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The Kessler Psychological Distress Scale–6 (K6) [42] is a self-report questionnaire measuring nonspecific psychological distress using 6 items on a 5-point Likert scale ranging from 0 to 4. It was developed to identify severe distress using a cutoff of 13 [43]. A moderate distress category was later defined with a cutoff of 5 [44]. The K6 was found useful in detecting nonspecific mental illness and general severity and is often used in large-scale population health assessments [44,45].
J Med Internet Res 2025;27:e77802
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In a previous qualitative study, we found that HA by proxy caused distress for the affected parents and impacted their daily life negatively as a result of attempts to control the anxiety or avoid situations that may trigger it [14]. Parents with HA by proxy reported struggling with beliefs that their worrying might be necessary in order to take proper responsibility for their child’s health.
JMIR Form Res 2025;9:e65396
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The categories of Distress and Suicidality are highly context specific; reducing distress and suicidality are 2 of the highest priority outcomes for help-seekers accessing Lifeline services [31].
Lexical categories representing Distress and Suicidality specific to the crisis helpline context were developed using a multistep process with input from various expert groups, including researchers, service providers, and people with lived experience.
JMIR Form Res 2025;9:e63257
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We also examined a possible role for psychological distress, reflecting the symptoms of depression and anxiety, as a mediator in the relationship between cyberchondria and suicidal ideation. On the basis of the aforementioned research findings and theoretical considerations and observations [18], we hypothesized that cyberchondria and suicidal ideation will be directly related and that psychological distress will mediate this relationship.
J Med Internet Res 2025;27:e72414
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COVID-19–Related Racism and Mental Health Among Asian Americans: Integrative Review
In a meta-analysis involving 293 studies, racism was associated with poor mental health (depression, anxiety, and psychiatric distress) and poor general health and physical health [13]. One study showed everyday discrimination is associated with higher odds of developing psychiatric experiences (odds ratio [OR] 4.59) and lifetime psychotic experiences (OR 4.27) in a large sample that included Latino, Asian, African American, and Caribbean Black adults [12].
Asian Pac Isl Nurs J 2025;9:e63769
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There is a lack of evidence-based interventions to address distress in the postoperative period for fecal ostomy patients.
The overall goal of our work is to improve biopsychosocial outcomes of patients recovering from fecal ostomy surgery.
JMIR Res Protoc 2024;13:e60575
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Among the negative impacts of social media use is psychological distress, which is generally characterized by emotional experience marked by symptoms of depression and anxiety [10]. It has been theoretically demonstrated that psychological distress can impair parenting practices [11], and understanding its mechanisms is crucial for supporting effective parenting functions.
JMIR Pediatr Parent 2024;7:e59029
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According to the National Cancer Institute, distress is an “emotional, social, spiritual, or physical pain or suffering that may cause a person to feel sad, afraid, depressed, anxious, or lonely” [41]. Distress is prevalent in patients with cancer regardless of disease stage or modality [8,42-45], and untreated distress has been shown to lead to greater pain, reduced physical function, increased medical costs, and longer stays in the hospital [8,42,46].
JMIR Form Res 2024;8:e57801
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Mental health and wellness were assessed using the WHO (World Health Organization)-5 Well-Being Index (WHO-5) [58] and Kessler Psychological Distress Scale (K6) [56,57]. WHO-5 assesses positive well-being, where a cutoff score of less than or equal to 50 indicates reduced well-being [58]. K6 assesses psychological distress, where a cutoff score of greater than or equal to 13 indicates increased mental distress [56,57].
JMIR Res Protoc 2024;13:e56749
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