Anesthesia and critical care professionals are particularly vulnerable to burnout due to the demanding nature of their work, including long hours, night shifts, high-stress situations, and the constant risk of medical errors. Emotional intelligence (EI) has emerged as a crucial factor in fostering positive professional relationships and mitigating burnout.

To study the association between EI and burnout among healthcare workers in anesthesia and critical care settings.

This is a cross-sectional descriptive and analytical study conducted over a period of 3 months in 2024. It included 72 healthcare workers in the anesthesia and critical care departments at the Sahloul University Hospital in Sousse. The survey was based on a self-administered questionnaire, including data on socio-demographic and professional characteristics, the Maslach Burnout Inventory (MBI), and the Schutte Self-Report Emotional Intelligence Test (SSEIT).

The majority of participants were female (58.3%) with an average age of 33 years. Most participants (61.1%) were nurses, and 40.3% worked in the surgical critical care unit. The average EI score was 103.26. Among the EI factors, emotion perception was the most affected, with a score of 30.69 ± 9.34. EI levels were low in 11.1% of cases. Severe burnout was present in 19.4% of participants, and 65.3% had a high emotional exhaustion (EE) score. Additionally, 70.8% had a high depersonalization score, and 58.3% exhibited low personal accomplishment. EI levels was statistically associated with time spent with family and friends (p = 0.027). Among the professional factors, job satisfaction was significantly associated with EI level (p = 0.001). The factors significantly associated with severe burnout were the absence of alcohol consumption (p = 0.000) and the absence of time spent with loved ones (p = 0.033). A significant relationship between EI and self-emotion management and EE was reported (p = 0.040).

EI is crucial for preventing burnout among healthcare workers in anesthesia and critical care. By enhancing positive attitudes, managing stress, and improving interpersonal skills, EI can improve work life and patient care. Incorporating EI training into health science curricula can equip future providers with essential tools for well-being.

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Healthcare workers, faced with increasingly demanding professional requirements, are particularly exposed to psychosocial risks. These psychosocial factors have direct repercussions on their work capacity, potentially compromising their professional performance and increasing the risk of medical errors.

To study the influence of psychosocial factors on the work capacity of healthcare workers.

This is an analytical cross-sectional study conducted among healthcare staff at Sahloul University Hospital in Sousse over a 3-month period. Our study was based on a questionnaire that included socio-professional characteristics, Karasek’s model, and the Work Ability Index (WAI).

One hundred and thirty-seven staff members were included in this study, with a response rate of 72.4%. The mean age was 48.7 years, with a sex ratio of 0.57. A low work ability (WAI) was reported in 37.1% of cases. A high psychological demand at work was noted in 24.8% of cases. Job strain was reported in 18.1% of cases. Low WAI scores were statistically associated with age (p<10-3), female gender (p<10-3), lack of physical activity (p = 0.03), professional seniority (p<10-3), and high psychological demand at work (p<10-3). No association was found between low decision latitude, low social support, and WAI scores.

The results of this study highlight the significant impact of psychosocial factors on the work capacity of healthcare staff. Preventive measures in healthcare settings to improve working conditions and preserve the mental health of caregivers are essential.

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There has been an increasing socio-medical discourse on the humanitarian approach to the use of restraint in psychiatric inpatient units.

It is necessary to investigate the attitudes of psychiatric hospital staff toward the use of restraint in psychiatric inpatient units and to identify the factors influencing these attitudes.

This study examined the attitudes of psychiatric hospital staff toward the use of restraint in situations involving physical violence toward other patients, verbal violence toward other patients, physical violence toward staff, verbal violence toward staff, and disruption of the treatment environment. The study also investigated factors related to the considerations and perceived burdens (both legal and medical) associated with the use of restraint, comparing these findings with data from a survey conducted 10 years ago.Attitudes toward restraint were not significantly associated with gender, age, or years of service. However, staffs who exhibited less prejudice toward mental illness-related crime were less likely to find restraint necessary. Compared to 10 years ago, there was little change in the need for restraint in cases of physical violence (both toward patients and staff), but the need for restraint in response to verbal violence (toward both patients and staff) had decreased. The perceived burden, both legal and medical, associated with the use of restraint had increased.

