Decoding workplace mental health: Automatic clustering of the Spanish workforce.

This study aimed to reveal the views of social studies teachers and prospective social studies teachers in Turkey regarding their speaking anxiety. The research utilized a phenomenological design, a qualitative research method. The study group consisted of 10 social studies teachers and 20 prospective social studies teachers from Turkey. Criterion sampling, a type of purposeful sampling, was used to select the study group, and participants were chosen from among social studies teachers and prospective teachers who reported experiencing speaking anxiety based on their own statements. A semi-structured interview form consisting of open-ended questions was used as the data collection tool. The data obtained from the semi- structured interview form were subjected to content analysis. The results showed that social studies teachers focused on difficulty in self-expression and fear of not being able to express themselves, while prospective social studies teachers experienced anxiety in terms of stress, tension, and feelings of inadequacy. Furthermore, both teachers and prospective teachers exhibited behavioral and affective responses such as speech impairment, tension, worry, and feeling under pressure when experiencing anxiety. The study revealed that anxiety leads to difficulties in self-expression, and preparation for the topic emerged as an effective coping mechanism. Based on the findings, it is recommended that practical courses on communication and oral expression skills be included in teacher training programs; that psycho-educational interventions be implemented to address the affective dimension of speech anxiety; and that practices be developed to strengthen prospective teachers’ self-efficacy, and systematically impart planned speaking and topic preparation skills. Future research should examine speech anxiety using mixed-methods, including variables such as gender, length of professional experience, class level, and personality traits.

Objective: This paper presents rich and in-depth insights emerging from “Wading through the Weeds” (WttW), a participatory arts-based research study that used the Photovoice method to centre the lived experience of 23 mothers throughout Canada who consumed cannabis during pregnancy, lactation and motherhood. Method: Specifically, this paper examines and elucidates the ways that the mothers in our study used cannabis to address mental health challenges during the perinatal period and beyond. Results: A significant theme emerging from our research findings was the connection between the mothers’ decision to consume cannabis to cope with and/or overcome mental health challenges and a strong belief that cannabis supported them with their perinatal and maternal health and well-being. This included multiple stressors such as financial and interpersonal concerns, experiences of anxiety and depression, histories of addiction, trauma, and abuse, and managing of symptoms associated with Post Traumatic Stress Disorder (PTSD) that impacted their everyday lives. Conclusions: Our inquiry suggests that there is a dire need for public health decision-makers, clinicians, and social workers to understand and respond to the historical context, current realities, and intersecting identities of pregnant, lactating and parenting people who consume cannabis. Responses that run counter to the current context, where stigma and fear prevent parents from accessing cannabis information and support, have the potential to more effectively support the mental health and wellbeing of these parents during the perinatal period.

Handling and prevention of incest cases in Bengkulu Province to date. This is still done in a partial and limited way, based on limited data, so that interventions provided have not yet addressed the root problem comprehensively. The absence of complete profiles of victims and perpetrators causes service mentoring to be sectoral in nature, for example, only focusing on economic aspects, without considering the psychosocial and communication factors in the family. Research This aim is to describe the incest victim profile in a demographic way, as well as analyze the behavior, communication, and patterns of victim communication, both intrapersonal, interpersonal, and family communication, as a basis for better prevention and recovery strategies. Research uses a qualitative descriptive approach with data collection techniques through observation, in-depth interviews, discussion groups, focused group discussions (FGD), and study documentation. The informant was determined by purposive sampling. Data analysis was carried out using the Miles and Huberman model, which includes data collection, data reduction, data presentation, and withdrawal conclusion. Research results show that all victims of incest are women of various sexes, ranging in age from 6 to 15 years, originating from families that were pre-prosperous and experiencing family disintegration. Perpetrator is a member of the nuclear family and relatives close to the age of 26–54 years. Victims face social stigma, bullying, and discrimination post-event. Psychologically, the victim experiences deep trauma, anxiety, withdrawal, self-Concept, and negative Concept. From the aspect of communication, found disturbance in intrapersonal communication, barriers in interpersonal communication, as well as patterns of communication in closed and dysfunctional families. Findings. This confirms that incest is a complex phenomenon that requires an intervention-based approach to victim profiles and improved patterns of communication within families in a holistic way.

