Search Results (499)

Objectives: Chronic psychological stress among college students increases sensitivity to negative emotional stimuli. Emotion regulation, a critical coping mechanism, draws upon cognitive resources and may impair subsequent cognitive control. Physical exercise has been proposed as an effective intervention to enhance both emotional and cognitive functioning. This study investigated whether a 12-week structured exercise intervention could modulate emotion regulation outcomes and improve cognitive control in college students experiencing high psychological stress. Methods: Forty-seven college students, identified as highly stressed via the Chinese College Students Psychological Stress Scale, were randomly assigned to either an exercise group (n = 25) or a control group (n = 22). The exercise group participated in supervised rope-jumping sessions three times per week for 40 min, following ACSM guidelines, over 12 weeks. Before and after the intervention, participants completed tasks measuring two emotion regulation strategies—expressive suppression and cognitive reappraisal—and tasks assessing cognitive control. Results: A significant group × time × strategy interaction emerged for subjective emotional valence: following the intervention, the exercise group reported attenuated negative valence under expressive suppression. For subjective arousal, post-intervention ratings decreased under suppression but increased under reappraisal in the exercise group, suggesting strategy-specific modulation by physical activity. Regarding cognitive control, electrophysiological measures revealed that the P3 component showed a significant interaction: the exercise group exhibited enhanced P3 amplitudes in congruent versus incongruent conditions after the intervention. Moreover, P3 interference scores were significantly reduced post-intervention in the exercise group compared to both its pre-intervention baseline and the control group. Conclusions: A 12-week aerobic exercise intervention enhanced emotion regulation outcomes and improved cognitive control under high psychological stress. These findings underscore the utility of physical exercise as a non-pharmacological approach to bolster cognitive–affective resilience in young adults. Full article

Introduction. Chronic pain (CP) is a multidimensional condition that exerts a considerable impact on individuals’ quality of life and presents a wide range of clinical and psychological expressions. This study sought, firstly, to identify distinct clinical profiles among individuals with CP based on clinical indicators, and secondly, to examine the differences in psychological vulnerability and pain-related coping strategies according to the clinical profiles. Methods. A total of 251 adults diagnosed with CP and residing in Spain participated in the study. Participants completed the Purpose in Life Test, the Reflective Functioning Questionnaire, the Interpersonal Needs Questionnaire, the Beck Hopelessness Scale, the Difficulties in Emotion Regulation Scale, and the Pain Coping Questionnaire. A two-step cluster analysis was performed to identify subgroups within the sample, followed by independent samples t-tests to assess psychological differences between clusters. Results. This study identified two clinical profiles among individuals with CP, distinguished by diagnostic delay, disease progression, and functional impact. Cluster 1 exhibited greater functional impairment, lower quality of life, and higher emotional distress (uncertainty, perceived burdensomeness, emotional dysregulation, and hopelessness). In contrast, Cluster 2 showed lower functional impairment, better quality of life, greater use of distraction strategies, and a higher meaning in life. Discussion. These findings suggest that both medical and psychological aspects appear to be associated with each other and may influence the perception, evolution and adaptation to CP. Full article

Emotion regulation strategies, specifically expressive suppression (ES) and cognitive reappraisal (CR), are known to influence mental health outcomes in the general population and adult elite athletes. Young elite athletes, who face unique academic and athletic pressures, remain understudied in this regard. The main aim of this study was to examine the relationship between ES and CR and mental health in young elite athletes. This longitudinal study included 93 young elite athletes (aged 15–17) attending upper secondary education in Sweden. Participants completed the Emotion Regulation Questionnaire and the General Health Questionnaire at three time points over 12 months. Linear mixed models were used to examine associations between ES, CR, and mental health. Higher use of ES was significantly associated with poorer mental health (β = 0.34, p < 0.001), while greater use of CR predicted better mental health (β = −0.33, p < 0.001) across the study period. Expressive suppression and CR are both important for the mental health of young elite athletes, with CR being protective and ES conferring risk. Given the observed associations, future research could examine whether interventions aiming to enhance CR and reduce ES are linked to better mental health in young elite athletes. Full article

