Feelings Of Depression Research Articles

From Mat to Mastery: Lifelong Skills Learned through Brazilian Jiu-Jitsu

This study investigates the potential for Brazilian Jiu-Jitsu (BJJ), a close-contact martial art, to cultivate real-world life skills beyond physical self-defense. Conducted in a Phoenix, Arizona, gym setting, the research employed a quantitative experimental design with in-person surveys to assess the transferability of BJJ-learned abilities and experiences into daily life strategies. Two surveys were developed, targeting adult participants, young adults, and the parents/legal guardians of youth enrolled in BJJ classes. With a participation rate of 62.9% from the gym’s membership base, the study yielded significant findings. Notably, all participants reported a strong sense of community fostered by the BJJ program. Beyond this social benefit, the research suggests that BJJ can play a role in mitigating feelings of anxiety and depression. The analysis revealed a positive correlation between BJJ participation and psychological and emotional well-being, with participants reporting a transfer of life skills learned on the mats to real-world situations. These findings contribute to the growing body of evidence on the holistic benefits of martial arts, suggesting that BJJ can extend its positive influence beyond the realm of physical self-defense and into the emotional and psychological well-being of its practitioners.

Enhancing Psychophysiological Well-Being Through Nature-Based Soundscapes: An Examination of Heart Rate Variability in a Cross-Over Study.

Stress and psychological disorders are substantial public health concerns, necessitating innovative therapeutic strategies. This study investigated the psychophysiological benefits of nature-based soundscapes, drawing on the biophilia hypothesis. Using a randomized, acute cross-over design, 53 healthy participants experienced either a nature-based or a reference soundscape for 10 min, with a 2-min washout period. The nature-based soundscape integrated nature sounds with elements of music to create an immersive nature experience. A calm coffee shop soundscape without discernible speech was selected as a reference to represent a typical urban relaxation environment. Heart rate variability (HRV) was the primary outcome, with exploratory outcomes including heart and respiratory rates, and questionnaires assessing affective well-being, creativity, and belonging. Results showed that the nature-based soundscape significantly improved HRV and reduced heart and respiratory rates, indicating enhanced parasympathetic activity. Participants reported lower feelings of anxiety and depression and increased feelings of comfort, enthusiasm, creativity, and belonging. This study highlights the multifaceted benefits of nature-based soundscapes, suggesting they could serve as easily accessible therapeutic options for promoting immediate recovery and reducing daily stress in healthy individuals.

Baseline characteristics and 2-year functional outcome data of patients undergoing an arthroscopic rotator cuff repair in Switzerland, results of the ARCR_Pred study.

The ARCR_Pred study was initiated to document and predict the safety and effectiveness of arthroscopic rotator cuff repair (ARCR) in a representative Swiss patient cohort. In the present manuscript, we aimed to describe the overall and baseline characteristics of the study, report on functional outcome data and explore case-mix adjustment and differences between public and private hospitals. Between June 2020 and November 2021, primary ARCR patients were prospectively enrolled in a multicenter cohort across 18 Swiss and one German orthopedic center. Baseline characteristics, including sociodemographic and diagnostic variables, were reported. Clinical scores and patient-reported outcome measures were assessed up to 24-month follow-up. After screening 2350 individuals, 973 patients with ARCR were included. Follow-up rates reached 99%, 95%, 89% and 88% at 6 weeks, 6, 12, and 24 months, respectively. While the proportion of massive tears was higher in the study population (44% vs. 20%, Std. Diff. = 0.56), there were no other major differences in key characteristics between enrolled and non-enrolled patients or in patients lost to follow-up. Functional scores improved over time, with positive changes rates ranging from 83% to 92% at 6-month, reaching 91% to 97% at 12- and 24-month follow-up. In linear mixed models, used to estimate the associations between baseline factors, hospital type and standardized 0-100 scores, marginal effects for time ranged from 20 to 30, 28 to 39 and 34 to 41 points at the 6-, 12- and 24-month follow-up, respectively. Except at the 12-month follow-up, where marginal effects for the interaction terms ranged from -5 to -4 points in the standardized scores, there were no consistent outcome differences between public and private hospitals. Increasing number of years of education was consistently associated with better scores, greater feelings of depression and anxiety, smoking and ASA group III-IV were consistently associated with worse scores. Tear severity showed a consistent negative association solely for the Constant-Score. The ARCR_Pred study shows high potential for generalizability to the population of patients undergoing an ARCR in Switzerland. Further analyses are needed to establish relevant clinimetrics for the Swiss population and to compare outcomes for surgical techniques, surgeon experiences profiles and post-operative management.

