Stringhe tradotte
Federica Frau/Vascular Age Check Riepilogo
This is a noninvasive assessment for the prevention and screening of hypertension that examines blood pressure and arterial stiffness. Determining arterial stiffness is equivalent to estimating the ability of arteries to expand and contract in relation to various phases of the cardiac cycle. A stiffer artery has a reduced ability to cushion, by dilating, the blood flow emitted at each systole, and the result is higher values of systolic pressure and lower values of diastolic pressure centrally.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-beingThis is a noninvasive assessment for the prevention and screening of hypertension that examines blood pressure and arterial stiffness. Determining arterial stiffness is equivalent to estimating the ability of arteries to expand and contract in relation to various phases of the cardiac cycle. A stiffer artery has a reduced ability to cushion, by dilating, the blood flow emitted at each systole, and the result is higher values of systolic pressure and lower values of diastolic pressure centrally .
Stringhe tradotte
Federica Frau/Bones Check Riepilogo
Osteoporosis is defined as a systemic disease of the skeletal system, characterized by low mineral density and deterioration of the micro-architecture of bone tissue, resulting in increased bone fragility mainly related to aging. This situation leads, consequently, to an increased risk of fracture (particularly of vertebrae, femur, wrist, humerus, ankle) due to even minimal trauma. The processes of bone demineralization mainly affect women after menopause, but also young women and men with genetic predisposition. Osteoporosis does not give immediate symptomatology so it is very difficult to diagnose, it is called a "silent" disease with no obvious symptoms.
Numerous data show that obesity is strongly correlated wOsteoporosis is defined as a systemic disease of the skeletal system, characterized by low mineral dens ithy an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-beingd deterioration of the micro-architecture of bone tissue, resulting in increased bone fragility mainly related to aging. This situation leads, consequently, to an increased risk of fracture (particularly of vertebrae, femur, wrist, humerus, ankle) due to even minimal trauma. The processes of bone demineralization mainly affect women after menopause, but also young women and men with genetic predisposition. Osteoporosis does not give immediate symptomatology so it is very difficult to diagnose, it is called a "silent" disease with no obvious symptoms .
Stringhe tradotte
Federica Frau/PSA Check Gestione
In general, PSA values in the range of 0.1 and 4 ng/mL are considered normal, while levels above 4 ng/mL are considered abnormal. However, the normal range can be extended up to 6.5 ng/mL in men over 65 years of age, as PSA values tend to increase with age.<g id="1"/>Beyond age, the test result can be altered by several other factors. For example, certain medications for the treatment of benign prostatic hypertrophy and baldness (such as finasteride and dutasteride) can reduce PSA values by 50 percent, just as medications that affect testosterone levels can alter the outcome of the test.<g id="2"/>Also trauma to the prostate from, for example, prolonged bicycling, motorcycle riding, or horseback riding can increase PSA levels in the blood.<g id="3"/>In addition, it is recommended not to test with a current urinary infection or immediately after having some specific invasive tests (such as rectal examination or prostate biopsy), as these conditions can raise PSA levels. Finally, for the same reason, it is recommended not to engage in strenuous physical activity or sexual intercourse in the 48 hours prior to the test.<g id="4"/> Consequently, please remember not to make appointments if these circumstances are present.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancerIn general, PSA values in the range of 0.1 and 4 ng/mL are considered normal, while levels above 4 ng/mL are considered abnormal. However, the normal range can be extended up to 6.5 ng/mL in men over 65 years of age, as PSA values tend to increase with age.<g id="1"/>Beyond age, the test result can be altered by several other factors. For example, certain medications for the treatment of benign prostatic hypertrophy and baldness (such as finasteride and dutasteride) can reduce PSA values by 50 percent, just as medications that affect testosterone levels can alter the outcome of the test.<g id="2"/>Also trauma to the prostate from, for example, prolonged bicycling, motorcycle riding, or horseback riding can increase PSA levels in the blood .<g id="03 "/> to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being., it is recommended not to test with a current urinary infection or immediately after having some specific invasive tests (such as rectal examination or prostate biopsy), as these conditions can raise PSA levels. Finally, for the same reason, it is recommended not to engage in strenuous physical activity or sexual intercourse in the 48 hours prior to the test.<g id="4"/> Consequently, please remember not to make appointments if these circumstances are present.
