Introduction: Body Dysmorphic Disorder (BDD) is a psychiatric disorder characterised by an excessive focus on perceived flaws in one's appearance. It leads to a strong psychological distress, social withdrawal, and unnecessary aesthetic procedures. The rise of aesthetic medicine in the 21st century has made BDD an important clinical and ethical issue for practitioners. Aim of the study: This study aims to present the prevalence of BDD, its characteristics, diagnostic difficulties, and treatment. We also discuss ethical challenges associated with aesthetic medicine procedures and clinical management recommendations for aesthetic medicine practitioners. Materials and methods: A search of the literature review was performed using PubMed, Google Scholar, Scopus, and other databases. We focused primarily on studies published between 2017 and 2025. The following keywords and their combinations were used: “Body Dysmorphic Disorder”, “Aesthetic Medicine”, “Cosmetic Procedures”, “Psychiatry”, “Screening”, “Ethics”. Brief description of state of knowledge: BDD is more common in aesthetic medicine patients than in the general population and is influenced by social media and culture. Patients with BDD present alterations in the function and structure of the central nervous system. There are a few screening tools easy to use in the everyday practice of an aesthetician. Treatment includes pharmacotherapy and psychotherapy. Summary: BDD poses many clinical and ethical challenges. Cosmetic interventions alone rarely address underlying psychological distress long-term. Both cognitive-behavioural therapy and pharmacotherapy are useful tools in the treatment of BDD. Integrating screening and patient-centred approaches has the potential to improve safety, satisfaction, and long-term well-being in patients with this disorder.

Abstract Background More evidence is needed for understanding how evidence-based psychological interventions work, especially when implemented by briefly trained non-professionals in low- and middle-income settings. The nine-session caregiver support intervention (CSI) is such an evidence-based intervention, aiming to improve parental wellbeing and parenting skills. Specifically, this study aims to assess if and how a set of quality of care indicators explain intervention outcomes amongst participants from refugee settlements in Jordan. Methods We conducted a three-path mediational model, wherein levels of facilitators’ competency (using the ENhancing Assessment of Common Therapeutic factors tool [ENACT]), facilitators’ fidelity of implementing CSI, caregivers’ attendance, and caregivers’ adoption of the key intervention skills and strategies (i.e. mechanisms of action) are predictive of intervention outcomes. Outcome measures include the Warwick-Edinburgh Mental Wellbeing Scale to assess caregiver wellbeing, Kessler Psychological Distress measure to assess caregivers’ psychological distress symptoms, Brief Parenting Questionnaire to assess warm and responsive parenting and harsh parenting and Kid(dy)-KINDL for Parents to assess children’s psychosocial wellbeing. Results The study, amongst caregivers ( n = 588) and facilitators ( n = 51), demonstrates that baseline to endline intervention improvements in parenting, caregiver wellbeing, and caregiver-reported child wellbeing are all (fully or partly) mediated by a pathway of higher levels of facilitator competencies leading to higher levels of participants’ attendance. Higher attendance in turn leads to higher levels of adoption of key intervention strategies by participants. Higher adoption in turn leads to the bespoke positive outcomes (indirect effects: 0.50 [SE = 0.14]; 0.90 [SE = 0.26]; 0.92 [SE = 0.29], respectively). This pathway does not play out for caregiver distress as an outcome (−0.20 [SE = 0.13]). Conclusion Both common factors (foundational therapeutic competencies among the service providers) and specific factors (active ingredients of the intervention) are relevant in predicting outcomes following CSI—albeit through different pathways. This study provides support for using competency assessments, attendance tracking, and monitoring participant’s skill adoption as a framework for the evaluation and improvement of quality of care.

