Search

Objectives: Preclinical dental education can challenge students' wellbeing. These challenges are multifaceted and are experienced differently across student populations. However, an in-depth understanding of these challenges and the changes in the students' response to them remains limited. Therefore, this study aims to explore the wellbeing experiences of preclinical dental students and the strategies they developed to maintain their wellbeing over two time points: the academic years 2021/2022 and 2012/2013., Methods: A case study was conducted using qualitative data from semi-structured interviews with preclinical dental students in 2021/2022. Data were thematically analyzed, and data from the Dental Student Study Habits Survey in 2012/2013 were later used for triangulation., Results: Fifteen students participated in the interviews. Twenty-four students participated in the 2012/2013 survey in the beginning of the academic year. Three themes emerged-uncertain transitions, challenging interactions, and multifaceted impact and balancing strategies-along with various subthemes. Students in 2012/3013 reported high levels of stress, anxiety, overwhelm, and fatigue during dental school in comparison with other time points, and most students in both periods reported developing physical, phycological, and social strategies to maintain their wellbeing. The lack of time was found to be a barrier for practicing stress management strategies across the two time points., Conclusion: Students experience several challenges in preclinical dental education that negatively impacts their wellbeing and seem to persist over the past decade. It is important that dental education programs consider inclusive and nurturing teaching approaches in the learning environment to support students' wellbeing and performance., (© 2024 The Author(s). Journal of Dental Education published by Wiley Periodicals LLC on behalf of American Dental Education Association.)

Background and Objectives: The adverse impacts of climate change on mental health is a burgeoning area, although findings are inconsistent. The emerging concept of eco-anxiety represents distress in relation to climate change and may be related to mental health. The aim of this study was to explore the relationship between eco-anxiety with validated mental health outcomes, specifically psychological distress and symptoms of major affective disorders., Design: Systematic review., Methods: EBSCO, ProQuest, and Web of Science databases were searched to February 2024 for studies of adult samples quantifying eco-anxiety (exposure, i.e. fear, worry or anxiety in relation to climate change) and symptoms of psychological distress and major affective disorders (outcomes), as assessed by validated measures., Results: Full text review of 83 studies was performed, and k = 35 studies were included in the review (N = 45 667, 61% female, M age 31.2 years). Consistently, eco-anxiety showed small to large positive correlations with mental health outcomes of psychological distress, depression symptoms, anxiety symptoms, and stress symptoms. However, results regarding post-traumatic stress disorder symptoms and pathological worry were mixed. Stronger associations were observed where eco-anxiety was operationalised as 'anxiety' rather than 'worry'., Conclusions: Findings underscore that eco-anxiety is related to psychological burden. Greater consideration of eco-anxiety in assessment and treatment is needed in clinical practice and further policy development is warranted at the intersection of climate and health to address the mental health challenges posed by climate change., Competing Interests: Declarations. Ethics approval and consent to participate: Not applicable. Consent for publication: Not applicable. Competing interests: The authors declare no competing interests., (© 2024. The Author(s).)

Purpose: Social factors are associated with mental health and wellbeing. However, few studies have examined genetic and environmental influences on social factors themselves, limiting current understanding of influences on aspects of the social environment. Most studies which have identified links between social factors and mental health are also limited by the possible influence of unmeasured genetic and environmental confounding. In this study, we investigated the genetic and environmental underpinnings of multiple social factors (relationship satisfaction, loneliness, attachment, trust, relationship disruptions), and their associations with life satisfaction measured concurrently and six years later, after accounting for shared genetic and environmental confounding., Methods: Data from a population-based sample of adult twins (N = 1987) and two measurement timepoints were used for the primary analyses. We used multivariate Cholesky models to estimate genetic and environmental influences across five social factors. Subsequently, we conducted co-twin control analyses to examine associations between social factors and wellbeing after controlling for shared genetic and environmental confounding., Results: Heritability estimates for the social factors ranged from 24 to 42%. Genetic correlations across social factors were substantial, indicative of considerable genetic overlap. Associations between wellbeing and relationship satisfaction, loneliness, anxious and avoidant attachment, trust, and disruptions in relationships in the past year were attenuated in co-twin control analyses but remained statistically significant. Relationship satisfaction, loneliness, and attachment avoidance were also associated with wellbeing measured six years later in estimates which controlled for shared genetic and environmental confounding., Conclusion: Our findings provide evidence that multiple social factors are associated with wellbeing after accounting for potential confounding by shared genetic and/or environmental factors. These findings highlight the importance of multiple aspects of the social environment for wellbeing in older adulthood. Future studies should examine the directionality in associations between social factors and mental health and assess these relationships beyond older adulthood., Competing Interests: Declarations. Conflict of interest: The authors have no relevant financial or non-financial interests to disclose., (© 2024. The Author(s).)

Objective: The concept of "Healing Architecture" addresses the relevance of design and architectural issues on the outcome of medical and therapeutic treatment in hospitals. The questionnaire ARCHI was developed to record data on the opinion of different groups of users on the architectural design of their therapeutic environment in departments of child and adolescent psychiatry., Method: A Questionnaire-based cross-sectional study was conducted in two phases between 2020 and 2022 using ARCHI to gather the perspectives of senior physicians and architects on the significance of architectural design in German child and adolescent psychiatric facilities., Results: In the survey of the senior physicians, 49 heads of child and adolescents psychiatric departments initiated the survey, and 73.5% (n = 36) of them completed the questionnaire in its entirety. During the survey for the architect-specific, 145 individuals commenced the survey, and 60.7% of them completed the questionnaire (n = 88). Significant differences between architects and senior physicians became visible for four of the 93 items, namely "environment of the hospital", "structure of building", "labelling of floors" and "visible cleanliness"., Conclusions: Although senior physicians and architects were characterized by the same opinions on the relevance of architectural design on therapeutic issues for the major part of issues, differences could be obtained for several aspects which are important for the architectural planning of new departments and hospitals. It remains open why both professional groups had different point of views on these four aspects of hospital design which should be clarified to improve the process of hospital development in the future., Competing Interests: Declarations Consent for publication Not applicable. Competing interests The authors declare no competing interests., (© 2024. The Author(s).)

This study elucidates the direct and indirect effects of perceived age discrimination on depressive symptoms and life satisfaction among young, middle-aged, and older adults-through the mediator variables of psychosocial resources and aging stereotypes. Data were collected through a web-based survey conducted in Japan. The total sample size was 2400: 400 men and women in each of the age groups 20 to 39, 40 to 59, and 60 to 79. Our findings indicate that perceived age discrimination is linked depressive symptoms, even among young adults, who report more age discrimination than older adults. Its effect on life satisfaction, however, is stronger among older adults. Across age groups, most of its effect on life satisfaction was explained by both psychosocial resources and aging stereotypes. By contrast, its effect on depressive symptoms did not differ significantly by age group, and was partly explained by the mediators. These differing results may be attributable to selection bias in the web survey., Competing Interests: Declaration of Conflicting InterestsThe authors declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Background: Favorable movement behavior patterns, comprising more physical activity, less sedentary behavior, and sufficient sleep, may promote the maintenance of good quality of life (QoL) with advancing age. The aim of the present study was to investigate whether movement behaviors predict future changes in QoL among community-dwelling older adults over a four-year follow-up., Methods: Participants were 75-, 80- and 85-year-old community-dwelling older adults (n = 203) followed up for 4 years. Participants wore thigh- and trunk-mounted accelerometers for 3-7 days at baseline. Proportion of time-use in physical activity, standing and sedentary behavior were assessed based on body posture and movement intensity. Time in bed was determined using an automated algorithm. QoL was assessed during a home interview using the short Older People's Quality of Life Questionnaire at baseline and follow-up (range 13-65, higher scores indicate higher QoL). Compositional linear regression analysis was used to study whether baseline time-use composition predicts changes in QoL., Results: Over the 4-year follow-up, QoL scores decreased by 5% on average. Higher physical activity in relation to the other movement behaviors was associated with increase in QoL over time (β ilr 0.94, p = 0.013), but this association attenuated after adding baseline physical function into the model. Sedentary behavior, standing, and time in bed were not associated with changes in QoL. Theoretical reallocation of 30 min of physical activity into sedentary behavior, standing or time in bed was estimated to decrease QoL by 0.5 (CI 95% -0.6 to -0.4), 0.6 (-0.7 to -0.5) and 0.4 (-0.5 to -0.3) points, respectively., Conclusions: Theoretical reallocation of physical activity into sedentary behavior, standing, and time in bed was found to be associated with prospective decline in QoL among older adults. Engaging more in physical activity and less in more passive activities may promote better QoL with advancing age., Competing Interests: Declarations Ethics approval and consent to participate Both baseline and follow-up studies were given a positive endorsement by the Central Finland Hospital County Ethics Committee (Dnro 14U/2017, Dnro4U/2021), adhered to ethical principles outlined in the Declaration of Helsinki, and all participants provided written informed consent. Consent for publication Not applicable. Competing interests The authors declare that they have no competing interests., (© 2024. The Author(s).)

