Feelings Of Fear Research Articles

The Descriptions of Parents with Children Suffering from Cancer during Encountering Emergency Situation: A Qualitative Descriptive Study

Introduction: Cancer is a chronic disease caused by abnormal cell growth in the body and can affect all ages, including children. Children with cancer are very vulnerable because they experience growth and development, so they need special attention, especially in emergencies, to avoid death and complications. This study aimed to describe parents' perceptions of having children with cancer when the child is in a crisis. Methods: This research design used a qualitative descriptive approach. This study's population was parents with cancer children with sampling using purposive sampling. Data collection through in-depth interview techniques (in-depth interview) using a recorder, field notes, and interview guidelines. Research data in conversation transcripts were analyzed using Colaizzi's method.Result: Five themes developed, including 1) the participant's understanding of the emergency in pediatric cancer, 2) efforts made by participants in caring for children with cancer, 3) participants' experience in managing and treating children with cancer, 4) challenges in treatment, and 5) participants' expectations in the treatment carried out by their children. The experience obtained by participants is a feeling of fear of worsening the situation and negative thoughts that arise & impact the participants' psychology. In addition, the challenges experienced by participants are the cost of traveling the distance between health facilities and residence. Behind it all, participants hope their children will recover from cancer.Conclusion: There is a lack of understanding of parents regarding emergencies in cancer; behind that, there are efforts made, such as efforts to treat children with cancer, struggles to care for children with cancer, and spiritual aspects.

Distress and Coping Strategy among Indonesian Men with Type-2 Diabetes Mellitus

Background: Type 2 diabetes mellitus (T2DM) can have a notable impact on the psychological and physical well-being of individuals, which, in turn, affects the management of the condition. Both men and women experience stress and adopt distinct coping strategies. However, research focusing specifically on T2DM in men is still limited. Purpose: The present study aimed to investigate the distress and coping strategies adopted by outpatient men with T2DM in Malang, East Java, Indonesia.Methods: This study employed a qualitative research design and conducted in-depth interviews with 24 outpatient men with T2DM. The interview guidelines were formulated using the Bahasa Indonesia version of the Diabetes Distress Scale (DDS17) questionnaire, which includes four domains: physician distress, emotional burden, regimen distress, and interpersonal distress. Thematic analysis was performed to analyze the results gathered during the research and compile them into a final report. Results: The study revealed that individuals diagnosed with T2DM experienced a range of emotional and practical difficulties, including feelings of fear, anxiety, and a lack of understanding. Disease burden, a lack of understanding of healthcare services, difficulties managing their diet, routine medication, financial concerns, and fatigue also contributed to the distress. To cope with distress, the informants identified eight distinct coping strategies. Among these, the most effective was receiving support from family members. Additionally, acceptance of the condition, self-management, a positive attitude, understanding of the illness, participation in the diabetes community, spiritual solace, and gaining further knowledge of T2DM were also identified. Conclusion: The findings of this research indicate that men experience eight distinct types of stress and utilize comparable coping strategies associated with T2DM. Emotional distress represents the predominant pressure, while family support constitutes the primary coping strategy. These results are important for nurses and other healthcare professionals in supporting patients.

Identification of Nursing Students' Anxiety and Readiness Facing Ners Competency Tests; Qualitative Study

Background: Having a registration certificate (STR) a nurse must take a competency test as a condition for ownership of the STR. For nursing students, competency tests are a big challenge and complex, so special preparation and attention are needed for students and universities. The implementation of the competency test can create feelings of concern, fear, tension, and anxiety for fear of not passing the competency test. The problem about low graduation rate for ners competency test is influenced by several factors. One of internal factor consist of anxiety and fear facing ners competency test. Purpose: This study identified the perception and experience anxienty dan readiness of few nursing students facing competency test. Method: The study design is qualitative and study was conducted using semi-structured interview. Recruitment of partisipants for the interview was based on purposive sampling methods. Interview were conducted with a maximum 14 participants with saturation data. Analiysis in this study with content analysis. Results: This study explored the perception and experience anxienty dan readiness of few nursing students facing competency test. The current study identified four themes : deep feeling of fear, extreme anxiety, unpreparedness within, surrender and pray. Conclusion: The feelings of anxiety, fear and worry felt by students whether they are taking an exam for the first time or those who are repeating it. In fact, this feeling has quite an impact on the psychological condition, which is also compounded by the student's unpreparedness facing ners competency test.