Physical Activity and Frailty Are Impaired in Older Adults with Benign Paroxysmal Positional Vertigo

Background/Objectives: Benign Paroxysmal Positioning Vertigo (BPPV), diagnosed in 46% of older adults with complaints of dizziness, causes movement-related vertigo. This case-control study compared physical activity, frailty and subjective well-being between older adults with BPPV (oaBPPV) and controls. Methods: Thirty-seven oaBPPV (mean age 73.13 (4.8)) were compared to 22 matched controls (mean age 73.5 (4.5)). Physical activity was measured using the MOX accelerometer and the International Physical Activity Questionnaire. Modified Fried criteria assessed frailty. The Dizziness Handicap Inventory, Falls Efficacy Scale, and 15-item Geriatric Depression Scale assessed subjective well-being. A post-hoc sub-analysis compared all variables compared between frail oaBPPV, robust oaBPPV and robust controls. Significance level was set at α = 0.05. Results: oaBPPV were significantly less physically active and were more (pre-)frail (p < 0.001) compared to controls. They performed significantly less active bouts (p = 0.002) and more sedentary bouts (p = 0.002), and a significantly different pattern of physical activity during the day. OaBPPV reported significantly less time in transportation activities (p = 0.003), leisure (p < 0.001), walking (p < 0.001) and moderate-intensity activities (p = 0.004) compared to controls. Frail oaBPPV were even less active (p = 0.01) and experienced more fear of falling (p < 0.001) and feelings of depression (p < 0.001) than robust oaBPPV and controls. Conclusions: BPPV can induce a vicious cycle of fear of provoking symptoms, decreased physical activity, well-being and consequently frailty. It is also possible that frail and less physically active older adults have an increased prevalence of BPPV. Post-treatment follow-up should assess BPPV, frailty and physical activity to determine if further rehabilitation is needed.

Depression in children aged 11-16 years old. Results of own research

The article presents the results of our own research, which aimed to find out the levels of feelings of depression in the adolescents studied. The severity of depression was investigated using the Maria Kovacs Questionnaire for the Diagnosis of Depression in Children CD2. The study involved 168 people, aged 11-16. The results obtained suggest that average severity of depressive symptoms predominates in the respondents with 39.88%, followed by very high severity with 17.26% and elevated severity with 16.67%, high severity with 12.50% and low severity with 8.93%. Low levels of depression were found in 8.93% of respondents. Given that depression is not a marginal phenomenon among adolescents, it seems necessary to carry out various preventive actions to counteract the emergence of this disease in the population of young people.

Effect of Age at Liver Transplant on Anxiety, Depression, and Quality of Life Among Adolescents.

Introduction: Life expectancy for pediatric liver transplant patients has increased over the past decade. Different stages of the transplant process can impact patients' quality of life (QOL) and create psychological and physical stressors. This study explored whether age at transplant affected adolescents' feelings of anxiety, depression, and QOL. Design: In this cross-sectional quantitative study, data were collected on 22 adolescent patients aged 13-18 who received a transplant at least 12 months before enrollment. This cohort was divided into 2 groups based on their age at transplant: Group 1 (0-5 years) and Group 2 (6-18 years). To assess transplant-related anxiety, depression, and QOL, participants completed 3 surveys: the Generalized Anxiety Disorder-7 (GAD-7), the Patient Health Questionnaire-9 (PHQ-9), and the Pediatric Quality of Life Inventory™ Transplant Module (PedsQL TM). Results: Group 1 experienced less anxiety and fewer problems based on GAD-7 scores but reported stronger feelings of depression based on PHQ-9 scores. Based on the PedsQL TM scale, Group 1 had higher mean scores compared to Group 2 across all components (mean difference range: 7.2- 27.3; Cohen's d range: 0.27 - 1.13). The largest difference between the 2 groups was observed on the PedsQL TM scale's How I Look (Group 1 mean 81.1 vs. Group 2 mean 53.8; Cohen's d: 1.13; P = 0.015), Conclusion: In this cohort, age at transplant affected adolescents' feelings of anxiety, depression, and QOL. Awareness of these findings can help clinicians screen for and address mental health issues.

