Search Results (736)

Background/Objectives: Mindfulness-based interventions are widely used to reduce psychological distress. Their long-term neurophysiological correlates remain insufficiently characterized. Using a portable Muse InteraXon^® EEG device, this study aimed to evaluate (i) the extent to which a 12-month combined mindfulness and gratitude-based intervention reduces anxiety, depression, and perceived stress, and (ii) whether these changes are accompanied by corresponding EEG-derived neurophysiological alterations, exploring longitudinal brain–behavior associations. Methods: Fifty participants completed psychological assessments at baseline, 6 months, and 12 months using validated scales (BDI-II, DASS-21, EMAS). A subcohort of 25 participants also underwent EEG recordings with a portable Muse device at the same time points. Longitudinal changes were analyzed using linear mixed-effect models, and exploratory brain–behavior associations were assessed with change-score analyses and Spearman’s correlations with false discovery rate correction. Results: Across the full cohort (n = 50), psychological outcomes showed longitudinal improvements over 12 months, with reductions in BDI-21, DASS-21 depression, anxiety, and stress subscales, and EMAS-State scores (all p < 0.001; linear mixed-effect models). In the EEG subcohort (n = 25), longitudinal analyses showed increased alpha power and reduced beta and gamma power in frontal and temporoparietal regions (pFDR < 0.05), along with a modest decrease in delta power at 12 months, while theta power remained stable. Exploratory analyses showed non-significant trends in the hypothesized directions that did not remain statistically significant after correction for multiple comparisons (e.g., Δalpha vs. Δstate anxiety: ρ ≈ −0.44; Δbeta vs. Δdepression: ρ ≈ 0.43) or after FDR correction. Conclusions: The mindfulness- and gratitude-based intervention was associated with sustained improvements in psychological outcomes and suggests accompanying dynamic modulation of neurophysiology. EEG appears to reflect time-dependent neural adaptation rather than a static predictor of treatment response. Full article

Background: Adolescents are at an increased risk for experiencing emotional reactions and interpersonal stressors, which can interfere with their access to gratitude. While gratitude is typically defined as an empathic or other-oriented emotion, personal distress is an aversive or self-oriented empathic reaction to others’ emotions or states, which can interfere with prosocial behavior. The goal of this study was to examine whether guilt proneness and gender moderate the prospective association between personal distress and later gratitude. Methods: The participants consisted of 111 early adolescents (61% females; M age = 12.74). Trait gratitude, personal distress (IRI—Personal Distress), and guilt proneness (TOSCA-A) were used as self-report measures. Using conditional process analysis (PROCESS Model 2), we tested whether Time 1 personal distress is associated with Time 2 gratitude, moderated by guilt and gender. Correlations showed that Time 2 gratitude was positively related to guilt but was not significantly related to personal distress. Results: The results indicated that personal distress was associated with lower Time 2 gratitude when guilt proneness was moderate to high, but not when guilt proneness was low. The association between personal distress and gratitude varied across levels of guilt proneness. Although conditional effects were examined separately for boys and girls, the interaction with gender was not significant and should be interpreted cautiously. The findings suggest that lower gratitude in adolescence may reflect distress–guilt dynamics rather than ingratitude itself. Conclusions: These findings highlight the importance of considering guilt proneness in future research on adolescents’ socioemotional development. Full article

The well-being of university students is deteriorating, highlighting the need for accessible, non-stigmatizing supports beyond clinical care. Positive psychology (PP) interventions have shown strong potential for improving mental well-being, yet they remain largely underutilized in Nigerian universities. This pilot study evaluated the impact of an eight-week education and intervention incorporating acts of kindness, gratitude, positive reframing, and character strengths in improving subjective well-being among university students in Nigeria. Students were assigned randomly to an education + PP group or an education-only control group and assessed at baseline and post-intervention. Independent-samples t-tests were used to examine group differences in outcomes, while mixed-design ANOVA models assessed the effects of group and time. Compared with controls, the intervention group showed significantly higher mental well-being, positive affect, and resilience, with moderate to large effects. While significant main effects emerged across outcomes, time-by-group interactions were observed only for positive affect and resilience. Given rising psychological distress among Nigerian university students, these preliminary results showed that brief, strengths-based PP exercises can meaningfully improve students’ subjective well-being. They can serve as low-cost, non-stigmatizing additions to university mental health services and a scalable complement to traditional care in low-resource settings. Full article

