Exercise addiction (EA) represents an emerging mental health issue among athletic communities, manifested by compulsive exercise with negative psychological and physiological consequences. Although EA phenotypically coincides with overtraining syndrome and burnout, no study has explored this athlete mental health continuum in recreational athletes, especially regarding comorbid psychological distress and maladaptive food choice motivations.

To explore EA risk as an athlete mental health concern among Jordanian recreational athletes, examining the EAI screening-positive rate, associations with psychological distress and maladaptive food choice motivations, and multifactorial risk predictors including demographic, behavioral, and motivational variables.

A cross-sectional study recruited 1,036 recreational athletes (18-45 years) across Jordanian fitness facilities. Subjects completed validated Arabic versions of the EA Inventory, Depression Anxiety Stress Scale-21, and Athlete Food Choice Questionnaire. Binary logistic regression determined independent predictors.

Overall, 47.8% screened at risk for EA (22% low activity, 30% moderate, 66% high; p ≤ 0.001). At-risk individuals showed considerably high stress, depression, and anxiety (p ≤ 0.001), and valued performance, weight control, and nutritional optimization over sensory appeal and cultural food. Multivariable modeling (R² = 0.336; accuracy = 72.9%) identified independent predictors: male gender (OR = 1.66), high physical activity (dose-response: low OR = 0.13, moderate OR = 0.20 vs. high reference), lower stress levels compared to extremely severe stress (ORs 0.29-0.47; Normal through Moderate levels reaching conventional significance), and performance-oriented eating (OR = 1.12). Living alone (OR = 0.60) and hedonic food motivations showed protective associations.

This first integrated assessment of EA risk in an Arabic-speaking recreational-athlete sample identified a high EAI screening-positive rate within a fitness-oriented Jordanian sample, together with multifactorial associations involving male gender, higher recent activity, psychological stress, and maladaptive eating patterns; however, this screening-positive rate should be interpreted cautiously because the EAI is a screening instrument rather than a diagnostic tool.

Birthdays are typically a joyous occasion, but they can paradoxically conjure negative feelings, including reflections on failures and underachievement. In this study, we investigated a relationship between admission dates and patients' birthdays.

Electronic health records from the Dunn Center hospitals were obtained from April 2021 to June 2024. Patients who were 12 to 80 years of age, except for those in competency restoration units, were included in the analysis. Any admissions occurring 2 weeks before and after the patient's birthday were defined as birthday-associated admissions. A case-crossover analysis was employed to examine the plausible temporal relationship between the birthday period and the acute psychiatric hospitalization. A conditional logistic regression model was used to test the odds of birthday-associated admission versus non-birthday-associated admission. Relevant covariates consisted of age, sex, primary diagnosis, and social determinants of health.

A total of 17,847 admissions were included. The case-crossover analysis found that patients were approximately twice as likely (OR=2.08, 95% CI=1.89-2.30, P<0.0001) to be admitted 14 days before or after their birthday relative to a 28-day control window randomly selected within each calendar year. Potentially confounding variables, such as age, admission diagnosis, and social determinants of health, showed no difference in the likelihood of admission.

This analysis supports the hypothesis that, for persons with psychiatric disorders, birthdays may represent periods of increased risk/stress that can manifest in increased inpatient psychiatric admissions. With these results, we can supplement education efforts to inform patients, families, and providers to recognize birthdays as a possible risk factor for worsening psychiatric symptoms.

Childhood anxiety disorders are prevalent and impair children's socioemotional functioning. Abnormalities in sensory processing may play a role in the presentation of anxiety disorders. One important domain of sensory processing is sensory sensitivity, referring to heightened or diminished responses to sensory stimuli. While anxiety and sensory sensitivity frequently co-occur, research thus far has primarily focused on associations among autistic children, with limited investigation in anxious children. This study examined the associations between sensory sensitivity and anxiety symptom severity, externalizing problems, emotion dysregulation, and quality of peer and family relationships in children with elevated anxiety symptoms without neurodevelopmental disorders.

Ninety-four children aged 8 to 17 years (mean age=12.41, SD=2.55 y) with elevated anxiety symptoms but without neurodevelopmental disorders completed self-report assessments of sensory sensitivity, anxiety symptom severity, externalizing behaviors, emotion dysregulation, and quality of peer and family relationships. Participants' parents completed a parent-report assessment of children's externalizing behaviors.

Sensory sensitivity and anxiety symptom severity were not statistically significantly associated. Controlling for anxiety symptom severity and relevant sociodemographic covariates, sensory sensitivity explained a statistically significant amount of variance in youth-reported (but not parent-reported) externalizing symptoms, emotion dysregulation, and quality of family but not peer relationships.

