Psychological Problems Research Articles

Stroke recovery—what are people talking about on Twitter? A content analysis

Purpose Prioritisation exercises seek out what matters to key stakeholders to inform the planning of research. Social media platforms are potentially useful data sources. The aim was to examine the content of tweets, short messages containing text and pictures, to ascertain the priorities of Twitter users regarding stroke recovery. Materials and methods Content analysis of Twitter was conducted. An electronic search used the identifiers: #strokesurvivor and #strokerecovery. Tweets spanning four weeks from January 2021 were analysed. Results There were 1361 tweets extracted and 486 analysed following exclusion of duplicates and unrelated material. Six themes were uncovered (n = number of tweets): maintaining motivation and positivity (153); sharing of resources (146); raising awareness of stroke (74); symptomatic aspects of recovery (39); experience of rehabilitation (63); and concerns about Covid-19 (17). Conclusions Despite the brevity of tweets, a rich picture arose. A key limitation was lack of biographical data about Twitter users. Recommendations about topics requiring attention from stroke researchers, clinicians and policy makers are: management of psychological problems; public perception of stroke; rehabilitation considerations including treatment burden, person-centred care and equality of care; symptom management including fatigue and aphasia. Findings can be used to supplement and validate other priority-setting exercises.

Factors influencing sedentary behavior and its impact on early childhood psychomotor skills

Sedentary behavior can negatively impact motor and cognitive coordination in early childhood. This study explores the factors that influence sedentary behavior on early childhood psychomotor development. This research method uses a quantitative approach with a survey design and involves a sample of 400 early childhood education teachers. Data were collected through questionnaires distributed using Google Forms. Data analysis was carried out using descriptive and inferential statistics with the Partial Least Square (PLS) approach. The results of the analysis show that the factors of physical activity (β = -0.222), parental digital understanding (β = -0.109), physical activity support facilities (β = -0.080), parental involvement (β = -0.094), teacher competence (β = -0.128), and teacher digital competence (β = -0.235) have a negative correlation with sedentary behavior of early childhood, which means that the higher the factor, the lower the sedentary behavior. Sedentary behavior negatively affects motor coordination (β = -0.552) and child psychology (β = -0.545) increasing the risk of psychological problems such as anxiety and depression. Meanwhile, early childhood characteristics and technology did not have a major influence on early childhood sedentary behavior. The importance of awareness of sedentary behavior requires the creation of a physical activity program for children that involves parents. Keywords: sedentary behavior, psychomotor development, early childhood, early childhood education.

LGBT Agenda in Kazakhstan: Social and Psychological Aspect

The article defends the point of view according to which the increased acuteness of discussions around the LGBT agenda in Kazakhstan is due to the competition of several different socio-cultural codes, the bearers of which are citizens of Kazakhstan. It is proved that the existence of such competition is objective and is due to historical reasons. It is shown that the genesis of the widespread LGBT views reflects, among other things, the crisis of the classical monogamous family, which occurs for objective reasons. The main one of these reasons is the growing difference between the ages of social and biological maturation. It is shown that this crisis, among other things, gives rise to numerous psychological problems, forcing the population of Kazakhstan to increasingly turn to the services of practicing psychologists and psychoanalysts. It is shown that the resolution of accumulated contradictions can be realized through the introduction of modernized concepts in Kazakhstan that meet DEI. At the same time, the modernization of DEI should be based on the need to harmonize various socio-cultural codes on the platform of solving the geopolitical problems facing the Republic of Kazakhstan.

Illness cognitions and parental stress symptoms following a child's cancer diagnosis.

