionnaire assessed personality traits. Finally, the data were analyzed using a chi-square test, independent t-test, and multivariate linear and logistic regression by SPSS software version 22 at the significance level of 0.05. Results: The mean score of anger was higher in people with dyspepsia than in healthy people (P = 0.000), but other indicators were higher in healthy people than in people with dyspepsia (P &lt; 0.05). Finally, the personality traits of anger, acceptance of new experiences, and conscientiousness had a significant relationship with quality of life in people with dyspepsia (P &lt; 0.05). Conclusions: Dyspepsia reduces the quality of life and affects the personality traits of individuals. Thus, improving dyspepsia can improve patients' personality traits and quality of life.

Predisposing Variables in Children with Risk of Disruptive Mood: A Clinical Case–Control Study

ABSTRACT Disruptive mood dysregulation disorder (DMDD) is defined in the DSM-V as frequent, severe temper outbursts that significantly impair functioning in different environments. This was a second-stage of follow-up study, conducted to screen the frequency of DMDD in an elementary school. In the first-stage of our study, 453 children between ages 7–11 were evaluated in terms of DMDD high-risk with Children Behavior Check List (CBCL). Of the children, 30 high-risk and 30 low-risk children for DMDD according to CBCL agreed to participate this clinical case–control study. Diagnoses of anxiety disorder, attention deficit and hyperactivity disorder (ADHD), and oppositional defiant disorder were more common among children in the high-risk group than the control group. Symptom Checklist-90-Revised (SCL-90-R) mothers’ interpersonal, anger, and paranoid subscale scores were higher in the DMDD high-risk group than the control group. Children in the DMDD high-risk group scored higher than the control group in all SRS subscales. In the Diagnostic Analysis of Nonverbal Accuracy (DANVA) test, the DMDD high-risk group had higher error rates for fearful and intense facial expressions. Multiple linear regression analysis showed that having a diagnosis of ADHD, high maternal SCL-90-R anger score, and presence of a paternal psychiatric diagnosis increased the high-risk of DMDD.

The relationship between caregiver burden and anger level of informal caregivers of patients in palliative care centre.

Palliative care is a comprehensive service that includes not only the patient but also the caregivers. This research was carried out to determine the relationship and factors affecting the burden and anger level of informal caregivers of patients. This descriptive study was conducted with caregivers (n=206) of patients hospitalised in two Palliative Care Centers in Ordu, Türkiye. In the research, it was determined that there was a statistically significant relationship between the burden of caregivers and the trait anger level, anger-in, anger-out sub-dimension scores of The Trait Anger and Anger Expression Scale, but a negative relationship was found between the burden of caregivers and anger control sub-dimension scores of The Trait Anger and Anger Expression Scale. The burden of a caregiving process has a positive impact on the trait anger level, anger-in, anger-out but has a negative impact on anger control. Nurses should monitor a caregiver's level of anger and burden and develop programmes required to decrease the caregiver's anger level and burden.

Effectiveness of the Positive Youth Development (PYD) Program on reducing aggression among high school female students

BackgroundThe positive youth development program highlights the abilities of adolescents and young people. This concept emphasizes that teenagers are capable of making positive changes (such as: flexibility, Responsibility, Identify abilities). This study aimed to determine the effectiveness of the Positive Youth Development (PYD) program on reducing aggression among high school female students in Yazd city. Iran.MethodsThis was a quasi-experimental study, using pretest-posttest design with a control group. In the 2019–2020 academic year, the statistical population comprised all female students in high school first and second years in the city of Yazd, Iran. Using purposive sampling and based on include and exclude criteria (high risk of aggression due to their scores on a screening test and Parental consent to participate in the class) 30 female students were selected. Randomly, they were assigned to an experimental(n = 15) and control groups(n-15). The Buss-Perry Aggression Questionnaire was conducted on students. The experimental group had 8 intervention sessions, whereas the control group received no intervention. The data were subsequently examined using Analysis of Covariance(ANCOVA).ResultsThe dependent t-test revealed a significant difference between the pretest-posttest aggression scores in the experimental group, but there was no significant difference in the control group. There was no significant difference in the mean scores of physical aggression, anger, and hostility in the experimental and control groups, but a significant difference was found between the experimental and control groups in the mean verbal aggression scores.Conclusiontraining of positive youth development did not affect on aggression and its three dimensions (physical aggression, anger, and hostility) and only affected adolescent verbal aggression.

