Multidimensional Scale Of Perceived Social Support Research Articles

Development and validation of a nomogram for predicting sever cancer-related fatigue in patients with cervical cancer

ObjectiveCancer-related fatigue (CRF) has been considered the biggest influencing factor for cancer patients after surgery. This study aimed to develop and validate a nomogram for severe cancer-related fatigue (CRF) patients with cervical cancer (CC).MethodsA cross-sectional study was conducted to develop and validate a nomogram (building set = 196; validation set = 88) in the Department of Obstetrics and Gynecology of a Class III hospital in Shenyang, Liaoning Province. We adopted the questionnaire method, including the Cancer Fatigue Scale (CFS), Medical Uncertainty in Illness Scale (MUIS), Medical Coping Modes Questionnaire (MCMQ), Multidimensional Scale of Perceived Social Support (MSPSS), and Sense of Coherence-13 (SOC-13). Binary logistic regression was used to test the risk factors of CRF. The R4.1.2 software was used to develop and validate the nomogram, including Bootstrap resampling method, the ability of Area Under Curve (AUC), Concordance Index (C-Index), Hosmer Lemeshow goodness of fit test, Receiver Operating Characteristic (ROC) curve, Calibration calibration curve, and Decision Curve Analysis curve (DCA).ResultsThe regression equation was Logit(P) = 1.276–0.947 Monthly income + 0.989 Long-term passive smoking − 0.952 Physical exercise + 1.512 Diagnosis type + 1.040 Coping style − 0.726 Perceived Social Support − 2.350 Sense of Coherence. The C-Index of the nomogram was 0.921 (95% CI: 0.877\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$ \\sim $$\\end{document}0.958). The ROC curve showed the sensitivity of the nomogram was 0.821, the specificity was 0.900, and the accuracy was 0.857. AUC was 0.916 (95% CI: 0.876\\documentclass[12pt]{minimal} \\usepackage{amsmath} \\usepackage{wasysym} \\usepackage{amsfonts} \\usepackage{amssymb} \\usepackage{amsbsy} \\usepackage{mathrsfs} \\usepackage{upgreek} \\setlength{\\oddsidemargin}{-69pt} \\begin{document}$$ \\sim $$\\end{document}0.957). The calibration showed that the predicted probability of the nomogram fitted well with the actual probability. The DCA curve showed when the prediction probability was greater than about 10%, the benefit of the nomogram was positive. The results in the validation group were similar.ConclusionThis nomogram had good identifiability, accuracy and clinical practicality, and could be used as a prediction and evaluation tool for severe cases of clinical patients with CC.

Clinical correlates of negative health events and disparities among adults with epilepsy enrolled in a self-management clinical trial

AimsDespite advances in care, people with epilepsy experience negative health events (NHEs), such as seizures, emergency department (ED) visits and hospitalizations. This analysis using baseline data from an epilepsy self-management clinical trial targeting people from rural regions and other underserved populations assessed the relationship between demographic and clinical variables vs. NHEs. MethodsData to evaluate disparities and clinical correlates was collected using patient surveys from a baseline sample of 94 participants in a larger prospective study of 160 individuals with epilepsy who experienced an NHE within the last six months. Demographic characteristics, mental and physical functional status assessed using 36-Item Short Form Health Survey questionnaire version 2 (SF-36v2), depression assessed with the 9-item Patient Health Questionnaire (PHQ-9), quality of life assessed with the 10-item Quality of Life in Epilepsy Inventory (QOLIE-10), self-efficacy assessed the Epilepsy Self-Efficacy Scale (ESES), social support assessed with the Multidimensional Scale of Perceived Social Support (MSPSS), self-management assessed with the Epilepsy Self-Management Scale (ESMS), and stigma assessed with the Epilepsy Stigma Scale (ESS) were all examined in association with past 6-month total NHE frequency as well as NHE sub-categories of past 30-day and 6-month seizure counts, self-harm attempts, ED visits and hospitalizations. An exploratory evaluation of NHE correlates in relation to the Rural Urban Continuum Code (RUCC) residence classification compared 3 subgroups of increasing rurality. Descriptive statistics were generated for demographic and clinical variables and NHEs, and exploratory analyses compared the distribution of demographic, clinical, and NHE variables by RUCC categorization. ResultsThe mean age was 38.5 years (SD 11.9), predominantly female (N= 62, 66.0%) and white (N=81, 86.2%). Just a little under half (N=43, 45.7%) of participants had annual incomes of less than $25,000, and 40% (N=38) were rural residents (RUCC >3). The past 6-month NHEs count was 20.4 (SD 32.0). Seizures were the most common NHE with a mean 30-day seizure frequency = 5.4 (SD 11.8) and 6-month seizure frequency of 18.7 (SD 31.6). Other NHE types were less common with a past 6-month self-harm frequency of 0.16 (SD 1.55), ED visit frequency of 0.72 (SD 1.10), and hospitalization frequency of 0.28 (SD 1.02). There were few significant demographic and clinical correlates for total and sub-categories of NHEs. Worse physical health status, as measured by the physical component summary (PCS) of the SF-36v2, was significantly associated with 6-month seizure counts (p=.04). There were no significant differences between the 3 RUCC subgroups on demographic variables. However, past 30-day seizure count, past 6-month seizure count and total past 6-month NHE counts were all higher among individuals from more rural settings (p-values <.01 for each). ConclusionsRural adults with epilepsy were more likely to have a greater number of seizures and more epilepsy complications in general. Worse physical health function was also associated with more epilepsy complications. However, this analysis found few other demographic and clinical correlates of cumulative NHEs among adults with epilepsy. Additional efforts are needed to investigate health disparities among people with epilepsy who live in rural regions or who have poor physical health function.

