The prevalence of Internet gaming disorder (IGD) is growing on a global scale, leading to heightened concerns around adolescents’ aggressiveness. The presence of competition and lack of supervision in online gaming might provoke aggressive tendencies. Adolescents might be influenced by competitive games and interactions. Pakistan, a country with advanced technology, has limited investigations on issues related to IGD and aggressiveness. This cross-sectional study examines IGD and aggression in adolescent boys (N = 240) and girls (N = 136) who play online games, recruited via a convenient sampling technique. The study also examines the aggression of gamers (G1) and non-gamers (G2). The results of two-way ANOVA show that adolescent boys and girls differ in IGD and Aggression scores with the evidence of the significance of the main effect for the assessment of IGD with F(1.374) = [6.362], p = .014. In addition, results indicated evidence of the significance of the main effect for the assessing aggression with F(1.374) = [6.645], p = .010. Further results of mixed factorial ANOVA indicated significant differences in the aggression of G1 and G2, male and female participants with the significant main effect of aggression with F(1.374) = [49.530], p < .001. The findings emphasize the importance of monitoring and regulating adolescents’ gaming behaviors, especially excessive gaming. Parents, educators, and healthcare professionals can help identify adolescents at risk of IGD and provide appropriate support and therapies. Promoting appropriate gaming habits and preventing the detrimental effects of excessive gaming in adolescents is essential.

Rohingya Muslims have been forcefully displaced from their mother land, Rakhaine State, Myanmar to Bangladesh, a country with about 170 million population with a treatment gap of more than 90% for standard mental health care. Due to the experienced trauma and displacement, high prevalence of depression, anxiety and post-traumatic tress disorders has been identified among Rohingya refugees in addition to the enduring mental health burden of Bangladesh. Very little has been known regarding the practical challenges of mental health services among Rohingya refugees in Bangladesh. In this commentary, we aimed to highlight the practical challenges for mental health services in Rohingya camps in Bangladesh along with our speculative ways forward based on available evidence, work experience, and informal communications. We highlighted the available mental health services, several major challenges including awareness, perception and belief towards mental health, language and cultural barriers, dearth of skilled service providers, inadequate services for severe mental illness, dearth of mental health services for children, inadequate provision of supervision and ‘Care for Caregivers’ program, and privacy and confidentiality of the clients. Although significant improvements have been made in the mental health field in the emergency crisis sector in Cox's Bazar over the past years, concentrated efforts are urgently required to actualize proposed solutions in this paper.

Background The Nightmare Distress Questionnaire (NDQ), known and commonly used for its adequate psychometric properties, is the most widely used instrument for the measurement of nightmare distress. This study aimed to assess the psychometric properties of a newly translated Arabic version of the Nightmare Distress Questionnaire (NDQ-AV). Methods A total of 546 Lebanese adolescents was recruited for this study and completed the NDQ-AV, the Insomnia Severity Index (ISI), and the eight-item Depression, Anxiety and Stress Scale (DASS-8). Results The results of the exploratory factor analysis (EFA) and the confirmatory factor analysis (CFA) supported both a one-factor model and a two-factor model of the NDQ-AV, with the latter consisting of seven items within both factors. The first factor was referred to as the “general nightmare distress and coping” while the second was named “nightmare impact and perception”. The reliability of the scale was excellent (α = 0.930 and ω = 0.915). Moreover, measurement invariance was shown across gender, demonstrating that this measure performs consistently for both men and women. Additionally, the NDQ-AV scores exhibited excellent reliability alongside factorial and concurrent validity. Conclusion In conclusion, these results support the psychometric validity of the Arabic version of the NDQ. The availability of the NDQ-AV is expected to facilitate the understanding of nightmare distress within the Lebanese context.

