La stratégie d'adaptation en tant que moyen de prévenir l'épuisement émotionnel chez les médecins de soins primaires : un essai contrôlé randomisé Introduction. L'épuisement professionnel est l'un des principaux problèmes non résolus des professionnels de la santé. Compte tenu de la situation récente de l'infection au COVID-19 et du stress psychologique associé, ce problème devient extrêmement critique dans le monde. Objectif. L'étude visait à valider l'efficacité de la stratégie d'adaptation d'Asimov auprès d'un groupe de médecins de soins primaires pour réduire l'épuisement émotionnel. Materiel et méthodes. L'étude a été menée à Almaty (Kazakhstan). Les volontaires (N = 243) ont été répartis au hasard en groupes d'intervention (IG) et témoins (CG). Dans le groupe IG, une psychothérapie de courte durée basée sur la stratégie d'adaptation (méthode Asimov) a été mise en place. Les méthodes de mesure de l'épuisement émotionnel comprenaient ABSTRACT Introduction. Burnout is one of the major unresolved problems of healthcare professionals. Considering the recent situation with COVID-19 and associated psychological stress, this issue becomes high-critical over the world. Objective. The study aimed at validating the effectiveness of Asimov's coping strategy among a group of primary care physicians in reducing emotional burnout. Material and methods. The study was conducted in Almaty (Kazakhstan). The volunteers (N = 243) were randomly divided into intervention group (IG) and control group (CG). In the IG, short-term psychotherapy based on the coping strategy (Asimov method) was implemented. Methods of measurement of emotional burnout included the use of emotional burnout ('Maslach') and Lazarus questionnaires. In addition, factors related to demography, work, and lifestyle were assessed as well. Results. The assessment of the emotional burnout showed a high level of emotional burnout in both groups (p>0.

Comportements liés au poids dans les réseaux sociaux des adolescents dans le Royaume de Bahrein: exploration du rôle modérateur des propriétés des réseaux d'amitié Introduction. Une grande partie de la recherche sur l'obésité a exploré le rôle des réseaux sociaux dans la promotion de la santé grâce à l'influence et à la sélection sociales. Cependant, peu de recherches ont examiné comment les réseaux sociaux eux-mêmes pouvaient conditionner les comportements de santé. La recherche a commencé à aborder des questions plus détaillées concernant le processus de socialisation par les pairs et les propriétés du réseau. L'une des questions clés est de savoir si l'association de comportement (socialisation ou sélection par les pairs) dépend de la

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Introduction:Diagnosis of breast cancer is associated with high psychological distress. There is a lack of studies examining the prevalence of anxiety among newly diagnosed breast cancer patients in Kazakhstan. Objective: This study aims to assess the mean prevalence and associated sociodemographic and clinical factors of anxiety symptoms in women newly diagnosed with breast cancer. It also aims to determine independent predictors of anxiety risk. Methods: An analysis of 162 newly diagnosed breast cancer patients at the oncology institute in Almaty was performed. Data were collected using a structured questionnaire on social, demographic, and clinical information, as well as the Beck Anxiety Inventory. In addition, multiple regression analysis was used to model the relationship between anxiety risk and independent predictors. Results: The average age of the patients was 54.41 years (SD=8.1; min.-max: 32-75). The majority of the patients were married (52%), employed or self-employed (51%), had children (91%), had a bachelor's or a graduate degree (50%), lived in an urban area (54%), did not drink (41%), did not smoke (67%), did not engage in physical activity (54%), and had social support (91%). A total of 48% of patients had symptoms of moderate anxiety, and 33% had symptoms of severe anxiety. Based on the multivariate analysis, factors associated with a lower risk of anxiety symptoms included higher household income (OR -2.21 (95 CI: -1.35, -3.07)) and having reliable social support (OR -2.93 (95% CI: -2.25, -3.61)). Conclusion: The prevalence of anxiety symptoms is very high among newly diagnosed breast cancer patients. Anxiety is more likely to develop in patients from low-income households and those without reliable social support.

Introduction:Diagnosis of breast cancer is associated with the presence of psychological disorders including depression. There is a lack of study examining the prevalence of depression among newly diagnosed breast cancer patients in Kazakhstan. Objective: This study aims to assess the prevalence and associated sociodemographic and clinical factors of depression symptoms in women newly diagnosed with breast cancer. Methods: 162 newly diagnosed breast cancer patients at the oncology center in Almaty were recruited for this study. Data were collected using a structured questionnaire on sociodemographic and clinical information and the Beck Depression Inventory-II scale. Results:The mean age of the patients was 54.41 years (SD=8.1). 95% of participants had unilateral breast cancer, and 79% of participants had stage I or stage II breast cancer. 73% of patients said that they do not have reliable social support. 46% of patients had symptoms of moderate depression, and 31% of patients had symptoms of severe depression. According to the multivariate analysis, factors associated with depression symptoms were: social status, household income level, reliability of social support, and stage of breast cancer. Conclusion: The prevalence of depression symptoms is very high among newly diagnosed breast cancer patients. Unemployed or retired patients, with a lower household income, and no reliable social support diagnosed with an advanced stage of breast cancer are especially at high risk for developing depression.