EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-08-23DOI: 10.14806/ej.26.1.971
Athina Kallianta, Flora Bacopoulou, Dimitrios Vlachakis, Ioulia Kokka, George P Chrousos, Christina Darviri
{"title":"Validation of the Cosmetic Procedure Screening (COPS) Questionnaire in the Greek language.","authors":"Athina Kallianta, Flora Bacopoulou, Dimitrios Vlachakis, Ioulia Kokka, George P Chrousos, Christina Darviri","doi":"10.14806/ej.26.1.971","DOIUrl":"https://doi.org/10.14806/ej.26.1.971","url":null,"abstract":"<p><p>Practitioners in cosmetic and aesthetic treatment practices are likely to unknowingly work with patients with Body Dysmorphic Disorder (BDD). Screening questionnaires to identify the disorder in Greece are lacking. The purpose of this study was to validate a Greek version of the Cosmetic Procedure Screening (COPS) questionnaire, a self-report measure of how the respondents feel about their appearance, before an aesthetic intervention. The COPS was translated into Greek and was completed by 216 adult females from several areas of Attica (four private beauty centers, three dermatology clinics, five plastic surgery clinics, and Thriasio General Hospital of Elefsina) who pursued a cosmetic procedure. Participants also completed the Perceived Stress Scale (PSS-14). The Greek version of the COPS questionnaire demonstrated high internal consistency (Cronbach's α of 0.856) with corrected item's total range 0.468 to 0.687. Two of the factors explained 58.98% of total variance. Twenty (9.26%) women had a possible diagnosis of BDD (80% were unmarried, 95% had no children, 80% had university education). An increase in perceived stress levels was associated with an increase in the likelihood of being diagnosed with BDD (Pearson's r=0.726). The Greek version of the COPS questionnaire is a valid instrument that can be used by professionals to screen adult women for BDD.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494448/pdf/nihms-1742262.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39496766","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-09-30DOI: 10.14806/ej.26.1.975
Anastasios Dadiotis, Flora Bacopoulou, Ioulia Kokka, Dimitrios Vlachakis, George P Chrousos, Christina Darviri, Petros Roussos
{"title":"Validation of the Greek version of the Bergen Social Media Addiction Scale in Undergraduate Students.","authors":"Anastasios Dadiotis, Flora Bacopoulou, Ioulia Kokka, Dimitrios Vlachakis, George P Chrousos, Christina Darviri, Petros Roussos","doi":"10.14806/ej.26.1.975","DOIUrl":"https://doi.org/10.14806/ej.26.1.975","url":null,"abstract":"<p><p>Social Networking Sites (SNSs) number at least 3.81 billion users worldwide, while in Greece, 74.7% of internet users resort to SNSs. However, there is no instrument adapted to the Greek language that assesses addiction to SNSs. The Bergen Social Media Addiction Scale is a short 6-item questionnaire that assesses social media addiction. This study aimed to evaluate the psychometric properties of the Greek version of the Bergen Social Media Addiction Scale. The sample consisted of 325 University students (mean age 21.6 years, SD=5.26). Confirmatory factor analysis was performed that supported the one-factor model. The reliability of the tool was tested with various indicators and was found to be satisfactory. The regression analysis identified gender, time of SNSs use, number of SNSs held by an individual and stress as statistically significant predictors of SNSs addiction. Positive correlations were found between SNSs addiction and stress, depression, anxiety and loneliness, while negative correlations were observed between SNSs addiction, self-esteem and age. Stress fully mediated the relationship between depression and SNSs addiction. The findings of the present study indicate that the Greek version of the Bergen Social Media Addiction Scale is a valid and reliable instrument for assessing SNSs addiction. The relationship between SNSs addiction and the biopsychosocial model was confirmed.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553118/pdf/nihms-1747266.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39580036","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-10-04DOI: 10.14806/ej.26.1.980
Konstantina Exarchopoulou, Anna Papageorgiou, Flora Bacopoulou, Elli Koumantarou Malisiova, Dimitrios Vlachakis, George P Chrousos, Christina Darviri
{"title":"A Biofeedback-Assisted Stress Management Program for Patients with Irritable Bowel Syndrome: a Randomised Controlled Trial.","authors":"Konstantina Exarchopoulou, Anna Papageorgiou, Flora Bacopoulou, Elli Koumantarou Malisiova, Dimitrios Vlachakis, George P Chrousos, Christina Darviri","doi":"10.14806/ej.26.1.980","DOIUrl":"https://doi.org/10.14806/ej.26.1.980","url":null,"abstract":"<p><p>Irritable bowel syndrome (IBS) is a functional gastrointestinal disorder that affects the functionality and quality of life of the affected persons. There is a well-established detrimental reciprocal relationship between stress and IBS. In this randomised controlled trial, IBS patients were randomly assigned to an 8-week biofeedback-assisted stress management intervention group (n=24) or a control group (n=22). Psychometric measures were performed at baseline and following intervention to assess perceived stress, health locus of control and depressive symptoms. In patients of the intervention group, perceived stress and symptoms of depression were significantly decreased, while the sense of control over health was increased. The intervention program was beneficial to the health and quality of life of individuals with IBS. Future randomised controlled studies with larger samples and longer follow-up are required to establish the effectiveness of stress-management techniques in functional gastrointestinal disorders.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553100/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39684082","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-08-23DOI: 10.14806/ej.26.1.978
