Caring to care: Nurturing ICU healthcare professionals' wellbeing for enhanced patient safety.

Healthcare professionals working in the Intensive Care Unit (ICU) care for patients suffering from a critical illness and their relatives. Working within a team of people with different personalities, competencies, and specialties, with constraints and demands might contribute to a working environment that is prone to conflicts and disagreements. This highlights that the ICU is a stressful place that can threaten healthcare professionals' wellbeing. This article aims to address the concept of wellbeing by describing how the stressful ICU work-environment threatens the wellbeing of health professionals and discussing how this situation jeopardizes patient safety. To promote wellbeing, it is imperative to explore actionable interventions such as improve communication skills, educational sessions on stress management, or mindfulness. Promoting ICU healthcare professionals' wellbeing through evidence-based strategies will not only increase their personal resilience but might contribute to a safer and more efficient patient care.

[Mobile health in primary care. New challenges in the development of solutions to promote physical activity and well-being]. / La salud móvil en atención primaria. Nuevos desafíos en el desarrollo de soluciones para promover la actividad física y el bienestar.

The use of smart devices such as mobile phones (smartphones) or smart watches (smartwatch) to promote physical activity and well-being has increased in recent years among patients and professionals in primary care. This change is driven by the access of patients and professionals to a large catalog of health applications, which can complement the provision of services and promote the empowerment of patients in their own health and lifestyles. These applications are beginning to be integrated with areas such as Artificial Intelligence (AI), the Internet of Medical Things (IoMT) and data storage in the cloud, among other emerging technological systems, offering a new complementary approach to clinical practice known so far. Despite the great potential, there are numerous limitations and major challenges for its full implementation in clinical practice.

Factores asociados al rendimiento académico de los adolescentes de La rioja (España): hábitos de vida, indicadores de salud y factores sociodemográficos / Factors associated with academic performance in adolescents from La Rioja (Spain): lifestyle habits, health indicators, and sociodemographic factors

Introducción: el rendimiento académico está influenciado por numerosos factores, algunos de índole personal y otros contextuales, que, además, poseen una estrecha relación con la salud de los estudiantes. Por ello, el objetivo del estudio fue analizar la relación e influencia de los hábitos de vida, diversos indicadores de salud física y psicosocial, y variables sociodemográficas sobre dicho rendimiento. Método: el estudio se llevó a cabo sobre una muestra de 761 estudiantes (14,51 ± 1,63 años) de 25 centros educativos de una región del norte de España. Se valoró el rendimiento académico, así como la calidad de vida relacionada con la salud, la autoestima, la adherencia a la dieta mediterránea, las horas de sueño nocturno, el nivel de actividad física, el entorno para la práctica de dicha actividad física, la participación en actividades deportivas extraescolares, el consumo máximo de oxígeno, el índice de masa corporal y diversos factores sociodemográficos. Resultados: ser chico, tener origen migrante y poseer un nivel socioeconómico bajo/medio, una capacidad cardiorrespiratoria en zona de riesgo, una menor adherencia a la dieta mediterránea e índices más bajos de calidad de vida relacionada con la salud resultaron asociarse a un menor rendimiento académico, llegando a explicar hasta el 14 % de su varianza según el análisis de regresión. Igualmente, los adolescentes con mayor autoestima, menor índice de masa corporal, las chicas, aquellos que residían en un entorno favorable para la práctica física, los que realizaban actividad física extraescolar y los que presentaban mayor número de horas de sueño nocturno, mostraron mayores índices de rendimiento académico. Conclusiones: las intervenciones dirigidas a combatir el fracaso escolar deberían tener en cuenta los factores asociados citados, haciendo especial hincapié en los grupos más vulnerables como los chicos, aquellos con menor nivel socioeconómico y los que siguen unos hábitos de vida no saludables.(AU)

Introduction: academic performance is influenced by numerous factors, some personal and others contextual in nature, which also have a closerelationship with the health of students. Therefore, the aim of this study was to analyze the relationship and influence of lifestyle habits, variousphysical and psychosocial health indicators, and sociodemographic variables on academic performance.Method: the study was carried out on a sample of 761 students (14.51 ± 1.63 years old) from 25 educational centers in a region of northernSpain. Academic performance was assessed, as well as health-related quality of life, self-esteem, adherence to the Mediterranean diet, hoursof nocturnal sleep, level of physical activity, environment for the practice of physical activity, participation in extra-curricular sports activities,maximum oxygen consumption, body mass index, and various sociodemographic factors.Results: being male, having immigrant origins, as well as having a low/medium socioeconomic level, a cardiorespiratory capacity in the risk zone,lower adherence to the Mediterranean diet, and lower health-related quality of life indices were associated with lower academic performance,explaining up to 14 % of its variance according to the regression analysis. Likewise, adolescents with higher self-esteem, lower body mass index,females, those who lived in a favorable environment for physical activity practice, engaged in extra-curricular physical activity, and had a highernumber of hours of nocturnal sleep showed higher levels of academic performance.Conclusions: interventions aimed at combating academic failure should take into account the aforementioned associated factors, with specialemphasis on the most vulnerable groups such as males, those with lower socioeconomic status, and those who follow unhealthy lifestyle habits.(AU)

Implantación de un programa de mejora del bienestar emocional basado en atención plena (mindfulness) en una población rural / Implementation of a program to improve emotional well-being based on mindfulness in a rural population

Objetivo. Mejorar el bienestar mental de las personas que participan en el Programa de Mejora del Bienestar Emocional mediante Atención Plena (Mindfulness) desarrollado en la localidad de Ribafrecha (La Rioja). Métodos. Desde mayo de 2022 hasta marzo de 2023 se ha llevado a cabo en Ribafrecha (La Rioja) un Programa de Mejora de Bienestar Emocional Basado en la Atención Plena, completado por 100 de las 780 personas mayores de 19 años que residen en la localidad. El programa, basado en MBCT (terapia cognitiva basada en mindfulness, por sus siglas en inglés), consta de 8 sesiones con periodicidad semanal en grupos de unas 12-16 personas, seguido de sesiones bimestrales de recuerdo y del envío de audios cada 15 días para mantener lo aprendido durante el curso de 8 semanas. Conclusiones. Para los participantes en el programa, esta actividad ha supuesto una mejora en el manejo de las situaciones vitales estresantes. Además, permite al médico de familia un acercamiento más cálido y personal a las situaciones de malestar emocional relatadas por las/los pacientes, apelando a las propias fortalezas que estos han adquirido durante el curso. (AU)

