There is a greater inequality in employment and underemployment among adults with Autism Spectrum Disorder (ASD) compared to their peers. Aspects such as sustained eye contact, interpreting non-verbal cues, understanding non-literal language, exhibiting cognitive inflexibility, and limitations in interpreting others’ perspectives impact their communication. Due to these difficulties, they are often subject to social embarrassment, isolation, and insecurity when initiating conversations. Considering that contemporary interactions have intensified through social media, these networks can be a facilitator of social inclusion, especially as they are digital environments—structured, free from unexpected stimuli, offering additional processing time, and without the need to interpret prosody and intonation. In this context, to understand its impact in the workplace for this population, one of the factors to consider is the self-esteem of these individuals within the workplace, given that self-esteem is a fundamental indicator of self-worth and self-acceptance, impacting mental health.

To verify the correlation between social media use and self-esteem in adults with ASD in their workplace.

This is a prospective, qualitative-quantitative study based on the Ethics Committee for Research number 65890317.9.0000.0065. Data were collected via an electronic form. Questionnaires: personal/social questions prepared by the authors; adapted protocols: Rosenberg Self-Esteem Scale and Facebook Intensity Scale.

A total of 132 adults with self-reported ASD, 68% of whom had ASD with comorbidities. Regarding gender and sexual orientation, 66% were cisgender and heterosexual women, and 62% were cisgender and heterosexual men. Concerning remuneration and education, 44.7% had completed higher education, earning between two to three thousand reais per month. Additionally, 61.4% reported not having inclusive strategies in their workplace. The overall correlation between self-esteem and social media use at work showed that 65.9% use social media moderately, of which 12.9%, 18.9%, and 34.1% have low, high, and medium self-esteem, respectively. Correlating personal/social questions with self-esteem, 34.8% never feel comfortable with group conversations, of which 11.4% have low self-esteem (p-value 0.008), 48.5% feel distressed at work (p-value 0.06), 62.9% are excessively concerned about work (p-value 0.02), and 49.2% find it difficult to assert themselves at work (p-value 0.02). (Image 1)

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This study did not statistically demonstrate a correlation between social media use and self-esteem in the workplace. However, the challenges encountered in the workplace, such as the lack of inclusive strategies, social difficulties that generate fear, distress, and worry, corroborate the literature regarding the vulnerability this population is exposed to.

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Diet-related support is urgently needed for people with serious mental illness underlying the role of nutrition in a biopsychosocial approach. Integrating healthy lifestyle practices such as a balanced diet and physical exercise could supplement and amplify the effects of existing pharmacotherapies and psychotherapies. Despite its considerable role, nutritional literacy of mental health professionals appears scarce. Specific nutrition training courses for mental health professionals are needed in order to increase awareness on nutrition as a well-being contributing factor in the biopsychosocial model.

The aim of this study is to investigate insight and attitudes on nutrition in mental health among a sample of psychiatrists and psychologists resident in Italy.

The survey was conducted from May to June 2024 and the questionnaire was anonymous and self-rated, accessible via Google forms. The sample comprised 110 Italian mental health professionals (adult and child psychiatrists, psychologists) who voluntarily completed the on‑line questionnaire.

110 participants (61 psychologists, 46 adult psychiatrists and 3 child psychiatrists) agreed to participate to our survey. 89.2 % (n= 91) of them worked in southern Italy.The majority of participants were female (77.98%) and reported working in a Mental Health Centre (n= 41, 37,27%), followed by psychiatric residential facilities (n=22, 20%), private practice (n= 19, 17.27%), hospital (n= 14, 12.73%), university research centre (n=4. 3.64%), other non specified institute (n=10; 9.09%). The numer of years of working as mental health professional was 19.27 ± 11.27 years. Adopting “sometimes” nutritional approach for the treatment of the patients was the answer mostly reported (n= 56, 51.4%) followed by “most of the time” (n= 28, 25.69%), “always” (n=11; 10.09%), “never” (n= 7, 6.42%), “almost never “(n= 7, 6.42%).

Despite the scientific evidence and some treatment guidelines in support of this relationship, the implementation of nutritional psychiatry into routine clinical practice remains limited. Integrating nutrition into the clinical practice of psychologists and psychiatrists and providing evidence-based nutritional advice represent an interesting mental health challenge to address in the coming years.

