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Search Results (3,104)

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Keywords = functional well-being

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19 pages, 1040 KB  
Article
Examining Subtypes of Victimization in Saudi Arabia: A Comparative Analysis Across Gender Using PISA 2022
by Georgios Sideridis and Mohammed H. Alghamdi
Children 2026, 13(5), 589; https://doi.org/10.3390/children13050589 (registering DOI) - 24 Apr 2026
Abstract
Background/Objectives: Bullying victimization is a significant threat to adolescents’ psychological well-being and academic functioning. However, most prior research has relied on variable-centered approaches that may obscure meaningful heterogeneity in students’ victimization experiences. The present study aimed to identify latent subtypes of bullying victimization [...] Read more.
Background/Objectives: Bullying victimization is a significant threat to adolescents’ psychological well-being and academic functioning. However, most prior research has relied on variable-centered approaches that may obscure meaningful heterogeneity in students’ victimization experiences. The present study aimed to identify latent subtypes of bullying victimization among adolescents in Saudi Arabia using nationally representative PISA 2022 data and to examine whether the structure and prevalence of these subtypes differed across gender. Methods: Data were drawn from the Saudi Arabian sample of the Programme for International Student Assessment (PISA) 2022 and included 6709 adolescents. Bullying victimization was assessed using 11 categorical indicators representing different forms of victimization. Weighted descriptive analyses were first conducted to estimate the prevalence of specific bullying behaviors. Multigroup latent class analysis (LCA) was then applied separately across gender to identify victimization profiles and evaluate measurement and structural invariance. Sequential invariance testing was used to determine whether the latent classes had equivalent meaning and prevalence across males and females. This study involved secondary analysis of an existing large-scale educational dataset and did not require trial registration. Results: Weighted descriptive estimates showed that the prevalence of specific bullying victimization experiences ranged from 7.5% to 24.3%, with boys reporting greater exposure than girls on most overt and coercive forms. Class enumeration supported a parsimonious three-class solution for both genders, reflecting low, moderate, and high victimization severity. Approximately 71–79% of students were classified in the low-risk group, 14–18% in the moderate-risk group, and 3–14% in the high-risk group. Measurement invariance testing supported full invariance of item-response probabilities across gender, indicating that the latent classes represented substantively comparable victimization patterns for males and females. In contrast, structural invariance was not supported, as males were more likely to belong to the high-victimization class, whereas females were more likely to be classified in the low-risk group. Conclusions: The findings indicate that gender differences in bullying victimization are attributable to differences in the level of exposure rather than differences in the underlying structure of victimization experiences. Bullying victimization appears to be concentrated within a relatively small but highly vulnerable subgroup of adolescents. These results support the importance of universal school-based anti-bullying policies and prevention initiatives, while also highlighting the need for targeted psychosocial support and protective interventions for students experiencing chronic or multiple forms of victimization. Full article
(This article belongs to the Special Issue Research on Child Trauma and Protection—2nd Edition)
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23 pages, 1867 KB  
Article
Promoting Workers’ Health and Mental Well-Being in the Sustainable Marine Ecosystem Sector: Legal, Technological, and Employment Functioning
by Yincheng Li, Muhammad Bilawal Khaskheli and Linhua Xia
Sustainability 2026, 18(9), 4175; https://doi.org/10.3390/su18094175 - 22 Apr 2026
Abstract
In the context of occupational environments and sustainable employment, this review explores the effects of declining workers’ health, environmental degradation, and the depletion of marine resources on workers’ psychological well-being. As seas and oceans are increasingly exploited and used as dumping sites for [...] Read more.