Aim. To improve the mental well-being of people who take part in the "Mindfulness-based Emotional Well-being Improvement Programme” developed in the town of Ribafrecha (La Rioja). Methods. An Emotional Well-Being Improvement Programme Based on Mindfulness was performed in Ribafrecha (La Rioja). This was completed by 100 out of the 780 people aged over 19 years old, residing in the town. The programme, based on MBCT (Mindfulness-based Cognitive Therapy), consists of eight weekly sessions in groups of about 12-16 people, followed by bi-monthly memory sessions and sending audios every 2 weeks to maintain what they have learned during the eight-week course. Conclusions. For the participants in the programme, this activity has led to improved management of stressful life situations. Moreover, it enables the family physician to have a warmer and more personal approach to situations of emotional distress reported by patients, which appeal to their own strengths that they have acquired during the course. (AU)

Ansiedad y depresión en el embarazo. Variables asociadas durante el periodo de pandemia COVID-19 / Anxiety and depression in pregnancy. Associated variables during the covid-19 pandemic period

Objetivo: Evaluar la asociación entre edad, paridad, nacionalidad, estudios, empleo y apoyo de la pareja con la depresión y ansiedad durante el embarazo. Determinar el impacto de la evolución de la pandemia COVID-19 en los niveles de ansiedad y depresión de las participantes. Método: Estudio descriptivo correlacional transversal realizado en el Osakidetza/Servicio Vasco de Salud, Atención primaria, Bizkaia (España). Participaron 295 gestantes entre ocho y 41 semanas. Se midió la asociación entre edad, paridad, nacionalidad, nivel de estudios, empleo, apoyo de la pareja y tasas de incidencia de COVID-19 durante el periodo del estudio y las puntuaciones de depresión (medido con la Escala de Depresión Posnatal de Edimburgo) y de ansiedad (medido con la subescala de ansiedad estado-rasgo del State-Anxiety Inventory [STAI-S]) durante el embarazo. Se construyó un modelo de regresión logística y se estimaron las odds ratios (OR) y sus intervalos de confianza de 95% (IC 95%). Resultados: La puntuación media en ansiedad fue de 18,75 puntos (DE = 8,69) y en depresión 6,45 puntos (DE = 4,32). Las mujeres que esperaban su segundo hijo o más obtuvieron puntuaciones más altas en depresión (OR 2,51 [IC 95%: 1,26-5,01]) y ansiedad (OR 1,98 [IC 95%: 1,01-3,89]). Haber cursado estudios universitarios se asocia con puntuaciones más bajas en depresión (OR 0,28 [IC 95%: 0,11-0,77]) y ansiedad (OR 0,2 [IC 95%:0,08-0,54]). Una buena calidad en la relación de pareja se asocia con menores niveles de ansiedad (OR 0,45 [IC 95%: 0,24-0,81). La puntuación media en ansiedad y depresión se relacionan con la incidencia de casos COVID-19; la puntuación en ansiedad fue significativamente más alta en los periodos de mayor incidencia. Conclusiones: Mayor atención emocional a las gestantes con bajo nivel de estudios, multíparas y con un débil apoyo de su pareja, permitiría reducir la ansiedad y depresión en el embarazo. Situaciones de emergencia sanitaria afectan a la salud mental durante la ges...(AU)

Objective: To assess the association between age, parity, nationality, educational level, employment and partner support with depression and anxiety during pregnancy. To determine the impact of the evolution of the COVID-19 pandemic on the anxiety and depression levels of the participants. Method: Cross-sectional descriptive correlational study carried out in the Osakidetza/Basque Health Service, Primary Care, Bizkaia (Spain). A total of 295 pregnant women between 8 and 41 weeks participated. The association between age, parity, nationality, educational level, employment, partner support and COVID-19 incidence rates during the study period and depression (measured with the Edinburgh Postnatal Depression Scale) and anxiety (measured with the State-Anxiety Inventory/STAI-S subscale) scores during pregnancy was measured. A logistic regression model was constructed and odds ratios and their 95% confidence intervals were estimated. Results: The mean score was 18.75 points for anxiety (SD 8.69) and 6.45 points for depression (SD 4.32). Women expecting their second or later child had higher scores for depression (OR 2.51 [95%IC: 1.26-5.01]) and anxiety (OR 1.98 [95%IC: 1.01-3.89]). Having completed university studies was associated with lower scores in depression (OR 0.28 [95%IC: 0.11-0.77]) and in anxiety (OR 0,2 [95%IC: 0.08-0.54]). A good relationship with the partner was associated with lower levels of anxiety (OR 0.45 [95%IC: 0.24-0.81]). The mean anxiety and depression scores are related to the incidence of COVID-19 cases; the anxiety score was significantly higher in periods of higher incidence. Conclusions: Greater emotional care for pregnant women with low educational level, multiparous and with weak support from their partner, would reduce anxiety and depression in pregnancy. Health emergency situations affect mental health during gestation.(AU)

Efecto de la deuda económica sobre el bienestar psicológico de los residentes de cirugía: Resultados de un estudio nacional en Colombia / Effect of financial debt on the psychological well-being of surgery residents: Results of a national study in Colombia

Introducción. La deuda económica durante la residencia en cirugía general puede afectar el desempeño profesional, las decisiones de vida y el bienestar psicológico. La información disponible en Colombia es limitada. El objetivo de este estudio fue cuantificar la deuda económica del residente de cirugía general, identificar los factores asociados y evaluar su efecto en el bienestar psicológico. Métodos. Estudio de corte transversal analítico. Se invitó a 380 residentes a diligenciar una encuesta sobre los aspectos relacionados con su deuda económica y se utilizó el WHO-index para evaluar su bienestar psicológico. Resultados. Un total de 259 residentes participaron en el estudio (67,6 %). El 56 % posee una deuda económica promedio de COP $88.000.000 ((US$21.826)). Un alto nivel de endeudamiento se relacionó con el año de residencia, el tipo de institución (privada) y la solicitud de préstamos. Se identificó algún trastorno mental en 14,7 % y un bajo nivel de bienestar psicológico en 56,4 % de los participantes. No se identificó ninguna asociación entre una elevada deuda económica y el bajo bienestar psicológico. Conclusiones. La deuda económica tiene un efecto sobre los residentes. El endeudamiento de los residentes de cirugía en Colombia es altamente prevalente, y no se correlaciona con un pobre bienestar psicológico. La autodeterminación favorece el bienestar psicológico en el posgrado en cirugía general. Existe la necesidad de educación financiera en los residentes. Se requieren nuevos estudios que evalúen las causas del pobre bienestar psicológico.

