Psycho-emotional Well-being Research Articles

Медико-психологічні предиктори емоційно-поведінкового періоду материнства

Being in a war area or during regular rockets or artillery attacks, the inability to leave the location of a pregnant woman or a woman in postpartum period can affected the psycho-emotional condition of a woman. Therefore, in today's context, attention should be focused on creating predictors and identifying factors that can negatively affect a pregnant woman, the duration of pregnancy and labor, and the postpartum period. During pregnancy, one of the physiological changes in a woman's body is a change in the functioning of the nervous system. This is because during the implantation of the blastocyst, several types of receptors send impulses to the central nervous system, where information is received, scanned and analyzed in the cerebral cortex and produces the phenomenon of increased excitability. As a result of physiological transformations of this increased excitability, due to physiological mechanisms, it is transformed and reduces the excitability of the nervous system for the formation of the embryo and its complementary structures. As a result, pregnant women may experience psycho-emotional changes, sometimes with an unstable duration, mood changes, fatigue or drowsiness, sometimes obsession with pregnancy and worries about the correct growth of the fetus in the womb or various effects or nutritional factors (consumption or exclusion of certain foods or drinks) that may negatively affect it. The factors affecting the psycho-emotional condition during pregnancy (prenatal period) are identified and analyzed: external, social, economic, physiological, psychological, emotional and willed. The factors affecting the psycho-emotional well-being of women in the postnatal period are analyzed: medical, emotional and psychological, and communicative.

Effectiveness of the use of bioactive concentrate of marine fish in patients with back pain

Background. The urgency of pain relief and patient improvement necessitates evaluating the most effective treatment approaches. This includes a comparative analysis of medications with different mechanisms of action, both taken individually and in combination while considering potential drug toxicity and individual patient intolerances. The study purposed to assess the efficacy of a bioactive concentrate derived from marine fish (BCMF), both alone and in combination with a non-steroidal anti-inflammatory drug (NSAID), for the treatment of back pain, in comparison to therapy involving solely oral sodium chondroitin sulfate (CS). Materials and methods. We examined four groups of patients, each comprising 30 male or female subjects with complaints of back pain. Each group was administered one of three medications: NSAIDs in a standard dosage, CS in a daily dose of 1 g (two capsules of 500 mg each), and BCMF in the form of intramuscular injections in a daily dose of 1 ml (0.2 ml per injection). The fourth group of patients received combined treatment, namely, 1 ml of BCMF and NSAIDs in a standard dosage daily. All parti­cipants underwent laboratory tests and instrumental examinations. ­Results. The administration of BCMF, both alone and in combination with NSAIDs resulted in an improved subjective assessment of patients’ psychoemotional well-being, marked by reduced back pain intensity, enhanced quality of life indices, and diminished le­vels of anxiety and depression. The combination of BCMF with NSAIDs demonstrated a more pronounced effect on redu­cing tumor necrosis factor α serum concentration than monothe­rapy with BCMF. The combination therapy positively impacted the condition of lower extremity vessels as indicated by Doppler ultrasonography. Conclusions. BCMF can be an effective addition to the standard therapy of back pain.

Enhancing the integration of information and communication technologies in preschool education: Pedagogical training for future teachers

This research addresses the critical challenge of integrating information and communication technologies into the educational process, aiming to enhance the practical application of these technologies in preschool education. The article's aim is to develop a model for the pedagogical use of ICT with older preschool children, focusing on the professional development of teachers. The study employs A. Mehrabyan and N. Epstein's “Emotional Response Scale” to measure the responsiveness and sensitivity of future preschool educators. The article presents a comprehensive model for incorporating information and communication technologies in pedagogical activities with older preschool children. This model emphasizes creating a friendly atmosphere that fosters cognitive interest and development. Key components include natural video installations with corresponding sounds, cognitive and gaming activities displayed on screens to encourage collective problem-solving, viewing master classes and educational programs, and organizing literary hours with engaging visual and auditory elements. The proposed model aims to harmonize the psycho-emotional well-being of children and create optimal conditions for their cultural and cognitive development during their preschool years. This approach holds significant practical importance for the education system and overall societal well-being.