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The social skills of the chronic schizophrenia is an important factor in assessing the prognosis of patients with schizophrenia.

The object of this study was to investigate the effects of group integrative arts therapy based on social skill training on communication, social adaptive function, and subjective well-being in inpatients with chronic schizophrenia.

Among the 125 patients who had been hospitalized in the mental hospital after being diagnosed with schizophrenia by psychiatrists according to DSM-5, 72 patients were selected by inclusion criteria and 48 patients were randomly assigned into an experimental group(n=16), comparative group(n=16), and control group(n=16). During this study, 4 patients from each groups dropped out. The final subjects of each groups were 12 patients. The experimental group followed a 60 minutes long social skill training based on group integrative arts therapy program for twice a week and 20 times in total. The Comparative group followed a social skill training program only for 60 minutes twice a week for 20 times in total. The control group received no treatment. To assess the social adaptive function, empowerment, subjective well-being of the subjects, Communication Competence Scale(CCS), Empowerment Scale(ES) and Korean Modification of Subjective Well-Being Scale(KmSWN) were used as subjective measuring. Assertiveness Observation Evaluation Scale(AOES), Social Adaptive Functioning Scale(SAFS), and Nurses’ Observation Scale of Inpatient Evaluation-30(NOSIE-30) were also used as objective measuring that were rated by nurses or social workers at the mental hospital.

There was no statistically significant difference except non-verbal communication of CCS among three groups in homogeneity test of sociodemographic and clinical variables. The group integrative arts therapy based on social skill training was found to significantly increase the communication, assertiveness, social adaptive functioning and empowerment of experimental group more than comparative group, and that of comparative group more than the control group. The group integrative arts therapy based on social skill training was found to significantly increase the NOSIE-30 of the experimental group and the comparative group more than control group. NOSIE-positive and irritability of NOSIE-30 in the comparative group was increased more than those of the experimental and the control groups.

The group integrative arts therapy based on social skill training is found to significantly enhance the social adaptive function and empowerment of inpatients with chronic schizophrenia than social skill training. These results suggest that group integrative arts therapy could be utilized as effective mental rehabilitation intervention program for inpatients with chronic schizophrenia.

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Effective discharge management is essential for psychiatric inpatient care, significantly impacting patient outcomes during and after the transition from inpatient to outpatient settings. A well-coordinated discharge process ensures continuity of care, reduces readmission risks, and supports long-term recovery. However, there is a notable lack of comprehensive data on discharge practices across European countries, impeding the evaluation of their effectiveness and the development of informed improvements.

The present study has two primary objectives: first, to systematically review current practices, challenges, and outcomes related to psychiatric discharge management across European countries. Second, to evaluate and compare existing discharge guidelines, protocols, and toolkits. By synthesizing these findings, we aim to identify best practices, highlight gaps, and offer recommendations for optimizing discharge procedures. Additionally, we will briefly present a current mixed-method research project from Germany, titled “Evaluation of Discharge Management in Psychiatric Care,” which aims to assess discharge management practices for psychiatric inpatients. These insights will supplement the broader European review by offering a focused perspective on the practical considerations and challenges of discharge management practices within a specific national context.

We will conduct a systematic search and review by exploring multiple electronic databases (MEDLINE, Embase, Cochrane Library and PsycINFO) and grey literature sources (Google and Google Scholar) for both quantitative (observational studies, reports) and qualitative (clinical guidelines, protocols, interviews, focus groups) data related to psychiatric discharge management. Additionally, we will hand-search the references of key papers, including existing systematic reviews and included articles. The search will include documents published from 2000 to December 31, 2024.

The presentation will provide an overview of the current research and literature on psychiatric discharge management practices in Europe. The review is expected to provide critical insights into advancing psychiatric care standards. Additionally, the presentation aims to engage researchers and clinical practitioners attending EPA25 by providing a platform for knowledge exchange on psychiatric discharge management, facilitating networking opportunities and fostering potential collaborations for future research in this vital field.

Discharge management is a critical aspect of psychiatric care that requires meticulous planning and coordination. The insights gained from this review will contribute to the development of evidence-based discharge protocols that are adaptable to diverse patient populations and healthcare settings, ultimately leading to more effective and cohesive care strategies across Europe.