Self-Esteem Towards Consumptive Behavior in Eleventh Grade Female Students

Consumptive behaviour is the act of excessively purchasing goods for temporary pleasure, which can lead to feelings of anxiety and insecurity. Self-esteem is one of the factors that contribute to consumptive behaviour. Low self-esteem can lead individuals to experience feelings of depression and even psychosomatic disorders. The purpose of this study is to determine the effect of self-esteem on consumptive behaviour among 11th-grade female students at SMA N 3 Kota Kupang and to analyze the comparative level of the influence of self-esteem on consumptive behaviour between science (MIPA) and social studies (IPS) students. This research is quantitative and uses simple linear regression analysis techniques. The participants in this study were 86 female 11th-grade students. The data analysis results show that (H1) is accepted, meaning there is an effect of self-esteem on consumptive behaviour, and (H2) is rejected, meaning there is no comparative difference in the level of influence of self-esteem on consumptive behaviour between science and social studies students.

Unmet Dental Care Needs of The Low-Income Elderly in South Korea: Applying the Andersen behavioural model.

Retirement reduces income and increases dental care needs for the elderly, but there are few studies on unmet dental care needs among the low-income elderly. This study aimed to identify actors associated with unmet dental care needs of low-income elderly people in South Korea. Secondary analysis of 2020 KNHANES data relating to 1,016 elderly individuals (65+) below median income. Unmet dental care needs were higher for women at 28.9% (p ⟨0.001), those with a middle school education at 28.5% (p ⟨ 0.05), individuals who rated their health as "poor" at 31.3%, those reporting feelings of depression at 44.8% (p ⟨ 0.001), individuals who rated their oral health as "poor" at 36.2% (p ⟨ 0.001), and those who experienced toothache at 37.2% (p ⟨ 0.001). In regression analysis women (Risk Ratio = 1.59, 95% CI 1.09-2.32), people with depression (RR = 2.29, 95% CI 1.01-5.15), those who perceived their oral health as "poor" (3.20, 95% CI 1.90-5.32) and those toothache (1.88, 95% CI 1.27-2.76) had higher unmet dental needs. Substantial unmet dental care needs exist among the low-income retired elderly. Comprehensive public oral health policies and community programs are needed for this population group.

The Importance of Frailty in Older Adults With Benign Paroxysmal Positioning Vertigo.

Even though Benign Paroxysmal Positioning Vertigo (BPPV) is one of the most reported vestibular disorders, its interaction with frailty and postural control in older adults is hardly or not investigated. Thirty-seven older adults (≥65years) with a diagnosis of BPPV (oaBPPV) (mean age 73.13 (4.8)) were compared to 22 age-, weight-, and height-matched controls (mean age 73.5 (4.5)). Modified Fried criteria were used to assess frailty. Postural control was assessed with the timed chair stand test, mini Balance Systems Evaluation test (mini-BESTest), a Clinical Test of Sensory Interaction on Balance (CTSIB), and 10-m walk test. Falls were inquired. The Dizziness Handicap Inventory, Falls Efficacy Scale, and 15-item Geriatric Depression Scale assessed dizziness-related handicap, fear of falling, and feelings of depression, respectively. To assess the importance of frailty, all variables were also compared between frail oaBPPV, robust oaBPPV, and robust controls in a sub-analysis. The significance level was set at α=0.05. oaBPPV reported significantly more multiple falls ( P =0.05) and difficulties to remain standing with increasing task difficulty of the CTSIB ( P =0.004). They were significantly more (pre-)frail compared to controls ( P <0.001). Moreover, frail oaBPPV had a significantly decreased reactive postural control ( P <0.001) and dynamic gait ( P <0.001). Their fear of falling ( P <0.001) and dizziness-related handicap ( P <0.001) were significantly higher compared to robust oaBPPV. oaBPPV were less healthy and more (pre-)frail compared to controls, impacting their daily functioning. Future research should investigate whether frailty and postural control were already decreased before the BPPV onset and if this recovers after treatment with repositioning maneuvers or if additional rehabilitation is necessary. Older adults with Benign Paroxysmal Positional Vertigo (BPPV) can present with an impaired sensory orientation, declined cognition, significantly more multiple falls, and (pre-)frailty compared to controls. Moreover, frail older adults with BPPV also had a significantly decreased reactive postural control and dynamic gait, and an increased odds of falling compared to robust controls. BPPV and frailty appear to be linked with each other, which cannot be ignored in future research and clinicians treating older adults with BPPV.

