Well-being Of Survivors Research Articles

Psychosocial Consequences of Sexual Assault on Women: A Scoping Review.

Women are at a higher risk of sexual assault, partly due to societal sexism. This scoping review addresses the question: What is known about the psychosocial consequences of sexual assault on women? To understand these impacts, various studies were reviewed. Searches were conducted in Web of Science, PubMed, Scopus, PsycArticles, and PsycINFO between April and May 2022. The methodology followed Arksey and O'Malley's (2005) framework. PRISMA guidelines were used for screening and the Scoping Reviews Checklist was employed to ensure the quality of the review process. As a result, 1744 studies were identified, and 21 were selected based on inclusion and exclusion criteria, with publication years ranging from 1997 to 2021. The total sample of women analyzed across these studies was 20,071 (M = 955.76; σ = 2236.53). These 21 studies examined the psychosocial consequences of sexual assault on women's lives. The primary psychosocial outcomes identified were depressive symptoms (n = 13), anxiety symptoms (n = 11), post-traumatic stress disorder (n = 11), alcohol dependence (n = 6), and sleep disorders (n = 3). In conclusion, this review enhances our understanding of the effects of sexual assault on women and identifies areas for future research to further understand and address this phenomenon. This work can ultimately guide efforts to improve the well-being of survivors.

The Relationship Between Dyadic Coping and Mental Health in Stroke Survivors and Their Spouse Caregivers: An Actor-Partner Interdependence Model.

To investigate the relationship among dyadic coping, mental health and the individual and mutual influences on stroke survivors and their spouse caregivers. A cross-sectional descriptive study was conducted in China from November 2019 to August 2020. The STROBE checklist was used to report the present study. The analysis included 224 dyads of stroke survivors and their spouse caregivers in China. Data on stroke survivors and their spouse caregivers were collected using the Dyadic Coping Inventory (DCI), the Patient Health Questionnaire nine-item scale (PHQ-9) and the Generalised Anxiety Disorder seven-item scale (GAD-7). The dyadic analysis was conducted based on the Actor-Partner Interdependence Model (APIM). Regarding actor effects, spouse caregivers' dyadic coping and perceived dyadic coping had a negative predictive effect on their own anxiety and depression. Stroke survivors' perceived dyadic coping had a negative effect on their own depression. Regarding partner effects, spouse caregivers' perceived dyadic coping also had a negative predictive effect on the depression of the patients. In contrast, stroke survivors' perceived dyadic coping was positively associated with spouse caregivers' anxiety and depression. These findings suggested that mental health of stroke survivors and their spouse caregivers was affected by various dyadic coping dimensions. Our research has the potential to contribute to the understanding dyadic coping and mental health of stroke survivor-spouse caregiver dyads. The findings reveal that the coping strategies employed by stroke couples are closely related to the mental health of both partners. This study provides evidence for the significant impact of dyadic coping on the psychological well-being of stroke survivors and their spouse caregivers. Therefore, dyadic interventions aiming at strengthening dyadic coping may have positive effects on their mental health. This study directly involved the patients and family caregivers in hospital settings.

Cancer survivors' adherence to the American cancer society and American institute of cancer research dietary guidelines in Lebanon.

Adequate diet and lifestyle practices are postulated to improve health and enhance wellbeing of cancer survivors. Despite the heavy cancer burden in Lebanon, little is known about the diet quality of survivors. This cross-sectional study assessed the compliance of survivors in remission with the American Cancer Society/American Institute Research Fund (ACS/AICR) diet and physical activity guidelines. Cancer survivors in remission for at least 3 months and attending oncology clinics in two referral centers in Beirut, Lebanon were recruited. Adherence to the ACS/AICR was assessed by examining the compliance to guidelines promoting fruits, vegetables and whole grain and discouraging elevated alcohol, meat and energy dense foods intake. Dietary data was assessed through food frequency and lifestyle questionnaires administered face to face and through phone interviews. Anthropometrics, food security and sociodemographic data was also collected. Univariate and bivariate descriptive and logistic regressions were used to determine predictors of adherence rates to the ACS/AICR score. A total of 268 participants were recruited (mean age = 59 ± 23 years, 83% females, 70% breast cancer). Mean time since remission was 3.2 ± 4 years and the majority (72%) had food insecurity. Low physical activity and overweight/obesity were present in 65% and 67% of the survivors, respectively. Median adherence score with the ACS/AICR score was 9.0 out of 15. The majority of survivors had complete adherence to the moderate meat and alcohol consumption guidelines. However, 98% were noncompliant with the whole grains' consumption guidelines. Cancer type, site of recruitment and education were the significant predictors of the ACS/AICR diet adherence score. This study highlights the elevated rates of overweight/obesity, physical inactivity and the alarmingly low adherence with the whole grains consumption guideline among cancer survivors in remission. Policy makers ought to use study findings to redirect government subsidization and educational interventions in the country and physicians should stress the importance of adherence to a healthy diet during remission through counseling and timely referral.

