Levels Of Fear Research Articles

Exploring the Interplay Between Kinesiophobia, Lumbar Joint Position Sense, Postural Stability, and Pain in Individuals With Chronic Low Back Pain: A Cross-Sectional Analysis

ObjectiveThe objectives of the study were to (1) determine the association between kinesiophobia and lumbar joint position sense (JPS) in individuals with chronic low back pain (CLBP); (2) examine the relationship between kinesiophobia and postural stability in individuals with CLBP; and (3) investigate whether pain intensity mediates the relationship between kinesiophobia, lumbar JPS, and postural stability in individuals with CLBP. MethodsIn this cross-sectional study, a total of 83 individuals diagnosed with CLBP were included. The level of fear of movement was assessed using the Tampa Scale for Kinesiophobia (TSK). Lumbar JPS was measured using the active target repositioning technique, which involved evaluating JPS in 3 directions: lumbar flexion, side-bending to the left, and side-bending to the right. The repositioning accuracy of the lumbar joint was quantified in degrees using a dual digital inclinometer. Postural stability was assessed using a stabilometric force platform, which measured anterior to posterior (A-P) sway, medial to lateral (M-L) sway, and the ellipse area in mm². ResultsThe findings of this study revealed a statistically significant and moderate positive correlation between kinesiophobia and lumbar JPS in various directions, including flexion (r = 0.51, P < .001), side-bending to the left (r = 0.37, P = .001), and side-bending to the right (r = 0.34, P = .002). Similarly, a significant positive association was observed between kinesiophobia and postural stability, as indicated by the correlation coefficients: A-P sway (r = .47, P < .001), M-L sway (r = 0.58, P < .001), and ellipse area (r = 0.51, P < .001). Furthermore, the analysis revealed that pain significantly mediated the relationship between kinesiophobia and both lumbar JPS (P < .05) and postural stability (P < .05). These findings were demonstrated through mediation analysis. ConclusionsThis study identified a significant association between kinesiophobia, lumbar JPS, and postural stability. Additionally, we observed the presence of pain as a potential mediator in this relationship. However, it is important to note that our cross-sectional study design precludes establishing causality or determining the direct mediation effect of pain on adverse outcomes.

Medical misinformation and fear of recurrence in patients with breast cancer.

354 Background: Fear of recurrence is a common yet underappreciated burden patients experience during and after cancer treatment. Medical misinformation about factors that influence risk of cancer progression/recurrence is also common. Little is known about the spread of medical misinformation and how it affects fear of cancer recurrence. Methods: From 7/2023 to 8/2023 patients completed an anonymous online survey administered by Breastcancer.org. Surveys were available in English and Spanish with eligibility: US resident, age ≥18 years, and breast cancer diagnosis within 10 years. Surveys assessed patient awareness of various factors purported to increase or decrease risk of cancer progression/recurrence and fear of recurrence (via validated FCRI-SF, scored 0-36, higher scores indicate greater fear, score ≥22 indicate clinical relevance). Multivariate analysis (MVA) assessed awareness of misinformation after controlling for age, race and ethnicity, marital status, and level of education. Chi-square assessed association between misinformation exposure and fear of recurrence. Results: Overall, 997 completed the survey. Median age was 62 (IQR 53-69), 86% were White, 5% Black, 4% Hispanic, and 3% Asian. 76% were married and 77% had completed a college or advanced degree. 52% were undergoing active cancer treatment at the time of assessment. Most (65%) reported hearing misinformation regarding factors that may INCREASE risk of cancer progression/recurrence. Specifically, patients heard that sugar (61%), deodorant (22%), vaccines (8%), cell phones (8%), and bra type (8%) could increase risk. Half (54%) reported hearing misinformation regarding factors that may DECREASE risk of cancer progression/recurrence. Specifically, patients heard that eating organic food (41%), oral vitamins/supplements (29%), alkaline diet/alkalized water (12%), vitamin infusions (7%), cleanses (5%), essential oils (5%), and oxygen therapy (4%) could decrease risk. Overall, 76% had reported at least one incorrect factor influencing risk of cancer progression/recurrence. On MVA, younger age (OR 0.99/year of age, 95%CI 0.97-1.00, p=0.044) and Hispanic ethnicity (OR 2.98, 95%CI 1.02-8.25, p=0.047) were associated with hearing misinformation. Fear of recurrence score was available for 695 (70%) patients. Median score was 19 (IQR 13-24), 38% had a clinically significant level of fear (≥22). Awareness of medical misinformation was not associated with clinically significant fear (38% vs. 35%, χ 2 0.53, p=0.469). Conclusions: In a large cohort of patients with breast cancer, medical misinformation about risk of progression/recurrence was common. Fear of recurrence was high in over a third of surveyed patients, but was not associated with awareness of false information. Further understanding of how patients perceive and process medical misinformation is essential, especially in populations at highest risk for misinformation spread.