Introduction: A thesis is a graduation requirement for students, which can lead to feelings of anxiety. Approximately 80% of students working on their thesis experience anxiety. The various obstacles encountered during the thesis process create stress, leading to increased anxiety among students. The anxiety experienced by final-year students impacts their level of self-efficacy. Objectives: This study aims to determine the relationship between self-efficacy and levels of anxiety among students working on their thesis at Institut Kesehatan Immanuel. Methods: This research employs a quantitative descriptive correlational approach with a cross-sectional design. The sample was selected using probability sampling techniques, involving 120 respondents. The measurement tools used were the General Self-Efficacy Scale (GSES) and the Zung Self-Rating Anxiety Scale (ZSAS) Results: The results indicated that 59% of students had high self-efficacy, while 61% experienced moderate anxiety. The correlation between self-efficacy and anxiety levels was analyzed using Spearman's correlation test, with a significance value of 0.000 (p<a) and a correlation coefficient of -0.606, indicating a strong negative relationship. This identifies that lower anxiety is associated with higher self-efficacy. Discussion: This research could serve as input for institutions, especially department heads, to develop self-development programs that can be incorporated into each course, and to provide counseling guidance to reduce the anxiety levels of students working on their theses.

Prevalence of Anxiety and Depression in Women with Mayer-Rokitansky-Kϋster-Hauser (MRKH) Syndrome in Malaysia.

A dataset on adolescent mental health in Kenya.

This study explores a collaborative co-design process undertaken with people with lived experience expertise (PLEE), to develop a survey investigating experiences of social media and anxiety. The research is the first step in a larger project across five countries (Australia, the United Kingdom, India, Canada and Singapore) that will seek to validate whether passive smartphone analytics and codesigned ethical protocols can underpin a scalable culturally inclusive AI chatbot that detects and mitigates anxiety based on smartphone use. Through three iterative co-design workshops, conducted in Australia, facilitated by and involving people with lived experience of mental health conditions, insights were gathered on psychological, social, and structural mechanisms by which social-media use influences anxiety. Co-design workshop members strongly challenged the research team within five important themes: (1) reframing risk and safety that involved 'calling out' disempowering and discriminatory language inherent in survey processes and existing validated measures; (2) social media as both harm and Haven that emphasised social media as both a source of anxiety and a lifeline for connection for this population; (3) designing for inclusion, accessibility, and safety to ensure survey usability and psychological safety for future participants; (4) transparency, power, and representation to ensure lived experience involvement meant shared ownership, avoided tokenism, included First Nations leadership; and (5) broadening the lens - cultural, physical, and socio-economic factors involved urging a holistic view of the person and a systems view of anxiety and technology. By involving people with mental health lived experience expertise in the design process, this study was able to co-create recommendations to strengthen the project's survey design, ethical framework, and implementation plan. The co-design approach ensured the social media and anxiety survey met the specific needs of the target group and was trauma-informed, promoting trust, engagement and feasibility. Future research will aim to focus on gathering insights from similar lived experience co-design workshops in the United Kingdom, India, Canada and Singapore to refine the AI Chatbot prototype and evaluating its effectiveness in a broader study. This study underscores the crucial role of mental health lived experience expertise in research that seeks to test digital solutions for people who experience anxiety exacerbated by social media use. People with lived experience of a mental health condition contributed throughout the design, analysis and write-up of this work as members of a Lived Experience Advisory Panel (LEAP) which met over a series of co-design sessions. The co-design was led by a mental health lived experience researcher who was also a key member of the research team for the larger project. They led the reflexive thematic analysis, and writing and reviewing of the manuscript, in partnership with the co-design group members and the wider research team. Whilst some members of the academic research team identified as having mental health lived experience, they did not undertake their research roles from this perspective.

Mood disorders are common among patients with end-stage renal disease (ESRD) undergoing dialysis, with anxiety and depressive disorders being the most prevalent. The association of anxiety symptoms with sociodemographic and dialysis-related factors is less well understood in dialysis patients. The level of anxiety experienced during individual peritoneal dialysis (PD) remains unclear. This study examined the frequency and severity of anxiety and the association of anxiety symptoms with selected demographic and dialysis-related variables in patients receiving peritoneal dialysis in Isfahan, Iran. A cross-sectional study was conducted on 85 PD patients referred to Al-Zahra and Khorshid centers between October 2022 and April 2023, who had been undergoing PD for at least 3months. Patients completed the Beck Anxiety Inventory questionnaire, which assessed the presence and severity of anxiety symptoms. The overall mean anxiety score was 10.65±10.04. Minimal anxiety was reported by 50.6% of participants, 25.9% experienced mild anxiety, 14.1% had moderate anxiety, and 9.4% reported severe anxiety. No significant associations were found between anxiety and demographic or PD-related factors (p>0.05). According to this study, 50.6% of our participants reported minimal anxiety, and 49.4% had mild to severe anxiety. Early diagnosis and management of mood disorders in ESRD patients are crucial to improve their quality of life and prevent adverse outcomes. These findings underscore the need to plan and implement screening programs for mood disorders among high-risk chronic kidney disease patients to ensure timely and appropriate management.

Unique associations between different motivations to play video games and anxiety: Evidence from network analysis.