Social support, distress, stress, anxiety, and depression as predictors of suicidal thoughts among selected university students in Bangladesh.

This study examines the association of perceived social support with suicidal thoughts among a young adult sample of university students and estimates the degree to which perceived stress, distress, anxiety, and depression may explain the association. A cross-sectional survey was conducted from June to September 2022 among 642 students, selected using the probability proportional to size procedure, at a large university in Bangladesh. We used the Multidimensional Scale of Perceived Social Support (MSPSS) to measure support. The Impact of Events Scale-Revised (IES-R), the Perceived Stress Scale (PSS-10), the Generalized Anxiety Disorders (GAD-7) scale, and the Patient Health Questionnaire (PHQ-9) were used to assess distress, stress, anxiety, and depression. The association between social support and suicidal thoughts was examined using multivariable logistic regression models. Mediation analyses were carried out using the Karlson, Holm, and Breen (KHB) method. We found that perceived social support was associated with lower odds of suicidal thoughts after controlling for other variables (adjusted odds ratio = 0.94; 95% confidence interval = 0.92-0.96). Mediation analysis showed that, after adjusting for potential confounders, the mediating effects among the total effect of perceived social support on suicidal thoughts were 56.1%, 20.8%, 22.5%, 38.8%, and 50.9% for all mental disorders together and four specific adverse mental health outcomes, i.e., perceived distress, stress, anxiety, and depression, respectively. This study demonstrates that perceived social support reduces the likelihood of suicidal thoughts among university students, and mental disorders have a partial mediating effect on the association. Suicide prevention and mental health promotion efforts among university students should consider encouraging students to build and strengthen a strong social support network.

Getting by with a little help from friends and family: mediation model between loneliness and depressive symptoms amongst Portuguese students

PurposeThe purpose of this study is to analyse the mediating effect of friends and family as sources of perceived social support in the relationship between loneliness and depressive symptoms.Design/methodology/approachSurvey data sample consisted of 733 university students from January to May 2023. Participants completed the UCLA loneliness scales, Multidimensional Scale of Perceived Social Support (MPSS) and Depression, Anxiety and Stress Scale (DASS-21). The SPSS programme with PROCESS macro (Model 6) was used to test the hypothesis regarding the mediation effect.FindingsThe bootstrap analysis found that friends as a source of social support mediated the relationship between loneliness and depressive symptoms. Similarly, loneliness had a significant indirect effect on depressive symptoms through the mediation of family as a source of social support. Moreover, it was found that the relationships of friends and family as sources of social support mediated the association of the aforementioned variables.Originality/valueThis research advances our understanding of social support sources from friends and family amongst university students whilst providing suggestions for interventions tackling loneliness and depressive symptoms in a university setting.

Trait-anxiety, depressive symptoms, family support and life satisfaction as determinants conditioning the degree of adherence of people in pre-older adults and older adults.

