Depression is a major global health burden, requiring culturally appropriate assessment instruments, but no validated Kazakh-language version of the Patient Health Questionnaire-9 (PHQ-9) is available. This study aimed to translate, culturally adapt, and evaluate the psychometric properties of the Kazakh PHQ-9 in a community-based, non-clinical sample.

This cross-sectional study included 503 Kazakh-speaking adults (mean age = 24.0 years, SD = 10.1; 51.3% women and 48.7% men) who completed the Kazakh PHQ-9 and Generalized Anxiety Disorder-7 (GAD-7) questionnaires. Internal consistency, structural validity, measurement invariance across genders, and convergent validity were assessed.

Internal consistency was excellent (Cronbach's α = 0.91), and both one-factor and correlated two-factor models showed excellent fit (CFI = 0.998; TLI = 0.997-0.998; RMSEA = 0.046-0.048; SRMR = 0.050-0.052), with a slightly better fit for the latter. Measurement invariance across genders was supported, and PHQ-9 and GAD-7 scores were strongly correlated (r = 0.68, p < 0.001).

The Kazakh PHQ-9 demonstrated excellent internal consistency and structural validity, measurement invariance across genders, and strong convergent validity in this non-clinical sample. These findings support its use for assessing depressive symptoms in Kazakh-speaking adults. Clinical validation is needed to establish diagnostic validity and screening performance.

Background/Objectives: Mental disorders represent a major public health challenge, particularly in ageing populations. This study aimed to analyse the incidence of mental disorders requiring hospital admission in Aragón (Spain), compare the epidemiological and clinical characteristics of adults aged ≥65 years with the overall adult population, and evaluate temporal and geographical variations in incidence. Methods: A retrospective population-based study included all incident cases of mental disorders requiring hospital admission in Aragón between 2021 and 2024. Data from the Aragón Healthcare Big Data Platform (BIGAN) were analysed using descriptive statistics, multivariable logistic regression, and Poisson regression. Results: A total of 3057 incident cases were identified. The average annual incidence was 57.12 per 100,000 inhabitants in the overall adult population and 51.70 per 100,000 among adults aged ≥65 years. Older adults were more frequently women and showed higher rates of disability, polypharmacy, mood disorders (F3), and organic mental disorders (F0), whereas schizophrenia spectrum disorders (F2) and readmissions were less frequent. Organic mental disorders (OR = 12.28), mood disorders (OR = 2.50), disability (OR = 3.50), and polypharmacy (OR = 6.88) were independently associated with older age. Incidence remained relatively stable but showed geographical variation, with higher rates among older adults concentrated in predominantly mountainous counties. Conclusions: Adults aged ≥65 years showed an average annual incidence comparable to the overall adult population but exhibited a distinct clinical and geographical profile. These findings support integrated, age-sensitive, and territorially adapted mental healthcare strategies for ageing populations.

Background: Cervical cancer remains a major public health concern worldwide, particularly in low- and middle-income countries. Limited knowledge regarding cervical cancer prevention and elevated anxiety levels may hinder women's participation in preventive measures. Mindfulness-Based Social-Emotional Learning integrates mindfulness practices with social-emotional learning strategies and may enhance health knowledge while reducing anxiety. Materials and Methods: A quasi-experimental pretest-posttest non-equivalent control group design was conducted among 80 women attending gynecological outpatient clinics in Egypt. Participants were assigned to a study group (n = 40) and a control group (n = 40). Data were collected using a structured interview questionnaire, a cervical cancer knowledge questionnaire, and the Beck Anxiety Inventory (BAI). The study group received an eight-week MBSEL intervention incorporating mindfulness exercises, social-emotional learning activities, and cervical cancer education, while the control group received routine health education. Pre- and post-intervention assessments were performed. Results: Baseline characteristics were comparable between groups. Following the intervention, the study group had significantly higher mean knowledge scores regarding cervical cancer prevention, with mean knowledge scores increasing from 38.71 ± 10.41 to 66.25 ± 8.95 compared with 42.09 ± 15.95 in the control group (t = 8.355, p < 0.001). Good knowledge levels increased from 2.5% to 35.0%, while poor knowledge declined from 62.5% to 0.0%. Anxiety levels significantly improved in the study group, with mean BAI scores decreasing from 38.68 ± 6.32 to 22.20 ± 3.91 compared with 34.28 ± 9.53 in the control group (t = 7.414, p < 0.001). Low anxiety increased from 2.5% to 62.5% in the study group compared with 7.5% to 12.5% in the control group, and severe anxiety was eliminated from 27.5% to 0.0% in the study group compared with 32.5% to 22.5% in the control group after the intervention. Conclusions: The MBSEL approach effectively enhanced women's knowledge regarding cervical cancer prevention and significantly reduced anxiety levels. Integrating mindfulness practices with social-emotional learning and health education appears to strengthen cognitive engagement and emotional regulation. Clinical Trial Registration: Registered in accordance with WHO and ICMJE standards (Trial number: PACTR202605512267205). Registration date: 29 May 2026.