Attitudes toward restraint were not significantly associated with gender, age, or years of service. However, staff who exhibited less prejudice toward mental illness-related crime were less likely to find restraint necessary. Compared to 10 years ago, there was little change in the need for restraint in cases of physical violence (both toward patients and staff), but the need for restraint in response to verbal violence (toward both patients and staff) had decreased. The perceived burden, both legal and medical, associated with the use of restraint had increased.

Psychiatric hospital staffs with less prejudice toward mental illness-related crime were less likely to perceive a need for the use of restraint. Compared to 10 years ago, the necessity of restraint in cases of verbal violence has decreased, which may be attributed to ongoing human rights education and increased legal and medical concerns. These findings provide important insights for future policy development aimed at promoting humanitarian approaches, such as non-restraint treatments.

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The increasing prevalence of shift work, particularly night shifts, in modern industrial settings has raised concerns about its potential detrimental effects on workers’ health. Disruptions to circadian rhythms, sleep deprivation, and social isolation associated with night shift work have been linked to a range of physical and mental health problems.

This study aims to investigate the specific impact of night shift work on the mental health outcomes of Tunisian industrial workers.

This is a cross-sectional study carried out during 3 years among active workers working in the inter-company occupational health services of Sousse. All participants had a fixed night work schedule. Data collection was based on a pre-established anonymous questionnaire. Job strain was assessed with Karazek questionnaire.

A total of 453 employees were included in our study. Mean age was 32.12 ± 7.68 years. Half of the participants were women (52%). Sixty percent of participants were not married. Tobacco consumption was identified among 26% of the participants. The most affected sector of activity was the electronic one (63%). The average occupational seniority was 7.78 ± 6.407. Job strain was revealed in 23.4% of employees. High psychological demand was noted among 46.5% of cases. Low job control was identified among 57,4% of participants. Low social support was noted among 68% of participants.

These results underscore the need for targeted interventions to protect the health and well-being of night shift workers. Future research should explore the effectiveness of various strategies, such as scheduling modifications, workplace accommodations, and health promotion programs, in mitigating the negative impacts of night shift work.

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Research has consistently highlighted the vulnerability of medical students to poor mental health and wellbeing. The COVID-19 pandemic has further exacerbated this issue. However, there is limited understanding of medical students’ mental wellbeing dynamics after the pandemic.

The aim of the study was to comparatively analyse the mental wellbeing and mental health needs of medical students in comparison with those during the COVID-19 pandemic.

An anonymous structured online survey was conducted among students of a medical institute in St. Petersburg, Russia. The sample included responses from 152 students (76.3% women) of all courses of study. The results were compared with the data of a survey conducted at the same institute in 2020 (Chumakov et al. Middle East Curr Psychiatry 2021;28, 38).

The majority of respondents (n=145; 95.4%) reported experiencing significant stress in their lives (95.8% in 2020). The main sources of stress included education-related factors (83.6%), uncertainty about the future (72.4%), financial problems (48.0%), intimate/family relationships (46.7%), work (27.6%), and housing problems (19.1%). Thirteen students (8.6%) reported that they had been diagnosed with a mental health disorder prior to enrolling in the institute (6.1% in 2020; p=0.393). Twice as much students (n=27; 17.8%) were diagnosed with mental disorders during institute studies (15.2% in 2020; p=0.53). The mental disorders reported by the respondents were dominated by depressive disorders (n=7), anxiety disorders (5), mixed anxiety and depressive disorder (5), ADHD (5), bipolar disorder and cyclothymia (3). At the time of the study, 26 students (17.1%) were being seen by a mental health professional (10.9% in 2020; p=0.111), the same number of students were taking any prescribed medication for mental health (10.9% in 2020; p=0.111). One-third of respondents (n=53; 34.9%) had taken non-prescription medication in the last year to improve their well-being or mood (27.3% in 2020; p=0.143), and 45 (29.6%) had taken medication in the last year to improve concentration or academic performance (38.3% in 2020; p=0.107).

