War's unseen wounds: Physical proximity to the war, event centrality, and PTSD symptoms in the context of Russian-Ukrainian armed conflict: A moderating model.

OBJECTIVE: The present study investigated the factors associated with posttraumatic stress manifestations among the civilian population in the proximity of the war between Russia and Ukraine, which commenced on February 24, 2022. We aimed to test the moderating role of proximity to the war on the relationships between event centrality and intrusion, avoidance, and hyperarousal. METHOD: The research was conducted on a sample of 676 participants (23.4% males and 76.6% females) aged between 18 and 56 years old (M = 33.88; SD = 10.66). The participants consisted of civilians residing either within Ukraine or outside its borders, with a maximum distance of 100 km from the border at the onset of the conflict. They completed questionnaires designed to assess event centrality and symptoms of posttraumatic stress disorder. RESULTS: The results of the present study highlighted the role of both psychological and physical proximity to the war in predicting posttraumatic stress disorder symptoms of intrusions and hyperarousal. Also, event centrality interacted with the physical distance to the war in predicting intrusions and avoidance. CONCLUSIONS: The present study contributes to the understanding of the studied variables in the context of the war between Ukraine and Russia, as well as to a deeper comprehension of how physical proximity is related to individual emotional outcomes. (PsycInfo Database Record (c) 2024 APA, all rights reserved).

Lifelong traumatic events, social support, and health-related quality of life among older adults.

BACKGROUND: The present study aimed to investigate the relation between lifelong exposure to traumatic life events, social support, and health-related quality of life (QOL) in a sample of older people. METHOD: A sample of 172 participants (mean age = 68.81, SD = 7.15; 68.6% female and 31.4% male) was involved in this study. The participants completed scales measuring lifelong exposure to traumatic events, social support, and health-related QOL. RESULTS: The results showed that lifelong exposure to traumatic events was negatively related to physical and mental health-related QOL. Moreover, social support moderated the relation between traumatic life events exposure and mental health-related QOL. DISCUSSION: Geriatric services could identify and implement adequate measures to provide social support and to improve different dimensions of QOL among older adults.

Put your phone down! Perceived phubbing, life satisfaction, and psychological distress: the mediating role of loneliness.

The recent literature highlights the need to explore phubbing, a worrying growing phenomenon, and the potential associated factors and outcomes. Thus, the present study focused on perceived phubbing and the potential associations with life satisfaction and psychological distress. Additionally, this study examined the mediating role of loneliness. The cross-sectional, web-based study involved 720 Romanian adults aged 18 to 77 (M = 24.12, SD = 8.80, 74% females) who completed self-reported scales measuring perceived phubbing, and life satisfaction. Results suggested positive associations between perceived phubbing, loneliness, and psychological distress. A significant negative association was also found between loneliness and life satisfaction. Further analyses suggested that loneliness partially mediated the link between perceived phubbing and life satisfaction and between perceived phubbing and psychological distress. The study highlights the significant role of perceived phubbing when discussing psychological distress and life satisfaction, underlining the need to address further the (mis)use of digital devices (e.g., smartphones) within interpersonal relationships, as well as the need to understand better the outcomes of such behaviors to shape effective interventions in this regard.

Compassion fatigue and compassion satisfaction among Romanian emergency medicine personnel.

Background: Contemporary scientific literature has emphasized two specific aspects of healthcare professionals: compassion satisfaction and compassion fatigue. In the context of the COVID-19 pandemic, which has placed significant strain on health systems and healthcare workers, the Russian-Ukrainian crisis appears to have a magnifying effect, particularly on mental health. Methods: The aim of the present study was to investigate the relationship between threat perception, daily worries, and professional quality of life in a sample of Emergency Medicine Personnel during two major events mentioned above. The sample included 372 participants (56.7% nurses and 43.3% physicians) from emergency units in five county hospitals in the Eastern region of Romania. Results: The study revealed that threats related to the pandemic were positively linked to secondary traumatic stress, and daily worries were positively linked to both secondary traumatic stress and burnout. Threats generated by the war did not manifest a direct relation with any of the indicators of professional quality of life, but daily worries generated by war positively predicted both secondary traumatic stress and burnout. Conclusion: Both the pandemic, which involved cumulative exposure, and the war, which involved a lower and more distant level of exposure, had the potential to generate worries and predict a low quality of life. However, our results did not reveal any association between threats, worries, and compassion satisfaction. As a result, this positive indicator of quality of life remained stable despite the presence of threats and worries.

