The Role of Self-Care Activities (SASS-14) in Depression (PHQ-9): Evidence From Slovakia During the COVID-19 Pandemic

In the ongoing situation, when the world is dominated by coronavirus disease 2019 (COVID-19), the development of self-care programs appears to be insufficient, while their role in mental health may be crucial. The aim of the study was to evaluate the associations between self-care activities and depression in the general Slovak population, but also in its individual gender and age categories. This was achieved by validating the self-care screening instrument, assessing differences, and evaluating the associations using quantile regression analysis. The final research sample consisted of 806 participants [males: 314 (39%), females: 492 (61%)] and data were collected through an online questionnaire from February 12, 2021 to February 23, 2021. Patient Health Questionnaire (PHQ-9) for depression (α = 0.89) and Self-Care Activities Screening Scale (SASS-14) [health consciousness (HC) (α = 0.82), nutrition and physical activity (NPA) (α = 0.75), sleep quality (SLP) (α = 0.82), and interpersonal and intrapersonal coping strategies (IICS) (α = 0.58)] were used as screening measures. Mild depressive symptoms were found in 229 participants (28.41%), moderate depressive symptoms in 154 participants (19.11%), moderately severe depressive symptoms in 60 participants (7.44%) and severe depressive symptoms in 43 participants (5.33%). The main findings revealed the fact that individual self-care activities were associated with depression. This supported the idea that well-practiced self-care activities should be an immediate part of an individual's life in order to reduce depressive symptoms. Sleep quality played an important role, while HC indicated the need for increased attention. Other dimensions of self-care also showed significant results that should not be overlooked. In terms of depression, females and younger individuals need targeted interventions. The supportive educational intervention developed based on the self-care theory can help manage and maintain mental health during a stressful period, such as the COVID-19 pandemic. Health policy leaders should focus on health-promoting preventive self-care interventions, as the demand for them increases even more during the pandemic.

Psychometric Analysis of the Shortened Version of the Spiritual Well-Being Scale on the Slovak Population (SWBS-Sk)

This study was focused on verifying the factor structure of the shortened version of the Spiritual Well-Being Scale (SWBS) on a representative sample of adult Slovak citizens (N = 1018, 49% men, age 18–85 years, and mean age 46.2). The shortened version of the SWBS consists of 10 items divided into two subscales: religious well-being (RWB) and existential well-being (EWB). Results of confirmatory factor analysis (CFA) showed insufficient parameters of the full two-factor model due to three negatively formulated items. After their exclusion, the two-factor model was found to be valid in the Slovakian population (χ (13) = 53.1, p < 0.001, χ2/df = 4.1, CFI = 0.999, TLI = 0.999, RMSEA = 0.055, and SRMR = 0.028). The reliability of the final version of the SWBS-Sk, consisting of seven positively worded items, is high, with α = 0.86 and ω = 0.94. Religious respondents and women scored significantly higher on the whole scale (p = 0.001) as well as on the two subscales (p < 0.05). A higher age was associated with a higher RWB score (p = 0.001) and a lower EWB score (p = 0.002). The shortened version of the SWBS-Sk consisting of positively worded items was found to be valid and reliable for further use in the Slovak environment.

Relationships between Socioeconomic Indicators and Motor Performance of Schoolchildren in Slovakia

Physical inactivity is currently a significant problem in Western societies. Among the many factors that affect the amount of physical activity in children, socioeconomic status, the type of school, and the area where they live can play a major role in physical development. A total of 31,620 children (6.3 ± 0.53 years; 15,726 boys; 15,893 girls), representing 55.6 % of the entire Slovak population of first graders, participated in eight motor performance (MP) tests, the results of which were correlated with somatic parameters (body height, body weight, and body mass index (BMI)) and socioeconomic indicators (SEIs) within the children’s respective territorial regions. The largest correlations were observed between MP and unemployment rate (r = −0.802) and between MP and economically active population with primary education (r = −0.807). Other correlations between MP and SEIs were also found at the level of self-governing regions (r = 0.995) and districts (r = 0.551). SEIs and MP were strongly correlated, indicating that children who grow up in better socioeconomic environments display greater MP. Therefore, national and local governments should provide tangible and intangible resources to enable the proper development of children’s MP {XE “Rodina”}.

Toxoplasmosis is a risk factor for acquiring SARS-CoV-2 infection and a severe course of COVID-19 in the Czech and Slovak population: a preregistered exploratory internet cross-sectional study

Background Latent toxoplasmosis, i.e. a lifelong infection with the protozoan parasite Toxoplasma gondii, affects about a third of the human population worldwide. In the past 10 years, numerous studies have shown that infected individuals have a significantly higher incidence of mental and physical health problems and are more prone to exhibiting the adverse effects of various diseases. Methods A cross-sectional internet study was performed on a population of 4499 (786 Toxoplasma-infected) participants and looked for factors which positively or negatively affect the risk of SARS-CoV-2 infection and likelihood of a severe course of COVID-19. Results Logistic regression and partial Kendall correlation controlling for sex, age, and size of the place of residence showed that latent toxoplasmosis had the strongest effect on the risk of infection (OR = 1.50) before sport (OR = 1.30) and borreliosis (1.27). It also had the strongest effect on the risk of severe course of infection (Tau = 0.146), before autoimmunity, immunodeficiency, male sex, keeping a cat, being overweight, borreliosis, higher age, or chronic obstructive pulmonary disease. Toxoplasmosis augmented the adverse effects of other risk factors but was not the proximal cause of the effect of cat-keeping on higher likelihood of COVID infection and higher severity of the course of infection because the effect of cat-keeping was also observed (and in particular) in a subset of Toxoplasma-infected respondents (Tau = 0.153). Effects of keeping a cat were detected only in respondents from multi-member families, suggesting that a cat could be a vector for the transmission of SARS-CoV-2 within a family. Conclusions Toxoplasmosis is currently not considered a risk factor for COVID-19, and Toxoplasma-infected individuals are neither informed about their higher risk nor prioritised in vaccination programs. Because toxoplasmosis affects a large segment of the human population, its impact on COVID-19-associated effects on public health could be considerable. Graphical abstract