The study showed high mental health care needs among medical students with a tendency to self-medication. Notably, mental health indicators have not improved since 2020 despite the end of the COVID-19 pandemic. Our findings highlight consistent trends in medical students’ mental health and underscore the need for targeted interventions to support this vulnerable population.

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The existing studies found that stigma expands also among healthcare professionals when it comes to psychiatric patients, where a particular group is represented by substance use disorder patients, who are often perceived as manipulative, irresponsible or non-compliant.

The aim of this case presentation is to emphasize the importance of stigma reduction especially among healthcare professionals.

A 26-year-old female patient with medical history of treatment-resistant epilepsy and misuse of cannabis and alcohol was brought into the Psychiatry ward after multiple grand-mal seizures, which occurred after weeks of daily use of alcohol and no adherence to the medical treatment.

Prior to the admission, the patient was directed to the Neurology ward, where the hospitalization was declined due to her psychiatric history and the multi-drug test result, which turned positive for THC.

On the first day after admission, the patient had two seizure episodes, lasting 10 and respectively 30 minutes, after which she was transferred to the ICU department, where she was stabilized. Therefore, she returned to the psychiatric ward, where the patient enters status epilepticus, for which she underwent an neurological examination and received emergency treatment successfully.

The following day, the patient presents another episode of status epilepticus, after which she does not recover her respiratory function spontaneously and suffers cardiac arrest. The resuscitation protocol was initiated, an Emergency Medical team was requested to take over. After 4 minutes of CPR, the patient became pulmonary and hemodynamically stable.

Stigma is one of the factors that can influence the quality of the healthcare services provided by physicians. In the given case, stigma led to a life-threatening scenario, in which the patient was denied to receive adequate neurological treatment due to cannabis and alcohol use disorder. The impact of stigma on healthcare delivery and the barriers to receiving adequate treatment in these cases emphasize the need for training and education for all healthcare professionals.

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There is clear evidence on the physical and psychological benefits of a bodily approach for the treatment of psychiatric disorders. They can have a significant impact on the patient’s perceived suffering (Carek et al. IJPM 2011; 41(1) 15–28). In January 2024, a Physiotherapy Project started at the Acute Psychiatric Service of the Rieti ASL in collaboration with the Physical and Rehabilitation Medicine service.

Evaluate the impact of the physiotherapy program on psychopathological dimensions and on the patients subjective well-being.

The naturalistic study was conducted on subjects consecutively hospitalized at the SPDC from January to June 2024 who voluntarily joined the physiotherapy activity. The intervention was administered with bi-weekly sessions of about 45 minutes and included: stretching, orientation exercises, active movement, coordination, muscle strengthening. The Exclusion Criteria were: sedation status, disorganization, behavioral problems. The General Health Questionnaire-12 (GHQ-12) and the Brief Psychiatric Rating Scale (BPRS) were adminstred at admission (T0) and discharge (T1). A Self-evaluation of the useful of the program was administred only to discarege (T1): participants answered by choosing between “not useful”, “partly useful”, “very useful” to 4 questions on the usefullness of the intervention.

Thirty-five participants (17 M, 18 F; mean age 38.2±15,4) were admitted to physical activity. They recieved the following diagnoses: 48.6% Psychotic Disorder, 20% Depressive Disorder, 2.9% Bipolar Disorder, 28.6% Personality Disorder. Eleven of 35 participants had comorbid substance use disorder (14.3% alcohol, 5.7% cocaine, 5.7% cannabis, 2.9% opioids, 2.9% other substances). The hospitalization time was 11.8±4.3 and the average number of physical sessions was 1.7±0.8. The BPRS (44.4±11vs25.9±4.5; F=1024.25; p<0.001) and GHQ-12 (24.6±4.9vs15.11±5.8; F=833,43; p<0.001) mean scores significant improved in two time of evaluation (T0 and T1).

Participants showed a reduction in psychopathological severity and an increase in perceived well-being between T0 and T1. They found useful to practice physioterapy during hospitalozation and to manage anxiety, muscle relaxation and mood improvement.