Background: Becoming a father is a critical period of life transition. Evidence suggests that lifetime history of mental health disorder/s and elevated depressive symptoms prior to conception increase risk for men's postnatal depression. Less is understood about the role of positive mental health, or wellbeing, as a protective factor for future depressive outcomes during the transition to fatherhood. The present study investigated whether men's post-natal depressive outcomes were associated with pre-conception levels of wellbeing and whether wellbeing during the post-natal period predicted depressive outcomes post-infancy., Methods: Secondary analysis of data from a national, longitudinal cohort study of men's health, namely, The Ten to Men Study (TTM), was conducted. Participants in the pre-conception sample were n = 350 men for whom data were available at both a pre-conception baseline and post-natal follow-up. The post-natal sample were n = 427 men with post-natal baseline data and post-infancy follow-up. Multivariate negative binomial regressions and logistic regression models were used to determine pre-conception and post-natal predictors of future depressive outcomes., Results: Men's pre-conception depressive symptoms were the best predictor of post-natal depressive symptoms (IRR = 1.089, p < 0.001) and risk of moderate-severe depression (IRR = 1.193, p = 0.005) the latter of which was also predicted by a previous mental health diagnosis (IRR = 3.079, p = 0.029). Similarly, post-natal depressive symptoms were the best predictor of post-infancy depressive symptoms (IRR = 1.089, p < 0.001) and risk of moderate-severe depression (IRR = 1.193, p = 0.005) alongside lifetime prevalence of a mental health disorder (symptoms: IRR = 1.317, p = 0.011; moderate-severe depression: IRR = 2.606, p = 0.023). Preconception levels of wellbeing predicted lower post-natal depressive symptoms (IRR = 0.988, p < 0.001) and reduced risk of moderate-severe depression (IRR = 0.940, p = 0.002) after controlling for baseline symptoms and sociodemographic and behavioural confounds; however, wellbeing during the post-natal period did not predict either depressive outcome post-infancy., Limitations: Fatherhood-specific risk factors for mental health outcomes (e.g., conception difficulties, maternal postnatal mental health) were not assessed in the present study, and only one aspect of wellbeing was captured., Conclusions: Screening for history of common mental health disorders and current symptoms is recommended to inform preventative approaches to paternal mental health care during early fatherhood. Inclusion of wellbeing in such screening procedures may be beneficial, however, further research is required to elucidate the prospective associations between wellbeing and depressive symptoms during the transition to fatherhood., Competing Interests: Declaration of competing interest None., (Copyright © 2024. Published by Elsevier B.V.)

Background: In recent years, sustainable employability, rooted in the capability approach, has received substantial attention due to its associations with work and health-related outcomes. While previous studies have indicated that being able and enabled to achieve important work values (i.e., work capabilities) is positively associated with desirable work outcomes, most of these studies have primarily employed a cross-sectional design to explore these associations. This study aimed to examine the long-term relationships between work capabilities and work and wellbeing-related outcomes, including work ability, work engagement, task and creative performance, organizational citizenship behavior, organizational commitment, job and life satisfaction, turnover intention, and burnout symptoms., Methods: Data were collected from 251 randomly selected Dutch employees through a two-wave survey conducted in 2021 and 2023 via the Longitudinal Internet Studies for the Social Sciences panel. Multiple linear regression analyses were performed to assess these associations while controlling for potential covariates., Results: The results revealed that participants valued a diverse range of work capabilities but encountered challenges in realizing these valued capabilities. The capability set positively predicted desirable outcomes and was associated with reduced burnout over a two-year period., Conclusions: Supporting and enabling employees to realize their capabilities is essential for improving favorable work outcomes and diminishing burnout in today's volatile work environment. These findings further emphasize the importance of organizations improving conversion factors to bridge the gap between valued capabilities and their actualization., Competing Interests: Declarations Ethics approval and consent to participate The study design, protocol, and data management plan, as outlined in registration number RP606, received approval from Tilburg University’s Ethics Review Board. All procedures adhered to the applicable guidelines and regulations set forth by the Ethics Review Board. Written informed consent was secured from all participants through the LISS panel. Consent for publication Not applicable. Competing interests The authors declare no competing interests., (© 2024. The Author(s).)

Financial, environmental, and socio-cultural challenges affect the mental health and wellbeing of those working and living on-farm. Education programs can help in improving mental health and overall wellbeing, but most of these programs are offered to established farmers in a face-to-face format, leading to a gap in offerings to many subgroups, including young agricultural entrants. To address these gaps, this paper assesses the value of an online mental health and resilience education program for young agricultural entrants. An explanatory sequential mixed methods approach was applied. Firstly, a quantitative survey was conducted with 172 first year agricultural tertiary students, aged 18-20, to assess the knowledge and skills gained due to program participation. Regressions and propensity score matching were used to determine the effect of program participation. Subsequently, seven interviews were conducted with program participants to provide insights into their experiences of the program. Thematic coding was applied to analyze the qualitative data. Findings from the quantitative survey show a significant increase in mental health knowledge and skills amongst program participants compared to participants in the control group. The qualitative interviews show the ability to work through the material in their own time and space, creates a safe environment for online students. Other mechanisms contributing to learning are using "normal language", a peer voice in communicating wellbeing, and building on learnings in previous education. This paper addresses a gap in literature by being the first study to evaluate online mental health education for agricultural tertiary students. It provides educators and other program designers with valuable information for future program design to support the wellbeing of young agricultural workers.

Objective: To describe the impact of an integrative medicine elective on the wellbeing of pharmacy students at the University of Maryland School of Pharmacy and examine the relationship between perceived stress and happiness., Methods: Students completed the Perceived Stress Scale (PSS) and Subjective Happiness Scale (SHS) prior to and three months after taking the course. Our study compared the outcomes of each composite score from the PSS and SHS before and after course participation to detect any difference. The interpretation of single composite scores was analyzed similarly. The correlation of the PSS and SHS was checked to determine their relationships, and the correlation between the change in PSS and the time the students spent practicing their identified integrative modality was also analyzed to detect whether any association existed., Results: A total of 49 students completed both the pre and post wellness inventories over three offerings of the class (2020, 2022 and 2023). There was a decrease in PSS of 0.8 that was not statistically significant with most students reporting moderate perceived stress on both the pre-PSS and post-PSS. The average SHS was 4.7. There was a strong negative correlation between the PSS and SHS. There was a moderate negative correlation between the time practicing the integrative medicine modality and post-course PSS., Conclusion: This practical, hands-on experience will add non-pharmacologic tools to the pharmacy student tool kit, which could be used in both patient care and pharmacy student wellness., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024. Published by Elsevier Inc.)

