Improvements In Psychological Well-being Research Articles

Effectiveness of Psychosocial Intervention on Psychological Well-Being and Quality of Life Among Women with Infertility

ABSTRACT Background: Infertility is a significant medical condition characterized by the inability to conceive after one year of regular, unprotected intercourse. It has profound psychological implications, affecting overall well-being and quality of life in affected women. Psychosocial interventions have been explored as potential strategies to improve psychological well-being and life satisfaction in this population. Objective: This study aimed to assess the effectiveness of psychosocial interventions in enhancing psychological well-being and quality of life among women experiencing infertility. Methods: A quasi-experimental pretest–posttest control group design was employed. A total of 120 participants were selected using a convenient sampling method. Data were collected using a sociodemographic scale, the Ryff Psychological Well-Being Scale, and the Fertility Quality of Life (FertiQoL) questionnaire. The intervention involved structured psychosocial support sessions, and pre- and post-intervention data were analyzed using descriptive and inferential statistics. Results: The results demonstrated a significant improvement in psychological well-being and quality of life post-intervention. The mean difference in psychological well-being scores was 25.39 (P = 0.01), while the mean difference in quality of life scores was 26.45 (P = 0.001), indicating a statistically significant positive effect. Conclusion: Psychosocial interventions play a crucial role in improving the psychological well-being and quality of life of women facing infertility. These findings suggest the need for integrating psychosocial support into infertility treatment programs to enhance overall patient outcomes.

Person-centered support for patients with a pituitary tumor following surgery.

To evaluate whether a person-centered care practice following surgery for pituitary tumors increased psychological well-being. Secondary aims were to study whether person-centered care would lead to better health status, less fatigue, and better self-efficacy. The study is a prospective, single center study using a quasi-experimental design to evaluate the effect of a 12-month person-centered practice by means of a name-given nurse care manager, an interdisciplinary team, and peer-support against usual care. All patients (≥ 18 years) with a benign pituitary tumor and planned for endoscopic transsphenoidal surgery were consecutively invited to participate. Psychological well-being, self-reported health, fatigue, and self-efficacy were assessed before surgery, at discharge, and at 3-6 and 12 months after surgery. In total, 82 patients in the intervention group and 66 patients in the control group were included. Psychological well-being improved 12 months following surgery in both groups to comparable levels. The intervention group had greater improvement in anxiety compared to the control group (P = 0.02). No differences were seen between groups in self-reported health status, fatigue, or self-efficacy. Patients in the intervention group with other types of pituitary tumors than non-functioning pituitary adenomas showed greater improvement in psychological well-being than the control group. The intervention did not result in major advantages in terms of health or psychological well-being. The study does, however, suggest that the intervention may reduce anxiety 12 months after surgery and that certain subgroups of patients may benefit more from a structured person-centered practice following pituitary surgery.

Breathing and relaxation exercises as part of a wellness routine for men in executive positions

Introduction: The health state of male executives who are exposed to high levels of stress has yet to be thoroughly studied. Breathing and relaxation exercises could serve as an appropriate wellness routine to help them manage stressful conditions in the workplace as well as to prevent health problems related to an unhealthy lifestyle. Aim: Our study comprises several phases and the objectives of each phase were chosen accordingly. In the first phase of our pilot study, we aimed to determine how effective a six-week exercise intervention program would be in promoting the mental and physical health of a selected group of men in executive positions. In the subsequent stages, we investigated how the programme served to educate these men and whether the participants continued an exercise routine over the next two years. Methodology: Our research was based on a case-by-case evaluation of 10 men aged 35-55 years who work in executive top management positions. The men were asked to take part in several research surveys (8 in total) in a period of two years. After an initial assessment which included: an anamnestic examination and medical history, an assessment of posture and an anthropometric indicators, questionnaires, the men's so-called weak points were defined. On the basis of these weaknesses, a simple routine consisting of breathing and relaxation exercises was developed. The participants were instructed to performe this routine once a day for 15 minutes. The assessment methods included: czech questionnaire about manifestation of burnout syndrome "Inventář Projevů Syndromu Vyhoření" (IPSV), the Q8+1 self-esteem questionnaire ("Self-awareness"), an aspectual examination of body posture and anthropometric measurements (chest elasticity, wais/hip ratio index), the visual examinaton and anthropometric indicators measurements (chest elasticity, waist-hip ratio). These assessment were repeated several time the baseline assessment, during therapeutic programme; after the intervention; eight weeks after the intervention; and the followed up assessment two years after initiation of the study. Results: This pilot study indicate that after of the therapeutic program, there was an improvement in all assessed outcomes. Our research revealed that it is possible to attain improvements in psychological wellbeing as well as in some anthropometric parameters (chest elasticity) through targeted exercise intervention. However, almost all outcomes that showed improvement after completion of the program reverted to their original values after two years. None of the men involved in the study persisted with regular exercise, even though all of them acknowledged the positive impact the program had on their well-being.

