Psychological Concern Research Articles

The Persian Version of the Fear of Progression Questionnaire's Short Form (FOPQ-SF): Psychometric Features Among Cancer Patients.

Fear of progression (FOP) is a significant psychological concern among cancer patients. The Fear of Progression Questionnaire-Short Form (FOPQ-SF) is one of the significant and reliable tools to evaluate FOP. This study aims to validate the psychometric features of the Persian version of FOPQ-SF in Iranian cancer patients. The translation of the FOPQ-SF was developed using a "forward-backward" approach. This cross-sectional study included 120 cancer patients who completed the questionnaires. The validity and reliability of the FOPQ-SF were evaluated, and the factor structure was examined using both exploratory factor analysis (EFA) and confirmatory factor analysis (CFA). The FOPQ-SF demonstrated high test-retest and internal reliability, with a Cronbach's alpha coefficient of 0.84. EFA revealed a one-factor structure consisting of 12 items. The FOPQ-SF exhibited high convergent validity, as indicated by significant correlations with anxiety, depression, the total score of HADS, and symptoms. It also demonstrated moderate divergent validity, with negative correlations observed between function and global health. Furthermore, FOP significantly differed among pre-defined groups based on cancer stages. The results indicate that the Persian version of the FOPQ-SF is a reliable and valid questionnaire for assessing FOP in 20-60 Iranian cancer patients ages.

User's Dilemma: A Qualitative Study on the Influence of Netflix Recommender Systems on Choice Overload

AbstractIn the digital era, where choices saturate daily life, the phenomenon of choice overload becomes a significant concern in consumer behavior and psychology. Recommender systems, exemplified by Netflix's sophisticated model, play a transformative role in navigating the vast landscape of digital entertainment. This qualitative study examines the impact of recommender systems on choice overload through 12 semi-structured interviews with Netflix users, revealing the intricate dynamics between personalization algorithms and user decision-making processes. The study is guided by the following research questions: (1) How does the Netflix recommendation system influence users' experiences of choice overload and ease of decision-making? (2) To what extent do users perceive Netflix's recommended content as appealing and diverse, and how reliant are they on these recommendations for content selection? (3) How do user interactions with Netflix's recommendation system, including user feedback, impact variables such as search time, choice effort, and choice satisfaction? The findings reveal a notable absence of explicit user feedback and the presence of choice overload in Netflix users. This is evident in prolonged search times, heightened choice effort, and moderate satisfaction levels, coupled with perceptions of unattractiveness and limited diversity in the recommended content. Negative emotional responses during content selection further underscore the challenges users face on the platform. Paradoxically, this gives rise to a potential “user's dilemma,” as the study exposes a high reliance and trust in recommendation lists. However, this reliance also results in users frequently experiencing frustration and disappointment when recommendations fail to meet expectations. The study provides valuable insights into the nuanced interactions between users and the Netflix platform and offers a foundational framework for ongoing refinement of recommender systems in the ever-evolving landscape of streaming services and emphasizes the need for recommendation lists to strike a delicate balance between effective guidance and user exploration.

Patients perception of orthodontic treatment - A questionnaire based study

The patient perception of malocclusion is important in determining orthodontic treatment. The purpose of this study was to determine participant’s perception, attitude, dental awareness, motivation, factors influencing the necessity of treatment and considerations before opting for orthodontic treatment. A questionnaire-based survey including 14 questions, was conducted for 160 participants who came to OPD of Department of Orthodontics, BBDCODS or at private clinics for any dental problem or those who had queries for orthodontic treatment.A google form with multiple choice questions was created to assess the patient’s perception of Orthodontic treatment to investigate aesthetic concern, functional problems, psychological concern, Orthodontic awareness, and other reasons for seeking orthodontic treatment. The data of responses of participants was analysed on google form application itself with the help of spread sheet, pie charts and graphs. The study revealed that aesthetics was the main concern for getting treatment whereas functional concern was less frequently reported. Patient believed that the treatment could make them more beautiful. This survey-based questionnaire helped in assessing the patient perception and attitude towards Orthodontic treatment. Aesthetic was the major issue for seeking orthodontic treatment, and also motivating factor for the start of treatment. Cost and duration of the treatment were major barrier for the start of the orthodontic treatment.