Stringhe tradotte
Federica Frau/Joint Mobility Check Gestione
At the end of the check-up, a report will be provided to the client showing the mobility scores for all exercises performed and the observational postural assessment with indications of how posture might affect his mobility.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.At the end of the check-up, a report will be provided to the client showing the mobility scores for all exercises performed and the observational postural assessment with indications of how posture might affect his mobility.
Stringhe tradotte
Federica Frau/Urine Check Gestione
The parameters that can be analyzed through this test are:
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.The parameters that can be analyzed through this test are:
Stringhe tradotte
Federica Frau/Oral Check Gestione
Untreated dental caries is the most common health condition according to the Global Burden of Disease 2019: "An estimated 2 billion people suffer from caries of<g id="0"/> permanent teeth, while 520 million children suffer from caries of baby teeth."<g id="1"/> Most oral health problems are linked to a number of modifiable risk factors, including sugar consumption, tobacco use, alcohol use and poor oral hygiene. Preventing them means helping to reduce the risk of many related systemic diseases, because as scientific evidence shows, the well-being of oral health is linked to that of the whole body.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addiUntreated dental caries is the most common health condition according to the Global Burden of Disease 2019: "An estimated 2 billion people suffer from caries of<g id="0"/> permanent teeth, while 520 million children suffer from caries of baby teeth."<g id="1"/> Most oral health problems are linked to a number of modifiable risk factors, including sugar consump tion, to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the pobacco use, alcohol use and poor oral hygiene. Preventing them means helping to reduce the risk of many related systemic diseases, because as scientific evidence shows, the well-be intg of damaging individual psychological well-beingoral health is linked to that of the whole body .
Stringhe tradotte
Federica Frau/Dry Eye Check Gestione
Customer information
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.Customer information
Stringhe tradotte
Federica Frau/Cardio Check Gestione
This check-up is noninvasive, and an instrument is used to measure the heart rate, which can be placed on the leg, chest or palm of the hand, providing useful results for possible medical advice.<g id="7"/> Single-derivative electrocardiographic detection is a screening for the evaluation of arrhythmias, so it is necessary to emphasize that the detection of any abnormalities does not constitute a diagnosis as it is a spontaneous preventive activity, and the certain presence of cardiac disorders can only be made after a thorough clinical study. In general, it is possible to consider that the lower the average heart rate the lower the risks of developing cardiovascular disease.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesThis check-up is noninvasive, and an instrument is used to measure the heart rate, which can be placed on the leg, chest or palm of the hand, providing useful results for possible medical advice.<g id="7"/> Single-derivative electrocardiographic detection is a screening for the evaluation of arrhythmias, so it is necessary to emphasize that the detection of any abnormalities does not constitute a diagnosis as it is a spontaneous preventive activity, and the certain presence of cardiac disorders can only be made after a thorough clinical study. In general, ity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-beings possible to consider that the lower the average heart rate the lower the risks of developing cardiovascular disease .
Stringhe tradotte
Federica Frau/DDimer Check Gestione
At the end of the check-up, a report will be provided to the client in which:
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairmAt the end of the check-up, a report will be provided to the cli ents in function that can impoverish the quality of life to the point of damaging individual psychological well-being.which:
Stringhe tradotte
Federica Frau/W Pregnancy Check Riepilogo
The preconception period is defined as the time between when the couple is open to procreation, because they desire a pregnancy or because they do not rule it out in the medium to long term, and conception. Therefore, it is important to assess a woman's health status early to obtain an overall picture of the health status of the possible future pregnant woman. Currently, preconception health is considered a key element of maternal and child health and its promotion, as some preventive interventions to be fully effective must be implemented before conception. For example: folic acid supplementation; healthy lifestyles; varicella, measles, and rubella vaccinations; management and monitoring of chronic diseases such as diabetes, hypertension, and epilepsy; and genetic counseling.