Legal Protection for Victims of Domestic Violence

Domestic violence remains a pervasive issue globally, often leaving victims without a sense of justice or adequate protection. In many cases, resolutions fail to address the needs of domestic violence victims, perpetuating their suffering and leaving them vulnerable to further harm. Recognizing the severity of this issue, the implementation of legal protections outlined in Law Number 23 of 2004 concerning the Elimination of Domestic Violence is crucial. The research method employed by the author utilizes a normative legal approach, focusing on legal norms within statutory regulations. By gathering primary and secondary legal materials, the author examines the problem of domestic violence and seeks to align findings with established legal principles. This methodological approach, supplemented by literature reviews, enables the author to conclude the unequal dynamics within marital relationships that perpetuate domestic violence. Legal protection for victims of domestic violence is paramount as all forms of violence, particularly within the home, constitute human rights violations. Victims endure physical, psychological, and sexual abuse, as well as neglect, resulting in profound suffering and loss. Ensuring the protection of victims' rights is imperative to deliver justice and alleviate their trauma. However, many victims hesitate to report domestic violence due to feelings of embarrassment or fear of further harm. This reluctance underscores the critical need for comprehensive legal protections that prioritize the safety and well-being of victims. By fostering an environment of support and empowerment, victims can feel more confident in seeking justice and breaking the cycle of abuse. In conclusion, addressing domestic violence requires a multifaceted approach that combines legal enforcement with social support systems. By upholding the principles outlined in Law Number 23 of 2004 and providing comprehensive protections for victims, society can work towards eradicating domestic violence and ensuring justice for all.

A Report on the Impact of Immigration Detention on the Health and Well-being of Refugees & Asylum Seekers

The extended periods that some asylum seekers experience in immigration detention potentially compromise their mental health and physical well-being. This compromise is associated with the prevailing culture and conditions within some immigration detention facilities in Western countries, such as Australia, Canada and Germany. This review aims to synthesise the findings of studies that report on the experiences of refugees and asylum seekers while they have been held in immigration detention. A meta-ethnographic approach guided the synthesis following the eMERGe meta-ethnography reporting guidance structure. Three common storyline metaphors were identified from the synthesis of findings of seven qualitative studies: (1) treating like criminals, jail-like, prison-like, and treated like animals; (2) killing your mind and torturing your mind; and (3) feelings of hopelessness, worry, despair and fear. The findings of this review suggest that the culture and the practices of immigration detention that impact refugees and asylum seekers who are detained for sometimes extended periods need to be transformed. The time that people are held in detention and the context for that detention needs urgent review. While immigration detention is legislated and enacted differently in the countries where the included studies were located, Government policies should consider alternative approaches such as community detention. Regular monitoring of immigration detention practices by external bodies should be mandated, and ongoing staff training for workers in detention facilities should be instituted to ensure that refugees and asylum seekers are treated fairly and with dignity when detained.

Living with Atypical Hemolytic Uremic Syndrome in the Netherlands: Patient and Family Perspective

IntroductionAtypical hemolytic uremic syndrome (aHUS) poses a significant health challenge due to its rarity and severity within the spectrum of thrombotic microangiopathy (TMA). Despite efforts to optimize and personalize health care for aHUS patients, understanding the individual experiences, needs and desires of aHUS patients and relatives remains limited. MethodsHere we present a nationwide, exploratory, qualitative interview study with a direct content analysis approach. In-depth interviews and a six-week evaluation were audio-recorded and conducted using a semi-structured topic guide, based on the Institute for Positive Health (IPH) model. ResultsAnalysis of ten interviews involving six aHUS patients and thirteen relatives revealed the prevalence of long-term disease symptoms in adult patients, notably fatigue, which significantly impacted daily functioning. Moreover, the resilience demonstrated by patients and their relatives was noteworthy, yet the acute phase of aHUS and the unpredictable nature of disease recurrence could profoundly affect mental well-being. The emotional toll of aHUS is pervasive, with feelings of fear, guilt and trauma persisting across disease phases in both patients and relatives. Challenges in medical care, including delays in diagnosis and the need for personalized and uniform protocols, were highlighted. Support was deemed crucial, indicating the necessity for enhancements in the accessibility of comprehensible disease information and psychological counselling. At last, complexities surrounding genetic testing and carriership were discussed. ConclusionThis study underscores the profound, enduring and multifaced impact of aHUS. The insights gleaned from the experiences and needs of aHUS patients and their relatives could lay the foundation for development and implementation of more personalized innovations in aHUS healthcare.