In the context of occupational environments and sustainable employment, this review explores the effects of declining workers’ health, environmental degradation, and the depletion of marine resources on workers’ psychological well-being. As seas and oceans are increasingly exploited and used as dumping sites for both solid and liquid waste, marine ecosystems are severely degraded, with negative impacts on biodiversity, water quality, and ecosystem processes. Marine biodiversity is crucial to maintaining global food security and supporting the livelihoods of millions of people worldwide. Moreover, this study examines the role of digital technology in the marine industry in safeguarding workers’ sustainable well-being. It emphasizes the complementary roles of law and technology in promoting it. The risks to the health and well-being of marine workers are greatly increased by the occupational consequences of climate change on the sustainable environment and the effects of working in marine environments. Working conditions, incomes, and even unemployment among marine workers have been directly affected by the degradation of marine environments and the depletion of marine resources. Anxiety, panic, depression, rage, and other unpleasant emotions that affect workers’ health and pose mental health risks are detrimental to the psychological well-being of marine workers. The challenges of employment in the marine industry adversely affect the physical and mental well-being of marine employees and hinder economic growth. However, digital technology in marine environments has fundamentally altered the regulations governing marine operations. Full article
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12 pages, 548 KB  
Article
Self-Perceived Health, Comorbidity, and Burden Among Older Family Caregivers of Seniors with Severe Mental Disorders: A Cross-Sectional Study
by Ana Carolina Gama, Claudia Marcela Chimbí, Margarita María Benito Cuadrado, Jose Manuel Santacruz Escudero, Cecilia de Santacruz and Diego Andrés Chavarro-Carvajal
Int. J. Environ. Res. Public Health 2026, 23(5), 544; https://doi.org/10.3390/ijerph23050544 - 22 Apr 2026
Abstract
The global aging process has increased the number of older individuals providing care for relatives with severe mental disorders (SMD). This population faces unique health challenges. The present cross-sectional study examined the relationship between self-perceived health (SPH) and clinical, functional, and sociodemographic variables [...] Read more.
The global aging process has increased the number of older individuals providing care for relatives with severe mental disorders (SMD). This population faces unique health challenges. The present cross-sectional study examined the relationship between self-perceived health (SPH) and clinical, functional, and sociodemographic variables among 71 older caregivers (median age: 65 years) in Bogotá, Colombia. SPH was assessed by answering the question: “How would you describe your overall health status?” and dichotomized into good versus poor perception. Comorbidity was measured as the number of self-reported chronic conditions. Caregiver burden was evaluated using the Zarit Caregiver Burden Interview, and health-related quality of life (HRQoL) was assessed using the SF-36, including dimensions such as physical functioning, emotional well-being, bodily pain, and general health. Descriptive analyses, non-parametric comparisons, and logistic regression models were conducted. The results revealed a marked feminization of caregiving (92.96%) and a high prevalence of good SPH (70.42%), despite a substantial burden of physical comorbidities (mean: 3.21). Dimensions such as physical functioning, emotional well-being, and pain were significant in univariate analyses. However, the multivariate model identified general health as the only independent predictor of good SPH (adjusted odds ratio [OR]: 1.112; 95% confidence interval [CI]: 1.053–1.174; p < 0.001). These findings suggest that subjective health assessment may transcend objective disease counts for older caregivers. Public health policies could prioritize wellness-based interventions and emotional support over traditional disease-centered approaches to improve the quality of life of this growing, active, socially valuable, yet vulnerable population. Full article
(This article belongs to the Section Behavioral and Mental Health)
30 pages, 827 KB  
Article
Organizational Self-Management Practices and Employee Happiness in SMEs: A PLS-SEM Study from Peru
by Miguel Angel Cancharí-Preciado and William Arnold Carrión-Adán
Sustainability 2026, 18(8), 4139; https://doi.org/10.3390/su18084139 - 21 Apr 2026
Abstract
Employee happiness has become a central concern for the social dimension of sustainability, particularly within small and medium-sized enterprises (SMEs) operating in emerging economies. However, empirical evidence remains limited regarding how advanced organizational self-management practices—especially when integrating holacracy-inspired practices and broader self-management mechanisms [...] Read more.