Childbirth Fear and Birth-Related Mindset of First-Time Mothers Who Registered for Antenatal Care in Public Hospitals in Nigeria

INTRODUCTION:Globally, studies have reported that many pregnant women often dread the childbirth experience. Its prevalence is higher in developing countries than in the developed countries. It is a problem more common among primigravid women, with consequences for their health and implications for their labor, birth, and postpartum period. Hence, there is a need to assess the level of childbirth fear and birth-related mindset among primigravida attending antenatal clinics in selected hospitals in Ibadan.METHODOLOGY:This study adopted a descriptive cross-sectional design. Two hundred and four primigravid women were selected using a simple random sampling technique. Data were collected with the aid of a questionnaire, and the result was analyzed using SPSS version 25.0.RESULTS:Findings of the study revealed that slightly above half (55.9%) of the respondents had a high level of childbirth fear. Also, majority (52%) of the respondents had a natural birth-related mindset. It further revealed that there is a significant association between age and childbirth fear with apvalue of &lt;.001. Also, there is a significant association between childbirth fear and birth-related mindset with ap-value of &lt;.001.CONCLUSION:The study concluded that there is a high level of childbirth fear among primigravida. It is recommended that there should be an increased focus on the fears of women of all ages toward childbirth. This should include providing tailored sensitive interpersonal care to them at all levels of care.

Coping in crisis: The role of sense of coherence, life satisfaction, and resilience in the relationship between depression, social support, fear of COVID-19, and perceived vulnerability to disease among nurses in South Africa

In the context of the formidable challenges posed by the COVID-19 pandemic, healthcare professionals coped in various ways. This cross-sectional survey study sought to examine the protective role of satisfaction with life, sense of coherence, and resilience in the relationship between depression, social support, fear of COVID-19, and perceived vulnerability to disease among nurses in South Africa. Participants were a convenience sample of nurses ( n = 264) working at four South African hospitals in the Western Cape. Data were collected by means of an electronic survey and analysed using structural equation modelling. Participants completed a comprehensive battery of psychological measures. We found that while higher levels of fear of COVID-19 robustly predicted depressive symptomology among nurses, factors such as sense of coherence, and social support emerged as protective resources. These protective factors have the potential to alleviate the mental health impacts of pandemic-related stressors among nurses.

EFEKTIVITAS KOMUNIKASI TERAPEUTIK BIDAN TERHADAP PENURUNAN KECEMASAN IBU HAMIL MENJELANG PERSALINAN DI PMB LILIS SURYANI SST DEPOKTAHUN 2023

The incidence of childbirth anxiety worldwide is estimated at 14%, and primiparous have a greater level of fear compared to multiparous mothers. Anxiety facing childbirth is fluctuating, in early pregnancy is relatively low and increases with increasing gestational age. In Indonesia there are 373,000 pregnant women, and those who experience anxiety in the face of childbirth as many as 107,000 (28.7%) pregnant women. This study aims to analyze the effectiveness of midwives' therapeutic communication on reducing anxiety of pregnant women before childbirth at PMB Lilis Suryani SST in 2023. This research is a quasi-experiment and the research design used is one group pre-test-post test design, with the sample used amounting to 44 respondents. The results of this study based on statistical analysis of the Paired Sample T-Test showed that there was a significant effectiveness of therapeutic communication on reducing anxiety in pregnant women before delivery, namely P Value = 0.000 (P Value &lt; 0.05). The conclusion of this study is that therapeutic communication is effective for lowering anxiety in pregnant women before delivery. Suggestions for PMB to make therapeutic communication SOPs so that health workers can apply them properly to reduce anxiety for pregnant women.

