Scale Short Form Research Articles

Coping with COVID-19: a prospective cohort study on young Australians' anxiety and depression symptoms from 2020–2021

BackgroundStudies have shown that the coronavirus (COVID-19) pandemic negatively impacted the mental health of young Australians. However, there is limited longitudinal research exploring how individual factors and COVID-19 related public-health restrictions influenced mental health in young people over the acute phase of the COVID-19 pandemic. This study aimed to identify risk and protective factors associated with changes in individual symptoms of anxiety and depression among young Australians during the COVID-19 pandemic.MethodsThis prospective cohort study collected data on anxiety and depression symptoms of young Australians aged 15–29 years old using the Depression, Anxiety and Stress Scale short form (DASS-21). We delivered four online questionnaires from April 2020 to August 2021 at intervals of 3, 6, and 12 months after the initial survey. We implemented linear mixed-effects regression models to determine the association among demographic, socioeconomic, lifestyle and COVID–19 public health restrictions related factors and the severity of anxiety and depression symptoms over time.ResultsAnalyses included 1936 young Australians eligible at baseline. There was a slight increase in DASS-21 anxiety mean scores from timepoint 3 to timepoint 4. DASS-21 depression scores showed slight fluctuations across timepoints with the highest mean score observed in timepoint 2. Factors associated with increases in anxiety and depression severity symptoms included LGBTQIA + identity, financial insecurity both before and during the pandemic, higher levels of loneliness, withdrawal or deferral of studies, spending more time on social media, and difficulties to sleep. Risk factors for only depression symptoms include unemployment during COVID-19 pandemic and being in lockdown. Living with someone was a protective factor for both anxiety and depression symptoms, pre-COVID-19 unemployment for depression symptoms, and older age and unemployment during the pandemic for anxiety symptoms.ConclusionThese findings indicate that during the first year of the pandemic in Australia, there were significant changes in young people’s mental health which were associated with multiple demographic, socioeconomic, lifestyle, and lockdown factors. Hence, in future public health crises, we suggest more inclusive guidelines that involve young people in their development and implementation ensuring that their unique perspectives and needs are adequately considered.

Prenatal exposure to per- and polyfluoroalkyl substances, genetic factors, and autistic traits: Evidence from the Shanghai birth cohort

The epidemiological evidence regarding prenatal PFAS exposure and its interaction with genetic factors on the autistic traits risk is unclear. This study included 1610 mother-child pairs from the Shanghai Birth Cohort (SBC). Ten PFAS were quantified in blood serum collected in the first trimester. Child autistic traits were evaluated at age 4 using a Chinese version of the social responsiveness scale-short form (SRS-SF). We calculated the polygenic risk score (PRS) to evaluate the cumulative genetic effects of autism. Additive interaction models were established to explore whether genetic susceptibility modified the effects of prenatal PFAS exposure. After adjusting for confounders, we found prenatal PFOA exposure was associated with an increased risk of autistic traits in children (OR, 3.05; 95 % CI, 1.14–7.58), and the increased risk associated with PFOA was mitigated among women who reported pre-pregnancy folic acid supplementation. Additionally, an increased risk of autistic traits was observed in children with higher levels of prenatal PFHxS exposure and a high PRS (p for interaction = 0.021). Our findings suggest prenatal PFAS exposure may increase the risk of autistic traits in children, especially in those with a high genetic risk. Further research is warranted to confirm this association and explore the underlying mechanisms.

Assessment of quality of life in IPF Patients: a multicenter observational study.