Human and economic burden of psychological distress (PD) are well known. However, how PD and its various classifications impact health-related quality of life (HRQoL) and its various domains such as physical function (PF), role physical (RP), mental health (MH) and role emotional (RE) is poorly understood. To measure the longitudinal decline in HRQoL related to PD and its various dimensions, and to examine sociodemographic factors associated with HRQoL. Data on SF-36 profiles, Kessler Psychological Distress (K10) scale scores and other sociodemographic characteristics of individuals with PD aged ≥ 15 were sourced from 8 waves (7, 11, 13, 15, 17, 19, 21, n = 41,545) of the Household, Income, and Labour Dynamics in Australia (HILDA) survey spanning the years 2007 to 2021. PD severity was classified as no (K10 score: 10-19), mild (K10: 20-24), moderate (K10: 25-29) and severe PD (K10: 30-50). HRQoL was measured as health state utilities (HSUs) via the SF-6D algorithm aligned with Australian population norms. Five separate linear mixed models were estimated, each with HSUs, PF, RP, MH, or RE as the outcome variable. The mean age of the respondents was 44.88 years (53% female), and the most common age group was 24-44 years (34%). HRQoL declined over time; however, the time coefficients became insignificant after accounting for other sources of variation, including age, sex, English proficiency, Indigenous status, region of residence, marital status, education, employment, physical activity, body mass index (BMI), club membership, smoking, drinking, and income. The adverse impact of PD on HSUs intensified with increasing severity, ranging from - 0.086 in mild PD to -0.177 in severe PD. HRQoL differed across age (from - 0.016 in 25-44 years to -0.059 in 65 + years) and sex groups (disutility difference - 0.012). Different domains of HRQoL were affected by PD disproportionally with the highest and lowest effect recorded in the domain of MH (-0.364) and PF (-0.114), respectively in the category of severe PD. Factors such as education, physical activity, being employed, drinking, and income were positively associated with PD while BMI level and smoking negatively affected HRQoL. Effective HRQoL management in individuals with PD requires tailored interventions that consider disease severity, age, and sex. The insights on the association of time and other sociodemographic determinants with HRQoL have potential applications in PD-related cost-effective analyses of health interventions.

This study aimed to evaluate the efficacy of a nurse-led mindfulness-based intervention (MBI) in reducing psychological distress and improving emotional well-being among hospitalized school-aged children. A mixed-methods quasi-experimental design was used to compare the psychological outcomes of children who participated in a two-week mindfulness program with those who received standard care. A total of 60 children aged 6-12 were systematically assigned to either the intervention group (n = 30) or the control group (n = 30). The intervention group received daily 30-minute mindfulness sessions, while the control group received standard care. Pre- and post-intervention assessments were conducted using validated measures, including the Perceived Stress Scale for Children (PSS-C), Screen for Child Anxiety Related Emotional Disorders (SCARED), Short Mood and Feelings Questionnaire (SMFQ), and PROMIS Fatigue Scale. Significant improvements were observed in the intervention group across all measures. Reductions in perceived stress (PSS-C: p < 0.001, d = 1.05), anxiety (SCARED: p = 0.002, d = 0.67), depressive symptoms (SMFQ: p < 0.001, d = 0.88), and fatigue (PROMIS: p < 0.001, d = 0.94) were reported. Qualitative feedback from children, parents, and nurses supported these findings, highlighting enhanced emotional regulation, relaxation, and coping abilities. The nurse-led MBI significantly improved psychological well-being, reducing stress, anxiety, and fatigue among hospitalized children. The intervention shows promise for integration into pediatric care, with high satisfaction levels from participants and healthcare providers. This study provides evidence supporting the inclusion of mindfulness-based interventions in pediatric nursing care. Due to their continuous interactions with patients, nurses are well-positioned to lead such interventions, which can enhance the emotional and physical recovery of hospitalized children.

