Parents have arguably a significant impact on athletes' experiences favoring mental health of elite adolescent athletes. However, parents can have negative effects in adopting regular pressure and directive behaviors. The purpose of this study was to determine the relationships between directive and pressure behaviors from mothers and fathers with athletes' burnout, positive and negative emotions, and motivation. Additionally, this study aimed to compare athletes' psychological variables exposed to higher versus lower frequencies of these parental behaviors. One hundred-five girls and 114 boys semi and competitive elite athletes completed self-reported questionnaires to measure mothers' and fathers' behaviors and athletes' motivation, emotions, and burnout indicators. Correlations and three separate multivariate analyses of covariance were conducted. Athletes' perceptions of parental pressure and directive behaviors were significantly (a) positively related to their anger (r = 0.14 to 0.15), anxiety (r = 0.14), controlled motivation (r = 0.29 to 0.49), amotivation (r = 0.20 to 0.44), and burnout (r = 0.14 to 0.35) and (b) negatively related to their autonomous motivation (r = -0.24 to -0.49). Moreover, significant differences in self-perception were found between athletes exposed to lower versus higher frequencies of parental behaviors. Athletes who perceived a higher frequency of parental behaviors reported significantly greater level of burnout (η² = 0.02 to 0.04), controlled motivation (η² = 0.11), and amotivation (η² = 0.07). This study highlights the inappropriateness of directive and pressure behaviors and the value of measuring the frequency of use by both parents for the athletes' mental health.

We aim to assess the state-of-the-art of Infection Prevention and Control (IPC) practices and their results in Italian healthcare facilities 6 years after the kick-off of the new National Plan for the Control of Antibiotic Resistance (PNCAR). This was a multicenter, cross-sectional, observational study conducted between January 1st, and December 31st, 2023, among Italian hospitals. Survey questions were readapted from the WHO IPC assessment framework (IPCAF), PNCAR and INSIEME group proposals, resulting in 155 questions grouped into six sections: IPC program, surveillance, control activities for healthcare-associated infections, antimicrobial stewardship (AMS) strategies, IPC training and education, and monitoring indicators. Thirty-eight acute care Hospitals completed the survey (response rate: 30%): 26.3% of hospitals did not define an annual program and 34.2% an AMS task force. Periodic microbiology reports were available for 57.9%, hospital alcohol-based hand rubs consumption per 1000 bed-days in 42.1% and defined daily dose of antimicrobials per 100 bed-days in 55.3% hospitals with a significant difference between Northern and Southern regions (90.9% vs 22.2%; P = 0.006). Active monitoring of hand hygiene and contact isolation compliance was implemented in only half of the hospitals. Structured HAI surveillance systems were implemented in fewer than 20% of hospitals. Components on IPC implementation activity, such as no-touch sanitizing systems, checklist for environmental cleaning, informatic flags, bundles for pathogens revealed the lowest score. The appropriateness of antibiotic therapy prescribing was assessed in 73.7% of facilities. Only 42.1% of hospitals had budget goals. This survey provides a baseline assessment and identifies key barriers to the implementation of IPC programs across Italian acute care hospitals. The findings highlight priority areas for intervention and will inform the next phase of the INSIEME project, which aims to develop and implement tailored strategies that address the specific needs of healthcare workers and institutions nationwide.

The growing ageing population and prevalence of comorbidities pose significant healthcare challenges, from increasing hospitalisations to dementia risk. Healthcare systems primarily treat single conditions, overlooking the complex interplay of chronic diseases. Advances in wearable technology and remote healthcare monitoring technologies offer opportunities to enhance management of comorbidities and early intervention to improve healthcare outcomes. This study presents the RESILIENT dataset, a collection of physiological, sleep, and mental health assessment data conducted as part of an ageing-related comorbidities and dementia study. The RESILIENT study has developed a digital platform to integrate data from wearable devices and in-home monitoring technologies to track physiological, sleep, and cognitive patterns. The validation analysis using the Resilient data highlights correlations between cognitive function, mental health, physical activity, and sleep, aligning with existing literature. By leveraging this dataset, researchers can develop predictive models for early detection and personalised interventions aimed at reducing unplanned hospital admissions and improving health outcomes. The study provides technical foundations and pilot validation for constructing virtual wards to support and complement healthcare services.

Since 2006, the Australian government has expanded access to primary mental healthcare for youth aged 12-25 years through the headspace platform. However, structural barriers exist in the integration of headspace centres with local state-funded specialised mental health services. The aim of this study was to translate an emerging service integration framework (Youth Integration Project (YIP)) into a tool to determine levels of integration between headspace and local specialist services/programme and identify areas for improving service integration.

The Rating of Integrated Health Services (RIHS) survey was developed based on the YIP framework to assess levels of youth mental health service integration in New South Wales (NSW) local health districts (LHDs). Managers of specialist services/programmes across 18 LHDs in NSW were invited to complete the RIHS survey. Responses were coded into indicators of levels of integrated care and aggregated into an overall assessment of service integration.

