搜索结果：Applied psychology. Health and well-being

The well-being of university students is increasingly recognized as a critical public health issue, influenced by complex interactions among psychological, behavioral, and contextual factors. Despite growing research, measurement tools often lack standardization and contextual specificity, limiting the understanding of students' health. This review aimed to map and critically analyze instruments assessing well-being, ill-being, and health-related lifestyle behaviors among Italian university students, as well as the associated variables, including risk and protective factors. The systematic review followed PRISMA guidelines and included peer-reviewed studies published from 2010 onward, identified across five databases: Scopus, APA PsycInfo, PubMed, ERIC, and Web of Science. A structured data extraction process was applied to collect information on sample characteristics, health-related outcomes, and associated variables (protective and risk factors). Descriptive statistics were used to synthesize frequencies, proportions, and distributions of measurement instruments and constructs across the included studies. A total of 223 studies were included. Samples were largely non-probabilistic and female-biased. Ill-being measures appeared exclusively in 66.3% of the studies, while 7.9% focused on well-being, and 25.8% included both. A total of 159 instruments assessing well-being and ill-being were identified. Of these, the majority measured ill-being (118 instruments), followed by instruments assessing well-being (28), and a smaller number addressing both constructs (13). In addition, 154 instruments measuring lifestyle were identified. Lifestyle behaviors were measured in a fragmented, health-risk-oriented manner, often lacking contextual influences. Individual predictors (130) were prioritized over relational and environmental factors (53). Few instruments were tailored specifically to university students, and many studies used non-validated or ad hoc tools, especially those developed during the COVID-19 pandemic. Findings highlight the need for standardized, validated, and context-sensitive instruments to assess student health holistically.

The physical activity paradox suggests that high levels of occupational physical activity (OPA) may lead to adverse health outcomes, despite physical activity (PA) generally being beneficial. In the workplace, OPA impacts on well-being and mental health remain poorly understood, limiting the development of effective public health interventions. This study investigates how 24-hour movement patterns differ between high-OPA (manufacturing) and low-OPA (office) workers, and how these patterns relate to well-being and mental health. A cross-sectional study (May 2022-June 2024) was conducted with 230 employees (114 manufacturing, 116 office). Participants completed surveys on sociodemographic, self-perception (SF-12), health behaviours (PREDIMED), experience of life events, job context (EWCS), physical demands (JCQ), work-related health problems (EWCS), well-being (WLB, PHI), and mental health (MBI-GS, PHQ-9). Movement data were collected using the activPal over seven days (weekdays, weekends, work hours, and non-work hours). Compositional data analysis was applied, adjusting for confounders, to explore associations of PA pattern with well-being and mental health. With manufacturing workers, increased sitting during work was associated with lower depression (β=-0.57; p = 0.015; OR = 0.56) and higher happiness (β = 0.56; p = 0.009), while standing during non-work hours reduced depressive symptoms (β=-2.08; p = 0.004; OR = 0.12). Sedentary weekend time also correlated with greater happiness (β = 0.57; p = 0.049). With office workers, more sitting at work was linked to greater work-life interference (β = 0.69; p = 0.032; OR = 1.99), and sitting during non-work hours was associated with reduced work-life balance (β=-1.07; p = 0.022; OR = 0.34). The effects of OPA on well-being and mental health vary by occupational context, supporting the physical activity paradox. Tailored workplace interventions should account for these differences to effectively promote employee well-being.

