Sandplay therapy could be a method to decrease disease activity and psychological stress in children with systemic lupus erythematosus

Objective Although the prevalence rate of childhood-onset systemic lupus erythematosus (cSLE) is far lower than that of adults, cSLE has a high rate of organ involvement, rapid development and poor prognosis, which is more serious than that in adults. And studies have shown that a wide range of physiological, functional, nerve, and organ damage will have a great impact on the mental health of children. At present, there is no relevant psychological intervention research for cSLE in China. This paper aimed to explore the effect of Sandplay therapy on mental health and disease activity of children with cSLE. Methods Forty childrens with cSLE were randomly divided into control group (CG) and intervention group (IG); the CG were treated with glucocorticoid, immunosuppressant and other drugs, while the IG were treated with Sandplay therapy in addition to drug therapy, at the time of 0, 2, and 4 weeks after initial diagnosis, respectively. The questionnaire evaluation and related clinical indicators of the two groups were compared and analyzed (before psychotherapy intervention) at 0, 2, 4, and 12 weeks after initial diagnosis. Results There was no significant difference between the two groups in the evaluation of questionnaire and related clinical indicators at the time 0, 2 weeks after initial diagnosis respectively. At 12 weeks after the intervention, the score of Short version of the Children’s Depression Inventory (CDI-S) in the IG was significantly lower than that in the CG, the score of The Screen for Child Anxiety Related Emotional Disorders (SCARED) scale in the IG was significantly lower than that in the CG, and the Pediatric Quality of Life Inventory (PedsQL 4.0) showed that the scores of social function, school performance, and emotional health of the IG were higher than those of the CG ( p < 0.05), and the clinical indexes of the IG were better than those of the CG ( p < 0.05). Conclusion Sandplay therapy may help to slow down the occurrence and development of anxiety and depression and reduce disease activity in patients with cSLE.

Impact of Mindfulness Training on Spanish Police Officers’ Mental and Emotional Health: a Non-Randomized Pilot Study

Objectives The purpose of this exploratory non-randomized controlled study was to determine the acceptance and effectiveness of an 8-week mindfulness-based intervention (MBI) co-designed by a police officer. Methods A pretest-posttest control group design was followed. Participants (MBI group = 20; control group = 18) answered baseline and post-training self-reported measures. In addition, the weekly emotional state of the MBI group was collected. Paired-samples t-test and analysis of covariance were performed for pre-post within-group and between-group differences, respectively, as well as linear mixed effects analysis of repeated measures for week-by-week data. Results High acceptance and attendance rates, as well as significant pre-post within-group differences in the MBI group in mindfulness (η2 = 0.43), self-compassion (η2 = 0.43), depression (η2 = 0.54), anxiety (η2 = 0.46), stress (η2 = 0.51), difficulties in emotion regulation, sleep quality (η2 = 0.57), and burnout (η2 = 0.31–0.47), were identified. Moreover, police officers who underwent the MBI experienced a week by week decrease of anger, disgust, anxiety, sadness, and desire. Finally, after adjusting for pre-test scores, significant between-group differences were found in the way of attending to internal and external experiences (observing mindfulness facet; ηp2 = 0.21), depression symptoms (ηp2 = 0.23), general distress (ηp2 = 0.24), and the degree of physical and psychological exhaustion (personal burnout; ηp2 = 0.20). Conclusions The preliminary effectiveness of this MBI on psychopathology and quality of life outcomes in Spanish police officers was discussed. Previous evidence regarding the promising use of MBIs in this population was supported.