Anxious youth with sensory sensitivity may experience externalizing symptoms, emotion dysregulation, and difficulties with family relationships. Study limitations included a racially/ethnically homogeneous sample and a cross-sectional design. Further research is necessary to better understand the causal impact of sensory sensitivity on behavioral difficulties and quality of life, identify potential protective factors, and test intervention strategies for this population.

Importance: Tardive dyskinesia (TD) is a persistent, potentially disabling, medication-induced movement disorder that has been underrecognized. Involuntary movements in TD have a substantial impact beyond movement on individuals with TD. To quantify TD impact and burden, the Tardive Dyskinesia Impact Scale (TDIS), a new, TD-specific, fit-for-purpose patient-reported outcome (PRO) measure, was developed. Objectives were to examine how TDIS contributes to understanding of TD burden and use of clinician-reported outcomes (ClinROs) and other PROs in clinical trials assessing effects of vesicular monoamine transporter 2 inhibitors on TD. TDIS analyses included assessment of correlations between TDIS and other clinical outcome assessments (PROs and ClinROs), estimation of the minimal clinically importance difference (MCID), and description of the change in TDIS individual items longitudinally and via item response theory. Observations: In KINECT trials, TDIS followed a similar trajectory to Abnormal Involuntary Movement Scale. An MCID of 4 points in TDIS was considered clinically meaningful. Item-level analyses showed that TDIS is reliable and precise for individual items. Most improved items in longitudinal analyses were self-consciousness (mean change: -1.24), embarrassment (-1.19), unwanted attention (-1.00), and mouth noises (-1.05), which exceeded the empirically derived item-level threshold for meaningful change (≥0.8). TDIS showed moderate correlation with treatment response as measured by Patient's Global Impression of Change (r=0.30) and Clinician's Global Impression of Change (r=0.34) scores. Conclusions and Relevance: TDIS is the only disease-specific PRO that has been validated in individuals with TD and complements ClinROs and other PROs by providing a comprehensive picture of TD impact beyond movement symptoms and can measure potential benefit of TD treatments.

The article focusses on the use coercion in acute psychiatric wards for children and adolescents in Norway.

The purpose of this article is to provide insight into how coercion within a continuum of formal and informal coercion is embedded in psychiatric treatment of children and adolescents. This integrated focus on multiple forms of coercion is critical for raising professional awareness regarding the effects of coercion on children's wellbeing, trust in professionals and future access to mental health services.

The study is based on ethnographic fieldwork in three acute wards in Norway conducted in 2023-2024. The research is part of a larger mixed-methods study focusing on the complexities of coercion in Norwegian child and adolescent psychiatry, which in addition to fieldwork includes interviews and surveys with clinical staff and patients in 18 acute wards.

The study shows how formal and informal coercion is embedded in routine therapeutic practices in child and adolescent acute wards. Three forms of informal coercion are highlighted: misinformation or withholding information, the use of leverage to obtain treatment compliance, and the threat of formal coercion to secure treatment compliance. In clinical practice, the use of formal and informal coercion is interrelated. Children experience distress, frustration and exhibit forms of withdrawal when exposed to coercion. The study concludes that providing transparency in treatment activities and plans, listening to children's perspectives on treatment needs, and showing respect for their autonomy, also when they are admitted on parental consent, is vital for their wellbeing, recovery and future access to mental health care and other support systems.

Infant and Early Childhood Mental Health Consultation (IECMHC) is a preventative intervention that is theorized to mediate its impacts through the consultative stance, described as a consultant's "way of being" in relationship. However, limited tools are available to measure the elements of the consultative stance or the degree to which consultants and supervisors assess its implementation. This study describes the conceptualization, development, and piloting of a set of tools in the United States measuring the consultative stance for use by consultants and supervisors, the Consultative Stance Learning and Measurement tools (CSLM). The CSLM includes the Consultant Self Reflection (CSR) and the Supervisor Survey (SS). Seventy-six consultants and 28 supervisors completed the tools at least once, with 48 consultants completing the tool at three timepoints. A confirmatory factor analysis (CFA) tested the theorized latent structure of the tool, providing good support for the CSR and moderate support for the SS. Over time, consultants and supervisors increasingly aligned in their perceptions of consultant implementation of the consultative stance, though consultants rated their implementation lower than supervisors. The tools advance the field's capacity to measure the impact of IECMHC and provide targeted information for ongoing reflective supervision and training, as consultants develop their practice.

