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Objective: The present study aims to assess the prevalence of suicidal ideation and identify associations with lifestyle. Methods: This is a cross-sectional study conducted on 971 adolescents (14 to 18 years), of both sexes, attending public schools in Florianópolis, Brazil. Suicidal ideation was the outcome variable, assessed by the question "During the last 12 months, have you, at any time, seriously considered committing suicide (taking your own life)?" The response options were "yes" and "no." Lifestyle was assessed using the Fantastic Lifestyle questionnaire. Total and domain scores were treated as independent variables. Results: The overall prevalence of suicidal ideation was 22.1% (girls = 30.1%, boys = 15.0%, p < 00.5). In both boys and girls, the domains Family and Friends (OR: 0.86; IC95%=0.76-0.97; and OR: 0.75; IC95%=0.68-0.84), Tobacco and Toxics (OR: 0.80; IC95%=0.72-0.90; and OR: 0.71; IC95%=0.64-0.79), Sleep, Seatbelt, Stress, and Safe Sex (OR: 0.87; IC95=0.81-0.94; and OR: 0.87; IC95%=0.82-0.92), Type of Behavior (OR=0,72; IC95%=0.62-0.84; and OR: 0.74; IC95%=0.66-0.83), Insight (OR: 0.65; IC95%=0.58-0.72; and OR: 0.63; IC95%=0.57-0.69), and the overall lifestyle score were negatively associated with suicidal ideation (OR: 0.1; IC95%=0.84-0.94; and OR: 0.92; IC95%=0.90-0.94). Furthermore, in girls, there was a negative association of the Alcohol domain (OR: 0.85; IC95%=0.76-0.96) with suicidal ideation. Conclusion: The prevalence of suicidal ideation is alarming, affecting 2 out of 10 adolescents. Adolescents with lower lifestyle scores, as well as those with poorer scores in behavioral, psychological, and social domains, had the highest likelihood of experiencing suicidal ideation.

Conducting a scoping review helps identify research gaps and opportunities, avoid duplication, guide the selection of appropriate methodologies, and base studies on existing evidence. The aim of this study was to map the literature on body image in children and adolescents (0 to 19 years). The present study follows the recommendations of the Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA). The search was conducted in the following databases: PubMed, Web of Science, Scopus, SPORTDiscus, LILACS, SciELO, PsycINFO, CINAHL, and the Cochrane Library. A total of 3257 articles were found, of which 2147 were duplicates, resulting in 1110 articles. Of these, 41 met the inclusion criteria. The results were divided into analytical dimensions, including measurement instruments, programs and interventions, social media, sociodemographic aspects, physical activity, personality and cognitive thinking, and studies with specific populations. The results highlight that peer influence, physical activity, media, and the school environment play crucial roles in shaping young people’s body image; factors such as sex, age, and socioeconomic context emerge as important variables in understanding body perceptions, and educational interventions and health promotion programs have been shown to be effective in preventing and reducing body dissatisfaction, underscoring the need for multifactorial and collaborative approaches.

Resumen: La pandemia por COVID-19 generó nuevos desafíos en la atención neonatal. La necesidad de mantener la distancia física para prevenir su propagación se tradujo en una tendencia a nivel mundial a limitar la presencia de las madres y los padres dentro de las unidades de cuidado neonatal, lo que redujo los momentos de encuentro con su bebé. El presente artículo tiene por objetivo compartir la experiencia clínica de trabajo en una unidad de neonatología en torno a la atención biopsicosocial del recién nacido hospitalizado y su familia, así como exponer las adaptaciones realizadas a ésta durante los primeros meses de la pandemia. Se discute la necesidad de continuar generando políticas públicas y de elaborar protocolos centrados en la familia, que permitan proteger la relación bebé-cuidador/a y dar continuidad a una atención neonatal basada en la promoción del neurodesarrollo del recién nacido, especialmente en contextos sanitarios de alta complejidad. Abstract: The COVID-19 pandemic generated new challenges in neonatal care. The need to maintain physical distance to prevent its spread resulted in a worldwide tendency to limit the presence of mothers and fathers in neonatal units, reducing the time spent with their baby. The aim of this article is to share the clinical experience in a neonatology with regards to the biopsychosocial care of hospitalized newborns and their families as well as present the adaptations made during the first months of the pandemic. The need to continue generating public policies and create family-centered protocols to protect the infant-caregiver relationship in order to provide continuity to neonatal care based on the promotion of neurodevelopment of the newborn, especially in highly complex health contexts, is discussed.

Resumen: Introducción: La ideación suicida es un factor de riesgo común asociado al suicidio y un importante indicador para su prevención. El objetivo de este trabajo es describir la tasa de atención de urgencia por ideación suicida en la población atendida en la red pública de salud de Chile durante los años 2020 al 2022. Métodos: Estudio descriptivo con base en registros del Departamento de Estadísticas e Información en Salud, de beneficiarios con atención de urgencia por ideación suicida. Se estimó la tasa de atención de urgencia por ideación suicida a nivel país, zona geográfica, y proporción de atenciones por grupo de edad, tipo de establecimiento de salud y mes de ocurrencia. Se aplicó la prueba Chi2 de Pearson en STATA versión 14. Resultados: Se registraron 15 325 atenciones de urgencia por ideación suicida en el periodo estudiado. El 2020, la tasa fue 0,03 × 10 000 habitantes y 5,8 × 10 000 habitantes el 2022, mayor en zona central. Predominó la atención del grupo de 15 a 64 años y en hospital (p

Objectives. To determine the prevalence of obsessive-compulsive symptoms among medical students in Peru during the COVID-19 pandemic and its associated factors. Materials and methods. Cross-sectional study in 270 medical students from a Peruvian public university. Participants were recruited through non-probability sampling. Obsessive-compulsive symptoms were assessed with the Yale-Brown Obsessive Compulsive Disorder Scale (Y-BOCS). After the descriptive analysis, Poisson regression with robust variance was used to determine the factors associated with probable obsessive compulsive disorder (probable OCD). The crude (PRc) and adjusted (PRa) prevalence ratios were calculated, along with their respective 95% confidence intervals (95% CI). Results. The prevalence of obsessive-compulsive symptoms was 13.3% in medical students. During bivariate analysis, students with probable OCD were younger (p=0.044) and had a lower level of knowledge about COVID-19 (p=0.045). The crude model showed a lower prevalence of probable OCD among those with an adequate level of knowledge compared to those with an inadequate level (PR: 0.52, 95% CI: 0.28 to 0.98). However, after adjusting for other variables, none of the described variables were statistically significant. Conclusions. One in ten medical students presented clinically significant obsessive-compulsive symptoms. Implementing future interventions is crucial to preserve the mental well-being of this vulnerable population.

