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Objective: Cancer has an impact on psychosocial well‐being as well as on mental health. Coaching increasingly appears as a source of psychosocial support to cancer patients. However, we currently lack a clear framework for coaching in that context. The present review aims to better define the concept of coaching in interventions for patients in cancer care research, as well as to synthesize frameworks, techniques, and providers. Methods: A conceptual scoping review based on PRISMA was performed on studies focusing on coaching and cancer published in peer‐reviewed journals until November 2024. Studies on coaching and cancer were systematically extracted from five online databases and then screened. Results: A total of 237 studies were included after screening. Less than 15% of the studies provided an explicit definition of coaching. Six coaching categories were identified based on their goal, in addition to a general form of coaching. Coaching in cancer care occurs during the acute treatment phase as well as during the posttreatment phase. Most providers were healthcare professionals, despite an important heterogeneity. Techniques were sorted into 9 sets of techniques implemented in coaching interventions, including goal setting, providing support, and self‐regulation. Conclusions: This review provided structure to the field of coaching in cancer. It also showed that defining a field only on the word “coaching” does not appear sufficient to reflect the current heterogeneity. Consequently, there is a necessity for the field to clarify its theoretical frameworks, targets, and intervention components to increase the necessary reproducibility and cumulative knowledge.

The study investigated the prevalence of gender-based violence, its psychological effects, and coping mechanisms among refugees in Ethiopia’s Kebribeyah Camp, which is believed to be the least recognized issue for female refugees. Owing to the loss of a social network and power, refugee women are the most vulnerable to different forms of gender-based violence and psychosocial challenges. The data collection and analysis were performed using a cross-sectional explanatory, quantitative design. The study involved 357 women refugees who were eligible for the study and found that there was a prevalence of 10.98% for GBV. In this study, it was determined that the most prevalent forms of GBV are psychological, physical, and sexual forms, respectively, which require immediate interventions. Irrational verbal and physical violence against women by men is identified as a signal for sexual violence. The mediation analysis examines the relationship between GBV acts, psychosocial challenges, and survivors’ coping strategies. GBV was found to be a significant predictor of both psychological and social difficulties, accounting for a significant variance in psychological difficulties (71%) and phobias (59%), and a substantial portion of social challenges (35%). GBV accounts for 82% of the variance in coping strategies. The study deduces the multidimensional pathway of the adverse effects of GBV among survivors, and suggests a combination of interventions to address GBV acts, psychological challenges, social challenges, and psychological phobias through an intersectional approach.

Background The mismatch between the gender experienced by a person and the gender attributed to him/her leads to gender dysphoria. It seems that people’s perception of gender dysphoria is affected by individual, cultural, and sociological factors and these factors affect different aspects of their biological, psychological, and social health. To this end, this qualitative study aimed to identify the physical, psychological, and social challenges of people with gender dysphoria referring to the Department of forensic medicine in Iran. Methods This qualitative study was conducted using conventional content analysis on 9 individuals who were selected through purposive sampling. A total of 16 interviews were conducted with 9 participants. Each interview lasted 60–90 min. The participants’ gender dysphoria was confirmed by the Department of forensic medicine. The data were collected through face-to-face semi-structured interviews with the participants. Results The data revealed 3 main categories and 10 subcategories. The main categories were living in agony, confusion, and social concerns. The subcategories were annoying physical characteristics, mental suffering, disturbing sexual changes, concerns about public reaction, helplessness, surrender, the final solution, retreating to isolation, stressful family conditions, and lack of public recognition. Conclusion The findings showed that people with gender dysphoria suffer from some problems including living in agony, confusion, and social concerns. Each of these problems is associated with several challenges. It seems that most of the challenges faced by people with gender dysphoria are caused by unawareness of their conditions by the family and the public, which in turn is caused by the failure of related organizations and experts in this field to provide adequate information about the conditions of these people. Thus, the findings of the present study can have some implications for resolving the challenges faced by people with gender dysphoria.

Background Nurses and midwives have been stretched by the COVID-19 pandemic amidst the heroic roles they have played during the peak of the COVID-19 pandemic. Nurses stood tall among their peers in the healthcare industry saving lives. The pandemic has had a toll on nurses physically, psychologically, and socio-economically. The numerous deaths have traumatized nurses coupled with the fear of possible infection. Nurses have seen their colleagues and loved ones lose their lives to the pandemic, nevertheless, they still render care to patients no matter the circumstances. Due to that, it is imperative to ascertain the extent to which nurses who are much needed in healthcare delivery have been affected by this pandemic. This scoping review used Arksey and O’Malley’s review methodology to investigate the nature of work-related psychosocial challenges nurses encountered during the peak of the pandemic, noting the major contributors to the challenges and the coping strategies used to address them. Methods We performed a scoping review and searched for articles from five databases including PUBMED, CINAHL, SCOPUS, Google Scholar, and Grey literature from December 2019 to December 2021. A total of 7,334 articles were retrieved for the study but 45 met the inclusion criteria. Results Work-related psychosocial challenges identified included stress, burnout (emotional exhaustion and depersonalization), Post-Traumatic Stress Disorder, depression, sleeplessness, and anxiety. Factors that accounted for the challenges were inadequate personal protective equipment (PPEs), discomfort using the PPEs, extreme workload, and fatigue. Nurses experienced job insecurity, business closure, and separation from family and loved ones, and these contributed to their challenges. Strategies used to deal with the challenges centred on emotion-focused and problem-focused coping. Conclusions The study recommends regular counselling and support for all nurses working at the frontline to help them better cope with the devastating effects of the pandemic so that they could build resilience towards future pandemics.

