Hospitals operate in demanding environments where not only clinical skills, but also emotional well-being and fairness influence daily performance. This study aims to analyze how perceived fairness and emotional comfort among hospital staff contribute to organizational workflow efficiency. It explores the emotional and psychological factors impacting day-to-day operations in healthcare settings, particularly in high-pressure environments.

The study adopted a quantitative, cross-sectional approach. A structured survey questionnaire was administered; data were collected from 418 hospital staff members in coastal Karnataka using stratified random sampling. The survey measured emotional comfort, perceived fairness, organizational commitment, perceived work support, and workflow efficiency. Furthermore, the data were analyzed using SPSS 26 and SmartPLS by implementing descriptive analysis, measurement model assessment, and structural equation modeling.

The findings revealed that both perceived fairness and emotional comfort positively impact workflow efficiency. Staff members with better emotional support and a fair work environment are more likely to display higher levels of coordination, role clarity, and timely task execution.

The study assists hospital administrators in enhancing service quality and developing training programs for staff members to improve emotional support systems, ensure transparent decision making, and promote fair treatment. Creating a safe and equitable work environment directly boosts overall organizational performance by streamlining staff workflows.

From a social point of view, this study emphasizes the significance of a fair and inclusive workplace environment in hospital settings, which contributes to staff well-being, and results in improved patient care. By promoting fairness and emotional comfort, hospitals simultaneously support the broader societal goal of enhancing healthcare efficiency.

This research adopts a unique approach, as it focuses on the mental and emotional well-being of hospital staff and their experiences, whereas the majority of studies on hospital workflow have emphasized infrastructure and technological advancement. This study provides a human-centered model for healthcare organizations.

Children with developmental disabilities show a high prevalence of behaviours that challenge (BtC). Thus, harnessing known risk markers to target early intervention to children at the greatest risk of BtC is essential. In this study, machine learning techniques were used to develop prediction models of risk (no, low and high severity behaviour) for different BtC (self-injurious behaviour, aggression, property destruction, 'any BtC'). A secondary aim was to assess the external validation of these models to predict future behaviour.

Caregivers of individuals with developmental disabilities completed the Self-injury, Aggression and Destruction Screening Questionnaire. One dataset (n = 778) was used to train and test models to establish internal validation. Algorithms were created using random forest classifiers, K-nearest neighbours, multiple logistic regressions and Gaussian mixture models (GMM) for each type of behaviour. External validation utilising a second dataset of caregivers (n = 121) completing the SAD-SQ at baseline and 12 months later was then conducted.

Across internal and external validation, the random forest classifiers and GMM algorithms for any BtC showed the highest number of correct classifications with fair to good recall and precision, with 83.5% of people at risk of BtC correctly predicted. Predictions of persistence and incidence of behaviour over 12 months was also good (83.5% and 83.3%, respectively).

The novel prediction models showed the ability to predict BtC for children with developmental disabilities. Such models have applicability to clinical practice to inform provision of early preventative interventions for BtC.

Participatory organizational interventions (POIs) may improve workers' mental health and work performance, but evidence from systematic reviews and meta-analyses of cluster-randomized controlled trials (cRCTs) remains limited: The meta-analysis has not been updated since 2015; a previous study focused on healthcare workers; and potential outcomes have not been adequately examined. This systematic review and meta-analysis aimed to investigate the effects of POIs on mental health and work performance among workers.

The current study searched PubMed, EMBASE, PsycINFO, PsycARTICLES, and Japan Medical Abstracts Society for papers published by November 11, 2022. Eligible studies were cRCTs assessing the effects of POIs on mental health or work performance. The risks of bias were evaluated by using the Cochrane risk-of-bias tool for cRCTs and performed meta-analysis using a random effects model.

Fourteen cRCTs were included in the systematic review, and eight cRCTs in the meta-analysis. The meta-analysis showed non-significant beneficial effect on mental health conditions [the standardized mean differences (SMD) = -0.04, 95%CI; -0.10 to 0.03], positive mental health (SMD = -0.004, 95%CI; -0.077 to 0.068), and work performance (SMD = 0.01, 95%CI; -0.10 to 0.13).

This study did not confirm that POIs had a statistically significant effect on mental health or work performance. However, several studies that reported favorable results tended to emphasize active and structured participation, alignment with workers' needs, and attention to organizational context. Further research is needed to identify the conditions under which the interventions are effective. Trial registration: The study protocol was registered at the UMIN registry (registration number: UMIN000049453).