In our pursuit of a fulfilling and contented life, the study of well-being has emerged as a fundamental field of research. Higher levels of well-being are associated with better mental health outcomes. Individuals with better mental health might possess the personal resources necessary to set and pursue meaningful goals, maintain positive expectations, and overcome adversities. We aim to explore the positive relationship between well-being (hedonic, psychological, and social) and dispositional hope. We suggest that mental health acts as a mediator in this relationship, since improved mental health can create a conducive environment for the development and maintenance of dispositional hope. Data were collected using an e-survey through social media during the last quarter of 2022. The hypothesis of this study was tested using mediation analysis. The sample was composed of 471 participants (85.4% female) with a mean age of 47.72 ± 11.86 years. Participants were mainly workers (88.6%), followed by pensioners (6.8%), university students (2.5%), and unemployed (2.1%). Results revealed that well-being was positively and significantly associated with dispositional hope. Additionally, well-being presented a significant and positive relationship with mental health, which, in turn, also presented a significant and positive relationship with dispositional hope. Finally, using the Hayes process macro for SPSS, we found that mental health mediates the relationship between well-being and dispositional hope. Our findings reinforce the conceptual frameworks that consider well-being and mental health as key contributors to a resilient and optimistic mindset. Interventions that aim to cultivate positive affect, facilitate personal growth, and foster supportive social environments might help improve mental health outcomes.

Background: In many countries, midwives and nurses play a vital role in supporting effective perinatal mental health (PMH) care, including peripartum depression (PPD) management. In our study, we aimed to evaluate the effectiveness of PMH training in increasing certified midwives (CMs) and certified nurse–midwives (CNMs)’ knowledge about PPD management in primary care settings. The training was a part of postpartum depression (PPD) prevention programme implemented by Polish Ministry of Health. Additionally, we investigated the link between the CMs and CNMs perception of systemic difficulties, attitudes toward work with patients with mental health problems, and the adherence to PPD screening procedures. Method: A total of 379 CMs and CNMs from primary health centres and hospitals who participated in a PPD management training completed the Test of Antenatal and Postpartum Depression Knowledge before and after PMH training and the REASON scale after the training. Results: Before the training, only 17% (n = 66) of CMs and CNMs considered themselves to be educated for PPD management. The participants’ knowledge about PPD significantly increased after the training, by three points on average. The effect size was very strong, d = 0.84. However, the prevalence of perinatal mental disorders and the suicide rate among persons with PPD remained misestimated. We also found that age had a substantial influence in controlling the relationship between perceived educational preparation for PPD management, job tenure, and actual knowledge about PPD management. Self-reported higher levels of perceived systemic problems in the workplace and having more negative attitudes toward working with persons experiencing emotional difficulties were associated with declared lower frequency of measuring the severity of PPD, using screening tools, counselling, and making referrals to specialists. Discussion: Even though the training turned out to be effective, a tendency to underestimate the negative consequences of PPD was observed. The participants’ perception of systemic problems and personal attitudes were associated with an adherence to PPD screening procedures. The implementation of an obligatory PPD screening may not be enough to change the everyday practice of CMs and CNMs. Further training, taking into account personal attitudes of health care professionals, and systemic changes are required to ensure an optimal management for persons with PPD.

ABSTRACT Objectives: to analyze stress from the perspective of nursing workers caring for people with COVID-19 in a public hospital in the Recôncavo region of Bahia. Methods: this is an exploratory qualitative study, conducted through semi-structured interviews. The data were analyzed using word clouds, similarity trees, and content analysis. Results: nursing workers were exposed to stress while attending to patients with COVID-19. The reported stressors in the workplace included: work overload, lack of planning, speed in performing tasks, fatigue, lack of participation in decision-making, lack of support from management, technological changes, excessive responsibility without preparation, interpersonal conflicts, and professional undervaluation. Conclusions: exposure to these stressors leads to emotional exhaustion and demotivation, which were intensified during the COVID-19 pandemic.

ABSTRACT Objectives: to characterize the sociodemographic and psychological aspects of university students who sought psychiatric care at a Student Support Center of a Federal University and to analyze associations between mental health issues and predisposing factors. Methods: a retrospective analysis of 103 medical records was conducted. The statistical analysis consisted of two steps: a descriptive analysis and a predictive analysis using the Logistic Regression Model. Results: the majority of the students were female. Symptoms of anxiety, depression, and insomnia were the main reasons for seeking care. Students who reported having emotional difficulties that negatively impacted their studies and those who had undergone some form of health treatment showed a higher probability of experiencing anxiety symptoms. Notable correlations were found between anxiety and emotional difficulties, depression and diarrhea, and insomnia and a sedentary lifestyle. Conclusions: symptoms of anxiety, depression, and insomnia led students to seek psychiatric care at the university. Understanding the predisposing factors for mental health issues in university students can inform care strategies and promote academic success.