Psychological Concerns Surrounding Sexually Abused Children with Intellectual Disability in Court: Case of Gwanda Urban

The study adopted a qualitative approach using case study design to research on the psychological concerns surrounding sexually abused children with intellectual disability in court: case of Gwanda Urban. Purposive sampling was the main strategy used. The method sampled cases of children with court experiences after sexual abuse from Gwanda Urban. Projective tests like draw a person test were used to measure the children’s ability to narrate a story and it was noted that it depends with the level of disability hence the research findings recommends that involvement of a psychologist will help in making this assessment rather than generalizing that all children with intellectual disabilities are not competent witnesses in court. There is need to advocate for law to adequately protect children living with intellectual disability by clearly recognizing their competence to testify and also provide accommodations to enable effective testimony. Not ensuring that this is put in place there is a high risk that the community may perceive it like those who rape intellectually disabled children can do so with impunity. Above all other recommendations the study concluded that children with intellectual disabilities have psychological concerns despite the fact that they can or cannot testify in court.

Problematic internet use and shyness among Chinese adolescents: a moderated mediation model.

The potential adverse effects of problematic internet use (PIU) on individuals' offline personalities have been a significant concern in internet psychology. This study aimed to investigate the negative effects of PIU on shyness and the mediating role of self-regulation, as well as the moderating role of social comparison orientation. A total of 1,322 adolescents from China participated in the survey. The results indicated that: (1) PIU positively predicted shyness; (2) self-regulation partially mediated the relationship between PIU and shyness; (3) social comparison orientation moderated the mediation effect, specifically buffering the negative prediction of PIU on self-regulation, but exacerbating the negative predictive effect of self-regulation on shyness. The findings explored and verified the psychosocial effects of the internet, contributing to a deeper understanding of how PIU affects individual personality traits and offering insights into its role in broader social behavior patterns.

Sonata for Violin and Piano “With the Questions” by Viktor Telychko as a Sample of the Master’s Metaphysical Biography

The purpose of the research is to conduct an art studies revision of the sonata for violin and piano “With the Questions” by Viktor Telychko, to confirm the idea of the opus appealing to philosophical categories similar to the demiurge’s world outlook and fostering his metaphysical biography constructing. The research methodology encompasses a range of the following approaches: analytical – to master an implementation of metaphysical questions in Viktor Telychko’s artwork; music studies – to grasp the content parameters of the presented masterpiece; hermeneutic – to interpret the senses introduced by the master; biographical – to study the originality of the chronicle and to analyse the composer’s individual history within the projection onto a creative pattern; systemic – to conduct a complex recognition of the issue of the study; theoretical generalisation – to summarise the research results. Scientific novelty. For the first time ever in national humanitarian studies, the sonata for violin and piano “With the Questions” by Viktor Telychko has been considered from the viewpoint of the artwork implementing the basic philosophical postulates; the following idea has been justified: the piece raises existential issues and demonstrates the master’s metaphysical chronicles. Conclusions. The postmodernism sonata has experienced considerable transformations related to reflecting personal and psychological concern. It is based on technical and style conceptions of the author’s original thinking, promotes important ideological positions of the master. In the 21st century, the genre reflects the master’s mentality and spiritual fundamentals professed by them, transfers to the sphere of philosophical objectification being represented by metaphysical biography. The latter is interpreted as the following: a symbolic depiction of ontological concepts of a personality’s life creativity reflected in an iconic civilizational artefact. The creative heritage of Viktor Telychko, a prominent profile in Ukrainian culture, is represented by a remarkable contribution where the sonata for violin and piano “With the Questions” stands out. Its consideration has revealed the seriousness and sense capacity of the presented conception. While developing the musical idea, the composer declares the following dominating metaphysical categories: birth, life, death, suffering, time, action, entity and some others. They are related to his existential aspirations (the artistic explication of their essence became the key task of various stages of being and was implemented via multifaceted elaborations), manifest the master’s essence and denote the metaphysical chronicle by Viktor Telychko.
 Keywords: metaphysical biography; the master’s life creativity; an artistic opus; creativity philosophy; Viktor Telychko; sonata for violin and piano “With the Questions”.

Health and Psychological Concerns of Communities Affected by Per- and Poly-Fluoroalkyl Substances: The Case of Residents Living in the Orange Area of the Veneto Region.

