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Keywords = work-related stressors

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23 pages, 532 KB  
Article
Job Insecurity and Happiness Among Muslim Americans: Does the Moderating Role of Religious Involvement Differ by Gender?
by Metin Güven and Gabriel A. Acevedo
Religions 2025, 16(10), 1246; https://doi.org/10.3390/rel16101246 - 29 Sep 2025
Abstract
A substantial body of literature has examined the factors predicting happiness among various groups; however, few studies have systematically focused on happiness and related factors among Muslim Americans. Within the framework of the stress-process paradigm, this current study addresses fundamental arguments regarding job [...] Read more.
A substantial body of literature has examined the factors predicting happiness among various groups; however, few studies have systematically focused on happiness and related factors among Muslim Americans. Within the framework of the stress-process paradigm, this current study addresses fundamental arguments regarding job insecurity as a key predictor of happiness and the role of religious involvement as a buffering factor against the deleterious effects of job insecurity as a structural stressor. Thus, our work contributes to the literature by examining the potential relationships between religious covariates and job insecurity with happiness. Using data from the 2007 Pew Survey of Muslim Americans, we test the study hypotheses accordingly. Findings from the binary logistic regression models demonstrate that (a) job insecurity is a negative predictor of happiness for both males and females; (b) religious involvement is positively associated with happiness for both males and females; and remarkably (c) religious involvement buffers the adverse effects of job insecurity on happiness for females, not males. We discuss the study findings and address implications, limitations, and future research avenues. Full article
(This article belongs to the Section Religions and Health/Psychology/Social Sciences)
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22 pages, 7050 KB  
Article
Designing for Special Neurological Conditions: Architecture Design Criteria for Anti-Misophonia and Anti-ADHD Spaces for Enhanced User Experience
by Yomna K. Abdallah
Architecture 2025, 5(4), 85; https://doi.org/10.3390/architecture5040085 - 23 Sep 2025
Viewed by 167
Abstract
ADHD and misophonia are developmental neurological disorders that are currently increasing in prevalence due to excessive acoustic and visual pollution. ADHD, which is characterized by a lack of attention and excessive impulsive hyperactivity, and misophonia, which is hypersensitivity to sounds accompanied by a [...] Read more.
ADHD and misophonia are developmental neurological disorders that are currently increasing in prevalence due to excessive acoustic and visual pollution. ADHD, which is characterized by a lack of attention and excessive impulsive hyperactivity, and misophonia, which is hypersensitivity to sounds accompanied by a severe emotional and psychological reaction, are both affected by the user’s spatial environment to a great extent. Spatial design can contribute to increasing or decreasing these unfavorable sensory triggers that affect individuals with ADHD and/or Misophonia. However, the role of architectural spatial design as a therapeutic approach to alleviate the symptoms of Misophonia and ADHD has never been proposed before in the literature, despite its accumulative and chronic effects on the user’s experience in everyday life in terms of well-being and productivity. Therefore, the current work discusses this problem of neglecting the potential effect of architectural spatial design on alleviating Misophonia and ADHD. Thus, the objective of the current work is to propose customized architectural spatial design as a therapeutic approach to alleviate Misophonia and ADHD through adopting the compatible architectural trends of minimal and metaphysical architecture. The methodology of the current work includes a theoretical proposal of this customized architectural spatial design for alleviating these two special neurological conditions. This includes introducing and analyzing these two neurological conditions and their relation to and interaction with architectural spatial design, analyzing minimal and metaphysical architectural trends employed in the proposed therapeutic architectural design, and then proposing augmented and virtual reality as auxiliary add-ons to the architectural spatial design to boost its therapeutic effect. Minimal architecture achieves the “no emotion” criteria through reduced forms, patterns, and colors and adopts simple geometry and natural materials to reduce sensory stressors or stimuli, in