Employee happiness has become a central concern for the social dimension of sustainability, particularly within small and medium-sized enterprises (SMEs) operating in emerging economies. However, empirical evidence remains limited regarding how advanced organizational self-management practices—especially when integrating holacracy-inspired practices and broader self-management mechanisms that show a positive and significant association with employee happiness in SME contexts, particularly in Latin America. Addressing this gap, this study examines the relationship between organizational self-management practices and employee happiness in Peruvian SMEs, adopting a predictive approach based on Partial Least Squares Structural Equation Modeling (PLS-SEM). Organizational Self-Management Practices (OSMPs) are modeled as a higher-order construct integrating holacracy-inspired and broader self-management practices. Data were collected from 383 SME employees through a structured questionnaire. The findings indicate that organizational self-management practices exert a positive and significant association with employee happiness, operating through an underlying mechanism in which self-management-oriented practices foster greater employee autonomy, participatory decision-making, role clarity, and shared responsibility, thereby supporting fundamental psychological needs and enhancing employees affective and cognitive well-being at work. By promoting these autonomy-supportive organizational conditions, Organizational Self-Management Practices (OSMPs) strengthen employee happiness in resource-constrained SME contexts, highlighting how Organizational Self-Management Practices function as internal governance mechanisms that enhance employee well-being and contribute to social sustainability by strengthening psychologically supportive, autonomy-enhancing, and socially sustainable work environments in emerging economy SMEs. These findings demonstrate that employee happiness represents a micro-level manifestation of social sustainability, linking internal organizational governance mechanisms with broader sustainable development outcomes in emerging economy contexts. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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23 pages, 2143 KB  
Review
Application of Suitable Bioactive Probiotic Strains Sustaining Gut Microflora for Healthcare and Disease Prevention
by Divakar Dahiya and Poonam Singh Nigam
Appl. Sci. 2026, 16(8), 4023; https://doi.org/10.3390/app16084023 - 21 Apr 2026
Abstract
Background/Objectives: The human gastrointestinal tract is a dynamic and interactive micro-ecosystem, with its distinct microbial population residing in the gut. The healthy condition of the gut is integrated into the normal functioning of all physiological activities. The gut microbiome is critical for [...] Read more.
Background/Objectives: The human gastrointestinal tract is a dynamic and interactive micro-ecosystem, with its distinct microbial population residing in the gut. The healthy condition of the gut is integrated into the normal functioning of all physiological activities. The gut microbiome is critical for the functioning of metabolism via several gut-axis connections with different systems in the human body; thus, it affects the status of health and general well-being. The fundamental physiology and homeostatic shifts are associated with specific diseases caused by a disrupted balance in the diversity of the gut microbiome, which could be due to a condition of dysbiosis in a host, instigated by several reasons. Some studies have been conducted on the selective isolation of probiotic species from dairy and other food sources to obtain effective probiotic strains, which have been studied and used by dietary intake strategies to restore gut microbial diversity, which is disturbed by some disease/s. Methods: Our search strategy included specific keywords—gut, microbiota, microbiome, disease, dysbiosis, probiotic bacteria and yeast—and was based on a timeframe of 15 years in the web-based electronic databases of PubMed, Scopus, and Web of Science. Among the few hundred results, a secondary screening was conducted to select references on probiotics studied for disease management with preclinical evidence and some reports on clinically validated outcomes; we excluded the search results for screening fermented foods for taxonomy studies of isolated probiotics. Results: The summarised information using two figures and two tables has been presented in this article from the review of 137 selected references: >75% have been published in the last 10 years. Conclusions: Further advances in modelling and analysis of the gut microbiota are required to understand their influence on the occurrence of certain diseases; this approach will allow us to establish research strategies for filling knowledge gaps, inconsistencies in clinical evidence, or limitations in translating probiotic effects from experimental models to humans. Full article
(This article belongs to the Special Issue Advancements in Food Nutrition and Bioactive Compounds)
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10 pages, 3678 KB  
Proceeding Paper
Evaluating Ergonomic Considerations in Redesigning Sustainable Menstrual Product
by Sharine Ablao, Caeniel Esteban, Johanna Mae Garma, Nina Jocson, Ma. Janice Gumasing, Charmine Saflor, Jazmin Tangsoc and Ezekiel Bernardo
Eng. Proc. 2026, 128(1), 50; https://doi.org/10.3390/engproc2026128050 - 21 Apr 2026
Abstract
With an estimated 1.8 billion individuals menstruating globally, menstrual product selection plays a critical role in health, comfort, and overall well-being. This study aims to address a gap in menstrual health and hygiene by examining ergonomic considerations in the redesign of a sustainable [...] Read more.
