Emotional Recovery Research Articles

Effect of continuous esketamine infusion on brain white matter microstructure in patients with major depression: A diffusion tensor imaging study

IntroductionEsketamine has demonstrated acute antidepressant effects in patients with major depressive disorder (MDD). This study investigated whether these effects associate with reversible white matter fiber integrity recovery using diffusion imaging. MethodTwenty patients with MDD and 20 healthy controls received 2-week esketamine treatment. Patients received 0.25 mg/kg intravenous esketamine. Emotional and cognitive recovery were assessed. Diffusion tensor imaging and tract-based spatial statistics evaluated white matter fiber integrity pre/post-treatment. Correlation analyses examined associations between white matter changes and clinical scales. ResultsCompared to controls, patients with MDD exhibited decreased fractional anisotropy (FA) values of cerebral white matter fibers involving the association fibers, the commissural fibers and projection fibers. Esketamine effectively reduced depression, anxiety, and suicidal ideation scores while improving cognitive function. However, no reversible recovery of compromised white matter integrity was observed after 2 weeks of esketamine treatment. FA reductions in projection fibers correlated with anxiety and suicidal ideation severity. LimitationsConcurrent sertraline use and lack of placebo control limited our ability to isolate esketamine's effects. The wide age range may have introduced response variability. We used minimal effective dosages based on previous research. The small sample size limited statistical power. Larger, more controlled studies are needed to validate these preliminary findings. DiscussionThis study enhances MDD neuropathological understanding, with widespread white matter impairment and associations between projection fibers and symptom severity. While producing significant antidepressant effects, short-term esketamine did not recover compromised white matter microstructure.

How Public Urban Space Enhance Restoration Benefits Through Combined Multisensory Effects: A Systematic Review

Rapid urbanization has heightened attention fatigue and physiological stress among urban residents. However, high-density urban construction, mainly covered by streets, squares/plazas, and buildings, in particular, poses a challenge to traditional restoration dominated by green infrasturcture. This research aims to conduct a systematic review of the available body of knowledge regarding the relationship between public urban spaces and restorativeness based on combined multisensory effects. First, a conceptual framework was proposed to connect spatial properties of public realms, sensorial mechanisms, and restoration benefits. As a result, detailed spatial elements and organization affecting multiple sensory modalities combined via additive, antagonistic, and synergistic effects were extracted, which essentially act on urban restoration, including attention, stress, and emotional recovery. Last, but not least, compared with previous research, restoration design strategies of public urban spaces accelerating multisensory integration were drawn to contribute new insights for future high-density urban development.

The Gyoza Era and Memories of Manchuria: Post-Imperialism in Japan After World War II

ABSTRACT References to gyoza appear in Japanese literature from the late seventeenth century, with Shimazu Shigehide, lord of the Satsuma domain, recognized as the first recorded person to have consumed gyoza in Japan. The term “gyoza,” pronounced differently from modern Chinese, is believed to have originated from the Japanese who encountered the Shandong Province dialect, prevalent among immigrants in Manchuria, namely, Northeast China. After World War II, gyoza not only invoked nostalgia among repatriates, aiding in emotional recovery from wartime defeat, but also gained widespread popularity as an economical, flavorful, and nutritious dish. However, individual memories of gyoza varied significantly based on the perspectives of the former Japanese Empire’s influence in Manchuria and China’s decolonization under the Communist regime. Many long-established gyoza establishments that are still operational have connections with repatriates from Manchuria. The association with Manchuria was prominently emphasized when gyoza was utilized for town revitalization.

Psychosocial Disorders and Escapism in Nigerian Poetry: A Study of Lara Owoeye’s Time to Sing and Other Poems

Nigerian poetry has consistently responded to issues affecting the country and the people since the pioneer stage to contemporary time. In this instance, the burden of societal failings has propelled the level of social commitment and ideological postures identified in the poetry. However, recent experiences in the socio-political and economic landscape of the Nigerian society seems to have shaped the mentation and emotional condition of contemporary Nigerian poets in a way that calls for a psychological approach to the study of the poets’ creative nuances. Therefore, adopting a descriptive research method and employing relevant psychoanalytic theoretical framework, the study explores how Lara Owoeye's collection, Time to Sing and Other Poems, represents psychosocial disorders and escapism. Through a close reading of the selected poems from the collection, it is discovered that Owoeye employs the resources of language and music like imagery, metaphor, parody, allusion, enjambment, rhyme, tone and other literary devices vis-à-vis the motif of a distressed singer to convey her psychosocial condition. The study also shows that the psychosocial disorders represented in the collection are triggered by memories of bad leadership and harsh socio-economic conditions. In this instance, the poet finds an escape into the world of imagination and emotional recovery through poetic expression. This way, Owoeye's poetry does not only reflect the cultural, historical, and social contexts of the Nigerian society but also offers an understanding of the complex interplay between psychosocial disorders and poetry as an escape mechanism.

