Background The Functional Assessment of Cancer Therapy-Cognitive Function (FACT-Cog) evaluates perceived cognitive functioning and their impact on quality of life. This study was designed to evaluate the factors associated with cognitive functioning in a sample of women with breast cancer (BC) in Lebanon. We also sought to explore the psychometric properties of the FACT-Cog Arabic version. Methods A cross-sectional study was carried out between March and August 2020 among women with BC. Socio-demographic and clinical characteristics were collected. In addition, patients were asked to complete the FACT-Cog Arabic version as well as the European Organization for Research and Treatment of Cancer Quality of Life Core Questionnaire 30, the Patient Health Questionnaire (PHQ-9), and the Generalized Anxiety Disorder (GAD-7). The internal consistency of the FACT-Cog tool was evaluated using Cronbach’s alpha. Content, convergent, and known group validity of the FACT-Cog Arabic version were also evaluated. All statistical analyses were performed using SPSS version 23.0. Results A sample of 134 women with BC was collected. Internal consistencies of the FACT-cog total scale and its subscales were high (Cronbach’s α between 0.83 and 0.95). The convergent validity of the FACT-Cog Arabic version was supported by the positive correlation with the EORTC-cognitive functioning subscale. Moreover, negative correlations were found between FACT-Cog scale and fatigue, pain, anxiety, as well as depression. Known-group validity was supported by the statistically significant mean differences of the FACT-Cog total scale between patients in early (I &II) and late (III & IV) BC stages. Unmarried BC patients as well as those having higher depressive symptoms and a lower quality of life were found to be at higher risk of cognitive impairment. Conclusion The FACT-Cog Lebanese Arabic version is a valid and reliable tool for assessing perceived cognitive functioning in BC women. Higher level of depression and impaired quality of life were associated with a decline in cognitive functioning.

Background Dentists are at risk of burnout syndrome, which can have negative impacts on their work environment and productivity. Assessing burnout is crucial for maintaining the well-being and effectiveness of dentists in their profession. The present study aims to evaluate the psychometric properties of the Arabic version of the Maslach Burnout Inventory Human Services Survey (MBI-HSS) among dentists. Methods The original English version of the MBI-HSS was translated into Arabic, and then back-translated into English by experienced bilingual professionals. Lebanese dentists were asked to participate in the study between February and June 2019. Data collected included demographic information and items from the Arabic version of the MBI-HSS. Results A total of 441 people participated in the study, of whom 58.3% were men. The mean age of the sample was 39.6 years (SD = 12.8), with a range of 23 to 68 years old. Approximately 60% of dentists were specialists. Cronbach’s alphas were as follows: emotional exhaustion (alpha = 0.855), depersonalization (alpha = 0.823), and personal achievement (alpha = 0.667). The results of the test-retest reliability assessment demonstrated the strong reproducibility of the MBI-HSS [EE, ICC = 0.927 (0.845, 0.966), p-value < 0.0001; PA, ICC = 0.963 (0.921–0.983), p-value < 0.001; DP, ICC = 0.764 (0.497–0.889), p-value < 0.0001]. The exploratory factor analysis of the MBI-HSS yielded three psychometrically robust sub-domains representing dimensions of “emotional exhaustion,” “depersonalization,” and “personal achievement,” which explained 57.8% of the scale’s total variance. The confirmatory factor analysis revealed that the 15-item model (excluding items 4, 5, 12, 13, 16, 20, and 22) was the most fitting for the data. Conclusions The Arabic version of the MBI-HSS scale demonstrated good psychometric properties in Lebanese dentists. However, it would be important to conduct further research to confirm its reliability and validity in other Arab countries.

Background Coronavirus disease 2019 (COVID-19) is an emerging public health issue. Pregnant women are susceptible to its negative psychological impact. Particularly, pre-natal psychological health is critical as it can affect the well-being of the mothers and their fetuses. The present study aimed to assess the Covid-19 psychological impact on pregnant women, including posttraumatic stress disorder (PTSD), depression, and fear related to COVID-19 as well as to investigate their associated factors. Methods A cross-sectional study was conducted among pregnant women in Lebanon between 17th November 2020 and 27th February 2021. A standardized questionnaire was used to collect data about participants’ baseline characteristics and psychological status, including PTSD, depression as well as fear related to COVID-19. Results Out of the 466 respondents, 28.5% (n = 133) had PTSD related to Covid-19, and 22.1% (n = 133) had depression. The mean score for the fear of Covid-19 was 18.51 ± 5.55. Pregnant women’s depression and fear of Covid-19 were significantly associated with PTSD (adjusted OR = 5.85 with 95% CI of 3.37 to10.16; adjusted OR = 1.19 with 95% CI of 1.13 to 1.26, respectively). Furthermore, smoking during pregnancy and encountering difficulties in accessing healthcare during the pandemic were found to be associated with depression, while practicing home quarantine was found to be associated with the fear of Covid-19. Pregnant women who perceived high risks towards Covid-19 and those who experienced PTSD had high levels of both depression and the fear of Covid-19 compared to their counterparts. Conclusion High levels of PTSD, depression, and fear of Covid-19 were detected among Lebanese pregnant women. This recommends further psychological interventions to mitigate these levels.