Determination of the effect of the pre-surgery COVID-19 fear level and hygiene behaviours of the patients on the personal protective clinical measures developed after the surgery: Across-sectional study.

This study aims to examine patients' preoperative COVID-19 fear levels, hygiene behaviours, postoperative personal protective clinical measures, and their correlations with each other. This research is a cross-sectional type of study. The study sample consisted of 131 patients hospitalized in the general surgery inpatient ward of a hospital in Turkey. The sample was determined by G-Power analysis. The data were collected in two stages in a research hospital between 1 April 2021 and 1 March 2022. Sociodemographic and Clinical Information Form, COVID-19 Fear Scale, COVID-19 Hygiene Scale were used before surgery; COVID-19 personal protective clinical measures questionnaire was used after surgery. Descriptive statistics, independent t-test, ANOVA test, Wilcoxon test and Spearman correlation analysis were used to evaluate the data. It was determined that preoperative COVID-19 fear levels, hygiene behaviours, and the personal protective clinical measures developed after the surgery were above moderate. A statistically significant and positive correlation was found between the COVID-19 Fear Scale and the preoperative COVID-19 Hygiene Scale and postoperative COVID-19 personal protective clinical prevention questionnaire total score and sub-dimension score averages. Patients' COVID-19 fears, preoperative and postoperative hygiene behaviours are statistically significantly associated with each other at a low level; postoperative clinical precautions and preoperative hygiene behaviours are statistically significantly associated with each other at a high level. The results of this study show that patients are terrified of COVID-19 while they are hospitalized due to surgical intervention during the pandemic process, and they increase their hygiene measures. It is thought that the results of the study will guide the regulation of clinical measures, patient education, and nursing care to be developed for patients during pandemic periods. No patient or public contribution.

The impact of kaleidoscope on children’s pain and fear during sutures

IntroductionThe pediatric emergency department can be a place of fear and pain during treatment. This study was to determine the effect of the kaleidoscope on the fear and pain levels of children aged 4–12 years admitted to the pediatric emergency department for suturing. MethodThis study was conducted as a randomized controlled experimental study. The sample size was calculated by taking into account the known score in the GPower 3.1.5 program. The sample size was calculated as 112 in total. Children with head or limb injuries were randomly assigned to their groups. Data were collected using “Information form”, “Children’s Fear Scale (CFS), Wong Baker Pain Scale, Kaleidoscope and Stopwatch”. The data were evaluated by percentage, mean, standard deviation, chi-square, t test, correlation analysis and Krusskal Wallis test in computerized environment. ResultsThe majority of children were male (60.7 %) and the mean age was 7.75 ± 2.79 years. Demographic variables, fear and pain scores of the children were similar before the procedure. After the procedure, the mean fear score was 1.71 ± 1.27 for the kaleidoscope group and 3.23 ± 0.89 for the control group, and the difference between the groups was found to be significant (p < 0.01). When the difference between the groups was examined in terms of the pain status of the children after the procedure, it was observed that the pain level of the children in the kaleidoscope group (1.77 ± 1.12) was significantly lower than the pain level of the children in the control group (3.30 ± 0.91) (p < 0.05).In conclusion, it was found that the use of kaleidoscope during suturing procedure decreased children’s fear and pain levels. Therefore, it is recommended that the use of kaleidoscope during suturing should be widespread.

