Social Support Systems Research Articles

Remedies of Online Gendered Violence against Women in the Digital Context

Online gendered violence (OGV) is a range of harmful behaviors committed through the use of technology as a means of enforcing gender norms that result in mainly sexual and psychological harm or suffering to women. Based on psychological studies, OGV can be classified into four distinct categories: digital sexual harassment, appearance-based violence, gender role-based violence, and anti-feminism violence. The impact of OGV on women is amplified by the systemic discrimination they face in society, making their experiences of online violence unique and especially harmful. This paper explores the legal recognition of OGV, the mechanisms for holding perpetrators accountable, and the potential relief paths available to victims. Through a detailed analysis of these issues, this study aims to provide a comprehensive understanding of how the legal system can be enhanced to more effectively respond to OGV. It argues that a multifaceted approach—one that includes legal reforms, algorithmic transparency, and stronger social support systems—is essential in mitigating the effects of OGV and ensuring justice for women in digital spaces.

Social Media Influence on Factors Affecting Quality of Life among Breast Cancer Survivors: A Conceptual Study

Breast cancer disease remains a significant burden in global public health, affecting women with new cases and mortality. In 2018, Malaysian women of different races, like Malays, Chinese, and Indians, were diagnosed with breast cancer, approximately 17,000 in total. The consequence is that their quality of life was affected, especially in physical and emotional health. Nowadays, the use of social media among users is increasing, and in healthcare, it examines the role of social media in patient education and social support, which highlights the importance of modern digital technology. This conceptual study examines the factors affecting quality of life, moderated by the role of social media influence. Sociodemographic, psychological state, self-care behaviors, social support, and healthcare support systems were among the factors identified. The study relies on the integration of the quality-of-life model and social cognitive theory in conducting the literature review. Furthermore, this study has implications for improving the quality of life through social media, promoting patient-doctor engagement with social media, supporting policymakers in improving public health outcomes, and identifying potential future research topics. Theoretical contributions with integrated frameworks and an innovative approach to breast cancer survivorship were also identified. Policymakers and healthcare professionals have an opportunity to make practical contributions through the use of social media. The study's limitations were a narrow focus on cancer research, limited generalisability, and a broad range of social media investigations

Глобальні виклики для систем соціальної підтримки: сутність, компонентні ознаки та особливості

The article is devoted to issues of global challenges for social support systems. The relevance of the study is determined by the growing role of global challenges in the socio-economic life of states. The purpose of the article is to analyze the specifics of global challenges characterizing modern social support systems, including the social support system of Ukraine. The scientific novelty of the article lies in the identification of global challenges for social support systems. The basic methods of scientific research used in the article are analysis and synthesis (to identify the specifics of global challenges for social support systems), graphic method (to demonstrate the connection between the global basis of the emergence of global challenges and challenges for the social support system). It has been established that the main global challenges for social support systems are the following: the functional failure of the social support system; growing needs of recipients of social services, benefits, and payments; the transformation of a socially oriented state; the reduction in abilities of states to maintain social support systems. The functional failure of the social support system means its state in which the formal presence of agencies and institutions designed to guarantee the provision of social services, benefits and payments to the population is not accompanied by their effective work, that is, the system of social support does not solve the current social problems of society and becomes a burden for state budget. The most acute challenge for the social support system for Ukraine under war conditions is the growth in the needs of recipients of social services, benefits, and payments, which can occur in two ways: 1) an increase in the needs of existing recipients of social benefits, services, and payments on account of changes in the socio-economic, political, ecological, security situation in the region or objective physiological changes in certain groups of recipients (aging, deterioration of well-being); 2) an increase in the number (or share) of people applying for social support due to changes in the socio-economic, political, environmental, security situation in the region or subjective life circumstances. Closely related to this challenge is another challenge, namely the reduction in states’ ability to maintain social support systems. Particular attention is paid to the causes and potential consequences of the transformation of the concept of a socially oriented state. In addition, the author researched the global basis of challenges for social support systems, which combines the key factors of their occurrence.

