Background. Gastrointestinal stromal tumors (GIST) represent 1% of all gastrointestinal tumors and are included in the list of rare diseases.
Objective. 1. to evaluate levels of psychological distress, fatigue, and quality of life. 2. To identify the variables that most influence distress among Mexican patients with GIST.
Design. A cross-sectional study was conducted with a consecutive sample of 100 patients with GIST, who completed the following questionnaires online: Hospital Anxiety and Depression Scale (HADS) as a measure of distress, Multidimensional Fatigue Inventory (MFI), and Quality of Life Questionnaire (QLQ C30).
Results. Distress was present in 31% of patients. No association was found between distress and sociodemographic/clinical variables. The patients with distress demonstrated higher scores in all fatigue dimensions and, regarding quality of life, had more symptoms and were lower functioning. Distress was positively associated with all fatigue dimensions and with QLQ C30 symptoms. Negative associations were found between distress and QLQ C30 functioning dimensions. The predictors of psychological distress were general fatigue, reduced motivation, and emotional functioning.
Conclusion. The percentage of patients with distress was akin to the levels found in patients with the most common types of cancer. Fatigue in patients with GIST should be evaluated and managed to improve distress levels.
Gastrointestinal stromal tumors (GIST)/ distress/ fatigue / quality of life/ cancer
Existential Well-being, Mental Health, and COVID-19: Reconsidering the Impact of the Lockdown Stressors
Background. Initial psychological papers on COVID-19, mental health and well-being mostly focus on the aftermath lockdown-related stress and stress related to the disease itself. Still, we presume that personal well-being can be resistant to stressors depending on the way the person is settled in their life.
Objective. We seek to reconsider the contribution of lockdown-related stressors to existential well-being, to assess existential well-being during the outbreak and to compare the contribution of living conditions and COVID-19-related factors on well-being.
Design. An online survey was conducted during the peak of the outbreak in Moscow (April-May 2020) (N=880). The data was obtained using the “Test of Existential Motivations” questionnaire and a series of questions addressing (1) living conditions — mental and physical health, employment, and social distancing; (2) COVID-19-related stressors — non-chronic illness, financial losses, and unavailability of goods or services; (3) sociodemographic indicators — age, gender, and income. Data analysis included hierarchical multiple regression, one-sample t-test, and analysis of variance.
Results. Surprisingly, the existential well-being of Moscow citizens during the research period was moderate. Each of the three groups of factors predicted a similar proportion of the variance of well-being (3-3,9%). The strongest predictors of well-being were long-term mental health status and financial stability. The effect of COVID-19-related stressors was most pronounced when they co-occur.
Conclusion. The negative association between lockdown-related stressors and poor well-being is not universal. It is necessary to study the effect of COVID-19-related stressors in combination with individual living conditions and region-specific factors and to focus on the prevention of the occurrence of stressors.
Background. Media consumption by the digital generation in Russia should not only be of interest to media researchers or managers. The fact that young people's interaction with various information sources and the media is noticeably different from the daily practice of older generations and has created new trends and habits, must be taken into account by the teaching community, parents, and political forces. This issue is of particular interest to politicians, because it points to the need for them to transform their information policy.
Objective. The purpose of this study was to find out how media formats that appeal to emotions of young people influence their media consumption.
Design. During the first stage, we surveyed respondents in three cities with populations of over one million; the surveys allowed us to identify key sources of information and the motivation for various kinds of digital content consumption by youth. During the second stage, 20 in-depth interviews provided a deeper understanding of where the teenagers got their political news and what influenced their consumption.
Results. The authors of this paper have concluded that the digital generation does not consume political news purposefully. They rarely turn to socio-political publications and do not watch shows on federal TV channels. In fact, members of this generation mostly deny having any interest in this topic or awareness of it. However, through various entertaining, primarily humorous, content, which is the most popular among young people, a clear political agenda, albeit subjective, is being formed in their information space.
Conclusion. Our work refutes the common misconception of researchers, representatives of the state system, and journalists that the digital generation is not interested in politics. Rather, their pursuit of emotional experiences, primarily positive ones, have become their main incentive for consuming political news.
digital generation/ generation Z/ media consumption/ political agenda/ political news/ emotions