Hidden scars: the persistent multifaceted health and psychosocial consequences for Syrian torture survivors.

Background: The impact on the physical and mental health of those who survived torture and their close circles in the Syrian regime's detention facilities remains under-studied.Objective: This qualitative study explored Syrian refugees' narrations of captivity and torture, and the consequences of such extreme traumatic events on their physical and psychosocial health.Method: Thirteen audio-recorded interviews were conducted in Arabic with Syrian refugees. Study participants were at least 19 years of age, resided in diverse urban areas of Jordan, had experienced captivity and torture in Syrian detention facilities, and voluntarily agreed to participate in the study. Participation was anonymous, only oral consent was required, and no incentives were provided to participants. Interviews were transcribed and translated into English by a team of researchers, followed by analysis of repetitive themes according to the narrative paradigm.Results: Analysis of interviews elicited three major themes: extreme traumatic experiences of torture, and its physical and psychosocial health consequences. The first major theme was divided into two sub-themes: torture experienced by the participants themselves, and torture experienced by participants' close circles. The second major theme, pertaining to physical health, was divided into two sub-themes: acute and chronic health sequelae. The third major theme, related to psychosocial health, was divided into four sub-themes: mental health symptomatology, impacts on professional life, impacts on interpersonal relationships, and social consequences.Conclusions: Torture experiences of Syrian refugees had adverse consequences for the physical and psychosocial health, functioning, and the overall well-being of survivors and their close circles. Interventions may seek to improve both the acute and chronic health consequences, as well as the mental health symptoms and associated impacts on livelihood, professional, and relationship dynamics. They should span clinical, legal, and advocacy spheres, given that a holistic approach may contribute immensely to survivors' healing process.

Anxiety and depression among nursing students affected by the 2023 Alhaouz earthquake in Morocco: A comprehensive evaluation

Background/objectivesThis groundbreaking study marks the initial exploration into the psychological aftermath following the 2023 Alhaouz earthquake. The objective is to scrutinize anxiety and depression among nursing and health technology students in the wake of this seismic event. MethodsTo achieve this, demographic data and anxiety/depression scale measures were systematically gathered through a standardized questionnaire. Resultsrevealed that 29.73 % of students directly felt the impact of the earthquake. Depression was reported by 42.01 % of students, with 84.80 % being female, 59.65 % under 20 years old, and 88.89 % pursuing undergraduate studies. It's worth noting that Mental Health Nurse (MHN) students emerged as the least affected group (RR = 0.3455, p < 0.05). Depression was significantly more prevalent among students with a history of depression (RR = 1.5227, p < 0.05). Within the student population, the earthquake's impact was most pronounced among those who evacuated due to uninhabitable or potentially unsafe homes (63.14 %), experienced property loss (27.17 %), and faced the loss of family members (9.58 %). Anxiety affected 37.59 % of students. Notably, anxiety was statistically associated with students directly affected by the disaster (RR = 1.4836, p = 0.0036), as well as those forcibly evacuated from their homes (RR = 1.7663, p = 0.0001). Furthermore, 39.42 % of individuals expressed a sense of impending fear, while 30.3 % exhibited worry, often accompanied by quiet and inactive behavior (57.8 %), feelings of fear, and a tense stomach (21.7 %). Conclusionthis research underscores the critical importance of monitoring the mental well-being of earthquake survivors.