Background: Emotion regulation (ER) plays a vital role in mental health, spanning mood, anxiety, and personality disorders. Cognitive reappraisal (CR) is one of the most common ER strategies and depends on prefrontal brain areas, but its success varies, and its neural basis is not fully clear. Interest is growing in using transcranial direct current stimulation (tDCS) to support ER, yet most studies have focused only on the dorsolateral prefrontal cortex (dlPFC) and used simple tasks. Objective: This study explored whether tDCS applied to either the dlPFC or the ventromedial prefrontal cortex (vmPFC) could shape autonomic responses during CR while people watched emotionally engaging film clips. Methods: Participants were randomly assigned to receive either active or sham tDCS over the dlPFC or vmPFC. While stimulated, they used CR strategies (positive reappraisal, fictional reappraisal, or distancing) to manage their reactions to negative film scenes. Heart rate (HR), skin conductance (SC), and respiratory rate (RR) were tracked throughout as physiological indicators. Results: Active dlPFC tDCS combined with CR led to significantly greater reductions in HR toward the end of emotional exposure, compared to sham or non-CR conditions. dlPFC stimulation also lowered HR even without explicit CR, pointing to possible effects on automatic regulation. vmPFC effects were inconsistent, and no reliable effects were observed for SC or RR. Conclusions: These results suggest that tDCS effects on autonomic ER depend on the brain region and timing. dlPFC stimulation may strengthen both intentional and automatic emotion regulation, especially when combined with reappraisal, highlighting the value of realistic emotional tasks in neuromodulation studies. Full article

The integration of gamification into digital learning environments is reshaping educational models, advancing towards more adaptive and personalized teaching evolution. However, within large Chinese corpora, the transition mechanism from passive participation to adaptive gamified learning remains underexplored in a systematic manner. This study fills this gap by utilizing LDA topic modeling and sentiment analysis techniques to delve into user comment data on the Bilibili platform. The results extract five major themes, which include multilingual task-driven learning, early-age programming thinking cultivation, modular English competency certification, cross-domain cognitive integration and psychological safety, as well as ubiquitous intelligent educational environments. The analysis reveals that most themes exhibit highly positive emotions, particularly in applications for early childhood education, while learning models that involve certification mechanisms and technological dependencies tend to provoke emotional fluctuations. Nevertheless, learners still experience certain challenges and pressures when faced with frequent cognitive tasks. In an innovative manner, this study proposes a theoretical framework based on Self-Determination Theory and Connectivism to analyze how motivation satisfaction drives cognitive restructuring, thereby facilitating the process of adaptive learning. This model demonstrates the evolutionary logic of learners’ cross-disciplinary knowledge integration and metacognitive strategy optimization, providing empirical support for the gamification learning transformation mechanism in China’s digital education sector and extending the research framework for personalized teaching and self-regulation in educational technology. Full article

Emotion-regulation ability and strategy (i.e., the specific behaviors used to manage feelings) are crucial for preschoolers’ socioemotional development. This study investigated whether a structured picture-book intervention could enhance these components and, critically, reshape the relationship between them. A quasi-experimental, pretest–posttest design was employed with 60 preschoolers (aged 4–5) assigned to an intervention or a passive-exposure control group. The intervention group engaged in bi-weekly, structured emotion-themed picture-book activities for eight weeks. Results from repeated-measures analyses indicated that the intervention group showed significantly greater gains in emotion-regulation abilities (i.e., recognition, expression, regulation) and more frequent use of positive strategies (e.g., cognitive reconstruction, seeking support) compared to the control group. Crucially, the intervention altered the relationship between ability and strategy. In the intervention group, the correlation between overall emotion-regulation ability and the use of negative strategies shifted from non-significant at pretest to significantly negative at posttest. Conversely, this relationship shifted to significantly positive in the control group. These findings suggest that structured interventions not only improve discrete emotion skills but also foster a more adaptive integration of ability and strategy use, preventing the maladaptive pattern where higher ability paradoxically links to greater reliance on negative strategies. Full article

