Dysfunction Subscales Research Articles

Challenging the use of the overall adverse childhood experiences (ACEs) score: Comparing total ACEs, maltreatment, and household dysfunction on mental health problems among White, African American, and Native American women under correctional control.

Adverse childhood experiences (ACEs) have been consistently linked to mental health problems. There have been recent conceptual and empirical critiques that suggest maltreatment and household dysfunction to not be combined to create a composite ACE score. Women in correctional custody demonstrate disproportionately high ACE levels and greater mental health problems as to racial minorities. The present study compared the effects of varying operationalizations of the ACEs measure on women's mental health stratified across race using a sample of White, African American, and Native American women in correctional custody in Oklahoma. The cross-sectional study administered a paper-and-pencil survey to 494 women. Structural equation modeling was used to test hypotheses. Maltreatment was a significant predictor of women's mental health across all racial groups but demonstrated the strongest effect among African American inmates. Household dysfunction was not a significant predictor of mental health for any racial group. When comparing the maltreatment-only model to the maltreatment and household dysfunction model, and the overall ACE score model, there was little explained variance lost. These findings indicate that maltreatment demonstrates unique associations with women's mental health and may be the driving force behind the relationship between ACEs and adult mental health among women within correctional custody. Researchers are advised to not use the overall ACE score and instead break down the measure into the maltreatment and household dysfunction subscales. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Smartphone addiction, sleep quality and musculoskeletal disorders in students

Objective: Smartphone addiction may lead to many health issues. Excessive smartphone usage has been linked to musculoskeletal disorders and sleep problems. We aimed to examine the correlation between smartphone addiction, sleep quality and musculoskeletal disorders. Materials and Methods: 60 university students were included in the study. Individuals' smartphone addiction, sleep quality and musculoskeletal disorders were evaluated with the Smartphone Addiction Scale (SAS), Pittsburgh Sleep Quality Index (PSQI) and Cornell Musculoskeletal Discomfort Questionnaire (CMDQ), respectively. Results: There was a weak correlation between SAS and PSQI’s sleep efficiency, sleep disturbance, daytime dysfunction subscales, PSQI total score, and CMDQ’s lower extremity and spine subscales (p=0.021; p=0.020; p=0.008; p=0.008; p=0.029; p=0.019). There was a well correlation between SAS and CMDQ’s upper extremity subscale and CMDQ total score (p=0.001) Conclusion: It was concluded that as smartphone addiction increases in students, musculoskeletal disorders increase. Smartphone addiction was particularly associated with the neck, shoulder, back, upper arm, wrist and hip regions. It was also concluded that smartphone addiction worsens sleep efficiency, sleep disturbance, daytime dysfunction and general sleep quality.

AB035. Validation of EORTC brain cancer module (EORTC QLQ-BN20) for assessment of health-related quality of life in glioma patients in Singapore.

Existing international data has shown that glioma patients suffer from poorer health-related quality of life (HRQoL). The European Organization for Research and Treatment of Cancer (EORTC) brain cancer-specific Quality of Life Questionnaire (QLQ-BN20) was developed to be together with EORTC Core Quality of Life Questionnaire (QLQ-C30) for cancer patients, highlighting issues particularly relevant to brain tumor patients. It has since been translated and validated across numerous cohorts. However, its psychometric properties have yet to be examined in Singapore. This study aimed to validate the use of QLQ-BN20 in a nationally representative sample of glioma patients in Singapore. Eighty-seven patients who had undergone neurosurgery for glioma from six hospitals in Singapore completed three self-reported measures of HRQoL (the EuroQol EQ-5D-5L, EORTC QLQ-C30, and EORTC QLQ-BN20). Descriptive statistics summarized their characteristics and scores on the questionnaires. Psychometric properties of QLQ-BN20 examined included convergent and discriminant validity, internal consistency (Cronbach's alpha), and construct validity (Spearman's correlation). Clinical validity of QLQ-BN20 was determined based on whether QLQ-BN20 scores could differentiate patients with good and poor functional status as measured by Karnofsky Performance Scale and Barthel's Index. The QLQ-BN20 was demonstrated to have good convergent validity (item-own scale correlation >0.70) and discriminant validity (item-own scale correlation higher than item-other scale correlation). There is high internal consistency, both overall (α=0.88) and within multi-item subscales (α=0.74-0.88). Conceptually similar subscales between different tools were more strongly correlated. For instance, the QLQ-C30 physical functioning subscale and the QLQ-BN20 motor dysfunction subscale (r=-0.65, P<0.001), and the QLQ-C30 cognitive functioning subscale and the QLQ-BN20 cognitive deficits subscale (r=-0.51, P<0.001). QLQ-BN20 was also able to distinguish between functional statuses of patients (P<0.05). This study supports the validity and reliability of the EORTC QLQ-BN20 among patients with glioma in Singapore. There is good convergent and discriminant validity, internal consistency, construct validity, and clinical validity. The QLQ-BN20 is a valuable supplement to the QLQ-C30. Hence, we recommend expanding its use for all glioma patients and possibly brain cancer patients in Singapore.

