Strong Social Support Research Articles

Resilience after severe critical illness: a prospective, multicentre, observational study (RESIREA)

BackgroundCritical-illness survivors may experience post-traumatic stress disorder (PTSD) and quality-of-life impairments. Resilience may protect against psychological trauma but has not been adequately studied after critical illness. We assessed resilience and its associations with PTSD and quality of life, and also identified factors associated with greater resilience.MethodsThis prospective, multicentre, study in patients recruited at 41 French ICUs was done in parallel with the NUTRIREA-3 trial in patients given mechanical ventilation and vasoactive amines for shock. Three months to one year after intensive-care-unit admission, survivors completed the Connor-Davidson Resilience Scale (CD-RISC-25), Impact of Event-Revised scale for PTSD symptoms (IES-R), SF-36 quality-of-life scale, Multidimensional Scale of Perceived Social Support (MSPSS), and Brief Illness Perception Questionnaire (B-IPQ).ResultsOf the 382 included patients, 203 (53.1%) had normal or high resilience (CD-RISC-25 ≥ 68). Of these resilient patients, 26 (12.8%) had moderate to severe PTSD symptoms (IES-R ≥ 24) vs. 45 (25.4%) patients with low resilience (p = 0.002). Resilient patients had higher SF-36 scores. Factors independently associated with higher CD-RISC-25 scores were higher MSPSS score indicating stronger social support (OR, 1.027; 95%CI 1.008–1.047; p = 0.005) and lower B-IPQ scores indicating a more threatening perception of the illness (OR, 0.973; 95%CI 0.950–0.996; p = 0.02).ConclusionsResilient patients had a lower prevalence of PTSD symptoms and higher quality of life scores, compared to patients with low resilience. Higher scores for social support and illness perception were independently associated with greater resilience. Thus, our findings suggest that interventions to strengthen social support and improve illness perception may help to improve resilience. Such interventions should be evaluated in trials with PTSD mitigation and quality-of-life improvement as the target outcomes.

Challenges of parenting children born before 24 weeks of gestation.

To assess experience of care, well-being of parents and children's development in a cohort of extremely premature infants born <24 weeks of gestation in Sweden from 2007 to 2018. A survey based on multiple questionnaires answered by 124/349 (35.5%) parents. The median age of parents and children was 43 and 9 years, respectively; 74.2% were mothers. Parents expressed high healthcare satisfaction. Following discharge from neonatal care, the satisfaction with the infant's treatment, support from personnel and being respected as a parent significantly declined but remained high. The criteria for suspected developmental deviation according to the screening test early symptomatic syndromes eliciting neurodevelopmental clinical examinations-questionnaire was fulfilled by 84.3%, 55.6% had suspected avoidant restrictive food intake disorder and 47.9% had visual perception problems. Parents experienced severe fatigue (48.6%) despite strong social support and family self-efficacy. Economic support was provided to 30.6%, and 37.9% of children were enrolled in habilitation services. This study highlighted the substantial challenges faced by parents of infants born before 24 weeks of gestation, including decreased satisfaction post-discharge, fatigue and concerns about children's well-being. The findings underscore the need for comprehensive family-centred support and long-term multi-professional follow-up centres.

The Role of Social Support in Improving the Well-Being of the Elderly: A Qualitative Review

This research aims to explore the role of social support in improving the well-being of the elderly through a qualitative review. Social support is identified as a crucial factor influencing the quality of life and happiness of older people in social, emotional and instrumental contexts. Qualitative research methods were used to gain in-depth understanding through in-depth interviews with elderly people and content analysis of related literature. The research results show that family, peers, and community play an important role in providing social support to the elderly. This support not only improves their emotional well-being but also provides practical help in living their daily lives. Seniors who feel strong social support tend to have lower levels of depression, better physical health, and a higher quality of life. Policy suggestions include increasing public awareness about the importance of social support for the elderly, developing community programs that support their social interactions, as well as integrating the concept of social support in public policies related to the welfare of the elderly. It is hoped that this research can make a significant contribution in increasing understanding and approaches to the important role of social support in advancing the welfare of the elderly in society.

