Search Results (34)

Adolescence is a critical period when rapid cognitive maturation coincides with heightened emotional vulnerability. This study examined the dynamic association between academic ability and mental health across early adolescence, focusing on vocabulary ability as a core indicator of academic ability. Using large-scale data from Grades 1–12 (N = 13,412), a vertically scaled vocabulary ability scale was constructed based on Item Response Theory (IRT) and the Non-Equivalent Anchor Test (NEAT) design to achieve cross-grade comparability. Fixed-parameter calibration was then applied to an independent cross-sectional sample of middle school students (Grades 7–9, N = 401) in Tianjin, combined with the DASS-21 to assess internalizing symptoms (depression, anxiety, stress). Hierarchical multiple regression analyses revealed that higher vocabulary ability was significantly associated with lower levels of depression, anxiety, and stress, with the negative association strongest in Grade 8. The present study provides new empirical evidence for understanding the interactive mechanisms between academic and psychological development during adolescence. Methodologically, the study demonstrates the value of IRT-based vertical scaling in establishing developmentally interpretable metrics for educational and psychological assessment. Full article

Psychological distress impacts a large portion of the general population. While effective treatments are available, few seek them out. This lack of treatment seeking may be due to several factors, particularly low mental health literacy (MHL). MHL is the knowledge an individual has regarding psychological disorders and their symptoms, treatments, and where to seek appropriate help when identified. The capacity to pay attention to present-moment experiences in MHL translates to the qualities of dispositional mindfulness (DM), the capacity to pay non-judgmental attention to present-moment experiences. The purpose of the present study was to evaluate the reliability and preliminary convergent validity of a newly developed, vignette-based assessment of psychological disorder recognition. A total of N = 299 participants were recruited via TurkPrime and completed measures of DM (FFMQ), MHL (MHLS), depression (PHQ-9), anxiety (GAD-7), and treatment-seeking attitudes (MHSAS). Participants were subsequently asked to read newly created vignettes based on ICD-11 criteria of major depressive, generalized anxiety, social anxiety, bipolar disorders, post-traumatic stress disorder, and schizophrenia. Participants then responded to questions assessing the recognition of disorder presence and identification. The vignettes with accompanying questions were titled the Psychological Disorder Recognition—Vignette (PDR-V) task. The PDR-V evidenced a Kuder–Richardson Formula 20 (KR-20) of 0.83, indicating excellent internal consistency. Independent sample t-tests indicated that participants with prior psychotherapy exposure, a history of mental health diagnosis, and, unexpectedly, those reporting lower education levels and no current mindfulness practice, scored significantly higher on the PDR-V. Spearman correlations revealed that higher scores on a validated MHL scale and specific facets of DM (describe, act with awareness) were positively correlated with PDR-V scores. Bipolar disorder evidenced the highest recognition as a psychological problem broadly, while social anxiety had the highest specific disorder identification accuracy rates. Generalized anxiety disorder had the lowest recognition and identification accuracy. While the PDR-V demonstrated promising preliminary psychometric properties, it also observed anomalies that warrant further investigation, as findings are limited by its cross-sectional nature. These findings suggest that the PDR-V is a versatile tool for differentiating the presence of a problem and accurately identifying the condition, supporting its potential as a reliable and sound measure. Full article

The review examines the impact of structural literacy on learning the discipline of architecture at the undergraduate level, as well as its influence on design processes. To bridge the knowledge application gap between structural literacy and design application in architecture, this review synthesizes published work on learning through the application of structural literacy in design processes. It also considers learning outcome assessment, design effectiveness measurement, and new learning approaches. The review aimed to compare hands-on learning with traditional learning methods, measure teaching methods, identify new learning methods, measure the impact of structural literacy on design and learning outcomes, and observe collaborative practices across diverse disciplines. The review conducted a comprehensive survey of international research on undergraduate architecture education using mixed, qualitative, and quantitative methods. The results indicate that active, hands-on collaborative learning approaches are more effective than continuous lecture-based approaches in enhancing structural comprehension and design integration. Although financial and access constraints restrict large-scale applications, digital and physical modeling software enhances conceptual understanding and design exploration. Although institutional and curricular barriers limit its application, interdisciplinary working enhances communication skills and facilitates structural integration. Curriculum revisions that initiate structured subjects early, with design studio linkages, strengthen student motivation and design efficiency. These findings indicate the extent to which collaborative frameworks and integrated teaching impact the development of structural literacy. The review emphasizes the need for curriculum revisions and interdisciplinary instruction to equip architecture students with the skills necessary for practical, creative, and contextually aware design work. Full article

