Experience Of Distress Research Articles

It takes two to empathize: Interbrain coupling contributes to distress regulation.

While extant research on empathy has made significant progress in uncovering the mechanisms underlying the responses of an observer (empathizer) to the distress of another (target), it remains unclear how the interaction between the empathizer and the target contributes to distress regulation in the target. Here, we propose that behavioral and neural coupling during empathic interactions contribute to diminished distress. From November 2020 to November 2022, we recruited 37 pairs of previously unacquainted participants (N = 74) from multicultural backgrounds. They engaged in a 5 min face-to-face emotional sharing task, where one participant shared a distressing biographical experience with the other participant. We used functional near-infrared spectroscopy (fNIRS) to measure interbrain coupling in the emotion regulation system, specifically the dorsolateral prefrontal cortex (dlPFC), and the observation execution system, specifically the inferior frontal gyrus (IFG). Results indicate that during emotional sharing the target and the empathizer emotionally converge, such that the empathizer becomes sadder. Moreover, the levels of empathizers' empathy predicted both emotional convergence and target distress relief. The neuroimaging findings indicate that interbrain coupling in the dlPFC, IFG, and premotor cortex, predicted distress relief in the target, and more critically that interbrain coupling in the dlPFC played a mediating role in the relationship between distress relief and the levels of empathy of the empathizer. Considering the role of the dlPFC in emotion regulation, we conclude that interbrain coupling in this region during emotional sharing plays a key role in dyadic coregulation of distress. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

More than a repository

The value of a university degree is increasingly under scrutiny, with concerns that technologies such as ChatGPT will diminish the need for distributed scholarly content. The challenges created by technology can also become opportunities, under the right circumstances (Dempere et al., 2023). In this project, we leveraged the emerging Generative Artificial Intelligence (GenAI) to create a chatbot, to enable, rather than diminish, students’ learning. Students enrolled in a capstone research unit of Master of Advanced Practice (by coursework) are required to conduct a research project. Common challenges encountered by students include identification of project topic, digital literacy skills, research methodological knowledge, and research writing skills (Ginns et al., 2009; Li et al., 2019; Qasem & Zayid; 2019; Stagg & Kimmins, 2014). It is imperative to guide students to decide on an area of research that not only matches personal interest but also has clinical relevancy and significance. Delaying the identification of a feasible topic can cause students to experience anxiety and distress related to fear they are unable to complete their project on time (Qasem & Zayid; 2019; Li et al., 2019). This project explored two aims: (1) to harness GenAI (Chatbot) for scalable student learning, and (2) to enrich students’ university experiences by providing a scaffolded research-focussed learning opportunity. The project was guided by the active digital learning pedagogy consisting of student-centredness, formative feedback, constructive alignment and flexible infrastructure (Røe et al., 2022). Using a mixed-method approach, the project had four stages. Stage 1 collated and synthesised former students’ project topics (Year 2014 to 2023). Stage 2 created, tested, and tuned a GenAI topic-bank/chatbot based on the collated 252 project topics from Stage 1. To achieve this, we collaborated with an AI Experience Strategist to create the project topic-bank/chatbot using Azure open AI (GPT-4 with AI Search) via the reactive Amazone web server Amazon. The chatbot was then tested and tuned to ensure consistency search outcomes. Stage 3 implemented the chatbot on the 1st day of semester by posting the link with user guide as learning resource for students, who enrolled into the capstone research project unit. Stage 4 evaluated the chatbot’s usability and effectiveness using a 9-item self-developed survey based on the active digital learning pedagogy (Røe et al., 2022) and a 11-item Bot Usability Scale (BUS) (Borsci et al., 2023). The BUS scale consists of 5 domains focusing on students’ perception of accessibility to chatbot functions, quality of chatbot functions, quality of conversation and information provided, privacy and security, and time responses. Two open-ended questions were used to narratively explore students’ overall experiences and suggestions to improve the chatbot. Our findings showcased students’ early engagement with the unit by interacting with the project topic-bank/Chatbot. This ameliorated the challenges described above, whereby students practised search skills by entering key concept as “prompts” of their area of interest for the prospective project topic. These prompts included specialty, population and/or main concept/variables. Search results of the chatbot facilitated students in identifying project topic and improved overall unit satisfaction and learning experience.