This research aims to explore parents' cognitive beliefs, specifically illness cognitions, in response to their children being diagnosed with cancer. This study is an initial step toward providing regular psychosocial assessment as a standard for psychosocial care for children with cancer and their families in Latvia. Data were collected from 120 parents (mostly mothers, n = 109) as an initial evaluation of the psychosocial risks faced by families participating in the support program "Holistic and Multidisciplinary Support for Children with Functional Disabilities and Their Family Members," which was managed by the Children's Hospital Foundation at the Children's Clinical University Hospital in Riga (Latvia) from 2020 to 2023. The patients comprised 66 boys and 54 girls (M age = 7.1, SD = 4.7, range: 0-17 years) with diverse cancer diagnoses. The parents completed the Latvian version of the Psychosocial Assessment Tool [adapted from PAT 3.1], with five subscales included in the data analysis (Social Support, Child Problems, Family Problems, Stress Reactions, and Family Beliefs). The Family Belief subscale was adjusted specifically to address the unique objectives and research questions of the current study. Significant correlations were found between children's psychological problems (e.g., getting upset about medical procedures, hyperactivity, excessive use of electronic devices, etc.) and parental stress reactions after diagnosis and with self-reported symptoms of anxiety and depression. The associations were statistically significant, even after controlling for sociodemographic and medical factors such as diagnosis. The relationship between children's problems and parental stress reactions was partly mediated by Family Beliefs about illness. The most informative beliefs associated with parental stress symptoms and the family's psychosocial risk level were identified, and significant results were found according to the main component of beliefs (catastrophic vs. optimistic) that explained 42% of the variance in the Family Beliefs subscale. Understanding the habitual responses to stress and identifying the thinking patterns of parents that lead to distorted views and maladaptive coping are essential for customizing personalized interventions to enhance treatment compliance. The Latvian version of PAT is a useful psychosocial screening measure in pediatric oncology settings.

Intervention study on cardiovascular disease comorbid psychiatric and psychological problems

Intervention study on cardiovascular disease comorbid psychiatric and psychological problems

Promoting Mental Health of City Residents: Stress Management and The Role of Salutogenic Design

Introduction. Salutogenic, or health-promoting design, suggests that the designed environment should not only provide comfortable living space but also support the health and well-being of individuals. However, the rapid process of urbanization is accompanied by significant changes in people's lifestyles and negatively affects mental health. Thus, it is necessary to study the impact of urban environment on the citizens mental health, as well as to summarize and analyze technologies of health-promoting design in urban environment. Objective. To justify the problem of high prevalence of chronic stress among citizens and to summarize the best practices of applying the principles of salutogenic design in the urban environment to overcome stress and prevent psychological problems. Materials and methods. We conducted a non-systematic narrative literature review in the following databases: PubMed, Google Scholar, eLibrary.ru. Search request depth covered 20 years from 2003 to 2023. Results. Urban planning based on the principles of salutogenic design is one of the important tools for ensuring the health of citizens, extending beyond the scope of healthcare system. Moreover, addressing chronic stress, referred to as the «epidemic of the 21st century», can be considered a key direction in implementing salutogenic design in urban planning. The main focus areas of salutogenic design in the urban environment are regulating the density of urban development, creating public spaces, providing landscape design and greenery, offering convenient and safe urban navigation and using arts. Conclusions. Stress levels in cities are influenced by various factors. Effective urban planning that incorporates salutogenic design principles can contribute to improving public health and creating a supportive urban environment.

Exploring Dietary Interventions in Autism Spectrum Disorder.

Autism spectrum disorder (ASD) involves social communication difficulties and repetitive behaviors, and it has a growing prevalence worldwide. Symptoms include cognitive impairments, gastrointestinal (GI) issues, feeding difficulties, and psychological problems. A significant concern in ASD is food selectivity, leading to nutrient deficiencies. Common GI issues in ASD, such as constipation and irritable bowel syndrome, stem from abnormal gut flora and immune system dysregulation. Sensory sensitivities and behavioral challenges exacerbate these problems, correlating with neurological symptom severity. Children with ASD also exhibit higher oxidative stress due to low antioxidant levels like glutathione. Therapeutic diets, including ketogenic, high-antioxidant, gluten-free and casein-free, and probiotic-rich diets, show potential in managing ASD symptoms like behavior, communication, GI issues, and oxidative stress, though the evidence is limited. Various studies have focused on different populations, but there is increasing concern about the impact among children. This review aims to highlight the food preferences of the ASD population, analyze the effect of the physicochemical and nutritional properties of foods on the selectivity in its consumption, GI problems, and antioxidant deficiencies in individuals with ASD, and evaluate the effectiveness of therapeutic diets, including diets rich in antioxidants, gluten-free and casein-free, ketogenic and essential fatty acids, and probiotic-rich diets in managing these challenges.