Background: This systematic review aims to summarize the most recent data from the literature on the psychological aspects of parents of children prenatally diagnosed with congenital heart defects (CHDs). Methods: A comprehensive literature search was conducted to identify relevant studies on the psychological issues faced by parents of children prenatally diagnosed with CHD. Searches were performed in multiple scientific databases, including PubMed, Science direct, Embase, Scopus, Medline, Clarivate, to ensure the broad coverage of the literature. The search was limited to studies published up until February 2025. The search strategy included the following terms and combinations: “congenital heart defect” OR “CHD” AND “prenatal diagnosis” AND “psychological impact” OR “parental distress” OR “coping”. Results: Eighteen studies involving the 673 parents of fetuses diagnosed with congenital heart defects were included. Studies spanned four continents and employed both qualitative (n = 14) and quantitative (n = 4) designs. Key psychological outcomes reported were anxiety, depression, stress, post-traumatic stress, coping strategies, maternal–fetal attachment, and life satisfaction. Anxiety and depression were the most frequent issues, with maternal anxiety reaching 65% and depression up to 45.7%. Stress related to diagnostic uncertainty was common. While some parents used adaptive coping (social support, emotional regulation), others experienced maladaptive patterns such as avoidance. One study reported increased maternal–fetal attachment following prenatal CHD diagnosis. Predictors of psychological distress included time of diagnosis, parental gender, education level, social support, and severity of the defect. Recommended interventions included early psychological screening, empathetic communication, structured counseling, and long-term emotional support. Despite heterogeneity in design and moderate overall bias, findings highlight a consistent psychological burden among parents, underscoring the need for integrated psychosocial care following a prenatal CHD diagnosis. Conclusions: Parents whose children have been prenatally diagnosed with a congenital heart defect are at an increased risk for psychological distress. To improve the quality of care, a multidisciplinary team is needed to provide parents with the necessary information on diagnosis, interventions, and potential outcomes. Full article

Background: Wilson’s disease (WD) is a rare autosomal recessive disorder characterized by abnormal copper metabolism and accumulation in the liver and brain. While hepatic and neurological manifestations are well-recognized, psychiatric symptoms remain underdiagnosed and frequently precede other clinical signs, leading to delayed diagnosis and poorer outcomes. Objective: This opinion paper aims to explore the emerging understanding of psychiatric features in WD, particularly mood disturbances and their overlap with bipolar spectrum disorders, through a translational lens. Opinion: Psychiatric manifestations—including irritability, aggression, disinhibition, and mood instability—are observed in up to 100% of symptomatic WD patients. Accumulated copper induces oxidative stress and astrocyte dysfunction, which may disrupt neural circuits involved in emotion regulation. There is increasing evidence of shared pathophysiological mechanisms between WD and bipolar disorder, including redox imbalance and circadian rhythm dysregulation. Future Directions: The timely recognition of psychiatric symptoms is essential. Future research should investigate biomarkers of early psychiatric involvement, evaluate psychotropic medication safety in WD, and implement psychoeducational strategies to improve adherence and quality of life. A translational approach can foster individualized interventions and provide insights into broader mood disorders. Full article

Background: Following the idea that individuals engage with different strategies to regulate their emotional experiences, scholars in the field of psychology have shown increasing interest in the notion of emotion regulation flexibility. Despite growing attention to this construct, validated instruments for assessing individuals’ capacity to choose among different emotion regulation strategies effectively are limited, particularly in non-English-speaking contexts. The present study aims to extend the use of the Emotion Regulation Flexibility Questionnaire by providing a validation of the Italian version and supporting its generalisability. Methods: The Italian Emotion Regulation Flexibility Questionnaire (IT-ERFQ) was included in a cross-sectional study involving N = 887 participants (60.4% female). Exploratory and confirmatory factor analyses were conducted, along with tests of measurement invariance across gender and age groups, assessments of internal consistency, and evaluations of external validity. Results: The IT-ERFQ showed a clear unidimensional structure, good internal reliability, and full measurement invariance across groups. The eight-item Italian version correlated negatively with emotion dysregulation and positively with well-being. Conclusions: These findings provide strong evidence for the psychometric soundness of the IT-ERFQ and support its use in both basic and applied research. Full article

