Search Results (4,661)

University-wide suicide risk screening is essential but difficult to implement at scale because professional counselling resources are limited and conventional tools often show low predictive value in low-prevalence populations. To support transparent and clinically interpretable campus mental health workflows, this study introduces and validates the Composite Key Conditions (CKC) method, an interpretable, computationally efficient screening approach for identifying students who match counsellor-defined suicide risk categories. A multi-phase, multi-site study involving 8819 students from two universities in the development and cross-site validation phases was conducted, followed by independent external validation at a third university. In the initial wave, students completed self-report questionnaires in November 2023, after which approximately 20% were selected and invited for centralized counsellor evaluation; the assessments were conducted in December 2023. From January to June 2024, 320 students who subsequently attended psychological services (103 at University A and 217 at University B) were assessed through the cohort pathway. CKC was further evaluated in October 2025 using an independent sample of 22,205 students from a third university. The CKC method, developed from the initial phase, correctly classified all students assigned to the suicide risk category during centralized assessment (sensitivity = 1.000, specificity = 0.901). When applied across both centralized and cohort assessments (yielding 89 counsellor-defined suicide risk cases), the method maintained high performance (sensitivity = 0.888, specificity = 0.904, PPV = 0.086). In the independent validation sample, the method correctly classified 17 of the 22 students identified by the internal reporting system as meeting its high-risk criteria, with a specificity of 0.923. CKC provides an interpretable and efficient approach to suicide risk screening that is suitable for large-scale implementation in university settings. By producing transparent, auditable risk rules rather than opaque predictions, CKC is positioned to complement (not replace) counsellor judgement and to support timely triage and referral within campus mental health service systems. Full article

Background and Objectives: Yoga has been proposed as a supportive intervention to enhance mindfulness and reduce stress among nursing students, but evidence from mixed-method studies remains limited. This study aimed to examine the effects of a 12-week course-based yoga intervention on mindfulness and perceived stress and to explore students’ experiences of practicing yoga. Materials and Methods: A total of 42 second-year nursing students at a university in Istanbul, Türkiye, participated in a mixed-methods study, with 22 students enrolled in the elective Health and Yoga course constituting the intervention group and 20 students enrolled in another elective course constituting the control group. Group allocation was non-randomized and determined by students’ elective-course enrollment. The intervention group attended weekly 90 min yoga sessions for 12 weeks, delivered by a certified instructor (E-RYT 200). Quantitative outcomes were measured using the Mindful Attention Awareness Scale (MAAS) and Perceived Stress Scale (PSS), with baseline-adjusted ANCOVA and change score analyses performed to control for pre-test differences and gender. Effect sizes (partial η²) were reported, and 95% CIs were calculated for the mean differences in change scores. Qualitative data were collected via semi-structured interviews and analyzed thematically, integrating findings with quantitative results. Results: Baseline-adjusted ANCOVA revealed greater improvements in mindfulness (F(1, 39) = 29.686, p < 0.001, partial η² = 0.432) and perceived stress (F(1, 39) = 158.293, p < 0.001, partial η² = 0.802) in the intervention group, controlling for baseline scores. Change score analyses confirmed these findings: mindfulness increased (MD = 10.68, 95% CI [6.62, 14.75], p < 0.001) and perceived stress decreased (MD = −11.40, 95% CI [−13.32, −9.48], p < 0.001) significantly more in the intervention group than controls. Qualitative findings complemented the quantitative results, indicating perceived physical (flexibility, posture, pain reduction), mental (positive emotions, awareness, emotion regulation), and social (motivation, interaction) benefits of yoga. Some participants reported hesitation in applying yoga in nursing practice due to cultural barriers. Conclusions: The findings suggest that participating in a course-based yoga program may help improve mindfulness and support stress reduction among nursing students. Qualitative findings complemented the quantitative results by providing insight into students’ perceived physical, mental, and social experiences of yoga. Given the small, single-center, and self-selected sample, these findings should be interpreted cautiously. Larger, multicenter randomized studies with longer follow-up are needed to confirm these findings and assess their generalizability. Full article