The objective of the study was to determine the degree of adherence to pharmacological treatment in people in pre-older adults and older adults age groups and to analyse the correlation between selected sociodemographic parameters, severity of anxiety as a trait, symptoms of depression, a sense of family support and satisfaction with life, and adherence in people over 55 years of age. The study was conducted in a group of 2,040 people (1,406 women, 634 men) aged 55 to 100 (the average age was 65.4). The following sociodemographic variables were analysed: age, gender, education. The following scales were used: State-Trait Anxiety Inventory (STAI), Beck Depression Inventory (BDI), Satisfaction With Life Scale (SWLS) and the Multidimensional Scale of Perceived Social Support (MSPSS). The Adherence in Chronic Diseases Scale (ACDS) was used to test adherence, understood as the implementation of the therapeutic plan. The results obtained in the ACDS ranged from 6 to 28 points; the median was 24 points (21-28). The multiple coefficients of determination (multiple R2 = 0.11; p < 0.001) indicated an explanation of approximately 11% of the value of the ACDS dependent variable. The total correlation of all variables (multiple R) with the ACDS general variable in the mean correlation was 0.33. Independent factors affecting adherence assessed in the ACDS were: severity of anxiety as a trait (p = -0.21 ± 0.03; p < 0.001), family support (p = 0.10 ± 0.04; p = 0.029), severity of depression symptoms (p = -0.08 ± 0.03; p = 0.005), age of respondents (p = 0.07 ± 0.02; p = 0.003) and satisfaction with life (p = 0.06 ± 0 0.03; p = 0.027). Severity of anxiety as a trait, age, severity of depressive symptoms, a sense of satisfaction with life and family support are important factors affecting adherence.

Examination of Risk of Depression and Perception of Social Support in Pregnant Women Undergoing Intrauterine Intervention.

Interventions during pregnancy might increase the risk of depression becausethey may cause anxiety and stress in the mother. In these cases, it is important to provide social support to pregnant women. This study aimed to determine the relationship between the risk of depression and the perception of social support in pregnant women who had undergone intrauterine intervention (IUI). The population of this descriptive study consisted of all pregnant women (n = 267) who attended a state hospital in Izmir between March and September 2022 and who had undergone IUI. Data were obtained using a sociodemographic data form, the Beck Depression Inventory (BDI), and the Multidimensional Scale of Perceived Social Support (MSPSS). Descriptive statistics and the Chi-square test were used in the study. In this study, of the women, 42.7% had ≥3 pregnancies; the gestational week of 93.6% of the pregnant women was between 13-24 weeks. The mean scores of the pregnant women were 11.12 ± 8.04 on the BDI and 61.06 ± 19.84 on the MSPSS. According to the results of the correlation analysis, there was a weak (<0.05) negative reverse correlation between the scales. In the results of this study, it has been determined that as perceived social support increases in pregnant women, symptoms of depression are less likely to occur. This result is important in terms of indicating the need for providing social support to pregnant women. Women should be able to identify depression risk factors during this process to receive appropriate care and support.

IJCM_347A: The relation of Academic motivation with academic stress, self-efficacy and social support among the Paramedical students of tertiary health centre of Uttarakhand- Cross sectional study

Background: Students experiencing academic stress undergo mental distress in anticipation of academic challenges and academic failure, which eventually impacts their studies, interpersonal relationships, and overall well-being therefore academic motivation is essential to continue their studies. Objective: I. To assess the Sociodemographic profile of paramedical students. II. To find correlation between the academic motivation, academic stress, self-efficacy, social support of paramedical students. Methodology: A cross sectional study was conducted over period of 3months after complete enumeration of Paramedical students of Veer Chandra Singh Garhwali Government Institute Of Medical Science &amp; Research, Uttarakhand. Prestructured validated questionnaire of Academic Motivation Scale (ASM- C28) with Cronbachs alpha 0.92, General Self - Efficacy Scale(GSE) with Cronbachs alpha 0.9, Multidimensional Scale of Perceived Social Support(MSPSS) with Cronbachs alpha 0.9 in addition to adapted questions of academic stress was used. Results: 46% of students agree that college education helps them prepare a better career.58% of students feels academic stress while studying Conclusion: Most of the students are academically motivated.