order to alleviate the loss of attention and distraction prevalent in those with ADHD, as well as allowing the employment of acoustic materials to achieve acoustic comfort and noise blockage for Misophonia relief. Metaphysical architecture leads the hierarchy of sensory experience through the symbolistic, dynamic, and enigmatic composition of forms and colors, which enhance the spatial analysis and cognitive capacities of the inhabitants. Meanwhile, the use of customized virtual and augmented reality environments is an effective add-on to minimal and metaphysical architectural spaces thanks to its proven therapeutic effect in alleviating various neurological disorders and injuries. At this level of intervention, VR/AR can be used as an add-on to minimal-architecture design, to simulate varied scenarios, as minimal design offers a clean canvas for simulating these varied virtual environments. The other option is to build these customized VR/AR scenarios around a specific architectural element as an add-on metaphysical architecture design to lead the sensory experience and enable the user to detach from the physical constraints of the space. AI-generated designs were used as a proof of concept for the proposed customized architectural spatial design following minimal and metaphysical architecture, as well as to provide AR and VR scenarios as add-on architecture to enhance the therapeutic effect of these architectural spaces for Misophonia and ADHD patients. Furthermore, the validity of VR/AR as a therapeutic approach, alongside the customized architectural design, was discussed, and it was concluded that this study proves the need for extended clinical studies on its efficiency in the long run, which will be conducted in the future. Full article
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13 pages, 281 KB  
Article
Demographic Profile and Work Stress of Nursing Professionals in Public Hospitals in Aracaju, Sergipe
by Tânia Pereira dos Santos, Jeane dos Santos Ferreira, Calliandra Maria de Souza Silva, Izabel Cristina Rodrigues da Silva and Rita de Cássia Coelho Almeida Akutsu
Healthcare 2025, 13(18), 2347; https://doi.org/10.3390/healthcare13182347 - 18 Sep 2025
Viewed by 284
Abstract
Background: Occupational or work-related stress remains a persistent challenge in nursing, often intensified by sociodemographic factors. In Brazil’s Northeast, particularly in Aracaju, Sergipe, public hospital nurses face unique stressors shaped by regional socioeconomic conditions. Objective: This cross-sectional exploratory study aimed to examine the [...] Read more.
Background: Occupational or work-related stress remains a persistent challenge in nursing, often intensified by sociodemographic factors. In Brazil’s Northeast, particularly in Aracaju, Sergipe, public hospital nurses face unique stressors shaped by regional socioeconomic conditions. Objective: This cross-sectional exploratory study aimed to examine the relationship between perceived work-related stress and the sociodemographic profiles of nursing professionals in three public hospitals in Aracaju. Methods: Data were collected via an online questionnaire incorporating the Perceived Stress Scale (PSS-10) and sociodemographic items. Results: Among 440 participants—comprising nurses (42%), nursing technicians (38.2%), nursing assistants (8.9%), and specialists (10.9%)—moderate to high stress levels were most prevalent among nursing technicians and assistants. Elevated stress was notably associated with adult women working in high-complexity sectors (e.g., pediatrics, obstetrics, ICU), particularly those without partners, earning low incomes, and with over ten years of professional experience. Conclusions: The findings highlight a vulnerable subgroup within the nursing workforce and underscore the need for targeted interventions to mitigate occupational stress in public healthcare settings. This study contributes region-specific insights into the intersection of stress and sociodemographic factors, offering a foundation for future policy and support strategies. Full article
11 pages, 216 KB  
Article
The Impact of the COVID-19 Pandemic on Care Aides’ Job Satisfaction in Long-Term Care Facilities in Northern British Columbia: A Qualitative Study
by Maryam Sarfjoo Kasmaei, Shannon Freeman, Davina Banner, Tammy Klassen-Ross and Melinda Martin-Khan
COVID 2025, 5(9), 157; https://doi.org/10.3390/covid5090157 - 17 Sep 2025
Viewed by 216
Abstract
Background: The COVID-19 pandemic placed unprecedented strain on long-term care facilities (LTCFs), disproportionately affecting care aides who provide essential frontline support. This study explored the impact of the pandemic on care aides’ job satisfaction in LTCFs across Northern British Columbia, a geographically and [...] Read more.