Tantangan dan Hambatan dalam Menjalankan Peran Khalifah: Studi Kasus Dalam Lingkup Mahasiswa UPN Veteran Jawa Timur

Islam is a religion that is much sought after by the world's population. Humans as noble and special creatures are an inseparable part of this universe, so Allah SWT has given them various advantages compared to other creatures. The role of humans on earth as caliphs or as leaders on earth is a very strategic role. Challenges and obstacles in carrying out the role of caliph among UPN Veteran East Java students were analyzed using a questionnaire method, data was collected from 50 students to gain in-depth insight into their views on the role and obstacles as caliph in the campus environment. The research results show that the majority of UPN Veteran East Java students have a positive view of the role of the caliph, with 66.3% agreeing or strongly agreeing. As many as 80% of students felt that their friends' views were also very positive, indicating strong social support. However, 58.3% of students admitted that there were challenges and obstacles in carrying out the role of caliph on campus. Strong social support is considered important to overcome the challenges faced in the Industrial Revolution 4.0 era, in line with research which shows that rapid changes in this era require special attention to character education. Keywords: Islamic Religious Education, Khalifah, Questionnaire

Does Social Support Play a Role in the Expression and Everyday Functioning Impact of Apathy in HIV Disease?

Clinically notable apathy occurs in approximately one-third of persons living with HIV (PLWH). Drawing from psychological theory, this cross-sectional study examined the interplay between apathy and social support in persons with (n = 143) and without (n = 61) HIV disease. Analyses were conducted using multiple regression and mediation procedures with 95th percentile bootstrap confidence intervals. Positive HIV serostatus and lower social support were associated with more frequent apathy, independent of other mood symptoms. Social support did not moderate apathy's associations with everyday functioning among PLWH, but post hoc analyses revealed that apathy mediated the relationship between social support and everyday functioning among PLWH. Stronger social support may provide a buffer against the frequency of apathy symptoms in persons with and without HIV disease. The relationship between lower social support and poorer everyday functioning in HIV might be partly explained by apathy. Longitudinal research is needed to examine the mechanisms of these relationships.

The psychosocial determinants of adherence to home-based rehabilitation strategies in parents of children with cerebral palsy: A systematic review.

Involving parents of children with cerebral palsy (C-CP) in home exercise programmes (HEP) is globally practiced strategy closely linked to improved physical performance and functional outcomes for the child. Nevertheless, non-adherence to HEP is increasing at an alarming rate, and little is known about the factors influencing adherence to HEP (AHEP) especially in parents of C-CP. This systematic review aimed to identify the factors enhancing AHEP among parents of C-CP to reinforce the efficacy of rehabilitation practices proposed by health professionals, researchers, and educators. We conducted searches in PubMed, Scopus, CINHAL, PsycINFO, and Embase for articles published up to March 2023, that investigated the factors influencing AHEP among parents of C-CP. A narrative synthesis was conducted using the search results and pertinent material from other sources. Overall, non-adherence rates to HEP were moderate to high, ranging from 34% to 79.2%. Strong evidence suggests that factors enhancing AHEP fall into three categories: child-related (such as younger age and better gross motor function [GMF]), the caregiver-related (including high self-efficacy and knowledge, strong social support, low levels of depression, anxiety and stress symptoms, and a low perception of barriers), and the physiotherapist-related. For the latter category, the parent's perception of a supportive and collaborative relationship with the therapist is one of the conditions most favourably influences AHEP. Our findings highlight that factors influencing AHEP are multifactorial. Some, such as GMF or the economic and social conditions of the family, are challenging to change. However, the relationship between therapist and parent is an aspect that can be strengthened. These results underscore the importance of substantial training and psychosocial support for therapists to enhance their awareness and competence in building supportive relationship with parents.

Post-traumatic stress disorder and associated factors among inpatients at Eastern Command Referral Hospital in Dire Dawa, Eastern Ethiopia.

