FIBROWALK is a multicomponent program including pain neuroscience education, therapeutic exercise, cognitive behavioral therapy and mindfulness training that has recently been found to be effective in patients with fibromyalgia (FM). This RCT started before the COVID-19 pandemic and was moved to a virtual format (i.e., online videos) when the lockdown was declared in Spain. This study is aimed to evaluate the efficacy of a virtual FIBROWALK compared to Treatment-As-Usual (TAU) in patients with FM during the first state of alarm in Spain. A total of 151 patients with FM were randomized into two study arms: FIBROWALK plus TAU vs. TAU alone. The primary outcome was functional impairment. Secondary outcomes were kinesiophobia, anxiety and depressive symptomatology, and physical functioning. Differences between groups at post-treatment assessment were analyzed using Intention-To-Treat (ITT) and completer approaches. Baseline differences between clinical responders and non-responders were also explored. Statistically significant improvements with small-to-moderate effect sizes were observed in FIBROWALK+TAU vs. TAU regarding functional impairment and most secondary outcomes. In our study, the NNT was 5, which was, albeit modestly, indicative of an efficacious intervention. The results of this proof-of-concept RCT preliminarily support the efficacy of virtual FIBROWALK in patients with FM during the Spanish COVID-19 lockdown.

The burnout syndrome is the consequence of chronic stress that overwhelms an individual’s resources to cope with occupational or academic demands. Frenetic, under-challenged, and worn-out are different burnout subtypes. Mindfulness has been recognized to reduce stress, comprising five facets (observing, describing, acting with awareness, non-judging of inner experience, and non-reactivity to inner experience). This cross-sectional study aimed to assess the relationship between mindfulness facets, perceived stress, and burnout subtypes in a sample of 1233 students of Education, Nursing, and Psychology degrees from different universities of Valencia (Spain). Structural Equation Modelling (SEM) was computed showing an adequate fit (Chi-square, CFI, TLI, RMSEA, and SRMR). Four mindfulness facets (all but observing) significantly correlated with general second-order mindfulness. Unexpected results were found: Acting with awareness facet was positively associated with frenetic subtype, while the non-reacting facet was positively associated with frenetic and under-challenged subtype. Ultimately, mindfulness facets negatively predicted the perceived stress levels, which in turn, predicted burnout. However, mindfulness plays different roles in the early stages of burnout syndrome (i.e., frenetic and under-challenged).

Background: The aim of this study was to assess the effects that psychological and physiological stressors have on indoor rock climbers, as well as to identify sex differences. Methods: 14 intermediate rock climbers participated in the study, 10 males and 4 females. Mean age was 31 ± 8 years for males and 21 ± 2 years for females. Day 1 consisted of test familiarization and baseline measurements. Day 2 included two test conditions, startle and fatigue, separated by 20 min. In the startle condition, participants had to lead climb a route, and a loud audio stimulus was presented near the top of the climb. In the fatigue condition, participants were required to climb as fast as they could until muscular failure. The competitive state anxiety inventory second review (CSAI-2R) questionnaire was used to assess somatic anxiety, cognitive anxiety, and self-confidence. The four-square step test (FSST) was used to assess motor control, and cortisol levels were acquired via passive drool (PD). Results: Cortisol concentrations were highest in the pre-startle condition (1.72 μg/dL ± 0.66), and values decreased post-startle (1.67 μg/dL ± 0.74) and post-fatigue (1.42 μg/dL ± 0.72). However, cortisol concentrations increased post-startle in females (1.57 μg/dL ± 0.96). Somatic anxiety in males was significantly higher post-startle (16.36 ± 5.54) than pre-startle (14.23 ± 5.09). Females had significantly higher somatic anxiety post-startle (18.00 ± 8.76), and they had lower self-confidence levels (30.00 ± 5.89) than males. Conclusions: There are differences in the way that males and females prepare and respond to stressful situations. Furthermore, time of day may have had a significant impact on cortisol concentrations.

In a challenging work environment, entrepreneurship orientation (hereafter, EO) can be an important asset for university students. In this study, we investigated the EO and concerns about the future of B.A. students, focusing on the role of mindfulness levels. A total of 204 students, including those coming from family businesses (hereafter, FB), were asked about their intention of creating their own business and future concerns with an ad hoc questionnaire, and about their mindfulness levels with the Mindful Attention Awareness Scale. The results showed no differences in concerns about the future between those students coming from a family business and those who did not. However, in that group of students who were uncertain about starting a business career, a negative association between mindfulness and future concerns was found. This paper sheds light on the relationship between mindfulness and concerns about the future in Business Administration (hereafter, B.A.) students, concluding that, in the face of uncertainty, higher levels of mindfulness help to reduce concerns about the future. Finally, we indicate the relevance of this study for entrepreneurs, family business members, policymakers and B.A. Faculties and Business schools.

A significant part of the world economy is devoted to agriculture. The sector accounts for 27% of global employment and 4% of global GDP. Approximately 28.5 million farms are located in Europe and Latin America. In this sector, many uncertainties negatively impact farmers’ mental and emotional well-being. Many factors contribute to increased stress and a worsening of farmers’ mental health, including health problems resulting from the conducting their profession, economic uncertainty, the effects of climate change, and technological changes in the agricultural sector. Despite the existence of literature review studies related to mental health in agriculture, no bibliometric review study has been conducted. This article presents the first in-depth bibliometric analysis of the scientific literature on mental health in agriculture and operates based on Scopus and Web of Science databases. The results are presented as tables and explanatory diagrams describing the findings. The findings show the exponential increase in research in the last ten years and the evolution towards more social and health-related topics across the previous five years. The most common keywords are “suicide”, “stress”, and “depression”. No topic has been found where the current scientific production was significantly larger than the rest, indicating the wide variety of research sub-topics in this field.