Understanding the impact of the pandemic on university students: Changes in sleep, eating patterns, and psychological well-being

BACKGROUND: Covid-19 is one of the world’s major pandemics. It has affected millions of people in various ways. OBJECTIVE: This study investigates the influence of pandemic-induced shifts in eating and sleeping behaviors on the psychological well-being of university students. METHODS: The study adopted a cross-sectional research design. A total of 604 students participated in the study. The Personal Form, the Psychological Well-Being Index, and the Pittsburgh Sleep Quality Index were used to collect data. The research was conducted between October 2021 and December 2022. RESULTS: The participants reported a mean psychological well-being score of 40.76±9.38, alongside a Pittsburgh Sleep Quality Index score of 7.46±3.30. Analysis revealed a significant negative correlation between the mean psychological well-being scores and the Pittsburgh Sleep Quality Index scores (p < 0.01). Throughout the pandemic, the participants experienced a decline in physical activity, an increase in their body weight, and a change in their eating habits. While psychological well-being remained relatively high, sleep quality was notably poor. Notably, improvements in psychological well-being corresponded with enhancements in sleep quality, suggesting a reciprocal relationship between the two variables. CONCLUSIONS: The pandemic negatively impacted the physical activity and body weight of young adults. This study highlights the importance of promoting physical activity among university students during pandemics and similar crises to reduce adverse effects on body weight. It also highlights the importance of educating students about the importance of healthy sleep and how to maintain good sleep hygiene.

Integrating mindfulness and physical activity for diabetes prevention and management: systematic review

Background: Urgent need lies in the development of more effective and holistic interventions that encompass both the physical and psychological dimensions of diabetes. The aim of this study was to investigate the effectiveness of integrating mindfulness and physical activity in the prevention and management of diabetes. Method: The systematic review of existing literature aims to highlight the importance of a deeper understanding of the relationship between mindfulness and physically active activities in the context of diabetes prevention and managing. Result: The results of this systematic review highlight multiple beneficial outcomes, including improvements in psychological well-being and diabetes management, holistic care, parasympathetic activity, insulin resistance, stress reduction, self-management, and mindful eating. Conclusion: The findings advocate for the adjunctive use of mindfulness-based interventions like mindfulness based stress reduction (MBSR), MBCT, and MB-EAT in diabetes care, offering avenues to mitigate stress, bolster self management, and potentially augment diabetes care through enhanced self-efficacy, knowledge, and communication. Keywords: Self-Management, Mindfulness, Insulin Resistance, Psychological Well-Being, Self Efficacy, Exercise, Aging

Impact of Gender-confirming Chest Surgery on Sexual Health: A Prospective Study.