Relatives’ experiences of unsuccessful out-of-hospital cardiopulmonary resuscitation attempts: a qualitative analysis

AimRelatives of patients who have experienced an out of hospital cardiac arrest (OHCA) experience confusion and distress during resuscitation. Clear information from ambulance clinicians and the opportunity to witness the resuscitation helps them navigate the chaotic scene. However, UK-based evidence concerning relatives’ experiences of unsuccessful resuscitation attempts and interactions with ambulance clinicians is lacking. This qualitative study explores those experiences to inform ambulance clinician practice.MethodsTwo ambulance services in the UK identified OHCA events attended by their clinicians within the previous two weeks. After a minimum of three months relatives of non-survivors of these events were invited to participate in either a remote or face-to-face interview. Interviews focussed on their experiences of the resuscitation attempt and interactions with ambulance clinicians, their feelings at the time, and their reflections on the event afterwards. Data were analysed using reflexive thematic analysis.ResultsSemi-structured interviews were conducted with 14 relatives of OHCA non-survivors. Thematic analysis identified four themes. Cardiac arrest is a traumatic event for relatives, with chaotic noisy scenes increasing their distress. Many described feelings symptomatic of Post-Traumatic Stress Disorder since the event. During resuscitation, participants needed information from clinicians about what was happening, and provided information about their relatives’ wishes. Participants needed reassurance from clinicians that everything possible was done to save their relative and were reassured when they could witness some of the resuscitation. Participants were surprised how long resuscitation seemed to last; some were distressed that it lasted so long.ConclusionRelatives’ experiences highlight two key challenges for ambulance clinicians: (1) being aware of the tension relatives feel between needing reassurance that the crew is doing everything to save the patient and wanting to avoid prolonged and ultimately futile resuscitation attempts; and (2) having ongoing conversations with those present to inform clinical decision-making whilst managing the resuscitation attempt.

Don't forget the dams! Dairy cows' responses to two separation methods after 3 months of cow-calf contact

Weaning and separation remain among some of the biggest challenges for cow-calf contact systems, making the development of practical and low stress separation methods mandatory for future success of these systems. This study aimed to compare behavioral and physiological responses of dairy cows to separation from their calves after 3 mo of full-time contact with either the 2-step method (NF, 2 wks full-time contact while calves wore a nose flap, 1 wk fence-line contact before total separation, n = 18) or by gradual reduction of contact time between cow and calf (GR, 1 wk half day contact, 1 wk morning contact, 1 wk fence-line contact before total separation, n = 18). Vocalizations and searching behavior were observed on 4 d/wk from 1 wk before separation until 1 wk after total separation. During the same period, lying behavior and rumination time was automatically assessed via accelerometers and pressure sensors. Fecal and blood samples were collected twice/wk from day -1 till +23 relative to separation start for analysis of fecal cortisol metabolites and the immune response. Milk yield in the parlor was continuously recorded. Statistical analysis was conducted using linear mixed effects models. We found no difference between the 2 separation methods in any of the examined behavioral and physiological response variables. However, a significant increase in vocalizations and searching behavior compared with baseline was present with both methods. Further, there was a transient increase in physiological distress markers and a short-lived retention of milk yield at initiation of treatments, indicating that both methods induced distress for the cows. Descriptively, there were large inter-individual differences between cows as well as a different temporal distribution in occurrence of behavioral responses, as GR cows vocalized most frequently during the week with fence-line contact and after total separation from the calf, while NF cows reacted strongest during the 2 wks while calves wore the nose flap. Milk yield was higher in NF than GR cows during the 2 wks while GR calves had time-restricted access to their dams and NF calves were prevented from suckling, but showed no difference afterward anymore. However, similar evening milk yields of GR cows in the weeks with half day and morning contact, indicated that the weekly reductions in contact time worked in a rather stepwise than gradual manner, which warrants further improvement of the GR method. Taken together, results showed that cows experienced distress during separation with the GR method, when implemented over 3 wks in 3 steps, as well as with the NF method, but differences between individuals were considerable.

