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Search Results (275)

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Keywords = State-Trait Anxiety Inventory (STAI)

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12 pages, 725 KB  
Article
Emotional Intelligence and Anxiety in Nursing Students in Special Services Clinical Practices
by María Anunciación Jiménez-Marcos, Ana María Insausti-Serrano, Ana Beatriz Bays-Moneo, Natalia Domínguez-Sanz and Izaskun Montori-Rodrigo
J. Intell. 2026, 14(6), 99; https://doi.org/10.3390/jintelligence14060099 - 4 Jun 2026
Viewed by 204
Abstract
Nursing students in their training process often suffer from anxiety due to stressful situations, and emotional intelligence can help them to manage these situations. The aim of this study is to analyse the associations between the dimensions of perceived emotional intelligence and anxiety [...] Read more.
Nursing students in their training process often suffer from anxiety due to stressful situations, and emotional intelligence can help them to manage these situations. The aim of this study is to analyse the associations between the dimensions of perceived emotional intelligence and anxiety in students undergoing their training cycles in different special services in order to check if there are differences between them. It is an observational, cross-sectional and correlational study with a sample of 85 nursing students who had not received training in emotional intelligence. Two measurement instruments were used: the Trait-State Anxiety Inventory (STAI) to assess anxiety and the Trait Meta-Mood Scale (TMMS-24) to measure EI. Data were analysed using Pearson’s coefficient when the distribution was normal, and Spearman’s coefficient in the non-normal distribution. The results showed in the group—ER-Emergency and Oncology—there was a significant negative relationship between state and trait anxiety and emotional understanding and regulation. In contrast, in the Primary Care setting there was also a positive relationship between emotional perception and trait anxiety. The study concludes that nursing students who understand and manage their emotions may have a lower risk of anxiety. Furthermore, if they identify emotions appropriately, the risk of suffering from anxiety in the long term may be lower. This finding was observed when the student did the internship in Primary Care. So there is a difference depending on the clinical context. Full article
(This article belongs to the Special Issue Social Cognition and Emotions)
16 pages, 872 KB  
Systematic Review
Preoperative Anxiolysis in Surgical Care Without Sedation or General Anesthesia: A Systematic Review
by Inesa Stonkutė, Dominykas Afanasjevas, Audra Janovskienė, Dainius Razukevičius and Žygimantas Petronis
Dent. J. 2026, 14(6), 327; https://doi.org/10.3390/dj14060327 - 1 Jun 2026
Viewed by 235
Abstract
Background/Objectives: Preoperative anxiety is common in adult patients undergoing oral and dentoalveolar surgical procedures under local anesthesia and may impair cooperation, physiological stability, and overall treatment experience. While intravenous sedation and general anesthesia provide effective anxiolysis, they increase anesthetic exposure and recovery demands. [...] Read more.
Background/Objectives: Preoperative anxiety is common in adult patients undergoing oral and dentoalveolar surgical procedures under local anesthesia and may impair cooperation, physiological stability, and overall treatment experience. While intravenous sedation and general anesthesia provide effective anxiolysis, they increase anesthetic exposure and recovery demands. Targeted preoperative anxiolysis offers a less invasive strategy to reduce anxiety while preserving responsiveness. However, approaches vary and standardized protocols are lacking. This systematic review evaluated the efficacy and safety of preoperative anxiolytic interventions—including both pharmacological and non-pharmacological strategies—in adult patients undergoing oral surgical procedures under local anesthesia without general anesthesia or deep sedation. Methods: The review adhered to the PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420261281592). Randomized and quasi-randomized controlled trials published between 2016 and 2026 were identified through structured searches of PubMed/MEDLINE, ScienceDirect, and Springer Nature Link. Eligible studies included adult patients undergoing oral surgery under local anesthesia and evaluated preoperative anxiolysis using validated instruments such as the Dental Anxiety Scale (DAS), State–Trait Anxiety Inventory (STAI), and Visual Analog Scale for Anxiety (VAS-A). Risk of bias was assessed using the Cochrane RoB 2 tool. Owing to methodological heterogeneity, results were synthesized narratively. Results: Eight trials (n = 617) met the inclusion criteria. Interventions included oral benzodiazepines, melatonin, pregabalin, herbal agents, nitrous oxide, and auriculotherapy. Benzodiazepines consistently reduced anxiety scores (p < 0.05) without significant interagent differences. Pregabalin at a dose of 150 mg significantly lowered STAI-S and VAS-A scores (p < 0.001). Passiflora incarnata was comparable to midazolam and superior to placebo, whereas Erythrina mulungu showed no effect. Melatonin results were inconsistent. Hemodynamics remained stable, and adverse events were mild. Conclusions: Preoperative anxiolysis under local anesthesia effectively reduces anticipatory anxiety in oral surgery, with benzodiazepines demonstrating the most consistent efficacy. Further standardized trials are warranted. Full article
(This article belongs to the Section Oral and Maxillofacial Surgery)
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15 pages, 276 KB  
Protocol
Virtual Reality as a Digital Premedication to Alleviate Preoperative Anxiety and Postoperative Pain in Patients Undergoing Spine Surgery: Study Protocol for a Randomized Clinical Trial
by Redwan Jabbar, Samuel D. Pettersson, Agnieszka Pawelczyk and Maciej Radek
Brain Sci. 2026, 16(6), 587; https://doi.org/10.3390/brainsci16060587 - 29 May 2026
Viewed by 241
Abstract
Background: Preoperative anxiety and postoperative pain are prevalent and are frequently associated with poor postoperative functional outcomes. Comprehensive postoperative management, including both pharmacological and psychological components, is essential for proper postoperative care and better recovery. While the analgesic effect of traditional non-pharmacological [...] Read more.
