Recent studies have documented the high prevalence of burnout among medicine and dentistry students, with potentially catastrophic consequences for both students and patients. Both environmental and personality factors play a part in burnout; perfectionism, a common trait in medicine students’ personalities, has been linked to psychological distress and increasing students’ vulnerability to burnout. Self-compassion, i.e., treating oneself kindly through hardship, has recently emerged as a buffer between perfectionism and psychological distress. While using a novel three-factor conceptualization of perfectionism (BIG3), this study aims to analyze if self-compassion has a protective role in the relationship between perfectionism and burnout, in a sample of medicine and dentistry students, through mediation analysis. We found that self-compassion significantly mediated the relationship between all three forms of perfectionism and burnout: as a partial mediator in self-critical and rigid perfectionism, as well as a full mediator in narcissistic perfectionism. Our findings underline self-compassion’s relevance in burnout prevention and management, supporting its use as an intervention target in burnout reduction programs and strategies.

Background: Women in the postpartum period may be particularly vulnerable to the psychological effects of the COVID-19 pandemic. The aim of our study was to evaluate the impact of the coronavirus pandemic on postpartum depression and anxiety levels and the role of the fear of COVID-19 in its development. Methods: Women who delivered at the Bissaya Barreto Maternity Hospital, between 16 March and 16 June 2020 (Group 1: Birth in COVID-19 period, n = 207), recruited in the postpartum period, filled in a set of self-reported validated questionnaires: Perinatal Depression Screening Scale, Perinatal Anxiety Screening Scale, Profile of Mood States, Perseverative Thinking Questionnaire, Dysfunctional Beliefs Towards Maternity Scale, and the Fear of COVID-19 Scale. Levels of depressive and anxious symptomatology, negative affect, negative repetitive thinking, and the dysfunctional beliefs towards motherhood of these women were compared with data from samples of previous studies that included women whose delivery had occurred at the same Maternity Hospital before the COVID-19 pandemic period (Group 2: Birth before the COVID-19 period, n = 212). Results: Based on the cutoff points of the screening scales, the prevalence of clinically relevant depressive and anxious symptoms in Group 1 was 40.1% and 36.2%, respectively. Women in Group 1 had significantly higher levels of anxious and depressive symptoms, negative affect, negative repetitive thinking, and dysfunctional beliefs towards motherhood than women in Group 2 (p < 0.05). Fear of COVID-19 in the postpartum period was a predictor of depressive (ß = 0.262) and anxious (ß = 0.371) symptoms, explaining 6.9% and 13.7% of their variability, respectively (p < 0.001). Conclusion: During the COVID-19 pandemic, women in the postpartum period present greater depressive and anxious symptomatology, as well as increased risk factors.

Mental health-related stigma occurs among the public and professionals alike. The lived experience of mental illness has been linked to less stigmatising attitudes. However, data on psychiatrists and the relationship between stigmatising attitudes and psychotherapeutic activity or case discussion groups remains scarce. A cross-sectional multicentre study was performed in 32 European countries to investigate the lived experiences and attitudes of psychiatrists toward patients with mental illness as well as the relationship between stigma, psychosocial and professional factors. The self-reported, anonymous, internet-based Opening Minds Stigma Scale for Health Care Providers was used to measure the stigmatising attitudes. The survey was translated into the local language of each participating country. All participants were practising specialists and trainees in general adult or child and adolescent psychiatry. The study took place between 2nd October, 2019 and 9th July, 2021 and was preregistered at ClinicalTrial.gov (NCT04644978). A total of 4245 psychiatrists completed the survey. The majority, 2797 (66%), had completed training in psychiatry, and 3320 (78%) worked in adult psychiatry. The final regression model showed that across European countries more favourable attitudes toward people with mental illness were statistically significantly associated with the lived experience of participants (including seeking help for their own mental health conditions (d = −0.92, 95% confidence interval (CI) = −1.68 to −0.15, p = 0.019), receiving medical treatment for a mental illness (d = −0.88, 95% CI = −1.71 to −0.04, p = 0.040), as well as having a friend or a family member similarly affected (d = −0.68, 95% CI = −1.14 to −0.22, p = 0.004)), being surrounded by colleagues who are less stigmatising (d = −0.98, 95% CI = −1.26 to −0.70, p < 0.001), providing psychotherapy to patients (d = −1.14, 95% CI = −1.63 to −0.65 p < 0.001), and being open to (d = −1.69, 95% CI = −2.53 to −0.85, p < 0.001) and actively participating in (d = −0.94, 95% CI = −1.45 to −0.42, p < 0.001) case discussion, supervision, or Balint groups. Our study highlights the importance of psychotherapy training, supervision, case discussions and Balint groups in reducing the stigmatising attitudes of psychiatrists toward patients. As the findings represent cross-national predictors, Europe-wide policy interventions, national psychiatric education systems and the management of psychiatric institutions should take these findings into consideration. National Youth Talent Award (Ministry of Human Resources, Hungary, (NTP-NFTÖ-20-B-0134). All authors received no funding for their contribution.

