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(2026) José i Solsona, Carles
International studies measuring wellbeing/multidimensional mental health before/ during the COVID-19 pandemic, including representative samples for >2 years, identifying risk groups and coping strategies are lacking. COH-FIT is an online, international, anonymous survey measuring changes in well-being (WHO-5) and a composite psychopathology P-score, and their associations with COVID-19 deaths/restrictions, 12 a-priori defined risk individual/cumulative factors, and coping strategies during COVID-19 pandemic (26/04/2020-26/06/2022) in 30 languages (representative, weighted non-representative, adults). T-test, χ2, penalized cubic splines, linear regression, correlation analyses were conducted. Analyzing 121,066/142,364 initiated surveys, WHO-5/P-score worsened intra-pandemic by 11.1±21.1/13.2±17.9 points (effect size d=0.50/0.60) (comparable results in representative/weighted non-probability samples). Persons with WHO-5 scores indicative of depression screening (<50, 13% to 32%) and major depression (<29, 3% to 12%) significantly increased. WHO-5 worsened from those with mental disorders, female sex, COVID-19-related loss, low-income country location, physical disorders, healthcare worker occupations, large city location, COVID-19 infection, unemployment, first-generation immigration, to age=18-29 with a cumulative effect. Similar findings emerged for P-score. Changes were significantly but minimally related to COVID-19 deaths, returning to near-pre-pandemic values after >2 years. The most subjectively effective coping strategies were exercise and walking, internet use, social contacts. Identified risk groups, coping strategies and outcome trajectories can inform global public health strategies.
(2024) Solmi, Marco; Guinart, Daniel; Correll, Christoph U.Purpose: We aimed to describe the intensity of care and its consequences on informal caregivers of stroke survivors according to the degree of care receivers' functional dependence for activities of daily living; and to identify the factors associated with caregivers' care-related quality of life. Methods: Cross-sectional analysis of prospective data collected in a cost-utility study alongside the RACECAT trial in Catalonia (Spain). One-hundred and thirty-two care receiver-caregiver pairs were interviewed six months after stroke. Functional dependence for activities of daily living was measured with the Barthel index. We assessed caregivers care-related quality of life with the CarerQoL, which measures seven dimensions of subjective burden (CarerQoL-7D) and a happiness score (CarerQoL-VAS). We evaluated the association between characteristics of informal caregivers, characteristics of care receivers, and intensity of care, and the caregiver's care-related quality of life (subjective burden and happiness) in a hypothesized model using a structural equation model. Results: Of the 132 caregivers, 74,2% were women with an average age of 59.4 ± 12.5 years. The 56.8% of them were spouses. The care intensity ranged from a mean of 24h/week for mild to 40h/week for severe dependence. Most caregivers (76.3%) were satisfied with their task, regardless of dependence, but showed increasing problems in caring for severely dependent persons. Being a woman (coeff. -0.23; 95%CI: -0.40, -0.07), spending more time in care tasks (coeff -0.37; -0.53, -0.21) and care receiver need of constant supervision (coeff 0.31; -0.47, -0.14) were associated with higher burden of care, irrespective of the degree of dependence. Caregiver burden (coeff 0.46; 0.30-0.61) and care receiver anxiety or depression (coeff -0.19; -0.34, -0.03) were associated with lower caregiver happiness. Conclusions: The findings suggest the importance of developing mainly two types of support interventions for caregivers: respite and psychosocial support. Especially for women with high caring burden and/or caring for persons with high levels of anxiety or depression.
(2024) Villa García, Lorena; Salvat, Mercè; Slof, John; Pérez de la Ossa, Natalia; Abilleira, Sonia; Ribó, Marc; Hidalgo Benítez, Verónica; Inzitari, Marco; Ribera, AidaEn los últimos años se ha renovado el interés por la primera obra publicada de S. Kierkegaard: El concepto de ironía, en constante referencia a Sócrates (1841) fruto de su tesis de magisterio. En la presente exposición remarcaremos el interés teológico de esta obra, que quiere confrontar las figuras históricas de Sócrates y Cristo para mostrar sus diferencias. Para ello Kierkegaard debe depurar a Sócrates de toda herencia platónica, y a Cristo, de toda herencia romántica. De ahí que la ironía socrática sea releída por Kierkegaard desde el humor cristiano, en una profunda confrontación con la ironía romántica. A este respecto es determinante la herencia de Schelling, quien elaboró una filosofía de la Revelación, verdadera ciencia histórica y positiva, centrada en el concepto nuclear de 'persona'. Dicha teoría es patente en la cristología kierkegaardiana, que entiende a Cristo como alfa y omega, como centro insuperable de la Historia, en contraposición a la concepción pneumatológica de Hegel, quien la concibe como un avance imparable del Espíritu, en su camino hacia la autoconciencia. Este papel central de la cristología ¿verdadera doctrina de la encarnación que supone el rechazo de la ironía como pura negatividad absoluta, mero final sin verdadero inicio, y a cuya luz refulge el carácter positivo y concreto del humor cristiano queda fuertemente subrayado por la alusión final del texto al comentario de Martensen a los Poemas nuevos de J. Heiberg, en el que se unen, de un modo diáfano, encarnación y resurrección.
(2026) Pérez-Borbujo Álvarez, Fernando (2026-02-07) Broner, Fernando; Cortina, Juan J.; Schmukler, Sergio L.; Williams, Tomas