UNASSIGNED: In China, there is a unique type of second marriage (SM) family where the woman is remarried, and the man is experiencing his first marriage. Additionally, the woman is older than the man. Therefore, these families experience many challenges: psychological, emotional, and societal pressure. Such family is a typical sample for studying sociocultural and psychological stress influencing on outcome of assisted reproductive technology (ART). This study aimed to investigate the impact of social psychological stress on the live birth outcomes AR.
UNASSIGNED: In this retrospective cohort, second marriage (SM) families who visited the Second Hospital of Hebei Medical University reproductive center between January 2012 to December 2022 were screened, and 561s marriage families (the SM group) with 5600 first marriage (FM) families (the FM group) were included undergoing their first ART cycles. The primary outcome of this study was the live birth rate (LBR).
UNASSIGNED: The live birth rate (LBR) of SM group (30.7%) is lower than that of the FM group (43.6%) (p < 0.01). After adjustment by logistic regression, the second marriage group (OR = 1.269, 95%CI 1.031-1.562, p = 0.025) were independent factors associated with the outcome of live birth. After propensity score matching (PSM), the live birth rate of SM group (28.7%) is lower than the FM group (35.9%) (0 = 0.011).
UNASSIGNED: The SM family experience higher levels of social and psychological pressure, which lead to lower level of LBR than FM family.

UNASSIGNED: This research investigated the impact of the COVID-19 pandemic on the mental well-being and sleep quality of students in higher vocational colleges in Sichuan, China, identifying key factors influencing their psychological health during this period.
UNASSIGNED: Between January and February 2022, a comprehensive survey was conducted among students from several higher vocational colleges in Sichuan, utilizing a randomized selection approach to involve 3,300 participants. Data were collected through direct interviews executed by skilled interviewers.
UNASSIGNED: Out of 3,049 valid responses, a significant number reported experiencing symptoms of poor mental health, anxiety, depression, and insomnia, with prevalence rates of 21.2%, 9.7%, 14.1%, and 81.9%, respectively. Factors contributing positively to mental health and sleep included a higher family economic status, reduced stress from the pandemic, and decreased online activity. Conversely, lack of physical activity post-pandemic, disruptions to education and employment, and deteriorating relationships emerged as negative influencers. Interestingly, a lack of pre-pandemic mental health knowledge acted as a protective factor against insomnia.
UNASSIGNED: The ongoing management of COVID-19 has notably influenced the psychological and sleep health of vocational college students, driven by economic, emotional, lifestyle, and educational factors. The findings underscore the necessity for targeted interventions to address these challenges effectively.

BACKGROUND: While financial toxicity (FT) is prevalent in patients with cancer, young and middle-aged patients with stroke are also affected by FT, which can exacerbate their physical and psychological challenges. Understanding the patient\'s experience and response measures can further understand the impact of FT on patients with stroke, to help alleviate FT. However, little is known concerning the experience of patients with stroke with FT or their coping strategies. Therefore, this study aimed to describe the experiences of FT in young and middle-aged patients with stroke and their coping strategies.
METHODS: A phenomenological method was utilized. Semi-structured interviews were conducted with 21 young and middle-aged stroke patients (aged 18-59) between October 2022 and March 2023. The participants were recruited from a tertiary hospital in Shanghai, China. The research team used NVivo 12.0 software. Giorgi\'s phenomenological analysis method was used to analyse the interview data.
RESULTS: The interview results were divided into two categories in terms of patients\' experiences of FT and their coping strategies. Nine subthemes were constructed. The experience category included four subthemes: (1) taking on multifaceted economic pressure, (2) dual choice of treatment, (3) decline in material living standards, and (4) suffering from negative emotions such as anxiety and depression. The coping strategy category included five subthemes: (1) reducing expenses, (2) improving living habits, (3) proactive participation in medical decision-making, (4) making a job position choice, and (5) seeking social support.
CONCLUSIONS: FT in young and middle-aged patients with stroke, which affected their physical and mental health, led them to implement strategies for dealing with FT. The Chinese government needs to broaden the reach of health insurance coverage and advance the fairness of healthcare policies. Healthcare professionals must pay active attention to FT in such patients in terms of strengthening their health education and considering their needs and preferences. Patients need to improve their sense of self-efficacy, actively reintegrate into society, and adhere to rehabilitation and treatment. Individuals at a high risk of stroke are recommended to purchase health insurance. Multifaceted efforts are needed to reduce the impact of FT in young and middle-aged patients with stroke.