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Current political recommendations on mental health aim to keep people with mental illness in the community, emphasizing the need to develop a natural social support network, which includes families, giving rise to the role of the family caregiver.

The aims of the study were: a) to identify sociodemographic variables that influence the anxiety, depression and stress of the caregiver of people with mental disorders; b) to analyze the relationship between social support and caregiver burden with anxiety, depression and caregiver stress.

We carried out a cross-sectional, descriptive-correlational study, with 274 portuguese caregivers who were recruited using a convenience sampling technique. The instruments used were the Satisfaction with Social Support Scale (ESSS); Zarit Burden Interview Scale and Depression Anxiety Stress Scales (DASS-21). Descriptive statistics and nonparametric tests were used as required. Data were analyzed using SPSS-22.0. The protocol was approved by local ethical committee.

Most of participants were female (67.0%) and aged between 26 and 85 years old, with an average of 66.13 (SD=5.61) years old. Female caregivers have higher rates (p<0.05) of anxiety, depression and stress. Caregivers who lived in rural areas have higher levels of depression (p=0.036) and stress (p=0.029). On the other hand, the greater the perceived overload, the higher the levels of anxiety (p<0.001), depression and stress (p<0.001).

The results suggest the need to invest in local and community intervention strategies to promote mental health and prevent mental illnesses. In this vein, health institutions must support educational and monitoring measures that screen mental illness situations early.

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Tunisia is considered one of the countries where women occupy an important place in the working society. Given the fundamental role played by women in the family, they would have to balance their family responsibilities with professional duties, especially after returning from maternity leave. In many cases, the return to work can be particularly difficult which could affect their physical and mental health and even the relationship with their child.

Assessing the effects of returning to work on the perceotion of stress after maternity leave among Tunisian women.

A cross-sectional study was conducted over a two-month period, from February to April 2024, in the department B of gynaecology and obstetrics in Charles Nicoles hospital (Tunis). Women who were in labor before delivery, who had fully responded to the questionnaire before and after returning to work and willing to take part in the study were included. A questionnaire including socio-demographic, pregnancy and delivery and labor characteristics was filled in by the participants. The effects of returning to work on the perception of stress after maternity leave were assessed using the Perceived Stress Scale (PSS-10). Women were assessed one month and three months after the delivery corresponding to one month after the return to work (maternity leave in Tunisia lasts two months).

A total of 62 women were included. The mean age was 32.45 ± 6.41. Pregnancy was planned in 56.4 % of cases, well supervised in 83.8 % of cases, and complicated by gestational diabetes in 24.1 % of participants. Most deliveries were at full term (92 %) and vaginal (66.1 %). Complications were post-partum hemorrhage (11.2 %), eclampsia (3.2 %) and puerperal infections (3.2 %). Most women worked in the public sector (69.3 %) with a salary between 500 and 1000 Tunisian dinars (42%). The mean PSS-10 before returning to work was 12.36 ± 4.79 and 19.41 ± 4.31 after. After returning to work, the PSS-10 was significantly higher among women with more than two children, whose deliveries were with complications and working in the private sector.

Several factors have been found to involved in the increase of stress after post-maternity leave return. Focus on the psychological aspect and on supporting young mothers throughout the perinatal period seem highly needed.

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The work of original research on opioid and heroin depedence is of great interest as it has a serious medical and social impact on society.

Self Compassion and forgiveness are important factors in helping psychosocial support and improving mental health that contributes to the development of person’s character.

The purpose of this study is to explore the relationship between self compassion and forgiveness in people who are receiving treatment for opiod depedence.

An incidental sample of 153 opioid users has been selected for the study.

Data were collected using:

• - The Self Compassion Scale.

• - the Heartland Forgiveness Scale.

Demographic and social background information was also gathered to complement the primary data.

It has been established that there is a positive relationship between self compassion and the ability to forgive oneshelf or others among people with opiate addiction.

Participants reported appropriate levels of self compassion and forgiveness. Some of the important finding include:

• - There is a notable relationship age of first use illicit drugs and the level of forgiveness afforded to others.