Psychological distress and sleep quality among Sri Lankan medical students during an economic crisis.

This study examined the evidence of the prevalence of psychological distress and poor sleep among medical students and its associations during an economic crisis. This was a cross-sectional study using an online questionnaire. It included the Depression Anxiety Stress Scales and Pittsburgh Sleep Quality Index (PSQI). This study included medical undergraduates from a large metropolitan university in Sri Lanka. We assessed the prevalence of psychological distress, sleep quality, and factors associated with psychological distress. To evaluate the associations, we used logistic regression. The majority (69.2%) had some form of distress (depression, anxiety or stress), while 23% had distress in all three. Anxiety was the most prevalent (50.7%). Poor sleep quality was reported in 41%. The highest contribution to global PSQI was from sleep latency, duration, and daytime dysfunction subscales. In bivariate analysis, sleep quality was directly related to depression (t245.65 = -6.75, p<0.001)., anxiety (t313.45 = -6.45, p <0.001), and stress (t94.22 = -5.14, p <0.001). In multinomial logistic regression models, sleep quality was independently associated with depression, anxiety and stress. In addition, frequent contact with friends was inversely associated with depression and anxiety. Also, social media use was inversely linked to depression, anxiety and stress. Clinical-year students had lower depression and anxiety than non-clinical students. Engaging in mindfulness activities was inversely associated with depression. However, models explained only a moderate amount of variance (Nagelkerke R-squared values were 0.21, 0.18, and 0.13 for depression, anxiety and stress, respectively). Poor sleep quality and psychological distress are high among the undergraduates. The findings emphasize the importance of addressing sleep quality and psychological wellbeing in medical undergraduates. Further research with larger and more diverse samples is needed for a more comprehensive understanding of the factors associated with psychological distress among undergraduates.

The relationship between objective and subjective executive function in Parkinson’s disease

ABSTRACT Introduction Difficulties in executive functioning (EF) are common in PD; however, the relationship between subjective and objective EF is unclear. Understanding this relationship could help guide clinical EF assessment. This study examined the relationship between subjective self-reported EF (SEF) and objective EF (OEF) and predictors of SEF-OEF discrepancies in PD. Method One-hundred and sixteen non-demented PD participants completed measures of OEF (i.e. problem-solving, cognitive flexibility, inhibition, and working memory) and SEF (Frontal Systems Behavior Scale-Self Executive Dysfunction Subscale). Pearson bivariate correlations and linear regressions were performed to examine the relationship between SEF and OEF and the non-motor symptoms (e.g. mood, fatigue), demographic, and PD characteristic (e.g. MCI status) predictors of discrepancies between OEF and SEF (|OEF minus SEF scores|). Correlates of under-, over-, and accurate-reporting were also explored. Results Greater SEF complaints and worse OEF were significantly associated (β =.200, p = .009) and 64% of participants accurately identified their level of OEF abilities. Fewer years of education and greater symptoms of depression, anxiety, and fatigue significantly correlated with greater discrepancies between OEF and SEF. Fatigue was the best predictor of EF discrepancy in the overall sample (β = .281, p = .022). Exploratory analyses revealed apathy and fatigue associated with greater under-reporting, while anxiety associated with greater over-reporting. Conclusions SEF and OEF are significantly related in PD. Approximately 64% of non-demented persons with PD accurately reported their EF skill level, while 28% under-reported and 8% over-reported. SEF-OEF discrepancies were predicted by fatigue in the overall sample. Preliminary evidence suggests reduced apathy and fatigue symptoms relate to more under-reporting, while anxiety relates to greater over-reporting. Given the prevalence of these non-motor symptoms in PD, it is important to carefully consider them when assessing EF in PD.