Study of the impact of special educational programmes on the psycho-emotional well-being of students

Study of the impact of special educational programmes on the psycho-emotional well-being of students

Арт-терапия в формате стресс-преодолевающего поведения в условиях организации творческой работы студентов

<p style="text-align: justify;"><span lang="EN-US">The authors of a scientific publication in the context of organizing creative work for students, the authors study the influence of art therapy on the consequences of stress. In order to experimentally confirm the influence of elements of fine art on the psycho-emotional well-being of students (reducing stress levels), the authors conducted an empirical study on a sample of students from the Moscow State Psychological and Pedagogical University. A total of 82 subjects took part in the study. As the main methods, the authors use observation, survey, analysis of educational and scientific literature, formalized methods: the PSM25 psychological stress scale (Lemur-Tesier-Fillion psychological stress scale) and the «A. Leonova Subjective Comfort Scale». The mathematical criteria were the nonparametric Mann-Whitney U test and the Wilcoxon T test. As part of the study, the authors come to the conclusion that isotherapy is an effective tool for reducing stress and increasing the subjective comfort of students.</span></p>

New horizons in comprehensive rehabilitation of patients with melanoma: improved outcomes through an integrated approach to immunotherapy

Abstract. The article discusses issues of a comprehensive rehabilitation approach for patients with melanoma when treated with immunotherapy. By focusing on innovative treatments, the study highlights the need to integrate nutritional support, physical therapy, magnetic therapy and psychological support to improve quality of life and enhance the effectiveness of immunotherapy regimens. Purpose. The study aims to evaluate the impact of a multidisciplinary rehabilitation program on improving physiological functions, psychoemotional well-being and the impact on the overall antitumor response, which together can improve the quality of life of patients with melanoma. Materials and methods. The study included 135 patients diagnosed with melanoma who received a course of immunotherapy. In the study group (the main group), a complex of rehabilitation techniques was used (magnetic therapy, physical therapy, nutritional support, psychological support), while in the control group, patients did not undergo an accompanying comprehensive rehabilitation program. Treatment effectiveness was assessed in accordance with iRECIST 1.1 criteria. To assess the quality of life, the Russian version of the EORTC QLQ-C30 questionnaire was used. The severity of adverse events was assessed according to CTCAE 5.0 criteria. Results. Patients from the main group who received comprehensive rehabilitation support along with immunotherapy showed an improvement in their general physical condition and a decrease in the intensity of some side effects of treatment. Patients in the control group who received only standard immunotherapy also showed changes in their health status, but these changes were less pronounced compared to the main group. Adverse events during treatment occurred in 55 % of patients in the main group and in 74 % in the control group. Patients in the main group noted an improvement in quality of life by 25 %, while in patients in the control group this figure was 12 %. An 18 % improvement in general condition was noted by patients in the main group, while patients in the control group noted an 8 % improvement in general condition. Conclusion. Implementation of a multidisciplinary rehabilitation approach, including nutritional support, physical therapy exercises, magnetic therapy, and psychological support, demonstrates significant improvements in symptom management and quality of life in melanoma patients undergoing immunotherapy.

New horizons in comprehensive rehabilitation of melanoma patients: improved outcomes through an integrated approach to immunotherapy

Abstract. The article discusses the importance of a comprehensive rehabilitation approach for melanoma patients when treated with immunotherapy. By focusing on innovative treatments, the study highlights the need to integrate nutritional support, physical therapy, magnetic therapy, and psychological support to improve quality of life and enhance the effectiveness of immunotherapy regimens. Purpose of the study: to evaluate the impact of the multidisciplinary rehabilitation program on physiological functions, psycho-emotional well-being, general antitumor effect, and quality of life of patients with melanoma. Materials and methods. The study included 135 patients diagnosed with melanoma who received a course of immunotherapy. In the study group (the main group), a complex of rehabilitation techniques (magnetic therapy, therapeutic exercises, nutritional support, psychological support) was used, while in the control group, the patients did not undergo the accompanying comprehensive rehabilitation program. Treatment effectiveness was assessed in accordance with iRECIST 1.1 criteria; to assess the quality of life, the Russian version of the EORTC QLQ-C30 questionnaire was used. Results. The patients of the study group showed an improvement in their general physical condition and a decrease in the intensity of some side effects of treatment. The patients in the control group also showed changes in their health status, but they were less pronounced compared to the study group. Adverse events during treatment occurred in 55 % of the patients in the study group and in 74 % of the patients in the control group. The patients in the study group noted an improvement in quality of life by 25 %, while in the patients in the control group this indicator was 12 %. An 18 % improvement in general condition was noted by the patients in the study group, while the patients in the control group noted an 8 % improvement in general well-being. Conclusion. The implementation of the multidisciplinary rehabilitation approach, including nutritional support, therapeutic exercises, magnetic therapy, and psychological support, demonstrates significant improvements in symptom management and quality of life in melanoma patients undergoing immunotherapy.

