Physical restraints in nursing homes: A qualitative study with multiple stakeholders.

AIM: This study aims to understand the perceptions regarding physical restraints of the elder-care professional's stakeholders. DESIGN: A qualitative methodology was employed. METHODS: Semi-structured interviews were conducted with a convenient sample of 19 participants, which included nursing homes' managers, nurses and physicians; law, ethics, quality or patient rights' protection experts in care and public servers with responsibilities in the field. The data were collected, recorded and verbatim transcribed. A thematic analysis approach was used to analyse the data. RESULTS: Three main themes emerged: the use of restraints, organizational issues and regulation. Although professionals involved in nursing care agree that improvements have been made, they highlight the negative impact of restraints and the need for a change in culture about their use. Yet, they have concerns about the 'zero restraints' feasibility, with divergent views on the need for a stronger regulatory framework.

Psychopathological aspects of sexting and IBSA perpetrators: A brief research report.

Introduction: IBSA has been defined as taking, distributing, and/or making threats to distribute, a sexual image without a person's consent, and up to date there is still limited research on IBSA perpetration and characteristics of IBSA perpetrators. Thus, the aim of this study was to identify characteristics of IBSA perpetrators, in order to guide future intervention and prevention programs. Methods: An online survey was conducted regarding IBSA related behaviors and psychopathology. The original sample comprised 1,370 Spanish college students (74% females). Results: The IBSA perpetrator subsample comprised 284 participants (49.5% females). Our findings indicate that perpetrators are more commonly males, with higher psychopathology scores, especially in hostility scales, with previous IBSA victimization experiences, and who usually target friends, to have fun or as a joke, or partners, to flirt. Furthermore, when examining intragroup differences regarding perpetration level of severity, results showed that those who reported engaging in the most severe forms of IBSA reported higher rates of psychopathology and hostility. Yet, to intervene in those who present more severe behaviors, we must also pay attention to depression, somatization and sleep disturbances. Conclusions: IBSA perpetrators share key factors that could be targeted in forensic and clinical interventions, and that should be taken into account when designing effective offender intervention programs. Intervention programs should focus on anger-management issues that help reduce perpetrators' hostility and anxiety symptoms, and should also be aimed at modifying attitudes that justify perpetration behaviors and contribute to harmful interactions with their friends or to intimate partner violent dynamics.

COVID-19 Pandemic Psychological Impact and Volunteering Experience Perceptions of Medical Students after 2 Years.

Undergraduate healthcare students were mobilized to support healthcare systems during the COVID-19 pandemic, but we have scarce information regarding their experience and its impact on their wellbeing. An anonymous online survey was conducted among undergraduate students and recently graduated physicians of a medical university in Spain, regarding their symptoms and volunteering experience during the initial months of the Spanish COVID-19 pandemic. Respondents showed a high prevalence of perceived stress, anxiety, and depressive symptoms, measured by the PHQ-9 and GAD-7. 14.5% reported healthcare-related volunteering tasks. Volunteering was a satisfactory experience for most of the respondents and the majority felt ready to do volunteering tasks (66.6%). Yet, 16.6% acknowledged not getting appropriate specific-task education before starting, 20.8% reported not having appropriate supervision, and 33.3% feel they did not have proper protective equipment. More than half of volunteers feared getting infected, more than 70% feared infecting their relatives or friends, and 54.2% reported stigmatization. Volunteers showed significantly higher stress, anxiety, and depression scores than the rest of the respondents, and 32% reported a highly traumatic event during volunteering, with high scores on the IES-R in the 16% of volunteers. Our results should help guide future potential volunteering processes in emergencies, enhance academic programs at medical schools and provide valuable data for psychological support services.

Exploring Sexting and Online Sexual Victimization during the COVID-19 Pandemic Lockdown.

The COVID-19 pandemic lockdown has impacted daily routines, forcing people to stop socializing in person and changing the way people express their feelings and their romantic or sexual interactions. Social distancing has changed the way people behave online, and we expect that engagement in sexting and online sexual victimization behaviors have increased during lockdown. The aim of this paper is to study the prevalence of sexting and online sexual victimization behaviors during the COVID-19 lockdown in Spanish adults in order to explore how social distancing has affected these behaviors. The sample comprised 293 Spanish adults (mean age = 30.3; 66.2% female) who took part in an online survey about their engagement in sexting behaviors and online sexual victimization experiences. Overall results were apparently not supportive of our main hypothesis, showing that both sexting engagement and online sexual victimization decreased during lockdown despite the increase in internet use. Apart from differences in time period of reference, some alternative hypotheses relate to the increased presence of capable guardians according to the routine activities theory and to forced distance as a demotivation to sext. Possible explanations and hypotheses for these results are discussed further in the paper.

