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Article ; Online: Feeling too low to be active: Physical inactivity mediates the relationship between mental and physical health.

Zager Kocjan, Gaja / Avsec, Andreja / Kavčič, Tina

Social science & medicine (1982)

2023 Volume 341, Page(s) 116546

Abstract: Background: Physical inactivity is one of the most influential and pervasive risk factors for health problems. Therefore, public health experts call for interventions to promote physical activity across the lifespan. This study aimed to examine the role ...

Abstract	Background: Physical inactivity is one of the most influential and pervasive risk factors for health problems. Therefore, public health experts call for interventions to promote physical activity across the lifespan. This study aimed to examine the role of mental health in physical inactivity and the subsequent role of physical activity in various aspects of physical health. Methods: Data were collected in the third wave of the European Health Interview Survey (EHIS) in Slovenia. A nationally representative sample of 9,900 people (49.6% male) aged 15 years or more (M = 49.2; SD = 18.9 years) provided self-reports on depression (PHQ-8), subjective well-being (MHC-SF), physical (in)activity, bodily pain, long-standing activity limitations, their general health status, and possible chronic diseases. Results: The results of a path analysis showed that depression had a positive effect and well-being had a negative effect on physical inactivity, which in turn contributed to the likelihood of severe bodily pain, activity limitations, poor self-rated health, and multimorbidity. Depression and well-being contributed to health-related outcomes directly and indirectly through physical inactivity. Limitations: Because of the cross-sectional design, this study is limited in its ability to draw causal conclusions. All health data were self-reported. Conclusions: Results suggest that high levels of depression and low levels of subjective well-being may be an early warning sign of physical health problems. Interventions aimed at preventing or reducing mental health problems and promoting positive mental health may benefit not only mental health per se, but also prevent physical inactivity and, consequently, physical health problems.
MeSH term(s)	Humans ; Male ; Female ; Sedentary Behavior ; Cross-Sectional Studies ; Mental Health ; Exercise/psychology ; Pain
Language	English
Publishing date	2023-12-28
Publishing country	England
Document type	Journal Article
ZDB-ID	4766-1
ISSN	1873-5347 ; 0037-7856 ; 0277-9536
ISSN (online)	1873-5347
ISSN	0037-7856 ; 0277-9536
DOI	10.1016/j.socscimed.2023.116546
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Article ; Online: URINARY TRACT INFECTIONS IN NEONATES

Helena Klar / Tina Koren / Mojca Kavčič

Slovenska pediatrija, Vol 30, Iss 3, Pp 124-

CLINICAL PRESENTATION, CAUSATIVE AGENTS, AND ASSOCIATION WITH STRUCTURAL URINARY TRACT ANOMALIES

2023 Volume 130

Abstract: Background: Urinary tract infections occur more often in newborns than older children. With our research, we wanted to analyze the clinical picture and the connection with structural abnormalities of the urinary tract and create an overview of the ... ...

Abstract	Background: Urinary tract infections occur more often in newborns than older children. With our research, we wanted to analyze the clinical picture and the connection with structural abnormalities of the urinary tract and create an overview of the disease agents and their sensitivity to antibiotics. Methods: The retrospective study included hospitalized newborns due to urinary tract infections at the Clinical Department for Neonatology of the Paediatric Clinic between 2013 and 2021. Data were obtained using the Clinical Information System. Results: This research included 274 newborns, of which 69% were boys. The percentage of patients with associated urinary tract anomalies was 39,8%. Clinical signs upon admission were nonspecific; the most common were fever (37.1%), poor feeding (21.5%) and irritation or inconsolable weeping (17.1%). The most commonly discovered pathogen was Escherichia coli (E. coli) (60.4%). Antibiotic treatment was primarily given in the parenteral form (74.8%) and lasted, on average, 9,6 days, with a median of 7 days. The most commonly chosen empiric antibiotic therapy was therapy with ampicillin and gentamicin (61.3%). In 36.5%, the isolated bacteria were resistant to one of the tested antibiotics: Escherichia coli was most often resistant to ampicillin (36.7%) and in 1.8% to gentamicin. Conclusion: Clinical signs of urinary tract infection in neonates are nonspecific. A high percentage of newborns have associated urinary tract anomalies. The average age at the onset of the first signs of the disease is lower in newborns with congenital urinary tract anomalies. In this group of patients, Escherichia coli, as the most commonly isolated pathogen, occurs in a lower percentage and is resistant to ampicillin in a third of the cases and rarely to gentamicin.
Keywords	urinary tract infection ; newborn ; urine culture ; escherichia coli ; congenital abnormalities ; antibiotic resistance ; Medicine ; R ; Pediatrics ; RJ1-570
Subject code	610
Language	Slovenian
Publishing date	2023-10-01T00:00:00Z
Publisher	The Society for Children with Metabolic Disorders
Document type	Article ; Online
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Article ; Online: OKUŽBE SEČIL PRI NOVOROJENČKIH

