Search Results (2,771)

Background/Objectives: Neurodevelopmental disorders (NDDs) require contextual approaches emphasizing family roles. Parents of children with NDDs face a complex socio-emotional reality. They may experience high levels of stress, fatigue, depression, and feelings of guilt and uncertainty, and they are often left feeling isolated and unsupported. All of these factors increase their socio-emotional vulnerability and affect their children’s wellbeing. A significant part of the available evidence has focused on parents of typically developing children or on a single construct. For these reasons, and considering the impact of the COVID-19 pandemic, the aim of this study was to review interventions targeting the improvement of the socio-emotional wellbeing of parents of children with NDDs, in order to characterise recent research, the specific constructs addressed, and the effectiveness of interventions. Methods: No prior protocol/registration. ERIC and Web of Science databases (selected for their broad multidisciplinary coverage in psychology and social sciences) were searched from 2020–2025 (last search: 7 September 2025), limited to English/Spanish publications. Inclusion criteria encompassed parents/primary family caregivers of children with NDDs receiving socio-emotional programs. Two independent reviewers screened the titles/abstracts and full texts, resolving disagreements through discussion. Following PRISMA 2020 guidelines, this systematic review employed narrative synthesis without risk-of-bias assessment and included 16 studies (approximately, 1100 participants). Results: The analysis indicated a scarce but growing scientific output, with a complex methodological landscape showing promising preliminary convergence in intervention outcomes. Interventions effects appeared mediated by cultural suitability, accessibility, and contextual alignment. Conclusions: Future work should pursue multisystemic approaches engaging diverse societal contexts and agents to optimize child and family wellbeing. Full article

The review deals with the current knowledge on the global panzootic spread of highly pathogenic avian influenza viruses (HPAIVs), with an emphasis on the H5N1 clade 2.3.4.4b virus. It describes the viral structure, replication, pathotypes and molecular determinants of host range, including sialic-acid receptor usage and key genetic mammalian-adaptation markers (PB2-E627K and PB2-D701N mutations). The host spectrum nowadays extends from wild waterfowl and poultry including seabirds, terrestrial and marine mammals and, based largely on experimental studies or molecular detection, reptiles, amphibians, and fish. Recently, the H5N1 clade 2.3.4.4b virus has shown marked tropism for lactating mammary epithelium in dairy cattle, with virions shed in raw milk. The review reports epidemiology, geographical expansion, clinical presentation, pathogenesis and pathology, diagnosis, immune responses and vaccination approaches across species. It also analyses European Union (EU) and Italian regulatory frameworks, surveillance strategies and biosecurity measures from a One-Health perspective. The review highlights how climate change, wildlife–livestock interfaces, intensive farming and global trade favor viral persistence and genomic reassortment and concludes by stressing strategic actions to limit further host adaptation and panzootic/pandemic risks. Full article

Background: The COVID-19 virus is a source of both acute and chronic stress for many people. This stress could uniquely impact children and their mental health. Research has shown that children with neurodevelopmental disorders such as Attention-Deficit/Hyperactivity Disorder (ADHD) are at an increased risk of negative mental health symptoms due to stress, but high-quality sleep may be associated with a protective role against these symptoms. We, therefore, aimed to investigate whether the impacts of COVID-19 and sleep problems were independently linked with children’s mental health and to examine whether sleep could mediate the relationship between COVID-19 impact and child mental health. Finally, we sought to compare the degree to which sleep problems could mediate this relationship in children without ADHD and in children with ADHD. Methods: In this cross-sectional study, a total of 304 parents of children were sampled from a larger study investigating the impact of the COVID-19 pandemic on Canadian families and children in the spring of 2021. Parents reported on their children’s mental health, sleep, and the impacts of COVID-19 on their child. Of the total sample, 234 children were reported as having an ADHD diagnosis, and 70 children were reported to not have ADHD. Results: We found that both the impact of COVID-19 and sleep problems independently and positively contributed to the mental health symptoms (p < 0.001) experienced by children with ADHD and without ADHD. Children with ADHD were found to have higher scores for COVID-19 child impact, sleep problems, and negative mental health. However, sleep problems had a greater impact on the mental health of children without ADHD compared to ADHD children. Additionally, the results suggest that sleep problems mediated ~20% of the relationship between COVID-19 impact and child mental health in children with ADHD and ~51% of this relationship in children without ADHD. Conclusions: The findings emphasize the significant role of sleep in mediating child mental health symptoms during periods of stress in children without ADHD and in children with ADHD. We highlight the importance of considering sleep quality and supporting healthy sleep in times of stress to improve child mental health symptoms. Full article