Validity of the RIHS scales was indicated by positive correlations with independent items of service integration. In relation to integration levels, 41/56 services/programmes had minimal-to-basic levels of integration with headspace centres. The results were consistent across programmes and regions. Three structural areas of interagency collaboration were identified for improving service integration: (i) information systems, communication, products and technology; (ii) financing; and (iii) leadership, governance, policy and values.

The results provide evidence of the significantly fragmented youth mental healthcare system in Australia. There is a need to address structural aspects of service integration to improve integration between headspace and LHD services for young people.

Perceived uncertainty about future employment and employment paths during economic crises can negatively affect the mental health of workers. This study examined the association between work expectations and psychological distress among Baby Boomers (born 1948-1965) in the United States and South Korea and explored how employment patterns moderated this association before, during, and after the Great Recession.

Data came from 2006 to 2018 waves of the Health and Retirement Study (n = 2,647) and Korean Longitudinal Study of Aging (n = 1,454). Perceived expectations of working in the next 5 years were reported on a probability scale (0%-100%). Psychological distress was assessed by the Center for Epidemiologic Studies Depression Scale. Six mutually exclusive employment patterns during the Recession were constructed: entrance to full-time employment, precarious employment, stable full-time employment, self-employment, exit from the labor force, and consistently out of the labor force. Multivariate mixed-effects logistic regression models were used to assess the association between work expectations, employment patterns, and psychological distress.

Higher work expectations were associated with lower odds of psychological distress; this association was most robustly observed during the Recession (ORUS = 0.93 [0.89, 0.98], ORKorea = 0.92 [0.84, 1.01]), and recovery (ORUS = 0.95 [0.92, 0.98], ORKorea = 0.84 [0.80, 0.89]). The relationship between expectations and distress was pronounced among respondents who were self-employed or transitioning into self-employment. Findings were broadly similar comparing two countries.

Expectations regarding, and patterns in, employment impact psychological distress. Findings emphasize the need to support the mental health of older adults nearing retirement during periods of economic crisis.

Most mental health disorders are first experienced during childhood. There are evidence-based treatments, but it is difficult to reach all children in need. Schools have long been recognised as an ideal setting to provide mental health interventions and services for children. There is growing evidence of the effectiveness of school-based digital mental health interventions. Emotion regulation (ER) is central to psychopathology across childhood and adolescence. Cultivating ER can help build resilience and foster long-term well-being. We developed an app ('CoaCH Effective Emotion Regulation', CHEER) designed to promote ER, eventually aiming to reduce broader mental health disorders in children. The aim of the proposed study is to investigate the feasibility and preliminary effectiveness of the CHEER.

A feasibility cluster randomised controlled trial with two parallel arms (intervention vs usual care), including students recruited across three sites in Anhui province, will be conducted. Schools are randomly assigned to the intervention or usual care control condition. Participants complete measures at three timepoints: baseline, postintervention and 1-month follow-up. The primary outcomes are the ER abilities and strategies of children. The secondary outcomes are well-being, depressive symptoms and anxiety symptoms. The APP feasibility will be assessed by analysing children's objective engagement parameters alongside their subjective experience.

Ethical approval for the study has been granted by the Medical Ethics Committee of Anhui Medical University (Project Number: 82240119). The results of the study will be disseminated through publications in scientific articles and presentations at relevant conferences and/or public events.

ChiCTR2400091728 (chictr.org.cn).

Studies suggest that extreme heat events can have negative effects on mental health. However, characterisation of these effects in urban communities remains limited, and few studies have investigated the potential modifying effects of demographic, clinical and environmental characteristics. The aim of this study is to address this knowledge gap and quantify the impacts of extreme heat on mental health, health service use and mental well-being in vulnerable urban populations.

In this multidisciplinary project, we will assess mental health outcomes in different populations by bringing together two distinct datasets: electronic health record (EHR) data on mental health service users and data from general public participants of Urban Mind, a citizen science project. We will use EHRs from the South London and Maudsley NHS Foundation Trust (SLaM) and the North London NHS Foundation Trust (NLFT), from six boroughs which collectively cover more than 1.8 million residents in Greater London, to capture mental health service use and mortality among people with existing diagnoses of mental illness across 2008-2023. We will use smartphone-based ecological momentary assessment data from Urban Mind to measure mental well-being in the general population (2018-2023). These datasets will be linked to high-resolution spatiotemporal data on temperature, fine and coarse particulate matter (PM_2.5, PM₁₀), nitrogen dioxide (NO₂), Normalised Difference Vegetation Index (NDVI) and density of large mature tree canopy. We will employ novel quasi-experimental designs, including case time series and case-crossover analysis, to examine the impact of extreme heat on mental health and explore effect modification by sociodemographic, clinical and environmental factors, including air pollution and types of green space coverage. We will also develop a microsimulation model combined with the InVEST urban cooling model to assess and forecast the mental health and social care impacts of extreme heat events and the mitigation of these impacts by different green space coverage and pollution-reduction policies. With a core team composed of researchers, community organisations, industry partners and specialist policy experts, this project will consider lived experience, benefit from broad stakeholder engagement and address gaps in policy and practice.