Children's peer relationships, well-being, and academic achievement: the mediating role of academic competence.

The present study aimed to explore the interplay among two indicators of children's school peer relationships (i.e., peer acceptance and perceived number of friends) and two significant life domains (i.e., global life satisfaction and academic achievement). We also explored the potential mediating role of the perceived academic competence in these relations. Participants were 650 Romanian primary school students (45.7% boys), aged between 9 and 12 years old (Mage = 10.99). Path analysis showed a direct positive effect of perceived number of friends on children's life satisfaction, as well as a direct positive effect of peer acceptance on academic achievement. Moreover, perceived academic competence mediated the links between each of the two indicators of peer relationships and children's both life satisfaction and achievement. Several implications in the educational contexts are discussed.

Workplace humour, compassion, and professional quality of life among medical staff.

Background: Professional quality of life pertains to the balance between compassion fatigue and compassion satisfaction. In recent years, there was an increase in compassion fatigue among medical staff due to the pandemic, all over the world, while compassion satisfaction was reported at a moderate level.Objectives: The aim of this study was to identify the relationship between workplace humour and professional quality of life among medical staff, as well as the moderating role of compassion in this relationship.Method: The sample consisted of 189 participants (Mage = 41.01; SD = 9.58). Of the total sample, 57.1% are physicians, 32.3% are nurses and 6.9% are clinical psychologists. The participants completed scales measuring compassion, workplace humour, and professional quality of life.Results: The results showed that self-enhancing and affiliative humour were positively related, while self-defeating humour was negatively related to compassion satisfaction. Burnout and secondary traumatic stress were negatively related to self-enhancing humour and positively related to self-defeating humour. Compassion moderated the relationship between affiliative humour and secondary traumatic stress.Conclusions: Encouraging coping strategies based on adaptive humour (i.e. affiliative humour, self-enhancing) and raising awareness about negative humour strategies (i.e. self-defeating) could contribute to an increase of quality of life among healthcare providers. Another conclusion derived from the present study sustains that compassion is a valuable personal resource positively related to compassion satisfaction. Compassion also facilitates the relationship between affiliative humour and low secondary traumatic stress. Thus, encouraging compassionate skills could be beneficial for the optimal professional quality of life.

Self-enhancing and affiliative humour were positively related, while self-defeating humour was negatively related to compassion satisfaction.Burnout and secondary traumatic stress were negatively related to self-enhancing humour and positively related to self-defeating humour.Compassion moderated the relationship between affiliative humour and secondary traumatic stress.

Mental Health among Young Adults during the COVID-19 Pandemic: A Two-Wave Longitudinal Investigation.

This study aimed to assess changes in COVID-19 related factors (i.e. risk perception, knowledge about the virus, preventive behaviors and perceived efficacy) and mental health (i.e. psychological distress and positive mental health), in a sample of Romanian young adults attending college, assessed immediately after the national COVID-19 lockdown ended (Time 1) and six months after the end of the lockdown (Time 2). We also evaluated the longitudinal relations between COVID-19 related factors and mental health. The sample consisted of 289 undergraduate students (89.3% female, Mage = 20.74, SD = 1.06), who completed questionnaires assessing mental health and COVID-19-related factors via two online surveys, six months apart. The results showed that perceived efficacy and preventive behaviors, as well as positive mental health, but not psychological distress, decreased significantly over the six months period. Risk perception and perceived efficacy of preventive behaviors at Time 1 were positively related with the number of preventive behaviors measured six months later. Risk perception at Time 1 and fear of COVID-19 at Time 2 predicted the mental health indicators at Time 2. Public-health strategies should find the right balance in cultivating proper levels of risk perception that would be most beneficial for prevention of COVID-19 spread and mental health problems due to pandemic.