Entrepreneurs’ thriving after venture distress: The role of self-compassion, learning, and venture failure

Well-being is important to entrepreneurs, yet entrepreneurship does not necessarily foster well-being. Stressful work conditions such as venture distress might put entrepreneurs’ well-being under pressure. Drawing upon self-determination theory, we investigate the conditions that enhance entrepreneurs’ thriving after experiencing venture distress. We test this model on a survey-based sample of 177 entrepreneurs in Belgium who either persisted with their distressed venture or started a new one after their distressed venture had failed. Our findings reveal that personal attributes of self-compassion and learning from venture distress can buffer the potential negative effects of venture distress experiences on entrepreneurs’ subsequent thriving. In addition, this protective capacity is not mitigated by the failure of the distressed venture. We further discuss the theoretical and practical implications of these findings. JEL CLASSIFICATION: L26, M13, I31

The relationship between teamwork and moral distress among NICU nurses

BackgroundIn the demanding environment of the neonatal intensive care unit (NICU), quality nursing care hinges on effective teamwork and communication among nurses. However, this requirement for close cooperation can expose nurses to significant levels of moral distress. This study aims to explore the connection between the quality of teamwork and the experience of moral distress among NICU nurses.MethodsEmploying a cross-sectional, multicenter descriptive correlational design, this study surveyed female NICU nurses across the cities of Khorramabad and Semnan. Census sampling was utilized over five months, from July to November 2023, resulting in the participation of 190 nurses. Tools for data collection included demographic questionnaires, the Team-STEPPS Teamwork Perception Questionnaire (T-TPQ), and the Moral Distress Scale-Revised (MDS-R) for nurses.ResultsThe findings revealed an average teamwork score of 3.73 ± 0.78, denoting an acceptable level, and an average moral distress score of 91.2 ± 56.7, indicating a low level. In multiple linear regression, marital status showed a direct positive correlation (β = 38.5, SE (β) = 9.3, p < 0.001), while the number of children (β = -14.6, SE (β) = 4.9, p = 0.003) and the teamwork score (β = -1.1, SE (β) = 0.12, p < 0.001) were inversely correlated with moral distress.ConclusionThe study’s results suggest that stronger teamwork among nurses correlates with reduced moral distress. Enhancing teamwork within NICUs could lead to policy development focused on the safety and quality of newborn care, also potentially alleviating moral distress experienced by nurses.

Claimant and clinician perspectives on sources of claimant distress in interactions with Australian compensation schemes: a qualitative study

Purpose Recovering from compensable injuries can be influenced by a variety of factors including the claimant’s experience of distress during the claims process. In order to develop cross-scheme, nation-wide strategies to improve claimants’ interactions with the compensation system, reduce claimant distress, and improve claimant outcomes, it is important to understand sources of claims-related distress from the perspective of both claimants and clinicians. Methods An exploratory qualitative design was undertaken using semi-structured interviews with 13 claimants and 26 clinicians from four injury compensation schemes in five Australian states. A collaborative and reflexive thematic analysis was undertaken with an inductive approach to coding, and themes were constructed for claimants and clinicians across compensation schemes. Results Claimants and clinicians interviews revealed four main sources of distress, including (1) complexity and delays in administrative processes, (2) interruptions to recovery caused by treatment delays, (3) non-individualised approaches to care, and (4) a lack of support for navigating the claims process. Conclusion Sources of claims-related distress identified by claimants and clinicians in the present study point to the urgent need for nationwide systems level changes to reduce claimant distress in the pursuit of better claimant outcomes.

54 Efficacy of a quality improvement project in paediatric procedural pain management during needle procedures

Abstract Background In paediatric hospital settings, needle procedures significantly contribute to children’s experiences of pain and distress. A structured approach integrating preparation, comfort positions, distraction, relaxation techniques, and topical anesthetics can enhance children’s ability to cope with procedural discomfort. We developed a quality improvement (QI) initiative aiming to alleviate procedural pain and distress through a staggered implementation approach over a 3-year period. Objectives This study aimed to evaluate the impact of the first 2 years of an institutional QI initiative on managing procedural pain and distress in children undergoing needle procedures. The primary objective was to evaluate the use of multimodal strategies to reduce needle-related procedural pain/distress following the QI initiative. The secondary objective was to compare pain scores for needle procedures before and after the QI initiative. Design/Methods This observational study was conducted in a tertiary care university-affiliated paediatric hospital with an ongoing hospital-wide QI initiative aiming to alleviate procedural pain and distress in children undergoing needle procedures. The QI initiative consisted of mandatory sector-by-sector training of healthcare providers (HCP) on procedural pain/distress strategies to increase the use of multimodal pain care. Pain scores were measured during needle procedures (i.e. Numerical Rating Scale (NRS), Faces Pain Scale-R (FPS-R) or the FLACC scales, according to patient age) pre and 3-6 months post implementation of the QI initiative. Scheduled audits were conducted using a standardized questionnaire by a deployment champion nurse during needle procedures to document pain scales and pain/distress strategies used by the HCP during needle procedures in each of the hospital services. Results Throughout the first two implementation years (June 2021-June 2023), 363 audits were conducted on needle procedures for 363 children (Median age 7 yo (0month-18yo□). At this stage, audits took place in 14 different hospital services. The most frequent procedures were IV-line insertions (34%), venous blood draws (27%), and capillary blood sampling (26%). Parental presence and the use of distraction techniques were frequently used (90% and 80% of procedures, respectively). Of the 363 audits, 221 were pre-implementation and 142 post-implementation. Post QI initiative, an increased number of procedures were realized using multimodal strategies (4 or more strategies) to reduce pain/distress (from 60% to 78%). Pain scores were recorded for 203/221 audits pre and 134/142 post with a reduction in severe pain scores (7 or more) from 25% pre to 5% post-implementation. Conclusion The institutional QI initiative demonstrated both an increase in the number of strategies used to prevent pain/distress and a reduction in severe pain scores associated with paediatric needle procedures. This project emphasizes the significance of employing a multifaceted approach to managing procedural pain/distress in children undergoing needle procedures.

