Abstract Objective: To evaluate the relationship between the perceived usefulness of e-learning, anxiety, physical activity, and eating habits during the COVID-19 lockdown in university students. Methodology: A cross-sectional study involving 102 health undergraduate students (23 men, 79 women, average age 22.32 years). They responded to surveys on the perception of e-learning, eating habits, physical activity, and anxiety. Results: Simple linear regression models show that the perceived usefulness of e-learning predicts trait anxiety (F(1,100) = 9.13, p < 0.01, R 2 = 0.084) and state anxiety (F(1,100) = 11.66, p < 0.01, R 2 = 0.104). In turn, trait anxiety (F(1,100) = 8.35, p = 0.01, R 2 = 0.078) and state anxiety (F(1,100) = 6.55, p < 0.05, R 2 = 0.062) predict healthy eating habits. Conclusions: A positive perception of e-learning decreases anxiety. High levels of anxiety are associated with poorer eating habits. This indicates that reducing anxiety can improve eating habits.

Resumen Objetivo: Evaluar la relación entre la percepción de utilidad del e-learning, ansiedad, actividad física y hábitos alimenticios durante el confinamiento por COVID-19 en estudiantes universitarios. Metodología: Estudio transversal en 102 alumnos de licenciatura en salud (23 hombres, 79 mujeres, edad promedio 22.32 años). Respondieron encuestas sobre la percepción de e-learning, hábitos alimenticios, actividad física y ansiedad. Resultados. Los modelos de regresión lineal simple muestran que la percepción de utilidad de e-learning predice la ansiedad rasgo (F(1,100) = 9.13, p < 0.01, R 2 = 0.084) y estado (F(1,100) = 11.66, p < 0.01, R 2 = 0.104), y a su vez, la ansiedad rasgo (F(1,100) = 8.35, p = .01, R 2 = 0.078) y estado (F(1,100) = 6.55, p < 0.05, R 2 = 0.062) son predictoras de hábitos de alimentación saludable. Conclusiones: La percepción positiva del e-learning disminuye la ansiedad. Niveles altos de ansiedad se asocian con peores hábitos alimenticios. Esto indica que reducir la ansiedad puede mejorar los hábitos alimenticios.

SUMMARY OBJECTIVE: The objective of this study was to evaluate the fear, anxiety, and knowledge level in women who underwent gynecological surgical procedures during the COVID-19 pandemic. METHODS: This cross-sectional study was conducted on 188 women who underwent a gynecologic surgical operation in Muğla, Turkey. Data were collected by using demographics and obstetric detail form, questionnaire on knowledge, attitudes, and practice toward COVID-19, and State-Trait Anxiety Inventory-I (STAI-I). RESULTS: Most of the women perceived their surgical process as very urgent. Women felt fear mostly for being infected with the virus, and they were afraid of transmitting COVID-19 to another one. The COVID-19 knowledge scores of women who had undergone cancer surgery were statistically significantly higher than others (p=0.017). The STAI-I scores of women increased as their COVID-19 knowledge scores increased (p<0.05). CONCLUSION: This study demonstrated that women were afraid of COVID-19 infection during gynecological operation and due to hospitalization, sociodemographic characteristics affected the knowledge levels about COVID-19 infection, and the anxiety levels of the women. Planning appropriate interventions to decrease the fear and anxiety of women who undergo gynecological surgery during the pandemic is important to ensure that women adhere to their treatment and follow-up in the postoperative period. OBJECTIVE COVID19 COVID 19 COVID-1 METHODS crosssectional cross sectional 18 Muğla Turkey form attitudes COVID19, 19, StateTrait State Trait InventoryI Inventory I STAII. STAII STAI . (STAI-I) RESULTS urgent virus one p=0.017. p0017 p p=0.017 0 017 (p=0.017) p<0.05. p005 p<0.05 05 (p<0.05) CONCLUSION hospitalization followup follow up period COVID1 1 COVID- (STAI-I p001 p=0.01 01 (p=0.017 p00 p<0.0 (p<0.05 p=0.0 (p=0.01 p0 p<0. (p<0.0 p=0. (p=0.0 p<0 (p<0. p=0 (p=0. p< (p<0 p= (p=0 (p< (p= (p

Abstract Behavioral inhibition (BI), a biologically driven temperamental trait defined by fearful, avoidant, and withdrawn reactions to novelty, is known to represent an early vulnerability in the development of anxiety disorders. Herein is reported the case of two 18-month-old twins whose parents exhibited high levels of anxiety, restricting the infants’ exposure to new stimuli and experiences. One of the twins exhibited inhibited behaviors with high physiological activation and met criteria for inhibition to novelty disorder. Several factors may predict the persistence of BI across the lifespan and moderate its association with later anxiety disorders, including cognitive or attentional biases, variations in neural functioning, attachment processes, parental psychopathology, and parenting practices. The COVID-19 pandemic exacerbated parental anxiety and pre-existing risk factors in particularly vulnerable children.

Resumo A inibição comportamental, um traço biológico do temperamento caracterizado por reações de medo, evitamento e retração perante a novidade, constitui uma vulnerabilidade precoce no desenvolvimento de perturbações de ansiedade. É descrito o caso dois gémeos de 18 meses de idade, cujos pais revelavam altos níveis de ansiedade, restringindo a exposição das crianças a novos estímulos e experiências. Um dos gémeos apresentou um comportamento inibido com elevada ativação fisiológica, preenchendo critérios de perturbação de inibição face à novidade. Existem vários fatores preditivos de continuidade da inibição comportamental ao longo da vida, que podem moderar o desenvolvimento subsequente de perturbações de ansiedade, como vieses cognitivos ou atencionais, desregulação de circuitos neuronais, vinculação, psicopatologia parental e práticas parentais. A pandemia de COVID-19 exacerbou a ansiedade parental, bem como fatores de risco pré-existentes em crianças particularmente vulneráveis.