The COVID-19 pandemic had widespread psychological effects, prompting research into long-term impacts on mental health and identity development. This retrospective study examined how pandemic-related stress affected obsessive–compulsive symptoms (OCS) and generalized anxiety symptoms across three timepoints, prior to the pandemic (2019–February 2020), during the height of the pandemic (March 2020–2022), and the present (within the past month), and how changes in these symptoms relates to identity. The sample consisted of undergraduate students (N = 476) who completed an anonymous online survey battery. Indices of psychological “damage” and “recovery” showed although OCS levels returned to baseline in the current period, anxiety levels remained elevated. COVID-related stress predicted higher OCS and anxiety symptoms across timepoints. Greater symptom damage was associated with more identity disturbance, while recovery from anxiety was related to reduced identity disturbance. Recovery from OCS was uniquely related to higher identity consolidation. These findings suggest the psychological toll of the pandemic extends beyond clinical symptoms, impacting foundations of identity. Although some psychological recovery has occurred, lingering anxiety symptoms may continue to affect developmental outcomes. Further research is needed to understand mechanisms that support long-term recovery and identity formation in the wake of large-scale stressors like the COVID-19 pandemic. Full article

The COVID-19 pandemic necessitated the transition of physiotherapy programmes from traditional face-to-face anatomy teaching to fully online delivery. Studies conducted during this period have documented students’ positive adaptation to online anatomy learning, highlighting benefits such as increased flexibility and reduced stress, while also noting challenges, including diminished practical exposure. Although much of the existing research centres on medical and dental education, there is a relative paucity of studies examining physiotherapy students’ perspectives. In this study, a purposive sample of 53 entry-level physiotherapy students (Years 1–3) completed a questionnaire evaluating their experiences with anatomy education during the pandemic. Responses were compared between groups (Years 1 and 2 versus Year 3) using the Mann–Whitney U test and effect-size calculations. Year 3 students who experienced both face-to-face and online learning preferred practical sessions with silent mentors in the anatomy hall, citing greater active engagement and deeper learning. Conversely, all year groups reported that online assessments, such as the online Objective Structured Practical Examination, were less stressful than traditional formats. Year 1 and 2 students, lacking prior face-to-face practical experience, expressed neutral views regarding online practical components. Overall, while online theory and assessment components were well received, hands-on practical experience remains highly valued for promoting student engagement. These findings support the development of blended anatomy pedagogy that leverages the strengths of both modalities to enhance resilience and adaptability in the face of future educational disruptions. Full article