The Effect of Social Support on Recovery and Treatment Adherence in Individuals Diagnosed with Bipolar Disorder

IntroductionSocial support have affected the recovery and adherence with treatment in bipolar patients.ObjectivesThis research aims to understand the contribution of social support mechanisms to treatment adaptation processes in individuals struggling with bipolar disorder and the effects of these support mechanisms on recovery. In this way, the importance of the social support factor will be tried to be understood in order to provide more effective and customized support to individuals living with bipolar disorder.MethodsThis study will planned to descriptive correlational design. The data will collect to using the Morisky Treatment Adherence Scale (MTAS), the Multidimensional Scale of Perceived Social Support (MSPSS), the Recovery Process Inventory (RPIS), and the Sociodemographic Data Form from individuals diagnosed with Bipolar disorders. By filling out these scales, participants will evaluate their treatment compliance, perceived social support levels, and recovery processes. The data will be subjected to appropriate methods for statistical analysis and will be used to understand the relationships between social support and treatment compliance and recovery processes.ResultsData extraction is still on going in detailed style by principal authors. Description of studies and the key findings will be presented.ConclusionsIt is thought that the results obtained from this research will be an important guide in providing more effective support to individuals with the level of social support, treatment adherence and recovery processes in individuals struggling with bipolar disorderKey Wordsbipolar disorder, social support, treatment adherence, recovery.Disclosure of InterestNone Declared

Prevalence of Prolonged Grief Disorder and Related Clinical Factors During the COVID-19 Pandemic in Turkey

IntroductionProlonged grief disorder has recently been added to the Diagnostic and Statistical Manual of Mental Disorders 5, Text Revision. To understand the health burden and then allocate economic and professional resources, it is necessary to provide epidemiological data for this new disorder. More information on the characteristics of people suffering from PGD is also beneficial to better identify individuals at risk.ObjectivesThis study, therefore, aimed to estimate the prevalence of the PGD criteria in a special period such as the Covid-19 pandemic and in a representative population-based sample, evaluate the sociodemographic, and loss-related correlates of PGD caseness and explore possible predictors.MethodsThe study included 126 people (97 females/29 males) who lost a relative for any reason during the Covid-19 pandemic period (March 2019-January 2022) in Turkey.We used self-reported data from articipants who all completed questions on socio-demographic and loss-related characteristics plus Hospital Anxiety and Depression Scale (HADS), Prolonged Grief Disorder Scale (PG-13), Multidimensional Scale of Perceived Social Support (MSPSS), Adult Separation Anxiety Questionnaire (ASA-27).ResultsMedian age was 34 years, range (18-63); 12 participants were diagnosed with PGD (9.5%). No difference was detected between deaths due to COVID-19 and its complications and deaths due to other causes in terms of PGD diagnosis and PGD symptom severity. When we divide the participants into two groups according to PGD diagnosis (PGD and nonPGD):The average age of the PGD group was higher (Z=-2.068; p=0,31) and they had more additional medical conditions (χ²=7.21; p=0,007). Thoughts of guilt were more common in the PGD group (χ²=7.92; p=0,005). Additionally, HADS-total, HADS -depression, HADS -anxiety and ASA-27 were higher in the PGD group (respectively: Z=-4.047; P=0,00, Z=-4.209; P=0,00, Z=-3.437; P=0,001, Z=-1.975; P=0,048). PGD occurred most frequently after first-degree losses (χ²=13.67; p=0,00) and was inversely proportional to the age of the loss (Z=-1.979; P=0,04). In the nonPGD group, the rate of believing in any religion (χ²=5.807; p=0,016). and the level of fulfilling the requirements of the religion were higher ( χ²=10.584; p=0,05). In the linear regression analysis examining the predictors associated with the severity of prolonged grief; the deceased person was a first-degree relative (t= 6.23; p&lt;0,001) and younger in age (t=-3.71; p&lt;0,001), the presence of guilt (t= 3.28; p=0,001), and increased separation anxiety (t= 4.13; p&lt;0,001) and depression scores (t= 4.29; p&lt;0,001) were significant boost of prolonged grief severity.ConclusionsAlthough higher PGD rates were expected in deaths due to Covid-19 compared to deaths due to other causes, we did not detect any significant difference in this study. However, this study identified some possible predictors associated with PGD.Disclosure of InterestNone Declared

Prevalence and Determinants of Anxiety and Depression Among Healthcare Workers in Liaoning Province, China.