Helena Klar / Tina Koren / Mojca Kavčič

Slovenska pediatrija, Vol 30, Iss 3, Pp 124-

KLINIČNA SLIKA, POVZROČITELJI IN POVEZAVA S STRUKTURNIMI NAPAKAMI SEČIL

2023 Volume 130

Abstract: Izhodišče: Okužbe sečil se pri novorojenčkih pojavljajo bolj pogosto kot pri starejših otrocih. V raziskavi smo želeli analizirati klinično sliko in povezavo s strukturnimi nepravilnostmi sečil ter pridobiti pregled nad povzročitelji in njihovo ... ...

Abstract	Izhodišče: Okužbe sečil se pri novorojenčkih pojavljajo bolj pogosto kot pri starejših otrocih. V raziskavi smo želeli analizirati klinično sliko in povezavo s strukturnimi nepravilnostmi sečil ter pridobiti pregled nad povzročitelji in njihovo občutljivostjo za antibiotike. Metode: V retrospektivno raziskavo smo vključili novorojenčke, ki so bili zaradi okužbe sečil hospitalizirani na Kliničnem oddelku za neonatologijo Pediatrične klinike med letoma 2013 in 2021. Podat-ke smo pridobili s pomočjo bolnišničnega informacijskega sistema Clinical. Rezultati: V raziskavo je bilo vključenih 274 novorojenčkov, od tega 69 % dečkov. Delež bolnikov s pridruženimi nepravilnostmi sečil je znašal 39,8 %. Klinični znaki ob sprejemu so bili nespecifični, najpogosteje so se pojavljali vročina (37,1 %), slabše hranjenje (21,5 %) in razdražljivost oziroma neutolažljiv jok (17,1 %). Najpogosteje dokazani povzročitelj okužbe je bila Escherichia coli (60,4 %). Antibiotično zdravljenje je večinoma potekalo v parenteralni obliki (74,8 %) in je v povprečju trajalo 9,6 dneva (mediana 7 dni). Najpogosteje izbrano empirično antibiotično zdravljenje je bilo zdravljenje z ampicilinom in gentamicinom (61,3 %). V 36,5 % je bila osamljena bakterija odporna proti enemu od testiranih antibiotikov. Escherichia coli je bila najpogosteje (36,7 %) odporna proti ampicilinu in v 1,8 % proti gentamicinu. Zaključek: Okužbe sečil se pri novorojenčkih lahko kažejo z nespecifičnimi znaki. Velik delež novorojenčkov ima pridružene nepravilnosti sečil – ti običajno zbolevajo bolj zgodaj kot novorojenčki z zdravimi sečili. Pri tej skupini bolnikov je najpogostejši povzročitelj okužbe prav tako Escherichia coli, a v manjšem deležu, in je v tretjini primerov odporna proti ampicilinu in le redko proti gentamicinu.
Keywords	okužba sečil ; novorojenček ; urinokultura ; escherichia coli ; prirojene nepravilnosti ; odpornost proti antibiotikom ; Medicine ; R ; Pediatrics ; RJ1-570
Language	Slovenian
Publishing date	2023-10-01T00:00:00Z
Publisher	The Society for Children with Metabolic Disorders
Document type	Article ; Online
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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Article ; Online: Psychological Functioning of Slovene Adults during the COVID-19 Pandemic: Does Resilience Matter?

Kavčič, Tina / Avsec, Andreja / Zager Kocjan, Gaja

The Psychiatric quarterly

2022 Volume 92, Issue 1, Page(s) 207–216

Abstract: As a public health emergency, a pandemic increases susceptibility to unfavourable psychological outcomes. The aim of the present study was to investigate the buffering role of personal resilience in two aspects of psychological functioning, mental health ...