Post-traumatic stress disorder (PTSD) is characterized by heightened stress and anxiety after experiencing a traumatic event. While numerous studies have been conducted to investigate the magnitude and factors associated with PTSD, there is limited evidence available on specific study populations of military personnel. The study aimed to determine the magnitude of post-traumatic stress disorder and associated factors among military personnel admitted to the Eastern Command Referral Hospital in Eastern Ethiopia from May 1 to 30, 2023. A cross-sectional study was carried out at an institution. Face-to-face interviews were conducted to collect data using the post-traumatic stress disorder military version checklist for the Diagnostic and Statistical Manual, Fifth Edition. Data were entered and analyzed using EpiData version 3.1 and STATA version 14. Descriptive statistics were employed to summarize the information. To investigate factors linked with outcome variables, bivariate and multivariate logistic regression analyses were conducted. The results were presented using odds ratios with 95% confidence intervals, with statistical significance given at a p-value of 0.05. This study found that approximately 23.6% (95% CI = 19.9-27.8) of admitted military members fulfilled the diagnostic criteria for PTSD. Participants' history of mental illness [adjusted odds ratio (AOR) = 5.73, 95% CI = 2.66-12.31], family history of mental illness (AOR = 10.38, 95% CI = 5.36-20.10), current chewing of khat (AOR = 2.21, 95% CI = 1.13-4.32), physical trauma (AOR = 2.03, 95% CI = 1.00-4.13), moderate social support (AOR = 0.27, 95% CI = 0.1-4.53), strong social support (AOR = 0.09, 95% CI = 0.02-0.35), and severe depression (AOR = 2.06, 95% CI = 1.74-5.71) were factors significantly associated with post-traumatic stress disorder. The magnitude of post-traumatic stress disorder is high among military personnel. Factors such as participants' history of mental illness, family history of mental illness, depression, lack of social support, current use of khat, and physical trauma are significantly associated with PTSD. It is crucial to identify and intervene early in individuals with these risk factors to address PTSD effectively.

Memahami Tantangan dan Solusi Quarter-Life Crisis dalam Perspektif Psikologi Sosial

This research aims to understand the challenges and solutions faced by young adults experiencing a quarter-life crisis (QLC) from a social psychology perspective. The method used is a case study involving individuals aged 20-30 years. The results show that QLC is a period of significant crisis, characterized by uncertainty and anxiety regarding career, interpersonal relationships, and self-identity. The main causal factors include social pressure, comparison of oneself with others, and family and environmental expectations. The psychological impacts that arise include feelings of being trapped, anxiety, and depression, which affect an individual's mental and emotional well-being. This research identified four main stages in QLC: feelings of being trapped, the urge to change the situation, efforts to rebuild life, and finally achieving control and life satisfaction. Effective solutions to overcome QLC include psychological interventions such as solution-focused therapy, limiting social media use, and developing a strong social support network. Better self-understanding and focusing on concrete actions are also important strategies in dealing with uncertainty and anxiety during this period. This research provides important insights for psychology practitioners and individuals facing QLC, and emphasizes the need for interventions tailored to each individual's specific needs. With the right support, individuals can manage QLC more effectively and achieve a more stable and fulfilling life.

Disparities in cancer care: Is there a benefit for increased use of inpatient chemotherapy (IPC) in safety-net hospitals?