The war next-door-A pilot study on Romanian adolescents' psychological reactions to potentially traumatic experiences generated by the Russian invasion of Ukraine.

Introduction: Romania shares the longest UE border with Ukraine, and since the Russian invasion of Ukraine began, many have been involved in helping the refugees. Consequently, children and adolescents might be directly and indirectly exposed to war-related trauma. In the present exploratory research, we investigated Romanian adolescents' potential risk and protective factors related to the psychological outcomes of war exposure. Our cross-sectional study was conducted shortly after February 24th (i.e., the first invasion day). Methods: The sample included 90 Romanian adolescents aged 11 to 15 (M = 12.90, SD = 1.17), residents in Iași, Romania (i.e., 205,7 km from the Ukrainian border). Participants completed self-reported measures of peritraumatic dissociative experiences, knowledge about the conflict in Ukraine, personal, school, and family implications in volunteering/helping behavior, discussions about the conflict, threat perception (self and perceived parental threat), anxiety, social media engagement, resilience, and moral elevation. Results: The main findings suggested that participants involved in helping behaviors toward Ukrainian refugees present higher peritraumatic dissociative experiences, anxiety symptoms, and higher moral elevation than boys and participants not involved in these behaviors. Moreover, anxiety symptoms were positively associated with threat perception, peritraumatic dissociation, and social media engagement and negatively related to resilience. Discussions: Finally, we discuss the implications of our findings concerning their practical utility in managing peritraumatic exposure to war by using interventions designed to increase adolescents' resilience during difficult times.

General Health among Eastern Romanian Emergency Medicine Personnel during the Russian-Ukrainian Armed Conflict.

(1) Background: The aim of the current study is to identify the relations between worries, threat perceptions, anxiety states, and general health in a sample of Emergency unit staff during the Russian Ukrainian armed conflict. The sample consisted of 372 Emergency Care staff (M age = 39.41; 77.2% women), physicians, and nurses from North-eastern Romania. (2) Methods: Participants completed an online survey including scale measuring worries, recent anxiety symptoms, and general health. The survey was distributed and completed in the next month after the outbreak of the war. (3) Results: The results showed that the worries, perceived threats, and anxiety symptoms during the last period are negatively related to general health. Women presented higher levels of worries, perceived threats, and anxiety symptoms, compared to men, while for general health, women presented lower scores. Concerning the differences between different professional categories, the results showed that trainees presented higher scores on worries, perceived threats, and anxiety symptoms, as well as lower scores on general health. The implications of these results for improving health and quality of life are discussed. (4) Conclusions: The level of stress increases beyond the borders where the war takes place, thus indirectly affecting the Emergency Care staff involved in the care of victims. Clinical implications of these results for interventions designed to monitor quality of life and to prevent unwanted consequences of exposure to traumatic life events are discussed.

Cognitive Emotion Regulation Strategies as Mediators between Resilience and Stress during COVID-19 Pandemic.

(1) Background: Although there is accumulating evidence for the associations between resilience, emotion regulation and stress, little is known about the mechanisms of these relations. To extend the existing research, the present study examined cognitive emotion regulation strategies as one potential mechanism between trait resilience and perceived stress during the COVID-19 pandemic. (2) Methods: Young adults (N = 266; M = 20.05; SD = 3.93) were invited to fill out questionnaires that assessed trait resilience, cognitive emotion regulation strategies and perceived stress. (3) Results: The results showed that resilience was negatively associated with perceived stress and with self-blame, catastrophizing and rumination, and positively associated with positive reappraisal, focus on planning, positive refocus and putting into perspective. Stress was positively associated with self-blame, catastrophizing, rumination, other-blame and acceptance, and negatively associated with positive reappraisal and positive refocus. Moreover, positive refocus, rumination, catastrophizing and self-blame partially explained the associations between trait resilience and perceived stress during the COVID-19 pandemic. (4) Conclusions: These findings highlight the potential utility of targeting cognitive emotion regulation strategies in the development and implementation of preventive interventions for reducing stress during highly challenging situations.