We would like to express our sincere gratitude to the authors of the comment for their careful reading and insightful observations regarding our recently published review, “The Involvement of Resolvins in Pathological Mechanisms of Periodontal Disease Associated with Type 2 Diabetes: A Narrative Review” [...] Full article

Background: In 2024, Reddit, an emerging social media platform, saw a 50% increase in monthly users to nearly 100 million. Reddit has also emerged as a significant space for discussions about health conditions, including epilepsy, which affects about 50 million people globally. Purpose: This study aims to explore trends in the volume, timing, themes, emotional tone, and sentiment of posts on the r/Epilepsy subreddit from 1 December 2023 to 31 December 2024. Methods: We collected 25,222 original English-language posts from r/Epilepsy using Reddit’s Application Programming Interface (API). Data extraction was restricted to English-language submissions to ensure compatibility with sentiment and thematic analyses. We analyzed post volume and timing using chi-square tests and Poisson regression. Emotional tone was measured using TextBlob (version 0.19.0), while compound sentiment scores were calculated via VADER (Valence Aware Dictionary and Sentiment Reasoner) (NLTK version 3.9.1). A Pearson correlation assessed agreement between sentiment and emotional tone, with statistical significance set at p < 0.05. Thematic analysis was conducted using a KMeans clustering algorithm (scikit-learn version 1.6.1) to identify recurring discussion topics. Results: Total monthly posts steadily increased, with the highest number (2175) in December 2024. Peak posts in descending order were in December 2024, August 2024, and November 2024. Posts were not evenly distributed across the week, with a significant peak on Mondays (χ² = 86.75, p < 0.001) and Poisson regression confirming higher activity early in the week (p = 0.001). Emotional tones fluctuated, with positive sentiments in January and October 2024, and negative sentiments in March and August 2024. KMeans clustering identified five main themes: treatment experiences, community engagement, personal experiences, solidarity, and subreddit gratitude. Manual validation of a random subset of posts demonstrated moderate concordance between automated sentiment classification and human ratings. Conclusions: This study highlights temporal patterns, sentiment dynamics, and thematic structure in online discussions on epilepsy. Social media may offer valuable, real-time insights into patient-centered concerns and community engagement, which can inform healthcare professionals and advocacy groups in supporting individuals affected by epilepsy. Future studies may compare trends of epilepsy discussions across various social media platforms, such as X and Instagram, to further understand online patient experiences. Full article

Background/Objectives: Mental health conditions such as anxiety, depression, and stress remain among the leading global causes of disability. Mindfulness-Based Interventions (MBIs) have gained increasing attention as effective non-pharmacological strategies for reducing psychological distress. Methods: This systematic review examined 30 randomized controlled trials and quasi-experimental studies involving over 24,000 participants to evaluate the impact of MBIs on mental health outcomes, with a specific focus on the contribution of gratitude-based components. Results: Studies varied in terms of population, duration, and format, with most demonstrating moderate to strong effects on symptom reduction, particularly in programs lasting 8 to 12 weeks. A random-effects meta-analysis was conducted, yielding a pooled effect size of Hedges’ g = −0.45, indicating a moderate improvement in psychological outcomes. Subgroup analyses revealed slightly stronger effects for anxiety (g = −0.56) than depression (g = −0.45). Gratitude-integrated MBIs demonstrated modestly enhanced emotional benefits, suggesting a synergistic role in improving well-being. Conclusions: The review found low evidence of publication bias and acceptable risk of bias, supporting the moderate results. The findings underscore the value of MBIs, particularly those integrating gratitude, as scalable, cost-effective interventions in clinical and educational settings. Full article

Objective: Family-Based Treatment (FBT) is an emerging intervention for youth with low-weight Avoidant/Restrictive Food Intake Disorder (ARFID), yet little is known about how parents conceptualize progress, learning, and maintenance of behavioral changes after treatment completion. Clarifying parent perspectives may inform future treatment modifications and shed light on potential mechanisms of change in FBT. Methods: This qualitative study explored parent experiences (n = 19 families) during the final session of FBT-ARFID who were treated in the context of a randomized clinical trial. Qualitative data from final-session transcripts were analyzed using reflexive thematic analysis. Results: Qualitative analyses identified four themes capturing parental reflections on learning during FBT: Progress Review, Parent Learning, Maintenance Planning, and Gratitude. Parents emphasized improvements beyond weight restoration, including increased dietary variety, reduced fear around eating, and greater flexibility at meals. Parents universally reported learning core FBT principles and increased confidence about their ability to manage ARFID in their child after treatment was completed. Conclusions: According to systematic qualitative analysis of parent reflections at the end of treatment, FBT for ARFID promotes parental self-efficacy, multidimensional progress, and meaningful parental learning related to managing ARFID symptoms in their children. Full article

