Psychological distress is associated with 1-item hangover severity, but not the severity of somatic symptom clusters.

The developmental pathways linking early conduct problems (CP) to later psychological distress (PSYD) remains insufficiently understood, particularly mediating role of peer problems (PP). This study examines how CP influence adolescent PSYD directly and indirectly through PP using longitudinal data from an Australian cohort. Data were drawn from Waves 6-8 (ages 10-15) and Wave 9C2 (ages 17-18) of the Longitudinal Study of Australian Children (LSAC), including 1850 participants with complete data. CP and PP were assessed using the Strengths and Difficulties Questionnaire (SDQ), while PSYD was measured via the Kessler PSYD Scale (K10). Structural Equation Modelling (SEM) with Weighted Least Squares Mean and Variance Adjusted (WLSMV) estimation tested direct and indirect pathways, with PP as a mediator. Adolescents with persistent or severe CP and PP were more likely to report severe PSYD at ages 17-18. SEM showed that PP significantly mediated the relationship between CP and PSYD, with direct effects of CP largely nonsignificant. The strongest indirect effect was observed for severe CP at Wave 8 (β̂ = 0.147, p=0.004), followed by borderline CP at Wave 8 (β̂ = 0.107, p=0.006), severe CP at Wave 7 (β̂ = 0.094, p=0.004), and borderline CP at Wave 6 (β̂ = 0.027, p=0.006). PP also showed strong temporal stability across waves. Findings underscore the role of PP in the developmental trajectory from early CP to later PSYD, highlighting the need for early intervention targeting behavioural and peer-related difficulties.

Gig work dependence and psychological distress in chronic illness.

The benefits of social connections for well-being are often assumed, yet few studies test whether social support predicts mental health over extended periods nor whether these effects are experienced equally across women and men. We address this gap by examining gender differences in the longitudinal associations between perceived social support and psychological distress using 14 annual waves of a nationwide panel study (N = 75,404; 62.1% women). Multigroup random intercept cross-lagged panel modelling revealed that within-person increases in perceived social support predicted subsequent declines in psychological distress over time for both women and men. However, this relationship was bidirectional, and the negative within-person effects of psychological distress on perceived social support were stronger than the effects of perceived social support on psychological distress among men (but not women). Analyses exploring gender interactions with age, sexual identity and ethnicity revealed that the effects of psychological distress were strongest among older, New Zealand European and heterosexual men. These results suggest that men's psychological distress leads to decreased perceptions of social support from others in their lives, and this effect is more pronounced than the effect of social support over the same timeframe. The implications for health interventions are discussed.

Parental phubbing refers to the sense of neglect experienced by children whose parents are preoccupied with their mobile devices. Digital self-harm encompasses behaviors in which individuals post, send, or share harmful content about themselves online, often anonymously. The present study aimed to examine the relationship between parental phubbing and digital self-harm among Chinese adolescents, with psychological distress serving as a mediating variable and gender acting as a moderating variable. We recruited 1055 adolescents (Mage = 14.86 ± 1.70 years; ngirl = 537) to complete measures assessing parental phubbing, psychological distress, and digital self-harm. Our study employed a three-wave longitudinal design, with assessments spaced 6 months apart. Findings indicated that parental phubbing positively predicted digital self-harm through psychological distress (depression, anxiety, and stress) in Chinese adolescents. Notably, gender differences existed in this mechanism; the association between psychological distress and digital self-harm was stronger among boys than girls. Our study suggests that interventions aimed at reducing parental phubbing could have a beneficial impact on alleviating adolescent psychological distress and mitigating instances of digital self-harm. Furthermore, it is essential to consider the differing needs for intervention strategies tailored specifically for boys and girls in practice.

The longitudinal structure of sleep disturbance: Time-varying and time-invariant components and associations with psychological distress.

Gender differences in problematic internet use and psychological distress among Chinese early adolescents: A cross-lagged panel network analysis.

Longitudinal association between income inequality and Canadian adults' psychological distress.

How psychological distress translates into psychogenic pruritus: Alexithymia, body awareness, and coping in a Pakistani collectivistic sample.

Dynamic bidirectional relationships between weight concerns, restrained eating, and psychological distress in Chinese young adults: A daily diary study.

To examine how clients' recent psychological distress (PD) relates to perceived psychotherapy session quality (SQ), and to test whether this association is statistically accounted for by clients' ratings of the real relationship (RR) and the working alliance (WA). Secondary analyses combined data from two studies of adults (N = 1175) receiving individual psychotherapy. Following a session, clients completed measures of anxiety and depressive symptoms (7-day recall), RR, WA (task, goal and bond), and SQ. A covariate-adjusted path model was performed. PD was associated with weaker RR and poorer task agreement, but not with goal or bond. RR was positively associated with all WA dimensions. When predicting SQ simultaneously, task showed the largest unique association, with smaller unique contributions from goal, bond, and RR; PD also retained a small direct association. Bootstrap decomposition indicated that indirect associations through task accounted for most of the distress-SQ link, with additional indirect associations through bond and an RR-only pathway. Task effects reflected both a direct distress-to-task pathway and a serial distress-to-RR-to-task pathway. This study suggested task agreement as a central correlate of SQ when clients are distressed but cannot establish temporal ordering or causality.

