Psychological Questionnaires Research Articles

A preparation program for psychological safety of hospitalized adolescents

IntroductionThe study aimed to investigate the impact of an information-based preparation program on the psychological safety of adolescents admitted to pediatric wards, emphasizing the importance of enhancing patient safety.MethodsThis quasi-experimental study was conducted among 98 adolescents admitted to pediatric wards at Namazi Hospital, managed by Shiraz University of Medical Sciences, in 2021. The participants were randomly assigned to either an intervention group or a control group using an electronic randomization table. The intervention group received an information-based preparation program, while the control group followed routine care. Adolescents completed the Psychological Safety Questionnaire after admission and at discharge. Data were analyzed using SPSS (Version 22), with a significance level of 0.05.ResultsThe mean psychological safety scores before the intervention were 136.73 ± 17.30 in the control group and 141.03 ± 16.34 in the intervention group, with no significant difference between the two groups (p = 0.20). After the intervention, the mean scores were 136.65 ± 19.01 in the control group and 145.50 ± 14.05 in the intervention group. A comparison of the mean psychological safety scores showed a significant difference between the two groups after the intervention (p = 0.01).ConclusionsThe findings of this study indicate that the information-based preparation program positively affected the psychological safety of hospitalized adolescents. Therefore, it is recommended that nurses incorporate this method into therapeutic programs for hospitalized adolescents to enhance their psychological safety effectively.

Challenge Acceptance as a Key Psychological Characteristic of Ukrainian Sergeants During the War: A Research Note

This exploratory pilot study aimed to identify psychological characteristics associated with combat readiness among Ukrainian sergeants engaged in the Russian–Ukrainian war. Eighty-three male sergeants (aged 26–60) from various combat units were assessed using psychological questionnaires and supervisor ratings of combat readiness. The findings revealed that challenge acceptance, a key component of hardiness, had the strongest positive correlation with combat readiness, while avoidance coping emerged as the most significant negative predictor. Additional negative coping strategies, such as indirect, antisocial, and aggressive actions, were also found to be negatively associated with readiness. These results provide initial insights into the psychological traits that may contribute to effective performance in combat and offer potential directions for refining selection and training processes for military personnel. Further research with larger samples is needed to confirm these findings and expand upon them.

Scenario-based simulation training, occupational burnout and psychological capital in hospital-based nursing instructors: A cross-sectional study

AimThis study aimed to scrutinize the extent of engagement in the implementation of scenario-based simulation training within hospital settings and the status of occupational burnout and psychological capital among nursing instructors. MethodsThis research spanned from August 2022 to June 2023. A total of 172 nursing instructors from 67 hospitals participated in an electronic survey, which included knowledge, attitudes, and practices questionnaires related to scenario-based simulation training, the Maslach burnout inventory-general survey for assessing occupational burnout, and the 24-item Psychological Capital Questionnaire. ResultsThe findings revealed that the average scores for knowledge and attitude in scenario-based simulation training among the 172 nursing instructors were (54.85 ± 13.26) and (76.55 ± 28.82), respectively. Out of these, 105 instructors (61.0%) have engaged in scenario-based simulation training, with an average practice score of (64.0 ± 25.4). Psychological capital emerged as a significant influencing factor on the attitudes and practices of nursing instructors in scenario-based simulation training (p = .046, p = .004, respectively). Positive correlations were observed between knowledge, attitude, and practice, while a positive association was noted between occupational burnout and psychological capital. ConclusionNursing instructors exhibited a relatively low proficiency in knowledge acquisition, positive attitudinal disposition, and inadequacy in engagement concerning scenario-based simulation training. The study advocated for the augmentation of standardized training programs tailored specifically for nursing instructors in scenario-based simulation training. Additionally, the study underscored the importance of prioritizing interventions that could enhance the psychological capital of nursing instructors as a pivotal strategy to ameliorate the overall quality of simulation training.