Residents of an extensive area of the Veneto Region (Italy) face one of the largest technological disasters due to per- and polyfluoroalkyl substances (PFAS). On the basis of a risk gradient of contamination, the affected territories were divided into 4 areas: Red (of maximum exposure, where a human biomonitoring programme (HBM) was activated), Orange, Yellow, and Green. This article presents a case study of residents who live in the Orange Area, the second area in terms of contamination, excluded from the HBM. Semi-structured interviews were conducted with 17 residents engaged in promoting a legal procedure to exercise their right to know. Grounded theory and a thematic analysis method were used. Overall, the findings revealed that experiencing contamination causes a negative psychosocial impact on the residents' lives; difficulty accessing information; living with uncertainty, caused by the lack of institutional and health support and medical consultation; a sense of abandonment; difficulty managing preventive and protective actions; and the deterioration of relationships, on the basis of the social comparison with residents of the Red Area, to whom HBM was granted and where the concept of health ostracism has emerged. This study demonstrated that biomonitoring may help reduce discomfort in the case of contamination by informing people of their chemical exposure.

Factors Motivating Patients to Undertake Orthodontic Treatment

Aim: To assess various factors which motivate patients to seek orthodontic treatment. Methods: The cross sectional study was conducted through convenient sampling. A survey was carried out on 200 patients seeking orthodontic treatment at the department of orthodontics, LMDC through a structured questionnaire. SPSS version 20 was used to enter and analyze the data. Results: Data of 200 patients was collected, out of which 120 were females and 80 males. OHIP-14 was employed to study the reasons for seeking orthodontic treatment. The Questionnaire consisted of questions related to aesthetics, functional and psychological concerns. It was observed that 80% of the cases seek orthodontic treatment for aesthetic improvement. Whereas, the prime concern of 72.5% of the cases was functional and 54.5% of the cases presented to the orthodontic department for psychological requirements. Conclusion: Majority of the cases visited orthodontic department for aesthetic concerns. This was followed by functional and psychological concerns respectively. Most patients were found to be interested in orthodontic treatment for two different concerns. Keywords: Aesthetics, Functional concern, Psychological concern, Motivating factors, Orthodontics, Malocclusion

Primary PCI and Mental Health: A 12-Month Follow-Up Study.

The research article highlights the significance of acute myocardial infarction (AMI) and its impact on depression and anxiety among patients' post-primary percutaneous coronary interventions (PCI). The study aims to determine the frequency of depression and anxiety occurrence in patients with acute myocardial infarction after primary PCI. The objective of this study is to investigate the frequency of depression and anxiety in patients with acute myocardial infarction after primary PCI. The method used in the study involved the collection of data from 88 patients with acute myocardial infarction who underwent primary PCI treatment. The patients were tested before PCI and then at intervals of 1 month, 6 months, and 12 months post-PCI using the Hamilton Depression Scale (HAM-D17) and the Hamilton Anxiety Scale (HAM-A) to identify depression and anxiety symptoms, respectively. The study performed a comprehensive analysis of the collected data to determine the frequency of depression and anxiety occurrence in post-PCI patients. The study found evidence that primary PCI reduces depression and anxiety in patients who have experienced a myocardial infarction. However, mental health issues continue to be a significant psychological concern for patients post-PCI, impacting their lifestyle, self-care, and treatment adherence. The study suggests that healthcare providers should actively screen and manage psychiatric disorders in patients who have suffered from AMI as they are at an increased risk of mental disorders. In conclusion, the study indicates that depression and anxiety are common issues in acute myocardial infarction survivors, and interventions addressing these conditions should be a routine part of care. The study highlights the need for healthcare providers to be aware of the increased risk of mental disorders in individuals who have suffered from AMI. Understanding the impact of anxiety and depression on post-PCI patients is essential for the development of effective interventions that support patients' recovery.

Empathy and psychological concerns among medical students in Brazil during the COVID-19 pandemic.