Mental health concerns are increasingly prevalent among postgraduate students, who face academic, social, and career pressures. Although research on student mental health is expanding, less is known about the psychological resources that support well-being in postgraduate learners. Meaning in life has been identified as a key psychological resource that helps individuals interpret challenges and maintain coherence and well-being, and recent research highlights the contribution of self-transcendent traits such as gratitude, forgiveness, and spirituality in fostering meaning in life. However, empirical evidence on these interrelationships remains limited. This study involves 1527 Pakistani postgraduate students (M = 795; mean age = 24.89 years) recruited through multistage random sampling from ten public universities in Punjab. Participants completed the Gratitude Questionnaire, Heartland Forgiveness Scale, Spirituality Scale, Meaning in Life Questionnaire, and Mental Health Inventory (assessing psychological well-being and psychological distress). Correlation analyses showed that gratitude, forgiveness, and spirituality were positively associated with psychological well-being and negatively associated with psychological distress. Structural equation modeling (SEM) further indicated that these traits predicted mental health both directly and indirectly, with meaning in life serving as significant partial mediator. Overall, the findings highlight the central role of meaning in life in linking self-transcendent traits to mental health among postgraduate students and suggest important implications for culturally sensitive, university-based mental health initiatives. Full article

Background: This narrative review examines the relationship between gratitude and flourishing in adults from the perspective of Positive Psychology. It departs from the traditional emphasis of psychology on mental illness, highlighting instead a comprehensive understanding of mental health that includes well-being and personal strengths. Methods: This study provides a narrative review of empirical studies published, integrating the principal theoretical and methodological contributions in this field. Relevant studies were identified through searches in PubMed, Scopus, and Web of Science. Results: The available evidence suggests that gratitude functions as a psychological resource that supports human flourishing by fostering greater life satisfaction, positive affect, and healthier physical and mental functioning. Its association with better outcomes in groups facing significant stressors (e.g., emerging adults, older adults, people with chronic pain, depression, or disabilities, forced migrants, etc.) and the promising results of gratitude-based interventions indicate that it is not only a dispositional trait but also a modifiable target for clinical and preventive programs. In addition, the findings underscore that the empirical literature on the relationship between gratitude and flourishing remains scarce and fragmented. Conclusions: Gratitude is intimately connected to flourishing, as it functions as a positive emotion-focused coping strategy that supports and enhances overall well-being. Further research is required to clarify the mechanisms involved, to examine its long-term effects on flourishing, and to determine how best to integrate gratitude and flourishing into culturally and gender-sensitive, scientific evidence-based clinical practices. Full article

This study merged archival data from three separate experiments to investigate the typology of individuals who benefit most and least from gratitude letter writing interventions (N = 487). First, k-means clustering of pre- to post-intervention changes in affect revealed three distinct groups: Buffered, Mixed Feelings, and Backfired. The Buffered cluster comprised individuals who, on average, experienced decreases in negative affect (e.g., less frustration) but no changes in positive emotions (e.g., joyful). The Mixed Feelings cluster experienced increases in positive affect, alongside self-conscious emotions, particularly indebtedness, which became more closely aligned with uplifting emotional states following the intervention. The Backfired cluster experienced decreases in positive feelings and increases in negative affect. Next, differences in individual characteristics across clusters indicated that those in the Buffered cluster were relatively more neurotic, had higher baseline negative feelings, and lower trait gratitude. Individuals in the Mixed Feelings cluster tended to be more dispositionally grateful and seemed to invest more effort into the activity. Finally, individuals in the Backfired cluster were also relatively more grateful and had higher baseline positive affect. These findings contribute to understanding individual differences in the effectiveness of gratitude letter interventions and highlight opportunities to tailor such activities to promote personal growth. Full article