The ties that bind: Understanding the mental health consequences of the Windrush Scandal and hostile immigration policies on survivors in the UK

The Home Office Windrush Scandal of 2018 has had major implications for the wellbeing of survivors and is thought to have affected more than 15,000 individuals. The Government led compensation scheme to provide retribution to those impacted has been consistently argued as insufficient, in part linked to under appreciation of mental health consequences of the scandal. However, there is limited evidence which documents the nature of mental health issues that survivors and families have faced. This need for further evidence intersects with the need to protect a highly vulnerable community from further traumatisation. Our study contributes to this gap through a content analysis of survivor testimonies (n= 96) published in publicly available media sources between 2018 and 2023. Analysis explored both pathways to the development of mental health distress and experiences of potential mental health consequences (conditions). Our analysis was informed by a complex trauma and racial trauma framework. Findings demonstrate that the scandal disrupted numerous social domains linked to livelihoods and positive wellbeing, driving survivors into homelessness, and experiences of dehumanisation within state systems. This shaped survivors’ experiences of emotional distress, resulting in symptoms linked to depression, chronic stress, and anxiety disorders. Our work illuminates new details about the nature of trauma faced by survivors. Findings support calls for support survivors systems that provide targeted mental health supports and address the disrupted social areas of individuals lives and if they are to fully respond to the harms created by the scandal.

Health and wellbeing of survivors of sexual violence and abuse attending sexual assault referral centres in England: the MESARCH mixed-methods evaluation.

One million people in England and Wales experience sexual violence and abuse each year, with nearly half experiencing serious sexual offences; around 30,000 survivors access sexual assault referral centres. This research was commissioned by National Institute for Health and Care Research to evaluate access, interventions and care pathways for survivors, especially those provided through sexual assault referral centres. The sexual assault referral centres care pathway was investigated through six sub-studies. There were two Cochrane Reviews (4274 participants). Seventy-two providers and 5 survivors were interviewed at eight sites; the children and young people study involved 12 participants from two sexual assault referral centres. A cohort study involving three-wave data collection over 1 year (21 sites; 2602 service users screened, 337 recruited) used a multilevel modelling framework to explore risk factors for burden of post-traumatic stress disorder symptoms at baseline and change at 1 year. We analysed costs and outcomes and conducted a narrative analysis (41 survivors). We worked closely with survivors and prioritised the safety/welfare of participants and researchers. Cochrane Reviews identified large effects from psychosocial interventions for post-traumatic stress disorder and depression. Sexual assault referral centres delivered a high-quality frontline service for survivors but groups experiencing domestic abuse and some ethnic and cultural minorities were under-represented. The qualitative research emphasised inter-agency collaboration for survivor benefit. The cohort study identified a risk 'triad' of adverse childhood experiences, poor mental health and economic deprivation, which was associated with baseline trauma burden. There were important improvements in trauma symptoms a year later. These improvements were unrelated to different sexual assault referral centre models. Costs and other outcomes were also similar across models. Harmful policing and justice practices/procedures were identified by 25% of participants. In this context, trauma-competent interviewing techniques, regular/timely updates and conveying case decisions with care signalled good practice. The cohort study lacked a comparison group, reducing confidence in the finding that access to sexual assault referral centres explained the reduction observed in post-traumatic stress disorder. Barriers to access call for concerted efforts to implement trauma-informed universal health services. The risk 'triad' underscores the value of holistic approaches to care at sexual assault referral centres and timely follow-on care. Poor mental health was the main barrier to service access beyond sexual assault referral centres. The persistence of trauma symptoms a year after accessing sexual assault referral centres signals urgent need for tackling counselling wait-lists, expanding support options and commitment to lifelong care. Multidisciplinary evaluation of sexual assault referral centres for better health provides a foundation for advancing trauma-informed practices in the context of sexual violence and abuse. This study is registered as ISRCTN30846825 https://doi.org/10.1186/ISRCTN30846825. This award was funded by the National Institute for Health and Care Research (NIHR) Health and Social Care Delivery Research programme (NIHR award ref: 16/117/04) and is published in full in Health and Social Care Delivery Research; Vol. 12, No. 35. See the NIHR Funding and Awards website for further award information.