Being in direct contact with COVID-19 patients for long periods of time increases the risk of infection among frontline workers. The purpose of this study was to identify levels of empathy and psychological concern among medical students during the COVID-19 pandemic. An online cross-sectional study was conducted among medical interns divided into two groups; those who worked in the frontline (n = 87) and non-frontline (n = 63) during the COVID pandemic. The students completed a questionnaire assessing sociodemographic characteristics as well as the Interpersonal Reactivity Index, Maslach Burnout Inventory, Perceived Stress Scale and Patient Health Questionnaire. The majority of study respondents were women (70.7%) and mean age was 25.45 ± 3.93years. In the unadjusted analysis, those who worked with COVID-19 patients had higher levels of empathy, stress, burnout syndrome and depressive symptoms. In the logistic regression analysis, students who worked on the frontline during the COVID-19 pandemic had higher levels of empathy (OR: 1.27; 95% CI: 1.16-1.14), stress (OR: 1.21; 95% CI: 1.05-1.39) and burnout syndrome (OR: 1.19; 95% CI: 1.10-1.30). Medical students in the internship period who worked on the frontline during the COVID-19 pandemic had more psychological concerns and higher levels of empathy compared to those who did not work on the frontline.

The link between ACEs, income, and maternal depressive symptoms through a racial and ethnic lens: A moderated-mediation analysis

Maternal depression is a prevalent psychological concern that affects all racial and ethnic groups. Prior research suggests adverse childhood experiences (ACEs) are an important social determinant of depression; however, few studies have examined the roles that income and race/ethnicity play in this relationship. Using a life-course perspective, this article examined whether adult family income mediated the relationship between ACEs and adult depressive symptoms among 3,106 mothers from the prospective Geographic Research of Wellbeing survey. We also examined whether race/ethnicity/immigration status moderated the relationships between ACEs, income, and symptoms. We used both mediation and moderated mediation to conduct secondary data analysis. Income significantly mediated the relationship between ACEs and depressive symptoms (b = 0.012, p = .012). The relationship between ACES and depressive symptoms was stronger among immigrant Latina participants (b = 0.25, p< .001) compared to non-Latina White participants (b = 0.12, p< .001). Practitioners should consider the role of income as a social determinant of maternal depression, promote policies that decrease income inequality, and further examine how race/ethnicity impacts the relationship between childhood adversity and maternal mental health.

PD37-08 PSYCHOLOGICAL CONCERNS AMONG PEDIATRIC PATIENTS WITH NEPHROLITHIASIS AND THEIR CAREGIVERS AT A MULTIDISCIPLINARY KIDNEY STONE CLINIC

You have accessJournal of UrologyCME1 Apr 2023PD37-08 PSYCHOLOGICAL CONCERNS AMONG PEDIATRIC PATIENTS WITH NEPHROLITHIASIS AND THEIR CAREGIVERS AT A MULTIDISCIPLINARY KIDNEY STONE CLINIC Arthi Hannallah, Tucson, Az, Zoë Baker, Helal Syed, Nadine Khouzam, and S. Sparks Arthi HannallahArthi Hannallah More articles by this author , Tucson Tucson More articles by this author , Az Az More articles by this author , Zoë BakerZoë Baker More articles by this author , Helal SyedHelal Syed More articles by this author , Nadine KhouzamNadine Khouzam More articles by this author , and S. SparksS. Sparks More articles by this author View All Author Informationhttps://doi.org/10.1097/JU.0000000000003335.08AboutPDF ToolsAdd to favoritesDownload CitationsTrack CitationsPermissionsReprints ShareFacebookLinked InTwitterEmail Abstract INTRODUCTION AND OBJECTIVE: Pediatric patients with nephrolithiasis may face psychological concerns associated with pain episodes, preparation for surgery, and behavioral modification. This study sought to determine the psychological concerns and needs of children with nephrolithiasis and their caregivers seen at a multidisciplinary kidney stone clinic. METHODS: Questionnaires were administered to pediatric patients aged ≥7 years and/or caregivers seen in a multidisciplinary stone clinic due a diagnosis of nephrolithiasis from 2020-2021. Participants reported on adherence to physician instructions regarding diet and medication use, desire to see a psychologist in a multidisciplinary stone clinic, and psychological concerns, worries, and fears associated with nephrolithiasis. Worries and concerns were analyzed qualitatively and grouped into categories including stone etiology, recurrence, pain, diet management, general medical concerns, and general worry (Table 1). RESULTS: 51 participants completed questionnaires, including 19 pediatric patients and 32 caregivers. Thirty percent of caregivers (n=11) and 16.7% percent of patients (n=3) reported that they always eat a stone-prevention diet. Additionally, 45.2% of caregivers (n=14) and 13.3% of patients (n=2) stated that they always take prescribed stone-prevention medications as instructed. Worries surrounding stone recurrence was the primary concern reported among both patients (36.8%, n=7) and caregivers (43.8%, n=14, Table 1). Caregivers were frequently concerned regarding their child’s pain (40.6%, n=13). Regarding the role of a psychologist, 28.1% (n=9) of caregivers and 21.1% (n=4) of patients reported desires to see a psychologist for stone-related psychological concerns. CONCLUSIONS: Among patients managed for nephrolithiasis in a multidisciplinary kidney stone clinic and their caregivers, psychological concerns surrounding stone recurrence and pain were commonly reported. Adhering to a stone-prevention diet and stone-prevention medications was difficult among most participants surveyed. The inclusion of a psychologist in a multidisciplinary stone clinic may help children with nephrolithiasis to address worries, fears, and behavioral modifications. Source of Funding: None © 2023 by American Urological Association Education and Research, Inc.FiguresReferencesRelatedDetails Volume 209Issue Supplement 4April 2023Page: e990 Advertisement Copyright & Permissions© 2023 by American Urological Association Education and Research, Inc.MetricsAuthor Information Arthi Hannallah More articles by this author Tucson More articles by this author Az More articles by this author Zoë Baker More articles by this author Helal Syed More articles by this author Nadine Khouzam More articles by this author S. Sparks More articles by this author Expand All Advertisement PDF downloadLoading ...