ABSTRACT Burnout syndrome is a state of physical and emotional exhaustion that involves a loss of interest in work, negative attitudes towards others, and low self-esteem. Emotional skills are defined as the ability to recognize and manage one's own emotions and the emotions of others. The aim of the present research was to analyze the relationship between levels of emotional skills and Burnout syndrome in university professors from Physical Education schools. A total of 31 university professors from two universities in Santiago, Chile, were evaluated. The Trait Meta-Mood Scale, validated in Physical Education students in Chile, and the Maslach Burnout Inventory (MBI) were employed. The results reveal a low and negative relationship between depersonalization and emotional repair scores in the sample. The professor's gender, years of university teaching experience, holding managerial positions, or undergoing psychological or pharmacological treatment do not influence levels of occupational stress and emotional skills. It is recommended to replicate this research with samples of university professors from Physical Education schools in other universities, controlling other variables such as anxiety, depression, motivation, etc.

RESUMO A síndrome o Burnout é um estado de esgotamento físico e emocional que implica uma perda do interesse no trabalho, atitudes negativas para com os outros, e baixa auto-estima. A habilidades emocionais é definida como capacidade para conhecer e dominar emoções próprias e de outros/as. O objetivo da presente pesquisa foi analisar a relação entre os níveis de habilidades emocionais e síndrome de Burnout em docentes universitários de Educação Física. Foram avaliados 31 docentes universitários de duas universidades de Santiago do Chile. Foi aplicada a Escala de rasgo de meta-conhecimento emocional validada em estudantes de Educação Física do Chile e o inventário de Burnout de Maslach (MBI). Os resultados revelam uma relação baixa e negativa entre as pontuações de despersonalização e reparação emocional na amostra. O sexo do docente, os anos de ensino universitário, ter cargos directivos ou estar em tratamento psicológico ou farmacológico não influem nos níveis de stress laboral e habilidades emocionais. Recomenda-se replicar esta pesquisa com amostras de docentes universitários de escolas de Educação Física em outras universidades, além do controle de outras variáveis como ansiedade, depressão, motivação, etc.

RESUMEN El síndrome del Burnout es un estado de agotamiento físico y emocional que implica una pérdida del interés en el trabajo, actitudes negativas hacia los demás, y baja autoestima. Las habilidades emocionales se definen como capacidades para conocer y dominar emociones propias y de otros/as. El objetivo de la presente investigación fue analizar la relación entre los niveles de habilidades emocionales y síndrome de Burnout en docentes universitarios de escuelas de Educación Física. Se evaluaron a 31 docentes universitarios de dos universidades de Santiago de Chile. Se aplicó la Escala de rasgo de metaconocimiento emocional validada en estudiantes de Educación Física de Chile y el inventario de Burnout de Maslach (MBI). Los resultados revelan una relación baja y negativa entre los puntajes de despersonalización y reparación emocional en la muestra. El sexo del docente, los años de docencia universitaria, tener cargos directivos o estar en tratamiento psicológico o farmacológico no influyen en los niveles de estrés laboral y habilidades emocionales. Se recomienda replicar esta investigación con muestras de docentes universitarios de escuelas de Educación Física en otras universidades, además del control de otras variables como ansiedad, depresión, motivación, etc.

RESUMEN Introducción: El Patient Health Questionnaire for Depression and Anxiety (PHQ-4) es una medida de autoinforme ultrabreve de síntomas depresivos y ansiosos. El PHQ-4 no ha sido adaptado ni validado en la población quechua hablante. Objetivo: Este estudio tuvo como objetivo adaptar y validar el PHQ-4 en una muestra de población peruana quechua hablante en su variante Collao de Puno-Perú. Metodología: Participaron 221 personas hablantes de quechua variante collao (promedio de edad de 31,2 años, SD = 11,7, 47,1 % hombres y 52,9 % mujeres). Se evaluó la evidencia de validez basada en la estructura interna, mediante el análisis factorial confirmatorio (CFA), la fiabilidad con el método de consistencia interna y las características de dificultad y discriminación de los ítems en base a la Teoría de Respuesta al Ítem (IRT). Resultados: Los resultados indicaron que todos los ítems del PHQ-4 son relevantes, coherentes y claros para representar adecuadamente los síntomas de ansiedad y depresión. El resultado del AFC apoyó un modelo unifactorial, donde los ítems de ansiedad y depresión conforman una sola variable latente con una fiabilidad alta. Todos los ítems del PHQ-4 presentas buenos parámetros de discriminación y los parámetros de dificultad indican que los ítems son comparativamente difíciles. Por lo tanto, se necesita una mayor presencia del rasgo latente (ansiedad y depresión) para responder las categorías de respuesta más altas. Discusión: En conclusión, la PHQ-4 presentó buenas propiedades psicométricas como una medida de detección primaria rápida, confiable y válida para personas quechuahablantes que necesitan una evaluación profunda, monitoreo de los síntomas para diagnóstico y tratamiento para la ansiedad o depresión.

ABSTRACT Introduction: The Patient Health Questionnaire for Depression and Anxiety (PHQ-4) is an ultra-brief self-report measure of depression and anxiety symptoms. The PHQ-4 has not been adapted or validated in the Quechua-speaking population. Objective: This study aimed to adapt and validate the PHQ-4 in a sample of the Peruvian Quechua-speaking population with its Collao variant from Puno-Peru. Methods: A total of 221 Quechua speakers of the Collao variant (mean age 31.2 years, SD = 11.7, 47.1% male and 52.9% female) participated. Evidence of validity based on internal structure was evaluated using confirmatory factor analysis (CFA), reliability using the internal consistency method, and item difficulty and discrimination characteristics based on Item Response Theory (IRT). Results: The results indicated that all items of the PHQ-4 were relevant, consistent, and clear enough to adequately represent anxiety and depressive symptoms. The CFA results supported a one-factorial model, in which anxiety and depression items form a single latent variable with high reliability. All items of the PHQ-4 had good discrimination parameters, and the difficulty parameters indicated that the items were comparatively difficult. Therefore, a higher presence of the latent trait (anxiety and depression) is needed to answer higher response categories. Discussion: In conclusion, the PHQ-4 presented good psychometric properties as a rapid, reliable, and valid primary screening measure for Quechua speakers in need of in-depth assessment and symptom monitoring for the diagnosis and treatment of anxiety and depression.