The Effects of Coronavirus Disease-19 Pandemic on Physical Activities and Mental Health of Students

The purpose of this study was to determine the impact of the spread of coronavirus disease-19 on physical activity and mental health of students. Coronavirus-19 (Covid-19) is a new disease that can cause respiratory problems and pneumonia. The spread of an infectious disease called COVID-19 in Indonesia has changed the joints of social life. The population in this study was (n=43) and all were used as a whole research sample (total sampling), students at the Faculty of Sports Science, State University of Malang, research instrument data collection using Google forms and then disseminated through WhatsApp social. The types of data in this study are in the qualitative category analyzed by percentage with windows excel 2010. The results of the study, most respondents considered it very important to do physical activity, and at least 3 to 7 times per week, with a duration of time mostly under 60 minutes. Meanwhile, the intensity of physical activity is in the medium level category. The level of boredom reaches 90.5% of respondents. Respondents have activities to reduce boredom such as playing games and doing daily chores at home as many as 18 students (48%), while 6 respondents (16%) work on college assignments, and 5 respondents (13%) do sports activities. A total of 8 respondents (21%) helped the entrepreneurial parents. Various activities aimed at reducing boredom so as not to cause more serious mental health disorders such as feelings of stress and depression.

Mouse Testing Methods in Psychoneuroimmunology: Measuring Behavioral Responses.

The field of psychoneuroimmunology (PNI) aims to uncover the processes and consequences of nervous, immune, and endocrine system relationships. Behavior is a consequence of such interactions and manifests from a complex interweave of factors including immune-to-neural and neural-to-immune communication. Often the signaling molecules involved during a particular episode of neuroimmune activation are not known, but behavioral response provides evidence that bioactives such as neurotransmitters and cytokines are perturbed. Immunobehavioral phenotyping is a first-line approach when examining the neuroimmune system and its reaction to immune stimulation or suppression. Behavioral response is significantly more sensitive than direct measurement of a single specific bioactive and can quickly and efficiently rule in or out relevance of a particular immune challenge or therapeutic to neuroimmunity. Classically, immunobehavioral research was focused on sickness symptoms related to bacterial infection, but neuroimmune activation is now a recognized complication of diseases and disorders ranging from cancer to diabesity to Alzheimer's. Immunobehaviors include lethargy, loss of appetite, and disinterest in social activity/surrounding environment. In addition, neuroimmune activation can diminish physical activity, precipitate feelings of depression and anxiety, and impair cognitive and executive function. Provided is a detailed overview of behavioral tests frequently used to examine neuroimmune activation in mice with a special emphasis on pre-experimental conditions that can confound or prevent successful immunobehavioral experimentation.

Impact of sleep quality on health-related quality of life domains and the mediating effects of symptoms in people with multiple sclerosis.