Background/Objectives: Spinal cord injury represents a devastating neurological condition affecting approximately 27 million individuals globally, with particularly severe impacts on sexual function. Sexual dysfunction in SCI patients is multifactorial, with prevalence rates reaching 80–90% across different populations. In low- and middle-income countries, sexual health remains critically neglected in rehabilitation settings due to cultural barriers, inadequate healthcare infrastructure, and limited clinician training. Tunisia, with an estimated 31,000 SCI cases, lacks comprehensive data on sexual dysfunction prevalence and healthcare communication patterns in this vulnerable population. Based on identified research gaps, our study aimed to (i) assess the prevalence and severity of sexual dysfunction among Tunisian SCI patients using validated assessment tools, (ii) identify clinical and demographic factors associated with sexual dysfunction, and (iii) evaluate the current state of sexual health communication and rehabilitation services. Methods: A cross-sectional observational study was conducted at Sahloul University Hospital, Sousse, Tunisia, between July and September 2025. Fifty-one adults with chronic SCI (≥12 months post-injury) were recruited through consecutive sampling. Sexual function was assessed using the International Index of Erectile Function (IIEF) for men and the Female Sexual Function Index (FSFI) for women. Additional assessments included demographic data, injury characteristics using the American Spinal Injury Association Impairment Scale, pain evaluation, functional status, psychological well-being, and sleep quality. Statistical analysis included descriptive statistics, Spearman correlations, and significance testing (p < 0.05). Results: Sexual dysfunction affected 84.3% of participants (43/51), with 88.5% of men experiencing moderate-to-severe erectile dysfunction (median IIEF: 12 [7–36.25]) and 80% of women reporting sexual dysfunction (median FSFI: 7.2 [4–24.25]). Severe dysfunction (FSFI ≤ 10) was present in 56% of female participants. Sexual dysfunction correlated significantly with urinary incontinence (p = 0.045) and with measures of functional independence, including SCIM-III (ρ = 0.466, p = 0.016) and FIM (ρ = 0.569, p = 0.002) among men, and SCIM-III (ρ = 0.469, p = 0.018) and FIM (ρ = 0.495, p = 0.012) among women, indicating moderate positive associations between sexual and functional outcomes. Only 11.5% of men achieved normal erectile function (IIEF ≥48). Psychological factors (HAD-S) and pain scores (NRS, DN4) were not significantly associated with sexual function. A total of 92% of patients reported never discussing sexual health with their healthcare providers, and 100% lacked access to dedicated sexual rehabilitation services, underscoring severe care and communication gaps in the Tunisian SCI rehabilitation system. Conclusions: Sexual dysfunction is highly prevalent among Tunisian spinal cord injury patients and is closely associated with reduced functional independence and urinary issues. Despite its significant impact, sexual health remains largely neglected in rehabilitation care. These findings highlight an urgent need to integrate sexual health into national rehabilitation protocols through provider training, multidisciplinary services, and culturally sensitive education. Systematic sexual health assessment and rehabilitation should be considered essential to improving the quality of life and restoring dignity for affected individuals. Full article

The aim of this study was to evaluate the psychometric properties of the Brief Coping Orientation to Problems Experienced (COPE) inventory among students. The data was collected via an online platform from Russian universities involving first–fourth-year students (N = 670). The participants completed the Brief COPE inventory (32 items). Of these, 529 (79%) were female, and 141 (21%) were male. The age range was 18 to 29 years. For this study, the inventory was modified, and its reliability (internal consistency) and validity (internal, external) were assessed. Participants were asked also to complete three additional tests: the Perceived Stress Scale (PSS), the Hospital Anxiety and Depression Scale (HADS), and the Mental Toughness Questionnaire (MTQ-10). Principal Component Analysis (PCA) and Confirmatory Factor Analysis (CFA) showed that the data fit the expected six-factor structure after a reduction of seven items with low factor loadings from the inventory structure. The internal consistency was good (Cronbach’s α in the range of 0.65–0.91). External validity demonstrated weak but significant indicators: all correlations between most scales of the brief COPE inventory and the scores of other tests ranged from 0.067 to 0.364). The Brief COPE, comprising 25 items, is a new tool for assessing the coping strategies of Russian students. It is a reliable, valid, accurate, and acceptable measure of coping strategies that can be used in large-scale studies in Russia. Additionally, the developed instrument may be potentially useful for application in educational and psychological screening, which opens up further opportunities for its practical implementation. Full article