• - In substance dependency, an inverse relatioship is noted between the level of triazolobenzodiazepine abuse and self forgiveness and self compassion.

There is a chance of improving self kindness and forgiveness even among opioid addicts if these factors may be effective in combating the addictions.

Suggestions for future investigation includes:

• - Further evaluation of the age in which a person engages in illicit substances and the level of forgiveness extended to these individuals.

Assessing if the use of benzodiazepine that are not prescribed affects self forgiveness and self compassion.

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In the dynamic setting of psychiatric care, patient satisfaction and shared decision-making are crucial for optimal, personalized treatment. This approach is particularly vital in the context of a psychiatric ward, where engaging patients in treatment decisions could enhance their satisfaction and the overall therapeutic outcomes.

This study evaluated the impact of shared decision-making on patient satisfaction from services among patients treated in a psychiatric ward. Additionally, it examined whether there are differences in satisfaction between psychotic and non-psychotic patients.

53 patients (30 women and 23 men) who were hospitalized in the 4th Inpatient Department of the Psychiatric Hospital of Attica were assessed using the Client Satisfaction Questionnaire (CSQ-8) and the 9-Item Shared Decision-Making Questionnaire (SDM-Q-9). Diagnoses were based on the Mini International Neuropsychiatric Interview (M.I.N.I.). A multiple linear regression analysis was conducted to evaluate the effect of the SDM-Q-9 total score and of the presence of psychotic symptoms on the CSQ-8 total score. The relationship of separate SDM-Q-9 and CSQ-8 items, controlling for the presence of psychosis was further analyzed through partial correlation analyses. The Bonferroni method was employed in order to adjust for multiple comparisons.

The mean age of the participants was 47.49 years (SD=13,65), and the mean duration of the disease was 15 years (SD=12,36). Thirty-two patients were diagnosed with psychotic disorders (psychotic disorder=28, bipolar disorder=1, mood disorder with psychotic features=3), while twenty-one were diagnosed with non-psychotic disorders (including Major Depressive Disorder, Obsessive Compulsive Disorder, Bipolar Disorder and Substance Use disorders). Increasing SDM-Q-9 total score significantly correlated with increasing CSQ-8 total score (B=0,276, 95% CI=,177, 0.374, t=5,627, p<0.001). Partial correlation analyses showed that separate SDM-Q-9 items significantly correlated with separate CSQ-8 items, while many correlations survived the stringent bonferonni correction. The presence of psychotic symptoms was not associated with client satisfaction.

Our findings suggest that shared decision-making correlates positively with patient’s satisfaction from services during their hospitalization in a psychiatric ward and this was independent of the presence of psychosis. In the ongoing effort to find real-world solutions in mental health, integrating shared decision-making practices into psychiatric care can be a fundamental strategy to empower and satisfy patients suffering from mental disorders.

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Diabetes is a real public health problem. Some people seem to be more vulnerable to this pathology, especially children and teenagers. To ensure their loved one’s well-being, caregivers can also develop coping strategies.

• - Assessing caregivers’ resilience of children and adolescents with diabetes.

• - Identify factors associated with a high level of resilience.

The study was conducted at the University Hospital of Gabès, in the pediatrics and internal medicine departments, as well as in outpatient clinics with caregivers of children and adolescents during the period from March 2024 to May 2024.

The sociodemographic and clinical characteristics of caregivers of children and adolescents have been collected using a pre-established form.

We used :

The resilience scale (CD-RISC) is designed to measure resilience, defined as the ability to cope with traumatic events. The higher the score, the greater the resilience.

Our sample included 32 caregivers. The mean age was 35.55 years with extremes of 22 and 55 years and the sex ratio (M/F) was 0.6.

Among the participants, the majority, 78.1% (n=25), presented symptoms of psychological distress. A high level of stress was perceived by 43.7% of caregivers and satisfaction was noted by 34.4%.

The mean resilience score was 59.06 (SD =10.45) with extremes of 39 and 81.

We found a significant correlation between a high level of resilience and symptoms of psychological distress (p=0.003), the level of daily stress (p=0.03) and the level of overall satisfaction (p=0.043).

Our study showed that a high level of resilience is linked to several factors.