To assess the anxiety and depression and their predictors among healthcare workers in Liaoning Province, China. In order to explore the influencing factors and prevalence of anxiety and depression among healthcare workers, a cross-sectional research design was used to survey 500 healthcare workers using the 14-item Hospital Anxiety Depression Scale (HADS), the Rosenberg Self-Esteem Scale (RSES), the Multidimensional Scale of Perceived Social Support (MSPSS), and the Survey of Perceived Organizational Support (SPOS). About 47.12% of the healthcare workers suffered from anxiety and 71.63% suffered from depression. In our study, we found that the health status (OR: 0.540, 95% CI: 0.298-0.976), self-esteem (OR: 0.395, 95% CI: 0.251-0.619), PSS (OR: 0.621, 95% CI: 0.388-0.994), organizational support (OR: 0.533, 95% CI. 0.333-0.854) were protective factors for healthcare workers suffering from anxiety, and resistance to COVID-19 (OR: 1.703, 95% CI: 1.082-2.681) was a risk factor for healthcare workers suffering from anxiety, while good quality of life (OR: 0.385, 95% CI: 0.206-0.719) self-esteem (OR: 0.187, 95% CI: 0.110-0.317), and PSS (OR: 0.475, 95% CI: 0.267-0.847) were protective factors for healthcare workers suffering from depression, and at the age of 35-40 years (OR: 2.475, 95% CI: 1.140-5.369) and resistance to COVID-19 (OR: 2.219, 95% CI: 1.313-3.751) were risk factors for healthcare workers suffering from depression. The anxiety and depression status of healthcare workers in China is poor, and hospital administrators should take positive measures to support healthcare workers and give positive expectations to alleviate negative emotions such as anxiety and depression.

Hopelessness and Social Support among Cancer Patients in Saudi Arabia.

Receiving a cancer diagnosis can be extremely stressful for patients, as it is a life-threatening disease. However, when this topic is discussed or researched, the psychological state of cancer patients is often ignored or forgotten. The study aimed to measure the levels of hopelessness and social support among cancer patients. It also aimed to assess the relationship between different demographic variables, hopelessness, and social support of these patients. The study followed a cross-sectional quantitative design. The setting included Princess Norah Oncology Center, at King Abdul-Aziz Medical City, Jeddah. A convenience sampling technique including 300 cancer patients was followed. Data collection included a demographic questionnaire, the Beck Hopelessness Scale (BHS), and the Multidimensional Scale of Perceived Social Support (MSPSS). Ethical principles of anonymity and confidentiality were followed. The total number of respondents was 300, with 50% being male and 50% being female. The mean age of patients was 52.6±14.83 years. The most prevalent types of cancer were breast cancer (21.4%), colorectal (15.2%), and lymphoma (12.1%) respectively. Most of the patients were married (71.3%). The mean value of the BHS was 4.5, whereas the mean value of the MSPSS was 67.7. Moreover, the type of cancer showed a significant association between family support and total social support. In colorectal cancer patients, the total social support (71.2 ± 20.1) and family support (26.2 ± 5.0) provided was the highest followed by leukemia (70.3 ± 15.5 and 25.2 ± 5.1) and breast cancer (68.3-± 20.3. and 24.3 ± 6.8). The findings of the present study suggest that the levels of hopelessness in cancer patients are moderate, and the levels of social support received by participants are high. In addition, the relationship between the levels of hopelessness and the levels of social support received is inversely proportional.

A comparative study of psychological factors in Men who have Sex with Men (MSM) with and without HIV