D Tipi Kişilik, Uyku Vaktini Erteleme ve Uyku Kalitesi Arasındaki İlişki

Background/Aims: Bedtime procrastination (BP) is an unhealthy sleep behavior, but its relationship with Type D (distress) personality has never been examined. This study aimed to investigate the relationship between Type D Personality, BP, and Sleep Quality in university students.&#x0D; Methods: In this cross-sectional study, we applied the sociodemographic sleep data form, Type D personality scale (DS-14), Bedtime Procrastination Scale (BPS), Pittsburgh Sleep Quality Index (PSQI) (subjective sleep quality and daytime dysfunction subscales), Insomnia Severity Index (ISI), and Epworth Sleepiness Scale (ESS). All participants were divided into two groups: Type D personality and non- Type D personality. Sleep variables and scales were compared between these two groups. Additionally, correlation analysis was performed between the scales and the subdimensions of Type D personality.&#x0D; Results: We completed our study with 209 university students (66%, n = 138 female and 34%, n=71 male). The mean age was 22.17 ± 4.33, and 51.2% of all participants had Type D personality. Sleep quality was poor, and insomnia was more severe in participants with Type D personality. Participants with Type D personality had more delayed bedtime. Negative affectivity was associated with poor sleep quality, more severe insomnia, and BP, but social inhibition was not associated with BP.&#x0D; Conclusion: Clinicians should consider the negative affectivity sub-dimension of Type D personality contributing to BP behavior among university students when planning interventions to reduce BP behavior.

Management of Meige syndrome with bilateral trigeminal and facial nerves combing.

Meige syndrome (MS) is an adult-onset segmental dystonia for which no satisfactory remedy currently exists. Our team developed a novel surgical approach called bilateral trigeminal/facial nerve combing (BTFC). This study aimed to evaluate the outcomes of patients who underwent BFTC (Clinical Trial Registry Number: ChiCTR2000033481). We assigned 22 patients with MS to undergo BTFC. The primary outcome was assessed using the movement subscale of the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS-M) at 12 months postoperatively. The second outcome was evaluated using the Medical Outcome Study (MOS) 36-item Short Form Health Survey (SF-36), the dysfunction subscale of the Burke-Fahn-Marsden Dystonia Rating Scale (BFMDRS-D), and the sub-item scores of the BFMDRS-M. Safety outcomes included the House-Brackmann (HB) functional grading score and the visual analog scale (VAS) for facial numbness. At the final follow-up at 12 months, the BFMDRS-M showed a mean improvement of 70.7% from baseline. Mean scores of the BFMDRS-M sub-motor (including the eyes, mouth, and speech/swallowing) improved by 65.6, 81.00, and 60%, respectively. The median score of the total BFMDRS-D score was 0.70 ± 1.17 compared with 1.86 ± 2.21 at baseline. There were no serious operative complications in this population. The quality of life of the patients significantly improved (P < 0.05). BFTC has proven to be effective in relieving the symptoms of Meige syndrome. This novel surgical approach offers a new alternative treatment for patients who have failed to respond to medications, botulinum toxin injections, and deep brain stimulation (DBS). https://www.chictr.org.cn/bin/project/edit?pid=54567, ChiCTR2000033481.

The Relationship Between Nomophobia with Physical Activity and Sleep Quality in Community-Dwelling and Non-Frail Older Adults

Objective: Lack of physical activity, sleep problems and nomophobia are serious problems in adults. This study aimed to investigate the relationship between nomophobia with physical activity and sleep quality in non-frail older adults living in the community. Materials and Methods: The participants' fragility status was determined using the "Tilburg Frailty Indicator Survey," while nomophobia levels were assessed with the "Nomophobia Questionnaire," physical activity levels were measured using the "International Physical Activity Questionnaire-Short Form," and sleep quality was evaluated with the "Pittsburgh Sleep Quality Index (PSQI). Results: A total of 158 participants, 73 (46.8%) male and 85 (53.2%) female, were included in the study. While 5 (3.2%) of the participants were not nomophobic, 153 (96.8%) had nomophobia. 29 (18.4%) of the participants had no sleep problems, and 129 (81.6%) had sleep problems. As a result of the analysis, a weak negative correlation (r: -0.338, p&amp;lt;0.001) was found between physical activity and nomophobia. A positive and negligible correlation was observed between use of sleep medication, daytime dysfunction sub-scales, total PSQI scores and nomophobia (r:0.167-r:0.193, p&amp;lt;0.05). Conclusion: It was determined that as nomophobia increased in non-frail adult people, their physical activity levels decreased, and their sleep quality was negatively affected.