Background/Objectives: While nurses showed a willingness to work during the pandemic and wartime, little is understood about how they managed the conflict between their roles as caregivers and personal or family obligations. They are deemed “essential workers,” risking their safety to fulfill their duties. Objectives: This study aims to explore the lived experience of nurses during COVID-19 and wartime, delving deeper into their emotional and moral experiences, providing insights for nurses and nursing management about how nurses negotiate dilemmas. Methods: A focused interpretive, hermeneutic, phenomenological approach was employed. From December 2022 to January 2023, ten hospital-based nurses from two hospitals were purposively sampled for in-depth, semi-structured interviews, which were transcribed and analyzed. The study was approved by the University Ethics Committee (31102022). Results: The essence of “ Moral Conflicts of Dual Identity and Dual Allegiance” revealed profound moral and emotional struggles among nurses. Four key themes emerged: (1) Moral Stressors and Identity Negotiation, (2) Competing Responsibilities and Ethical Double-binds, (3) Virtual and Practical Wisdom in Crises, (4) Responses of Stress and Erosion of Support Conclusions: Understanding nurses’ ethical dilemmas is essential for healthcare leadership. Leaders must make it a priority for workplace safety for their nurses. In wartime, it is not obvious that the workplace is unsafe; leaders must foster open dialog and support systems in response to these crises. This study highlights the significance of peer support, emphasizing the need for policies that address the complex moral challenges nurses face daily. Full article

Food systems operate as socio-ecological systems (SES) in which governance, markets, and biophysical constraints interact through feedback. However, how resilience capacities accumulate across sequential shocks, particularly in hyper-arid, import-dependent rentier states, remains under-traced. We analyze Qatar’s food-system SES across three distinct stress tests: the 2017–2021 blockade, the COVID-19 pandemic (multi-node logistics and labor shock), and the post-2022 Russia–Ukraine war (global price and agricultural input-cost shock). Using a qualitative longitudinal case-study design, we combine documentary review with process tracing and a two-layer coding scheme that maps interventions to SES components (actors, governance system, resource systems/units, interactions, outcomes/feedback) and to predominant resilience capacities (absorptive, adaptive, transformative). The results indicate path-dependent capability building: the blockade activated rapid buffering and rerouting alongside early adaptive investments; COVID-19 accelerated adaptive reconfiguration via digitized logistics, e-commerce scaling, and targeted controlled-environment agriculture; and the Russia–Ukraine shock validated an institutionalized portfolio (fiscal buffering, reserves, procurement diversification, and upstream linkages). Across episodes, supply continuity was maintained, but resilience gains also generated water–energy–food tradeoffs, shifting pressures toward energy-intensive cooling/desalination and upstream water demands linked to domestic buffers. We conclude that durable resilience in eco-constrained, import-dependent systems requires explicit governance of these tradeoffs through measurable performance criteria, rather than crisis-driven expansion alone. Full article

The growing prevalence of anxiety, depression, and stress among students highlights the urgent need for school-based strategies that promote psychological well-being and timely intervention. This study explores the use of artificial intelligence (AI) as a scalable and data-driven tool to support institutional mental health initiatives in higher education. Using synthetic and real datasets derived from validated psychometric instruments (the Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and the Perceived Stress Scale (PSS-14)), we trained and evaluated 32 deep neural network architectures for the early detection of emotional distress. Optimized three- and four-layer dense models achieved classification accuracies exceeding 95%, demonstrating the feasibility of deploying AI-based screening tools in educational settings. Beyond prediction, this approach can support counselors and educators in identifying at-risk students and informing proactive, school-based interventions to improve mental health and resilience in post-pandemic academic environments. Full article

Cortisol is built into the circadian clock mechanism, but it is also the body’s natural response to stress. Insight into sex-specific cortisol fluctuations may elucidate individual differences in physiological and pathological patterns. This cross-sectional study examined sex-specific adaptation to stress induced by COVID-19 pandemic and lockdown in foreign medical students at I. Horbachevsky Ternopil National Medical University, Ukraine (TNMU). Salivary cortisol was analyzed using cluster-based mathematical modeling to identify natural groupings in the data. Perceived stress was measured using Perceived stress scale-10 (PSS-10). The academic success was accessed from the official records of the TNMU. Average value of area under the curve (AUC) of daily salivary cortisol from the whole sample showed that men had higher cortisol than women. Mathematical clustering explained shift of the cortisol peak, and divided sample into 5 clusters—two of which had predicted daily cortisol pattern and represented most participants (65.6% men and 73.6% women), while the rest had aberrant daily cortisol pattern. Females had higher total PSS-10 score than males. PSS-10 subscales correlated with aberrant daily cortisol pattern. Unexpectedly, COVID-related circumstances did not have impact on participants’ academic success. Full article