Interventions targeting stress related to social events should be integrated to increase the caregivers’resilience.

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Children and adolescents are a fairly vulnerable population for diabetes.

Caregivers of children and adolescents with diabetes were most involved in their care.

Measuring the burden endured by caregivers is a good indicator of the negative repercussions on caregivers when caring for their loved ones.

• - Determine the level of burden among family caregivers of children and adolescents with diabetes.

• - Identify factors associated with a high level of burden.

The study was conducted at the University Hospital of Gabès, in the pediatrics and internal medicine departments, as well as in outpatient clinics with caregivers of children and adolescents during the period from March 2024 to May 2024.

We collected sociodemographic and clinical data for each caregiver and child or adolescent followed for diabetes.

We used :

Burden scale (Zarit): explores the psychological, physical and social impact of patient care on the caregiver. The higher the score, the greater the burden. A score above 61 means a severe burden.

The study included 32 caregivers. The mean age was 35.55 years with extremes of 22 and 55 years and the sex ratio (M/F) was 0.6.

Workload was shared equally by 66% of caregivers (65.7%; n=21). The majority of the sample (62.5%) did not seem to have experienced family conflicts related to the caregiver’s role.

Among the participants, the majority, 78.1% (n=25), presented symptoms of psychological distress. A high level of stress was perceived by 43.7% of caregivers and satisfaction was noted by 34.4%.

A mean burden score was 35.59 (SD =15.37) with extremes from 8 to 59. We reported that 40.6% of caregivers presented a moderate to severe burden and 34.4% presented a light to moderate burden.

According to our results, heavy burden was statistically more common among caregivers with unequal workload sharing (p=0.006) and family conflict (p=0.01).

We found a statistically significant correlation between burden and symptoms of psychological distress (p=0.001), daily stress level (p=0.001) and overall satisfaction (p=0.001).

Our study shows that the burden endured by caregivers of diabetic children and adolescents represents a real issue in the care of these patients.

Several factors seem to be inherent to the disease, the caregiver and the social context.

For this reason, it is imperative to develop specific support programs for family caregivers of diabetic children and adolescents. These programs should include interventions to reduce burden.

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The limited research conducted so far suggests that kickboxing and other martial arts can positively impact psychological well-being in a psychotherapeutic setting. The study by de Vries et al. (de Vries, et al.), which focuses on the application of kickboxing with psychotic patients, suggests improvements in self-esteem, social behavior, and aggression regulation through structured, body-oriented therapy. Physical activity that is intense and structured, such as kickboxing, helps reduce stress and anxiety by increasing endorphin production, which improves mood and reduces tension.

The aim of our study is to analyze the impact of kickboxing on non-psychotic disorders in relation to anxiety, depression, and stress levels, as well as its effect on self-esteem and the overall quality and satisfaction. To our knowledge, this research is the first of its kind in Croatia.

This study involved 11 participants who were receiving treatment at the Day Hospital for Non-Psychotic Disorders, which treats patients suffering from a wide range of anxiety disorders, mood disorders, reactions to severe stress, and adjustment disorders. The participants were a mixed group of 6 men and 5 women, aged 28 to 58, with varying levels of education and living standards. Kickboxing training has been conducted once a week for 60 minutes during consecutive 6 months. The training is conducted in a group with an individualized approach depending on the patient’s condition. The assessment was conducted at two time points: the first data collection occurred before the start of therapy, and the second took place 6 months after regular kickboxing training. The comparison was made using the Wilcoxon signed-rank test.

The results of this preliminary study indicate statistically significant positive changes. Compared to the results of the first assessment, participants were significantly more satisfied with their lives in the second assessment and perceived their quality of life as significantly improved in terms of physical and mental health as well as social relationships. Depression, anxiety, and stress levels were rated as significantly less pronounced, while self-liking and self-competence did not change significantly.

Kickboxing offers a new, innovative approach to improving mental health in the therapeutic environment of a day hospital, especially for patients suffering from anxiety and depression.

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Antipsychotic medications, initially designed for severe mental illnesses like schizophrenia and bipolar disorder, have witnessed a significant rise in off-label prescribing for a diverse range of conditions and at times these medications remain unchanged over long periods of time and poses a potential risk due to their side effect profile. There are different types of risks associated and depends on the dose of medication, age and comorbid physical health conditions of the patient.