Numerous data show that obesity is strongly corThe preconception period is defined as the time between when the couple is open to proc related with an increased risk in contracting cardiological, respiration, because they desire a pregnancy or because they do not rule it out in the medium to long term, and conception. Theref orye , or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or boweit is important to assess a woman's health status early to obtain an overall picture of the health status of the possible future pregnant woman. Currently, preconception health is considered a key element of materna l cancer.<g id="0"/> In addition to the clinical aspects, obesity involvesd child health and its promotion, as some preventive interventions to be fully effective must be impairle ments in function that can impoverish the quality of life to the poed before conception. For example: folic acid supplementation; healthy lifestyles; varicella, measles, and rubella vaccinations; management and monitor intg of damaging individual psychological well-bechronic diseases such as diabetes, hypertension, and epilepsy; and genetic counsel ing.
Stringhe tradotte
Federica Frau/Mindfulness Check Gestione
The goal of mindfulness is represented by the reduction of stress and suffering through a gradual acceptance of the present. Stress is usually accompanied by a feeling of mental confusion and worry that leads people to be unable to maintain attention on present actions and thoughts.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-beingThe goal of mindfulness is represented by the reduction of stress and suffering through a gradual acceptance of the present. Stress is usually accompanied by a feeling of mental confusion and worry that leads people to be unable to maintain attention on present actions and thoughts .
Stringhe tradotte
Federica Frau/PSA Check Riepilogo
Prostate-specific antigen (PSA) is a protein produced by prostate cells that is responsible for making the seminal fluid more fluid after ejaculation, facilitating the movement of sperm into the female genital tract.<g id="0"/>Small levels of this enzyme are physiologically present in the bloodstream, but these tend to increase following the onset of prostate-related diseases. For this very reason, the blood assay of PSA allows for the assessment of the overall health of the prostate and the detection of any abnormalities in the function of this organ. Consequently, periodically monitoring PSA levels, especially in men over 50 years of age, is an important prevention and screening activity against various prostate-related diseases, including prostatitis, benign prostatic hypertrophy, and cancers.<g id="1"/>The measurement of PSA levels is done by a rapid test with capillary blood sampling. A negative test result will most likely rule out alterations in prostate function. Following a positive test result, however, a urological examination is recommended, at the end of which the specialist can evaluate whether to retest, prescribe therapy for suspected prostatitis, or perform further screening or diagnostic tests (such as, for example, biopsy or MRI). In any case, it should always be kept in mind that PSA levels tend physiologically to increase with age, and that taking certain medications (such as dutasteride or finasteride) and certain conditions (such as ongoing urinary infections, specific invasive examinations performed in the months prior to the test, or physical/sexual activity performed in the 48 hours prior to the test) may alter the test result.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowelProstate-specific antigen (PSA) is a protein produced by prostate cells that is responsible for making the seminal fluid more fluid after ejaculation, facilitating the movement of sperm into the female genital tract.<g id="0"/>Small levels of this enzyme are physiologically present in the bloodstream, but these tend to increase following the onset of prostate-related diseases. For this very reason, the blood assay of PSA allows for the assessment of the overall health of the prostate and the detection of any abnormalities in the function of this organ. Consequently, periodically monitoring PSA levels, especially in men over 50 years of age, is an important prevention and screening activity against various prostate-related diseases, including prostatitis, benign prostatic hypertrophy, and cancers .<g id="01 "/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.The measurement of PSA levels is done by a rapid test with capillary blood sampling. A negative test result will most likely rule out alterations in prostate function. Following a positive test result, however, a urological examination is recommended, at the end of which the specialist can evaluate whether to retest, prescribe therapy for suspected prostatitis, or perform further screening or diagnostic tests (such as, for example, biopsy or MRI). In any case, it should always be kept in mind that PSA levels tend physiologically to increase with age, and that taking certain medications (such as dutasteride or finasteride) and certain conditions (such as ongoing urinary infections, specific invasive examinations performed in the months prior to the test, or physical/sexual activity performed in the 48 hours prior to the test) may alter the test result.