The Lived Experience of Caregivers in the Older Stroke Survivors' Care Pathway during the Transitional Home Program-A Qualitative Study.

stroke is a major cause of disability and death, globally. Many stroke survivors live with disabilities, requiring significant caregiving support. Caregivers often feel unprepared and burdened, experiencing isolation and health declines. Their well-being and involvement in discharge planning impact post-discharge care quality. to investigate the experiences of caregivers of older stroke survivors regarding their expectations in the care pathway during the transitional home program, as this phenomenon is currently understudied in the present context. by employing a qualitative design, this study utilized a phenomenological approach developed by Cohen. Eighteen caregivers of stroke survivors participated. four main themes emerged from the analysis: (1) the sense of loss experienced by stroke survivors and perceived by caregivers; (2) the importance of social support in the recovery and well-being of both stroke survivors and caregivers; (3) the increased workload of caregivers; and (4) the lack of awareness of the needs during the transition, leading to resignation when facing complications. the findings highlight the significant impact of stroke on caregivers, affecting both the individual characteristics and social relationships of stroke survivors and their caregivers. There is a need for a nuanced understanding of caregivers' roles and responsibilities.

The Impact of Body Image on Physical Function and Return to Work After Burn: A Burn Model System Study

Abstract Burn injury can have a lasting impact on quality of life beyond the initial injury. The aim of this study was to examine the recovery process through analyzing the relationship between body image, physical function, and return to work. This study uses data from the Burn Model System National Longitudinal Database and includes 1001 participants injured between 2015 and 2023 who were measured using Patient-Reported Outcomes Measurement Information System-29 Physical Function, Employment Status, and the Body Image subscale. Associations were explored using multivariate linear and logistic regression analyses. Physical function was positively associated with body image and negatively associated with burn size, age, and amputation. Employment was positively correlated with body image and employment at injury, while negatively correlated with age. Other variables, including burn etiology, burn center site, race, and ethnicity, were significant at different time points. By understanding how these factors change and are associated with outcomes across recovery, the healthcare team can make more tailored efforts to improve the psychosocial and physical well-being of burn survivors.

Sexual health and emotional wellbeing of adolescent and young adult survivors of haematological malignancies

Sexual health and emotional wellbeing of adolescent and young adult survivors of haematological malignancies

Impact of Social Determinants of Health on Health-Related Quality of Life Among Cancer Survivors in the United States.

Purpose : Health-related quality of life (HRQoL) is a critical aspect of cancer survivorship, influenced by various social determinants of health (SDoH) such as economic stability, education access, and healthcare coverage. Understanding the impact of these determinants is essential for developing interventions that improve the well-being of cancer survivors. Methods : Cross-sectional analyses were conducted using data from 20,534 adults with cancer, including 15,754 from the All of Us (AOU) Research Program (2015-2024) and 4,780 from the National Health and Nutrition Examination Survey (NHANES) (2001-2018). HRQoL outcomes were assessed across multiple dimensions: physical health, mental health, emotional well-being, social support, functional ability, and physical activity. Results : Higher economic stability, education access, and healthcare coverage were significantly associated with better HRQoL outcomes in both cohorts. In the AOU cohort, those with higher family income were more likely to report very good (OR: 20.24; CI: 12.86-31.87) or excellent (OR: 33.06; CI: 20.01-54.64) quality of life. Similar trends were observed for physical and mental health. The NHANES cohort showed consistent findings. Participants with no negative SDoH factors were significantly more likely to report excellent outcomes across all HRQoL dimensions. Conclusions and Implications for Cancer Survivors : These findings highlight the significant impact of SDoH on cancer survivors' HRQoL and support the need for targeted interventions and policies to mitigate the adverse effects of negative SDoH factors. Addressing economic, educational, and healthcare disparities is crucial for improving the long-term health and quality of life of cancer survivors.

