Cultural competence and mental resilience are essential skills for caregivers of individuals with disabilities, particularly in multicultural settings and under conditions of long-term stress. While quantitative studies typically indicate high self-assessment in these domains, qualitative data may reveal more complex psychosocial dimensions.

To explore in depth the lived experiences of caregivers of individuals with disabilities regarding cultural competence and mental resilience, and to compare qualitative findings with corresponding quantitative assessments.

Semi-structured interviews were conducted with 15 caregivers (primarily parents) of children or adults with disabilities. Thematic analysis was carried out using an interpretative approach. All participants had previously completed standardized questionnaires measuring cultural competence and mental resilience, which indicated high levels of self-reported scores.

The qualitative data revealed contradictions between the participants’ self-reported levels and their actual lived experiences. Many caregivers expressed difficulties in genuinely addressing cultural diversity and reported significant emotional strain, despite the high quantitative scores. Female caregivers showed signs of greater resilience, while active social participation was associated with more positive narratives and enhanced sense of meaning and self-efficacy.

The discrepancy between quantitative and qualitative results highlights the need for a multidimensional assessment of caregiver wellbeing. Education in cultural competence and strengthening caregivers’ social inclusion may contribute to their psychological empowerment and help prevent emotional burnout.

None Declared

The concept of posttraumatic growth refers to positive changes following the experience of a traumatic event, including illness, which can lead to an increased appreciation of life in all its aspects. Numerous correlates of posttraumatic growth have been identified, including phenomena from the field of social psychology, such as perceived social support and psychological resilience. It seems particularly important to examine the predictors of posttraumatic growth in stroke people at risk for disability and the development of mental disorders, including depression.

The aim of the study was to assess potential psychological predictors of posttraumatic growth – sense of meaning in life, perceived social support and psychological resilience in people after stroke.

A total of 141 stroke survivors (mean age 45.48 ± 11.35 SD years) participated in the study, including 100 women and 41 men. The Posttraumatic Growth Inventory (PTGI), the Multidimensional Scale of Perceived Social Support (MSPSS), the Ego Resiliency Scale (ER-89), and the Meaning in Life Questionnaire (MLQ) were used for the statistical analysis. Pearson’s r coefficient and backward stepwise multiple regression were used.

Among stroke survivors, the intensity of posttraumatic growth was significantly and positively correlated with scores on meaning in life, perceived social support, and psychological resilience. The strength of the relationships was mostly moderate or strong. Across all subscales of posttraumatic growth—changes in perception of self (β = 0.396; p= 0.000), changes in relationships with others (β = 0.462; p= 0.000), appreciating life (β = 0.636; p= 0.000), and spiritual changes (β = 0.509; p= 0.000), the presence of meaning in life proved to be the strongest positive predictor.

Sense of meaning in life, perceived social support, and psychological resilience are positive correlates of posttraumatic growth among stroke survivors. The strongest predictor was the sense of meaning in life.

None Declared

Several studies have explored mental health stigma using the Knowledge–Attitudes–Behaviors (KAB) model. This model highlights the major role of mental health literacy in shaping stigmatizing attitudes and behaviors.

This study aims to: measure the level of mental health literacy in a sample of medical students determine demographic and experiential factors associated with this knowledge examine how mental health knowledge relates to other dimensions of stigma

A cross-sectional study was conducted among medical students enrolled at the faculty of medicine of Sfax, Tunisia, from February to October 2025. Participants completed via a Google form survey a questionnaire including sociodemographic characteristics and personal experiences with mental health.

Psychometric evaluation was performed using the: French version of the Community attitudes towards the mentally ill (CAMI) scale, the Mental Health Knowledge Schedule (MAKS) and the Reported and intended behavior scale (RIBS).

The mean MAKS score was 32.5 ± 4.3. The mean RIBS score was 13.4 ± 3.1. The overall CAMI mean score was 15.2 ± 3.0, with subscales’ means of 14.0 ± 3.3 for Authoritarianism, 27.8 ± 5.2 for Benevolence, 19.3 ± 4.8 for Social Restrictiveness, and 16.7 ± 2.8 for Community Ideology.

Students who had previously consulted a mental health professional showed higher MAKS scores compared to those who had not (p = 0.042). MAKS scores differed significantly across years of medical training (p = 0.001). Fourth-year students showed the highest scores (mean rank = 53.2).

The analyses revealed that higher mental health knowledge was significantly associated with lower levels of stigmatizing attitudes: MAKS scores were negatively correlated with the total CAMI score (p <0.001) and with the stigma-related CAMI dimensions: Authoritarianism (p <0.001) and Social Restrictiveness (p <0.001).