Higher levels of social support predict lower psychological distress for Pacific peoples living in Aotearoa New Zealand

Recent research indicates that rates of psychological distress are almost 1.5 times higher for adult Pacific peoples versus non-Pacific peoples1. Leveraging data from the New Zealand Attitudes and Values Study and utilising cross-lagged regression modelling, we examined changes in psychological distress across time for adult Pacific peoples in Aotearoa New Zealand (n = 514). Our study found that experiences of psychological distress were associated with a greater likelihood of experiencing psychological distress in the future. Additionally, experiencing higher levels of social support was associated with a lower likelihood of experiencing psychological distress in the future. Our research is vital because psychological distress is a serious mental health issue, and research that signals protective factors towards psychological distress for our Pacific peoples can help in creating better mental health outcomes for our Pacific communities. Preview on terminology: We use the term Pacific peoples, which are inclusive of a group of people in Aotearoa New Zealand that have ethnic roots from many Pacific nations. Unless a research study specifically uses the term mental illness or mental disorder, the study uses the terms mental distress and mental health issues/concerns to broadly refer to diagnosis of a mental illness or any other challenges or experiences with mental health. The choice in terminology is to shift the focus away from a deficit model of health, to those that are more consistent with Pacific views of health and wellbeing1.

Comparison of Oliceridine to Remifentanil for Optimal Analgesia in Mechanical Ventilation (CO-ROAM): Study Protocol for a Multicenter Randomized Controlled Trial.

Critically ill patients often endure pain, a distressing experience that can trigger diverse pathophysiological consequences. While remifentanil, with its rapid kinetics, is commonly used for analgesia in intensive care units (ICU), it frequently leads to opioid-related adverse effects. A promising alternative has emerged in oliceridine, a novel G protein-biased μ-opioid receptor agonist. This new drug offers the potential for effective pain relief with fewer side effects. However, its efficacy and safety profile in mechanically ventilated ICU patients remain to be fully elucidated. This is a multicenter, prospective, randomized, single-blind, active-controlled trial conducted across 24 ICUs in China. A total of 292 mechanically ventilated patients requiring analgesia and sedation will be randomly assigned in a 1:1 ratio to either the oliceridine or remifentanil group. The oliceridine group will receive oliceridine (2-20μg/kg/h), while the remifentanil group will receive remifentanil (1.5-12μg/kg/h). Both groups will receive propofol for sedation if necessary. The target for analgesia is Critical-Care Pain Observation Tool (CPOT)<3, and for sedation is Richmond Agitation-Sedation Scale (RASS) -2 to 0. The primary outcome will be the percentage of time within target analgesia during study drug administration. Secondary outcomes will include gastrointestinal dysfunction, respiratory depression, sedative usage, mechanical ventilation duration, ICU stay length, extubation failure rate, etc. TRIAL REGISTRATION: NCT06454292. Registered on June 11, 2024.

