Levels Of Psychological Stress Research Articles

Stress and Mental Health Detection using Machine Learning

Abstract: The precise determination of psychological health and stress levels substantial involvement in the course of a patient's therapy, Especially during the initial phases of the condition, it's crucial to remain vigilant as there's a potential for health risks to emerge for the patient. Deep Learning (DL) has emerged as a prevalent technique utilized to detect stress and mental health conditions, aiding in their identification. in a timely manner. Here, we provide mental health prediction utilizing KNN, Random Forest, and Logistic Regression whereas CNN for stress detection to aid in the timely identification of the illness. The website we created compiles the patient/person dataset. It aids When forecasting the outcome of the event, patient's or person's mental health and stress levels once the necessary training procedures have been completed.

Influence of Daily Coping on Psychological Stress: A Multilevel Modeling Approach

The current study examined the association between approach and avoidance coping strategies and psychological stress during the novel coronavirus (COVID-19) pandemic. Participants were 62 adults who were recruited from Amazon’s Mechanical Turk. Data collection lasted for 29 d in May 2020. Multilevel modeling revealed no significant association between approach coping strategies and psychological stress among individuals, and engaging in approach coping more than the usual days was also not associated with lower stress. Regarding avoidance coping strategies, they were positively associated with psychological stress among individuals, and when individuals engaged in avoidance coping more than usual, those individuals were more likely to experience psychological stress. Interestingly, the strength of the association between approach coping strategies and psychological stress was dependent on the levels of psychological stress, where the strength became weaker as the level of stress increased. Similarly, the strength of the association between avoidance coping and stress was also dependent on stress at the beginning of the study, where the strength of the association became stronger as the level of stress increased. Current results raise the importance of being mindful of an individual’s psychological stress as the effectiveness of coping strategies may differ based on one’s level of stress.

Development and evaluation of a family-child reading picture book on reducing autism spectrum disorder caregivers’ psychological stress: a mixed method study

IntroductionThe rapid increasing prevalence of ASD has become a significant global health issue. Caregivers of children with ASD are experiencing higher level of psychological stress and mental disorders. However, interventions to improve the psychological health of caregivers of children with ASD have largely been neglected.MethodsBased on the ADDIE (Analysis, Design, Development, Implementation, and Evaluation) model, we initially did in-depth interviews with 8 caregivers, and conducted field observation in two rehabilitation centers to analyze the daily lives, the empowered components, the emotional moments of the children with autism and their caregivers. Then we designed the outline of the picture book, and developed it by a multi-disciplinary team by 4 rounds. After that, this picture book was sent out to 54 caregivers of children with ASD for family-child reading in one month. A quantitative questionnaire was administered before and after their reading to evaluate the efficacy of reducing their stress and affiliate stigma, and improving self-efficacy, resilience, empowerment capacity; and exit interviews were conducted after their initial reading to assess the acceptability, content appropriateness, perceived benefits and generalizability of this picture book. Quantitative data were analyzed by descriptive analysis and paired t-tests using IBM SPSS 26.0. Qualitative data were analyzed using template analysis.ResultsIn total, 54 caregivers read the picture book with their child, with the total of 149 (an average of 2.76 per family) times reading in one month. Among them, 39 caregivers returned the following-up questionnaires. Although most of the outcome measures did not showed significant changes except the stress level decreased statistically significant (13.38 ± 3.864 to 11.79 ± 3.238, P=0.001), caregivers reported that the picture book echoed their daily lives and gave them a sense of warmth, inspiration, and hope, as well as some insight on family relationships and attitudes towards the disorder. They also expressed a willingness to disseminate the book to other families with children suffering ASD and the public.ConclusionThis specially designed picture book has been proven to be an acceptable, content-appropriate, and effective family-centered psychological intervention, which could be easily scaled up.

Effect of Emergency Green Channel Optimization on Ischemic Stroke Patients: Impact on Emergency Response Time, Effectiveness, Anxiety, and Acute Stress.