Panagoula Aivali, Vasiliki Efthymiou, Artemis K Tsitsika, Dimitrios Vlachakis, George P Chrousos, Christina Kanaka-Gantenbein, Flora Bacopoulou
{"title":"Validation of the Greek version of the Problematic Internet Use Questionnaire - Short Form (PIUQ-SF-6).","authors":"Panagoula Aivali, Vasiliki Efthymiou, Artemis K Tsitsika, Dimitrios Vlachakis, George P Chrousos, Christina Kanaka-Gantenbein, Flora Bacopoulou","doi":"10.14806/ej.26.1.978","DOIUrl":"https://doi.org/10.14806/ej.26.1.978","url":null,"abstract":"<p><p>Internet is a necessary tool of everyday routine, however, concerns about the development of abnormal behaviours in relation to its use by adolescents are constantly growing. The need of brief screening tools for problematic internet use in teenagers in Greece is imperative. The purpose of this study was to validate the 6-item short form of the Problematic Internet Use Questionnaire (PIUQ-SF-6) in a Greek sample of adolescents. The sample consisted of 200 adolescents (55.0% males, 61.6% high school students, 38.4% junior high school students) who completed the study's questionnaires i.e., a demographic questionnaire, the PIUQ-SF-6, the Young's Diagnostic Questionnaire (YDQ) and the Adolescent Computer Addiction Test (ACAT). The internal consistency of the Greek version of PIUQ-SF-6 was sufficient and acceptable (Cronbach's alpha coefficient a = 0.80). Confirmatory Factor Analysis was significant, and goodness-of-fit was adequate. For establishing convergent validity, Pearson's and Spearman's correlation coefficients were calculated between the PIUQ-SF-6 and ACAT scales and Receiver Operating Characteristic (ROC) analysis (between PIUQ-SF-6 and YDQ) indicated an excellent accuracy. The Greek version of the PIUQ-SF-6 demonstrated satisfactory psychometric properties (reliability and validity) and is recommended as a reliable screening tool for problematic internet use in Greek adolescents.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494242/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39498238","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-08-23DOI: 10.14806/ej.26.1.970
Fotini Voulgari, Flora Bacopoulou, Artemios Artemiadis, Ioulia Kokka, Dimitrios Vlachakis, Xanthi Tigani, George P Chrousos, Christina Darviri
{"title":"Pythagorean Self Awareness Intervention in Caregivers of Patients with Motor Disabilities.","authors":"Fotini Voulgari, Flora Bacopoulou, Artemios Artemiadis, Ioulia Kokka, Dimitrios Vlachakis, Xanthi Tigani, George P Chrousos, Christina Darviri","doi":"10.14806/ej.26.1.970","DOIUrl":"https://doi.org/10.14806/ej.26.1.970","url":null,"abstract":"<p><p>Caregiving for disabled people is a strenuous task often provided by family members, with adverse repercussions on the caregivers' health. The aim of this study was to evaluate, for the first time, the effects of a novel cognitive-based stress management technique, the Pythagorean Self-Awareness Intervention (PSAI) on the stress levels and other cognitive and psychological characteristics of non-paid caregivers of patients with motor disability. In this quasi-experimental study, 59 caregivers of first-degree relatives with motor disabilities due to chronic neurological diseases, inpatients at a Rehabilitation Center, in Athens, Greece, were assigned to an intervention (PSAI, n=28) and a control group (received unstructured consultation, n=31). Psychological, cognitive, and sleep-related measurements (Zarit Burden Interview tool, Pittsburgh Sleep Quality Index, Self-Efficacy Scale, Depression, Anxiety and Stress Scale, Symbol Digit Modalities Test, California Verbal Learning Test-II, Brief Visuospatial Memory Test-Revised) were held at baseline and after 8 weeks (at completion of PSAI) in both groups. PSAI was found to decrease caregivers' stress, depressive symptoms and anxiety and improve their sleep quality, visual memory, self-efficacy, and cognitive speed processing. Future randomized controlled studies are needed to investigate the effects of this novel intervention in larger samples of caregivers.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8494422/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39498240","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-03-05DOI: 10.14806/ej.26.0.949
Sree K Chanumolu, Mustafa Albahrani, Handan Can, Hasan H Otu