Introduction. Financial debt during surgery residency can affect professional performance, life decisions, and psychological well-being. The information available in Colombia is limited. The objective of this study is to quantify the financial debt of the general surgery resident, identify the associated factors and evaluate their effect on psychological well-being. Methods. A cross-sectional study was carried out. A total of 380 residents were invited to complete a survey on aspects related to their financial debt, and the WHO-index to evaluate their psychological well-being. Results. A total of 259 residents participated in the study (67.6%). 56% have an average economic debt of $88,000,000 COP (US$21,826). High debt was related to level of residence, type of institution (private), and loan application. Some mental disorder was identified in 14.7% and a low level of psychological well-being in 56.4% of the participants. No association was identified between high financial debt and low psychological well-being. Conclusions. Economic debt has an effect on residents. Financial debt among surgical residents in Colombia is highly prevalent; however, it does not correlate with poor psychological well-being. Self-determination favors psychological well-being in the postgraduate course in general surgery. Likewise, the need for financial education in residents is imminent. New studies are required that thoroughly evaluate the causes of poor well-being.

Anxiety and depression in pregnancy: associated variables during the COVID-19 pandemic period.

OBJECTIVE: To assess the association between age, parity, nationality, educational level, employment and partner support with depression and anxiety during pregnancy. To determine the impact of the evolution of the COVID-19 pandemic on the anxiety and depression levels of the participants. METHOD: Cross-sectional descriptive correlational study carried out in the Osakidetza/Basque Health Service, Primary Care, Bizkaia (Spain). A total of 295 pregnant women between 8 and 41 weeks participated. The association between age, parity, nationality, educational level, employment, partner support and COVID-19 incidence rates during the study period and depression (measured with the Edinburgh Postnatal Depression Scale) and anxiety (measured with the State-Anxiety Inventory/STAI-S subscale) scores during pregnancy was measured. A logistic regression model was constructed and odds ratios and their 95% confidence intervals were estimated. RESULTS: The mean score was 18.75 points for anxiety (SD=8.69) and 6.45 points for depression (SD=4.32). Women expecting their second or later child had higher scores for depression (OR 2.51[95%IC: 1.26-5.01)) and anxiety (OR 1.98 [95%IC: 1.01-3.89]). Having completed university studies was associated with lower scores in depression (OR 0.28 [95%IC: 0.11-0.77]) and in anxiety (OR 0,2 [95%IC: 0.08-0.54]). A good relationship with the partner was associated with lower levels of anxiety (OR 0.45 [95%IC: 0.24-0.81]). The mean anxiety and depression scores are related to the incidence of COVID-19 cases; the anxiety score was significantly higher in periods of higher incidence. CONCLUSIONS: Greater emotional care for pregnant women with low educational level, multiparous and with weak support from their partner, would reduce anxiety and depression in pregnancy. Health emergency situations affect mental health during gestation.

Efectividad audiovisual del monitoreo independiente del bienestar fetal sobre el apego materno-fetal y los resultados del parto / Audiovisual Effectiveness of Independent Fetal Well-being Monitoring on Mother-Fetus Attachment and Birth Outcomes

Introducción: El vínculo madre-feto juega un papel importante en la atención del embarazo, impactando los resultados del nacimiento. El monitoreo del movimiento fetal es una competencia fundamental para que las mujeres embarazadas lo hagan de manera independiente. Objetivo: Producir monitoreo audiovisual del movimiento fetal independiente y probar su efectividad en el apego materno-fetal y los resultados del parto. Métodos: La etapa I, desarrollo de Monitoreo de Bienestar Fetal Audiovisual, con estudio de literatura, etapas, desarrollo de escenarios, creación de audiovisuales, prueba de validez de expertos. La etapa 2 probó la efectividad de los medios audiovisuales sobre el apego materno-fetal con el instrumento Inventario de Apego Prenatal y los resultados del nacimiento a partir del peso del bebé al nacer. Diseño de un verdadero enfoque experimental de grupo de control pretest-postest. Muestras de mujeres embarazadas con antecedentes de atención prenatal en el Centro de Salud Kasihan II, Bantul, Yogyakarta, Indonesia con los siguientes criterios: embarazo único, normal, edad gestacional de 28 a 36 semanas. Los encuestados de 60 sujetos se dividieron en grupos experimentales y de control. Los datos normales se probaron mediante la prueba t pareada, la prueba t independiente y MANOVA. Resultados: Puntaje de prueba de validez de experto en contenido 81% muy válido, puntaje de validez de experto en medios 80.33%, válido. La aplicación audiovisual mostró los resultados de la prueba t pareada, tanto en el grupo experimental como en el control hubo diferencias en el pretest y postest, P<0.05. La prueba t de muestra independiente P < 0,05 y los resultados MANOVA simultáneos mostraron una puntuación de apego materno-fetal y un resultado del nacimiento P < 0,05 (AU)