Background/Aim: Social networks have transformed the traditional dynamics of identity construction in adolescence, allowing users to select content and interact with others who share similar views, thereby reinforcing a sense of belonging to homogeneous groups. Given the growing influence of digital interaction on social identity among youth, psychometrically sound instruments are needed to measure this process. This study aimed to evaluate the psychometric properties of both the 9-item (IBRS-9) and 6-item (IBRS-6) versions of the Identity Bubble Reinforcement Scale in a large sample of Chilean adolescent students. Methods: A cross-sectional design was used with 4096 participants (50.8% male, 47.8% female, 1.4% other; M = 15.82, SD = 1.30) from 41 secondary schools across Chile. Confirmatory factor analyses (CFAs) tested factorial validity, and internal consistency and external criterion validity were examined. Measurement invariance was assessed across sex, social media use, internet use, and age. Analyses were conducted using the WLSMV (Weighted Least Squares Mean and Variance Adjusted), and model evaluation was based on conventional goodness-of-fit indices. Results: CFAs supported the factorial validity of both IBRS versions, showing reliability and external criterion validity. Model fit indices indicated good fit for both scales. Invariance analyses confirmed factorial stability up to the strict level across all subgroups, indicating consistent psychometric performance. Conclusions: The IBRS-9 and IBRS-6 are valid and reliable instruments for assessing identity bubble reinforcement among Chilean adolescents, providing evidence of factorial stability and applicability for research and educational and psychosocial interventions. Their validated structure provides a consistent basis for examining social identity processes related to digital interaction. Full article

Computational thinking (CT) is recognized as a core competency for the 21st century, and its development is shaped by multiple factors, including students’ individual characteristics and their use of information and communication technology (ICT). Drawing on large-scale international data from the 2023 cycle of the International Computer and Information Literacy Study (ICILS), this study analyzes a sample of 81,871 Grade 8 students from 23 countries and one regional education system who completed the CT assessment. This study is the first to apply a predictive modeling framework that integrates two machine learning techniques to systematically identify and explain the key variables that predict CT and their nonlinear effects. The results reveal that various student-level predictors—such as educational expectations and the number of books at home—as well as ICT usage across different contexts, demonstrate significant nonlinear patterns in the model, including U-shaped, inverted U-shaped, and monotonic trends. Compared with traditional linear models, the SHapley Additive exPlanations (SHAP)-based approach facilitates the interpretation of the complex nonlinear effects that shape CT development. Methodologically, this study expands the integration of educational data mining and explainable artificial intelligence (XAI). Practically, it provides actionable insights for ICT-integrated instructional design and targeted educational interventions. Future research can incorporate longitudinal data to explore the developmental trajectories and causal mechanisms of students’ CT over time. Full article

Background: Engaging in physical activity (PA) is especially significant for adolescents, as this is a key developmental stage for establishing lifelong habits. While the physical, mental, and cognitive health benefits of PA are well-documented, less is known about its relationship with adolescents’ life satisfaction (LS). Most existing evidence often involves small sample sizes, focusing particularly on developed regions, and few studies use large-scale comparative data. Methods: This study examines the association between adolescents’ LS and PA using data from the 2022 Programme for International Student Assessment (PISA), the world’s largest comparative education survey of adolescents. Our analysis included 399,794 adolescents from 64 high- and middle-income countries and economies. We used three-level multilevel regressions. Results: We found that, after controlling for individual, family, and school factors, PA is positively and significantly associated with LS. This finding holds for the pooled sample and across the 64 countries analysed. For most countries, we did not find a significant gender moderator effect, suggesting that the positive association between PA and LS did not vary by gender. Conclusions: The findings suggest a global health promotion strategy to promote PA amongst adolescents as a normative developmental process necessary for their well-being and mental health. Full article

The purpose of this study is to propose and critically assess a sustainable urban regeneration model for the redevelopment of the former K-2 military airbase in Daegu, Korea. Large-scale idle military sites pose significant challenges in terms of ecological remediation, social integration, and economic transformation, but also offer opportunities for redefining urban identity and global competitiveness. To address this, we develop the concept of the “Global Contents City,” a planning framework that integrates cultural exchange, creative industries, education, and tourism within a sustainable urban ecosystem. The research employs a qualitative methodology that combines theoretical review, comparative analysis of international precedents (e.g., Munich-Riem, Tempelhof, Stapleton, and Toronto), and design-oriented masterplanning. The findings highlight design strategies that spatially interconnect cultural, educational, industrial, and ecological functions while reinforcing low-carbon infrastructure and green open space. By situating the Daegu K-2 case in an international context, the study demonstrates how lessons from post-military redevelopments can be adapted to Korea, contributing to both scholarly debates and practical frameworks for sustainable city-making. Full article

