bluuebunny/crossref_metadata_2025_split huggingface dataset:
Exploring the well-being of professional female musicians: a self-determination theory perspective
Authors: Perrier Laurence , Latreille-Gagné Laurence , Khoriaty Florence , Fortin Maude , Bonneville-Roussy Arielle 
Published: January 2025

BackgroundThis study investigated the well-being of 16 professional female musicians through the lens of Self-Determination Theory, focusing on the satisfaction of their psychological needs for autonomy, competence, and relatedness, as well as the unique challenges they encounter in their careers.MethodsSemi-structured interviews were undertaken and analyzed using thematic analysis.Results and discussionThree broad themes and 10 sub-themes emerged from the interviews. The findings demonstrate that the well-being of female musicians is closely tied to the satisfaction of their psychological needs for autonomy, competence, and relatedness. Conversely, when these needs are frustrated, their well-being is negatively impacted. Other themes that emerged from the interviews are intrinsic motivation and the gender specific challenges within the music industry.ConclusionThe study highlights the need for supportive environments to enhance the well-being of female musicians (and performers as a whole), addressing both their psychological needs and the specific gender-related challenges they face.
Learning to play to learn in pediatric physical therapy
Authors: Håkstad Ragnhild B. , Dusing Stacey C. , Girolami Gay L. , Øberg Gunn Kristin , De Jaegher Hanne 
Published: January 2025

IntroductionPlay is a way for children to develop and learn about themselves in conjunction with the world. Using play as part of pediatric physical therapy is broadly recommended. This study investigates this integration of play and seeks to answer the research question: How do pediatric physical therapists (PPT) understand and manage embedding play in pediatric physical therapy with children aged 0–3?MethodsThis is a qualitative study in which we connect to an enactive theoretical framework. We interviewed 14 PPTs about their use of play, including video-elicited questions while viewing recordings of their therapy sessions. Our results were developed through an abductive thematic analysis.ResultsThe PPTs acknowledge play as a foundation of children’s learning and a vital component of physical therapy. They explain that play and therapy often co-exist and intertwine, but they also experience tensions when they strive to make play therapeutic. The PPTs find it taxing to engage in play with children who present with limited interaction and play skills, and voice concern for children who struggle to engage in interactional play.DiscussionTrusting play and letting play emerge through shared sense-making can resolve challenges and enable PPTs to discover new therapeutic opportunities. A child’s striving and overcoming of resistance can be infused with playfulness and make play thrive. We invite PPTs to experiment with the emerging opportunities and boundaries between therapy and play during treatment sessions. Respect for the child’s autonomy, attention to the child’s play experience, and repairs of interactional mismatches are crucial in this process. Therapeutic guidance and mutuality in interactions can empower children to learn to play to learn new skills and experience mastery as they explore and venture beyond what they already know.
The moderating role of parent–child interaction in the relationship between maltreatment and psychological well-being among preschool children
Authors: Zhang Cheng , Huang Chuican , Zhang Chunhui , Wu Weijia , Huang Zhenning , Xia Xue , Liu Sijia , Wang Chen , Luo Qing , Fan Lichun 
Published: January 2025

