Mental health and insomnia problems in healthcare workers after the COVID-19 pandemic: A multicenter cross-sectional study

Understanding the reasons to avoid seeking mental health professionals: Validation of the MITOS-MENTAL questionnaire in Peru population

There is still much resistance, myths, beliefs, and misconceptions regarding the seeking of mental health services for diagnosis and treatment. The objective was to validate an instrument to determine why Peruvian workers would not seek mental health professionals. In an instrumental study, literature was searched, and mental health professionals were asked about the most common reasons for not attending consultations. An expert panel undertook exploratory and confirmatory factor analyses (CFA), which were applied to a large population. Descriptive and instrumental statistics were used for the data. The 20 experts gave excellent ratings to the initial questions. In the pilot (250 people), it was confirmed that all questions had saturations >0.40. The item modification technique was also performed, eliminating six questions. With the CFA in 1312 respondents, it was seen that the goodness-of-fit indices were not adequate for three questions, then the index modification technique was used, achieving a satisfactory factorial structure model (χ2 = 61.497; df = 9; p < 0.001; RMR = 0.015; TLI = 0.984; CFI = 0.990, and RMSEA = 0.067). A scale of six questions was validated to measure the most important reasons why Peruvian workers do not want to attend mental health consultations.

Stress, Anxiety and Depressive Symptoms, Burnout and Insomnia Among Greek Nurses One Year After the End of the Pandemic: A Moderated Chain Mediation Model

Background/Objectives: Several studies have reported alarming rates of mental health issues and sleep problems among nurses even in the post-pandemic era. The objective was to investigate the prevalence of stress, anxiety and depressive symptoms, burnout and insomnia among nurses in Greece one year after the end of the pandemic and to construct a mediation model evaluating the impact of stress on insomnia, the chain mediating roles of depressive symptoms and burnout, as well as the moderating role of anxiety symptoms in the model. Methods: This cross-sectional study was conducted online in July 2024 and included 380 hospital nurses who completed the Depression Anxiety Stress Scale (DASS-21), the Copenhagen Burnout Inventory (CBI) and the Athens Insomnia Scale (AIS). Results: The prevalence rates of stress, anxiety and depressive symptoms, burnout and insomnia were 33.9% with 95% confidence interval (CI): [0.292, 0.390], 33.3% (95% CI: [0.284, 0.381]), 35% (95% CI: [0.302, 0.400]), 46.8% (95% CI: [0.399, 0.502]) and 56.1% (95% CI: [0.509, 0.611]), respectively. Multiple regression analysis indicated that the Depression subscale of the DASS-21 explained 40.6% of the variance in the AIS, while an additional 7.6% was explained by the CBI and another 1.3% rate by the Stress subscale of the DASS-21. Mediation analysis revealed that stress affected insomnia both directly and indirectly through the chain mediating roles of depressive symptoms and burnout. Anxiety symptoms moderated the chain mediation path by enhancing the negative impact of stress on depressive symptoms. Conclusions: The proposed moderated chain mediation model introduces certain factors influencing insomnia and explains how changes in any one of these factors effectuate changes in the other factors, offering insights for individualized interventions.

Unraveling the complexities of adolescent depression: A call for action

The adolescent years are a period of profound change, both physically and psychologically. For many, these years are marked by excitement and exploration, but for others, they are fraught with challenges that can lead to significant mental health issues. Depression, in particular, has become an increasingly prevalent concern among adolescents worldwide, and its multifaceted etiology requires a comprehensive approach to understanding and intervention. A recent study on the relationships among negative life events, dysfunctional attitudes, social support, and depressive symptoms in Chinese adolescents offers valuable insights into the complex interplay between various factors contributing to adolescent depression. The authors explore a moderated mediation model to better understand how these factors interact with and contribute to the onset of depression. This article aims to delve into the key findings of the study, highlight its implications for clinical practice, and encourage further research in this critical area.