Abstract	As a public health emergency, a pandemic increases susceptibility to unfavourable psychological outcomes. The aim of the present study was to investigate the buffering role of personal resilience in two aspects of psychological functioning, mental health and stress, among Slovene adults at the beginning of the COVID-19 outbreak. Within five days after Slovenia declared epidemics, 2722 participants (75% female) completed an on-line survey measuring mental health and perceived stress as outcome variables and demographics, health-related variables, and personal resilience as predictor variables. Hierarchical logistic regression analyses demonstrated that women, younger, and less educated participants had higher odds for less favourable psychological functioning during the COVID-19 outbreak. In addition, poorer health indicators and COVID-19 infection concerns predicted diminished psychological functioning. The crucial factor promoting good psychological functioning during the COVID-19 pandemics was resilience, additionally buffering against detrimental effects of demographic and health-related variables on mental health and perceived stress. While previous research suggests that mental health problems increase during pandemics, one way to prevent these problems and bolster psychological functioning is to build individuals' resilience. The interventions should be targeted particularly at younger adults, women, less educated people, and individuals who subjectively perceive their health to be rather poor.
MeSH term(s)	Adaptation, Psychological ; Adult ; Age Factors ; COVID-19/psychology ; Female ; Health Promotion ; Health Surveys ; Humans ; Male ; Resilience, Psychological ; Sex Factors ; Slovenia ; Young Adult
Keywords	covid19
Language	English
Publishing date	2022-03-11
Publishing country	United States
Document type	Journal Article ; Research Support, Non-U.S. Gov't
ZDB-ID	207521-0
ISSN	1573-6709 ; 0033-2720
ISSN (online)	1573-6709
ISSN	0033-2720
DOI	10.1007/s11126-020-09789-4
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Article: Measurement invariance of the CD-RISC-10 across gender, age, and education: A study with Slovenian adults.

Kavčič, Tina / Zager Kocjan, Gaja / Dolenc, Petra

Current psychology (New Brunswick, N.J.)

2021 Volume 42, Issue 3, Page(s) 1727–1737

Abstract: The study aimed to investigate measurement invariance of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) across gender, age, and education. Adults from a general population of Slovenia ( ...

Abstract	The study aimed to investigate measurement invariance of the 10-item Connor-Davidson Resilience Scale (CD-RISC-10) across gender, age, and education. Adults from a general population of Slovenia (
Language	English
Publishing date	2021-03-10
Publishing country	United States
Document type	Journal Article
ZDB-ID	2021598-8
ISSN	1936-4733 ; 1046-1310
ISSN (online)	1936-4733
ISSN	1046-1310
DOI	10.1007/s12144-021-01564-3
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Article ; Online: COVID-19 lockdown distress, but not the infection concerns, shape psychological functioning during the pandemic: The mediating role of basic psychological needs.

Avsec, Andreja / Zager Kocjan, Gaja / Kavčič, Tina

Scandinavian journal of psychology

2021 Volume 62, Issue 5, Page(s) 717–724

Abstract: This study examined the effect of COVID-19 lockdown and infection concerns on positive and negative aspects of psychological functioning during the first weeks of the new coronavirus pandemic, and the mediating role of basic psychological needs ... ...

Abstract	This study examined the effect of COVID-19 lockdown and infection concerns on positive and negative aspects of psychological functioning during the first weeks of the new coronavirus pandemic, and the mediating role of basic psychological needs satisfaction and frustration. Slovene adults (N = 425; 79% female) filled in questionnaires measuring COVID-19-related stressors, satisfaction and frustration of basic psychological needs, well-being, and ill-being. Results of the path analysis with Bootstrap estimation procedure revealed that the perceived severity of the COVID-19 lockdown circumstances predicted diminished psychological functioning of participants both directly and via decreased needs satisfaction and increased needs frustration. Conversely, the infection concerns had a much weaker and direct only effect on the increased ill-being, but no effect on well-being. These findings indicate that lockdown circumstances, but not the possibility of COVID-19 infection, predominantly shape individuals' ability to satisfy their basic needs and subsequently their psychological functioning during the pandemic. The study suggests that public health responses should address not only risk of infection but also people's psychological needs.
MeSH term(s)	Adult ; COVID-19/epidemiology ; COVID-19/prevention & control ; COVID-19/psychology ; Communicable Disease Control ; Female ; Health Knowledge, Attitudes, Practice ; Humans ; Male ; Needs Assessment ; Pandemics ; Personal Satisfaction ; Psychological Distress ; Surveys and Questionnaires
Language	English
Publishing date	2021-06-21
Publishing country	England
Document type	Journal Article
ZDB-ID	219197-0
ISSN	1467-9450 ; 0036-5564
ISSN (online)	1467-9450
ISSN	0036-5564
DOI	10.1111/sjop.12758
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Article: Coping profiles and their association with psychological functioning: A latent profile analysis of coping strategies during the COVID-19 pandemic.

Kavčič, Tina / Avsec, Andreja / Zager Kocjan, Gaja

Personality and individual differences

2021 Volume 185, Page(s) 111287

Abstract: While many adversities affect limited groups of people, the COVID-19 pandemic brought a range of stressors to entire populations. Using a person-centered approach, this study analyzed the most frequent combinations of coping strategies used by general ... ...