Each component of this project has been approved by the relevant ethics committee (ref RESCM-22/23-6905 for Urban Mind, LRS/DP-23/24-41409 for the co-development of a screening tool, 23/SC/0257 for the SLaM EHRs, and 24/EE/0178 for the NLFT EHRs). Our dissemination plan includes peer-reviewed scientific articles, policy briefs, a practical guide on fostering ecological and human resilience at the neighbourhood level, and a technical guide for planting and improving the growing conditions of large canopy trees.

Most studies on interventions using social robots to reduce loneliness have been conducted in facilities in Western countries.

This study evaluated the effectiveness of digital social robot interventions in reducing loneliness among community-dwelling older Japanese adults using a randomized controlled trial and qualitative analysis.

Individuals aged ≥65 years who lived alone in Tokyo and neighboring areas and experienced loneliness were recruited. In total, 73 eligible participants were randomly assigned to either an intervention or a control group. The 4-week intervention involved a humanoid social communication robot (BOCCO emo), which facilitated conversations with human operators and family members and reminded participants of daily tasks. The primary outcome was loneliness, with mental health (psychological well-being, depression, and self-rated health), the frequency of laughter in daily life, health competence, and interpersonal relationships (social network and generalized trust) as secondary outcomes. Participants were evaluated at baseline and follow-up using a self-administered questionnaire. In the follow-up survey, participants in the intervention group provided open-ended responses regarding their experiences using the social robot.

In total, 68 participants completed both the baseline and follow-up surveys (34 in each group). The average age of the participants was 82.3 (SD 6.5) years, and 64 (N=68, 94%) participants were women. A linear mixed-effects model with a random intercept indicated that loneliness decreased more in the intervention group than in the control group (difference-in-difference -3.1, 95% CI -5.9 to -0.4). Psychological well-being also improved in the intervention group (difference-in-difference 1.9, 95% CI 0.1 to 3.7). We identified 4 categories through content analysis: emotional support and psychological connection, lifestyle assistance, enrichment of social interaction, and cognitive and mental stimulation.

Social robots can reduce loneliness among community-dwelling older adults in non-Western societies. Information and communication technology appears to be an effective approach for alleviating loneliness and enhancing well-being among older adults in community settings.

Over the past decade, there have been rapid advancements in genomic medicine that have improved the clinical utility of genetic testing and counseling. Although theoretically, primary care is an ideal locations for the delivery of genomic medicine, physicians lack training, confidence, and time to implement these services. Though it has been suggested that genetic counselors could be integrated into the primary care setting to fill this gap in care, such integration has not yet been widely implemented. Decision makers' perceptions are foundational in the implementation of this model, but have yet to be explored.

We conducted a qualitative interview-based study with individuals holding key administrative roles in primary care systems to elicit opinions on a model of care that integrates genetic counselors into primary care. Interviews were analyzed using interpretive description involving thematic coding and iterative discussions among the research team to develop a comprehensive conceptual model.

Barriers included team integration difficulties, a perceived lack of buy-in at the institutional, physician, and patient levels, and a lack of resources. Participants felt that integrating genetics into primary care is most feasible when one genetic counselor is contracted as a resource to multiple different clinics and is able to provide remote or hybrid care.

Despite the growing evidence supporting the integration of genetic counselors into primary care settings, decision makers have concerns about how this integration will occur, and feel that more buy in is needed from patients, providers, and administration to make this model of care a reality.

The aim of this study was to compare the frequency and severity of depressive symptoms between adults diagnosed with Crohn's disease and a demographically matched group of healthy individuals. Depressive symptoms were assessed using the Beck Depression Inventory, a validated self-report instrument.

The study employed a comparative and exploratory case-control design to evaluate whether patients with Crohn's disease report significantly higher levels of depressive symptomatology than healthy controls. Patients were recruited from various regions in southern Spain.

A total of 84 participants were included, comprising 42 individuals with Crohn's disease and 42 matched controls. Assessment of depressive symptoms was performed using the Beck Depression Inventory, a validated instrument for quantifying depression severity. As the data did not meet normality assumptions, non-parametric methods were applied for statistical analysis.

Crohn's disease patients demonstrated significantly higher depression scores compared to controls (Beck Depression Inventory: 15.55±9.99 vs. 5.76±4.18; p<0.001). The prevalence of depression (Beck Depression Inventory ≥10) was 32.1% in the Crohn's disease group versus 9.5% in the control group. Notably, severe depression was observed exclusively among Crohn's disease patients, highlighting the substantial psychological burden associated with the disease.

These results highlight the significant psychological burden associated with Crohn's disease, with patients experiencing higher rates and greater severity of depression compared to healthy individuals.