Introduction Multidrug‐resistant tuberculosis (MDR‐TB) deeply impacts the well‐being of adolescents and young adults (AYA), resulting in poor treatment adherence. Identifying psychosocial challenges and preferred interventions is essential to enhance treatment adherence and outcomes in this unique group. Methods This was a mixed‐method study where participants aged between 15 and 24 years, diagnosed with MDR‐TB, were recruited for in‐depth interviews and a semi‐structured questionnaire. Results The individual‐level psychosocial challenges included mental stress, suicidal ideation, reluctance to continue medication, perceived and experienced stigma, and socio‐economic burdens. Health system‐related challenges encompassed delayed diagnosis, drug stockouts, and negative experiences with Health Care Providers (HCPs). Among 75 participants, the median age was 20.5 years, with 57% (n = 41) females, 85% (n = 62) single, and a median treatment duration of 8 months at the interview. Seventy‐two percent (n = 54) of the participants reported psychological issues such as irritation, loneliness, anxiety, sleep disorder, suicidal ideation, and stigma. Individual‐level interventions were preferred by 61% (n = 46) of participants, including social media, deep breathing, and exercise training. Conclusions To enhance results in MDR‐TB, it is crucial to develop and assess personalized psychosocial interventions with tailored adjustments to tackle the psychosocial obstacles encountered by adolescents and young adults with MDR‐TB. This study found that it is crucial to screen AYA with MDR‐TB for mental and social issues at the time of MDR‐TB diagnosis for early identification and intervention. There is an urgent need to include psychosocial intervention for AYA in TB program to improve programmatic treatment outcomes.

Background Despite advances in drug-resistant tuberculosis (DR-TB) diagnosis, treatment, and service delivery, individuals with DR-TB often face significant socioeconomic and psychosocial challenges due to limited resources. These challenges can hinder retention in care, undermining the progress made in DR-TB management. As a consequence, advances in DR-TB diagnostics and treatment have not resulted in DR-TB programs meeting the 75% treatment success targets set by the World Health Organization (WHO). Methods We interviewed people with DR-TB who had disengaged from care and their family members to identify barriers and facilitators to retention in care as well as possible strategies to address these barriers. We recruited 16 people with DR-TB and 8 family members from five health facilities in Johannesburg, Gauteng Province, South Africa. All DR-TB patients disengaged from DR-TB care for ≥ 45 days. Semi-structured interviews and focus group discussions were used to collect data, which were analysed through thematic content analysis using a multidimensional adherence model. Results The facilitators of retention in care were positive interactions with health care workers (HCWs), nutritional support, transport from local clinics to DR-TB sites, self-motivation, and emotional support from family members. Barriers to optimal retention in care included a limited understanding of DR-TB disease and treatment, transport challenges, side effects of the medication, pill burden, stigma and discrimination experienced at health care facilities other than DR-TB facilities, food insecurity, and financial difficulties, which included loss of income and a lack of transport money and mental health challenges such as fear, anxiety and feeling lonely and unsupported. Conclusion The findings from this study highlight the need for TB treatment programs to collaborate with people being treated for DR-TB and their families to understand facilitators and barriers to retention in care and how these could be addressed to facilitate optimal retention in care.

The diverse list of tasks and needs related to the SARS-CoV-2 pandemic may lead to different professional experiences in nurses working with patients infected with and not infected with SARS-CoV-2. The aim of the study was to measure the professional challenges of nurses working during the SARS-CoV-2 pandemic in Poland. The study was conducted in 2021 in a group of 151 nurses. The following scales were used: the (PSS-10), the (GSES), the (IES-R), the (MSQ-SF), the (AWS) and the (MBIHSS). Nurses working with patients infected with SARS-CoV-2 showed a positive correlation between workload and emotional exhaustion (ρ = 0.26, p = 0.02), as well as positive correlations among control, community and depersonalization (ρ = 0.25, p = 0.02; ρ = 0.23, p = 0.04). Among nurses working with uninfected patients, positive correlations were found among control, community, fairness and emotional exhaustion (ρ = 0.40, p = 0.000; ρ = 0.41, p = 0.000; ρ = 0.25, p = 0.03), as well as correlations between control and depersonalization (ρ = 0.33, p = 0.01), and among control, community and personal accomplishment (ρ = 0.23, p = 0.05; ρ = 0.27, p = 0.02). Nurses working during the SARS-CoV-2 pandemic with infected and uninfected patients both experienced a variety of psychosocial challenges in coping with the demands of their work, social relationships and personal life. Int J Occup Med Environ Health. 2023;36(1):112-24.