Psychological concern among ortho trauma patients: A narrative review

Injury pertaining to musculoskeletal system might be unexpected to the victim both physically and mentally. Injured person might be unprepared to be bombarded with sudden hospital visit, painful procedures and dependence on others. Presence of psychiatric illness might just aggravate the anxiety symptoms and make the prognosis poor.

An evaluation of clinical psychology input into burns multidisciplinary follow-up clinics.

Research highlights the complex psychological needs that patients and their families can face following a burn injury, regardless of the objective severity of the injury and often beyond the timeframe of physical healing. Identification of psychological needs at different stages post-burn recovery is therefore a key role of clinical psychologists working in burn care services. This paper presents audit data collected across a two-year period in routine paediatric and adult multidisciplinary team follow-up clinics in a UK burns service. 808 clinical contacts (331 adults, 477 paediatrics) were recorded. Data gathered related to the identification of patient and/or family psychological need and the level of psychology input within clinic. For 43% of adult patients and 46% of paediatric patients seen in clinic, some degree of psychological need for the patient and/or family was identified during the consultation. A large majority of concerns related directly to the burn injury. This is consistent with previous research into the psychological impact of burns. Even for patients with no identified psychological needs, psychology presence enabled the opportunity for brief screening, preventative advice or signposting to take place during clinic. A substantial number of individuals and families presented with some level of psychological concern in relation to a burn injury when attending burns multidisciplinary team follow-up clinics. A substantial number of patients and families presented with psychological needs in relation to a burn injury when attending burns MDT follow-up clinics. The presence of Clinical Psychologists at burns MDT follow-up clinics is beneficial for the identification of burns and non-burns related psychological concerns and is a valuable use of psychological resources within a burns service. The Regional Burns Centre holds regular outpatient scar clinics to monitor recovery and healing. As well as the medical professionals, the clinics are joined by Clinical Psychologists who can assess, refer, and support individuals struggling with their burn or scarring on a mental level. Over 15 months, data was collected about patients attending the clinics and the involvement of the psychologists. 43% of adult patients and 46% of paediatric patients were identified as having some psychological need, either related to their burn or to other aspects of their life. This demonstrates the benefits of having psychology presence within scar clinics, as nearly half of the patients seen in clinic received an assessment and further support (such as signposting and referrals to psychological support). Burns staff also felt that psychology presence enhanced conversations and increased collaboration with decision making around treatment.

Psychological trauma and depression in recovered COVID-19 patients: A telecommunication based observational study.