Overcoming The Feeling Of Insecure As An Idea In The Creation Of Painting Art

Insecurity is a feeling of discomfort or fear that is triggered by a feeling of dissatisfaction and uncertainty about one's capacities. Insecurity is a common problem that often occurs among society, especially today's young people, if it is not addressed it can disrupt productivity in living life, a lack of understanding and knowledge regarding insecurity and how to overcome this condition often causes this insecurity to be a taboo matter. The aim to be achieved in the creation of this work is to understand the efforts that can be made to overcome feelings of insecurity in the perspective of packaging the embodiment of a work of painting. The author will visualize the efforts to overcome this feeling of insecurity using a visual analogy approach in the meaning of a message that will be expressed as a work of painting. In its development, the author formulated several things, various efforts to overcome feelings of insecurity and a visual analogy approach technique in expressing expressions of efforts to overcome feelings of insecurity.

Racismo indígena en la escuela. Hacia un estado del arte

Racism is a social and historical matrix made up of discriminatory practices, prejudiced attitudes, stereotyped representations, feelings of contempt, and forms of physical and symbolic violence. It is a system of hierarchies built because of social origin, skin color, descent or national origin, indigenous status, and religion. There are as many racisms as there are groups that need to justify their superiority and the exercise of relations of domination. One of the most serious consequences is inequality in access to fundamental rights such as education, health, employment, and housing. This article proposes to elaborate a state of the art on the manifestations of indigenous racism in the school environment. Academic productions of theoretical and empirical base framed in a socio-educational perspective developed by national and international organizations, by research teams from universities or specialized institutes and postgraduate theses are recovered and systematized. Systematized studies focus on the various expressions of indigenous racism in schools, particularly in institutional practices, in daily interactions, and in the curriculum. They note the effects of this phenomenon on feelings of shame and fear, on prolonged and interrupted educational trajectories, and on processes of exclusion and self-exclusion.

Kekerasan Dalam Rumah Tangga dan Kesejahteraan Psikologis Istri dalam Perspektif Islam

The case of domestic violence that has occurred recently in the community has become one of the topics that raise concern. When domestic violence occurs, it is usually women who are the most disadvantaged. Unfortunately, not many women dare to report cases of domestic violence they experience in the household and choose to remain silent without any resistance. The silence that most women choose over time will impact their psychological well-being as a wife. Islam has regulated the relationship between husband and wife in carrying out a household life that is sakinah, mawaddah and warrahmah where the husband must provide protection and treat his wife with love. The increasing number of domestic violence cases that occur shows that there are still many husbands who have not been able to carry out this mandate properly. This condition can lead to a decrease in psychological well-being (wellbeing) for the wife because she does not get protection from the priest in the family but instead harsh treatment resulting in feelings of fear and restlessness in living married life. This paper will discuss how domestic violence can affect the psychological well-being of wives in the household as well as provide a discourse on how to treat their wives from the perspective of Islamic Psychology.