Few studies have evaluated the improvement of the sexual well-being of transgender patients after breast augmentation or bilateral mastectomy. This prospective study aims to assess the potential improvement in body awareness during sexual intercourse, as well as the nipple-areolar complex (NAC) sensitivity recovery after gender-confirming chest surgery. From October 2019 up to April 2021, all transgender patients eligible for gender-confirming chest surgery in our institution were asked to fill out two questionnaires, namely BREAST-Q (a patient-reported outcome measure for use in reconstructive breast surgery and clinical practice) and Body Exposure during Sexual Activities Questionnaire (scientifically validated self-report assessments of body-image experiences in the context of sexual relations). The Semmes-Weinstein monofilament test was used to evaluate NAC sensitivity recovery. Different follow-ups were considered: preoperative and 4 and 12 months postoperative. Twenty-one transmasculine and 12 transfeminine patients met the inclusion criteria. For both groups, the preliminary 4-month postoperative evaluations showed significant improvement in psychological well-being and chest/breast satisfaction compared with preoperative values. Body awareness during sexual intercourse improved significantly at 4 months postoperative in the transmasculine groups (P ≤ 0.001) and at 12 months postoperative in the transfeminine group (P ≤ 0.01). No correlation between body awareness during sexual intercourse and NAC sensitivity was observed among either group, transmasculine and transfeminine patients. Although aesthetic and psychological well-being increased quickly postoperatively, sexual health remained low among transfeminine patients until they completed their transition with vaginoplasty. NAC sensitivity recovery was found to not contribute to the improvement of the sexual health of transgender patients.

Investigating the therapeutic efficacy of psilocybin in advanced cancer patients: A comprehensive review and meta-analysis.

Psilocybin, a naturally occurring psychedelic compound found in certain species of mushrooms, is known for its effects on anxiety and depression. It has recently gained increasing interest for its potential therapeutic effects, particularly in patients with advanced cancer. This systematic review and meta-analysis aim to evaluate the effects of psilocybin on adult patients with advanced cancer. To investigate the therapeutic effect of psilocybin in patients with advanced cancer. A comprehensive search of electronic databases was conducted in PubMed, Cochrane Central Register of Controlled Trials, and Google Scholar for articles published up to February 2023. The reference lists of the included studies were also searched to retrieve possible additional studies. A total of 7 studies met the inclusion criteria for the systematic review, comprising 132 participants. The results revealed significant improvements in quality of life, pain control, and anxiety relief following psilocybin-assisted therapy, specifically results on anxiety relief. Pooled effect sizes indicated statistically significant reductions in symptoms of anxiety at both 4 to 4.5 months [35.15 (95%CI: 32.28-38.01)] and 6 to 6.5 months [33.06 (95%CI: 28.73-37.40)]. Post-administration compared to baseline assessments (P < 0.05). Additionally, patients reported sustained improvements in psychological well-being and existential distress following psilocybin therapy. The findings provided compelling evidence for the potential benefits of psilocybin-assisted therapy in improving quality of life, pain control, and anxiety relief in patients with advanced cancer.

The Impact of the COVID-19 Pandemic on Elite Swimmers and Water Polo Players: Lessons for the Future.

The COVID-19 pandemic has disrupted global daily life, including the world of elite athletes. This paper examines the multifaceted impact the COVID-19 pandemic had on elite swimmers and water polo athletes, specifically their mental health, their concerns over the virus, their intentions of getting vaccinated, and sleep disturbances that they may have faced. We conducted a cross-sectional study on elite swimmers and water polo players, using an anonymous questionnaire. A total of 200 elite athletes participated. The majority of the participants reported a negative impact on their mental health, screened positive for insomnia (n = 107 (53.5%), with females (n = 101; 57.7%), swimmers (n = 100, 66.7%), and university students (n = 71, 71.7%) being more vulnerable (p < 0.001). Concerns about contracting the disease especially during important training or tournament periods and potential career disruption also affected their psychological well-being. While the majority (75%) had the intention of getting vaccinated, an alarming percentage was yet uncertain over its decision. This study highlights the significant psychological distress faced by elite aquatic athletes during the pandemic. It emphasizes the difficulties faced by elite swimmers and water polo athletes and determines not only the importance of addressing the vaccination intentions of athletes, but also how critical it is to confront the challenges they face both for their personal health and for the restoration of world sports to their pre-pandemic state. More large-scale studies are required to inform policies targeted at minimizing disruption to the athletes' career, provision of information on preventive measures and vaccination, and improvement in psychological well-being in case of similar major public health issues in the future. Additionally, this study calls for further research to explore the unique challenges faced by aquatic athletes, such as those related to their training environments and fear of contagion, to better support them in future public health crises.