ABSTRACT Objectives: to summarize the recommendations of guidelines for promoting mental health in the workplace. Methods: an umbrella review, according to Joanna Briggs Institute and Preferred Reporting Items for Systematic reviews and Meta-Analyses methodological assumptions. Data collection was carried out in January 2021 and updated in July 2023 in the American Psychological Association, Cochrane Library, EMBASE, National Library of Medicine, and Scopus databases. Systematic reviews that assessed guidelines with recommendations for mental health care for workers were included. PROSPERO registration CRD42023461845. Results: four systematic reviews published between 2015 and 2018 were identified. The abstracts highlighted actions that facilitate and inhibit the recommendations as well as three categories of intervention: primary prevention - worker protection; secondary prevention - promoting workers’ mental health; and tertiary prevention - supporting, monitoring and rehabilitating workers upon returning to work. Conclusions: the interventions are based on prevention, promotion and early recognition, support and rehabilitation of mental health problems.

Abstract The mental suffering among university students impacts academic life and student retention. Especially during the COVID-19 pandemic, mental health was a sensitive topic with in university communities, prompting the development of institutional strategies. In this context, the objective of this study was to identify and compare the factors associated with the mental suffering of undergraduate students at the Federal University of São Paulo (Unifesp) in the period of 2017-2019 (pre-COVID-19 pandemic) and 2020-2021 (during the COVID-19 pandemic). This is a cross-sectional study based on the analysis of secondary data from 14,092 undergraduate students between 2017-2021, obtained by the Study Commission on the Profile of Undergraduate Students at Unifesp between 2017-2021. The data showed important associations regarding the mental health of these students, highlighting an increased likelihood of mental suffering among more vulnerable groups (people with disabilities, women, travestis/transgender individuals). Engaging in physical activity sporadically or regularly served as a protective factor in both analyzed periods. The findings show an increase in mental suffering among students, including the use of psychotropic drugs during the COVID-19 pandemic. It is recommended that student retention policies be developed from the moment students enter higher education, incorporating strategies aimed at students experiencing mental suffering, especially women, transgender students, people with disabilities, and workers.

Abstract Objective: Yellow September (YS) (Setembro Amarelo) is a Brazilian suicide prevention campaign launched in 2015, however, its effectiveness at reducing mortality is still unknown. This is an ecologically interrupted time series study that analyzed the trend in suicide rates in Brazil between 2011 and 2019 and its association with the implementation of YS at a national level. Methods: A segmented interrupted series regression analysis was performed, using a generalized linear Poisson model, with correction for seasonal trends. Data were provided by the Mortality Information System (Sistema de Informações Sobre Mortalidade [SIM]). Results: There was an increase in the annual rates of suicide deaths between 2011 and 2019, with 4.99 and 6.41 suicides per 100,000 inhabitants, respectively. The null hypothesis, that the YS did not change the historical trend of growth in suicides in Brazil after its implementation, was confirmed. However, there was a significant increase of 6.2% in the risk of mortality in 2017 and a significant increase of 8.6% in 2019. Conclusion: The results are consistent with the literature, which proposes that campaigns focused solely on publicity in the media generate unsound findings regarding the effective reduction in the number of deaths by suicide. The lack of initiatives involving multisectoral actions may explain the failure of YS to change rates of death by suicide. Therefore, implementation of new lines of action focused on training professionals and expanding the care network could make it an effective instrument for reducing mortality from suicide.

The use of psychotropic drugs has become a public health issue due to their high consumption worldwide. In the context of traditional populations, the literature on the use of these medications is scarce. This study presents a descriptive analysis of psychotropic drug use among Indigenous and Quilombola communities in the states of Minas Gerais, Rio Grande do Norte, Alagoas, and Piauí in Brazil. Data collection was conducted between March and June 2023 using two structured questionnaires with closed-ended questions applied during home visits. These questionnaires gathered sociodemographic profiles of the Indigenous and Quilombola communities and general psychotropic drug usage. Out of 335 individuals from the four states who responded to the questionnaires on general psychotropic drug use, 53 reported using these medications. The users were predominantly adult women with low educational attainment, older age, low income, and reliance on social programs. Antidepressants were the most commonly used therapeutic class. The study concludes that economic and social vulnerability is likely a significant factor in the social determinants of psychological distress and psychotropic drug use.

This article analyzes the impact of psychotropic drug use on individuals diagnosed with schizophrenia, bipolar affective disorder, and severe depression in Chile. Using a qualitative narrative approach, the experiences of 25 patients from 2018 to 2021 are examined. Participants describe how these medications, while effective in symptom control, generate psychological suffering and a sense of coercion in daily life. The results reveal that prolonged use of psychotropic drugs leads to significant side effects, including physical, cognitive, and social deterioration, as well as a persistent sense of dependence on these medications. Furthermore, the article critiques the medicalization of mental disorders within modern psychiatry, where the biomedical approach predominates, reducing human distress to a neurochemical problem and disregarding social factors. The study concludes that while psychotropic drugs can stabilize patients, they also perpetuate forms of control and suffering.

College students have experienced an increment in mental health issues due to the COVID-19 pandemic. When students start college, their mental health can be affected by emotional, social, or academic requirements. It is essential to provide tools for supporting the mental health of this population. In this paper, we present the validation of the Emotions&Care app, a mobile application for supporting the mental health of college students. Emotions&Care follows a user-centered design and provides mental health screening and monitoring. We used gamification techniques to motivate the sustained use of the app. Emotions&Care also allows mental health specialists to monitor college students’ mental health by tracking daily notes and emotions and by controlling appointments. We validated Emotions&Care with eleven college students and four mental health specialists. Our results indicate that Emotions&Care has the potential to provide college students with mental health screening and monitoring; however, several design issues should be addressed to ensure its extended-term use.