e13690 Background: Safety net hospitals provide care to a large number of vulnerable patients (pts) regardless of their ability to pay (1). These pts often have barriers to acceptance at many hospitals, including lack of or poor insurance, social and economic challenges. Additionally, pts frequently present with more advanced disease (2). Systemic treatment is preferentially administered on an ambulatory basis given several factors: clear financial incentives; effective supportive care; the association of good performance status (PS) with better outcomes; and patient preference (3). Only a few malignancies require inpatient systemic treatment. Strong social support is required for safe and effective ambulatory care, thus especially challenging pts at safety net hospitals in which social constraints are common. Methods: We reviewed patterns of IPC to determine efficacy and outcomes over a 3-year period at a safety net hospital, examining: malignancy type, reason for IPC treatment, treatment regimen (typically outpatient or inpatient), length of stay, and survival. Results: 82 pts met criteria. 56% had hematologic or HIV-associated malignancies. Solid tumor types included GI, breast, GYN, GU and small cell malignancies. Reasons for IPC were progression, worsening symptoms, declining PS in 55% and social constraints in 11%. Patient death within 3 months of IPC, or direct discharge to hospice/nursing home occurred in 42%. Further outpatient chemotherapy was never given in 50%. Death occurred in 15% of pts on the same hospitalization as the IPC; several additional pts were readmitted and died within one month. Individuals receiving IPC due to poor social support frequently required rapid rehospitalization, had poor outpatient follow-up, or died shortly thereafter. Three month survival was more favorable in pts with multiple myeloma or those admitted for drug-desensitization. Conclusions: Outcomes, including survival and rapid rehospitalization, were poor for pts receiving typical outpatient regimens on an inpatient basis whether due to social constraints, declining PS or worsening symptoms. A large percentage of pts never received further chemotherapy. IPC is costly, undesired by pts, and is often not a good use of resources. Pts with highly responsive cancers with fair to good PS had acceptable outcomes. IPC should be reserved for such pts if alternative outpatient regimens are not available. Earlier discussion of hospice and goals should not be replaced by chemotherapy. Institutional unavailability of key oral agents and limited outpatient resources often contribute to IPC. Better access to modern agents, enhanced social support, enlarged and better supported outpatient resources, as well as improved decision making improve cancer care. Our results do not support IPC as a frequent approach to cancer care in safety net hospitals. 1. Popescu, JAMA 2019. 2. Farkas, JCO 2012. 3. Mor, J Clin Epid 1988.

A thematic analysis of interviews reveals how a STEM faculty development program supported the complexity of implementing evidence-based teaching

We sought to identify which aspects of our professional development program,&amp;nbsp;the Consortium for the Advancement of Undergraduate STEM Education&amp;nbsp;(CAUSE), were most useful for the participants. CAUSE was&amp;nbsp;designed to support STEM faculty as they implement evidence-based&amp;nbsp;teaching practices. We interviewed six faculty participants (Fellows) to&amp;nbsp;address two questions: (1) Which aspects of CAUSE were useful for participants?&amp;nbsp;and (2) What factors influenced implementation of evidencebased&amp;nbsp;teaching? We conducted a qualitative thematic analysis of the&amp;nbsp;interviews by iteratively coding the transcripts and organizing final codes&amp;nbsp;into themes. We found five themes. Two themes addressed the social and&amp;nbsp;educational value CAUSE offered. Fellows valued curated references with&amp;nbsp;empirical evidence of the impact of teaching practices on student learning&amp;nbsp;and valued the strong social support from interacting with a consistent&amp;nbsp;cohort of faculty over time. Three themes identified factors that influenced&amp;nbsp;faculty to implement evidence-based teaching. Fellows explained that&amp;nbsp;class context and their teaching experience or motivation influenced how&amp;nbsp;they implemented teaching practices. A final theme showed Fellows&amp;rsquo;&amp;nbsp;strong concern and respect for students as partners in the learning process&amp;nbsp;during their journey of change. Our qualitative analysis of faculty&amp;nbsp;interviews found that change is a complex process that is as varied as the&amp;nbsp;individuals engaging in change.

"I shouldn't just hide in the darkness": youth and parent experiences in wheelchair sport

ABSTRACT Disabled youth derive health, social belonging, enjoyment, and well-being from participating in sports, much like their nondisabled peers. This narrative inquiry study explored wheelchair sport experiences and the meaning ascribed to sport participation among youth with orthopedic impairments and their parents or guardians. Using a multi-case study, narrative approach, semi-structured interviews were conducted with three youth athletes and their parents. Thematic analysis shed light upon the participant narratives of social belonging, self-beliefs, and identity development experienced by the youth participants and their parents within the context of wheelchair sport. The first theme, ‘wheelchair sport as a community,' portrayed the wheelchair sport event as a highly inclusive setting that enabled strong social acceptance and emotional support. The second theme, ‘moving from frustration toward confidence in sporting contexts,' captured ambivalent emotive moments experienced during sport participation, particularly those related to perceived physical abilities. While the final theme, ‘athletic identity in wheelchair sport,' depicted the youth participants' individual journeys toward athletic identity development. Based on these lived experiences and perceptions, participants' stories illustrate the social, physical, and psychosocial benefits and challenges of wheelchair sport participation. The study concluded that youth wheelchair sport can be a meaningful avenue for social interaction for disabled youth and their families, positive self-concept regarding one's body and abilities, and pro-athletic identity beliefs. Further, introductory events to wheelchair sport must be carefully planned and implemented to create an enjoyable and low-stakes opportunity for novice wheelchair sport athletes to explore their relationships with physical activity and sporting culture.