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The escalating burden of occupational stress and chronic health issues among healthcare professionals frequently culminates in burnout syndrome.

This study proposes the development of a prototype mobile recommendation system that utilizes the Internet of Medical Things (IoMT) for health monitoring and burnout assessment, while simultaneously offering coping strategies for healthcare professionals.

A digital framework was conceptualized using the Unified Modeling Language (UML), which outlined the system’s modules and graphical interfaces. The proposed system integrates a range of biometric sensors, including an electrocardiogram (ECG), a blood pressure monitor, a blood oxygen saturation monitor, and temperature sensors, complemented by a psychometric assessment tool to evaluate burnout syndrome.

The results of this study demonstrate that the proposed system can offer significant benefits in terms of promoting physical and mental well-being. By functioning as a continuous health monitoring tool and a preventive measure against stress and chronic illnesses, the proposed system can enhance the resilience of healthcare professionals.

The proposed system not only facilitates proactive health surveillance but also delivers targeted interventions to alleviate burnout effects. The implementation of this technology could revolutionize mental health management in the workplace, paving the way for robust health policy formulation within medical institutions.

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Familiarity with, social distance from people with mental illness and socio - demographic characteristics has been linked to conditions that lead to weaker prejudiced beliefs and a more positive opinion about mental illness.

The relation of the attitudes and perceptions of the citizens of Larissa city towards mental illness and their desire for social distance from the mentally ill people, in relation to their familiarity with mental illness and their demographic characteristics.

A convenience sampling survey was conducted in Greece, Larissa City (n=220). The research tools which were used were: a) Familiarity was assessed using the Level of Contact Report, b) The Social Distance Scale, to measure the desire for social distance from people with mental illness c) Attitudes about mental illness were assessed using The Opinions About Mental Illness (OMI) Questionnaire and finally d) a questionnaire for the socio - demographic information.

Univariate and multivariate analysis was applied for the statistical analysis of the data, which showed that: Desire for social distance from people with mental illness is positively related with the familiarity (with mental illness) but on the other hand is negatively related to the opinions / attitudes about mental illness.

The results from this study highlight and emphasize the important role of familiarity (with mental illness) and the desire for social distance (from people with mental illness) in the formation of positive/negative (prejudiced) attitudes and perceptions about mental illness.

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All older adults have a strong desire to age healthily and successfully. Because of this, the research community has extensively researched various influences on an older person’s aging experience. One of those influences is music, which is associated with a positive impact on the aging experience and contributes to an individual’s health, wellness, and quality of life.

This study aims to explore the relationship between older adults’ mental health and music listening.

A self-report survey was employed in this study with 168 people over the age of 65, using a convenience sample. The survey had two parts: the first part included socio-demographic information and a variety of music and listening factors, while the second part was a health-related quality of life assessment—the SF-36.

The Mann–Whitney statistical test was used to examine the hypothesis that the mean total score of the SF-36 mental health subscale is different between participants who identified as enjoying music listening and those who did not. Participants who identified as enjoying music listening had a significantly higher overall mental health total score (median = 74.5) than participants who did not enjoy music listening (median = 66.2), U (Enjoy = 38, No Enjoy = 130) = 3037, z = 2.150, p = 0.032.

Music has a positive influence on both mental and physical health in older adults. Listening to music or participating in music-making in late life can positively affect quality of life, particularly for older adults.

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The Recovery Assessment Scale-Domains and Stages (RAS-DS) is a recently developed measure that builds on the original Recovery Assessment Scale (RAS). Within the RAS-DS, which measures one’s recovery from mental illness, a specific domain is called “Clinical Recovery” (RAS-DS-CR). It extends the “Not Dominated by Symptoms” subscale of the original RAS, which only has three items. The RAS-DS-CR provides a more comprehensive assessment of the sense of control over symptoms and is a promising, easily-administered outcome measure for evaluating early interventions such as psychoeducation and skills training programs.

This study examined the psychometric properties of the 7-item RAS-DS-CR in a Chinese sample of treatment seekers.