The aim was to assess the effectiveness of an optimized emergency green channel in the treatment of acute ischemic stroke (AIS) patients and its effect on emergency response time, effectiveness, anxiety, and acute stress. A retrospective analysis was conducted on 349 AIS patients treated with intravenous thrombolysis from January 2019 to May 2022. The patients were divided into those who received optimized emergency green channel treatment (155) and those who did not (194). Propensity score matching (PSM) was used to balance the admission pathways, living conditions, insurance methods, and residential locations of the 2 patient groups. The key metrics comprised the times from onset to admission, admission to computed tomography (CT), CT to thrombolysis, admission to thrombolysis (door-to-needle time (DNT)), National Institute of Health Stroke Scale (NIHSS) scores at various intervals post thrombolysis, heart rate, blood pressure, and scores in Self-Rating Anxiety Scale (SAS) and the Stanford Acute Stress Reaction Questionnaire (SASRQ). Post PSM, 118 patients were analyzed (54 control and 64 observation). The observation group showed significantly lower time results than the control group, which included the following: the time from onset to admission (t = 31.428, P < .001), door-to-imaging time (t = 27.317, P < .001), imaging-to-needle time (t = 20.951, P < .001, and DNT (t = 25.954, P < .001). Significant differences were observed in 24 hour-post thrombolysis NIHSS scores, heart rate, blood pressure, SAS, and SASRQ scores (P < .05) but not in NIHSS scores at 7 and 30 days. The optimized emergency green channel process effectively reduced the treatment time for ischemic stroke patients, improved rescue efficiency, and positively influenced the psychological stress levels of patients post treatment.

Evaluation of salivary stress markers and inflammatory cytokine levels in peri-implantitis patients

Background and objectivePsychological stress has been identified in some observational studies as a potential factor that may modify and affect periodontal diseases, but there are no similar data for peri-implantitis. The aim of this study was to determine the relationship between interleukin (IL)-1β, IL-6, IL-10, interferon (IFN)α inflammatory cytokines and the psychological stress-related markers, glucocorticoid receptor-α (GRα), and salivary α-amylase (sAA) gene expression levels in saliva samples obtained from healthy implants and peri-implantitis patients.Materials and methodsThe study included a total of 50 systemically healthy subjects. Peri-implant clinical parameters were recorded and psychological stress level was evaluated with the hospital anxiety and depression scale (HAD) and state-trait anxiety inventory (STAI) questionnaire forms. Following the evaluations, the patients were divided into 4 groups according their stress and clinical status (Ia, Ib, IIa, IIb). IL-1β, IL-6, IL-10, IFNα, GRα, sAA gene expression levels in the saliva samples were quantified by quantitative polymerase chain reaction (qPCR).ResultsIn the group of peri-implantitis who had a high score in stress level assessment scales, significantly higher IL-1β, IL-6, sAA expression levels were observed (p < 0.001). The IL-10 gene expression levels were lower in the groups with a high score in the stress level assessment scales (p < 0.001). GRα gene was expressed at lower levels in the group of peri-implantitis who had a high score in stress level assessment scales but the difference was not statistically significant (p = 0.065).ConclusionThe study findings suggest that psychological stress may increase the inflammation associated with peri-implantitis by affecting cytokine expression levels.Clinical relevanceTo prevent peri-implantitis or reduce its prevalence, it could be beneficial to evaluate stress levels and identify individuals experiencing stress.

Investigating changes in prevailing mental states among students with different levels of academic performance