BEHAVIOURAL PATTERNS OF CHILDREN IN KADUNA STATE ORPHANAGES: A COMPARATIVE ANALYSIS

Background The plight of orphans, exacerbated by conflict, disease, and socioeconomic factors, remains a pressing global issue, particularly in sub-Saharan Africa. Nigeria, notably impacted by the HIV/AIDS epidemic, terrorism, and natural disasters, has witnessed a substantial increase in orphan populations. These children face severe challenges, including child abuse, malnutrition, limited access to education, stigmatization, and a range of psychological and behavioural disorders. Despite some interventions, orphanages primarily address material needs, often neglecting comprehensive medical, social, and psychosocial support. This study explores the behavioural patterns of orphans in Kaduna, Nigeria, and examines how their medical and social challenges compare across various orphanages. Methodology A cross-sectional, comparative analysis was conducted among 100 orphans from selected orphanages in Kaduna. Data were collected through interviewer-administered questionnaires assessing socio-demographics, medical conditions, behavioural patterns, stigma, psychosocial status, and coping strategies. Results The mean age of respondents was 10 years, with 68% being male. Nutritional issues were prevalent, with 53.7% classified as underweight despite 54.9% reportedly consuming balanced diets. Medical concerns were significant, with 33.7% showing clinical signs of illness and 46.7% not fully immunized. Behavioural issues were prominent, including hyperactivity symptoms (27.0%), enuresis (22.3%), and depressive symptoms (1.8%). Socially, most respondents (83.3%) reported positive peer relationships, though bullying (11.4%) and stigmatization (9%) were also observed. Educational access was generally high, with only 2.2% not attending school. However, social support systems varied, with 35.2% reporting strong support and 46.8% adapting their goals as a coping mechanism. Conclusion The findings highlight the complex medical and behavioural challenges faced by orphans in Kaduna's orphanages, underscoring the need for integrated interventions that provide medical, psychosocial, and educational support. A holistic approach is crucial to improving their overall well-being and future prospects.

Development of a Joyful Learning-Based Instructional Model in Javanese Script

Learning Javanese script is considered an outdated and boring lesson. This paradigm of boring and obsolete Javanese script lessons must be changed into a modern, interesting, and enjoyable learning experience. One way to do this is by developing a Joyful Learning-based model for Javanese language instruction. Joyful Learning is a concept of enjoyable learning. The development of a Joyful Learning-based model for Javanese language instruction is urgent and necessary because the learning model currently used by students needs to employ the principles of Joyful Learning, resulting in students feeling bored, tired, and unmotivated to learn. Additionally, Javanese language instruction is viewed as a good means to develop the character of the nation's children, as it contains values of morality and politeness. The research design used is the ADDIE Research and Development design, with the steps of analyzing, designing, developing, implementing, and evaluating. This study uniquely integrates traditional games into the Joyful Learning model. The result of the study is creating a Joyful Learning-based model for Javanese script instruction. The components of this model include the social system, reaction principles, support system, instructional and incidental impacts, and syntagmatic. The syntagmatic model of Joyful Learning-based Javanese script instruction includes an introduction, material delivery, games for writing sentences, games for reading paragraphs in Javanese script, formative assessment, and reflection. The learning model has been tested at SMPN 12 Semarang. The results of the school trial indicate that the Joyful Learning-based Javanese script instruction model is effective for learning.

Factors associated with caregiver burden among family members of persons with schizophrenia in urban communities of China.

Family caregivers bear a heavy burden while providing care for those with schizophrenia, and they frequently play an important role in this regard. The present study examined the degree of caregiver burden and characteristics related to it among family caregivers of persons with schizophrenia in Chinese urban settings. Between August 2023 and June 2024, a cross-sectional study was conducted of 401 family caregivers of persons with schizophrenia living in metropolitan settings. The following measures were administered: the Zarit Burden interview (ZBI), General Self-Efficacy Scale (GSES), Social Support Rating Scale (SSRS), and Simplified Coping Style Questionnaire (SCSQ). Linear regression analyses were used to identify independent correlates of caregiver burden. Family caregivers of persons with schizophrenia had an average ZBI score of 32.90(SD = 17.53) on a 0-88 scale, with the majority (80.0%) reporting moderate caregiver burden (scores of 21-39). The person with schizophrenia's marital status (not married), impulsive or aggressive conduct in the previous year, the caregiver's physical health (poor), and not having multiple caregivers were all independent correlates of caregiver burden. Family caregivers of persons with schizophrenia experience a moderate level of caregiver burden. To lessen the psychological suffering of and strain on caregivers, it is important to intervene early on impulsive and aggressive conduct of persons with schizophrenia, effectively treat physical health problems of caregivers, and strengthen the social support system or otherwise provide assistance to those caring for persons with schizophrenia.