Beyond occupational exhaustion: exploring the influence of positive meaningful work on teachers’ psychoemotional well-being in the digital age

The teaching profession, intrinsically vocational, bestows upon its practitioners a deep sense of meaning and personal dedication. However, this personal commitment can be affected by the constant evolution of labour demands, exacerbated by the increasing technification of education. Both these needs, at a personal and organisational level, can lead to the development of emotional exhaustion, a psychological state manifesting with increased frequency in the educational sector. In this context, and referencing the job demands-resources model, we propose a model focused on the examination of the role according to the positive meaning in modulating emotional exhaustion. The research was conducted with a sample of 213 secondary school teachers in southern Spain, using a survey methodology. All data were analysed throughout the SPSS and Smart PLS statistical programs. The obtained results indicate that the presence of positive meaningful work has a negative impact on emotional exhaustion, technocomplexity and work-family conflict. Furthermore, the negative effect of positive meaning work on work-family conflict was stronger for teachers with greater experience. This study enhances the understanding of teacher well-being, suggesting the update of theoretical models to reflect current labour complexities, promoting managerial strategies and flexible policies to mitigate emotional exhaustion and foster a healthy working environment.

Social and psychological assistance to children under martial law

The purpose of the study is to identify the main psycho-emotional states and factors affecting the physical and mental well-being of schoolchildren, including during distance learning and in relationships with family members, as well as to develop areas of psychosocial assistance to children under martial law. To achieve the research purpose, an appropriate questionnaire was developed with multiple-choice questions about: dominant emotions and feelings, attitudes towards distance learning, reactions to external stimuli, the impact of martial law on the comfort of life, relationships with peers and parents, etc. A survey was conducted among 1303 schoolchildren aged 6–17, including 515 boys and 788 girls, 11 of whom live outside Ukraine. The survey found that the physical and psycho-emotional well-being of Ukrainian schoolchildren was characterised by sleep disturbances, agitation, fear, rapid mood changes, severe fatigue, sadness, longing, indignation, irritation, anger, increased conflicts (especially with parents), etc. An additional factor in the increased level of anxiety under martial law was distance learning, which makes it difficult for students to concentrate due to the difficulty of communication, shifted daily routines, worries about family and friends, changes in responsibilities and other distractions. The main directions of psycho-correctional work and recommendations for the use of psychosocial assistance technologies have been developed, which will allow children to assess their current life situation, identify their strengths (resources), which will ensure their self-healing and increase their resilience.

N05 Are we meeting the sexual wellbeing concerns of patients with IBD and a stoma? A survey on current practice in addressing sexual wellbeing

Abstract Background People with inflammatory bowel disease have a high incidence of stoma formation, either temporary or permanent. Although a stoma can be a life saver, for some it can negatively impact body image and psycho-emotional wellbeing. Sexual function can also be affected by a poor body image. Therefore, intimacy and sexuality should be addressed in clinical settings during stoma care. We aimed to explore the experiences of sexual wellbeing concerns of people living with IBD and a stoma, and how these were addressed by healthcare professionals. Methods This was Stage 1 of an international mixed method study. Data were collected via an anonymous online survey advertised on social media platforms and charity webpages. Results These are the quantitative results. 134 participants with IBD responded: 11 had colostomy and 123 had ileostomy. Time from stoma formation to survey response was between 2 weeks to 32 years. Peristomal hernia was reported by 27.6% (n=37) participants. Only 30.5 % (n=41) reported that sexual wellbeing was discussed around the time of their stoma formation, mainly with their surgeon or stoma nurse. Some 33.5% (n=45) reported having had no intimacy and sexuality concerns at all at the time of stoma formation. The patient perspective on barriers for asking healthcare professionals (HCPs) questions about sexual wellbeing despite having concerns, were reported as being ashamed to ask, afraid of being judged by their HCPS, and not knowing what to ask as being overwhelmed with technical information related to stoma care. Around 66% (n=89) reported having concerns related to their intimacy and sexuality following stoma formation, with the top three reported concerns being appearance/body image, fear of rejection from partner, and bag leakages. All participants reported wanting sexual wellbeing discussed routinely at any point of care, and the majority wanted partners involved in these discussions. Conclusion Patients expect to be informed about intimacy and sexuality aspects as an integral part of stoma care. Current practice does not meet the patient’s care needs, with potential for having a negative impact on their overall quality of life, since a significant number of ostomates report sexual wellbeing concerns after the stoma formation.Sexual wellbeing conversations should be an integral part of perioperative and stoma care to prevent persistent concerns within this patient group. Not providing adequate information during stoma care about sexual wellbeing can negatively impact their quality of life. The results will form the basis of an interview guide for the second (interview) stage of the study, to understand better the reasons behind these findings.