Bouncing back from emotional ups and downs: insights in emotional recovery using survival analyses of burst ESM data.

Many experience sampling (ESM) studies suggested that high resilience is reflected by quickly recovering one's emotional baseline. However, former studies relied on coarse data and did not look into differential recovery from emotional ups and downs. This preregistered proof-of-concept study therefore used high-resolution data collected in 2022 to compute emotional recovery after high levels of positive versus negative emotions. Adults (N = 68) participated in a three-week ESM study with eight assessments per day, complemented by short-spaced burst assessments. Resilience was assessed at baseline (trait-level; TR) and daily (day-level; DR). Multilevel survival analyses showed that high DR predicted faster returns from negative emotions, but also delayed returns following positive emotions (exp(β) = 1.32, p = 0.006). Instead, TR did not relate to emotional recovery (exp(β) = 0.85, p = 0.067). These findings were generally robust across different sensitivity analyses. This illustrates how innovative ESM designs combined with time-to-event analyses may further our insight in emotional recovery and the timescale at which it unfolds.

Augmenting clinical communications between doctors and patient families through short text message updates – A Singapore healthcare experience

Families play an integral role in the physical and emotional recovery of patients. Studies have shown the significant impact that family plays in the overall quality of care and patient experience. Effective communication between patients’ families and doctors is therefore a critical component of healthcare. Most healthcare institutions rely on a longstanding system of phone calls as the primary means of communication with families. However, this is often fraught with difficulties leading to insufficient updates, miscommunication, and grievances. This study aims to identify the shortcomings of current system of updating families and to test the feasibility of using one-way short text messages to augment clinical communication between families and doctors. The study was performed in two phases. The first phase was a survey of patients’ families and doctors to identify issues with current method of phone updates and obtain information about their perceptions and receptiveness towards text messages as a mode for patient's family updates. The second phase was a pilot trial using short text messages to update patients’ families. The survey showed that 69% of doctors felt that current methods of updating families were too time consuming while 60% of patients’ families felt they were not adequately updated by the medical team. Majority of doctors and family members surveyed were receptive to the use of one-way text updates to augment communication (84% and 91% respectively). The pilot trial showed an increase in the percentage of families that were updated at a frequency of a minimum of twice a week, from 55.6% to 80% of families. Family members reported that this allowed them to receive increased frequency of updates and gained a better understanding of their family member. We conclude that one-way short text messages is a promising and feasible way to augment the current system of updating families, and to improve overall quality of care.

한국 영어 학습자들의 영어 학습 회복탄력성: 설명적 혼합연구법을 중심으로

Objectives This study aims to investigate the characteristics of English learning resilience among Korean learners by using explanatory sequential mixed methods. Methods To this end, in the first stage, a five-point Likert scale questionnaire of four constructs (social support, satisfaction, persistence, and emotional regulation) measuring English learning resilience was administered to 180 students at a university in Seoul. In the second stage, reflective essays about their English learning at each school level were collected from 52 students at a university in Seoul. The average and standard deviation for each question were calculated from the questionnaire, and episodes related to each construct were analyzed through repeated reading. Results The analysis on the questionnaire showed the scores for ‘satisfaction’ and ‘persistence’ were high among the four constructs. Qualitative analysis revealed that teachers' support and emotional control were found across the school levels. However, emotional recovery strategies and strategic flexibility appeared with higher frequency as the school level advances. Conclusions This suggests that interventions to promote English learning resilience reflecting the characteristics of the school level are needed to help learners overcome the challenges in learning English.