An Integrative Framework to Guide Social Engagement Interventions and Technology Design for Persons With Mild Cognitive Impairment

Social isolation and loneliness in older adults are associated with poor health outcomes and have been linked to an increased risk of cognitive impairment and incident dementia. Social engagement has been identified as a key factor in promoting positive health behaviors and quality of life and preventing social isolation and loneliness. Studies involving cognitively healthy older adults have shown the protective effects of both in-person and technology-based social engagement. However, the benefits of social engagement for people who are already at-risk of developing dementia, namely those with mild cognitive impairment (MCI), have yet to be elucidated. We present a narrative review of the literature, summarizing the research on social engagement in MCI. First, we identified social networks (quality, size, frequency, and closeness) and social activities (frequency, format, purpose, type, and content) as two overarching dimensions of an integrative framework for social engagement derived from literature examining typical cognitive aging. We then used this framework as a lens to examine studies of social engagement in MCI to explore (i) the relationship between in-person and technology-based social engagement and cognitive, emotional, and physical health, and (ii) interventions that target social engagement including technology-based approaches. Overall, we found that persons with MCI (PwMCI) may have different levels of social engagement than those experiencing typical cognitive aging. Moreover, in-person social engagement can have a positive impact on cognitive, emotional, and physical health for PwMCI. With respect to activity and network dimensions in our framework, we found that cognitive health has been more widely examined in PwMCI relative to physical and emotional health. Very few intervention studies have targeted social engagement, but both in-person and technology-based interventions appear to have promising health and well-being outcomes. Our multidimensional framework of social engagement provides guidance for research on characterizing the protective benefits of social engagement for PwMCI and informs the development of novel interventions including technology-based approaches.

Reflection on Social Entrepreneurship in the Penitentiary Environment

Entrepreneurship can be a solution to the dilemma: “Labour is a form of education, a way of ensuring existence, gaining autonomy, a physical and mental training, a way of oppression, a form of occupational therapy, all together or …none of the variants listed?” Depending on the reference field and the perspectives offered by different specializations, work is defined as a physical or intellectual action, which develop material and emotional satisfactions. Especially in closed environments, it is practiced as a form of occupational therapy (ergotherapy), because it ensures a sense of usefulness, helping to maintain somato-psycho-emotional health. The schoolmasters highlight the formative values of work for students: evaluate the native skills and abilities, lead to the discovery of new unknown interests and talents, support the student in his perfection by inoculating the ideas of responsibility, order, discipline, etc. Before 1989, in detention environment labour was mandatory, but now, labour is an optional right. The two perspectives are diametrically opposed, and the issue was addressed only from the perspective of reduced job supply, both during detention and after release. There are few publications with strict reference to this topic. In general, the social reintegration of post-execution prisoners is addressed. At this moment, the main problem highlighted is integration/reintegration on the labour market, as the main facilitating step of maintaining the accumulations during the detention period and a primary factor for avoiding the recurrence. However, those who have served a custodial sentence do not have a "ticket" to the labour market. To be known and solved, the situation should be addressed continuously: prevention before detention, education/re-education/training / retraining during detention and placement on the labor market / retraining immediately after release.

Increasing the Quality of Life of the Prison Officers and their Families by Recovering their Work Capacity

The prison officers belong to a slightly known category, despite the transparency ensured after 1989 both by strengthening the relationship with the media institutions and by organizing the "open days" activities. They work in a closed environment between 8 and 12 hours a day, inconstant interaction with a relatively stable population the size of the administrative-territorial unit of a village type. The working schedule is on the one hand routine, on the other hand impacted by unforeseen situations, from those of major risk to those related to the management of the relationship and communication issues within the groups formed in the detention rooms. The mission is twofold, one side consisting in actions taken to maintain the security and safety of the community and the place of detention, and the other side represent the contribution to the education / re-education of convicts by influencing them, both directly and indirectly. The prison staff is seen as a teaching tool itself, their example being the trigger factor of the prisoners’ desire to change. Taking in consideration the numerical ratio between staff and prisoners, the situations in which one can ‘abdicate’ from the mission are excluded, so that the efficiency of the activity is conditioned by the maintenance of a continuous state of alert. After the working schedule, the prison officers continue their personal life, ensuring adequate emotional support for family members, participating in activities of the group of friends, etc., without projecting the accumulated stress from the workplace. But, intentionally or not, the transfer occurs, so that the effects of working in a closed environment marked by tensions and negative emotional charge are also felt by those close to them. Through their work, the prison officers contribute to the increasing of the quality of life to the community they belong to and the quality of life in detention (ensuring community security, individual and group safety, supporting the educational/re-educational process, ensuring somato-psycho-emotional health, etc.).Starting from this reality, through an opinion poll, we identified some of the needs to recover the work capacity, a necessary step to ensure a quality life for prison staff.