Objetivo: el objetivo de este estudio es examinar las relaciones entre el sueño, la calidad de vida y la ansiedad en pacientes sometidos a cirugías cardíacas durante el período preoperatorio, al momento del alta hospitalaria, y dos semanas y tres meses después del alta. Método: este estudio tuvo un diseño prospectivo, descriptivo y correlacional y se realizó en un único centro. La muestra estuvo compuesta por 68 pacientes que habían sido sometidos a cirugías cardíacas. Los datos se recolectaron por medio de un Formulario de Información y a través de los siguientes instrumentos: State-Trait Anxiety Inventory , Richard-Campbell Sleep Questionnaire y Nottingham Health Profile . Resultados: la calidad del sueño de los pacientes mejoró de moderada a buena en cada medición después de las cirugías, en comparación con la evaluada al momento de la primera internación. Si bien las puntuaciones de ansiedad rasgo disminuyeron al momento del alta hospitalaria y 2 semanas después de la internación inicial, aumentaron al nivel moderado 3 meses después del alta. No se registró ninguna relación significativa entre niveles de ansiedad y calidad del sueño en ninguna de las mediciones. Además, la calidad de vida de los pacientes mejoró significativamente 2 semanas y 3 meses después del alta hospitalaria. Conclusión: los resultados de este estudio demostraron que la calidad de sueño de los pacientes sometidos a cirugías cardíacas mejoró durante el período postoperatorio, además de que esta mejora ejerció un efecto positivo sobre su calidad de vida. Objetivo preoperatorio Método prospectivo centro 6 instrumentos StateTrait State Trait RichardCampbell Richard Campbell Resultados inicial mediciones Además Conclusión postoperatorio

Objective: the objective of this study is to examine the relationships between sleep, quality of life and anxiety in patients undergoing cardiac surgeries during the preoperative period, at discharge, two weeks after discharge and three months after discharge. Method: this study had a prospective, descriptive and correlational design and was conducted in a single center. The sample consisted of 68 patients who had undergone cardiac surgeries. The data were collected using an Information Form, the State-Trait Anxiety Inventory, the Richard-Campbell Sleep Questionnaire and the Nottingham Health Profile. Results: the patients’ sleep quality increased from moderate to good at each measurement moment after the surgeries, when compared to sleep quality measured at their first hospitalization. While the state anxiety scores decreased at discharge and 2 weeks after the initial hospitalization, they increased to a moderate level 3 months after discharge. There was no significant relationship between anxiety levels and sleep quality at any measurement moment. Additionally, the patients’ quality of life was significantly improved 2 weeks and 3 months after discharge. Conclusion: The results of this study showed that the sleep quality of patients who had undergone cardiac surgeries was improved during the postoperative period, and that this improvement exerted a positive effect on their quality of life. Objective period Method prospective center 6 Form StateTrait State Trait Inventory RichardCampbell Richard Campbell Profile Results hospitalization Additionally Conclusion

Objetivo: o objetivo deste estudo é examinar as relações entre sono, qualidade de vida e ansiedade em pacientes sujeitos a cirurgias cardíacas durante o período pré-operatório, na alta, duas semanas após a alta e três meses após a alta. Método: este estudo teve um projeto prospectivo, descritivo e correlacional e foi realizado em um único centro. A amostra foi composta por 68 pacientes sujeitos a cirurgias cardíacas. Os dados foram coletados por meio de um Formulário de Informações, do State-Trait Anxiety Inventory , do Richard-Campbell Sleep Questionnaire e do Nottingham Health Profile . Resultados: a qualidade de sono dos pacientes aumentou de moderada para boa em cada momento de medição após as cirurgias, quando comparada à qualidade de sono medida em sua primeira internação. Embora a pontuação de ansiedade-estado tenha diminuído na alta e duas semanas após a internação inicial, ela aumentou para um nível moderado três meses após a alta. Não houve relação significativa entre os níveis de ansiedade e a qualidade do sono em nenhum momento de medição. Além disso, a qualidade de vida dos pacientes melhorou significativamente duas semanas e três meses após a alta. Conclusão: os resultados desse estudo mostraram que a qualidade de sono dos pacientes sujeitos a cirurgias cardíacas melhorou durante o período pós-operatório, e que essa melhora exerceu um efeito positivo em sua qualidade de vida. Objetivo préoperatório, préoperatório pré operatório, operatório pré-operatório Método prospectivo centro 6 Informações StateTrait State Trait RichardCampbell Richard Campbell Resultados ansiedadeestado estado inicial disso Conclusão pósoperatório, pósoperatório pós pós-operatório

SUMMARY OBJECTIVE: The aim of this study was to determine the effect of anxiety and depression on pregnancy outcome in couples receiving in vitro fertilization treatment. METHODS: A total of 102 couples (102 females and 102 males) with unexplained infertility were included in the study. Personal Information Form was used to collect data, Case Follow-up Form to record the treatment process, and Spielberger’s State-Trait Anxiety Inventory and Beck Depression Inventory to measure the anxiety and depression levels of couples. Couples were measured twice: before treatment and on oocyte pickup day. RESULTS: There was no statistically significant difference between the anxiety and depression levels and oocyte count of women (p>0.05). There were statistically significant differences between State-Trait Anxiety Inventory level and sperm count and between BID level and sperm motility (p<0.05). There was no statistically significant difference between the anxiety and depression levels and pregnancy outcomes of women (p>0.05). CONCLUSION: Anxiety and depression had no effect on pregnancy outcome. More studies are needed to investigate the effect of anxiety and depression on pregnancy outcome in unexplained infertility. OBJECTIVE METHODS 10 (10 males data Followup Follow up process Spielbergers Spielberger s StateTrait State Trait twice day RESULTS p>0.05. p005 p p>0.05 . 0 05 (p>0.05) p<0.05. p<0.05 (p<0.05) CONCLUSION 1 (1 p00 p>0.0 (p>0.05 p<0.0 (p<0.05 ( p0 p>0. (p>0.0 p<0. (p<0.0 p>0 (p>0. p<0 (p<0. p> (p>0 p< (p<0 (p> (p< (p