IntroductionAs a result of the notable progress in HIV / AIDS prevention and treatment globally, the HIV epidemic is considered controlled to the extent that individuals living with HIV manage to have a similar life expectancy to HIV-negative individuals and a good level of health. However, the “epidemic” related to the stigma of HIV-positive individuals, particularly of Men who have Sex with Men (MSM), still remains an issue, while it has been associated with a profound negative impact on individuals’ mental health.ObjectivesThe present study aimed to compare anxiety, depression, social support, loneliness, and psychological resilience between MSM with and without HIV. Furthermore, the study investigated the correlates of HIV related stigma in MSM with HIV.MethodsThe sample of the study comprised a total of 139 adult MSM. According to their self-report 84 individuals were HIV-negative (age in years: M = 24.58, SD = 5.55), while the remaining 55 individuals were HIV-positive (age in years: M = 38.99, SD = 10.95). Furthermore, the majority of individuals in both groups reported Greek nationality. Participants completed a questionnaire on socio-demographic characteristics, the Hospital Anxiety and Depression Scale to assess anxiety and depression, the UCLA Loneliness Scale to measure loneliness, the Brief Resilience Scale (BRS) to evaluate psychological resilience, and the Multidimensional Scale of Perceived Social Support (MSPSS) to assess social support. HIV-positive individuals additionally completed the HIV Stigma Scale-Brief Version, a brief scale measuring social stigma related to HIV.ResultsAccording to the findings, MSM with and without HIV did not differ in anxiety (p = 0.908), depression (p = 0.904), social support (p = 0.657), loneliness (p = 0.086), and psychological resilience (p = 0.600). Furthermore, it emerged that among HIV-positive MSM, stigma was positively associated with anxiety (r = 0.479, p &lt; 0.001), depression (r = 0.479, p &lt; 0.001), and loneliness (r = 0.532, p = 0.001), while the correlation was negative with social support (r = -0.456, p &lt; 0.001) and resilience (r = -0.400, p &lt; 0.003). No significant association was found between stigma and age in HIV-positive individuals (r = 0.099, p = 0.474).ConclusionsIn conclusion, the findings of this study identified possible risk factors as well as protective factors for the mental health of HIV-positive MSM. As long as stigma associated with HIV continues to be a risk factor for the development of psychosocial problems in those living with HIV, it is advisable for both policymakers and the research community to take more proactive steps in order to offer the necessary support and attention to those who are living with HIV and experiencing multiple forms of stigma.Disclosure of InterestNone Declared

IJCM_330A: Prevalence and predictors of postpartum depression among females attending tertiary hospital Jammu

Background: Puerperium or Postpartum period is the period of first six weeks postpartum which begin immediately after parturition. During this time woman is adapting to multiple physical, social and psychological changes. Early identification of such symptoms is crucial for its prompt treatment. Many women develop depressive symptoms. Objective: is to find out the prevalence and factors associated with Postpartum Depression especially the social support. Methodology: this cross-sectional study was conducted for a period of one year among mothers who were in the period of 4-7 weeks postpartum. The participants were assessed using the scales -Edinburgh Postnatal Depression scale, Hamilton depression Rating scale and Multidimensional scale of perceived Social Support (MSPSS). Statistical analysis was done using spss version (20.0) info. Appropriate statistical tests were used. A p-value of &lt; 0.05 was considered statistically significant. Results: Out of 750, 16.1% had postpartum depression, (a score of =10 on EPDS). The factors which were significantly associated included marital status, religion, residence, education of mother and her husband, history of domestic violence, history of mental illness in the past, family history of mental illness, duration of pregnancy, time since delivery, any complication during pregnancy, birthweight of baby and planned parenthood. Social support shows negative correlation with PPD which is statistically significant Conclusion: The prevalence of depression in postpartum mothers is high, various sociodemographic and obstetric factors are significantly associated with it. social support emerged to be protective in reducing the postpartum depression.

The Role of Social Support in Perinatal Mental Health and Psychosocial Stimulation.

Social support refers to the help someone receives emotionally or instrumentally from their social network. Poor social support in the perinatal period has been associated with increased risk for symptoms of common mental disorders, including depression and posttraumatic stress symptoms (PTS), which may impact parenting behavior. Whether social support impacts parenting behaviors, independent of mental health symptomatology, remains unclear. Among N=309 participants of the Scaling Up Maternal Mental healthcare by Increasing access to Treatment (SUMMIT Trial), a large perinatal depression and anxiety treatment trial, we explored the relations between perceived social support, perinatal depressive and PTS symptoms, and psychosocial stimulation provided by the parent in their home environment. Social support was measured at baseline using the Multidimensional Scale of Perceived Social Support (MSPSS). Perinatal depressive symptoms were measured by the Edinburgh Postnatal Depression Scale (EPDS) and PTS symptoms were measured by the Abbreviated PTSD Checklist (PCL-6) at baseline, 3-, and 6-months post-randomization. Psychosocial stimulation was assessed by the Home Observation Measurement of the Environment (HOME) when the infant was between 6 to 24 months. Using stepwise hierarchical regressions, we found: (1) perceived social support at baseline significantly predicted both depressive and PTS symptoms at 3-months post-randomization, even when controlling for baseline depressive and PTS symptoms; and (2) while neither depressive nor PTS symptoms were significantly associated with psychosocial stimulation, perceived social support at baseline was a significant predictor. Clinical implications regarding treatment of perinatal patients are discussed.