Effects of sports intervention on aggression in children and adolescents: a systematic review and meta-analysis.

To explore the impact of sports on aggression in children and adolescents and analyze whether different conditions in the intervention, such as type of sports, or intervention duration, have different influences on the effect of interventions. The study protocol was registered in PROSPERO (CRD42022361024). We performed a systematic search of Pubmed, Web of Science, Cochrane library, Embase and Scopus databases from database inception to 12 October 2022 for all studies written in English. Studies were included if they met the following PICO criteria. All analyses were carried out using the Review Manager 5.3 Software. We summarized aggression, hostility and anger scores using SMDs. Summary estimates with 95% confidence intervals were pooled using DerSimonian-Laird random effects model or fixed effects model according to between-study heterogeneity. A total of 15 studies were deemed eligible for inclusion in this review. The overall mean effect size indicated that sport interventions was associated with lower aggression (SMD = -0.37, 95% CI [-0.69 to -0.06], P=0.020; I2=88%). Subgroup analyses showed that non-contact sports were associated with lower aggression (SMD = -0.65, 95% CI [-1.17 to -0.13], P=0.020; I2 = 92%) but high-contact sports were not (SMD = -0.15, 95% CI [-0.55 to 0.25], P=0.470; I2 = 79%). In addition, when intervention duration <6 months, sport interventions was associated with lower aggression (SMD = -0.99, 95% CI [-1.73 to -0.26], P=0.008; I2 = 90%) and when intervention duration ≥ 6 months, sport interventions was not associated with lower aggression (SMD = -0.08, 95% CI [-0.44 to -0.28], P=0.660; I2 = 87%). This review confirmed that sports intervention can reduce the aggression of children and adolescents. We suggested that schools can organize young people to participate in low-level, non-contact sports to reduce the occurrence of bullying, violence and other aggression-related adverse events. Additional studies are needed to determine which other variables are associated with aggression in children and adolescents, in order to develop a more detailed and comprehensive intervention programme to reduce their aggression.

Ocular emotion discrimination disorders in self-limited epilepsy patients with centrotemporal spikes complicated with electrical status epilepticus during sleep: A pediatric neuropsychological study.

We investigated the characteristics and factors influencing eye emotion recognition in self-limited epilepsy patients with centrotemporal spikes (SeLECTS) complicated with electrical status epilepticus during sleep (ESES). We selected SeLECTS (n=160) patients treated in the outpatient and inpatient departments of Anhui Children's Hospital from September 2020 to January 2022. According to the video electroencephalogram monitoring slow-wave index (SWI), SeLECTS patients with SWI<50% were assigned into the typical SeLECTS group (n=79), and patients with SWI ≥ 50% were assigned into the ESES group (n=81). Patients in the two groups were assessed by The Eye Basic Emotion Discrimination Task (EBEDT) and The Eye Complex Emotion Discrimination Task (ECEDT), respectively. Comparisons were made with age-, sex- and education level-matched healthy control participants. The correlation between the characteristics of emotional discrimination disorder in the eye area and the clinical influencing factors was analyzed in ESES group, and p ≤ .050 was the threshold for significance. Relative to the healthy control group, scores of sadness and fear in the typical SeLECTS group were markedly lower (p=.018, p=.023), while differences in scores of disgust, happiness, surprise, and anger were not significantly different between the groups (p=.072, p=.162, p=.395, p=.380, respectively). Compared with the healthy control group, the ESES group had significantly low scores in recognition of sadness, fear, disgust, and surprise (p=.006, p=.016, p=.043 and p=.038, respectively). However, differences in recognition of happiness and anger between the groups were not significant (p=.665 and p=.272). Univariate logistic analysis showed that the score of eye recognition for sadness in the ESES group was affected by age of onset, SWI, ESES duration and number of seizures. The score of eye recognition for fear was mainly affected by SWI, while the score of eye recognition for disgust was affected by SWI and number of seizures. The surprised eye emotion recognition score was mainly affected by the number of seizures. Variables with p<.1 were considered to be independent variables of multivariable ordered logistic regression. Multivariate logistic analysis showed that sadness emotion recognition was mainly affected by SWI and ESES duration, while disgust was mainly affected by SWI. The typical SeLECTS group showed impaired emotion (sadness and fear) recognition function in the eye area. The ESES group was associated with more intense emotional (sadness, fear, disgust, and surprise) recognition impairment in the eye region. The higher the SWI, the younger the onset age and the longer the duration of ESES, while the more the number of seizures, the more serious the impairment of emotional recognition function in the affected eye area.