Introduction. The difficulties of the adaptation period increase the level of anxiety and psychological stress in students and negatively affect academic performance of first-year students. Despite the fact that recent studies have identified a wide range of conceptually different correlates of academic success, the problem of mental states of first-year students in the context of assessing their learning outcomes remains insufficiently studied in theoretical and empirical terms. Therefore, the problem of identifying a risk group for academic underachievement and maintaining the student population does not lose its relevance. The purpose of the study is to identify students’ mental states determining levels of academic performance. Materials and Methods. In order to identify the characteristics of students’ mental states, mental states were assessed at psychophysiological, psychological and socio-psychological levels. The authors used the following methods: Lemur-Tessier-Fillion ‘Psychological Stress Scale PSM-25’ adapted by N.E. Vodopyanova (2009), PSM-25 scale, method for determining neuropsychic stability, risk of maladaptation in stress ‘Forecast-2’ (V. Yu. Rybnikov), reactive (situational) and personal anxiety scale (Ch. D. Spielberger, 1973), adapted by Yu.L. Khanin, (1978), L.V. Kulikova’s methods for identifying the dominant and current states, methods for evaluating socio-psychological adaptation by K. Rogers, R. Diamond, (1954), adapted by T. V. Snegireva (1987) and by A. K. Osnitsky. The study involved 56 1st year full-time students of the Faculty of Mathematics, Informatics, Physics and Technology at Omsk State Pedagogical University. Results. The authors identified scales of methods for mental states assessment: ‘tone’, ‘activation-deactivation’, ‘situational anxiety’, ‘psychological stress’, which revealed statistically significant changes in students demonstrating different levels of academic performance. The authors revealed differences in prevailing mental states in students with different academic performance. Conclusions. The mental states of students identified in this study can be used in designing a programme of socio-psychological support for first-year students aimed at identifying the risks of maladjustment and a decrease in academic performance. Limitations. Limitations of the study include a small sample of students of one faculty and one-time use. It is necessary to check the possibility of extending the hypothesis to students of other faculties.

Исследование взаимосвязи стресса и психического здоровья педагогов образовательных организаций МВД России

The purpose of this article is to analyze the relationship between stress and mental health of teachers of educational organizations of the Ministry of Internal Affairs of Russia. The subject of this study was the mental health of teachers of educational organizations of the Ministry of Internal Affairs of Russia. The study was carried out on the basis of the cultural-historical, activity-based and resource-based methodological approaches of psychology (L. S. Vygotsky, A. N. Leontiev, P. Ya. Galperin, D. B. Elkonin, etc.). In the process of conducting the research, the following methods were used: formal logical analysis, generalizations, diagnostic (psychological test methods for assessing stress resistance and neuropsychic adaptation), quantitative (statistical) and qualitative (differentiation of material by groups, options), as well as methods of mathematical statistics with using computer statistical packages of the SPSS program.&#x0D; The respondents were 40 representatives of the teaching staff of educational institutions of higher education aged 30-45 years with 10-20 years of work experience.&#x0D; It has been revealed that the mental health of teachers is determined, first of all, by their susceptibility to organizational stress, which affects the manifestation of a state of maladjustment and mental discomfort.&#x0D; The study determined the characteristics of susceptibility to organizational stress of teachers of the educational organization of the Ministry of Internal Affairs of Russia; Differences were identified in the degree of exposure to the negative consequences of stress between certified teachers and civilian teachers. A significant connection between the level of neuropsychic adaptation and the level of assessment of organizational stress was revealed. The training program for preserving mental health and self-development of the teaching staff of educational organizations of the Ministry of Internal Affairs of Russia is justified;&#x0D; It has been shown that susceptibility to organizational stress, the level of psychological stress, and the severity of stress factors are higher in the group of teachers at civilian universities; in terms of the degree of exposure to the negative consequences of stress, the groups of certified teachers dominate the group of civilians; The mental health of professionals is determined, first of all, by their susceptibility to organizational stress, which affects the manifestation of a state of maladjustment and mental discomfort.

Effects of chronic social equality and inequality conditions on passive avoidance memory and PTSD-like behaviors in rats under chronic empathic stress

Introduction: Social inequality conditions induce aversion and affect brain functions and mood. This study investigated the effects of chronic social equality and inequality (CSE and CSI, respectively) conditions on passive avoidance memory and post-traumatic stress disorder (PTSD)-like behaviors in rats under chronic empathic stress. Methods: Rats were divided into different groups, including control, sham-observer, sham-demonstrator, observer, demonstrator, and co-demonstrator groups. Chronic stress (2 hours/day) was administered to all stressed groups for 21 days. Fear learning, fear memory, memory consolidation, locomotor activity, and PTSD-like behaviors were evaluated using the passive avoidance test. Apart from the hippocampal weight, the correlations of memory and right hippocampal weight with serum corticosterone (CORT) levels were separately assessed for all experimental groups. Results: Latency was significantly higher in the demonstrator and sham-demonstrator groups compared to the control group. It was decreased significantly in other groups compared to the control group. Latency was also decreased in the observer and co-demonstrator groups compared to the demonstrator group. Moreover, the right hippocampal weight was significantly decreased in the demonstrator and sham-demonstrator groups compared to the control group. Pearson’s correlation of memory and hippocampal weight with serum CORT levels supported the present findings. Conclusion: Maladaptive fear responses occurred in demonstrators and sham-demonstrators. Also, extremely high levels of psychological stress, especially under CSI conditions (causing abnormal fear learning) led to heightened fear memory and PTSD-like behaviors. Right hippocampal atrophy confirmed the potential role of CSI conditions in promoting PTSD-like behaviors. Compared to inequality conditions, the abnormal fear memory was reduced under equality conditions.