Too much or not enough? Self-reported experiences of relational distress based on level of sexual desire

ABSTRACT The diagnostic of sexual desire disorders is based on not only physiological and psychological symptoms but also on the extent of distress about these symptoms. Using data from a 2022 national survey of 3,000 respondents in Austria, this paper explores the range of relational distress individuals experience about their level of sexual desire. Participants were asked, ‘Have you ever been ostracised or ridiculed in your life for feeling too much (not enough) sexual desire? If yes, in what way?’ Gender and sexual minorities were more likely than cisgender and heterosexual participants to report negative reactions to their level of desire. The paper presents the results of a thematic analysis of the 341 written answers to the latter question. The analysis identified three themes: a) harassment, such as mocking, bullying, or public humiliation; b) the pathologization of desire as a sexual disorder; and c) negative social classification with respect to gender, age, or sexual orientation. By investigating different types of negative social reactions that individuals experience with respect to their level of sexual desire, the paper critically questions an individualised notion of sexual distress that has often been the basis for biomedical and psychological interventions by highlighting social factors that produce distress in the first place.

The Buddhist Logic of Distress (Saṃvega): An Exploration of Early Abhidharma Sources

In the early Buddhist discourses, distressing experiences like fear and disgust are evaluated in contradictory modes. These upsetting emotions are considered both a detriment and an advantage for those seeking liberation from suffering. This ambivalence is reflective of the classical Buddhist conception of distress. The earliest scholastic Buddhist texts (i.e., Abhidharma sources) have sought to resolve the ambivalence surrounding this conception. The Abhidharma texts thus explain precisely how, when, where and for whom distress can prove favorable. By tracing this intellectual endeavor, I examine in this article the systematic and philosophical treatments of distress (saṃvega) in early Buddhist scholasticism. I outline the reasons for considering the experience of distress to be beneficial, unveiling the religious framework within which distress is rendered positive and even essential. My central claim is that early Abhidharma sources conceive of distress as a potential source of energy that facilitates one’s progress on the religious path and determines how rapidly one can understand the truth.

Mental distress and associated factors among undergraduate students: evidence from a cross-sectional study at the University of Dodoma, Tanzania

Mental distress is a common health problem facing university students worldwide. It manifests with varying levels of depression, anxiety, and somatic symptoms such as headache, backache, sleeping problems, and fatigue. University students are a high-risk group for mental distress than the general population. This study aimed to assess knowledge, the prevalence of mental distress, and its associated factors among undergraduate students. A cross-sectional study was conducted among undergraduate students at the University of Dodoma in Tanzania. Data were collected using pre-tested and self-administered questionnaires. Bivariate and multivariable logistic regression models were used to identify factors associated with mental distress. A total of 224 undergraduate students gave a complete response, of which the majority were aware of the common symptoms of mental distress. Self-reported mental distress experience was reported among 116/224 (51.8%) students. Multivariable logistic analysis showed that only alcohol consumption (aPR = 1.61, 95% CI 1.22–2.11, p = 0.001) was independently associated with mental distress among students. The findings of this study revealed that undergraduate students had adequate knowledge of the symptoms of mental distress. Our results show that the prevalence of self-reported mental distress was moderately high among undergraduate students. Furthermore, the study indicates a significant association between alcohol consumption and self-reported mental distress among these students. These results suggest that interventions aimed at reducing alcohol consumption may be beneficial in mitigating mental health issues among undergraduate students in Tanzania.

Women's Experience and Management of Cancer-Related Fatigue and Psychological Distress During Treatment for Gynaecological Cancer: A Qualitative Study.

To explore women's experience and management of cancer-related fatigue and psychological distress during treatment for gynaecological cancer. Qualitative descriptive study. Face-to-face semistructured individual interviews were conducted with 23 women in mainland China undergoing treatment for gynaecological cancer between July and October 2023. Data were analysed using content analysis. Three categories were identified: overwhelming experience of cancer-related fatigue, diverse experiences of psychological distress and strategies for managing cancer-related fatigue and psychological distress. Participants reported physical exhaustion and emotional fatigue, disrupting their normal lives. Psychological distress included distress due to cancer treatment, psychological burden associated with social relationships, frustration with being ill and worries about disease progression and recurrence. Strategies for managing symptoms were mainly nonpharmacological, with some unable to find suitable methods. This study found that participants had a complex experience of cancer-related fatigue and psychological distress, influenced by social expectations regarding women's roles and treatment impacts on reproductive health and femininity. These findings underscore the need for comprehensive interventions involving family members or fellow patients to reduce both symptoms. Nurses should focus on addressing cancer-related fatigue and psychological distress in women receiving treatment for gynaecological cancer, particularly in adolescents and young adults. It is essential to provide comprehensive care to improve their physical and psychological well-being. This study explored how women with gynaecological cancer experience and manage cancer-related fatigue and psychological distress. The findings highlight the need for holistic care that addresses physical and psychological symptoms. Nurses should consider the impact of reproductive health and femininity on symptom experiences and management. Furthermore, the findings could inform the development of evidence-based interventions to improve the physical and psychological well-being of women with gynaecological cancer. Standards for Reporting Qualitative Research checklist. No patient or public contribution.