Abstract Introduction Pregnancy and diabetes mellitus promote several musculoskeletal changes predisposing this population to complaints of Lower Back (LB) and Pelvic Pain (PP). Objective To assess the frequency of LB and PP and associated factors in type 1 Diabetic (DM1) pregnant women. Method: An observational analytical cross-sectional study. Thirty-six pregnant women with DM1 were evaluated through a postural assessment with a focus on pelvic positioning and what patients reported. The associated factors were assessed using the State-Trait Anxiety Inventory (STAI), the International Consultation on Incontinence Questionnaire Short Form (ICIQ-SF), and the Female Sexual Function Index (FSFI). Results The frequency of LB and PP was 55.6 % and 30.6 %, respectively. The presence of anxiety was not associated with a higher prevalence of pain. The incidence of sexual dysfunctions was higher in the GD. DM1 duration had a mean of 14.9 years (± 8.2 SD) in the GD and 9.0 years (± 6.9 SD) in the GSD, which was statistically significant (p ≤ 0.050). In the multiple binary regression analysis for the occurrence of pain, the independent factor was DM1 duration ≥ 17 years (OR = 11.2; 95 % CI = 1.02‒124.75). The association between DM1 duration ≥ 17 years and being overweight showed a probability of 95 % for the studied population in the analysis of the probabilities of occurrence of the pain event. Conclusion There was a high frequency of LB and PP related to pregnancy in DM1 pregnant women in the second trimester of pregnancy. The incidence of sexual dysfunction and DM1 duration ≥ 17 years increases the chance that DM1 pregnant women will experience pain. There was no association between anxiety. urinary incontinence and pain in DM1 pregnant women. (LB PP. . (PP) DM (DM1 Method crosssectional cross sectional study Thirtysix Thirty six reported StateTrait State Trait STAI, STAI , (STAI) ICIQSF, ICIQSF ICIQ SF (ICIQ-SF) FSFI. FSFI (FSFI) 556 55 6 55. 306 30 30. respectively 149 14 9 14. ± ( 82 8 2 8. SD 90 0 9. 69 6. GSD p 0.050. 0050 0.050 050 0.050) OR 11.2 112 11 1.02‒124.75. 10212475 1.02‒124.75 02 124 75 1.02‒124.75) event (PP (DM (STAI (ICIQ-SF (FSFI 5 3 005 0.05 05 11. 1021247 1.02‒124.7 12 7 00 0.0 102124 1.02‒124. 0. 10212 1.02‒124 1021 1.02‒12 102 1.02‒1 10 1.02‒ 1.02 1.0 1.

RESUMEN Objetivo: Analizar la calidad del sueño y la asociación con ansiedad rasgo y estado en pacientes con diabetes mellitus. Método: Estudio transversal, cuantitativo y analítico realizado entre enero y abril de 2022, en el centro de referencia en hipertensión y diabetes de Rio Verde - Goiás, con 81 pacientes. Para recopilar datos se utilizaron el Índice de Calidad del Sueño de Pittsburgh y el Inventario de Ansiedad Estado-Rasgo. Los análisis incluyeron pruebas t de Student y regresión logística multivariada. Resultados: De los pacientes, el 64,2% refirió mala calidad del sueño. Hubo diferencias significativas en los niveles de ansiedad rasgo entre pacientes con buena y mala calidad del sueño. La ansiedad rasgo se asoció con la calidad del sueño, y un aumento en la puntuación de ansiedad rasgo aumenta las posibilidades de una mala calidad del sueño. Conclusión: Una proporción significativa de la muestra tenía mala calidad del sueño y la ansiedad rasgo se asoció con esta condición. Objetivo mellitus Método transversal 2022 Goiás 8 EstadoRasgo. EstadoRasgo Estado Rasgo. Rasgo Estado-Rasgo multivariada Resultados 642 64 2 64,2 Conclusión condición 202 6 64, 20

ABSTRACT Objective: To assess sleep quality and the association of trait and state anxiety in patients with diabetes mellitus. Method: A cross-sectional, quantitative, and analytical study was conducted between January and April 2022, at the reference center for hypertension and diabetes in Rio Verde, Goiás, with 81 patients. The Pittsburgh Sleep Quality Index and State-Trait Anxiety Inventory were used for data collection. Analyses included the Student’s t-test and multivariate logistic regression analysis. Results: Of patients, 64.2% reported poor sleep quality. There were significant differences in trait anxiety levels between patients with good and poor sleep quality. Trait anxiety was associated with sleep quality, with an increase in the trait anxiety score increasing the chances of poor sleep quality. Conclusion: A significant proportion of the sample had poor sleep quality, and trait anxiety was found to be associated with this condition. Objective mellitus Method crosssectional, crosssectional cross sectional, sectional cross-sectional quantitative 2022 Verde Goiás 8 StateTrait State collection Students Student s ttest t test analysis Results 642 64 2 64.2 Conclusion condition 202 6 64. 20

RESUMO Objetivo: Analisar a qualidade do sono e a associação com a ansiedade traço e estado em pacientes com diabetes mellitus. Método: Estudo transversal, quantitativo e analítico realizado entre janeiro e abril de 2022, no centro de referência em hipertensão e diabetes de Rio Verde - Goiás, com 81 pacientes. Utilizou-se o Índice de Qualidade do Sono de Pittsburgh e o Inventário de Ansiedade Traço-Estado para coleta de dados. Análises incluíram testes T de Student e regressão logística multivariada. Resultados: Dos pacientes, 64,2% relataram qualidade do sono ruim. Houve diferenças significativas nos níveis de ansiedade traço, entre pacientes com boa e ruim qualidade do sono. A ansiedade traço associou-se com a qualidade do sono, sendo que o aumento no escore de ansiedade traço aumentou as chances de qualidade do sono ruim. Conclusão: Uma proporção significativa da amostra apresentou qualidade do sono ruim, e a ansiedade traço associou-se com essa condição. Objetivo mellitus Método transversal 2022 Goiás 8 Utilizouse Utilizou se TraçoEstado Traço Estado dados multivariada Resultados 642 64 2 64,2 associouse associou Conclusão condição 202 6 64, 20