The effect of probiotic supplementation on the clinical and para-clinical findings of multiple sclerosis: a randomized clinical trial

Multiple Sclerosis (MS) is a chronic demyelination disease of the central nervous system (CNS). The gut-brain axis involves communication between the nervous, endocrine, and immune systems. Probiotics can positively impact immune and inflammatory responses by regulating gut microbiota. A total of 40 MS patients (average age of 34.38 ± 6.65) were examined to determine the effect of the Saccharomyces boulardii supplement for four months compared to a placebo. The results showed that the Saccharomyces boulardii significantly decreased the inflammatory marker high-sensitivity C-reactive protein (hs-CRP) compared to the placebo (P < 0.001). The serum antioxidant capacity (TAC) also increased significantly in the probiotic group compared to the placebo (p = 0.004). Both the probiotic and placebo groups showed a reduction in the oxidative stress indicator malondialdehyde (MDA), but there was no significant difference between the two groups. Pain intensity (measured by Visual Analogue Scale) and fatigue severity (measured by Fatigue Severity Scale) significantly decreased in the probiotic group compared to the placebo (p = 0.004 and p = 0.01, respectively). The probiotic group experienced significant improvement in some quality of life scales (measured by 36-Item Short Form Survey) and somatic and social dysfunction subscale of General Health Questionnaire scores compared to the placebo group (p = 0.01). The study suggests that the Saccharomyces boulardii probiotic supplement may benefit inflammatory markers, oxidative stress indicators, pain, fatigue, and quality of life in MS patients.

Association of ADHD symptoms with type 2 diabetes and cardiovascular comorbidities in adults receiving outpatient diabetes care

BackgroundThe relationship between attention-deficit/hyperactivity disorder (ADHD) symptoms and type 2 diabetes mellitus (T2D) and its cardiovascular outcomes have not been sufficiently studied. Methods2,986 adults with T2D from the Joslin Diabetes Center at Upstate Medical University were assessed for ADHD-like symptoms, executive dysfunction, and emotional control using the Adult Self-Report Scale V1.1 (ASRS) expanded version. Surveys were sent electronically, and clinical data were obtained from the electronic medical record. Pearson chi-square test was used for categorical variables association. When ASRS scores were the dependent variable, negative binomial regression correcting for demographic variables that were associated with the ASRS scores was used. Results155 (49.2%) of respondents met DSM-5 criteria for ADHD using the ASRS scores; Only ten (3.6%) of respondents had an ICD10 diagnosis of ADHD in their medical record; Forty-three (13.7%) had either a diagnosis of ADHD in the medical history or were taking medications used by people with ADHD. Higher levels of ADHD-like symptoms were found in patients with T2D compared with population norms. There was a modest association of the ASRS executive dysfunction subscale with overall cardiovascular comorbidities (p = 0.03). However, the p-value did not survive the multiple testing correction. Both ADHD-like symptoms and symptoms associated with emotional control, however, were not associated with specific cardiovascular diseases, hypertension, or with HbA1c, LDL-cholesterol, triglycerides, ALT, creatinine, or eGFR. ConclusionOur results suggest that adults with T2D attending a tertiary care diabetes clinic are at risk for having ADHD-like symptoms, highlighting the importance of screening for ADHD symptoms in this specialty setting and referring undiagnosed adult patients for further assessment and treatment of ADHD. Larger studies are needed to clarify the relationship between ADHD-like symptoms, executive dysfunction, and emotional control with diabetic control and comorbidities.

Concordance of informant and self-reported ratings on the Frontal Systems Behavior Scale in adult survivors of pediatric brain tumor