Background: Research on women’s health is essential for addressing sex-specific healthcare needs and informing evidence-based policy. However, women-only health research in Taiwan has not been systematically examined. Methods: We conducted a Scopus-based bibliometric analysis of health research exclusively involving female populations in Taiwan from 2015 to 2025. We included English-language, peer-reviewed journal articles involving only female participants and conducted in Taiwan or using Taiwanese datasets. Mixed-sex studies, including those reporting female-specific or sex-stratified findings, were excluded. Publication trends, citations, international collaboration, secondary data sources, and thematic patterns were analyzed using Biblioshiny and VOSviewer. Results: A total of 1345 publications across 446 journals were included. Publication output increased from 126 articles in 2015 to a peak of 153 in 2021, followed by a decline, with an annual growth rate of −0.4%. The publications involved 3412 authors and received an average of 14.52 citations per document. International co-authorship accounted for 19.48% of publications, with the United States as the leading collaborator. The National Health Insurance Research Database was the most frequently reported secondary data source (n = 371, 27.6%). Research was concentrated in cancer, reproductive health, and mental health, whereas cardiovascular health accounted for a comparatively smaller share of the literature. Conclusions: Women-only health research in Taiwan remained active throughout the study period, despite a decline in publication output after 2021. The extensive use of national health databases and international collaboration further characterized the research landscape. These findings provide an evidence-informed basis for future research priority-setting, including efforts to broaden research across women’s health conditions and life-course stages while considering research activity alongside population health needs. Integrating bibliometric evidence with population health priorities may support a more balanced and comprehensive women’s health research agenda in Taiwan. Full article

Background: Road traffic accidents (RTAs) present a significant public health problem and economic burden. The aim of the study was to determine mental health outcomes and health-related quality of life (HRQOL) of RTA victims 6 months following a road trauma and factors associated with mental and physical components of HRQOL; Methods: A cohort of 200 RTA victims was followed during a 6-month period and a wide range of sociodemographic, health-related, RTA-related, injury-related, psychological and victim-related factors associated with the HRQOL scores were explored using multiple regression analyses; Results: Lower physical component summary score was associated with pre-existing chronic disease, self-perceived life threat, surgical treatment, amnesia following an RTA, permanent pain, increase in pain intensity or frequency and depression symptoms (p < 0.05); lower mental component summary score was associated with irreligiousness, rehabilitation procedure, depression symptoms, anxiety symptoms, permanent pain and increase in medication use (p < 0.05); Conclusions: HRQOL measurement after an RTA should provide holistic assessment of physical, mental and social consequences throughout an extended period of recovery. Together with evaluation of predictors of poorer HRQOL and recovery, this could enable an individual approach to individual needs of RTA victims. Full article

Diabetes-related hypoglycemia contributes substantially to increased morbidity, mortality, health-care utilization, and reduced quality of life. Older adults with diabetes represent a heterogeneous group of patients who need individualized blood glucose targets to avoid hypoglycemia. Since the elderly present with varying degrees of functional and cognitive status and individualized health needs, their management varies among individuals. Complicating this, the hypoglycemia risk in older adults treated with insulin also varies due to aging, renal dysfunction, cognitive impairment, and other comorbidities. The challenge for healthcare providers is in considering all aspects of care in order to avoid hypoglycemia in elderly individuals. In this review, we introduce a Patient and Function Centric Approach to the assessment and management of hypoglycemia in older adults. This holistic framework extends beyond blood glucose values to systematically evaluate the other domains of patients’ health that influence hypoglycemia risk, including biochemical, medication, timing, autonomic, cognitive, mood, renal, pancreatic, hepatic, social, and physical function. The management of hypoglycemia in older adults should also include strategies to address both fear of hypoglycemia and hypoglycemia unawareness. In addition to physical limitations, the psychosocial barriers to self-care in older individuals with hypoglycemia are also of paramount importance. Using tools that measure diabetes burden, diabetes distress, and fear of hypoglycemia provides valuable insights into patient wellbeing. The use of newer anti-hyperglycemic medications, sensor-augmented insulin pump therapy, intranasal glucagon, and continuous glucose monitoring (CGM) has significantly contributed to reduced hypoglycemia incidence in individuals with diabetes. Overall, successful management requires a collaborative approach that empowers patients, respects their individual needs and preferences and helps them face the challenges associated with diabetes management with confidence rather than fear or anxiety. Adopting a patient- and function-centric approach to hypoglycemia management allows clinicians to move beyond a one-size-fits-all model and adopt individualized glycemic targets that improve overall diabetes control and mental well-being. Full article