Toxoplasmosis is a Risk Factor for Acquiring SARS-CoV-2 Infection and a Severe Course of Covid-19 Disease in The Czech and Slovak Population: A Preregistered Exploratory Internet Cross-Sectional Study

Background Latent toxoplasmosis, i.e. a lifelong infection with the protozoan parasite Toxoplasma gondii, affects about a third of human population worldwide. In the past ten years, numerous studies had shown that infected subjects have a significantly higher incidence of mental and physical health problems and are more prone to exhibiting the adverse effects of various diseases. Methods A cross-sectional internet study was performed on a population of 4,499 (786 Toxoplasma-infected) subjects and looked for factors which positively or negatively affect the risk of SARS-CoV-2 infection and likelihood of a severe course of Covid-19. Results Logistic regression and partial Kendall correlation controlled for sex, age, and size of the place of residence showed that latent toxoplasmosis had the strongest effect on the risk of infection (OR = 1·50) before sport (OR = 1·30), and borreliosis (1·27). It also had the strongest effect on the risk of severe course of infection (Tau = 0·146), before autoimmunity, immunodeficiency, male sex, keeping a cat, being overweight, borreliosis, higher age, or chronic obstructive pulmonary disease. Toxoplasmosis augmented the adverse effects of other risk factors but was not the proximal cause of the effect of cat keeping on higher likelihood of Covid infection and higher severity of the course of infection because the effect of cat keeping was observed also (and especially) in a subset of Toxoplasma-infected subjects (Tau = 0·153). Effects of keeping a cat were detected only in subjects from multi-member families, suggesting that a cat could a vector for the transmission of SARS-CoV-2 within a family. Conclusions Toxoplasmosis is currently not considered a risk factor for Covid-19 and Toxoplasma-infected subjects are neither informed about their higher risks nor prioritised in vaccination programs. Because toxoplasmosis affects a large segment of the human population, its impact on Covid-19-associated effects on public health could be considerable.

Psychometric Properties of the Slovak Version of Short Dark Triad

The Short Dark Triad is a scale used to capture three aversive personality traits—Machiavellianism, narcissism, and psychopathy on the subclinical level. The present study aimed to verify the psychometric properties of the Slovak version of the Short Dark Triad scale in three studies. The first two studies aimed to examine the reliability of the scale. The aim of Study 1 was to examine the factor structure of SD3. A three-factor model consisting of three latent intercorrelated factors in a unidimensional and bifactorial model were examined on a sample of 588 participants. Study 2 aimed to test the consistency of the results over time (test–retest reliability) on the sample of 117 participants. In Study 3, convergent and divergent validity was examined on the sample of 333 participants. For both kinds of validity examination, the Slovak version of NEO-FFI was used. The internal consistency of the subscales and test results, the same as the retest results, were satisfactory. The relationships between the scales were found to be significant. Confirmatory factor analysis (CFA) results supported the original three-factor model. Significant interrelations have been established between Machiavellianism and openness, agreeableness and conscientiousness; narcissism and neuroticism, extraversion and agreeableness; psychopathy and openness, agreeableness and conscientiousness. The Short Dark Triad achieved satisfactory values of reliability and validity; therefore, it can be used on the Slovak population.

Religious Minority as a Source of National and State Identity: The Case of Slovakia

In Central Europe, the role of religion in the creation of modern states has had many guises. In some predominantly Catholic countries, religious minorities have been an important source for national movements that sought emancipation from dominant political rule, which was often connected with the dominant (Catholic) religion. The article is focused on the case of Slovakia, where Lutherans, in spite of making up only a small proportion of the Slovak population, have been one of the two fundamental sources of the national movement for the last two centuries. It shows how the contemporary character of the state, society, and national identity and its relation to religion is influenced by the bi-confessionalism (dualism) of the Slovak national movement that was initiated by Slovak Lutherans in the eighteenth century. Although the Lutheran religious minority has been disappearing since 1990, the article shows how its heritage is still present in the character of contemporary institutions of national tradition and identity.

With the little help of science understanding: Examining the direct and indirect role of scientific reasoning and trust in science in normative health behaviour during pandemic

This paper focuses on the science understanding (scientific reasoning and trust in science) and analytic thinking and their role in: 1) having less conspiracy and pseudoscientific beliefs about COVID-19, and 2) behavioral intentions in line with scientific consensus (i.e. following evidence-based guidelines and vaccination intentions). We examined these direct and indirect effect of science understanding on normative health behavior in a representative sample of Slovak population (N = 1024). The results showed more support for the indirect path: people who understand science better had generally less epistemically suspect beliefs and as a consequence, tended to behave more in line with evidence-based guidelines and were more likely to get vaccinated. Neither scientific reasoning nor trust in science predicted avoidance of preventive measures directly, but analytic thinking correlated positively with avoiding preventive measures. The strongest predictor of epistemically suspect beliefs was trust in science, which also directly predicted the intention to get vaccinated against COVID-19. Thus, it seems that reasoning about which experts or sources to believe (second-order scientific reasoning) has become even more important than directly evaluating original evidence (first-order scientific reasoning).