Search Results (30)

Background and Objectives: Borderline personality disorder (BPD) is a complex psychiatric condition characterized by emotional instability, impulsivity, a fluctuating self-image, and persistent difficulties in maintaining close interpersonal relationships. Among university students, these traits may be associated with social adjustment and academic functioning difficulties. The present study aimed to examine the prevalence of borderline traits within a Romanian student population and to investigate the associations between these traits and interpersonal difficulties encountered in family life, romantic relationships, and academic environments. Materials and Methods: This cross-sectional study included a total of 151 undergraduate students enrolled in higher education institutions across Romania. Data were gathered through an online questionnaire available between March and May 2025. The instrument comprised items addressing socio-demographic characteristics, diagnostic criteria for borderline personality traits according to the DSM, as well as self-reported social behaviour patterns. Statistical analysis was performed using GraphPad Prism 9, version 9.3.1 for Windows, employing Fisher’s exact test and the odds ratio (OR), with a significance threshold set at p < 0.05. Results: Most participants reported experiencing affective instability (71.5%) and distorted self-image (58.9%). Fear of abandonment was present in 29.4% of the respondents, while impulsivity was identified in 37.7%. Borderline personality traits were significantly associated with a range of social difficulties, including relational anxiety, outbursts of anger, peer conflicts, social withdrawal, and dissociative symptoms. Individuals who exhibited impulsivity, self-injurious behaviours, or dissociative episodes demonstrated a markedly increased risk of social dysfunction, with odds ratios ranging from 3 to 10 (p < 0.0001). Conclusions: The findings reveal a high prevalence of borderline traits within the analysed sample, along with statistically significant associations with social and emotional difficulties. These results underscore the importance of implementing psychological screening programs in universities, as well as early intervention strategies focused on the mental well-being of young adults. Establishing a supportive academic environment and fostering collaboration between faculty members and mental health professionals may play a key role in preventing symptom escalation and in promoting healthy personal and relational development. Full article

Background and Objectives: Urinary incontinence (UI) is a prevalent condition that significantly affects quality of life but remains underreported. Understanding the factors that influence patients’ decisions to seek medical consultation is essential for improving care-seeking behavior and ensuring timely intervention. This study aimed to identify the facilitators of seeking medical consultation among individuals with UI in a Saudi secondary care setting. Materials and Methods: A cross-sectional study was conducted from December 2024 to April 2025 among adult patients with UI attending urology and urogynecology outpatient clinics at a single tertiary center. Participants completed a structured, self-administered questionnaire that comprised sociodemographic data, the ICIQ-UI SF, and 33 potential motivators for seeking care, categorized into six domains. Results: A total of 241 participants were included in the study. The 33-item scale demonstrated excellent internal consistency (Cronbach’s α = 0.945). The most influential domains were daily and physical impact, followed by emotional and psychological factors. Top facilitators included interference with prayers (66.8%), use of pads (62.2%), social limitations (63.9%), frequent clothing changes (64.7%), and fear of worsening symptoms (63.5%). Cultural factors, such as access to same-sex specialists (52.2%), were also prominent. Logistic regression identified age, marital status, and motivators from several domains as significant predictors. Key independent predictors included prayer interference, leakage frequency, and gender-concordant care. Conclusions: Help-seeking for UI is influenced by physical, emotional, social, and cultural factors. Enhancing patient education, addressing sociocultural sensitivities, and promoting physician-led discussions foster earlier care-seeking and improve health outcomes in populations with traditionally low treatment uptake. Full article

This study aims to explore how key opinion leader (KOL) characteristics influence users’ purchase intentions in live shopping. Using a mixed-methods approach, the study combines real-time pop-up text mining and questionnaires, analyzed via Latent Dirichlet Allocation (LDA) topic modeling and a research framework integrating the stimulus–organism–response (SOR) model with pleasure–arousal–dominance (PAD) theory. Results indicate that KOL characteristics—namely professionalism, popularity, attractiveness, and entertainment—enhance users’ pleasure, arousal, and trust. These emotions boost impulse buying intentions but not planned ones. Planned purchase intention acts as a partial mediator, whereas impulse purchase intention serves as a full mediator. This research uncovers the intricate mechanism linking KOL traits to user emotions and purchase intentions. By integrating PAD theory and the SOR model, it examines emotional mediators, addresses prior theoretical gaps, offers vital insights for refining live-streaming marketing strategies, and holds substantial theoretical and practical significance for the sustainable growth of live-streaming e-commerce. Full article