With an estimated 1.8 billion individuals menstruating globally, menstrual product selection plays a critical role in health, comfort, and overall well-being. This study aims to address a gap in menstrual health and hygiene by examining ergonomic considerations in the redesign of a sustainable menstrual product. A comprehensive needs assessment was conducted through focus group discussions and online surveys to identify user preferences and challenges. The design methodology incorporated quality function deployment (QFD) and design failure mode and effects analysis (DFMEA), followed by CAD-based prototyping and expert evaluation. Findings supported a tampon-shaped menstrual cup design, integrating ease of use with the environmental benefits of menstrual cups. Full article
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17 pages, 304 KB  
Article
Self-Criticism in Preventive Guided Self-Help Interventions: Greater Gains or Greater Risks? Its Effect on Adherence, Treatment Success, and Working Alliance
by Micaela Di Consiglio, Francesca D’Olimpio and Alessandro Couyoumdjian
Healthcare 2026, 14(8), 1107; https://doi.org/10.3390/healthcare14081107 - 21 Apr 2026
Abstract
Background: Self-criticism is a transdiagnostic factor associated with psychological distress and poorer outcomes in traditional psychotherapy, yet recent evidence suggests it may facilitate change in preventive and low-intensity interventions. This study examined the role of self-criticism in adherence, working alliance, and outcomes within [...] Read more.
Background: Self-criticism is a transdiagnostic factor associated with psychological distress and poorer outcomes in traditional psychotherapy, yet recent evidence suggests it may facilitate change in preventive and low-intensity interventions. This study examined the role of self-criticism in adherence, working alliance, and outcomes within NoiBene, a guided self-help program designed to promote well-being and prevent psychological distress among non-clinical university students. Methods: A total of 455 participants (82% female; M = 23.5 years) completed measures of internalized and comparative self-criticism, and key psychological processes (e.g., emotional awareness, rumination, worry, perfectionism, psychological inflexibility, and assertiveness) were assessed before and after the intervention. Adherence and working alliance were measured only after the intervention. Results: Contrary to evidence from clinical settings, severe self-criticism was not associated with increased dropout or weaker alliance. Instead, individuals with severe self-criticism exhibited the greatest improvements across multiple domains, suggesting a higher potential for therapeutic gain. Moreover, participants with moderate levels of both internalized and comparative self-criticism showed higher dropout and lower adherence. Conclusions: These findings indicate that, in preventive guided self-help contexts, self-criticism does not necessarily hinder engagement and outcomes and may, under certain conditions, function as a catalyst for change. Implications for tailoring digital preventive interventions and addressing dropout risk are discussed. Full article
(This article belongs to the Section Mental Health and Psychosocial Well-being)
13 pages, 440 KB  
Article
Postoperative Pain and Functional Limitations After Corneal Cross-Linking for Keratoconus: A Patient-Reported Outcome Study
by Ruta Jaruseviciene, Gintare Kirkickaite and Saulius Galgauskas
Life 2026, 16(4), 694; https://doi.org/10.3390/life16040694 - 21 Apr 2026
Abstract
Background: Keratoconus is a progressive corneal condition that leads to visual impairment and is primarily managed with corneal cross-linking (CXL), a procedure designed to halt its progression. However, while the clinical outcomes of CXL are well-documented, its impact on patient well-being, including postoperative [...] Read more.