The COVID-19 pandemic resulted in South African universities and institutes of higher learning experiencing an unprecedented shift to online learning in 2020, coupled by limited access to campus, in order to prevent community transmission. However, the potential impact of the outbreak on the academic and psychosocial wellbeing of students warrants further exploration, as the rapid changes and the disruption to normal academic life, has left many students feeling socially isolated and struggling to cope with massive uncertainty. In addition, Health Sciences students may experience added anxiety due to their line of work, which places them at the forefront of the healthcare environment. This study explored the academic and psychosocial challenges experienced by students enrolled in a Health Sciences faculty in a University of Technology (UoT), as they transitioned through the COVID-19 pandemic and the ensuing lockdown. A qualitative approach with an exploratory descriptive design was used to guide the study. A sample of students across all levels of study (first, second and third years as well as postgraduates) from the Faculty of Health Sciences at the Durban University of Technology (DUT) in South Africa were selected. Sample recruitment was done through non-probability sampling techniques which include purposive and convenience sampling. Data saturation was reached after interviewing 15 participants on Microsoft Teams. The interview schedule comprised key points on understanding how the COVID-19 pandemic and the ensuing lockdown affected students personally and academically. Interviews were recorded, transcribed and subjected to content and thematic analyses. Six broad themes emerged from the data, which captured the disruption students experienced within the context of their academic life, their personal fears and anxieties, struggles with online learning and connectivity issues. Students also expressed challenges whilst studying remotely at home. The findings suggested that there is an urgent need for universities to reflect on ensuring students’ mental health wellbeing as well as ensuring academic success amidst a turbulent physical and psychological environment.

The COVID-19 pandemic resulted in South African universities and institutes of higher learning experiencing an unprecedented shift to online learning in 2020, coupled by limited access to campus, in order to prevent community transmission. However, the potential impact of the outbreak on the academic and psychosocial wellbeing of students warrants further exploration, as the rapid changes and the disruption to normal academic life, has left many students feeling socially isolated and struggling to cope with massive uncertainty. In addition, Health Sciences students may experience added anxiety due to their line of work, which places them at the forefront of the healthcare environment. This study explored the academic and psychosocial challenges experienced by students enrolled in a Health Sciences faculty in a University of Technology (UoT), as they transitioned through the COVID-19 pandemic and the ensuing lockdown. A qualitative approach with an exploratory descriptive design was used to guide the study. A sample of students across all levels of study (first, second and third years as well as postgraduates) from the Faculty of Health Sciences at the Durban University of Technology (DUT) in South Africa were selected. Sample recruitment was done through non-probability sampling techniques which include purposive and convenience sampling. Data saturation was reached after interviewing 15 participants on Microsoft Teams. The interview schedule comprised key points on understanding how the COVID-19 pandemic and the ensuing lockdown affected students personally and academically. Interviews were recorded, transcribed and subjected to content and thematic analyses. Six broad themes emerged from the data, which captured the disruption students experienced within the context of their academic life, their personal fears and anxieties, struggles with online learning and connectivity issues. Students also expressed challenges whilst studying remotely at home. The findings suggested that there is an urgent need for universities to reflect on ensuring students’ mental health wellbeing as well as ensuring academic success amidst a turbulent physical and psychological environment.

To investigate the current psychosocial challenges faced by adults with Cystic Fibrosis (CF), while exploring attitudes and experiences of mindfulness and self-compassion. Mindfulness and self-compassion are important resources for supporting psychological and physical well-being, yet there is limited research exploring these positive psychology concepts in CF literature. Twenty UK domiciled adults with a diagnosis of CF, took part in a semi-structured interview. Using a thematic analysis approach, four themes were developed: (a) “I didn’t expect to be here”: Surpassing the CF life expectancy, (b) “Am I psychologically bringing this upon myself?”: Psychological complexities of CF, (c) “I’ve had to really learn to be kind to myself”: The importance of compassion and being self-compassionate, (d) “I think it’s a great tool”: The benefits of practising mindfulness. This research demonstrates a robust need for increased integration of accessible psychological practices into routine CF-care and self-care for adults with CF. Particularly, practises and interventions that draw on the concepts of mindfulness and self-compassion, which may benefit patient’s health and wellbeing profoundly.