Background: Preoperative anxiety and postoperative pain are prevalent and are frequently associated with poor postoperative functional outcomes. Comprehensive postoperative management, including both pharmacological and psychological components, is essential for proper postoperative care and better recovery. While the analgesic effect of traditional non-pharmacological intervention, such as cognitive behavior therapy, has been investigated by other trial studies, the newer innovative methods for delivering psychological interventions for reducing anxiety and pain are extensively being investigated. Virtual reality (VR) has emerged as a novel and promising technology that offers opportunities to mitigate patient perception and cognitive responses, and has been shown to be associated with lower levels of anxiety and pain. The aim of this randomized clinical trial (RCT) is to determine whether delivering the psychological content through virtual reality (VR) along with the standard preoperative and postoperative care results in better anxiety and pain relief outcomes than standard care in patients undergoing spinal surgery. Methods: This study protocol outlines a parallel-group RCT to be conducted in the Department of Neurosurgery at the University Clinical Hospital of Medical University of Lodz. The objective is to assess the efficacy of immersive VR environments in reducing preoperative anxiety and postoperative pain intensity in the following day after surgery. Adult patients (18–70) will be randomly assigned to either (1) standard care before surgery (control group), (2) VR exposure simulating the hospital environment alongside standard care, or (3) VR-based exposure to calming natural landscapes accompanied by soothing background sound along with standard care. In each group, a minimum of 50 patients will be recruited. The primary outcome is the change in preoperative anxiety measured using the State-Trait Anxiety Inventory-State (STAI-S) scale from baseline to immediately after intervention. Secondary outcomes include postoperative pain measured using the Visual Analogue Scale (VAS), postoperative analgesic consumption, patient satisfaction, and VR-related adverse effects. To facilitate a comprehensive understanding of the VR intervention’s impact, the primary outcome will be complemented with measures of the adverse effects, level of immersion, and level of presence in the VR environment. Secondary outcomes of self-reported satisfaction scores and postoperative analgesics from patients’ medical charts will be assessed. Conclusions: This trial will evaluate whether VR-based interventions may reduce preoperative anxiety and postoperative pain in patients undergoing spine surgery. This study may provide evidence supporting the future implementation of VR as a non-pharmacological adjunct in perioperative care. This intervention may hold significant clinical relevance clinically, particularly in patients with high level of preoperative anxiety, by offering an alternative method to pharmacological anxiolytics in the future. Full article
(This article belongs to the Section Neurorehabilitation)
21 pages, 2175 KB  
Article
A Randomised, Double-Blind, Placebo-Controlled Trial of Probiotic and Postbiotic Strains in Healthy Adults with Self-Reported Anxiety: Effects on Mood, Vitality, Quality of Life and Perceived Stress
by Richard Day, Daniel Friedman, Ana Cardoso, Malwina Naghibi, Adria Pont, Juan Martinez-Blanch, Araceli Lamelas, Empar Chenoll, Charles Kakilla, Kieran Rea and Vineetha Vijayakumar
Brain Sci. 2026, 16(4), 419; https://doi.org/10.3390/brainsci16040419 - 16 Apr 2026
Viewed by 1013
Abstract
Background: Subclinical psychological symptoms—such as low mood, perceived stress, and poor sleep—affect a large portion of the population and can impair quality of life despite remaining below clinical thresholds. The gut–brain axis has emerged as a promising target for interventions that support emotional [...] Read more.
