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Objetivo: analisar as implicações da Doença Renal Crônica na vida da pessoa em tratamento dialítico. Método: Estudo qualitativo realizado por meio de entrevistas com pessoas com essa condição atendidas em um serviço de hemodiálise; Os dados foram submetidos à análise de Bardin. Resultados: A perda crônica da função renal impactou diversos aspectos da vida de uma pessoa, além das mudanças fisiológicas, incluindo sua autonomia e integração às atividades profissionais. Alterações nas relações físicas e emocionais são relatadas com desconforto; O impacto familiar reflete os ajustes necessários a essa nova condição. Conclusão: a vivência das perspectivas do processo de cronicidade pela insuficiência renal assume contornos singulares a depender da história de vida, do apoio familiar e da assistência a que a pessoa tem acesso. O conhecimento das necessidades de saúde pode apoiar a produção de cuidados com vistas a ampliar o suporte para adaptações à doença.

Objective: to analyze the implications of Chronic Kidney Disease in the lives of individuals undergoing dialysis. Method: qualitative study conducted through interviews with individuals with this condition treated at a hemodialysis service; the data were subjected to Bardin analysis. Results: chronic loss of kidney function has impacted several aspects of the individual's life, in addition to physiological changes, including their autonomy and inclusion in professional activities. Changes in physical and emotional relationships are reported as discomfort; the family repercussion reflects the adjustments required for this new condition. Conclusion: the experience of the process of chronic illness due to kidney failure acquires unique perspectives outlined by the individual's life history, support, and family assistance to which the individual has access. Knowledge of health needs can support the production of care with a view to expanding support for adaptations to the disease.

Objetivo: analizar las implicaciones de la Enfermedad Renal Crónica en la vida de una persona en tratamiento de diálisis. Método: estudio cualitativo realizado a través de entrevistas a personas con esta condición atendidas en un servicio de hemodiálisis; Los datos fueron sometidos al análisis de Bardin. Resultados: la pérdida crónica de la función renal ha impactado diversos aspectos de la vida de una persona, además de los cambios fisiológicos, incluida su autonomía e inserción en actividades profesionales. Los cambios en las relaciones corporales y emocionales se reportan con malestar; El impacto familiar refleja los ajustes necesarios a esta nueva condición. Conclusión: la vivencia de las perspectivas del proceso de cronicidad por insuficiencia renal adquiere contornos singulares en función de la historia de vida, del apoyo familiar y de la asistencia a la que la persona tiene acceso. El conocimiento de las necesidades de salud puede subsidiar la producción de cuidados con vistas a ampliar el soporte a las adaptaciones a la enfermedad.

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Objetivo: Determinar la relación que existe entre el estrés y el desempeño académico en estudiantes universitarios en una universidad pública. Material y métodos:Estudio relacional, enfoque cuantitativo, no experimental, participaron 217 estudiantes universitarios,utilizándose como instrumento el Inventario SISCO de confiabilidad Alfa Cronbach con 0,906 que analizó el estrés académico. Para analizar el desempeño académico se obtuvo los promedios ponderados de notas. Resultados:Se encontró el estrés académico de nivel medio tanto en forma global y por dimensiones: estresores académicos, reacciones físicas, psicológicas, comportamentales y estrategias de afrontamiento. El desempeño académico fue bueno mayoritariamente .La prueba estadística de Rho Spearman determinó que existe relación significativa de las dimensiones estresores académicos, reacciones físicas y psicológicas, con el desempeño académico (p<0.05). No se encontró relación de las dimensiones reacciones comportamentales y estrategias de afrontamiento con el desempeño académico (p>0,05). Conclusiones:La relación entre el estrés y el desempeño académico en los estudiantes universitarios es significativa (p=0.019), comportándose de forma negativa (r = -0.159), es decir que, a mayor nivel de estrés, menor esel desempeño o académico.

Objectives: To determine the relationship between stress and academic performance in university students at a public university. Material and Methods:Relational study, quantitative, non-experimental approach, 217 university students participated, using the SISCO Cronbach Alpha Reliability Inventory with 0.906 as an instrument that analyzed academic stress. To analyze academic performance, weighted grade averages were obtained. Results:The results found medium-level academic stress both globally and by dimensions: academic stressors, physical, psychological, behavioral reactions and coping strategies. Academic performance was mostly good. The Rho Spearman statistical test determined that there is a significant relationship between the dimensions of academic stressors, physical and psychological reactions, and academic performance (p<0.05). No relationship was found between the dimensions of behavioral reactions and coping strategies with academic performance (p>0.05). Conclusions: The relationship between stress and academic performance in university students is significant (p=0.019), behaving negatively (r = -0.159), that is, the higher the level of stress, the lower the academic performance.

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This study examines changes in occupational performance as observed in posts by university students on a social network. Depression is prevalent in Brazil, particularly among students, impacting academic and daily functioning. Using CrowdTangle, anonymous Facebook posts were analyzed following American Occupational Therapy Association guidelines. 301 posts revealed occupational changes across seven areas defined by the association. Depressive symptoms hinder academic performance, exacerbating symptoms. Academic stress, loneliness, stigma, loss of leisure interest, and socioeconomic factors contribute to distress. Social engagement and support benefit mental health, while time constraints detrimentally affect academics, especially disadvantaged students. The study underscores the link between occupational changes, academic decline, and depression, proposing six relevant subcategories within the Education domain.

Este estudo analisa mudanças no desempenho ocupacional observadas em postagens de estudantes universitários em uma rede social. A depressão é prevalente no Brasil, principalmente entre estudantes, impactando o funcionamento acadêmico e diário. Usando o CrowdTangle, as postagens anônimas do Facebook foram analisadas seguindo as diretrizes da American Occupational Therapy Association. 301 postos revelaram mudanças ocupacionais em sete áreas definidas pela associação. Os sintomas depressivos prejudicam o desempenho acadêmico, agravando os sintomas. Estresse acadêmico, solidão, estigma, perda de interesse no lazer e fatores socioeconômicos contribuem para o sofrimento. O envolvimento e o apoio social beneficiam a saúde mental, enquanto as restrições de tempo afetam negativamente os acadêmicos, especialmente para os estudantes desfavorecidos. O estudo destaca a ligação entre mudanças ocupacionais, declínio acadêmico e depressão, propondo seis subcategorias relevantes no domínio educação.

Este estudio examina los cambios en el desempeño ocupacional observados en publicaciones de estudiantes universitarios en una red social. La depresión es prevalente en Brasil, particularmente entre los estudiantes, y afecta el funcionamiento académico y diario. Utilizando CrowdTangle, se analizaron publicaciones anónimas de Facebook siguiendo las pautas de la American Occupational Therapy Association. 301 publicaciones revelaron cambios ocupacionales en siete áreas definidas por la asociación. Los síntomas depresivos dificultan el rendimiento académico, exacerbando los síntomas. El estrés académico, la soledad, el estigma, la pérdida del interés por el ocio y los factores socioeconómicos contribuyen al malestar. El compromiso y el apoyo social benefician la salud mental, mientras que las limitaciones de tiempo afectan negativamente a lo académico, especialmente para los estudiantes desfavorecidos. El estudio subraya el vínculo entre los cambios ocupacionales, el deterioro académico y la depresión, y propone seis subcategorías relevantes dentro del dominio de Educación.