Background: The COVID-19 pandemic placed unprecedented strain on long-term care facilities (LTCFs), disproportionately affecting care aides who provide essential frontline support. This study explored the impact of the pandemic on care aides’ job satisfaction in LTCFs across Northern British Columbia, a geographically and structurally underserved region. Methods: Eight care aides participated in semi-structured virtual interviews, and data were analyzed using Braun and Clarke’s thematic analysis. Results: Five key themes emerged: (1) work environment and staffing conditions, (2) emotional and psychological burden, (3) communication and team dynamics, (4) resident care and safety, and (5) effects of evolving COVID-19-related policies. Participants consistently described emotional exhaustion, policy fatigue, grief from resident deaths, communication breakdowns, and uncertainty stemming from frequent procedural changes. These stressors were compounded by staffing shortages and limited access to mental health support, especially in rural settings. Conclusion: The findings highlight the urgent need for structural and psychological supports, including responsive leadership, accessible mental health resources, and stable employment policies, to protect care aides’ well-being and ensure quality of care in future public health emergencies. Full article
(This article belongs to the Special Issue How COVID-19 and Long COVID Changed Individuals and Communities 2.0)
19 pages, 1294 KB  
Article
The Psychological Impact of Dealing with Death and the Risk of Dying Among Nurses Working in ICU and NICU: Specificities in Mediating and Moderating Variables
by Federica Vallone, Carmine Vincenzo Lambiase and Maria Clelia Zurlo
Healthcare 2025, 13(18), 2265; https://doi.org/10.3390/healthcare13182265 - 10 Sep 2025
Viewed by 482
Abstract
Background/Objectives. This study applied the Demands-Resources-and-Individual-Effects(DRIVE)-Nurses-Model to explore and compare the experiences of nurses working in Intensive Care Units (ICUs) and in Neonatal Intensive Care Units (NICUs), by investigating the effects of the interplay (main/mediating/moderating effects) of perceived stress related to dealing [...] Read more.
Background/Objectives. This study applied the Demands-Resources-and-Individual-Effects(DRIVE)-Nurses-Model to explore and compare the experiences of nurses working in Intensive Care Units (ICUs) and in Neonatal Intensive Care Units (NICUs), by investigating the effects of the interplay (main/mediating/moderating effects) of perceived stress related to dealing with death/critically ill patients (Death-and-Dying-Stressor)—which unavoidably features in the daily life of nurses working in ICU/NICU—with further potential Stressors in Nursing (Conflicts-with-Physicians, Peers, Supervisors, Patients/their families, Uncertainty-Concerning-Treatment, Inadequate-Emotional-Preparation, Discrimination, Workload), Work-Resources (Job-Control, Social-Support, Rewards), and Coping-Strategies (Problem-focused, Seek-Advice, Self-Blame, Wishful Thinking, Escape/Avoidance) on nurses’ psychological health conditions according to the working unit (ICU/NICU). Methods. Overall, 62 critical care nurses (ICU = 35; NICU = 27) completed self-report questionnaires. Main/mediating/moderating effects were tested by using Correlational-Analyses and Hayes-PROCESS-tool by working unit. Results. Nurses working in NICU reported higher Psychological Disease than nurses working in ICU. The detrimental psychological impact of Death-and-Dying-Stressor was mediated by Conflicts-with-Supervisors-Stressor among ICU nurses and by Uncertainty-Concerning-Treatment and Conflicts-with-Physicians stressors among NICU nurses. The recourse to Self-Blame and Escape/Avoidance coping strategies exacerbated the psychological risk among ICU nurses, while perceived Work-Resources (Job-Control/Social-Support) played a protective moderating role among NICU nurses. Conclusions. The application of the DRIVE-Nurses-Model to deepen the experience of nurses working in ICU/NICU could advance the understanding of the mechanisms underlying the relationship between Death-and-Dying-Stressor and nurses’ psychological health, suggesting tailored risk profiles and accounting for key protective factors, to provide nurses with the necessary resources for adjusting to their challenging and emotionally demanding work-related duties and experiences. Full article
(This article belongs to the Special Issue Mental Health of Healthcare Professionals)
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26 pages, 802 KB  
Article
Stress Overload: A Mixed-Methods, Single-Case Exploration of a Principal’s Stress Accumulation, Sleep, and Well-Being over a School Year
by Eleanor J. Su-Keene and David E. DeMatthews
Educ. Sci. 2025, 15(9), 1142; https://doi.org/10.3390/educsci15091142 - 2 Sep 2025
Viewed by 1069
Abstract
Work-related stress and well-being in school leaders is an increasing concern in education. This paper explores how stress accumulates in a principal’s practice over time, challenging the assumption that stress is static or uniformly experienced. We conducted a single-case, mixed-methods study and collected [...] Read more.