Children's anxiety, academic self-efficacy, and intergenerational transmission of worries regarding the transition to middle school.

BACKGROUND: Worries about school transition were related to poor academic adjustment during middle school. However, limited studies simultaneously investigated individual and contextual factors that may shape the children's reaction related to transition. AIMS: The first aim of this present study was to assess how children's anxiety and academic self-efficacy, including the parents' worries about school transition, are related to children's worries regarding the transition from primary to middle school. Our second aim was to explore the moderating role of children's academic self-efficacy in the relation to children's anxiety symptoms and children's worries. MATERIALS & METHODS: A sample of 292 fourth-grade children (Mage  = 10.43; 53.4% girls) completed scales assessing their anxiety, academic self-efficacy and worries about the transition to middle school. Parents also filled out a scale assessing the worries regarding their children's transition from primary to middle school. RESULTS: The results show that children's anxiety is positively related to their worries about the transition to middle school, whereas children's academic self-efficacy is negatively related to their worries. Parents' worries regarding their children's school transition are positively related to their children's worries regarding the transition. Furthermore, academic self-efficacy moderates the relation between children's anxiety and their worries about school transition. CONCLUSION: Children with lower levels of anxiety reported lower worries for the transition when their academic self-efficacy was higher, whereas children with higher anxiety reported higher worries for school transition at every level of self-efficacy. Theoretical and practical implications of these findings for successful school transition are discussed.

The longitudinal relation between time perspective and preventive behaviors during the COVID-19 pandemic: The mediating role of risk perception.

Understanding psychological factors and the mechanisms involved in compliance with recommended preventive behaviors against COVID-19 is important for effective public health strategies. Time perspective was previously linked with risk perception and health-related behaviors, but it has not been explored in the context of infectious diseases. Furthermore, little is known about the explaining mechanisms that may link time perspective with adoption of preventive behaviors against health threats. The aim of the present study was to examine the longitudinal relations between time perspectives and COVID-19 risk perception and preventive behaviors. Using a six-month longitudinal design, we explored the mediating role of risk perception on the relations between the Zimbardo's time perspectives, and preventive behaviors to protect from COVID-19. Time perspectives and COVID-19 risk perception were assessed after the lock-down (May 2020) and preventive behaviors were reported after six months (December 2020) via online surveys in a sample of 460 Romanian young adults, aged 18 to 66 years (Mage = 25.53, 87.8% women). Path analysis revealed that risk perception (i.e., perceived severity of COVID-19) mediated the relations of past negative, positive and negative future time perspectives with adoption of preventive behaviors. Our findings highlight that risk perception is an important mechanism in explaining the relation between time perspectives and preventive behaviors against major health-threats such as COVID-19.

Burnout Syndrome among Staff at an Emergency Department during the COVID-19 Pandemic.

OBJECTIVE: The aim of this current study was to identify the prevalence of burnout manifestation in a sample recruited from the emergency department of a hospital. Moreover, we aimed to assess the role of professional experience, age, and the professional category in shaping burnout manifestations. RESULTS: The results showed that higher proportions of burnout symptoms were reported by resident physicians, nurses, and physicians whereas lower proportions were encountered in the orderly group. Moreover, the results revealed a significant difference between men and women in the nurse group concerning depersonalization; men presented higher levels of depersonalization compared with women. Concerning emotional exhaustion and depersonalization, multiple comparisons showed differences among the professional categories. CONCLUSIONS: The implications of these results for preventing burnout syndrome are discussed.

The relation between mortality salience, traffic locus of control, and risky driving behavior.

This study evaluated the direct relationships between mortality salience (MS), traffic locus of control (T-LOC), and risky driving behavior. The sample included 170 drivers. They completed scales measuring T-LOC, then they were randomly divided into one of the three condition groups: MS condition, traffic accidents MS condition, and the control condition. At the end, the participants completed a scale for measuring risky driving behavior. The results showed that MS interacts with the relevance of driving for self-esteem and with external T-LOC in determining risky driving. The implications of these results for safety and future research are discussed.