Objective: It has been theorized that pediatric brain tumor survivors may have reduced insight into their executive functioning. Agreement between informants and survivors has been used to probe this theory, but findings have been inconsistent. This study sought to expand on prior work by examining the relationship between participant role and ratings on the Frontal Systems Behavior Scale (FrSBe) among 73 adult survivors and their informants. This study also sought to test whether agreement on scores varied as a function of tumor treatment. Method: Dyadic mixed effects models examined the relationship between participant ratings on FrSBe subscales and the role of a participant (survivor or informant). Intraclass correlations (ICC) were used to calculate reliable change indices to evaluate significant divergence in self and informant agreement. Results: Dyadic mixed effects models showed an insignificant relationship between participant role and ratings on the FrSBe apathy and executive dysfunction subscales. Participant role was related to ratings on the disinhibition subscale of the FrSBe. The ICC for apathy was ICC = .583, for disinhibition ICC = .420, and for executive dysfunction ICC = .373. Significant divergence in scores did not vary by history of chemoradiation. Conclusions: Results demonstrate an effect of role on one FrSBe subscale and weak to moderate agreement between survivor and informant scores, which suggests that agreement between informants and survivors varies by FrSBe domain. The strongest relationship between survivors and informants was seen on apathy, which suggests that apathy is a shared concern for survivors and their families.

Cross-cultural adaptation and validation of the Short Musculoskeletal Function Assessment (SMFA) into Spanish (Chile)

ABSTRACT The purpose of this protocol was to adapt and validate the English version of the Short Musculoskeletal Function Assessment (SMFA) into Chilean Spanish according to the World Health Organisation guidelines. This is a cross-sectional study of 897 surveys of patients with non-traumatic surgical orthopaedic pathologies. We analysed internal consistency, validity, and acceptability, including correlation with the short form 36 (SF-36) medical score. The validation included 900 participants with a response rate of 99,66%, with excellent internal consistency (Cronbach’s α = 0.962). The Dysfunction and Bother Index items showed a value of 0.952 and 0.884 respectively, eliminating one item in the Dysfunction sub-scale. The principal component analysis was forced to four factors explaining 55.5% of the variance. SMFA-CL sub-scales are significantly correlated with SF-36 components and subcomponents. The first version of the SMFA-CL version (Spanish-Chilean) scale is reported. This culturally adapted score demonstrated a high rate of reliability, validity, and ability to objectively evaluate foot and ankle pathologies.

Assessing the Mediating Role of Depression in the Relationship Between Feeling of Loneliness and Social Functioning in the Elderly

Objectives: Due to the rapid growth of the elderly population, it is very important to pay attention to their mental health indicators including feeling of loneliness, social functions and depression. This study aims to determine the mediating role of depression in the relationship between feeling of loneliness and social functioning in the elderly. Methods &amp; Materials: In this correlational cross-sectional study, 318 older adults covered by the comprehensive health centers in Bushehr, south of Iran in 2018 were selected using a simple random sampling method. To collect data, Russell’s UCLA loneliness scale (version 3), and Goldberg’s general health questionnaire (Depression and social dysfunction subscales) were used. We applied the partial least squares-structural equation modeling to analyze the data in PLS Graph version 3.00 software. The significance level was set at 0.05. Results: The mean age of the participants was 66.74±5.87 years; 55.3% were male and the rest were female. The results showed that feeling of loneliness directly (β=0.199, P&lt;0.01) and through mediation by depression (β=0.183, P&lt;0.001) could cause social dysfunction. Felling of loneliness and depression together explained 20% of the variance in social dysfunction. The outer and inner model fit indices indicated the models’ good fit. Conclusion: Feeling of loneliness directly or by causing depression can reduce the social functioning of the elderly. The results of this study can be used in designing effective interventions to increase the social functioning of the elderly.

Relation of the Trauma Symptom Inventory’s Sexual Dysfunction Subscale to Overall Distress in African American College Students

Recent research has identified that traumatic events have affected individuals from all occupations. Severe trauma and reactions, which in the past were primarily identified with military veterans, have now been recognized in people throughout society. The TSI-2 is a 136 item self-report tool that examines the impact of trauma on an individual’s social and interpersonal functioning. The test has 4 global scales and 12 subscales. This study examined the relation of the Sexual Dysfunction subscale to overall pathology and its implication in African American college students. Students from a HBCU volunteered to complete this scale as part of a larger study-evaluating mood and cognitive functioning. The researchers reexamined the data in relation to performance on the Sexual Dysfunction Scale and overall signs of distress, depression and anxiety. Results found individuals who scored elevated on the scale also had high elevations on measures of significant distress and pathology. They also were high risks for selfinjury. An item analysis indicated these individuals were likely to act impulsively and demonstrate acknowledged poor judgment in dating and sexual activities (e.g., having sex without protection, sleeping with someone who they knew was not good for them). This subscale possibly has utility in screening for college students whose experience with trauma may lead them to be high risks for exploitation and poor adjustment on a university campus.