We analyzed data from 91 participants from a two-month psychoeducation program (Mage = 28.87; SD = 7.84, 89.0% female). At baseline, they exhibited high levels of post-traumatic (mean PCL-5 = 57.18; SD = 14.68) and dissociative (mean DES-T = 47.90; SD = 23.13) symptoms. All participants completed the baseline assessment, 83 completed the 2nd pretest, 58 completed the posttest, and 44 completed the two-month follow-up test. They completed the RAS-DS-CR and other validated self-report measures at each time point.

The RAS-DS-CR revealed good internal consistency (α = .805 to .871) at each time point. Intraclass correlations of two tests taken pre-intervention (ICC = .524, p <.001) and post-intervention (ICC = .613, p <.001) indicated moderate test-retest reliability. At each time point, the RAS-DS-CR was significantly correlated with self-esteem (r = .338 to .574), depressive symptoms (r = -.402 to -.486), and PTSD symptoms (r = -.245 to -.462), indicating its construct validity. The paired sample t-test also suggested that participants scored significantly higher on the RAS-DS-CR post-intervention compared to pre-intervention (t = -4.330, p < .001; Cohen’s d = 0.56), providing evidence for its sensitivity to change.

This study provided new evidence for the reliability and validity of the RAS-DS-CR. The RAS-DS-CR is a short and easy-to-use outcome measure of one’s mental health recovery in terms of the confidence in symptom management.

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Conflicts concerning land ownership and inheritance disputes among older adults are prevalent and often lead to extreme and criminal behaviors. Even seemingly insignificant differences, such as disputes over a few square meters of land or a single tree, can escalate into violence or homicide.

This study aims to examine these phenomena through the lens of the fragmentation of the “good object,” as well as the accompanying sense of urgency experienced by older adults. This fragmentation refers to the loss of emotional and psychological foundations that provide a sense of security and identity. The study explores how these seemingly minor disputes, when they threaten the “good objects” of older adults, combined with their intense urgency to resolve these issues before it is too late, can turn into serious identity crises, potentially leading to extreme behaviors.

Through the analysis of case studies and a psychoanalytic approach, the psychosocial factors influencing older adults’ decisions regarding the management of their property and their emotional connections to these assets are examined.

The findings reveal several key factors contributing to these conflicts, including: a) Emotional attachment to property stemming from years of hard work, b) Inheritance tensions and a sense of injustice, c) Financial insecurity, which makes property the most valuable asset for survival, d) Psychological pressure and isolation, which may lead to unpredictable behaviors, e) Lack of emotional control and traditional perceptions of honor and dignity, f) A sense of loss of control as they age and the need to defend what they deem important.

The psychoanalytic interpretation of these phenomena reveals that the fragmentation of the good object, which may be land or other property, is closely tied to the identity and mental well-being of older adults. These individuals experience an intense sense of urgency, as delays in resolving their legal issues can mean the loss of their identity. This urgent need to protect their “good objects” often leads to reactions, frequently violent, stemming from despair and the perception that their social fabric is abandoning them. For older adults, legal and property disputes are not merely material concerns but represent their last struggle to maintain their identity. It is essential to recognize the importance of these issues and provide them with the value they deserve.

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Work-related quality of life (WRQoL) is a crucial aspect of overall well-being, particularly for medical interns who face unique challenges in their demanding environment.

This study aims to assess factors associated to work-related quality of life in a population of Tunisian Medical Interns.

A cross-sectional study was conducted from July to September 2024 among Tunisian medical interns using a Google Form’s questionnaire. They were asked about their sociodemographic characteristics and their working conditions such as number of working hours per day, number of night shifts per month, and number of patients seen per day. Quality of working life was measured using the the Work-Related Quality of Life (WRQoL) Scale which covered six domains: General Well-Being (GWB), Home-Work Interface (HWI), Job and Career Satisfaction (JCS), Control at Work (CAW), Working Conditions (WCS) and Stress at Work (SAW).