Background/Objectives: Nursing research on children with disabilities spans diverse disability groups, care settings, and areas of practice; however, its development and structure have not been comprehensively examined. This study aimed to examine publication trends, major research themes, temporal development, and collaboration patterns. Methods: The Web of Science Core Collection was searched on 29 June 2026 without publication-year restrictions. English-language articles and reviews indexed in Science Citation Index Expanded (SCI-EXPANDED) and Social Sciences Citation Index (SSCI) were included, yielding 1915 publications from 1977 to 2026. VOSviewer and Biblioshiny were used to analyze publication trends, keyword co-occurrence, thematic structure and evolution, trend topics, and country and institutional collaboration. Results: Research output increased substantially, particularly during the last decade. Across the study period, the United States had the highest publication output and co-authorship connectivity, followed by England, Canada, and Australia. Nursing, children, autism spectrum disorder, intellectual disability, and cerebral palsy were among the largest nodes in the keyword network. The thematic map positioned the autism–pediatrics–developmental disability cluster slightly within the motor themes quadrant, while the disability–children with disabilities–qualitative research, adolescents–communication–transition, and children–nursing–intellectual disability clusters were positioned among the basic themes. Thematic evolution showed both continuity and diversification, with autism, nursing, children, and intellectual disability represented across multiple periods, while quality of life, education, and mental health were represented in the most recent period. Trend topic analysis further showed that well-being, implementation, pediatric nursing, anxiety, and mental health were among the topics with more recent median publication years. Conclusions: Nursing research on children with disabilities has expanded and diversified, with recurring disability-specific topics alongside more recent topics related to psychosocial issues, pediatric nursing, and implementation. Future research could build on the thematic patterns identified in this study through systematic reviews and primary nursing research, while bibliometric studies incorporating additional databases could provide a more comprehensive view of the field. Full article

Background/Objectives: School closures and social restrictions during the COVID-19 pandemic substantially disrupted adolescents’ everyday lives. However, much of the existing evidence relies on standardized measures or retrospective accounts, providing less insight into how adolescents themselves described the psychosocial meaning of this disruption while it was still unfolding. This study aimed to explore Hungarian secondary school students’ real-time written reflections on their experiences during COVID-19-related school closures, online education, and social restrictions, with a focus on adolescent mental health, peer connectedness, school belonging, and developmental disruption. Methods: A retrospective qualitative study was conducted using 111 anonymized open-ended student reflections written in 2021 during the active period of online education and social restrictions. The texts were originally produced in a pedagogical-reflective context, not as research interviews or questionnaire responses. The material was analysed using structured qualitative content analysis. Two researchers independently coded the texts; disagreements were resolved through discussion, and a third researcher was involved when consensus was required. Descriptive frequency summaries were used to contextualize the qualitative findings. Results: In the descriptive frequency summaries, negative appraisals were most common in relation to the general pandemic situation, online schooling, and peer relationships. Thematic analysis identified recurring patterns of confinement, loss of normality, reduced peer contact, weakened school routines, academic overload, uncertainty about graduation and the future, and the loss of age-specific adolescent experiences and transition rituals. Family appeared as both a stabilizing resource and, in some cases, a source of conflict or additional burden. A central interpretive theme was that adolescents experienced the pandemic not merely as educational disruption but as an interruption of adolescence itself. Conclusions: The findings highlight that adolescent mental health support during large-scale crises should extend beyond maintaining educational continuity. Early prevention and intervention strategies should preserve peer connectedness, school belonging, daily structure, emotional validation, and developmentally sensitive support during future pandemics or comparable periods of prolonged social restriction. Full article