Depressive Symptoms and Academic Achievement: The Role of Adolescents' Perceptions of Teachers' and Peers' Behaviors.

This present study, using a longitudinal design, investigated how depressive symptoms are related to academic achievement and whether the perceptions of teachers' and peers' behaviors moderated this relation. A sample of 302 adolescents (60.10% girls, Mage  = 17.35) completed scales measuring the depressive symptoms and perception of their teachers' support/equity and peers' cooperation/cohesiveness behaviors at Time 1. The adolescents' average grades were also collected. The adolescents' depressive symptoms and average grades were measured again at Time 2. The results showed that depressive symptoms measured at Time 1 were negatively associated with academic achievement measured at Time 2. The adolescents' perception of their peers' cooperation/cohesiveness moderated the relation between depressive symptoms and academic achievement. The results' implications for educational practice are discussed.

Driving cognitions, rumination, and posttraumatic stress disorder in road traffic accidents survivors.

This study evaluated the relationships between driving cognitions (i.e., panic-related cognitions, accident-related cognitions, and social-related cognitions), rumination, and posttraumatic stress disorder (PTSD) symptoms in a sample of road traffic accidents (RTAs) survivors. We also investigated the indirect effect of driving cognitions on PTSD symptoms through rumination. The sample included 633 drivers (62% were men; Mage = 36.09; standard deviation [SD] = 11.42 years). The participants completed scales measuring driving cognitions, rumination, and PTSD symptoms, as well as providing their demographic information. The results showed that all three types of driving cognitions assessed in the present study and rumination were significantly positively associated with PTSD symptoms. Furthermore, rumination mediated the relation between social-related cognitions and PTSD symptoms. The implications for PTSD treatment and future research are discussed.

The relationship between suppression and subsequent intrusions: the mediating role of peritraumatic dissociation and anxiety.

BACKGROUND AND OBJECTIVES: Although previous studies showed that thought and emotion suppression represent risk factors for intrusions development, the mechanisms that explain these relations were less explored. This study aims to examine the relationships between thought and emotion suppression and the symptoms of intrusion following the exposure to a trauma-related event. Moreover, we explored if these relationships would be mediated by peritraumatic state dissociation and state anxiety. DESIGN AND METHODS: The trauma film paradigm was used and the participants were students (N = 148) experimentally exposed to an aversive film to model a traumatic experience. Thought and emotion suppression were measured before the trauma exposure. After exposure, the participants completed scales for measuring state dissociation and state anxiety. Intrusive images and thoughts of the film were recorded in the subsequent week using an intrusion diary. RESULTS: Thought suppression predicted intrusive thoughts frequency, and this effect was mediated by the peritraumatic anxiety. State anxiety predicted both intrusive images and thoughts, while state dissociation only predicted intrusive images. CONCLUSIONS: Intrusive images and intrusive thoughts are different phenomena and they are predicted by different variables. The practical implications of these results for posttraumatic stress disorder treatment and secondary traumatization are discussed.

Emotion Regulation Strategies, Secondary Traumatic Stress, and Compassion Satisfaction in Healthcare Providers.

The aim of the present study is to examine the relationships between two emotion regulation strategies (cognitive reappraisal and expressive suppression), secondary traumatic stress, and compassion satisfaction in a sample of 190 healthcare providers. Another aim of this study is to examine if the relations between emotion regulation strategies and traumatic stress symptoms are moderated by compassion satisfaction. The respondents volunteered to take part in the research and completed self-reporting measures describing the use of emotional regulation strategies, the symptoms of secondary traumatic stress, and the compassion satisfaction. The results revealed negative associations between cognitive reappraisal and secondary traumatic stress, while expressive suppression is positively associated with arousal. Moreover, cognitive reappraisal is positively related to compassion satisfaction, while secondary traumatic stress symptoms are negatively correlated with compassion satisfaction. Furthermore, the relationship between expressive suppression and intrusions is moderated by compassion satisfaction. The implications of these results for enhancing professional quality of life in the context of secondary exposure to traumatic life events are discussed.