This work investigates the relationship between the material properties of wardrobe furniture and visual and tactile emotional responses, with a focus on age-related differences in emotional experiences. This research measured material surface properties (roughness, gloss, and Lab color) and utilized the PAD (pleasure, arousal, dominance) emotion model to assess emotional responses among elderly and younger participants. (1) In the context of tactile emotional experiences, a systematic correlation was observed between surface roughness and the reported levels of pleasure, arousal, and dominance in both elderly and younger participants. Moreover, pleasure demonstrated a systematic correlation with gloss. Rough surfaces were perceived as unpleasant. The elderly participants showed greater emotional dominance when exposed to rough surfaces. (2) In terms of visual–tactile emotional experiences, a responsive relationship was found between pleasure, dominance, and the a* parameter (representing the red and green color channels) in both age groups. However, no systematic correlations were observed between luminance (L*), glossiness, and PAD emotional experiences in either group. A responsive correlation was found between pleasure, dominance, and the b* parameter (representing the yellow and blue color channels) in elderly individuals. Notably, a significant correlation was observed between arousal and roughness in younger individuals. These findings suggest a partial difference in emotional responses across the PAD dimensions between elderly and younger participants. Full article

As non-humanoid robots develop and become more involved in human life, emotional communication between humans and robots will become more common. Non-verbal communication, especially through body movements, plays a significant role in human–robot interaction. To enable non-humanoid robots to express a richer range of emotions, it is crucial to understand how humans recognize the emotional movements of robots. This study focuses on the underlying mechanisms by which humans perceive the motion arousal levels of non-humanoid robots. It proposes a general hypothesis: Human recognition of a robot’s emotional movements is based on the perception of overall motion, and is independent of the robot’s mechanical appearance. Based on physical motion constraints, non-humanoid robots are divided into two categories: those guided by inverse kinematics (IK) constraints and those guided by forward kinematics (FK) constraints. Through literature analysis, it is suggested that motion amplitude has the potential to be a common influencing factor. Two psychological measurement experiments combined with the PAD scale were conducted to analyze the subjects’ perception of the arousal expression effects of different types of non-humanoid robots at various motion amplitudes. The results show that amplitude can be used for expressing arousal across different types of non-humanoid robots. Additionally, for non-humanoid robots guided by FK constraints, the end position also has a certain impact. This validates the overall hypothesis of the paper. The expression patterns of emotional arousal through motion amplitude are roughly the same across different robots: the degree of motion amplitude corresponds closely to the degree of arousal. This research helps expand the boundaries of knowledge, uncover user cognitive patterns, and enhance the efficiency of expressing arousal in non-humanoid robots. Full article

The industrialization process has led to environmental deterioration, which has created challenges for sustainable development. However, there is an increasing inclination to purchase green furniture as a sustainable form of furniture. Hence, investigating the determinants of consumers’ intention to purchase green furniture is beneficial for promoting the adoption of sustainable furniture. Previous research has examined the functional aspects of purchasing behavior using the theory of planned behavior (TPB), while giving less consideration to affective elements. This study aimed to investigate the factors that influence the intention of future users to purchase green furniture, explicitly focusing on emotional perception. This study utilized the PAD three-dimensional emotion model. A novel conceptual model was developed, drawing upon the findings of the literature review. This study employed the questionnaire method to collect data, resulting in 412 valid samples. The collected data were then analyzed and processed using partial least squares structural equation modeling (PLS-SEM) in SmartPLS 3.0 software. Additionally, the mediating influence of the variables was examined using the bootstrap method. The results suggested that the perceived pleasure, arousal, and dominance all had a substantial influence on the beneficial effect of green furniture elements on purchase intention. Among these factors, pleasure (PP) had the strongest mediating effect on the relationship between green brand image (GBI) and purchase intention (PI). Arousal (PA) had the strongest mediating effect on the relationship between eco-innovation (EI) and purchase intention (PI). Dominance (PD) had the strongest mediating effect on the relationship between purchase customization (PC) and purchase intention (PI). Furthermore, this paper examined the disparities between the characteristics of green furniture and conventional furniture in terms of their ability to stimulate emotional responses and influence consumers’ intention to purchase. This study revealed that green features (GF) have a greater capacity to evoke emotional responses in consumers, consequently impacting their intention to purchase green furniture. The study’s findings have both theoretical implications and practical relevance. In theory, these findings enhance the theoretical framework of purchase intention for green furniture. In practice, they provide specific ideas and recommendations for green furniture companies to develop emotional marketing strategies. Full article