Background: Subclinical psychological symptoms—such as low mood, perceived stress, and poor sleep—affect a large portion of the population and can impair quality of life despite remaining below clinical thresholds. The gut–brain axis has emerged as a promising target for interventions that support emotional and psychological resilience. Probiotics and postbiotics are gaining attention for their potential to modulate mood and stress via microbiome-related mechanisms, but human evidence remains limited, particularly in non-clinical populations. Objectives: We aimed to assess the effects of a two-strain combination of live microorganisms alongside a two-strain combination of heat-treated inactivated microorganisms on outcomes associated with anxiety, mood, perceived stress, and quality of life in healthy adults experiencing mild stress. Methods: This study was conducted in two parts. In Part I, a randomized, double-blind, placebo-controlled study, 100 participants were randomized to receive either a blend of live microorganisms (Bifidobacterium longum CECT 7347 and Lactobacillus rhamnosus CECT 8361) or an identical placebo once daily for 12 weeks. In Part II, a pilot feasibility study, a subset of eight placebo non-responders from Part I received the heat-inactivated preparation of the same bacterial strains in a 6-week trial extension phase. For Parts I and II, the primary outcome was the change in the Hamilton Anxiety Rating Scale (HAM-A). Secondary outcomes included measures of mood (Beck Depression Inventory (BDI); Patient Health Questionnaire-9 (PHQ-9)), stress (state and trait anxiety inventory (STAI); Perceived Stress Scale (PSS)), sleep (Pittsburgh Sleep Quality Index (PSQI)), quality of life (36-item Short Form Survey (SF-36)), gastrointestinal symptoms (Gastrointestinal Symptom Rating Scale (GSRS)), salivary cortisol and microbiome modulation. Results: In Part I, there were no significant effects of the live blend on the HAM-A, indicating that the primary endpoint was not met. In addition, no significant effects were seen on the STAI or PSS scores when compared to the placebo. However, participants consuming the live blend trended toward a reduction in total PHQ-9 scores compared to placebo (p = 0.089), whilst preliminary exploratory analyses suggested an improvement in anhedonia (p = 0.045). Furthermore, there was a significant improvement in the vitality domain of the SF-36 compared to placebo (p = 0.017). On microbiome analysis, it was noted that consumption of the live blend was linked to the preservation of butyrate-producing bacteria, particularly members of the Pseudoflavonifractor genus and the Clostridium SGB6179 species. Furthermore, the abundance of B. longum species was found to be inversely associated with the total PSS Scores. In Part II, supplementation with the inactivated preparation resulted in significant within-group improvements for the vitality (p = 0.006) and social functioning (p = 0.010) domains of the SF-36 and improvements in PSS scores compared to baseline (p = 0.050). Conclusions: Supplementation with either the dual-strain live or inactivated formulations was associated with significant improvements in the vitality domain of the SF-36, whilst participants receiving the inactivated formulation demonstrated lower perceived stress and improved social functioning compared to baseline. Overall, the findings from this pilot study suggest that these two biotic consortia are well-tolerated and may be associated with improvements in measures of vitality in individuals with subclinical psychological symptoms. The subtle observations detected for stress and anhedonia suggest that further well-powered trials are needed to better characterize these findings, potentially in populations with greater baseline symptomatology. Full article
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18 pages, 760 KB  
Article
The Effects of Perfectionism and Achievement Goals on Trait Anxiety Among Young Football Players: A Cross-Sectional Study Using Correlation and Regression Analyses
by İsmail Pirgalı and Erman Dogan
Appl. Sci. 2026, 16(7), 3321; https://doi.org/10.3390/app16073321 - 30 Mar 2026
Viewed by 576
Abstract
In competitive sport, an athlete’s success is often linked to their physical strength, skill, and overall athletic ability. However, physical talent alone does not fully account for sporting success, as psychological and other personal factors also play a crucial role in achieving high [...] Read more.
In competitive sport, an athlete’s success is often linked to their physical strength, skill, and overall athletic ability. However, physical talent alone does not fully account for sporting success, as psychological and other personal factors also play a crucial role in achieving high performance. Thus, the present cross-sectional study aimed to examine the relationships between perfectionistic personality characteristics, achievement goal orientations, and trait anxiety among young football players using correlation and regression analyses. Participants consisted of 152 male U16 football players (M = 15.67, SD = 0.54) competing in the official league organized by the Cyprus Turkish Football Federation (CTFF). Data were collected using the Sport Multidimensional Perfectionism Scale (SMPS), the 2 × 2 Achievement Goals Questionnaire for Sport (AGQ-S), and the State Trait Anxiety Inventory (STAI). Pearson’s correlation analyses and simple linear regression models were conducted to examine relationships among variables and to identify significant predictors of trait anxiety. Correlation analyses revealed that trait anxiety was positively associated with concern over mistakes (r = 0.28, p < 0.01), perceived parental pressure (r = 0.17, p < 0.05), and mastery-avoidance goals (r = 0.37, p < 0.01), whereas it was negatively associated with mastery-approach goals (r = −0.18, p < 0.05). Regression analyses indicated that concern over mistakes significantly predicted trait anxiety (β = 0.25, p = 0.003), while perceived parental pressure was not a significant direct predictor (β = 0.10, p = 0.21). In addition, mastery-avoidance goals significantly predicted trait anxiety (β = 0.43, p < 0.001), whereas mastery-approach goals were negatively associated with trait anxiety (β = −0.28, p < 0.001). In conclusion, the findings indicate that perfectionistic concerns and mastery-avoidance goals are key factors associated with higher trait anxiety, whereas mastery-approach orientations may serve as a protective factor among young football players. Full article
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15 pages, 523 KB  
Article
Postpartum Depressive Symptoms and Their Long-Term Association with Anxiety and Depression in Women: Findings from the Rhea Study in Crete, Greece
by Katerina Koutra, Chrysi Mouatsou, Katerina Margetaki, Georgios Mavroeides and Lida Chatzi
Healthcare 2026, 14(6), 745; https://doi.org/10.3390/healthcare14060745 - 16 Mar 2026
Viewed by 579
Abstract
Background/Objectives: Postpartum depression affects 10–20% of women and may have long-term consequences for mental health. This study examines the association between postpartum depressive symptoms and women’s depression and anxiety symptoms 11 and 15 years after childbirth. Methods: Data were drawn from the [...] Read more.