{"title":"KEGG2Net: Deducing gene interaction networks and acyclic graphs from KEGG pathways.","authors":"Sree K Chanumolu, Mustafa Albahrani, Handan Can, Hasan H Otu","doi":"10.14806/ej.26.0.949","DOIUrl":"https://doi.org/10.14806/ej.26.0.949","url":null,"abstract":"<p><p>The Kyoto Encyclopedia of Genes and Genomes (KEGG) pathway database provides a manual curation of biological pathways that involve genes (or gene products), metabolites, chemical compounds, maps, and other entries. However, most applications and datasets involved in omics are gene or protein-centric requiring pathway representations that include direct and indirect interactions only between genes. Furthermore, special methodologies, such as Bayesian networks require acyclic representations of graphs. We developed KEGG2Net, a web resource that generates a network involving only the genes represented on a KEGG pathway with all of the direct and indirect gene-gene interactions deduced from the pathway. KEGG2Net offers four different methods to remove cycles from the resulting gene interaction network, converting them into directed acyclic graphs (DAGs). We generated synthetic gene expression data using the gene interaction networks deduced from the KEGG pathways and performed a comparative analysis of different cycle removal methods by testing the fitness of their DAGs to the data and by the number of edges they eliminate. Our results indicate that an ensemble method for cycle removal performs as the best approach to convert the gene interaction networks into DAGs. Resulting gene interaction networks and DAGs are represented in multiple user-friendly formats that can be used in other applications, and as images for quick and easy visualisation. The KEGG2Net web portal converts KEGG maps for any organism into gene-gene interaction networks and corresponding DAGS representing all of the direct and indirect interactions among the genes.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8055051/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"38814869","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Study of the Langat virus RNA-dependent RNA polymerase through homology modeling.","authors":"Kalliopi Io Diakou, Thanasis Mitsis, Katerina Pierouli, Eleni Papakonstantinou, Vasileios Megalooikonomou, Aspasia Efthimiadou, Dimitrios Vlachakis","doi":"10.14806/ej.26.1.944","DOIUrl":"https://doi.org/10.14806/ej.26.1.944","url":null,"abstract":"<p><p>Langat virus is a member of the <i>Flaviviridae</i> family and a close relative of a group of important tick-borne viruses that cause human encephalitis. RNA-dependent RNA polymerase is a significant component of the replication mechanism of the <i>Flaviviridae</i> viral family. In the present work, a three-dimensional model of the Langat virus RNA-dependent RNA polymerase was designed through homology modeling. The experimentally determined structure of the RNA-dependent RNA polymerase of Dengue virus type II, another member of the same viral family, was employed as template for the homology modeling process. The resulting model underwent a series of optimisations and its quality was verified using the Verify3D algorithm. Important functional characteristics of the family of viral RNA-dependent RNA polymerases were identified in the generated model, thus affirming the potential for its use in the possible design of anti-viral agents for Langat virus.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":"26 1","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8312719/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39227802","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-08-23DOI: 10.14806/ej.26.1.967
Maria-Despoina K Kallianta, Xrysoula E Katsira, Artemis K Tsitsika, Dimitrios Vlachakis, George Chrousos, Christina Darviri, Flora Bacopoulou
{"title":"Stress management intervention to enhance adolescent resilience: a randomized controlled trial.","authors":"Maria-Despoina K Kallianta, Xrysoula E Katsira, Artemis K Tsitsika, Dimitrios Vlachakis, George Chrousos, Christina Darviri, Flora Bacopoulou","doi":"10.14806/ej.26.1.967","DOIUrl":"https://doi.org/10.14806/ej.26.1.967","url":null,"abstract":"<p><p>The purpose of this study was to examine the effects of an 8-week stress management intervention to enhance resilience and coping techniques and decrease stress in adolescent students. Teenagers, 11 to 17 years old, recruited from two tertiary Adolescent Medicine Centers of the National and Kapodistrian University of Athens, Greece, were randomly assigned into two groups: the stress management group (n=24) and the control group (n=25). Resilience, stress, anxiety, everyday use of social media, school performance and cognitive skills were measured in adolescents of both groups, pre- and post-intervention. Post-intervention, the stress management group had significantly higher resilience scores and school performance self-evaluation scores, lower scores of stress, anxiety and everyday use of social media and better cognitive skills than the control group. Regarding cognitive skills, the stress management group significantly improved the speed of information processing and memory. Adolescents following stress management experienced significantly reduced stress from interacting with teachers/parents, from peer pressure, from school/leisure conflict as well as compulsive behaviours. With respect to resilience, the intervention improved adolescents' individual skills and resources, relationships with primary caregivers, and environmental factors that facilitated the sense of belonging. Future studies of large adolescent samples are required to evaluate the long-term benefits of stress management techniques on adolescents' health and resilience, as well as the need of continued support to preserve these benefits throughout transition to adulthood.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8525873/pdf/nihms-1742259.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39561177","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-10-08DOI: 10.14806/ej.26.1.972