Prevalence of sleep disorders in teenage girls in Irkutsk (questionnaire data)

Background. Adequate sleep ensures a person’s physical and psycho-emotional well-being. Adolescence is one of the critical stages of life. The exclusive attention of specialists and leveling the impact of adverse factors on the body during this period is the key to the proper development and preservation of the health of adolescents. Meanwhile, sleep problems in teenage girls remain poorly understood.The aim. To study the features of the sleep regime and quality of sleep of teenage girls in the city of Irkutsk.Materials and methods. A survey of 422 teenage girls in the city of Irkutsk was conducted using a translated version of a questionnaire about adolescent sleep habits to subjectively assess their sleep and wakefulness. Two groups were formed: group I – girls with sleep problems (n = 171); group II – girls without sleep problems (n = 251).Results. Sleep disorders among teenage girls in the city of Irkutsk occurred with a frequency of 40.52 %. In most cases, a complex effect of various unfavorable factors on the sleep process has been identified. The adolescents with sleep disorders we examined were characterized by higher rates of sleep latency, later bedtime, earlier awakening, decreased time of night sleep, as well as changes in the sleep shift indicator towards its increase. These violations were noted both on weekdays and on weekends.Conclusions. Sleep problems were reported in 40.52% of respondents. The complex impact of various unfavorable factors on sleep quality has been revealed. The features of sleep hygiene of teenage girls are reflected. The group of girls with sleep problems was characterized by increased sleep latency, later bedtime, earlier awakening, reduced sleep time, and an increase in sleep shift.

Impact of lipodystrophy on health-related quality of life: the QuaLip study

BackgroundLipodystrophy is a rare disease characterized by loss of adipose tissue. Natural history studies have demonstrated significant burden of disease; however, there is limited data on the impact of lipodystrophy on quality of life (QoL) and psychoemotional well-being. The QuaLip study is a prospective observational real-world study that aims to determine the impact of lipodystrophy on QoL and psychoemotional well-being and explore subjective burden of the disease. Sixty-seven adult patients and eight pediatric patients with lipodystrophy were included. Patients were followed up for 24 months and assessments were repeated every three months. Patients were examined by licensed psychiatrists at baseline, and at year 1 and year 2 visits.ResultsEighteen (27.69%) of 65 adult patients (two subjects refused psychiatric assessment) were diagnosed with a psychiatric disorder (e.g., depressive episodes, mixed anxiety and depressive disorder, anxiety disorder, adjustment disorder, recurrent depression, panic disorder, generalized anxiety disorder, unspecified mood disorder, nonorganic sleep disorder, post-traumatic stress disorder, depressive episode comorbidity, social phobia and obsessive–compulsive disorder comorbidity). Lipodystrophy disease and QoL questionnaires revealed a significant disease burden over the study period. More than one-third of patients reported depression symptoms on the Beck Depression Inventory and more than one-fourth of the patients reported significant hunger throughout the study period. Physical appearance, fatigue, and pain contributed to the disease burden. QoL scores were lower in patients with psychiatric disease and in those with poor metabolic control. Attention deficit hyperactivity disorder, depressive disorder, sub-threshold depressive symptoms, obsessive–compulsive disorder, appetite problems, and issues with physical appearance were identified in selected pediatric subjects.ConclusionsLipodystrophy has a significant impact on QoL and psychoemotional well-being. Psychiatric disorders seem to be underdiagnosed among patients with lipodystrophy.