Our study included 141 interns with a mean age of 27.28 ± 2.42 years. Among them, 31 (22.1%) were married. The average working hours per day was 6 .42 hours, and the average number of patients seen per day was 12 patients. The average nightshifts done per month was 6. Age was statistically positively associated with all WRQoL’ domains. However, GWB and HWI were negatively associated with number of working hours per day (p=0.022 and 0.026 respectively) and number of night shifts per month (p=0.001 and 0.000 respectively). Moreover, JCS, CAW and WCS were negatively associated with number of night shifts per month (p=0.007, 0.002 and 0.000 respectively).

This study highlights the significant factors influencing work-related quality of life among Tunisian medical interns such as working conditions. By addressing these factors, it is possible to enhance the overall quality of life for medical interns, thereby promoting their well-being and improving their capacity to provide quality patient care.

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Job satisfaction reflects on overall life quality involving social relationship, family connection and a feeling of enjoyment or fulfillment specially for family medicine residents’ contentedness with their job.

This study aims to assess factors associated to job satisfaction in a population of Tunisian family medicine residents.

We conducted a cross-sectional study from January to July 2024. Family medicine residents participated in the survey through a Google Forms questionnaire. They were queried about their sociodemographic information and work conditions, including daily working hours, the number of night shifts per month, and the average number of patients seen each day. To assess participants’ job satisfaction, we used the validated physician’s job satisfaction scale which covered five domains: patient care, burden, income-prestige, personal reward, and professional relations.

We enrolled 108 family medicine residents (65 women and 43 men) with an average age of 26 ± 2 years [22-37 years]. The average daily working hours were 6.62 hours, with an average of 15 patients seen each day. Additionally, the average number of night shifts completed per month was 5. Positive correlations were found between age and satisfaction with time spent with family friends or leisure activities (p=0.001, r=0.3), burden’s average mean (p=0.01, r=0.2) and opportunities for continuing medical education (p=0.03, r=0.1). However, a negative correlation was found between satisfaction with professional relations and the number of night shifts per month (p=0.01, r= - 0.2).

This research highlights the critical factors influencing job satisfaction among family medicine residents in Tunisia, with a particular focus on their working conditions. Addressing these issues is essential for enhancing the overall satisfaction of these residents. By creating a supportive work environment, we can ultimately improve patient care and treatment outcomes.

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Nurses are at the forefront of patient care and are often exposed to various stressors that can impact their mental health. The mental health of nurses working in both the private and public sectors is a significant issue that requires attention.

In this study, we propose to compare psychological distress of nurses working in private and public sectors.

It was a cross sectional study conducted among 200 nurses (100 from each of the private and public sector). We used the 6-item Kessler scale (K6) to measure symptoms of psychological distress.

The average age of nurses working in the public sector was 33.24 ± 9.34 years versus 31.93 ± 7.68 years in the private sector. Most staff (33.5%), whether in the public or private sector, had professional seniority of between 6 and 10 years. The average K6 score was significantly higher in the public sector (9.01) compared to the private sector (7.35) (p-value = 0.01). The likelihood of experiencing psychological distress was lower in the private sector compared to the public sector (p= 0.034; OR= 0.37; 95% CI [0.14-0.95]).

These findings highlighted potential implications for the mental health of nurses based on their employment sector, showing that prolonged daily stress could have a negative impact on their psychological well-being.

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Several factors can threaten the mental health of engineers and seem to lead to anxiety and depressive disorders. Workaholism is an emerging phenomenon that has been the topic of much debate on its impact on workers’ mental health.

Determining the prevalence of workaholism among women and men engineers and screening for psychological distress among the workaholic engineers with a focus on gender differences.

This study is a descriptive-cross sectional analysis conducted on active engineers for one month. Data were collected through an online questionnaire, including socio-professional data, the WART (Work Addiction Risk Test) and the Hospital Anxiety and Depression scale.

Our population consisted of 45 women and 62 men engineers with an average age of 28.62± 4.3 years and 29.61± 4.5 years respectively. A high risk of workaholism was present among 42.2% and 41.9% of women and men respectively.

Among workaholic engineers, anxiety and depression were present in 73.1% and 46.2% of cases respectively among men and in 78.9% and 42.1% of cases respectively among women.

Workaholic engineers women were likely to have anxiety (p=0.000) and reproach from their families for excessive professional commitment (p=0.007).