The transition from nursing education to professional practice requires nurse interns to consolidate clinical competence, develop professional identity, and establish future expectations within their work environments.

This study examined the associations among perceived work environment, professional identity, and dispositional hope among nurse interns and assessed whether perceived work environment and professional identity remained independently associated with dispositional hope after adjustment for demographic and internship-related characteristics.

An analytical cross-sectional correlational study was conducted among 1450 nurse interns at Benha University Hospitals, Egypt, using a total population sampling approach. Data were collected using the Perceived Work Environment Questionnaire, Professional Identity Scale for Nursing Students, and Adult Hope Scale. Descriptive statistics, Pearson's correlation, and multiple linear regression were performed.

The mean scores were 138.42 ± 18.92 for perceived work environment, 57.84 ± 8.96 for professional identity, and 47.20 ± 5.68 for dispositional hope. Perceived work environment showed significant positive correlations with professional identity (r = 0.58, p < 0.001) and dispositional hope (r = 0.52, p < 0.001), while professional identity was also positively correlated with dispositional hope (r = 0.49, p < 0.001). In the multiple linear regression analysis, perceived work environment (β = 0.359, p < 0.001) and professional identity (β = 0.282, p < 0.001) were both positively associated with dispositional hope after adjustment for the included demographic and internship-related covariates. The overall regression model was statistically significant-F (10, 1439) = 70.054, p < 0.001-and explained 32.7% of the variance in dispositional hope (R² = 0.327; adjusted R² = 0.323).

Perceived work environment and professional identity were independently associated with dispositional hope among nurse interns. These findings underscore the relevance of structured supervision, constructive feedback, mentoring, and professional identity development within nursing education and internship programs.

In socialized health systems, prolonged waiting times for hip and knee arthroplasty lead to progressive decline in patients' health-related quality of life. This multicentre study aimed to evaluate patients' experience of the information, advice, and support received during the waiting period, and to identify which groups feel least supported.

This study was a multicentre prospective observational audit including 851 patients undergoing elective hip or knee arthroplasty across 14 hospitals in the UK. Participants completed a standardized questionnaire assessing satisfaction with nine domains of preoperative information and support, each rated on a five-point Likert scale. Composite scores for information and advice and support were generated, and associations with demographic, clinical, and psychosocial variables were examined using multivariable linear regression.

Overall satisfaction was moderate. Patients were generally well informed about their condition (mean 4.14 (SD 0.92)) and operation (mean 4.34 (SD 0.88)), but less satisfied with support for weight management (mean 3.49 (SD 0.98)), general health (mean 3.54 (SD 1.01)), and mental wellbeing (mean 3.46 (SD 1.02), p < 0.001). Older age, obesity, socioeconomic deprivation, and new physical or mental health diagnoses were associated with lower satisfaction, though most effects were small. Larger effects were seen between self-reported deterioration in health and quality of life and dissatisfaction with waiting time. Almost half of the patients reported opioid use, and most described worsening function and activity while waiting.

Patients awaiting hip or knee arthroplasty experience substantial physical and psychological decline, compounded by limited holistic support. While procedural information is generally adequate, guidance on lifestyle, wellbeing, and self-management is lacking. The waiting period should be reframed as an active phase of care, with coordinated, multidisciplinary input and clearer responsibility among care providers to ensure patients receive appropriate support.

Perimenopause is a natural midlife transition characterized by hormonal and neurological changes that disrupt thermoregulation and circadian sleep-wake regulation, thereby contributing to sleep disturbances. These disturbances are associated with poorer mental health, increased cardiometabolic risk, reduced work productivity, and lower quality of life (QoL). Treatment options include hormonal and nonhormonal therapies, with complementary and alternative medicine (CAM) representing a commonly used nonhormonal approach. However, the evidence supporting CAM for perimenopausal sleep disturbances remains unclear. This scoping review mapped the available literature on CAM interventions for sleep disturbances in healthy perimenopausal women. The Joanna Briggs Institute (JBI) methodology and Preferred Reporting Items for Systematic Reviews and Meta-Analyses Extension for Scoping Reviews (PRISMA-ScR) guidelines were followed. Comprehensive searches were performed in PubMed, CINAHL, Scopus, Cochrane Library, and Web of Science for English-language studies published between 2014 and 2024. Four reviewers independently screened records and full texts using Covidence, with disagreements resolved by consensus. Data from eligible studies were charted and synthesized descriptively by CAM modality, study design, and the direction of sleep-related outcomes. Thirty-two studies, primarily randomized controlled trials (RCTs), were included, with most reporting improvements in sleep quality. However, substantial heterogeneity in interventions, outcome measures, and study quality limits the strength of recommendations. Larger, standardized trials with objective sleep assessments, more rigorous study designs, greater population diversity, and longer follow-up periods are needed.