Background/Objectives: Postpartum depression affects 10–20% of women and may have long-term consequences for mental health. This study examines the association between postpartum depressive symptoms and women’s depression and anxiety symptoms 11 and 15 years after childbirth. Methods: Data were drawn from the Rhea Mother–Child Cohort in Crete, Greece. A total of 1079 women completed the Edinburgh Postnatal Depression Scale (EPDS) at approximately 8–10 weeks postpartum. Of these, 516 participated in follow-up assessments at 11 and 15 years, which included measures of anxiety (State-Trait Anxiety Inventory, Trait version [STAI-Trait]) and depressive symptoms (Beck Depression Inventory [BDI]). Multivariable linear mixed-effects models were used to assess the relationship between postpartum depressive symptoms (EPDS) and later anxiety (STAI-Trait) and depression (BDI) outcomes, adjusting for sociodemographic and family-related characteristics and psychosocial factors. Results: Higher postpartum EPDS scores were associated with greater anxiety (STAI-Trait) and depressive symptoms (BDI) across follow-up assessments. Associations remained significant after adjusting for maternal baseline characteristics and follow-up factors. An interaction with time suggested that the association between postpartum depressive symptoms and anxiety levels strengthened over time, with a stronger association at the 15-year follow-up, indicating a higher long-term mental health burden. Conclusions: Postpartum depressive symptoms are associated with higher levels of depressive and anxiety symptoms 11 and 15 years after childbirth. The association with depression appeared relatively consistent across follow-up assessments, while the relationship with anxiety was stronger at the 15-year follow-up. These findings suggest that postpartum depression is an early marker of long-term vulnerability to mood and anxiety disorders, highlighting the importance of early screening, intervention, and long-term mental health support for mothers to reduce the risk of enduring psychological difficulties. Full article
(This article belongs to the Section Mental Health and Psychosocial Well-being)
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31 pages, 2271 KB  
Review
Mental Stress Detection Using Physiological Sensors and Artificial Intelligence: A Review
by Rabah Al Abdi, Shouq AlKaabi, Shada Elsifi and Jawad Yousaf
Sensors 2026, 26(5), 1616; https://doi.org/10.3390/s26051616 - 4 Mar 2026
Viewed by 1901
Abstract
Stress can cause many disorders, including mental and physical ones, if it persists. To take timely and effective early intervention measures, mental stress levels must be carefully monitored. This study investigates the rapidly growing topic of mental stress detection, focusing on the primary [...] Read more.
Stress can cause many disorders, including mental and physical ones, if it persists. To take timely and effective early intervention measures, mental stress levels must be carefully monitored. This study investigates the rapidly growing topic of mental stress detection, focusing on the primary goals and mechanisms of existing detection frameworks. The main objectives and mechanisms will be highlighted. This study examines physiological sensors, stressors, algorithms, monitoring methods, and validation tools used to assess and classify mental stress. The study targets physiological sensors. Wearable sensors are becoming more popular because they can continuously monitor physiological responses in human-like environments. This allows them to reveal relevant stress patterns across various work environments. Numerous physiological sensors are used regularly. Galvanic skin response (GSR), electrocardiogram (ECG), photoplethysmography (PPG), electroencephalography (EEG), and pupil diameter camera systems are examples of these sensors. The combination of these sensors provides a wealth of cognitive and autonomic response data for stress detection. This review examines AI-based methods for interpreting complex physiological data. Machine learning and ensemble models are emphasized for improving stress classification accuracy and reducing incorrect classifications. In addition, this article discusses stressors used to induce reliable physiological responses. Validated self-report instruments are being reviewed as benchmarking tools for objective sensor-based measurements. STAI and PSS-10 are examples. These instruments demonstrate a strong correlation between stress and anxiety and physiological health outcomes. In conclusion, this review discusses future research avenues, focusing on advanced artificial intelligence-driven approaches and sophisticated sensors. These developments aim to better define stress levels and physiological factors that have not been thoroughly studied. Full article
(This article belongs to the Section Biomedical Sensors)
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16 pages, 739 KB  
Article
Psychosocial and Body Image Variations in Professional Dancers: A Prospective Longitudinal Observational Study
by Marina Creazzo Maruschi, Gabriel de Souza Zanini, Pedro Luiz Santorsula de Paula Oliveira, Deivide Telles de Lima, Evandro Antônio Correa, Carlos Eduardo Lopes Verardi, Cátia Caldeira Ferreira, Víctor Hernández-Beltrán, José M. Gamonales, Mário Cunha Espada and Dalton Muller Pessoa Filho
Sports 2026, 14(3), 99; https://doi.org/10.3390/sports14030099 - 3 Mar 2026
Viewed by 1127
Abstract
Introduction: Psychosocial functioning and body image are key dimensions of mental well-being and performance. Among professional dancers, competitive environments, aesthetic demands, and physical–emotional overload contribute to increased anxiety, stress, and mood disturbances, potentially impairing performance and heightening injury risk. Objective: To investigate longitudinal [...] Read more.