Furthermore, MAKS scores were positively correlated with Benevolence (p <0.001) and Community Ideology (p <0.001), indicating that greater mental health knowledge has an impact on all aspects of attitudes regarding mental illness. Positive correlations were also observed between MAKS and RIBS (p <0.001) indicating that the impact of greater knowledge about mental illness not only on attitudes but also on intended behaviors towards the mentally ill.

Our findings provide evidence that greater mental health knowledge is associated with more inclusive, empathetic, and less stigmatizing attitudes toward mental illness.

None Declared

Stigma associated with mental disorders remains a major public health barrier. It manifests as negative attitudes, prejudices, and discrimination that limit access to psychiatric care. Despite progress in the understanding and treatment of mental illness, many people avoid seeking help for fear of being judged, marginalized, or labeled. This situation contributes to delayed diagnosis, worsening of symptoms, and a decrease in patients’ quality of life.

• - To assess how stigma influences individuals’ decisions to consult a psychiatrist.

• - To identify social, cultural, and economic factors that reinforce or mitigate stigma.

• - To analyze the consequences of delayed or absent treatment on patients’ clinical outcomes.

• - To propose interventions to reduce stigma and improve access to psychiatric care.

To meet these objectives, we conducted a descriptive study that collected 102 cases at the Arrazi Psychiatric Hospital in Salé.

A structured data collection sheet was used.

Sociodemographic characteristics: The majority of patients were female (66.3%). The average age in our population was between 20 and 30 years (62.4%), with a university education level (79.2%). A total of 56.5% were employed.

Perception of stigma: In our study, 65.3% of respondents believed that people with psychiatric disorders are stigmatized in society. 5.9% did not think these individuals are stigmatized, while 28.8% were unsure. In addition, 67.4% had witnessed situations where a person with a psychiatric disorder was treated unfairly. 20.8% had not witnessed such unfair treatment, while 11.8% were uncertain.

Access to psychiatric care:

• - 28.8% experienced feelings of isolation within the family.

• - 26.6% felt shame or embarrassment.

• - 22.2% feared judgment from society.

• - 20% reported a lack of financial resources.

• - 2.2% experienced feelings of isolation within the family (duplicate response in the data).

Impact of stigma on quality of life:

• - 30.1% were affected by a reduction in self-esteem and confidence.

• - 27.02% reported increased stress and anxiety.

• - 22.97% experienced impaired social relationships.

• - 19.36% faced limited employment or educational opportunities.

• - 0.45% reported worsening of their illness, which could have harmful consequences.

Stigma is a major barrier to accessing psychiatric care. It generates a vicious cycle: delayed treatment, clinical worsening, social isolation, and persistence of prejudice. Combating stigma requires a comprehensive approach that combines awareness campaigns, training of healthcare professionals, psychoeducation programs, and community-based actions. Reducing stigma is not only an issue of individual mental health but also an imperative for social justice and public health.

None Declared

A resilient clinical workforce is crucial to ensuring high-quality care and equitable access. Since COVID-19, concerns about burnout among healthcare workers (HCWs) have grown.

This systematic review aims to (1) estimate the prevalence of overall burnout among HCWs in Saudi Arabia after March 2020; and (2) appraise how burnout is measured.

A systematic search of MEDLINE/PubMed, Embase, PsycINFO, Web of Science, Google Scholar, and the Saudi Digital Library was conducted to identify studies of healthcare workers in Saudi Arabia that collected data after March 2020 assessing burnout using validated tools. Eligible designs were cross-sectional or longitudinal studies reporting overall prevalence or subscale estimates (emotional exhaustion, depersonalization, personal accomplishment). Risk of bias was assessed with a modified Newcastle-Ottawa Scale. Although meta-analytic pooling was planned, heterogeneity in ascertainment methods and definitions rendered pooled estimates unreliable, and studies were summarized descriptively. A prespecified subset of larger studies (n >200, full-length instrument, explicit cutoffs) was analyzed separately.

Burnout prevalence data were extracted from 56 studies involving 21,220 individuals in 7 region across Saudi Arabia, published between 2021 and 2025. In total, 67.9% (38/56) of studies employed a version of the Maslach Burnout Inventory (MBI) to assess burnout, 28.6% (16/56) used the Copenhagen Burnout Inventory (CBI), and 3.6% (2/56) utilized other instruments. Studies have reported varying prevalence estimates of overall burnout or its subcomponents: 42.9% (24/56) for overall burnout, 60.7% (34/56) for emotional exhaustion, 60.7% (34/56) for depersonalization, and 60.7% (34/56) for low personal accomplishment. Studies used at least 50 unique definitions for meeting overall burnout or burnout subscale criteria. Studies variably defined burnout based on predefined cutoff scores and used markedly different cutoff definitions. Among studies using instruments based on the MBI, there were at least 13 distinct definitions of overall burnout prevalence and 9, 8, and 9 definitions of emotional exhaustion, depersonalization, and low personal accomplishment prevalence, respectively. The overall prevalence of burnout ranged from 27.3% to 89.1%. The prevalence of emotional exhaustion, depersonalization, and low personal accomplishment. ranged from 12.6% to 78.1%, 10.6% to 98.0%, and 8.4% to 100.0%, respectively.