Stringhe tradotte
Federica Frau/Neck&Back Check Gestione
It is therefore important to intervene at an early stage, as soon as musculoskeletal pain begins to occur, to resolve the inflammatory state and interrupt the pain stimuli related to it, and also to prevent worsening of the pain and its evolution from an acute to a chronic phase.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that cIt is therefore important to intervene at an early stage, as soon as musculoskeletal pain begins to occur, to resolve the inflammatory state and interrupt the pain stimuli related to it, and also to prevent worsening of the pain and impoverish the quality of life to the point of damaging individual psychological well-beingts evolution from an acute to a chronic phase .
Stringhe tradotte
Federica Frau/Stress Check Riepilogo
The Stress Check is a non-invasive assessment of the subject's perception of physical and mental well-being, which allows monitoring the level of stress to which the subject is subjected.<g id="0"/> The term stress was first employed in 1936 by Hans Selye. He defined it as a "nonspecific response of the organism to any demand made upon it." According to Selye's model, the stressogenic process consists of three distinct phases:
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate,The Stress Check is a non-invasive assessment of the subject's perception of physical and mental well-being, which allows monitoring the lie ver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.l of stress to which the subject is subjected.<g id="0"/> The term stress was first employed in 1936 by Hans Selye. He defined it as a "nonspecific response of the organism to any demand made upon it." According to Selye's model, the stressogenic process consists of three distinct phases:
Stringhe tradotte
Federica Frau/Body Check Riepilogo
The Body Check is part of cardiometabolic prevention by providing information about the biotype and distribution of body fat and performs an assessment of overall body tone.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticulThe Body Check is part of c ar seases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function thometabolic prevention by providing information about the biotype and distribution of body f at can impoverish the quality of life to the point of damaging individual psychological well-beingd performs an assessment of overall body tone .
Stringhe tradotte
Federica Frau/Joint Mobility Check Riepilogo
Joint mobility is defined as the ability to perform movements as widely and naturally as possible within the imposed physiological limits.<g id="0"/> In the pre-training phase, it is advisable to start with movements aimed at the upper body, activating the scapulohumeral joint with circumduction movements, then moving on to the lumbar tract with flexion movements until reaching the lower limbs by mobilizing the hips with internal and external rotations, knees and ankles with flexion-extension movements. It is appropriate to incorporate these "workouts" into daily life, as they allow us to gain long-term benefits, particularly to prevent injuries, allow us to bear greater loads and to stretch the muscles. Musculoskeletal pain is a consequence of damage (trauma or strain) or disorders of various types (osteoarthritis or tendinitis) that occurs in bones, joints and muscles. The most common sites of musculoskeletal pain are the neck area and the back. "7 out of 10 Italians feel limited in their sports activities and lead less active lives because of musculoskeletal pain, with consequences on physical and psychological well-being." This is why it is important to intervene at an early stage, as soon as musculoskeletal pain begins to manifest itself and to avoid its worsening.<g id="1"/>The JOINT MOBILITY CHECK, provides an indication of the individual's joint mobility, associated with an assessment of some postural characteristics that could influence it. <g id="2"/> The check-up consists of two phases:
Numerous data show that obesity is strongly correlated with an increased risk in contrJoint mobility is defined as the ability to perform movements as widely and naturally as possible within the imposed physiological limits.<g id="0"/> In the pre-training phase, it is advisable to start with movements aimed at the upper body, activating the scapulohumeral joint with circumduction movements, then moving on to the lumbar tract with flexion movements until re acth ing cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such athe lower limbs by mobilizing the hips with internal and external rotations, knees and ankles with flexion-extension movements. It is appropriate to incorporate these "workouts" into daily life, as they allow us to gain long-term benefits, particularly to prevent injuries, allow us to bear greater loads and to stretch the muscles. Musculoskeletal pain is a consequence of damage (trauma or strain) or disorder s of varian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.ous types (osteoarthritis or tendinitis) that occurs in bones, joints and muscles. The most common sites of musculoskeletal pain are the neck area and the back. "7 out of 10 Italians feel limited in their sports activities and lead less active lives because of musculoskeletal pain, with consequences on physical and psychological well-being." This is why it is important to intervene at an early stage, as soon as musculoskeletal pain begins to manifest itself and to avoid its worsening.<g id="1"/>The JOINT MOBILITY CHECK, provides an indication of the individual's joint mobility, associated with an assessment of some postural characteristics that could influence it. <g id="2"/> The check-up consists of two phases:
Stringhe tradotte
Federica Frau/Skin Check Gestione
It allows detection of any wrong attitudes of the client (for example, in the use of particular creams or products) and provides information about skin sensitivity (with sudden changes in temperature).