To evaluate the outcomes of tapering and discontinuing off-label low-dose antipsychotic medications in patients without psychiatric disorders, focusing on the effectiveness of the deprescribing process and any associated withdrawal symptoms or adverse effects.

The authors decided to review their caseload and identify patients who are prescribed off label use of antipsychotic medication for example for sleep issues, Axis 2 mental illness as per DSM-4 classification and on doses where there was no indication of antipsychotic medication. It was planned to have detailed discussion with patients about the impact of having off label antipsychotic prescription and agreed to slowly tapper off and discontinue this medication. There were 18 patients identified with off label use of antipsychotic medication. In this quasi-experimental study design, we selected eighteen patients by convenience sampling method from the caseload who were identified to be on off label prescription of antipsychotic medications. These patients were explained to the purpose of the study and the course of intervention, and all agreed to participate in the intervention.

Out of 40 patients prescribed off-label antipsychotic medications, 18 were identified for review, all had been receiving mental health services for over six months and had been on antipsychotics for more than eight weeks. The most prescribed medication was quetiapine (n=11), followed by olanzapine (n=4), risperidone (n=2), and haloperidol (n=1). These medications were prescribed for issues like sleep disturbance, anxiety, and agitation, not for mood stabilization in bipolar disorder or augmentation in depression or OCD. Patients were gradually tapered off antipsychotic medications, with quetiapine doses typically reduced by 50% over two months and halved again over the next two months. Olanzapine and risperidone were discontinued over 3-6 months. Those successfully deprescribed reported improved energy, reduced fatigue, and no long-term adverse effects like tremors or extrapyramidal symptoms.

Antispcyhtic deprescribing is an important part of clinical care that reduce the risk to patients and gradual tapering of low-dose off-label antipsychotic medications, including quetiapine, olanzapine, and risperidone, was largely successful in this study, with most patients experiencing improved energy and reduced sedation.

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Pyromania is an impulse control disorder where repeatedly setting up intentional fires provides instant gratification after failing to control the urge. Within the psychiatric population, 6% of the individuals meet the lifetime criteria of pyromania, making it a rare diagnosis of high medico-legal significance. We aimed to estimate the prevalence of pyromania, identify psychiatric comorbidities, substance use, and related sociodemographic factors in patients with a history of pyromania within a psychiatric center in South Bronx. We hypothesize that individuals with fire-setting behavior are more likely to have antisocial tendencies, substance use disorders, and psychiatric comorbidities, leading to increased mental health service use.

The objective of this study is to estimate the prevalence of pyromania and fire-setting behavior in a psychiatric center in South Bronx, and to examine the associated psychiatric comorbidities, substance use disorders, and sociodemographic factors. By analyzing these relationships, we aim to provide insights into the characteristics and mental health service utilization patterns of individuals with pyromania or fire-setting behavior, thereby informing future treatment strategies and interventions in urban mental health settings.

We searched for patients aged 12 and older, including all genders, who were evaluated or admitted through a psychiatric center within the South Bronx between December 2013 and December 2023 for a retrospective observational study. After applying inclusion/exclusion criteria, we included 11 patients diagnosed with pyromania or fire-setting behavior (ICD-10-CM code F63.1 or ICD-9-CM code 312.33), based on evaluation notes. We extracted and analyzed the data for demographics, substance use, comorbid psychiatric, and medical diagnosis.

We found that pyromania diagnosis was found in individual’s age range of 12 to 59 years (Mean Age-33.36 ± 14.72 years). All individuals were single, 82% were unemployed, 72.73% were US-born, and 91% were male. Psychotic disorders, primarily schizophrenia, were diagnosed in 73%, while 64% had a substance use disorder. The group comprised 45% Hispanic and 55% African American individuals.

Our study, conducted over ten years in the Bronx, revealed a strong association between firesetting behavior and psychiatric comorbidities, particularly psychotic disorders and substance use. Contrary to our initial hypothesis, we found no significant link between firesetting and antisocial tendencies. These findings emphasize the need for targeted interventions addressing both psychiatric and sociodemographic factors, especially in urban mental health settings like the Bronx.

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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.

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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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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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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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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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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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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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