Water as elemental medium and heritage: The case of Sangyuanwei Polder embankment system

This paper argues that elemental media studies, which emphasize the entanglements between humans and non-humans, can offer new avenues for addressing the challenges faced by post-humanist heritage studies. Due to the importance of tourism for heritage revitalization, this paper examines the limitations of the local tourism industry’s understanding of the water element in the context of the tourism plan of the Sangyuanwei Polder Embankment System, particularly the neglect of the destructiveness of water. It also investigates human-water interactions in the history of SPES through elemental analysis, examining how water as a medium of life has inspired human affects, feelings, actions, as well as facilitated the transformation of and communication with water through the development of water-related engineering and social institutions. By focusing on the affective aspects of the elements, as well as revisiting the histories and local knowledge, elemental aesthetics derived from elemental analysis aims to reconnect humans to the elements as media of life, thus allowing for the initiation of dialogs with heritage management and tourism. The elemental aesthetics of water for the life of heritage sites aiming at flood control has often included the destructive characteristics of water, as well as the complex feelings of fear, awe, reverence, and dedication that it stirs. Based on this, this paper also points out a possible new orientation for the future development of water-related heritage sites.

ANALISIS DAMPAK BULLYING TERHADAP KEPERCAYAAN DIRI REMAJA

Bullying is a social phenomenon that can have a serious impact on adolescent development, one of which is the aspect of self-confidence. This research aims to analyze the impact of bullying on adolescent self-confidence. The research method used is a literature review of various studies and research that have been carried out regarding this topic. The results of the analysis show that teenagers who are victims of bullying tend to experience a decrease in self-confidence. Various forms of bullying, such as verbal, physical, relational and cyber bullying, have a significant impact on the psychological aspects of adolescents. Adolescents who are victims of bullying often experience feelings of fear, low self-esteem, difficulty interacting socially, and difficulty developing their own identity.

Transforming anger into resilience: The Zagreb Pride LGBTIQ NGO and stigmatized youth in Croatia

After an intensive marriage referendum campaign in 2013, organized by the ‘In the Name of Family’ organisation (Cro. U ime obitelji), the definition of marriage as a union between a man and a woman was included in the Croatian constitution. At the time of the campaign, the participants in this research were young people, most of whom were in elementary or secondary school. Considering most of them had not come out to their immediate social circle, they were particularly vulnerable because of the visibility that was imposed on them.This article will introduce the results of ethnographic research on the Zagreb Pride LGBTIQ non-governmental organisation, as part of which we conducted 31 semi-structured interviews with former and (at the time) current members of the organisation. We focused on three different issues: 1. How the marriage referendum campaign affected young LGBTQ individuals and their social engagement; 2. Why they saw their identity as an expression of political activism; 3. How they transformed their initial negative feelings into resilience and political activism.The results show that the marriage referendum campaign had a significant impact on young LGBTQ people, transforming their initial feelings of anger and fear into resilience. Considering the political and social context in Croatian society at the time, our participants noted that they thought about their coming out as a political act. Consequently, this inspired them to further mobilise and take part in political activism.

Considering Parents of Malignant ill Children in COVID-19 Health Crisis

Aim: Parents of children suffering from malignant diseases indubitably represent a very dainty population, underrepresented in psychosocial research. It is common for these parents to move to the hospital wards in order to support their children, which causes an unnatural cut in their lifeline, in addition to coping with terrifying diagnosis. Coping with a child’s malignant disease includes a continuous feeling of fear and concern, and change in the overall family dynamics, but also the cessation of daily life activities, even outside the context of a global pandemic, some pre-COVID research had shown. COVID-19 brought some additional challenges. In order to protect children’s fragile physical state, parents were obliged to adapt to new rules and distance from the others even more. At the same time, their fears and worries grew only bigger and coping mechanisms were seriously limited. Subjects and Methods: In this paper we investigate parental experiences and needs during COVID-19 crisis. Semi-structured in-depth interviews were conducted with ten mothers with experience of children’s in-patient treatment before and during pandemics. Results: According to main findings, theoretical model of parental adjustment and wellbeing in health crisis is proposed. Conclusion: Results imply the necessity to consider parental psychological wellbeing in order to support them and their children, especially when additional stressful and/or traumatic experiences emerge, and treat them as especially vulnerable group in research and practice.

Patient Perceptions and Experiences With Maggot Debridement Therapy for Managing Chronic Wounds.