The gig economy has become an innovative employment model with the potential to enhance workforce flexibility and support healthcare delivery. However, concerns regarding employment security, professional regulation, and continuity of care remain. Understanding how future nurses perceive this evolving employment model is important because these perceptions may influence future career decisions and the adoption of flexible workforce strategies. This study aimed to identify distinct latent profiles of nursing students based on their perceptions of gig economy employment and to examine factors associated with profile membership.

We performed a cross-sectional survey among undergraduate nursing students in four public universities in Riyadh, Saudi Arabia. All eligible undergraduate nursing students who registered during the study period were invited to participate. Data were collected using a structured self-administered questionnaire. The questionnaire assessed nursing challenges, gig economy characteristics, gig economy perceptions, perceived benefits, and perceived impact. Model selection was based on information criteria, entropy, the bootstrap likelihood ratio test (BLRT), profile size, and interpretability. Multinomial logistic regression was performed to identify factors associated with latent profile membership.

A total of 291 nursing students were included in the analysis. Although the four-profile solution showed slightly better information criteria and higher entropy, these improvements were modest and were accompanied by increased model complexity. Considering the overall balance between statistical fit, profile size, parsimony, and substantive interpretability, the three-profile solution was selected for subsequent analyses, comprising Gig Economy Enthusiasts (39.2%), Pragmatic Evaluators (37.8%), and Personal Impact-Oriented Supporters (23.0%). Compared to Gig Economy Enthusiasts, higher perceived nursing challenges were significantly associated with increased odds of belonging to the Pragmatic Evaluators profile (OR = 2.12, 95% CI: 1.23 to 3.67). Nationality, age, and sex were not significantly associated with membership in this profile. Similarly, higher nursing challenge scores were independently associated with membership in the Personal Impact-Oriented Supporters profile (OR = 2.48, 95% CI: 1.31 to 4.69).

Nursing students showed heterogeneous perceptions of gig economy employment, with three distinct attitudinal profiles identified. The findings highlight the importance of incorporating flexible employment concepts into nursing education and workforce planning while addressing concerns related to nursing practice.

Research on learning has often focused on ability, motivation, self-regulation, and performance, but these approaches do not fully explain why students within the same educational system may appraise learning in markedly different ways. To address this gap, this article proposes Decent Learning Theory (DLT) to explain adolescents' perceived decent learning from a structural-psychological perspective. DLT draws on educational psychology, developmental psychology, the sociology of education, intersectionality theory, and the Psychology of Working Theory. It proposes that structural educational conditions and the relational school environment may contribute to perceived decent learning partly through three proximal psychological mechanisms: learning safety, learning belonging, and meaning in learning. Perceived decent learning is defined as students' overall appraisal of whether learning preserves dignity, operates through procedurally fair arrangements, and supports sustainable development. DLT further positions motivational internalization as a downstream mechanism through which perceived decent learning may contribute to behavioral, psychological, and developmental functioning, while allowing for residual direct associations. The theory provides a set of testable propositions and a framework for measurement development, longitudinal and multilevel research, educational practice, and policy.

Safeguarding in dance is an under-recognized public health policy issue, characterized by inconsistent implementation and limited regulation. Drawing on public health frameworks, we conceptualize safeguarding-related harms through a biopsychosocial lens, encompassing physical, psychological, and social impacts. These harms are shaped by interacting factors across individual, interpersonal, organizational, and structural levels. The absence of systemic surveillance and regulatory oversight limits prevention, early intervention, monitoring, and evaluation of safeguarding practices. We propose six complementary policy actions: national surveillance systems, safeguarding audits, a quality mark, clear reporting frameworks, funding-linked accountability, and trauma- and violence-informed care. Together, these actions provide a coordinated, systems-level response, improving accountability, and promoting safe, healthy, and more equitable dance participation.

Aim: This study aimed to develop and validate the Ukrainian Breast and Cervical Cancer Screening Questionnaire (UBC-SQ) to assess women's believes, behavior, knowledge and practices toward breast cancer and cervical cancer screening.

Materials and Methods: The validation study was conducted between June 2023 and January 2024 in Uzhhorod, Ukraine, among women aged 21-74, recruited through social centers for internally displaced persons and a family medicine clinic. Participants completed the questionnaire either online or on paper.

Results: The UBC-SQ was adapted from the two prototypes about breast and cervical cancer screening behaviour using translation and back-translation. Content validity was confirmed by expert review (CVR ≥ 0.62, CVI ≥ 0.79). External validity was assessed through item impact scores (IIS ≥ 1.5). Reliability was evaluated using test-retest (Weighted Kappa ≥ 0.3) and internal consistency (Cronbach's alpha ≥ 0.7).

Conclusions: The UBC-SQ is a valid, reliable, and culturally appropriate tool for assessing BC and CC screening believes, behavior, knowledge and practices in Ukrainian women.