Providing Guidance and Counseling Services in Time of Covid-19 Pandemic: Lived Experiences of Guidance Designates

The pandemic era has directed a new facade of education from traditional to a more conducive system of virtual and modular schemes. The Guidance Designates are equally tasked to play a crucial part in this abrupt transition as the teachers. They, too, are directed to maintain relationships on top of the delivery of guidance and counseling services at the height of the COVID-19 pandemic to meet the needs of students and families and let the education roll. This descriptive phenomenological study was conducted to explore the lived experiences of public junior high school guidance designates in the delivery of guidance and counseling services during the pandemic. The participants of this study were five guidance designates in public junior high schools identified using purposive sampling who took part in the unstructured in-depth interview. The study revealed that guidance designates faced issues, struggles, and sentiments in the delivery of guidance services during the time of pandemic. They utilized various alternatives for the delivery of appropriate services to clients despite unreachable ones. Despite their feelings of boredom and loneliness, they found meaning in their chosen profession by becoming grateful for the designation, and their commitment to serving the clients ignited the passion to go on despite the odds. Their enjoyment with colleagues acts as their strong social support during the crucial times of the pandemic. Thus, these experiences honed them to be shade shifters that remained resilient and flexible in the delivery of guidance and counseling services in the pandemic era.

Examine the Predictive Relationship between Perceived Social Support and Perceived Stress among Pregnant Women

The woman's mental and physical health will unavoidably suffer throughout her pregnancy. Extreme mood swings and, in rare occasions, mental instability can occur. These factors make pregnancy a time when a woman has to undertake bio-psycho-social modifications, such as establishing strong social support systems, in order to alleviate the stress that comes with being pregnant. Objective: To investigate the predictive relationship between perceived social support and perceived stress among pregnant women in Pakistan. Methods: The study used a correlational cross-sectional research design. The sample consisted of (N=72) pregnant females in their third trimester with an age range between 18 to 37 years (Mean age= 26.3; SD=4.4) was selected from departments of Obstetrics and Gynecology of various hospitals in Karachi, Pakistan by using purposive sampling technique. The data were collected from December 2022 till January 2023. The demographic information form, Multidimensional Scale of Perceived Social Support and Perceived Stress Scale were used, and analysis of data were done by using Regression analysis and One-way ANOVA through SPSS version 25.0. Results: The findings revealed a significant negative predictive relationship between perceived social support from friends and perceived stress of pregnant women (b= -.482, p&lt;.05). The analysis of variance reveals that significant mean differences in socioeconomic status and number of miscarriages on perceived stress are present among pregnant women. Conclusions: These results emphasize the need to develop comprehensive strategies for assisting pregnant women by taking into account the aspects of social support, and make interventions to tackle stress successfully, and enhance maternal well-being throughout the pregnancy.

Social support, distress, stress, anxiety, and depression as predictors of suicidal thoughts among selected university students in Bangladesh.