In this study, we expanded upon the job demands-resources model to assess the role of employees' vitality as an inner resource for their work engagement and job commitment. To assess vitality and related job resources, we developed an index of vitality outside of work and adapted measures of manager autonomy support and organizational support. For job demands, we measured work stress and predicted that each of these four variables would contribute independently to work-related outcomes. Then, in a preregistered study, we collected these measures from a sample of 5,280 American workers (primarily ages 18-34, 54% female). Results from multivariate regression analyses largely confirmed our hypotheses, showing that positive work-related outcomes, such as enthusiasm, enjoyment, and job satisfaction, were positively predicted by manager autonomy supports, organizational support, and individuals' vitality, and negatively predicted by work stress. The reverse pattern was largely observed for the negative outcome of turnover intention. Exploratory analyses also suggested that individual vitality may buffer the negative effects of stress and low manager and organizational support. The results highlight the potential role of employee vitality outside of work and managerial support in bolstering work engagement and reducing turnover intentions, offering a basis for organizational strategies aimed at improving work culture and retaining talent., Competing Interests: CD, CR, and RR were employed by Immersyve, Inc. SD-C and TT were employed by Evernorth Research Institute. The remaining author declares that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 DeHaan, Bradshaw, Diaz-Castillo, Trautman, Rigby and Ryan.)

The construct of flourishing, which refers to a high level of wellbeing, is a key concept in the field of positive psychology. Nevertheless, despite the proliferation of questionnaires attempting to measure wellbeing and flourishing, there is still an ongoing debate in the scientific community about the definition and assessment of both, which makes the choice of appropriate measures a major challenge. This study addresses this uncertainty through a comparative analysis of four widely used flourishing measures in a German-speaking sample, to enable researchers to make a reasonable choice among the measures available: the PERMA-Profiler, the Mental Health Continuum-Short Form, the Flourishing Scale, and the Wellbeing Conceptual Framework. To enhance the understanding of these four measures, we compared and contrasted the instruments using Item Pool Visualization (IPV), an illustrative approach that generates item pools from the same dataset and displays them as nested radar maps. Our research indicates that all four measures are useful in measuring the concept of flourishing. However, they differ from each other depending on specific interest (from a broader to a narrower view). If the aim is to get a comprehensive overview of flourishing, then the PERMA-Profiler, the Mental Health Continuum-Short Form, and the Flourishing Scale are appropriate options. If the focus is on measuring a more central concept, the Wellbeing Conceptual Framework provides the most specific assessment of flourishing., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Ploke, Batinic and Stieger.)

Purpose: This study examined the relationship between Distress Tolerance, defined as the individual's ability to withstand psychological stress or endure negative emotions, and Life Satisfaction, the cognitive component of the individual's subjective wellbeing, among Saudi young adults aged 20-30. The study aimed to understand the overall scores of distress tolerance, life satisfaction, and gender differences in these variables., Methods: Online questionnaires were distributed to 348 participants selected based on inclusion/exclusion criteria, using self-report scales: the Distress Tolerance Scale (DTS) and the Satisfaction with Life Scale (SWLS). The sample consisted of 77 males and 271 females, with a mean age of 1.8793 years (SD = 0.81931). Data were analyzed using the SPSS program., Results: The findings supported our hypotheses that (1) Saudi young adults have high overall scores of distress tolerance and life satisfaction, (2) there is a significant positive correlation between distress tolerance and life satisfaction, (3) there are no significant differences between males and females regarding overall distress tolerance and life satisfaction levels, although (4) a significant gender difference was found in the emotional regulation subscale of DTS. A linear regression analysis also showed that distress tolerance significantly predicts life satisfaction., Conclusion: Distress tolerance and life satisfaction are positively associated among Saudi young adults, with no significant gender differences in overall levels. However, differences in specific subscales, such as emotional regulation, warrant further investigation. These findings provide valuable insights for interventions to enhance this population's wellbeing., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Abd Ellatif Elsayed and Aleriani.)

Background: The health workplace is fraught with fluctuations and uncertainties, creating a volatile, uncertain, complex, and ambiguous (VUCA) environment, particularly impacting frontline healthcare workers (HCWs) and leading to an epidemic of stress, burnout and health issues, exacerbated by the COVID-19 pandemic., Objectives: This paper aims to explore the multifaceted aspects of HCWs wellbeing, address challenges arising due to COVID-19 and VUCA and highlight innovative approaches within health systems to enhance the quality of life HCWs., Methods: A systematic review was conducted using PubMed and Scopus with search terms including 'VUCA,' 'health personnel,' 'frontline healthcare workers,' and 'psychological wellbeing.' Grey literature focusing on Australia and Nigeria was also included. Search was limited to titles on "COVID-19", articles published in English, and articles published from inception to 11th March 2024., Findings: Initial search terms generated hundreds of thousands of literatures but after limitations to titles on COVID-19, 32 articles were screened and 22 selected for critical review. Seven other grey articles were included with focus on Australia and Nigeria. The summary findings indicate the disruptiveness of VUCA, and associated need to improve healthcare workers' resilience and this calls for further research., Conclusion: This report highlights the further need to explore the volatile, uncertain, complex and/or ambiguous health workplace with a view to improve healthcare workers wellbeing. Intentional organizational support strategies along with personal coping strategies should be further explored towards improving HCWs resilience and wellbeing., (© 2024. The Author(s).)

Background: Adjusting to life changes posed by an acquired brain injury (ABI) can be challenging for both individuals with ABI and their families. The current study explores the experience of adjustment, incorporating similarities and differences in this process as reported by the family members and individuals with ABI., Method: Thirty-nine participants, recruited from a regional brain injury charity group, took part in semi-structured interviews (20/39 individuals with ABI, 19/39 relatives). Transcripts were analyzed using thematic analysis., Findings: Three main categories of adjustment were developed: adjusted to life after ABI , partially adjusted to life after ABI and not adjusted to life after ABI . However, it is the complexity of experiences within these main categories which uncovers the diversity in individual experience. Of specific interest are adjustment as best case and resigned adjustment responses which indicate a level of burden for the person experiencing these feelings of adjustment., Conclusions: The categories of grateful acceptance and resigned acceptance were specific to relatives and show the need to look beyond the individual with ABI to identify where support may be required for a family as a whole. On the basis of these findings, we offer an inclusive, family-oriented conceptualization of adjustment to brain-injury.

Background: The study aims to investigate the wellbeing of mid-achieving university students on campus and the factors affecting it. Given that this group represents a large yet often overlooked portion of higher education, the study endeavors to analyze the specific factors affecting their wellbeing to provide insights to foster a more comprehensive and inclusive educational environment., Methodology: The study adopted a qualitative research method. A total of 30 mid-achieving university students from different departments at Guizhou Medical University in China were interviewed in-depth. The interviews were conducted via the online WeChat platform from 1st March 2024 to 13th September 2024. The semi-structured interviews focused on "moments in campus life that make mid-achieving university students feel happy or joyful." All interviews were audio-recorded and transcribed into text, which was thoroughly coded and analyzed by the researcher using NVIVO 12 software to comprehensively assess the multiple factors that affect the wellbeing of students., Results: The wellbeing of mid-achieving university students is affected by a combination of factors, including freedom and autonomy, social interactions, collective activities, campus environment and facilities, and academic achievement., Conclusion: Enhancing the autonomy of mid-achieving university students can significantly improve their self-efficacy and overall wellbeing. While social interactions and collective activities provide emotional support, they also present interpersonal challenges. Sufficient recreational spaces and a diverse range of food options on campus can help alleviate students' stress and increase their satisfaction with campus services. Conversely, policies banning motorized bicycles may negatively affect students' sense of wellbeing. Theoretically, the study contributes to the literature on student wellbeing in higher education psychology, particularly by offering a deeper understanding of the large but often neglected group of mid-achieving students. Practically, the findings emphasize the importance of creating more supportive and responsive educational environments tailored to the needs of these students, thereby facilitating inclusive campus environments and fully harnessing the learning potential of mid-achieving students. The study also proposes specific improvement strategies, such as optimizing campus facilities, enhancing student autonomy, and bolstering social and academic support systems. These measures are expected to directly improve the daily experiences of mid-achieving students and enhance their overall wellbeing., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Zou, Lin, Chen and Yu.)