Infantile hemangioma (IH) is the most common benign vascular tumor of infancy, characterized by a unique life cycle encompassing a rapid proliferative phase followed by spontaneous involution. Although the majority of cases exhibit a favorable prognosis, a small subset may be complicated by severe sequelae that adversely affect the physical and mental health of affected infants. Accumulating evidence indicates that the pathogenesis of IH involves a dynamic imbalance between angiogenesis and involution, which is tightly governed by the multilineage differentiation of hemangioma stem cells, core signaling pathway networks, and epigenetic regulation mediated by non-coding RNAs. A deeper understanding of the mechanisms underlying angiogenesis and involution will provide novel insights into both the fundamental biology and clinical management of IH. Furthermore, multiple bioactive constituents of the traditional Chinese medicine Salvia miltiorrhiza (Danshen) have demonstrated anti-angiogenic and pro-involution potential in tumor and ischemia models. This review systematically summarizes recent advances in the mechanistic understanding of IH angiogenesis and involution, and critically discusses the regulatory effects of Danshen active components on these processes, with the aim of offering a theoretical foundation for elucidating IH pathogenesis and facilitating the development of novel therapeutic agents. Full article

Background: During the coronavirus disease 2019 (COVID-19) pandemic, changes in healthcare organisation may have affected the management of patients with chronic conditions, such as those with type 2 diabetes (T2D), who require close monitoring. Although there are studies that have analysed the access and management of patients with T2D in primary care (PC) during the pandemic, there is no synthesis of the results that inform us about the care provided and their effect. The aim of this study is to summarise the existing evidence on the care provided in PC settings to patients with T2D during the COVID-19 pandemic, as well as their follow-up care and outcomes, in order to understand the impact of the pandemic on their management. Methods: A scoping review was conducted according to the approach described by Arksey and O’Malley. Structured search strategies were developed for each of the selected databases (PubMed, EMBASE and Web of Science). We included articles published in English and Spanish up to 24 March 2026 on access to care for patients with T2D in PC during the pandemic. Two independent reviewers screened titles and abstracts to select studies related to the population, intervention, and outcomes of interest. In cases of disagreement, a third reviewer resolved the discrepancy. One of the reviewers extracted data and summarised them. Results: After duplicate removal, 535 records were identified, with 116 articles screened in full text and 26 included. Most studies were conducted in Europe and North America using retrospective designs and electronic health records. During the pandemic period, face-to-face visits and routine screenings generally declined, while telemedicine expanded and may have partially mitigated disruptions in patient contact, although inequalities in access were reported. Disease monitoring and complication screening also declined in several settings. Clinical outcomes such as HbA1c and blood pressure (BP) showed heterogeneous trends, with some studies reporting deterioration and others reporting stability. Some studies also highlighted increased adverse events and greater attention to mental health during care. Conclusions: Although telemedicine helped maintain patient follow-up, it could not fully replace face-to-face assessments and was implemented alongside some gaps in clinical monitoring, patient safety, and health equity. These findings underscore the need to maintain structured chronic disease management and to develop safe and inclusive telehealth models. Full article

The COVID-19 pandemic lockdowns heavily impacted the stress levels of families worldwide. We examined parental stress levels regarding a variety of subtopics (including finances, schooling, and seeing extended family) in North Bay, Ontario, Canada. A mixed-method survey approach was used with a volunteer sample of 101 parents from the North Bay community. Included in the survey were 25 potential parental stressors, which parents were asked to rate in terms of their stressfulness, both during the COVID-19 lockdowns and post-pandemic. To accomplish this, participants were administered only one questionnaire, after the height of the pandemic was over, and asked to reflect on both the current time and on the time during the lockdown phase of the pandemic. General stress levels were higher after the lockdowns ended compared to during the lockdowns, indicated by 20 out of the 25 surveyed parental stressors. Four themes were identified in the qualitative data obtained from open-ended questions: ability to parent; requiring additional support; mental and physical well-being; and child-rearing. Specifically, in terms of the first theme, some parents felt that parenting had become more difficult, while others did not. With respect to theme two, many parents felt a need for support in a variety of areas, which relates to theme three, as supports were often desired to improve mental or physical well-being. The fourth theme highlighted the opportunity to spend more time at home with family and raise children according to parents’ own principles. Parents were also asked about changes in their behaviours, like gambling and alcohol use; gambling, in particular, increased during and after the pandemic compared to before. However, parents reported that the difficulty associated with continuing to parent as they did before the lockdowns was minimal, and that it did not change during or after the lockdowns. Finally, parents were asked about changes to their own mental and physical health; results were mixed, but approximately half of participants perceived positive changes in their well-being. Thus, compared to existing research, the current study provides a more comprehensive overview of stressors experienced by families in the wake of COVID-19 lockdowns. It also brings to light suggestions and recommendations from survey respondents to improve parents’ quality of life in post-COVID-19 North Bay, Ontario. Full article