Many people living with multiple sclerosis (PwMS) experience poor sleep, which is associated with diminished overall health-related quality of life (HRQoL). We quantified associations between sleep quality and HRQoL domains and examined the extent to which other MS symptoms could account for these associations. In this cross-sectional survey of 1,717 Australians with MS, we used Assessment of Quality of Life (AQoL) 8D and Pittsburgh Sleep Quality Index (PSQI) to assess HRQoL and sleep quality, respectively. Total, direct, and indirect effects of sleep quality on HRQoL domains were determined using mediation regression analysis. Poor sleep quality was significantly associated with all domains of HRQoL, with strongest associations seen for mental health (β=-0.08) and pain (β=-0.11), and weaker associations for independent living (β=-0.05) and senses (β=-0.03). Poor sleep quality had the largest direct effect on mental health (60.8%), happiness (48.7%), and pain (49.7%). MS symptom clusters mostly contributing to indirect effects were "feelings of anxiety and depression" for psychosocial, and "pain and sensory symptoms" for physical HRQoL super dimensions. Improving sleep could lead to substantial improvements in all HRQoL domains and the improvement in HRQoL could be partially achieved through indirect improvements in sleep on MS symptoms.

The impact of workplace bullying on employees’ work withdrawal behavior and the significance of psychological safety in China’s multi-ethnic regions

In China's multi-ethnic regions, the phenomenon of workplace bullying can be compared to a mental shackle, which inhibits the work enthusiasm of the bullied, makes the bullied feel depressed, frustrated, and other negative feelings, and makes many employees miserable. This study aimed to develop a correlation between workplace bullying, employees' work withdrawal behavior, and psychological safety in China's multi-ethnic regions. The data collection for this study primarily involved gathering information. through questionnaires from 357 employees within 42 Yunnan-listed enterprises in China's multi-ethnic regions. All statistical data, including frequency, proportion, average, and variability measures, were analyzed using a software tool designed to process statistical information. The finding indicated there exists a direct correlation amongst workplace bullying and employees' work withdrawal behavior in China's multi-ethnic regions. Incorporating psychological safety into the model, subsequent mediation effect testing reveals that there is a partial mediating role of psychological safety in the correlation among workplace bullying and employees' work withdrawal behavior. This research contributes to the existing theoretical investigation on the correlation among workplace bullying, employees' work withdrawal behavior, and their psychological safety in China's multi-ethnic regions. Additionally, it explores how psychological safety can mediate these effects. Furthermore, this study offers valuable insights for enterprises operating in China's multi-ethnic regions by providing practical strategies for human resource management and conflict reduction within organizations.

Neurological and psycho-emotional manifestations of hyperthyroidism during pregnancy

Background. Hyperthyroidism is a state of thyroid hormone excess, which increases the metabolic rate and causes symptoms including anxiety and tremor. Graves’ disease is the most common etiology in developed countries. Excessive levels of thyroid hormones can impact mood, energy levels, and overall well-being. It is crucial to differentiate between symptoms related to thyroid function and clinical depression. The purpose of the study was to investigate the neurological and psycho-emotional manifestations of hyperthyroidism during pregnancy. Materials and methods. An examination of 50 pregnant women with subclinical and overt hyperthyroidism and 20 healthy women (control group) in the second trimester of pregnancy using the method of standardized multivariate personality study was carried out. Results. Based on the results of the study, it can be argued that pregnant women with thyrotoxicosis have changes in the psycho-emotional sphere: psychological maladaptation to the disease, an increase in the level of anxiety with hypochondriac tendencies, neuroticism, a decrease in intellectual performance and activity, a pronounced feeling of depression, anxiety, low mood. The identified criteria allow us to attribute these changes to the personality pattern or to the manifestations of a pathological neurotic state in conditions of mal­adaptation. The specific condition and behavior of pregnant women with thyrotoxicosis requires timely diagnosis and appropriate correction, which will contribute to the normalization and improvement of the psychological state, prevent the development of chronic stress and the occurrence of perinatal complications. Conclusions. Pregnant women with thyrotoxicosis have changes in the psycho-emotional sphere: psychological maladaptation to the disease, an increase in the level of anxiety with hypochondriac tendencies, neuroticism, a decrease in intellectual performance and activity, a pronounced feeling of depression and anxiety.

Inferiority feelings mediate the impact of subjective social support on anxiety/depression symptoms in individuals with physical disabilities.