Abstract	While many adversities affect limited groups of people, the COVID-19 pandemic brought a range of stressors to entire populations. Using a person-centered approach, this study analyzed the most frequent combinations of coping strategies used by general population during the first wave of the pandemic in a sample of 1347 Slovenian adults. Latent profile analysis identified three coping profiles similar to those found in previous studies in specific samples and stressful circumstances: the engaged profile (active coping, planning, acceptance, positive reframing), the disengaged profile (low problem-focused coping, social support, acceptance, positive reframing), and the avoidant profile (substance use, self-blame, humor). Individuals with the engaged profile reported the highest levels of well-being and the lowest levels of ill-being. While individuals with the avoidant profile had the highest levels of anxiety and stress, those with the disengaged profile had the lowest levels of well-being, especially engagement and positive relationships. The results imply the need to distinguish between the two less adaptive coping profiles, as one is characterized by the active use of dysfunctional strategies, and the other by the low use of all strategies, suggesting that psychological interventions should be tailored to these specificities.
Language	English
Publishing date	2021-09-24
Publishing country	England
Document type	Journal Article
ZDB-ID	625323-4
ISSN	0191-8869
ISSN	0191-8869
DOI	10.1016/j.paid.2021.111287
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Article: Coping styles mediate the association between psychological inflexibility and psychological functioning during the COVID-19 pandemic: A crucial role of meaning-centered coping.

Avsec, Andreja / Eisenbeck, Nikolett / Carreno, David F / Kocjan, Gaja Zager / Kavčič, Tina

Journal of contextual behavioral science

2022 Volume 26, Page(s) 201–209

Abstract: People's psychological response to the COVID-19 pandemic is significantly affected by their psychological inflexibility. One possible mechanism explaining the association between psychological inflexibility and psychological functioning concerns coping ... ...

Abstract	People's psychological response to the COVID-19 pandemic is significantly affected by their psychological inflexibility. One possible mechanism explaining the association between psychological inflexibility and psychological functioning concerns coping styles. While avoidance and approach coping styles were previously found to mediate this association, the mediating role of meaning-centered coping has not yet been explored. However, meaning-centered coping it is likely to be crucial in circumstances as uncertain as those at the onset of the COVID -19 pandemic. This study explored the mediating role of the three coping styles in the relationship of psychological inflexibility with ill-being and well-being. Slovenian adults (
Language	English
Publishing date	2022-10-07
Publishing country	Netherlands
Document type	Journal Article
ISSN	2212-1447
ISSN	2212-1447
DOI	10.1016/j.jcbs.2022.10.001
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Article ; Online: Resilience matters: Explaining the association between personality and psychological functioning during the COVID-19 pandemic.

Zager Kocjan, Gaja / Kavčič, Tina / Avsec, Andreja

International journal of clinical and health psychology : IJCHP

2020 Volume 21, Issue 1, Page(s) 100198

Abstract: The objective of the study was to elucidate the underlying mechanism through which basic personality dimensions predict indicators of psychological functioning during the COVID-19 pandemic, including subjective well-being and perceived stress. As a ... ...

Abstract	The objective of the study was to elucidate the underlying mechanism through which basic personality dimensions predict indicators of psychological functioning during the COVID-19 pandemic, including subjective well-being and perceived stress. As a personality characteristic highly contextualized in stressful circumstances, resilience was expected to have a mediating role in this relationship. Method: A sample of 2,722 Slovene adults, aged from 18 to 82 years filled in the Big Five Inventory, the Connor-Davidson Resilience Scale, the Perceived Stress Scale, and the Mental Health Continuum. A path analysis with the Bootstrap estimation procedure was performed to evaluate the mediating effect of resilience in the relationship between personality and psychological functioning. Results: Resilience fully or partially mediated the relationships between all the Big Five but extraversion with subjective well-being and stress experienced at the beginning of the COVID-19 outburst. Neuroticism was the strongest predictor of less adaptive psychological functioning both directly and through diminished resilience. Conclusions: Resilience may be a major protective factor required for an adaptive response of an individual in stressful situations such as pandemic and the associated lockdown.
Language	English
Publishing date	2020-11-16
Publishing country	Spain
Document type	Journal Article
ZDB-ID	2208162-8
ISSN	2174-0852 ; 1697-2600
ISSN (online)	2174-0852
ISSN	1697-2600
DOI	10.1016/j.ijchp.2020.08.002
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Article ; Online: Resilience matters

Zager Kocjan, Gaja / Kavčič, Tina / Avsec, Andreja

International Journal of Clinical and Health Psychology ; ISSN 1697-2600

Explaining the association between personality and psychological functioning during the COVID-19 pandemic

2020

Keywords	Clinical Psychology ; covid19
Language	English
Publisher	Elsevier BV
Publishing country	us
Document type	Article ; Online
DOI	10.1016/j.ijchp.2020.08.002
Database	BASE - Bielefeld Academic Search Engine (life sciences selection)

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