ABSTRACT Objective: The objective of this study was to analyze suicide attempts in adolescents treated in the emergency department before and during the coronavirus disease 2019 pandemic. Methods: This cross-sectional, documentary, and retrospective study assessed the medical records of adolescents treated for suicide attempts in two emergency rooms linked to a teaching hospital in São Paulo, Brazil. Data were collected from the pre-pandemic period (between January 1, 2015, and March 10, 2020) and the pandemic period (between March 11, 2020, and May 5, 2023), characterizing the adolescents, risk factors for suicide attempts during the pandemic, and treatment. Data were subjected to descriptive and inferential analyses, including association tests and trend analysis, with a p-value of 0.05). We observed an association between adolescents who had completed high school and cases during the pandemic, with a previous mental disorder diagnosis and pre-pandemic cases, and a higher number of suicide attempt notifications to the Brazilian epidemiological surveillance system during the pandemic period (p

This study delves into the psychological effects of vocal therapy on university music students, addressing a gap in research on targeted mental health interventions for this group. Amidst the unique pressures of music education, this research examines how vocal therapy influences students' coping strategies, social connectedness, mental health, and resilience. Utilizing various validated instruments like the Kenny Music Performance Anxiety Inventory (K-MPAI), Short Form-36 (SF-36), UCLA Loneliness Scale, Coping Inventory for Stressful Situations (CISS), and the Connor-Davidson Resilience Scale (CD-RISC), the study compares students undergoing vocal therapy with those who are not. Results indicate a significant reduction in performance anxiety, improved general health and mental well-being, decreased feelings of loneliness, enhanced coping strategies, and increased resilience in students participating in vocal therapy. These findings underscore the efficacy of vocal therapy as a comprehensive intervention, advocating for its integration into university mental health services. This study contributes to the growing field of music therapy and mental health, offering essential insights for educational institutions, mental health professionals, and music educators.

Despite the growing interest in psychological wellbeing among Generation Z (born 1997-2012), there is a gap in understanding how new media literacy, unconditional self-acceptance, and psychological flexibility interact to influence psychological wellbeing, particularly in the context of the digital age. The proliferation of digital technologies has reshaped the way Generation Z interacts with the world, influencing various aspects of their mental health and psychological wellbeing. This study was conducted to explore whether new media literacy moderate the mediation effect of unconditional self-acceptance on the relationship between psychological flexibility and psychological wellbeing. A total of 240 university students from Malaysia aged 18-25 were recruited using purposive sampling method. Results showed that psychological flexibility directly and significantly enhances psychological wellbeing regardless of an individual’s level of new media literacy. Furthermore, the contribution of psychological flexibility on psychological wellbeing is significant through unconditional self-acceptance among individuals with low and moderate levels of new media literacy. This study reveals that new media literacy enhances the effectiveness of psychological flexibility in promoting psychological well-being among Generation Z, suggesting that new media literacy is crucial for resilience and well-being in the digital age, particularly during identity development.

Los Hospitales de Día de Salud Mental (HDSM) son dispositivos diversos que mantienen en común la hospitalización parcial y el ambiente terapéutico como elemento clave. Este artículo supone un estudio preliminar, que abarca un año de tratamiento en un HDSM durante el período post COVID-19 para conocer el grado de satisfacción de nuestros pacientes con el tratamiento, el clima de grupo, la relevancia asignada a los factores terapéuticos grupales y si estos varían. Los resultados de nuestros análisis muestran un ambiente terapéutico en el HDSM estable en el tiempo y que se caracteriza por un clima grupal con pocas dinámicas conflictivas, en el que la percepción de ayuda y eficacia grupal es terapéutica y en el que la satisfacción tanto con el tratamiento implementado como con el grupo conjunto de pacientes y equipo de tratamiento es alta.

Con el objetivo de dar respuesta a las necesidades de índole psicológica de la población en el inicio de la situación de crisis ocasionada por la COVID-19 denominada “primera ola”, el Colegio Oficial de la Psicología de Madrid puso en marcha un teléfono de asistencia psicológica gratuito con una cobertura única en España de 24 horas, 7 días de la semana. Este estudio analiza las variables más relevantes de las personas que utilizaron el servicio, identificando los principales motivos de consulta, sintomatología y estrategias de intervención aplicadas por los profesionales. Los datos analizados revelan un uso intensivo del servicio con 10.452 llamadas gestionadas y la sintomatología ansiosa (44,2%) y depresiva (23%) como predominante. Los resultados subrayan la alta demanda y necesidad del servicio de atención psicológica telefónica durante la primera ola de la COVID-19. La derivación a otros servicios en el 30% de los casos resalta la importancia de una red coordinada de apoyo, destacando la necesidad de una intervención psicológica proactiva y sostenida en situaciones de crisis.

ABSTRACT Objective: to analyze the perception of people with mental disorders in relation to social support from religion and from health professionals. Method: qualitative, descriptive-exploratory study, carried out with seven members of a Christian religious institution, adults and medically diagnosed with mental disorders. Data were collected through semi-structured interviews, between May and August 2021. Thematic content analysis was used. Results: support from healthcare professionals was emphasized in relation to symptoms and their psychosocial consequences. Medication was the main aspect, despite the stigma and side effects. Religious social support was described from a perspective of affective support, learning, and the search for overcoming the issues as a way of relieving suffering. Conclusion: the perception of people with mental disorders in relation to the support of health professionals was pervaded by the biomedical character of drug treatments in the remission of symptoms. However, religiosity/spirituality was highlighted as an important complementary factor to treatment. In this sense, the intersection between the two types of support stands out as an aspect for expanding mental health care.

ABSTRACT Objective: to identify the profile of emergency department visits for suicide attempts by adolescents and their associated factors. Method: a cross-sectional, documentary, and retrospective study was conducted with 140 medical records of adolescents treated for suicide attempts in an emergency department linked to a teaching hospital in the municipality of São Paulo, Brazil, between January 2015 and May 2023. Data was collected between August and November 2023. Descriptive and inferential analysis (Pearson’s chi-square test) was performed, considering a p-value≤0.05 as statistically significant. National ethical guidelines were respected. Results: drug intoxications were the most common, associated with females (p

ABSTRACT: Objective: to identify the prevalence of mental and behavioral disorders among nursing workers in the context of COVID-19 and its associated factors. Method: cross-sectional web survey carried out between October 2021 and January 2022, with 1.073 nursing professionals. An instrument with sociodemographic and occupational variables, and a self-assessment of mental and behavioral disorders was applied to collect data. A descriptive analysis with absolute and relative frequencies and univariate and multivariate inferential analyses using Poisson Regression were conducted. Results: mental and behavioral disorders were reported by 50.8% of participants, showing a significant association with the female sex, more than 10 years in the profession, more than two employment contracts, and poor self-rated health. Conclusion: There was a high prevalence of self-reported mental and behavioral disorders in the sample. The length of time working in the profession and the number of employment relationships were variables strongly associated with the outcome. Studies like these are essential to assist in the development of effective strategies for reducing risk factors to workers' health, especially those of occupational origin that can be modified.