Experiences of moral distress among health care professionals in oncology and palliative care in Australia: a qualitative investigation

Abstract Background: Cancer care involves challenging clinical problems requiring expertise of multiple disciplines and frequently necessitates nuanced decision-making. When decision-making and patterns of care conflict with the values of health care professionals (HCPs), moral distress may arise. Moral distress is defined as the unease resulting from the perceived violation of professional or personal values and ethical principles. It has been associated with increased burnout and lower workforce retention among HCPs. This study aimed to investigate moral distress among Australian oncology and palliative care HCPs to understand how, when, and why it is experienced. Method: We conducted a qualitative interview study, with an online survey to collect demographic, practice-related characteristics, and level of moral distress. Interviews were conducted with oncology and palliative care HCPs in Australia to explore participants' experiences of moral distress. Interviews were audio-recorded and transcribed. A thematic analysis was conducted using a framework analysis approach. Results: We interviewed 33 participants, who were predominantly female (78%) and nurses (42%) with 50% having 15 years or more experience in oncology/palliative care. Thematic analysis revealed one meta-theme, Power and Hierarchy, and four themes: (1) values and their conflicts; (2) moral distress and the system; (3) moral distress and interpersonal interactions; and (4) internalized moral distress. At the core of HCPs' experiences of moral distress were patient-centered and care-centered values and the imperative to not violate the oath to “Do No Harm.” Moral distress was perceived to be covert, primarily arising in response to day-to-day clinical dilemmas and resulted from interactions with other HCPs and structural factors. Moral distress appeared to be cumulative over time. Conclusion: Moral distress arises when there are conflicts between an individual's values and organizational culture, within teams, and within the HCPs themselves. Power and hierarchy within health care are critical elements contributing to moral distress where poor communication and limited recognition of differing views are present. There is a need for interventions facilitating open discussion of ethical concerns to reduce likelihood of moral distress and retain an experienced oncology and palliative workforce.

Racial Discrimination, Social Support, and Psychological Distress Among Black Pregnant Women.

Black pregnant women who experience racial discrimination are at an increased risk of psychological distress. Studies have not adequately addressed if social support may moderate the association between experiences of racial discrimination and psychological distress among Black pregnant women. We sought to examine the moderating effect of social support on the association between experiences of racial discrimination and psychological distress among Black pregnant women. We report findings based on cross-sectional data collected from 599 Black pregnant women enrolled in a prospective cohort study prior to the COVID-19 pandemic. Women completed questionnaires about experiences of racial discrimination (Experiences of Discrimination), social support (MOS Social Support Survey), and psychological distress (Psychological General Wellbeing Index). Women had an average age of 26 ± 5 years and gestational age at data collection of 17 ± 6 weeks. Approximately 53% of women reported ever experiencing racial discrimination in at least one situation, and 54% reported psychological distress. After adjustment for covariates, racial discrimination was associated with a 2.2-fold increase in psychological distress (odds ratio [OR] = 2.24; 95% confidence interval [CI] 1.35-3.70; P = .002). Low social support (scores below the median) was associated with a 3.8-fold higher likelihood of psychological distress (OR = 3.84, 95% CI 2.27-6.48, P < .001). Social support did not moderate the association of lifetime experiences of racial discrimination with psychological distress. Findings of the study contribute to evidence that lifetime experiences of racial discrimination and low levels of social support relate to psychological distress among Black pregnant women.