ObjectiveThis study aimed to examine the relationship between maltreatment and psychological well-being among preschool children and explore parent–child interaction’s moderating role on this association.MethodsThis study employed a cross-sectional design and multistage stratified cluster random sampling method. Between December 2022 and January 2023, 180 kindergartens in the Hainan province—encompassing 4,886 newly enrolled children as participants—were selected. All data were collected using an online platform, on which parents or caregivers reported their children’s history of abuse and completed the Strengths and Difficulties Questionnaire and Chinese Parent–Child Interaction Scale.ResultThe reporting rate of child abuse in Hainan Province was 61.81%. Specifically, frequent physical abuse (odds ratio [OR] = 1.44, 95% confidence interval [CI] = 1.15–1.80), occasional physical neglect (OR = 1.75, 95% CI = 1.37–2.11), frequent physical neglect (OR = 1.57, 95% CI = 1.31–1.87), and frequent emotional abuse (OR = 1.57, 95% CI = 1.31–1.87) were associated with a higher overall rate of difficulties. Frequent physical abuse (OR = 1.33, 95% CI = 1.08–1.64) and frequent emotional abuse (OR = 1.36, 95% CI = 1.16–1.61) were correlated with a higher rate of prosocial problems. A significant interaction was observed between parent–child interaction and occasional physical neglect on psychological well-being (OR = 0.73, 95% CI = 0.54–0.98, p = 0.035).ConclusionPreschool children who experience maltreatment exhibit an increased risk of developing psychological health issues, indicating a cumulative effect. Our study indicates that positive parent–child interaction mitigates occasional physical neglect’s negative impact on preschool children’s psychological well-being but does not exhibit a moderating effect on frequent physical neglect or other forms of maltreatment.
Increasing stress resilience in older adults through a 6-week prevention program: effects on coping strategies, anxiety symptoms, and cortisol levels
Authors: Richer Marie-Josée , Grenier Sébastien , Lupien Sonia , Plusquellec Pierrich 
Published: January 2025

IntroductionAs people age, chronic stress, resulting in prolonged or repeated activation of the hypothalamic–pituitary–adrenal (HPA) axis, has been associated with long-term adverse health outcomes. Coping strategies and social support have been recognized as contributing to resilience to stress in older adults. Few studies have evaluated stress management training (SMT) interventions based on psychoneuroendocrinology that were designed to be delivered to healthy older adults in community settings.MethodsIn this study, a total of 170 older adults (mean age = 76.07, SD = 7.67) participated in a cluster-randomized trial designed to compare the delivery of an SMT intervention with a waitlist condition.ResultsThe effect of SMT on coping strategies, stress, anxiety, and depression was measured 3 weeks and 3 months after the intervention. In addition, we tested the effect on basal cortisol secretion over 2 days from saliva samples upon awakening and the total diurnal cortisol output [area under the curve with respect to ground (AUCg)]. Results from repeated measures analyses of variance showed that participants who received the intervention demonstrated a significant increase in problem-solving coping strategies and a decrease in anxiety scores 3 weeks after the intervention compared to the waitlist group. STM participants also demonstrated lower cortisol levels on the AUCg index. At the 3-month follow-up, gains were maintained only on the AUCg index.DiscussionThis type of brief preventive program could reduce basal cortisol levels in older adults, which may be an important protective factor against health outcomes associated with chronic HPA activation. Our results provide sufficient evidence to warrant further research to improve the effectiveness of O’stress in different settings.
The dual impact: physiological and psychological effects of rapid weight loss in wrestling
Authors: Sarıakçalı Barış , Şahin Fatma Neşe , Başoğlu Burhan , Ceylan Levent , Güler Özkan , Yamak Bade , Arıkan Gökhan , Acar Gizem Ceylan , Sekban Gülşah , Durmuşoğlu Mehmet Vakıf , Çimen Polat Sezen , Küçük Hamza 
Published: January 2025

IntroductionAthletes competing in weight-class sports often seek to gain an advantage by competing at lower weights. Athletes competing in weight-class sports often seek to gain an advantage by competing at lower weights. To achieve this, they aim to lose weight during the competition period, leading to various physiological and psychological changes. This study aimed to investigate the biochemical, hormonal, and psychological effects of weight reduction in elite wrestlers during the competition phase.MethodsThirty-seven elite male free style wrestlers (age: 19.02 ± 1.27) participated in the study. Samples were collected 5 days before and on the day of the match.ResultsA significant decrease in body weight was observed (p &lt; 0.05). Levels of creatine, BUN, sodium, hematocrit, hemoglobin, LDH, and cortisol increased, while albumin, testosterone, and FSH levels decreased. There were no significant differences in potassium, ALT, AST, TSH levels. State and trait anxiety scores of the wrestlers increased significantly during the RWL period.ConclusionThe study concluded that elite wrestlers experienced significant changes in physiological and psychological parameters during the competition periods. These findings underscore the importance of careful monitoring of RWL strategies by coaches and athletes to mitigate the adverse effects on nutritional status, psychological well-being, and physical performance.
Basolateral amygdala volume in affective disorders using 7T MRI in vivo
Authors: Kürzinger Benedikt , Schindler Stephanie , Meffert Martin , Rosenhahn Anja , Trampel Robert , Turner Robert , Schoenknecht Peter 
Published: January 2025