ABSTRACT Objective: To understand the routine and implications on the mental health of hospitalized children with cancer, from the perspective of family members. Method: Qualitative research, carried out with 11 relatives of children hospitalized in an oncopediatric inpatient unit, during the month of September 2022. The information was produced through semi-structured interviews and was analyzed according to Minayo's Thematic Analysis, emerging two categories: “The child’s routine during hospitalization” and “The child’s mental health during hospitalization”. Results: In the child's routine, participants noticed changes caused by the hospital environment that do not coincide with family dynamics. However, the presence of the multidisciplinary team mitigates the strangeness experienced in this process. Regarding mental health, the feelings experienced by these children included anger, longing, and sadness, resulting in behaviors such as discouragement and aggression. These repercussions are associated with the child's confused understanding of their illness. Final Considerations: The perspectives of family members contributed for a reflection on the health and illness process of pediatric patients undergoing cancer treatments, as they play an essential role in care, closely monitoring everything that comes to pass in the daily lives of these children in the hospital environment.

Creativity is a complex phenomenon, which level is affected by variables such as intellectual competence, temperament, personality and emotions. Research shows that patients with bipolar affective disorder have a higher level of creativity than healthy controls. The model of affective temperament developed by Hagop Akiskal enables the research on relationships between predispositions to bipolar disorder and creativity. Previous studies on the relationship between affective temperament and creativity are conducted by comparing temperaments of representatives of creative professions and people outside this group, as well as by studying the relationship between affective temperament and creativity assessed both subjectively and through objective tests. However, the temperamental traits contributing to creative potential have their downside, as they have been linked to higher risk of psychological and emotional problems. They may also be related to poorer educational and academic achievement. The article presents up to date research on the relationship between affective temperament and creativity, as well as mechanisms explaining them. It also discusses the relationship between temperament, mental health, and educational achievement, as well as its implications for psychological and pedagogical interventions.

ABSTRACT Objective: to analyze the repercussions of the Covid-19 pandemic on the work of Psychosocial Care Centers for Alcohol and other Drugs. Method: qualitative, descriptive - exploratory study, with 60 health workers from Psychosocial Care Centers for Alcohol and other Drugs in Porto Alegre/ Rio Grande do Sul, from January to December 2021. Collection was carried out using a questionnaire sent by email or in person and the analysis of the content of the responses was of the thematic type of the open question. Results: an increase in demand from users and crises, social determinants of the pandemic, changes in work, contingency plans, moral distress and expressions of feelings by healthcare workers were observed. Final considerations: the repercussions of the pandemic on work and workers' mental health reflect the need for monitoring and care for workers in the post-pandemic period. It is also suggested to incorporate online activities to support the psychosocial care model.

Resumen: La salud mental (SM) y la mutilación genital femenina (MGF) son 2 aspectos de la salud del migrante poco cribados en general, son material sensible en la entrevista clínica y se requieren conocimientos para afrontarlas con profesionalidad.La migración es un acontecimiento vital que per se no conlleva un trastorno mental, pero los hechos vivenciados durante la migración pueden generar problemas de SM de diferente intensidad. Los migrantes tienen los mismos problemas que el resto de la población, difieren en su forma de expresión. Es necesario conocer el contexto cultural y establecer un buen vínculo para abordar tanto la SM como la MGF.La MGF es un problema de salud grave para las niñas y mujeres que cabe afrontar en la consulta de atención primaria para prevenir esta pràctica en las niñas y ofrecer apoyo a las mujeres afectadas. Tratar estos aspectos con los varones y las mujeres de los países de riesgo es imprescindible para facilitar el cambio y ayudar a eliminar esta pràctica. Abstract: Mental Health (MH) and Female Genital Mutilation (FGM) are two aspects of migrant health that should be addressed and screened in primary care. These topics are inherently sensitive, often challenging and difficult to approach in routine consultations. Providing comprehensive care and management needs both knowledge and a careful approach, yet these factors may sometimes result in low screening of both health issues.Migration itself does not inherently lead to MH disorders. However, the various experiences encountered throughout the migration process can contribute to MH challenges. Migrants face the same issues as the rest of the population, but their expressions may differ. Therefore, it is important to understand the cultural contexts and create a supportive environment within healthcare to effectively address both MH and FGM.FGM is a serious health issue for girls and women that should be assessed in primary care. This includes prevention for at-risk girls, support and care for affected women and community initiatives. To engage with individuals from high-risk countries, both men and women is essential to facilitate change and help to end this harmful practice.

Objective: to analyze the nurses’ work in Primary Health Care in the face of mental health crisis situations. Method: this is a descriptive-exploratory study with a qualitative approach, supported by the theoretical-interpretive frameworks of behavior analysis and historical-dialectical materialism. The data was collected through a semi-structured interview with twelve Primary Health Care nurses and analyzed using the deductive technique proposed by the Theorical Domains Framework, the methodological reference adopted. Results: the data analyzed made it possible to draw up two themes: “Nurses’ work: material and social determinants” and “Nurses’ subjective conditions in the face of mental health crisis situations”. Nurses’ work was guided by the protocol execution of “technical” steps related to clinical psychiatry, with an understanding of the crisis as a “psychiatric outbreak”. Conclusion: the study made it possible to analyze the nurse’s work in crisis situations, describing the objective and subjective contradictions, their understanding of the crisis phenomenon and the emotional repercussions of this work on the professionals. This situation raises the need for action, organization and political-social mobilization of the nursing category in the fight against the asylum model of care and the consolidation of the Psychiatric Reform perspective.