Mental health professionals’ perspectives on transdiagnostic mobile interventions for Emotional Disorders (EDs) remain underexplored, despite their potential role in integrating ecological interventions into psychological care. This study examined the usability, acceptability, perceived clinical utility, and implementation potential of EmoGuia, a smartphone-based Ecological Momentary Intervention grounded in the Unified Protocol. Using the Consensual Qualitative Research framework, focus groups involving nine therapists and researchers were conducted following a one-week app trial. Thematic findings identified 13 categories across three domains: (1) target population, (2) satisfaction and app experience, and (3) perceived utility. Usability was additionally assessed via the System Usability Scale (SUS). Participants perceived EmoGuia as intuitive, simple, and suitable for young adults with mild-to-moderate anxiety or depressive symptoms. It was perceived as useful for fostering emotional awareness, reinforcing therapeutic content, and preventing dropout. Recommended improvements included personalized feedback, simplified language, and better notification management. SUS scores indicated high perceived usability (M = 79.4; SD = 12.1). These findings support EmoGuia as a promising low-intensity, adjunctive tool for early intervention in EDs and provide implementation-relevant guidance for its iterative refinement. Patient-inclusive longitudinal studies are needed to establish acceptability, engagement, feasibility, and clinical effectiveness. Full article

Mental health significantly impacts state performance, productivity, public services, health care costs, and tax revenue. The 5.0 Revolution has redefined productive work as continuous, raising expectations for constant activity and responsiveness and heightening work-related stress. Excessive work stress, known as burnout, is not classified as a medical condition but is recognized as “unmanaged work burnout syndrome.” This research examines the need to strengthen legal frameworks to provide preventive protection against burnout for employees. The researcher conducted doctrinal research using primary legal sources, including the Law of the Republic of Indonesia Number 13 of 2003 concerning Manpower (as amended), the Law of the Republic of Indonesia Number 2 of 2022 concerning Job Creation, Law No. 17 of 2023 concerning Health, the Regulation of the Minister of Health Number 3 of 2023 concerning Health Service Tariff Standards, and the Regulation of the Minister of Health Number 19 of 2024 concerning Community Health Centers. We also reviewed secondary sources, such as scientific journal articles and books. We analyzed these sources using legal interpretation and synthesis, applying grammatical and systematic methods. To strengthen the legal framework, we recommend providing psychological consultation services in companies, implementing mental health screenings for employees, and enhancing psychological well-being services at health centers. Full article