Psychological effects of psychedelics in adolescents.

This study aimed to investigate differences in long-term psychological effects, acute subjective effects, and side effects associated with psychedelic use in adolescents (aged 16-24), compared with adults (aged 25+). Data from two observational online survey cohorts was pooled, involving adolescents (average age 20.4 ± 2.2, N = 435) and adults (average age 36.5 ± 9.7, range = 25-71, N = 654) who self-initiated a psychedelic experience and were tracked via online surveys from a pre-experience baseline to four weeks post-use. Self-reported measures of well-being were collected one week before, and two and four weeks after psychedelic use. Acute subjective drug effects, dosage and contextual variables pertaining to the setting of use were measured on the day after the session. Repeated-measures analyses of covariance, t- and z-tests, as well as exploratory correlational and regression analyses tested differences in psychological changes, acute drug effects, and side effects between the two groups. Psychological well-being significantly improved in adolescents two and four weeks following psychedelic use, with a clinically relevant mean change score of 3.3 points (95% CI: 1.1-5.5). on the Warwick-Edinburgh Mental Wellbeing Scale [F(1.8, 172.9) = 13.41, η 2G = .04, p < .001], statistically indistinguishable from changes in adults. Acute subjective effects differed between the age groups; adolescents reported significantly higher challenging experiences and ego-dissolution. In adolescents, visual symptoms related to "hallucinogen persisting perceptual disorder" (HPPD) were reported at a higher prevalence than in adults (73.5% vs. 34.2%, p < .001) but were reported as distressing by only one adolescent participant. To our knowledge, this is the first prospective study to examine the psychological effects of psychedelic use specifically in adolescents. Statistically significant improvements in psychological well-being and other domains of mental health were observed, consistent with effects seen previously in adults, providing tentative evidence for the potential utility of psychedelic interventions in adolescents. However, differences in acute subjective effects, specifically the less positive role of ego-dissolution experiences for long-term changes in adolescents, as well as a higher prevalence of HPPD-related symptoms suggest that special considerations might be required when assessing psychedelic treatment design and risks.

Effects on physical activity, physical fitness and well-being in a 36-months randomized controlled study, comparing a multimodal hospital-based intervention programme for primary cardiovascular prevention with usual care

BackgroundCardiovascular disease is a major cause of mortality and morbidity worldwide, and primary prevention efforts are poorly developed in people at high cardiovascular risk. On this background, we performed the Hjerteløftet Study and demonstrated that participation over 36 months in a multimodal primary prevention programme, significantly reduced validated cardiovascular risk scores. In the current substudy we aimed to further explore several elements and effects following the intervention programme.MethodsA random sample from the original Hjerteløftet Study was included for further examinations (n = 255, 40% women), and these patients were already randomized to an intervention group (IG) (n = 127), or a control group (CG) (n = 128). We compared changes from baseline to 36-months follow-up in physical activity, cardiorespiratory fitness, psychological well-being (WHO-5), cardiovascular medication use, smoking habits, and cardiometabolic risk factors (blood pressure, lipids, blood glucose, HbA1c, Apolipoprotein A-I, Apolipoprotein B and high-sensitive C-reactive protein).ResultsSelf-reported physical activity increased significantly with absolute difference in mean delta Physical Activity Index score in the IG compared to the CG: 0.90, 95% CI: 0.10 to 1.70, p = 0.028 (ANCOVA). There were no corresponding differences in cardiorespiratory fitness. The participation resulted in psychological well-being improvement in both groups with a larger increase in the IG compared to the CG. The mean difference in delta WHO-5 score was 5.06, 95% CI: 0.68 to 9.45, p = 0.024, and 3.28, 95% CI: -0.69 to 5.25, p = 0.104 when controlled for baseline values (ANCOVA). The use of antihypertensive medication increased significantly more in the CG (p = 0.044). Only minor, nonsignificant changes were observed for traditional risk factors and cardiometabolic variables.ConclusionsParticipation in the Hjerteløftet Study intervention programme resulted in an improved physical activity level, but without changing cardiorespiratory fitness. Participation in the programme also tended to improve psychological well-being, possibly related to increased physical activity, less smoking and less use of cardiovascular medication. Concerning the metabolic status, no major differences were observed, but minor changes may have been concealed by a larger increase in cardiovascular medication use in the control group.Trial registrationClinicalTrials.gov (NCT01741428), 04/12/2012.