Abstract Background: Preoperative anxiety in children causes negative postoperative outcomes. Parental presence at induction is a non-pharmacological strategy for relieving anxiety; nevertheless, it is not always possible or effective, namely when parents are overly anxious. Parental presence via video has been demonstrated to be useful in other contexts (divorce, criminal court). This study reports the feasibility of a randomized controlled trial to investigate the effect of video parental presence and parental coaching at induction on preoperative anxiety. Methods: The study was a randomized, 2 × 2 factorial design trial examining parental presence (virtual vs. physical) and coaching (provided vs. not provided). Feasibility was assessed by enrollment rate, attrition rate, compliance, and staff satisfaction with virtual method with the NASA-Task Load Index (NASA-TLX) and System Usability Scale (SUS). For the children’s anxiety and postoperative outcomes, the modified Yale Preoperative Anxiety Scale (mYPAS) and Post-Hospitalization Behavioral Questionnaire (PHBQ) were used. Parental anxiety was evaluated with the State-Trait Anxiety Inventory (STAI) questionnaire. Results: A total of 41 parent/patient dyads were recruited. The enrollment rate was 32.2%, the attrition rate 25.5%. Compliance was 87.8% for parents and 85% for staff. The SUS was 67.5/100 and 63.5/100 and NASA-TLX was 29.2 (21.5-36.8) and 27.6 (8.2-3.7) for the anesthesiologists and induction nurses, respectively. No statistically significant difference was found in mYPAS, PHBQand STAI. Conclusion: A randomized controlled trial to explore virtual parental presence effect on preoperative anxiety is feasible. Further studies are needed to investigate its role and the role of par ent coaching in reducing preoperative anxiety. Background outcomes nonpharmacological non pharmacological nevertheless effective anxious divorce, divorce (divorce court. court . court) Methods vs physical provided provided. provided) compliance NASATask NASA Task NASATLX TLX (NASA-TLX SUS. (SUS) childrens s mYPAS (mYPAS PostHospitalization Post Hospitalization PHBQ (PHBQ used StateTrait State Trait STAI (STAI questionnaire Results 4 parentpatient parent patient recruited 322 32 32.2% 255 25 5 25.5% 878 87 8 87.8 85 675100 67 100 67.5/10 635100 63 63.5/10 292 29 29. 21.536.8 215368 21.5 36.8 21 36 (21.5-36.8 276 27 6 27. 8.23.7 8237 8.2 3.7 3 7 (8.2-3.7 nurses respectively Conclusion feasible (SUS 32.2 25.5 87. 67510 10 67.5/1 63510 63.5/1 536 21.536. 21536 215 21. 368 36. (21.5-36. 23 8.23. 823 82 8. 37 3. (8.2-3. 32. 25. 6751 1 67.5/ 6351 63.5/ 53 21.536 2153 (21.5-36 8.23 (8.2-3 675 67.5 635 63.5 21.53 (21.5-3 (8.2- 67. 63. (21.5- (8.2 (21.5 (8. (21. (8 (21 ( (2

Jun N-terminal kinase pathway-associated phosphatase (JKAP) regulates CD4+ T-cell differentiation and immunity, which are linked to mental disorders. This study aimed to explore the relationships between JKAP and T helper 17 (Th17)/regulatory T (Treg) ratio, as well as their associations with anxiety and depression in postpartum women. Serum JKAP were measured by enzyme-linked immunosorbent assay and blood Th17 and Treg cells were measured by flow cytometry in 250 postpartum women. Anxiety and depression were evaluated by the 6-item State-Trait Anxiety Inventory (STAI6) and Edinburgh Postnatal Depression Scale (EPDS). Anxiety and depression rates were 22.0 and 28.4%, respectively, among postpartum women. Notably, JKAP was negatively associated with the STAI6 (P=0.002) and EPDS scores (P<0.001) in postpartum women and was lower in postpartum women with anxiety (P=0.023) or depression (P=0.002) than in those without. Moreover, JKAP was inversely related to Th17 cells and Th17/Treg ratio but positively correlated with Treg cells in postpartum women (all P<0.001). Interestingly, Th17 cells and Th17/Treg ratio were both positively associated with STAI6 and EPDS scores in postpartum women (all P<0.001). Furthermore, Th17 cells and Th17/Treg ratio were lower in postpartum women with anxiety or depression than in those without (all P<0.01). Nevertheless, Treg cells were not linked to anxiety or depression in postpartum women. JKAP was negatively associated with Th17 cells and Th17/Treg ratio; moreover, they all related to anxiety and depression in postpartum women, indicating that JKAP may be involved in postpartum anxiety and depression via interactions with Th17 cells. Nterminal N terminal pathwayassociated pathway (JKAP CD4 CD Tcell cell immunity disorders 1 Th17/regulatory Th17regulatory Thregulatory /regulatory regulatory Th (Treg enzymelinked enzyme Th1 25 6item item 6 StateTrait State Trait STAI (STAI6 EPDS. . (EPDS) 220 22 0 22. 284 28 4 28.4% respectively Notably P=0.002 P0002 P 002 (P=0.002 P<0.001 P0001 001 (P<0.001 P=0.023 P0023 023 (P=0.023 Moreover Th17Treg ThTreg P<0.001. P<0.001) Interestingly Furthermore P<0.01. P001 P<0.01 01 P<0.01) Nevertheless moreover 2 (STAI (EPDS 28.4 P=0.00 P000 00 (P=0.00 P<0.00 (P<0.00 P=0.02 P002 02 (P=0.02 P00 P<0.0 28. P=0.0 (P=0.0 (P<0.0 P0 P<0. P=0. (P=0. (P<0. P<0 P=0 (P=0 (P<0 P< P= (P= (P< (P