This study investigates the impact of a 10-week Arts on Prescription (AoP) program in Denmark designed for young adults aged 18-30 who were disengaged from education and unemployed. Eighteen participants took part in four semi-structured focus group interviews, and four completed a survey; most reported experiences of anxiety, depression, and stress, with some describing chronic pain, ADHD, or autism. Thematic analysis identified three interrelated themes: catalyst for change, social aspects, and program content and structure. Participants described enhanced confidence, improved mood, strengthened daily routines, and greater readiness to pursue education or employment. Social engagement reduced isolation and supported identity development. At the same time, challenges were noted regarding organizational consistency, perceived safety in certain activities, limited time for relationship-building, and gaps in referral and follow-up. The findings indicate that AoP programs can support wellbeing and transitional processes when accompanied by careful design, safeguarding, system integration, and sustained support.

The research method employed a quasi-experimental design with a one-group pretest-posttest approach. The research population consisted of 70 premenopausal women aged 40-49 years, with samples collected using accidental sampling based on inclusion criteria. Data were gathered through demographic questionnaires, premenopausal knowledge assessments, and anxiety level measurements using the Hamilton Anxiety Rating Scale (HARS) before and after the counseling intervention. Data analysis was conducted using univariate and bivariate analysis with the Chi-Square test. Results from 34 respondents showed that most respondents had insufficient knowledge (67.6%) and nearly half experienced severe anxiety (47.1%). Bivariate analysis showed a significant correlation between knowledge levels and anxiety (p=0.011). Counseling using flipchart media was effective in increasing knowledge (p=0.013). In conclusion, there is a significant correlation between knowledge and anxiety levels among premenopausal women, and premenopausal reproductive health counseling flipcharts are effective in increasing knowledge and reducing the levels of anxiety experienced during this transition period.

Nearly 1 in 3 cancer patients undergoing radiotherapy experience anxiety, which can negatively affect both quality of life and prognosis. This systematic review aimed to synthesize evidence on patient education and its impact on anxiety levels among cancer patients undergoing radiotherapy. We conducted a systematic review of the current literature using 3 scientific databases-PubMed, EBSCOhost, and Web of Science-to identify intervention studies. Data were analyzed using a narrative synthesis approach, integrating findings across studies to draw comprehensive conclusions. Fifteen studies involving 1988 participants were included. Baseline anxiety levels, measured using various instruments, ranged from 2.9% to 88.2% before radiotherapy and declined thereafter in both intervention and control groups. Most studies reported no significant difference in anxiety reduction between intervention groups receiving educational programs and control groups receiving standard education. However, interventions that were more intensive and delivered by professional staff were more likely to produce statistically significant reductions in anxiety. This review suggests that patient education remains relevant for reducing anxiety among cancer patients undergoing radiotherapy. Routine screening for anxiety prior to radiotherapy is recommended, along with the development of more intensive and tailored educational interventions rather than passive or minimal approaches.

The purpose of this study is to analyze the concept of “Zen-oriented understanding” presented in Henry David Thoreau’s Walden and to derive its philosophical and educational implications for contemporary society and education. The study examines key themes in Walden, including the critique of material civilization, harmony with nature, and the practice of a simple life, and compares these themes with the ideas of Buddhist Zen thought and the Taoist concept of wu-wei (non-action in accordance with nature). The findings indicate that Thoreau’s emphasis on voluntary poverty, a life centered on the present moment, and the recognition of the interdependence between humans and nature closely corresponds to the essential elements of ethical understanding, namely self-awareness, relationships with others, and harmony with nature. Furthermore, Thoreau criticizes the subordination of human life to material values in the context of industrialization and capitalism and highlights the need to restore the essential value of human existence through simplicity and spiritual reflection. These ideas suggest alternative directions for addressing modern experiences of alienation, psychological anxiety, and ecological crises, while emphasizing the importance of educational approaches that foster ecological awareness, personal growth, and communal responsibility. Therefore, Walden should be understood not merely as a literary work but as a philosophical and educational text that offers significant insights into inner healing, ecological sensitivity, and transformative educational practice.

The university students increasingly face mental health challenges that may affect their academic functioning, emotional well-being & social adjustment. The current study examined the role of openness to experience in relation to reassurance seeking and appearance anxiety among young adults. A total of 220 university students with the age range of 16 to 31 years (M= 20.85, SD= 2.25) participated using a correlational research design. Pearson Correlation analysis results showed that openness to experience was negatively associated with reassurance seeking and showed a nonsignificant relationship with the appearance anxiety. However, moderation analysis revealed that reassurance seeking significantly moderated relationship between openness to experience and appearance anxiety indicating that individuals high in the openness may experience increased appearance towards anxiety when reassurance-seeking tendencies are elevated. The results from theoretrical and empirical outcomes offered significant information. The results provide significant information through the statistical procedures for analysing the data towars the desired conclusion and making suitable decisions about research issues under study. These results highlight the nuanced role of openness to experience in shaping the appearance-related concerns, particularly in the context of reassurance- driven behavior.