University student suicides in Türkiye: Insights from two decades of media reports

University student suicides have emerged as a significant societal concern, reflecting challenges inherent in the transition to adulthood and academic pressures. This study aims to analyze two decades of national media coverage on university student suicides in Türkiye, examining demographic trends, suicide methods, and social factors implicated in these tragic incidents. A comprehensive scan of Turkish national media archives from January 1, 2004, to December 31, 2023, identified 213 unique reports of university student suicides. Data extracted included age, sex, year of incident, prior suicide attempts, geographic distribution, housing status, academic major, psychiatric history, social background, suicide method, and presence of suicide notes or social media posts. Statistical analyses utilized Fisher's Exact Test and Pearson's Chi-square to examine categorical data. Male students accounted for 61.6% (n=125) of reported suicides, with a mean age of 22.2 years (SD=3.05). The most common suicide method was jumping from height, differing by sex, with hanging prevalent among males and jumping more frequent among females. Mobbing emerged as a predominant social stressor implicated in suicide incidents, surpassing other factors reported in the literature. The findings highlight an alarming increase in media-reported university student suicides, predominantly affecting males and characterized by distinct suicide methods. The pervasive impact of mobbing underscores the urgent need for targeted interventions addressing social stressors, alongside comprehensive medical, psychological, social, and economic support systems within academic settings. Efforts should prioritize proactive mental health initiatives, policy reforms, and community-based interventions to mitigate suicide risks among university students.

The The Impact of Task Management, Social Support and Income on Work-Life Balance among Gig Workers

The study addresses the growing concern about work-life balance among gig workers in Malaysia, a population facing unique challenges due to the nature of gig employment. This issue is particularly critical as gig workers often struggle with task management, securing social support, and dealing with income volatility, all of which impact their ability to achieve a balanced work-life dynamic. This study aims to analyze the effects of task management, social support, and income stability on the work-life balance of gig workers in Malaysia. A quantitative research methodology was employed, involving a survey of 70 gig workers across various sectors in Kedah. The data was analyzed using correlation analysis to assess the relationships between the independent variables, task management, social support, and income stability, and the dependent variable, work-life balance. The findings reveal that task management, social support, and income stability are all significantly correlated with better work-life balance, with task management being the most influential factor. The implications of this study suggest that improving task management practices, enhancing social support systems, and stabilizing income are crucial strategies for gig platforms and policymakers to consider. These measures can significantly improve the well-being of gig workers and contribute to a more sustainable gig economy. The study also highlights the need for further research to explore these relationships in different cultural contexts and over time, to better understand their long-term effects.

Aging With Emerging Social Welfare and Disappearing Filial Piety: Chinese Migrant Workers' Pathways Toward Financial Retirement Planning.

This study examines the pathways and mechanisms linking Chinese migrant workers' migration experiences and their financial retirement planning. Using a mixed-methods approach with 1083 surveys and 32 interviews, this study finds that having a good financial status and social support system and maintaining a hopeful attitude toward retirement are direct pathways toward good financial retirement planning. Good health and hope for retirement are further enhanced by a good financial status and social support. Conversely, poor health and negative employment experiences are linked to poor financial retirement planning. The qualitative findings provide a contextual understanding of the pathways identified in the quantitative analyses. Migrant workers often face a dilemma between self-reliance for retirement and relying on filial piety. These findings apply not only to Chinese migrant workers but also to all migrant workers with limited access to healthcare and public pensions for retirement.

Leveraging a Global Partnership to Address COVID-19-Related Mental Health Challenges.

The COVID-19 pandemic profoundly affected nurses globally. As frontline workers, nurses faced increased responsibilities amid challenges such as isolation, infection risks, family obligations and disrupted social support systems. Coping with these challenges was associated with adverse mental health outcomes. This perspective paper examines a collaboration between two schools of nursing in the United States and India to address these mental health challenges. Faculty from both institutions identified key mental health topics, leading to five webinars that delved into topics such as acute and long-term impacts of COVID-19 on nurse mental health, coping mechanisms, caregiving responsibilities and children's needs during the pandemic. Impressively, over 11,000 nurses from 60 countries engaged, fostering a global platform for sharing evidence-based knowledge, experiences and strategies. This partnership exemplifies the value of international collaboration. By pooling resources and expertise across cultural contexts, the initiative not only disseminated crucial knowledge but also cultivated a sense of global community among nurses. The success of this collaboration underscores the potential of such global partnerships for healthcare institutions worldwide, offering avenues to share best practices and enhance support systems for nurses confronting similar crises globally.