The prevalence of burnout among HCWs in Saudi Arabia varied widely, and there was marked variation in burnout definitions, measurement approaches and study quality which precluded definitive conclusions about the prevelance of burnout. Future research should utilize a consensus definition and standardized measurement using validated instruments with explicit cutoffs to enable national monitoring and guide targeted workforce support.

None Declared

Volunteering has been linked to improved mental health within the context of modern life, characterized by speed, rising demands, and constant pressures, yet most research focuses on students, older adults, or crisis contexts. Few studies examine self-funded humanitarian trips that blend meaningful service with leisure and cultural immersion among highly educated professionals.

This study explores whether balanced, self-funded volunteering enhances psychological well-being according to Ryff’s model, and whether the host country’s culture influences outcomes.

This exploratory qualitative pilot study included 20 participants of diverse Arab nationalities and educational backgrounds who joined the Travel with a Purpose Foundation in Zanzibar to support school construction and medical clinics. One month after their return, participants were invited to answer 10 open-ended questions designed around their experience and guided by Ryff’s six dimensions. The questions explored psychological states, motivations, perceived changes, social media use, group dynamics, salient moments, and cultural influences. Responses were thematically analyzed and mapped to Ryff’s framework.

A total of 17 participants responded (mean age 32, 76.5% female); most held advanced degrees and prestigious positions. Before the trip, many described exhaustion, stress, or a sense of emptiness, while a few expressed motivation, anticipation, or coping with personal loss. Reflections pointed to difficulties with self-acceptance and environmental mastery. During the trip, participants reported feeling calmer, more present, and more emotionally regulated, often expressing gratitude, empathy, and courage. These changes mapped to mastery, positive relations, and personal growth. A total of 41% reduced their social media use, 24% stopped completely, and another 24% limited it to documenting their experience for family. After the trip, many described a renewed sense of balance and redefined priorities, linked to purpose in life, self-acceptance, and personal growth. More than half believed that self-funding increased commitment or improved logistics; for some, it also reflected autonomy. Impactful moments included interactions with children, teamwork, and witnessing local resilience, which deepened their appreciation for simplicity. Many explicitly attributed lasting effects to Zanzibar’s culture, epitomized by the phrase Hakuna Matata (“no worries”), which reflected a way of peaceful acceptance of circumstances.

Findings suggest that balanced volunteer trips foster multiple Ryff dimensions of well-being, particularly for highly educated professionals working under high-pressure conditions. The host culture was also perceived as central in shaping outcomes. Due to the small sample size and short follow-up period, further research with larger, comparative samples is warranted.

None Declared

At the initial stages of professional training, future speech therapists primarily acquire theoretical knowledge, with limited opportunities to apply it in the diagnosis and correction of speech disorders. Previous studies indicate insufficient development of diagnostic competencies among graduates, as well as a lack of effective tools for their formation. The use of digital simulation of professional activities enables students to gain preliminary practical experience without direct interaction with children, thereby enhancing their readiness for real-world practice.

To present the development algorithm of a digital simulator that models the diagnostic activities of a speech therapist and to assess its potential for implementing a personalized approach in student training.

A structured survey was conducted among 345 undergraduate and master’s students enrolled in the “Special (Defectological) Education” program at Kazan Federal University. The questionnaire covered the extent of diagnostic experience gained during internships, interest in digital educational tools, and preferred training formats. The proposed simulator consists of two modules: a training module (recognition of speech sound disorders) and a diagnostic module (accuracy assessment), both supported by two purpose-built video libraries — one featuring standard pronunciation samples and the other containing examples of various speech sound disorders.

Fifty-three percent of respondents reported encountering all major types of speech sound disorders during internships in educational institutions; 94% supported the creation of a digital simulator. Sixty-five percent preferred a blended learning format: preliminary virtual training followed by in-person practice. The simulator development process includes three key stages: (1) training participants to imitate various speech sound disorders, (2) creating a comprehensive video library of documented disorders, and (3) developing and hosting the digital simulator, which enables viewing video cases and completing diagnostic assessments. Anticipated benefits include expanding the range of cases studied, enabling individualized learning pathways, increasing accessibility for students with limited practicum opportunities, and facilitating objective evaluation of diagnostic skills.