The impact of hospital-family integrated continuation nursing based on information technology on patients unhealthy mood, family function and sexual function after cervical cancer surgery.

The objective of this study was to explore the impact on hospital-family integrated continuation care based on information technology on the negative emotions, family function, and sexual function of patients after cervical cancer surgery. The clinical case data onto 114 postoperative cervical cancer patients who were nursing in our hospital from July 2019 to July 2021 were selected and were divided into a control group and an observation group. The control group used routine nursing care, and on this basis, the observation group used information technology as the basis for hospital-family integrated continuation care, and we observed and compared the differences in the 2 groups of patients bad mood, family function, and sexual function. The score of anxiety (P = .017), depression (P = .009), fatigue rating (P = .012), and anger (P < .001) in the observation group after care were significantly lower than those in the control group. Problem solving, role, emotional response, emotional involvement, and family function total score in the observation group after care was significantly lower than those in the control group (P < .05). Sexual desire score, sexual arousal score, vaginal lubrication score, orgasm score, sexual satisfaction score, dyspareunia score, and Female Sexual Function Inventory total scores in the observation and control groups after care were significantly higher than those before care (P < .05). The sexual function scores in the observation group after care was significantly higher than those in the control group (P < .05). The hospital-family integrated continuation care based on information technology is more effective than conventional nursing care for patients after cervical cancer surgery.

Survey on the association between Toxoplasma gondii infection and violent behavior in inmates.

We evaluated the association between T. gondii seropositivity and violent behavior in a sample of inmates in Durango, Mexico. Through a cross-sectional study design, we studied 128 inmates (mean age: 35.89 ± 10.51; range: 19-65 years). Sera of participants were analyzed for anti-T. gondii IgG antibodies using a commercially available enzyme-linked immunosorbent assay. Violence was assessed by 1) the Historical, Clinical and Risk Management-20 (HCR-20) tool; 2) the type of the crime for which inmates were convicted; and 3) the Buss-Perry Aggression Questionnaire (AGQ). Of the 128 inmates, 17 (13.3%) had high risk of violence by the HCR-20 criteria, 72 (56.3%) were considered violent by the type of the crime committed, and 59 (46.1%) were considered violent by the AGQ. Depending on the evaluation method of violence, the seroprevalence of T. gondii infection in violent inmates varied from 0% to 6.9%. No statistically significant difference in anti-T. gondii IgG seroprevalence between violent and non-violent inmates was found (for instance by AGQ, OR: 1.17; 95% CI: 0.22-6.07; P = 1.00). Mean scores of the AGQ in T. gondii seropositive inmates (73.67 ± 29.09; 95% CI: 50.00-99.31) were similar to those (79.84 ± 25.00; 95% CI: 75.46-84.27) found in T. gondii seronegative inmates (P = 0.55). Mean scores of anger, psychical aggression, verbal aggression, and hostility in T. gondii seropositive inmates were similar to those found in T. gondii seronegative inmates. Results of this study suggest that infection with T. gondii is not associated with violence in inmates in Durango, Mexico. Further studies with larger sample sizes and in several correctional facilities to determine the association between T. gondii infection and violence in inmates are needed.

The relationship of Facebook, Instagram, Twitter, TikTok and WhatsApp/Telegram with loneliness and anger of adolescents living in Turkey: A structural equality model

PurposeThe aim of this study is to determine the relationship of social media with loneliness and anger levels of adolescents living in Turkey. Design and methodsThis study used a cross-sectional descriptive design. Loneliness and anger were measured with “University of California, Los Angeles Loneliness Scale” and “Adolescent Anger Rating Scale”. Data collection forms were prepared on Google Form and form’ link was sent to adolescents. ResultsA total of 1176 adolescents aged 13–18 years within four high schools were included. The results obtained show use of Facebook and duration of Facebook use of adolescents were not related to mean scores of loneliness. Adolescents with high duration of Instagram use was to be found that loneliness scores were statistically high, but anger scores were similar. Twitter users had lower loneliness mean scores and higher anger scores. TikTok use was not related with loneliness scores. ConclusionIn conclusion, this study found that high duration of Instagram use was associated with higher loneliness scores in adolescents, while Twitter users had lower loneliness scores and higher anger scores. The use of Facebook and TikTok did not significantly affect loneliness and anger levels. Practice implicationsThis study suggest that pediatric nurses can play a significant role in promoting balanced social media use and healthy coping strategies to mitigate the negative impact of excessive social media use on adolescent mental health. Pediatric nurses can support adolescent emotional wellbeing and promote a healthier digital environment.