This study examines the association of perceived social support with suicidal thoughts among a young adult sample of university students and estimates the degree to which perceived stress, distress, anxiety, and depression may explain the association. A cross-sectional survey was conducted from June to September 2022 among 642 students, selected using the probability proportional to size procedure, at a large university in Bangladesh. We used the Multidimensional Scale of Perceived Social Support (MSPSS) to measure support. The Impact of Events Scale-Revised (IES-R), the Perceived Stress Scale (PSS-10), the Generalized Anxiety Disorders (GAD-7) scale, and the Patient Health Questionnaire (PHQ-9) were used to assess distress, stress, anxiety, and depression. The association between social support and suicidal thoughts was examined using multivariable logistic regression models. Mediation analyses were carried out using the Karlson, Holm, and Breen (KHB) method. We found that perceived social support was associated with lower odds of suicidal thoughts after controlling for other variables (adjusted odds ratio = 0.94; 95% confidence interval = 0.92-0.96). Mediation analysis showed that, after adjusting for potential confounders, the mediating effects among the total effect of perceived social support on suicidal thoughts were 56.1%, 20.8%, 22.5%, 38.8%, and 50.9% for all mental disorders together and four specific adverse mental health outcomes, i.e., perceived distress, stress, anxiety, and depression, respectively. This study demonstrates that perceived social support reduces the likelihood of suicidal thoughts among university students, and mental disorders have a partial mediating effect on the association. Suicide prevention and mental health promotion efforts among university students should consider encouraging students to build and strengthen a strong social support network.

Challenges Experienced by Physically Challenged Learners in Practical Physical Education Classes in South Africa: A Systematic Analysis

This paper, framed within the interpretivism theory, argued that government, stakeholders, and policymakers could foster and promote policy advocacy to address the challenges militating against the participation of physically challenged learners (PCLs) in practical physical education (PE) classes. Despite the noticeable need for physical activities in the lives of PCLs, there are growing concerns that learners in physical education classes still face many challenges in practical classes. The research was a systematic review of literature that identified studies that focused on the challenges that PCLs experience in practical physical education classes. Data was gathered from a collection of relevant articles as well as 20 publications that were critically reviewed. Only ten publications were found to meet the inclusion criteria. As a result, four main themes emerged from the data as thematic analysis was adopted. The findings revealed that PCLs frequently encounter challenges such as inaccessible equipment, poor social support, the PE curriculum/programme, and a lack of teachers training in practical physical education classes, which can limit their ability to engage and fully participate in PE practical classes. The study contributed to the body of physical education studies by providing a framework for a more integrated Physical Education for Physically Challenged Learners (PCLs), which could be implemented all around the world. It recommends, among others, that the members of the executive councils, school management teams and policymakers should work together by providing schools with accessible equipment and strong social support for PCLs to feel less isolated and more supported. This study concludes that exploring these challenges and developing coping strategies can help to ensure that PCLs can participate and benefit from PE practical classes. Keywords: Physical Education, Physically Challenged Learners, Practical Classes, Systematic Analysis

The Dilemma of Lithium Discontinuation in Bipolar Disorder During Pregnancy Planning: A Case Report and Literature Review

IntroductionLithium is considered the gold standard mood stabiliser for bipolar disorder, yet its use during pregnancy remains controversial, demanding careful consideration of potential risks and benefits. Classically, it has been associated with an increased risk in congenital heart defects, however, recent studies point towards a much lower absolute risk than was previously believed. Furthermore, discontinuation of lithium before or during pregnancy poses a high risk of destabilisation and lithium has been shown to reduce the risk of relapse both in pregnancy and in the postpartum period. Hence, treatment planning is of the upmost importance in this patient group and individual risk stratification should be undertaken for patients to make informed decisions about their treatment.ObjectivesTo describe the case of a patient with bipolar disorder who discontinued lithium treatment while attempting to conceive and subsequently presented with a manic episode and to expand the scientific knowledge on this topic.MethodsCase report and brief literature review.Results A 41-year-old patient with a diagnosis of bipolar disorder, previously on lithium 900mg/day, was admitted to the emergency department with symptoms suggestive of a manic episode. One month prior, the patient had discontinued treatment with lithium due to her desire to pursue pregnancy and interrupt treatment while trying to conceive. The patient had a history of postpartum psychosis followed by various depressive and manic episodes with psychotic symptoms, leading to a bipolar disorder diagnosis and commencing treatment with lithium. Her consultant psychiatrist had informed her of the individualised risks of interrupting treatment with lithium and had advised to continue treatment alongside frequent follow-up due to the high-risk of relapse. Despite her consultant’s recommendation, she decided to interrupt treatment and hence a personalised lithium tapering regime and advice to continue treatment with quetiapine 200mg/day was given. During the ED stay, treatment with olanzapine was introduced which helped to stabilise her symptoms. Lithium levels were subtherapeutic (lithium serum level 0.11 mmol/L). Inpatient psychiatric admission was avoided due to rapid symptom improvement, strong social support in the community and her preference for ambulatory care. Lithium was gradually reintroduced and antipsychotic treatment was adjusted at follow up appointments, which ultimately led to the resolution of symptoms and stabilisation.ConclusionsThis case highlights the significance of considering continuing lithium treatment in bipolar disorder during pregnancy planning. Decisions about medication in pregnancy are multifaceted, making appropriate risk stratification imperative in order to inform individualised care plans to minimise the risk of relapse in these patients.Disclosure of InterestNone Declared