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Introduction: Cell phones have increased as a new communication technology in the modern world. Objective: To determine whether smartphone addiction is significantly associated with depression, anxiety, and stress among university nursing students in Acapulco, Guerrero, Mexico. Material and Methods: This descriptive and cross-sectional study involved 212 students who voluntarily participated. Data were collected using two questionnaires: the Smartphone Addiction Scale Short Version (SAS-SV) and the Depression Anxiety and Stress Scale (DASS-21). The information was then analyzed using descriptive statistics and linear and simple logistic regression models. Results: 46.70% (99) use their phones for more than 5 hours a day, and 38.20% (68) of the students presented smartphone addiction. Simple linear regression models showed a significant association between SAS-SV scores and DASS-21 subscale scores. Simple logistic regression models indicated that students with cell phone addiction are 2.57 times more likely to suffer from depression, 2.50 times more likely to experience anxiety, and 3.34 times more likely to suffer from stress compared to those without cell phone addiction. Discussion: Cell phone addiction was associated with such mental disorders among Mexican university students. Conclusions: These results could assist educational authorities in developing and implementing strategies to prevent depression, anxiety, and stress associated with smartphone use.

Introducción: El uso de los teléfonos móviles ha aumentado como nueva tecnología de comunicación en el mundo moderno. Objetivo: Determinar si la adicción a los teléfonos inteligentes se asocia significativamente con la depresión, la ansiedad y el estrés entre estudiantes universitarios de enfermería en Acapulco, Guerrero, México. Materiales y Métodos: Estudio descriptivo y transversal en 212 estudiantes que aceptaron voluntariamente participar en el estudio. Los datos se recopilaron mediante dos cuestionarios que incluyen la Escala de Adicción al Smartphone Versión Corta (SAS-SV) y la de Depresión, Ansiedad y Estrés (DASS-21). Posteriormente la información se analizó mediante estadísticas descriptivas, modelos de regresión lineal y logística simple. Resultados: El 46,70% (99) utiliza el teléfono más de 5 horas al día. El 38,20% (81) de los estudiantes presentó adicción a los teléfonos inteligentes. Los modelos de regresión lineal simple mostraron que las puntuaciones del SAS-SV se asociaron significativamente con las puntuaciones de las subescalas del DASS-21. Respecto a los modelos de regresión logística simple, se encontró que los estudiantes con adicción al teléfono móvil tienen 2,57 veces más probabilidad de padecer depresión, 2,50 de presentar ansiedad y 3,34 de sufrir estrés comparado con los estudiantes que no tienen adicción al teléfono móvil. Discusión: La adicción al teléfono móvil se asoció con dichos trastornos mentales en estudiantes universitarios mexicanos. Conclusiones: Los resultados del estudio podrían ayudar a las autoridades educativas a desarrollar e implementar estrategias para prevenir la depresión, la ansiedad y el estrés asociados con el uso de los teléfonos inteligentes.

Introdução: O uso de telemóveis tem aumentado como uma nova tecnologia de comunicação no mundo moderno. Objetivo: Determinar se a dependência do smartphone está significativamente associada à depressão, à ansiedade e ao stress entre estudantes universitários de enfermagem em Acapulco, Guerrero, México. Materiales e Métodos: Estudo descritivo e transversal em 212 estudantes que aceitaram voluntariamente participar no estudo. Os dados foram recolhidos através de dois questionários, incluindo a Smartphone Addiction Scale Short Version (SAS-SV) e a Depression, Anxiety and Stress Scale (DASS-21). Os dados foram depois analisados com recurso a estatísticas descritivas, regressão linear e modelos logísticos simples. Resultados: 46,70% (99) utilizam o telemóvel mais de 5 horas por dia. 38,20% (81) dos estudantes revelaram dependência do telemóvel. Os modelos de regressão linear simples mostraram que as pontuações da SAS-SV estavam significativamente associadas às pontuações da subescala DASS-21. Em relação aos modelos de regressão logística simples, verificou-se que os estudantes com dependência de telemóvel tinham 2,50 vezes mais probabilidades de ter depressão, 2,57 vezes mais probabilidades de ter ansiedade e 3,34 vezes mais probabilidades de ter stress em comparação com os estudantes sem dependência de telemóvel. Discussão: A dependência do telemóvel foi associada a estas perturbações mentais em estudantes universitários mexicanos. Conclusões: Os resultados do estudo podem ajudar as autoridades educativas a desenvolver e implementar estratégias para prevenir a depressão, a ansiedade e o stress associados à utilização de smartphones.

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l estrés académico puede presentarse en estudiantes sometidos a diversas exigencias y requisitos universitarios, provocando diferentes reacciones de estrés, físicas, psicológicas y comportamentales, reduciendo su calidad de vida y provocando consecuencias como: depresión, tristeza, fatiga y dolores de cabeza, afectando su estado nutricional. Se investigó la relación entre ingesta de alimentos y estrés académico en estudiantes del cuarto semestre de la Licenciatura en Medicina de la Universidad Autónoma de Chihuahua. La población de estudio, dado el carácter piloto de la investigación, se realizó mediante muestreo simple, aleatorio, sin reemplazo, con un diseño mixto, descriptivo, comparativo y transversal, utilizándose el cálculo del tamaño muestral con un intervalo de confianza de 95%, resultando N=117; 51 hombres y 66 mujeres entre 19 y 43 años de la generación 2019, a quienes se les aplicó el inventario SISCO de estrés académico. Se encontró mayor frecuencia en situaciones que provocan preocupación y nerviosismo, sobrecarga de tareas y trabajo, inquietud, problemas de concentración, fatiga crónica y apatía. Las estrategias más utilizadas fueron: desarrollo de planes y ejecución de tareas y capacidad asertiva. El 92.2% (n=108) de la población encuestada manifestó preocupación y nerviosismo, resultando 52,1% (n=61) en mujeres y 40.1% (n=47) en hombres. El 38.5% (n=45) de las mujeres entre 21 y 43 años, muestran una mayor relación entre aumentar o reducir el consumo de alimentos en correspondencia con sentimientos de depresión y tristeza. El estrés académico, suele estar relacionado con diferentes manifestaciones psicológicas, físicas y conductuales, que pueden influir directamente en la población estudiantil, afectando gravemente sus hábitos alimenticios y nutricionales

Academic stress can occur in students subjected to various university demands and requirements, causing different, causing different physical, psychological and behavioral reactions. Reducing quality of life and causing consequences such as: depression, sadness, fatigue and headaches, affecting their nutritional status. The relationship between food intake and academic stress was investigated in students in the fourth semester of the Bachelor of Medicine at the Autonomous University of Chihuahua. The study population, given the pilot nature of the research, was carried out through simple, random sampling, without replacement, with a mixed, descriptive, comparative and transversal design, using the sample size calculation with a 95% confidence interval resulting in N=117; 51 men and 66 women between the ages of 19 and 43, from the 2019 generation, to whom the SISCO inventory of academic stress was applied. A greater frequency was found in situations that cause worry and nervousness, overload of tasks and work, restlessness, concentration problems, chronic fatigue and listlessness. The most used strategies were plan development and execution of tasks and assertive ability. 92.2% (n=108) of the surveyed population expressed concern and nervousness, in 52.1% (n=61) women and 40.1% (n=47) men. The 38.5% (n=45) of women between 21 and 43 years old show a greater relationship between increasing or reducing food consumption in correspondence with feelings of depression and sadness. Academic stress is usually related to different psychological, physical and behavioral manifestations, which can directly influence the student population, seriously affecting their eating and nutritional habits