Background Acknowledging the increasing worry over climate change and its psychological effects, the aim of this research is to clarify the dynamics between religiosity, climate anxiety and death anxiety, seeking to figure out the way religiosity mitigates the psychological effects of existential anxieties and climate related anxiety. Methods Using Google Forms, a questionnaire was developed and disseminated through a variety of messaging platforms, such as WhatsApp, Instagram, and Facebook Messenger. Through a snowball sampling technique, 763 participants were recruited in this cross-sectional during September 2023. Results The subsequent variables were adjusted in the moderation analysis: age, gender, and place of living. The results suggested that religiosity levels moderated the association between climate anxiety and death anxiety (Beta = 0.02, t = 1.97, p = .05, 95% CI 0.001, 0.035). At low, moderate, and high levels of religiosity, higher climate anxiety was significantly associated with more death anxiety. In addition, at low levels of climate anxiety, individuals with higher levels of religiosity (22.66) had more decreased levels of death anxiety compared to those with lower levels of religiosity (11.99). As climate anxiety levels increase, inverted patterns can be observed, with highly religious individuals showing higher levels of death anxiety than those with lower levels of religiosity. Overall, the relationship between climate anxiety and death anxiety was found to be weakest at low levels of religiosity and strongest at high levels of religiosity. Conclusion Our findings suggest a possible beneficial effect of high religiosity at low levels of climate anxiety. This effect is reversed as climate anxiety starts to increase. Therefore, clinicians and policy-makers should bear in mind these complex interactions when designing strategies to mitigate mental health problems in the context of climate crisis.

This study explores the effects of mindful meditation on stress and anxiety among students, utilizing a thematic analysis of 12 studies. The research focuses on secular mindfulness practices, such as Mindfulness-Based Stress Reduction (MBSR), and includes one study on Islamic mindfulness meditation (muraqabah). The analysis identifies common themes across these practices, such as the importance of regular practice and the enhancement of emotional regulation. Additionally, the study highlights the unique contributions of Islamic mindfulness, which integrates spiritual well-being with mental health practices. The findings suggest that while secular practices are effective in reducing stress and anxiety, incorporating spiritual practices like muraqabah offers a more comprehensive approach to student mental health. This study has important implications for how mindfulness can be implemented in educational settings to support holistic student well-being.

This case study research explores the relationship between the physical and emotional involvement of parents in their children’s upbringing, and how it relates to their mental status, life quality, coping mechanisms, and way of thinking in their later life as they grow up. The literature review discusses many research papers that have discussed the potential of a child growing up to have a satisfied mental and emotional stability as for others growing up to getting unstable quality of life shown by tests like SDQs, interviews, and some surveys on participants. More research utilized a positive correlation between having the parent’s involved in their children’s childhood and a positive quality of life later on. This research paper has resulted in a relationship between parent’s involvement in their children’s life as they grow up rather than only existing physically, a good mental health stability, and strong resilience later on. The methodology was to interview 3 participants with different growing up environments about the following themes: Current life, past life, and the connection between both periods.This topic plays an important role in the informance of the huge impact of parent’s involvement in their children’s life as well as it demonstrates the relation between an individual’s stability/instability and their parent’s role in their childhood life. It suggests future implications as including a sample size with a wider range of environmental background varieties as it could lead to a wider understanding of the topic creating more underlying themes, factors, and results.

Objectives: A significant gap currently exists in the availability of reliable and scientifically rigorous measures for evaluating resilience among older Arabic-speaking populations. The primary objective of this study was to assess the psychometric properties of an Arabic adaptation of the 15-item Resilience Scale of Older Adults (RSOA) in a sample of Arabic-speaking Egyptian older adults. Method: Using a cross-sectional design and a convenience sample of 539 Egyptian older adults, with 60.7% aged between 65 and 75 years (50.3% females), participants completed an online Google form-based anonymous questionnaire, including sociodemographic information, the RSOA, and the 10-item CD-RISC. To ensure accurate translation, the forward-backward translation method was employed. Confirmatory factor analysis (CFA) and gender invariance in the RSOA were analyzed. McDonald's ω and Cronbach's α were calculated to assess internal consistency. Results: The results demonstrate that the Arabic RSOA and its subscales exhibit high internal consistency, with McDonald's ω and Cronbach's α values ranging from 0.83 to 0.93. CFA analysis revealed that the four-factor model fit of RSOA was acceptable. Measurement invariance was supported across genders. Furthermore, both genders exhibited no significant differences in all four RSOA dimensions. Convergent validity was supported by demonstrating that the four RSOA sub-scores and total scores correlated positively and significantly with the 10-item CD-RISC. Conclusion: While further cross-cultural validation involving other Arab countries and communities is necessary, this study suggests that the Arabic RSOA may be used to measure resilience among broader Arabic-speaking older adults in clinical and research contexts.