Introduction: Psychosocial functioning and body image are key dimensions of mental well-being and performance. Among professional dancers, competitive environments, aesthetic demands, and physical–emotional overload contribute to increased anxiety, stress, and mood disturbances, potentially impairing performance and heightening injury risk. Objective: To investigate longitudinal variations in psychosocial and emotional indicators among professional dancers throughout a season of rehearsals and performances. Methods: Thirteen dancers (9 women and 4 men) from a professional company were assessed across eight time points using the Brunel Mood Scale (BRUMS), State–Trait Anxiety Inventory (STAI-State), Recovery–Stress Questionnaire for Athletes (REST-Q 76 Sport), and Body Shape Questionnaire (BSQ). Data was analyzed using repeated-measures ANOVA with Bonferroni post hoc tests (p < 0.05). Results: Negative mood dimensions progressively increased (p < 0.01; η2p = 0.46, large), while vigor decreased (p = 0.03; η2p = 0.29, medium), indicating an inversion of the typical “iceberg” profile. Overall stress levels increased (p = 0.02; g = 0.53, power = 0.81) and perceived recovery declined (p = 0.04; g = 0.41, power = 0.78). State anxiety rose consistently (p < 0.01; η2p = 0.42), and body dissatisfaction, assessed via the BSQ, increased from “no concern” to “high concern” classifications (p = 0.03; g = 0.59, power = 0.84). Conclusions: Overall, the findings indicating a longitudinal pattern of increased psychometric strain indicators, inferred exclusively from psychometric trends, and conceptually consistent with a possible imbalance between perceived demands and perceived recovery, rather than reflecting objectively measured workload or recovery processes. Full article
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20 pages, 3168 KB  
Article
Smelling Wellness: Associations Between Botanic Garden Scentscapes and Human Health Gains
by Molly Rose Tucker, William Kay, Kieran Storer, Anya Lindström Battle and Katherine Willis
Int. J. Environ. Res. Public Health 2026, 23(3), 304; https://doi.org/10.3390/ijerph23030304 - 28 Feb 2026
Viewed by 1089
Abstract
This pilot study investigated whether ambient biogenic volatile organic compounds (bVOCs)—scent profiles emitted by botanic glasshouse vegetation—could contribute to quantifiable human health and wellbeing outcomes. Over 11 months in 2024 (January–December), human participant trials were conducted at the Oxford Botanic Garden to compare [...] Read more.
This pilot study investigated whether ambient biogenic volatile organic compounds (bVOCs)—scent profiles emitted by botanic glasshouse vegetation—could contribute to quantifiable human health and wellbeing outcomes. Over 11 months in 2024 (January–December), human participant trials were conducted at the Oxford Botanic Garden to compare the physiological and psychological effects associated with spending 30 min exposures in five different vegetation-rich glasshouses, each characterised by a distinct and complex bVOCs profile, with those of a plant-free room. Pre- and post-intervention assessments were conducted on 43 participants, using the State-Trait Anxiety Inventory (STAI), heart-beat rate (beats per minute), and heart rate variability (HRV): the latter two are widely used as an index of regulation of the autonomic nervous system. Significant reductions in STAI anxiety scores and decreases in heart-beat rate were observed, while HRV indices remained stable, relative to the plant-free room, following glasshouse exposure. Distinct scent profiles in the glasshouses included compounds that have previously shown associations with therapeutic effects in clinical settings, indicating the potential of these scented vegetation-rich glasshouse environments to promote the beneficial health effects observed in this study. Overall, these findings highlight the potential public health value of aromatic plant species and the importance of incorporating them into urban green space planning and policy. Full article
(This article belongs to the Section Environmental Sciences)
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14 pages, 260 KB  
Article
The Effect of Music on Intraoperative Anxiety During Dermatologic Surgery: A Randomized Controlled Trial Comparing Rock and Classical Genres
by Alessandra Iorio, Francesca Sperati, Pasquale Frascione and Maria Perrone
Behav. Sci. 2026, 16(3), 317; https://doi.org/10.3390/bs16030317 - 26 Feb 2026
Viewed by 493
Abstract
Background: Music has been widely investigated as a non-pharmacological tool to reduce perioperative anxiety, yet its role in dermatologic surgery remains underexplored. This study aimed to evaluate the effect of different music genres on perioperative anxiety during awake dermosurgical procedures. Methods: We [...] Read more.