The association between paleolithic diet pattern scores and psychological disorders in Iranian adults

ABSTRACT Background There is evidence indicating that the transition from traditional Paleolithic lifestyle to contemporary lifestyle plays a significant impact in the occurrence and widespread of psychological problems. This study aimed to examine the associations between the Paleolithic diet (PD) and the Paleolithic-like lifestyle and the likelihood of psychological issues in adults. Materials and methods A cross-sectional study was conducted on 7165 participants who were enrolled in the Yazd Health Study (YaHS) and Yazd Nutrition Study (TAMYZ). To evaluate the participants’ food intake, a reliable 178-item semi-quantitative food frequency questionnaire (FFQ) was utilized. The PD score was computed using the food intakes of subjects received from FFQ. The study utilized the authorized Iranian version of the Depression, Anxiety, and Stress Scale (DASS 21) to evaluate psychological illnesses and stress levels. Results The mean ± SD of PD and Paleolithic-like lifestyle scores were 38.93 ± 5.27 and 48.48 ± 5.61, respectively. Based on the findings of the present study, after adjusting for potential confounders, it seems that increasing adherence to PD alone or in combination with lifestyle factors significantly reduces the risk of anxiety (OR = 0.68, 95% CI 0.49–0.96; P-trend = 0.044 and OR = 0.68, 95% CI 0.48–0.96; P-trend = 0.047, respectively). However, significant effects on the risk of depression and stress were not observed. Conclusions Our research indicates that adhering to a Paleolithic diet, either alone or in conjunction with lifestyle factors, significantly reduces the risk of anxiety in the general population.

Association of Personality Traits With the Efficacy of Stress Management Interventions for Medical Students Taking Objective Structured Clinical Examinations.

Personality traits are associated with psychophysiological stress, but few studies focus on medical students. This study aimed to better understand the association of personality traits with the efficacy of stress management interventions for medical students. A randomized controlled trial was conducted with fourth-year students who took the objective structured clinical examination at Bernard University Lyon 1 in December 2021. Students were randomized in cardiac biofeedback, mindfulness, and control groups. Each intervention was implemented for 6 minutes before the examination. Physiological stress levels were collected during the intervention. Psychological stress levels were rated by students at baseline and after the intervention. Personality traits were assessed via the Big-Five Inventory. Interactions between personality traits and the efficacy of the interventions were analyzed using multivariable linear regression models. Four hundred eighty-one students participated. Higher baseline psychological stress levels were associated with higher neuroticism and agreeableness (β = 10.27, 95% confidence interval (CI) [7.40, 13.13], P < .001 and β = 3.42, 95% CI [0.98, 5.85], P = .006, respectively) and lower openness (β = -4.95, 95% CI [-7.40, -2.49], P < .001). As compared to the control intervention, both stress management interventions led to lower levels of psychological (P < .001 for both) and physiological stress levels (biofeedback: P < .001 and mindfulness: P = .009). Biofeedback efficacy varied by extraversion score for psychological (β = -5.66, 95% CI [-10.83, -0.50], P = .03) and physiological stress reduction (β = -0.002, 95% CI [-0.003, -0.00004], P = .045). Mindfulness efficacy varied by agreeableness score for psychological stress reduction (β = -7.87, 95% CI [-13.05, -2.68], P = .003). Students with a high score in extraversion may benefit more from biofeedback interventions, while students with high scores in agreeableness may benefit more from mindfulness interventions.

