Journal of evaluation in clinical practice
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The current study was conducted to measure the prevalence of stress, anxiety, depression, and sleep quality and identify predisposing factors of psychological distress among young adults during the pandemic. ⋯ Nearly half of the young adults experienced varying degrees of stress, anxiety, and depression, and most had poor sleep quality. The insufficiency of outbreak measures, poor sleep quality, using alcohol, and feelings of despair were mutual predictive factors of stress, anxiety, and depression.
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Eco-anxiety caused by climate change, which is a significant public health problem, has negative effects on sexual and reproductive health, and these effects are expected to increase continuously. This study was conducted to determine the relationship between eco-anxiety caused by climate change and the fertility preferences of women. ⋯ As the ecological anxiety levels of women increased, their attitudes toward childbearing became more negative.
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This commentary on Sturmberg and Mercuri's paper 'Every Problem is Embedded in a Greater Whole' [1] argues that those authors have approached complexity from a largely mathematical perspective, drawing on the work of Sumpter. Whilst such an approach allows us to challenge the simple linear causality assumed in randomised controlled trials, it is itself limited. ⋯ It overlooks, for example, how science itself is historically and culturally shaped and how values-driven misunderstandings and conflicts are inevitable when people with different world views come together to try to solve a problem. This paper argues that the mathematical version of complexity thinking is necessary but not sufficient in medical research, and that we need to enhance such thinking further with attention to human values.
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Schizophrenia is a complex mental health disorder that not only affects the individual diagnosed but also has profound implications for their families and caregivers. This paper aims to shed light on the emotional, social and practical challenges faced by caregivers, as well as the coping mechanisms they employ to navigate the complexities of caregiving. ⋯ Caregivers often experience a wide range of emotions, from love and empathy to frustration and helplessness, as they navigate the challenges of supporting their loved ones with schizophrenia. Additionally, caregivers may face stigma, social isolation and financial strain, further complicating their caregiving journey.
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Bariatric metabolic surgery has emerged as a pivotal intervention for managing obesity, with strict adherence to postoperative nutritional guidelines being paramount for patient outcomes. This study seeks to evaluate dietary compliance levels and the factors that influence them among patients who have undergone bariatric surgery, offering insights to enhance clinical strategies. ⋯ The high incidence of poor dietary compliance among patients following bariatric metabolic surgery is a significant concern and is notably influenced by demographic variables such as age, gender, education and economic status. It is imperative for healthcare professionals to consider these variables when developing personalised interventions aimed at improving dietary compliance within this patient group.