Search Results (195)

(1) Background: Rapid population aging in China intensifies physical and mental health challenges, including negative emotions and social barriers. Physical activity (PA) fosters resilience, adaptability, and successful aging through emotional and social benefits. This study examines the relationship between square-dancing exercise and psychological capital (PsyCap) in middle-aged and elderly individuals using cross-validation, subgroup analysis, and a cross-sequential design. (2) Methods: A cross-sectional study with 5714 participants employed a serial mediation model. Online questionnaires assessed square-dancing exercise, cognitive reappraisal, prosocial behavior tendencies, PsyCap, and interpersonal relationships. Statistical analyses were conducted using SPSS 27.0 and Mplus 8.3, incorporating correlation analysis, structural equation modeling, and subgroup comparisons. (3) Results: (a) Cognitive reappraisal and prosocial behavior mediated the link between square-dancing and PsyCap through three pathways; (b) model stability was confirmed across two random subsamples; (c) cross-group differences emerged in age and interpersonal relationships. Compared with secondary data, this study further validated PsyCap’s stability over six months post-pandemic. (4) Conclusions: The study, based on China’s largest square-dancing sample, establishes a robust serial mediation model. The findings strengthen theoretical foundations for PA-based interventions promoting psychological resilience in aging populations, highlighting structured exercise’s role in mental and social well-being. Full article

Social trust has been linked to the development and severity of depression, but trust is a complex, multidimensional construct. This study examines the extent to which two distinct forms of trust, general trust and specific trust, predict depressive symptoms. Drawing on longitudinal data from the Directorate of Health’s national surveys conducted in 2007 and 2009, the analysis includes responses from 3211 Icelanders selected through a stratified random sample. Depressive symptoms were assessed using the Depression, Anxiety, and Stress Scale (DASS), while specific trust captured trust in close relationships, and general trust measured broader perceptions of trustworthiness in others. The two forms of trust together explained 7.6% of the variance in depressive symptoms, with specific trust contributing a substantially greater share. Both remained significant predictors after controlling for prior depression and physical health. These findings highlight the protective role of specific trust and suggest that general trust, an indicator of broader social capital, may also help buffer against depression. The results underscore the relevance of trust as a public health resource and support continued research into social determinants of mental health in Iceland. Full article

Background: This systematic review examined factors associated with psychological flexibility in higher education students. Objectives: This study aims to provide a comprehensive understanding of factors associated with psychological flexibility among higher education students. Methods: Following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) methodology, a systematic search was conducted in the Web of Science and Scopus databases. Several inclusion criteria were employed in the study, such as sample characteristics and study design. As a synthesis method, the qualitative narrative synthesis method was used. Results: Thirty-one studies were included in the review for detailed analysis. Our findings indicated positive associations between psychological flexibility and numerous variables that enhance the mental health and academic success of university students. In addition, individuals characterized by high psychological flexibility demonstrated better adjustment to university life and experienced higher levels of well-being. In the meantime, some studies found negative associations between psychological flexibility and several variables that hinder student success and negatively impact their mental health. Among them, the screened studies reported COVID-19 burnout, disordered eating cognitions, severity of posttraumatic stress symptoms, anxiety and depressive symptoms, and others. Discussion: Examining psychological flexibility in such a broad review provides insights into this construct and its potential applications in enhancing student success and contributing to economic and social sustainability by reducing dropout rates, lowering the costs of psychological and medical care, and fostering a more resilient human capital. The main limitations in the reviewed articles were the absence of studies employing longitudinal designs, small sample sizes, and the limited investigation of relationships in online and hybrid learning models. Full article

Background: Men who have sex with men (MSM) in Japan, and globally, face disparities in mental health and well-being, driven by stigma, exclusion, and minority stress. While social capital is known to enhance well-being, no previous research has examined the distinct roles of gay versus heterosexual social capital in relation to subjective happiness. Methods: We conducted a cross-sectional online survey of 1564 MSM in Greater Tokyo, using geosocial networking applications. Social capital was measured using an adapted Resource Generator to assess access to resources from MSM and heterosexual network members. Subjective happiness was assessed using the Japanese version of the Subjective Happiness Scale. Multivariable linear regression identified correlates of happiness. Results: Gay social capital was the strongest predictor of subjective happiness, exceeding the effects of self-rated health, education, employment, and age. High levels of heterosexual social capital were also associated with greater happiness but to a lesser extent. Unemployment, poor health, and attendance at gay cruising venues were negatively associated with happiness. Conclusions: These findings provide the first global evidence of the differential associations between gay and heterosexual social capital on subjective happiness. Community-based interventions that affirm identity and build peer connection may substantially improve well-being among MSM in Japan. Full article