Background: Postoperative anal dilations (PAD) are the standard of care for patients after a posterior sagittal anorectoplasty (PSARP) for anorectal malformation (ARM) or a transanal pull-through (TP) procedure for Hirschsprung disease (HD). This study assessed the psychosocial impact of PAD among caregivers of children with ARM or HD, which may inform postoperative care strategies. Methods: Caregivers of patients with ARM and HD who underwent PSARP or TP within five years participated in the online survey. Questions included demographics, patient and caregiver experiences with PAD, and baseline psychosocial functioning. Quantitative results were reported descriptively, while qualitative responses were summarized as major themes. Results: The survey indicated a response rate of 26% caregivers, with most being female (91%) and biological mothers (85%). Patients were mostly male (65%), born with ARM (74%), and were five months old on average when PAD began. Caregivers reported that during PAD, children experienced distress (56%), pain (44%), and fear (41%), while a third noted no negative reactions. Over time, their child’s ability to cope with PAD got easier (38%) or stayed the same (41%). Caregivers reported worry/anxiety (88%), guilt (71%), stress (62%), and frustration (35%), noting that additional coping strategies to manage the emotional and logistical challenges of daily PAD would be helpful. Conclusion: Although PAD is necessary, it can be highly stressful for the patients and their caregivers. Key findings emphasized the need for additional coping strategies and highlighted the importance of integrating psychosocial support into the postoperative care regimen. Full article

(1) Background: Telerehabilitation is an approach that uses digital technology to provide remote medical recovery services. It can be an option for cardiovascular recovery at home in patients with peripheral arterial disease (PAD) of the lower limbs. (2) Methods: We performed literature research through two databases: PubMed and Embase. We included randomized controlled trials and cohort studies that evaluated the effectiveness of a technology-assisted home exercise intervention compared with conventional rehabilitation or the usual care in patients with PAD. We analyzed population, intervention, and outcome data. (3) Results: We identified 2468 studies. After rigorous screening, we included 25 articles in the review. The following results were evaluated: dissemination and acceptance of digital technologies among these people, functional capacity, exercise intensity, patient motivation, sex-specific response differences in mortality and clinical outcomes, quality of life assessment, and changes in values of inflammatory biomarkers. All of these were correlated with the type of intervention and the dose of the exercise. (4) Conclusions: Home-based exercise therapy supervised with the help of specific devices could be successfully implemented in the therapeutic management of the PAD population. Health specialists should take into account the clinical–paraclinical profile and the emotional status of the patients. Such individualized interventions could bring significant benefits for the people with this disease and for the healthcare system, including increasing exercise adherence, engagement, self-care capacity, life expectancy, and quality of life for these patients, as well as reducing their symptoms, cardiovascular complications, and hospitalizations. Full article