Introduction: The mother-fetus bond plays an important role in pregnancy care, impacting birth outcomes. Monitoring fetal movement is a fundamental competence for pregnant women to do independently. Objective: to produce audiovisual monitoring of independent fetal movement and prove its effectiveness on maternal-fetal attachment and birth outcomes. Methods: Phase I, developing Audiovisual Fetal Well-being Monitoring, with literature study steps, developing scenarios, creating audiovisuals, testing the validity of experts. Stage 2 tested the effectiveness of audiovisual media on maternal-fetal attachment with the Prenatal Attachment Inventory instrument and birth outcomes from infant birth weight. Design of true experimental pretest-posttest control group approach. Samples of pregnant women with a history of antenatal care at the Kasihan II Health Center, Bantul, Yogyakarta, Indonesia with the following criteria: single pregnancy, normal, gestational age 28-36 weeks. Respondents of 60 subjects were divided into experimental and control groups. Normal data were tested by paired t test, independent t-test and MANOVA. Results: Content expert validity test score 81% very valid, media expert validity score 80.33%, valid. The audiovisual application showed the results of the paired t-test, both in the experimental and control groups there were differences in pretest and posttest, P <0.05. Independent sample t-test P < 0.05 and simultaneous MANOVA results showed maternal-fetal attachment score and birth outcome P < 0.05. Conclusion: Independent monitoring of fetal well-being using audiovisual media simultaneously affects the increase in maternal-fetal attachment scores and birth outcomes so it is recommended that second trimester pregnant women be taught techniques for counting fetal movements and practicing them routinely (AU)

Producción científica en Scopus sobre salud financiera: periodo 2011-2022 / Scientific production in Scopus on financial health: period 2011-2022

Introducción: La salud financiera, determinada en buena parte por el salario, está estrecha-mente relacionada a la salud global del individuo y su familia. Por ello se tuvo como objetivo evaluar la producción científica sobre salud financiera en la base de datos Scopus: periodo 2011 - 2022.Método: Scoping review en la que se analizaron manuscritos publicados en revistas in-dexadas en la base de datos Scopus entre los años 2011 - 2022. Para la búsqueda se utilizó descriptores tales como financial obligations, financial inclusion, family economy, financial education, financial literacy, financial wellness y financial stress, que fueron combinados en el buscador de Scopus junto con los operadores booleanos (AND, OR). Se realizó una sín-tesis narrativa.Resultados: Se incluyeron 6 940 manuscritos, de los cuales el 82,0% eran artículos origi-nales. Se observó un crecimiento constante del número de artículos a lo largo del perio-do de estudio, especialmente a partir de 2016, con un incremento del 860% en 2022 (n = 1429) respecto a 2011 (n=165). Estados Unidos fue el país con mayor producción científica (35,5%). Las revistas con mayor número de publicaciones fueron Sustainability (Suiza) y el Journal of Financial Counseling and Planning (EEUU). Entre los descriptores de mayor impacto se encuentran la inclusión financiera a través del uso de la tecnología, estrés finan-ciero, educación financiera y salud financiera.Conclusiones: La investigación sobre salud financiera ha tenido un aumento significativo. El nuevo conocimiento sobre el tema es impulsado por autores e instituciones de Estados Unidos en su mayoría, y finalmente, se evidencian tendencias de estudio relacionadas a la inclusión y educación financiera (AU)

Introduction: Financial health is related to the overall health of an individual and their family. The objective of this study was to evaluate the scientific production on financial health in the Scopus database for the 2011-2022 period.Method: Scoping review of manuscripts published in journals indexed in the Scopus data-base between the years 2011 and 2022. The following search terms were used: "Financial obligations”, “financial inclusion”, “family economy”, “financial education”, “financial literacy”, “financial wellness” and “financial stress", which were entered in the Scopus search engine together with the Boolean operators (AND, OR). Results: A total of 6 940 publications were identified, of which 81.95% were original articles. The United States was the country with the highest scientific production (35.5%). We iden-tified a trend of increasing number of papers during the study period, especially from 2016 onward, with an 860% increase in 2022 (n=1429) with respect to 2011 (n=165). The journals with the highest number of publications were Sustainability (Switzerland) and the Journal of Financial Counseling and Planning (USA). Finally, the key search terms with the greatest yield were “financial inclusion” through the use of technology, “financial stress”, “financial education” and “financial health. Conclusions: Research on financial health has increased significantly. The new knowledge on the subject is mostly driven by authors and institutions from the United States, and final-ly, there is evidence of an increasing trend of pulbications related to financial inclusion and financial education (AU)

Feasibility and acceptability of a culturally adapted psychological first aid training intervention (Preparing Me) to support the mental health and well-being of front-line healthcare workers in China: a feasibility randomized controlled trial.

Background: Psychological first aid (PFA) training helps to prepare healthcare workers (HCWs) to manage trauma and stress during healthcare emergencies, yet evidence regarding its effectiveness and implementation is lacking.Method: A two-arm feasibility randomized controlled trial design was conducted in a Chinese tertiary hospital. Participants were randomly allocated to receive either a culturally adapted PFA training (the intervention arm) or psychoeducation (the control arm). Feasibility indicators and selected outcomes were collected.Results: In total, 215 workers who expressed an interest in participating in the trial were screened for eligibility, resulting in 96 eligible participants being randomly allocated to the intervention arm (n = 48) and control arm (n = 48). There was a higher retention rate for the face-to-face PFA training session than for the four online group PFA sessions. Participants rated the PFA training as very helpful (86%), with a satisfaction rate of 74.25%, and 47% reported being able to apply their PFA skills in responding to public health emergencies or providing front-line clinical care. Positive outcome changes were observed in PFA knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth. Their scores on depression, anxiety, stress, and burnout measures all declined. Most of these changes were sustained over 3 months (p < .05). Repeated measures analysis of variance found statistically significant interaction effects on depression (F2,232 = 2.874, p = .046, ηp2 = .031) and burnout (F2,211 = 3.729, p = .018, ηp2 = .037), indicating a greater reduction in symptoms of depression and burnout with PFA compared to psychoeducation training.Conclusion: This culturally adapted PFA training intervention was highly acceptable among Chinese HCWs and was feasible in a front-line care setting. Preliminary findings indicated positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout. Further modifications are recommended and a fully powered evaluation of PFA training is warranted.

Psychological first aid (PFA) training was culturally adapted and evaluated to help prepare healthcare workers to manage trauma and stress during healthcare emergencies.This culturally adapted PFA training was highly acceptable among Chinese healthcare workers and was feasible in a front-line care setting.Preliminary findings show positive changes for the PFA training intervention on knowledge, skills, attitudes, resilience, self-efficacy, compassion satisfaction, and post-traumatic growth, especially a reduction of depression and burnout.