African migrants constitute a significant proportion of the Australian population. While migration and resettlement offer opportunities, the associated stressors may adversely affect the mental health and well-being of African migrants. This study explored, for the first time, the prevalence of depression and psychological distress among African migrants in Australia and the relationship between coping mechanisms and mental health outcomes. A web-based cross-sectional survey of adult African migrants in Australia was conducted between February and May 2022. Participants (N = 167) who did not have a refugee status who resided in Australia for at least 12 months were recruited through community groups. An e-link of the survey created in Qualtrics was posted on online platforms (WhatsApp, LinkedIn, Twitter, and Facebook) and distributed via emails of community members. The Kessler Psychological Distress Scale (K10) and Patient Health Questionnaire (PHQ-9) assessed mental health outcomes and the Brief COPE assessed coping strategies. Descriptive and multivariate regression analyses were used to determine the association between demographic variables, language ability, and mental health outcomes. Most respondents (45.2%) were between 35 and 44 years of age and were proficient in English. Approximately one in three individuals reported higher levels of either depression or psychological distress, while 30.9% reported higher levels of both mental health outcomes. Age-specific rates revealed higher levels of depression and psychological distress among younger participants (18-24 years, 62.5%) compared to older age groups (55-59 years, 22.2%; p < 0.05, for both). Coping strategies, such as self-blame, self-distraction, and behavioural disengagement, were significant predictors of depression. Similar findings were observed for psychological distress, with self-blame, behavioural disengagement, and religious coping identified as significant predictors. Notably, language ability did not significantly differ between groups with varying levels of depression or distress. However, the distressed group was significantly younger than the non-distressed group (X² (n = 131) = -2.13, p = 0.03), while the higher depression group tended to be younger than the minimal depression group (X2 (n = 124) = -2.67, p = 0.08). These findings highlight the importance of addressing mental health issues and promoting effective coping strategies among African migrants in Australia, particularly targeting young individuals.

Filipino Americans experience disproportionately high rates of hypertension and remain understudied in health disparities research. Although food insecurity (FI) is a recognized social determinant of health, its influence on psychological distress and chronic illness in this population is not well understood. This study examined the relationship between FI and psychological distress among Filipino Americans with hypertension, guided by an adapted Minority Stress Model. A cross-sectional, descriptive, correlational study was conducted with 135 Filipino American adults recruited from a primary care clinic in Southern Nevada. Participants completed validated instruments assessing both FI and psychological distress. FI was measured using a standardized FI scale, whereas psychological distress was assessed using the Distress Thermometer and Problem List. Data were analyzed using multivariate logistic regression and nonparametric tests. Income level was the only demographic variable significantly associated with FI (p = .0002). Food-insecure participants reported higher distress (median score = 4) than food-secure peers (median score = 2, p < .001). After adjusting for age, gender, and income, FI remained strongly associated with sleep problems (OR = 3.4, p = .008), worry (OR = 3.83, p = .009), and sadness (OR = 3.85, p = .02). No significant associations were found between FI and other physical symptoms. Food insecurity is a critical psychosocial stressor linked to increased psychological distress among Filipino Americans with hypertension. Nurse practitioners and primary care providers should incorporate culturally responsive, community-engaged approaches when screening for both FI and psychological distress in this population.

To assess psychological distress and quality of life (QoL) among patients with non-small cell lung cancer (NSCLC) receiving chemotherapy and examine the relationship between distress and QoL across treatment cycles. This prospective observational study enrolled 105 patients with NSCLC undergoing chemotherapy. Psychological distress was assessed using the Depression Anxiety Stress Scale-21 questionnaire, and QoL was evaluated using the WHO Quality of Life-BREF questionnaire at baseline (before chemotherapy) and after three and six cycles of chemotherapy. Linear mixed models with first-order autoregressive covariance were used to account for within-patient correlation. Psychological distress worsened over time, with anxiety and stress increasing significantly. QoL declined across all domains, with physical health scores decreasing from 57.99 to 46.71 and psychological health from 54.48 to 43.00. Regression analysis demonstrated an inverse relationship between distress and QoL, with distress explaining 41.74% of QoL variance at baseline and 44.01% at the final assessment. Patients in severe and extremely severe distress categories had a two times higher risk of experiencing a ≥10-point drop in QoL than those with mild or no distress. This prospective observational study confirms that patients with NSCLC receiving chemotherapy experience significant psychological distress and impaired QoL. Early identification and intervention are critical for improving patient outcomes, treatment adherence and quality of care. These findings highlight the need for integrated palliative care in NSCLC management.