Background. In orthopedics, the patients’ quality of life relative to the preoperative and postoperative phase is referred with a low impact compared to other branches of medicine. In this context, our interest focused on assessing the quality of life in patients with traumatic and non-traumatic coxarthrosis by longitudinally following the evolution of the patients. Materials and Methods. The well-established instrument Short Form Survey SF-36 was applied in a retrospective study, conducted on a cohort of 203 participants who underwent THA (Total Hip Arthroplasty). Statistical analysis was generated using GraphPad Prism (version 9.5.1). Results. In the pre-operative phase, physical functioning was more affected in participants with traumatic coxarthrosis, while fatigue was specific to nontraumatic coxarthrosis. Emotional well-being and social functioning were high in patients with traumatic coxarthrosis. One month after surgery, we recorded an increased physical functioning and improvement in the perception of the ability to exercise roles in non-traumatic group. Energy/vitality and general health and well-being were at high level in traumatic group, 1st month post-surgery, although pain was still frequent. Age was the sole strong independent predictor of postoperative physical functioning in the traumatic group, while in the non-traumatic group, we identified gender, age, symptoms and type of prosthesis as strong predictors of postoperative physical functioning. The overall results related to daily living activities indicated that the traumatic group displayed more favorable post-surgery evolution and higher autonomy compared to the non-traumatic one. Conclusions. We conclude that SF-36 questionnaire is a specific, useful and inexpensive tool for evaluating the outcomes of orthopedic treatment and patients’ evolution after arthroplasty, especially in terms of functional outcome scores relative to coxarthrosis etiology. Full article

In architectural spaces, the ambiance created by lighting plays a significant role in influencing people’s emotions, often relying on the use of color and light. However, previous research has primarily focused on urban architectural spaces, with relatively less attention given to rural environments, especially the interior spaces of rural accommodation. The objective of this study is to investigate the impact of colored lighting within rural accommodation interiors on people’s emotions and visual perceptions. Additionally, the study aims to establish an emotional dimension model to map the experimental results onto eight basic emotions, utilizing the PAD model for quantitative analysis. To achieve this goal, the researchers recruited 90 participants and divided them into six groups, each experiencing different combinations of indoor lighting scenes with varying colors. Participants evaluated their emotions and visual perceptions. The study results indicate that the combination of cool and warm white light with colored light significantly influences the arousal level of participants but has a relatively lower impact on pleasure levels, dominance and relaxation levels. In comparing the emotions experienced after exposure to cool and warm white light followed by colored light, warm white light elicited more positive emotions. Furthermore, colored light following cool white light diminished the sense of warmth in light, while yellow–blue light enhanced visual comfort and blue–red light increased attraction. Overall, the effect of colored lighting in rural accommodation interior spaces on improving negative emotions was relatively weak. Conversely, the combination of warm white light with blue–yellow or green–yellow light had a more significant effect on enhancing visual perceptions and reducing participants’ anxiety. This research provides valuable insights and references for designing the lighting ambiance in rural accommodation interiors and lighting design, with the potential to enhance the spatial experience of rural accommodations. Full article

Given the COVID-19 pandemic and the resulting social distancing measures with inevitable telecommuting, capturing user emotions is essential as it affects both satisfaction and task performance. Therefore, the purpose of this study was to analyze emotions and task performance in terms of dislike and personalized decision-making in indoor spaces. To facilitate experiments with participants, a mixed-reality environment was utilized with the Pleasure, Arousal, Dominance (PAD) test and cognitive tests. The results of the experiment conducted on 30 subjects identified that aroused and discontented emotions dominated in non-preferred spaces, but pleased, important, and autonomous emotions arose in personalized spaces, as determined through sentimental analysis and statistical methods. Although negative emotions were present in the aversion space, attention and execution abilities were high compared to the personalized space, but working memory was low. By conducting stepwise regression analysis, it was found that working in a visually unfavorable space, which caused an increase in controlled or controlling emotions, improved short-term work efficiency. In addition, important emotions did not have a positive effect on any task performance. However, with pleased and contented emotions in a personalized indoor space, long-term work efficiency was increased, as explained by the Yerkes-Dodson law. Full article

Technology has become integral to children’s lives, impacting many aspects, from academic to socialization. Children of today’s generation are growing up with digital devices, such as mobile phones, iPads, computers, video games, and smart gadgets; therefore, screen time has become ubiquitous in children’s daily routines. This paper provides a review of screen time usage and its impact in children across multiple developmental domains: cognitive, language, physical, and socio-emotional domain of children under eight years of age. The cognitive domain considers factors such as attention span and memory; language domain examines vocabulary, speech, and language development; physical domain focuses on motor development, exercise, sleep, and diet; and social-emotional domain considers relationships, self-identity, and emotional behaviors/regulation. Our findings are mixed, as there are both benefits and drawbacks in technology use, but screen time in children requires controlled observation and monitoring for sustainable improved progress across developmental domains. Specific recommendations advise that children’s screen time per day should be limited to zero minutes (min) (0–2 years), <60 min (3–5-years), and 60 min (6–8 years). Full article