Appearance concerns are a pervasive issue affecting many university students and contributing to poor psychosocial and academic outcomes. To combat these, action is needed by universities to promote appearance inclusivity. The current study used inductive qualitative methods to explore students' lived and/or living experiences and concerns relating to their physical appearance and views on how to achieve an appearance inclusive university. Seventeen students aged 19-55 from a UK university participated in online semi-structured interviews (n=12) and focus groups (n=5). Thirteen participants were women, three were men, and one was non-binary. Interviews and focus groups were transcribed verbatim and analysed using reflexive thematic analysis. Students identified several ways appearance concerns had negatively impacted them and supported an increased focus on appearance inclusivity at university. Three themes were developed: 1) appearance has a big impact on my university life; 2) it's not the same for everyone (i.e., individual differences and intersectionality impact students' experiences); and 3) intentional change is needed (i.e., change is necessary to improve appearance inclusivity, but it should be consciously thought out). Strategies to improve appearance inclusivity should be prioritised and carefully considered to avoid tokenism and ensure they centre the needs of those from underrepresented groups., Competing Interests: Declaration of Competing Interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

We examined whether the salutogenic nature of resilience is the pathway of association, as well as a moderating factor, between spirituality and vicarious posttraumatic growth (VPTG). Two hundred Nigerian orthopedic nurses completed the Resilience Scale (RS-14), Spiritual Involvement and Belief Scale-Revised (SIBS-R), and Posttraumatic Growth Inventory-Short Form (PTGI-SF). We found that greater spirituality and resilience were directly associated with high VPTG. Resilience helped to explain (mediated) the relationship between spirituality and VPT such that spirituality was linked to VPTG by virtue of high resilience. Moderation analysis indicated that resilience was most robustly associated with increased VPTG for nurses with high spirituality compared to those with moderate and low levels of spirituality. Findings may be relevant in integrative/complementary approaches to trauma work., (© 2024. The Author(s), under exclusive licence to Springer Science+Business Media, LLC, part of Springer Nature.)

Several studies have shown high rates of mental health problems amongst doctors in training worldwide. Self-care has been shown to be protective against burnout and increases subjective wellbeing. This study aims to investigate the self-care practices of foundation year doctors (FYs) in Malta. All doctors enrolled in Foundation Programme Malta in 2022 were invited to participate in an online questionnaire containing the Mindful Self-Care Scale (MSCS). Confirmatory factor analysis confirmed the 6-factor model described in literature. The independent sample t-test and Mann-Whitney U-test were used to check for relationships between total scores and variables of interest and means and medians for each group were compared. A total of 122 doctors answered the questionnaire out of 264 (46%). The median score for our FY cohort was 68, indicating moderate levels of self-care. Almost 40% of participants rarely or never experienced a sense of meaning at work. Working for long hours under stressful conditions means that self-care must be one of the top priorities for new doctors. However, very few FYs working in Malta regularly care for their physical and mental health. Strategies to improve trainee wellbeing must first focus on systemic factors to allow the individual factors to be addressed.

Despite alarms raised that adolescents' social media use can aggravate the harmful impact of residential risks (e.g. local violence) to their mental health, the mechanisms are poorly understood. To better understand potential mechanisms, we interviewed Latino adolescents living in a hypersegregated U.S. city, for whom social media may aggravate existing inequalities in residential risks to their mental health. Through an abductive analysis, we identified two processes suggesting how social media can amplify the deleterious impact of residential risks to their mental health. We refer to the first as additive, whereby social media heightens awareness of residential risks. The second is extension, whereby social media lengthens one's risk awareness, speeds up potential for risk awareness and multiplies who may become aware. We found evidence suggestive of parallel processes yielding diminution, whereby social media can minimise the deleterious effects of residential risks via adding and extending exposure to mental health resources, like collective efficacy. Further, the potential for extension (to both risks and resources) appears limited because social media practices (e.g. reposting, seeking viral attention) can foster indifference. Findings suggest the need to consider how adolescents activate resources via social media to avoid overstating its negative impact on mental health., (© 2024 The Author(s). Sociology of Health & Illness published by John Wiley & Sons Ltd on behalf of Foundation for the Sociology of Health & Illness.)

Background: Military veterans residing in rural areas face unique challenges that can impact their wellbeing, including limited access to healthcare resources, social isolation, and distinct environmental stressors. Despite growing interest in veteran wellbeing, there remains a gap in understanding how service-connected disabilities and health conditions intersect with wellbeing in rural contexts., Methods: This study employed a comprehensive approach to investigate the relationships between wellbeing, service-connected disabilities, and health outcomes among rural veterans. First, a short version of the PERMA Profiler was psychometrically validated for use among rural veterans. Then, associations between wellbeing and mental/physical health outcomes were examined. Lastly, differences in wellbeing between veterans with and without service-connected disabilities were evaluated., Results: The psychometric validation of the short-form PERMA Profiler yielded robust results, establishing its reliability and validity for assessing wellbeing among rural veterans. Significant positive associations were found between wellbeing and mental/physical health outcomes. Moreover, rural veterans with service-connected disabilities exhibited lower wellbeing scores compared to those without such disabilities., Conclusion: This study enhances our understanding of wellbeing among rural veterans, emphasizing the importance of considering service-connected disabilities and health conditions. The findings underscore the need for targeted interventions and support systems tailored to the specific needs of rural veterans, particularly those with service-connected disabilities. Recognizing and addressing these factors are crucial steps toward enhancing the overall wellbeing of this population., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest., (Copyright © 2024 Umucu, Granger, Pan, McGee, Han, Yates, Barnas, Barter and Lee.)

Background: Evidence of racism's health harms among children and youth is rapidly increasing, though attention to impacts on physical health and biomarker outcomes is more emergent. We performed a systematic review of recent publications to examine the association between racism and health among children and youth, with a meta-analysis of the specific relationships between racism and physical health and biomarkers., Methods: We conducted a systematic literature search using four databases: Medline, PsycINFO, PubMed, and ERIC. Four inclusion criteria were used to identify eligible studies: (1) exposure was experiences of racism, (2) outcome was health and wellbeing, (3) quantitative methods were used to estimate the association between racism and health outcomes, and (4) the effect size of associations between racism and health and wellbeing was reported for participants aged 0-24 years. Correlation coefficients were used to report the pooled effect size for each outcome indicator., Results: There were 463 eligible studies included in the screening process, with 42 studies focusing on physical health or biomarker outcomes. Random-effects meta-analysis found minimal to moderate positive associations between racism and C-reactive protein, Interleukin 6, body mass index (BMI), obesity, systolic blood pressure, salivary cortisol, asthma, and somatic symptoms. There were marginal positive associations between racism and Tumour Necrosis Factor-α, cortisol collected via saliva, urine and hair, BMI-z score, and diastolic blood pressure, with imprecise estimates and wide confidence intervals., Conclusions: Racism is associated with negative physical health and biomarker outcomes that relate to multiple physiological systems and biological processes in childhood and adolescence. This has implications for health and wellbeing during childhood and adolescence and future chronic disease risk. Collective and structural changes to eliminate racism and create a healthy and equitable future for all children and youth are urgently required., (Copyright © 2024. Published by Elsevier Ltd.)