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Introducción: Identificar el nivel de adaptación da las pautas del efecto que tuvo la pandemia de COVID-19 en los adultos mayores, así como determinar si hubo relación con el estrés. Objetivo: Analizar la relación del nivel de adaptación y el estrés percibido en adultos mayores ante la pandemia de COVID-19 en tres municipios del Estado de Hidalgo. Material y métodos: Estudio transversal y de alcance correlacional realizado en una muestra no probabilística por conveniencia de 375 adultos mayores. El estudio contó con la aprobación del comité de ética y los participantes firmaron carta de consentimiento informado previo a su participación. Se empleó la Escala de Estrés Percibido para medir el grado de estrés de los participantes. Se utilizó el instrumento de Adaptación del Adulto Mayor Activo, que evalúa los modos adaptativos fisiológico, autoconcepto, interdependencia y función del rol. Resultados: La media de edad de los participantes fue de 68.7 años con una desviación estándar de ± 7.8 años, 53. 3% de los participantes fueron mujeres. Se observó una correlación baja entre el nivel de adaptación y el estrés percibido. Discusión: El 58% de adultos mayores reportan estrés, además, se observa alta adaptación fisiológica e integración en roles, pero diferencias en autoconcepto e interdependencia, posiblemente impactadas por el COVID-19. Conclusión: Existe una relación entre el nivel de adaptación y el estrés en los adultos mayores ante la pandemia de COVID-19 en tres municipios del Estado de Hidalgo.

Introduction: Identifying the level of adaptation gives patterns of the effect that the COVID-19 pandemic had on older adults, as well as determining if there was a relationship with stress. Objective: To analyze the relationship between the level of adaptation and perceived stress in older adults during the COVID-19 pandemic in three municipalities of the State of Hidalgo. Material and methods: Cross-sectional and correlational study conducted in a non-probabilistic convenience sample of 375 older adults. The study was approved by the ethics committee and participants signed a letter of informed consent before participation. The Perceived Stress Scale was used to measure the degree of stress of the participants. The Adaptation of the Active Older Adult instrument was used, which assesses physiological adaptive modes, self-concept, interdependence, and role function. Results: The mean age of the participants was 68.7 years with a standard deviation of ± 7.8 years, 53.3% of the participants were female. A low correlation was observed between the level of adaptation and perceived stress. Discussion: 58% of older adults report stress; in addition, high physiological adaptation and role integration are observed, but with differences in self-concept and interdependence, possibly impacted by COVID-19. Conclusion: There is a relationship between the level of adaptation and stress in older adults during the COVID-19 pandemic in three municipalities of the State of Hidalgo.

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Introducción: el bienestar de una embarazada debe considerarse de manera integral desde el punto de vista biológico, mental y social. Objetivos: determinar la frecuencia de episodio depresivo mayor actual (EDMA), EDM recidivante (EDMR) y trastorno de ansiedad generalizada actual (TAGA) en embarazadas, asociar esas frecuencias con factores sociodemográficos y con acontecimientos vitales estresantes (AVE) en el embarazo. Metodología: se realizó un estudio descriptivo, transversal, a 67 embarazadas en un hospital público de San Miguel de Tucumán, en el año 2022. Se aplicaron una encuesta, la Mini International Neuropsychiatric Interview y una escala breve de AVE. Se solicitó consentimiento informado escrito, garantizando confidencialidad y anonimato. Se realizó análisis de asociación considerando significativo p ≤ 0,05. Resultados: la edad promedio fue de 28 ± 5,93 años. El 6% (4) informó tener antecedentes personales y el 10% (7) antecedentes familiares de problemas de salud mental. Asimismo, el 19% (13) de las participantes presentó TA GA, mientras que el 51% (34) presentó EDMA y de estos el 29% (10) era un episodio recidivante. Se encontró asociación significativa entre la frecuencia de TAGA y cantidad de AVE durante el embarazo (p = 0,018), pero no se encontró dicha asociación entre TDMA y AVE (p = 0,091). Así también, se observó asociación significativa entre TAGA y cantidad de hijos (p = 0,013).Discusión: los valores observados de trastorno de ansiedad generalizada actual y episodio depresivo mayor actual en embarazadas coinciden con la bibliografía a nivel mundial. La asociación significativa entre trastorno de ansiedad y acontecimientos vitales estresantes destaca la importancia de considerar el estrés en la salud mental materna. Conclusión: la frecuencia elevada de psicopatologías encontradas resalta la necesidad de diseñar, en atención primaria, estrategias de intervención para promover un embarazo saludable; estas podrían incluir la aplicación de instrumentos breves, como los empleados en este estudio, para tamizaje (screening) de psicopatologías. (AU)

Introduction: The well-being of a pregnant woman must beconsidered holistically from abiological, mentaland social point of view. The objectives of this study were to determine the frequency of Current Major Depressive Episode (CMDE), Recurrent Major Depressive Episode (RMDE), and Current Generalized Anxiety Disorder (CGAD) in pregnant women; to associate these frequencies with sociodemographic factors; and to examine the association with Stressful Life Events (SLE) during pregnancy. Methodology: A descriptive cross-sectional study was conducted on 67 pregnant women in a public hospital in San Miguel de Tucumán in the year 2022. A survey, the Mini International Neuropsychiatric Interview, and a brief SLE scale were administered. Written informed consent was obtained, ensuring confidentiality and anonymity. Association analysis was performed considering p≤0.05 as significant. Results: The average age was 28±5.93 years. Six percent (4) reported a personal history, and 10% (7) reported a family history of mental health problems. Additionally, 19% (13) of participants exhibited CGAD, while 51% (34) presented CMDE, with 29% (10) being recurrent episodes. A significant association was found between the frequency of CGAD and the number of SLE during pregnancy (p=0.018), whereas no such association was found between CMDE and SLE (p=0.091). Furthermore, a significant association was observed between CGAD and the number of children (p=0.013).Discussion: The observed values of Current Generalized Anxiety Disorder and Current Major Depressive Episode in pregnant women coincides with the literature worldwide. The significant association between Anxiety Disorder and Stressful Life Events highlights the importance of considering stress in maternal mental health. Conclusion: The high frequency of psychopathologies emphasizes the need to design primary care interventions to promote a healthy pregnancy. These interventions could include the use of brief instruments, as employed in this study, for screening psychopathologies. (AU)