Maya Louvardi, Panagiotis Pelekasis, Flora Bacopoulou, Dimitrios Vlachakis, George P Chrousos, Christina Darviri
{"title":"Studying Depression, Anxiety, Distress and Somatisation in a Community Sample of 2,425 Adults in Greece.","authors":"Maya Louvardi, Panagiotis Pelekasis, Flora Bacopoulou, Dimitrios Vlachakis, George P Chrousos, Christina Darviri","doi":"10.14806/ej.26.1.972","DOIUrl":"https://doi.org/10.14806/ej.26.1.972","url":null,"abstract":"<p><p>A growing part of the literature has focused on depression, anxiety, distress and somatisation. Identifying their prevalence and populations at risk is essential to form relevant interventions. The aim of this study was to examine the prevalence and associated factors of distress, depression, anxiety, and somatisation in a community adult sample in Greece. Participants were recruited from two Greek cities; Giannitsa in the northern area and Athens in the southern area of the country, and completed sociodemographic assessments, as well as the 4-Dimensional Symptom Questionnaire (4-DSQ), a self-reported instrument assessing depression, anxiety, distress, and somatisation. A total of 2,425 adults, females (60.1%) and males (39.9%), 18 to 84 years of age (mean age±SD, 46.98±9.57 years) participated in the study. Mental health symptoms were reported by 10.8% for depression, 12% for anxiety, 13% for distress and 5.3% for somatisation. Females scored higher than males in anxiety, distress, and somatisation (p=0.000 in all cases), while there were no significant sex differences in depression (p=0.593). Statistically significant associations were found between age and depression, anxiety and distress (p=0.000 in all cases), since those between 18-34 years of age had higher scores than the older age groups in all variables. Higher scores of depression, anxiety and distress were reported by students and unemployed participants (p=0.000 in all cases) than participants with other occupations. This study mapped several sociodemographic groups with worse mental health. Studies in representative population samples are needed to guide public health interventions to improve the well-being of high-risk populations.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8553117/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39580033","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
EMBnet.journalPub Date : 2021-01-01Epub Date: 2021-10-22DOI: 10.14806/ej.26.1.981
Maria Zarenti, Evangelia Kressou, Zacharo Panagopoulou, Flora Bacopoulou, Ioulia Kokka, Dimitrios Vlachakis, George P Chrousos, Christina Darviri
{"title":"Stress among pediatric oncology staff. A systematic review.","authors":"Maria Zarenti, Evangelia Kressou, Zacharo Panagopoulou, Flora Bacopoulou, Ioulia Kokka, Dimitrios Vlachakis, George P Chrousos, Christina Darviri","doi":"10.14806/ej.26.1.981","DOIUrl":"https://doi.org/10.14806/ej.26.1.981","url":null,"abstract":"<p><p>Cancer is considered one of the dominant life-threatening diseases in children. Working in the field of pediatric oncology, although rewarding, can be a source of stress and emotional burden for health care providers. The aim of this systematic review was to summarise the evidence regarding the occupational stress of health care providers working with pediatric cancer patients. Extensive search of the Pubmed and Scopus databases was performed to identify studies relevant to the topic. Initial search retrieved 657 studies. The reviewing investigators, after applying the inclusion/exclusion criteria, extracted data to critically appraise the quality of evidence. The final step of search concluded in 23 studies of heterogeneous design. Results revealed two main domains of which occupational stress derived from i) the interaction of the health care provider with the patient and the family, and ii) several organisational factors, such as hierarchical structures, experience, workload, and low organisational support. Literature on the stress of pediatric oncology staff is limited. The rather small sample sizes of the studies, the heterogeneity of methodological design, the lack of assessment from a sociological point of view, as well as the limited psychometric instruments adapted to pediatric oncology staff, make the validity of the results questionable. Further research is warranted to obtain a more accurate view of the field, to identify a cause-effect relation between work-related stress and pediatric oncology staff, and, more importantly, to guide future recommendations on support systems and stress management training within pediatric oncology settings.</p>","PeriodicalId":72893,"journal":{"name":"EMBnet.journal","volume":" ","pages":""},"PeriodicalIF":0.0,"publicationDate":"2021-01-01","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8623911/pdf/nihms-1754040.pdf","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"39941543","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}