Investigating the relationship between nature exposure, nature connectedness and wellbeing in individuals with cancer

ABSTRACT Prior quantitative research has highlighted the benefits that nature brings to the well-being of cancer survivors. Here, an Interpretative phenomenological analysis was adopted to investigate the relationship between nature exposure, nature connectedness and well-being in individuals diagnosed with cancer. Semi-structured interviews of four participants revealed three themes. (1) Nature and the self (2) Restorative Nature (3) Evocative nature. Participants described a strong connection with nature, allowing them to feel a sense of relatedness to nature and fulfillment through the formation of social roles in relation to nature. Participants coping with the impacts of their cancer diagnosis experienced restorative effects from nature. By engaging their senses in nature and taking part in nature activities, individuals created psychological distancing, lessening the presence of negative affect. Nature evoked feelings and emotions within participants and was used to create meaning to their cancer diagnoses, with some participants viewing nature as evidence of a higher power. A sense of agency and control was felt through the mastery of tasks in nature, and the ability to manage aspects of participants’ cancer diagnosis. The findings highlight the importance of both nature exposure and nature connectedness in contributing to all facets of well-being.

A Pilot Study Investigating the Feasibility, Reach-Out, Acceptability, Fidelity, and Efficacy of a Group Laughie Prescription on the Well-Being of Earthquake Survivors in Türkiye

Mental health and quality of life may be negatively impacted among earthquake survivors. This pilot study evaluates the use of and reports on the preliminary effects of participating in a 1-minute Laughie (Laugh Intentionally Everyday) Laughter Prescription on well-being in earthquake survivors in Türkiye. A Group Laughie intervention was delivered using a within-subject (n = 20; M age = 34.78 ± 6.65; 14 female) pretest-posttest design. Group Laughies were delivered once a day over 2 weeks with participants prescribed to further laugh with the Group Laughie recording twice a day, resulting in 3 minutes of intentional laughter daily. Data were collected using a range of questionnaires to track feasibility, reach-out, acceptability, fidelity, and efficacy, including Laughie Checklists, a Post-Intervention Perceived Impact Measure (PIPIM) in the form of the Positive Psychology One-off Post-intervention measure (PPOP), and the World Health Organization (WHO-5) well-being index. Results indicated high intervention fidelity using Laughie Checklists and positive post-intervention perceived impact using the 11-point Likert-scaled PPOP (x = 7.62 ± 1.44). After the intervention, a statistically significant difference (p < 0.001) was found between WHO-5 well-being index pretest scores (x = 2.16 ± 1.00) and post-test (x = 4.08 ± 0.24). This study demonstrated beneficial effects of the Laughie prescription on earthquake survivors. This is the first intervention to explore an online Group Laughie intervention. Health professionals and especially nurses can use the 1-minute Laughie prescription in the form of a Group Laughie intervention to increase the well-being of individuals and improve perceived mental health.

Factor Impacting Quality of Life Among Sepsis Survivors During and After Hospitalization: A Systematic Review of Current Empirical Evidence.

There remains a gap in understanding post-sepsis outcomes, particularly regarding the factors that influence the quality of life (QOL) among sepsis survivors during and after hospitalization. To determine factors impacting QOL among sepsis survivors during and after hospitalization based on the evaluation and synthesis of current evidence. This review encompassed studies published from January 2020 to December 2024, sourced from Scopus, PubMed, Medline, ScienceDirect, CINAHL Plus with Full Text, and Web of Science. The process of identifying, screening, excluding, and including articles followed the guidelines set by the Preferred Reporting Items for Systematic Reviews (PRISMA). Data synthesis for theme generation was conducted using the convergent integrated analysis framework as recommended by the Joanna Briggs Institute. A total of 1164 records were identified from the databases. After removing 130 duplicates, 1034 articles remained for screening based on their titles and abstracts according to the inclusion and exclusion criteria. At this stage, 1021 articles did not meet the criteria and were excluded, leaving 13 articles eligible for full-text screening. During this phase, 5 articles were excluded for various reasons, resulting in eight studies being included in the systematic review. Data synthesis of these studies revealed seven themes related to factors impacting QOL among sepsis survivors during and after hospitalization: 1) Physical Health Dimension, 2) Mental Health Dimension, 3) Treatment During Hospitalization, 4) Spiritual Dimension, 5) Social Support, 6) Mortality, and 7) Blood Biomarkers. This systematic review provides valuable insights into the factors affecting the quality of life among sepsis survivors during and after hospitalization. These findings enhance the current knowledge base and offer clinicians, researchers, and policymakers actionable insights to improve outcomes and well-being for sepsis survivors.