Previous researches have confirmed that perceived social support has a profound effect on individuals\' mental health. However, the effects and potential mechanisms of perceived social support on mental health of college athletes are still largely unknown, especially during and after the COVID-19 pandemic. Thus, the aim of this study was to explore the relationship between perceived social support and mental health in college football athletes, and to evaluate whether hopelessness and psychological pressure affected this relationship. A sample of 672 Chinese college football athletes (37.9% girls; Mage = 20.43 years; SDage = 1.68) were investigated with the Perceived Social Support Scale (PSSS), the Kessler Psychological Distress Scale (K10), the Beck Hopelessness Scale (BHS) and the Perceived Stress Scale (PSS). Surveys were voluntary and anonymous. The findings revealed that, after adjusting for demographic factors, hopelessness mediated the relationship between Chinese college football athletes\' perceived social support and their mental health. Furthermore, psychological pressure moderated the negative association between perceived social support and hopelessness, and the association was stronger for them with high-level psychological pressure. These results underline the need for focused strategies in the prevention and treatment of mental health issues among Chinese college football athletes.

This study conducted an experiment of English script activities on 279 senior students from two universities in Guangdong Province, China. The purpose of this study was to explore the effect of English psychological script activities on improving the psychological pressure and anxiety of college students. The results show that, firstly, before the experiment, the overall psychological pressure and anxiety of college students are at a medium high level. The gender difference shows that the psychological pressure and anxiety level of girls are higher than that of boys. The professional difference shows that the psychological pressure and anxiety level of Humanities and social sciences majors are higher than that of science and engineering majors. After the experiment, the overall psychological pressure and anxiety level of college students have a significant improvement effect. From the overall level, English psychological script has the highest impact on evaluation anxiety and test anxiety. From the perspective of gender differences, English psychological scripts have the highest effect on improving the evaluation anxiety of boys, and the effect of improving test anxiety and evaluation anxiety of girls is the highest. From the perspective of professional differences, English psychological scripts have an average impact on the psychological pressure and anxiety of students majoring in Humanities and Social Sciences, while they have the highest impact on the interpersonal stress of students majoring in science and technology. The results of this research provide more reference value for college students\' English education and mental health improvement.

This study examined the effect of slow diaphragmatic breathing on psychophysiological stress responses and pressurized performance. Sixty-seven participants (40 female; Mage = 20.17 ± 2.77 years) were randomly assigned to either a diaphragmatic-breathing, paced-breathing, or control group. Participants completed a nonpressurized shooting task and then received instructions about a pressurized version. Next, the diaphragmatic group was told to breathe at 6 breaths/min, the paced group at 12 breaths/min, and the control group received no instructions. Following a 5-min intervention period, participants completed the pressurized task while performance was assessed. Psychophysiological stress responses (e.g., cognitive anxiety, heart rate) were recorded throughout. Results revealed that diaphragmatic breathing had mixed effects on stress responses, with some unaffected (e.g., heart rate) and others reduced (e.g., cognitive anxiety), and little effect on performance. Findings suggested that slow diaphragmatic breathing might not aid pressurized performance but could benefit psychological stress responses.

The purpose was to integrate cultural psychology into cross-cultural adaptation and analyze the factors of entrepreneurial psychology and entrepreneurial intention of venture entrepreneurs. The research framework of cross-cultural adaptation is constructed, and four hypotheses are put forward, and 100 venture entrepreneurs in multinational enterprises are randomly recruited and investigated through the QS (Questionnaire Survey) design. Finally, the results are analyzed through statistical software. The results show that among the basic information of venture entrepreneurs, the proportion of gender is balanced, and the educational level is generally high, with the majority of young entrepreneurs aged 20-35. Meanwhile, there are significant differences in the four dimensions of cross-cultural competence, cross-cultural adaptation, entrepreneurial intention, and psychological adaptation of venture entrepreneurs (p<0.05). Length of service influences cross-cultural competence, cross-cultural adaptation, and entrepreneurial intention but does not affect psychological adaptation. Hence, cross-cultural adaptation has a great impact on the entrepreneurial intention and psychological adaptation of venture entrepreneurs and provides a practical basis for the entrepreneurial optimization of venture entrepreneurs.

