Disordered eating (DE) significantly affects both physical and mental health, contributing to morbidity, mortality, and considerable global healthcare costs. This cross-sectional study assessed the prevalence of high-risk DE and examined its associations with body composition, behavioural factors, diet quality, and perceived stress among university students in the United Arab Emirates. A total of 911 students were recruited using non-probability quota sampling (50.49% female). Body composition was measured using a TANITA BC-420MA body composition monitor. Usual dietary intake was assessed via a validated 65-item food frequency questionnaire. DE risk was assessed using the Eating Attitudes Test (EAT-26) and perceived stress using the PSS-10. Analysis included linear regression and independent-samples t-test (p < 0.05). High-risk DE (EAT-26 ≥ 20) prevalence was 30.3%. High-risk DE was significantly associated with higher body fat percentage (β = 0.121, p < 0.001), fat mass (β = 0.148, p < 0.001), fat-free mass (β = 0.079, p = 0.017), lean mass (β = 0.08, p = 0.016), total body water (β = 0.084, p = 0.011), and lower total body water percentage (β = -0.131, p < 0.001). High-risk students also reported higher intakes of fibre (β = 0.12, p = 0.018), beta-carotene (β = 0.14, p = 0.025), vitamin A (β = 0.13, p = 0.034), B12 (β = 0.15, p = 0.043), folate (β = 0.16, p = 0.006), and vitamin D (β = 0.16, p = 0.036). Compared with the low-risk group, high-risk DE was associated with higher adiposity markers and slightly higher perceived stress, and differed in selected nutrient intakes; sociodemographic characteristics were largely similar between groups except for smoking status. These findings support the implementation of targeted prevention strategies, including nutrition education, routine screening, and culturally tailored programmes, for young adults in the UAE.

Drug checking services (DCS) promote drug supply awareness among people who use drugs (PWUD) by detecting adulterants such as fentanyl and xylazine that are associated with overdose morbidity and mortality. However, there is limited research on DCS implementation in Latin America (LA).

We conducted a survey of 38 DCS across LA (n=10) and the US (n=28) and compared program characteristics and barriers between these two regions. We also conducted a focus group discussion (FGD) with staff representing six organizations implementing DCS in LA. FGD themes were mapped to constructs quantitatively assessed in the survey.

Compared to US DCS, LA DCS more frequently reported funding gaps as a major implementation barrier (80% vs. 54%), law enforcement confiscating DCS supplies (38% vs. 11%), as well as offering supervised drug consumption (30% vs. 4%) and mental health/counseling (40% vs. 18%), but less frequently reported that DCS equipment was legal (44% vs. 75%). DCS on the Mexico-US border focused on people who inject drugs and offered syringe services, supervised consumption, and rapid sexually transmitted infection testing. DCS in central Mexico, Colombia, Peru, and Chile primarily provided DCS for the nightlife community (e.g., attendees of concerts/raves). Barriers to DCS implementation cited by FGD discussants included inadequate funding, DCS legal ambiguities, lack of government support, and cartel violence.

DCS in LA would benefit from increased funding, government support, and a more permissive legal environment, thereby strengthening harm reduction efforts and improving safety for PWUD.

It has been suggested that participatory arts-based activities inherently align with recovery-oriented way of working and may aid personal recovery in people with mental illness. However, underlying mechanisms need to be further clarified. The aim of this study is to contribute to more understanding on recovery through creativity by examining lived experiences in the context of arts-based recovery initiatives.

In this qualitative, interpretive study, 26 participants from Dutch arts-based recovery initiatives were purposefully selected. Unstructured interviews were conducted and transcribed. The data were analyzed using reflexive thematic analysis.

Eight themes describe participants' lived experiences of personal recovery through creativity in the context of participatory arts initiatives. We grouped these into four metathemes that represent the underlying mechanisms of recovery through creativity: "Engaging in a conscious and constructive activity," "Transforming and transcending painful experiences," "Belonging in a creative community," and "Steps toward emancipation." A fifth metatheme, "Opposing forces," describes the processes that hinder a favorable relationship between creativity and personal recovery.

The research confirms that participatory arts initiatives align with the recovery philosophy, with both contextual and arts-related aspects playing a role in the perceived benefits of participating in such an initiative. The experience of beauty and a sense of wholeness as a counterbalance to experiences of psychological suffering offers a promising avenue for further research, as well as research leading to a better understanding of how opposing forces in the relationship between creativity and recovery can be (self-)managed.

College students are the main force of the country's future. The physical health of college students is directly related to the country's future development and progress. Overweight and obesity not only affect the appearance of college students, but also increase the risk of illness, and affect their study, life and career development. Therefore, this study aims to evaluate the current status of weight loss behavior and its influencing factors in college students, in order to provide baseline data for the development of targeted weight loss measures, and provide a basis for improving the physical and mental health of college students and long-term weight management goals.

