Depression in nursing students during the COVID-19 pandemic: Systematic review and meta-analysis.

The pandemic meant a change in academic approach. This had an impact on the mental health of students, leading to, among other problems, depressive disorders. The aim of this study was to find out the prevalence and factors that favoured the development of depression in nursing students during the COVID-19 pandemic. A systematic review with meta-analysis of prevalence was conducted in October 2023, using Pubmed, CINAHL and Scopus as the data sources used for the search. This review followed the guidelines outlined in the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA). Search equation was: "(undergraduate nurses OR nursing students) AND depression AND (COVID-19 OR Sars-CoV-2)". The final set of articles was N = 12. Quantitative primary studies using anonymous scales and surveys to assess the prevalence of depression in nursing students in the last 3 years were included. Studies show a high prevalence of depression among young university students with figures above 50%. The total sample of students in the meta-analysis was n = 4,479 with a prevalence value of 32% (CI95% 22%-42%). Affected students are characterised by young, female students. Concerns included generalised academic uncertainty, social isolation, work overload, fear of contagion and concern about teaching delivery. Coping mechanisms were generally resilience, spiritual support, laughter therapy, seeking information about COVID-19 and eating food. In conclusion, students, especially female students, are at high risk of depression due to social isolation. In addition, coping techniques were inadequate and future strategies to prevent this situation should be considered.

A comparison of univariate and meta-analytic structural equation modeling approaches to reliability generalization applied to the Maslach Burnout Inventory.

Introduction: Reliability is a property of tests scores that varies from sample to sample. One way of generalizing reliability of a test is to perform a meta-analysis on some reliability estimator. In 2011, a reliability generalization meta-analysis on the Maslach Burnout Inventory (MBI) was conducted, concluding that average alpha values for the MBI dimensions ranged from 0.71 to 0.88. In the present study, we aimed to update the average reliability values of the MBI by conducting a literature search from 2010 until now and comparing to statistical procedures of meta-analysis: the Univariate approach, that were used in the previous study, and a novel meta-analytic approach based on structural equation modeling. Method: An estimation of average reliability was done based on 69 independent primary reliability coefficients for the Univariate approach. The average reliability was based on 9 independent studies in the case of the Meta-analytic Structural Equation Modeling (MASEM) approach. Given that MASEM has the additional capability of testing the internal structure of a test, we also fitted several models. Results: The data was well-suited to the bifactor model, revealing the dominance of the general factor over the domain-specific ones. Acceptable overall alpha and omega coefficients were achieved for the two of the MBI dimensions, having depersonalization reliability estimates below recommendations. Discussion: In general, the MBI can be viewed as a highly interconnected three-factor scale, being its appropriate for research purposes.

Predicting the Risk of Re-Offending in Child-to-Parent Violence Using the Structured Assessment of Violence Risk in Youth.

Child-to-parent violence occurs when children engage in violent behaviour towards family members; the principal victim is often the mother. The risk assessment instruments used to identify the risk and protective factors in youth offenders who perpetrate child-to-parent violence are not specific to this type of offense. This study aims to describe the child-to-parent violence group in relation to the risk and protective factors they present in comparison with the group of young people who committed an assault offence. The sample for this study consists of two groups of youth offenders. The first group committed child-to-parent violence, and the second group has committed a violent crime against individuals to whom they are not related. Young people who commit child-to-parent violence have higher scores on the SAVRY risk factors and lower scores on the SAVRY protective factor than young people who have committed an assault offence. The results reveal the importance of identifying the risk and protective factors presented by youth offenders who commit child-to-parent violence in order to create specific intervention programs for the needs and strengths presented by this group of young people.

Correction: Albendín-García et al. Explanatory Models of Burnout Diagnosis Based on Personality Factors in Primary Care Nurses. Int. J. Environ. Res. Public Health 2022, 19, 9170.

The following corrections have been made to the paper [...].

Prevalence and levels of burnout in nursing students: A systematic review with meta-analysis.