An Integrative Approach to the Development of the "Mental Retreat" Wellness Program to Prevent Early Aging

In today's society, where everyday challenges and pressures can significantly impact one's psych-emotional state, it is crucial to develop effective stress reduction strategies and maintain mental well-being. Prolonged stress, as recognized in global practice, can trigger the development of various ailments, such as cardiovascular pathologies, endocrine disorders, and psychosomatic deviations, and can also predispose individuals to autoimmune and oncological conditions. Furthermore, the influence of stressful situations over one's lifetime is a well-acknowledged risk factor that heightens the likelihood of early-onset age-associated illnesses and premature death. The primary objective of this study is to analyze and assess the effectiveness of health-promoting procedures in reducing stress levels and to develop a comprehensive wellness Program called "Mental Retreat." The application of this Program aims to mitigate the risk of various chronic diseases and preempt changes at the gene expression level to decelerate intracellular aging, enhance the body's antioxidant system, and stimulate the immune system. This work lays the groundwork for understanding the effects of procedures with substantial empirical support, highlighting synergistic influences in their combination, such as meditative practices, respiratory exercises, aromatherapy, outdoor physical activities, thermal and contrast procedures with elements of aroma and halotherapy, as well as lymphatic drainage massage effects, among others. The developed wellness Program is intended to be evaluated through dynamic observation and monitoring of integrative organism indicators: based on results from bioimpedance analysis (body composition), assessment of stress levels, and biological age accounting for the imbalance between the parasympathetic and sympathetic nervous systems and heart rate variability. Based on a global analysis of existing research, it has been found that the use of a variety of wellness methods has proven to improve concentration and overall psycho-emotional well-being, have a positive effect on the respiratory and cardiovascular systems, promote relaxation and improve sleep, strengthen the immune system and metabolism, increase stress tolerance, and can also have a positive effect on skin health. It's worth underscoring that the successful implementation of such a wellness Program could have immense implications for public healthcare by preventing the onset of numerous chronic diseases and contributing to an overall enhancement of quality of life.

ПОКАЗАТЕЛИ ПСИХОЭМОЦИОНАЛЬНОГО СОСТОЯНИЯ СТУДЕНТОВ ТЕХНИЧЕСКОГО КОЛЛЕДЖА

The purpose of the research was to study the features of psycho-emotional state of engineering vocational school students. A “wellbeing, activity, mood” questionnaire was used in the research. According to the results of the questionnaire, median scale values of the entire group of students were equivalent to psycho-emotional well-being. The values of all scales were higher in the women’s group. There were no statistically significant differences in “well-being”, “activity” and “mood” indices either between the studied groups of young men and women, or between the groups of students of different age.

Developmental Psychology and Differential Psychology at St. Petersburg State University (25 years since the founding of the Department)

The Department of Developmental Psychology and Differential Psychology turned 25 years old, in 2022, In 2022. The article discusses the main stages of the scientific study of the problems of developmental psychology and differential psychology at the St. Petersburg Psychological School. B.G. Ananyev proceeded from the need to study a person in the unity of his properties as an individual, personality, subject of activity, individuality in the process of his individual development. The ideas of human integrity and continuity of development are laid by him in the basis of the scientific study of individuality. For the purposes of such a study, it is necessary to combine the efforts of developmental psychology and differential psychology and the use of methods of complex study. Initially, this direction was formed within the Department of General Psychology, empirical research was carried out by employees of the Laboratory of Differential Psychology and Anthropology of NIIKSI, starting in 1963. The Department of Developmental Psychology and Differential Psychology was opened in 1998. The department's research covers all periods of human development, starting from prenatal, and ending with the period of late adulthood and aging. Former and current employees of the department conducted large-scale studies of the intellectual potential of adolescents living in different environmental conditions. The conditions, factors and mechanisms of self-realization of personality in adolescence, adolescence and adulthood were studied. A comprehensive study of the stressors of everyday life and coping mechanisms at different stages of adulthood has been conducted. The parameters of psychoemotional well-being of adolescents and adults were studied from the standpoint of an integrative approach. Studies of the impact of pandemic-related stress on pregnant women and child development and many other projects have been conducted. The history of the department is represented by four generations of researchers, starting from the direct students of B.G. Ananyev, M.D. Alexandrova, E.F. Rybalko, N.A. Grishchenko-Rose and ending with the students of their students.