Coronavirus disease 2019 (COVID-19) is adversely affecting the mental health of the patients infected with the virus and the psychological impact on recovered COVID-19 patients is not clear. The study aimed to assess Posttraumatic Stress Disorder (PTSD) and depression among COVID-19 patients post recovery from the disease. The cross-sectional study was conducted from November 09, 2020, to December 23, 2020. The study enrolled recovered COVID-19 patients through telemedicine mode from the database of patients provided by the health authorities. National Stressful Events Survey PTSD Short Scale [NSESSS] for adults was used for assessing PTSD symptoms and Patient Health Questionnaire (PHQ-9) was used for assessing depression. The study enrolled 503 recovered COVID-19 patients with a mean age of 41.90 years. The majority were asymptomatic (64.6%) while 21.5% developed moderate to severe form of the disease. The prevalence of PTSD symptoms and depression was found to be 56.9% and 29.0% respectively. COVID-19 patients with severe form of disease were significantly more affected with PTSD symptoms [vs mild, Odds Ratio (OR)= 18.7, Confidence Interval (CI)= 9.9-35.5] and depression (vs mild, OR= 19.8, CI= 9.9-39.5). Similarly, the patients who required oxygen or ventilator support reported a significantly higher PTSD symptoms (vs managed at home, OR= 17.4, CI= 8.3-36.4) and depression (vs managed at home, OR= 22.0, CI= 10.1-47.7). The study reported that recovered COVID-19 patients suffered from a significant amount of depression and experienced significant PTSD symptoms. It will help in addressing a major psychological concern among the recovered subjects.

Psychological Assessment of the Wellbeing and Economic Related Issues of the Albanian Population Living in the Pandemics

As Covid19 pandemic exposed all people to be living in the pandemic, psychological concern was raised referring to vulnerable populations who could be developing psychological concerns. Therefore, during November 2022 an assessment survey was launched online aiming to screen and assess the psychological wellbeing of Albanian adults referring to their level of education and economic relatedness. Objectives of the study consist in (i) assessing the socio-demographic and economic data referring to the perceived financial expectancies and hopefulness; (ii) screen the psychological concerns related to mental health and wellbeing in relation with their economy; (iii) assess comfortability when meeting others with levels of education. Data was processed through SPSS and was analyzed using non-parametric Chi square tests and crosstabulation. Results showed that economic problems are relevant to the level of personal revenues. Sensitivity towards mental health problems is detected with the rise of the level of education. People’s capacities to resuming life just like before the pandemic has no relationship with personal revenues. Still, people report that meeting the others does not make them feel better and calmer, and makes people feel happier only in minor cases. Conclusions show that social distance could have taught people that being physically distant from others, has their own benefits.

Paediatric Facial Malformation - A Case Report

Arteriovenous malformations (AVMs) are rare congenital vascular malformations. They account for 1.5% of all vascular anomalies. Oral and maxillofacial regions are the common sites and account for 50% of the cases. We report a seven-year-old female child with progressive left cheek swelling for the past two years. There was no pain, dysphagia or difficulty in chewing food. But the swelling caused significant cosmetic concern due to facial disfigurement. There was a history of cystic hygroma, operated at a young age. There is no significant family history of vascular anomalies. Child was investigated and diagnosed to have slow flow vascular malformation. Treatment is a multidisciplinary approach. Minimally invasive procedures can conservatively manage it by injecting drugs. Other options are laser therapy, open surgery and a combination of the above treatments. Our case improved after multiple cycles of foam sclerotherapy. Many cases might not improve with one or two injections, but it requires multiple doses. Arteriovenous malformation is not only a physical problem but also involves psychological concern for the child. Though it may be a benign condition, it might cause facial disfigurement, as in our case. A high index of suspicion is required as it is incidentally diagnosed during dental procedures. Multimodality therapy is necessary for the management and is beneficial in all age groups. The present case is published for its rarity.

How Will I Be Perceived: The Role of Trauma-Related Shame in the Relationship Between Psychological Distress and Expectations of Disclosure Among Survivors of Sexual Victimization.

Sexual assault is a serious physical and psychological concern worldwide. Various negative psychological outcomes are associated with survivor well-being, including depression, posttraumatic stress disorder (PTSD), depressive symptoms, and trauma-related shame. Opportunities for emotional expression and processing have been shown to be beneficial among survivors of trauma; however, survivors of sexual victimization may be reticent to disclose details of their traumatic experience, particularly to formal sources of support. Trauma-related shame (e.g., negative evaluations of self, feelings of worthlessness, and powerlessness) has been shown to negatively impact expectations of disclosure, as some survivors may fear being blamed or judged. Limited research exists on the impact of psychological distress on survivors' expectations of disclosure. The current study investigated whether psychological distress (i.e., depressive and PTSD symptoms) is associated with expectations of disclosure (positive vs. negative) through trauma-related shame among survivors of sexual victimization. Participants, recruited from a primarily Hispanic-serving institution, participated in the present study. Participants (N = 86) completed measures of PTSD and depression symptom severity, trauma-related shame, and expectations of disclosure. Results revealed that psychological distress severity was associated with negative expectations of disclosure through trauma-related shame (b = 0.682, p < .05, 95% confidence interval [CI] [0.197, 1.367]), but not positive expectation (b = -0.068, p = .417, 95% CI [-0.523, 0.155]). Our findings have implications for prognosis and treatment for survivors of sexual victimization, particularly among LatinX populations.