AIM: The aim of this study was to analyze burnout levels and prevalence in nursing students and to estimate prevalence levels with meta-analyses. BACKGROUND: Nurses are one of the healthcare professionals most affect by burnout, but nursing students, during their studies, can also suffer burnout. DESIGN: a systematic review with meta-analysis was performed. METHODS: The search equation used in Pubmed, CINAHL and Scopus databases was "burnout AND nursing students". Quantitative primary studies including information about burnout, emotional exhaustion, depersonalization, or personal accomplishment in nursing students were included. Four meta-analysis were performed. RESULTS: the sample was of n = 34 studies, with n = 15 studies being included in the meta-analysis with n = 2744 nursing students. Burnout prevalence was 19% (95% CI 11-28%). Regarding burnout dimensions, the most affected was high emotional exhaustion with a prevalence of 41%(95% CI 23-61%; n = 2222) followed by 27% low personal accomplishment(95% CI 9-49%; n = 2096), 25% high depersonalization (95% CI 15-36%; n = 2096). CONCLUSIONS: Prevalence of burnout and its dimensions vary from 19% to 41%, being emotional exhaustion the main problem in nursing students. This problem may affect their future as nursing professionals, and it would be of important to prevent and to treat burnout at university levels.

Prevalence of Burnout Syndrome and Fear of COVID-19 among Adolescent University Students.

This study aimed to estimate the prevalence of burnout syndrome in adolescents entering university studies, to detect differences in burnout levels, personality factors and fear of coronavirus in a pandemic context due to COVID-19. A cross-sectional predictive study was performed with a sample that comprised 134 individuals in their first year of a Psychology degree at Spanish universities. The Maslach Burnout Inventory Student Survey, the NEO Five-Factor Inventory and the Fear of COVID-19 Scale were applied. The prevalence of burnout is estimated according to three methods: Maslach and Jackson's severity classification, Golembiewski's phase model and Maslach et al.'s profile model. The estimates show significant differences. The results indicated that between 9 and 21% of students were at risk of developing burnout. On the other hand, students who reported having suffered psychological consequences of the pandemic showed greater emotional exhaustion, neuroticism and fear of COVID-19, and a lower level of personal accomplishment than those who did not suffer such consequences. Neuroticism was the only significant predictor for all burnout dimensions, and fear of COVID-19 did not contribute to any of them.

Efecto de un tratamiento contextual para la regulación de la ira y la inflexibilidad psicológica en adultos jóvenes colombianos

Antecedentes: en la actualidad, son escasas las intervenciones para el manejo de la regulación problemática de la ira y la inflexibilidad psicológica en adultos jóvenes afectados. Objetivo: evaluar la eficacia de una intervención breve, en formato grupal y virtual para la regulación problemática de la ira y la reducción de la inflexibilidad psicológica. Método: un grupo de 40 adultos jóvenes colombianos (40% hombres; 60%mujeres; M = 25.3 años; DE = 3.35) fueron asignados aleatoriamente a una de dos condiciones: intervención basada en la terapia de aceptación y compromiso (ACT) para regulación de la ira y la reducción de la inflexibilidad psicológica y lista de espera. Se evaluaron la evitación experiencial, la fusión cognitiva, la conexión con el momento presente, los valores y la percepción de efectos de la expresión problemática de la ira. Resultados: se encontraron diferencias significativas contamaños de efecto grandes en las variables de evitación experiencial, defusión cognitiva, contacto con el momento presente y obstrucción en valores. Las variables de progreso en valores y percepción de efectos de la ira presentaron cambios en el grupo experimental, pero no en su comparación con el grupo control. Conclusión: los resultados aportaron evidencia sobre la eficacia de esta intervención, aunque se requieren más estudios que así lo confirmen. Palabras clave: terapia de aceptación y compromiso;regulación de la ira; inflexibilidad psicológica; adultos jóvenes;intervención virtual.

