(1) Background: The aim of this study was to explore the role of perceived stress and the health locus of control in Crohn’s disease and their influence upon the development of flare-ups of this disease. (2) Methods: Stress and the external locus of control were evaluated in a sample of 64 Crohn’s patients (flare-up phase versus latency phase). The perceived stress scale (PSS-14) and the multidimensional health locus of control scale were the measurement instruments used. (3) Results: The results indicate that the patients have high stress levels during a flare-up (26.13; 27.44; 28.79; 29.67); high stress levels (28.07; 29.67; 27.44; 28.07) if they have a high external locus of control; and that the external locus of control and stress levels have a significant influence upon the existence of flare-ups in those patients with low external locus of control levels (χ2 = 11.127; df = 1: p < 0.001). (4) Conclusions: Actions aimed at reducing stress and external locus of control levels are necessary in Crohn’s disease.

Presentamos en este artículo una propuesta de definición del concepto de «diagnóstico social» que consideramos contempla y sintetiza las características más destacadas señaladas por los diferentes autores que han tratado esta cuestión, desde Mary Richmond hasta la actualidad. Para ello realizamos una revisión bibliográfica de la evolución del concepto de «diagnóstico social» y el análisis de los principales elementos señalados en la literatura acerca de su correcta delimitación y formulación.

Background/Objectives: Crohn’s disease is a chronic and debilitating intestinal disorder that alternates between remission and active flare-ups, often leading to hospitalization. Social support is known to enhance adaptation to the disease and modulate stress perception in patients, while stress may exacerbate symptoms. The aim of this study was to examine the roles of perceived stress and social support in Crohn’s disease and their impact on the frequency of flare-ups. Methods: A cross-sectional observational study was conducted, assessing stress and social support in a cohort of 91 patients with Crohn’s disease during flare-up and remission phases. The Perceived Stress Scale (PSS-14) and a Social Support Questionnaire were utilized for evaluation. We examined the relationship between stress and social support in Crohn’s disease. The interaction between the variables studied was also observed, considering the stage of the disease. Finally, we carried out an analysis of the influence of these two variables on the development of flare-ups in Crohn’s disease. Results: The study revealed that patients experience higher stress levels during flare-ups and that these levels are amplified by a lack of social support. A significant relationship was identified between the levels of social support and the occurrence of flare-ups, indicating that better social support is associated with fewer flare-ups. Conclusions: Patients with Crohn’s disease in the flare-up phase are subject to considerable stress. A deficit in social support is linked to an increase in stress levels. The interaction between social support and stress plays a critical role in the development of flare-ups.

The main objective of this study is to determine whether mediation is regarded as an autonomous discipline from both academic and professional standpoints. To achieve this, the study initially conducted a review of the most recent literature on the subject, followed by gathering opinions from experts, professionals, and trainers across eight different countries through in‐depth interviews and discussion groups. Among the primary findings of the research, it becomes apparent that while mediation remains a relatively underexplored topic, existing literature suggests that it possesses elements to assert its status as a scientific discipline, evidenced by its own axioms, paradigms, models, and methodologies. However, the professionals and experts consulted contend that it falls short of being classified as such. They cite several challenges, including the scarcity of real cases for investigation, the disconnect between theory and professional application, and the need for enhanced quality in scientific research to surmount the stagnation it has encountered for years.

In conditions of liquid modernity, marked by accelerated technological change, the virtualization of essential services, and the erosion of stable institutional support, digital participation in later life is less a matter of initial access than of continuously renegotiating engagement within unstable socio-technical environments. While established technology adoption models such as TAM, UTAUT, and STAM have provided robust explanations of cognitive and age-related determinants of adoption, they remain limited in accounting for the relational processes through which technological engagement is learned, stabilized, and sustained over time. This article advances a relational perspective on technology appropriation by foregrounding the role of warm experts—trusted informal supporters who mediate learning, interpretation, and adaptation in everyday contexts. Moving beyond dyadic understandings of assistance, the paper conceptualizes mediation as a distributed ecology of roles embedded within relational networks that both enable and constrain digital inclusion. Building on this perspective, the study proposes the Relational Technology Appropriation Model (RELTAM) as a general multi-level architecture integrating individual determinants, relational mediation processes, and network-level support configurations within a dynamic framework of appropriation. The Relational (Older Adult) Technology Appropriation Model (REL(OA)TAM) is introduced as a context-specific instantiation of this broader framework, calibrated to the distinctive conditions of later life. By incorporating temporal instability and mediation ecologies as structural components, REL(OA)TAM offers a socially grounded account of digital inclusion as an ongoing process of adaptive negotiation within the fluid and uncertain conditions of liquid modernity.