Background: Keratoconus is a progressive corneal condition that leads to visual impairment and is primarily managed with corneal cross-linking (CXL), a procedure designed to halt its progression. However, while the clinical outcomes of CXL are well-documented, its impact on patient well-being, including postoperative pain and recovery, remains underexplored. This study aimed to evaluate postoperative pain, functional limitations, visual recovery, and patient-reported outcomes following corneal cross-linking (CXL) for keratoconus. Methods: A structured survey was conducted among 31 patients who underwent CXL for keratoconus. The survey assessed postoperative pain using a Numeric Rating Scale (NRS) and collected information on visual recovery, functional limitations, and the socioeconomic effects of the procedure. Clinical data, including best-corrected visual acuity (BCVA) and keratometry, were also recorded before and after CXL to evaluate the procedure’s efficacy. Results: The study found that postoperative pain was moderate, with a mean pain score of 6.06 ± 1.82, typically lasting 1–3 days. Nearly 54.8% of patients reported significant disruption to daily activities, including missing work or studies, and 77.4% experienced some degree of functional limitation. A statistically significant correlation was observed between postoperative pain intensity and quality-of-life impairment (Spearman’s ρ = 0.503, p = 0.004). Despite these challenges, 93.5% of participants reported improvement in vision, with most recovering within a week. Objective clinical data supported the effectiveness of the procedure. Conclusions: Corneal cross-linking is associated with favorable clinical outcomes; however, the early postoperative period is characterized by moderate pain and functional limitations, highlighting the importance of patient-centered care. Full article
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13 pages, 703 KB  
Article
Comparative Analysis of Two Dietary Saturated Fat Types on Metabolite Profiles Crossing the Blood–Brain Barrier of Poultry Chicks
by Oluteru E. Orimaye, Paul C. Omaliko, Nathanael I. Lichti, Bruce R. Cooper and Yewande O. Fasina
Metabolites 2026, 16(4), 283; https://doi.org/10.3390/metabo16040283 - 20 Apr 2026
Abstract
Background: The dorsal raphe nucleus (DRN) produces and distributes serotonin, while the hypothalamus (HYP) uses serotonergic signals to regulate physiological processes in chickens. Coconut oil (COCO), rich in medium-chain fatty acids, is rapidly absorbed without re-esterification. Methods: Day-old broilers (Ross 708 male, n [...] Read more.
Background: The dorsal raphe nucleus (DRN) produces and distributes serotonin, while the hypothalamus (HYP) uses serotonergic signals to regulate physiological processes in chickens. Coconut oil (COCO), rich in medium-chain fatty acids, is rapidly absorbed without re-esterification. Methods: Day-old broilers (Ross 708 male, n = 160) were distributed into two dietary treatments with five replicates of 16 birds each. The birds were fed a corn–soybean meal (SBM) basal diet supplemented with 3% of poultry fat (CON) or coconut oil (COCO). The body-weight gain (BWG), feed intake (FI), and feed conversion ratio (FCR) were recorded over a 3-week period, and the data were subjected to a t-test. Untargeted metabolomic analysis by high-performance liquid chromatography (HPLC-MS) was used to evaluate the influence of the type of dietary fat on metabolite profiles in the DRN, HYP, and plasma of broiler chickens. Principal component analysis (PCA) was used to identify unique metabolites, and ANOVA was used to identify the metabolites that were significantly abundant (p < 0.05). The metabolites were then annotated using the KEGG and HMDB databases. Results: Birds in the COCO treatment gained more weight on average (0.8446 kg/bird) than birds in the CON group (0.8132 kg/bird; p = 0.0496). Five metabolites associated with multiple significant cellular processes, such as brain function, energy metabolism, and neurotransmission, showed similar differential expression patterns, while two metabolic pathways (butanoate metabolism and alanine, aspartate and glutamate metabolism) were identified. Conclusions: The dietary inclusion of COCO improves BWG in poultry and enhances their overall well-being by modulating metabolite profiles, supporting neurotransmission, and enriching the metabolic pathways essential for growth and brain function. Full article
(This article belongs to the Section Metabolomic Profiling Technology)
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18 pages, 1996 KB  
Article
The Gut Microbiome and Metabolome of Domestic Cats Were Altered by the Oral Administration of Complex Probiotics
by Yanfeng Ma, Yuhua Hu, Junjie Zhang, Qing Sun, Hongyan Wang, Xinda Liu, Weipeng Tian, Wenhao Wang, Xuelian Ma, Donghua Shao, Ke Liu, Beibei Li, Yafeng Qiu, Zhiyong Ma, Zongjie Li and Jianchao Wei
Biology 2026, 15(8), 652; https://doi.org/10.3390/biology15080652 - 20 Apr 2026
Abstract
Probiotics are commonly applied to maintain the balance of gut microbiota and regulate the intestinal metabolic function of companion animals. In the present study, complex probiotics (Bacillus coagulans SNZ-1969, Bacillus subtilis, and Bacillus licheniformis) were added into the basal diet [...] Read more.