Integration of a digital simulator into the training process for speech therapists can significantly enhance the quality of education, strengthen diagnostic competencies, support personalized learning, and improve readiness for professional practice. The implementation of such tools contributes to addressing an important social objective — providing high-quality speech therapy services for children with speech disorders, and, consequently, preserving and promoting the mental health of these children.

None Declared

The socialization of children with autism spectrum disorder has specific features associated with difficulties in communication and in anticipating social situations. The level of development of anticipatory abilities and socialization skills directly affects the success of adaptation in society. A low level of anticipatory skills complicates social adaptation, which necessitates a comprehensive study of the relationship between anticipation and socialization in preschool children with autism spectrum disorder.

The study of socialization in preschool children with autism spectrum disorder.

The study involved 28 preschool children with autism spectrum disorder aged 5 to 7 years. The following methods were applied: Diagnosis of Variants of Autistic Development in Preschool Children (N. Y. Kalmykova, M. M. Libling) for the assessment of socialization, and the authors’ method Prognostic Stories (A. I. Akhmetzyanova, T. V. Artemyeva) for the assessment of anticipatory abilities in various spheres of interaction and communication. Data were processed using Pearson’s correlation analysis in SPSS v.22.

Preschool children with autism spectrum disorder were found to have a low level of communicative skills (initiative in cooperative play, independent requests for assistance, comprehension of emotionally meaningful comments) and speech function (limited vocabulary, echolalia, monotonous intonation). While preschool children with autism spectrum disorder are capable of anticipating actions in social interaction, they experience difficulties in differentiating emotions and in formulating the verbal utterances of communication participants. A large number of children were unable to provide a verbal response to interaction scenarios, most frequently making an asocial choice. Those children who were able to provide a verbal response pointed to the norms and rules of social interaction. The participants experienced difficulty in anticipating specific events arising in various situations that occur in the course of social interaction.

The results obtained may be used in the development of corrective and developmental programs aimed at fostering social skills in preschool children with autism spectrum disorder.

None Declared

In adolescence and early adulthood, there is an active formation of personal and professional orientations among young people as they begin to become aware of their values, goals, and sense of life meaning. The system of value and life-meaning orientations in students of higher education institutions enables them to manage their lives, take responsibility for the consequences of their actions, establish social relationships with others, and interact harmoniously with them through the use of humor.

to identify the relationship between humor styles and life-meaning orientations in undergraduate students.

The study involved 208 undergraduate students (15 male and 193 female). The following instruments were used: Purpose-in-Life Test by J. Crumbaugh and L. Maholic, adapted by D. A. Leontiev; Diagnostics of Life Goals: Brief Version of the Aspiration Index Questionnaire by T. O. Gordeeva, O. A. Sycheva, and V. A. Egorova; and the Russian-language adaptation of R. Martin’s Humor Styles Questionnaire. Pearson’s correlation analysis was applied for statistical data processing.

The study revealed that affiliative humor, characterized by cheerfulness, predominance of positive emotions, and oriented toward maintaining and establishing interpersonal relationships, is associated with social life-meaning indicators: Community (r = .207, p < .01) and Fame (r = .183, p < .01). Self-enhancing humor, used by students primarily for the regulation of their inner life, is positively associated with all indicators of life-meaning orientations: Goals (r = .243, p < .01), Process (r = .255, p < .01), Result (r = .300, p < .01), Locus of Self (r = .253, p < .01), and Locus of Life (r = .216, p < .01), which indicates the internal regulatory role of humor in the formation and realization of students’ life-meaning orientations. Self-enhancing humor is also positively associated with Community (r = .274, p < .01), contributing to the establishment of positive relationships in social interaction.

Negative correlations were found between aggressive humor and all indicators of students’ life-meaning orientations: Goals (r = –.281, p < .01), Process (r = –.255, p < .01), Result (r = –.336, p < .01), Locus of Self (r = –.222, p < .01), and Locus of Life (r = –.335, p < .01). Aggressive humor does not facilitate the establishment of social relationships in the community (r = –.240, p < .01); however, according to respondents, this type of humor is perceived as capable of influencing others (r = .181, p < .01).

The results of the study make it possible to develop programs and training sessions aimed at optimizing the educational process in higher education institutions and fostering the formation of life goals among students.

None Declared

The key task of education is the development of personal qualities that contribute to the socialization of the child, allowing him to independently determine behavior strategies, compare his own behavior with social norms, and the expectations of partners in the interaction situation.

identifying patterns that make it possible to develop skills that promote the socialization of children with SEN without resorting to a comprehensive transformation of the educational process in an inclusive educational institution.