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Objetivo: identificar el estrés académico en los estudiantes de segundo año de Licenciatura en Enfermería ante el Examen Clínico Objetivo Estructurado. Metodología: descriptivo, transversal. Muestreo no probabilístico por conveniencia. La muestra total fue de 65 alumnos aplicada a través de encuestas a estudiantes que se encuentran cursando el segundo año de la carrera de Licenciatura en Enfermería. Las variables se agruparon en sociodemográficas, asignaturas cursadas, nivel de estrés académico, situaciones estresantes, síntomas físicos, síntomas psicológicos, reacciones comportamientos, estrategia de afrontamiento. Resultado: estudiantes manifestaron en un 63% la percepción del nivel de estrés; 54% identificaron sobrecarga de tareas y las evaluaciones de los profesores; somnolencia o mayor necesidad de dormir un 54%; identificaron sentimientos de angustia, ansiedad o desesperación un 46%; problemas en la alimentación relacionados con el aumento o disminución en el consumo de alimentos habituales un 51%; estrategia más aplicada ante situaciones de estrés fue la elaboración de un plan y ejecución de sus tareas 51%. Conclusiones: a través de este estudio se pudo evidenciar que la enseñanza en el nivel universitario, también debe incluir educación sobre estrategias de control en situaciones estresantes, del mismo modo que se debe instruir a los docentes para identificar manifestaciones de estrés y aplicar acciones de fortalecimiento y de seguridad hacia el estudiante (AU)

Objective: identify academic stress in second-year Bachelor of Nursing students before the Structured Objective Clinical Examination. Methodology: descriptive, transversal. Nonprobability sampling for convenience. The total sample was 65 students applied through surveys to students who are studying the second year of their Bachelor's Degree in Nursing. The variables were grouped into sociodemographics, subjects taken, academic stress level, stressful situations, physical symptoms, psychological symptoms, behavioral reactions, and coping strategy. Result: students expressed 63% of their perceived level of stress; 54% identified overload and teacher evaluations; drowsiness or greater need to sleep 54%; 46% identified feelings of anguish, anxiety or despair; eating problems related to the increase or decrease in the consumption of usual foods 51%; strategy most applied in stressful situations: the development of a plan and execution of tasks 51%. Conclusions: through this study, it was evident that teaching at the university level should also include education on control strategies in stressful situations, in the same .way that teachers should be instructed to identify manifestations of stress and apply strengthening and recovery actions. safety towards the student (AU)

Objetivo: identificar o estresse acadêmico em estudantes do segundo ano do Bacharelado em Enfermagem antes do Exame Clínico Objetivo Estruturado. Metodologia: descritiva, transversal. Amostragem não probabilística por conveniência. A amostra total foi de 65 estudantes aplicados através de inquéritos a estudantes que cursam o segundo ano do Bacharelado em Enfermagem. As variáveis foram agrupadas em dados sociodemográficos, disciplinas cursadas, nível de estresse acadêmico, situações estressantes, sintomas físicos, sintomas psicológicos, reações comportamentais e estratégia de enfrentamento. Resultado: os estudantes expressaram 63% do seu nível percebido de estresse; 54% identificaram sobrecarga de tarefas e avaliações dos professores; sonolência ou maior necessidade de dormir 54%; 46% identificaram sentimentos de angústia, ansiedade ou desespero; problemas alimentares relacionados ao aumento ou diminuição do consumo de alimentos habituais 51%; estratégia mais aplicada em situações estressantes: o desenvolvimento de um plano e execução de tarefas 51%. Conclusões: por meio deste estudo, ficou evidente que o ensino em nível universitário também deveria incluir a educação sobre estratégias de controle em situações estressantes, da mesma forma que os professores deveriam ser orientados a identificar manifestações de estresse e aplicar ações de fortalecimento e recuperação de segurança ao aluno (AU)

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Introdução: O prolongamento da longevidade humana aumentou a ocorrência de idosos dependentes de cuidados, surgindo a figura do cuidador informal. Atualmente, esta competência assistencial pode ser exercida por outra pessoa idosa, justamente pelo aumento da expectativa de vida. Por ser uma atividade em geral solitária, o exercício de cuidar pode ter como consequência a sobrecarga. Objetivos: Analisar a sobrecarga e depressão em idosos que se identificam como cuidadores informais de outros idosos acompanhados na Atenção Primária à Saúde (APS), verificar o índice de funcionalidade do idoso dependente e analisar associações entre as variáveis sobrecarga, sintomas depressivos do cuidador e nível de funcionalidade da pessoa que recebe os cuidados. Método: Foi realizada uma pesquisa de campo quantitativa e aplicação da Escala de Depressão Geriátrica Abreviada, Inventário de Sobrecarga de Zarit e Índice de Funcionalidade de Barthel em 33 idosos, cadastrados em Unidades de Saúde da Família e que se identificaram comocuidadores informais. Resultado: Os participantes foram na maioria mulheres (78,8%), com idade média de 68,1 anos (dp=7,1). O percentual de idosos com sintomas depressivos foi significativamente maior entre aqueles que apresentaram sobrecarga de moderada a grave (p=0,01). Conclusão: Esta situação pode ter consequências para a saúde do cuidador e da pessoa que recebe o cuidado. Destaca-se a potencialidade do contexto da APS para identificação das necessidades de cuidado e atenção às demandas desta população.(AU)

Introduction: The prolongation of human longevity has increased the occurrence of care-dependent elderly, giving rise to the figure of the informal caregiver. Currently, this care competence can be exercised by another elderly person, precisely because of the increase in life expectancy. Because it is a solitary activity in general, the exercise of caring can result in overload. Objectives: To analyze burden and depression in older adults who identify themselves as informal caregivers of other older adults followed up in Primary Health Care (PHC), to verify the functionality index of the dependent elderly and to analyze associations between the variables burden, depressive symptoms of the caregiver and level of functionality of the person receiving care. Method: A quantitative field research was carried out and the application of the Abbreviated Geriatric Depression Scale, Zarit's Burden Inventory and Barthel's Functionality Index was carried out in 33 older adults, registered in Family Health Units and who identified themselves as informal caregivers. Results: The participants were mostly women (78.8%), with a mean age of 68.1 years (SD=7.1). The percentage of older adults with depressive symptoms was significantly higher among those with moderate to severe burden (p=0.01). Conclusion: This situation can have consequences for the health of the caregiver and the person receiving care. The potential of the PHC context to identify the needs ofcare and attention to the demands of this population is highlighted.(AU)

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SUMMARY: We evaluated the role and mechanism of acteoside in the regulation of memory impairment induced by chronic unpredictable mild stress (CUMS). CUMS was used to induce depression in rats and the successful establishment of CUMS model were verified by forced swimming test and sucrose preference test. The Y-maze test and novel object recognition test assessed memory functions. The structural changes in the cortex and hippocampus were observed by hematoxylin and eosin (HE) staining. Immunofluorescence staining and western blotting determined the protein levels. Y-maze test and novel object recognition test showed that there was memory performance impairment in rats of CUMS group, which was improved by the acteoside treatment. HE staining showed that CUMS exposure damaged the structure in the cortex and hippocampus, while the acteoside treatment alleviated the structural changes. Compared with the control group, the levels of BNDF and CREB in the cortex and hippocampus of the CUMS group were significantly decreased. Acteoside significantly reversed the expressions of these proteins in CUMS rats. Meanwhile, compared with the control group, the levels of p-mTOR and p- P70S6K in the cortex and hippocampus of the CUMS group were significantly increased, and these changes were significantly reversed by acteoside. Nevertheless, the effect of acteoside on mTOR signaling was markedly blocked by rapamycin, a specific inhibitor of mTOR signaling. Acteoside can attenuate memory impairment and ameliorate neuronal damage and synaptic plasticity in depression rats probably via inhibiting the mTOR signaling pathway. Acteoside may serve as a novel reagent for the prevention of depression.