Background: At present, interventions for the management of problematic anger regulation and psychological inflexibility inaffected young adults are scarce. Objetive: to evaluate the efficacy of a brief intervention, in a group and virtual format, for anger regulation and psychological inflexibility reduction. Method: A group of 40 Colombian young adults (40% male; 60% female; M = 25.3 years; SD = 3.35) were randomly assigned to one of two conditions: Acceptance and Commitment Therapy-based intervention for anger regulation andpsychological inflexibility reduction and waiting list. Experiential avoidance, cognitive fusion, connection to thepresent moment, values, and perception of negative effects of problematic anger expression were assessed. Results: Significant differences with large effect sizes were found in the experiential avoidance, cognitive defusion, contact with the present moment, and obstruction in values variables. The variables of progressin values and perception of the effects of anger presented changes in the experimental group, but not in their comparison with the control group. Conclusions: the results provide devidence on the efficacy of this intervention, although more studies are required to confirm this. Keywords: Acceptance and Commitment Therapy; Angerregulation; Psychological inflexibility; Young adults; Virtualintervention.

Explanatory Models of Burnout Diagnosis Based on Personality Factors in Primary Care Nurses.

Burnout in the primary care service takes place when there is a high level of interaction between nurses and patients. Explanatory models based on psychological and personality related variables provide an approximation to level changes in the three dimensions of the burnout syndrome. A categorical-response ordinal logistic regression model, based on a quantitative, crosscutting, multicentre, descriptive study with 242 primary care nurses in the Andalusian Health Service in Granada (Spain) is performed for each dimension. The three models included all the variables related to personality. The risk factor friendliness was significant at population level for the three dimensions, whilst openness was never significant. Neuroticism was significant in the models related to emotional exhaustion and depersonalization, whilst responsibility was significant for the models referred to depersonalization and personal accomplishment dimensions. Finally, extraversion was also significant in the emotional exhaustion and personal accomplishment dimensions. The analysis performed provides useful information, making more readily the diagnosis and evolution of the burnout syndrome in this collective.

Psychosocial Profile of Juvenile and Adult Offenders Who Acknowledge Having Committed Child-to-Parent Violence.

The main objective of this study was to establish the psychosocial profile of adolescents and adults who have admitted to committing child-to-parent violence (CPV) and were serving a judicial sanction or prison sentence, respectively. Two groups of participants took part in this study. The first group was made up of 89 male youths who were serving judicial sanctions, and the second group was made up of 70 men serving a prison sentence. A cross-sectional retrospective design with concurrent measurements was used in this study. Group differences in the exposure-to-violence variables were conducted. Automatic regression models were used to estimate a self-reported CPV. In relation to the variables of indirect exposure to violence, statistically significant differences between those who admitted having committed CPV and those who did not, irrespective of being adults or adolescents, were found for seeing violence in class and at home but not for seeing violence on the street or on television. Regarding the variables related to experiencing violence, the results showed statistically significant differences in experiencing violence at home but not in class or on the street. The best predictive model of CPV includes some of the dimensions of self-concept, specifically academic and family self-concept, as well as the avoidant and rational problem-solving styles and the negative orientation toward problems. The results have shown the existence of a CPV offender profile that is common to minors and adults.

Levels of Burnout and Engagement after COVID-19 among Psychology and Nursing Students in Spain: A Cohort Study.

The COVID pandemic has 0drastically changed the functioning of universities in Spain and may have altered individuals' behaviours and emotions, the way they engage in the learning process and their psychological well-being. Burnout syndrome is a psychological problem that arises from persistent confrontation with emotional and interpersonal stressors. COVID-related burnout among Spanish students has received little research attention. For this study, a pre-post cohort study design was used. Data were collected using the Maslach Burnout Inventory-Student Survey, the Granada Burnout Questionnaire for university students, the Utrecht Work Engagement Scale and the Fear of CoronaVirus-19 scale. The population was composed of two samples of 190 and 226 students from Spanish universities. According to the results obtained, significant differences were observed between the pre- and post-test samples. Levels of burnout were higher after the COVID-19 pandemic and students' levels of engagement have dropped significantly following their experiences of the COVID pandemic. This study shows the impact that the covid pandemic has had on Spanish university students, impacts which may have had important consequences for their mental and physical health. It is necessary to implement intervention programs to enable students to recover, at least, the levels of burnout and engagement prevailing before the outbreak of the pandemic.

Emotional Assessment in Spanish Youths With Antisocial Behavior.