[Factors associated with academic performance in adolescents from La Rioja (Spain): lifestyle habits, health indicators, and sociodemographic factors]. / Factores asociados al rendimiento académico de los adolescentes de La Rioja (España): hábitos de vida, indicadores de salud y factores sociodemográficos.

Introduction: Introduction: academic performance is influenced by numerous factors, some personal and others contextual in nature, which also have a close relationship with the health of students. Therefore, the aim of this study was to analyze the relationship and influence of lifestyle habits, various physical and psychosocial health indicators, and sociodemographic variables on academic performance. Method: the study was carried out on a sample of 761 students (14.51 ± 1.63 years old) from 25 educational centers in a region of northern Spain. Academic performance was assessed, as well as health-related quality of life, self-esteem, adherence to the Mediterranean diet, hours of nocturnal sleep, level of physical activity, environment for the practice of physical activity, participation in extra-curricular sports activities, maximum oxygen consumption, body mass index, and various sociodemographic factors. Results: being male, having immigrant origins, as well as having a low/medium socioeconomic level, a cardiorespiratory capacity in the risk zone, lower adherence to the Mediterranean diet, and lower health-related quality of life indices were associated with lower academic performance, explaining up to 14 % of its variance according to the regression analysis. Likewise, adolescents with higher self-esteem, lower body mass index, females, those who lived in a favorable environment for physical activity practice, engaged in extra-curricular physical activity, and had a higher number of hours of nocturnal sleep showed higher levels of academic performance. Conclusions: interventions aimed at combating academic failure should take into account the aforementioned associated factors, with special emphasis on the most vulnerable groups such as males, those with lower socioeconomic status, and those who follow unhealthy lifestyle habits.

Introducción: Introducción: el rendimiento académico está influenciado por numerosos factores, algunos de índole personal y otros contextuales, que, además, poseen una estrecha relación con la salud de los estudiantes. Por ello, el objetivo del estudio fue analizar la relación e influencia de los hábitos de vida, diversos indicadores de salud física y psicosocial, y variables sociodemográficas sobre dicho rendimiento. Método: el estudio se llevó a cabo sobre una muestra de 761 estudiantes (14,51 ± 1,63 años) de 25 centros educativos de una región del norte de España. Se valoró el rendimiento académico, así como la calidad de vida relacionada con la salud, la autoestima, la adherencia a la dieta mediterránea, las horas de sueño nocturno, el nivel de actividad física, el entorno para la práctica de dicha actividad física, la participación en actividades deportivas extraescolares, el consumo máximo de oxígeno, el índice de masa corporal y diversos factores sociodemográficos. Resultados: ser chico, tener origen migrante y poseer un nivel socioeconómico bajo/medio, una capacidad cardiorrespiratoria en zona de riesgo, una menor adherencia a la dieta mediterránea e índices más bajos de calidad de vida relacionada con la salud resultaron asociarse a un menor rendimiento académico, llegando a explicar hasta el 14 % de su varianza según el análisis de regresión. Igualmente, los adolescentes con mayor autoestima, menor índice de masa corporal, las chicas, aquellos que residían en un entorno favorable para la práctica física, los que realizaban actividad física extraescolar y los que presentaban mayor número de horas de sueño nocturno, mostraron mayores índices de rendimiento académico. Conclusiones: las intervenciones dirigidas a combatir el fracaso escolar deberían tener en cuenta los factores asociados citados, haciendo especial hincapié en los grupos más vulnerables como los chicos, aquellos con menor nivel socioeconómico y los que siguen unos hábitos de vida no saludables.

Implicaciones del covid-19 en el bienestar psicológico: un modelo de rutas / Implications of COVID-19 on psychological well-being: a path analysis

El objetivo del estudio fue determinar el efecto del sexo, la edad, el nivel de instrucción, la gravedad de la condición, perdidas por la enfermedad y las dificultades post-COVID-19 sobre el Bienestar Psicológico, y cómo estas variables se relacionan entre sí. Se empleó un diseño de ru-ta en una muestra de 419 personas con COVID-19. Se utilizó la Escala de Bienestar Psicológico de CarolRyff (1989), y la Encuesta sobre implicaciones del COVID-19. Se encontró que la edad influencia directamente a todas las dimensiones del bienestar, a excepción de Relaciones Posi-tivas y Crecimiento Personal. El nivel educativo influye directamente de forma positiva en la mayoría de las dimensiones de bienestar. Los hombres presentan mayor bienestar en la dimen-sión Autonomía. Otras variables que predicen directamente el bienestar psicológico fueron el poseer algunas dificultades post-COVID. Se concluye que el modelo fue parcialmente compro-bado y permitiría desarrollar algunos planes de intervención. (AU)

The purpose of the study was to determine the effect of sex, age, level of education, severity of the condition, losses associated to the disease, and post-COVID-19 difficulties, on Psycho-logical Well-being, and how these variables relate to each other. Hence, a pathway design was used on a sample of 419 COVID-19 patients. The Carol Ryff’s Psychological Well-Being Scale (1989) and the Survey on the implications of COVID-19 were implemented. A direct influence of age on all dimensions of well-being was found, except for Positive Relationships and Per-sonal Growth. Educational level has a direct positive influence on most dimensions of well-being. Male participants showed greater well-being in the Autonomy dimension. Other varia-bles that directly predicted psychological well-being were having physical difficulties, work difficulties, and other post-COVID-19 difficulties. It is concluded that the model was partially verified and would allow for the development of specific well-being intervention plans. (AU)

Desafíos de salud y bienestar en el mundo según indicadores ODS / Challenges of health and well-being in the world according to SDG indicators

Resumen En este estudio se analiza el estado actual de los indicadores de salud y bienestar pertenecientes a los objetivos de desarrollo sostenible (ODS), identificando los desafíos más significativos que se presentan entre los países del mundo y en la región de las Américas. Se utiliza la técnica multivariante HJ-Biplot para representar las variaciones y covariaciones existentes entre 16 indicadores del ODS 3, reportados al año 2022, según datos de 176 países, entre ellos, 31 del continente americano. Los resultados obtenidos muestran que indicadores como la esperanza de vida al nacer, la cobertura sanitaria universal y la demanda de planificación familiar satisfecha, caracterizan a los países desarrollados. En contraste, los países en vía de desarrollo aún registran retos importantes para favorecer la salud materna, el bienestar de los niños y en el control de enfermedades trasmisibles y crónicas. Por ello, en el marco de la Agenda 2030, es necesario continuar trabajando en acciones de política pública que permitan avanzar en la implementación de programas para mejorar la salud y el bienestar de la población, en especial entre las naciones de menores ingresos.