Work-related stress and well-being in school leaders is an increasing concern in education. This paper explores how stress accumulates in a principal’s practice over time, challenging the assumption that stress is static or uniformly experienced. We conducted a single-case, mixed-methods study and collected quantitative data on sleep quality, mental health, health behaviors, and leadership self-efficacy along with qualitative data from four semi-structured interviews and two observations with a single principal. Our findings show that while work-stress was manageable, and even positive at times, increasing workload and systemic challenges led to an accumulation of stress that negatively affected Mary’s overall health and leadership self-efficacy. Her appraisal of work-stress was influenced by factors such as control, agency, complexity of the stressor, and alignment with job expectations. We recommend that principal preparation programs include education on stress management, health, and leadership sustainability, and we call attention to school districts and their role in supporting principals under increasingly complex and uncertain conditions. Full article
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21 pages, 702 KB  
Article
Job Satisfaction in the Face of Organizational Stress: Validating a Stress Symptoms Survey and Exploring Stress-Related Predictors
by Bojana Jokanović, Petar Vrgović, Jelena Ćulibrk, Ivana Tomić and Ivana Jošanov-Vrgović
Sustainability 2025, 17(17), 7843; https://doi.org/10.3390/su17177843 - 31 Aug 2025
Viewed by 1028
Abstract
Understanding the relationship between work stress and job satisfaction is crucial for promoting employee well-being and also for sustainable organizational performance. This study proposes and validates, within the population of employees in Serbia, the Stress Symptoms Survey (SSS), an 18-item instrument for measuring [...] Read more.
Understanding the relationship between work stress and job satisfaction is crucial for promoting employee well-being and also for sustainable organizational performance. This study proposes and validates, within the population of employees in Serbia, the Stress Symptoms Survey (SSS), an 18-item instrument for measuring physical and psychological symptoms of work-related stress. The scale shows strong internal consistency where a general factor is highly saturated with all survey items. Regression analysis indicated that lack of organizational support was the strongest predictor of lowered job satisfaction, followed by stress symptoms and general job stress; job pressure showed a positive association with job satisfaction when other stressors were controlled. These results highlight the practical value of the SSS and underscore the crucial role of supportive work environments in mitigating stress, enhancing satisfaction and achieving sustainable work performance. Full article
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19 pages, 2119 KB  
Article
Stress Responses to Hydrogen Peroxide and Hydric Stress-Related Acoustic Emissions (MHAF) in Capsicum annuum L. Applied in a Single or Combined Manner
by Pablo L. Godínez-Mendoza, Amanda K. Rico-Chávez, Ireri A. Carbajal-Valenzuela, Luis M. Contreras-Medina, Rosalía V. Ocampo-Velázquez, Enrique Rico-García, Irineo Torres-Pacheco and Ramón G. Guevara-González
Plants 2025, 14(16), 2591; https://doi.org/10.3390/plants14162591 - 20 Aug 2025
Viewed by 393
Abstract
Hydrogen peroxide (H2O2) application in several plant species has been widely studied as a plant biostimulant; however, the use of acoustic emissions related to hydric stress (MHAF) in biostimulating plants has not been widely studied, including the response of [...] Read more.