This study aimed to examine how dyspnea, cough, sleep disruption, anxiety, depression, and physiological factors affect the quality of life in newly diagnosed, untreated IPF patients. This study is a multicenter observational study. Patients not receiving antifibrotic treatment were included. To assess patients' quality of life, Leicester Cough Questionnaire (LCQ), St. George's Respiratory Questionnaire (SGRQ), Short Form-36 (SF-36), Hospital Anxiety and Depression Scale (HADS), Borg Dyspnea Index (BDI), Modified Medical Research Council Dyspnea Scale (MMRC) score, Composite Physiological Index (CPI), Gender Age and physiology (GAP) score, and Pittsburgh Sleep Quality Index (PSQI) were administered. Among 88 patients (mean age: 67.6±8.5 years), 81.9% were diagnosed with IPF through HRCT, 14.8% through surgery, and 3.4% via cryobiopsy. The average disease duration was 2.2±2.9 years. Over 50% experienced moderate to severe depression, and 40% had moderate to severe anxiety. In the IPF group, 13.6% had possible usual interstitial pneumonia (UIP), and 81.8% had definite UIP pattern. No significant differences were found between UIP groups in various scores. Anxiety and depression correlated negatively with respiratory function and positively with MMRC score and BDI. Sleep quality scores had similar correlations. Patients with good sleep quality had better respiratory parameters (p=0.013), lower MMRC (p=0.004), BDI (p=0.026), and CPI (p=0.047). -Conclusion: A notable number of IPF patients in follow-up show symptoms of anxiety and depression. Moreover, declining respiratory function not only diminishes sleep quality but also elevates dyspnea scores.

Prevalence and Influencing Factors of Body-focused Repetitive Behaviors in Turkish Medical Students

Background/Aims: Body-focused repetitive behaviors (BFRBs) such as skin-picking, trichotillomania, nail-picking, nail-biting, lip-biting and skin-biting have adverse physical and psychological effects. This study aimed to investigate the prevalence and associated factors of BFRBs in a sample of Turkish medical students. Methods: An online survey was used to investigate the prevalence of six BFRBs —skin-picking, trichotillomania, nail-biting, nail-picking, lip-biting and skin-biting-- and psychological factors such as anxiety, depression, stress levels, impulsivity and difficulties in emotional regulation (DER) in a sample of 200 medical students. Skin Picking Scale-Revised (SPS-R), Massachusetts General Hospital Hairpulling Scale (MGH-HPS), Depression Anxiety Stress Scales-21 (DASS-21), Barratt Impulsiveness Scale–Short Form and Difficulty in Emotion Regulation Scale—Brief Form and specific questions for four BFRBs (nail-picking, nail-biting, lip biting and skin biting) were administered. Results: The prevalence of at least one BFRB disorder was 28.0% (n=56). The most common diagnoses were skin-picking (17.0%) and trichotillomania (10.5%), followed by skin-picking (9.0%), lip biting (8.5%), nail-picking (7%) and nail-biting (5.0%). The gender difference was found only in skin-picking disorders (females=22.9%; males=8.5%). Students with BFRB disorder (n=56) were found to have higher levels of anxiety, depression, stress, impulsivity and DER. Students in 2nd, 3rd and 5th grade are more likely to have BFRB disorders than interns. DER was a partial mediating variable between impulsivity and the presence of BFRB disorder. Conclusions: The findings of the study suggest that BFRBs are common among medical students and that these behaviors are associated with psychological factors such as depression, anxiety, stress levels, impulsivity and difficulties in emotion regulation. Screening programs and intervention strategies for BFRBs in medical students should be developed, and it is recommended that psychological factors should be considered in these interventions, emotion regulation and stress management skills should be significantly improved, and comorbid depression and anxiety should be treated.

Emotion Regulation Self-Efficacy as a Mechanism of Alliance and Outcomes in a Brief, Transdiagnostic Digital Mental Health Intervention: L'auto-efficacité de la régulation des émotions en tant que mécanisme d'alliance et de résultats dans une brève intervention transdiagnostique numérique en santé mentale