Physical activity (PA) is a promising prevention approach for supporting mental health and enhancing social inclusion among postsecondary students. However, it is unclear whether similar outcomes are realized when PA programming is delivered in-person versus virtually. Using data from a multiphase research project, the purpose of the study was to examine the influence of on-campus PA programming (virtual and in-person delivery) on mental ill health symptoms (ie, anxiety and depression), social inclusion indices (ie, social connectedness, emotional ties, and social relationship quality), and well-being. Three objectives were addressed: (1) to assess pre-post change in symptoms, social inclusion indices, and well-being for virtual and in-person delivery; (2) to evaluate whether outcome change over time differed by delivery mode; and (3) to examine whether change in symptoms and social inclusion indices predicted change in well-being for both delivery modes. Physically inactive postsecondary students experiencing mental ill health participated in a 6-week structured and supervised PA program. Pre-post intervention data were collected across 3 phases, and the analytical samples included: 1. In-person delivery (n=87; 82%, 69/84 young adults; 86%, 74/86 women; 38%, 33/86 White; 20%, 17/86 Chinese; 86%, 75/87 with mental illness; 2. Virtual delivery (n=62; 69%, 42/61 young adults; 95%, 59/62 women; 34%, 21/62 White; 21%, 13/62 South Asian; 55%, 34/62 with mental illness), and 3. Data from students who received in-person or virtual delivery: (n=92; 67%, 61/91 young adults; 90%, 83/92 women; 32%, 29/92 White; 20%, 18/92 South Asian; 59%, 54/92 with mental illness). Data were analyzed using 2-tailed paired samples t tests to address objective 1, a 2 (delivery mode) &#xd7; 2 (time: pre-post) repeated-measures ANOVA to address objective 2, and hierarchical regression analyses to address objective 3. Both virtual and in-person PA delivery were effective for symptom reduction and social inclusion improvements across all outcomes (P<.001), with moderate-to-large effects. There was no significant time &#xd7; delivery mode (F5,84=0.72, &#x3b7;p&#xb2;=0.04, P=.60) interaction effect. Change in social inclusion indices explained unique variance in well-being, beyond covariates (gender, mental illness, and ethno-racial identity), and symptom reduction for virtual (R2adj = 0.75, &#x394;R2=0.08, P<.001) and in-person (R2adj = 0.72, &#x394;R2=0.16, P<.001) PA delivery. Online distance learning is increasing across postsecondary settings worldwide, underscoring the need for accessible, technology-enabled mental health prevention interventions. The results provide support for the effectiveness of virtual and in-person PA programming for reducing symptoms of anxiety and depression, while also enhancing social inclusion indices and overall well-being. Social inclusion indices were also a key contributor to improved well-being, emphasizing the relevance of social factors in both virtual and in-person PA-based mental health prevention strategies for postsecondary students.

The first year after childbirth is a critical yet insufficiently monitored period for parental health. Postpartum mental and physical morbidity can affect both mothers and co-parents, but national longitudinal data remain scarce. The Stress Of Co-parents Related to A Traumatic Experience of birth across Switzerland (SOCRATES) cohort study aims to describe maternal and co-parental health and well-being trajectories during the first year after childbirth. SOCRATES is a prospective, population-based cohort study conducted in all linguistic regions of Switzerland. Eligible participants include women aged 14 and above who gave birth to a live or stillborn infant (&#x2265;22+0 weeks' gestation and &#x2265;500&#x2009;g) and their cohabiting co-parents, provided they speak German, French, Italian or English. Recruitment was conducted in 81 of the 112 Swiss maternity units, birth centres and organisations of midwives over 6&#x2009;weeks in spring 2025. Clinical data on pregnancy, childbirth and the early postpartum period are extracted from medical records. Postpartum hospitalisation data are obtained through linkage with national medico-administrative databases. Participants complete online questionnaires shortly after birth and at 2, 6 and 12 months post partum, including sociodemographic characteristics and patient-reported outcomes. The primary outcome is the prevalence of childbirth-related post-traumatic stress disorder at 2&#x2009;months, assessed using the City Birth Trauma Scale. Secondary outcomes include depression, physical recovery, sexual health, quality of life, healthcare use, perceived care quality and overall well-being. A weighting procedure will be used to ensure representativeness and to account for attrition. Ethical approval was granted by all seven Swiss ethics committees (number 2024-02262). All participants provided informed consent. Findings will be disseminated through national and international conferences, peer-reviewed publications, policy briefs, social media and stakeholder engagement activities. NCT06886841.

Under the initiative of China's "Internet+" strategy, smart elderly care reflects the government's capacity to bridge the digital divide and provide inclusive care services for older adults. Though studies have identified positive associations between smart elderly care and health outcomes, empirical research examining its impact on older adults' subjective well-being remains limited. This study utilizes data from the 2021 Chinese Longitudinal Healthy Longevity Survey (CLHLS, N&#x2009;=&#x2009;8,950), which includes multifaceted information on individuals aged 65 and above, covering their personal characteristics, health status, family information, and community elderly care services. A logit model is employed to investigate the association between smart elderly care and SWB. The mediating effects are tested using the bootstrap resampling method. To address endogeneity concerns, instrumental variable (IV) approaches including IV-Probit and 2SLS are applied as robustness checks. The results reveal a positive correlation between smart elderly care and older adults' subjective well-being (&#x3b2;&#x2009;=&#x2009;0.101, p&#x2009;<&#x2009;0.01). This association is partially mediated by both health status (proportion mediated: 38.47%) and social activities (proportion mediated: 2.65%). Heterogeneity analyses show that this positive association holds consistently across both rural and urban older adults, and is more pronounced among those with lower digital literacy. This study challenges the prevailing assumption that the "digital divide inevitably isolates the older adults from participating in a digitized society." By integrating digital technologies into older adults care services, we demonstrate that smart elderly care is positively associated with bridging technological barriers and addressing the unmet needs of aging populations. These findings further propose a synergistic mechanism-policy innovation, technological adaptation, and service optimization, to build an inclusive older adults care ecosystem, offering evidence-based insights for policymakers in aging societies to balance equity and efficiency in digital transformation.