Impaired emotional capacity in antisocial populations is a well-known reality. Taking the dimensional approach to the study of emotion, emotions are perceived as a disposition to action; they emerge from arousal of the appetitive or aversive system, and result in subjective, behavioral, and physiological responses that are modulated by the dimensions of valence, arousal, and dominance. This study uses the International Affective Picture System (IAPS) to study the interaction between the type of picture presented (pleasant, neutral, or unpleasant) and group (adolescents under custody in juvenile justice centers, adolescents under non-custodial measures, and secondary school students) in the emotional assessment of these dimensions. The interaction between the study variables was statistically significant. Statistically significant differences were found between the three types of pictures presented, in the ratings of unpleasant pictures between the custody group and the group of secondary students in regular schooling in valence, and in the ratings of unpleasant, neutral, and pleasant pictures in arousal, between the custody group and all groups. Discriminant analyses of each affective dimension indicate that the unpleasant pictures with violent and/or aggressive content tend to be in the functions that most differentiate the antisocial groups.

Burnout in Palliative Care Nurses, Prevalence and Risk Factors: A Systematic Review with Meta-Analysis.

Palliative care nurses are exposed to hard situations, death, and duel feelings in their daily practice. These, and other work stressors, can favor burnout development. Thus, it is important to analyze the prevalence and risk factors of burnout in palliative care nurses and estimate its prevalence. A systematic review and meta-analysis was done with quantitative primary studies. n = 15 studies were included with n = 6 studies including information for the meta-analysis. The meta-analytic prevalence estimation of emotional exhaustion was 24% (95% CI 16-34%), for depersonalization was 30% (95% CI 18-44%) and for low personal accomplishment was 28% with a sample of n = 693 palliative care nurses. The main variables related with burnout are occupational variables followed by psychological variables. Some interventions to improve working conditions of palliative care nurses should be implemented to reduce burnout.

Study of the Predictive Validity of the Burnout Granada Questionnaire in Police Officers.

Professionals with burnout have negative physical and psychological effects, with adverse consequences in their workplace. Burnout mainly affects assisting professions; amongst them, police work is one of the professions at risk of suffering from this syndrome. The aim of this research is to study the adequacy of the Maslach Burnout Inventory and Granada Burnout Questionnaire instruments to measure burnout in police officers through the study of the reliability and validity (concurrent and predictive) of these instruments. A cross-sectional study was carried out. The sample was composed of 1884 police officers, mostly men (85.4%), with an average age of 35.04 (SD = 8.30). The Maslach Burnout Inventory and Granada Burnout Questionnaire were used to measure burnout. The results obtained in this study support the adequacy of both instruments for measuring burnout. The correlation coefficients between the dimensions are significant, with a medium-high magnitude. Participants with burnout had significantly higher scores in emotional exhaustion and depersonalization and lower scores in personal accomplishment in both instruments. The area under the curve estimated for the Granada Burnout Questionnaire provided evidence of the predictive validity of the instrument. The police profession needs validated and sensitive tools to identify police changes in the dimensions of burnout. The Granada Burnout Questionnaire instrument correctly classifies burnout in police professionals.

Predicting risk of recidivism in spanish young offenders: comparative analysis of the savry and yls/cmi / Predicción del riesgo de reincidencia en jóvenes infractores españoles: comparación de los instrumentos SAVRY e YLS/CMI

BACKGROUND: This study offers a comparative analysis of evidence for the predictive validity of SAVRY and YLS/CMI scores in predicting risk of recidivism in a group of young people who received a Juvenile Justice order. METHODS: The sample was made up of 594 youths aged between 14 and 18 (M=15.63, SD=1.08) at the time they committed an offense. RESULTS: Both instruments showed high accuracy in predicting recidivism, with the greatest accuracy observed in the SAVRY and YLS/CMI total scores, as well as in the Individual domain of the SAVRY. Comparative analysis of the AUCs of both instruments indicated no statistically significant differences between total scores from the two instruments. Results showed statistically significant differences in comparisons of means and AUCs between the groups of young reoffenders and non-reoffenders in all cases. Our results did not support the hypothesis that dynamic risk factors are a better predictors of recidivism in young offenders. CONCLUSIONS: This study offers empirical evidence of the predictive capacity and differential functioning of the SAVRY and YLS/CMI instruments in the Spanish context