Longitudinal correlates of learning burnout among Chinese adolescents during the COVID-19 pandemic: A cross-lagged panel network analysis

BackgroundLearning burnout as a serious psychological distress problem among adolescents during the COVID-19 pandemic was investigated using the cross-lagged panel network models. MethodsA three-wave study using a sample of 11 to 18-year-olds in China was conducted, with baseline data collected in June 2020 (n = 4156) and follow-ups in December 2020 (n = 3209) and August 2021 (n = 2324). Two temporal cross-lagged panel network models were computed to analyze adolescent learning burnout over time. ResultsThe predictive pathway of adolescent learning burnout demonstrates significant temporal specificity. In the early outbreak period, Positive thinking, Appreciation of life and Depression are the most influential predictive symptoms. In the normalized epidemic prevention period, Goal planning, Affect control and Positive thinking are the most influential predictive symptoms. However, during this period, the extent to which adolescent learning burnout is predicted by other symptoms in the networks is significantly reduced. LimitationsThe samples used in this study are not expected to be nationally representative, and therefore the generalizability of the results may be limited. ConclusionsThese findings highlight the predictive roles of Positive thinking, Appreciation of life, and Depression in adolescent learning burnout and the importance of timely intervention on these symptoms in the early outbreak period of public health emergency similar to the COVID-19 pandemic. Findings also illustrate the essentiality of eliminate unstable factors in the school environment during the normalized epidemic prevention period.

Therapeutic Function of Literary Accounts of the War in Ukraine Addressed to Children

The aim of the article is to analyse children’s books on war, written by Polish and Ukrainian authors, with special emphasis on the war in Ukraine. The starting point for the considerations is the methodology of children’s studies, which is a scientific discipline that places childhood as the subject of in-depth research. The interpretation used current data on psychological problems related to the youngest refugees from Ukraine. Children’s books by Polish authors published in the series Adult Wars – Children’s Stories about the war in Ukraine were analysed, and their indisputable therapeutic functions were indicated. Reading them individually or collectively brings relief to the traumas experienced by Ukrainian children who find themselves in exile in a new, unknown country. At the same time, it teaches compassion and creates empathy for those in need among the youngest Poles. Then, the works from the indicated series were compared with those written at the same time, i. e. from February 2022, by Ukrainian authors. It turned out that they did not take into account the psychological needs of Ukrainian children, promoting primarily patriotic content and focusing on providing knowledge about the homeland in a state of danger. The summary includes a postulate regarding the need to adapt the content and form of the message related to war in children’s literature to the audience of early school age, in such a way that its therapeutic function is fulfilled.

Experiences, health needs, and access to health services of university students with female circumcision: A qualitative study.

This study aimed to assess the female circumcision (FC) experiences, healthcare needs, and access to health services of foreign university students who are victims of female genital mutilation and studying in Turkey. This descriptive qualitative study was conducted in the Faculty of Health Science in a state university in Turkey from December 2021 to January 2022. Eight students who had been subjected to FC participated in this study. Data were collected by conducting in-depth, semistructured online interviews and using a pilot-tested interview guide. The data were analyzed using inductive thematic analysis. Four themes emerged: "reasons for performing FC, 'health effects of FC,' 'psychological problems linked to FC,' and 'FC survivors' access to health services.'" Students stated that they exposed to this practice because of limiting their womanhood, they experienced problems, such as pelvic pain, infection, loss of sexuality, fear of pregnancy and birth, and they had healthcare needs due to FC but face some barriers. FC negatively affects women's health and has specific healthcare needs. Studying in a different country can be turned into an opportunity to solve the health problems they experience. For this, the right approach with knowledgeable and culturally sensitive health professionals can change stereotypes towards practice.

Longitudinal analysis of anxiety and sleep disorders in the Korean population with disabilities, from 2006 to 2017: Incidence, prevalence, and association with disability type and severity

BackgroundIndividuals with disabilities often face a higher risk of concurrent psychological problems, yet comprehensive assessments of the anxiety and sleep disorders in this population remain limited. This study examined longitudinal trends in the incidence and prevalence of anxiety and sleep disorders among people with disabilities and explored their associations with disability type and severity. MethodsUtilizing claim data from the National Health Insurance database and the National Disability Registry, which cover the entire Korean population, we estimated the age-standardized incidence and prevalence of anxiety and sleep disorders between 2006 and 2017. Logistic regression was used to analyze the associations between disability type and severity and these disorders. ResultsThe unadjusted incidence and prevalence of anxiety and sleep disorders were consistently higher among individuals with disabilities during the study period. A significant gap in the prevalence of these disorders persisted between individuals with and without disabilities in both sexes, even after accounting for socioeconomic status and comorbidities. However, the incidence showed mixed results, with some categories of disabilities showing lower likelihood of developing the conditions compared to individuals without disabilities. ConclusionsActions should also be taken to identify undiagnosed cases of anxiety and sleep disorders among individuals with disabilities. Moreover, individuals with disabilities who are diagnosed with these disorders should be more actively managed to avert the progression to the chronic stage.