Collaborative outcomes study on health and functioning during infection times (COH-FIT): Insights on modifiable and non-modifiable risk and protective factors for wellbeing and mental health during the COVID-19 pandemic from multivariable and network analyses

There is no multi-country/multi-language study testing a-priori multivariable associations between non-modifiable/modifiable factors and validated wellbeing/multidimensional mental health outcomes before/during the COVID-19 pandemic. Moreover, studies during COVID-19 pandemic generally do not report on representative/weighted non-probability samples. The Collaborative Outcomes study on Health and Functioning during Infection Times (COH-FIT) is a multi-country/multi-language survey conducting multivariable/LASSO-regularized regression models and network analyses to identify modifiable/non-modifiable factors associated with wellbeing (WHO-5)/composite psychopathology (P-score) change. It enrolled general population-representative/weighted-non-probability samples (26/04/2020-19/06/2022). Participants included 121,066 adults (age=42±15.9 years, females=64 %, representative sample=29 %) WHO-5/P-score worsened (SMD=0.53/SMD=0.74), especially initially during the pandemic. We identified 15 modifiable/nine non-modifiable risk and 13 modifiable/three non-modifiable protective factors for WHO-5, 16 modifiable/11 non-modifiable risk and 10 modifiable/six non-modifiable protective factors for P-score. The 12 shared risk/protective factors with highest centrality (network-analysis) were, for non-modifiable factors, country income, ethnicity, age, gender, education, mental disorder history, COVID-19-related restrictions, urbanicity, physical disorder history, household room numbers and green space, and socioeconomic status. For modifiable factors, we identified medications, learning, internet, pet-ownership, working and religion as coping strategies, plus pre-pandemic levels of stress, fear, TV, social media or reading time, and COVID-19 information. In multivariable models, for WHO-5, additional non-modifiable factors with |B|>1 were income loss, COVID-19 deaths. For modifiable factors we identified pre-pandemic levels of social functioning, hobbies, frustration and loneliness, and social interactions as coping strategy. For P-scores, additional non-modifiable/modifiable factors were income loss, pre-pandemic infection fear, and social interactions as coping strategy. COH-FIT identified vulnerable sub-populations and actionable individual/environmental factors to protect well-being/mental health during crisis times. Results inform public health policies, and clinical practice.

Fear of progression after cancer recurrence: a mixed methods study.

The recurrence of cancer will significantly impact an individual's quality of life (QoL) as they adjust to living with a condition that is often incurable. Patients remain at risk of further progression following recurrence, but fear of cancer progression (FOP) at this time is not commonly examined. Importantly, these fears are known to reach levels in which there are consequences for QoL. This study sought to explore levels of FOP, health-related QoL, anxiety, and depression in patients after a recurrence of their cancer in a longitudinal manner. With the study taking place throughout the COVID-19 pandemic, an assessment of fears related to cancer and the pandemic was included. A sequential mixed method approach was employed for complementarity and expansion purposes. A questionnaire was administered to 44 participants on three different occasions one month apart. A sub-sample of 10 participants then took part in semi-structured interviews. FOP was present at moderate levels in patients with a cancer recurrence, with over a third of the sample reaching levels considered dysfunctional. Levels of fear were stable over three months and were not predicted by select demographic or clinical factors. On average, depression was low, but anxiety reached mild levels. Challenges to health-related QoL were evident. Low levels of concern about COVID-19 in relation to cancer were reported. Integrated findings provided more nuanced answers to the research questions, including more specific worries about cancer progression. Findings support the development of psychosocial interventions to manage FOP, and future recommendations are provided. Identifying the presence of fears not commonly screened for after cancer recurrence adds to the existing knowledge in this area. Through acknowledging and attending to the psychosocial impact of FOP, healthcare professionals can provide tailored support to enhance the well-being of those with a recurrence of their cancer.