Using the convenience sampling method, 302 Chinese full-time college students from a traditional medicine university in Shandong Province were selected as the survey subjects from July to August 2025. Questionnaire surveys were conducted using the General Information Questionnaire, the Dutch Eating Behavior Questionnaire, the Chinese version of the Self-Efficacy for Exercise Scale, and the Health Status Survey Scale. SPSS 26.0 software was used to process and analyze the data. Descriptive statistics were used to analyze the general information. Logistic regression was used to analyze the influencing factors of weight loss among college students and conducted a correlation analysis.

45.0% of college students had weight loss behavior, among whom 63 were male and 73 were female. Dutch Eating Behavior, Self-Efficacy for Exercise were positively correlated with weight loss behavior of college students. Logistic regression analysis showed that there were statistically significant differences between body mass index, weight loss intention, Dutch Eating Behavior, Self-Efficacy for Exercise and weight loss behavior of college students, p < 0.05.

Body mass index, weight loss intention, Dutch Eating Behavior, and Self-Efficacy for Exercise were the influencing factors of weight loss behavior among college students. Relevant departments of the school should do good job in health education for students, guide them to establish good lifestyle, improve their dietary management skills and confidence in exercise, strengthen their motivation for weight loss, enhance self-health management, and maintain healthy weight.

Headaches have been consistently associated with mental health disorders. However, current prevalence of headaches in Arab populations is highly varied. Additionally, the potential role of religiosity in this relationship has not been studied. This study aimed to estimate the prevalence of headaches in Saudi Arabia, a highly religious Arab society, to examine their association with mental health disorders, and to explore whether religiosity modifies this relationship.

This study used the Saudi National Mental Health Survey (SNMHS), a nationally representative, cross-sectional, community-based psychiatric epidemiological household survey. Trained interviewers assessed history of headaches, and common DSM-IV mental health disorders were diagnosed using the Composite International Diagnostic Interview (CIDI). Religiosity was measured using a validated culturally appropriate religiosity scale embedded within the survey. Headache prevalence was calculated as the proportion of respondents reporting headaches relative to the total sample. Survey-weighted logistic regression models were used to estimate adjusted association between headaches and mental health disorders. An interaction term was introduced to explore the role of religiosity.

The overall lifetime prevalence of headaches among Saudis was 56% (95% CI: 53%-58%), with 28% reporting recent episode of headaches. In multivariable logistic regression models including sociodemographic factors, respondents with headaches were more likely to have mental health disorders (OR: 2.09, 95% CI: 1.50-2.91; p < 0.001). Religiosity did not modify the association between headaches and mental health disorders (interaction OR: 1.00, 95% CI: 0.98-1.02; p > 0.9).

Headaches are highly prevalent in Saudi Arabia, with more than half of respondents reporting a lifetime history and nearly one-third experiencing recent episodes. Individuals with headaches are more likely to have mental health disorders. However, varying levels of religiosity do not appear to modify this relationship. These findings underscore the importance of screening for mental health disorders in individuals presenting with headaches, regardless of their religiosity, and highlight the potential value of collaborative models that integrate professional mental health support with religiously sensitive approaches.

Introduction The development of indices enables the accurate identification of issues by consolidating the key factors associated with an outcome, which in turn allows for better prioritization of risks. Therefore, the purpose of creating indices is to generate information that supports evidence-based analysis, facilitating accurate decision-making and addressing risks through an understanding of the underlying components, thereby allowing decision-makers to develop prevention strategies and programs. The objective of this research was to develop and validate an index using the statistical technique of "conjunctive consolidation" to assess factors related to the quality of work life (QoWL) among nursing staff, providing a simple method that can be applied for specific predictions or decisions. Methods A methodological study was conducted using "conjunctive consolidation" analysis to develop an index of exposure factors associated with unsatisfactory QoWL among nursing staff at a tertiary care hospital. The index was created by consolidating the associated factors and assessing validity through convergence with constructs such as perceived institutional safety, musculoskeletal disorders, and mental health outcomes for each consolidation, as well as by evaluating the index's performance using a receiver operating characteristic (ROC) curve. Results The consolidations used to develop the index were as follows: consolidation of psychosocial perception, comprising work alienation (odds ratio (OR): 3.8, 95% confidence interval (CI): 1.9-7.4) and reports of family aggression (OR: 3.5, 95% CI: 1.6-8.0); consolidation of exposure due to work activity, comprising forced movements (OR: 4.16, 95% CI: 2.13-8.15) and overexertion (OR: 4.43, 95% CI: 2.20-8.92); and consolidation of exposure due to work instruments, comprising exposure to drug preparation dust (OR: 3.61, 95% CI: 1.79-7.27) and exposure to radiation (OR: 3.66, 95% CI: 1.80-7.45). The diagnostic capacity of the index score was demonstrated by an area under the curve (AUC) of 0.79 (95% CI: 0.73-0.86, p < 0.001) on the ROC curve. Conclusions The development and validation of the index demonstrate that it can effectively measure QoWL among nursing staff and provide decision-makers with guidance on associated risks in hospital settings.

