Recurrence of gastroesophageal reflux disease (GERD) is common among patients who are no longer receiving proton pump inhibitors (PPIs). This study investigated factors associated with GERD recurrence. We included 499 consecutive GERD patients who completed validated reflux and psychological questionnaires before undergoing upper endoscopy. All patients were treated with PPIs and followed up. Recurrence was observed in 89 (30.4%) of 293 patients during the 1-year follow up. Patients with recurrence had a higher prevalence of diabetes mellitus (p = 0.037), higher baseline GERD Questionnaire (GERDQ) scores (p = 0.002), and higher Pittsburgh Sleep Quality Index scores (p = 0.045). Log-rank analysis showed that a GERDQ score of ⩾8 was independently associated with an increased recurrence risk (p = 0.002). The scores of all psychological questionnaires and health-related quality of life questionnaire worsened more at the end of follow up in patients with recurrence than in those without recurrence. Multivariate analysis revealed that a higher GERDQ score was the only independent risk factor for GERD recurrence (p = 0.024). GERD patients who have greater initial symptom burden will have a higher recurrence rate after discontinuing PPIs. GERD patients with greater initial symptom burden are more likely to have recurrence after discontinuing PPIs. This study highlights the importance of developing a new strategy to prevent GERD recurrence in the management of this common disorder.

Pain management is a critical challenge in healthcare, often exacerbated by loneliness and emotional distress. This study investigated the potential of a communication robot, Moffuly, to reduce pain perception and influence hormonal responses in a controlled experimental setting. Nineteen healthy participants underwent heat pain stimulation under two conditions: with and without robotic interaction. Pain levels were assessed using the Short-form McGill Pain Questionnaire and the Visual Analogue Scale, while mood and mental states were evaluated through established questionnaires including the Profile of Mood States, Hospital Anxiety and Depression Scale, and Self-Rating Depression Scale. Hormonal changes, including cortisol, growth hormone, oxytocin, estradiol, and dehydroepiandrosterone-sulfate, were measured from blood samples collected at key time points. The results demonstrated significant reductions in subjective pain and improvements in mood following robotic interaction. These effects were accompanied by favorable hormonal changes, including increased oxytocin and decreased cortisol and growth hormone levels. The findings suggest that robotic interaction may serve as an innovative approach to pain management by addressing both physiological and psychological factors. This study highlights the potential of robotics to complement traditional therapies in alleviating pain and enhancing emotional well-being. By mitigating emotional distress and loneliness, robotic interventions may enhance existing pain therapies and offer innovative solutions for resource-limited healthcare systems.

Background: As the Internet of Things (IoT) expands, it enables new forms of communication, including interactions mediated by teleoperated robots like avatars. While extensive research exists on the effects of these devices on communication partners, there is limited research on the impact on the operators themselves. This study aimed to objectively assess the psychological and physiological effects of operating a teleoperated robot, specifically Telenoid, on its human operator. Methods: Twelve healthy participants (2 women and 10 men, aged 18–23 years) were recruited from Osaka University. Participants engaged in two communication sessions with a first-time partner: face-to-face and Telenoid-mediated. Telenoid is a minimalist humanoid robot teleoperated by a participant. Blood samples were collected before and after each session to measure hormonal and oxidative markers, including cortisol, diacron reactive oxygen metabolites (d-ROMs), and the biological antioxidat activity of plasma (BAP). Psychological stress was assessed using validated questionnaires (POMS-2, HADS, and SRS-18). Results: A trend of a decrease in cortisol levels was observed during Telenoid-mediated communication, whereas face-to-face interactions showed no significant changes. Oxidative stress, measured by d-ROMs, significantly increased after face-to-face interactions but not in Telenoid-mediated sessions. Significant correlations were found between oxytocin and d-ROMs and psychological stress scores, particularly in terms of helplessness and total stress measures. However, no significant changes were observed in other biomarkers or between the two conditions for most psychological measures. Conclusions: These findings suggest that cortisol and d-ROMs may serve as objective biomarkers for assessing psychophysiological stress during robot-mediated communication. Telenoid’s minimalist design may help reduce social pressures and mitigate stress compared to face-to-face interactions. Further research with larger, more diverse samples and longitudinal designs is needed to validate these findings and explore the broader impacts of teleoperated robots.

Individual differences in pain sensitivity are thought to relate to personality traits, but the underlying mechanisms remain unclear. Exercise influences hormonal secretion via the hypothalamic–pituitary system, which may link personality, hormonal responses, and pain perception. This study investigated these relationships in 14 healthy participants (3 females, 11 males, aged 20–50 years, mean 28 ± 9.25 years). Participants rated thermal pain stimuli and completed the NEO Personality Inventory-Revised (NEO-PI-R) to identify their personality. Each participant engaged in personal and group training sessions, with blood samples collected to measure cortisol, growth hormone, and other indicators. Participants were clustered into cortisol hypersecretors and hyposecretors based on their hormonal response. Hypersecretors exhibited significantly lower neuroticism scores and pain ratings than hyposecretors. These findings suggest a potential association between cortisol responsiveness during exercise, neuroticism, and pain sensitivity. This study highlights potential links between personality traits and reactive hormonal patterns, offering insights into the psychophysiological mechanisms underlying pain expression.