Objectives Digital mental health interventions have shown promise for alleviating various forms of psychopathology, including depression and anxiety. However, the mechanisms of such interventions remain largely unexplored. The purpose of this study was to investigate a potential mechanistic process through which one hybrid digital mental health intervention (i.e., the Digital Clinic) might operate. We hypothesized that emotion regulation (ER) self-efficacy at the treatment midpoint may mediate the relationship between alliance (i.e., therapeutic alliance and digital alliance) and outcome (i.e., co-morbid symptoms of depression and anxiety) at the treatment endpoint. Methods Data used in this study came from the Digital Clinic, a brief transdiagnostic telehealth treatment program augmented by a dual-purpose digital phenotyping and intervention smartphone app. Recruited primarily from primary care, participants were 82 adults (73% White, 64% cisgender women, mean age 41) receiving outpatient treatment in the northeastern United States. All constructs were measured with validated scales, including The Working Alliance Inventory—Short Revised (WAI-SR) for therapeutic alliance, the Digital Working Alliance Inventory (DWAI) for digital alliance, the PROMIS Self-Efficacy for Managing Emotions Short Form scale for ER self-efficacy, and the Patient Health Questionnaire Anxiety-Depression Scale (PHQ-ADS) for co-morbid symptoms of depression and anxiety. Results Significant reductions in co-morbid symptoms of depression and anxiety and significant increases in ER self-efficacy were found from baseline to treatment endpoint. Therapeutic and digital alliance at the midpoint each predicted reductions in co-morbid symptoms of depression and anxiety at the endpoint through ER self-efficacy, controlling for baseline scores. Conclusions Findings suggest that ER self-efficacy may be a proximal predictor of clinical improvement that may be enhanced by therapeutic and digital alliance. Future controlled research is essential to improve knowledge of the mechanisms of digital mental health interventions and to enhance their effectiveness.

May Bullying Victimization and Loneliness in Adolescents be Risk Factors for Psychological Resilience?

Bullying victimization, which has been identified as a common problem among adolescents in recent years, negatively affects adolescents' psychological resilience in many ways. Similarly, loneliness may also be a risk factor for adolescents' psychological resilience. This study aims to examine the relationships between bullying victimization, loneliness and psychological resilience with adolescents. A total of 639 adolescents (415 girls and 224 boys) attending high school participated in the research. Data were collected through the Multidimensional Bullying Victimization Scale, UCLA Short Form and Adolescent Resilience Scale. The presented hypothesis was tested using hierarchical regression analysis. The findings reveal that there are significant relationships between bullying victimization, loneliness and psychological resilience. In addition, the findings show that bullying victimization and loneliness are significant negative predictors of psychological resilience. According to the findings it is recommended to prevent bullying behaviors among adolescents and to conduct studies to improve adolescents' relationships with peers.

Gender and trait rumination moderates the link between trait impulsivity and gambling problems severity in young adults

AimsTrait impulsivity and trait rumination appear to uniquely contribute to problem gambling. However, only a limited number of studies have investigated their relationship with each other, and no study has tested whether their interplay could explain problem gambling. In this study, we aimed to examine these associations, especially focusing on the putative moderator role of gender. MethodsThe present study utilized data from the first wave of the Budapest Longitudinal Study, representatively surveying young adults. The final, weighted sample consisted of N = 1202 (649 men; mean age = 28.04 years; SD = 4.31) participants who reported gambling in the past year. Gambling severity was assessed by the Problem Gambling Severity Index (PGSI), trait impulsivity was measured by Barratt Impulsiveness Scale short form (BIS-R-10), while rumination was assessed by the short version of Ruminative Response Scale (RRS). ResultsMultiple linear regression analysis showed significant positive association between impulsivity and problematic gambling, and we found that both trait rumination and gender moderated this association, even after controlling for depressed mood, age, level of education, and subjective relative wealth. For men, when the level of trait rumination was high, higher levels of trait impulsivity were associated with an increase in gambling problems. However, these associations were not found among women. ConclusionsOur results suggested that the interplay of trait rumination and trait impulsivity might contribute to problem gambling, potentially by the impulsive desire to alleviate negative mood states. Our results also revealed that these associations could be stronger among men than in women.