Gambaran Self-Compassion pada Wanita yang Pernah Mengalami Dating Violence: Sebuah Pendekatan Fenomenologi

Dating violence is a form of abuse in a relationship that can have harmful physical and psychological impacts on one partner. Gender inequality due to patriarchal culture, along with the sense of attachment that often develops in women, makes them more vulnerable to becoming victims of dating violence. Self-compassion, which focuses on being kind to yourself and accepting pain as part of the human experience, can be used as a mechanism to help people cope with the traumatic experiences caused by dating violence. This study aims to describe self-compassion in women who have experienced dating violence using a qualitative method and a phenomenological approach. Data were collected through in-depth interviews, and purposive sampling was used to select 5 female participants, all of whom were college students who had experienced dating violence. Data analysis was carried out using a coding technique to identify the main themes related to the participants' self-compassion after experiencing dating violence. The findings showed that 2 out of 5 participants exhibited positive self-compassion. This was shown in their ability to recover after experiencing dating violence, where they could show care and concern for themselves during the difficult post-breakup phase while also giving themselves the necessary positive affirmations. Furthermore, the participants initiated productive activities to improve their self-worth and confidence. This positive self-compassion played an important role in facilitating the psychological and emotional recovery from the inner wounds caused by the abusive relationship.

Research on the restorative effects and perception of privacy driven activities in Chinese classical gardens-Case studies of three Suzhou gardens.

The need for privacy, recognized as a fundamental psychological requirement, has garnered increasing attention as researchers explore the restorative effects of privacy driven activities (PDA). This study employs quantitative experiments and analyses to assess the restorative benefits of PDA within three classical Chinese gardens, demonstrating their superiority over conventional leisure activities in promoting emotional recovery, reducing stress, and restoring attention. The experiment quantifies the restorative effects of PDA versus standard leisure activities using a classic restorative scale and physiological indicators reflecting emotional relief. Regression analyses then identify five key factors influencing the occurrence of PDA, derived from preferred locations and behavioral tendencies observed in the three gardens. Further analyses reveal significant differences in the impacts of these five environmental feature dimensions on the evaluation indicators of "preference for privacy-oriented activities" and "restorative effects". Among these dimensions, "spatial scale and accessibility" has the greatest impact on the "preference for privacy-oriented environments", while "spatial atmosphere" and "activity facilities" have the most significant impact on "restorative effects". The findings suggest that behavioral activities mediate the relationship between environmental factors and restorative effects, highlighting the potential of PDA as a mediating variable for a comprehensive investigation into the pathways and mechanisms influencing restorative environments in research and design.

Creating restorative corridors - Perceptual and physiological feedback of children on the audiovisual environment in primary school corridors

The corridor space of the primary school campus is frequently used for recess and relaxation by the students, which brings stress and emotional recovery from the intense academic work. How to integrate natural restorative environment into the corridor has attracted academic and practical attention. Based on Kaplan's theory of Restorative Environment, this study combined subjective evaluation with physiological feedback to explore the primary school children's perception and evaluation of corridor space, and proposed the effects of different audio-visual indicators. Based on a questionnaire survey of children's activities and restoration in two schools, the paper found the association between perceived restoration and high interaction behavior in the corridor, including floriculture and interacting with hands-on devices. The richness of amenities and colors in the corridor space had the highest correlation with children's restorative ratings, followed by interface openness and sky visibility. Natural soundscapes also had a strong correlation with children's auditory restorability. Subsequent virtual audition experiments validated above findings, suggesting the benefits of increased greenery, sky and natural sounds in reducing children's stress.

Cultural Practices as a Tool for the Tourist Destination Development

The aim of the article is to analyse the functional peculiarities of cultural practices under the conditions of transforming tourist destinations in Ukraine. Results. On the basis of the conducted analysis, it is proved that the preservation of the uniqueness and attractiveness of tourist destinations depend on effective management and strategic priorities. It allows preserving the integrity of the cultural and tourist space with qualitatively new and attractive cultural practices. It is revealed that the tourist destination formation is one of the main tasks in the system of cultural policy development of modern states. The study analyses the role of tourist destinations as custodians of cultural heritage at all levels, such as global, glocal and local. It is established that such destinations form a unique cultural space for the entire country. They act as cultural receptacles and centres of cultural life that attract both local residents and tourists from other countries. It is noted that the symbiosis of cultural and tourist practices allows to form a national image with its unique cultural potential. The scientific novelty of the study consists in the theoretical understanding and determining the practical role and significance of cultural practices in the process of transforming tourist destinations. Conclusions. Ukrainian reality and world practices testify to active cultural transformations of tourist destinations. As custodians of cultural heritage, tourist destinations form the cultural space of the entire country. They are a concentration of cultures, a centre of cultural life of the state’s citizens, and a centre of tourism for representatives of other countries. An important tool for the qualitative transformation of the tourist destination functionality are cultural practices that are able to provide emotional recovery, establish rational communication and dialogue between all participants in the cultural process. As a cultural practice, intercultural dialogue is the most important value in solving the global problems of nowadays. The formation and development of a cultural landscape with unique cultural practices are the most important factors for preserving and restoring tourist destinations together with their values, which depend on national identity.