Evaluation of Nature-Based Solutions to Improve the Urban Microclimate in Mediterranean Climate Conditions: A Case Study of Izmir-Karsıyaka

Today, rapid urbanization and increasing human activities have affected the climate at macro and micro scales in cities and caused unfavorable conditions in terms of human thermal comfort, especially in outdoor spaces. In this context, new solutions need to be researched, developed, tested, and updated to improve thermal comfort in cities. Using ENVI-met 5.1 software, this study investigated the effects of different NBS combinations on the urban microclimate and human bioclimatic comfort in Izmir (Turkey). The current situation, the scenarios where some nature-based solutions (NBS) are applied within the scope of the European Union’s HORIZON 2020 “URBAN GreenUP” project, and two other scenarios planned within the scope of the study were evaluated. The findings of the study showed that both the NBS scenarios created within the scope of the EU project and the NBS scenarios with large deciduous trees had the most positive impacts on improving thermal comfort conditions in all three study zones and achieved temperature reductions of up to 2.5 °C in urban temperatures. In terms of thermal comfort, the most significant differences were calculated between the minimum PMV values and were close to 1 °C. In addition, the simulation results showed positive changes in psychological stress levels.

Psychological distress among individuals with a suicide attempt or suicidal ideation and suicide attempts patterns: first two years of the pandemic.

The COVID-19 pandemic and related restrictions may have led to increased stress, particularly in people with mental health problems. Since stress factors play important role in the emergence of suicide attempts (SA) and suicidal ideation (SI), they may have been exacerbated by the pandemic, which could have led to an increased number of suicide attempts. Thus, we first investigated whether the pandemic affected personal stress experiences and appraisal of coping potential in individuals with and without SA and SI. In a second step, we analyzed the frequency and dynamics of SAs by patients admitted to a psychiatric university clinic over a period of four years. We examined stress experiences and appraisal of coping resources of inpatients recruited between March 2021 and February 2022 with SA (n=38), SI (n=27), and with mood disorder without SA or SI (n=45). In the second study, we investigated the time course of prospectively recorded patients with a suicide attempt (n=399) between January 1st 2018 and December 31st 2021 using interrupted time-series Poisson regression models. There was a significant main effect of group (F[2,107]=6.58, p=0.002) regarding psychological stress levels, which was significantly higher in the SA and SI groups than in the psychiatric control group. No significant differences were found in the appraisal of coping resources or in the frequency of SAs before and during pandemic. However, the pandemic had a significant impact on the seasonal pattern of SAs. The pandemic increased psychological stress levels in individuals with SA and SI, which may be related to SI and do not necessarily result in SA. The pandemic did not affect the overall frequency of SA between March 2020 and December 2021, but interfered with the seasonal pattern of SA occurrence. Effective intervention strategies during a pandemic should include programs to strengthen the psychological resilience of people who are susceptible to mental health problems.

Psychological Stress and Role Management on Construction Technology Industry: Post-Pandemic Challenges

Psychological stress is an unpleasant feeling and emotion for a person who is in a state of restlessness, anxiety, and tension because of the mental or physical stress that occurs. The purpose of this study was to find out the level and factors of psychological stress faced by employees in terms of barriers to the role of company management, particularly in the context of construction technology industry. This study was conducted on construction workers in the district of Hulu Selangor affected by the Covid-19 pandemic. This study uses random sampling referring to the population of selected companies. The study sample was 70 people from a total target population of 70 people. The researcher used the method of distributing questionnaires from google forms medium which contains five-section, namely Part A (demographics of respondents), Part B (psychological stress factors among workers) and Part C (aspects of company management role) is the content for the research instrument. The data collected will be analysed using the Statistical Package for School Science (SPSS) program. Descriptive methods were used to obtain the mean, percentage, frequency, and standard deviation in this study. According to the study's findings, the level of psychological stress among worker’s was a moderate and employees also perceived the psychological stress associated with their managerial responsibilities in the context of construction technology sector. To foster a healthier and more productive workplace, this discovery can offer all parties involved with useful information they can use as a guide to leverage technological solutions and structural adjustments to prevent employees from experiencing psychological stress in the future.