Effect of swimming exercise program on quality of life in patients with diabetic foot ulcer

This research aimed to examine the effect of a swimming exercise program on the quality of life in patients with diabetic foot ulcers (DFUs). DFUs are a common complication of diabetes that significantly impact patients' physical and psychological well-being and impose a substantial burden on healthcare systems. Physical activity, including swimming, has been shown to improve various aspects of health and well-being. However, its specific effects on the quality of life in patients with DFUs have not been extensively studied. The study included twenty patients diagnosed with DFUs who volunteered to participate in a 12-week swimming exercise program. The program consisted of three one-hour sessions per week, with exercises performed in an indoor swimming pool. Participants' quality of life was assessed using the Diabetic Foot Ulcer Scale Short Form (DFS-SF) before the program and at 4, 8, and 12 weeks into the program. The results demonstrated significant improvements in various domains of quality of life among participants. The leisure, physical health, dependence/daily life, negative emotions, worry about ulcers/feet, and bothered by ulcer care domains all showed positive changes, with reduced scores on negative items and increased scores on positive items over time. These findings highlight the potential benefits of swimming as a therapeutic intervention for improving the quality of life in patients with DFUs. Swimming, as a low-impact aerobic exercise, offers physiological and psychological advantages, including fat burning, mood improvement, stress reduction, and enhanced cognitive function. The study suggests that incorporating swimming exercise programs into the management and treatment of DFUs may lead to improved overall well-being and quality of life for these patients. Further research and larger-scale studies are necessary to validate these findings and explore the long-term effects of swimming exercise programs on the quality of life in patients with DFUs. Nevertheless, this research provides valuable insights for healthcare professionals in developing comprehensive treatment approaches for individuals with DFUs.

Translation and validation of the Arabic Jordanian version of the diabetic foot ulcer scale-short form (DFS-SF)

The Diabetic Foot Ulcer Scale-Short Form (DFS-SF) is an important tool for assessing the quality of life of diabetic foot patients. This study aims to translate and validate the DFS-SF into Arabic and evaluate its validity and reliability. The translation process followed WHO guidelines, including forward translation, expert panel review, back translation, pre-testing, and final version development. The translated questionnaire was then administered to a sample of Arab Jordanian patients with diabetic foot ulcers. Validity was assessed by examining the correlation coefficients between each item and its corresponding dimension, as well as its correlation with the DFS-SF scale as a whole. Reliability was evaluated using Cronbach's alpha coefficient. The results demonstrated high validity and reliability of the Arabic Jordanian version of the DFS-SF, making it a valuable tool for assessing the impact of diabetic foot ulcers on patients' quality of life.

Relationship between Internet Gaming Disorder Severity and Musculoskeletal Complaints among University Students

Background: The increasing prevalence of internet gaming among university students raises concerns about associated musculoskeletal complaints due to prolonged device usage and poor posture.Objective: To assess the relationship between internet gaming disorder severity and musculoskeletal symptoms among university students.Methods: This cross-sectional study involved 380 university students aged 18-25 years, selected through purposive sampling. Participants completed the Internet Gaming Disorder Scale-Short Form (IGDS9-SF) and Modified Nordic Musculoskeletal Questionnaire (mNMQ). Data were analyzed using SPSS Version 25 with chi-square tests to determine associations between gaming disorder severity and musculoskeletal complaints.Results: Among participants, 39.2% had low, 46.3% moderate, 13.9% high, and 0.5% very high internet gaming disorder severity. Musculoskeletal symptoms were reported in the neck (46.6%), shoulders (28.9%), wrists/hands (28.9%), and lower back (31.8%). Significant associations were found between gaming severity and musculoskeletal symptoms in the neck (p=0.00), shoulders (p=0.00), wrists (p=0.000), and lower back (p=0.015).Conclusion: A significant relationship exists between internet gaming disorder severity and musculoskeletal symptoms among university students, emphasizing the need for ergonomic interventions and awareness programs.