Displaced populations endure structural, psychological, and social vulnerabilities that impact their mental well-being. Lebanon's economic collapse, political instability, and inadequate infrastructure have exacerbated the hardships of its 1.5 million Syrian refugees. In this study, we applied the Six Dimensions of Wellness framework to explore the factors influencing the mental well-being of a sample of Syrian refugee workers in Lebanon. We conducted a cross-sectional analysis on 89 Syrian refugee agricultural workers (42 men and 47 women) recruited from 32 greenhouse farms in Lebanon's Beqaa Valley. Participants completed structured questionnaires covering the Six Dimensions of Wellness. Mental well-being was assessed using the World Health Organization five well-being index, and scores below 13 indicated poor well-being. We used descriptive statistics and logistic regression to examine associations between wellness indicators and mental well-being. We found that female workers, compared to male workers, reported a notably higher prevalence of poor mental well-being (40.4% vs. 23.89%). Participants who had experienced a work-related injury had nine times higher odds of poor mental well-being than those who had not (adjusted odds ratio (aOR)&#x2009;=&#x2009;9.30; 95% confidence interval (CI)&#x2009;=&#x2009;1.64-52.79). Social support was protective of mental well-being (aOR&#x2009;=&#x2009;0.52; 95% CI&#x2009;=&#x2009;0.28-0.97), while having difficulty accessing health information (aOR&#x2009;=&#x2009;6.09; 95% CI&#x2009;=&#x2009;1.61-23.06) and unmanageable work demands (aOR&#x2009;=&#x2009;10.09; 95% CI&#x2009;=&#x2009;2.47-41.31) were significantly linked to poor mental well-being. Although protective against poor well-being, results for age and education were not statistically significant. This study highlights the complex and multidimensional nature of mental well-being among Syrian refugee agricultural workers. Work injuries, lack of access to health information, and high work demands increase the odds of poor mental well-being, while social support offers protection. Our findings inform interventions to improve mental well-being for displaced populations.

This study examined the relationship between social appearance anxiety and psychological well-being in adolescents. A cross-sectional, descriptive design was used. Data were collected via an online survey using snowball sampling between July and December 2020. The sample comprised 727 adolescents aged 12-18&#x2009;years residing in T&#xfc;rkiye. Ethical approval procedures followed age-specific consent requirements. Participants aged 18&#x2009;years provided their own informed consent, while those aged 12-17&#x2009;years provided assent with parental consent. Participants completed a researcher-developed data collection form, the Flourishing Scale (FS) and the Social Appearance Anxiety Scale for Adolescents (SAAS-A). Data were analysed using independent t-tests, one-way ANOVA, Pearson correlation and hierarchical multiple regression. The study adhered to STROBE guidelines for reporting. The majority of participants were female (66.4%) and between 15 and 18&#x2009;years old (76.1%). The mean psychological well-being score was 40.12&#x2009;&#xb1;&#x2009;8.99, while the mean social appearance anxiety score was 37.91&#x2009;&#xb1;&#x2009;14.98. Adolescents aged 12-14&#x2009;years reported significantly higher psychological well-being compared to those aged 15-18&#x2009;years, while social appearance anxiety did not differ by age. Social appearance anxiety was negatively correlated with psychological well-being (r&#x2009;=&#x2009;-0.391, p&#x2009;<&#x2009;0.001), indicating that higher anxiety levels were associated with lower psychological well-being. In the hierarchical regression model, demographic and activity-related factors (age, school attendance status and participation in regular social activities) were associated with 10.5% of the variance in psychological well-being. The addition of social appearance anxiety to the model was associated with a significant increase in the proportion of variance explained (&#x394;R2&#x2009;=&#x2009;0.091), bringing the total explained variance to 19.6% (p&#x2009;<&#x2009;0.001). Social appearance anxiety is consistently associated with lower psychological well-being in adolescents. However, active participation in school, educational, social, or physical activities relates to higher psychological well-being and reduced appearance-related anxiety. These findings highlight the importance of everyday developmental contexts in shaping adolescent mental health. Appearance-related distress warrants close attention within adolescent healthcare. Integrating healthcare, educational, and family settings through collaborative, prevention-oriented efforts can significantly promote adolescents' psychological well-being. Future longitudinal and intervention-based research is needed to clarify causal pathways across diverse contexts. Adolescent participants voluntarily completed the online survey but were not involved in the study's design, analysis, or conduct.