Sociodemographic Characteristics, Hope and Information in the Media as Predictors of the Fear of COVID-19

The research examines the severity of fear of Covid-19 its relation to the frequency of obtaining information on Covid-19 through the media and hope, as well as differences in relation to social and demographic variables. The aim was to examine whether and how the frequency of obtaining information in the media on the topic of Covid-19 affects the level of fear of Covid-19. Additional aim was to examine in which way are hope and certain sociodemographic variables related to fear of Covid and informing oneself through media. The sample comprised 316 respondents (214 females). The instruments: Scale of fear of Covid-19, Scale of Hope, as well as 4 questions related to the frequency of receiving information on the topic of Covid-19 from the media and sociodemographic questionnaire. Respondents who have children are more frequently attentive to the Covid-19 statistics in the media, expert presentations on the topic of Covid-19 and information on the Internet. Respondents living alone and with a lower level of education are more often informed on Covid-19 through the media, in all four described ways. Positive correlations were obtained between the fear of Covid-19 and all four described ways of receiving information in the media. In the first model, 6.5% of the variance in fear of Covid-19 is predicted by sociodemographic variables and hope; parenting and level of education stand out as significant factors. The second model included variables related to obtaining information on the topic of Covid-19 through the media. This model explains 17.9% of the variance in fear of Covid-19, with significant predictors being parenting, level of education and the frequency of keeping track of expert presentations on the topic of Covid-19.

Basic Affective Systems and Sex Differences in the Relationship between Anger and Fear.

The possible interactions between anger and fear have not been widely explored in the psychological literature. Fear and anger are currently beginning to be studied by looking at their interrelationships, rather than seeing them as simply opposing emotions. Furthermore, there is a tendency to think that anger is more typical of men and fear of women. Our contribution proposes a particular perspective of affective neuroscience. The objectives of the study are as follows: (1) to assess possible differences in affective systems, and states and traits of anger in relation to biological sex; (2) to assess correlations between ANGER, FEAR, and SADNESS, as well as state and trait anger in both a female and male sample; (3) to assess possible differences in basic affective systems in relation to different levels of ANGER, FEAR, and SADNESS, state and trait anger, in female and male samples. A non-clinical sample of 339 females and 99 males completed the ANPS 3.1 to assess basic affective states and the STAXI-2 to assess anger states and traits. No significant differences were found for ANGER and FEAR scores and for state and trait scores between the male and female samples. Clear correlations emerged (p < 0.01) between SADNESS and FEAR in both the female and male samples. Among the differences that emerged in the affective systems, we emphasise that in the female group, the highest scores on the SEEKING and PLAY scales are expressed by the group of women who have the lowest scores in FEAR; PLAY and CARE also vary in relation to different scores in SADNESS. Given the importance of the SEEKING and PLAY variables, it is of paramount importance to monitor the environmental and relational situations to guarantee that women, too, are provided with the conditions of safety and protection that are prerequisites for their well-being and the positive expression of their resources.

Relationship between health belief levels and fear of cancer recurrence in breast cancer patients: Development of a predictive model

This study examines the relationship between health beliefs and fear of cancer recurrence among breast cancer (BC) patients and develops a predictive model for cancer recurrence fear. A total of 120 patients from the Breast Surgery Department of a top tertiary hospital, spanning December 2022 to December 2023, were included in the study. Data were collected using general information questionnaires, Champion&amp;rsquo;s Health Belief Model Scale (CHBMS) and the Fear of Progression Questionnaire-Short Form (FoP-Q-SF). The analysis revealed that CHBMS and FoP-Q-SF scale scores of BC patients were 94.17 &amp;plusmn; 15.59 points and 34.90 &amp;plusmn; 7.15 points, respectively. The total CHBMS score, perceived benefits, health motivation, and self-efficacy were negatively correlated with the total FoP-Q-SF score and its dimension scores (P &lt; 0.05), whereas perceived severity, perceived susceptibility, type of operation, radiotherapy and chemotherapy treatment, and perceived barriers showed a positive correlation (P &lt; 0.05). Significant differences in FoP-Q-SF scores were observed among patients of different ages, marital statuses, education levels, average monthly household incomes, levels of family caregiving, tumor node metastasis (TNM) stages, and types of medical insurance (P &lt; 0.05). Multivariate logistic regression analysis identified age, marital status, education level, average monthly household income, family caregiving, TNM stage, chemoradiotherapy treatment, and CHBMS scale scores as significant factors influencing cancer recurrence fear (P &lt; 0.05). A predictive model regression equation was established, and the model&amp;rsquo;s area under the ROC curve was 0.759 (95% confidence interval = 0.702 &amp;ndash; 0.834, P &lt; 0.001). Patients aged 50 years and older exhibited higher fear levels. This fear is also affected by age, marital status, education level, average monthly household income, family caregiving, TNM stage, and chemoradiotherapy treatment. The predictive model based on these factors demonstrates good predictive efficacy for cancer recurrence fear, providing a basis for early identification of high-risk patients and targeted nursing interventions.