The development of innovative, eco-friendly, and cost-effective adsorbents is crucial for addressing the widespread issue of organic and inorganic pollutants in soil and water. Recent advancements in sulfur reagents-based materials, such as FeS, MoS 2 , MnS, S 0 , CS 2 , Na 2 S, Na 2 S 2 O 3 2- , H 2 S, S-nZVI, and sulfidated Fe 0 , have shown potential in enhancing the functional properties and elemental composition of biochar for pollutant removal. This review explores the synthesis and characterization of sulfur reagents/species functionalized biochar (S-biochar), focusing on factors like waste biomass attributes, pyrolysis conditions, reagent adjustments, and experimental parameters. S-biochar is enriched with unique sulfur functional groups (e.g., C-S, -C-S-C, C=S, thiophene, sulfone, sulfate, sulfide, sulfite, elemental S) and various active sites (Fe, Mn, Mo, C, OH, H), which significantly enhance its adsorption efficiency for both organic pollutants (e.g., dyes, antibiotics) and inorganic pollutants (e.g., metal and metalloid ions). The literature analysis reveals that the choice of feedstock, influenced by its lignocellulosic content and xylem structure, critically impacts the effectiveness of pollutant removal in soil and water. Pyrolysis parameters, including temperature (200-600 °C), duration (2-10 h), carbon-to-hydrogen (C:H) and oxygen-to-hydrogen (O:H) ratios in biochar, as well as the biochar-to-sulfur reagent modification ratio, play key roles in determining adsorption performance. Additionally, solution pH (2-8) and temperature (288, 298, and 308 K) affect the efficiency of pollutant removal, though optimal dosages for adsorbents remain inconsistent. The primary removal mechanisms involve physisorption and chemisorption, encompassing adsorption, reduction, degradation, surface complexation, ion exchange, electrostatic interactions, π-π interactions, and hydrogen bonding. This review highlights the need for further research to optimize synthesis protocols and to better understand the long-term stability and optimal dosage of S-biochar for practical environmental applications., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Objective: Surgical resident schedules are demanding. Despite ACGME requirements that residents be able to attend personal appointments, many residents put off essential health tasks due to work hours. We designed a method for surgical residents to request a "flex" or personal day utilizing an online system for requesting and tracking., Design: Residents were given 5 days to use during 1 academic year. A float rotation was implemented to cover scheduled absences. We conducted an anonymous REDCap survey pre and postimplementation regarding resident ability to attend personal appointments and wellbeing. The results of these surveys were compared using descriptive statistics, t-test, and chi-square testing., Setting: Single large academic training institution., Participants: Sixty general surgery residents., Results: Over 9 months, we scheduled 195 flex days and 91% of residents had used the program. The most common uses were travel, time with family/friends, and attending personal health appointments Postimplementation, of residents who needed an appointment, an increased percentage attended a physician (92% vs. 71%, p 0.02), dental (94% vs. 65%, p < 0.01) or mental health (96% vs. 64%, p < 0.01) appointment. A decreased percentage delayed a necessary appointment due to work hours (45% vs. 19.5%, p 0.01), 94% reported improved schedule control, and 100% believed the program was important for wellbeing. When comparing Mayo Wellbeing Index scores pre and postimplementation there was a decrease in the number of trainees reporting high distress (18.8% vs. 29.3%, p 0.03). Postimplementation, our program noted an 80% decrease in the number of duty hours violations (16 vs. 3 violations) and a 12% increase in compliance with the ACGME survey for ability to attend personal appointments., Conclusion: "Flex" days offer surgical residents improved schedule control and the ability to schedule essential personal appointments. They are feasible, even within large training programs, with significant uptake in our sample., (Copyright © 2024 The Author(s). Published by Elsevier Inc. All rights reserved.)

Background: Research on the nature and prevalence of phenomena like climate anxiety (or eco-anxiety) is increasing rapidly but there is little understanding of the conditions under which climate change worry becomes more or less likely to significantly impact mental wellbeing. Here, we considered two plausible moderators of the relationship between climate change worry and mental wellbeing: neuroticism and efficacy beliefs., Methods: Analysis was conducted with survey data gathered in six European countries in autumn 2019. Participants were recruited from universities in the participating countries using opportunity sampling., Results: We found that climate change worry is negatively related to mental wellbeing at any level of perceived efficacy. In contrast, climate change worry is only significantly related to mental wellbeing at low and average levels of neuroticism. High neuroticism appears to have a masking, rather than amplifying, role in the relationship between climate change worry and mental wellbeing., Limitations: The cross-sectional design of the study precludes verification of causal relationships among variables. The brief measure of neuroticism employed also did not allow for nuanced analysis of how different facets of neuroticism contribute to the observed interaction with climate change worry. Findings cannot be indiscriminately generalised to less privileged groups facing the worst impacts of the climate crisis., Conclusion: Our findings lend to a view that harmful impacts of climate change worry on mental wellbeing cannot simply be ascribed to dispositional traits like neuroticism. We advocate for interventions that tackle negative climate-related emotions as unique psychological stressors., Competing Interests: Declaration of competing interest None., (Copyright © 2024 The Authors. Published by Elsevier B.V. All rights reserved.)

Introduction: The aim of this study was to assess match time courses on hydration, wellness, and sleep as well as the interrelationship between these variables in youth national soccer players. Materials and Methods: Under-17 and under-19 youth national soccer players (age range: 16.96 ± 1.17 years) completed a perceptual wellness questionnaire, self-reported their sleep, and carried out hydration assessments each morning during a period of competitive match play. Results: Players reported having significantly more sleep leading into the day of a match (MD) compared to both the evening after a match (MD-2; p < 0.001; CI = 7.972 and 8.212) and the evening before a match (MD-1; p < 0.001; CI = 7.996 and 8.174). Furthermore, players reported better health and wellbeing scores on MD compared to both MD-1 ( p < 0.001; CI = 19.231 and 19.692) and MD-2 ( p < 0.001; CI = 18.911 and 19.489). When self-reported sleep was correlated with the individual components of health and wellbeing, it was highlighted that there were significant effects for fatigue ( r  = 0.304, p < 0.001; CI = 0.250 and 0.383), mood ( r  = 0.170, p < 0.001; CI = 0.112 and 0.243), general muscle soreness ( r  = 0.225, p < 0.001; CI = 0.162 and 0.306), and stress ( r  = 0.203, p < 0.001; CI = 0.147 and 0.274). Conclusion: It is important to consider sleep strategies to mitigate the potential impact of lack of sleep following match play. Self-reported sleep seems to be appropriate for estimating individual components of health and wellbeing, and therefore may be a suitable replacement for perceptual wellness questionnaires., Competing Interests: The authors declare no conflicts of interest., (Copyright © 2024 Michael King et al.)

Objective: This paper explores the practical implications of the World Health Organization strategy of focussing on community-based mental health and wellbeing ecosystems in the context of the Pacific Island Countries. It draws on the expertise of the participants of a collaborative workshop held during the Creating Futures conference in 2023 to discuss successes, challenges, barriers, opportunities in the implementation of the framework and to examine potential future actions., Conclusions: Some of the significant factors that make for effective and sustained community-based mental health systems include appropriate central coordination and oversight of community-based services, adequate frameworks for quality assurance, meaningful data collection and sustained long-term funding, as well as a range of workforce factors. Flexible and place-based approaches also need to be considered in effective implementation, moving away from Western diagnostic 'labels' to communication that is effective at the local level. Positive community resources as well as the relative youth of the mental health sector in the Pacific Island Nations are huge opportunities to develop affective and appropriate community mental health systems., Competing Interests: DisclosureThe author(s) declared no potential conflicts of interest with respect to the research, authorship, and/or publication of this article.

Objective: The COVID-19 pandemic restrictions have substantially affected people's health and rapidly changed their daily routines. This is a prospective study that investigated the impact of the pandemic on primary school children with Type 1 diabetes and their parents during the first lockdown in Kuwait., Methods: A questionnaire battery related to mental health, well-being, and lifestyle was administered at baseline in Summer 2019 (face-to-face, at a diabetes outpatient clinic) and at follow-up during lockdown in Summer 2020 (via telephone, in adherence with COVID-19 restrictions). Data were collected for 70 dyads with children aged 9-12 years., Results: Significant differences were found in most scores for both children and parents. Their mental health worsened to a higher level of depression, anxiety, stress, and a poor level of wellbeing. The average scores on the follow-up tests fell within a clinical range on these measures. Significant differences in their lifestyle, compared to before the lockdown, included decreased levels of physical activity and lower healthy core nutritional intake., Conclusions: Our findings indicate that the COVID-19 lockdown has had a significant psychological and possibly physiological impact on children with Type 1 diabetes and their parents. We conclude that there is a need for mental health support services focusing on these groups. Although full lockdown restrictions will have stopped in the past year, post-pandemic stressors may be expected to continue to adversely affect this cohort., (© 2024. The Author(s).)