Self-neglect is an important public health problem in older adults and may be associated with poorer psychosocial outcomes. The relationship between self-neglect, self-compassion, and psychological well-being in older adults was investigated. This study was conducted as a descriptive and correlational study. The study was carried out with 275 individuals aged 65 and over who applied to a Family Health Center. The data were collected between November 2024 and February 2025. The Personal Information Form, Elder Self-Neglect Scale (ESNS), Self-Compassion Scale-Short Form (SCS-SF), and Psychological Well-Being Scale for the Older People (PWBS) were used to collect data. Data were analyzed using the SPSS 29 statistical package program using descriptive statistics, correlation analysis, and multiple linear regression. The mean ESNS score of the older adults participating in the study was 108.33&#xb1;34.99, the mean SCS-SF score was 33.56&#xb1;10.31, and the mean PWBS score was 49.45&#xb1;13.68. The study identified a statistically significant negative relationship between the mean ESNS scores and both the SCS-SF and PWBS scores among older adults (p < 0.001). Furthermore, significant negative relationships were observed between self-compassion (&#x3b2;=-0.457) and self-neglect, and between psychological well-being (&#x3b2;=-0.237) and self-neglect (both p < 0.001). The regression model explained 41.0% of the variance in self-neglect (R&#xb2;=0.410). In this study, higher self-compassion and psychological well-being were found to be associated with lower self-neglect levels in older adults.

Healthy ageing is a major public health challenge in rapidly ageing societies, where longer life expectancy does not always translate into sustained well-being. This study examines health trajectories among Chinese middle-aged and older adults, focusing on social participation and the mediating role of life satisfaction. Using four waves (2011-2018) of the China Health and Retirement Longitudinal Study, we applied latent growth curve modelling to assess overall change and individual heterogeneity and latent growth mixture modelling to identify five trajectory categories across six dimensions: environment, vitality, cognitive function, sensory and physical abilities, daily activities and psychological well-being. The five classes were high initial stable, high initial declining, moderate initial increasing, moderate initial declining and low initial increasing. Multinomial logistic regression showed that greater social participation was associated with a lower likelihood of less favourable trajectories; relative to high initial stable, the low initial increasing group exhibited a significantly reduced risk. Cultural and recreational activities showed the strongest protective association, whereas volunteer service had no significant impact. Life satisfaction partially mediated the association between social participation and trajectory membership. These results suggest that expanding meaningful social participation and improving life satisfaction are important pathways for promoting healthy ageing among Chinese middle-aged and older adults.

The impact of social media on the health of adolescents is an intensely debated topic globally, with conflicting views among researchers, caregivers, and policymakers. Empirical findings remain inconclusive, largely due to methodological and conceptual oversights. To address these oversights, we applied specification curve analysis, a computational method which reduces bias from selective analytical choices, to examine associations between time spent on social media and four related but distinct health outcomes - psychological well-being, mental health, health behaviours, and risk behaviours - in 15-and 16-year-olds in the west of Ireland (N&#xa0;=&#xa0;2876). While most model specifications indicated a negative association between social media and health outcomes, some associations were positive (e.g., time on social media and vigorous physical activity for boys). Aside from anger management and alcohol consumption, most associations fall below accepted thresholds for reliability or clinical significance, suggesting that most associations may be indistinguishable from statistical noise. Notably, when compared to other relevant factors, time on social media emerged as one of the least influential predictors of adolescent health. While some specific associations between social media and adolescent health are statistically reliable, the overall effects at the population level are small and may not be clinically relevant.