INTRODUCCIÓN: se presenta un análisis comparativo de la evidencia de validez predictiva de las puntuaciones del SAVRY e YLS/CMI para predecir el riesgo de reincidencia en un grupo de jóvenes a los que se les había abierto un expediente en Justicia Juvenil. MÉTODO: la muestra estaba compuesta por 594 jóvenes que tenían entre 14 y 18 años (M = 15.63, DT = 1.08) en el momento de la comisión del hecho delictivo. RESULTADOS: los resultados de ambos instrumentos mostraron una alta capacidad predictiva de la reincidencia, con mayor precisión observada en las puntuaciones totales de SAVRY e YLS/CMI, así como en el dominio individual de SAVRY. El análisis comparativo de las AUC de ambos instrumentos no indicó diferencias estadísticamente significativas entre las puntuaciones totales de los dos instrumentos. Se han encontrado diferencias estadísticamente significativas en las comparaciones de medias y AUC entre los grupos de jóvenes reincidentes y no reincidentes. Los resultados de este trabajo no apoyan la hipótesis de que los factores de riesgo dinámicos son mejores predictores de la reincidencia en los jóvenes infractores. CONCLUSIONES: el presente estudio ofrece evidencia empírica de la capacidad predictiva y el funcionamiento diferencial de los instrumentos SAVRY e YLS/CMI en el contexto español

Predicting risk of recidivism in Spanish young offenders: Comparative analysis of the SAVRY and YLS/CMI.

BACKGROUND: This study offers a comparative analysis of evidence for the predictive validity of SAVRY and YLS/CMI scores in predicting risk of recidivism in a group of young people who received a Juvenile Justice order. METHODS: The sample was made up of 594 youths aged between 14 and 18 (M=15.63, SD=1.08) at the time they committed an offense. RESULTS: Both instruments showed high accuracy in predicting recidivism, with the greatest accuracy observed in the SAVRY and YLS/CMI total scores, as well as in the Individual domain of the SAVRY. Comparative analysis of the AUCs of both instruments indicated no statistically significant differences between total scores from the two instruments. Results showed statistically significant differences in comparisons of means and AUCs between the groups of young reoffenders and non-reoffenders in all cases. Our results did not support the hypothesis that dynamic risk factors are a better predictors of recidivism in young offenders. CONCLUSIONS: This study offers empirical evidence of the predictive capacity and differential functioning of the SAVRY and YLS/CMI instruments in the Spanish context.

Assessing the Interactions between Strengths and Risk Factors of Recidivism through the Structured Assessment of Violence Risk in Youth (SAVRY).

Instruments that assess recidivism risk in young people are used widely in the sphere of juvenile justice worldwide. Traditionally, research has focused on the study of risk factors presented by young offenders, and how these relate to criminal recidivism. In present-day research, protective factors have also come into their own, having proven to encourage non-recidivism in young offenders. This paper presents a study carried out with 594 young offenders. The instrument used for assessing risk of recidivism in young offenders was the Structured Assessment of Violence Risk in Youth (SAVRY). In the results found here, one can observe how the young offenders who did not reoffend presented a greater level of protective factors than the repeating offenders. The youths with a prior arrest record scored higher in the risk domains than the reoffenders without a prior arrest record. The case of young repeat offenders who already had an arrest record represents a high-risk profile, or a profile of a criminal career. Crimes committed by young people can be isolated incidents in their life. In most youths, criminal behavior does not persist beyond legal age. Protective factors prove to be important in juvenile justice when planning an individualized intervention for the young offender.

Prevalence and Predictors of Burnout in Midwives: A Systematic Review and Meta-Analysis.