Variations in Canine Behavioural Characteristics across Conventional Breed Clusters and Most Common Breed-Based Public Stereotypes.

Dog breeds are grouped based on scientific agreement, whether for traditional reasons or specific tasks during their domestication. Discrepancies may occur between public views of breed behaviour and actual evidence. This research aims to investigate differences in five behavioural traits (aggression towards people, aggression towards animals, fearfulness, responsiveness to training, and activity/excitability) by using the Dog Personality Questionnaire (DPQ) across six conventional groups/clusters of dog breeds (herding, hunting, guarding, companion dogs, potentially aggressive breeds, and mixed-breed dogs) and to assess hypotheses derived from common public presumptions. A cohort of 1309 dog owners sourced through diverse online platforms took part in the study. Contrary to stereotypes, the findings indicate that breeds labelled as "potentially aggressive" display lower levels of aggression compared to guarding breeds (χ2 (5) = 3.657, p = 0.041) and mixed-breeds (χ2 (5) = 3.870, p = 0.002). Additionally, mixed-breed dogs exhibited the highest levels of fearfulness among the six conventional clusters. In terms of aggression and gender, males demonstrated higher aggression levels towards both humans and animals compared to females (p = 0.001). These results challenge established assumptions and emphasise the necessity of evidence-based methodologies in the assessment of canine behaviour.

The fear of old age: a survey of adults in the UK

ABSTRACT Increases in life expectancy have contributed to the growing numbers of older adults in our society. There has been a corresponding increase in ageism with many people holding negative attitudes toward older adults and old age. This can result in poor outcomes both for older adults themselves and for those who espouse those attitudes. Older adults may be ostracized, whilst those who hold negative attitudes are more likely to experience poor physical and mental health as they age. This is detrimental not only to individuals but also to society. A survey of adults (n = 3252) aged between 35 and 75 in the UK was conducted to explore the prevalence of the fear of old age, attitudes toward it and factors that influence it. Results showed high levels of fear, influenced by the demographic variables of gender, age, health and parenthood as well as personality traits, religious faith and contact with older people. Previous research, suggesting that being a younger adult, being female, being high in neuroticism and being in poor health predicted high levels of fear, was supported. Other factors that were expected to mitigate the fear of old age – having regular contact with older adults, being a parent and holding religious beliefs – were found to increase it. It was concluded that further research is needed to explore these findings further.

Fear of COVID-19 among Frontline Nurses in a National University Hospital in the Philippines: A Mixed-Methods Study.