Background: Health literacy (HL) is a key determinant of health outcomes and equity. The European Health Literacy Survey 2019 (HLS₁₉) introduced three domain-specific instruments—HLS₁₉-NAV, HLS₁₉-COM-P-Q11, and HLS₁₉-VAC. We present the translation, cultural adaptation, field testing, and descriptive pilot evaluation of their Greek versions (HLS₁₉-NAV-GR, HLS₁₉-COM-GR, HLS₁₉-VAC-GR). Methods: Dual forward/back-translation and expert review (11 health professionals/academics) produced the final versions. A purposive, quota-guided field test (N = 71) approximated population distributions by sex, age, education, and geographical region. Test–retest stability (n = 16; ~12 days) was summarized primarily with intraclass correlation ICC (2,1), with Pearson/Spearman correlations reported secondarily. Internal consistency was assessed using ordinal alpha computed from polychoric (polytomous) and tetrachoric (dichotomous) correlations. We report item- and scale-level descriptive statistics for both the original polytomous (four-category, 1–4) responses and a dichotomous difficulty–ease scheme (1–2 vs. 3–4). Given the non-probability sampling in this pilot, the results are descriptive, not statistically representative. Results: Instruments were well accepted, requiring only minor revisions. Scales demonstrated high short-term stability and good internal consistency; inter-scale correlations were moderate, interpreted as associations among related but distinct constructs. Item distributions skewed toward Easy/Very Easy; several HLS₁₉-VAC-GR items showed a clear ceiling, suggesting the need to consider harder items or a larger item pool in future validation. By scale, scores followed the descending order NAV, COM, and VAC. Distributions and ranking patterns broadly mirrored population-level findings from other countries. Conclusions: The adapted HLS₁₉-NAV/COM/VAC-GR instruments are linguistically and culturally appropriate and prepared for large-scale validation, while items NAV9, COM4, and the VAC ceiling are flagged for further assessment. Full article

Background/Objectives: Plantar fasciitis is the most common cause of heel pain, affecting 4–7% of the general population. Physiotherapy is a key component of conservative management. However, there is limited evidence on how physiotherapists in Saudi Arabia manage this condition. This study aimed to investigate current physiotherapy practices for plantar fasciitis in Saudi Arabia and assess their alignment with international clinical guidelines. Methods: A cross-sectional survey was conducted among licensed physiotherapists practicing in Saudi Arabia who had treated patients with plantar fasciitis. An online questionnaire, adapted from a validated UK-based survey, gathered data on participant demographics, service characteristics, diagnostic criteria, treatment goals, outcome measures, and intervention strategies. Descriptive statistics were used for analysis. Results: A total of 399 physiotherapists participated. Diagnosis was mainly based on clinical signs such as pain during plantar fascia stretch (72.9%), early morning pain (70.4%), and medial heel tenderness (69.4%). Common goals of intervention included pain reduction (93.4%), functional improvement (69.9%), and patient education (57.3%). Pain scales (74.9%) and functional tests (49.1%) were the most frequently used outcome measures. Interventions such as exercise therapy (92.0%), stretching (89.4%), and strengthening (84.7%) were widely used. More advanced modalities like shockwave therapy and dry needling were less frequently reported. Conclusions: Physiotherapy practices largely align with international guidelines. However, variation in outcome assessments and underuse of advanced modalities indicate the need for national clinical guidelines and targeted training programs. These steps may promote more consistent, evidence-based care and improve patient outcomes in Saudi Arabia. Full article

Background: Life satisfaction serves as a preventive agent against various emotional, cognitive, and behavioral challenges, making it a crucial cognitive indicator of subjective well-being, particularly during adolescence. Accurately assessing life satisfaction is essential for understanding and promoting adolescent mental health, especially in applied settings such as physical education, which plays a key role in fostering psychological well-being and positive youth development. However, additional investigation is needed to confirm the tools used for this purpose. This study aimed to analyze the psychometric properties, metric invariance, and temporal stability of the Satisfaction with Life Scale (SWLS) in adolescents from a region in southeastern Spain. Thus, the present study sought to answer the following research questions: (1) Does the SWLS demonstrate adequate psychometric properties in an adolescent population? (2) Is the SWLS invariant across gender and residential environments? (3) Does the SWLS show adequate stability over time? Methods: A sample of 400 students was assessed using exploratory and confirmatory factor analyses, multigroup comparisons, and test–retest techniques. Results: The results showed significant differences in scale scores in the sex and demographic location variables. Also, a robust unifactorial model with five items demonstrated good performance in terms of goodness of fit and internal consistency. Furthermore, full metric invariance was observed across genders, while configural invariance was supported for residential environment. Concurrent validity analyses revealed significant associations with another unidimensional well-being measure, and temporal stability was confirmed through the intraclass correlation coefficient. Conclusions: The findings support the SWLS as a potentially valid, reliable, and time-effective tool for assessing adolescent life satisfaction. Its strong psychometric properties make it highly suitable for use in mental health research, longitudinal monitoring, and large-scale studies. Moreover, its ease of administration allows its integration into educational, clinical, community-based, and physical education contexts, offering insightful information for the creation of long-lasting mental health regulations and preventive measures meant to improve the well-being of adolescents. Notwithstanding these encouraging results, some restrictions must be noted. The sample was restricted to a single geographic area, and contextual or cultural factors may have an impact on how satisfied people are with their lives. Furthermore, response biases could have been introduced by using self-report measures. Full article