Sexual health among the oldest old: a population-based study among people aged 85years and older in Stockholm, Sweden.

Sexual health is an important contributor to the well-being and life satisfaction of people aged ≥85years, known as the oldest old. However, little is known about sexual health in this population. To examine aspects of sexual health among the oldest old and explore its associations with sociodemographic, health-related, and lifestyle factors. We conducted a population-based cross-sectional study including 183 individuals aged ≥85years who were residents in Stockholm County, Sweden. Responders (response rate, 63%) were interviewed on a range of health, sociodemographic, and lifestyle parameters, including aspects of sexual health. Participants' responses to the sexual health items were reported as proportions with 95% CIs. Associations were examined with multivariable logistic regression. We examined sexual activity, sexual satisfaction, problems related to sexual health, and inquiries on sexual health by a health care provider. Twelve percent of participants (95% CI, 8%-17.6%) were sexually active, and 63.9% (95% CI, 56.5%-70.9%) were satisfied with their sexual lives during the past year. A third (35%; 95% CI, 28.4%-42.2%) reported at least a problem related to sexual health. Only 2.2% (95% CI, 0.6%-5.5%) were asked about sexual health by a health care provider, while 8.2% (95% CI, 4.7%-13.2%) identified a need for such an assessment. Yet, 85.2% (95% CI, 79.3%-90.0%) indicated no need for their sexual health to be evaluated by a health care provider. Being partnered was positively associated with sexual activity (adjusted odds ratio, 9.13; 95% CI, 2.53-32.90), whereas having strong social support was positively associated with being satisfied with one's sexual life (adjusted odds ratio, 2.96; 95% CI, 1.53-5.74). Health care providers should be proactive in assessing the sexual health of the oldest individuals. A representative sample of an underresearched population was used in this study. However, the generalizability of our findings may be restricted due to the small sample. To maintain statistical power from a relatively small sample, we might have lost explanatory power. Given the observational cross-sectional nature of the data, we cannot draw causal inferences based on the observed associations. A 10th of participants were sexually active, and the majority were satisfied with their sexual lives. Although many participants reported problems related to sexual health, few expressed the need to discuss sexual health with health care providers. Future studies should explore potential barriers to addressing sexual health and unmet health care needs among the oldest old.

Resilience after combat: A prospective, longitudinal study of Marines and Navy Corpsmen.

Resilience is common, yet our understanding of key biopsychosocial and environmental correlates is limited. Additionally, perceived resilience is often conflated with absence of psychiatric symptoms. Here we leverage prospective, longitudinal data from 1835 Marines and Navy Corpsmen to examine predictors of perceived resilience 3 months after a combat deployment, while controlling for pre-deployment and concurrent psychiatric symptoms. Marines and Corpsmen did not differ significantly on psychosocial or clinical factors, and 50.4% reported high perceived resilience after deployment. Across groups, the strongest predictors of post-deployment perceived resilience were pre-deployment perceived resilience, positive emotions, and social support. Concurrent depression was the only clinical symptom negatively associated with perceived resilience. Our findings suggest that perceived resilience is a multi-dimensional construct that involves both psychosocial and personality factors, including but not limited to low psychopathology. Notably, establishing strong social support networks and encouraging positive emotions may help promote resilience following deployment.