Anxiety sensitivity dimensions and the alcohol hangover experience: Longitudinal associations with hangover-related anxiety and depression.

Effect of Virtual Reality Vs Bubble Play in Catheterization: Randomized Clinical Trial.

The role of informal caregiving is associated with various crises and psychological distress, including the caregiver’s fear of death and dying. A vast amount of evidence exists on the burden of care related to the psychological distress faced by the informal caregivers in mental health. However, there is a paucity of evidence on the existential crises faced by informal caregivers of persons with severe mental disorders. Exploring the existential concerns of informal caregivers is essential for understanding how fear of death contributes to their psychological burden, ultimately compromising mental and physical health. Such understanding is crucial for designing support strategies that foster resilience, reduce distress, and enhance caregivers’ overall health and quality of life. A descriptive qualitative approach was used. Semi-structured interviews were conducted with 12 informal caregivers who were purposely selected to participate in the study between January and June 2022. Informed, written consents for interviews and audio recording were obtained. Audio-recorded interviews were translated, transcribed, and analysed inductively on NVivo12 using thematic analysis. Two themes were identified, namely, navigating the challenges and distress of caregiving and caregivers’ experiences of existential death anxiety. Fear over the continuity of care in the event of their own death appeared to be closely linked to the death-related anxiety expressed by some informal caregivers. Such anxiety may compromise caregivers’ psychological well-being by heightening feelings of fear, helplessness, and uncertainty about the future, while also amplifying concerns regarding the capacity of people with severe mental disorders to function independently and receive consistent care within the community. Succession planning in caregiving is essential, with responsibilities shared among primary caregivers, families, and communities. Future studies should focus on developing and implementing stigma reduction programmes and caregiver support strategies strengthen coping, reduce burden, and promote the overall well-being of informal caregivers of persons with severe mental disorders.

Chronic Kidney Disease (CKD), characterized by progressive kidney damage and declining function, affects approximately 850 million people (13.4%) worldwide. Despite its high prevalence (9.9% to 18.3% %) in low- and middle-income countries (LMCs), its impact on quality of life, sleep, and psychological well-being remains underexplored, especially in the South Asian region. This study examines these factors among a cohort of patients with CKD in the Sabaragamuwa province of Sri Lanka. A descriptive cross-sectional study was conducted among 153 adults with CKD from two hospitals in the Sabaragamuwa province. Data were collected through a pre-tested, interviewer-administered questionnaire of patient demographics, the EuroQol EQ-5D-5 L Quality of Life (QoL) assessment, the Pittsburgh Sleep Quality Index (PSQI), and the Depression Anxiety Stress Scale-21 (DASS-21). Data analysis was performed using descriptive statistics. Most participants reported poor QoL (58%; mean EQ-5D-5 L index = 0.634 ± Standard Deviation (SD) 0.274), with 74% experiencing poor perceived sleep quality (mean Global PSQI = 9.13; median = 9, Inter Quartile Range (IQR) = 5–13). Nearly half (46%) reported depression (median = 8, IQR = 6–12), and 52% experienced anxiety (median = 8, IQR = 4–14). However, stress levels were predominantly normal (81%; median = 6, IQR = 4–12). The findings reveal that most patients with CKD in the selected hospitals in Sabaragamuwa province of Sri Lanka experienced poor QoL and poor sleep quality, alongside notable levels of depression and anxiety. This emphasizes the need for comprehensive interventions addressing both physical and mental health among patients with CKD.

People’s tendency to perceive groups they do not belong to as potentially threatening, even when no actual threat exists, aligns with the fact that humans are social beings who highly identify with their groups. However, the perception of threat can severely damage social relationships, making it crucial to understand why and how it occurs in specific contexts. Hence, the aim of this study was to examine the longitudinal interplay between ethnic identity and ethnonationalism as different types of ingroup identification, along with various forms of intergroup threat. We also examined the moderating role of majority/minority group status and post-conflict/non-conflict multiethnic research contexts. The study was carried out at two time points, a year apart, and involved 852 adolescents (age range: 12–20; Mage = 15.69, SDage = 1.77) from Croatia. The structural equation modeling (SEM) results suggest a reciprocal relationship between identity and the perception of threat. We found that experienced intergroup anxiety at T1 has a strong positive effect on ethnonationalism at T2. Furthermore, participants with a stronger ethnonationalism at T1 experienced higher levels of symbolic threat at T2, and a stronger perception of symbolic threat at T1 led to greater ethnic identification at T2. Contrary to our expectations, the relationships between variables operate in the same way across groups, regardless of group status and intergroup context. We discuss how this interplay between ingroup identification and intergroup threat affects the intergroup relations of adolescents in multiethnic contexts.