The study involved 100 preschool children with special educational needs. The corrective and developmental work was carried out using the “Prognostic Stories” technique developed.

The following patterns of socialization of children with special educational needs were identified:

The space of socialization as a system of significant relationships with others is determined by the partner in the relationship with whom the preschooler’s interaction is realized.

The effectiveness of socialization for children in an inclusive educational environment is determined by the development of the child’s forecasting skills.

Promoting socialization will be effective when implementing a gradual transition from social interaction situations that are familiar to the child to situations in which the child has limited experience of interaction.

Indicators of the effectiveness of socialization are the child’s forecasting skills, the assessment of which can be carried out according to the following criteria: identification of a social norm; optimistic attitude; construction of an active position; variability of forecasts; forecasting long-term results; realistic images of the future situation; ability to use speech.

The results of the study demonstrated significant qualitative changes, which manifested themselves in the activation of interest in interaction, children began to rely on the help of an adult, and began to control their behavior and emotions somewhat more.

Correctional and developmental work using the “Predictive Stories” technology helps to include SEN children in the environment of their neurotypical peers. The “Prognostic Stories” technique creates conditions for developing the social interaction skills of children with special educational needs with participants in the inclusive educational environment, thereby increasing the effectiveness of socialization.

None Declared

Absenteeism among healthcare workers (HCWs) is a growing concern worldwide, as it disrupts service delivery, increases workload for remaining staff, and compromises patient care quality. work-related factors play a key role in triggering or aggravating absenteeism

To describe the socio-professional characteristics of HCWs on long-term sick leave due to work-related psychiatric disorders.

Retrospective descriptive study of HCWs who consulted the occupational pathology and fitness for work department, during the period from 17 August 2022 to 14 September 2025, as part of a medical examination for long-term absence.

Of 2404 HCWs who consulted our department for long-term sick leave, work -related factors accounted for 26,7%. The mean age of HCWs was 45,6± 10,4 years . . They were predominantly female, with a sex ratio (M/F) of 0,34. The most occupied work positions were: nurses (27,5%) and workers (16,6%). The average length of long-term sick leave was 60 days. The psychiatric pathologies most commonly reported by healthcare professionals were anxiety and depressive disorders (92%). The occupational factors reported by HCWs were high workload, shift work, workplace conflicts and inadequate organisation.

Absenteeism among HCWs is strongly influenced by work-related factors. Our study highlight the need for targeted preventive measures and organizational interventions to reduce psychiatric morbidity and promote sustainable work capacity in healthcare settings.

None Declared

Psychiatric disorders can be severely disabling, limiting daily activities, professional functioning, and long-term work participation

The aim of the study was to identify the socio-professional characteristics of patients granted disability benefits or early retirement due to premature wear and tear on the body caused by psychiatric disorders.

A descriptive, retrospective study was conducted on medical records of patients who were referred to the occupational health department at Charles Nicolle University hospital in Tunis for early retirement between 1 January 2017 and 31 March 2025.

Of 146 applications for early retirement, 31% (n=27) were related to psychiatric disorders. The mean age was 54±3 years with a predominance of women (56%). The mean professionnal seniority was 24 ± 7 years. The most represented occupational sectors were health (37%) and textiles (18%). The most represented occupations were manual labourers (52%). The psychiatric disorders observed were: anxiety-depression disorders (80%) and schizophrenia (20%). Early retirement was granted due to premature wear and tear on the body in 85% of cases and disability in 15% of cases.

Our study indicates that psychiatric disorders represent a major cause of early withdrawal from the working life, highlighting the need for improved prevention strategies and workplace accommodations to help patients manage and live with their condition

None Declared

Psychotic disorders often emerge from subclinical traits linked to schizotypy or bipolarity, and the crucial selective or indicated prevention could be implemented based on the identification of these.

This study identifies low-risk individuals in a non-clinical population using psychometric measures, and our goal was to explore allostatic load (AL) as a marker of latent vulnerability.

Three groups were created based on psychometric measures, which identified 30 individuals with positive schizotypy traits (PSF), 25 with cyclothymic bipolarity traits (CF), and 30 healthy controls (HCs). Allostatic load was calculated using 21 biomarkers, and Machine learning (ML) models identified key predictive features and reduced-feature models validated robustness.

Significant differences were observed between the three groups in the oxidative system (p = 0.014). SHAP analysis revealed creatinine, diastolic blood pressure, uric acid, and low-density lipids as key predictors for the CF group and heart rate, TSH, uric acid, and glucose for the PSF group. Machine learning achieved 76% accuracy using all 21 biomarkers and maintained the performance using a reduced 10-biomarker model. The AL was significantly (p = 0.010 and 0.005) lower in the CF individuals than HCs using 10 and 6 biomarkers, respectively, while no difference was shown between the PSF and HCs.