Adventure sports, risk, and human-more than human wellbeing: local responses to the challenges of the COVID-19 pandemic

The impact of, and responses to COVID-19 has dominated discussion in every area of life, and fields of academic activity. In this paper I consider some of the impacts and considerations in relation to activities that have been conceptualised as adventure sports. My intention is not to show how adventure is being done differently, rather to use the exceptional circumstances of lockdown to highlighted the multifaceted, meaningful and affective ‘everyday’ experiences of those who engage in adventure sport as part of their everyday practices. My focus is empirical research conducted in Aotearoa New Zealand during lockdowns (2020-21) focusing on coastal communities and surfing specifically. This ‘journey through lockdown’ illustrates the ways in which coastal spaces are experienced as therapeutic landscapes that can foster physical and emotional health and wellbeing from those on the shore, to full-immersion activities such as surfing, influencing people’s sense of wellbeing, collective identities, and forms of belonging. However, in the same ways that COVID has exacerbated many health inequities, it is important to be attentive to the ways in which the wellbeing benefits of coastal spaces are not available and extended to all. A range of cultural, economic, socio-demographic, and political factors contribute to a dis-connect with, or exclusion from various bluespaces. Diverse subjects and bodies access and experience bluespaces in different and unequal ways, impacting who can use blue spaces, and how it can be used. Lastly, the lockdown situation was also informing in understanding the often-romanticised nature of adventure sport participants relationship with the natural world, and more widely how this translates, or not, to broader responses to our climate emergency.

No Country for Non-Graduate Men: The Childish Roots of Adult Job Tasks \& Employment

Male employment has declined across advanced economies as non-graduate men found it increasingly difficult to gain jobs in the wake of technological change and globalisation. This has led to rising earnings and, subsequently, income inequality. Female employment, by contrast, has risen in this period. Previous work has shown changing job task demands explain this pattern - with declining manual tasks penalising men and rising non-routine tasks benefiting women. In this paper, I test whether gendered differences in childhood \&amp; adolescent cognitive, social, perseverance, and emotional-health skills can help explain why men are less adept at non-routine tasks using long-term longitudinal data from the United Kingdom. I find that childhood \&amp; adolescent skills have a significant effect on adult job tasks and employment outcomes. Greater cognitive and childhood emotional-health skills lead to people performing more high-pay analytical and interactive job tasks as adults. Greater cognitive and non-cognitive skills are also associated with higher adult employment levels. Indicative calculations show that gendered differences in these childhood and adolescent skills explain an economically significant decline in the analytical and interactive job tasks performed by non-graduate men as well as their employment rates.

Health risks and mitigation strategies from occupational exposure to wildland fire: a scoping review