Background: Music has been widely investigated as a non-pharmacological tool to reduce perioperative anxiety, yet its role in dermatologic surgery remains underexplored. This study aimed to evaluate the effect of different music genres on perioperative anxiety during awake dermosurgical procedures. Methods: We conducted a prospective, randomized, single-blind controlled trial at the San Gallicano Dermatological Institute IRCCS between March and December 2021. A total of 232 adult patients undergoing excision of atypical skin lesions were randomly assigned to three groups: rock music, classical music, or silence (control). Standardized playlists were played via speakers during surgery. Anxiety was assessed using the State-Trait Anxiety Inventory (STAI-Y1) at baseline (T0), immediately post-procedure (T1), and 48 h later (T2). Psychological profiles were further evaluated with the DASS-21 and patient-reported measures. Results: All groups showed a significant reduction in anxiety from T0 to T1 (p < 0.001). While between-group differences at T1 and T2 were not statistically significant, the greatest mean percentage reduction in anxiety was observed in the rock group (−16.8% ± 19.8), followed by classical (−15.7% ± 23.3) and silence (−11.6% ± 18.3). Patient satisfaction was highest in the rock group (9.3 ± 1.4; p = 0.015). Baseline psychological distress was higher among first-time surgical patients, especially in the rock group. Conclusions: Music, particularly rock, appears to be an effective adjunct to reduce anxiety and improve patient experience during awake dermatologic surgery. These findings support the integration of music into routine dermosurgical care. Full article
19 pages, 458 KB  
Article
Anxiety and Emotional Intelligence as Predictors of Coping with Stress in Patients with Personality Disorders—A Single-Arm Pre–Post Observational Study
by Marta Furman, Aleksandra Gradowska, Katarzyna Bliźniewska-Kowalska, Justyna Kunikowska and Małgorzata Gałecka
J. Clin. Med. 2026, 15(4), 1583; https://doi.org/10.3390/jcm15041583 - 17 Feb 2026
Viewed by 887
Abstract
Background: The aim of this study was to examine the relationship between anxiety levels, emotional intelligence, and stress coping strategies in individuals diagnosed with personality disorders. According to Lazarus and Folkman’s transactional model of stress, the appraisal of stressors and available psychological [...] Read more.
Background: The aim of this study was to examine the relationship between anxiety levels, emotional intelligence, and stress coping strategies in individuals diagnosed with personality disorders. According to Lazarus and Folkman’s transactional model of stress, the appraisal of stressors and available psychological resources determines the selection of coping strategies—whether adaptive or maladaptive. Material and Methods: This observational case series study involved 30 individuals diagnosed with personality disorders (ICD-10 codes F60 and F61). Psychological assessments were conducted at two time points: upon admission to a day-care psychiatric unit and after three months of standard therapeutic intervention. The following standardized instruments were administered: the State-Trait Anxiety Inventory (STAI), the Emotional Intelligence Questionnaire (INTE), and the Mini-COPE Inventory for Coping with Stress. Results: Elevated levels of anxiety—particularly trait anxiety—were significantly associated with maladaptive coping strategies, including denial and self-blame. Conversely, higher emotional intelligence was positively correlated with the use of adaptive coping mechanisms, such as planning and proactive problem-solving. Conclusions: The findings support the hypothesis that both anxiety and emotional intelligence are significant predictors of stress coping styles in individuals with personality disorders. The results underscore the importance of considering these psychological variables in the design and implementation of therapeutic programs. Enhancing emotional intelligence may substantially improve treatment outcomes and overall psychological functioning in this clinical population. However, further studies with larger sample sizes are needed. Full article
(This article belongs to the Section Mental Health)
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24 pages, 788 KB  
Article
Early Childhood Anxiety and Maternal Factors: Associations with State and Trait Anxiety in a Greek Cohort of Preschoolers
by Exakousti-Petroula Angelakou, Sousana K. Papadopoulou, Eleni Pavlidou, Aikaterini Louka, Konstantina Gerothanasi and Constantinos Giaginis
Med. Sci. 2026, 14(1), 92; https://doi.org/10.3390/medsci14010092 - 15 Feb 2026
Viewed by 567
Abstract
Background/Objective: Anxiety symptoms in preschool children represent early indicators of potential mental health vulnerabilities. Maternal psychological, sociodemographic, lifestyle and dietary factors may be associated with child emotional development; however, evidence regarding their independent contributions to distinct dimensions of child anxiety (trait vs. state) [...] Read more.