Methodology and Experimental Protocol for Fatigue Analysis in Suggestopedia Teachers

Background: Among all professions, teaching is significantly affected by psycho-social risks with approximately 33.33% of educators reporting work-related fatigue. Suggestopedia, an effective pedagogical approach developed in Bulgaria, claims to induce positive psychological and cognitive benefits in both teachers and students. In order to gather scientific evidence, given the above statement, we designed a methodology to detect fatigue in Suggestopedia teachers based on neurocognitive analysis and psychological assessment. Methods: An increase in the EEG theta and alpha band powers is considered among the most reliable markers of fatigue. The proposed methodology introduces a robust framework for fatigue analysis. Initially, the changes in EEG band powers using the resting state EEG activity before and after teaching are measured. Subsequently, validated psychological questionnaires are used to gain subjective feedback on fatigue. The study participants include a control group (traditional teachers) and the test group (suggestopedia teachers) to assess whether suggestopedia practice mitigates fatigue among teachers. Observations: In a pilot study, the EEG data was analyzed by evaluating the interrelations between EEG bands and the alpha–beta ratio. The results of the proposed study are expected to provide comprehensive analysis for the fatigue levels of teachers. In future research, our goal is to position the described methodology as a robust approach for evaluating cognitive and emotional states.

The overlooked war in Northern Ethiopia: Examining psychological capital, mental distress, and post-traumatic stress disorder among internally displaced people in Amhara region.

Conflict-induced displacement is a greater risk factor for mental health challenges, especially in countries where people have limited access to mental health services. This study examined the prevalence of mental distress, post-traumatic stress disorder (PTSD), and their relationship with key demographic variables and psychological capital among conflict-induced Internally Displaced People (IDP) in the Wag-Hemra Zone, Amhara Region, Ethiopia. The study used a cross-sectional quantitative design, and simple random sampling was used to recruit 367 IDPs from the Weleh IDP camp in Sekota town. The Psychological Capital Questionnaire (PCQ 12), Kessler Psychological Distress Scale (K 10), and Post-traumatic Stress Disorder-Civilian Version (PCL-C) scales were used to collect data. STATA version 2021 was used to analyze data. The prevalence of mental distress and posttraumatic stress disorder (PTSD) was 63% and 48 %, respectively. Mental distress and PTSD were higher among female participants (M = 27.4, 45.7), those who experienced rape (M = 32.6, 55.5), witnessed murder (M = 25.2, 46.1), widowed (M = 30.9, 44.9), illiterate (M = 28.1%, 47.2), and adolescents (M = 27.6, 45.5). Stepwise regression analysis indicated that psychological capital is a significant negative predictor of mental distress and PTSD (p = .000), with 26% mental distress and 20.9% variance in PTSD accounting for psychological capital, with self-efficacy being the strongest predicting component of psychological capital. The study underlined that mental health efforts should target enhancing psychological capital as the critical element in mitigating the psychological impacts of war and displacement. Training on improving self-efficacy, utilizing the solid spiritual and religious base of the IDP community to raise hope and optimism, and leveraging the communal culture to foster resilience could help reduce mental distress and the effects of PTSD among IDPs in the study area.

Fear of progression in patients with acute myocardial infarction: a cross-sectional study

BackgroundAcute myocardial infarction (AMI) is the most serious manifestation of coronary artery disease. At present, existing treatments cannot change the risk factors for the occurrence of the disease, so patients are prone to fear of progression or recurrence, and studies have shown that excessive fear will cause patients to over-examine, mental abnormalities, suicide and other behaviors, increase unnecessary medical care costs and the social medical burden. Thus to investigate the current situation of progression fear in patients with Acute Myocardial Infarction (AMI) admitted to hospital in stable stage and analyze its influencing factors.MethodsThis is a cross-sectional study. In this study, 160 AMI patients admitted to the Department of Cardiology of a 3 A hospital in Changchun from November 2022 to April 2023 were selected as the research sample by a convenient sampling method. Patients completed the general information questionnaire, the Fear of Progression Questionnaire-Short Form (FoP-Q-SF), the Brief Illness Perception Questionnaire (BIPQ), the Medical Coping Modes Questionnaire (MCSQ), the Social Support Rating Scale (SSRS), and the Positive Psychological Questionnaire (PPQ) at the time of stable condition. Using SPSS 25.0 software for data analysis, statistical methods mainly include descriptive statistics, analysis of variance, Pearson correlation analysis and multiple linear regression analysis.ResultsA total of 160 subjects were included, among which the score of simplified fear of progression scale was (33.43 ± 7.09), and the incidence of disorder of fear of progression was 50.60%. The influencing factors included gender (Beta = 0.118, P<0.05), disease perception (Beta = 0.445, P<0.001), psychological capital (Beta=-0.252, P<0.05) and resignation (Beta = 0.167, P < 0.05).ConclusionThe overall level of fear of progression in patients with AMI at the stable stage of hospitalization is above the medium level. Nursing staff should focus on AIM patients suffering from multiple diseases and lacking awareness of their own diseases, and provide personalized health guidance and psychological nursing targeted to improve patients’ rehabilitation, quality of life and FoP level.