Levels of Stress, Anxiety and Depression among Students at Alma Mater Europaea Campus College “Rezonanca,” Kosovo

Background: This study aims to assess the prevalence of psychological well-being, the level of psychological stress and perceived anxiety among dental students at the Alma Mater Europaea Campus College “Rezonanca.” Methods and Results: We evaluated the stress and anxiety levels of 70 students in the fourth year of dentistry studies at the Alma Mater Europaea Campus College “Rezonanca” in Kosovo in the school year 2022/2023. The distribution of students was equal in terms of gender. Participants were surveyed using the DASS-21 questionnaire. A questionnaire with 25 questions was used to determine the most frequent causes of stress. This questionnaire was distributed to the students at the same time as the DASS-21 questionnaire. The questionnaire had 25 questions about stress. Students had the opportunity to choose the level of stress for the respective statement from 1 to 4. The evaluation was done on a Likert scale. Then, the answers were converted into points by multiplying the given answer by 10. There was no statistically significant difference among female and male students on the mean points of depression, anxiety, and stress sub-scales. At the normal range of depression scores were 78.6% of students, followed by 67.1% for normal anxiety levels, and 92.9% for normal stress scores. We found no statistically significant difference in the distribution of the severity rating of depression, anxiety, and stress scores between female and male students. Conclusion: Dental students are exposed to various sources of stress. Stress in DS begins before they are accepted into the dental program and continues until they graduate. To reduce the stress levels among dental students, it is recommended that dental faculties, their clinical mentors, their peers, and colleagues make an effective plan to reduce stress among their students.

Relationships between disease severity, psychological stress, and health-related quality of life among patients with acute coronary syndrome: Mediation of illness perception.

Patients with acute coronary syndrome (ACS) often experience reduced health-related quality of life (HRQOL), which may be attributable to the disease severity and psychological stress. While illness perception is speculated to be a potential pathway underlying these relationships, evidence supporting this mechanism remains limited. This study aimed to investigate the relationships between disease severity, psychological stress, and HRQOL and whether these relationships are mediated by illness perception in patients with ACS. Data were collected from June to July 2019 and June to September 2020 in the cardiology departments of four public hospitals in China. Eligible patients completed measures of disease severity, psychological stress, illness perception, HRQOL, and sociodemographic and clinical characteristics. Data were analyzed employing hierarchical multiple regression and structural equation modeling. This study included 405 participants (mean age 60.63 years, 67.4% male). After controlling for sociodemographic and clinical covariates, higher levels of disease severity (β=0.115, P=0.024) and psychological stress (β=-0.209, P＜0.001) were associated with poorer HRQOL; however, the relationships became non-significant after adding illness perception into the regression model. Structural equation modeling analysis suggested that illness perception played a mediating role between disease severity, psychological stress, and HRQOL, accounting for 45.95% and 65.79% of the total effects, respectively. This study found that illness perception mediated the relationships between disease severity, psychological stress, and HRQOL among patients with ACS. Improving patients' HRQOL should consider its important influencing factors with a focus on promoting positive illness perception.

How healthy are the healthcare staff in a rural health service? A cross-sectional study