Abstract This study reviews the current state of the good health and well-being indicators included in the Sustainable Development Goals (SDG), identifying the most significant challenges faced by countries in the world and in the Americas region. The HJ-Biplot multivariate technique is used to represent variances and covariances between 16 SDG 3 indicators, reported as of 2022, based on data from 176 countries, including 31 countries of the American continent. The findings show that indicators such as life expectancy at birth, universal health coverage and satisfied demand for family planning are key characteristics of developed countries. In contrast, developing countries still face significant challenges in terms of promoting maternal health, the well-being of children and the control of communicable and chronic diseases. For this reason, in the framework of the 2030 Agenda, it is necessary to continue working on public policy actions that enable making progress in the implementation of programs to improve the health and well-being of the population, especially in lower-income countries.

Gender, psychological distress, and subjective well-being two years after the onset of the COVID-19 pandemic in Spain / Género, trastorno psicológico y bienestar subjetivo a dos años del inicio de la pandemia de COVID-19 en España / Gênero, distúrbio psicológico e bem-estar subjetivo dois anos após o início da pandemia da COVID-19 na Espanha

Abstract This study aimed to examine gender differences in distress and well-being two years after the onset of the COVID-19 pandemic, analyzing risk and protective factors for psychological distress and subjective well-being. It is a repeated cross-sectional study with a sample of 1,588 women (50%) and men (50%) from the general Spanish population aged 18-74 years who were assessed online by seven questionnaires and scales. Descriptive, variance, and hierarchical multiple regression analyses were performed. From February to April 2022, 57.4% of women and 38.7% of men had psychological distress, percentages that totaled 50.5% and 41.5%, respectively, from October 2022 to February 2023. Women also had greater perceived vulnerability to diseases, more negative feelings, and lower affect balance, resilience, and self-esteem than men. The most important predictors of greater psychological distress refer to lower self-esteem, resilience, and social support and higher perceived vulnerability to diseases. Other statistically significant predictors included lower educational level in women and neither being married nor living with a partner in men. Lower self-esteem also best predicted lower subjective well-being, with lower social support and lower resilience also constituting significant predictors. Moreover, lower educational level and higher perceived vulnerability to diseases statistically and significantly predicted lower subjective well-being in women, as did not being a student in men. We conclude that psychological distress remains greatly prevalent in Spain two years after the beginning of the COVID-19 pandemic, especially in women.

Resumen Este estudio tuvo como objetivo analizar las diferencias de género en distrés psicológico y en el bienestar a dos años del inicio de la pandemia de COVID-19, analizando factores de riesgo y de protección para distrés psicológico y bienestar subjetivo. Se trata de un estudio transversal repetido con una muestra de 1.588 individuos de la población general de España, 50% mujeres y 50% hombres, con edades comprendidas entre 18 y 74 años. Los participantes fueron evaluados en línea mediante 7 cuestionarios y escalas. Se realizaron análisis descriptivos, de varianza y de regresión múltiple jerárquica. Entre febrero y abril del 2022, el 57,4% de las mujeres y el 38,7% de los hombres presentaron distrés psicológico, con porcentajes del 50,5% y 41,5%, respectivamente, entre octubre del 2022 y febrero del 2023. Las mujeres también presentaron una mayor vulnerabilidad percibida a la enfermedad, más sentimientos negativos, menos equilibrio afectivo y menor resiliencia y autoestima que los hombres. Los indicadores más importantes de un mayor distrés psicológico fueron la baja autoestima, la baja resiliencia, el escaso apoyo social y una mayor vulnerabilidad percibida a la enfermedad. Otros indicadores estadísticamente significativos fueron los siguientes: bajo nivel de educación entre las mujeres y no estar casado o no vivir con una compañera entre los hombres. La baja autoestima también fue el mejor indicador de un bajo bienestar subjetivo; además, el escaso apoyo social y la baja resiliencia también fueron indicadores importantes. Además, el bajo nivel de educación y la alta vulnerabilidad percibida a la enfermedad fueron indicadores estadísticamente significativos de bajo bienestar subjetivo entre las mujeres y de no ser estudiantes entre los hombres. Concluimos que el distrés psicológico sigue siendo muy prevalente en España dos años después del inicio de la pandemia de COVID-19, especialmente entre las mujeres.

Resumo Este estudo teve como objetivo analisar as diferenças de gênero em estresse psicológico e no bem-estar dois anos após o início da pandemia da COVID-19, analisando fatores de risco e de proteção para estresse psicológico e bem-estar subjetivo. Este foi um estudo transversal repetido com amostra de 1.588 indivíduos da população geral da Espanha - 50% do sexo feminino e 50% do sexo masculino, com idade entre 18 e 74 anos. Os participantes foram avaliados online por meio de sete questionários e escalas. Foram realizadas análises descritivas, de variância e de regressão múltipla hierárquica. Entre fevereiro e abril de 2022, 57,4% das mulheres e 38,7% dos homens apresentaram estresse psicológico, com porcentagens de 50,5% e 41,5%, respetivamente, entre outubro de 2022 e fevereiro de 2023. As mulheres também apresentaram maior vulnerabilidade percebida à doença, mais sentimentos negativos, menor equilíbrio afetivo e menor resiliência e autoestima do que os homens. Os indicadores mais importantes de maior estresse psicológico foram baixa autoestima, baixa resiliência, baixo apoio social e maior vulnerabilidade percebida à doença. Outros indicadores estatisticamente significativos foram: baixo nível de escolaridade entre as mulheres e não ser casado ou não viver com uma companheira entre os homens. Baixa autoestima também foi o melhor indicador de baixo bem-estar subjetivo; além disso, baixo apoio social e baixa resiliência também foram indicadores significativos. Além disso, baixo nível de escolaridade e alta vulnerabilidade percebida à doença foram indicadores estatisticamente significativos de baixo bem-estar subjetivo entre as mulheres e de não ser estudante entre os homens. Concluímos que estresse psicológico ainda é muito prevalente na Espanha dois anos após o início da pandemia da COVID-19, principalmente entre as mulheres.