High-Fatigue Dynamic Resistance Exercise Induces Significant Hypoalgesia Effect.

Hogge, R, Mascheri, M, Shurik, D, Hanney, WJ, and Anderson, AW. High-fatigue dynamic resistance exercise induces significant hypoalgesia effect. J Strength Cond Res XX(X): 000-000, 2024-Although dynamic resistance exercise is a recommended treatment for patients with musculoskeletal pain, optimal intensity to create hypoalgesia has not been established. Response to exercise may also be affected by biopsychosocial factors that modulate pain response. The first purpose was to compare the immediate effects of a high-fatigue/exertion leg extension, low-fatigue/exertion leg extension, and control condition on pressure pain threshold (PPT) applied to the quadriceps (local effects) and trapezius (systemic effects). The second purpose was to examine if psychological and pain sensitivity factors affected response to exercise. As a within-subject design, subjects completed psychological questionnaires, a control condition, and a 1-repetition maximum (1RM) during the first session. Subjects attended 2 more sessions where they completed 3 sets of a leg extension exercise at 50% of their 1RM until they reached a fatigue level of high fatigue (8/10 on the Borg CR-10) or low fatigue (3/10) with a randomized session order. A within-subject repeated-measures ANOVA was conducted (significance set at p < 0.05). High-fatigue exercise produced significantly higher PPT at the quadriceps than quiet rest after each set (F[6,162] = 3.25, p < 0.01, partial eta2 = 0.11). During low-fatigue exercise, individuals with an efficient endogenous pain inhibitory capacity displayed significantly higher PPT at the trapezius (F[2.14, 55.61] = 3.31, p = 0.03, partial eta2 = 0.11). Lower fear of pain was moderately associated with greater PPT increases at the trapezius (r = -0.38, p = 0.04). Although high-fatigue exercise produces immediate local hypoalgesia, systemic hypoalgesia is affected by variability in pain inhibition and fear of pain.

Psychological factors in diabetes-related foot complications: A cohort study.

Living with diabetes has been linked with an increased prevalence of psychological distress. Psychological problems may interfere diabetes-related foot complication (DRFC) self-management. We aimed to characterise psychological functioning in DRFC, and identify clinical factors that may be associated with psychological problems. Eighty-one participants (Mage = 62.8, SD = 11.3, range = 30-87) with DRFC were recruited from The Royal Melbourne Hospital. Each participant completed a battery of psychological questionnaires. DRFC participants endorsed an elevated prevalence of depression, anxiety, post-traumatic stress and diabetes distress. There were also maladaptive personality traits, differences in emotion regulation skills and negative illness perceptions. Previous mental health disorder, higher HbA1C levels and diabetes-related complications were also associated with greater psychological symptoms. Elevated prevalence of psychological symptoms is apparent in DRFC. Our study highlights the need to use targeted interventions to address psychological difficulties to help DRFC patients cope better with their condition.

The Effectiveness of Treatment Based on Acceptance and Commitment Therapy on Psychological Capital, Weight and Fat Mass in Obese Women

Introduction: The present study was conducted with the aim of investigating the effectiveness of acceptance and commitment therapy (ACT) on psychological capital, weight and fat mass of obese women. Method: This study is a semi-experimental, involving a pre-test and post-test design with a control group. The research population comprised all overweight and obese women living in Yazd in 2021. According to the inclusion criteria, 30 people were selected and randomly replaced in two experimental and control groups (15 people in each group). The research instruments included a demographic information questionnaire, the psychological capital questionnaire, and the ACT treatment protocol. Following the pre-test, subjects in the control group underwent ACT treatment training sessions as the independent variable. The intervention consisted of nine group therapy sessions, each lasting 1.5 hours. Analysis of covariance (ANCOVA) was used to analyze the data. Results: At the beginning of the research, the average weight in the experimental group was 73.85 kg and in the control group was 74.01 kg. The findings of the research showed that the treatment based on ACT was able to play an effective role in increasing the psychological capital of overweight and obese women in Yazd city (p=0/001). This treatment was also effective in reducing the fat mass and weight of the participants (p=0/001). Conclusion: According to the results of the present study, it seems that ACT can play an effective role in solving the problems of overweight women and increase their psychological capital and reduce their weight and fat mass.