Background: There are increasing mental health concerns in the construction industry workforce, with stress being a primary concern. This qualitative study investigates stress experiences and the management of stress in office-based and on-site workers in the UK building construction sector. This study can provide key insights for construction, but also potentially other industries which struggle with high stress levels among their employees., Methods: A total of 40 semi-structured interviews (20 on-site/20 office-based) were conducted at large-scale building construction projects in the southeast UK. Framework method analysis was used to derive an understanding of stress in the workplace and coping strategies., Results: The study identified two major themes: the negative influence of work stress on personal and professional wellbeing, and the management of stress through proactive and reactive coping strategies. Results indicated that on-site workers frequently cited high workloads, tight deadlines, and safety concerns, whereas office-based workers tended to highlight job complexity and organisational pressures. Both population sub-groups reported stress affecting their work performance, with site-workers having the added concern of physical health and safety. Coping strategies among workers tended to rely on support networks, outside-the-workplace hobbies, and boundary-setting, among others., Conclusions: Stress remains a significant problem in the workplace and affects wellbeing; however, there are ways to mitigate the stress. Our findings could provide a foundation for intervention development.

Background: The COVID-19 pandemic has had a well-evidenced impact on adolescents, who are especially sensitive to pandemic disruptions given the critical role of socialization in their development. In Chile too, evidence shows increases in mental health complaints among adolescents over the lockdown period. Our study aimed at exploring the experiences of Chilean adolescents regarding their mental health during the lockdown and school closure (March 2020-December 2021), and during the return to on-site education (2022) as informed by adolescents and school staff, with a focus on family, school, and social sources of risk and support for adolescents' wellbeing during these periods., Methods: Using a qualitative approach, we conducted semi-structured interviews with 19 adolescents and 16 staff members from schools in an urban area of Chile., Results: Through thematic analysis, we generated five themes: [1] Adolescents in a mental health crisis, comprising a range of distressing experiences and mental health problems. This crisis was fueled by alterations in the functioning of adolescents' systems: [2] Broken support systems (peers and school); [3] The school agenda must go on, reflecting schools' strict compliance with the educational curriculum; and [4] Blurred boundaries between home and school life and within the family. Finally [5], Development will (try to) find its way describes how most participants experienced a bouncing back to wellbeing in the course of the school year upon return, and how some developmental milestones took place despite the abnormal conditions, providing evidence for resilience amid pandemic adversity., Conclusions: The findings give insight into how the exchanges between the adolescent and the social systems they are embedded in were interfered. The results help us understand the challenges for mental health during and after the pandemic, and highlight adolescents' capacity to thrive as normality was restored. The results also underscore the importance of upholding stability across adolescents' systems and routines, in order to mitigate impacts on wellbeing amid abnormal circumstances. The findings are relevant for development-informed initiatives in policy design in the aftermath of the pandemic and in future crisis management responses., (© 2024. The Author(s).)

Numerous research studies show that mindfulness can mitigate the negative impact of trauma on mental health by reducing symptoms of anxiety, mediating the relationship between trauma exposure and mental health, and treating symptoms resulting from traumatic events. During the COVID-19 pandemic, which was considered a traumatic event, the wellbeing of adults and children was severely compromised. Although children seem less vulnerable to the physical effects of the virus, this does not seem to be true for the psychological effects. Indeed, a prolonged period of loss of family activities and routines can have a negative impact on the mental health of children and adolescents. To investigate how mindfulness can help preschool children cope with the effects of COVID-19, a study was conducted on 46 children aged 4-5 years. The programme, based on the work of Jon Kabat-Zinn and adapted to the age of the participants, consisted of eight weekly 45-min sessions. Qualitative and quantitative results showed positive feedback, indicating that mindfulness helps children make sense of their experiences and achieve functional post-traumatic growth. This approach is seen as a challenge to guide children toward the restoration of psychological wellbeing, which is essential for good psychological balance., Competing Interests: The authors declare that the research was conducted in the absence of any commercial or financial relationships that could be construed as a potential conflict of interest. The reviewer FI declared a shared affiliation, with no collaboration, with the author AA to the handling editor at the time of the review. The author(s) declared that they were an editorial board member of Frontiers, at the time of submission. This had no impact on the peer review process and the final decision., (Copyright © 2024 Caldiroli, Procaccia, Negri, Mangiatordi, Sarandacchi, Antonietti and Castiglioni.)

Background: A novel image-based method (AgileBrain) demonstrates construct validity as a measure of wellbeing in the general working adult population., Method: Analysis of data from four large nationally representative samples of American full-time workers employed by mid-to-large size companies conducted in November 2021 ( n  = 812), May 2022 ( n  = 810), June 2023 ( n  = 986), and January 2024 ( n  = 1,179)., Results: Across all four studies, AgileBrain demonstrates convergent validity across multiple established indicators of subjective wellbeing including the Patient Health Questionnaire (PHQ-9), Center for Epidemiological Studies Depression Scale (CESD-10), Generalized Anxiety Disorder Scale (GAD-7), Neuroticism (BFI-S), UCLA Loneliness Scale, Perceived Stress Scale (PSS-10), Coping Styles (Brief COPE-28), self-reported diagnosed neurodiversity conditions and symptoms, and trauma history., Conclusion: Results across these studies suggest that AgileBrain is useful as a screening tool for detecting compromised wellbeing in terms of construct validity. Given strong preferences for brief, gamified assessments, the validity advantages stemming from less consciously controllable responses, and the statistical advantages of measures associated with high response rates and normal distributions, AgileBrain emerges as strong tool for assessing subjective wellbeing at the population level and offers a promising approach to monitoring treatment effectiveness., Competing Interests: JP was employed by company Leading Indicator Systems. JP is a developer of AgileBrain., (Copyright © 2024 Pincus.)

Background: Burnout is a proven challenge in surgeons and surgical trainees, associated with higher rates of attrition compared to other medical specialties. Here we report the impact of a mental performance coaching program as it relates to surgery trainee wellbeing., Methods: A mixed-format mental performance coaching program was implemented at a large academic medical center's general surgery residency over a single academic year. Survey scores related to burnout, self-efficacy, and professional fulfillment were used to analyze the impact of the program as a whole, as well as by large group, small group, and one-on-one format attendance., Results: Residents that attended the small group or one-on-one sessions demonstrated a trend towards improved burnout and professional fulfillment. The PGY3 group attended the most small format sessions and demonstrated a significant decrease in burnout (p ​= ​0.03)., Conclusion: This offers an adaptable intervention for residency programs to improve the wellbeing of their trainees., (Published by Elsevier Inc.)

Oceania is currently facing a substantial challenge: to provide sustainable and ethical food systems that support nutrition and health across land and water. The Nutrition Society of Australia and the Nutrition Society of New Zealand held a joint 2023 Annual Scientific Meeting on 'Nutrition and Wellbeing in Oceania' attended by 408 delegates. This was a timely conference focussing on nutrition challenges across the Pacific, emphasising the importance of nutrition across land and water, education settings, women's health and gut health. Cutting-edge, multi-disciplinary and collaborative research was presented in a 4-day programme of keynote presentations, workshops, oral and poster sessions, breakfast and lunch symposiums and early career researcher sessions. The conference highlighted the importance of collaboration between nations to address the challenge facing nutrition and wellbeing across Oceania. A systems approach of collaboration among scientists, industry and government is vital for finding solutions to this challenge.

Studies have demonstrated the negative impact that work-related musculoskeletal disorders (WMSDs) have on surgeons. These are also likely to affect some allied healthcare professionals such as interventional radiologists. Problems from WMSDs include pain, diminished technical and cognitive performance, and work absence. These could contribute to burnout, to which surgeons are already vulnerable owing to other working practices such as shift patterns and long hours. WMSDs could negatively affect working performance, and lead to poorer surgical outcomes and patient care. Surgeons are at risk of WMSDs of the neck and back that result from fixed and damaging postures while operating. Some have reduced their operation numbers and working days as result of WMSDs. Theatre ergonomics (e.g. table positioning, operating stools and monitors), intraoperative breaks and stretching may improve WMSDs for some. Strength/resistance training (RT) may be used to prevent or mitigate WMSDs. RT can also enhance general health and concentration, and combat intraoperative fatigue. Low engagement times of moderate-intensity RT of 20 minutes, twice a week, improve neck and back pain from WMSDs. Moreover, RT has been shown to reduce all-cause mortality by up to 15%, increase bone density, improve proprioception and reduce the fear of movement due to pain. Alongside ergonomic improvement and stretching, we recommend RT as an activity to improve general health and WMSDs.