Evaluamos el papel y el mecanismo del acteoside en la regulación del deterioro de la memoria inducido por estrés leve crónico impredecible (ELCI). Se utilizó ELCI para inducir depresión en ratas y el establecimiento exitoso del modelo ELCI se verificó mediante una prueba de natación forzada y una prueba de preferencia de sacarosa. La prueba del laberinto en Y y la prueba de reconocimiento de objetos novedosos evaluaron las funciones de la memoria. Los cambios estructurales en la corteza y el hipocampo se observaron mediante tinción con hematoxilina y eosina (HE). La tinción por inmunofluorescencia y la transferencia Western determinaron los niveles de proteína. La prueba del laberinto en Y y la prueba de reconocimiento de objetos novedosos mostraron que había un deterioro del rendimiento de la memoria en ratas del grupo ELCI, que mejoró con el tratamiento con acteósidos. La tinción con HE mostró que la exposición a ELCI dañó la estructura de la corteza y el hipocampo, mientras que el tratamiento con actósidos alivió los cambios estructurales. En comparación con el grupo de control, los niveles de BNDF y CREB en la corteza y el hipocampo del grupo ELCI disminuyeron significativamente. Acteoside revirtió significativamente las expresiones de estas proteínas en ratas ELCI. Mientras tanto, en comparación con el grupo control, los niveles de p-mTOR y p-P70S6K en la corteza y el hipocampo del grupo ELCI aumentaron significativamente, y estos cambios fueron revertidos significativamente ELCI por el acteoside. Sin embargo, el efecto del acteoside sobre la señalización de mTOR fue notablemente bloqueado por la rapamicina, un inhibidor específico de la señalización de mTOR. El acteoside puede atenuar el deterioro de la memoria y mejorar el daño neuronal y la plasticidad sináptica en ratas con depresión, probablemente mediante la inhibición de la vía de señalización mTOR. Acteoside puede servir como un reactivo novedoso para la prevención de la depresión.

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sO cenário advindo como consequência da pandemia de covid-19 acarretou diversas mudanças na vida dos profissionais de saúde. A percepção desse grupo torna-se indispensável para a compreensão do contexto, visto que esses trabalhadores são figuras essenciais no enfrentamento da doença. O objetivo deste estudo foi analisar a percepção de gestores e profissionais que atuaram durante a primeira onda da pandemia de covid-19 no município de Sobral (CE). Trata-se de uma pesquisa exploratório-descritiva, com abordagem qualitativa, feita por meio da aplicação de um instrumento de coleta de dados. O estudo foi realizado com gestores e trabalhadores que atuaram de março a dezembro de 2020 no município. A coleta foi feita no formato híbrido, com auxílio da plataforma Google Meet, fundamentada na metodologia snowball sampling e no método de saturação. Após a coleta, os discursos foram transcritos ­ utilizando a ferramenta Microsoft Word ­ e analisados ­ com suporte do software NVivo11. Foram contactados 68 profissionais. Identificou-se predominância final de enfermeiros, sexo feminino e atuantes na atenção terciária. Após análise e categorização, identificaram-se 12 unidades de registro. Foram dispostos os principais desafios e dificuldades acarretados para os processos de trabalho e suas subcategorias: a sobrecarga de trabalho e o desgaste físico; a reorganização dos serviços em resposta à nova realidade; o desconhecimento sobre a doença e seu impacto psicológico no fazer profissional; e o fator social e a dificuldade de seguimento da assistência na atenção primária. Por fim, conclui-se que os desafios identificados se inter-relacionam, repercutindo uns nos outros, e constata-se a importância de conhecer esses entraves para ações mais bem direcionadas e estratégicas.

The scenario that has arisen in response to COVID-19 has led to a variety of changes in the lives of healthcare providers. The perception of this group is essential to understanding this context since they are key figures in coping with the disease. This study aimed to analyze the perception of managers and professionals who worked during the first wave of the COVID-19 pandemic in the municipality of Sobral/CE. This is an exploratory-descriptive study with a qualitative approach that applied a collection instrument with managers and workers who worked from March to December 2020 in the municipality. Data were collected using the Snowball Smapling and the saturation method in a hybrid format using the Google Meet platform. After the collection, responses were transcribed using Microsoft Word and analyzed with the aid of NVivo11. In total, 68 professionals were contacted, with a final predominance of female nurses working in tertiary care. After analysis and categorization, 12 recording units were identified. The main challenges and difficulties for work processes and their subcategories include work overload and physical exhaustion; reorganization of services in response to the new reality; lack of knowledge about the disease and its psychological impact on professional practice; and the social factor and the difficulty of following up care in primary care. Finally, we conclude that the identified challenges are interrelated and have repercussions on each other, and that it is important to understand these obstacles to take more targeted and strategic actions.

El escenario que ha surgido en respuesta a la pandemia de la COVID-19 ha provocado diversos cambios en la vida de los profesionales de la salud. La percepción de este grupo es indispensable para comprender el contexto, ya que estos trabajadores son figuras esenciales en el enfrentamiento a la enfermedad. El objetivo de este estudio fue analizar la percepción de gestores y profesionales que actuaron durante la primera ola de la pandemia de la COVID-19 en el municipio de Sobral (Ceará, Brasil). Se trata de un estudio exploratorio-descriptivo, con enfoque cualitativo, realizado mediante la aplicación de una herramienta de recolección de datos. En esta investigación participaron gestores y trabajadores que actuaron de marzo a diciembre de 2020 en el municipio. Se realizó la recolección en formato híbrido, con ayuda de la plataforma Google Meet, basada en el método bola de nieve y en el método de saturación. Después, se transcribieron los discursos, utilizando la herramienta Microsoft Word, y se analizaron con el apoyo del software NVivo11. Se contactaron 68 profesionales. Se identificó predominio de enfermeros, mujeres y trabajadores de atención terciaria. Después del análisis y de la categorización, se identificaron 12 unidades de registro. Se presentaron los principales retos y dificultades que generan los procesos de trabajo y sus subcategorías: la sobrecarga de trabajo y el agotamiento físico; la reorganización de los servicios en respuesta a la nueva realidad; el desconocimiento de la enfermedad y su impacto psicológico en la práctica profesional; y el factor social y la dificultad de seguimiento de los cuidados en atención primaria. Finalmente, se concluye que los retos identificados están interrelacionados, impactándose entre sí, y se señala la importancia de conocer estos obstáculos para emprender acciones más específicas y estratégicas.