Abstract Objective Identify the presence of mental suffering, family support and empowerment of transgender people living in the State of Alagoas, Brazil. Methods Cross-sectional, descriptive, quantitative study. Transgender people over 18 years old who lived in the State of Alagoas were included in the study. The interviews were carried out on the Google Meet platform, through telephone and WhatsApp. The following instruments were used: Identification Questionnaire, State-Trait Anxiety Inventory, Depression Scale, Perceived Family Support Inventory and Empowerment Scale. The data were entered into the Statistical Package for the Social Sciences 23 software, and analyzed by calculating frequencies, means, standard deviation and the Pearson Chi-Square test. Results 37 transgender people were interviewed, with an average age of 27.35 years, self-reported black/brown color (91.8%), presenting suicidal ideation in the last year (48.6%), attempted suicide (35.1%), risk for depression (64.9%) and low family support (94.6%). Transgender and pansexual women presented a greater anxious personality trait and transgender and bisexual women experienced a greater anxious state. There was greater impairment in heterosexual people in the Affective-Consistent dimension; in pansexual people, in the Family Adaptation dimension; in bisexual people, in the Family Autonomy dimension. Community Activism was more committed to empowering transgender people. Conclusion The weaknesses in family relationships, combined with the conditions of violence and prejudice experienced in the face of the difficulty of many in living with diversity, may be contributing to the mental suffering of transgender people. Thoughts about actions aimed at promoting their empowerment are essential, in a support network that can be internal and external to their family. Brazil Crosssectional, Crosssectional Cross sectional, sectional Cross-sectional descriptive study 1 platform WhatsApp used Questionnaire StateTrait Trait Scale 2 software frequencies means ChiSquare Chi Square test 3 interviewed 2735 27 35 27.3 selfreported self reported blackbrown black brown 91.8%, 918 91.8% , 91 8 (91.8%) 48.6%, 486 48.6% 48 6 (48.6%) 35.1%, 351 35.1% (35.1%) 64.9% 649 64 9 (64.9% 94.6%. 946 94.6% . 94 (94.6%) state AffectiveConsistent Affective Consistent dimension relationships diversity essential 273 27. 91.8 (91.8% 48.6 4 (48.6% 35.1 (35.1% 64.9 (64.9 94.6 (94.6% 91. (91.8 48. (48.6 35. (35.1 64. (64. 94. (94.6 (91. (48. (35. (64 (94. (91 (48 (35 (6 (94 (9 (4 (3 (

Resumen Objetivo Identificar la presencia de sufrimiento mental, apoyo familiar y empoderamiento de personas transgénero residentes en el estado de Alagoas, Brasil. Métodos Estudio transversal, descriptivo, cuantitativo. Se incluyeron en el estudio personas transgénero mayores de 18 años que residían en el estado de Alagoas. Las entrevistas se realizaron en la plataforma Google Meet, previamente programadas por teléfono y WhatsApp. Se utilizaron los siguientes instrumentos: Cuestionario de Identificación, Cuestionario de Ansiedad Estado Rasgo, Escala de Depresión, Cuestionario de Percepción de Apoyo Familiar y Escala de Empoderamiento. Los datos se ingresaron al software Statistical Package For The Social Sciences 23 y se analizaron mediante cálculo de frecuencias, promedios, desviación típica y prueba de Pearson Chi-Square. Resultados Se entrevistaron 37 personas transgénero, de 27,35 años de edad promedio, color autopercibido negro/pardo (91,8 %), que presentaron ideación suicida en último año (48,6 %), intento de suicidio (35,1 %), riesgo de depresión (64,9 %) y bajo apoyo familiar (94,6 %). Las mujeres transgénero y pansexuales presentaron mayor rasgo de personalidad ansiosa y las mujeres transgénero y bisexuales tuvieron más vivencias de estado ansioso. Hubo una mayor afectación en personas heterosexuales en la dimensión Afectivo-consistente; en personas pansexuales en la dimensión Adaptación familiar, y en personas bisexuales en la dimensión Autonomía familiar. El activismo comunitario se vio más comprometido en el empoderamiento de personas transgénero. Conclusión Las debilidades en las relaciones familiares, junto con las condiciones de violencia y prejuicio que enfrentan las personas transgénero ante la dificultad de muchos de convivir con la diversidad, puede contribuir con su sufrimiento mental. Es necesario pensar en acciones para promover su empoderamiento, mediante una red de apoyo interna y externa a la familia. mental Alagoas Brasil transversal descriptivo cuantitativo 1 Meet WhatsApp instrumentos Identificación Rasgo Depresión Empoderamiento 2 frecuencias promedios ChiSquare. ChiSquare Chi Square. Square Chi-Square 3 2735 27 35 27,3 promedio negropardo negro pardo 91,8 918 91 8 (91, %, % , 48,6 486 48 6 (48, 35,1 351 (35, 64,9 649 64 9 (64, 94,6 946 94 (94, %. . ansioso Afectivoconsistente Afectivo consistente Afectivo-consistente familiares diversidad familia 273 27, 91, (91 48, 4 (48 35, (35 64, (64 94, (94 (9 (4 (3 (6 (

Resumo Objetivo Identificar a presença de sofrimento mental, o suporte familiar e o empoderamento de pessoas transgênero residentes no Estado de Alagoas, Brasil. Métodos Estudo transversal, descritivo, quantitativo. Pessoas transgênero maiores de 18 anos que residiam no Estado de Alagoas foram incluídas no estudo. As entrevistas foram realizadas na plataforma Google Meet, mediante agendamento telefônico e WhatsApp. Foram utilizados: Questionário de identificação, Inventário de Ansiedade Traço-Estado, Escala de Depressão, Inventário de Percepção de Suporte Familiar e Escala de Empoderamento. Os dados foram inseridos no software Statistical Package For The Social Sciences 23, e analisados por meio de cálculo de frequências, médias, desvio-padrão e teste de Pearson Chi-Square. Resultados Foram entrevistadas 37 pessoas transgênero, com idade média de 27,35 anos, cor autorreferida preta/parda (91,8%), apresentando ideação suicida no último ano (48,6%), tentativa de suicídio (35,1%), risco para depressão (64,9%) e baixo suporte familiar (94,6%). Mulheres transgênero e pansexuais apresentaram maior traço de personalidade ansiosa e mulheres transgênero e bissexuais vivenciavam um maior estado ansioso. Houve maior comprometimento em pessoas heterossexuais na dimensão Afetivo-Consistente; em pessoas pansexuais, na dimensão Adaptação Familiar; em pessoas bissexuais, na dimensão Autonomia Familiar. O Ativismo Comunitário apresentou-se mais comprometido no empoderamento de pessoas transgênero. Conclusão As fragilidades nas relações familiares, aliado às condições de violência e preconceito vivenciados frente à dificuldade de muitos em conviver com a diversidade pode estar contribuindo para o sofrimento mental de pessoas transgênero. É preciso pensar em ações voltadas para a promoção do seu empoderamento, numa rede de apoio interna e externa à família. Brasil transversal descritivo quantitativo 1 estudo Meet WhatsApp utilizados identificação TraçoEstado, TraçoEstado Traço Estado, Traço-Estado Depressão Empoderamento 23 frequências médias desviopadrão desvio padrão ChiSquare. ChiSquare Chi Square. Square Chi-Square 3 2735 27 35 27,3 pretaparda preta parda 91,8%, 918 91,8% , 91 8 (91,8%) 48,6%, 486 48,6% 48 6 (48,6%) 35,1%, 351 35,1% (35,1%) 64,9% 649 64 9 (64,9% 94,6%. 946 94,6% . 94 (94,6%) ansioso AfetivoConsistente Afetivo Consistente Afetivo-Consistente apresentouse apresentou se familiares família 2 273 27, 91,8 (91,8% 48,6 4 (48,6% 35,1 (35,1% 64,9 (64,9 94,6 (94,6% 91, (91,8 48, (48,6 35, (35,1 64, (64, 94, (94,6 (91, (48, (35, (64 (94, (91 (48 (35 (6 (94 (9 (4 (3 (