This study highlights the use of AL index in detecting early psychiatric risk. Distinct physiological patterns were observed in the PSF and CF groups. A targeted 10-biomarker AL index maintained predictive accuracy.

None Declared

Perinatal mental disorders represent a public health issue due to their impact on both women’s and children’s health. It is estimated that one in five women will experience a mental disorder during perinatal period. Several randomized controlled trials have tested interventions to prevent PMD, ranging from selective interventions for at-risk women to universal interventions for all women with contradictory results. Our study proposes a brief, two-session psychoeducational intervention delivered by midwives during the postnatal period.

To reduce anxiety and depressive symptoms in new mothers and improve the relationship with babies, and the perception of self-efficacy towards the care of the baby.

Design: A randomized controlled trial of parallel groups was conducted in accordance with CONSORT requirements.

Participants: All primiparous women who had given birth to a healthy, full-term baby, over 18 years of age, and gave their consent to participate in the study were eligible to participate.

Procedures: Sociodemographic, obstetrical and clinical variables were collected at baseline. The following questionnaires were administered at baseline and 3 months follow-up: Edinburgh Postnatal Depression Scale (EPDS), Generalised Anxiety Disorder (GAD-7), Postpartum Bonding Questionnaire (PBQ) and Me as a parent (MaaP).

• - Intervention Group: A psychoeducational program was delivered by midwives in primary care centers. It consists of two group sessions (total of 6 hours) within the first 6 weeks postpartum.

• - Usual care Group: Participants receive the postpartum usual care at ASSIR (postnatal care visits, postpartum support groups).

Comparisons were made using nonparametric analyses, and related samples were compared using the Wilcoxon test.

The results of the first 100 women recruited for the study are presented (50 for each group).

Sociodemographic, obstetric, and clinical variables did not differ significantly between the two groups. No significant differences were found between the two groups on the self-administered scales at baseline or at the 3-month follow-up. The intervention group showed significant differences between baseline scores and scores at the 3-month on the EPDS (p .001) and the MaaP (p .002). The control group showed no significant differences.

Satisfaction surveys showed that both participants and midwives were satisfied with the intervention program, with an average score of 9/10.

Preliminary results show a possible positive effect of psychoeducational intervention in reducing depressive symptoms and improving perceptions of maternal self-efficacy. Brief psychoeducational interventions tailored to the participating populations (for example primiparous mothers) may be useful for the prevention and improvement of maternal mental health and will be well accepted.

A. Roca Lecumberri Grant / Research support from: Fundació la Marató: 193/C/2022, N. Fernandez: None Declared, S. Albero : None Declared, L. Lucas: None Declared, M. J. Cid: None Declared, B. Albillos: None Declared, J. Pelegrí: None Declared, E. Vela: None Declared, E. Gelabert Grant / Research support from: Fundació la Marató: 193/C/2022

Apart from the inherent psychological workload, motherhood increases the volume of most basic household chores and requires extensive engagement in caring for one’s child. Nowadays, as nuclear families become more widespread, mothers are commonly left to face this struggle alone.

Our research was aimed at studying the associations between the amount of help extended to mothers (with household chores and/or with childcare) and maternal burnout during the first years of motherhood.

A maternal burnout questionnaire in Russian (the Maternal Burnout Assessment Tool, MBAT), being an adaptation of the Burnout Assessment Tool to the motherhood context, was used to assess burnout tendencies in mothers. The sample consisted of 792 Russian-speaking mothers with children up to seven years of age. Single-factor analysis of variance was used for data analysis (Kruskal-Wallis test).

Our research has shown that 45% of mothers receive an insignificant amount of help with childcare (where the mother would be left on her own for at least several hours a month), while 82% of mothers receive little to no assistance with household chores. The relevant mean burnout scores and p for the relevant single-factor analysis of variance are shown in Table 1 and Table 2 below, statistically significant differences according to the Dwass-Steel-Critchlow-Fligner paiwise comparison are marked with asterisks. No statistically significant differences in the burnout symptoms not shown below (such as cognitive impairment) were discovered. identification of most vulnerable groupsTable 1.

Assistance with childcare and/or household chores provided to a mother is associated with a more moderate manifestation of the symptoms of maternal burnout. It might be argued that the most burned-out mothers are those actively seeking external assistance with childcare. This should be considered on both a family and public level.

None Declared

Breastfeeding provides multiple short- and long-term health benefits, including reduced infections, improved neurodevelopment, and possibly lower risk of neuropsychiatric disorders. However, its relationship with psychosis remains unclear. Prior evidence is limited, inconsistent, and focused mainly on schizophrenia, with most studies failing to detect an association. Evidence on other psychotic disorders is virtually absent.