Oral Health Status and Care Needs of People with Intellectual Disability in Specialized Centers of Ouagadougou, Burkina Faso

People with intellectual disabilities suffer from oral pain and discomfort twice as often as the general population. Their reduced cognitive and physical abilities, regular medication, and often the lack of a strong social support system lead to difficulties coping with the daily demands of life, including proper oral hygiene and nutrition. Having data on the oral health status of children and adolescents living with disabilities is crucial to reducing oral health inequalities within the population. The objectives of this study were to describe the main oral conditions, oral health behaviors and identify the care needs of people with intellectual disabilities in specialized centers in Ouagadougou, Burkina Faso. A descriptive transversal survey was conducted in the reception centers of intellectual disabled people benefiting from the subsidy of the Ministry of Women, National Solidarity, Family and Humanitarian Action. A questionnaire adapted for oral health surveys of the World Health Organization has been used for data collection that has been analyzed with Stata MP 16.0 software (College Station, Texas 77845, USA). Were included in the study 193 people with intellectual disabilities whose average age was 12.4 years ± 7.9. Our study reported that 74.0% had never visited a dentist and 19.0% of subjects did not clean their teeth. The overall prevalence of caries was 58.6% with 95% CI [51.2 - 65.8]. The frequencies of gingival bleeding and calculus were 63.8% and 63.4% respectively. The other pathologies were divided into 25.5% sialorrhea; 15.0% dental wear; 39.1% malocclusions; 19.2% dental anomalies and 14.4% dental trauma. Subjects who needed prompt and urgent care were 51.6%. This study made it possible to report the oral health behaviors and the main oral diseases encountered in people with intellectual disabilities and the care needs. Health promotion strategies focusing on simple interventions such as appropriate oral care would improve the general well-being of these vulnerable people.

Risk factors of paclitaxel-induced peripheral neuropathy in patients with breast cancer: a prospective cohort study.

Chemotherapy-induced peripheral neuropathy (CIPN) is a common and severe adverse reaction in taxane-based chemotherapy. This study aimed to analyze the risk factors of peripheral neuropathy in patients with breast cancer receiving paclitaxel chemotherapy to provide a reference for the early prevention of CIPN. We included 350 patients with breast cancer who received chemotherapy for the first time at the Tangshan People's Hospital between August 2022 and June 2023 and were followed for at least 3 months after the end of chemotherapy. The incidence of CIPN in patients with breast cancer was calculated, and risk factors for CIPN were analyzed using logistic regression analysis. The incidence rate of CIPN was 79.1%. Multifactor logistic regression analysis indicated that age ≥45 years [odds ratio (OR)=5.119, 95% confidence interval (CI)=1.395-18.780] and ≥60 years (OR=9.366, 95% CI=1.228-71.421), history of hypertension (OR=3.475, 95% CI=1.073-11.250), cumulative dose of chemotherapy drugs >900 mg (OR=4.842, 95% CI=1.961-5.946), vitamin D deficiency (OR=6.214, 95% CI=2.308-16.729), abnormal alanine aminotransferase (OR=3.154, 95% CI=1.010-9.844), anemia before chemotherapy (OR=2.770, 95% CI=1.093-7.019), infusion duration of chemotherapy drugs >30min (OR=3.673, 95% CI=1.414-9.539), body mass index ≥24 kg/m2 (OR=8.139, 95% CI=1.157-57.240), mild depression (OR=4.546, 95% CI=1.358-15.223), and major depression (OR=4.455, 95% CI=1.237-16.037) increased the risk of CIPN. Having a regular caregiver (OR=0.223, 95% CI=0.087-0.573), high levels of physical activity (OR=0.071, 95% CI=0.008-0.647), and strong social support (OR=0.048, 95% CI=0.003-0.682) were protective factors against CIPN. Clinical attention should be paid to patients with these risk factors, and active and effective preventive measures should be taken to reduce the occurrence of CIPN and improve the quality of life.