Impact of a resilience-building energy management intervention for people with systemic sclerosis: a mixed methods study.

People with SSc often experience fatigue, which significantly affects daily life functioning and quality of life. We aimed to explore participants' experiences of a peer health-coached resilience-building energy management to enhance well-being (RENEW) intervention on symptoms and well-being and to use mixed methods to compare how SSc duration influenced the experiences of participants who had clinically significant fatigue improvement vs those who did not. Semi-structured interviews were conducted with 21 participants from the parent clinical trial randomized to the RENEW intervention. Data were analysed using the rigorous and accelerated data reduction technique combined with thematic content analysis. A mixed methods approach used a joint display to identify themes related to the impact of SSc duration on fatigue improvement status. Participants were categorized into short/improvement, short/limited improvement, long/improvement, and long/limited improvement. Our team generated four themes: participant and peer health-coach relationship, physical and psychological well-being improvement, need for a tailored approach and easy program access through technology. Mixed methods analysis revealed that, regardless of SSc duration, participants with improved fatigue reported increasing self-awareness of SSc-related symptoms and learning coping strategies to manage fatigue. Participants in the short/improvement group reported preferences for slower pacing of the program and pairing with a coach with similar symptom severity. Participants in the long/limited improvement group sought SSc-specific symptom management information. Incorporating peer health coaches and technology is beneficial for self-management interventions for people with SSc. Future tailoring of RENEW based on SSc duration and symptom severity is needed. clinicatrials.gov, NCT04908943.

A WHO digital intervention to address depression among young Chinese adults: a type 1 effectiveness-implementation randomized controlled trial

Common mental disorders among young people are rising globally. Current university-based interventions are inadequate to address the need for evidence-based interventions. We investigated the effectiveness and implementation of Step-by-Step (SbS), a WHO digital intervention to address depression, among Chinese university students with depressive symptoms. In this paper, we report a type 1 hybrid effectiveness-implementation randomized controlled trial conducted between September 2021 and September 2022. The control condition was enhanced treatment as usual (ETAU, psychoeducation). The primary outcome was improvement in depression symptoms. Secondary outcomes were improvements in psychological well-being, anxiety symptoms, and self-identified psychosocial problems. Effectiveness of the intervention was evaluated using generalized linear mixed models. Implementation outcomes were evaluated by thematic analysis of participant interviews. A total of 371 participants were enrolled to two treatment conditions in a 1:1 ratio. SbS resulted in a greater reduction in depressive symptoms at posttreatment (p = 0.004, Hedges’ g = 0.35), but no significant difference between SbS and ETAU was observed at three-month follow-up (p = 0.179, Hedges’ g = 0.16). The treatment effect was larger among those who adhered to the treatment (Hedges’ gs = 0.59 and 0.30). Subjective well-being also improved for SbS at both time points (Hedges’ gs = 0.31 and 0.30). In addition, SbS resulted in more improvement in anxiety symptoms at posttreatment (p = 0.029, Hedges’ g = 0.26), but not at three-month follow-up (p = 0.265, Hedges’ g = 0.13). The qualitative results demonstrated that the intervention was well-implemented as a self-help mental health service, with minimal support from peer supporters. In conclusion, Step-by-Step, a digital intervention developed by WHO, was effective in reducing depressive symptoms in the short term and improving psychological well-being in a longer term. The sustained effect on depression needs further investigation. Improving uptake and engagement in the program is needed for its scale-up implementation as a university-based mental health service for Chinese young adults. Trial registration: ChiCTR2100050214.

Feasibility of a mobile app for traumatic stress management using neurofeedback-based meditation and binaural beat music: A pilot randomized controlled trial.