Sickle cell disease awareness and perception among Christian religious leaders in Accra Metropolis: a qualitative study.

Sickle Cell Disease (SCD) is a severe hemoglobin gene mutation disorder inherited from both parents. 2% of Ghanaian newborns are affected by SCD; one in three Ghanaians has the hemoglobin S gene. Christian religious leaders may play a role in the prevention of SCD through the promotion of genetic counseling, genotype screening for premarital couples, and offering counseling to couples on prenatal screening and diagnosis for SCD. However, little is known about the awareness and perception of SCD among Christian religious leaders in Ghana, and this study aims to explore these. This study adopted a qualitative descriptive design to explore the awareness and perception of SCD among Christian religious leaders in the capital city of Ghana. A purposive sampling technique selected 16 participants from churches under the main Christian groups. The participants were chosen based on their roles and responsibilities within their respective churches. Data was collected using a semi-structured interview guide, which included open-ended questions to encourage participants to share their thoughts and experiences. The interviews were conducted in a private setting to ensure confidentiality. The data was then analyzed using a thematic analysis approach, which involved identifying recurring themes and patterns in the participants' responses. The study's findings are crucial. They reveal a high awareness of SCD among Christian religious leaders, but also some misconceptions. Most of the religious leaders knew SCD was a genetic disease, although a few associated SCD with superstitious beliefs, poor dietary intake, and lifestyle. Some also stated that SCD was a disease of the blood group instead of the defective haemoglobin gene. They perceived SCD to be burdensome, disruptive, and draining, and they associated the disease with burnout in Persons Living with SCD (PLWSCD) and their families. The religious leaders had a good social network with PLWSCD, including family, friends, colleagues, and congregants. These findings underscore the need for intense education about SCD, especially among Christian religious leaders. It is crucial to engage all stakeholders to intensify public awareness and education about SCD while improving the management and social support systems available to PLWSCD and families. This includes the religious institution's leadership, PLWSCD and families, the Ministry of Health, Ghana Health Service, and the Ghana Education Service. As active stakeholders, religious leaders can play a vital role in supporting PLWSCD if they are equipped with the necessary knowledge about the condition. .

The Role of social care in health organizations for managing chronic Medical Conditions: A Comprehensive Review

This review examines the role of social care in managing chronic medical conditions within health organizations. Chronic diseases such as diabetes, hypertension, and cardiovascular conditions require comprehensive management strategies that extend beyond medical treatment to address the broader social determinants of health, including socioeconomic factors, social support systems, and community resources. The integration of social care into healthcare settings has emerged as a critical approach to improving patient outcomes and reducing healthcare costs. This review highlights the impact of social care models, such as Accountable Care Organizations (ACOs) and Health Homes, on chronic disease management. By analyzing current literature and case studies, the review explores how health organizations have successfully integrated social services to support patients with chronic conditions. Challenges such as funding, workforce development, and institutional barriers are also discussed. The findings suggest that a multidisciplinary approach combining medical care with social support can enhance care continuity, patient engagement, and long-term disease management. This review emphasizes the need for policy changes and innovative models to facilitate the effective integration of social care into chronic disease management frameworks.

Mediating role of Social Support and Self-efficiency on Academic stress and Student’s Psychological well-being among Public and Private Universities in Mogadishu -Somalia.

Background Academic stress is a significant factor affecting students’ psychological well-being, particularly in higher education. Understanding the mediating roles of social support and self-efficacy can provide insights into how these factors influence students’ psychological well-being in public and private universities. Methods The study examined the mediating roles of social support and self-efficacy in the relationship between academic stress and psychological well-being among university students in Mogadishu, Somalia. Utilizing a stratified sampling technique, data were collected from 663 students across public (52.6%) and private (47.4%) universities through a structured questionnaire and analyzed using path analysis to assess direct and indirect effects. Structural equation modeling technique was used for data analysis. Results The analysis revealed a significant direct effect of academic stress on psychological well-being (β = 0.133, p = 0.000). Academic stress was not significantly related to social support (β = 0.128, p = 0.066) and self-efficacy (β = 0.075, p = 0.099). However, both social support (β = 0.059, p = 0.000) and self-efficacy (β = 0.838, p = 0.000) were significantly related to psychological well-being. The mediating analysis showed that social support partially mediated the relationship between academic stress and psychological well-being (Indirect effect = 0.070, CI [-0.036, 0.197], p = 0.000), while self-efficacy did not mediate this relationship (Indirect effect = 0.063, CI [0.054, 0.218], p = 0.097). Conclusions The findings suggest a significant positive impact of academic stress on psychological well-being, while social support partially mediates this relationship, highlighting its buffering role. Conversely, self-efficacy, although positively contributing to psychological well-being, does not mediate the effect of academic stress. These results underscore the importance of robust social support systems and targeted interventions to enhance students’ coping mechanisms and overall psychological well-being. Study limitations and implication are discussed.