The study was aimed to explore the effects of digital device use (digital use) on the psychological health and cognitive functions in Chinese older adults. Participants (n&#xa0;=&#xa0;1915) were extracted from the Chinese Longitudinal Aging Social Survey (CLASS) in 2018. The digital use was measured by the use of digital devices in different areas over the internet and their use proficiency. Cognitive functions (mainly orientation and calculation) were evaluated with items from the Mini-Mental State Examination (MMSE), while psychological health was measured by perceived loneliness and life satisfaction. Bayesian structural equation modeling was applied to examine the direct effects of digital device purposes and digital device proficiency on cognitive functions and psychological health (loneliness and life satisfaction) and the mediating effects of psychological health. Use purposes of digital devices positively influenced orientation (&#x3b2;&#xa0;=&#xa0;0.33, 95% CI: 0.09-0.57) and negatively influenced perceived loneliness (&#x3b2;&#xa0;=&#xa0;-0.41, 95% CI: -0.55 to -0.28); proficiency had positive effect on loneliness (&#x3b2;&#xa0;=&#xa0;0.24, 95% CI: 0.02-0.44) and negative effect on life satisfaction (&#x3b2;&#xa0;=&#xa0;-0.12, 95% CI: -0.22 to -0.03). Loneliness partially mediated the relationship between digital purposes and orientation (&#x3b2;&#xa0;=&#xa0;0.07, 95% CI: 0.00-0.15), accounting for only 20% of the total effect. Crucially, loneliness directly impaired cognition, reducing both orientation (&#x3b2;&#xa0;=&#xa0;-0.17, 95% CI: -0.33 to -0.01) and calculation (&#x3b2;&#xa0;=&#xa0;-0.18, 95% CI: -0.31 to -0.06). Purposeful digital engagement can improve orientation and alleviate loneliness in Chinese older adults. It also helps preserve orientation ability partly by reducing feelings of loneliness, whereas use proficiency may exacerbate loneliness and diminish life satisfaction.

Family caregivers of psychiatric patients often experience significant emotional burden, potentially resulting in compassion fatigue and reduced psychological well-being. However, little is known about the mechanisms underlying this relationship in this population compared to healthcare professionals. This study aimed to examine the mediating role of emotion regulation in the relationship between compassion fatigue and psychological well-being among family caregivers. A cross-sectional descriptive study was conducted with 300 caregivers at an Egyptian psychiatric hospital, selected through purposive sampling. Data were collected using the Secondary Traumatic Stress Scale, the 18-item Ryff Scales of Psychological Well-being, and the Emotion Regulation Skills Questionnaire (ERSQ-27). Participants had a mean age of 42.5&#xa0;years (SD&#xa0;=&#xa0;12.8), and the majority were female (57%), married (71.3%), and had a secondary education or less (78.7%). Caregivers reported moderate psychological well-being (64.56&#xa0;&#xb1;&#xa0;21.09), moderate emotion regulation (45.35&#xa0;&#xb1;&#xa0;11.56), and high compassion fatigue (93.32&#xa0;&#xb1;&#xa0;12.16). Compassion fatigue was negatively correlated with emotion regulation (r&#xa0;=&#xa0;-0.377, p&#xa0;<&#xa0;.001) and well-being (r&#xa0;=&#xa0;-0.285, p&#xa0;<&#xa0;.001). Emotion regulation positively correlated with well-being (r&#xa0;=&#xa0;0.294, p&#xa0;<&#xa0;.001) and partially mediated the effect of compassion fatigue on well-being (&#x3b2;&#xa0;=&#xa0;-0.086, p&#xa0;=&#xa0;.001). Emotion regulation skills partially mitigate the negative impact of compassion fatigue on psychological well-being. Interventions for family caregivers should include emotion regulation training and targeted psychological support.

This study examines how multiple dimensions of socio-emotional well-being relate to cognitive functioning in older adults, and whether the associations vary by cognitive status, depression, and socio-demographic factors. Data from the Harmonized Cognitive Assessment Protocol of the Survey of Health, Ageing and Retirement in Europe (n = 2,650; mean age = 76; 54.5% females) were used to test associations between life satisfaction, meaning in life, social connectedness, and loneliness with global, domain-specific cognitive performance, and informant-rated cognitive decline. Linear mixed models, with individuals nested within five countries, found that higher life satisfaction, meaning in life, and social connectedness were associated with better cognitive outcomes, whereas greater loneliness was associated with worse performance and greater informant-rated decline. The largest effect sizes were observed for meaning in life (median &#x3b2; = .10) and loneliness (median &#x3b2; = -.09) across cognitive measures. The associations generally remained significant adjusting for well-known clinical (e.g., diabetes), behavioral (e.g., physical inactivity), and psychological (depressive symptomatology) risk factors for dementia. Moderation and sensitivity analyses suggested that associations with global cognition hinged on the inclusion of participants classified with cognitive impairment, while some domain-specific associations (e.g., loneliness and episodic memory) were observed only in individuals without cognitive impairment. Overall, evidence for moderation by cognitive status, depression and age was limited, and no moderation was observed for sex or education. The results underscore the importance of socio-emotional well-being in cognitive aging and highlight the need for longitudinal research to clarify mechanistic pathways and inform targeted interventions.