ABSTRACT Objective: To evaluate the association between modifiable lifestyle behaviors and mental health indicators in Brazilian adolescents. Methods: This cross-sectional study used data from the 2019 National Survey of School Health including 152,860 students. The lifestyle behaviors and mental health indicators were obtained from a self-reported questionnaire. Logistic regression analyses were used to examine the association between lifestyle behaviors and mental health indicators. Results: Infrequent healthy eating (OR 1.22; 95%CI 1.14–1.31), being inactive (OR 1.82; 95%CI 1.65–2.01), smoking (OR 1.24; 95%CI 1.10–1.40), and irregular school attendance (OR 1.31; 95%CI 1.22–1.40) were associated with not having close friends. Additionally, not having close friends was also associated with unhealthy eating (OR 0.86; 95%CI 0.81–0.92) and alcohol consumption (OR 0.81; 95%CI 0.75–0.87). Infrequent healthy eating (OR 1.29; 95%CI 1.24–1.33), frequent unhealthy eating (OR 1.39; 95%CI 1.35–1.43), being inactive (OR 1.12; 95%CI 1.07–1.18), excessive screen time and sitting (OR 1.10; 95%CI 1.07–1.14 and OR 1.68; 95%CI 1.63–1.73, respectively), smoking (OR 1.26; 95%CI 1.19–1.34), alcohol (OR 1.33; 95%CI 1.28–1.37), drugs (OR 1.13; 95%CI 1.05–1.22), and irregular school attendance (OR 1.53; 95%CI 1.48–1.59) were associated with worse self-rated mental health. Conclusions: Various lifestyle behaviors are associated with different indicators of mental health.

Objective: to understand the social representations of alcoholism among abstinent alcoholics in a therapeutic group and their impact on care at the Psychosocial Care Center for Alcohol and Other Drugs. Method: a qualitative study with the participation of 20 interviewees, using the technique of free association of words; a study carried out at CAPS-AD III in the city of Belém - Pará - Brazil, in 2023. Six stages follow thematic analysis to analyze data. Results: the trajectory of problematic alcohol consumption was revealed through their social representations, in which they constructed forms of care linked primarily to common sense. It is inferred that they, suffering from alcoholism, seek dignity and a return to everyday life. Final considerations: the study shows that unveiling social representations favors welcoming the family and mental health professionals. Hence, the Psychosocial Care Center reveals itself as a new chance for abstinent users.

Adherence to psychopharmacological treatment essentially involves a process of meaning-making. The objective of this study was to explore the experience of people undergoing chronic psychiatric treatment from the patients’ perspective. In 2018, using the photovoice methodology, four sessions were conducted with the participation of 11 individuals from a community school in a socially marginalized neighborhood of a southeastern Spanish city, some of whom were also users of a social rehabilitation and integration center and a day center. Participants took and selected 41 photographs under the premise: “Photograph your experience regarding health and medication.” A categorization of the emerging narratives was carried out during a dialogical session between participants and researchers, which was recorded for subsequent transcription and analysis. The experiences were divided into two major symbolic themes that seek to give therapeutic meaning to medication: one of conflict and the other of motivation.

Objective. To identify the most implemented exercises and their prescription, in addition to the effects of exercise on mental health in adolescents. Methods. A scoping review was performed from search of electronic databases: PubMed, Science Direct, Scopus, Springer, Google Scholar, from 23/08/2023 to 01/01/2024 in English, Spanish, and Portuguese language, including randomized clinical trial and cohort type studies. Results. A total of 7 articles were included: 57.14% controlled clinical trials, 100% in English. The number of participants was 85,637 aged 12 to 16 years. Intervention time ranged from 8 to 43 weeks, 2 to 5 times per week, 1 session per day, duration per session 10 to 120 minutes. The most used type of training was Programmed Physical Education followed by High Intensity Interval Training. Conclusions. Exercises such as Programmed Physical Education, High Intensity Interval Training, Moderate to Vigorous Physical Activity are included, which show positive effects on the increase in psychological well-being, quality of life and a significant decrease in anxiety and stress symptoms.

This paper explores the longstanding debate on whether psychoanalysis qualifies as a science. Grounded in the Brazilian context, where recent publications have revived the debate, I examine the demarcation problem in the philosophy of science, highlighting how traditional criteria for defining scientific knowledge may exclude epistemically fruitful practices, such as psychoanalysis. Drawing on the perspectives of scientific pluralism, I argue for a more inclusive understanding of science, where diverse methods and epistemological approaches are recognized as legitimate contributions to addressing complex phenomena such as mental health. Ultimately, the rigid application of demarcation criteria can obscure the value of psychoanalysis, whereas scientific pluralism offers a pathway for integrating it into broader scientific discourse.

This essay explores the affective maps or emotional archives of racialized communities in Spain, specifically focusing on the Caribbean Afro-diaspora in Madrid. It questions how migratory grief is prescribed by the government without taking into account the colonial wound, racial trauma, and the geopolitics of emotions, while delving into everyday structural racism. Drawing from decolonial theory and Black feminism, as well as narrative healing practices created by migrant collectives, qualitative research was conducted during the period 2023-2024, involving 25 in-depth interviews and two group workshops with the participation of 15 anti-racist activists. After an introduction framed by an autobiographical narrative within the anti-racist conversation, key aspects of the notion of migratory grief are highlighted, associating it with the colonial wound. Subsequently, some characteristics of memory as geographies of abandonment are emphasized. Finally, I turn to the notion of imagination, in the form of collective daydreams or fantasies that activate the hope of transcending the borders of European racism. The article builds bridges between community health, an intercultural perspective, and anti-racism.

ABSTRACT Objectives: to assess the association between indicators of emotional distress and dispositional mindfulness in health students at a Brazilian federal public university. Methods: a cross-sectional study, developed with university students in the health area of a public institution from May to June 2022. In the analysis, multiple linear regression was used using SPSS software. Results: the sample was mostly female, ≤ 22 years old, non-white, studying the first semesters, with a higher prevalence for the medicine course. Students presented moderate dispositional mindfulness scores. It was observed that the variables of stress, depression and current suicide risk were associated with the capacity for mindfulness. Conclusions: knowing the indicators of emotional distress that are related to the potential of mindfulness can contribute as a situational diagnosis to better design strategies that promote the improvement of emotional indicators of health students.