Background Polycystic Ovary Syndrome (PCOS) and Recurrent Pregnancy Loss (RPL) are reproductive disorders frequently linked to psychological distress. This study compared the severity of depression, anxiety, and stress levels between women with PCOS and RPL and assessed their association with years of marriage. Materials and methods A cross-sectional study conducted a random sampling method on 157 women (PCOS: 70; RPL: 87) attending the Obstetrics and Gynecology OPD at IMS BHU, Varanasi. Psychological status was assessed using the DASS-21 scale, a reliable tool widely used in reproductive health research. Chi-square test and independent sample t-tests were used for statistical analysis. Results Mean scores were significantly higher in RPL than in PCOS: depression (10.7 ± 3.5 vs. 8.8 ± 4.3, p = 0.003), anxiety (13.3 ± 3.8 vs. 10.7 ± 5.5, p = 0.001), and stress (12.3 ± 4.4 vs. 10.3 ± 6.1, p = 0.007). Marriage duration was significantly longer among women with severe depression (RPL: 8.4 ± 5.2 yrs.; PCOS: 6.3 ± 3.1 yrs), anxiety (RPL: 8.6 ± 5.1 yrs.; PCOS: 7.1 ± 3.3 yrs), and stress (RPL: 9.0 ± 5.2 yrs.; PCOS: 6.3 ± 3.1 yrs), all p &amp;lt; 0.05. Age was higher in RPL patients (p = 0.024); LH was higher in PCOS (p = 0.000). No significant differences were observed in AMH or BMI. Psychological symptoms were more severe among women with RPL, and a longer duration of marriage was associated with greater symptom severity. Marriage duration was significantly higher in women classified with severe depression, anxiety, and stress based on DASS-21 scores, indicating a correlational rather than causal relationship. Conclusion Routine psychological assessment is recommended for women with PCOS and RPL. Early identification of psychological distress may help improve overall reproductive and emotional health outcomes in these patients.

Cyberchondria is often associated with psychological distress, straining doctor-patient relationships, and financial burdens. Over the past few decades, increasing research has explored its associations with quality of life (QoL). However, existing reviews have not comprehensively synthesized or narratively analyzed these connections. This study aims to consolidate current research, identify key trends, and examine how cyberchondria affects QoL, while providing insights for future research directions. The literature search was conducted on 4 databases PsycINFO, PubMed, CINAHL, and Web of Science. The review was restricted to peer-reviewed journals published in English from inception to October 9, 2025. The inclusion criteria were as follows (1) original studies examining health-related factors associated with cyberchondria, (2) participants of any demographic, and (3) English-language full texts. Studies were excluded if they assessed health anxiety as a representation of cyberchondria. The Newcastle-Ottawa Scale for cross-sectional studies was used to assess the risk of bias in the included studies. Narrative analysis was used for data synthesis. This review was reported in accordance with the PRISMA-ScR (Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews) checklist. A total of 9483 records were identified from 4 databases, with 87 studies meeting the inclusion criteria for this review. All of the included studies used a cross-sectional design. Most of the included studies were rated as moderate risk (54.4%) to low risk (36.7%). Correlations were found between cyberchondria and QoL domains, including physical health (eg, pain and discomfort, sleep quality), psychological health (eg, anxiety, fear, negative feelings or emotions, anxiety sensitivity, intolerance of uncertainty, obsessive-compulsive symptoms, and depression), level of independence (eg, usual or daily activities, and mobility), social relationship (eg, personal relationship, communication, and social support), environment (eg, eHealth literacy and financial satisfaction), and behavior (eg, addictive behavior). This scoping review synthesizes key risk factors and challenges influencing the QoL in individuals with cyberchondria. The findings emphasize the need for clinicians to adopt a holistic approach to assess and manage cyberchondria, addressing its multifaceted impact on QoL.