About some factors of stress generation of parental role in ‟intensive” parents

The study presents the results of a two-stage study of the influence of basic personal and parental beliefs on parenting stress in the context of intensive parenting practices on a sample (N = 287) of parents. The aim of the study is to study the characteristics of parental stress in parents focused on intensive parenting practices, as well as to search for factors that influence the stressfulness of the parental role. At the first stage of the study, three empirical groups of parents are distinguished depending on the severity of attitudes towards intensive parenthood, and the characteristics of psycho-emotional well-being among ‟involved”, ‟intensive” and ‟detached” parents are described. At the second stage of the study, stress factors are considered in groups with the severity of attitudes towards intensive parental practices - ‟intensive” and ‟detached” parents. It has been established that dissatisfaction with parenthood acts as a significant sign or mechanism for the development of parental stress, regardless of the attitudes and practices of education. The factors of protection from the stressfulness of the parental role of ‟intensive” parents are: 1) positive basic personal ideas about oneself, about the world as an expression of the ‟I-Image”, reflecting the self-esteem of the individual. Basic personal beliefs reduce parenting stress and its components and increase parenting satisfaction; 2) positive parenting beliefs are beliefs associated with self-confidence as a parent. In other words, the negative impact of parental stress factors is determined not only by their intensity, but by the subjective context of the perception of parenthood as a vital sphere and social role and oneself in this role.

HYGIENIC ASPECTS FOR MAINTAINING THE HEALTH OF MILITARY SPECIALTIES CADETS: ASSESSMENT, OPTIMIZATION OF LEARNING AND LIVING CONDITIONS, AND OVERCOMING RISK FACTORS

This research theme was approved by the Academic Council of Kharkiv National University as a dissertation for Doctor of Philosophy degree.
 The aim of this publication is to present a literature review summarizing the findings from national and international scientific and practical works on the training of military personnel. The focus is on the hygienic and psychophysiological foundations of health, optimization requirements for the training conditions of cadets in military educational institutions, and other critical aspects related to this important issue.
 The materials and methods were based on well-known methodological aspects of analytical evaluation and interpretation of scientific and practical information from the literature.
 The results obtained by the analytical assessment of relevant materials indicate that the issue of training military personnel is pertinent globally and particularly crucial in the context of the ongoing conflict with the Russian aggressor in Ukraine. It has been established that in recent decades, Ukraine has lacked studies specifically focused on understanding the dynamics of mental states and the development of mental maladaptation. The absence of such research has hindered the formulation of health protection measures and the enhancement of combat readiness for cadets in higher military educational institutions throughout their entire course of study. Literature findings on the study of educational conditions for both civilian students and cadets in military educational institutions underscore the intricacies of the adaptation process for young individuals pursuing higher education. This complexity arises from age-related psychological characteristics influencing their reactions to changes in social status brought about by the transition to the environment and conditions of higher education institutions. In particular, the change in lifestyle affects cadets and junior students. This is due to an increase in the amount of received information, the unusual form of its presentation, the lack of systematic control by teachers and parents, and other factors that increase the burden on the psycho-emotional sphere of students. Specifically, cadets and junior students are significantly affected by the shift in lifestyle. This can be attributed to the heightened volume of information, its unconventional presentation, the absence of systematic monitoring by educators and parents, and various factors that contribute to an increased load on the psycho-emotional well-being of students.
 Conclusions.
 
 The issue of cadets' learning conditions in military educational institutions is a pressing concern globally.
 Through a review of scientific and practical literature, it is evident that there is an immediate need to establish criteria for the effectiveness of socio-pedagogical prevention in addressing maladjustment among junior cadets in higher military educational institutions, including those in the Ukrainian Air Force. The inadequacies in a cadet's socio-psychological characteristics may lead to maladjustment, becoming a potential factor contributing to health disorders.
 The review of existing scientific and practical literature highlights a gap in research pertaining to the psycho-emotional profile of cadets in higher military Air Force educational institutions. This lack of comprehensive study hinders efforts to preserve health and combat capability while developing hygienic preventive measures, underscoring the relevance of our scientific work.