Breastfeeding mothers' self-confidence: A mixed-method study

Objective: To establish the association of the mother's breastfeeding self-efficacy with infant feeding in the first six months of the child's life and identify the mothers’ perception of their confidence to breastfeed. Background: Breastfeeding is a multi-determined process. Many factors contribute to a mother’s ability to exclusively breastfeed until a child reaches six months of age. Among these factors is a mother’s confidence in her abilities to breastfeed her baby, referred to as breastfeeding self-efficacy. Thus, self-efficacy for breastfeeding could be an essential predictor of reducing the risk of early weaning. Study design and methods: This is a mixed-method sequential explanatory study. The short form of the Breastfeeding Self-Efficacy Scale was used to determine the level of the mothers' confidence. 158 mothers were surveyed during their postpartum hospital stay, and 128 were included in a follow-up six months after delivery. Additionally, 22 participants were randomly selected for an in-depth interview (qualitative stage). Data were analysed using inferential statistics and thematic content analysis. Results: High levels of breastfeeding efficacy were identified during the hospitalisation and after discharge among all participants. Exclusive breastfeeding was practised among 45.31% of mothers six months after delivery. Return to work was a key factor contributing to early weaning. Family and health professional support during the breastfeeding process were associated as crucial for the duration of exclusive breastfeeding. Discussion: Exclusive breastfeeding for the first six months after delivery involves various factors, such as the mother’s confidence in her breastfeeding skills and the specific circumstances she faces while breastfeeding. Thus, through the mixed qualitative and quantitative approaches, it was possible to identify the convergence of self-efficacy scores and the breastfeeding mothers' perception of their confidence and intention to maintain exclusive breastfeeding. Conclusion: High self-efficacy to breastfeed alone was not enough to maintain exclusive breastfeeding. It is necessary to combine self-efficacy and family or health service support and guidance to clarify the mother's doubts about potential difficulties that may appear throughout the breastfeeding process, the maintenance of lactation when she plans to return to work, and the breastfeeding technique. Implication for practice: Applying the Breastfeeding Self-Efficacy Scale associated with the breastfeeding mothers' interview during the prenatal and perinatal period facilitates early identification of mothers at risk for early weaning and helps nurses in planning interventions to support the breastfeeding mother and her child in favour of exclusive breastfeeding duration. What is already known about the topic? Exclusive breastfeeding (EBF) is recommended for the first six months of a child's life; however, many mothers do not follow this recommendation due to multiple barriers such as mental health issues (i.e., postpartum depression or anxiety), educational gaps, physical discomfort like sore nipples, engorgement, return to work, and lack of support. Breastfeeding self-efficacy has been associated with the duration of breastfeeding. What this paper adds Breastfeeding mothers' self-efficacy is essential for stimulating maintenance. Questions 3 (I always feed my baby without using powdered milk as a supplement) and 11 (I always breastfeed my baby on one breast and then switch to the other) of the Breastfeeding Self-Efficacy Scale (short form) predicted early weaning risk. Planning nursing care intervention for breastfeeding mothers in their follow-up after birth should include assessing their breastfeeding self-efficacy and factors that could contribute to early weaning, such as returning to work and the lack of a support network.

Validation of Short-Form Scales of Self-Control, Procedural Justice, and Moral Foundations

Self-control, perceived procedural justice, and moral foundations are prominent theoretical constructs in the criminological literature. However, existing measures of each are long. Long scales crowd questionnaires, increase cognitive burden, and lengthen completion times. Using a set of heuristic guidelines for scale construction, we develop short measures of self-control, procedural justice, and moral foundations and then test experimentally whether they can replace the existing longer versions. We conducted a series of split-ballot experiments with a national sample of American adults (N = 1191). Respondents were randomly assigned to receive the existing long scale or our shorter version. We then compared the scales on factor structure, reliability, and validity. The short scales performed as well, and sometimes better than, the longer versions. Our results suggest that researchers can use our short scales of self-control, procedural justice, and moral foundations in lieu of the existing long scales while maintaining data quality.