The Syrian civil war has resulted in unprecedented displacement and psychological distress, with millions of refugees experiencing high rates of posttraumatic stress disorder (PTSD), complex posttraumatic stress disorder (CPTSD), and depression. This study examines the interconnections between these disorders among Syrian refugees using network analysis. Data were collected between May and October 2024 from 628 adult Syrian refugees (66.1% women; Mage = 32.09, SD = 10.95) who had migrated to Türkiye following the outbreak of the Syrian civil war in March 2011. PTSD, CPTSD, and depressive symptoms were assessed using the International Trauma Questionnaire and the Patient Health Questionnaire-9. Network analysis revealed a moderately dense symptom structure, highlighting strong associations between PTSD, CPTSD, and depression. Centrality analysis identified "avoiding external reminders," "feeling down, depressed, or hopeless," and "difficulty maintaining close relationships" as central symptoms driving the network. Bridge analysis further identified "struggling to calm down after distress" as a bridge symptom linking PTSD, depression, and CPTSD. These findings underscore that identifying central and bridge symptoms may be crucial for developing more effective and personalized interventions tailored to the complex symptom profiles observed in refugee populations. (PsycInfo Database Record (c) 2025 APA, all rights reserved).

The research examines the gender inequalities inherent in the Indian legal system specifically the factor of exclusion of males through the protection of domestic violence, sexual crimes and harassment in the workplace. Although the Indian laws, like the Bharatiya Nyaya Sanhita (BNS) 2023, the Domestic Violence Act, and the POSH Act have played a key role in protecting women, they are mainly gender-oriented disregarding the female and LGBTQ+ victims. By examining the current laws, comparing international models, and applying case-study to it, this paper can see the structural bias that only sees men as attackers. It claims that the provisions of the law are one-sided and not only do not uphold the principle of equality under Article 14 of the Indian Constitution, but also promote the stigmatization of society, which causes underreporting, psychological distress, and disenfranchisement of male victims. The research is based on the global practices in the US, UK, Canada, and Australia, thus recommending the use of gender-neutral laws in India as an urgent practice. It suggests modifications in the criminal and family law, comprehensive safeguards in the workplace and domestic violence legislation, and national sensitization to eliminate the gender stereotypes. The paper concludes that true gender justice can only be achieved when laws are created to safeguard everyone regardless of gender on the nature of harm and not identity. Keywords: Gender discrimination, Men’s rights, Legal reform, Gender-neutral Laws, Domestic violence, Sexual offences, Family Law, Workplace protections.

Emerging evidence underscores the potential of digital technologies in improving perinatal mental health by offering continuous and person-centered support. This integrative review synthesizes findings across disciplines-including obstetrics, psychiatry, digital health, and human–computer interaction-to examine the role of digital doula interventions. Such technologies reimagine the traditional doula model through mobile applications, tele-support systems, and AI-based companions. Results indicate that digital doula support is consistently linked to reduced perinatal anxiety and depressive symptoms, improved emotional regulation, and greater satisfaction with childbirth experiences. Moreover, these interventions enhance accessibility and continuity of care, particularly for marginalized groups, thereby advancing digital health equity. Nevertheless, challenges such as limited standardization, data privacy issues, and insufficient reimbursement models remain. Digital doula care stands at the intersection of neuropsychiatry, digital therapeutics, and maternal health, offering innovative pathways to alleviate perinatal psychological distress and promote precision mental healthcare. Future research should focus on developing digital biomarkers for perinatal mental health and assessing long-term neurobehavioral outcomes of technology-facilitated support.