Among engineers men, associations were found between workaholism and anxiety (p=0.000), depression (p=0.024), the use of psychotropic medication (p=0.013), a job satisfaction less than 4/10 (p=0.024) and facing reproach from their families for excessive professional commitment (p=0.032).

Workaholism among both women and men engineers was negatively correlated with sports activities (p=0.006, p=0.042).

Workaholism is a significant phenomenon among engineers that can lead to anxiety and depression disorders. Therefore, the detection of early signs of workaholism and its associated symptoms seems essential among this vulnerable population in order to prevent its psychological impact.

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Upper limb occupational injuries constitute an important health problem affecting workers in their most productive years. The professional environment influences the outcomes of these injuries. The impact of social support among this vulnerable population may explain the difference in terms of outcomes of occupational injury.

Evaluating the impact of social support in upper limb occupational injuries’ outcomes.

A cross-sectional analysis was conducted during 9 months among workers victims of upper limb occupational injuries consulting for an Impairment Rating Evaluation. Socio-professional data and the accident’ outcomes were collected. Social support was evaluated by the Social Support Scale. The pain was evaluated by a Visual Analogue Scale. Anxiety and depression were evaluated by the Arabic version of Hospital Anxiety and Depression scale. Unsuccessful return to work comprises all situations other than a satisfactory return to the same position held before the accident.

Out of 90 injured workers, 78.9% were male. Hand and wrist injuries represented 63% of injured sites. The mean age was 43.10± 9.87 years. The mean pain scale was 5.75±2.78. The mean length of absence was 180.73±245.14 days. A proportion of 12.2 % had low social support. Unsuccessful return to work was found among 37.8% of participants. The prevalence of anxiety and depression were 31.1% and 20% respectively. Sleep disorders were mentionned by 56.7% of subjects. Low social support was associated with unsuccessful return to work (p=0.000), negative outlook of the professional future (p=0.000) and depression (p=0.002). No association was found with pain, length of absence and sleep disorders.

Social support may influence the outcomes of upper limbs occupational injuries. This finding highlights the need for further examination of social factors among this vulnerable population.

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Patients with schizophrenia often experience deficits in motivation, which can significantly impact their functional abilities and participation in daily life activities as the illness progresses. Motivational deficit is a key concern in the treatment and rehabilitation of schizophrenia. The remotivational program, based on the Model Of Human Occupation, is a therapeutic intervention aimed at improving the volition subsystem and addressing motivational deficit in patients.

(1) The modified remotivational program can improve the motivation deficits, social functioning, social skills, and alleviate the psychiatric symptoms of individuals with schizophrenia in the community. (2)The experimental group, compared to the control group, can improve the motivation deficits, social functioning, social skills, and symptoms of patients.

This study is conducted at a psychiatric specialty hospital in northern Taiwan and recruits participants from a community rehabilitation center. This study included a total of 38 participants, diagnosed with schizophrenia or schizoaffective disorder. The experimental group receives a modified remotivational program twice a week for 50 minutes per session over eight sessions. This experiment employs a randomized assignment and single-blind design, with assessors unaware of group assignments. Statistical analyses involve paired sample t-tests to compare within-group differences pre- and post-intervention, and independent sample t-tests to compare between-group differences post-intervention.

The experimental group underwent a four-week intervention consisting of eight sessions of themodified remotivational program. Results indicated significant improvement in addressing motivational deficits in patients (t=2.61, p=0.01). However, other outcome measures showed no significant differences between the experimental and control groups.The experimental group with average satisfaction ratings ranging from 4.12 to 4.43, and average self-assessment scores ranging from 4.12 to 4.25. Clinical feedback and observations revealed that participants in the experimental group expresses higher interest and engagement in the modified remotivational program.

While individuals with schizophrenia undergoing community-based mental rehabilitation generally exhibit stable psychiatric symptoms, they often overlook the pervasive impact of negative symptoms, particularly the widespread influence of motivational deficits. This study’s findings demonstrate that the intervention program effectively addresses motivational issues. Therefore, it is recommended that future clinical practices integrate and utilize such interventions to provide community-based psychiatric care with individualized and diverse intervention strategies.