Hydrogen peroxide (H2O2) application in several plant species has been widely studied as a plant biostimulant; however, the use of acoustic emissions related to hydric stress (MHAF) in biostimulating plants has not been widely studied, including the response of plants to the interaction of different stress factors. The aim of the present work was to evaluate the stress response in some morphological, biochemical, and molecular variables of the single or combined application of H2O2 and MHAF in C. annuum L. plants. Acoustic emission frequencies were obtained in a previous study where the frequencies came from C. annuum plants submitted to medium hydric stress (MHAF). Our results showed that the combination of the two stressors evaluated has a possible synergistic effect on variables such as SOD activity and relative gene expressions of ros1, met1, and MAPkinases (mkk5, mpk4-1, mpk6-2), as well as an antagonistic effect for flavonoid content, DPPH, and ABTS free radical inhibition, and def1 gene expression. MHAF showed increased plant height, PAL activity, and mpk6-1 and erf1 gene upregulation, while H2O2 increased POD activity and upregulated pr1a gene. These findings suggest possible stress response pathways that are activated and enhanced by the presence of these stress factors, both individually and in conjunction with one another, making it possible to use them as novel strategies for agricultural stress management. Full article
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18 pages, 1323 KB  
Article
When Age Matters: How Regulatory Emotional Self-Efficacy in Managing Negative Emotions Can Mitigate the Effects of Emotional Inertia for Younger Workers
by Simone Tavolucci, Lorenzo Filosa, Valentina Sommovigo, Valentina Rosa, Fabio Alivernini, Roberto Baiocco, Anna Borghi, Andrea Chirico, Chiara Fini, Tommaso Palombi, Jessica Pistella, Fabio Lucidi and Guido Alessandri
Healthcare 2025, 13(16), 2047; https://doi.org/10.3390/healthcare13162047 - 19 Aug 2025
Viewed by 531
Abstract
Background/Objectives: Negative emotional inertia describes the extent to which a prior emotional state can predict the subsequent one, and it is considered a significant indicator of psychological maladjustment that has several negative consequences in the workplace. The current study tested a theoretical [...] Read more.
Background/Objectives: Negative emotional inertia describes the extent to which a prior emotional state can predict the subsequent one, and it is considered a significant indicator of psychological maladjustment that has several negative consequences in the workplace. The current study tested a theoretical model in which the inertia of negative emotions is moderated by regulatory emotional self-efficacy beliefs (RESE) in managing negative affects across workers of different ages. Specifically, we hypothesized that RESE moderates the relation between negative emotions at consecutive time points, reducing their persistence, and that age would influence this relation, with older workers relying less on this resource than younger ones. Methods: Participants were 221 workers (57.8% females) exposed to social work stressors who reported their affectivity every evening for 31 consecutive days. We analyzed the data using dynamic structural equation models (DSEM), which enable examining within-person time series trends while estimating individual differences therein. Results/Conclusions: In line with our predictions, results suggest that emotional self-efficacy is a key personal resource that might be able to buffer individuals from emotional stasis, a resource primarily useful for younger workers who rely less on actual emotional regulation expertise than older adults. Full article
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14 pages, 813 KB  
Article
The Influence of Different Feeding Time Management on the Growth and Stress Response of the African Catfish Clarias gariepinuns (Burchel, 1822) Under Farming Conditions
by Marc-C. Hildebrand, David Runge, Björn Bassmann and Harry W. Palm
Fishes 2025, 10(8), 414; https://doi.org/10.3390/fishes10080414 - 18 Aug 2025
Viewed by 505
Abstract
In this study, the growth and welfare of the African catfish (Clarias gariepinus, Burchell 1822) were investigated under industrial farming conditions. For this purpose, the growing success (cm, g) and typical stress related parameters (glucose-, lactate-, cortisol-concentrations, growth hormone, HSI-liver index) [...] Read more.