Background: Emotional intelligence refers to individuals’ ability to recognize and manage their own emotions as well as those of others, playing a crucial role in stress management. This study aimed to investigate the relationship between different dimensions of emotional intelligence and stress management strategies in patients undergoing hemodialysis. Methods: In this cross-sectional study, 468 patients on hemodialysis completed the (i) Wong and Law Emotional Scale (WLEIS) and (ii) Trait Emotional Intelligence Questionnaire Short Form (TEIQue-SF) for the assessment of emotional intelligence as an emotional ability or as a personality trait, respectively; (iii) the Brief COPEQuestionnaire (Brief- COPE) for the assessment of stress management strategies; and (iv) a questionnaire about demographic characteristics. Spearman’s correlations coefficients were used to explore associations between two continuous variables. Multiple linear regression analysis was used with Brief-COPE dimensions as the dependent variable. Results: High levels of emotionality were associated with an active approach to coping with stress (p = 0.018), while increased well-being and high regulation of emotions were associated with decreased behavioral disengagement (p < 0.001). Moreover, high emotional appraisal of others was linked to an increased use of humor (p = 0.042), while self-control and use and regulation of emotions were associated with decreased expression of negative feelings (p < 0.001). Conclusions: The current findings suggest potential links between emotional intelligence and stress management strategies in patients undergoing hemodialysis. Full article

Attention deficit hyperactivity disorder (ADHD) is a complex neurodevelopmental disorder that not only affects attention and behavior but is also intricately linked with sleep disturbances and immune system dysregulation. Recent research highlights that individuals with ADHD frequently experience sleep problems, which in turn exacerbate ADHD symptoms and contribute to cognitive and emotional difficulties. Immunological alterations, including elevated proinflammatory cytokines and hypothalamic–pituitary–adrenal axis dysfunction, have been observed among ADHD patients, suggesting a biological interplay between inflammation, sleep, and neurodevelopment. Genetic and environmental factors further modulate these relationships, influencing the onset and progression of the disorder. Thus, there is a need to find a key connecting such topics and the most vulnerable subjects in order to contribute towards a more personalized approach. This review examines the complex relationships between sleep, immunology, and ADHD, and explores the underlying mechanisms that involve circadian rhythm genes, neuroinflammation, and neurotransmitter imbalances. Our review outlines therapeutic strategies, emphasizing the importance of integrated pharmacological, behavioral, and lifestyle interventions to improve sleep quality, regulate immune responses, and ultimately enhance the overall management of ADHD. Full article

Longevity and healthy aging result from the complex interaction of genetic, epigenetic, microbial, behavioral, and environmental factors. The central nervous system—particularly the cerebral cortex—and the autonomic nervous system (ANS) play key roles in integrating external and internal signals, shaping energy metabolism, immune tone, and emotional regulation. This narrative review examines how the brain–ANS axis interacts with epigenetic regulation, telomere dynamics, the gut microbiome, and the exposome to influence biological aging and resilience. Relevant literature published between 2010 and 2025 was selected through comprehensive database searches (PubMed, Scopus, Google Scholar), with a focus on studies addressing the multisystemic determinants of aging. Emphasis is placed on lifestyle-related exposures, such as diet, physical activity, psychosocial support, and environmental quality, that modulate systemic physiology through neurovisceral pathways. Drawing on empirical findings from classical Blue Zones and recent observational research in the Cilento region of southern Italy, this review highlights how context-specific factors—such as clean air, mineral-rich water, Mediterranean dietary patterns, and strong social cohesion—may foster bioelectric, metabolic, and neuroimmune homeostasis. By integrating data from neuroscience, systems biology, and environmental epidemiology, the review proposes a comprehensive model for understanding healthy longevity and supports the development of personalized, context-sensitive strategies in geroscience and preventive medicine. Full article