Background/Objectives: Cystic fibrosis (CF) is a genetic condition with an increasing life expectancy in recent years. As a result, addressing psychosocial aspects in this population has become an increasingly important concern. This mixed-methods systematic review aimed to update the current knowledge on the psychosocial aspects of living with CF in adults. Methods: Following PRISMA guidelines, a literature search was conducted in November 2024 across several databases, including Scopus, ScienceDirect, Academic Search Complete, MEDLINE, Supplemental Index, Complementary Index, APA PsycInfo, Business Source Complete, SciELO, and the Directory of Open Access Journals via EBSCO. Results: Of the 701 articles retrieved, 24 were analyzed, including a total of 2023 participants (mean age: 31.2 years; 57.2% female). Quantitative findings identified optimistic coping as the most frequent strategy associated with improved survival. High social support and gratitude emerged as key factors for treatment adherence and quality of life, while depression remained the primary mental health concern. Qualitatively, the findings highlighted concerns with adult life transitions and financial stressors. Participants described experiences of social stigma and embarrassment linked to chronic symptoms, often leading to selective disclosure to avoid discrimination. Conclusions: This review confirms that psychosocial factors are central to the adult CF experience, shifting the focus beyond biological survival and highlighting areas that require clinical intervention. As life expectancy increases, clinical care must evolve to incorporate interventions that address these factors to improve mental health and overall quality of life (QoL), ensuring that patients are supported through the unique challenges of extended adulthood. Full article

Background: Emotional intelligence (EI), particularly the ability to regulate one’s emotions, is a key protective factor against stress and burnout in high-demand occupations, including leadership and healthcare. Compassion and gratitude practices have been proposed as brief, scalable methods to strengthen emotion regulation, yet empirical evidence from randomised controlled trials remains limited. Objective: This study evaluated whether a four-week, self-directed online programme combining daily loving-kindness meditation and gratitude journaling improves EI among leaders. Methods: Forty-five leaders in Germany from diverse occupational sectors were recruited via LinkedIn and Xing and were randomised using a computer-generated random sequence to an intervention or wait-list control group. EI was measured pre- and post-intervention with the Emotional Competence Questionnaire (EKF), comprising recognising one’s own feelings (RU), recognising others’ feelings (RO), regulating one’s own feelings (RC; primary outcome), and expressing feelings (RE). Adherence was reported in categorical form (e.g., daily, 3–5×/week, 1–2×/week). Treatment effects were tested using mixed-design ANOVAs. Results: A significant Group × Time interaction emerged for emotion regulation (RC), indicating greater improvement in the intervention group compared with the control group. No significant interaction effects were found for RU, RO, or RE. Adherence data did not permit dose–response analysis. Conclusions: A brief, self-directed online compassion and gratitude programme selectively improved emotion regulation—the EI facet most strongly linked to stress buffering and resilience. Although effects did not extend to other EI dimensions, findings suggest that low-threshold digital practices may strengthen a core emotional skill relevant to psychological well-being in leadership roles. Because the sample did not primarily comprise healthcare professionals, implications for healthcare settings re-main conceptual; targeted trials in clinical populations are warranted. Full article

COVID-19 led to substantial changes in early literacy instruction. Although emerging evidence documents its effects on children’s reading achievement, much less is known about how these changes relate to young children’s reading motivation and school-related well-being. This study compared two cohorts of second graders (N = 287) from the same four low-SES schools, all assessed at the beginning of second grade. A pre-COVID-19 cohort, whose first-grade instruction was delivered entirely face-to-face, was compared with a during-COVID-19 cohort whose first-grade reading instruction took place amid extended distance learning with intermittent, restricted in-person schooling. Cohorts were compared on reading motivation, school-related well-being (covitality), and reading achievement (word reading, vocabulary, and reading comprehension). Multivariate analyses of variance (MANOVAs) were conducted to compare cohorts (pre- vs. during COVID-19) and reader groups (typical vs. poor readers), with gender, class, and school entered as control variables. In motivation, self-concept was higher during COVID-19, and typical readers reported higher motivation than their peers. In well-being, covitality was higher during COVID-19 at the total score and across gratitude, optimism, zest, and persistence; a cohort by group interaction for persistence indicated higher scores for typical readers during COVID-19. In achievement, phonological decoding and orthographic word identification were lower during COVID-19; typical readers scored higher than poor readers on all achievement outcomes. Together, these findings suggest that the educational setting shapes motivation and well-being alongside achievement, and that distance learning is not uniformly detrimental, as it coincided with higher covitality and reading self-concept at school reentry. Full article