In this study, the growth and welfare of the African catfish (Clarias gariepinus, Burchell 1822) were investigated under industrial farming conditions. For this purpose, the growing success (cm, g) and typical stress related parameters (glucose-, lactate-, cortisol-concentrations, growth hormone, HSI-liver index) were investigated on the African catfish (102–841 g) in relation to an external stressor (working light and noise) and different feeding regimes (day, night, and day and night feeding) over 83 days. As no significant effects were found among the experimental feeding treatments in relation to the growth performance and investigated stress parameters, the time of feeding seems to have less impact to the production success and stress reactions as suggested before. Regarding our results, the effect of feeding conditioning could have played a strong factor likewise the ageing process of the reared fish species which is known to be rather photophobic. Therefore, the factor of conditioning and its influence to the time shift in feeding regimes and the impact of noise and light stressors during feeding should be investigated separately in future experiments to obtain further results in this context and clarify the validity of the best feeding conditions for African catfish. Full article
(This article belongs to the Special Issue Physiological Response Mechanisms of Aquatic Animals to Stress)
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14 pages, 675 KB  
Article
How Workplace Telepressure Fuels Job Burnout Among Educators: Mediated by Work-Related Rumination and Moderated by Perceived Organizational Support
by Ke Qin, Ze Yu, Qihai Cai, Nan Jiang and Kin San Chung
Behav. Sci. 2025, 15(8), 1109; https://doi.org/10.3390/bs15081109 - 16 Aug 2025
Viewed by 815
Abstract
The rapid advancement in information and communication technologies (ICT) has improved workplace productivity but also introduced new psychosocial stressors. Workplace telepressure, the urge to respond quickly to work-related messages sent via digital communication tools, often erodes employees’ psychological well-being and blurs work–life boundaries. [...] Read more.
The rapid advancement in information and communication technologies (ICT) has improved workplace productivity but also introduced new psychosocial stressors. Workplace telepressure, the urge to respond quickly to work-related messages sent via digital communication tools, often erodes employees’ psychological well-being and blurs work–life boundaries. This study, grounded in the Job Demands–Resources (JD-R) model, investigates the influence mechanism between workplace telepressure and job burnout. Using data collected from 323 middle school teachers in China, results revealed that workplace telepressure significantly predicted job burnout. In addition, work-related rumination partially mediated this relationship, indicating a cognitive mechanism linking telepressure and burnout. Furthermore, perceived organizational support moderated the relationship between work-related rumination and job burnout. Specifically, when perceived support was high, the impact of rumination on burnout was weakened. These findings provide theoretical insights and practical implications for fostering healthy work environments and promoting psychological well-being in the digital era. Full article
(This article belongs to the Special Issue Healthy Work Environment: Employee Well-Being and Job Satisfaction)
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19 pages, 409 KB  
Article
Assessing the Impact of Occupational Stress on Safety Practices in the Construction Industry: A Case Study of Saudi Arabia
by Wael Alruqi, Bandar Alqahtani, Nada Salem, Osama Abudayyeh, Hexu Liu and Shafayet Ahmed
Buildings 2025, 15(16), 2895; https://doi.org/10.3390/buildings15162895 - 15 Aug 2025
Viewed by 763
Abstract
Workplace health and safety issues have long plagued the construction industry. While safety efforts have traditionally focused on physical risks, increasing attention is being paid to mental health and work-related stressors, which can negatively affect both productivity and safety. In Saudi Arabia, the [...] Read more.