Early detection of cognitive decline may be effective in reducing the adverse impacts of Alzheimer's disease and related dementias (ADRD). Given that functional declines precede ADRD evaluation and diagnosis, regular assessments of everyday function are an avenue for detecting cognitive performance changes. While app-based measures of everyday function and cognition are promising tools for early detection, perceptions of these tools' value remain unexamined. This study explored perceptions of an app-based measure of everyday function (i.e., comfort with sharing performance data and perceived utility in healthcare) with community-dwelling midlife and older adults in South Carolina, United States (N&#x2009;=&#x2009;131, Mage&#x2009;=&#x2009;67.08&#x2009;years). Participants completed daily tasks through a mobile app objectively measuring everyday function then shared their feedback through a semi-structured interview. Our thematic analysis found that interest and confidence in utilizing this technology was connected to beliefs around the value of having real-time information about one's cognitive performance, experiences with healthcare providers, and trust in technology security and accuracy. Additionally, some adults have not thought critically about the role of these technologies in their healthcare. As health-tracking technology expands in cognitive healthcare, researchers and practitioners must be aware of midlife and older adults' perceptions and educate users on its potential function.

Although engaging in valued actions is often positively related to mental health, this relationship is not always consistent at the daily level, suggesting that how valued actions are experienced is also important. We examined three valued action aspects (extent of engagement, awareness of engaging in valued actions, and perceived effort) and their within- and between-person associations with happiness, meaning in life, and emotional distress (anxiety and sadness) at the daily level. A total of 114 adults reported these variables three times per day for 10&#xa0;days. We estimated contemporaneous, temporal, and between-person networks using a multilevel vector autoregressive (mlVAR) model and identified communities via exploratory graph analysis. In the contemporaneous network, momentary engagement was positively associated with momentary happiness and meaning, and momentary perceived effort was positively associated with momentary emotional distress. Valued action aspects were positively interrelated and clustered together. Temporally, awareness predicted subsequent meaning, which in turn predicted lower emotional distress and higher happiness. At the between-person level, higher average engagement in valued actions clustered with higher average happiness and meaning, whereas higher average perceived effort and greater awareness clustered with higher emotional distress. Overall, findings suggest that, beyond engagement alone, the experiential aspects of valued actions are also important for understanding how valued actions relate to mental health in daily life.

The diagnosis and treatment of breast cancer (BC) can significantly impact patients' sexual and psycho-physical wellbeing. Awareness and preparedness among healthcare professionals are essential to address these issues effectively. Between March and April 2024, a nationwide survey was conducted in Italy among 109 healthcare professionals (including oncologists and gynecologists) to assess their knowledge, training, and clinical practices related to the impact of BC on sexuality and psycho-physical health. Most respondents were oncologists (59%), followed by gynecologists (26%) and psychologists (13%), with the majority aged between 35 and 59 years. Overall, 56% considered themselves "fairly informed," while only 23% felt "very informed" and 21% "poorly informed." Specific training in this field had been received by only 30% of respondents. Among oncologists, just 17% reported being "very informed." Despite this, nearly all agreed that dedicated training is essential for optimal BC management. Only 16% of participants routinely addressed sexuality-related concerns with patients, while 38% rarely did so. Reported barriers included patient reluctance and embarrassment, limited consultation time, and lack of access to specialized centers. Half of the respondents reported multidisciplinary collaboration in managing sexual health issues, though only 32% had access to dedicated gynecological services. Pharmacological approaches were rarely used; counseling was the primary intervention, sometimes complemented by techniques such as acupuncture and cognitive behavioral therapy. While 76% had access to psychological services, all participants recognized their importance in addressing patients' sexual health. The findings highlight the urgent need for targeted training and improved multidisciplinary access to address the sexual and psycho-physical needs of breast cancer patients. Institutional commitment and systemic changes are essential to ensure comprehensive and patient-centered care.