The gender gap in adolescent mental health experiences is notable, with gender adding an additional layer to the already complex experience of being a young person who is experiencing homelessness. Yet, research in this area is limited. The purpose of this qualitative, interpretive description study was to understand how gender shapes the mental health of youth who are experiencing homelessness in the Niagara Region of Ontario, Canada. Eleven young people between the ages of 16 and 24 were recruited from a youth shelter and participated in individual semi-structured interviews. Thematic analysis and Gender-Based Analysis Plus was used to analyze the data, and findings revealed four contextual factors that appear to influence a young person’s mental health while homeless but that is experienced differently depending on one’s gender identity. These factors are: (1) housing acquisition is challenging, (2) physical presentation is meaningful, (3) cleanliness and hygiene are expected, and (4) utilizing mental health resources is complicated. Additionally, the many strengths that the youth identified and demonstrated in navigating their circumstances are highlighted in the results. These strengths involve (1) exhibiting resilience, (2) expressing the ability to survive, (3) imagining a world that is better, (4) articulating their needs, and (5) drawing on their social connections. The gendered lens that guides this study provides a challenge to the homogenous way that young people experiencing homelessness are often portrayed within the literature. Intersecting identities that include gender and age need to be considered within the mental health-related experiences of youth who live with homelessness. Ensuring that interventions are tailored to meet young people’s specific gendered needs is both a matter of human rights and health equity. Practical implications for service providers are discussed.

Introduction. Somatic symptoms with no organic cause are more prevalent among women than among men, with mental health problems generated by gender and social norms mainly being presented by females, to which the health system tends to provide an exclusively medicalised response. It is possible to implement group interventions that address the consequences of divergent socialisation hinging on gender as regards mental health, with these efforts having a positive impact on perceptions of well-being. The aim of this paper is to assess the impact of socio-educational groups on the participants, using a qualitative methodology. Methodology. We conducted ten semi-structured interviews with participants in the socio-educational groups. Sample selection was intentional, selecting ten participants on the basis of the following variables: age, level of education, marital status, employment status, income level, and the size of the municipality in which they resided. This theoretical sampling technique allowed us to guarantee the heterogeneity of the participants and their discourse. To analyse the information, we applied a phenomenological and critical approach, and conducted a process of thematic analysis. Results. Well-being is the main theme that emerges from the analysis of the information, grouping together different sub-themes and properties. In the female participants discourse we noted that socio-educational groups helped them approach their lives differently, allowing them to feel better on the personal and relational levels. The coping mechanisms observed included problem-focused (questioning, gender awareness, acting on the problem, self-determination, social relations and integration into the labour market) and emotion-focused strategies (relativisation, acceptance and living in the present, relaxation techniques and emotional expression). Discussion. This study contributes to an understanding of how socio-educational groups offered a good strategy to improve participants’ mental health and perceived wellbeing by applying group work with a gender perspective. They provided a forum in which the participants became gender-aware, leading them to reconsider themselves and their lives, find new explanations for their experiences, and realise their ability to develop their creativity in the face of guilt and fear, allowing them to pursue new life projects. Conclusions. The results are consistent with the literature, which indicates the existence of gender norms adversely affecting participants' mental health problems. These problems could be reduced through work undertaken in socio-educational groups that enables them to develop new coping strategies. The implications for social policies include evaluating the potential of incorporating this type of strategy into the portfolio of public health services, as well as assessing the relevance of creating and carrying out socio-educational groups with men. With a view to the future, it would be valuable to establish qualitative measures over time to observe any changes in the participants’ discourse and experiences.

Previous research has already examined the relationship between Future Anxiety, a construct recently introduced in Italy, and mental health in young adults, although possible mediating variables in this relationship have so far never been investigated. The present study attempts to fill this gap by exploring the incidence of Future Anxiety on psychological distress (i.e., Stress, Anxiety and Depression) in a group of 302 young Italian adults (18–30 years; M = 21.9; SD = 2.6; 49.0% males; 51.0% females), presenting and evaluating the simultaneous mediating effect of Intolerance of Uncertainty and Non-Pathological Worry. Findings highlighted how Future Anxiety had a positive and significant direct effect on Stress and Depression, but not on Anxiety. In the three serial mediation models proposed, Intolerance of Uncertainty and Non-Pathological Worry mediated the relationship between Future Anxiety and mental health outcomes. The results also confirmed the hypothesized serial mediation effect by highlighting how young adults with greater Future Anxiety experienced more Intolerance of Uncertainty, which positively affected Non-Pathological Worry levels and, in turn, exacerbated psychological distress. Finally, results indicated that female participants experienced more Stress, Anxiety, and Depression in relation to Future Anxiety compared to males. Starting from the review of main references on this subject, the results discussed provide new insights for understanding youth psychological distress. Finally, practical implications for the design of supportive interventions for this study’s target group are proposed.

The purpose of the present article is to identify neurophenomenological aspects that influence the future development of social networks and to develop a corresponding concept of regulatory policy. The following methods are used in the article: collection and analysis of information, modeling of a conditional social network, systematization and separation of neurophenomenological factors, determination of functional dependencies, development of analytical conclusions and proposals. It was established that instigators and a favorable environment of social networks form prerequisites for the spread of negative information campaigns (conditional attacks). At the same time, it is mathematically proven that with minimal development of resistance to information attacks among users of social media platforms, the potential for stabilizing the information environment of social networks and promoting sustainable advancement of natural society was determined. Based on the research results, it was determined that fostering critical thinking skills, maintaining information stability, and practicing sound personal digital hygiene among users are key factors in upholding the overall stability of social networks. Additionally, these practices promote sustainable development of a psychologically healthy community. Additional investigations are focused on elaborating the notion of regulatory policy to facilitate the prospective advancement of social networks.