Probiotics are commonly applied to maintain the balance of gut microbiota and regulate the intestinal metabolic function of companion animals. In the present study, complex probiotics (Bacillus coagulans SNZ-1969, Bacillus subtilis, and Bacillus licheniformis) were added into the basal diet of domestic cats to investigate their influence on the intestinal microbiome and metabolic characteristics. Results revealed that the alpha diversity of the gut microbiota in the probiotic group was enhanced when compared to the control group. The beta diversity of the gut microbiota was also altered by the oral consumption of the complex probiotics. Compared to the control group, the relative abundance of beneficial microbes (such as Clostridium, Bacteroides, Phocaeicola, and Ruminococcus) in the probiotic group was enhanced, while the relative abundance of opportunistic pathogens (such as Escherichia, Gallibacter, Corynebacterium) was decreased. Additionally, the intestinal metabolic characteristics of domestic cats were also changed. The metabolomic analysis identified 408 differential metabolites between the two groups, and the KEGG function pathway analysis proved that the dominant pathway related to the differential metabolites were the amino acid metabolism, lipid metabolism, carbohydrate metabolism, energy metabolism, endocrine system, digestive system, immune system, and other metabolic pathways. Spearman’s correlation analysis revealed that the beneficial microbes had positive correlations with the differential metabolites. In conclusion, the current study demonstrated that oral administration of complex probiotics could regulate overall health and well-being in domestic cats through modulating the gut microbiome and metabolic characteristics. Full article
11 pages, 448 KB  
Article
Psychometric Properties of the Italian Food Noise Questionnaire (FNQ) for the Assessment of Intrusive Food-Related Thoughts
by Edoardo Mocini, Olivia Di Vincenzo, Clarissa D’angelo, Carlo Baldari, Silvia Migliaccio and Andrea Zagaria
Behav. Sci. 2026, 16(4), 609; https://doi.org/10.3390/bs16040609 - 20 Apr 2026
Viewed by 82
Abstract
Food noise refers to persistent and intrusive thoughts about food that may interfere with daily functioning, emotional well-being, and eating behaviors. Although the construct has gained increasing attention in clinical and research contexts, no psychometrically sound tools are currently available in Italian to [...] Read more.
Food noise refers to persistent and intrusive thoughts about food that may interfere with daily functioning, emotional well-being, and eating behaviors. Although the construct has gained increasing attention in clinical and research contexts, no psychometrically sound tools are currently available in Italian to assess food noise. Therefore, the present study aimed to translate, adapt, and evaluate the psychometric properties of the Italian version of the Food Noise Questionnaire (FNQ). A total of 1087 participants (mean age 37.45 ± 10.35 years; 50.6% female) were enrolled in the investigation. Participants completed the Italian version of the FNQ, along with a convergent measure of food-related preoccupation and self-report measures of depressive symptoms, anxiety symptoms, and perceived stress. Confirmatory factor analysis supported a unidimensional factor structure for the FNQ, with salient standardized factor loadings (range = 0.803–0.919) and strong internal-consistency reliability (categorical ω = 0.917). Evidence of convergent validity was provided by strong associations with food-related preoccupation (r = 0.831, p < 0.001), whereas discriminant validity was supported by smaller, yet significant, correlations with anxiety, depression, and perceived stress (r range = 0.350 to 0.417, p < 0.001). In addition, configural, metric, and scalar invariance across gender was established within a multi-group framework. These findings provide evidence for the FNQ as a reliable and valid measure of food noise in the Italian adult population, demonstrating robust psychometric properties and gender-invariant measurement. Full article
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18 pages, 468 KB  
Article
Integrated Wellbeing: Illustrating the Benefits of Approaching Domain-Specific Development Within an Integrated Framework
by Theunis Jacobus De Wet and Tessa De Wet
Healthcare 2026, 14(8), 1086; https://doi.org/10.3390/healthcare14081086 (registering DOI) - 19 Apr 2026
Viewed by 107
Abstract
Background: Human wellbeing consists of dynamic interactions and feedback loops across multiple life domains, a perspective increasingly emphasised within positive psychology’s systemic and strengths-based approach to flourishing. This study develops a systemic framework to model these interdependencies and examines how cross-domain investment can [...] Read more.