Victimization as a Result of Non-Consensual Dissemination of Sexting and Psychopathology Correlates: An Exploratory Analysis.

Sexting is generally known as creating, sending and/or forwarding of sexual content using electronic devices. When such content is non-consensually disseminated, it becomes a criminally relevant behavior. To date, very few empirical studies have examined the prevalence of non-consensual dissemination of sexting, and none of them have analyzed the relationship with psychopathology and further victimization outcomes. Therefore, the aims of this study were (1) to examine the prevalence of non-consensual dissemination of sexual content, (2) to analyze the prevalence of further victimization as a result of non-consensual dissemination of sexting and (3) to investigate the association between secondary victimization as a result of non-consensual dissemination of sexting and psychopathology. The sample comprised 1370 Spanish college students (73.6% female; mean age = 21.4 years; SD = 4.85) who answered an online survey about their engagement in sexting behaviors, online sexual victimization and psychopathology, measured by a sexting scale and the Listado de Síntomas Breve (LSB-50), respectively. Overall, 43 participants (3.14) were victims of non-consensual dissemination of sexting, and results showed those participants who had suffered further victimization reported higher psychopathology scores than those who were not victimized and that being victimized by an ex-partner was associated with poorer mental health outcomes in the victim. Further implications are discussed.

Cross-Cultural Differences in Sexting Practices between American and Spanish University Students.

Despite the growing body of research regarding sexting and online sexual victimization, there is little evidence exploring cultural differences in association with those behaviors. The aim of this study was to examine cultural differences in sexting practices by comparing an American sample and a Spanish sample of university students. The original sample was composed of 1799 college students, including 1386 Spanish college students and 413 American Students, with 74% of female participants, and ages ranging from 18 to 64 years old (mean age = 21.26, SD= 4.61). Results indicate that American students sext more than Spanish students and have higher probabilities of being victims of nonconsensual dissemination of their sexual content. However, Spanish students receive more sexts than American students. Although our results show differences between the Spanish and the American samples that might be modulated by cultural factors, the vulnerability of females regarding sexting remains unchanged. Additionally, differences in specific characteristics of the behaviors (such as perceived risk, receiver of the sexual content, intensity of the sexual content, and motive for sexting) were also studied. Further results and implications are discussed in relation to cultural differences.

Sexting, Online Sexual Victimization, and Psychopathology Correlates by Sex: Depression, Anxiety, and Global Psychopathology.

Recent research on sexting highlighted a relationship between this new technology-mediated behavior and psychopathology correlates, although up to date results are mixed, and so far, studies have often used simple and not clinically validated measures of mental health. This study aimed to investigate sexting behaviors, online sexual victimization, and related mental health correlates using clinically validated measures for global psychopathology, anxiety, and depression; and doing so separately for men and women. The sample consisted of 1370 Spanish college students (73.6% female; 21.4 mean age; SD = 4.85) who took part in an online survey about their engagement in sexting behaviors, online sexual victimization behaviors, and psychopathological symptomatology, measured by a sexting scale and the Listado de Síntomas Breve (brief symptom checklist) (LSB-50), respectively. Out of our total sample, 37.1% of participants had created and sent their own sexual content (active sexting), 60.3% had received sexual content (passive sexting), and 35.5% had both sent and received sexual content, with significant differences between male and female engagement in passive sexting. No differences were found between men and women in the prevalence of their victimization by nonconsensual dissemination of sexual content; however, women were more pressured and threatened into sexting than men. Sex differences in psychopathology were found only for depression prevalence rates but not for global psychopathology or anxiety. Furthermore, for male participants, our results showed a significant association only between online sexual victimization and psychopathology but not for consensual active and passive sexting. However, for the female participants, active sexting, passive sexting, and online sexual victimization were all associated with poorer mental health. Implications for prevention and intervention are discussed.

Sexting, Mental Health, and Victimization Among Adolescents: A Literature Review.

The practice of creating and sharing sexual images via technological devices, known as sexting, has received crescent attention in the past years, especially due to the increase of adolescent engagement in this behavior. Although consensual sexting is not prima facie a crime, as some research has shown, it has the potential to be a risky behavior, and a threshold to get exposure to dangerous kinds of victimization as sextortion, online grooming or cyberbullying. In this context, teenagers represent a vulnerable group due to their limited ability of self-regulation, their high susceptibility to peer pressure, their technophilia, and their growing sexual curiosity. The present paper aims to review the scientific literature to analyze the relationship between mental health and sexting as a potentially risky behavior and its association with online victimization. The results and implications will be discussed.