Интернет-игровое расстройство и неудовлетворенные психологические потребности: опосредующая роль самооценки, депрессии и эскапизма

<p>Internet gaming disorder (IGD) is a widespread mental health issue especially among youth but its etiology remains unclear. The aim of this study was to test an integrative path model in which basic universal psychological needs of competence, autonomy, and relatedness predict IGD through the serial mediation of self-esteem, depression, and escape motivation. Study design was cross-sectional. A total of 331 Turkish gamers whose mean age was 22.7 years (SD=4.73) were recruited through purposive sampling. Among the participants, 57.1% (n=189) were male and 42.9% (n=142) were female. Online standardized self-report questionnaires for measuring IGD, gaming motivations, basic psychological needs satisfaction, self-esteem, and depression were filled out by the participants. In this regard, a personal information form, the Internet Gaming Disorder Scale-Short Form, Motives for Online Gaming Questionnaire, Basic Psychological Need Satisfaction Scale-In General, Rosenberg Self-Esteem Scale, and the Hospital Anxiety Depression Scale-Depression Subscale were administered. Men had higher mean IGD and gaming motivations scores compared to women. It was found that self-esteem, depression, and escapism serially mediated the association between basic psychological needs and IGD. The contribution of the findings to the relevant literature and clinical implications were discussed.</p>

Diminished pain sensitivity mediates the relationship between psychopathic traits and reduced learning from pain

Individuals with elevated psychopathic traits exhibit decision-making deficits linked to a failure to learn from negative outcomes. We investigated how reduced pain sensitivity affects reinforcement-based decision-making in individuals with varying levels of psychopathic traits, as measured by the Self-Report Psychopathy Scale-Short Form. Using computational modelling, we estimated the latent cognitive processes in a community non-offender sample (n = 111) that completed a task with choices leading to painful and non-painful outcomes. Higher psychopathic traits were associated with reduced pain sensitivity and disturbances in reinforcement learning from painful outcomes. In a Structural Equation Model, a superordinate psychopathy factor was associated with a faster return to original stimulus-outcome associations as pain tolerance increased. This provides evidence directly linking reduced pain sensitivity and learning from painful outcomes with elevated psychopathic traits. Our results offer insights into the computational mechanisms of maladaptive decision-making in psychopathy and antisocial behavior.

Evaluation of the usability and acceptability of the P-STEP® mobile app: feasibility study protocol

BackgroundThe new P-STEP® (Personalised Space Technology Exercise Platform) app is designed to bring together tailored exercise guidance and up-to-date air quality information. The app allows individuals to plan outdoor exercise walking routes while minimising their exposure to air pollution. Individuals with chronic long-term conditions, particularly respiratory and cardiovascular conditions, can use the app in order to minimise the risk of their symptoms being exacerbated by pollution, while still gaining the benefits of outdoor exercise.MethodsThis study will measure the usability and acceptability of the P-STEP® app. The study will take the form of a single-arm 12-week app pilot study based in Leicestershire, United Kingdom (UK). We will recruit a maximum of 380 participants from an existing cohort study to pilot the app for 12 weeks. Questionnaire data will be collected at three timepoints, baseline, 6 weeks and 12 weeks. The primary outcome is the System Usability Scale at 12 weeks. Secondary outcomes include the User Engagement Scale Short Form, SF-12, Recent Physical Activity Questionnaire (RPAQ), bespoke, app specific usability questions, and feasibility outcomes. Additional data collected includes participant demographic information, technology self-efficacy and adverse events. Weekly anonymised usage data from the app will also be collected by the app team and analysed separately to complement the questionnaire data.DiscussionThis study will help us better understand the feasibility and acceptability of using the P-STEP® in the community. The results will also help inform future studies.Ethics and disseminationThis study has received ethical approval from the South West Frenchay Research Ethics (23/SW/0060) Committee. There is no need for further approval from the Health Research Authority as the study is not taking place in the NHS. The ClinicalTrials.gov ID number is NCT05830318.