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Objetivo: Caracterizar los trastornos mentales de los pacientes consultantes del Servicio de Psiquiatría del Hospital Universitario de Caracas enero 2020 ­enero 2021, que acudieron por primera vez y habían presentado infección por COVID-19 3 a 6 meses antes de consultar. Métodos: Se realizó un estudio observacional, descriptivo, retrospectivo, de corte transversal en pacientes que acudieron al Servicio de Psiquiatría del Hospital Universitario de Caracas para emergencia (por primera vez y sucesivas) por presentar patologías mentales durante y posterior a infección por COVID-19 durante el periodo enero 2020-enero 2021. Resultados: De 718 pacientes, 53 que acudieron con patologías mentales habían presentado infección previa por COVID-19 representando el 7,38%. Edad promedio 27-29 años (66,03 %). La mayoría del sexo femenino (71,69 %). El 77,35 % provenían del Distrito Capital; el 18,86 % del estado Miranda, siendo el estado civil predominante la soltería con 73,58 %; el 56,60 % estaban desempleados y el 79,24 % no poseían nivel de instrucción. En relación a los diagnósticos: trastorno depresivo mayor con síntomas ansiosos (30,18 %), trastorno depresivo (18,86 %), episodio maniforme (1,88 %) episodio psicótico agudo (18,86 %), trastorno de ansiedad generalizada (7,54 %), entre otros. Conclusión: Los síntomas psiquiátricos originados por infección por COVID-19 aparecen de forma más tardía y persisten después de la infección. Las mujeres manifestaron mayor riesgo de presentar síntomas relacionados con la salud mental; se asocia a alto nivel de vulnerabilidad a causa de la influencia de los roles sociales, ciclo reproductivo y mayor morbilidad psiquiátrica(AU)

Objective: To characterize the mental disorders of the consulting patients of the Psychiatry Service of the University Hospital of Caracas January 2020 -January 2021, who came for the first time and hapresented COVID-19 infection 3 to 6 monthsbefore consulting. Methods: An observational, descriptive, retrospective, cross-sectional study was carried out in patients who attended the Psychiatry Service of the University Hospital of Caracas for emergencies (for the first time and successive ones) due to presenting mental pathologies during and after COVID-19 during the period January 2020-January 2021. Results: Of 718 patients, 53 who came with mental pathologies had previous COVID-19 infection, representing 7.38%. Average age 27-29 years(66.03%). The majority were female (71.69%). 77.35% came from the Capital District; 18.86% from the state of Miranda, with the predominant marital status being single with 73.58%; 56.60% were unemployed and 79.24% had no educational level. In relation to the diagnoses: major depressive disorder with anxious symptoms (30.18%), depressive disorder (18.86%), maniform episode (1.88%), acute psychotic episode (18.86%), generalized anxiety disorder (7.54%), among others. Conclusion: Psychiatric symptoms caused by COVID-19 infection appear later and persist after infection. Women expressed a greater risk of presenting symptoms related to mental health; It is associated with a high level of vulnerability due to the influence of social roles, reproductive cycle and greater psychiatric morbidit(AU)

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Objective.To assess the effectiveness of an educational intervention on perceived stress and metabolic syndrome parameters among adults with type 2 diabetes mellitus. Method. Fifty-one adults (aged 48.73±7.84; 86.3% of women) were included in a non-randomized clinical trial performed in a healthcare unit for six months (Brazilian Clinical Trial Registry: RBR-43K52N). All participants were diagnosed with type 2 diabetes mellitus and metabolic syndrome (intervention group, n=26; control group, n=25). The intervention consisted of a nurse-led educational health-promoting program with a multidisciplinary approach organized in seven workshops. The primary outcome was decreased perceived stress, and the secondary outcome was improvement in metabolic syndrome parameters according to perceived stress levels. These outcomes were assessed at two points in time, at the baseline and follow-up. Results. Participation in the intervention program resulted in a significant decrease in perceived stress (p=0.028). The stressed participants in the intervention group experienced a significant decrease in blood glucose levels (p=0.001) and a significant increase in high-density lipoprotein-cholesterol (p=0.003) concentrations after the six-month intervention. Conclusion.The nurse-led educational health-promoting program decreased perceived stress among adults with type 2 diabetes mellitus and metabolic syndrome, improving fasting blood glucose and high-density lipoprotein cholesterol among the stressed participants in the intervention group.

Objetivo. Evaluar la efectividad de una intervención educativa sobre el estrés percibido y los componentes del síndrome metabólico en adultos con diabetes mellitus tipo 2. Métodos. Se incluyeron 51 adultos (48.73±7.84 años; 86.3% mujeres) de un estudio no-ensayo aleatorizado realizado en una unidad de salud durante seis meses, con Registro Brasileño de Ensayos Clínicos: RBR-43K52N, todos los participantes fueron diagnosticados con diabetes mellitus tipo 2 y síndrome metabólico (grupo intervención, n=26; grupo control, n=25). La intervención consistió en un programa educativo de promoción de la salud con enfoque multidisciplinario, liderado por una enfermera, estructurado en siete talleres grupales. El resultado primario fue la reducción del estrés percibido y el secundario, la mejora de los componentes del síndrome metabólico influenciados por el nivel de estrés percibido, evaluado en dos momentos, al inicio y después del seguimiento. Resultados. La participación en el programa de intervención resultó en una reducción significativa del estrés percibido en comparación con el grupo control (p=0.028). Los participantes estresados en el grupo de intervención tuvieron, respectivamente, una disminución y un aumento significativos en las concentraciones séricas de glucosa (p=0.001) y lipoproteínas de alta densidad-colesterol (p=0.003) después de seis meses de intervención. Conclusión. Un programa educativo de promoción de la salud liderado por enfermeras fue eficiente para reducir el estrés percibido entre adultos con diabetes mellitus tipo 2 y síndrome metabólico, además de mejorar la glucemia en ayunas y el colesterol unido a lipoproteínas de alta densidad en los participantes del grupo estresado de intervención.

Objetivo. Avaliar a efetividade de uma intervenção educativa sobre o estresse percebido e os componentes da síndrome metabólica em adultos com diabetes mellitus tipo 2. Métodos. Foram incluídos 51 adultos (48.73±7.84 anos de idade; 86.3% mulheres) em um ensaio clínico não-randomizado realizado em uma unidade de saúde durante seis meses, com Registro de Ensaio Clínico Brasileiro: RBR-43K52N.Todos os participantes apresentavam diagnóstico de diabetes mellitus tipo 2 e síndrome metabólica (grupo intervenção, n=26; grupo controle, n=25). A intervenção consistiu em um programa educativo de promoção da saúde com abordagem multidisciplinar, liderado por enfermeiro, estruturado em sete oficinas em grupo. O desfecho primário foi a redução do estresse percebido, e o secundário, a melhora dos componentes da síndrome metabólica conforme influência do nível de estresse percebido, avaliados em dois momentos, na condição basal e após o acompanhamento. Resultados. A participação no programa de intervenção resultou na redução significativa do estresse percebido em comparação com o grupo controle (p=0.028). Os participantes estressados do grupo intervenção tiveram, respectivamente, diminuição e aumento significativos das concentrações séricas de glicose (p=0.001) e da lipoproteína-colesterol de alta densidade (p=0.003) após seis meses de intervenção. Conclusão. Um programa educativo de promoção da saúde liderado por enfermeiros foi eficiente para reduzir estresse percebido entre adultos com diabetes mellitus tipo 2 e síndrome metabólica, além de causar melhora da glicemia de jejum e e da lipoproteína-colesterol de alta densidade dos participantes estressados do grupo intervenção.