BackgroundThe COVID-19 pandemic has amplified the need to understand the health and wellbeing of healthcare workers in hospital settings. Crises like the COVID-19 pandemic create poor health outcomes for healthcare workers, yet little is understood about underlying patterns of modifiable health determinants. ObjectiveThe aim of the study was to examine the health and wellbeing data of healthcare workers before and during the COVID-19 pandemic and inform future healthy intervention activities within the workplace. DesignRepeat cross-sectional study pre-2018 and mid-COVID-19 2020. Setting(s)Rural health service in Victoria, Australia. ParticipantsAll 800 healthcare workers within the health service were invited; of these, 184 (23%) participated at Time 1 and 87 (11%) at Time 2. MethodsDiet, physical activity, sleep behaviours, and psychological distress were collected via online survey in Qualtrics. Pre-COVID-19 pandemic, anthropometry (height, weight, waist circumference, blood pressure), and type 2 diabetes risk were collected by a trained practitioner. However, to reduce burden on healthcare workers mid-COVID-19 pandemic, only self-reported anthropometry was collected. ResultsThe majority of participants were Australian-born females (84% at both timepoints) with half over the age of 45 (63% Time 1, 53% Time 2). Around half worked part-time (49% Time 1, 54% Time 2), over a third full-time (39% Time 1, 36% Time 2), and the majority reported working regular day shifts in the past 3 months (70% Time 1, 65% Time 2). Among this sample, there were few smokers (9% Time 1, 7% Time 2), and two thirds of participants were living with overweight or obesity (64% Time 1, 67% Time 2). Across both time points, compliance with health guidelines was low; 41% (Time 1) and 42% (Time 2) met fruit, 17% (Time 1) and 12% (Time 2) met vegetable, and just under 50% met physical activity guidelines at both time points. Those reporting moderate to very high levels of psychological stress increased from 42% (Time 1) to 59% (Time 2) (p< 0.05). At Time 1, >80% were at intermediate (39%) or high (33%) risk of developing type 2 diabetes within the next 5 years; and a third (32%) were hypertensive. Reasons for physical inactivity at work included already exercising out-of-work hours (28%), living too far from work (18%), available time (9%), and inflexible work hours (8%). ConclusionsSeveral high-risk health areas along with opportunities for supporting improved wellbeing were identified in this group of healthcare workers. Psychological distress of healthcare workers urgently needs to be addressed, and this is reinforced by the need to understand the longitudinal impact of COVID-19 on the health and wellbeing of healthcare workers. Workplace settings, such as a health service, is an ideal setting to invest in healthcare workers with individual, organisational, and broader community benefits.

Sea-level rise and mental health among coastal communities: A quantitative survey and conditional process analysis

This is the first large-scale empirical study examining the impact of sea-level rise induced by climate change on mental health outcomes among coastal communities. The study focuses on Bangladesh, a country severely affected by salinity ingress, flood risks, and agricultural damage due to sea-level changes. Participants (n = 1,200) randomly selected from three coastal regions each having high, moderate, or low vulnerability to sea-level rise were surveyed during the pre-monsoon season in 2021. The cross-sectional survey included validated measures of psychological distress, depression, anxiety, stress, environmental stressors, resource loss, and demographics. The results indicated significantly higher levels of psychological distress, depression, anxiety, and stress in residents of high-vulnerability areas compared to moderate or low-vulnerability regions. Resource loss served as a mediating variable between environmental stressors and mental health outcomes. Furthermore, demographic analyses showed that older adults and women reported higher levels of psychological distress. These findings align with the Sendai Framework for Disaster Risk Reduction, highlighting urgent need for targeted mental health interventions and sustainable models of care in coastal areas increasingly threatened by sea-level rise.

Кризові етапи розвитку спортивної кар’єри спортсменів-одноборців та формування шляхів їх подолання

Purpose: to determine the crisis stages in the development of the sports career of single combat athletes and to formulate ways to overcome them. Material and methods. The following methods were used to solve the purpose of the study: theoretical analysis, systematization and generalization of data from scientific and methodological sources. Results: the achieved level of achievements in sports requires special abilities from young single combat athletes, the ultimate intensification of the training process, and the use of stimulation tools to achieve particularly high results. Increased physical and psychological stress in single combat sports leads to rapid depletion of physical strength, injuries, and occupational diseases - in order to show consistently high results in such difficult conditions, an athlete needs a special personal and motivational readiness. Sports activities are considered to be extreme types of human activity that are difficult to perform and require a person to exert extreme physical and mental strength. Extremity can be both objective, determined by the following factors: high level of psychological and physical stress, dangerous conditions of performance, strict selection conditions, high competition, etc., and subjective, determined by such factors as fear of pain, injury; fear of an «inconvenient» opponent, feeling of overstrain during the competition, etc. The ability of an athlete to «overcome» depends to a large extent on his/her personal characteristics: target orientations - dominance of «self orientation» or «task orientation», dominant values, level and degree of moral control over behavior, degree of concentration. Conclusions. It has been determined that the ability to control one's stream of thoughts should be trained regularly. The winning mindset of a single combat athlete is based on the ability to concentrate on the «right» thoughts. You can train the ability to concentrate through special training and meditation. A concentrated athlete is able to control his or her emotions during competitions. Regular work with the formation of the winner's mindset helps to develop constructive thinking. It is necessary to constantly apply psychological techniques in practice. The family and coach should help the athlete to win, support and guide him. Keywords: psychological barriers, psychology of the winner, mental state, martial arts.