Relationship between psychological capital and nursing burnout: A systematic review and meta-analysis.

This systematic review and meta-analysis aimed to analyze studies that examined the relationship between psychological capital and burnout in registered nurses. Registered nurses are subject to high rates of burnout, with negative consequences on health, well-being, and quality of care. Psychological capital could be an important element in preventing or reducing this condition. This research is based on the Joanna Briggs Institute Guidelines and Preferred Reporting Items for systematic reviews and meta-analysis. A total of 180 studies on psychological capital and burnout were retrieved from Web of Science, Scopus, PubMed, Medline, and PsycINFO. The articles were written in English, Spanish, French, and Portuguese. Then, 23 studies were included in several meta-analyses (random-effects models) performed with the R statistical program. Analysis of the 23 studies revealed that psychological capital and burnout are significantly correlated. The Psychological Capital Questionnaire (PCQ) and the Maslach Burnout Inventory (MBI) were the most used scales to measure psychological capital and burnout, respectively. The meta-analyses showed an inverse correlation between psychological capital and burnout (r=-0.44, 95% CI [-0.51, -0.36], n=6092), and emotional exhaustion (r=-0.32, 95% CI [-0.42, -0.21], n=3349). This review provides evidence of the negative relationship between psychological capital and burnout in registered nurses. Therefore, enhancing psychological capital is an effective strategy to prevent and reduce burnout in nurses. Psychological capital is a personal resource open to development over time and susceptible to interventions aimed at promoting optimism, efficacy, hope, and resilience. In that sense, training aimed at improving psychological capital, as a protective mechanism to prevent and reduce burnout and emotional exhaustion, should be considered together with organizational measures to promote nurses' health and well-being.

Prosocial behavior associated with trait mindfulness, psychological capital and moral identity among medical students: a moderated mediation model.

As future doctors, medical students' prosocial behaviors may affect the relationship between doctors and patients. This study aims to explore the effects of trait mindfulness on prosocial behaviors, as well as the mediating role of psychological capital and the moderating role of moral identity among medical students. A cross-sectional survey was conducted between July and October 2023 across four medical colleges in China, using cluster random sampling. The questionnaire included general demographic information, the Prosocial Tendencies Measurement Scale, the Five-Facet Mindfulness Questionnaire, the Psychological Capital Questionnaire, and the Moral Identity Scale. The SPSS 25.0 and PROCESS v3.4 macro were used for descriptive statistics, correlation analysis, and mediation and moderation analyses. A total of 2,285 samples were included. The analyses showed that prosocial behavior was positively correlated with trait mindfulness, psychological capital, and moral identity (r = 0.293, 0.444, and 0.528, p < 0.01); trait mindfulness predicts prosocial behavior (β = 0.292, 95% CI [0.253, 0.332]); and psychological capital played a partial mediation role between trait mindfulness and prosocial behaviors (β = 0.413, 95% CI [0.368, 0.459]). Furthermore, moral identity played the moderating roles between trait mindfulness and prosocial behavior (β = 0.049, 95% CI [0.011, 0.087]) and between PsyCap and prosocial behavior (β = 0.062, 95% CI [0.032, 0.092]). Trait mindfulness, psychological capital, and moral identity are conducive to the development of medical students' prosocial behavior. These findings provide evidence for the cultivation of prosocial behaviors and for the development of mental health courses, which should be tailored to medical students.

The effect of neuroticism on mobile phone addiction among undergraduate nursing students: a moderated mediation model