How to Improve the High School Students' Foreign Language Enjoyment?

Foreign language enjoyment (FLE) has been the cornerstone of the recent positive psychology in foreign language (FL) learning movement. Introduced by Dewaele and MacIntyre (2014), FLE can be defined as a broad positive emotion experienced by FL learners when their psychological needs are met in the FL classroom. It represents the first foray into quantifying positive emotions in FL research since it was introduced in 2014. In recent years, many scholars have linked positive psychology with education and teaching to explore the impact of positive psychology on students' learning. As a language, English can be used not only to communicate but also to express feelings and thoughts. Highschool English teaching should not only let students master the basic language knowledge and skills, but also cultivate students' emotional values. However, high school English teaching has the characteristics of boredom, complexity and comprehensiveness, so many students show negative emotions in learning, and some students even have psychological problems. Therefore, the author in this study puts forward some ways to improve the FLE according to the characteristics of high school English.

Delivering therapy over telephone in a humanitarian setting: a pilot randomized controlled trial of common elements treatment approach (CETA) with Syrian refugee children in Lebanon

BackgroundIn recent years, the number of forcibly displaced persons has risen worldwide, with approximately 40% being children and adolescents. Most of them are hosted in low- and middle-income countries (LMICs). Many individuals meet the criteria for mental health issues, which can also be exacerbated by a number of risk factors, including low socioeconomic status, displacement, and stressors linked to conflicts in their country or region of origin. However, the vast majority never receive treatment for their psychological problems due to multiple reasons, including a shortage of mental health professionals in LIMCs, transportation challenges in accessing clinics, and clinic hours conflicting with family commitments. In the current study we investigated whether individual psychotherapy delivered by trained lay counsellors over telephone to Syrian refugee children living in Lebanon is effective and overcomes barriers to treatment access.MethodsAfter adaptation of Common Elements Treatment Approach (CETA) to remote delivery over telephone (t-CETA), preliminary effectiveness of the treatment modality was assessed with a pilot single blind randomised controlled trial including a total sample of 20 refugee children with diagnosed mental health problems. Data was analysed applying a Bayesian approach.ResultsThere was a significant session-by-session decrease in self-reported mental health symptoms over the course of treatment. Independent assessments showed that t-CETA resulted in a greater reduction of symptoms than standard in-person treatment as usual. There was no difference between groups for impairment. Importantly, the majority of children allocated to t-CETA completed treatment whilst no children in the treatment as usual condition were able to do so.ConclusionThe study provides preliminary evidence that telephone-delivered psychotherapy in a humanitarian setting, delivered by lay counsellors under supervision, works and significantly increases access to treatment compared to traditional in-person treatment. However, findings remain to be replicated in larger trials.Trial RegistrationClinical Trials. gov ID: NCT03887312; registered 22nd March 2019.

Influence of interpersonal relationship on subjective well-being of college students: The mediating role of psychological capital

Background Nowadays, the contradiction between the rapid improvement of people’s material living standard and the loss of spiritual pursuit or the increase of pressure is becoming more and more serious.With the impact of the new corona-virus pandemic, the employment situation of college students is more severe. This leads to the growth of psychological problems and alienation behavior of college students. In the promoting positive psychology and enhancing the happiness of the whole people, the relationship between interpersonal relationship and subjective well-being of college students is an interesting and valuable research topic. Methods The structural model with AMOS21.0 was used to verify the mediating effect of psychological capital between interpersonal relationship distress and SWB from the survey data of 673 college students. Results The interpersonal distress has a negatively correlated with psychological capital and SWB, while psychological capital has a positively correlated with SWB. Psychological capital has Partial mediating effect between interpersonal distress and SWB, and the indirect effect accounts for 57% of the total effect. Conclusion This study indicates that schools should pay attention to education and intervention in psychological capital, except for strengthening knowledge and skill training of college students in how to communicate with others.