Individuals who have experienced traumatic events often encounter a variety of changes in their lives and and may suffer from them. To help and alleviate these traumatic stress, we developed an evidence-based mobile application (app) for easy accessibility. This study aimed to test the effects of the mobile app for traumatic stress management using neurofeedback-based meditation and binaural beat music. Fifty-eight participants were enrolled in a pilot randomized controlled trial (Trial Registration Number: KCT007724) consisting of two groups: (a) experimental group (n = 28) and (b) control group (n = 30). Participants used the mobile app 3 days a week at home for 4 weeks, engaging in neurofeedback-based meditation and binaural beat music. Participants completed self-report measures (SCL-47-R, Psychological Well-Being Post-traumatic Changes questionnaire) and EEG test (emotional stability, anti-stress) at a pretreatment and 1-month follow-up. Participants in the experimental group demonstrated significant improvements in psychological well-being (F = 16.37, p < 0.001), emotional stability (F = 10.38; p = 0.002), and the anti-stress index (F = 11.37; p = 0.001). The results of this pilot trial, involving a neurofeedback-based meditation and binaural beat-centered music intervention, provide preliminary support and a readily accessible option for individuals seeking to recover from the effects of traumatic events. Additionally, we have established the groundwork for subsequent research to study the efficacy of a neurofeedback-based meditation program and a binaural beat-centered music intervention for those who have experienced traumatic events.

Reframing interventions for optimal child nutrition and childhood obesity: the importance of considering psychological factors.

This review aims to emphasise the impact of poor nutrition on children's health and psychological well-being, urging those involved in childhood obesity or nutrition services to broaden their intervention approach. Poor nutrition and childhood obesity affect physical and psychological health. The stress of living with obesity further impacts quality of life, well-being and self-esteem. Children living with obesity may experience adverse childhood events and stress, and young people are able to recall the impact of psychosocial issues such as experiencing stigma and discrimination. Food is often a coping mechanism for managing negative emotions, perpetuating cycles of emotional coping and unhealthy eating behaviours. UK guidelines recommend family-based, multi-component weight management interventions for children living with obesity. Interventions mainly target health behaviours and utilise behaviour change techniques attempting to directly improve diet and physical activity as behavioural outcomes. Whilst these interventions may show some improvements in psychological well-being, there is limited consideration or understanding of the underlying mechanisms of action which indirectly influence engagement and the sustainability of the behaviour change. Lack of attention and inclusion of psychosocial variables in intervention implementation may help explain the variable effectiveness reported across childhood obesity interventions. In conclusion, enhancing the effectiveness of childhood obesity interventions requires a broader approach that fully incorporates psychosocial factors. Those responsible for commissioning, designing and implementing these interventions should adopt a holistic approach that addresses psychological and emotional needs while incorporating underlying mechanisms of action. This shift in focus could result in more sustainable and comprehensive treatment for childhood obesity.

Breathe In, Breathe Out: Yoga’s Healing Touch on Sinusitis-induced Psychological Comorbidities

Sinusitis, characterized by inflammation of the nose and paranasal sinuses, commonly presents with symptoms such as nasal congestion, discharge, facial pain, and headache. The aim of this report is to highlight the potential benefits of Bhastrika (bellows breath) and Jala Neti (nasal cleansing with saline solution) as interventions to alleviate sinusitis-induced psychological comorbidities. This case report focuses on a 26-year-old female patient diagnosed with sinusitis who presented with severe headache, blurred vision, ear pain, and facial discomfort. A comprehensive evaluation confirmed the diagnosis of sinusitis, and the patient expressed a desire for nonpharmacological interventions due to personal preferences and concerns about medication side effects. The patient was prescribed a 6-month intervention comprising Bhastrika and Jala Neti, which involved the practice of bellows breath and nasal cleansing with saline solution. Regular practice of these techniques was observed, and the patient reported significant improvement in self-rated psychological symptoms, including reduced headache frequency, improved vision clarity, decreased ear pain, and alleviation of facial discomfort. These interventions may contribute to the overall improvement in psychological well-being experienced by the patient in this case. Further research is warranted to explore the effectiveness of these interventions in a larger population and to elucidate the underlying mechanisms through which they exert their therapeutic effects.