The landscape of nutrition support faces challenges, including rising costs, product shortages, reimbursement gaps, and infusion providers closing. This nationwide survey aimed to describe the perceptions and attitudes related to costs, therapy access, and mental health among households with at least one family member requiring enteral nutrition, parenteral nutrition, or a combination of the two.

A 10-item online survey was available for 8 weeks to households of adult (>18 years old) and pediatric patients (1-17 years old) currently receiving or who had received enteral or parenteral nutrition at home within the past 12 months. The survey explored beliefs and attitudes regarding financial impact, access to care, food security, coping mechanisms, and mental health.

Of the 182 participants, 42.9% were on enteral nutrition, 32.4% were on parenteral nutrition, and 24.7% were both. Overall, 52% reported a degree of financial concern due to nutrition therapy costs. About 51% of families described difficulties obtaining nutrition therapy related to cost or insurance coverage. A total of 52.7% of households reported worrying about food security. Over half, 63.7%, reported an impact on their mental health.

Our findings support that various factors, including the cost of therapy, can negatively impact the economic stability and mental health of families with a member on enteral or parenteral nutrition. These findings highlight the importance of screening for social determinants of health to identify opportunities for intervention through the provision of additional resources and patient advocacy.

Social participation is a key determinant of mental well-being in later life, yet population based research tends to focus on overall activity rather than on how participation is configured. In digitalized societies, unequal access to digital technologies shapes how older adults combine online and offline participation, with important but poorly understood implications for mental health.

Using data from 8,427 adults aged 60 years and older in China, this study applied latent class analysis to identify patterns of digital and offline social participation based on eight indicators. Multinomial logistic regression was used to examine sociodemographic and health correlates of class membership. Multiple linear regression and covariate adjusted means were used to assess associations between participation patterns, depressive symptoms, and life satisfaction.

Four participation classes were identified: Digital active, Offline active, Digital-offline active, and Low participation. Participation configurations were strongly stratified by age, education, residence, and health status. After adjusting for covariates, older adults in the Digital active and Digital-offline active classes reported significantly lower depressive symptoms and higher life satisfaction than those in the Offline active class, while individuals in the Low participation class showed intermediate mental health outcomes.

Mental well-being in later life depends not only on whether older adults are socially active but on how digital and offline participation are configured. In a digitally transforming society, digital engagement appears to function as a socially structured psychosocial resource, contributing to inequalities in mental well-being across later life.

Work-life balance (WLB) is a critical determinant of psychosocial well-being among nurse educators, particularly in high-pressure Nursing Education Institutions (NEIs). In South Africa, nurse educators face mounting demands from teaching, clinical supervision, and administrative duties, often resulting in emotional exhaustion and stress.

This study explored the psychosocial impact of work-life balance among nurse educators in Gauteng, with a focus on developing support strategies.

Selected Nursing Education Institution in Gauteng Province, South Africa.

A qualitative, exploratory, and descriptive research design was employed, involving semi-structured interviews with purposively selected non-probability nurse educators. Data was analysed thematically to identify key psychosocial challenges related to work-life balance.

The analysis revealed two primary themes: the first pertained to the negative consequences of stress and burnout, including adverse effects on physical and mental health, as well as emotional exhaustion stemming from work-related frustrations. The second theme highlights the inadequacies of support systems, including limited access to counseling services, insufficient support for academic pursuits, and social challenges.

The study highlighted the urgent need for institutional reforms that promote psychosocial resilience among nurse educators. Strategies such as flexible scheduling, peer support networks, and wellness programmes may enhance work-life balance and improve educational outcomes. These insights are vital for informing policy and practice within South African nursing education.

Self-rated health (SRH) is a common measure for examining gender differences in health. However, it is unclear if men and women assess similar health factors in their ratings, particularly outside the US. This study expands on previous research in Germany, Italy, and Sweden-countries with varying gender norms.

We analyze how chronic conditions, mental health, physical functioning, and health behaviors affect SRH ratings among 50,912 respondents aged 50-79, using panel data from SHARE and HRS and random effects multinomial logistic models.

Our findings indicate that women in the US and Italy are less likely than men to report very good health, while no gender differences were found in Germany and Sweden. Additionally, women in all countries except Germany were more likely to report poor health. Despite variations in gender gaps in SRH across the four countries, the underlying meaning of SRH did not differ between men and women, as health indicators contributed comparably to their ratings. The only exception was mental health, where women reported better SRH than men despite similar levels of depression.

Overall, our results suggest that SRH is a comparable measure for assessing gender differences in health across these countries.