Objectives Due to accelerating wildland fire activity, there is mounting urgency to understand, prevent, and mitigate the occupational health impacts associated with wildland fire suppression. The objectives of this review of academic and grey literature were to: Identify the impact of occupational exposure to wildland fires on physical, mental, and emotional health; and Examine the characteristics and effectiveness of prevention, mitigation, or management strategies studied to reduce negative health outcomes associated with occupational exposure to wildland fire. Methods Following established scoping review methods, academic literature as well as government and industry reports were identified by searching seven academic databases and through a targeted grey literature search. 4679 articles were screened using pre-determined eligibility criteria. Data on study characteristics, health outcomes assessed, prevention or mitigation strategies studied, and main findings were extracted from each included document. The results of this scoping review are presented using descriptive tables and a narrative summary to organize key findings. Results The final sample was comprised of 100 articles: 76 research articles and 24 grey literature reports. Grey literature focused on acute injuries and fatalities. Health outcomes reported in academic studies focused on respiratory health (n = 14), mental health (n = 16), and inflammation and oxidative stress (n = 12). The identified studies evaluated short-term outcomes measuring changes across a single shift or wildland fire season. Most research was conducted with wildland firefighters and excluded personnel such as aviation crews, contract crews, and incident management teams. Five articles reported direct study of mitigation strategies, focusing on the potential usage of masks, advanced hygiene protocols to reduce exposure, fluid intake to manage hydration and core temperature, and glutamine supplementation to reduce fatigue. Conclusions While broad in scope, the evidence base linking wildland fire exposure to any one health outcome is limited. The lack of long-term evidence on changes in health status or morbidity is a clear evidence gap and there is a need to prioritize research on the mental and physical health impact of occupational exposure to wildland fire.

The Effect of Inner Engineering Online (IEO) Program on Reducing Stress for Information Technology Professionals: A Randomized Control Study

In recent years, mindfulness-based interventions (MBIs) are rapidly growing in the workplace. Several meta-analyses conclude that overall MBIs have a moderate effect of alleviating deficit-based experiences, such as burnout and stress, but a small to no effect of promoting asset-based experiences, such as positive affect and well-being. While workplace MBIs vary greatly in their content, format, and duration, the dominant format is still face to face in a group setting, which limits scalability. Our study introduces an emerging workplace intervention called Inner Engineering Online (IEO) and evaluates its effect on reducing stress, burnout, depression, and anxiety and increasing mindfulness and joy. Drawing on the classical yogic science, IEO is a comprehensive web-based multicomponent intervention that utilizes dialectic discourse, meditation, and yogic practices designed to improve physical, mental, and emotional health. Utilizing a randomized active control cross-over experimental design with a sample of 71 employees of an Information Technology company, we tested our hypothesis that IEO training and regular daily yogic practice are likely to lower the stress levels, prevent burnout, and alleviate anxiety and depression, while at the same time promotes positive affect for employees. The results show that IEO program significantly reduces stress only among those who adhere to recommended daily yogic practices. The study is limited by its small sample size. Future research using a large sample is recommended to reexamine the effect of IEO training on occupational health. This trial is registered with NCT04126564.

Workload Status and Its Relationship with Job Stress in Nurses during the COVID-19 Pandemic

Background and Purpose: Currently, the high prevalence of COVID-19 and increased workload in hospitals has posed a threat to the physical, mental, and emotional health of nurses. The present study was an attempt to investigate the workload and its relationship with job stress of nurses in COVID-19 reference hospitals in southern Iran. Materials and Methods: This descriptive-analytical and cross-sectional study was conducted in 2021 on 431 nurses from COVID-19 reference hospitals in southern Iran. Data collection tools included the NASA workload and OSIPOW job stress standard questionnaires. Data were analyzed using t-test, ANOVA, and Pearson correlation coefficient in SPSS23 Software and at a significance level of 0.05 Results: The mean age and work experience of the nurses participating in the study were 31.03±5.23 and 6.42±4.61, respectively. The mean scores of the workload and job stresses were 83.64 ± 17.24 (of 100) and 236.68 ± 16.54 (of 300), respectively. Mental load dimension (85.81 ±19.31, of 100) among workload dimensions and role workload dimension (43.62 ± 19.14, of 50) among job stress dimensions had the highest mean score. Thus, there was found a statistically significant relationship between workload and job stress of nurses (P= 0.04, r= 0.19). Conclusion: Workload and job stress of the studied nurses were estimated at a high level. There was a significant positive correlation between these two variables, and increasing workload resulted in an increase in job stress.