Presenteeism and missed nursing care: a descriptive, correlational and observational study

BackgroundMissed nursing care poses a significant challenge for healthcare staff in terms of patient safety and care quality.ObjectiveTo evaluate presenteeism and missed care attitudes of nurses and to determine the correlation between presenteeism and missed care.MethodsThis descriptive, correlational, and observational study was conducted between February and August 2023. The Stanford Presenteeism Scale-Short Form and the MISSCARE Survey were used to collect the data among nurses at two public hospitals in a city in Turkey. The study was completed with 229 nurses representing 27.4% of the total number of nurses who met the inclusion criteria. The data was analyzed using a comprehensive analytical approach, including Cronbach’s alpha analysis, frequency and percentage distribution, the Shapiro–Wilk test of normality, correlation coefficient analysis, Pearson correlation coefficient, and the Bonferroni test.ResultsThe participants’ mean age was 30.22 ± 7.14 years, and 74.2% of them were female. 53.3% of the participants reported difficulty providing patient care due to material shortages, and 62.9% experienced challenges delivering care due to the intensity of paperwork in the clinic. Nurses who felt that paperwork intensity affected patient care and were not confident in their care provision had higher levels of presenteeism (p = 0.041) and a significantly higher frequency of missed care instances (p < 0.001).ConclusionsMaterial shortages and high paperwork intensity are contributing factors to the difficulties experienced by nurses in their practice. These difficulties may lead to an increase in presenteeism and instances of missed nursing care. It is important to address these challenges to ensure adequate care provision and reduce the likelihood of presenteeism among nurses. The correlation between presenteeism and instances of missed nursing care highlights the impact of presenteeism behaviors on the quality of patient care.

Quality of life and its determinants in patients with chronic respiratory diseases in the Fes-Meknes region, Morocco.

Chronic respiratory diseases (CRDs) pose a serious public health issue, affecting social functioning and psychological well-being and leading to a deterioration in the quality of life. The aim of this study was to assess the quality of life of patients with CRDs and determine the factors associated with their impairment in Morocco. A cross-sectional study was conducted in the Pulmonology Department of the Hassan II University Hospital in Fez in 2021. Data collection was carried out using an anonymous questionnaire containing sociodemographic, clinical, and therapeutic information. We employed the Moroccan version of the 12-item short-form (SF-12) scale to assess the mental and physical quality of life of patients. Bivariate analysis was performed to investigate the association between various factors and quality of life, using tests appropriate to the types of variables studied. Subsequently, multivariate analysis through multiple linear regression was employed to determine factors associated with quality of life, taking into account confounding factors. The threshold for inclusion in the model was set at 20%. Significant associations are presented as β values along with their 95% confidence intervals (CI). Our study included 209 patients, with 50.7% being female and 74.2% aged over 50 years. The most frequent clinical symptom was coughing. The average physical quality of life was estimated at 34.45±13.78, and the mental quality of life was 33.72±19.79. Multivariate analysis revealed that the deterioration of physical quality of life was associated with marital status (single) [β=-6.84; 95% CI (-11.43; -2.25); p=0.004], stage II dyspnea on the Modified Medical Research Council scale [β=-4.94; 95% CI (-9.41; -0.52); p=0.029], and the presence of cyanosis [β=-9.65; 95% CI (-15.64; -3.67); p=0.002]. The factors negatively associated with mental health in our patients were age ≥50 [β=-7.84; 95% CI (-15.05; -0.62); p=0.033], marital status (single) [β=-7.81; 95% CI (-15.14; -0.48); p=0.037], and presence of cyanosis [β=-10.70; 95% CI (-20.08; -1.32); p=0.026]. The SF-12 calculation reflected an impairment in the quality of life of patients with CRDs. It is imperative to integrate the assessment of quality of life into the management strategy for this pathology.

A - 33 Impact of Cognitive Stimulation Therapy on Neuropsychiatric Symptoms and Everyday Functioning in a Veteran Sample