Persons with physical disabilities are more likely to suffer from psychological symptoms and inferiority feelings, and social support plays an important role in improving those symptoms. However, the interaction between psychological symptoms, inferiority feelings and social support is yet to be understood. A cross-sectional study was conducted to investigate anxiety, depression, and inferiority feelings among individuals with physical disabilities in a Chinese sample. The questionnaire included the Generalized Anxiety Disorder 7, Patient Health Questionnaire 9, Self-designed Disability Questionnaire, and Social Support Rating Scale including three dimensions: subjective social support, objective social support and utilization of social support. Out of the 1,453 respondents with physical disabilities, 49.7, 60.4, and 62.5% reported experiencing anxiety, depression, and inferiority feelings, respectively. Factors such as time since identification of physical disabilities, comorbidities, daily travel, social interaction, internet use, subjective social support, and inferiority feelings were found to be associated with anxiety or depression symptoms among physically disabled individuals. Subjective social support was found to be associated with inferiority feelings, which partly mediated the effect of subjective social support on anxiety symptoms by 37.4% and depression symptoms by 28.7%. This study highlights the importance of addressing the psychological well-being of physically disabled individuals in addition to their physical rehabilitation. Psychological intervention strategies should focus on improving subjective social support and reducing inferiority feelings, particularly among vulnerable groups.

Covid-19 pandemic and its economic and psychological impacts on Saudi workers: An empirical study in the kingdom of Saudi Arabia

Background: The COVID-19 pandemic has had a substantial economic and psychological impact on workers in Saudi Arabia. The objective of the study was to assess the effects of the COVID-19 epidemic on the financial and mental well-being of Saudi employees in the Kingdom of Saudi Arabia. Purpose: The COVID-19 epidemic has resulted in significant economic and societal ramifications. Current study indicates that the pandemic has not only precipitated an economic crisis but has also given rise to several psychological and emotional crises. This article provides a conceptual examination of how the pandemic impacts the economic and mental health conditions of Saudi workers, based on contemporary Structural Equation Modeling (SEM) models. Method: The current study employed a qualitative methodology and utilized a sample survey strategy. The data was gathered from Saudi workers residing in major cities of Saudi Arabia. The samples were obtained from professionals such as managers, doctors, and engineers, as well as non-professionals like unskilled and low-skilled laborers, who are employed in various public and private sectors. A range of statistical tools, including Descriptive statistics, ANOVA, Pearson’s Correlation, Factor analysis, Reliability test, Chi-square test, and regression approach, were employed to analyze and interpret the results. Result: According to the data, the pandemic has caused a wide range of economic problems, including high unemployment and underemployment rates, income instability, and different degrees of pressure on workers to find work. Feelings of insecurity (about food and environmental safety), worry, dread, stress, anxiety, depression, and other mental health concerns have been generated by these challenges. The rate of mental health decline differs among demographics. Conclusions: The COVID-19 pandemic has universally affected all aspects of our lives worldwide. It resulted in an extended shutdown of educational institutions, factories, offices, and businesses. Without a question, it has profoundly transformed the work environment, professions, and lifestyles of billions of individuals worldwide. There is a high occurrence of poor psychological well-being among Saudi workers. However, it has been demonstrated that both economic health and mental health interventions can effectively alleviate the mental health burden in this population.

Family Care Partner's Preparedness in Caring for Hospitalized Persons With Dementia.