Minority stress, perceived social support, and depression in people diverse in sexual and gender minority status

ABSTRACT The study examines the relationships between experienced heterosexism, perceived social support, and depression in people diverse in sexual and gender minority (SGM) identity. The cross-sectional online study was performed in Poland among 509 SGM people, with an average age of 22 years (M = 22.39, SD = 4.78). Minority stress was assessed using the Daily Heterosexist Experiences Questionnaire (DHEQ), perceived social support was measured by the Multidimensional Scale of Perceived Social Support (MSPSS), and depression symptoms were evaluated using the Center for Epidemiologic Studies Depression Scale – Revised (CESD-R). The study supported a buffering effect of social support from family and friends in the relationship between minority stress and depression symptoms. Network analysis (NA) showed that minority stress from family of origin, mediated by low family support, plays a key and bridging role in increasing suicidal ideation, especially in dual SGM individuals. Friends are the most important source of support for people with a single SGM identity. Therefore, to prevent suicidal thoughts in LGBTQ+ people at increased risk of depression, systemic therapy should be used in addition to interventions focusing on coping with minority stress and symptoms of depression.

Self-Reported Symptoms of Depression, Anxiety, and Stress Among Patients with Rheumatic Diseases Reported at Rheumatology Centres: A Study of Prevalence and Correlation

Background: The intersection of rheumatic diseases with psychological factors such as stress, resilience, and social support plays a crucial role in shaping the quality of life for patients. Understanding these dynamics is essential for developing holistic care strategies that address both the physical and psychological aspects of arthritis. Objective: This study aims to explore the prevalence of stress, resilience, and social support among patients with arthritis and examine their correlation with life satisfaction. Methods: A total of 58 male and female arthritis patients aged 18 to 90 were selected from three hospitals in Faisalabad, Punjab, Pakistan, using a stratified random sampling technique. Descriptive statistics were used to analyse socio-demographic variables. The Perceived Stress Scale (PSS), Life Satisfaction Scale (LSS), Resilience Scale (RS), and the Multidimensional Scale of Perceived Social Support (MSPSS) assessed psychological factors. Pearson correlation, t-tests, and regression analyses were conducted using SPSS version 25 to explore relationships among variables and the mediation effect of resilience between stress, social support, and life satisfaction. Results: The mean scores for perceived stress (M = 23.31, SD = 5.67), life satisfaction (M = 43.60, SD = 8.28), resilience (M = 74.15, SD = 11.42), and social support (M = 46.32, SD = 18.69) were calculated. Gender differences were non-significant for stress and resilience. Correlation analysis revealed a significant negative relationship between perceived stress and life satisfaction (r = -.339, p &lt; .01), while resilience showed a strong positive correlation with social support (r = .621, p &lt; .01). Regression analysis highlighted that resilience did not significantly mediate the relationship between perceived stress and life satisfaction (ΔR² = .02), nor between social support and life satisfaction (ΔR² = .006). Conclusion: The study underscores the profound impact of psychological factors on the quality of life in arthritis patients. While stress negatively affects life satisfaction, resilience and social support emerge as crucial for enhancing well-being. These findings advocate for integrated psychological interventions in arthritis management to improve patient outcomes.

The mediating effect of social support and body appreciation between child abuse and disordered eating symptoms among Lebanese adolescents

ObjectiveThe current study examines the mediating effect of social support and body appreciation between child abuse and disordered eating symptoms among Lebanese adolescents.MethodsThis study, involving 403 participants, was cross-sectional and conducted between August and September 2022. Lebanese adolescents from all of Lebanon’s governorates were recruited through the “Snowball Sampling” method. The measuring instruments composing the questionnaire included the Eating Attitudes Test (EAT-7) which identifies the presence of risk for eating disorders based on eating-related attitudes, behaviors and feelings; the “Multidimensional Scale of Perceived Social Support (MSPSS)” which measures, from three separate sources, the extent of one’s perception of social support; the “Body Appreciation Scale (BAS)” which assesses the care and respect one has for their own body, along with the acceptance and protection of one’s body from unrealistic beauty ideals; and the “Child Abuse Self-Report Scale (CASRS-12)” which detects lifelong child abuse.ResultsParticipants’ mean age was 16.63 ± 1.46 years with 57.3% of females. The results highlight the effect of mediation of social support and body appreciation in the association between all types of child abuse and disordered eating symptoms. Additionally, a significant association was indicated between more abuse and lower social support and body appreciation, whereas another was underscored between higher social support and body appreciation and more appropriate eating attitudes. Lastly, all types of child abuse were observed to be notably associated with further inappropriate eating attitudes.ConclusionThe current mediation findings preliminarily indicate that experiences of all forms of child abuse may have possibly triggered perceived lack of social support and low levels of body appreciation, which have in turn resulted in more severe disordered eating symptoms in predisposed adolescents. This cautiously suggests that both social support and body appreciation may be regarded as key targets for community-based prevention and intervention strategies aiming at reducing the risk of developing severe eating disorders in adolescents.