It is important for chatbots to emotionally communicate with users. However, most emotional response generation models generate responses simply based on a specified emotion, neglecting the impacts of speaker’s personality on emotional expression. In this work, we propose a novel model named GERP to generate emotional responses based on the pre-defined personality. GERP simulates the emotion conversion process of humans during the conversation to make the chatbot more anthropomorphic. GERP adopts the OCEAN model to precisely define the chatbot’s personality. It can generate the response containing the emotion predicted based on the personality. Specifically, to select the most-appropriate response, a proposed beam evaluator was integrated into GERP. A Chinese sentiment vocabulary and a Chinese emotional response dataset were constructed to facilitate the emotional response generation task. The effectiveness and superiority of the proposed model over five baseline models was verified by the experiments. Full article

Background: People with epilepsy have a higher prevalence of behavioral and neuropsychiatric comorbidities compared to the general population and those with other chronic medical conditions, although the underlying clinical features remain unclear. The goal of the current study was to characterize behavioral profiles of adolescents with epilepsy, assess the presence of psychopathological disorders, and investigate the reciprocal interactions among epilepsy, psychological functioning, and their main clinical variables. Methods: Sixty-three adolescents with epilepsy were consecutively recruited at the Epilepsy Center, Childhood and Adolescence Neuropsychiatry Unit of Santi Paolo e Carlo hospital in Milan (five of them were excluded) and assessed with a specific questionnaire for psychopathology in adolescence, such as the Questionnaire for the Assessment of Psychopathology in Adolescence (Q-PAD). Q-PAD results were then correlated with the main clinical data. Results: 55.2% (32/58) of patients presented at least one emotional disturbance. Body dissatisfaction, anxiety, interpersonal conflicts, family problems, uncertainty about the future, and self-esteem/well-being disorders were frequently reported. Gender and poor control of seizures are associated with specific emotional features (p < 0.05). Conclusions: These findings highlight the importance of screening for emotional distress, recognition of the impairments, and provision of adequate treatment and follow-up. A pathological score on the Q-PAD should always require the clinician to investigate the presence of behavioral disorders and comorbidities in adolescents with epilepsy. Full article

Digital technology is increasingly becoming a part of daily life, including the lives of children. Portable digital devices are omnipresent and integrated into activities that did not previously require them. The related skills are often referred to as 21st-century skills, constituting a new type of literacy: digital literacy. These devices and skills bring unique, innovative elements to the learning experience; yet, we do not know the extent to which behavior, emotion, and socialization are affected by such experience. For preschool-aged children, interactions with digital devices and games for the purposes of learning can lead to a state of confusion and boredom, an emotional driving force that may generate mind-wandering and exploration, which, in turn, may facilitate learning. Our interdisciplinary observational case study examined the behavioral patterns linked to digital game-based learning (DGBL) by observing how a child’s mind-wandering contributed to iPad use when they were allowed to freely engage with the device and explore independently during the learning process. Building on a previous case study of a 28-month-old boy, “Ryan”, we evaluated the effects of bouts of mind-wandering as he played various DGBL applications (apps) by examining the length of time that Ryan exhibited relevant affective and behavioral states, iPad manipulations, and social interaction during the playtime. Ryan’s interactions with the iPad were video recorded for five weeks, and the video footage was coded using a detailed rubric. The results indicated that negative emotions, such as boredom, distraction, and confusion, if coupled with attentiveness and persistence, led to positive mind-wandering and positive learning outcomes. However, when boredom was coupled with frustration, it led to negative mind-wandering and a lack of learning outcomes. In conclusion, our study presents evidence that DGBL apps may improve learning by capitalizing on positive and avoiding negative mind-wandering. Full article