Effects of remote dignity therapy on mental health among patients with hematologic neoplasms and their significant others: A randomized controlled trial

BackgroundFamilies of patients with hematologic neoplasms involved in dignity therapy have exhibited a remarkable improvement in psychological well-being and family functioning. However, the applicability and generalizability of family participatory dignity therapy are limited as it is influenced by factors such as intervention time, place, and participants. Whether remote support from significant others is feasible and effective remains unknown. ObjectivesThis study aimed to confirm the efficacy of significant others participating in remote dignity therapy (r-DT) on hope, dignity loss, meaning of life, and sense of stigma among patients with hematologic neoplasms as well as their significant others' depression and anxiety. DesignA randomized, single-blinded, two-arm, parallel-group controlled trial. Setting(s) and participantsParticipants included patients with hematologic neoplasms and their significant others, who were recruited from Fujian Medical University Union Hospital from May 2021 to January 2022. MethodsA total of 72 eligible participants (patients and significant others) agreed to participate, and were randomly assigned to an intervention group (n = 35) or a control group (n = 37). Each pair of participants in the intervention group participated in two or three conversations based on the online video function of the WeChat platform, performed by one therapist in accordance with a specific communication outline. To evaluate the effects of the intervention, we assessed the patients' degree of dignity loss, hope level, meaning of life, and sense of stigma, as well as their significant others' depression, anxiety, and intimacy at baseline (T0), 15 days (T1), 30 days (T2), and 60 days (T3), and compared the scores between the two groups after the completion of the intervention. The Generalized Estimation Equation Model (GEE) was used to examine the effects of time, group, and their interaction. ResultsThe intervention group statistically significantly differed in lower dignity loss (t = 2.190, p = 0.032), higher hope level (t = −2.010, p = 0.049), and higher meaning of life (t = −2.066, p = 0.043) than the control group at T1. Regarding their significant others, the results of the comparison between the two groups showed that significant others in the intervention group had reduced levels of anxiety and depression at T1 and T2 (p < 0.05). The majority of patients (84.38 %) and significant others (75.00 %) provided positive evaluations of the program. ConclusionsThe r-DT showed a short-term positive effect on decreasing patients' dignity loss and promoting patients' hope and meaning of life; among their significant others, it decreased anxiety and depression. Trial registrationRegistered in the China Clinical Trial Registry on 17 March 2021(ChiCTR2100044374). Tweetable abstractRemote dignity therapy decreased patients' dignity loss and promoted their hope and meaning of life; among their significant others, it decreased anxiety and depression.

The Effectiveness of Positive Group Psychotherapy for Improving Psychological Well-Being in Peer Support for People with HIV/AIDS on Medan Plus In Medan City

Peer supporters who are living with HIV/AIDS play a crucial role in assisting and exchanging information with other individuals living with HIV/AIDS (PLWHA). The desire to contribute more effectively motivates PLHIV to become peer supporters. However, they often encounter challenges that affect their psychological well-being while fulfilling their responsibilities. This research aims to evaluate the effectiveness of group positive psychotherapy in enhancing the psychological well-being of peer supporters among PLWHA. The study employed a quasi-experimental pretest-posttest control group design, utilizing a non-probability sampling method for data collection. The participants included an experimental group (n = 10) and a control group (n = 10). The positive psychotherapy group module comprised five sessions, covering topics such as positive introduction and gratitude journaling, character strengths and signature strengths, hope and optimism, altruism, and meaning and purpose. The Psychological Well-Being Scale-27 (PWBS-27) was used for measurements. Data analysis involved the application of the Mann-Whitney nonparametric statistical test. The results indicated a significant improvement in psychological well-being among the experimental group compared to the control group after undergoing the positive psychotherapy intervention (U = 6, Z = -3.327, p &lt; .001, r = .74). Therefore, the group positive psychotherapy demonstrated effectiveness in enhancing the psychological well-being of individuals supporting people with HIV, yielding a relatively high effect size.