Background: Human wellbeing consists of dynamic interactions and feedback loops across multiple life domains, a perspective increasingly emphasised within positive psychology’s systemic and strengths-based approach to flourishing. This study develops a systemic framework to model these interdependencies and examines how cross-domain investment can optimise both domain-specific and integrated wellbeing across the lifespan. Methods: Using a Cobb–Douglas functional form with associated growth and resource constraints, we formalise the interaction between physical and financial wellbeing as an example and analyse their joint contribution to overall wellbeing. Results: The model demonstrates that improvements in one domain of wellbeing can enhance wellbeing in another, thereby shifting the optimisation frontier. While narrow domain-specific wellbeing strategies are subject to larger diminishing marginal returns, cross-domain investment generates reinforcing effects that elevate both domains simultaneously and increase integrated wellbeing. Conclusions: In line with positive psychology’s focus on leveraging strengths to support areas of relative weakness, the findings show how developing one domain of wellbeing can mitigate constraints in another. These findings align with positive psychology’s emphasis on multidimensional flourishing and resource-building processes, highlighting the importance of systemic resource allocation and suggesting that wellbeing optimisation requires coordinated, contextualised multi-domain strategies rather than siloed approaches. Full article
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20 pages, 860 KB  
Article
The Enforcement of Intimate Image Offences and the Effectiveness of Victim Services in Taiwan: A Qualitative Study Using Reflexive Thematic Analysis
by Wen-Ling Hung
Int. J. Environ. Res. Public Health 2026, 23(4), 525; https://doi.org/10.3390/ijerph23040525 - 18 Apr 2026
Viewed by 144
Abstract
(1) Background: The non-consensual dissemination of intimate images constitutes a severe form of online gender-based violence (OGBV) that inflicts profound harm on victims’ sexual privacy, psychological well-being, and social functioning. Taiwan enacted comprehensive legislative reforms in 2023—commonly referred to as the “Four Acts [...] Read more.
(1) Background: The non-consensual dissemination of intimate images constitutes a severe form of online gender-based violence (OGBV) that inflicts profound harm on victims’ sexual privacy, psychological well-being, and social functioning. Taiwan enacted comprehensive legislative reforms in 2023—commonly referred to as the “Four Acts on Sexual Violence Prevention”—to strengthen criminal responses and expand victim protection mechanisms. However, the extent to which these reforms have translated into effective frontline practice remains insufficiently examined. (2) Methods: This qualitative study employed reflexive thematic analysis to investigate frontline professionals’ experiences with enforcing intimate image offence legislation and delivering victim support services. Semi-structured, in-depth interviews were conducted with 20 practitioners, including social workers, police officers, prosecutors, and lawyers. (3) Results: Three superordinate themes emerged across macro, meso, and micro structural levels. At the macro level, limited public awareness and persistent victim-blaming attitudes undermine prevention, help-seeking, and reporting. At the meso level, legislative fragmentation, challenges in preserving and analysing digital evidence, and inter-agency coordination gaps constrain enforcement capacity. At the micro level, procedural delays, risks of secondary victimization, and perceived inadequacies in compensation and support mechanisms weaken victims’ trust in institutional responses. (4) Conclusions: While Taiwan’s legislative reforms represent a significant institutional advancement, legal reform alone is insufficient to address digital sexual violence effectively. Comprehensive responses require integrated public education initiatives, enhanced inter-agency coordination, strengthened digital investigation capacity, and trauma-informed victim protection practices across all structural levels. In particular, the findings underscore an urgent public health need to establish rapid digital evidence preservation and takedown mechanisms to limit the proliferation of non-consensual sexual images and mitigate the associated mental health harms among victims. Full article
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24 pages, 846 KB  
Review
Geriatric Migraine, Geroscience, and Sustainable Development Goals: Bridging Clinical Complexity and Public Health Priorities
by Claudio Tana, Michalis Kodounis, Raffaele Ornello, Bianca Raffaelli, Roberta Messina, William Wells-Gatnik, Marta Waliszewska-Prosół, Simona Sacco, Dilara Onan and Paolo Martelletti
J. Clin. Med. 2026, 15(8), 3088; https://doi.org/10.3390/jcm15083088 - 17 Apr 2026
Viewed by 197
Abstract
Background: Migraine in older adults represents an increasingly relevant yet underrecognized clinical challenge in aging societies, where multimorbidity, frailty, and polypharmacy complicate both diagnosis and management. Although traditionally considered a disorder of younger individuals, migraine frequently persists or presents after the age of [...] Read more.