Background: This study aimed to validate the Ambivalence and Uncertainty Scale (AUS), developed to measure dispositional ambivalence, ambivalence intolerance, and decision-making difficulties, particularly among healthcare professionals during high-stress situations such as the COVID-19 pandemic. Method: Cross-sectional data from 1240 German healthcare professionals were analyzed. Exploratory factor analysis (EFA) was employed to evaluate the scale’s dimensionality, while internal consistency and construct validity, including convergent and divergent validity, were assessed using correlations with relevant psychological constructs. Results: The EFA revealed a unidimensional structure explaining 64.33% of variance, indicating a single underlying trait. The AUS demonstrated excellent internal consistency (Cronbach’s α = 0.86) and strong convergent validity, evidenced by significant positive correlations with anxiety and depressive symptoms (r = 0.63) and burnout (r = 0.48), and a negative correlation with sense of coherence (r = −0.60). Divergent validity was supported through minimal correlation with unrelated constructs such as fatigue (r = −0.02) and a moderate correlation with work–family conflict (r = 0.31). The AUS effectively captures dispositional ambivalence and uncertainty tolerance, highlighting its relevance in psychological adaptation and resilience among professionals in stressful environments. Full article

The accelerated expansion of telework, driven by the COVID-19 pandemic, has transformed global work dynamics. Despite this, limited research exists on the implications of Indoor Environmental Quality (IEQ) on home workspaces. Factors like thermal comfort, lighting, air quality, and noise significantly influence the well-being, productivity, and health of teleworkers. Home spaces are often not designed to meet the environmental quality standards of traditional offices, altering indoor conditions. This scoping review investigates the IEQ–telework relationship, analyzing 41 studies from 18 countries. Findings show that elevated noise levels and insufficient lighting increase stress and fatigue, while inadequate air quality reduces cognitive performance and creativity. Conversely, access to natural light, pleasant views, and thermal comfort improves overall satisfaction and productivity. The study identifies a fragmented and poorly connected research network, with few active global groups studying IEQ in home workspaces. These results underscore the need for interdisciplinary research to address the societal and environmental challenges of teleworking and develop equitable, healthy remote environments. Future studies must consider cultural diversity and underrepresented regions to bridge existing knowledge gaps. Full article

Background/Objective: The COVID-19 pandemic resulted in unprecedented societal changes globally and negatively impacted the psychosocial health of pregnant women. This study aimed to explore how direct, indirect, and unrelated factors associated with the COVID-19 pandemic influenced stress levels among pregnant women. Methods: This interpretivist qualitative study employed open-ended survey questions to capture the lived experiences of 313 pregnant women in the third trimester residing in Florida between January and March 2022, during the Omicron surge. Thematic analysis was conducted, guided by the Stress and Coping Theory and the Stress Buffering Theory. Results: Participants described a range of stressors directly and indirectly related to the COVID-19 pandemic that affected pregnant women. Themes related to increased stress were (1) fear, worry, and anxiety related to COVID-19 infection, (2) fear, worry, and anxiety related to preparedness for birth/baby due to pandemic restrictions, (3) prevention concerns associated with COVID-19, (4) lack of social support, (5) return to normalcy, (6) health-related social needs, (7) physical health issues, and (8) navigating conflict and grief. Conversely, stress-reducing factors were (1) preventive measures during the pandemic, (2) coping strategies, (3) not having to work, and (4) social support. Conclusions: Pregnant women experienced heightened stress due to a complex interplay of factors related directly or indirectly to the COVID-19 pandemic. It is important that maternity care, mental health and health-related social needs screenings and referrals, and tailored interventions are integrated into public health crises preparedness plans to limit the stress that pregnant women experience and support their well-being. Full article