BackgroundThe basolateral complex of the amygdala is a crucial neurobiological site for Pavlovian conditioning. Investigations into volumetric alterations of the basolateral amygdala in individuals with major depressive disorder (MDD) have yielded conflicting results. These may be reconciled in an inverted U-shape allostatic growth trajectory. This hypothesized trajectory unfolds with an initial phase of volumetric expansion, driven by enhanced dendritic arborization and synaptic plasticity. The increase in volume is followed by a reduction phase, as glucocorticoid exposure cumulatively results in excitotoxic damage, reflecting allostatic load.Methods7T magnetic resonance brain imaging was conducted on a total of 84 participants (mean age 38 ± 12 years), comprising 20 unmedicated and 20 medicated individuals with MDD, 21 individuals suffering from bipolar disorder and 23 healthy controls. We employed FreeSurfer 7.3.2 for automatic high-resolution segmentation of nine amygdala subnuclei. We conducted analyses of covariance, with volumes of the basolateral complex, the lateral nucleus and, exploratively, the whole amygdala, as dependent variables, while controlling for the total intracranial volume and sex. Quadratic regressions were computed within the MDD group and in relevant subgroups to investigate the presence of a U-shaped relationship between the number of preceding major depressive episodes or the duration of the disease since the first episode and the dependent variables.ResultsDiagnostic groups did not exhibit statistically significant differences in the volumes of the basolateral amygdala (left F (3,75) = 0.66, p &gt;.05; right F (3,76) = 1.80, p &gt;.05), the lateral nucleus (left F (3,75) = 1.22, p &gt;.05; right F (3,76) = 2.30, p &gt;.05)), or the whole amygdala (left F (3,75) = 0.48, p &gt;.05; right F (3,76) = 1.58, p &gt;.05). No quadratic associations were observed between surrogate parameters of disease progression and any of the examined amygdala volumes. There were no significant correlations between subregion volumes and clinical characteristics.ConclusionWe found no evidence for the hypothesis of an inverted U-shaped volumetric trajectory of the basolateral amygdala in MDD. Future research with larger sample sizes, including the measurement of genetic and epigenetic markers, will hopefully further elucidate this compelling paradigm.
Reduced prefrontal hemodynamic responses measured using near-infrared spectroscopy in adults with autism spectrum disorder
Authors: Kamikawa Kohei , Yamamuro Kazuhiko , Mizui Ryo , Kashida Natsuko , Ishida Rio , Okada Takashi , Iwata Nakao , Makinodan Manabu 
Published: January 2025