Teleworking Components and Scientific Productivity in Spanish ERC-Granted Teams: The Mediating Role of Climate and Well-Being / [Los componentes del teletrabajo y la productividad científica en los equipos españoles financiados por el ERC: el papel mediador del clima y el bienestar]

The practice of teleworking is being consistently and unprecedently used across multiple work sectors, including the research one, yet the direct and mediated links of specific telework designs with productivity are unclear, and analyses at multiple levels missing. Accordingly, this study aims at exploring the mediating role of the climate for well-being and well-being outcomes in the relationship between multiple components of teleworking and scientific productivity, both at the individual and team level. Data were collected from 358 members of 48 Spanish European Research Council (ERC)-granted teams. Analyses were conducted both at the individual and team level, after checking for the relevant aggregation indexes. Telework components of quantity, frequency, flexibility, and voluntariness were found to have direct and mediated significant relationships with scientific productivity, confirming the need to investigate telework with a closer focus on how it is designed and implemented in the different teams. Specifically, climate for well-being, eudaimonic well-being, and negative emotions were found to play a relevant role in mediating the relationship between some telework components (i.e., telework flexibility and voluntariness) and scientific productivity. Also, telework quantity and frequency were found to have, respectively, positive and negative relationship with scientific productivity. Practical and theoretical implications are further discussed in the article.(AU)

La práctica del teletrabajo se está utilizando de manera consistente y sin precedentes en múltiples sectores laborales, también en el de la investigación. No obstante, todavía quedan cuestiones que dilucidar sobre la relación entre aspectos específicos del diseño del teletrabajo y la productividad, así como los posibles mecanismos mediadores entre ambos a distintos niveles de análisis (individual, equipo). El trabajo tiene como objetivo explorar el papel mediador del clima para el bienestar y sus consecuencias en la relación entre múltiples componentes del teletrabajo y la productividad científica, tanto a nivel individual como de equipo. Se han recogido datos de 358 miembros de 48 equipos españoles subvencionados por el Consejo Europeo de Investigación (ERC). Los análisis se han realizado a ambos niveles tras comprobar los índices de agregación pertinentes. Cuatro componentes del teletrabajo (intensidad, frecuencia, flexibilidad y voluntariedad) presentaban relaciones significativas, directas e indirectas, con la productividad científica, confirmando la necesidad de investigar cómo se diseña e implementa en los equipos el teletrabajo. Se ha visto que el clima para el bienestar, el bienestar eudaimónico y las emociones negativas mediaban la relación entre algunos componentes del teletrabajo (la flexibilidad y la voluntariedad del teletrabajo) y la productividad científica. Además, la intensidad y la frecuencia del teletrabajo tenían, respectivamente, una relación positiva y negativa con la productividad científica. Las implicaciones prácticas y teóricas se analizan con más detalle en el artículo.(AU)

Relationship of indicators of ability and experience of military sports skydiving with the psychological state and performance in competition of elite jumpers / Relación de indicadores de habilidad y experiencia del paracaidismo deportivo militar con el estado psicológico y rendimiento en competición de saltadores de élite / Relação dos indicadores de habilidade e experiência do paraquedismo esportivo militar com o estado psicológico e desempenho em competição de saltadores de elite

Se deben considerar múltiples variables cuando se habla de rendimiento deportivo. Entre ellas, la literatura establece la importancia de la psicología y las técnicas indicadoras de la experiencia adquirida en la disciplina. Este estudio pretende establecer la relación entre determinados constructos que definen el perfil psicológico del deportista con indicadores de habilidad en paracaidismo militar. Para ello, se encuestó a 42 saltadores de 40,86 años (±7,35) pertenecientes al ejército español y a la guardia civil durante la celebración del Campeonato Nacional Militar de paracaidismo que se celebra anualmente, para conocer su nivel de optimismo, resiliencia, bienestar psicológico y burnout. Se concluye que los años de experiencia en paracaidismo y el número de saltos, como indicadores de habilidad, deben ser tomados en cuenta con un mayor nivel de concreción y especificidad, ya que ciertas variables psicológicas pueden aumentar o disminuir dependiendo de ellas. Conviene estudiar cada caso en particular para comprender qué puede ocurrir en el estado del paracaidista y desarrollar estrategias para optimizar el rendimiento deportivo. (AU)

Multiple variables must be considered when talking about sports performance. Among them, the literature establishes the importance of psychology and indicator techniques of experience acquired in the discipline. This study aims to establish the relationship between certain constructs that define the psychological profile of the athlete with skill indicators in military parachuting. For this, 42 jumpers aged 40.86 years old (±7.35) belonging to the Spanish army and the civil guard during the celebration of the National Military Championship of Skydiving which is held annually surveyed to know their level of optimism, resilience, psychological well-being, and burnout. It is concluded that the years of skydiving experience and the number of jumps, as indicators of skill, must be taken into account with a higher level of concreteness and specificity since certain psychological variables can increase or decrease depending on them. It is convenient to study each case, in particular, to understand what can happen in the state of the parachutist and develop strategies for optimizing sports performance. (AU)

Múltiplas variáveis devemser consideradas quando se fala em desempenho desportivo. Eentre eles, a literatura estabelece a importância da psicologia e das técnicas indicadoras daexperiência adquirida na disciplina. Este estudo visa estabelecer a relaçãoentre determinados constructos que definem o perfil psicológico do atleta com indicadores de habilidade no paraquedismo militar. Para tal, foram inquiridos 42 saltadores com 40,86anos (±7,35) pertencentes ao exército espanhol e à guarda civil durante a celebração do Campeonato Nacional Militar de paraquedismo que se realiza anualmente para conhecer o seu nível de optimismo, resiliência, bem-estar psicológicoe esgotamento. Conclui-se que os anos de experiência em paraquedismo e o número de saltos, como indicadores de habilidade, devem ser levados em consideração com maior grau deespecificidade, pois certas variáveis psicológicas podem aumentar ou diminuir. É conveniente estudar cada caso em particular para entender o que pode acontecer no estado do paraquedista e desenvolver estratégias para otimizar o desempenho esportivo. (AU)