Introduction Residency training is a critical period marked by high stress and burnout. Wellness curriculums offer potential solutions, but their effectiveness remains underexplored. This study aimed to assess resident perceptions, awareness, and satisfaction following implementation of a resident-led structured wellness curriculum in an Internal Medicine residency program. Methods A cross-sectional survey conducted in May 2024 utilized a 20-point questionnaire distributed to residents across Post-Graduate Year (PGY) levels. The curriculum, based on the American Medical Association's (AMA) six aspects of wellness, was integrated into outpatient rotations. Expert-led talks covered burnout, sleep hygiene, nutrition and fitness, financial planning, emotional health, and fostering relationships. Statistical analysis included Chi-squared tests, with significance set at p < 0.05. Results Out of 90 total residents, 48 (53%) participated in the survey. PGY-1 residents constituted 40% of respondents; 58% reported awareness of AMA-defined wellness, and 83% expressed satisfaction with the curriculum. Supportive program leadership and work-life balance were the most valued aspects. 86% recommended continuing the curriculum, suggesting improvements such as increased hospital support staff, upgraded computer systems, mental health workshops, addressing workplace culture, and team outings during didactics. High attendance at wellness talks was observed. Conclusion Residents reported high satisfaction with the curriculum and strong support for its continuation. Feedback emphasized the importance of addressing organizational challenges and fostering a supportive culture within the residency program.

About 10 million people worldwide chew khat daily. Chronic khat use is a public health problem associated with physical and psychological impacts, such as mental health disorders and social consequences. The use of khat is increasing dramatically in Ethiopia among the young population. There are controversies over the legal status and health effects related to the consumption of khat. Despite the existing controversies, the problem is increasing with its detrimental impact. Policymakers need to enforce education campaigns aimed at awareness creation on the impact of khat use. It is important to consider legally restricting the availability and use of khat in vulnerable populations, such as children under 18 years, individuals with mental disorders and pregnant women, as well as in settings such as hospitals and schools.

The gap between mental health conditions and care uptake remains a global challenge, despite the availability of effective and affordable treatments. This gap is driven by demand-side barriers, such as lack of mental health literacy (MHL), stigma, etc., that hinder help-seeking. In this systematic review, we critically appraise interventions aimed at promoting help-seeking for mental health conditions. The review protocol was prospectively registered with PROSPERO (registration number CRD42021273843). A systematic search was conducted across MEDLINE, PsycINFO, Embase, Global Health, Cumulative Index to Nursing and Allied Health Literature (CINAHL) and Cochrane Central Register of Controlled Trials (CENTRAL). Only RCTs published after 2016, testing interventions with the aim of improving help-seeking behaviors, intentions and attitudes for any mental health conditions, were included. Due to the heterogeneity of outcomes and measures used in the studies, a narrative synthesis was conducted to examine the evidence. Fifty-four studies met the inclusion criteria. Our review confirms that MHL or psychoeducation, motivational interviewing (MI) and social contact interventions effectively improve help-seeking attitudes (n = 10), intentions (n = 17) and behaviors (n = 16). Multi-component MHL and MI-based strategies enhance help-seeking behaviors, while social contact online interventions enhance intentions. MHL/psychoeducation was effective across all outcomes, particularly when combined with other strategies. Despite a rise in help-seeking research, many studies lacked standardized frameworks, making cross-intervention comparisons difficult. Future work should align with theoretical models of help-seeking and explore mechanisms of change to better understand the link between intentions, attitudes and behaviors.

Longitudinal research has examined procrastination-emotion dynamics across diverse temporal intervals, yet it remains unclear whether findings obtained at different timescales reflect distinct underlying mechanisms. Guided by an emotion-regulation account, the present study tested the hypotheses that negative emotions predicted subsequent procrastination more strongly at shorter intervals, whereas procrastination predicted increases in depressive symptoms over longer intervals.

To test whether the procrastination-depressive symptoms coupling varied across temporal scales, we integrated three longitudinal datasets (i.e., daily, 1-month, and half-yearly intervals) and compared models in which within-person lagged effects (i.e., from depressive symptoms to procrastination and the reverse path) were allowed to vary versus constrained to be invariant across timescales. Directional paths were then reported based on the better-fitting model.

Model comparisons favored the timescale-invariant model over the timescale-variant model for both directional paths. Across multiple temporal scales, the timescale-invariant model showed negligible effects of depressive symptoms on subsequent procrastination, while procrastination predicted increases in depressive symptoms.

Contrary to timescale-dependent expectations, no evidence for temporally distinct mechanisms was observed within the examined intervals. Instead, the findings reveal a modest directional asymmetry across timescales, suggesting that procrastination may have consistent but small effects on subsequent increases in depressive symptoms rather than forming a reciprocal feedback loop.