The interplay between insomnia and PTSD symptoms remains misunderstood, and seems to be influenced by other factors like individual resilience. Our study examined the moderating role of resilience in the relationship between insomnia and PTSD symptoms among a sample of Lebanese adolescents, in the aftermath of the 2023 earthquake. This cross sectional study, conducted in April, 2 months after the earthquake, enrolled 546 Lebanese adolescents. We used the Sleep Self Report, the Resilience Scale for Adolescents and the 13-item Children’s Impact of Event Scale. The interaction insomnia severity by resilience was significantly associated with PTSD scores. At low, moderate and high resilience levels, higher insomnia severity was significantly associated with lower PTSD. Resilience moderated the relationship between insomnia and PTSD, mitigating the detrimental impact of disrupted sleep on PTSD symptoms. This data can guide healthcare administrators and psychiatric caregivers in classifying risk factors and implementing interventions to predict PTSD development.

Background: Atrial fibrillation (AF), a potential trigger for stroke development, is considered a modifiable condition that can halt complications, decrease mortality, and prevent morbidity. The CHA₂DS₂-VASc and HAS-BLED scores are categorized as risk assessment tools used to estimate the risk of thrombosis development and assess major bleeding among atrial fibrillation patients. Objectives: Our study aims to assess the adherence to post-discharge treatment recommendations according to CHA₂DS₂-VASc score risk group and evaluate the impact of CHA₂DS₂-VASc score and HAS-BLED score risk categories on death, length of hospital stay, complications, and hospital readmission among United Arab Emirates (UAE) patients. Methods: This was a multicenter retrospective study conducted from November 2022 to April 2023 in the United Arab Emirates. Medical charts for AF patients were assessed for possible enrolment in the study. Results: A total number of 400 patients were included with a mean age of 55 (±14.5) years. The majority were females (67.8%), and most had high CHA₂DS₂-VASc and HAS-BLED scores (60% and 57.3%, respectively). Our study showed that adherence to treatment recommendations upon discharge was 71.8%. The bivariate analysis showed that patients with a high CHA₂DS₂-VASc score had a significantly higher risk of death (p-value of 0.001), hospital readmission (p-value of 0.007), and complications (p-value of 0.044) vs. the low and moderate risk group with a p-value of <0.05. Furthermore, our findings showed that the risk of death (0.001), complications (0.057), and mean hospital stay (0.003) were significantly higher in the high HAS-BLED risk score compared to both the low- and moderate-risk categories. Hospital stay was significantly higher in CHA₂DS₂-VASc and HAS-BLED high-risk score categories compared to the low-risk score category with a p-value of <0.001. Conclusion: Our study concluded that the adherence to treatment guidelines in atrial fibrillation patients was high and showed that patients received the most effective and patient-centered treatment. In addition, our study concluded that the risk of complications and mortality was higher in high-risk category patients.

University students usually get stressed out during stressful academic periods, negatively impacting their well-being and academic performance. This research was carried out to investigate the connection between pet ownership and anxiety levels among university students during the most stressful academic periods. A quantitative, non-experimental method, including the State Trait Anxiety Inventory (STAI), was used to measure the participants' anxiety levels before and after interacting with their pets. A paired sample t-test was conducted on a small sample of 6 participants to compare the anxiety levels before and after the pet interaction. The results proved a statistically significant decrease in anxiety levels after interacting with pets (M=37). 6, SD=6. 0) in contrast to the previous time (M=64). 8, SD=4. 7), with p<. 001. Thus, the results prove that communication with pets may ease anxiety among university students during stressful academic periods. Nevertheless, the study's limitations, like a small sample size and the use of self-reported measures, should be considered. Besides, research with bigger sample sizes, objective measures, and longitudinal designs is recommended to investigate the causal relationships and the long-term effects of pet tenure on anxiety levels. Moreover, investigating the possibility of introducing pet friendly policies or university programs could be the solution to supporting students' mental well being during stressful periods.