Caregiving experiences and practices: qualitative formative research towards development of integrated early childhood development interventions targeting Kenyans and refugees in Nairobi’s informal settlements

BackgroundEvidence is needed to understand factors that influence child development and caregiving experiences, especially in marginalized contexts, to inform the development and implementation of early childhood development (ECD) interventions. This study explores caregiving practices for young children in an urban informal settlement with Kenyans and embedded refugees, and identifies factors shaping these caregiving experiences, to inform the design and development of potentially appropriate ECD interventions.MethodsA qualitative formative study, which included 14 focus group discussions (n = 125 participants), and 13 key informant interviews was conducted between August and October 2018. Purposive sampling approaches were used to select a diverse range of respondents including caregivers of children below three years of age and stakeholders of Kenyan nationality and refugees. Data were analysed using a thematic approach and the Nurturing Care Framework was used as an interpretative lens.ResultsThere was a fusion of traditional, religious and modern practices in the care for young children, influenced by the caregivers’ culture, and financial disposition. There were mixed views/practices on nutrition for young children. For example, while there was recognition of the value for breastfeeding, working mothers, especially in the informal economy, found it a difficult practice. Stimulation through play was common, especially for older children, but gaps were identified in aspects such as reading, and storytelling in the home environment. Some barriers identified included the limited availability of a caregiver, insecurity, and confined space in the informal settlement, all of which made it difficult for children to engage in play activities. Physical and psychological forms of discipline were commonly mentioned, although few caregivers practiced and recognized the need for using non-violent approaches. Some overarching challenges for caregivers were unemployment or unstable sources of income, and, particularly for refugee caregivers, their legal status.ConclusionThese findings point to the interplay of various factors affecting optimal caregiving for young children in an urban informal settlement with Kenyans and refugees. Integrated ECD interventions are needed for such a mixed population, especially those that strive to anchor along caregivers’ social support system, co-designed together with community stakeholders, that ideally focus on parent skills training promoting nurturing care and economic empowerment.

Educational and personal impacts of the COVID-19 pandemic on emergency medicine resident physicians: a qualitative study

BackgroundThe COVID-19 pandemic had a significant impact on both the clinical practice and the psychological states of frontline physicians in the emergency department. Trainees, at the beginning of their careers and thus still developing their practice styles and identities as physicians, were uniquely affected.ObjectiveIn this qualitative study, we sought to explore how the pandemic environment shaped the experiences of emergency medicine resident physicians.MethodsThis was a qualitative study. We conducted in-depth interviews with emergency medicine faculty, resident physicians, and staff at a single emergency department based at an urban academic institution in the northeastern United States. Interviews were audio recorded and transcribed, and transcripts were then analyzed in an iterative process by our coding team for recurring themes related to the resident experience.ResultsWe reached data saturation with 27 individuals. Of those who were interviewed, 10 were resident physicians [6 senior residents (PGY-3 or PGY-4) and 4 junior residents (PGY-1 or PGY-2)]. Three major recurring themes regarding resident physician experience emerged during our analysis of the interviews: (1) novel educational experiences dampened by negative structural forces from the pandemic, (2) fracturing of social interactions and mitigation through ad-hoc support systems and community of practice, and (3) development of negative emotions and psychological trauma including fear, resentment, and moral injury causing lasting harm.ConclusionsOur results suggest that emergency medicine resident physicians training during the COVID-19 pandemic faced unique experiences concerning their education, social support systems, and emotional states. While the educational and social experiences were described as having both negative and positive impacts, the emotional experiences were largely negative. Residency program leadership may use these insights to improve resident preparation, wellness, and resilience in the face of future adverse events.