Background: Medication non-adherence remains a major challenge in psychiatric care, yet its prediction often relies on clinical and sociodemographic characteristics, while giving comparatively limited attention to modifiable psychological–cognitive factors. Integrating mental health literacy and medication-related beliefs with explainable machine learning approaches may provide a more informative framework for understanding and predicting adherence. Objective: This study examined the association of mental health literacy and medication-related beliefs with psychotropic medication adherence and evaluated their explanatory and predictive values using conventional statistical modeling, machine learning, explainable artificial intelligence, and structural path analysis. Methods: A cross-sectional study was conducted with 225 psychiatric patients. Medication adherence; mental health literacy; and beliefs about medication necessity, concerns, harm, and overuse were assessed using self-report measures, including a MARS-derived eight-item adherence measure. Associations were examined using Spearman correlations, hierarchical regression with robust inference, and a secondary observed-variable path representation of multivariable associations with 5000 bootstrap resamples. The Elastic Net, Random Forest, and Gradient Boosting models were evaluated using repeated five-fold cross-validation. Shapley Additive exPlanations (SHAP) were used to interpret the best-performing model. Results: Greater adherence was associated with higher mental health literacy (ρ = 0.361) and stronger necessity beliefs (ρ = 0.353), whereas concern (ρ = −0.474), perceived harm (ρ = −0.528), and overuse beliefs (ρ = −0.284) were negatively associated with adherence (all p < 0.001). The psychological–cognitive model explained 40.0% of the variance in the primary eight-item adherence composite. The integrated Random Forest achieved the best out-of-sample performance (R² = 0.402, MAE = 0.958, RMSE = 1.299; n = 208), although the improvement over the psychological–cognitive Random Forest (R² = 0.375) was modest. SHAP identified perceived harm and medication concerns as leading predictors. Conclusions: Medication adherence in psychiatric patients was more strongly characterized by psycho-cognitive factors than by sociodemographic and clinical characteristics alone. Mental health literacy, necessity beliefs, medication concerns, and perceived harm may represent particularly informative targets for individualized adherence assessments and future intervention development. Prospective external validation is required before clinical implementation. Full article

This review examines the evolving relationship between social media use and health from the perspective of the World Health Organization (WHO), which defines health as a state of complete physical, mental, and social well-being. Drawing on recent empirical findings and systematic reviews, this paper synthesizes current evidence regarding how social media use relates to the three dimensions of health and may facilitate the spread of health misinformation. As social media has become deeply integrated into daily life, understanding these dynamics is increasingly important for developing evidence-based strategies that promote public health in the digital era. Under the theme “What We Have Known so far,” this review highlights the dual nature of social media as a double-edged sword. On one hand, social media facilitates health promotion, knowledge sharing, social support, and the development of social capital and interpersonal relationships, improving the three dimensions of well-being. On the other hand, excessive or problematic use has been associated with adverse mental, physical and social health outcomes, while exposure to online misinformation poses substantial challenges to effective public health communication. This review further emphasizes that social media impacts vary across platforms, user characteristics, patterns of engagement, and combinations of platforms. Under the theme “What We Need to Investigate in the Future,” several research priorities are identified. These include adopting an integrated framework that simultaneously considers physical, mental, and social health; moving beyond cross-sectional designs toward longitudinal and causal approaches and examining platform-specific effects and the influence of individuals’ broader social media portfolios; incorporating objective behavioral measures alongside self-reported data and investigating the emerging role of generative artificial intelligence in health communication and misinformation; and developing evidence-based interventions to improve social media literacy and promote healthier patterns of use. Overall, this review argues that future research should move beyond asking whether social media is beneficial or harmful to health and instead identify when, how, for whom, and under what circumstances it promotes or compromises well-being. Such an integrated perspective will provide a stronger scientific foundation for public health policies and healthier digital societies. Full article

Newcomer youths (i.e., young immigrants, refugees, international students) represent a growing community across Canada, and their transition into school systems is critical to their wellbeing. School integration represents a novel vantage point by which to explore the immigration experiences of newcomer youth who are adjusting to student life. Service providers (e.g., administrative staff, guidance counsellors, settlement workers, etc.) are critical partakers in the school integration of newcomer youth. This qualitative study employed a social constructionist perspective and an integrated social justice lens. The central research questions guiding this inquiry included (1) How do participants understand newcomer youths’ experiences of school integration? And (2) What are the ways in which participants support newcomer students in high schools? In-depth, semi-structured, qualitative interviews were conducted with six service providers in one designated high school. A thematic analysis led to the development of five salient themes: (1) supporting academic needs, (2) life outside of school, (3) mental health concerns, (4) connections in school, and (5) gaps in the education system. Results of this study highlight the larger systemic issues that continue to impede the experiences of newcomer youth in schools. Implications for service providers working with newcomer youth in schools are presented. Full article