Cross-Cultural Adaptation and Validation of the Short Musculoskeletal Function Assessment (SMFA) into Spanish (Chile)

Category: Other; Ankle; Hindfoot; Midfoot/Forefoot Introduction/Purpose: The purpose of this study is to adapt and validate the English version of the Short Musculoskeletal Function Assessment (SMFA) into Chilean Spanish according to the WHO guidelines. Methods: Cross-sectional study where through 897 surveys of patients with non-trauma surgical orthopaedic pathologies, internal consistency, validity and acceptability were evaluated, including correlation with the short form 36 (SF-36) medical score. Results: The preliminary version resulted from the forward and back-translation and a pilot administration. The validation response rate was 99,66%. The SMFA-CL had excellent internal consistency (Cronbach's α = 0.962). The dysfunction and discomfort items showed a value of 0,952 and 0,884 respectively, eliminating one item in the dysfunction sub-scale. The principal component analysis was forced to four factors explaining 55.5% of the variance. SMFA-CL sub-scales significantly correlated with SF-36 components and subcomponents. Conclusion: The first version of the SMFA-CL version (Spanish-Chilean) scale is reported. This culturally adapted score, demonstrated a high rate of reliability, validity and ability to objectively evaluate foot and ankle pathologies.

Selected autonomic signs and symptoms as risk markers for phenoconversion and functional dependence in prodromal Parkinson's disease.

To determine whether dysautonomia can stratify individuals with other prodromal markers of Parkinson's disease (PD) for risk of phenoconversion and functional decline, which may help identify subpopulations appropriate for experimental studies. Data were obtained from Parkinson's Progression Markers Initiative. Cohorts without PD but with at-risk features were included (hyposmia and/or rapid-eye-movement-sleep behavior disorder, LRRK2 gene mutation, GBA gene mutation). Dysautonomia measures included Scales-for-Outcomes-in-Parkinson's-Disease Autonomic (SCOPA-AUT), seven SCOPA-AUT subscales, and cardiovascular dysfunction (supine hypertension, low pulse pressure, neurogenic orthostatic hypotension). Outcome measures were phenoconversion and Schwab-and-England Activities-of-Daily-Living (SE-ADL) ≤ 70, which indicates functional dependence. Cox proportional-hazards regression was used to evaluate survival to phenoconversion/SE-ADL ≤ 70 for each dysautonomia measure. If a significant association was identified, a likelihood-ratio test was employed to evaluate whether a significant interaction existed between the measure and cohort. If so, regression analysis was repeated stratified by cohort. Median follow-up was 30months. On multivariable analysis, gastrointestinal and female sexual dysfunction subscales were associated with increased risk of phenoconversion, while the cardiovascular subscale and neurogenic orthostatic hypotension were associated with increased risk of SE-ADL ≤ 70; respective hazard ratios (95% confidence intervals) were 1.13 (1.01-1.27), 3.26 (1.39-7.61), 1.87 (1.16-2.99), 5.45 (1.40-21.25). Only the association between the cardiovascular subscale and SE-ADL ≤ 70 was modified by cohort. Symptoms of gastrointestinal and female sexual dysfunction predict phenoconversion in individuals with other risk markers for PD, while signs and symptoms of cardiovascular dysfunction may be associated with functional decline.

Comparative Assessment of the Mental Health Status of HIV-Positive and HIV-Negative Intravenous Drug Users

Background: Intravenous (IV) drug use and human immunodeficiency virus (HIV) infection are closely related and are both among the major public health dilemmas worldwide. A considerable number of IV drug users are infected with HIV; this further adds to the risk of the occurrence of psychological disorders in them. This study aimed to assess the mental health status of IV drug users with and without HIV infection. Methods: This descriptive cross-sectional study was conducted on 270 IV drug users in Hamadan, including 90 HIV-positive and 180 HIV-negative subjects. The data were collected using general health questionnaire-28 items (GHQ-28) and then analyzed by SPSS, version 19. Results: Based on the results, HIV-negative IV drug users had a better mental health status than HIV-positive IV drug users, but this difference was not statistically significant (P=0.072). The assessment of GHQ-28 subscales revealed that the score of the social dysfunction subscale was significantly higher in HIV-positive compared to HIV-negative subjects (P=0.004). Conclusion: It appears that the mental health status of IV drug users is suboptimal, and HIV infection can compromise the quality of life of addicts, particularly in terms of social function. Thus, designing strategies to improve the mental health status of IV drug users and their compliance with hygienic measures can promote public health.