Nurses are at the forefront of caring for patients during the height of the COVID-19 pandemic. Nurses themselves are exposed to serious risk and even death while providing care for these patients. Among other healthcare professionals, nurses are mostly exposed to psychologically distressing situations during this time of crisis. Fear of COVID-19 can affect nurses' overall well-being, which in turn may affect their job performance and lead to a decline in the quality of patient care. To determine the level of fear of COVID-19, and to explore the experiences of COVID-19-related fear of frontline nurses in a national university hospital in the Philippines. To achieve the study objectives, the study utilized a convergent mixed methodology approach. In the quantitative phase, a random sample of participants completed the Fear of COVID-19 scale (FCV-19S) in order to assess their level of fear of COVID-19. Semi-structured interviews were conducted in the qualitative strand. Participants in the qualitative phase was selected using maximum variation sampling. Integration of data was done through a narrative contiguous approach. Quantitative data was obtained from 206 frontline registered nurses. The mean age of the participants was 35.5 years (SD =8.17). Overall, the composite score of the fear of COVID-19 scale was 21.76 (SD = 4.92), indicating an elevated level of fear. Having friends and relatives who tested positive predicted fear of COVID-19 (β = -3.658; p = 0.005; CI: -6.213 to -1.104). Three major themes categories emerged from qualitative data analysis: (1) balancing feelings of fear and moral obligation, (2) challenges experienced while providing frontline work, and (3) resilience amidst challenges. For the reporting and integration of our mixed-method results, a narrative contiguous approach was implemented. Frontline nurses reported an elevated level of fear during the height of the COVID-19 pandemic. This study was also able to capture the impact of COVID-19 on the mental health of nurses, specifically on their fear experiences. Understanding the underlying causes of fear, such as uncertainties surrounding guidelines and protocols, shortage of personal protective equipment, and moral distress, offers invaluable insights for shaping proactive strategies and policies aimed at mitigating these concerns in subsequent pandemics.

A cross-sectional study on the relationship between trauma levels and fear of happiness with sexual quality of life in women earthquake survivors

To evaluate the relationship between post-earthquake trauma levels and fear of happiness with sexual quality of life in women who had survived the earthquake. The study revealed that as the level of post-earthquake trauma and fear of happiness increased, so too did the quality of sexual life. These findings indicate that traumatic events strengthen the bonds between couples and positively affect the quality of sexual life. Nevertheless, providing support to individuals following the earthquake and informing them about sexual life and sexual health issues can contribute to individual health and harmony within the family, thereby positively impacting public health.

Ready or not…here we grow! Evaluating the competency of nursing faculty in supporting nursing student mental health: A quantitative investigation

BackgroundCollege students are amid a mental health crisis with campuses seeing the highest rates of mental health disorders in over a decade. College nursing students stand out as particularly affected, experiencing elevated levels of anxiety, stress, and depression compared to the general student population. At the forefront of addressing this issue are college faculty, especially nursing faculty, who play a unique role in identifying and referring students with mental health needs due to their close interactions in smaller teaching-learning settings such as clinicals, simulations, and one-on-one validations. AimThis study evaluated the perceived competency, knowledge, engagement, and fear levels of nursing faculty in supporting the mental health of Bachelor of Science in Nursing students. Additionally, the study explored whether faculty members with prior MH training differed in these levels. MethodsSurvey data from 63 faculty members employed across six prominent nursing schools in the southeast region of the United States, all offering Bachelor of Science in Nursing programs, were analyzed. Employing a cross-sectional design, the study utilized the “College Mental Health Perceived Competency Scale” (CMHPCS) to assess faculty's competence, knowledge, engagement and fear in supporting student mental health. ResultsAmong the 63 participants, significant differences were observed in engagement levels between nursing faculty with and without prior mental health training (p < .012). Overall, the surveyed nursing faculty demonstrated high levels of competence, engagement and knowledge and low levels of fear in supporting the nursing student's mental health. ConclusionThe results prompt recommendations for future research aimed at developing a comprehensive approach to equip nursing faculty with effective mental health training and interventions. Such efforts seek to empower student nurses with the tools necessary to support their own mental health, enabling them to competently care for patients and communities.