Psychological reactions to the climate change (CC) crisis, encompassing worry, distress, and impairment, are influenced by personality. Also, these psychological reactions to CC and future anxiety can impact an individual’s overall psychological distress. The role of perfectionism in psychological distress through CC reactions and future anxiety (FA) has not yet been explored. Our aim was to explore the mediator roles of CC worry, CC distress, CC impairment, and FA in the link between perfectionism and general psychological distress while controlling for the effect of gender. A path analysis was conducted on a sample of 577 adults (mean age = 32.62 ± 14.71) from the general population (64.5% women). The final model with all statistically significant path coefficients (p ≤ 0.01) presented an excellent model fit: χ²(6) = 1.56, p = 0.152; CFI = 0.995; GFI = 0.995; TLI = 0.986; RMSEA = 0.031, CI = 0.000–0.068, p = 0.764. Perfectionism was associated with general PD through several indirect pathways, including CC worry, CC distress, CC impairment, and FA, while controlling for the effect of gender. The model explained 3.89% of CC worry, 39.70% of CC distress, 20.64% of CC impairment, 23.73% of FA, and 20.20% of general PD. These findings suggest that cognitive and emotional responses to CC and future anxiety are exacerbated with higher perfectionism levels, which leads to higher overall psychological distress. These data underscore that individuals with high levels of perfectionism may require help to psychologically adapt to CC. Interventions aimed at lowering the maladaptive cognitive and emotional responses to climate threats should be implemented.

Background: Although obsessive-compulsive (OC) symptoms are common in the perinatal period, measures to comprehensively assess their presence, frequency, interference and severity are lacking. The Perinatal Obsessive–Compulsive Scale (POCS) is the only self-report questionnaire with context-specific items. It includes items to assess perinatal-specific obsessions and compulsions, a severity scale and an interference scale. Objectives: (1) to analyze the validity and reliability of the Portuguese version of the POCS; (2) to find Obsessive–Compulsive Disorder (OCD) prevalence in postpartum and determine the POCS cut-off scores and its accuracy (sensitivity, specificity and predictive values) in screening for OCD according to DSM-5 criteria; (3) to describe the prevalence, content, severity, interference and onset of OC symptoms in the postpartum. Methods: 212 women in postpartum filled in a booklet, including the POCS Portuguese preliminary version, the Perinatal Anxiety Screening Scale and the Postpartum Depression Screening Scale; they were interviewed with the Diagnostic Interview for Psychological Distress—Postpartum. Results: Confirmatory Factor Analysis revealed that POCS presented acceptable fit indexes (χ²/df = 2.2971; CFI= 0.9319; GFI = 0.8574; TLI = 0.9127; RMSEA = 0.860, p < 0.001). The Cronbach’s alphas were all > 0.800. The POCS cut-off point that maximized the Youden Index (J = 0.86, 95% CI [0.94–0.99]) was 20, corresponding to an Area Under the Curve of 0.970 (p < 0.001; Standard Error = 0.031; 95% CI: 0.937 to 0.988). The prevalence of postpartum OCD was 3.30%. The severity of thoughts and behaviors was moderate to severe for approximately 15% of women. For thirty-five percent of women, the onset of symptoms was in the first three months postpartum. Conclusions: The Portuguese version of POCS has good validity, reliability and accuracy and may be considered ready for use in both clinic and research fields. POCS provides specific information regarding symptoms and individual patterns experienced by each woman, which allows normalization, destigmatization and personalized intervention.

Personality traits are essential to understanding individual differences in values, attitudes, behaviours, and cognitive-emotional reactions to climate change (CC). Prosocial traits (empathy and altruism) and nature relatedness (NR), that is, the subjective sense of connection with the natural world, have been linked both to pro-environmental behaviours (PEB) and to CC-related psychological distress. As these reactions are increasingly common in the context of CC, it is crucial to distinguish their adaptive components from their maladaptive ones, namely, by identifying which psychological predictors most strongly promote PEB, in order to design targeted interventions and communication strategies that effectively foster sustainable action. This study examined whether CC-worry, CC-distress, and CC-impairment mediate the relationships between prosocial traits, NR, and PEB. A community sample of 577 adults (mean age = 32.62 ± 14.71 years; 64.6% women) completed self-report measures of the abovementioned study variables, and a multiple mediation model using structural equation modelling was tested. Prosocial traits and NR were positively associated with CC-related psychological distress and PEB, and CC-worry and CC-distress showed significant mediating roles, whereas CC-impairment did not. The model explained 40% of PEB’s variance. Overall, CC-worry and CC-distress appear to function as adaptive, motivational processes that link positive traits and nature connection to environmental action, while CC-impairment reflects a maladaptive, unconstructive response that may index the more pathological end of climate change-related psychological distress.