Impact of overburden due COVID-19 pandemic on psychological health and work efficacy of doctors in Mangalore city, Dakshina Kannada district -A cross-sectional study

Introduction and Aim: One of the greatest pandemics faced by the world was COVID-19 which has added increased strain and psychological impacts on healthcare workers. This study was conducted to find out the impact of overburden due to COVID-19 on the psychological health of doctors and further to know whether it has affected the services provided by them. Materials and Methods: An information sheet which contained the details regarding purpose and nature of the study, questionnaire and consent form were given to each participant. Data was collected through email, WhatsApp, and physical forms. Depression, anxiety, stress, self-efficacy, and perceived social support were assessed using standard questionnaires. Results: Out of the 205 participants, 9 (4%) had a mild depression, 6(3%) had mild anxiety and 6(3%) had mild stress. Female doctors, those involved in fever clinics and inpatient care of COVID patients had significantly higher scores for depression, anxiety and stress when compared to others. Those involved in ICU care of COVID patients had higher General Self Efficacy (GSE) scores. General Self Efficacy (GSE) and Multidimensional Scale of Perceived Social Support (MSPSS) scores showed a positive correlation. Conclusion: Doctors involved in care of COVID-19 patients at fever clinic and inpatient care had several mental health problems. Hence, they along with female doctors need to be periodically screened for these conditions periodically.

Relationship between perceived social support and disability with the mediating role of perceived stress among older adults

BackgroundSocial support is essential for individuals to cope with difficult circumstances. Older adults with disabilities face significant challenges in engaging with everyday activities. The current study examines the mediating role of perceived stress in the association between perceived social support and disability among Iranian community-dwelling older adults.MethodsIn this descriptive and cross-sectional study, 300 older adults were selected using cluster sampling from January to June 2022. The data were collected using the Multidimensional Scale of Perceived Social Support (MSPSS), the World Health Organization Disability Assessment Schedule 2.0 (WHODAS 2), and the Cohen Perceived Stress Scale-14 (PSS-14). The collected data was analyzed using structural equation modeling (SEM) in Mplus.ResultsThe mean age of older adults was 68.71 ± 6.13 years, ranging from 60 to 85 years old. The results of this study revealed a significant relationship between perceived social support and disability (β=-0.20, SE = 0.06, p < 0.001) and perceived stress and disability (β = 0.50, SE = 0.05, p < 0.001). The results also confirmed the mediating role of perceived stress in the relationship between perceived social support and disability (β=-0.17, SE = 0.03, p < 0.001).ConclusionThe results indicated that increasing social support could reduce disability by decreasing perceived stress. These results have important implications for policymakers and healthcare professionals in promoting healthy aging.

Helplessness, Psychological Distress, and Perceived Social Support in Mothers with Children in Early Childhood

Objective: The aim of this study is to investigate the levels of helplessness, psychological distress, and perceived social support experienced by mothers with children aged 1-6 years in childcare. Methods: This descriptive study included 178 mothers with children aged 1-6 years. Personal Information Form prepared by the researchers, Caregiving Helplessness Questionnaire (CHQ), Kessler Psychological Distress Scale (K10-PDS) and Multidimensional Scale of Perceived Social Support (MSPSS) were used to collect research data. Obtained data were determined as a result of Independent t test, One-Way ANOVA and Pearson correlation analysis. Results: The average scores of mothers from the CHQ and K10-PDS, MSPSS scales were 39.08±8.88, 21.97±9.29, and 61.71±16.51, respectively. As a result of the correlation analysis, it was determined that there was a statistically significant negative relationship between CHQ and perceived social support level in mothers, and a statistically significant positive relationship between CHQ and K10-PDS. Conclusions: The research results showed that as the perceived social support level of mothers increased, their psychological distress and helplessness decreased. These findings indicate that health professionals should target the mental health of mothers and increase their confidence and experience in parenting by providing education and counseling.