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Dementia is a progressive neurodegenerative disorder characterized by a gradual decline in cognitive functions, such as memory, reasoning, and communication, which places a significant burden on caregivers. Dementia caregiving presents unique challenges that contribute to elevated stress levels. Caregivers of dementia patients often face increased psychological and physical strain, exacerbated by the disease’s progressive nature and complex caregiving demands. This systematic review explores the perceived stress among dementia caregivers, highlighting the impact of caregiving responsibilities and identifying potential coping mechanisms. Our review seeks to offer evidence-based recommendations to support caregivers and improve their quality of life, thereby addressing a crucial gap in dementia care.

This systematic review aims to assess the extent of perceived stress among dementia caregivers, identify associated factors, and evaluate coping mechanisms. The goal is to highlight critical stressors and propose evidence-based strategies for improving caregiver support.

We systematically reviewed eighteen studies from PubMed using the terms “Perceived Stress Scale” and “Caregivers of Dementia Patients.” Our analysis included data from 3,385 caregivers, focusing on stress levels, cortisol measurements, and psychological impacts.

The review consistently identified high levels of perceived stress among dementia caregivers. Cortisol levels, assessed in three studies, were significantly elevated in caregivers compared to non-caregivers (Williams et al., 2021; Kim & Park, 2022; Nguyen et al., 2023). Perceived stress showed a significant correlation with cognitive decline and sundowning behaviors. Additionally, caregivers reported elevated depressive symptoms, with stress levels showing a direct association with these symptoms (Jones et al., 2021). The review also identified that higher education was associated with reduced anxiety and depression, while female caregivers reported higher stress levels compared to males (Miller et al., 2022). Effective coping strategies included seeking information, participating in culturally adapted interventions, and enhancing social support networks (Patel & Singh, 2023).

Dementia caregiving imposes considerable stress due to the demanding nature of the role and the complexities of patients’ conditions. Interventions should prioritize culturally sensitive support programs, expand educational opportunities for caregivers, and strengthen social support systems to alleviate caregiver stress. Future research should further investigate the influence of gender, social isolation, and healthcare access on caregiver stress, particularly in low- and middle-income countries (LMICs) and during global crises such as the COVID-19 pandemic. Addressing these factors will be crucial in developing comprehensive strategies to support dementia caregivers effectively.

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Burnout Syndrome (BOS) is a state of exhaustion due to chronic workplace stress, characterized by emotional exhaustion (EE), depersonalization (DP), and a diminished sense of personal accomplishment (PA). BOS is significant among healthcare professionals worldwide, and a critical issue in medical residency, raising concerns about mental health, patient care and safety.

This study aimed to evaluate the prevalence and severity of BOS among pediatric medical residents at a children’s hospital in Madrid, Spain. The association between demographic and occupational factors, such as gender, residency year, and night shifts per month, and the presence of BOS was also analyzed.

An observational, cross-sectional study was conducted in September 2024, using a survey distributed to pediatric residents. The survey included demographic and occupational data and the Maslach Burnout Inventory Human Services Survey (MBI-HSS), which assesses burnout through EE, DP and PA. Perception of institutional burnout prevention and support programs was also evaluated.

The response rate was 81.8% (45/55), the majority of respondents were female (77.8%), aged between 24-32 years (mean 26.8), from all levels of training. Burnout scores were abnormal in 55.6%, and 11.1% met criteria for high levels of burnout. Emotional exhaustion was the most affected dimension, over half (57.8%) scoring in the high-degree for EE, followed by 40% for high DP and 28.9% for low PA. No significant associations were found between gender, residency year, or night shifts and burnout levels. However, 66.7% of the respondents perceived insufficient institutional burnout prevention programs or support.

The study confirmed a high prevalence of BOS among pediatric residents. These results emphasize the urgent need for targeted interventions to prevent and address burnout and improve health-care professionals well-being. Further research is needed to explore factors contributing to burnout and effective strategies for mitigating burnout among medical residents.

None Declared