BackgroundMobile phone addiction (MPA) has numerous deleterious effects on college students, including depression, anxiety, cognitive impairments, and sleep disorders. Undergraduate nursing students play a crucial role as a significant reserve workforce in clinical nursing practice, and their compromised mental health status significantly influences the quality of nursing work and nurse-patient relationships in the future.ObjectivesThis study aims to investigate the associations between neuroticism and MPA among undergraduate nursing students, the mediating effect of self-control and the moderating effect of psychological capital.MethodsA total of 900 undergraduate nursing students participated in the survey, wherein the Eysenck Personality Questionnaire Short Form Scale China Version-Neuroticism Subscale (EPQ-RSC-N), Self-Control Scale (SCS), Positive Psychological Capital Questionnaire (PPQ), and Mobile Phone Addiction Tendency Scale (MPATS) were employed for assessment. To analyze the available data, various statistical methods were utilized, including common method bias test examination, descriptive statistics, chi-square tests, independent samples t-tests, Pearson’s correlation analyses, as well as the Hayes’ PROCESS Macro models 4 and 14.Results(1) The prevalence of MPA in this study was found to be 34.89%. (2) The MPA was positively correlated with neuroticism (r = 0.287, p < 0.001), and was negatively correlated with self-control (r = -0.467, p < 0.001) and psychological capital (r = -0.260, p < 0.001). (3) Self-control played a partially mediating role in the association between neuroticism and MPA, with an effect size of 0.151, accounting for 52.98% of the total effect. (4) Psychological capital played a moderating role in the association between self-control and MPA. More specifically, with an increase in the level of psychological capital increases, the predictive effect of self-control on MPA gradually strengthens (β = -0.072, SE = 0.019, t = -3.708, p < 0.001).ConclusionThe prevalence of MPA was relatively high among undergraduate nursing students, with neuroticism exerting a direct influence on it. Self-control served as a mediating factor that could partially alleviate MPA associated with neuroticism. Psychological capital has the ability to regulate the relationship between self-control and MPA. Therefore, enhancing self-control capabilities and cultivating psychological capital levels can effectively manage MPA among undergraduate nursing students.

Psychological well-being of women with uterine infertility before considering uterus transplantation as a treatment option.

While uterus transplantation offers a promising treatment option for women with uterine factor infertility (UFI), the potential for graft failure and lack of organ availability could have subsequent psychological repercussions for women. Exploring baseline psychological well-being for women with UFI who could become uterine transplant recipients is essential to identify specific psychological challenges to be considered prior to transplantation. UFI can be congenital uterine absence, namely Mayer-Rokitansky-Küster-Hauser syndrome (MRKH), or acquired uterine absence (hysterectomy). To analyse baseline psychological well-being among women with UFI. A survey including demographic data and two internationally validated psychological questionnaires, Depression, Anxiety and Stress Scale (DASS-21),13 and Fertility Quality of Life (FertiQoL), was disseminated to women with UFI. Data from these instruments was compared between groups and then to data that uses these tools in the general infertility population. The study included 39 women (mean age 29.54 years). Higher scores for moderate symptoms of depression, anxiety, and stress were reported for the entire UFI cohort. More women with congenital UFI showed 'severe' symptoms for depression/anxiety, compared to women with acquired UFI. Women with acquired UFI showed poorer FertiQoL scores compared to both women with congenital UFI and to the general infertility population scores in previously published data. Clinicians should consider accessing increased psychological support for women with UFI when discussing fertility options including uterine transplant, and they may need to tailor this support depending on whether the patient has congenital or acquired UFI.

QOL-21. PSYCHOMETRIC VALIDATION OF THE FEAR OF CANCER RECURRENCE INVENTORY FOR PRIMARY BRAIN TUMOR PATIENTS

Abstract BACKGROUND Fear of cancer recurrence and progression (FCR) is a significant concern among those living with primary brain tumor and may be distinct compared to FCR in other cancer populations due to poorer prognosis, neurologic symptoms, and often lifelong treatment. The gold-standard comprehensive assessment tool for FCR–the FCR Inventory (FCRI)–includes 42 items with seven subscales. Validation of the FCRI scale excluded those with primary brain tumors. The present study is the first examination of the psychometric properties of the full FCRI in a heterogeneous sample of patients with primary brain tumors. METHODS Adult patients with primary brain tumors (n=334) completed the FCRI, with six additional brain tumor-specific items, and psychological, medical, and demographic questionnaires. In accordance with best practices of measure development, exploratory factor analysis (EFA) was conducted on the FCRI at the subscale level. Correlations investigated construct validity. RESULTS EFA largely supported the overall psychometric properties of the original FCRI. Several subscales were unchanged: Psychological Distress, Functioning Impairments, Insight, and Reassurance. One brain tumor-specific item (researching treatments) exhibited good fit on the Coping Skills subscale. On the Severity subscale, one item (belief that the tumor will not return) did not fit with an otherwise strong one-factor model. Additionally, five new brain tumor-specific items demonstrated good fit with the Triggers subscale. The resultant FCRI-Brain includes 41 original FCRI items plus six new brain tumor-specific items. FCRI-Brain demonstrated good convergent validity with measures of depression (r=.72), anxiety (r=.75), and death anxiety (r=.80; ps&amp;lt;.05). CONCLUSIONS This is the first validation of the comprehensive FCRI in patients with primary brain tumors. Factor analysis identified a theoretically similar and brain-tumor specific seven-factor model for the FCRI-Brain. Item-level and subscale statistics will be presented, including factor iteration and construction. Future work will use the FCRI to investigate FCR intervention efficacy in neuro-oncology.