While campus-built environments constitute critical determinants of educational outcomes, empirical research remains scarce regarding how campus pedestrian-oriented design influences academic performance through underlying psycho-behavioral pathways. To address this research gap, we collected research data through a questionnaire survey conducted at a university in Yantai, China, and applied path analysis within structural equation modeling (SEM) to investigate the linkage of perceived campus walkability with academic performance and untangle the mediating effects of walking activity, social capital, and mental health on this linkage. Key findings revealed that perceived campus walkability exerts a significant total effect on academic performance only through its indirect effect. Social capital and mental health significantly mediate the relationship between perceived campus walkability and academic performance, while walking activity has a marginal impact on this relationship. Moreover, grades significantly promote academic performance, while BMI significantly inhibits academic performance. Targeted interventions to enhance academic performance were proposed when translating findings into design protocols. Full article

Miracle tales are almost the sole source for the investigation of the emergence and spread of the relic cult in the early phase of Chinese Buddhism. The earliest excavated relic casket dates back to 453 CE, over four centuries after Buddhism was introduced to China. Through a critical textual analysis of Ji Shenzhou Sanbao Gantonglu, it is evident that the initial form of relic veneration was based on miraculous responses. Legends about imperial relic worship before the 3rd century are all later fabrications. Two archeological finds—the alleged relic murals in a Han tomb at Horinger, Inner Mongolia, and the stūpa-shaped bronze vessel in Gongyi, Henan—are not directly related to relic veneration. Based on the available evidence, it is tentatively concluded that relic worship first emerged around the 3rd century in the vicinity of Luoyang, the capital of the Western Jin, and later spread to the south of the Yangtze River after the Yongjia chaos. The early worshippers included both monks and lay Buddhists, such as merchants and lower-ranking officials. Royal interest in relics did not arise until the 5th century. The rise of relic veneration in China occured two or three centuries later than that in Gandhāra, from which Chinese Buddhism was significantly influenced. Compared to the cult of images or scriptures, relic veneration also emerged relatively late in China. The reluctance to adopt relics as worship objects can be partly explained by (the mahāyāna) Buddhist doctrines and the Chinese cultural mentality. Full article

Background and Objectives: Burnout syndrome is increasingly recognized as a significant occupational hazard among forensic medicine professionals, a population exposed to intense psychological stress and complex work demands. This study aimed to assess the prevalence of burnout, job satisfaction, and unconditional self-acceptance among forensic personnel in Romania and to explore potential predictors and mediators of burnout within this context. Materials and Methods: A cross-sectional survey was conducted among 153 forensic medicine professionals from 31 counties across Romania. Participants completed a battery of standardized instruments, including the Maslach Burnout Inventory—General Survey (MBI-GS), the Job Satisfaction Survey (JSS), and the Unconditional Self-Acceptance Questionnaire (USAQ). Cut-off scores for burnout subscales were established using the 75th percentile. Data were analyzed to identify demographic, occupational, and psychological correlates of burnout. Descriptive statistics were used to summarize sample characteristics and burnout prevalence. Group comparisons were made across demographic and professional categories. A mediation model was tested to evaluate whether unconditional self-acceptance mediated the relationship between job satisfaction and burnout. We hypothesized that job satisfaction would be negatively associated with burnout symptoms and that unconditional self-acceptance would mediate this relationship, acting as a protective psychological factor. Results: Approximately a quarter of respondents met the criteria for high total burnout, emotional exhaustion, and professional inefficacy, while cynicism was present in a fifth of participants. Burnout was more prevalent among younger workers, forensic medicine residents, and those working in the capital. Job satisfaction was generally high, but lower in women, younger individuals, and residents. Nearly half of the participants reported low or very low self-acceptance. Mediation analysis revealed that unconditional self-acceptance partially mediated the relationship between job satisfaction and burnout, suggesting a protective psychological mechanism. Conclusions: This study highlights the considerable burden of burnout among forensic medicine professionals in Romania and identifies job dissatisfaction and low self-acceptance as key contributors. Findings underscore the need for targeted interventions aimed at enhancing job satisfaction and emotional resilience, particularly in vulnerable subgroups. Institutional efforts that support mental well-being, foster emotional coping, and improve organizational dynamics are essential to reduce burnout in this high-risk population. Full article