AimFunctional neuroimaging studies have suggested that prefrontal cortex dysfunction occurs in individuals with autism spectrum disorder (ASD). Near-infrared spectroscopy (NIRS) is a noninvasive optical tool used to investigate oxygenation and hemodynamic responses in the cerebral cortex by measuring changes in oxygenated hemoglobin. Previous studies using NIRS have suggested that male children with ASD exhibit reduced hemodynamic responses in the dorsolateral prefrontal cortex; however, only a few studies examined this response in adults with ASD.MethodsWe examined the characteristics of prefrontal hemodynamic responses in 114 adults with ASD and 84 typically developing controls. Relative concentrations of oxygenated hemoglobin were measured with frontal probes every 0.1 s during the Stroop color-word task, using 24-channel NIRS.ResultsOur findings demonstrated that the oxygenated hemoglobin changes in the ASD group were significantly smaller than those in the control group at channels 19, 20, 23, and 24- located over the orbitofrontal cortex and frontal pole (p &lt;0.05 for all three channels). The differences in oxygenated hemoglobin changes at Ch 20 were significantly correlated with the Autism-Spectrum Quotient Japanese version (AQ-J) total score and attention switching score, which is a symptom cluster of AQ-J (p = 0.043 and p = 0.009, respectively).ConclusionAdults with ASD have reduced prefrontal hemodynamic responses as measured using near-infrared spectroscopy and the reduced activity of the frontal pole in particular is related to reduced attentional function.
“A quality of heart, of presence, and of really caring”: toward affirmative intersex health communication in Canada
Authors: Knoppers Terese , Voutsinas Angelica , Palmour Nicole , Saulnier Kaleb , Holmes Morgan , Charron Marilou , Gallois Hortense , Jamali Narges , Ordal Leslie , Joly Yann 
Published: January 2025

IntroductionThis qualitative research study aimed to better understand and help improve the Canadian context for health communication with intersex adults by centering the voices of those directly involved and impacted.MethodsWe conducted 22 semi-structured interviews with intersex individuals (14) and healthcare practitioners (HCPs, 8) from diverse areas of care. Interviews were analyzed via template thematic analysis and filtered through a conceptual lens that brought together agency-based and social-ecological models of health communication.ResultsFindings produced three interlocking axes for change: HCP skills and approaches, structural access to care, and norms and discourses. Participant accounts depict a landscape for intersex health communication where practices are improving, but adverse experiences are still commonplace and intersex individuals cannot assume HCPs will be competent in intersex care. Rather, they utilize a variety of strategies and expend considerable efforts navigating structural gaps and barriers to access affirmative HCPs, who themselves often gained their expertise via individual initiative. Interviewees advocated for HCPs to get a baseline background in intersex care during their medical training, as well as skills in accessible health communication and person-centered and trauma-informed approaches. They also connected broader societal stigma and pathologization to harmful medical practices and called for naturalization and normalization of intersex variations.ConclusionThis study highlights the need for collaborative efforts across multiple sectors and by multiple stakeholders to drive meaningful change. Findings can help guide HCPs, medical educators, researchers, advocates, and policymakers towards accessible, affirmative, and agency-based care.
The impact of the COVID-19 pandemic on musculoskeletal disorders-related sick leave among healthcare workers: a retrospective analysis of Slovenian national data
Authors: Zerbo Šporin Dorjana , Kozinc Žiga , Prijon Ticijana , Metličar Tanja , Šarabon Nejc 
Published: January 2025

PurposeMusculoskeletal disorders (MSDs) are one of the main causes of health-related absenteeism. MSDs were a known problem among healthcare workers (HCWs) even before COVID-19. The pandemic, with its associated stresses and changes in working conditions, may have influenced the incidence and duration of MSDs-related sick leave (SL) among HCWs. The aim of this study was to compare the incidence and duration of MSDs-related SL among HCWs before and during the COVID-19 pandemic, with a focus on differences between age and gender groups.MethodsA retrospective analysis was conducted using Slovenian national SL data on work-related MSDs within NACE Rev. 2 “Human health activities” for 2019, 2020, and 2021, categorized by gender and age.ResultsThe study found that older HCWs, particularly women, consistently had a higher incidence of work-related MSDs SL than their younger counterparts. However, during the pandemic, MSDs were more common among younger men, while the average duration of SL was longer among younger women. On the other hand, in older HCWs, the average SL incidence decreased during the pandemic, while the SL duration substantially increased.ConclusionThe dynamics of MSDs related SL among HCWs are complex and influenced by several factors, including the challenges posed by the COVID-19 pandemic. Healthcare managers should implement tailored strategies to address MSDs-related absenteeism among specific groups of HCWs to promote a healthier workforce and ensure a resilient healthcare system during health crises.
LGBTQ+ status and sex of record in Veterans with post-traumatic stress disorder: demographics, comorbidities, and outpatient encounters
Authors: Workman Terri Elizabeth , Goulet Joseph L. , Brandt Cynthia A. , Skanderson Melissa , O’Leary John , Gordon Kirsha S. , Treitler-Zeng Qing 
Published: January 2025