A pilot study of an 8-week, group-based, chakra-informed kundalini yoga intervention for adolescents and young adults with diabetes: Feasibility, youth outcomes, and caregiver distress.

Pressure on emergency departments is increasing, perpetuating the phenomenon known as ramping or ambulance ramping, where patients are forced to wait on stretchers in corridors until they are allocated a suitable treatment space. This once temporary response to emergency department crowding has now become the norm for many emergency departments. The ramping environment impacts the patient experience well beyond the undesirability of extended waiting times. Nevertheless, there remains little research regarding how patients experience the ramping environment and what might make their wait more comfortable. Semi-structured interviews were performed with patients who had waited at least an hour on the ramp at two Australian emergency departments. An inductive thematic analysis was undertaken to explore the patient experience while ramped and aspects of the built environment and care that participants perceived could better support their health and waiting experience. Twenty-six patients participated in the study. Four major themes and 13 subthemes were developed from the data. Participants described psychological distress, physical discomfort, an unsuitable built environment, and challenges to maintain physical health. They suggested modifications to the built environment and care received that may ameliorate some of their concerns. Ramping can create additional stresses to the patient experience. Making changes to the physical aspects of the built environment may be challenging in the short term; however, other aspects of the ramp were identified that could be considered to maximise patient-centred care.

Recent advances in electroactive biomaterials and electrical stimulation for skeletal muscle regeneration: materials, strategies, and mechanistic insights

This investigation aimed to replicate phenotypes in pediatric complex regional pain syndrome (CRPS) previously identified in adult CRPS patients. The impact of an intensive pain therapeutic approach in pediatric CRPS was also evaluated. Neurological examination data were obtained from two samples of children with CRPS (cohort #1; N = 24 and cohort #2; N = 14). The structure among CRPS signs was analyzed on pooled data from cohorts #1 and 2 using hierarchical clustering. A phenotype score was quantified for patients and then submitted to unsupervised k-means clustering. Patients in cohort #2 were enrolled in a 4-6-week treatment program consisting of psychological, physical, and occupational therapy. Questionnaires about pain and mental and physical health were evaluated at treatment admission and discharge. A two-cluster structure of CRPS signs could be replicated in the pediatric population. Cluster #1 includes skin color, temperature, and edema resembling peripheral inflammation ("peripheral" phenotype). Cluster #2 grouped together motor disorders, minor injury, glove/stocking-like sensory deficits, and allodynia ("central" phenotype). K-means clustering also showed three phenotypes, "peripheral" (N = 12), "central" (N = 10), and "mixed" (N = 17), similar to adults. The impact of treatment was revealed for pain affect, pain behavior, psychological distress, depression, pain catastrophizing levels, as well as physical activity and strength (Cohen's d = [0.8-1.3]). CRPS phenotypes reflecting major pathophysiological mechanisms of peripheral inflammation and central reorganization are identifiable in adult and pediatric patients, suggesting phenomenological features of the disease. An intensive interdisciplinary pain treatment approach was effective in reducing CRPS severity and restoring function in pediatric CRPS.

The Psychological Therapies Outcome Scale-Intellectual Disabilities-II (PTOS-ID-II) is a 29-item self-report measure developed to assess psychological distress and positive well-being in people with an intellectual disability. While initial validation demonstrated promising psychometric properties, further replication in a larger sample was needed, and incorporating insights gained from routine clinical use over the years since its initial implementation. A quantitative cross-sectional design was utilised to test the psychometric properties of the PTOS-ID-II using data collected from routine clinical practice from adults with intellectual disabilities (n = 879) accessing a community health service. Subsequent analyses included dimensionality reduction (via principal component analysis and confirmatory factor analysis), assessment of internal consistency, concurrent validity and receiver operating characteristic analysis. Analyses were guided by a primer on the development of health outcome measures. Exploration of the proposed factor structure of the PTOS-ID-II indicated that two of the items were problematic and subsequently removed. The new 27-item measure was rebranded 'the Outcomes for Wellbeing and Distress Scale' (OWLS-ID). Analysis of the measure identified and confirmed a three-component model: (1) Positive Well-being, (2) Emotional and Behavioural Discomfort and (3) Anxiety. Internal consistency was good to acceptable. Items related to Emotional and Behavioural Discomfort and Anxiety were combined to create a measure of psychological distress. Concurrent validity between distress as measured using the OWLS-ID and Brief Symptoms Inventory was strong. A cut of 11.5 had acceptable sensitivity (0.85) and specificity (0.9). Analysis of missing data suggested that item acceptability was high. The OWLS-ID is one of the most comprehensively tested patient-reported outcome measures to date, which was developed specifically for individuals with an intellectual disability. Its implications for clinical practice and future research are discussed.

Effects of prebiotic low-fat yogurt containing glucomannan and inulin on adipokines, psychological distress, and appetite in patients with type 2 diabetes: A double blind randomized trial

Differences in COVID-19 experiences between U.S. working age adults with and without attention-deficit/hyperactivity disorder

Phenotypes associated with problematic online gaming and gambling: A clustering approach among young adults.

Integrated psychosocial, sleep, and nutritional support improves postoperative recovery, immune modulation, and survival after curative resection for low rectal cancer: A randomized controlled trial.