Variation in the timing of changes in the minimum wage across provinces in China is exploited using individual/household longitudinal survey data from 2010 to 2018 to examine potential health effects on working age individuals in households that are likely affected by minimum wages. Minimum wage increases are estimated to improve self-reported health particularly by reducing the incidence of self-reported overall poor health. There is also reasonably strong evidence that they reduce unhappiness and lower dissatisfaction with less robust evidence that they improve mental health and lower recent discomfort. Importantly, there is a type of "dose-response" effect: the estimates indicate no health effects of minimum wage increases on those in households likely not affected financially by the minimum wage with health effects increasing the more likely the household is financially affected. The results are driven by the findings for males., Competing Interests: Declaration of competing interest The authors have no conflicts of interest., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Research into immigrant wellbeing and health has yielded evidence for both potential risks and the capacity for resilience of individuals moving to the United States. Limited research, though, has considered how immigrants may differ in their perceived commitment to a life direction and goals, known as sense of purpose. Moreover, research is needed on whether immigrants may be more likely to derive that purpose through social activism for change. The current study employed a nationwide sample of U. S. adults ( N  = 1973; 5.3% immigrants), who reported on their sense of purpose, activist purpose, self-rated health, and life satisfaction. Results indicated that immigrants did not significantly differ from native-born U. S. adults on levels for any of the primary variables. Sense of purpose was more strongly associated with life satisfaction for native-born than immigrant participants, although other associations were similar in magnitude across groups. Future research should further explore background predictors of sense of purpose among immigrant samples, as well as whether immigrants and native-born adults differ on alternative forms of purpose.

Background : There is international agreement that military families (MFs)-active service members, reservists, veterans, and their families-must be resilient to overcome military life adversities. Resilience is defined either as skillsets or as processes implicating multi-systems in a socio-ecological context. While research on resilience-building specific to children and families who face adversity is growing, there is a paucity of evidence on MF-centred resilience-building. Objective : This review describes the evidence on such resilience-building programming and determines if adversity is considered a barrier or facilitator to resilience-building. Methods : This scoping review yielded 4050 peer-reviewed articles from database inception until December 2023, found in 12 databases. Articles were deduplicated, leaving 1317 that were independently screened for eligibility by two reviewers. Disagreements were resolved through discussion with a third reviewer. Findings : Of these articles, 27 were included; 5 additional articles were also included from other sources. The vast majority of included studies (91%) were conducted in the United States. These 32 articles were organised into categories, including demographics, research methodologies used, resilience program descriptors, and outcomes. Conclusions : Our results reveal that programs on building MF resilience vary widely, often measuring non-resilience health and social outcomes. We provide preliminary insights for MF health and policy. Our review findings will be invaluable for further evidence-based programming that builds resilience in MFs.

Contact with nature can contribute to health and wellbeing, but knowledge gaps persist regarding the environmental characteristics that promote these benefits. Understanding and maximising these benefits is particularly important in urban areas, where opportunities for such contact is limited. At the same time, we are facing climate and ecological crises which require policy and practice to support ecosystem functioning. Policies are increasingly being oriented towards delivering benefits for people and nature simultaneously. However, different disciplinary understandings of environments and environmental quality present challenges to this agenda. This paper highlights key knowledge gaps concerning linkages between nature and health. It then describes two perspectives on environmental quality, based respectively in environmental sciences and social sciences. It argues that understanding the linkages between these perspectives is vital to enable urban environments to be planned, designed and managed for the benefit of both environmental functioning and human health. Finally, it identifies key challenges and priorities for integrating these different disciplinary perspectives., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Augmented Depression Therapy (ADepT) is an individual psychotherapy for depression, which has been shown to be effective in the general adult population. A randomised multiple baseline case series evaluated the feasibility, acceptability, and effectiveness of ADepT in young adults (aged 20-24). Eleven depressed young adults were recruited from a UK university wellbeing service to receive ADepT during the COVID-19 pandemic, with outcomes evaluated relative to pre-specified continuation targets. All participants received a minimum adequate treatment dose (>60% target); 89% judged ADepT as acceptable and satisfactory and would recommend it to others (>60% target); only 9% showed reliable deterioration for depression or wellbeing (meeting <30% target); and there were no trial- or treatment-related serious adverse events. Qualitative interviews revealed most participants were satisfied with and experienced benefits from ADepT. At post-treatment, reliable improvement was shown by 33% of participants for depression and 67% of participants for wellbeing (not meeting target of both >60%), with medium effect size improvements for depression (g = 0.78) and large effect size improvement for wellbeing (g = 0.93; not meeting target of both >0.80). ADepT is feasible, acceptable, and safe in young adults but may require modification to maximise effectiveness. Further research outside of the COVID-19 pandemic is warranted., Competing Interests: Declaration of competing interest The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (Copyright © 2024 The Authors. Published by Elsevier Ltd.. All rights reserved.)

Objective: The physical and mental health of intersex individuals is woefully understudied. A recent survey of intersex individuals found high rates of self-reported cognitive issues such as difficulty remembering and concentrating as well as high rates of mental health issues, such as depression and anxiety. Method: The current study explores whether cognitive differences are observed between 353 intersex and over 400,000 non-intersex people using a latent model of cognitive tasks derived from measures in the UK (United Kingdom) Biobank study. Results: There were no differences in intelligence between intersex people and non-intersex people. We found significantly lower executive function and processing speed in intersex individuals versus non-intersex individuals. However, after accounting for mental health differences via regression and case-control matching, there were no significant differences in executive function or processing speed between intersex individuals and non-intersex individuals. Conclusion: Mental health differences between intersex and non-intersex individuals may account for differences in cognitive factor scores.

Background: As an emergent developmental construct, derailment - an individual difference hallmarked by a temporal discordance of the self - has been positively associated with depressive features, though less is known about the role of stress in this relationship. The aim of the present study was to explore the interaction between derailment and subjective stress on depressed mood., Methods: 265 adults recruited through Prolific - a crowd sourcing platform were first tasked with completing baseline measures, then were randomly assigned to a low stress or high stress condition. We utilized an adapted version of the Online Trier Stress Test to manipulate stress levels. Next, depressed mood and post-test perceived stress were measured. We analyzed data through STATA using a two-tailed independent samples t-test and multiple linear regression., Results: Findings suggested the experimental manipulation increased subjective stress within the high stress condition compared to the low stress condition (M diff  = 36.14, SE = 4.4, t = 8.21, p < .001). Further, we found the interaction between derailment and stress conditions was associated with increased depressed mood (β = -0.11, SE = 0.05, p = .038, R 2  = 0.5). Notably, we found significant between-condition differences in depressed mood for those who endorsed either low (d = 0.22, SE = 0.07, p = .003) or moderate levels of derailment (d = 0.11, SE = 0.05, p = .033), but not for those who endorsed high levels of derailment (d = 0.01, SE = 0.07, p = .92)., Limitations: This study utilized self-report measures, which may be susceptible to biased responses., Conclusions: Derailment may play a role in the persistence of depressed mood regardless of varying contexts of stress., Competing Interests: Declaration of competing interest All authors declare no competing interests., (Copyright © 2024 Elsevier B.V. All rights reserved.)