Convergence between behavioral, neural, and self-report measures of cognitive control: The Frontal Systems Behavior Scale in bipolar disorder

The Frontal Systems Behavior Scale (FrSBe) is a self-report measure that assesses difficulties with cognitive and emotional control such as apathetic behavior, lack of inhibitory control, and executive dysfunction. Previous neuroimaging studies highlight the involvement of the anterior cingulate cortex (ACC), orbitofrontal cortex (OFC), and dorsolateral prefrontal cortex (DLPFC) in these processes. In this study, we investigated whether there was convergence across subjective and objective measures of apathy, disinhibition, and executive dysfunction. Specifically, we studied whether ACC, OFC, and DLPFC activation during a modified version of the Multi-Source Interference Task (MSIT), is associated with FrSBe apathy, disinhibition, and executive dysfunction scores, in healthy controls (HC) and individuals with Bipolar Disorder (BD), who commonly exhibit difficulties in these domains. Individuals with BD (n = 31) and HCs (n = 31) with no current or past psychiatric illness completed the FrSBe and the MSIT during fMRI scanning. We investigated task-specific changes in the ACC, DLPFC, and OFC and their correlations with FrSBe apathy, disinhibition, and executive dysfunction subscale scores, respectively. Individuals with BD and the HC group demonstrated greater ACC, DLPFC, and OFC activation during MSIT interference conditions compared with non-interference conditions. Furthermore, there was a significant negative correlation between OFC activation and disinhibition scores, which remained significant after accounting for medication load. Together, these results demonstrate the FrSBe disinhibition subscale, in particular, can be a self-report measure that converges with behavioral and neural markers of disinhibition in BD.

Examining the Predictors of Mental Ill Health in Esport Competitors.

Few research studies have examined the predictors of mental ill health in esports. This study addresses that gap by investigating stressors, sleep, burnout, social phobia anxiety and mental ill health in esport athletes. An online survey was disseminated to competitive student esport athletes (n = 313) residing in the UK. The survey included measures of stressors resulting from competing in esports, sleep quality, burnout, and social phobia, as well as outcome measures of mental ill health. Hierarchical regression analyses examined these relationships. All the hypotheses were supported, with stressors significantly predicting sleep quality, burnout, and social phobia anxiety, and stressors, sleep quality, burnout, and social phobia anxiety were all significant positive predictors of mental ill health. The strength of these predictions varied, for example, the daytime dysfunction subscale of sleep was a strong predictor of all outcome variables; two subscales of burnout, reduced sense of accomplishment and exhaustion significantly predicted each of the three mental ill health outcome variables, and two subscales of social phobia anxiety, fear and avoidance, significantly predicted mental ill health. Our study has important implications for player health in esports, highlighting interventions that could target specific aspects of stress, sleep, burnout, and social phobia anxiety to improve the mental health of those who compete in esports.

Does Exercise Affect Mental Health? (Study Sample: Athlete and Non-Athlete)

Aim: Promoting health and ensuring health in the community is one of the important pillars of the development of societies and it seems that important factors play a role in promoting the mental health of the community. Therefore, the purpose of this study is to investigate the effect of exercise on mental health. Methodology: This study was a causal-comparative research that has been conducted through field method. The statistical population of this study was all students in Tarbiat Modares University that its non-athlete population was 6032 and its athlete population was 298. 680 non-athlete students and 204 athlete students were selected as Morgan’s table. The instrument of this study was included General Health Questionnaire (GHQ-28). The collected data were analyzed by Kruskal Wallis Test and Mann-Whitney U test. Findings: The results showed that there was a significant difference between male and female athlete students and between female athlete and non-athlete students in social dysfunction subscale, so that female athlete students’ social function had a better position in both groups. On the other hand, the difference between non-athlete female and male students was not significant in any of the subscales, but the difference between male athlete and non-athlete students was significant in all subscale of mental health. Other results of this study showed that there was a significant difference between married and single students’ mental health (p &lt;0.05), so that married students had higher mental health than single students in somatic symptoms, social dysfunction, and depression subscales. Conclusion: Therefore, the increasing of motivation should be considered through the culture building and the promotion of general knowledge about the benefits of physical activity.