‘My trust in strangers has disappeared completely’: How hate crime, perceived risk, and the concealment of sexual orientation affect fear of crime among Swedish LGBTQ students

Previous research has established correlations between anti-LGBTQ hate crime, fear of crime, perceived victimization risk, and the concealment of sexual orientation. Aside from correlations, the relationships between these variables remain poorly understood. Therefore, the aim of the present study is to explore the relationships between anti-LGBTQ hate crime, perceived risk, and the concealment of sexual orientation in relation to fear of crime. Based on previous research and theory, the authors hypothesize (1) that experiences of hate crime victimization increase fear of crime, perceived victimization risk, and the concealment of sexual orientation; (2) that high levels of perceived risk result in high fear of crime and a more prevalent concealment of orientation; and (3) that the concealment of sexual orientation results in lower fear of crime. The sample consists of LGBTQ students enrolled at a Swedish university. The study uses a mixed method approach, combining survey data ( N = 353) and interview data ( N = 10). The data are assessed using path analysis and thematic analysis. The path analysis supported the authors’ hypothesis regarding experiences of anti-LGBT hate crime, perceived risk, and fear of crime. The qualitative analysis showed that victims of hate crimes had a reduced ability to process negative emotions because they experienced other traumatic life events parallel to the victimization. Similarly, feelings of being reduced to a negative stereotype resulted in higher levels of both fear of crime and perceived risk. Finally, the path analysis rejected the hypothesis that the concealment of sexual orientation results in lower fear of crime. Rather than being an agency-driven and functional fear response, the interview data showed that while these practices reduced victimization risk, they negatively impacted the overall health of the participants through feelings of lack of authenticity and self-censorship.

A Novel Study on the Functional Capacity of Athletes and Its Influence on Their Fear of Pain and Injuries

This study investigates the multifaceted phenomenon of kinesiophobia, characterized by an irrational fear of movement, particularly prevalent among individuals with chronic pain. The research delves into various factors influencing kinesiophobia, including demographic variables, psychological experiences, and physical characteristics. Employing the Tampa Scale of Kinesiophobia, the study assesses fear levels and their correlation with pain perception and functional capacity. Findings reveal a significant relationship between kinesiophobia and psychological exhaustion, reduced alertness, and self-esteem issues, particularly among athletes. Moreover, factors such as fatigue, overextension, sleep quality, and nutritional habits are identified as contributing to the manifestation of kinesiophobia. Furthermore, our study employs meticulous data preprocessing and neural network modeling, achieving an accuracy of 94.54%, to explore predictive factors such as age, gender, and fear-related attitudes. Notably, while injury history emerges as a significant predictor of kinesiophobia, gender does not exert a substantial influence. Notably, while injury history emerges as a significant predictor of kinesiophobia, gender does not exert a substantial influence. The analysis underscores the complex interplay of physical, psychological, and environmental factors in shaping kinesiophobia and highlights the importance of tailored interventions targeting fear-related attitudes and promoting well-being and rehabilitation strategies in individuals affected by this condition.

Uncovering Oral Health Concerns: Exploring dental anxiety within Transgender community- A systematic review

Dental fear and anxiety (DFA) have substantial implications for oral health, often resulting in the avoidance of dental care and negative consequences. Despite facing unique health challenges and discrimination, there is a lack of research on the prevalence of DFA among transgender individuals. This paper seeks to synthesize evidence regarding the prevalence of DFA within this population. We searched multiple databases, including PubMed, Google Scholar, Cochrane Database, Web of Science, and LILACS, for studies published up to May 2024. We included observational studies, cross-sectional studies, surveys, and cohort studies that provided data on DFA prevalence among transgender individuals. Eligible studies were screened, and data extraction was performed according to predefined criteria. The risk of bias was evaluated using the ROBINS-E tool, while the level of evidence and quality were assessed following the Oxford Centre for Evidence-Based Medicine guidelines. Among the 20 studies assessed for eligibility, only 2 met the inclusion criteria and were thus included in the review. These studies reported varying prevalence rates of DFA among transgender individuals, with both exhibiting a moderate risk of bias. However, the quality of evidence was deemed low due to the limited number of studies and their observational nature. The available evidence indicates that transgender individuals experience notable levels of dental fear and anxiety, which contribute to disparities in accessing oral health care and achieving positive outcomes. This review underscores the imperative for further high-quality research to comprehensively understand and address the oral health needs of transgender individuals, ensuring equitable and effective dental care.