Background: Migraine in older adults represents an increasingly relevant yet underrecognized clinical challenge in aging societies, where multimorbidity, frailty, and polypharmacy complicate both diagnosis and management. Although traditionally considered a disorder of younger individuals, migraine frequently persists or presents after the age of 60 with atypical features, contributing to diagnostic uncertainty. Methods: This narrative review, conducted in accordance with the SANRA principles, aims to provide a comprehensive overview of the epidemiology, clinical presentation, pathophysiology, and management of migraine in older adults, with particular emphasis on age-related complexities, therapeutic challenges, and unmet clinical needs. Results: Migraine in this population often presents with atypical or misleading features, such as aura without headache, vestibular symptoms, or overlap with cerebrovascular conditions, leading to delayed or incorrect diagnoses. The burden of disease is substantial, affecting physical function, mobility, cognition, emotional well-being, and social participation, and is further amplified by comorbid conditions including cardiovascular and metabolic disorders, mood disturbances, and chronic pain syndromes. Aging-related neurobiological changes, such as impaired pain modulation, endothelial dysfunction, and neuroinflammation, may influence disease expression and treatment response. Therapeutic management is challenged by contraindications, increased susceptibility to adverse drug effects, and the complexity of polypharmacy, highlighting the importance of individualized and non-pharmacological approaches. Conclusions: Migraine in older adults is a significant but often overlooked contributor to disability and reduced quality of life. Improved recognition of its unique clinical features and age-specific vulnerabilities is essential to optimize patient-centered care. Future research should prioritize the inclusion of older populations and the development of tailored, safe, and effective management strategies. Full article
(This article belongs to the Special Issue Headache: Updates on the Assessment, Diagnosis and Treatment)
20 pages, 626 KB  
Article
Integrating Well-Being in Living and Learning Through Occupational Therapy Fieldwork on a College Campus: The WILL Thrive Program
by Sarah E. Brockway, Carrie Will, Molly Mendolia and Karen Keptner
Behav. Sci. 2026, 16(4), 601; https://doi.org/10.3390/bs16040601 - 17 Apr 2026
Viewed by 120
Abstract
Postsecondary institutions are seeing an increased prevalence of student mental health concerns and disabilities, highlighting the need for campus-based approaches that support student well-being. While college campuses provide many services to support students, occupational therapists are largely absent from these support systems, despite [...] Read more.
Postsecondary institutions are seeing an increased prevalence of student mental health concerns and disabilities, highlighting the need for campus-based approaches that support student well-being. While college campuses provide many services to support students, occupational therapists are largely absent from these support systems, despite growing interest in this emerging field of practice. This program description and implementation case study examines preliminary indicators of feasibility for the WILL Thrive program, which delivered occupational therapy (OT) services on a college campus through a Level II fieldwork placement. Feasibility was examined across domains of acceptability, demand and implementation using an integrated approach combining a needs assessment, service development and process evaluation. Data sources included environmental observations, surveys, stakeholder interviews and process evaluation measures, including service delivery tracking, referral patterns, and resource utilization. Referrals and service utilization in this case were most frequently observed among students reporting neurodevelopmental and mental health-related functional challenges, providing preliminary indicators of potential service users, though a small, heterogeneous sample size limits generalizability. Referral patterns and engagement from the wellness center and accessibility staff highlight preliminary strengths of the program, including early indicators of acceptability and demand. In contrast, implementation barriers were also identified, including limited campus-wide understanding of the OT scope and role and constraints in on-campus OT supervision. Findings offer early, exploratory signals of feasibility for integrating OT services through an OT fieldwork II model and suggest that OT may complement existing campus supports by addressing participation-focused, functionally orientated needs. Results should be viewed as preliminary and inform future implementation studies that include systematic outcome measures, comparative analysis with existing services, and broader assessment across diverse higher education contexts. Full article
(This article belongs to the Special Issue Mental Health and Wellbeing of Students with Disabilities)
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