Epidemiological characteristics, diagnosis and treatment effect of rifampicin-resistant pulmonary tuberculosis (RR-PTB) in Guizhou Province

BackgroundRifampicin-resistant pulmonary tuberculosis (RR-PTB) presents a significant threat to global public health security. China bears a substantial burden of RR-PTB cases globally, with Guizhou Province experiencing particularly alarming trends, marked by a continual increase in patient numbers. Understanding the population characteristics and treatment modalities for RR-PTB is crucial for mitigating morbidity and mortality associated with this disease.MethodsWe gathered epidemiological, diagnostic, and treatment data of all RR-PTB cases recorded in Guizhou Province from January 1, 2017 to December 31, 2023. Utilizing composition ratios as the analytical metric, we employed Chi-square tests to examine the spatiotemporal distribution patterns of RR-PTB patients and the evolving trends among different patient classifications over the study period.ResultsIn our study, 3396 cases of RR-PTB were analyzed, with an average age of 45 years. The number of RR-PTB patients rose significantly from 176 in 2017 to 960 in 2023, peaking notably among individuals aged 23–28 and 44–54, with a rising proportion in the 51–80 age group (P < 0.001). Since 2021, there has been a notable increase in the proportion of female patients. While individuals of Han ethnic group comprised the largest group, their proportion decreased over time (P < 0.001). Conversely, the Miao ethnicity showed an increasing trend (P < 0.05). The majority of patients were farmers, with their proportion showing an upward trajectory (P < 0.001), while students represented 4.33% of the cases. Geographically, most patients were registered in Guiyang and Zunyi, with a declining trend (P < 0.001), yet household addresses primarily clustered in Bijie, Tongren, and Zunyi. The proportion of floating population patients gradually decreased, alongside an increase in newly treated patients and those without prior anti-tuberculosis therapy. Additionally, there was a notable rise in molecular biological diagnostic drug sensitivity (real-time PCR and melting curve analysis) (P < 0.001). However, the cure rate declined, coupled with an increasing proportion of RR-PTB patients lost to follow-up and untreated (P < 0.05).ConclusionsEnhanced surveillance is crucial for detecting tuberculosis patients aged 23–28 and 44–54 years. The distribution of cases varies among nationalities and occupations, potentially influenced by cultural and environmental factors. Regional patterns in RR-PTB incidence suggest tailored prevention and control strategies are necessary. Despite molecular tests advances, challenges persist with low cure rates and high loss to follow-up. Strengthening long-term management, resource allocation, and social support systems for RR-PTB patients is essential.

Social support, network, and relationships among coaches in different sports: a systematic review.

The study aims to analyze scientific publications on the association between social networks, social relationships, and social support for sports coaches. It seeks to identify the types and levels of social support provided by various agents, and to understand the impact of this support on coaches' wellbeing. The goal is to help coaches better utilize social support, thereby enhancing their quality of life, work, and performance. This study systematically reviewed 11 scientific articles to investigate the association between social support, social networks, and social relationships in sports coaches. It aimed to identify the types and levels of social support offered to coaches by family members, peers, and friends. Our research utilized the PRISMA guidelines for systematic reviews and assessed study quality using the STROBE Statement. Eligibility was determined by the PECOS criterion based on the search strategy terms. Our findings indicate that social support has significant positive effects on sports coaches. It enhances selfcompassion, prevents burnout symptoms, boosts job and life satisfaction, and reduces stress levels. Organizational support, characterized by clear guidelines, guidance, and autonomy, yielded positive outcomes. Conversely, the absence of social support correlated with negative outcomes for coaches, including lower self-compassion, increased stress and burnout symptoms, reduced job and life satisfaction, and heightened work-family conflict. Coaches' social networks encompassed family members, peers, friends, and other sources, with friends perceived as the most influential. Maintaining an effective social support network is crucial for coaches' performance and psychological wellbeing. This systematic review emphasizes the importance of social support for coaches in both their personal and professional lives, noting its positive effects and the negative consequences of its absence. Given the demanding nature of coaching, improving social support systems can enhance coaches' wellbeing and the success of sports activities.