Perceived Coach Social Support and Coach-Athlete Relationship: A Moderated Mediation Model of Coach-Athlete Attachment and Proactive Personality

Objective: The purpose of this study was to investigate how perceived social support from coaches leads to favorable coach-athlete relationships via the mediation of coach-athlete attachment and the moderation of proactive personality. Method: The study consisted of a cross-sectional self-report survey with a sample of 302 professional athletes recruited and measured by psychological questionnaires of perceived coach social support, coach-athlete attachment, coach-athlete relationship, and proactive personality. The structural equation model examined the moderated mediation model. Results: The results indicated that coach-athlete attachment partially mediated the prediction of perceived coach-social support in the coach-athlete relationship. Proactive personality played a moderated role between perceived coach social support and coach-athlete attachment. Conclusions: This study suggests that coaches should pay more attention to athletes to build up the coach-athlete relationship, while they also need the athletes’ positive feedback.

Situación actual de supervivientes de tumores del sistema nervioso central en un hospital español

IntroductionDespite the increasing number of central nervous system (CNS) tumour survivors, long-term (LT) sequelae remain a substantial burden on their health through various life stages. The aim of our study was to evaluate late morbidity, health-related quality of life (HRQoL), self-esteem, functional status, adaptive behaviour, physical activity and social outcomes such as education, employment, relationship status and possession of a driver's license, in addition to the role of LT effects of radiotherapy on these outcomes. MethodsThe study included 111 CNS tumour survivors with a minimum of 10 years of followup. The assessment of patients included a comprehensive clinical evaluation and psychological questionnaires: SF-36 for HRQoL and Rosenberg self-esteem scale. Functional status was assessed with the Lansky/Karnosky scales and adaptive behaviour with the Vineland-II scale. Patients also completed one questionnaire that assessed physical activity and another that assessed other social variables. ResultsThe mean current age of CNS tumour survivors was 20 years (range, 12-34). The median time since diagnosis was 13 years (range, 10-26). The median age at diagnosis was 6 years (range, 1-18). The most prevalent LT sequelae were neurologic (55%), followed by neuropsychiatric (53.1%) and endocrine (49.5%) sequelae. Survivors treated with radiotherapy (n=52) had poorer outcomes in terms of adaptive behaviour, educational attainment and relationship status compared to those who did not receive radiotherapy, but we did not find differences in quality of life or self-esteem scores between these groups. ConclusionWe found a high prevalence of LT sequelae in CNS tumour survivors, especially in those who received radiotherapy. In these patients, LT sequelae have a significant impact on functional status and social outcomes, but not on quality of life or self-esteem.

Influencing Factors Associated with Psychological Capital Among Ischemic Stroke Patients: A Latent Profile Analysis.

China has the highest incidence of stroke worldwide because of a high rate of recurrence of ischemic stroke, which has significant negative impacts on the physical and mental health of patients. However, little research has been devoted to the psychological capital of ischemic stroke patients. To investigate the psychological capital of ischemic stroke patients, and uses latent profile analysis to identify the potential profiles of the psychological capital among patients as well as to explore heterogeneity within subgroups and the factors influencing it. A survey was distributed among and completed by 427 ischemic stroke patients from November 2023 to March 2024. Four types of questionnaires were administered: the Psychological Capital Questionnaire (PCQ-26), Perceived Stress Scale (CPSS), Athens Insomnia Scale (AIS), and a general information questionnaire. Three latent profiles of the psychological capital of ischemic stroke patients were identified: the deficient psychological capital group(19.7%), medium psychological capital group(52.5%), and affluent psychological capital group(27.9%). Compared with the deficient psychological capital group, the results of a disordered multi-classification logistic regression analysis showed that the factors influencing the participants of the medium psychological capital group were their marital status (married OR = 1.081, 95% CI: 1.163-7.468, p = 0.023), perceived stress (OR = -0.2, 95% CI: 0.769-0.872, p < 0.001), and insomnia (OR = -0.273, 95% CI: 0.696-0.833, p < 0.001). The factors influencing the affluent psychological capital group were perceived stress (OR = -0.334, 95% CI: 0.664-0.773, p < 0.001) and insomnia (OR = -0.46, 95% CI: 0.56-0.712, p < 0.001). Three potential categories of psychological capital in ischemic stroke patients were identified. Sex, marital status, education, perceived stress, and insomnia were found to be associated with psychological capital in stroke patients. Future research should explore other determinants of psychological capital in ischemic stroke patients to formulate interventions that can improve their psychological capital.