Workplace health and safety issues have long plagued the construction industry. While safety efforts have traditionally focused on physical risks, increasing attention is being paid to mental health and work-related stressors, which can negatively affect both productivity and safety. In Saudi Arabia, the construction sector presents a unique context because of its highly diverse, multinational workforce. Workers of different nationalities often operate on the same job site, leading to potential communication barriers, cultural misunderstandings, and inconsistent safety practices, all of which may amplify stress and safety risks. This research aims to investigate the influence of work-related stressors on construction workers’ safety in Saudi Arabia and identify which stressors most significantly contribute to the risk of injury. A structured questionnaire was distributed to 349 construction workers across 16 job sites in Saudi Arabia. The survey measures ten key stressors identified in the literature, including job site demand, job control, job certainty, skill demand, social support, harassment and discrimination, conflict with supervisors, interpersonal conflict, and job satisfaction. Data were analyzed using logistic regression and Pearson correlation to examine relationships between stressors and self-reported injuries. The findings indicated that work-related stressors significantly predict workplace injury. While the first regression model showed a modest effect size, it was statistically significant. The second model identified job site demand and job satisfaction as the most influential predictors of injury risk. Work-related stressors, particularly high job demands and low job satisfaction, substantially increase the likelihood of injury among construction workers. These findings emphasize the importance of incorporating psychosocial risk management into construction safety practices in Saudi Arabia. Future studies should adopt longitudinal designs to explore causal relationships over time and include qualitative methods such as interviews to gain a deeper understanding. Additionally, factors such as nationality, organizational policies, and management style should be investigated to better understand their moderating effects on the stress–injury relationship. Full article
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11 pages, 1167 KB  
Article
Efficacy of Noofen 250 mg Capsules for the Management of Anxious–Neurotic Symptoms in Patients with Adjustment Disorder
by Elmārs Tērauds, Guna Dansone and Yulia Troshina
J. Clin. Med. 2025, 14(15), 5570; https://doi.org/10.3390/jcm14155570 - 7 Aug 2025
Viewed by 895
Abstract
Background: This study aimed to evaluate the efficacy and safety of Noofen® (Phenibut) in patients with Adjustment Disorder (AjD) and to assess the usability of the ADNM-20 (Adjustment Disorder New Module 20-item questionnaire) in routine clinical practice. This is the first study [...] Read more.
Background: This study aimed to evaluate the efficacy and safety of Noofen® (Phenibut) in patients with Adjustment Disorder (AjD) and to assess the usability of the ADNM-20 (Adjustment Disorder New Module 20-item questionnaire) in routine clinical practice. This is the first study of Noofen® in patients with AjD conducted in Latvia, and it also represents one of the first implementations of the ADNM-20 scale in routine clinical settings, where its applicability has not yet been widely established. Methods: A non-interventional observational study was conducted across several general practice offices in Latvia. Patients aged 18–70 with clinical symptoms of AjD, an ADNM-20 total score ≥ 30, and a new prescription for Noofen® 250 mg three times daily for at least three weeks (per routine practice) were included. Exclusion criteria ruled out concomitant psychiatric or severe somatic conditions and use of medications or interventions that could affect AjD symptoms. Patients completed the ADNM-20 before and after treatment, and score changes were evaluated. Results: Ninety patients (65 women, 25 men; mean age 48 ± 12 years) completed the study. At baseline, 56.7% had high AjD symptom severity, with work-related stressors most frequently reported as triggers. After three weeks of Noofen® treatment, ADNM-20 total scores decreased significantly (mean reduction 14.8 ± 11.3 points, p < 0.001), with greater improvement in core vs. accessory symptoms. Symptom severity shifted, with the proportion of high-severity patients decreasing 2.5-fold, and 14.4% scoring below the AjD diagnostic threshold post-treatment. Noofen® was well tolerated. ADNM-20 showed good sensitivity to symptom change but remained vulnerable to human error during scoring. Conclusions: Noofen® significantly reduced AjD symptoms, particularly sleep disturbance, restlessness, and anxiety, and was well tolerated. The ADNM-20 questionnaire proved useful in clinical practice and should be considered for routine use to better recognize and monitor AjD. Full article
(This article belongs to the Section Clinical Neurology)
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14 pages, 276 KB  
Article
Social Determinants of Substance Use in Black Adults with Criminal Justice Contact: Do Sex, Stressors, and Sleep Matter?
by Paul Archibald, Dasha Rhodes and Roland Thorpe
Int. J. Environ. Res. Public Health 2025, 22(8), 1176; https://doi.org/10.3390/ijerph22081176 - 25 Jul 2025
Viewed by 522
Abstract
Substance use is a critical public health issue in the U.S., with Black communities, particularly those with criminal justice contact, disproportionately affected. Chronic exposure to stressors can lead to substance use as a coping strategy. This study used data from 1476 Black adults [...] Read more.