Whole-Body Cryostimulation in Post-COVID Rehabilitation for Patients with Obesity: A Multidisciplinary Feasibility Study.

A post-COVID condition can reduce activity and quality of life, resulting in a significant socioeconomic and health burden. Understanding its impact on patients' health is important for the development of personalized rehabilitation interventions. An independent association between obesity and post-COVID condition was found because of complications and comorbidities. Sixteen patients with obesity and post-COVID symptoms (i.e., dyspnea, pain, poor sleep quality, muscle fatigue), admitted to the Istituto Auxologico Italiano, Piancavallo (VB), Italy, were recruited for a four-week rehabilitation program including conventional exercise therapy, nutritional intervention, psychological support and whole-body cryostimulation (WBC). All participants attended all sessions of the program. Anthropometric data showed statistically significant changes in weight, waist circumference and body mass index. Biochemical analyses showed significant reductions in lipid and inflammatory profiles. There was a significant improvement in physical performance, reduction in pain and improvement in psychological well-being. A multidisciplinary rehabilitation protocol including WBC, designed for patients with obesity and a post-COVID condition, is safe and feasible. The overall improvements demonstrate that multidisciplinary rehabilitation was effective on post COVID patients and suggest that the use of WBC is safe and could play a role as a booster in rehabilitation programs.

Examining the link between distressing life events, social media distress disclosure, and perceived stress: A moderated mediation model

People share not only positive but also distressing personal information on social media. Although much work has been done to understand distress disclosure practices on social media, little is known about the association between social media distress disclosure and different components of disclosure risk, as well as the link between distressing life events, social media distress disclosure, and psychological well-being. This study examines the theoretical antecedents (i.e., situational and non-situational factors) of social media distress disclosure and tests a moderated mediation model that assesses the mediator role of social media distress disclosure on the relationship between distressors (i.e., frequency and intensity of distressing life events) and perceived stress. Results from an online survey (n = 967) revealed that social media users’ distress disclosure frequency is associated with both situational (i.e., distressing life events and exposure to others’ distress disclosure) and non-situational (i.e., perceived risks and benefits of distress disclosure) factors. Specifically, the findings indicated that social media users’ distress disclosure frequency was not only affected by self-oriented risk but also other-oriented risk—imposition risk. Furthermore, the moderated mediation model revealed that the association between distressors and perceived stress was mediated by social media distress disclosure frequency, and this mediated relationship was moderated by risk-benefit calculus and satisfaction with social media distress disclosure. Overall, this study advances our understanding of social media distress disclosure and extends existing self-disclosure theories by specifying the conditions by which individuals can expect an improvement in psychological well-being following disclosure of distressing information on social media.

Psychological well-being as a motive for and result of post-bariatric body contouring procedures.

This study investigates whether psychological well-being in post-bariatric patients seeking body contouring procedures differs from those who do not seek body contouring procedures, those who have already undergone body contouring procedures, and those who are unsure about body contouring procedures. An anonymous, nonrandomized, cross-sectional survey study was designed. Psychological well-being of four groups of post-bariatric-patients (undergone body contouring procedures, seeking body contouring procedures, not seeking body contouring procedures, unsure about body contouring procedures) were compared. A total of 345 patients were included in this study. No significant difference between patients seeking body contouring procedures and those not seeking body contouring procedures was found with regard to depressive symptoms, self-esteem, and body image. Patients who had already undergone body contouring procedures scored lower on depressive symptoms (p=0.035) and reported feeling more attractive (p<0.001) and less insecure (p=0.030) than patients who had not yet undergone body contouring procedures but sought it. Satisfaction with the result of the body contouring procedures was associated with lower depression levels (p<0.001), higher self-esteem (p<0.001) and a more positive body-image (p<0.001). Depressive symptoms or low self-esteem are not motivational factors for post-bariatric patients to seek body contouring procedures. Body contouring procedures are associated with improvement in psychological well-being in post-bariatric patients. Patients' satisfaction with the result of the body contouring procedures is significantly associated with positive psychological well-being.