Socio-Economic Status and Living Condition of Widows in Rural Bangladesh

This paper aims to understand the socio-economic status and living conditions of rural widows in Parila Union, Paba Upazila, Rajshahi District, Bangladesh focusing on their socio-cultural deprivation, social security, and community participation. The research covered 16 villages and included social surveys that captured the experiences of 201 widows. Drawing on both qualitative and quantitative data, the study reveals the multifaceted challenges widows face, including social isolation, financial instability, and vulnerability to harassment and criticism. The transition from wifehood to widowhood marks a significant shift in a woman's status within the community, often leading to reduced social participation and economic hardship. The findings indicate that while a majority of widows maintain some degree of community involvement, their participation in social and cultural events diminishes post-widowhood due to stigmatization and financial constraints. The study examines the economic, social, and emotional support systems available to these widows, revealing a lack of comprehensive formal support in Bangladesh, with most assistance coming from family and community members. Many widows lack regular financial support, and the government’s widow allowance is insufficient. The study shows that aged widows, while able to coexist within families, are often excluded from decision-making processes and are deprived of respect and medical facilities, increasing their vulnerability. These socio-economic challenges, including economic deprivation, social subjugation, and humiliation, underscore the critical needs of widows and highlight the necessity for improved support systems to enhance their quality of life. Social and cultural participation diminishes post-widowhood due to stigmatization and financial constraints, while security concerns restrict their mobility, especially at night. Additionally, the study highlights the adverse impact on children of widows, who often suffer from bullying and lack of support. Despite these challenges, some widows exhibit resilience, leveraging community ties for support. The study underscores the urgent need for comprehensive support systems to improve the quality of life for widows in rural Bangladesh, addressing both their economic needs and social reintegration.

"It Is as if I Gave a Gift to Myself": A Qualitative Phenomenological Study on Working Adults' Leisure Meaning, Experiences, and Participation.

Leisure participation is a fundamental human and occupational right throughout life for working people, particularly in adulthood. A total of 28 working adults representing diverse regions of Turkey, from middle-class backgrounds, aged between 25 and 50, and without any known health conditions, were interviewed to gain insights into their leisure participation during the period September 2021-May 2022. The acquired data were analysed using the interpretative phenomenological analysis (IPA) approach. The analysis identified six main themes and twenty-two subthemes: the meaning of leisure, recovery from work, facilitators and barriers, well-being, occupational injustice, and flow of life. Participants distinguished between "free time" and "leisure time", defining the latter as purposeful engagement in enjoyable, meaningful activities. This study emphasises the dynamic interplay of factors influencing leisure participation among Turkish working adults, including working conditions, financial resources, social support systems, and opportunities for participation, with some effects of COVID-19 pandemic. One can shift from well-being to a lack of well-being, and this can result in occupational injustices that may arise in the flow of life, as unsupportive consequences of participation limitations among working adults. By acknowledging and enhancing leisure as a crucial aspect of well-being, this research underscores the importance of promoting resilience and holistic health among working individuals.

Post-Traumatic Stress Disorder and Orthopedic Patients’ Emotional Distress: Moderated Effects of Family and Friends’ Support

Abstract Background: Research indicates that the psychological well-being of orthopedic patients can benefit from a robust social support system that offers emotional assistance both before and after surgery. However, the impact of social networks on mental health outcomes remains inconclusive due to variations in availability. Objectives: This study investigated the influence of support from family and friends in the relationship between post-traumatic stress disorder (PTSD) and emotional distress among orthopedic patients in Nigeria. Materials and Methods: The study employed a hospital-based research design, using the 17-item PTSD self-report measure (PCL-C) and depression anxiety stress scales (DASS-21) to assess psychological distress and dimensions of social support from friends and family, involving 542 orthopedic patients from the National Orthopedic Hospital in Enugu, Nigeria. Results: The findings revealed a significant association between PTSD and emotional distress (β = 0.866; t = 9.245; P &lt; 0.001). Family support was found to exacerbate emotional distress among orthopedic patients (β = 0.448; t = 4.176; P &lt; 0.001), while support from friends showed an inverse effect on emotional distress (β = −0.310; t = −2.880; P &lt; 0.01). Moreover, moderation analysis indicated that high family support reduces the effect of PTSD on emotional distress for orthopedic patients (β = −0.035; t = −3.539; [CI: −0.055, −0.016], P &lt; 0.01). Conclusion: The study recommends prompt intervention for orthopedic patients to enhance their well-being by leveraging the available support from family and friends to alleviate the emotional distress associated with PTSD. Additionally, it underscores the importance of educating families and friends of orthopedic patients on their role in supporting the patient’s recovery journey.