Culture shapes how individuals perceive, experience and regulate emotions. Emotion regulation literature, which informs current understandings of emotional disorders, is largely guided by Western frameworks. This review aimed to systematically examine cultural influences on emotion regulation use, and associated mental health outcomes, among individuals from East Asian and Western cultural contexts. The literature search was conducted across five databases in June 2024; the final review included 54 articles. First, findings revealed that East Asian individuals tended to engage more frequently in rumination and avoidance, endorse higher levels of secondary control appraisals (i.e., adjusting oneself to accommodate situational needs) and evaluate the self less favourably than those with Western cultural backgrounds. Second, evidence regarding cultural differences in suppression and reappraisal use was inconclusive. Third, associations between putatively maladaptive regulation strategies (e.g., suppression, avoidance and rumination) and mental health difficulties were less pronounced, absent or at times beneficial among East Asians. Fourth, perceived lack of secondary control was found to have more negative impacts on the mental health of East Asians. Finally, emerging research suggests that the use and effectiveness of emotion regulation strategies need to be considered in relation to individuals' endorsement of specific cultural values. In sum, this review highlights the importance of considering cultural influences on emotional processes, with key implications for clinical practices that target emotion regulation. Future research needs to explore within-strategy nuances (e.g., regulation for specific emotional valence) and strategies that are informed by East Asian cultural values (e.g., acceptance) to advance cross-cultural understanding of emotion regulation.

Pharmacological treatment is an important component in the multimodal management of attention deficit hyperactivity disorder (ADHD), but contemporary trends in ADHD medication use among boys and girls in Denmark have not been fully characterized. This study aimed to provide an updated and detailed description of ADHD medication use among Danish children and adolescents during 2010-2023.

We analyzed filled prescriptions for ADHD medication in youths aged 5-17 years in Denmark (2010-2023), calculating incidence rates, prevalence proportions, male/female ratios, treatment persistence, age at initiation, and prescriber setting. Analyses were stratified by sex and age.

The incidence rates of ADHD medication use followed a u-shaped pattern for boys, declining from 0.59 per 100 person-years in 2010 to 0.34 in 2014, before rising to 1.0 in 2023. Among girls, incidence rates increased continuously from 0.20 per 100 person-years in 2010 to 0.67 per 100 person-years in 2023. Prevalence proportions were stable until 2018, where an increase was observed for both sexes, reaching 3.4% for boys and 1.8% for girls in 2023. The male/female incidence and prevalence ratios decreased consistently from 2010 to 2023. ADHD medication was initiated at a median age of 13 years for girls and 11 years for boys. The share of index prescriptions from child and adolescent psychiatry increased, reaching 87% in 2023. Most 5-9-year-olds (65%) and almost half of 10-13-year-olds (45%) were covered by an ADHD medication prescription 5 years after treatment initiation, as opposed to 29% of 14-17-year-olds.

ADHD medication use in Denmark increased from 2010 to 2023, particularly among girls, where the prevalence tripled compared to a 1.5-fold increase in boys. This likely reflects greater awareness of ADHD in girls, although their 2-year treatment delay compared to boys warrants clinical attention.

While abundant research has examined parent emotion socialization (PES) in mothers, only two studies have examined PES in mothers with borderline personality disorder (BPD), and none has looked at its relationship with level of personality functioning-defined personality disorder (PD). Further, no study has assessed the moderating effect of reflective functioning (RF) in this context, which may help elucidate the mentalizing conditions under which mothers with PD engage in certain types of PES. The present study aims to examine the relationship between maternal level of personality functioning (LPF) and PES, group differences between mothers with PD and mothers without PD on PES, and the moderating effect of RF on the relationship between LPF and PES. The study sample was comprised of 149 mothers (M_age = 34.88). Of those mothers, 42 met clinical criteria for PD. Study measures included the Level of Personality Functioning Scale Brief Form 2.0, the Coping with Children's Negative Emotions Scale, and the Reflective Functioning Questionnaire-8 item form. Maternal LPF was negatively correlated with supportive PES and positively correlated with nonsupportive PES. Mothers with PD and mothers without PD demonstrated significant differences on supportive and nonsupportive PES. Finally, RF had a significant moderating effect on the relationship between maternal LPF and nonsupportive PES. Taken together, findings suggest similar challenges for mothers with LPF-defined PD to those previously found for mothers with BPD. Results further indicate that increasing supportive PES, decreasing nonsupportive PES, and improving RF capacity could be helpful treatment targets for mothers with PD.