Well-Being Outcomes of Health Care Workers After a 5-Hour Continuing Education Intervention

Compromised well-being in health care workers (HCWs) is detrimental to the workforce, organizations, and patients. To test the effectiveness of Well-Being Essentials for Learning Life-Balance (WELL-B), a web-based continuing education program to deliver brief, evidence-based, reflective, psychological interventions to improve 4 dimensions of HCW well-being (ie, emotional exhaustion, emotional thriving, emotional recovery, and work-life integration). A randomized clinical trial (RCT) of US inpatient and outpatient HCWs randomized 1:1 was conducted from January 3 through May 31, 2023, using a web-based intervention. Cohort 1 received 5 hours of WELL-B over 8 days; cohort 2 acted as the control group and received WELL-B after the end of the RCT. Eligibility criteria were US HCWs aged 18 years or older, including clinical (physician, nurse, and respiratory therapist) and nonclinical (administrative, information technology, and finance) roles. Continuing education sessions exposed participants to positive psychology interventions (gratitude letter, work-life integration, self-compassion and cultivating awe). The primary outcome was emotional exhaustion on day 8; secondary outcomes included emotional thriving, emotional recovery, and work-life integration. All outcomes were measured using psychometrically valid scales previously reported in well-being RCTs and were assessed on days 1 and 8 (primary end point). Differences in outcome measures between the WELL-B intervention group and controls were assessed using t tests. Baseline-adjusted multiple linear regression models were evaluated to examine the association between the WELL-B intervention and the outcome measures after adjusting for additional covariates (sex, race and ethnicity, age, HCW role, and discipline). Intention-to-treat analysis was performed. The cohorts were similar at baseline, mostly female (528 [89%]) and nurses (177 [30%]). A total of 643 respondents participated in the study. In cohort 1, 331 participants initiated WELL-B, and 262 (71%) completed the day 8 follow-up; in cohort 2, 312 participants initiated WELL-B and 291 (77%) completed the day 8 follow-up. Compared with the control cohort, WELL-B significantly improved emotional exhaustion (estimate: -9.0; 95% CI, -13.1 to -4.9; P < .001), emotional thriving (estimate: 6.6; 95% CI, 3.2-10.0; P < .001), emotional recovery (estimate: 5.5; 95% CI, 2.0-9.0; P = .002), and work-life integration (estimate: -5.0; 95% CI, -8.2 to -1.9; P = .002). After adjusting for baseline outcome measures, sex, race and ethnicity, age, HCW role, and discipline, the linear regression model showed WELL-B improved day 8 emotional exhaustion (estimate: -9.6; 95% CI, -12.5 to -6.6; P < .001) compared with the control group. Favorable impressions of WELL-B were reported by more than 90% of the participants. In this RCT, brief well-being activities delivered during continuing education sessions improved short-term HCW emotional exhaustion, emotional thriving, emotional recovery, and work-life integration, with and without adjusting for covariates. Health care worker impressions of WELL-B were positive. These findings suggest that WELL-B is a beneficial intervention. ClinicalTrials.gov Identifier: NCT05636072.

The 70 years since the discovery of rapid eye movement sleep: history, electroencephalographic features and unsolved issues.

This article aims at providing a comprehensive review of the historical discovery and following research on rapid eye movement (REM) sleep, highlighting its manifold nature as a behavioural, electrophysiological and dreaming state. Pioneering works conducted by Aserinsky, Kleitman, Dement and Jouvet established the foundational understanding of REM sleep recurrence, brainstem mechanisms, and the paradoxical coexistence of electroencephalographic activation and muscle atonia. We focus on REM sleep homeostasis, emphasising its role in emotional recovery and the consequences of REM deprivation, such as the REM rebound effect. We also analyse the periodicity of REM sleep, its ultradian rhythm, and the physiological mechanisms underlying its regulation. Additionally, the article discusses the entangled relationship between arousals, sleep, and consciousness, pointing out the distinction between non-REM and REM sleep-related arousals, and the similarities between REM sleep and wakefulness.

I can feel my heartbeat: The relationship between interoceptive abilities and emotional states during stress and recovery in healthy adolescents.