Associations of changes in physical activity and well-being among cancer survivors during the COVID-19 pandemic

PurposeMeeting the physical activity (PA) guidelines (i.e., ≥ 150 min/week of aerobic PA and/or 2 days/week of resistance training) is beneficial for cancer survivors’ well-being. However, the impact of changes in PA participation during the COVID-19 pandemic on well-being of cancer survivors remains unknown. Accordingly, the purpose of this study was to examine the associations between changes in PA and well-being in cancer survivors during the COVID-19 pandemic. MethodsCancer survivors participated in a cross sectional, online survey globally. The 20-Item Short Form Survey and the modified Godin Leisure Time Exercise Questionnaire assessed well-being and PA, respectively. Separate analysis of covariance examined well-being across PA change categories: abstainers, adopters, relapsers and maintainers. ResultsCancer survivors (N = 495; Mage=48.7 ± 15.5 years) were predominantly diagnosed with breast cancer (28.8 %). PA abstainers had significantly worse physical functioning (−19.3 points, p < 0.01; −14.0 points, p < 0.01), and role functioning (−16.6 points, p = 0.02; −12.9 points, p < 0.01) outcomes compared to adopters and maintainers, respectively. Whereas adopters had significantly less pain compared to abstainers (−13.4 points, p < 0.01) and relapsers (−11.1 points, p = 0.01) as well as better health perception than abstainers (14.2 points, p < 0.01) and relapsers (13.8 points, p < 0.01). Age (≥50 years), time since diagnosis (≥5 years), and time since treatment (<5 years) moderated the relationship between abstained or relapsed PA behavior and poor well-being outcomes. ConclusionPA declines during the COVID-19 pandemic negatively impacted well-being outcomes in cancer survivors. Declines in well-being and PA were heightened in long-term cancer survivors who were older in age and within 5 years of treatment. Future research should identify the PA barriers specific to these cancer survivors.

Natural Health Community Program and Well-Being: An Uncontrolled Study of Women Survivors of Domestic Violence.

The purpose of this study was to evaluate a local natural healing service program and to explore how engagement in natural healing services related to the well-being of survivors of domestic violence. Using longitudinal secondary data, we conducted t-tests, regression, and correlation analysis on three measures (hope, distress, and empowerment) that were completed by the participants (N = 31). We provided evidence of the positive impact of a community-based natural healing services program on the well-being of survivors of domestic violence, specifically their sense of hope. This research represents the potential for natural healing services provided at the community level.

The experience of live-remote exercise—perspectives after cancer treatment

PurposeLive-remote exercise interventions, supervised by exercise professionals in a home-based setting, could potentially enhance exercise accessibility for cancer survivors, yet research on their perspectives is limited. This study explored cancer survivors’ experience of exercise within the context of a live-remote exercise intervention, to understand factors influencing exercise engagement.MethodsFour online focus groups with, in total, 22 breast, prostate, and colorectal cancer survivors were conducted between March and June 2023. These individuals had participated in a 12-week live-remote exercise intervention. The semi-structured discussions were transcribed verbatim and analysed using reflexive thematic analysis with an abductive approach. The Capability, Opportunity, Motivation model of Behaviour (COM-B) served as a supportive framework.ResultsNine themes were identified and mapped onto COM-B domains (capability, opportunity, motivation). Factors influencing cancer survivors’ exercise engagement included exercise readiness following cancer treatment, bringing exercise closer, in capable hands, peer support through shared experience, life factors as hurdles or support, exercise as an integral component of cancer treatment, caring for myself and others after me, the positive impact of exercise exceeding expectations, and getting into the habit.ConclusionsIdentifying factors shaping exercise engagement, these findings emphasise live-remote’s potential benefit in overcoming barriers and fostering participation. Supervised by professionals, it offered psychosocial and exercise support, facilitating the integration of exercise into daily life.Implications for cancer survivorsElucidating key factors for exercise engagement within a live-remote context is essential for developing and implementing live-remote exercise interventions to ensure accessible, integrated exercise for optimal post-treatment well-being for cancer survivors.