Stress, psychological distress, and burnout are recognized occupational hazards in dentistry; however, the burden has not been synthesized separately for prosthodontics despite the specialty's distinctive combination of high-precision rehabilitation, prolonged treatment cycles, aesthetic expectations, laboratory dependency, and repeated adjustments. This systematic review followed PRISMA 2020 guidance and was prospectively registered in the PROSPERO database (CRD420261277566). The review had three objectives: (1) to synthesize perceived stress and psychological distress among prosthodontists and prosthodontic residents, (2) to determine whether validated instruments have been used to measure occupational burnout in this population, and (3) to appraise the methodological quality of the available evidence. Electronic searches were undertaken in PubMed, Scopus, Cochrane Library, LILACS, Google Scholar, and supplementary sources from inception to 10 January 2026. Additional searches included Shodhaganga, targeted web searches, and backward citation tracking. Three cross-sectional studies met the eligibility criteria. Two studies evaluated North American prosthodontic residents, and one evaluated postgraduate prosthodontic trainees in Saudi Arabia. Across studies, stress clustered around academic overload, faculty-related pressures, lack of time for personal life or leisure, inadequate support, and clinical or examination requirements. One North American study reported that more than one-third of residents exceeded the study-defined threshold for high stress, whereas a multicenter US study found that prosthodontics residents showed higher mean stress scores than pediatric dentistry and oral and maxillofacial surgery residents across multiple domains. Importantly, no eligible study used a validated burnout inventory; therefore, prosthodontics-specific burnout prevalence could not be estimated. JBI appraisal showed variable methodological quality, with concerns centering on confounding, sampling, and response rates. Current evidence, therefore, indicates elevated stress among prosthodontic residents, but a major evidence gap remains regarding occupational burnout measured using validated instruments.

Despite China's national women's development policies aimed at enhancing female sexual health, research on hypoactive sexual desire disorder (HSDD) remains insufficient, hindering its clinical diagnosis and treatment.

We aimed to explore the primary self-reported contributing factors for decreased sexual desire among Chinese women of childbearing age and to characterize their experiences of sexual distress symptoms.

An online cross-sectional survey was conducted from April to July 2020. A total of 3443 valid responses (valid response rate 82.6%) from adult Chinese women were analyzed.

Data included demographics and the Decreased Sexual Desire Screener (DSDS) adapted to assess HSDD symptoms.

Respondents were primarily Chinese urban women of childbearing age (median 26, interquartile range 23-30). "Stress and fatigue" was the primary self-reported contributing factor to decreased sexual desire (53.6%, n = 1846). The prevalence of this factor remained high after standardization for demographic variables (standardized rates ranged from 50.1% to 55.2%). Furthermore, this factor was more prevalent among women with higher levels of education (compared to "middle school," adjusted ORs ranged from 1.52 to 1.86 across education subgroups). Specifically, intense work pressure was associated with decreased sexual desire attributed to various factors (compared to "moderate," adjusted ORs ranged from 1.29 to 1.86). Overall, 18.8% (n = 648) were not satisfied with their level of sexual desire or interest, 40.2% (n = 1383) were bothered by their decreased sexual desire, and 63.6% (n = 2190) wanted it to increase. A total of 5.7% (n = 195) of our participants were at high risk for HSDD (defined by our criteria).

This study identified key factors influencing decreased sexual desire in Chinese urban women of childbearing age, challenges a simple deficit-based model of HSDD, and highlights a significant unmet need for sexual well-being services.

This first large-scale study on the drivers and related distress symptoms of decreased sexual desire in Chinese women addresses a critical knowledge gap. Caution is warranted, however, in interpreting the findings as the cross-sectional design and online sample limit generalizability, and the assessment tools used have not been rigorously validated in a Chinese population.

Decreased sexual desire was prevalent in Chinese urban women of childbearing age and was mostly associated with self-reported stress and fatigue, especially work pressure; notably, the majority of Chinese women desired higher level of sexual desire.