Background: Indoor lighting, exposure to outdoor daylight, physical activity and sleep interact to influence functioning, mood and cicadian rhythm. Older adults (≥ 65 years), who often spend more time at home, are less physically active and experience more sleep problems, could benefit from strategies to support behavioural change and self-managed modifications in the home. The study's primary objective was to assess the usability and feasibility of the 'Light, activity and sleep in my daily life' intervention, delivered as a web-based course., Methods: This 9-week intervention was delivered in a municipality in Sweden (55.70° N). Participants were eight healthy women (age 71-84), community-living in one-person households. We recruited through municipal staff and posters at senior citizen meeting points. Both qualitative and quantitative data were collected before and after the intervention. The outcome measures were intervention usability (ease of use, usefulness) and study feasibility (e.g., recruitment procedure, online engagement). Measures also included changes to routines and self-managed home adjustments to determine whether the participants applied what they had learnt., Results: All participants completed the intervention. Time logged in varied between 25 min and 3 h (M = 1 h 50 min) per week. Seven participants' system usability scores were between 90 and 100 ('Excellent') out of 100. When interviewed, participants reported overall high satisfaction with what they had learnt. Six participants were particularly satisfied with the modules targeting light. Seven participants made changes to their lighting or darkness conditions, such as replaced bulbs with either 3-step dimming or higher colour temperature LEDs (samples were included in the intervention test kit). One suggestion to improve the online delivery was to enable participants to add text comments to the weekly evaluation form., Conclusions: The web-based intervention was feasible to deliver but time for recruitment should be extended and advertisement in the local newspaper should be considered. Participants' computer proficiency and access to the internet at home will be critical in a future study with a larger sample. Only minor changes to the online content of the intervention are needed based on participants' feedback. The intervention will be possible to evaluate in a future pilot study., (© 2024. The Author(s).)

Background: Workers in healthcare and other essential occupations had elevated risks for COVID-19 infection early in the pandemic. No survey of U.S. workers to date has comprehensively assessed the prevalence of both COVID-19 and Long COVID across industries and occupations (I&O) at a detailed level., Methods: Behavioral Risk Factor Surveillance System data for 2022 from 39 states, Guam, and the U.S. Virgin Islands were used to estimate prevalence of self-reported history of COVID-19 and Long COVID, as well as the prevalence of Long COVID among those reporting prior COVID-19, by broad and detailed I&O. Adjusted prevalence ratios were used to compare outcome prevalence in each I&O to prevalence among all other workers combined., Results: By broad I&O, workers in healthcare, protective services, and education had elevated prevalences of COVID-19. The prevalence of Long COVID was elevated in healthcare and protective service but not education workers. Detailed I&O with significantly elevated prevalences of COVID-19 but not Long COVID included Dairy Product Manufacturing industry workers and subsets of mining workers. Both COVID-19 and Long COVID were elevated among bartenders/drinking places and personal care and appearance workers. The prevalence of Long COVID was elevated among farmworkers who reported having had COVID-19., Conclusions: Industries and occupations with elevated levels of COVID-19 or Long COVID in this study may warrant increased measures to prevent transmission of airborne respiratory viruses. Accommodations are a key component for supporting workers in all workplaces. This new information about the distribution of Long COVID by I&O suggests where employer understanding and implementation of tailored workplace supports and accommodations are most needed to support continued employment of affected workers., (© 2024 Wiley Periodicals LLC.)

Background: In the United Kingdom, onsite religious services were halted during COVID-19 lockdowns, which were followed by various levels of restrictions on communal worship including social distancing, mandatory wearing of face masks, adequate ventilation and a ban on congregational singing and chanting. The aim of our study was to evaluate the impact of closures and changes within places of worship in response to the first lockdown in 2020, to assess the effect of the pandemic on religious practice and worshippers' wellbeing and religious coping., Methods: Participants were regular worshippers in the UK, recruited through an online survey using convenience sampling. Respondents were asked about their attitudes to changes to places of worship in the UK and their wellbeing and mental health, including assessment of their risk of depression and anxiety using the Patient Health Questionnaire (PHQ-9) and Generalised Anxiety Disorder Assessment (GAD-7) measures. Questionnaires were completed August to November 2020., Findings: 939 participants were included in the analysis. Median age was 52.7 years and 66.1 % were female. 80.7 % identified as Christian. 165 (19.3 %) had mild, 45 (5.3 %) moderate, 25 (2.9 %) moderately severe and 10 (1.2 %) severe depression, and 192 (22.5 %) had mild, 55 (6.4 %) moderate and 27 (3.2 %) severe anxiety, according to PHQ-9 and GAD-7 scores, respectively. Nearly half (46.4 %) reported that their mood and anxiety levels had worsened and 16.6 % reported that they felt the things they were doing in their lives were not worthwhile. The vast majority of respondents (92.7 %) reported that prayer had helped them cope with the way they had felt during lockdown: 29.2 % and 47.0 % reported that it helped moderately and a great deal, respectively. This 76.2 % had significantly lower levels of moderate/severe depression and anxiety (adjusted odds ratio: depression 0.37 (95%CI 0.22-0.63), anxiety 0.52 (95%CI 0.31-0.88)., Interpretation: Our study demonstrates the significant impact of COVID-19 on communal worshippers' mental health and reinforces the benefits of positive religious coping during the first UK lockdown. Barriers to communal worship participation during lockdowns, including access to appropriate technology, need to be recognised and facilitators identified., Competing Interests: The authors declare that they have no known competing financial interests or personal relationships that could have appeared to influence the work reported in this paper., (© 2024 The Authors.)

Workplace sexual harassment represents a critical risk to contemporary organizations, with evidence indicating that its prevalence is increasing. Research has consistently demonstrated that workplace-sexual-harassment victimization exerts negative impacts on employees' health and wellbeing. However, no empirical studies have examined how these impacts vary by lesbian, gay, bisexual, trans, and queer (LGBTQ+) status. In this study, we leverage a unique survey dataset (2022 Australian Workplace Equality Index Employee Survey, n = 44,943) and random-intercept, multilevel regression models to estimate the relationships between workplace-sexual-harassment victimization and employee wellbeing. Expanding on earlier studies, we consider how these relationships vary between LGBTQ+ and other employees, across domains of employee wellbeing, and with the timing of sexual harassment. Our results reveal large, negative, and statistically significant impacts of sexual harassment on employee wellbeing. The impacts are comparatively larger for LGBTQ+ employees and recent harassment experiences, and manifest across all domains of employee wellbeing. These findings underscore the urgent need for holistic programs to combat workplace sexual harassment, and the importance of connecting these programs with diversity and inclusion initiatives., Competing Interests: Declaration of Conflicting InterestsThe author(s) declared a potential conflict of interest (e.g., a financial relationship with the commercial organizations or products discussed in this article) as follows: Nicki Elkin is employed by ACON Health, a not-for-profit organization that collects and manages the Australian Workplace Equality Index Employee Survey data used in this study. This role, however, has no bearing on the objectiveness of their contributions toward the present study.

After disasters, many people seek compensation for physical, psychological or economic damages. However, compensation processes can be perceived as arduous and unfair and potentially create stress for both individuals and communities. This systematic review explored the psychosocial impacts of post-disaster compensation processes, including compensation sought through both litigation and government assistance programmes. We searched seven databases, hand-searched reference lists of included studies, and used thematic analysis to synthesise results of included studies. We screened 6,532 papers, ultimately including 66 in the review. While we found mixed evidence regarding the relationship between individual mental health and the compensation process, many studies suggested the process placed demands on emotional resources and could cause stress. Numerous challenges of the compensation process were described, including complicated paperwork, lengthy processes, inadequate information, confusing eligibility criteria, lack of inter-agency cooperation, poor understanding of communities' unique needs, insufficient pay-outs, and politicisation of the process. Inequities in compensation distribution introduced additional stress to already traumatised communities, who often experienced resentment, envy and conflict. The mixed nature of the relationship between mental health and the compensation process was evident in research trends where a small number of studies reported positive findings related to relating to gratitude, helpfulness of compensation and strengthened community relationships, while a substantial number of others reported negative impacts including higher mental health problems. Positive and negative impacts were reported for both litigation and non-litigation compensation-seeking. The nuanced dynamics of these findings are described in greater detail within the paper. It is important that compensation regulators consider the potential impacts on individuals and communities and take steps to address compensation inequities. This enhanced understanding of how those affected by disasters can rebuild their lives and furthering understanding of how to support them will enable evidence-based approaches to building resilience and planning for long-term recovery. Significant compensation process improvements could be realised by ensuring clear communication and transparent decision-making. Overall, this review underscores the importance of ensuring that compensation processes are fair and straightforward so they can repair material losses without deteriorating the social norms and relationships of affected communities., (© 2024. The Author(s).)