The ties that bind: Understanding the mental health consequences of the Windrush Scandal and hostile immigration policies on survivors in the UK

The Home Office Windrush Scandal of 2018 has had major implications for the wellbeing of survivors and is thought to have affected more than 15,000 individuals. The Government led compensation scheme to provide retribution to those impacted has been consistently argued as insufficient, in part linked to under appreciation of mental health consequences of the scandal. However, there is limited evidence which documents the nature of mental health issues that survivors and families have faced. This need for further evidence intersects with the need to protect a highly vulnerable community from further traumatisation. Our study contributes to this gap through a content analysis of survivor testimonies (n= 96) published in publicly available media sources between 2018 and 2023. Analysis explored both pathways to the development of mental health distress and experiences of potential mental health consequences (conditions). Our analysis was informed by a complex trauma and racial trauma framework. Findings demonstrate that the scandal disrupted numerous social domains linked to livelihoods and positive wellbeing, driving survivors into homelessness, and experiences of dehumanisation within state systems. This shaped survivors’ experiences of emotional distress, resulting in symptoms linked to depression, chronic stress, and anxiety disorders. Our work illuminates new details about the nature of trauma faced by survivors. Findings support calls for support survivors systems that provide targeted mental health supports and address the disrupted social areas of individuals lives and if they are to fully respond to the harms created by the scandal.

Physiological, behavioral, and self-report outcomes of acceptance- and regulation-based exposure for intrusive thoughts

Leading theories regarding the mechanisms of exposure for OCD focus on Pavlovian fear reduction more than operant processes. Acceptance-based exposure directly targets operant behavior. Integrating these perspectives could lead to a more robust understanding of mechanisms of change in exposure and more effective and enduring treatments. The current study investigated acceptance and regulation of distress during exposure. Participants with intrusive thoughts were randomized into three groups, Acceptance (n = 23), Regulation (n = 20), and Control (n = 21), and completed two behavioral avoidance tests (BATs) 1 week apart. Active conditions completed a 30-min exposure plus 6 days of 10-min exposures at home; Control participants watched videos of the same durations. Self-report measures were collected at both sessions, and behavioral, subjective, and physiological repeated measures data were collected during both BATs. Compared to Control, active conditions decreased OCD symptom severity, rituals, and skin conductance levels, while Acceptance showed lower skin conductance levels than Regulation and Control. Acceptance showed greater willingness and psychological flexibility than Control, while Regulation did not. Results support theorized mechanisms of change in acceptance-based exposure and suggest willingness to experience distress may paradoxically lead to decreased physiological arousal, which has important implications for treatment and future research.

Exploring the Relationship Between Cyberbullying and Technology Addiction in Adolescents.

The present study aims to investigate the relationship between cyberbullying/victimization and technology addiction among Turkish adolescents. A descriptive cross-sectional study was conducted with 572 adolescents between the ages of 14 and 18. The study employed the Bullying and Cyber Bullying Scale for Adolescents (BCS-A) to evaluate cyber victimization (BCS-A VCSs) and cyberbullying (BCS-A BCSs) subdimensions, in conjunction with the Technology Addiction Scale (TAS). Among adolescents, 38.5% exhibited a moderate level of technology addiction. The results revealed positive and weak correlations between TAS scores and BCS-A VCSs (p < 0.001), as well as between BCS-A VCSs and BCS-A BCSs scores at a moderate level (p < 0.001). The study revealed that exposure to inappropriate content, encountering humiliating expressions on social media, sending inappropriate messages or videos to friends, and facing threats were significant predictors of BCS-A VCS scores. Furthermore, the transmission of inappropriate messages or videos, the encounter of cyberbullying victims, the exclusion of friends from online platforms, the experience of distress caused by humiliating expressions, and the sharing of private content were identified as significant predictors of the total BCS-A BCSs score. The study demonstrated a correlation between elevated technology addiction and involvement in cyberbullying or victimization among adolescents. Moreover, the study identified significant predictors of cyberbullying and cyber victimization. It is recommended that health professionals develop intervention programs for safe technology use and the prevention of cyberbullying and victimization. These programs should aim to raise societal awareness, particularly among parents and teachers.

„Schmerzlos sind wir und haben fast | Die Sprache in der Fremde verloren“ Hölderlin über Heimat und Heimatlosigkeit

Recent research has rightly emphasized the extent to which Hölderlin’s poetry opens up broad horizons of transcultural perspectives with a thoroughly cosmopolitan intention. However, these great drafts of ‘transtopias’ remain in the realm of speculative idealism, as long as one ignores the counterpoint that Hölderlin sets up with his contemporaneous texts about the experience of extreme individual danger and distress. Only against this background of struggle for self-preservation in hard and “godforsaken” times, Hölderlin’s ingenious, still hopeful rather than deconstructive intuitions gain real credibility and relevance.