Recent studies have revealed increasingly worse and more complex mental health conditions in young people, which is reflected in a growing trend in emergency room (ER) visits for acute psychopathological symptoms (APSs). This phenomenon has become exacerbated in recent decades, with a peak in the post-pandemic period. To better characterize the phenomenon, we investigated the change in the rate and type of ER counseling requests provided at the Child Neuropsychiatry Unit of the University Hospital of Bari, Italy over the period between 2019 and 2023 for subjects younger than 18 years old. For this purpose, we retrospectively analyzed a total number of 1073 urgent consultation reports retrieved through the reporting computerized operating system of our hospital. The distribution of the counseling requests provided for APSs and, among these, the distribution of the numbers of APSs and of the male: female ratio were significantly different over the years, with an increasing linear trend identified for APSs (p = 3.095 × 10−7), the average number of APSs (p = 3.598 × 10−7), and female gender prevalence (p = 0.03908), as well as for the patients with a history of psychotropic drug assumption (p = 0.0006319). A significant change in the number of urgent counseling requests received for eating disorders (p = 0.0007408), depression (p = 7.92 × 10−8), somatization (p = 4.03 × 10−6), self-harm (SA) (p = 1.358 × 10−6), and non-suicidal self-injury (NSSI) (p = 8.965 × 10−6) was found, with a significant increasing trend for anxiety (p = 0.0444), depression (p = 8.06 × 10−6), somatization (p = 0.004616), SA (p = 3.998 × 10−8), and NSSI (p = 5.074 × 10−7). The findings of our study support the hypothesis of an alarming progressive worsening of the mental health of children and adolescents, with an overlapping effect of the pandemic exacerbating the process.

Academic emotional exhaustion is the first stage of academic burnout syndrome, and it is necessary to assess it and intervene early, as the consequences can lead to harmful effects on psychological well-being. The main objectives of this study were to explore the psychometric properties of the Emotional Exhaustion Scale (ECE); to assess the association with suffering and positive well-being, using the MHI-5 Inventory; and to provide information on its validity and to compare it with these constructs. A total sample of 526 university students (81% female and 19% male) aged between 17 and 62 (M = 21.42 years and SD = 5.78) took part in this study. Exploratory and confirmatory factor analyses were carried out. In the internal consistency assessment, the ECE was 0.89 and the MHI-5 was 0.81 (Cronbach’s alpha). Exploratory factor analysis was carried out with Varimax rotation and confirmatory analysis, obtaining the factor that explains 50.5% of the variance. The results indicated that the ECE has adequate psychometric properties for use with higher education students in Portugal. Its use by mental health professionals in higher education institutions could be very relevant for screening for emotional exhaustion and thus preventing possible serious pathologies.

Objective: To evaluate the relationship between symptoms of anxiety, depression and risk of suicide in hospital health workers during the COVID-19 pandemic. Methods: This is a quantitative, cross-sectional, web survey-type study carried out with 270 health workers from a university hospital in September 2022, using an electronic form, in which the Hospital Anxiety and Depression Scale and questions of the Self-Reporting Questionnaire were used. Data were analyzed using SPSS Software, version 26. Described and inferential statistics were performed. The study was approved by the Research Ethics Committee, through Opinion number 5,625,667. Results: There was a prevalence of 40% for anxiety symptoms and 33% for depressive symptoms in female nursing professionals and that professionals who reported "ideas of ending life" increased the chances of presenting symptoms of anxiety and depression by 17,620 and 12,362 times, respectively. Conclusion: The findings of this study add to those already existing in the literature that highlights the need for investments in strategies to welcome and protect the health of healthcare personnel.

Objective: To evaluate the mental health of children and adolescents according to Calista Roy's theory. Method: Quantitative research was carried out with caregivers or guardians of children and adolescents in Lagarto/SE - BR from November 2022 to March 2023. Data was collected using sociodemographic and clinical characterization of the child/adolescent and Goodman's Capabilities and Difficulties Questionnaire, analyzed by relative and absolute frequency and association. Results: Of the 102 children and adolescents, 59% had a clinical profile suggesting mental health problems, with the hyperactivity and inattention domain standing out. The adaptive modes were found to be integrated, the physiological with greater cohesion and the self-concept with more remarkable alteration. Conclusion: The results suggest the presence of mental health problems, with the maintenance of adaptive processes, in which Roy's modes respond in a coordinated way to external stimuli. Nursing can act to strengthen protective factors, promoting mental well-being in children and adolescents.

Objective: To analyze work absences due to mood disorders between 2018 and 2020 in Piauí. Method: Census study, descriptive-analytical, carried out in Piauí, Brazil, between May and July 2021. Data was collected from the National Social Security Institute's database. Analyzed with descriptive and inferential statistics. Results: 1,717 leaves were identified, 65.3% were female workers with an average age of 39.78 years, 91% had an income of one to two minimum wages, 42.7% came from other municipalities, and 82.2% worked in the urban area. Among the absences, 52% were due to depressive episodes, and 84.2% of the workers were granted social security sickness benefits. There was a statistical association between the municipality of origin, the zone of labor activities, and the average duration of work leave. Conclusion: The study contributed to the identification of absences and the provision of data that collaborate in the formulation of intervention strategies and the worker's best working conditions and mental health.

Objective: To find out the thematic priorities for continuing education in mental health from the perspective of workers in the Unified Health System. Method: an exploratory and qualitative study was carried out with 37 health workers from a municipality in Mato Grosso do Sul, in September 2022. Data was collected using a self-administered individual questionnaire and a focus group, guided by a semi-structured script of questions. The material was subjected to thematic content analysis. Results: The themes 'Humanization in mental health care', 'Mental health in the context of primary care', 'Management of crises', and 'Mental health of health workers and professional valorization' emerged as priorities for continuing education actions in mental health. Conclusion: Knowledge of these thematic priorities makes it possible to plan continuing education actions based on the daily problems experienced by health workers.