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SUMMARY: Temporomandibular joint dysfunction interferes with the quality of life and activities of daily living among patients. The symptoms of temporomandibular dysfunction, including pain and clicking and popping sounds, are worsened during stressful events, and patients report increased pain around the temporomandibular joint. Stress-related behaviors, such as teeth clenching and teeth grinding, are commonly reported as increasing during stress. The prevalence of temporomandibular dysfunction and stress-related behaviors is reported differently in the literature. Stress in higher education is common. The purpose of this pilot study was to investigate the prevalence of temporomandibular joint dysfunction and stress-related behaviors among staff members at a local University. The study also sought to explore pain patterns described by people experiencing temporomandibular joint dysfunction and the relationship between stress-related behaviors and pain symptoms experienced. Further, the impact of stress on symptoms experienced by people with temporomandibular dysfunction was investigated in this pilot study.

La disfunción de la articulación temporomandibular interfiere con la calidad de vida y las actividades de la vida diaria entre los pacientes. Los síntomas de la disfunción temporomandibular, incluidos el dolor y los chasquidos, empeoran durante los eventos estresantes, y los pacientes informan un aumento del dolor alrededor de la articulación temporomandibular. Los comportamientos relacionados con el estrés, como apretar y rechinar los dientes, suelen aumentar durante el estrés. La prevalencia de la disfunción temporomandibular y los comportamientos relacionados con el estrés se informa de manera diferente en la literatura. El estrés en la educación superior es común. El propósito de este estudio piloto fue investigar la prevalencia de la disfunción de la articulación temporomandibular y los comportamientos relacionados con el estrés entre los miembros del personal de una universidad local. El objetivo del estudio además fue explorar los patrones de dolor descritos por personas que experimentan disfunción de la articulación temporomandibular y la relación entre los comportamientos relacionados con el estrés y los síntomas de dolor experimentados. Además, en este estudio piloto se investigó el impacto del estrés en los síntomas que experimentan las personas con disfunción temporomandibular.

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Objetivo: analisar fatores associados à ansiedade e depressão em profissionais de saúde que prestam assistência a pacientes com COVID-19 em um hospital público de Recife. Método: estudo transversal, com aplicação de questionário online contendo variáveis sociodemográficas e relacionadas ao trabalho e instrumento escala de depressão, ansiedade e estresse. Realizadas análises descritivas das variáveis independentes e análise bivariada usando regressão linear da relação entre a variável dependente e das variáveis independentes. Resultados: 77 profissionais responderam ao questionário. A fisioterapia foi a categoria profissional associada à ansiedade, e o setor de atuação no COVID- 19 e o tempo de exercício foram associados à depressão. Conclusão: são imprescindíveis as ações de promoção da saúde mental desses profissionais, considerando, principalmente, os impactos da pandemia de COVID-19.

Aim: This article aimed to analyze factors associated with anxiety and depression in health professionals who provide care to patients with COVID-19 in Recife public hospital. Method: cross-sectional study, with the application of an online questionnaire containing sociodemographic and work-related variables and the Depression, Anxiety, and Stress Scale instrument. Descriptive analyses of the independent variables and bivariate analysis were performed using linear regression of the relationship between the dependent and the independent variables. Results: 77 professionals answered the questionnaire. Physiotherapy was the professional category associated with anxiety, and the sector of activity in COVID-19 and exercise time were associated with depression. Conclusion: actions to promote the mental health of these professionals are essential, mainly considering the impacts of the COVID-19 pandemic.

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en el artículo se analizan la depresión, variables sociodemográficas y su asociación entre ellas en adultos mayores en el Perú. Materiales y métodos: se usó un estudio transversal, descriptivo y correlacional a una submuestra de 5247 adultos mayores. Se emplearon los datos generados por la Encuesta Demográfica y de Salud (endes) del 2019, utilizando el instrumento de investigación: Patient Healtth Questionnarie (phq-9) de nueve preguntas y las variables sociodemográficas, incluidas en los cuestionarios de salud, características del hogar y la vivienda, de la endes 2019. Para el estudio estadístico se usó el modelo de regresión logística múltiple,para establecer si existía asociación entre depresión y variables sociode-mográficas. Resultados: los resultados señalan que el 15.3 % de las personas de 60 años a más presenta una depresión moderada, moderadamente severa y severa. Asimismo, se encontró que la depresión y las variables sociodemográficas (nivel de instrucción, diabetes, índice de riqueza, sexo y grupo etario) están relacionadas; sin embargo, no están relacionadas con las variables hábito de fumar, obesidad, tener pareja y lugar de residencia. Conclusiones: la depresión está relacionada con algunas variables sociodemográficas consideradas en este estudio. La depresión en adultos mayores se está convirtiendo en un significativo problema de salud pública, más frecuente en mujeres, edades avanzadas, áreas rurales, niveles socioe-conómicos bajos, menores niveles educativos, presión arterial, discapacidad y consumo problemático de alcohol; condiciones que deben tenerse en cuenta para la implementación de políticas públicas.

We analyzed depression, sociodemographic variables, and the association between them in older adults in Peru. Materials and methods: A cross-sectional, descriptive, and correlational study was conducted, including 5,247 older adults. The data was extracted from the 2019 Demographic and Health Survey (endes) using the Patient Health Questionnaire (phq-9) of nine questions. The health questionnaires also included sociodemographic variables, household characteristics, and housing-related questions. A multiple logistic regression model was used to determine if there was an association between depression and sociodemographic variables. Results: Approximately 15.3% of older adults had a history of depression (moderate, moderately severe, and severe). We identified a relationship between depression and some sociodemographic variables (education level, diabetes, wealth index, sex, and age group). However, depres-sion was not related to smoking habits, obesity, having a partner, and place of residence. Conclusions: Depression was related to some of the sociodemographic variables considered in this study. Depression in older adults is becoming a significant public health problem, more frequent in women, advanced ages, rural areas, low socioeconomic levels, lower educational levels, blood pressure, disability, and problem-atic alcohol consumption. These conditions must be considered in the implementation of public policies

Introdução: no presente artigo analisa-se a depressão, variáveis sociodemográficas e a associação entre elas em idosos no Peru. Materiais e métodos: estudo transversal, descritivo e correlacional, com uma suba-mostra de 5247 idosos. Foram utilizados os dados gerados pela "Pesquisa Demográfica e de Saúde" (do espanhol endes) do ano de 2019, utilizando como instrumento de pesquisa o: Patient Health Questionnarie (phq-9) de nove questões e as variáveis sociodemográficas, incluídas nos questionários de saúde, domiciliar e características de moradia, do endes 2019. Para o estudo estatístico, foi utilizado o modelo de regres-são logística múltipla para verificar se havia associação entre depressão e variáveis sociodemográficas. Resultados: os resultados indicam que 15,3 por cento das pessoas com 60 anos ou mais apresentam um nível de depressão moderada, moderadamente grave e grave. Da mesma forma, verificou-se que a depressão e as variáveis sociodemográficas (escolaridade, diabetes, índice de riqueza, sexo e faixa etária) estão relacionadas; entretanto, não estão relacionados com as variáveis hábito de fumar, obesidade, ter companheiro e local de residência. Conclusões: a depressão está relacionada com algumas das variáveis sociodemográficas consideradas neste estudo. A depressão em idosos está se tornando um problema sig-nificativo de saúde pública, mais frequente em mulheres, idades avançadas, áreas rurais, níveis socioeco-nómicos baixos, níveis educacionais mais baixos, pressão arterial, deficiência e consumo problemático de álcool; condições que devem ser levadas em conta para a implementação de políticas públicas.