The prevalence of burnout in midwives has been briefly studied. Given the negative effects of burnout syndrome in the physical and mental health, and also related to the quality of care provided, rates of absenteeism and sick leave; identifying related factors for the syndrome are needed. The aim was to determine the prevalence, levels, and factors related to the burnout syndrome, measured with the Copenhagen Burnout Inventory in midwives. A systematic review and meta-analysis were selected from CINAHL, LILACS, ProQuest, PsycINFO, PubMed, SciELO, and Scopus databases, with the search equation "burnout AND (midwife OR midwives OR nurses midwives)". Fourteen articles were found with a total of 8959 midwives. Most of the studies showed moderate levels of personal burnout. The prevalence obtained was 50% (95% CI = 38-63) for personal burnout; 40% (95% CI = 32-49) for work-related burnout; and 10% (95% CI = 7-13) for client-related burnout. Midwives' age, less experience, and living alone constitute the main related factors, as well as, the scarcity of resources, work environment, and the care model used. Most midwives present personal and work-related burnout, which indicates a high risk of developing burnout. Personal factors and working conditions should be taken into account when assessing burnout risk profiles of midwives.

Impact of social support in preventing burnout syndrome in nurses: A systematic review.

AIM: Burnout is a reality in the nursing profession. It is composed of three dimensions: emotional exhaustion, depersonalization and reduced personal accomplishment, and results from being subjected to chronic stress in the healthcare context. Social support (SS), that is, the assistance and protection given by others, is a predictive and protective factor against burnout syndrome. The aim of this study is to analyze the relationship between SS, in its different forms, and burnout syndrome in nurses, and to identify the risk factors for burnout. METHODS: A systematic literature review was carried out, following the PRISMA recommendations. The databases CINAHL, PsycINFO, Proquest Platform (Proquest Health & Medical Complete), Pubmed and Scopus were consulted, using the descriptors: "burnout, professional AND social support AND nursing". To minimize potential publication bias, the search had no time or sample size limitation. RESULTS: Burnout was reported, to a greater or lesser extent, in all the articles analyzed, and the SS received by nurses in the workplace from supervisors and coworkers was found to play a fundamental role in preventing the syndrome. However, to date the bibliography on this issue is scant, and there is little consensus as to the degree of SS received. CONCLUSIONS: Burnout prevention plans, with particular attention to SS, should be developed to improve nurses' quality of life and to enhance the care they provide.

A Multicentre Study of Psychological Variables and the Prevalence of Burnout among Primary Health Care Nurses.

Nurses in primary health care (PHC) have multiple responsibilities but must often work with limited resources. The study's aim was to estimate burnout levels among PHC nurses. A Quantitative, observational, cross-sectional, multicentre study of 338 nurses working in PHC in the Andalusian Public Health Service (Spain) is presented. A total of 40.24% of the nurses studied had high levels of burnout. The dimensions of emotional exhaustion and depersonalisation were significantly associated with anxiety, depression, neuroticism, on-call duty and seniority-profession and inversely related to agreeableness. In addition, depersonalisation was significantly associated with gender, and emotional exhaustion correlated inversely with age. Personal achievement was inversely associated with anxiety and depression and positively correlated with agreeableness, extraversion and responsibility. There is a high prevalence of burnout among nurses in PHC. Those most likely to suffer burnout syndrome are relatively young, suffer from anxiety and depression and present high scores for neuroticism and low ones for agreeableness, responsibility and extraversion.

A Risk Profile of Sociodemographic Factors in the Onset of Academic Burnout Syndrome in a Sample of University Students.

Studying for a university degree can be very demanding, as students must cope with a variety of academic, social and personal challenges. If these demands persist, and if there are insufficient resources with which to address them, they will eventually provoke stress. When stress is present for long periods of time, it can lead to academic burnout syndrome, the signs of which are emotional exhaustion, depersonalisation and inadequate personal accomplishment. This paper considers certain sociodemographic factors (age, sex, children, marital status, employment status, degree subject, faculty, academic year) in the identification of a risk profile of developing burnout syndrome. This study is cross-sectional, associative and ex post facto. The Maslach Burnout Inventory-Student Survey was administered to 445 students in the University of Granada. According to the risk profile obtained, first-year male students in Primary Education and Social Education courses are at risk of developing burnout syndrome.