The purpose of this study was to describe patient experiences and satisfaction with use of maggot debridement therapy (MDT) for hard-to-heal wounds. Descriptive, cross-sectional study. The sample comprised 60 participants, 60% were male (n = 36). Their mean age was 62.9 (SD = 20) years. Almost half of participants had lower extremity wounds (n = 26; 43.3%), diabetic foot ulcers (n = 18; 30%), and pressure injuries (n = 9; 15%). Most received maggot therapy via biobags (n = 36; 60%). Participants completed a questionnaire designed for purposes of the study that queried demographic and pertinent clinical characteristics, current health status including current topical therapies, and duration of their chronic wound. Nine items queried emotional responses prior to MDT, the amount and method of the maggot therapy, discomfort experienced during therapy, and sources of information regarding this treatment. Emotional responses before starting MDT included disgust (n = 30, 50%), anxiety (n = 26, 43.3%), doubts about its effectiveness (n =20, 33.3%), and disbelief (n = 11, 18.3%). Approximately one-third of participants reported feelings of biting, itching, and fear of the maggots. Despite these feelings, a majority (n = 38, 63.3%) indicated that they were pleased with treatment outcome and willing to undergo additional MDT if needed. While a majority of participants with nonhealing chronic wounds reported negative emotions association with MDT, more than half indicated that they were pleased with the outcome of treatment and willing to undergo repeat treatment if indicated.

The experiences of nursing students participating in a student death doula service-learning program in palliative care settings: A qualitative study

Nursing students desire more training and experience in palliative care due to a need for more skills and knowledge. This descriptive qualitative study explored nursing students’ experiences in participating in a student death doula service-learning program in palliative care settings. Fourteen final-year undergraduate nursing students participated in semi-structured focus group discussions via Zoom. Four focus group discussions were conducted. Six themes with 19 subthemes were developed: (1) initial feelings of fear and uncertainty, (2) death doula training and orientation, (3) palliative wards being a happier place than expected, (4) experience of watching their patients deteriorate over time, (5) benefits of participating in service-learning in palliative care settings, and (6) improving the service-learning experience. The program was well received by the nursing students, who recommended incorporating it into the nursing curriculum to enhance palliative nursing education. Additional refinements were proposed to better support nursing students during service-learning.

‘Esta carretera nos atraviesa’: roadbuilding and mapping the cuerpo-territorio of Amazonian Indigenous girls in Bolivia

Transnational economic dynamics in which China is increasingly a pacesetter have been widely analyzed as macro-structural processes, rather than in the territories, lives, and bodies of those who experience their effects in an intimate way. This article charts the experiences of Indigenous girls from the Multi-Ethnic Indigenous Territory (TIM) in the Bolivian Amazon undergoing the construction of a highway by a Chinese company. I analyze the collective feminist body-mapping of three cuerpo-territorio maps made by Indigenous girls about the transformations brought by ­infrastructural development in their territory. This community-centered approach employs body-maps to trace the girls’ feelings of joy, hope, fear, and sorrow as affective navigational coordinates of their community. Putting Indigenous feminist theory in conversation with scholarship on the affective turn and feminist political ecology, I argue for an understanding of cuerpo-territorio as an amalgamation in which Cartesian notions of internal/external, reason/emotion, and objective/subjective are destabilized. This case study centers sensible and extra-linguistic registers to attend to the affective circulations of embodied spatialities that are of interest to feminist and Indigenous geographies. Interrogating the embodied geographies interwoven in global dynamics of power from the girls’ partial perspectives, this article interrupts monolithic accounts of life in the Amazon during construction, and traces a spatial roadmap of living relationally with territory instead.

Factors associated with anxious distress in major depressive episodes: a cross-sectional study