Gifted students: Analysis among psychological problems, social, and emotional well-being

Gifted and talented learners experienced life's storms and stresses just like their peers. However, because of their unique characteristics, they also dealt with some psychological issues such as anxiety, stress, and depression, which are closely related to their gifted characteristics. This research aims to examine: (a) psychological problems, (b) psycho-social and emotional well-being, and (c) the connection between gifted and talented students' wellbeing and psychological issues. This research design uses descriptive quantitative methods. A series of questions (DASS) were used to gather data from 112 gifted students, who were involved in this research and identified as gifted students. Next, the DASS and Social Well-Being questionnaires were collected and compared, to determine psychological problems and social well-being among gifted students. Descriptive (mean) and inferential analyzes were carried out on quantitative data. Analysis shows that there are psychological problems in gifted students at school, namely depression, stress and anxiety. The findings indicate that stress is one of the most prevalent issues (mean=33.8), followed by anxiety (mean=33.2) and depression (mean=24.9). Apart from that, the research results also show a negative correlation between psychological problems and well-being.

Decisional Conflicts in Patients With Low-Risk Papillary Thyroid Microcarcinomas Considering Active Surveillance

Internationally, active surveillance has been shown to be beneficial and safe in the management of low-risk papillary thyroid microcarcinomas. However, choosing active surveillance is a difficult treatment decision for patients with low-risk papillary thyroid microcarcinomas. To identify and analyze the antecedents and mediating processes of decisional conflicts when patients consider active surveillance as an alternative to surgery. In this qualitative study, semistructured interviews were conducted between April 2023 and December 2023 at 3 tertiary hospitals in China. Thirty-one participants who were diagnosed with low-risk papillary thyroid microcarcinomas, who had experienced considering active surveillance as an alternative to surgery and who scored above 25 on the decision conflict scale were purposively recruited. Inductive content analysis led to emergent themes. Data analysis was performed from April 2023 to February 2024. Methods used to protect the trustworthiness of the study results included audit trails and member checks. Patients' experience of decisional conflicts and the antecedents and mediating processes relating to these decisional conflicts. Among 31 participants (median [range] age, 39.2 [22-63] years; 22 [71%] were female and 9 [29%] were male), 3 themes were classified: (1) decisional conflicts in decision preparation, (2) decisional conflicts in decision-making, and (3) decisional conflicts in decision implementation. The patient's experiences of decisional conflicts were diverse and occurred throughout the entire decision-making process. The antecedents of the decisional conflicts included personal influencing factors, system-level influencing factors, and the relational-situational context. Patients with low-risk papillary thyroid microcarcinomas interacted with these antecedents in the process of decision-making and eventually failed to mediate, leading to decisional conflicts. This qualitative study found that patients with low-risk papillary thyroid microcarcinomas experienced clinically significant decisional conflicts and experienced considerable challenges and psychological problems in decision-making. The antecedents of decisional conflicts and accompanying mediating processes can provide guidance for individuals, health care professionals, and health care systems to provide decision support for patients with low-risk papillary thyroid microcarcinomas.

Psycho-social problems among older people residing in community of Chitwan, Nepal—A cross-sectional study

Background Older people are vulnerable to various psycho-social problems such as depression, anxiety, insomnia, dementia, and loneliness that have profound impact on overall health and their quality of life and higher use of health services. Prevention and treatment of psychological problems in this risk group is critical for improving their quality of life. Objective This study aimed to find out the psycho-social problems among older people residing in community. Methods The study was a cross-sectional study design and 388 older people aged 65 years and above residing in different wards of Bharatpur Metropolitan city were selected using probability simple random sampling technique. Data were collected using interview schedule containing geriatric depression scale-15; Geriatric anxiety scale-10, University of California Loss Angels Loneliness Scale (UCLA-20), Anthens Insomnia Scale and Mini-Cog Test. Obtained data were analyzed in SPSS version 20 for windows. Chi-square test was applied to measure the association between psychosocial problems and selected variables. Result Findings of the study revealed that the mean age (± SD) of respondents was 72.92 (±7.12) years. Almost all (93.6%) older people had full functioning of activity of daily living and two third (66.5%) had other co-morbid conditions. More than two third (67.0%) of older adults had depression, 60.3% had anxiety, 53.6% had moderate to high level loneliness, 47.2% had insomnia, and 33.3% had dementia. Age, functional dependency, sex, co-morbidity, financial dependence, education and occupation were significantly associated with the psychosocial problems among older people. Conclusion and recommendation Psychosocial problems are common among older people residing in community of Chitwan. Hence, there is need to develop and implement health care strategy by local health care planner to prevent, treat and manage the psychosocial problems among this risk groups. Further, health care providers working in geriatric problems or psychosocial health need to conduct regular screening programs for the early diagnosis and treatment of these problems.