An overview study on the educational psychological assessment by measuring students’ stress levels

This article reviews the literature on the field of bibliographic analysis of the literature on educational assessment, psychological stress during the examination period, human memory, stress in the classroom, psychometric tools, and measurement scales for students’ stress. It examined the link between students’ social and psychological health, stress levels, and preferred social support systems. The research subjects were Abai Kazakh National Pedagogical University first-year students (n=299) who completed the Perceived Stress Scale and a Likert rating-type scale via a Google form. The validity and reliability of the scale were respectively confirmed through ‘high’ Aiken’s V and Cronbach’s Alpha coefficients. Structural equation modeling (SEM) analysis showed a satisfactory fit for the model. The average relationship (r=0.39) was found between stress levels and preferred social support, while a positive correlation (r=0.29) existed between preferred social support and socio-psychological health. However, the Stress Level variable only correlated with Socio-psychological Health through Preferred Social Support. The subjects preferred the University Staff and Academic advisors as social support providers over their parents. Overall, the findings indicate that higher levels of support were associated with reduced stress and improved socio-psychological health among Abai Kazakh National Pedagogical University students. Conversely, lower support levels correlated with increased stress and negative impacts on well-being.

P1222 Gut microbiome differences regarding lifestyle and the history of COVID-19 infection in ulcerative colitis patients

Abstract Background The microbiome contributes to the pathogenesis of ulcerative colitis (UC) but the contribution of different lifestyle and environmental factors to the compositional variability of the gut microbiota is unclear. Also, it is known that microbiota plays an important role in infectious diseases like coronavirus disease 2019 (COVID-19). Methods In 6-month time (June 2021 to December 2021) 49 UC outpatients from Riga East Clinical University Hospital were included in a Cross-sectional study. All patients were divided into groups according to COVID-19 status (COVID-19posvs COVID-19neg) within 6 months. The effect of the lifestyle (smoking cigarettes, alcohol intake, sports activities, and high psychological stress level) and COVID-19 to the gut microbiota in patients with UC was investigated. For taxonomical classifying of the gut microbiome metagenome data, MetaPhlAn v.2.6.0 tool was used. In further analysis gut microbiome (mostly bacteria phyla) and related data was analysed with SPSS 20.0. Results Out of 49 patients, 31(63%) were male and 18(37%) were female, the mean age was Md=38 [IQR:34-51]. Fourteen patients (28.6%) have been COVID-19 pos and 35(71.4%) COVID-19 neg. There were no statistically significant differences between COVID-19 pos and COVID-19 neg patients and their microbiota, nor between COVID-19 pos symptomatic 12(24.5%) and asymptomatic 37(75.5%) patients and their gut microbiome. Out of 49, 24(49%) were doing sports, of those 18(51.4%) were COVD-19neg vs. 6 (42.9%) COVID-19pos, p=0.82. Evaluating differences in the gut microbiome regarding physical activities there was no statistical significance. Of 49 patients, 30(61.2%) have smoked before, while 19(38.8%) haven’t smoked. Medium smoking time was 8 years Md=8 [IQR:4.50-20.0]. Analysing gut microbiome in smokers/non-smokers, and the length of smoking, there were found no statistically significant differences. Thirty-five (71.4%) were using alcohol, and 14(28.6%) were not. Those who were using alcohol had statistically significantly more Firmicutes in their gut microbiome Md= 64.8[IQR:53.7-70.4] than no users Md=48[IQR:37.5-66.3], p=0.041. Regarding high stress levels, those who had less stress 18(36.7%), had more Actinobacteria in their gut microbiome Md=11.7[IQR:6.92-14.8] vs stressful patients 31(63.3%) Md=6.03[IQR:2.23-13.8], p=0.03. Conclusion There were no changes in gut microbiome in COVID-19 positive and COVID-19 negative patients, nor in smokers and no smokers. Alcohol users had more bacteria Firmicutes in their gut microbiome. There were no differences in gut microbiome in UC patients doing or lacking sports. UC patients with less stress had more Actinobacteria in their gut microbiome.