Abstract Objective Cognitive stimulation therapy (CST) is a well-supported nonpharmacological intervention, found to improve or maintain global cognition, daily functioning, and quality of life with persons with dementia. There are fewer studies assessing the effect of CST on neuropsychiatric symptoms; however, pilot studies have identified improvement in depression and anxiety in studies of persons with Alzheimer’s disease. The purpose of this program evaluation was to evaluate the impact of CST on neuropsychiatric symptoms and everyday functioning is a veteran sample. Method Twenty-six male veterans diagnosed with cognitive disorder (84.6% dementia, 15.4% mild cognitive impairment) completed a 7-week CST program. The sample was diverse (46.2% White/Caucasian, 42.3% Hispanic/Latino, 7.7% Black/African American; 38.5% bilingual). Most frequent etiologies included mixed (26.8%), Alzheimer’s (23.1%), and vascular (19.2%). Ages ranged from 43–86 (M = 74.5; SD = 7.6). Pre-group/post-group assessment included Geriatric Depression Scale-Short Form (GDS-SF), Geriatric Anxiety Inventory (GAI), Neuropsychiatric Inventory (NPI-informant), Everyday Cognitive (ECOG), and Texas Functional Living Scale (TFLS). Analyses included paired-samples t-test and Wilcoxon signed-rank test. Results Post-group GAI scores were significantly lower (Median = 1) than pre-group scores (Median = 3), z = −2.574, p = 0.01, r = −0.515. There were no significant declines or improvements across other measures of neuropsychiatric symptoms. Measures of IADLs/everyday functioning also remained stable. Conclusions Consistent with prior studies, CST was effective in reducing anxiety symptoms of veterans with cognitive disorders. While measures of everyday functioning did not improve, performance and informant-report remained stable. CST presents a unique opportunity to impact both cognition and neuropsychiatric symptoms that may cause significant distress in veterans with dementia and their caregivers.

Examining the risk factors of chronic pelvic pain and its effect on the quality of life in refugee and non-refugee women

BackgroundThis study aimed to determine the prevalence of chronic pelvic pain(CPP) in refugee and non-refugee women, determine the factors associated with CPP, and evaluate the effect of CPP on life quality.MethodsThis was a cross-sectional study conducted among 283 non-refugee and 278 refugee women in Turkey. A questionnaire including questions assessing chronic pelvic pain and related factors, World Health Organization Quality of Life Scale Short Form(WHOQOL-BREF), Depression Anxiety Stress Scale-21, were administered to the participants. Chi-square test, Mann-Whitney U test and multiple logistic regression analysis were used for statistical analysis.ResultsThe prevalence of chronic pelvic pain was 41.0% in refugee women and 19.1% in non-refugee women (p< 0.001). The prevalence of CPP was 1.68 times higher in refugee women than in non-refugee women (OR;95%CI:1.68;1.01–2.81). In the multivariate analysis performed in the study group, refugee status, low family income status(OR;95%CI:2.09;1.26–3.46), low back pain(OR;95%CI:2.02;1.21–3.35), dyspareunia (OR; 95%CI:2.96;1.75–4.99), number of three or more miscarriages (OR;95%CI:3.07;1.18–8.01), history of gynaecological surgery (OR;95%CI:2.44;1.33–4.50), diarrhea (OR;95%CI:2.01;1.07–3.76), urinary tract infections(OR; 95%CI:1.66;1.02–2.71) and anxiety(OR; 95%CI:1.17;1.10–1.24) were found to be risk factors for CPP. In the refugee and non-refugee groups, those with CPP had lower scores in all subdomains of the WHOQOL-BREF scale than those without CPP (p < 0.05).ConclusionsRefugee status independently contributes to the risk of developing CPP. Targeted interventions to address CPP and its associated risk factors are needed, particularly in vulnerable refugee populations, to improve their quality of life.

Career Insecurity Scale Short Form (CI-S): Construction and Validation

To facilitate research on career insecurity, we develop and validate an eight-item short form of the 32-item original scale across three studies, namely the CI-S. In all studies, CI-S consistently showed high internal reliabilities and correlations with the full scale. Specifically, Study 1 finishes the preliminary item selection and makes an initial validation. Study 2 demonstrates that CI-S has a comparable criterion-related validity with the full scale. Study 3 examines a moderated mediation model of the relationship between career insecurity and workplace deviance and shows that using CI-S or the full scale does not change the results. Taken together, these studies demonstrate that CI-S is a psychometrically satisfying and practically useful measure of career insecurity that can be used with confidence in research and practice.