To examine care partner preparedness in caring for recently hospitalized persons with dementia and care partner characteristics associated with preparedness at discharge, 2months, and 6months post discharge. Stepwise regression in a sample of 461 care partners of hospitalized persons with dementia who participated in the Fam-FFC clinical trial. On average, care partners were 61.81years old (SD=14.19) and primarily female (n=334, 72.5%). Care partners reported having some preparedness in general and it increased from discharge (23.75, SD=6.78) to 2months (24.5, SD=6.49) and 6months (26.35, SD=6.73). Multiple care partner characteristics were associated with preparedness at discharge [age (b=-0.071; p<0.001), burden (b=-0.283; p<0.001), and depression (b=-0.284; p<0.01)], 2months [burden (b=-0.226; p<0.001), strain (b=-0.144; p<0.05), depression (b=-0.185; p<0.05)] and 6months [burden (b=-0.164; p<0.01), strain (b=-0.183; p<0.05), depression (b=-0.279; p<0.01)] post discharge. While care partners' feelings of greater burden and depression were associated with lower preparedness at all time points, care partners' higher age was associated with lower preparedness at discharge only and care partners' feelings of higher strain was associated with lower preparedness at two and 6months post discharge. Findings suggest the need to address care partners' feelings of burden, strain, and depression with tailored interventions and programs to optimize their preparedness in meeting unique care needs of hospitalized persons with dementia. Resilience-based interventions and programs can be useful to manage feelings of burden, strain, and depression and optimize preparedness.

“I was in a very deep, dark place... I wasn't prepared for that”: A qualitative assessment of the emotional well-being needs of patients undergoing cystectomy

IntroductionStudies have shown that cystectomy has a large psychological burden on patients with bladder cancer. However, there has been little work characterizing areas of improvement. This project aimed to understand cystectomy patients' experiences and to identify patient-centered methods to improve perioperative support. MethodsFive focus groups, divided by diversion type and gender, (4 virtual, 1 in person) of patients with bladder cancer (n = 17) who underwent cystectomy were conducted. Conversations were transcribed and qualitatively analyzed using the Sort and Sift, Think and Shift© method. Transcripts were coded in NVivo and themes were summarized in higher-level analysis. ResultsPatients described feelings of depression, anger, and anxiety in response to their cancer diagnosis, need for cystectomy, and living with urinary diversion. Patients experienced daily mental hardship while adapting. They experienced distress from diversion visibility in public and private encounters. Many expressed a dichotomy of feeling grateful for the treatment while also feeling bitter about the impact on their daily life. Patients reported that while their care team provided support for tangible needs, they did not provide information for nor discuss mental and sexual health needs during this time. Patients reported that if their provider had initiated discussions and offered referrals, they would have accepted support. Patients also emphasized the benefit of social and peer support networks for emotional support. ConclusionsGroups identified the psychological difficulties of bladder cancer diagnosis and cystectomy. Potential avenues for improvement included incorporating support resources into the care plan and perioperative discussion regarding the emotional impact of surgery.

THE RELATIONSHIP BETWEEN ELDERLY PEOPLE AND NATURE: IMPACTS OF TRADITIONAL KNOWLEDGE ON PROMOTING WELL-BEING AND QUALITY OF LIFE

This study aimed to explore the relationship between older adults and nature and the impacts of this interaction on promoting well-being and quality of life. To this end, a systematic literature review was conducted to identify recent studies that analyzed older adults’ perceptions of natural environments and the consequences of outdoor activities on the physical, mental, and emotional health of this population group. The results demonstrated that contact with nature significantly contributes to reducing feelings of loneliness and depression, in addition to favoring the strengthening of social bonds and promoting a renewed sense of belonging and identity. In addition, studies indicate that older adults who maintain a connection with nature tend to have higher levels of subjective happiness and a greater willingness to participate in sustainable practices and environmental conservation. Based on these findings, it is concluded that nature plays a crucial role in promoting active and healthy aging, and that initiatives aimed at facilitating older adults’ access to natural environments are fundamental to the development of public health and well-being policies.

The quality of life among women with breast cancer: a qualitative study in the environment of healthcare in Morocco

ABSTRACT Breast cancer is a real Moroccan public health problem, deeply affecting the quality of life of patients. This qualitative study aimed to explore the quality of life among breast cancer patients in Morocco. Twenty-three patients were interviewed during November-December 2023. The data was analysed using Interpretative Phenomenological Analysis. The results showed that patients confirmed the feeling of great depression and anxiety after the announcement of the diagnosis. Side effects of treatment are the most difficult challenge for patients. Married participants reported alteration of sex life and salaried patients abandon their professions. Yet, the patients maintained good self-esteem. These results indicate the need for multidisciplinary interventions to maintain a good quality of life in breast cancer patients.