This study examines how the education sector in one Canadian province has navigated post-pandemic recovery between 2023 and 2025, drawing on cross-sectional survey data from a convenience sample of sector employees in the 2023–2024 (n = 1411) and 2024–2025 (n = 742) school years. The findings revealed selective improvement over time, including increased organizational commitment among teachers and other education workforce members, alongside reduced perceptions of students’ academic, social, and behavioural needs. Teachers indicated no corresponding increases in their perceived frequency of meeting students’ needs, whereas other educator sector employees indicated improvement in this area. In contrast, no year-over-year differences were found in the education workforce members’ and teachers’ stress, coping, well-being or connectedness, and job search behaviours remained high, ranging from 14 to 43%. Guided by the Job Demands–Resources (JD-R) model, these findings suggest that post-pandemic recovery reflects the establishment of a new and complex baseline. The coexistence of improved commitment with persistent job strain signals a paradox of stability amid depletion. Qualitative responses reinforced this interpretation, revealing how educators adapt to ongoing organizational resource constraints and shifting student needs. Together, the findings extend JD-R-informed understandings of post-crisis workforce adaptation and identify implications for leadership and policy aimed at supporting organizational health and workforce sustainability. Full article

Background/Objectives: Nursing professionals were among the most affected groups during the COVID-19 pandemic, exposed to simultaneous physical demands and emotional strain. This study examined the interplay between work engagement, compassion fatigue, and musculoskeletal symptoms among frontline nurses in a Brazilian public hospital. Methods: A cross-sectional study (n = 77) was conducted between February and April 2022 using validated instruments (Work Stress Scale, ProQoL-BR, Nordic Musculoskeletal Questionnaire, and UWES-9). Descriptive and inferential analyses were performed (p ≤ 0.05). Results: Most participants did not report occupational stress (84.4%). No profiles of compassion fatigue were identified, although notable rates of burnout (26.0%) and secondary traumatic stress (23.4%) were observed. Engagement scores were very high in vigor and dedication. Musculoskeletal symptoms were prevalent, especially in the lumbar region (chronic: 60.0%). Female sex, statutory employment, and lack of physical activity were associated with a higher prevalence of symptoms and sick leave. Work engagement (vigor and overall score) showed negative correlations with absenteeism. Conclusions: The coexistence of high engagement and emotional vulnerability, in the absence of compassion fatigue, suggests that higher levels of engagement may be associated with lower occupational stress. These findings highlight the importance of integrated strategies, including ergonomic interventions, health promotion, and organizational support, to preserve the physical and mental health of frontline nursing professionals. This study provides new evidence of engagement as a potential protective factor that may mitigate physical and emotional burden among nurses in resource-limited settings. Full article

This study introduces a new ensemble framework for demographic forecasting that systematically incorporates stylised crisis scenarios into rate and population projections. While scenario reasoning is common in qualitative foresight, its quantitative application in demography remains underdeveloped. Our method combines autoregressive lags, global predictors, and robust regression with a trend-anchoring mechanism, enabling stable projections from short official time series (15–20 years in length). Scenario shocks are operationalised through binary event flags for pandemics, refugee inflows, and financial crises, which influence fertility, mortality, and migration models before translating into cohort and population trajectories. Results demonstrate that shocks with strong historical precedence, such as Germany’s migration surges, are convincingly reproduced and leave enduring effects on projected populations. Conversely, weaker or non-recurrent shocks, typical in Norway and Portugal, produce muted scenario effects, with baseline momentum dominating long-term outcomes. At the national level, total population aggregates mitigate temporary shocks, while cohort-level projections reveal more pronounced divergences. Limitations include the short length of the training series, the reduction of signals when shocks do not surpass historical peaks, and the loss of granularity due to age grouping. Nevertheless, the framework shows how robust statistical ensembles can extend demographic forecasting beyond simple trend extrapolation, providing a formal and transparent quantitative tool for stress-testing population futures under both crisis and stability. Full article