Gut microbiome in impulsively violent female convicts.

Introduction Impulsivity and aggression are often interlinked behavioral traits that have major implications for our society. Therefore, the study of this phenomenon and derivative interventions that could lead to better control of impulsive aggression are of interest. Methods We analyzed the composition and diversity of the gut bacterial microbiome of 33 impulsively violent female convicts with dissocial personality disorder and 20 non-impulsive age-matched women. Further, levels of assorted neurotransmitters and short-chain fatty acids (SCFA) were analyzed in serum and stool samples. We also assessed all participants using a battery of psychological questionnaires and tested possible correlations between the collected clinical data and the composition and diversity of their microbiomes and metabolites. Results We identified four bacterial amplicon sequencing variants that were differentially abundant in non-impulsive vs. impulsive women - the genera Bacteroides, Barnesiella, and the order Rhodospirillales were more abundant in impulsive women. In contrast, the genus Catenisphaera was more abundant in non-impulsive women. Fecal tryptophan levels were significantly higher in impulsive women. Association analysis revealed a strong positive intercorrelation between most fecal short-chain fatty acids in the entire dataset. Conclusions Our study demonstrated possible associations between gut microbiomes and their metabolites and impulsive behavior in a unique cohort of prisoners convicted of violent assaults and a matched group of non-impulsive women from the same prison. Genus Bacteroides, which was differentially abundant in the two groups, encoded enzymes that affect serotonin pathways and could contribute to this maladaptive behavior. Similarly, increased fecal tryptophan levels in impulsive individuals could affect neuronal circuits in the brain.

Health Literacy in Non-dialyzed Chronic Kidney Disease Patients: A Cross-Sectional Study

Objective: To explore the current status and influencing factors of health literacy in non-dialyzed chronic kidney disease (CKD) patients, and to provide a basis for developing more comprehensive and effective interventions. Methods: 206 CKD patients hospitalized or followed up in outpatient clinics in the Department of Nephrology of a tertiary hospital in Baoding City were conveniently selected from June to August 2024. General information questionnaire, Health Literacy Scale for Chronic Disease Patients, Perceived Social Support Scale, and Positive Psychological Questionnaire were used to conduct the survey. Results: The health literacy score of non-dialyzed CKD patients was (91.04±15.17); The results of multiple linear regression analysis showed that the number of comorbidities, education level, per capita monthly household income, family support, and optimism were the influencing factors of health literacy in CKD patients. Conclusion: The health literacy of non-dialyzed CKD patients is low, and healthcare professionals should develop scientific and reasonable intervention programs based on their influencing factors in order to enhance the health literacy and delay disease progression.

Person-environment fit, turnover intention and satisfaction with life. The role of seniority

BackgroundBased on the person-environment fit model, we examined how occupational stress and job satisfaction are correlated with an intention to leave the current workplace or profession and life satisfaction in two groups of midwives with low and high experience.Participants and procedureData were collected between March and December 2022 using a set of psychological questionnaires. Low-experienced mid-wives (n = 152) and high-experienced midwives (n = 174) participated in the study. Multigroup path analysis was used to analyze the data.ResultsResearch has shown that midwives of varying levels of seniority experience similar levels of general occupational stress, job satisfaction, intentions to leave their current workplace or profession, and life satisfaction. The study found a negative corre-lation between occupational stress and job satisfaction and life satisfaction in both groups. The correlation between job satisfaction and the intention to leave the current workplace or profession was significantly negative only among low-experienced midwives. In high-experienced midwives, the relationship between stress and the intention to leave the current workplace or profession was direct. In the group of low-experienced midwives, links between occupational stress and all outcome variables were completely mediated by job satisfaction.ConclusionsOur study demonstrates that degree of person-environment fit accurately predicts the positive and negative consequences of working conditions for behavior both at work and outside of work. The correlations between stress at work, thoughts of leaving work, and the assessment of well-being differ between low- and high-experienced employees.