Background/Objective: Anxiety symptoms in preschool children represent early indicators of potential mental health vulnerabilities. Maternal psychological, sociodemographic, lifestyle and dietary factors may be associated with child emotional development; however, evidence regarding their independent contributions to distinct dimensions of child anxiety (trait vs. state) remains limited. This study aimed to examine maternal factors associated with preschool children’s trait and state anxiety. Methods: In this cross-sectional study conducted in Greece, 200 preschool-aged children and their mothers were assessed. Maternal demographic, socioeconomic, anthropometric, lifestyle, dietary, and psychosocial characteristics were evaluated using validated instruments, including the Mediterranean Diet Score (MedDietScore), Beck Depression Inventory–II (BDI-II), and the State–Trait Anxiety Inventory short form (STAI-6). Children’s trait and state anxiety were assessed using the State–Trait Anxiety Inventory for Children (STAI-CH). Bivariate analyses were conducted, followed by separate multivariable linear regression models for trait and state anxiety, with covariate selection guided by a directed acyclic graph (DAG). Results: Maternal anxiety was positively associated with children’s state anxiety (B = 1.508, SE = 0.566, β = 0.196, t = 2.666, p = 0.008; 95% CI [0.43, 2.66]). Higher maternal educational attainment demonstrated a weak positive association with child state anxiety (B = 1.061, SE = 0.509, β = 0.145, t = 2.086, p = 0.038; 95% CI [0.08, 2.09]), which may reflect greater awareness or reporting of child symptoms by more-educated mothers or other unmeasured factors. For trait anxiety, maternal depressive symptomatology exhibited the strongest association (B = 3.578, SE = 0.918, β = 0.276, t = 3.897, p < 0.001; 95% CI [1.77, 5.39]), while maternal anxiety was also independently associated with higher trait anxiety (B = 2.088, SE = 0.744, β = 0.194, t = 2.807, p = 0.006; 95% CI [0.62, 3.56]). The models explained a modest proportion of variance (R2 < 0.15), indicating that most variation in child anxiety does not seem to be fully explained by the specific measured maternal factors. Conclusions: Maternal psychological distress was modestly associated with preschool children’s state and trait anxiety, exhibiting differential patterns across anxiety dimensions. These findings should be interpreted as correlational, with unmeasured contributors such as paternal mental health, family functioning, genetics, and school/peer influences likely playing important roles. Early screening and interventions addressing maternal mental health may support children’s emotional well-being, but further multi-informant and longitudinal research is needed to clarify temporal and causal pathways. Full article
(This article belongs to the Section Neurosciences)
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15 pages, 246 KB  
Article
Internalizing Characteristics in Adolescents with Non-Cardiac Chest Pain: A Cross-Sectional Study from Turkey
by Veli Yıldırım, Fatih Battal and Recep Dokuyucu
Children 2026, 13(2), 265; https://doi.org/10.3390/children13020265 - 13 Feb 2026
Viewed by 625
Abstract
Background/Objectives: This study aimed to investigate the internalizing characteristics, including anxiety and depressive symptoms, in adolescents presenting with non-cardiac chest pain (NCCP), and to explore the effects of sociodemographic variables and prior psychosocial experiences on psychological distress. Methods: This cross-sectional study was conducted [...] Read more.