Substance use is a critical public health issue in the U.S., with Black communities, particularly those with criminal justice contact, disproportionately affected. Chronic exposure to stressors can lead to substance use as a coping strategy. This study used data from 1476 Black adults with criminal justice involvement from the National Survey of American Life to examine how psychosocial stress and sleep disturbances relate to lifetime substance use and to determine if there are any sex differences. Sex-separate generalized linear models for a Poisson distribution with a log-link function estimated prevalence ratios and adjusted prevalence ratios (APRs) for lifetime alcohol abuse, lifetime cigarette, and marijuana use. Independent variables include stressors (family, person, neighborhood, financial, and work-related) and sleep problems, with covariates such as age, SES, and marital status. Lifetime alcohol abuse was associated with family stressors (APR = 2.72) and sleep problems (APR = 3.36) for males, and financial stressors (APR = 2.75) and sleep problems (APR = 2.24) for females. Cigarette use was linked to family stressors (APR = 1.73) for males and work stressors (APR = 1.78) for females. Marijuana use was associated with family stressors (APR = 2.31) and sleep problems (APR = 2.07) for males, and neighborhood stressors (APR = 1.72) for females. Lifetime alcohol abuse, as well as lifetime cigarette and marijuana use, was uniquely associated with various psychosocial stressors among Black adult males and females with criminal justice contact. These findings highlight the role of structural inequities in shaping substance use and support using a Social Determinants of Health framework to address addiction in this population. Full article
(This article belongs to the Special Issue 3rd Edition: Social Determinants of Health)
17 pages, 477 KB  
Article
COVID-19 Stress and Family Well-Being: The Role of Sleep in Mental Health Outcomes for Parents and Children
by Alzena Ilie, Andy J. Kim, Danika DesRoches, Elizabeth Keys, Simon B. Sherry, Sherry H. Stewart, S. Hélène Deacon and Penny V. Corkum
Children 2025, 12(8), 962; https://doi.org/10.3390/children12080962 - 22 Jul 2025
Viewed by 815
Abstract
Background/Objectives: The COVID-19 pandemic introduced various stressors for families, including changes to daily routines, work, and schooling. Studies have linked these stressors to increased mental health challenges for parents and children. Sleep difficulties were also common during the pandemic, with some children and [...] Read more.
Background/Objectives: The COVID-19 pandemic introduced various stressors for families, including changes to daily routines, work, and schooling. Studies have linked these stressors to increased mental health challenges for parents and children. Sleep difficulties were also common during the pandemic, with some children and parents experiencing poorer sleep quality and shorter sleep duration. However, it remains unclear whether the effects of COVID-19 stress on mental health challenges are explained, at least in part, by effects of COVID-19 stress on child and/or parent sleep challenges. This study examined the impacts of COVID-19 stress on sleep and, in turn, mental health difficulties in school-aged children and their parents in Canada and the United States. Methods: Parents (N = 961) completed validated measures of COVID-19 stress, and of their own and their child’s sleep and mental health. Path analyses tested direct and indirect effects of COVID-19 stress on mental health outcomes with sleep problems as the potential mediator. Results: Child sleep problems partially mediated COVID-19 stress effects on both parent (β = 0.33) and child (β = 0.20) mental health difficulties, while parent sleep problems contributed significantly but to a lesser degree (parent mental health: β = 0.07; child mental health: β = 0.03). There also remained significant direct effects of COVID-19 stress on both child and parent mental health difficulties that were not mediated through sleep difficulties. Conclusions: Our findings underscore the interconnected nature of sleep and mental health, demonstrating that stress-related disruptions in sleep (particularly children’s sleep) can exacerbate mental health difficulties for both parents and children during crises like the COVID-19 pandemic. Full article
(This article belongs to the Special Issue Parental Mental Health and Child Development)
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