ObjectivesThis study aims to analyze differences between lesbian, gay, bisexual, transgender, and queer (LGBTQ+) and non-LGBTQ+ Veterans with post-traumatic stress disorder (PTSD) in terms of demographics, comorbidities, and medical care usage, including differences by sex of record, including separate analyses for transgender and non-transgender Veterans.MethodsChi-square, t-test, ANOVA Welch one-way testing, and absolute standardized difference analyses were conducted on a cohort of 277,539 Veterans diagnosed with PTSD.ResultsThe study found significant differences, particularly concerning positive LGBTQ+ status and sex of record. There were significant differences found in age, marital status, and medical care usage, as well as pain, mental health, and substance use disorder diagnoses. Differences in having experienced military sexual trauma, crime, or maltreatment were especially significant, with increased percentages among LGBTQ+ individuals, and sex of record females. In separate analyses, there were similar differences among transgender and non-transgender Veterans, with similar increased risks for sex of record females.ConclusionOur findings suggest an intersectionality of LGBTQ+ status and sex of record in the context of PTSD. These findings may help guide future research, policy, and interventions.
Negative effects of adverse childhood experiences and absence of positive childhood experiences on healthcare employees: survey findings built on 10 years of trauma-informed development
Authors: Williamson Laneita , Daniel Stephanie S. , Carter Jennifer , Ridenhour Adam , Pulgar Camila A. , Gay Yasmin , Debinski Beata 
Published: January 2025

IntroductionExisting data on how history of trauma and adversity affects healthcare professionals is limited. This study sought to describe the prevalence of Adverse Childhood Experiences (ACEs) and Positive Childhood Experiences (PCEs) and their association with present-day workplace and wellbeing outcomes among a sample of healthcare teammates overall, as well as specifically among nurses. The paper also describes local trauma-informed care initiatives that supported study feasibility.MethodsCross-sectional online survey data were collected in conjunction with promoting hospital-wide trauma-informed care training opportunities on two campuses that are part of an academic health system. Scales and items assessed independent variables PCEs and ACEs, and dependent variables including burnout, compassion fatigue, organizational belonging, adult resilience, access to support, and workplace violence (WPV). Demographic data were not collected to limit identifiability and encourage participation. Multivariable, hierarchical models regressed categorized total ACEs (ref 0, 1–3, 4–10) and total PCEs (ref 6–7, 3–5, 0–2) together on dichotomized dependent variables. Sub-analyses also adjusted for whether the participant was a nurse or reported serving in a different role.ResultsParticipants included 349 clinical and non-clinical employees, of whom 61.1% had at least one reported ACE, but 24.9% reported 4–10 ACEs. 29.9% reported only having 3–5 PCEs in their childhood, while 23.2% reported 0–2 positive childhood experiences. Even when adjusting for ACEs, having 0–2 PCEs was associated with significantly reduced odds of getting needed emotional or social support (AOR = 0.14, 95% CI: 0.07, 0.29). Having 0–2 PCEs relative to 6–7 PCEs was also significantly associated with greater odds of past 2-week compassion fatigue, a lower resilience score, and decreased odds of reported organizational belonging measures. Adjusting for ACEs and PCEs, nurses reported lower resilience and higher workplace violence compared to all other participant roles combined.DiscussionTeammate history of adversity was widespread and having fewer PCEs was associated with poorer adult workplace outcomes. These findings point to the value of a trauma-informed approach in healthcare, which offers healthcare organizations a framework for recognizing how trauma experiences affect wellbeing and intersect with the healthcare system, as well as how to create environments that are supportive of patients, staff, and providers.