IntroductionThe comorbidity between depression and anxiety is a common occurrence. The DSM-5 introduced the “anxious distress” (AD) specifier that can be applied to any depressive episode – both in major depressive disorder (MDD) and bipolar disorder (BD) – when symptoms such as feelings of tension, restlessness, difficulty concentrating, and fear that something awful may happen or to lose control are present. Longitudinal data showed that the AD specifier may be an effective predictor of chronicity, time to remission, and functional disability in depressive disorders. In addition, evidence on AD proved its association with increased depressive symptom severity.ObjectivesAvailable literature seems to suggest that AD occurs in a specific subgroup of patients, thus enabling a peculiar clinical profile to be outlined. To expand knowledge in this field, we performed a cross-sectional study aimed at identifying clinical correlates of AD in people with major depressive episodes.MethodsAdult people admitted to two psychiatric inpatient units in the northern area of the Metropolitan City of Milan from May 2020 to December 2022 were screened for a major depressive episode and relevant specifiers using the Structured Clinical Interview for DSM-5 (SCID-5). Data on socio-demographic and clinical variables were collected. The severity of depressive and manic symptoms was assessed using the Montgomery–Åsberg Depression Rating Scale (MADRS) and Young Mania Rating Scale (YMRS), respectively. Univariate comparisons between participants with and without AD were conducted, and two multiple logistic regression models were arranged to investigate the association between AD and candidate explanatory variables.ResultsWe included 206 inpatients with a major depressive episode (mean age =48.4 ± 18.6 years; males = 38.8%), of whom 155 diagnosed with MDD and 51 with BD. AD was present in 137 participants (66.5%). Mixed features (p=0.049), higher YMRS scores (p=0.004), psychotic features (p<0.05), and a diagnosis of MDD (p<0.05) were found to be associated with AD in the multiple logistic regression analysis.ConclusionsNotwithstanding some limitations, such as the cross-sectional design and the inclusion of inpatient only, our study highlights the association of AD with mixed and psychotic features, as well as with MDD. Clinical implications of these results include the possible contribution in delineating a specific symptom profile in people with AD during a major depressive episode.Disclosure of InterestNone Declared

Risks of mental health of foreign medical residents who study in Ukraine

IntroductionThe high level of psycho-emotional stress today significantly increases the moral burden on the mental health of medical workers. One of the most vulnerable groups of medical specialists in Ukraine are foreign resident doctors. Since in Ukraine this contingent of doctors is faced with extraordinary problems of high psycho-emotional stress, such as COVID-19 around the world and the russian war against Ukraine. Raising the issue of resident doctors, the main issue becomes not only their professional identity, but also the formation of the necessary stress resistance in different conditions of professional activity.ObjectivesTo study the level of tolerance to stress and uncertainty among foreign resident doctors in unusual conditions of performing professional duties.MethodsThe examination included the use of clinical-psychological, psychodiagnostic and psychometric research methods.ResultsAs of the beginning of 2020, 395 foreigners were studying. During the first phase of the pandemic, 118 foreigners left Ukraine. By the beginning of 2022 (before the full-scale war), 302 medical residents were trained. As of the beginning of 2023, 167 doctors are studying, of which only 61 people are on the territory of Ukraine.The primary analysis of the clinical-psychological study showed that the most common complaints among foreign resident doctors are: increased levels of feelings of tension (in 75,4%), decreased motivation for activity (73,2%), anxious (72,7%) and depressive symptoms (69,3%), frequent headaches (68.6%), constant feelings of irritation (65,4%), manifestations of aggression in relation to colleagues (63,9%) and patients(61,4%), a feeling of fear for the future (60,1%), conflicts in the family (59,5%).The study of factors that influence the increase in the level of stress among foreign resident doctors were sorted according to the principle of ordinary and extraordinary. Ordinary stress factors include: the nature of the specialty, the conditions of professional activity, a foreign country, relationships in the team. Extraordinary factors include new working conditions (professional challenges of COVID-19, war on the territory of Ukraine), increased risks of responsibility for the patient’s life (search for a treatment solution against the background of COVID-19), nature of assistance (providing assistance due to combat injuries).ConclusionsAt the end of the study, a comprehensive program will be created for the early detection of signs of adaptation disorder, which will be aimed at reducing emotional distress, tension in the learning process, support in the first years of training for medical residents.Disclosure of InterestNone Declared

Perfectionism, self-efficacy and mindfulness as predictors of test anxiety among university students