Negative life events predict depressive trends: the moderating effect of overgeneral autobiographical memory and early parenting behaviour

ABSTRACT The Emerging Adulthood is a complex and chaotic period and depression is one of the main psychological health problems during this period. Overgeneral autobiographical memory (OGM) is prevalent among patients with clinical depression. However, the prediction of OGM in groups with non-clinical depression and its influencing mechanisms remain inconclusive. Studies have shown that OGM and early parenting behaviour are vulnerable factors of depression in emerging adulthood, which may be triggered by negative life events. Our longitudinal study included 241 participants (M age = 21.88 years). At baseline, participants completed measures of current negative life events, depression, early parenting behaviour and an autobiographical memory test. Thereafter, they were tracked for depression every 35 days. We used the latent class growth model to differentiate levels and trends of depression among non-clinical participants. The analysis showed that the effect of negative life events on depression was moderated by OGM and early parenting behaviour. However, this moderating effect was found only in the low-risk depression group. Our findings indicate that early parenting behaviour might account for the different mechanisms of OGM production in non-clinical groups. Moreover, it underlines the importance of OGM and early parenting behaviour as potential predictors of future depression in non-clinical groups.

PROBLEMS AND PRACTICAL NEEDS IN LEARNING SPEAKING IN HIGHER EDUCATION

This research aimed to find out the student's problems and practical needs in learning speaking. It employed qualitative methods that gathered responses from 40 out of 233 students in the second semester of the English Department at the University of Mataram. The questionnaire and interview were used to collect the data needed. The questionnaire consisted of 20 questions and was distributed using Google Forms, and the interview utilized 5 questions to elicit more detailed responses from the respondents. The collected data were analyzed systematically through the data reduction, display, and conclusion stages. The findings of this research showed that the students not only had linguistic problems, such as lack of pronunciation, grammatical knowledge, and vocabulary mastery, but they also faced psychological problems including fear of making mistakes, shyness of speaking in front of the class, anxiety, and not having enough confidence. Further, to improve their speaking skills, the students required more practice and exercises inside and outside the classroom with suitable speaking materials for their level. Additionally, focusing on activities rather than just materials and providing constructive feedback whenever they make mistakes will be crucial for their learning.

Psychological Health and Wellness and the Impact of a Supportive Text Messaging Program (Wellness4MDs) Among Physicians and Medical Learners in Canada: Protocol for a Longitudinal Study.

Burnout, anxiety, and depression continue to affect physicians, postgraduate medical trainees, and medical students globally and in Canada particularly after the COVID-19 pandemic. The primary goal of this project is to design, implement, monitor, and evaluate a daily supportive SMS text messaging program (Wellness4MDs, Global Psychological e-Health Foundation). The program aims to reduce the prevalence and severity of burnout, anxiety, and depression symptoms among physicians, postgraduate medical trainees, and medical students in Canada. This longitudinal study represents a multistakeholder, mixed methods, multiyear implementation science project. Project evaluation will be conducted through a quantitative prospective longitudinal approach using a paired sample comparison, a naturalistic cross-sectional controlled design, and satisfaction surveys. Prevalence estimates for psychological problems would be based on baseline data from self-completed validated rating scales. Additional data will be collected at designated time points for paired comparison. Outcome measures will be assessed using standardized rating scales, including the Maslach Burnout Inventory for burnout symptoms, the 9-item Patient Health Questionnaire for depression symptoms, the 7-item Generalized Anxiety Disorder scale for anxiety symptoms, and the World Health Organization-Five Well-Being Index. The project launched in the last quarter of 2023, and program evaluation results will become available within 36 months. The Wellness4MDs program is expected to reduce the prevalence and severity of psychological problems among physicians in Canada and achieve high subscriber satisfaction. The results from the Wellness4MDs project evaluation will provide key information regarding the effectiveness of daily supportive SMS text messages and links to mental health resources on these mental health parameters in Canadian physicians, postgraduate trainees, and medical students. Information will be useful for informing policy and decision-making concerning psychological interventions for physicians in Canada. PRR1-10.2196/44368.