An integrated approach to Correcting the Physical and Psychoemotional State of female students working with migrant children

The article aims to investigate the effectiveness of the author's program “Correction of the Physical and Psychoemotional state of female students working with migrant children”, which combines psycho-training practical classes and training classes in health fitness. Materials and methods. The program includes psycho-training practical sessions to develop psychological well-being, stress resistance and psychological harmony, and health fitness training sessions to improve the body's functional state. The program integrates physical and psychological aspects of health. Forty-four female students of the 1st-2nd years of the Yuriy Fedkovich Chernivtsi National University of the Faculty of Physical Culture and Human Health took part in the pedagogical experiment. Results. We found that the program for correcting the physical and psycho-emotional state of female students, which included psycho-training practical classes and health fitness training classes, contributed to a decrease in the values of body weight, waist circumference, hip circumference and pelvic circumference (p<0.05; p<0.001). The results showed statistically significant differences (p<0.05; p<0.001) between the initial and final stages of the study. After using the developed program, we observed statistically significant changes (p < 0.05) in situational and personal anxiety levels. The percentage of female students with a high level of situational anxiety decreased from 27.3 % to 0.0 %, and the average level decreased from 54.5 % to 15.9 %. Personality anxiety also reduced from a high of 43.2 % to 0.0 %, and the intermediate level decreased from 54.5 % to 20.5 %. Conclusions. The results of our study confirm the effectiveness of the author's program “Correction of the physical and psycho-emotional state of female students working with migrant children” in improving the physical development, functional state of the cardiovascular and respiratory systems, and psychological well-being of the participants. The application of the program led to a decrease in anxiety, an improvement in body composition, a reduction in the volume of adipose tissue, and an increase in the adaptation capabilities of the body. Key words: correction program, physical condition, psycho-emotional well-being, female students, immigrant children.

Grieving multiple losses: Experiences of intimacy and sexuality of people living with inflammatory bowel disease. A phenomenological study.

To explore patient experiences of intimacy and sexuality in those living with inflammatory bowel disease. An interpretative phenomenological study guided by van Manen's framework. Thematic analysis was conducted through interpretation and reflection on four existential domains: body, relationships, time and space. Data were collected during 2019-2021 from 43 participants via face-to-face or telephone interviews, as well as anonymous collection of narratives submitted via Google Forms. Four themes were identified: Sexuality as lived incompleteness was the overarching theme representing the essence of the experiences of intimacy and sexuality. This theme covered the four main themes: Otherness of the body, Interrupted connectedness, Missing out on life fullness and Fragmented openness and each corresponded to an existential domain. Intimacy and sexuality are negatively affected by inflammatory bowel disease, with impact on quality of life. Patients experienced grieving multiple losses, from body image and control, to choice of partners and future opportunities. The four domains were difficult to separate and a close inter-relationship between each domain was acknowledged. A model was developed to draw new theoretical insights to understanding the relationship between sexual well-being and psycho-emotional distress similar to grief. First qualitative study to explore intimacy and sexuality experiences of those living with inflammatory bowel disease. Illness impact on sexuality has negative psycho-emotional implications as a result of losing the old self and capacity to have the desired relationships/sex life. A theoretical model was developed in an attempt to illustrate the close relationship of intimacy, sexuality and psycho-emotional well-being. Patients were involved in the study design.

Health-related quality of life among Thai children and adolescents with cleft lip and/or palate: a qualitative study

Background: Having cleft lip and/or palate (CLP) can be challenging for children and adolescents and appears to impact their health-related quality of life (HRQoL). To date, there is limited empirical work in this field, demonstrating a need for further exploration of qualitative research, especially with children and adolescents with CLP in Thailand. Objectives: To explore the HRQoL perceptions of Thai children and adolescents with CLP. Materials and methods: The present study was a qualitative approach. Eight children and adolescents with CLP, ages 9 to 14, were selected at the speech therapy clinic at Chiang Mai University, Thailand. Data were collected through a semi-structured interview guideline. The data were analyzed using thematic analysis. Results: Four main themes were identified: (1) physical well-being, (2) psycho-emotional well-being, (3) social well-being, and (4) school functioning. Five subthemes further described this experience: communicative competence; teasing or bullying; self-perception and self-esteem; family and friend support; and difficulties in academic performance. Each theme was described with illustrative quotes. Conclusion: The findings of this study provide a more thorough picture of HRQoL in children and adolescents with CLP. They have communicative competence, psycho-emotional well-being, social functioning, and school functioning issues rather than significant physical symptoms. Professionals should continue intervening as part of an interdisciplinary strategy to avoid or at least lessen negative effects on these children and adolescents with CLP.