The goal of the current study was to investigate the differential effects of three interoception dimensions on psychophysiological stress responses (reactivity and recovery) in adolescents. A total of 102 adolescents (Mage = 14.10 years, SDage = 0.63; 50 males) completed the heartbeat counting task with adapted instructions to assess interoceptive accuracy, sensibility, and awareness. During a follow-up session, participants underwent a standardized stressful task, throughout which measures of negative affect and respiratory sinus arrythmia (RSA) were collected. Results from multilevel models indicated that adolescents with higher interoceptive accuracy reported less pronounced increases in negative affect during stress induction, and subsequently experienced a less steep decrease in negative affect during recovery, compared to those with lower accuracy. Regarding RSA, adolescents with higher interoceptive accuracy exhibited greater decreases in RSA from baseline to stress, while those with higher interoceptive awareness maintained higher RSA levels throughout the experiment. In contrast, individuals with higher interoceptive sensibility exhibited lower levels of RSA during the experiment. These findings add to the limited literature on interoception in adolescents by illuminating its role in emotional experiences, stress responses, and recovery processes. Our study suggests that examining distinct dimensions of interoception, along with physiological measures during stress and recovery, is crucial for understanding its beneficial or adverse effects in adolescence. The complexity and potential significance of interoceptive dimensions extend beyond their correlations with traditional self-report measures, warranting further investigation to clarify their implications and underlying mechanisms.

Building Social Support and Moral Healing on Nursing Units: Design and Implementation of a Culture Change Intervention.

The healthcare industry continues to experience high rates of burnout, turnover, and staffing shortages that erode quality care. Interventions that are feasible, engaging, and impactful are needed to improve cultures of support and mitigate harm from exposure to morally injurious events. This quality improvement project encompassed the methodical building, implementation, and testing of RECONN (Reflection and Connection), an organizational intervention designed by an interdisciplinary team to mitigate the impact of moral injury and to increase social support among nurses. This quality improvement project was conducted in a medical intensive care unit (MICU) in a rural, academic medical center. We employed an Evidence-Based Quality Improvement (EBQI) approach to design and implement the RECONN intervention while assessing the feasibility, acceptability, and preliminary effectiveness via surveys (n = 17). RECONN was found acceptable and appropriate by 70% of nurses who responded to surveys. Preliminary effectiveness data showed small to moderate effect sizes for improving social support, moral injury, loneliness, and emotional recovery. Further evaluation is warranted to establish the effectiveness and generalizability of RECONN to other healthcare settings.

SP9.6 - Introduction of a Dedicated Motivational Movement Rehabilitation Service to Reduce Length of Stay in Emergency Laparotomy Patients

Abstract Aim Emergency laparotomy patients represent a high-risk group with the need for both physical and emotional recovery post operatively. National audit data demonstrated our institution has a longer length of stay than other health boards. The need to proactively support postoperative mobilisation within this patient group was identified and funding achieved for a period of one year to employ two heath care support workers to provide a dedicated motivational movement service with the aim to reduce overall length of stay (LOS). Method Feedback was sought from staff and patients to inform the roles. The team provide daily individual patient centred movement goals with 1:1 movement support, gain an understanding of 'what matters to you' for every patient and bring positivity, encouragement and enthusiasm to recovery by providing daily motivation and wellbeing support. Results First quarter data since implementation, from March to May 2023, demonstrated a reduction in average and median LOS by 9.5 days and 5.8 days respectively compared to same quarter data from 2022. This was reproduced for the second quarter with average LOS reducing by 9.0 days and median LOS by 6.2 days compared to previous year. 95% of patients were asked ‘What matters to you?’. Feedback from patients and staff about this service has been overwhelmingly positive. Conclusion The introduction of a dedicated 7-day motivational movement service has reliably reduced LOS in this patient group for the first two quarters since implementation. The service has received universally positive feedback indicating the increased quality of recovery felt by patients.