Abstract Background: The authors aim to investigate the effect of music on hemodynamic fluctuations during induction of general anesthesia and reducing preoperative anxiety for women who underwent elective non-cardiac surgery. Methods: It is a multicenter, double-blind, randomized, parallel-group clinical trial. Patients were randomized 1:1 to either a Music Intervention group (MI) or a Control group (Control). The MI participants listened to their preferred music for more than 30 minutes in the waiting area. The State-Trait Anxiety Inventory (STAI) was used to measure anxiety levels in the groups, and hemodynamic parameters (Heart Rate [HR], Mean Arterial Pressure [MAP]) were continuously recorded before induction (T0), at loss of consciousness (T1), immediately before intubation (T2), and after intubation (T3). Intubation-related adverse events were also recorded. The primary outcome was the incidence of MAP changes more than 20 % above baseline during T0-T2. Results: A total of 164 patients were included in the final analyses. The incidence of MAP instability during T0-T2 was lower in the MI, and the 95 % Confidence Interval for the rate difference demonstrated the superiority of MI. HR instability was less frequent in MI participants both in T0-T2 and T2-T3. The overall incidence of preopera-tive anxiety was 53.7 % (88/164). After the music intervention, the mean score of STAI was significantly lower in the MI than in the Control, with a between-group difference of 8.01. Conclusions: Preoperative music intervention effectively prevented hemodynamic instability during anesthesia induction and significantly reduced preoperative anxiety in women undergoing elective non-cardiac surgery. Background noncardiac non cardiac surgery Methods multicenter doubleblind, doubleblind double blind, blind double-blind parallelgroup parallel trial 11 1 1: (MI Control. . (Control) 3 area StateTrait State Trait (STAI groups Heart HR, , [HR] [MAP] T0, T0 T (T0) T1, T1 (T1) T2, T2 (T2) T3. T3 (T3) Intubationrelated Intubation related 2 T0T2. T0T2 TT T2. Results 16 analyses T0-T 9 T2T3. T2T3 T2-T3 preopera tive 537 53 7 53. 88/164. 88164 88/164 88 (88/164) betweengroup between 801 8 01 8.01 Conclusions (Control [HR [MAP (T0 (T1 (T2 (T3 T0T T2T T2-T 5 8816 88/16 (88/164 80 0 8.0 (T 881 88/1 (88/16 8. 88/ (88/1 (88/ (88 (8 (

Abstract Objective The present study investigated attentional biases in anxiety using facial expressions and eye-tracking measures. Method Seventy-six participants, between 18 and 36 years, took part in the study and were divided based on trait anxiety levels: Low, Moderate, and High. The stimuli were facial expressions, and the measures of interest were Probability of First Fixation and Proportion of Fixation Time. Results The results revealed vigilance biases towards expressions of disgust, regardless of anxiety level, and maintenance biases towards expressions of happiness, regardless of stimulus presentation time, in the Low Trait Anxiety group compared to the High Trait Anxiety group. Conclusion These findings raise questions related to the importance of using positive stimuli in anxiety treatment and the need to specify the types, levels, and characteristics of stimuli used in research. eyetracking eye tracking Seventysix Seventy six participants 1 3 years levels Moderate Time disgust level happiness time types research

Resumo Objetivo O presente estudo investigou vieses atencionais na ansiedade utilizando expressões faciais e medidas de rastreamento ocular. Método Participaram 76 participantes, com idades entre 18 e 36 anos, divididos em função dos níveis de ansiedade traço: Baixa, Moderada e Alta. Os estímulos foram expressões faciais e as medidas de interesse foram a Probabilidade de Primeira Fixação e a Proporção do Tempo de Fixação. Resultados Os resultados evidenciaram vieses de vigilância para expressões de nojo, independentemente do nível de ansiedade, e vieses de manutenção para expressões de alegria, independentemente do tempo de apresentação dos estímulos, no grupo Baixa Ansiedade Traço, quando comparado com o grupo Alta Ansiedade Traço. Conclusão Tais resultados suscitam questões relacionadas à importância do uso de estímulos positivos no tratamento da ansiedade e à necessidade de especificar os tipos, níveis e características dos estímulos utilizados nas pesquisas. ocular 7 participantes 1 3 anos traço nojo alegria Traço tipos pesquisas