Latent profiles of cyberbullying among university students and its relationship with social anxiety and aggressiveness

Cyberbullying has generated interest for researchers in the field of psychology and education in recent years. While most studies have focused on samples of adolescents, the university environment also deserves special attention due to its serious consequences on students. It is therefore very important to prevent cyberbullying in the context of university. The objectives of this study were to identify different profiles regarding cyberbullying and cybervictimization behaviors and examine the relationship between cyberbullying, social anxiety, and aggressiveness. A total of 1,368 university students participated in the study by completing the European Bullying Intervention Project Questionnaire (EBIPQ), the Social Anxiety Questionnaire for Adults (CASO-A30), and the Aggression Questionnaire (AQ). The latent profile analysis identified three cyberbullying profiles: a first group with low scores in cyberaggression and cybervictimization (not involved; 87.6%), a second group with moderately high scores in cyberaggression and cybervictimization (victimized cyberbullies; 10%), and a third group with high scores in cybervictimization and very high scores in cyberaggression (cyberbullies; 2.4%). The profile of “victimized cyberbullies” students presents higher scores in physical, verbal, anger, and hostility than the group of “not involved” students, while no differences in social anxiety were found between the groups analysed. Cyberbullying preventive programs should focus on the management of aggressive behaviors for those who have moderate scores in cybervictimization and cyberbullying behaviors, and social anxiety may not be differentiated between cyberbullying groups at this academic stage.

The Effects of a Nature-based Virtual Reality Program on Emotional Health and Quality of Life among Older Adults with Dementia

Objectives: In this pilot study, we focused on the health benefits of a nature-based virtual reality (VR) intervention for older adults with dementia, primarily Alzheimer's Disease (AD). Our main objective was to assess pre-post changes in the emotional health and quality of life of older adults with AD after participating in a 5-week nature-based VR program. Methods: Using in-depth interviews with VR participants and facility staff, we explored the health outcomes of participants as well as challenges to their participation. We recruited 11 participants. Results: We found an increase in participants' mean scores for pleasure and alertness and a decrease in mean scores for anxiety, sadness, and anger. In addition, we found that the quality-of-life mean scores significantly increased after program participation. In qualitative findings, we identified 3 main themes as possible mental health outcomes of the nature-based VR program: (1) enjoyment, (2) novel experience, and (3) reminiscence. On the other hand, participants experienced some challenges related to the VR gear and manipulating the VR controllers and goggles while engaged in the program. Conclusion: The nature-based VR program was instrumental in promoting emotional health and quality of life among older adults with AD.

Association Between Hearing Loss and Multiple Negative Emotional States in the USHispanic Population.

Hearing loss (HL) has been linked to commonly studied detrimental mood states, such as loneliness and depression. However, its relationship with other negative emotions remained largely unstudied. We explore the association between HL and anxiety, anger, hostility, poor self-esteem, and pessimism in a national cohort of USHispanic adults. Cross-sectional study. Multicentered USnational epidemiologic study (Hispanic Community Health Study). Subjects were ages 18 to 75 with completed audiometric and emotional survey data. Multivariable regressions controlling for age, gender, and education were conducted to analyze the association between HL, measured by 4-frequency pure-tone average (PTA), and emotional states. States included anxiety (Spielberger Trait Anxiety Scale-10), anger (Spielberger Trait Anger Scale), hostility (Cook Medley Cynicism Scale-13),poor self-esteem (Self-Esteem Scale-10), and pessimism (Revised Life Orientation Test). A total of 4120 to 4341 participants met inclusion criteria, depending on the specific survey; the average age was 46.7 years (standard deviation [SD] = 13.7), and the average PTA was 13.8 dB (SD = 10.1). Controlling for age, gender, and education, HL was associated with all outcomes. Specifically, for every 10 dB worsening in HL, the anxiety score worsened by 0.41 (0.23-0.60), the anger score worsened by 0.40 (0.22-0.58), the hostility score worsened by 0.16 (0.04-0.27), the self-esteem score worsened by 0.25 (0.12-0.38), and the pessimism score worsened by 0.17 (0.04-0.30) (all p < .01). HL is related to numerous negative mood states beyond loneliness and depression. This includes worse anxiety, anger, hostility, self-esteem, and pessimism. Future studies should investigate whether treating HL improves negative emotional states.