BACKGROUND: Over the last year, the world has witnessed an infectious disease (COVID-19) outbreak that has shown a high rate of spread. Therefore, several prevention and mitigation measures have been imposed to control the spread of the virus worldwide. The aim of the current study is to identify the commitment level to social distancing and its relationship to psychological stress among members of Saudi society during COVID-19 pandemic.
METHODS: The descriptive correlational design was employed in the current study, and the sample of the study consisted of 536 Saudis selected using convenient sampling method. The study was conducted in four cities in Saudi Arabia (Altayef, Mecca, and Najran, in 2020 during COVID-19 pandemic using quantitative survey method. Several analysis methods using SPSS software were used to analyze the data such as mean and standard deviation, three-way ANOVA, Scheffe\'s test, and Pearson correlation.
RESULTS: The study revealed that the psychological stress and commitment level to social distancing by the study sample during COVID-19 pandemic was moderate, and differences were observed among the study variables. Furthermore, the study revealed a statistically significant negative correlation between the commitment level to social distancing and the exposure to psychological pressures.
CONCLUSIONS: The study contributed to literature by developing a model to enhance the importance of social distancing of people during COVID-19 pandemic. The study recommends the necessity to provide advice and counseling services that enhance community members\' awareness about the application of social distancing during COVID-19 pandemic.

Speed climbing is an Olympic discipline within the combined sport climbing event in 2020 for the first time. Speed climbing is a high-speed and anaerobic exercise against gravity over a few seconds with extreme psychological pressure. Although there is some literature on heart rate (HR) when lead climbing, there is no literature on the behavior of the HR when speed climbing. The HR of seven near-elite participants was measured with a Polar HR monitor while climbing a 10- and 15-m wall, respectively, three times each, with pauses of 5 min between the first and last three climbs and a 20-min pause between the third and fourth climb. The average climbing times on the 10- and 15-m walls were 9.16 ± 3.06 s and 14.95 ± 3.14 s, respectively (data pooled between climbing heights). The peak HR on the 10- and 15-m walls were 164.57 ± 7.45 bpm and 176.43 ± 8.09 bpm. The rates of change in HR were as follows: average HR acceleration before peak HR, 2.53 ± 0.80 bpm/s; peak HR acceleration before peak HR, 4.16 ± 1.08 bpm/s; and average HR deceleration after peak HR, -0.98 ± 0.30 bpm/s. The average HR during the pauses ranged from 105.80 to 117.89 bpm. From the results, in comparison to the literature, we conclude that athletes, trained for sustaining high physical exertion and psychological pressure, have a far smaller HR acceleration than untrained people during light and unstressful exercises. Furthermore, the current rule that athletes shall have a minimum resting time of 5 min between climbing attempts during a speed climbing competition seems justified as sufficient time for HR recovery.

Researchers are increasingly using smartphones to collect scientific data. To date, most smartphone studies have collected questionnaire data or data from the built-in sensors. So far, few studies have analyzed whether smartphones can also be used to conduct computer-based tasks (CBTs). Using a mobile experience-sampling method study and a computer-based tapping task as examples (N = 246; twice a day for three weeks, 6,000+ measurements), we analyzed how well smartphones can be used to conduct a CBT. We assessed methodological aspects such as potential technologically induced problems, dropout, task noncompliance, and the accuracy of millisecond measurements. Overall, we found few problems: Dropout rate was low, and the time measurements were very accurate. Nevertheless, particularly at the beginning of the study, some participants did not comply with the task instructions, probably because they did not read the instructions before beginning the task. To summarize, the results suggest that smartphones can be used to transfer CBTs from the lab to the field, and that real-world variations across device manufacturers, OS types, and CPU load conditions did not substantially distort the results.