This study aimed to examine the association between breastfeeding and the risk of first-episode psychosis (FEP) compared with healthy community control and also explore differences in perinatal variables (mode of delivery, birth weight, and Apgar scores).

We conducted a cross-sectional case–control study including 26 outpatients with incident FEP (aged 18–40 years, recruited from the Hospital de Jerez early intervention program between January 2023 and December 2024) and 26 healthy controls from the same catchment area. Exclusion criteria were intellectual disability, medical conditions, or substance dependence. Breastfeeding history and perinatal variables were collected via caregiver questionnaires. Statistical analyses included Chi-square/Fisher’s exact tests and Mantel’s linear-by-linear association for trend.

Participants with FEP (mean age 24.7, SD 6.8; 23.1% female) and controls (mean age 26.1, SD 4.1; 42.3% female) did not differ in delivery mode, birth weight, or Apgar scores. However, marked differences were observed in breastfeeding: 53.8% of FEP vs 92.3% of controls had been breastfed (χ²=9.586, p=0.002), corresponding to lower odds of FEP among breastfed individuals (OR=0.10, 95% CI=0.01–0.56). A medium–large effect size was observed (φ=0.434). Duration of breastfeeding also differed across ordered categories (χ²=7.576, p=0.006), with controls showing progressively longer durations. Linear trend analysis confirmed a graded pattern (χ²=5.55, p=0.019).Image 1:

Our findings suggest that breastfeeding may exert a protective effect against the development of FEP, with both presence and duration of breastfeeding inversely associated with psychosis risk. While causality cannot be inferred and potential confounders remain, these results align with previous evidence linking shorter breastfeeding with increased schizophrenia risk. Biological mechanisms (immune modulation, neurodevelopmental support, microbiota shaping) and psychosocial factors (mother–infant bonding) may underlie this association. Larger prospective studies are warranted to confirm these findings and to clarify breastfeeding’s potential role in psychosis prevention.

None Declared

The emotional reactivity and affective instability that characterize the artistic lifestyle could fall within the spectrum of bipolar disorder. However, the boundaries between intense creative functioning and mood fragility are of greater interest.

The objective of this study is to screen for bipolar disorder in a population of students at the Institute of Arts and Crafts of Sfax, Tunisia.

Our study was cross-sectional and descriptive, conducted between February 1st and March 5th, 2025, among students at the Institute of Arts and Crafts in Sfax. Students who completed an anonymous self-administered questionnaire containing sociodemographic, clinical, and other data were included in the study. A psychometric scale in its Arabic version: The Mood Disorder Questionnaire (MDQ), was used for screening for bipolar disorder.

The study included 60 students with a sex ratio of 0.6. The median age was 20 years [19-22 years].

Participants had a family history of mood disorders in 20% of cases and of suicide attempts in 16.7% of cases. Regarding individual history, 7% of students reported a history of depressive mood disorder occurring before the age of 25 years. A history of suicidal ideation or suicide attempts was found in 18.3% of participants. Furthermore, 25% of students reported using psychoactive substances.

In connection with their artistic lifestyle, 50% of students felt it impacted their sleep and eating routines, and 33.3% experienced feelings of loneliness due to their artistic work. Furthermore, 66.7% believed that the artistic field could exacerbate emotional difficulties, and 41.7% reported making impulsive decisions during periods of intense emotion.

Finally, screening for bipolar traits using the MDQ revealed a positive score in 28.3% of students (17 cases).

The relationship between an artistic lifestyle and bipolar vulnerability remains complex. Identifying distinct at-risk profiles facilitates the development of more tailored support and prevention strategies for these students.

None Declared

Psychiatrists constitute a specific risk group for the development of Burnout. During wartime, this situation worsens due to increased workload, responsibility, and the inability to engage in meaningful recreational activities.

To determine the mechanisms of Burnout formation in psychiatrists during the war in Ukraine.

MBI burnout scale by K. Maslach and S. Jackson, “Professional Life Quality Scale PROQOL-5”, and “Coping Strategies” questionnaire by R. Lazarus.

210 psychiatrists from various psychiatric institutions in Ukraine were surveyed. According to the results of the MBI burnout scale by K. Maslach and S. Jackson, signs of burnout of varying degrees of severity and at different stages of development were identified in 93.35% of psychiatrists, which creates risks of increasing the intensity of Burnout manifestations.

The assessment of the quality of professional life shows that for all three indicators (Compassion Satisfaction scale, Burnout scale, Compassion Fatigue/Secondary Traumatic Stress scale), average scores were obtained (32.94, 28.54, and 26.87 points, respectively), which indicates a negative impact of workload on well-being.