Evolución del riesgo y protección en la infancia y la adolescencia

(analítico) Los factores de riesgo y protección pueden ser utilizados para evaluar, prevenir e intervenir en el maltrato infantil. El objetivo de este estudio es analizar longitudinalmente el riesgo en la infancia y la adolescencia, para determinar qué factores pueden ser empleados como indicadores de evolución. Se empleó una muestra de 102 niños, niñas y adolescentes que participaban en el sistema de bienestar infantil español, en tres momentos temporales. Los resultados indicaron que existe una evolución del riesgo, con una tendencia general de disminución de riesgos e incremento de elementos protectores. Nuestros hallazgos identificaron la existencia de factores dinámicos y estáticos. Este estudio pone de manifiesto la relevancia de la atención e intervención continuada y a largo plazo para fortalecer los factores de protección y disminuir los de riesgo en niños, niñas y adolescentes.

(analytical) Risk and protective factors can be used for risk and needs assessments, prevention, and intervention in cases involving mistreatment of children. The aim of this study is to provide a longitudinal analysis of risks and vulnerabilities in childhood and adolescence, with the goal of determining which factors can be used as indicators for progress with cases. A sample of 102 children and adolescents supported by the child welfare system in Spain was used along with measurements based on three different points in time. The study's results indicated that there is a change in risk levels, with a general trend of decreasing risk and increasing protective elements. The study's findings identified the existence of a group of dynamic factors and another group of static factors. This study highlighted the relevance of continuous and long-term care and intervention in order to strengthen protection and decrease risks for children.

(analítico) Os factores de risco e protecção podem ser utilizados para avaliar, prevenir e intervir em casos de maustratos a crianças. O objectivo deste estudo é analisar o risco na infância e adolescência longitudinalmente, a fim de determinar que factores podem ser utilizados como indicadores de evolução. Uma amostra de 102 crianças e adolescentes participantes no sistema espanhol de bem-estar infantil foi utilizada em três pontos no tempo. Os resultados indicaram que existe uma evolução do risco, com uma tendência geral de diminuição do risco e aumento dos elementos protectores. Os nossos resultados identificaram a existência de factores dinâmicos e estáticos. Este estudo destaca a relevância dos cuidados e intervenções contínuos e a longo prazo para reforçar os factores de protecção e diminuir os factores de risco nas crianças.

Child maltreatment and resilience in adulthood: a protocol for a systematic review and meta-analysis.

Background: Although child maltreatment (CM) has been linked to health problems and poor psychosocial functioning, not all individuals exposed to CM develop or experience negative consequences later in life. This suggests that some individuals show resilience after being exposed to CM. However, conclusions have been limited by inconsistent findings across different CM subtypes and resilience domains.Objective: To develop a protocol for conducting a systematic review and meta-analysis to quantify associations between CM (overall and its subtypes) and resilience (global and its multiple domains) in adulthood, and to examine moderators and mediators of these associations.Method: PubMed, PsycINFO, Embase, Scopus, and Web of Science will be searched to identify relevant studies on the association between CM (exposure) and resilience (outcome) in adults (≥ 18 years). Data will be screened and extracted by at least two independent reviewers. The methodological quality of the included studies will be independently assessed with a modified version of the Newcastle-Ottawa Scale (NOS). If deemed viable, a meta-analysis will be conducted using a random effects model. Heterogeneity of evidence will be estimated with the I2 statistic, and publication bias will be assessed. The effects of potential moderators (e.g. timing and severity of CM, age, sex, family cohesion, socio-economic status, country/region) will be analysed using meta-regression and subgroup analyses, and meta-analytical structural equation modelling will be employed to synthesise indirect mediation effects. Candidate moderators and mediators (e.g. genetic factors, brain functioning, attachment style, personality traits, physical activity, and social support) will be also examined qualitatively.Conclusions: This protocol will facilitate a systematic review and meta-analysis that has the potential to enhance our knowledge about the association between CM exposure in early life and resilience in adulthood. Understanding associations and underlying mechanisms between CM and resilience is potentially important in informing prevention and interventions to sustain health and improve outcomes among adults with a history of CM.PROSPERO registration: CRD42023394120.

In this study protocol, we propose to quantitatively summarise the existing literature on the relationship between child maltreatment and resilience with regard to mental health consequences and psychosocial functioning later in life.This preregistered systematic review and meta-analysis will establish the procedures to investigate associations between an overall classification of child maltreatment and its different associated subtypes, and a global/trait classification of resilience and its different domains in adults.This protocol will further determine the analytical approach to explore and summarise effect moderators and mediators of the association between child maltreatment and resilience in adulthood.The resulting synthesis, that will be based on this protocol, could enhance our understanding of the strength of the association between child maltreatment and resilience and inform prevention strategies and clinical interventions to improve health and psychosocial functioning in adult survivors.

Impact of the COVID-19 pandemic on the psychological well-being of adolescents by gender identity.

OBJECTIVE: To describe the impact of the COVID-19 pandemic on the psychological well-being of adolescents in Catalan schools by gender identity, and to compare coping strategies adopted to manage the health crisis and their relationship with the self-perceived impact of COVID-19 on mental health. METHOD: Cross-sectional study in educational centres that includes 1171 adolescents over 15 years old from October to November 2021. Multivariate logistic regression models were built to evaluate the association between coping strategies with self-perceived impact of the pandemic on mental health. RESULTS: A greater proportion of girls perceived a worsening in mental health than boys due to COVID-19 (36.9% and 17.8%, respectively). The main emotions reported for both girls and boys were worry and boredom. The study found an association between positive coping strategies with less adverse mental health among girls, whereas unhealthy habits were associated with a higher probability of declaring worsening of mental health for both girls and boys. CONCLUSIONS: This study demonstrated the negative impact of the COVID-19 pandemic on psychological well-being in adolescents and a clearly worse impact on girls. It is important to keep monitoring the medium- and long-term secondary impacts of the pandemic on mental health outcomes of adolescents and to gather information that can improve services for the development of healthy coping strategies during health crises like COVID-19, which include gender perspective.