Background/Objectives: This study aimed to investigate the internalizing characteristics, including anxiety and depressive symptoms, in adolescents presenting with non-cardiac chest pain (NCCP), and to explore the effects of sociodemographic variables and prior psychosocial experiences on psychological distress. Methods: This cross-sectional study was conducted in Turkey and included 128 adolescents aged 10–18 years (57.0% female, 43.0% male) who presented to pediatric cardiology or general pediatric outpatient clinics. The Children’s Depression Inventory (CDI), State–Trait Anxiety Inventory for Children (STAI-C), Screen for Child Anxiety Related Emotional Disorders (SCARED), Brief Symptom Inventory (BSI), and the Social Support Appraisals Scale for Children (SSAS-C). Sociodemographic variables and prior psychosocial symptom history were also recorded. Results: Adolescents with non-cardiac chest pain exhibited elevated anxiety and psychological distress compared to controls. Female participants demonstrated higher levels of stress, anxiety, and overall psychological symptom burden than males. Higher maternal age was associated with lower perceived stress, while a prior history of psychosocial symptoms was linked to increased anxiety and global psychological distress. Participants with a history of psychosocial symptoms had higher anxiety (p = 0.027) and BSI (p = 0.004) scores. Significant positive correlations were found between anxiety, depression, obsessive–compulsive symptoms, and the BSI total score (r values ranging from 0.718 to 0.892). Conclusions: Adolescents with NCCP exhibit significant internalizing symptoms, particularly anxiety and depression. Female gender and prior psychosocial stressors were associated with elevated symptom scores. Maternal age may have a buffering effect on adolescent stress levels. These findings underscore the importance of integrating psychological screening into the evaluation of chest pain in adolescents to enable early identification and intervention. Full article
(This article belongs to the Section Pediatric Mental Health)
15 pages, 575 KB  
Article
Mental Health in Pregnant Adolescents: Associations with Family Structure, Educational Continuity, and Marital Status
by Carmen Hernández-Chávez, Reyna Sámano, Gabriela Chico-Barba, Hugo Martínez-Rojano, Colomba Elías-Fernández, Estefania Aguirre-Minutti, Hector Borboa-Olivares, Rosalba Sevilla-Montoya, Yuridia Martínez-Meza and Sandra Martínez-Medina
Behav. Sci. 2026, 16(2), 221; https://doi.org/10.3390/bs16020221 - 3 Feb 2026
Cited by 1 | Viewed by 762
Abstract
This study investigated the intricate relationship between sociodemographic factors and mental health indicators among a cohort of pregnant adolescents. We conducted a cross-sectional analysis of 338 primigravidas, aged 11–19 years, systematically collecting sociodemographic data, including age, socioeconomic status, schooling, occupation, marital status, and [...] Read more.
This study investigated the intricate relationship between sociodemographic factors and mental health indicators among a cohort of pregnant adolescents. We conducted a cross-sectional analysis of 338 primigravidas, aged 11–19 years, systematically collecting sociodemographic data, including age, socioeconomic status, schooling, occupation, marital status, and family structure. Mental health was assessed using validated scales for depressive symptoms (EPDS), state–trait anxiety inventory (STAI), self-esteem (Coopersmith), and perceived stress (PSS-4). A substantial portion of the cohort presented with significant mental health challenges: 33.5% screened positive for depressive symptoms, 18% for state anxiety, 23% for trait anxiety, 67% reported low self-esteem, and 52% experienced high perceived stress. Specifically, working adolescents exhibited markedly higher odds of depressive symptoms (OR 3.516), low self-esteem (OR 1.091), elevated state anxiety (OR 2.803), and increased trait anxiety (OR 2.455). Adolescents living with a partner also showed a greater likelihood of reporting depressive symptoms (OR 1.921), heightened state anxiety (OR 1.772), and increased trait anxiety (OR 2.335). Additionally, lower educational attainment (OR 1.885) and residing in extended family structures (OR 1.894) were associated with diminished self-esteem. These findings underscore the significant influence of occupation, family structure, and marital status on the mental health trajectories of pregnant adolescents. Consequently, promoting educational continuity and fostering greater autonomy in personal life decisions for adolescents could be crucial interventions to improve their emotional well-being during pregnancy. Full article
(This article belongs to the Special Issue Effects of Family Functioning on Adolescent Mental Health)
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13 pages, 545 KB  
Article
Shielding Against Information Overload in the Post-Pandemic Era: The Protective Chain of Family Cohesion, Mindfulness, and Lower Anxiety
by Bingyang Wang, Shangzhe Li, Mengxuan Wu and Jie Wu
Behav. Sci. 2026, 16(2), 212; https://doi.org/10.3390/bs16020212 - 31 Jan 2026
Viewed by 650
Abstract
Amid the uncertainties of the post-pandemic era, there has been a notable rise in information addiction among individuals, which may function as a coping mechanism in response to perceived situational threats. Family cohesion can function as a protective factor against internet addiction. However, [...] Read more.
Amid the uncertainties of the post-pandemic era, there has been a notable rise in information addiction among individuals, which may function as a coping mechanism in response to perceived situational threats. Family cohesion can function as a protective factor against internet addiction. However, the mechanism by which family cohesion mitigates internet addiction remains largely undiscovered. The study aimed to reveal the role of family cohesion in increasing information addiction behavior and the mediating effects of mindfulness and anxiety in this epidemic. A total of 1043 college students completed an online questionnaire including the Family Adaptability and Cohesion Evaluation Scale (FACESIII), State-Trait Anxiety Inventory (STAI), Mindful Attention Awareness Scale (MAAS), and Information Addiction Scale. (1) Family cohesion and information addiction exhibited a negative correlation; (2) mindfulness and anxiety functioned as mediators within this association; (3) stronger family cohesion was predictive of reduced information addiction behavior through a chain mediating effect, whereby mindfulness negatively predicted anxiety. These findings substantiate the study’s theoretical framework, underscoring the interconnected nature of information addiction during crises. Full article
(This article belongs to the Topic Global Mental Health Trends)
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