Research indicates that forensic science professionals operate under significant pressure, the magnitude of which varies depending on their field, workload, case type, tenure, and the evidentiary significance of their testimony in court. This study conducted a needs analysis of forensic science professionals by examining their psychological well-being, coping mechanisms, and barriers to accessing mental health services. A total of 618 individuals from the AAFS community completed the anonymous online Qualtrics survey. Out of 618 participants, 601 participants responded to the PCL-5 questionnaire, which revealed that 8.4% (n = 52) of the 601 forensic science professionals have probable PTSD symptoms. There was no significant difference between genders for probable PTSD symptoms. However, 76.5% of the probable PTSD symptomatic population were more likely to seek therapy as a result of work-related stress. Female forensic science professionals and forensic science professionals with fewer years of work experience were likely to report more psychological distress symptoms. A similar pattern was noticed with using coping strategies and experiencing mental health barriers based on gender and years of working experience. In general, forensic science professionals were more likely to report positive coping strategies (e.g., talking with a spouse) and less likely to use maladaptive strategies (e.g., drugs). Finally, female forensic science professionals reported 5 out of 14 mental health barriers to help-seeking behavior. Findings support the need to implement a supportive organizational culture, including training, awareness programs, and encouraging help-seeking behaviors, irrespective of gender and years of experience.

Introduction Content moderators safeguard the ever-growing online realm by reviewing and filtering out harms, yet are themselves subject to the risk of psychological concerns. Method This study explored the psychological outcomes of content moderators (N = 311) who were offered a resilience training program called The TaskUs Method 2.0 from baseline to 18 months. Participants completed psychometric screeners for resilience, burnout, secondary traumatic stress, compassion satisfaction, and perceived stress. For the analyses, three timepoints were identified to follow participants across the study period based on their tenure–T0 (0–3 months tenure), T1 (5–10 months), and T2 (11–16 months tenure). Results Findings from the entire sample (regardless of whether participants had data for all three timepoints) revealed that secondary traumatic stress and perceived stress did not differ significantly between timepoints. However, burnout, compassion satisfaction and resilience showed small yet significant decline between T0 and T2. With a reduced sample of only those having data for all three timepoints, similar trends remained although the rate of change from T0 to T1 did not differ significantly from that of T1 to T2 for any of the variables. Discussion Results indicated that participants in the program showed no significant increases in secondary traumatic stress, the main target of the program. Across the different psychometrics, effect sizes were small suggesting that content moderators using the program were not at significant risk for increased psychological distress from content moderation during the study duration. These findings provide a valuable foundation for further refining interventions aimed at content moderators. Future studies may consider experimental and multifactorial designs to delve into therapeutic mechanisms and different types of psychological outcomes.

The burden of cancer worldwide is rising, with 20 million new cases diagnosed in 2022. In Europe, 1.2 million women are diagnosed with cancer annually and an estimated 600,000 women die from cancer each year. International research and data from Ireland demonstrate that women with cancer face a particular set of challenges, including increased psychological distress compared to men. As a result, Ireland's Model of Care for Psycho-Oncology could usefully place greater emphasis on gender-specific provisions which address the increased psychological needs of women. To date, Ireland has made some progress in recognising the physical and mental healthcare needs of women and developing gender-informed policies. It is essential that such policies are implemented fully so as to reduce and eliminate disparities in care. A more tailored, gender-informed approach would also help ensure the provision of gender-aware psycho-oncological care for all women and men as they navigate their cancer journeys.