Basketball is a sport whose regulations require quick and complex refereeing decisions. Since the inception of sports, research on sports judgment and refereeing has been consistently present in the scientific literature. However, decision-making and the psycho-emotional factors that influence it remain somewhat unexplored in studies. The decision-making of the basketball referee has been analyzed using the DMQ II questionnaire. To achieve this, 58 referees from the Spanish Basketball Federation collaborated, comprising 45 men and 13 women, all between the ages of 18 and 38 (M = 26.5, SD = 5.5). Participants completed the 31-question DMQ II questionnaire online, yielding results with significant differences based on age and gender about stress in decision-making. A modification of the referee’s teaching methodology that includes psychological strategies is proposed both in the initiation course and throughout the refereeing career. The findings highlight the need for mental health support systems for referees, particularly addressing stress management in young and female officials. This aligns with global efforts to safeguard psychological well-being in sports professionals. Full article

Emotional labor, particularly in frontline service roles, has traditionally been examined through the lens of performance strategies, such as surface or deep acting. However, emerging research suggests that employees’ subjective interpretations of emotionally demanding situations—especially attributions of responsibility and perceived fairness—play a critical role in shaping their well-being. This study adopts a qualitative phenomenological approach to explore how frontline employees engage in meaning-making regarding the emotional labor demands during customer interaction. Drawing on six group semi-structured interviews, we conducted a thematic analysis to investigate ho<w workers attribute responsibility for emotion regulation demands and how these attributions relate to perceptions of distributive justice and emotional exhaustion. Results indicate that employees differentiate between emotional labor demands based on who they perceive as responsible for the triggering event—whether the client or themselves. Attributions of responsibility for these demands, especially when placed on clients, were associated with a stronger sense of distributive injustice and heightened emotional exhaustion. The evidence extend current emotional labor models by highlighting the centrality of meaning-making processes in employee experience and suggest that responsibility attribution and fairness appraisals are critical mechanisms through which emotional labor impacts occupational well-being. Implications for theory and workplace practices in service contexts are discussed. Full article

Background/Objectives: Dyslexia and dysgraphia are common childhood neurodevelopmental disorders characterized by persistent reading and writing difficulties, despite normal intelligence and access to education. While typically described as cognitive–linguistic deficits, emerging research suggests potential links to orofacial dysfunction and emotional regulation issues. This study examines associations between stomatognathic anomalies, emotional dysregulation, and early indicators of dyslexia-dysgraphia risk in preschool children, aiming to strengthen early screening and intervention strategies. Methods: A cross-sectional case–control study included 689 Romanian children aged 5–7 from 11 kindergartens. Screening involved the ACTIV-BURLEA psychometric battery to evaluate language, motor, and cognitive abilities. Clinical assessments targeted dental arch form, occlusal balance, and tongue and lip function. Emotional regulation was evaluated using a standardized child behavior scale. Thirty-two children were identified as at risk for dyslexia-dysgraphia and followed longitudinally, and then compared to matched controls. Statistical analysis employed chi-square tests, Pearson correlations, t-tests, and logistic regression. Results: At follow-up, 74.19% of at-risk children received confirmed diagnoses. Tongue dysfunction (TD) (OR = 4.81, p = 0.06) and emotional dysregulation (ED) (OR = 3.94, p = 0.09) emerged as key risk indicators, though not statistically significant. Tongue dysfunction (TD) correlated with school avoidance (r = 0.76, p < 0.01), while occlusal anomalies (OAs) correlated with emotional distress (ED) (r = 0.64, p < 0.05). Conclusions: The findings suggest that early dyslexia-dysgraphia risk involves orofacial and emotional components. Tongue dysfunction (TD), occlusal disturbances (OA), and emotional dysregulation (ED) may offer important clinical markers. Integrating dental and emotional assessments into preschool screening may improve early identification and enable personalized intervention. Full article