IntroductionTest anxiety includes subjective experience of intense physiological, cognitive and/or behavioral symptoms during test-taking situations such as pacing, headaches, excessive feelings of fear, anger, troubles concentrating, sudden forgetfulness and negative self-talk. Especially students who are striving for flawlessness, have overly critical self-evaluations and beliefs that other expect perfection are sensitive to experiencing these feelings. On the contrary, individuals who believe in their ability, are present in the moment and are open to experiences tend to be more resilient to stressors and anxiety symptoms.Objectives The aim of this study was to investigate perfectionism, self-efficacy, and mindfulness as predictors of test-anxiety among undergraduate and postgraduate students of different study fields.Methods525 undergraduate and postgraduate students from the fields of Natural, Medical Sciences and Engineering, Social Sciences, Humanities and Art, and Economics, Business and Administration Studies participated in the study. A sociodemographic form, the Test Anxiety Inventory (TAI), 15-Item Five Facet Mindfulness Questionnaire (FFMQ-15), Scale of General Self-efficacy (GSES) and Frost Multidimensional Perfectionism Scale-Brief (FMPS-Brief ) were used. Descriptive statistics were used to show the sociodemographics of our sample, while correlational analyses were performed to asses the associations between the variables. To further validate the findings, multiple linear regression analyses were performed.ResultsHigher perfectionistic evaluative concerns and lower self-efficacy showed associations with test-anxiety and were proven as predictors among undergraduate and postgraduate students. In addition, being younger and female in postgraduates, and having perfectionistic strivings and being Mindful-Observe in undergraduate students proved to be significant predictors of test-anxiety.ConclusionsThe found associations of perfectionism and self-efficacy, as well as its predictor roles further validate the information we have in literature, but widen the sample to postgraduate students and various study fields which help us generalize the findings more. What adds the most value in theoretical and practical aspects is the findings associated with mindfulness. Mindfulness techniques are very popular intervention methods for anxiety related symptoms, and the positive relationship of Mindful-Observe with test anxiety opens new viewpoints to mindfulness-based interventions. Particularly focusing on Mindful-Observe while treating test-anxiety may yield better outcomes in alleviation of symptoms.Disclosure of InterestNone Declared

A body beaten again: a narrative analysis of a series of cases of breast cancer survivors punctuated by violence

IntroductionVarious mechanisms have been identified to explain the relationship between gender-based violence, screening, and cancer. Biological mechanisms, primarily related to chronic stress and allostatic load, have been associated with high rates of chronic diseases among victims of violence, impairing the functioning of the immune and endocrine systems. Victims of abuse simultaneously show less initiative for screening exams, such as mammograms, as they perceive them as invasive and retraumatizing. They also demonstrate a greater tendency toward maladaptive coping behaviors and unhealthy lifestyles, such as abusive substance use. A significant number of these patients develop psychosocial dysfunction and body image disturbance during breast cancer treatments.ObjectivesThis work aims to provide a descriptive and narrative analysis of body image and psychosocial changes in women breast cancer survivors with prolonged experiences of violence, supported by a non-systematic literature review on the central aspects under study.MethodsFor the introductory literature review, a search was conducted on search engines such as Google Scholar and PubMed, with no date limitations, using the following terms (or combinations): “intimate partner violence,” “violence AND cancer,” “body image AND psychossexual adjustment AND breast cancer.” Additionally, a narrative analysis of body image and psychosocial changes in women breast cancer survivors with prolonged experiences of violence was conducted. For this purpose, participants were asked to complete two validated scales in the Portuguese language, and first-person testimonials were collected.ResultsThe analysis of scale results and participant testimonials highlights a consensus on the significant impairment of psychosocial functioning and the experience of sexuality. There is evidence of avoidance behaviors in terms of affectionate and sexual contact due to feelings of fear, shame, and discomfort. The breast is valued as a sensual, erotic, and essential sexual element, and impactful changes in body image persist. However, in some cases, these changes are experienced as transformative and liberating, fostering a more generous view of the body, identity, and femininity.ConclusionsWomen with breast cancer should be screened for the possibility of being victims of violence, as this context predicts a higher likelihood of emotional difficulties during surgical treatments, including psychological distress, post-traumatic stress, body shame, and self-blame. A significant number of women, including those in this study, consider the approach to self-image and sexuality in oncology consultations deficient. Psychological programs and interventions should be developed to empower patients to adjust to the sexual changes arising from treatments and disease progression and to promote positive intimate relationships and effective communication.Disclosure of InterestNone Declared