The integration of large language models (LLMs) like ChatGPT is transforming education the health sciences. This study evaluated the applicability of ChatGPT-4 and ChatGPT-4o in endodontics, focusing on their reliability and repeatability in responding to practitioner-level questions. Thirty closed-clinical questions, based on international guidelines, were each submitted thirty times to both models, generating a total of 1800 responses. These responses were evaluated by endodontic experts using a 3-point Likert scale. ChatGPT-4 achieved a reliability score of 52.67%, while ChatGPT-4o slightly outperformed it with 55.22%. Notably, ChatGPT-4o demonstrated greater response consistency, showing superior repeatability metrics such as Gwet’s AC1 and percentage agreement. While both models show promise in supporting learning, ChatGPT-4o may provide more consistent and pedagogically coherent feedback, particularly in contexts where response dependability is essential. From an educational standpoint, the findings support ChatGPT’s potential as a complementary tool for guided study or formative assessment in dentistry. However, due to moderate reliability, unsupervised use in specialized or clinically relevant contexts is not recommended. These insights are valuable for educators and instructional designers seeking to integrate AI into digital pedagogy. Further research should examine the performance of LLMs across diverse disciplines and formats to better define their role in AI-enhanced education. Full article

Teacher professional development (PD) programs ensure quality education, and quality education is the basis for sustainable development. However, the non-participation of mathematics teachers in PD still represents a tough challenge for several school systems and remains poorly understood. Using data from the 2011, 2015, and 2019 cycles of the Trends in International Mathematics and Science Study (TIMSS), we analyzed more than 200 national datasets to identify countries with relevant proportions of non-participation in PD and model cross-nationally the relationship between the odds of this outcome and a set of variables at the teacher and school level, including the interaction between job satisfaction and the attributes of the schools. Successive logistic regression models applied to each national dataset reveals that, in different countries, the teachers’ job satisfaction, sex, teaching experience, the completion of initial teaching training, and the schools’ attributes (i.e., location and socio-economic status (SES)) were significantly associated with the odds of non-participation in PD amongst mathematics teachers. Three cases (Lebanon and Japan in 2015, and Norway in 2019) describes opposite patterns of results for the interaction between the teachers’ job satisfaction and the type of school location (urban vs. remote rural). In Lebanon in 2019, female teachers, as well as more experienced teachers and those teachers working in deprived areas were significantly more likely to report non-participation in PD. This study underscores the importance of undertaking regular and reliable cross-national monitoring of teachers’ non-participation in PD to guide policy efforts aligned with indicator 4.c.7 of the UN’s Sustainable Development Goals framework. Full article

Aberrant responding poses a significant challenge in measurement and validity, often distorting well-established relationships between psychological and educational constructs. This study examines how aberrant response patterns influence the relationship between student–teacher relations and students’ perceptions of school safety. Using data from 6617 students from the Saudi Arabia Kingdom from the 2022 Programme for International Student Assessment (PISA), we employed the cusp catastrophe model to evaluate the nonlinear dynamics introduced by aberrant responses, as measured by the U3 person-fit index and the number of Guttman errors. Theoretical and empirical support for the cusp model suggests that aberrance functions as a bifurcation parameter, shifting the relationship between student–teacher relations and perceived school safety from predictable linearity to chaotic instability when exceeding a critical threshold in aberrant responding. Results indicate that both the U3 index and the number of Guttman errors significantly contribute to response distortions, confirming the cusp model’s superiority over traditional linear and logistic alternatives. These findings suggest that ignoring aberrant responding risks misinterpreting data structures, while properly accounting for it through catastrophe models provides a more nuanced understanding of nonlinear system behavior in educational assessment. The study highlights the importance of person-fit statistics in psychometric evaluations and reinforces the predictive utility of nonlinear models in handling response distortions in large-scale assessments. Full article