INTERPRETING THE CONDITIONS OF BULLYING IN PHOTOBOOK ENTITLED “BULLY”

This study aims to interpret the conditions of bullying as depicted in the photobook "Bully", exploring the symbolic and aesthetic elements used to represent the psychological and emotional dimensions of bullying. Utilizing a qualitative, interpretative approach, the research employs visual analysis and symbolic interpretation to uncover the deeper meanings conveyed through the photobook's imagery. The analysis focuses on how visual elements such as lighting, composition, and perspective reflect the dynamics of power, fear, isolation, and resilience within the context of bullying. The study is grounded in the Social-Ecological Model and Cognitive-Behavioral Theory, which provide frameworks for understanding the multifaceted nature of bullying and the cognitive distortions experienced by both victims and perpetrators. Results reveal that shadows in the images symbolize the psychological distress and cognitive distortions faced by victims and bullies, while light represents hope, resilience, and the potential for cognitive and emotional recovery. The photobook effectively captures the complex interplay between individual experiences and social influences, illustrating how both victims and bullies are affected by and respond to their environments. The findings underscore the importance of addressing both psychological and social factors in bullying interventions and highlight the photobook's role as a powerful medium for visualizing and understanding these dynamics.

Depression, anxiety and coping strategies among Palestinian university students during political violence: a cross sectional study.

There are numerous wars and ongoing political violence in Palestine and little is known about how they have affected Palestinian undergraduate students' mental health and coping strategies. This study aimed to assess the prevalence of depression, and anxiety symptoms and coping mechanisms among Palestinian university students during the times of current political violence in Palestine after October 7, 2023. A cross-sectional descriptive study design was utilized for a sample of students from 3 universities in Palestine (Al Quds University, Hebron University, and An-Najah University) and 1815 participants responded. Data were collected using self-reported questionnaires, including Hospital Anxiety and Depression Scale (HADS) and Brief COPE scale. Person correlation test, chi-square test, and bivariate analysis were performed to examine the associations between research variables. The estimated prevalence of depression was 65.9, and 60.9% for anxiety. The logistic regression showed that students from the Arts Faculty, females, and those with working parents were significantly more likely to experience depression and anxiety symptoms. Also, active coping, emotional support, and humor reduced the likelihood of experiencing depression symptoms, while active coping, positive reframing, humor, and acceptance decreased the likelihood of developing anxiety symptoms. Further, the study found that using religion, self-blame, denial, and behavioral disengagement increased the likelihood of depression symptoms while planning, venting, religion, self-blame, denial, and behavioral disengagement increased the likelihood of anxiety symptoms. The study found that political violence often leads to symptoms of depression and anxiety among undergraduates. Furthermore, the use of maladaptive coping mechanisms increases the likelihood that these symptoms will occur. Providing immediate assistance to university students affected by political violence and conflicts is crucial for their emotional and mental recovery and coping with difficulties.

Pain Interference Prior to and 1 Year After Surgery for Adult Traumatic Brachial Plexus Injury

Pain after brachial plexus injury (BPI) can be severely debilitating and is poorly understood. We hypothesized that pain interference (PI) ("the extent to which pain hinders engagement in life") would be predicted by depression, anxiety, severity of pain symptoms, and poorer preoperative muscle function. Among patients in a prospective multicenter BPI cohort study, 37 completed Patient-Reported Outcomes Measurement Information System (PROMIS) PI questionnaires before and 1 year after surgery. At both times, participants completed anxiety and depression questionnaires and BPI-specific measures of pain symptoms, physical limitations, and emotional recovery. Surgeon-graded muscle testing, injury severity, age at the time of injury, body mass index, and time from injury to surgery were included. We performed a bivariate analysis of predictors for preoperative and 1-year PROMIS PI followed by multivariable regression modeling using stepwise selection and Bayesian Information Criterion to select covariates. Before surgery, the mean PROMIS PI score was 60.8 ± 11.0, with moderate correlations between PROMIS PI and depression, as well as between PROMIS PI and functional limitations. At 1 year after surgery, the mean PROMIS PI score was 59.7 ± 9.5. There was no difference in preoperative and 1-year PROMIS PI. There were strong correlations between PROMIS PI and pain symptoms, functional limitations, and emotional aspects of recovery at the 1-year follow-up that remained significant in multivariable regression. There were no notable associations between muscle testing and PI. Pain interference remained substantial and elevated in BPI patients 1 year after surgery. We noted strong associations between PI and pain symptoms, functional limitations, and emotional aspects of recovery. These findings demonstrate the persistence of pain as a feature throughout life after BPI and that its treatment should be considered a priority alongside efforts to improve extremity function. Prognosis IV.

Experiences and needs of Chinese women after a stillbirth: a qualitative phenomenological study

ObjectivesWe aimed to explore the lived experiences and needs of women after a recent stillbirth event.DesignQualitative phenomenological study.SettingThe current study was conducted in a tertiary obstetric hospital in East China...