The data obtained using the method of R. Lazarus indicate that the coping strategies “Distancing” (7.03 points), “Self-control strategy” (7.37 points), “Search for social support” (8.04 points), “Planning to solve the problem” (8.27 points), “Positive reappraisal” (12.99 points), “Escape-avoidance” (10.98 points) have average indicators, which indicates the marginal level of the adaptive potential of the individual. Only the coping strategies “Accepting responsibility” and “Confrontational coping” have low indicators, which indicates the adaptive version of these coping strategies.

The data obtained indicate that most psychiatrists during the war showed signs of Burnout. In the mechanisms of SEV formation, working conditions and personal coping strategies are of great importance; the vast majority of surveyed psychiatrists indicate a marginal state of adaptive potential and a risk of maladaptation. The changes identified indicate the need for psychocorrectional work to improve the psychological stability of psychiatrists during the war.

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The war in Ukraine has led to an increased burden on the medical system and on medical workers, which increases the risk of burnout. A special group in this regard is psychiatrists.

To determine emotional burnout among psychiatrists in Ukraine in wartime.

210 psychiatrists from different regions of Ukraine were surveyed using the “Questionnaire of socio-demographic indicators in mental health workers to identify emotional burnout during war”, the burnout questionnaire by K. Maslach and S. Jackson. The study was conducted on the REDCap platform.

The survey data indicate changes in working conditions during the war: worsening psychological working conditions (41.43% of respondents), increased tension in working conditions (79.04%), increased workload (59.52%), and worsening financial support for the organization of the work process (20.95%). Only 8.57% of respondents noted that the conditions and nature of work had not changed. According to the results of the K. Maslach and S. Jackson scale, it was found that 93.35% of respondents had manifestations of burnout syndrome. According to the “Emotional Exhaustion” scale, 65.71% of psychiatrists had a high level of emotional exhaustion - 29.07 points; 27.62% had an average level of 12.64 points; only 6.67% had a low level - 5.64 points. On the “Depersonalization” scale, the highest indicators were observed in 40.00% of the surveyed, 17.33 points, average indicators in 27.62%, 7.40 points, and low indicators in 32.38% of people (1.75 points). On the scale “Reduction of personal achievements” low indicators were established in most cases - 39.77 points in 78.10% of cases, average indicators occurred in 13.81% of people - 26.72 points, high indicators were in 8.10% of people - 15.82 points, which reflects a tendency to negatively assess one’s competence and productivity, a decrease in professional motivation, an increase in negativism towards official duties, a tendency to absolve oneself of responsibility, a tendency to isolate oneself from others, a tendency to avoid participation in work.

The results of the study indicate that 93.35% of the surveyed psychiatrists had signs of burnout (of varying degrees of severity and different stages of formation): the initial stage of burnout was observed in 18.09% of the surveyed, the stage of stress/emotional exhaustion - in 33.33%, the stage of pronounced burnout - in 37.15%, the final stage - in 4.76%. The data obtained reflect the need to develop a system of preventive measures to prevent the development of burnout syndrome in psychiatrists during the war.

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Social Determinants of Health established by the World Health Organization (WHO) include housing as a key determinant with direct impact in physical and mental well-being. Lack of adequate housing contributes to the onset and chronification of severe mental disorders. In its most extreme form, homelessness has been strongly associated with higher prevalence of disorders like substance use, psychotic and affective disorders. This vulnerable group also faces different obstacles and barriers in terms of access to habitual health resources and treatments.

• - To examine the relationship between inadequate housing conditions and mental health, focusing on seve mental health disorders.

• - To emphasize recent evidence on housing-based interventions and its effects in clinical and social outcomes.

A descriptive observational studio was conducted using tools as PubMed, Medline, UpToDate and Scopus, including recent published studies. Systematic reviews, meta-analysis and observational studies were included, specially those assesing social determinants of health and housing conditions, homelessness and severe mental health disorders.

Recent evidence shows that people experiencing homelessness present significantly higher rates of severe mental health disorders compared to general population. Inestability in housing conditions is related to increased hospitalizations, clinical descompensations and higher morbility and mortality. Housing-based interventions such as Housing-First, associated with regular clinical support have shown better results in treatment adherence, hospitalization and social and general functioning.

The relationship between housing and mental health is proven to be bidirectional: lack of housing triggers and exacerbates psychiatric deterioration, while mental health disorders increase housing vulnerability and inestability. Access to adequate housing should be considered as an essential intervention in public health and psychiatric practices as it increases the potential to improve the quality of life and decrease the social and healthcare costs associated with homelessness.

None Declared