Psycho, Pharmaco and Sex therapy for the treatment of Premature Ejaculation.

Pakistani's men with Premature ejaculation (PE) hardly prefer to go for treatment due to cultural barriers (men dominating society). This research objective is the gives knowledge about the effective treatment of premature ejaculation, how it can be effectively treated with the help of different techniques. Premature ejaculation (PE) is happened when a man has an orgasm and ejaculated earlier at the time of intercourse then he or his spouse would like. PE is a men sexual dysfunction that creates a significant anguish for men, partner and their relationships'. Premature ejaculation is not only one illness; it contains 4 subtypes with a unique psychological concern and problems (longtime, acquired, organic and subjective). PE men and couples are treated psychologically for sexual ability but also for self-esteem, performance anxiety and interpersonal disputes. Psychotherapy outcomes alone are hard to compare and to appreciate due to insufficient methodology (lacking control groups, limited sample sizes, poor results and insufficient monitoring). Rare researches, however, which overcome these methodological barriers, indicate that psychological intervention provides a promising treatment choice for men and partners. A detail literature review was done via an electronic database, "Cochrane library databases", "PsychInfo", and "PubMed" from June to July 2021. The most effective procedure for lifetime and acquired PE is pharmaco- and psychotherapy combination. Men and partners develop sexual abilities and resolve the intra-psychological, interpersonal and cognitive problems that trigger and sustain dysfunction.

Effects of Serious Games on Depression in Older Adults: Systematic Review and Meta-analysis of Randomized Controlled Trials.

BackgroundDepression is a severe psychological concern that negatively affects health in older adults. Serious games applied in various fields are considered appropriate interventions, especially in mental health care. However, there is a lack of evidence regarding the effects of serious games on depression in older adults.ObjectiveThis study aimed to investigate the characteristics and effectiveness of serious games for depression in older adults.MethodsA systematic review and meta-analysis of randomized controlled trials were conducted. In total, 5 electronic databases (PubMed, CINAHL, Embase, PsycINFO, and Cochrane Library) were searched to identify relevant studies published until July 6, 2021. A total of 2 reviewers independently conducted study selection, data extraction, and quality appraisals. The risk of bias in the included studies was assessed using the JBI Critical Appraisal Checklist. For the meta-analysis, the effect size was calculated as the standardized mean difference (SMD) by using a random effects model.ResultsA total of 17 studies with 1280 older adults were included in the systematic review, and 15 studies were included in the meta-analysis. Serious game interventions were classified into 3 types: physical activity (PA), cognitive function, and both PA and cognitive function. The meta-analysis demonstrated that serious games reduced depression in older adults (SMD −0.54, 95% CI −0.79 to −0.29; P<.001). Serious games had a more significant effect size in community or home settings (SMD −0.61, 95% CI −0.95 to −0.26; P<.001) than in hospital settings (SMD −0.46, 95% CI −0.85 to −0.08; P=.02); however, the difference between groups was not significant. Among the types of games, games for PA (SMD −0.60, 95% CI −0.95 to −0.25; P<.001) and games for both (SMD −0.73, 95% CI −1.29 to −0.17; P=.01) had a significant effect on reducing depression in older adults. However, no significant correlations were observed between the duration or number of serious games and depression.ConclusionsSerious games were beneficial in reducing depression in older adults. Regardless of the study setting, serious games appeared to reduce depression. Particularly, serious games including PA had a significant impact on reducing depression. Furthermore, high-quality randomized controlled trials are needed to establish substantial evidence for the effectiveness of serious games on depression in older adults.Trial RegistrationPROSPERO CRD42021242573; https://tinyurl.com/26xf7ym5