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovariIt allows detection of any wrong attitudes of the client (for example, in the use of particular creams or products) an,d prostate, liver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-being.vides information about skin sensitivity (with sudden changes in temperature).
Stringhe tradotte
Federica Frau/Cardio Check Riepilogo
Cardio Check is a screening process for the prevention of common arrhythmias and/or cardiac abnormalities by recording the heart's electrical activity.<g id="0"/> It allows for the quick and easy detection by single-mode ECG of possible heart rhythm abnormalities, so as to obtain a picture of the person's state of well-being.
Numerous data show that obesity is strongly correlated with an increased risk in contracting cardiological, respiratory, or osteoarticular diseasCardio Check is a screening process for the prevention of common arrhythmias and/or cardiac abnormaliti es, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancery recording the heart's electrical activity .<g id="0"/> Int addition to the clinical aspects, obesitllows for the quick and easy detection b y s involves impairments in function that can impoverish the quality of life to the point of damaging individual psychologicalgle-mode ECG of possible heart rhythm abnormalities, so as to obtain a picture of the person's state of well-being.
Stringhe tradotte
Federica Frau/Dry Eye Check Riepilogo
Dry eye is an eye syndrome caused by reduced tear production (hypolacrimia), excessive tear evaporation, or changes in tear quality and composition (dyslacrimia).<g id="0"/> Dry eye syndrome is divided into primary and secondary, depending on whether it is isolated or the result of other diseases, such as autoimmune diseases (systemic lupus erythematosus), rheumatoid arthritis, scleroderma, or Sjogren's syndrome. Excessive evaporation of the tear film is caused by very different factors, such as local diseases (blepharitis, conjunctivitis), incorrect or excessive use of contact lenses and/or eye drops, medication intake (especially hormones, immunosuppressants, decongestants, antihistamines, diuretics, antidepressants, beta-blockers, heart medications, and anti-ulcer drugs), and advanced age.
Numerous data show that obesity is strongly correlated wDry eye is an eye syndrome caused by reduced tear production (hypolacrimia), excessive tear evaporation, or changes in tear qual ithy an increased risk in contracting cardiological, respiratory, or osteoarticular diseases, but also forms of cancer such as ovarian, prostate, liver, kidney, or bowel cancer.<g id="0"/> In addid composition (dyslacrimia).<g id="0"/> Dry eye syndrome is divided into primary and secondary, depending on whether it is isolated or the result of other diseases, such as autoimmune diseases (systemic lupus erythematosus), rheumatoid arthritis, scleroderma, or Sjogren's syndrome. Excessive evapora tion tof the clinical aspects, obesity involves impairments in function that can impoverish the quality of life to the point of damaging individual psychological well-beingtear film is caused by very different factors, such as local diseases (blepharitis, conjunctivitis), incorrect or excessive use of contact lenses and/or eye drops, medication intake (especially hormones, immunosuppressants, decongestants, antihistamines, diuretics, antidepressants, beta-blockers, heart medications, and anti-ulcer drugs), and advanced age .
Federica
Nessuno
idati dimostrano che l’obesità è fortemente correlata a un maggior rischio nel contrarre malattiea show that obesity is strongly correlated with an increased risk in contracting cardiologicheal, respiratoriey, or osteoarticoulari, ma anche forme tumorali come il cancro all’diseases, but also forms of cancer such as ovarian,allaprostatae,al fegato, al rene o all’intestino.<g id="0"/> In aggiunta agli aspetti clinici, l’obesità comporta compromissioni dellaliver, kidney, or bowel cancer.<g id="0"/> In addition to the clinical aspects, obesity involves impairments in funzctionalità che possonothat can impoverire lash the qualità della vita fino a danneggiare il benessere psicologico individualey of life to the point of damaging individual psychological well-being.