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Introducción. El estrés en los estudiantes universitarios constituye una problemática que requiere la identificación de programas basados en evidencias que puedan ser implementadas en los contextos educativos donde asisten los educandos, uno de esos programas es el Mindfulness. Objetivos. Esta investigación busca contribuir a los conocimientos sobre la efectividad de la técnica de Reducción de Estrés Basada en Mindfulness (MBSR, por sus siglas en inglés) en una muestra paraguaya, particularmente en estudiantes de psicología, y así brindar un soporte empírico a nivel nacional sobre las técnicas basadas en Mindfulness. Materiales y Método. Para ello se realizó un estudio pre-experimental de medición pre y post test, sin grupo control, en una muestra de estudiantes de psicología. Para la recopilación de datos se utilizaron la Escala de Estrés Percibido (PSS-14) y el Cuestionario de Mindfulness de Cinco Facetas (FFMQ). Para el procesamiento y análisis de los datos recabados, se utilizó el Paquete Estadístico para las Ciencias Sociales (SPSS) versión 20,0. Se realizó un análisis descriptivo y explicativo de las variables de estudio. Resultados. Se encontró una diferencia significativa en los niveles de estrés y en los niveles de Mindfulness total, en las dimensiones de Observación, Descripción y No Juzgar. Conclusión. Los resultados sugieren que el MBSR es una intervención potencialmente útil para la reducción del estrés, pero más estudios son necesarios para comprobar su efectividad en la población general. Palabras clave: mindfulness; estrés psicológico; estudiantes

Introduction. Stress in university students is a problem that requires the identification of evidence-based programs that can be implemented in the educational contexts where students attend; one of these programs is mindfulness. Objective. This research seeks to contribute to the knowledge about the effectiveness of the Mindfulness-Based Stress Reduction (MBSR) technique in a Paraguayan sample, particularly in psychology students, and thus provide empirical support at a national level on Mindfulness-based techniques. Materials and Method. For this purpose, a pre-experimental study of pre-and post-test measurement was carried out, without a control group, in a sample of psychology students. For data collection, the Perceived Stress Scale (PSS-14) and the Five Facet Mindfulness Questionnaire (FFMQ) were used. For the processing and analysis of the data collected, the Statistical Package for Social Sciences (SPSS) version 20.0 was used. A descriptive and explanatory analysis of the study variables was performed. Results.Asignificant difference was found in the levels of stress and in the levels of total Mindfulness, in the dimensions of Observation, Description and Non-Judgment. Conclusion. The results suggest that MBSR is a potentially useful intervention for stress reduction, but further studies are needed to verify its effectiveness in the general population. Keywords: mindfulness; psychological stress; students

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@#<strong>BACKGROUND</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">The COVID-19 pandemic has significantly challenged global healthcare systems, particularly impacting the psychological health of nurses. This study examines the psychosocial impact and work-related stressors faced by Filipino nurses during the COVID-19 crisis.</p><strong>METHODS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">Adescriptive cross-sectional survey was used to gather data from May 2021 to May 2022. Participants included registered nurses recruited from across the Philippines, focusing on their exposure to work related stressors, burnout, job satisfaction, and coping activities. The survey included validated items that measured work related variables (e.g., job responsibilities, workload) and personal stress management strategies. Descriptive statistics (means, standard deviations, frequencies, and percentages) were calculated to interpret the continuous and categorical variables.</p><strong>RESULTS</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">A total of 2,229 nurses participated in the survey. Findings indicate that 78.9% of nurses experienced increased workloads, and 36% were assigned to units outside their expertise. Despite the high stress and burnout rates (30.4% reported symptoms), 56.4% of nurses intended to stay in their positions. The most common coping strategies were use of social media (53.7%) and connecting with friends and family (51.5%).</p><strong>CONCLUSION</strong><p style="text-align: justify;" data-mce-style="text-align: justify;">Filipino nurses displayed considerable resilience despite facing severe work-related stressors and psychological strains during the pandemic. The study highlights significant stressors such as increased workload, role shifts, and the lack of clear workplace goals, contributing to burnout and reduced job satisfaction. This study underscores the need for enhanced support systems and policies to safeguard nurses' well-being, recommending more robust mental health services, adequate staffing, and the provision of necessary resources and training to prepare nurses for future health crises better.</p>

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Aim: Burnout syndrome describes the state of long-term physical, emotional and mental exhaustion related to work. This syndrome can cause health problems related to stress, insomnia, cardiovascular and musculoskeletal diseases, including an increase in alcohol consumption and drug use. It is important to recognize the presence of the initial signs of this syndrome, therefore this study aimed to determine the prevalence of the burnout syndrome in peruvian dental students. Methods: The study was observational, cross-sectional, and descriptive. It was carried out from September to November 2018, and it included a total of 154 dental students of four universities of La Libertad region, surveyed by census method. Three were private universities and one was public. Burnout was evaluated through the Maslach Burnout Student Survey Questionnaire (MBI-SS). The results were presented in absolute and percentage frequencies, as well as confidence intervals, using double-entry tables. Results: It was found that 24.68% of the students (24.71% in male students and 24.64% in female students) presented burnout syndrome. The public university of Trujillo presented the highest percentage of affected students (47.37%). A prevalence of 53,90% of emotional exhaustion was also found among the students under evaluation. Conclusions: Almost a quarter of the students surveyed presented burnout. It was also observed that the public University of Trujillo had a higher percentage of burnout than the three private ones. The percentage of prevalence of the burnout syndrome according to sex was similar. However according to dimensions, emotional exhaustion presented the highest percentage

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Aim: Patient anxiety during dental procedures impacts oral health and well-being. Dental practitioners are vital in managing this stress. Our study aims to explore, analyze, and draw comparisons regarding the understanding and awareness levels of stress and anxiety assessment during routine dental procedures among general dental practitioners and specialists. Method: A self-administered questionnaire was sent to 503 Indian dental practitioners, encompassing both general dentists and specialists. Comprising 13 sections, the questionnaire covered demographic information and delved into topics such as dental anxiety assessment tools, familiarity with stress-reducing techniques, and awareness of the impact of anxiety on treatment outcomes. Following this, data analysis was performed using SPSS software, employing a range of descriptive and inferential statistics, including the Chi-square test. Results: Significant knowledge disparities were observed. While 78.3% of specialists assessed patient stress, only 75% of general dentists did, with no statistical difference (p=0.386). Both groups recognized the impact of gender dynamics and environmental factors on stress, but these findings lacked significant differences (p=0.314, p=0.40, p=0.86). However, specialists showed significantly more awareness of the link between stress and periodontal disease (p=0.043), genetics' role in stress (p=0.008), and the implications of epigenetics for stress and oral health (p=0.000). Conclusion: This study highlights a noticeable knowledge gap between general dentists and specialists in assessing patient stress during dental procedures. While both groups share similar views on gender dynamics and environmental factors, significant differences exist in their awareness of connections between stress, periodontal disease, genetics, and epigenetics. Targeted educational efforts are necessary to bridge this knowledge gap, improve patient care, and advance dental medicine