RESUMO: Neste trabalho, são apresentados resultados de uma pesquisa longitudinal, orientada pelo objetivo de identificar como ocorreu a adaptação dos professores e seus níveis de estresse e ansiedade durante a pandemia da COVID-19. Assim, realizou-se um estudo transversal, exploratório, de campo, com abordagem quantitativa e qualitativa, em que foram utilizados três instrumentos: IADQ, para identificar o Transtorno de Adaptação; IDATE, para medir o nível de Ansiedade-Estado; e o TSI, medindo o estresse docente, além de questões sociobiográficas. Os dados coletados foram analisados por meio de estatística descritiva e regressão logística. Foi incluída, ainda, uma questão aberta, permitindo que os professores se expressassem livremente sobre seus sentimentos. Esses depoimentos foram analisados por nuvem de palavras, sendo que seis desses depoimentos resultaram na composição de um vídeo: https://youtu.be/N6q7iz09WWk. Assim, 129 professores foram acompanhados por um ano, durante a pandemia, de modo a se obter os dados, e tornando possível perceber que, aproximadamente, três em cada quatro professores da amostra passaram pelo transtorno de ajustamento durante o período de coleta, e um em cada dois apresentaram nível de ansiedade-estado alto. Nesse sentido, verificaram-se os seguintes fatores associados à probabilidade de não estarem adaptados à pandemia: ser mulher, estar casado, e a forma negativa com que percebem o cotidiano após tantas restrições e riscos. Entretanto, foram verificados fatores que puderam contribuir com o ajustamento dos professores, como: tempo de docência, percepção positiva sobre o estado de saúde física, e não utilização de substâncias, como álcool, cigarro, medicamentos e outras. Desse modo, verificou-se a vulnerabilidade psicossocial dos professores durante o período de pandemia, tornando inequívoca a necessidade de desenvolvimento de políticas públicas e privadas que contribuam com o ajustamento dessas pessoas, principalmente pensando na repercussão negativa que essa situação pode ter, inclusive, ao longo dos anos. RESUMO trabalho longitudinal COVID19. COVID19 COVID 19. 19 COVID-19 Assim realizouse realizou transversal exploratório campo qualitativa instrumentos IADQ Adaptação IDATE AnsiedadeEstado Ansiedade Estado Ansiedade-Estado TSI docente sociobiográficas logística incluída ainda aberta sentimentos palavras vídeo https//youtu.be/N6q7iz09WWk. httpsyoutubeN6q7iz09WWk httpsyoutubeNqizWWk https //youtu.be/N6q7iz09WWk. youtu be N6q7iz09WWk N q iz WWk https://youtu.be/N6q7iz09WWk 12 ano aproximadamente coleta ansiedadeestado alto sentido verificaramse verificaram mulher casado riscos Entretanto docência física substâncias álcool cigarro outras verificouse verificou pessoas ter inclusive anos COVID1 1 COVID-1 https//youtu.be/N6q7iz09WWk httpsyoutubeN youtubeN6q7iz09WWk youtubeNqizWWk //youtu.be/N6q7iz09WWk NqizWWk COVID- youtubeN

ABSTRACT: This paper presents the results of longitudinal research to identify professors’ adaptation and stress and anxiety levels during the COVID-19 pandemic. We conducted cross-sectional, exploratory, quantitative, and qualitative fieldwork. We used three instruments (the International Adjustment Disorder Questionnaire to identify the adjustment disorder, the State-Trait Anxiety Inventory to measure the anxiety state, and the Teacher Stress Inventory to measure professors’ stress) and socio-biographical questions. We analyzed the data through descriptive statistics and logistic regression. We also included an open question for professors to express their feelings openly. We analyzed these testimonies through word clouds, and six were transformed into a video: https://youtu.be/N6q7iz09WWk. To obtain the data, we followed 129 professors for one year during the pandemic. We found that approximately 3 out of 4 professors in the sample experienced adjustment disorder during the data collection period, and 1 out of 2 professors had a high level of state anxiety. The following factors were associated with the probability of not being adapted to the pandemic: being a woman, being married, and having a negative perception of their daily lives after so many restrictions and risks. However, other factors could contribute to professors’ adjustment: years of teaching, a positive perception of their physical health, and the non-use of substances such as alcohol, cigarettes, medication, and others. Therefore, we identified the psychosocial vulnerability of professors during the pandemic. Consequently, we highlight the need to develop public and private policies to unequivocally contribute to these individuals’ adjustment, especially considering the negative repercussions this situation can have over the years. ABSTRACT COVID19 COVID 19 COVID-1 pandemic crosssectional, crosssectional cross sectional, sectional cross-sectional exploratory quantitative fieldwork StateTrait State Trait sociobiographical socio biographical questions regression openly clouds video https//youtu.be/N6q7iz09WWk. httpsyoutubeN6q7iz09WWk httpsyoutubeNqizWWk https //youtu.be/N6q7iz09WWk. youtu be N6q7iz09WWk N q iz WWk https://youtu.be/N6q7iz09WWk 12 period woman married risks However teaching health nonuse non use alcohol cigarettes medication others Therefore Consequently individuals COVID1 COVID- https//youtu.be/N6q7iz09WWk httpsyoutubeN youtubeN6q7iz09WWk youtubeNqizWWk //youtu.be/N6q7iz09WWk NqizWWk youtubeN

RESUMEN: Este artículo presenta los resultados de una investigación longitudinal que tuvo como objetivo identificar la adaptación de los docentes y sus niveles de estrés y ansiedad durante la pandemia del COVID-19. Así, 129 profesores fueron asistidos durante un año durante la pandemia para obtener los datos. Fue posible notar que aproximadamente 3 de cada 4 maestros en la muestra experimentaron un trastorno de adaptación durante el período de recolección de datos y 1 de cada 2 maestros tuvo un alto nivel de ansiedad estado. En este sentido, se encontraron los siguientes factores asociados a la probabilidad de no estar adaptados a la pandemia: ser mujer, estar casada y la forma negativa que perciben su vida cotidiana tras tantas restricciones y riesgos. Sin embargo, otros factores podrían contribuir al ajuste de los docentes: el tiempo de docencia, la percepción positiva sobre el estado de salud física y no usar sustancias como alcohol, cigarrillos, medicamentos y otros. Por lo tanto, se verificó la vulnerabilidad psicosocial de los profesores durante el período de pandemia, lo que hace inequívoca la necesidad de desarrollar políticas públicas y privadas que contribuyan al ajuste de estas personas, especialmente considerando las repercusiones negativas que esta situación puede tener, incluso, a lo largo de los años. RESUMEN COVID19. COVID19 COVID 19. 19 COVID-19 Así 12 sentido mujer riesgos embargo docencia alcohol cigarrillos tanto personas tener incluso años COVID1 COVID-1 COVID-