Pathways to Thriving in Palestinian Women Citizens of Israel Experiencing IPV: The Contribution of Personal Resources and Recovery Actions

ABSTRACT Personal resources and recovery actions to face trauma are known to impact the wellbeing of survivors of intimate partner violence (IPV). Although acknowledged as a key component, scant research has been conducted on the recovery trajectories of survivors from Arab societies, especially in Palestinian citizens of Israel. This study examined the contribution of personal resources (empowerment related to safety, dispositional optimism, and potency) to engaging in steps toward recovery and ultimately thriving in 157 Palestinian citizens of Israel (PCI) victims of IPV. A Structural Equation Modeling (SEM) approach was applied to test a mediation model that estimated the extent to which personal resources (empowerment related to safety, dispositional optimism, and potency) predicted survivors’ thriving directly and indirectly through the mediating variables of engagement in specific recovery actions. The model revealed direct associations between empowerment related to safety, dispositional optimism, potency, and thriving. Women’s empowerment toward safety positively predicted thriving via establishing healing spaces. Contrary to predictions, although women’s empowerment toward safety positively predicted women’s engagement in connecting/sharing, women’s connecting/sharing negatively predicted their thriving. These findings highlight the importance of women’s personal resources by showcasing their strengths and the steps they take to enhance their thriving within the Israeli- Arab context.

Effects of Depressive and Anxiety-Related Behaviors in Patients Aged 30–75+ Who Have Experienced COVID-19

This study investigated the prevalence, severity, and implications of depressive and anxiety behaviors among individuals aged 30–75+ who have recovered from COVID-19. The COVID-19 pandemic has exacerbated mental health challenges, prompting a critical examination of its psychological aftermath. Employing a quantitative research design, the study utilized a cross-sectional approach to gather data from 422 participants recruited through convenience sampling from healthcare facilities, community organizations, and online platforms. Participants, who had tested positive for COVID-19 and recovered, completed standardized assessments including the Patient Health Questionnaire (PHQ-9) for depressive symptoms and the Generalized Anxiety Disorder seven-item scale (GAD-7) for anxiety symptoms. Demographic variables were also collected to explore the correlations and potential risk factors using SPSS software. Key findings highlight significant levels of depressive and anxiety-related symptoms among the study population, emphasizing the necessity for tailored interventions and support services. The study’s limitations include the inability to establish causal relationships due to its cross-sectional nature and potential biases associated with convenience sampling. Nevertheless, the research underscores the urgent need for healthcare and mental health professionals to prioritize the psychological well-being of COVID-19 survivors through targeted strategies and resource allocation. By addressing these challenges, policymakers and practitioners can enhance the resilience and recovery of individuals affected by the pandemic’s psychological toll.

Quality of Life of Colorectal Cancer Patients: A Literary Review

Colorectal cancer (CRC) is a major contributor to global cancer cases and deaths, making it a significant public health concern. As the number of CRC survivors continues to rise, understanding the impact of CRC and its treatment on their quality of life (QoL) has become increasingly important. The determinants of QoL in CRC patients are multifaceted and include physical health, physical fitness, physical activity, healthy eating, psychological health, social support, the availability of high-quality medical care, and QoL at the end of life. These factors interact to shape the overall well-being of CRC survivors. To enhance the QoL of CRC patients, a comprehensive approach is needed. This includes tailoring treatments to individual patient characteristics, providing psychological support and symptom management, promoting post-treatment rehabilitation, organizing support groups, emphasizing early detection, and effectively managing CRC-related symptoms. Addressing these aspects can significantly improve the QOL and well-being of CRC survivors, helping them adapt to life after treatment and thrive in the face of the challenges they may encounter