The present study aimed to analyze associations between device-measured physical activity and sedentary time during childhood with mental health-related outcomes throughout adolescence. Data from the Millennium Cohort Study were used. Device-measured physical activity (i.e., light and moderate-to-vigorous physical activity) and sedentary time were assessed at 7 years. Internalizing and externalizing symptoms were assessed at three time points (11 years, 14 years, and 17 years) via the Strengths and Difficulties Questionnaire. Depressive symptoms were estimated using the Mood and Feelings Questionnaire at 14 years. Psychological distress was assessed using the six-item Kessler psychological distress scale at 17 years. Negative binomial regression models, adjusting for potential confounders were used. Among boys, greater time spent in moderate-to-vigorous physical activity at 7 years was associated with higher hyperactivity and lower peer problems throughout adolescence. Higher moderate-to-vigorous (incidence rate ratio [IRR]: 0.95; 95% confidence interval [CI]: 0.93-0.98), light (0.90; 0.85-0.95), and total activity time (0.95; 0.93-0.98) at 7 years were associated with lower, while sedentary time was associated with higher (1.11; 1.07-1.16) psychological distress at 17 years in the adjusted models. Girls who spent more time in light physical activity at 7 years were more likely to have lower hyperactivity levels over adolescence, while higher sedentary time at the same age was associated with higher hyperactivity levels. Higher sedentary time at 7 years was associated with higher depressive symptoms at 14 years (1.06; 1.01-1.10), whereas light physical activity at 7 years (0.91; 0.85-0.97) was associated with lower depressive symptoms at 14 years in the adjusted models. Higher moderate-to-vigorous, light physical activity, and lower sedentary time were associated with lower peer problems, depressive symptoms, and psychological distress throughout adolescence.

Objective To investigate the effects of narrative care combined with life review among patients with advanced cancer. Methods Ninety patients who met the inclusion criteria were recruited from the palliative medicine ward of a tertiary-level oncology specialty hospital in Xinjiang and the community hospitals hosted by our hospital from January 2024 to January 2025. This study is a randomized controlled single-blind study. They were randomly divided into control and experimental groups ( n = 45 patients per group). The control group received usual care, whereas the experimental group received narrative nursing combined with life review as a psychological intervention in addition to the usual care received by the control group. The number of interventions per patient was not less than 4 times, and the intervention period was 2 weeks. Before and after the intervention, the experimental and control groups were evaluated using the Psychological Distress Management Screening Tool, the Sense of Meaning of Life Scale for Advanced Cancer Patients, and the EORTC Quality of Life Measurement Scale QLQ-C30. Results Eighty-three participants completed the study. No statistically significant differences were observed in psychological distress, scores for the total meaning of life scale and its individual dimensions, and scores for the total quality of life scale and its individual dimensions between the two groups before the intervention ( p &amp;gt; 0.05). After the intervention, the distress thermometer scores were significantly lower in the experimental group than in the control group ( p &amp;lt; 0.05). The scores for the total meaning of life scale and its individual dimensions were significantly higher in the experimental group than in the control group ( p &amp;lt; 0.05). The scores for the total quality of life scale and its individual dimensions were significantly higher in the experimental group than in the control group ( p &amp;lt; 0.05). Conclusion Narrative nursing combined with life review can effectively alleviate the psychological suffering, increase the sense of meaning of life to a certain extent, and improve the quality of survival among patients with advanced cancer. It is recommended to incorporate it into routine hospice care practice, through structured life review guidance, to help patients affirm their self-worth and enhance their dignity and calm at the end of life.

Effects of the standardized communication system based on circadian rhythm regulation in psychological distress of adolescent and young adult cancer patients: A randomized controlled trial.

Psychological distress and vulnerability: Contrasting associations with cognitive performances based on sex and cardiovascular health.

We conducted a cross-sectional survey of 101 bereaved parents in Switzerland to determine the association between time-after-death and psychological distress. Eligible deceased children were identified via the national registry and forwarded to former treating pediatric oncology centers, which then contacted the parents. Psychological distress was measured using the Brief Symptom Inventory (BSI-18). Time-after-death ranged from 2 to 24 years (mean=11.3, SD=5.6). Linear regression and spline models showed no significant association between time-after-death and psychological distress. Our findings suggest that time-after-death alone does not predict parental psychological distress.