While adolescence is a key period to shape healthy lifestyles, overweight/obesity and mental health problems are both prevalent among adolescents worldwide, yet evidence on physical activity and mental health remains limited for adolescents with overweight/obesity, particularly regarding gender and day type (weekday vs. weekend). We analyzed 1,238 adolescents with overweight/obesity from the UK Millennium Cohort Study (45.3% boys; M age&#x2009;=&#x2009;14.25&#x2009;years, SD&#x2009;=&#x2009;0.34). At age 14, accelerometer-measured MVPA was assessed separately for one weekday and one weekend. At age 17, internalizing and externalizing problems were assessed using SDQ subscales. Associations were examined using survey-weighted negative binomial regression, with SDQ scores modeled as count outcomes. Models adjusted for sociodemographic, family, cognitive, and baseline mental health factors, and analyses were stratified by gender and day type. On weekdays, higher MVPA was associated with fewer internalizing problems among girls (IRR&#x2009;=&#x2009;0.988, 95% CI [0.978, 0.997]), but not boys, corresponding to about 1.2% lower symptom rate per 10&#x2009;min additional MVPA per day. On weekends, higher MVPA was associated with fewer internalizing problems in the overall sample (IRR&#x2009;=&#x2009;0.992, 95% CI [0.984, 1.000]), corresponding to about 0.8% lower symptom rate per 10&#x2009;min additional MVPA per day. No significant associations were found for externalizing problems. Higher MVPA was associated with modestly lower internalizing problems among adolescents with overweight/obesity, although effect sizes were small and patterns varied by gender and day type. Contextual factors may be important in understanding these associations.

GPs are working within an increasingly complex and pressured healthcare system, often experiencing high levels of stress, emotional burden, and burnout. As frontline clinicians, they are expected to provide compassionate, high-quality care while managing uncertainty, time constraints, and rising demand. Supporting GP wellbeing is therefore critical not only for clinicians themselves but also for patient care. Mindfulness-based interventions offer a promising, evidence-based approach, though their application within the specific context of general practice remains underexplored. This study describes the development and evaluation of an adapted mindfulness and compassion programme for GPs. To reduce stress, enhance wellbeing and compassion, and improve quality of patient care through mindfulness. Innovations included collaboration with The Wellbeing Line, co-development of a Mindfulness curriculum with GP colleagues, GP Champions, community of practice, and development of a workbook to support accessibility and sustainability. A mixed-methods evaluation was undertaken using quantitative pre- and post-measures and qualitative participant feedback. Quantitative outcomes from independent evaluation (University of Bath, funded by NHS England) demonstrated very positive improvements in wellbeing, self-compassion, and attitudes to work. Qualitative findings showed enhanced quality of life within and beyond work, including improved relationships with oneself, family, colleagues, and the workplace. Participants also reported benefits to patient care through more mindful and effective consultations. This pilot suggests that adapted mindfulness and compassion training can support GP wellbeing and patient care. Further research is needed to identify active components and explore how best to sustain benefits, including embedding a culture of self-care within general practice.

Extensive evidence suggests that gratitude is linked to greater life satisfaction. However, relatively little is known about how dynamic patterns of gratitude correspond to both fluctuations and stable patterns of life satisfaction, and whether these associations differ as a function of individual factors. Thus, the degree of gratitude variability (fluctuation around one's typical level) and instability (day-to-day shifts) in gratitude were examined in relation to both mean levels and fluctuating patterns of life satisfaction, while considering emotion regulation difficulties and mental health challenges as between-person moderators. Participants (N&#x2009;=&#x2009;257) were predominantly Chinese young adults aged between 18 and 25&#x2009;years (Mage&#x2009;=&#x2009;21.27), who completed a daily diary across 14 days. Multiple regression analyses indicated that greater gratitude variability and instability were associated with lower mean levels of life satisfaction, but these associations were no longer significant after controlling for average gratitude. Further, gratitude variability and instability were positively associated with greater fluctuations in life satisfaction, above and beyond average gratitude. No significant moderation effects were observed. These findings suggest that the degree and consistency of day-to-day gratitude fluctuations have implications for life satisfaction in daily life, and that these processes appear to operate similarly across individuals with varying levels of mental health challenges and emotion regulation difficulties.