Somali refugee youth face intersecting stressors related to displacement, economic hardship, and systemic exclusion, yet their coping strategies remain understudied. This study examines the psychosocial distress, coping mechanisms, and help-seeking behaviors of Somali refugee youth in Nairobi’s urban displacement context using a mixed-methods approach. Quantitative analyses assess the prevalence of stressors, coping strategies, and perceived support, while qualitative responses provide insight into lived experiences. Findings reveal that 72% of participants reported distress linked to economic insecurity (15.9%), family separation (16.9%), or refugee-related adversities (13.2%). Religious coping (59.5%) and self-care practices (60.5%) were the most frequently used strategies, while 15.8% relied on avoidance-based methods. Help-seeking patterns showed that 76.7% of participants were willing to seek help in general, but only 40.7% did so for emotional issues, with mothers and same-sex friends being primary sources. Regression analysis (R² = 0.507, p < 0.001) showed that scope of community (β = 0.417, p = 0.001), trust in bonding social capital (β = 0.343, p = 0.012), and perceived community violence (β = 0.346, p = 0.003) were positively associated with perceived support. In contrast, help-seeking intention (β = −0.206, p = 0.049) was negatively associated with perceived support. Other variables—including religious coping, emotional coping, age, gender, and bridging trust—were not significant predictors. These findings underscore the need for community-driven mental health interventions that strengthen existing social structures while integrating culturally adapted service models. Leveraging social capital is essential for fostering sustainable, accessible, and community-based mental health support for displaced Somali youth. Full article

This study examines how bonding social capital (BSC) is related to depression symptoms (Dsym) in university students, focusing on the mediating roles of socio-emotional support, instrumental support, self-efficacy, self-esteem, and academic stress. A cross-sectional design was employed, with data collected from 217 undergraduate students (from an initial sample of 250) using validated questionnaires. Data were analyzed using partial least squares structural equation modeling (PLS-SEM) to evaluate direct and indirect relationships. The key findings indicate that BSC has an indirect, relevant, and significant negative effect on Dsym (H5) (β = −0.201, 95% CI [−0.266, −0.216]) through six routes, involving enhanced self-esteem and reduced academic stress. The model highlights self-esteem as a critical mediator between social capital and mental health outcomes. With strong predictive validity (R² ≥ 0.1, Q² > 0, PLS-SEM RMSE < LM), the study provides a framework for potential interventions. The theoretical contributions include distinguishing social capital from support and prioritizing self-esteem over self-efficacy in depressive pathways. Although the cross-sectional design limits causal inferences, the model advances systemic approaches to student mental health, highlighting the need for longitudinal validation in diverse contexts. Full article

Against the intensifying mismatch between urban and rural land resources, activating farmers’ intentions to revitalize their idle homesteads is a key issue in optimizing land resource allocation and promoting urban–rural integrated development. However, existing studies mostly focus on the marginal effect of a single factor and ignore the synergistic effect of multiple factors, making it difficult to reveal the complex causal logic of farmers’ decision-making. This study aims to explain the causal asymmetry and equivalent path problem in farmers’ revitalized decision-making by capturing the multidimensional interaction mechanism of “external stimulus–mental cognition”. This study integrates the social stratification theory, the theory of planned behavior, and the Stimulus–Organism–Response framework to systematically explore how the interactive configuration of farmer differentiation and cognition from a multidimensional perspective drives the formation of farmers’ willingness to engage in high inventory activities, based on the 881 farmer research data in Shaanxi Province, using fuzzy-set qualitative comparative analysis (fsQCA) methodology. This study found that (1) a single condition cannot independently explain the intentions of farmers to revitalize, and its formation needs to rely on the synergistic linkage of multiple conditions; (2) the configuration of farmers’ high intentions to revitalize includes “wealth capital differentiation–dual cognitive-driven type”, “single cognitive-driven type”, “reputation capital differentiation–single cognitive-driven type”, “wealth capital differentiation–single cognitive-driven type”, which wealth capital differentiation is the common core condition triggering high intention; and (3) the formation of farmers’ low revitalization intentions stems from the insufficient differentiation of farmers and the lack of cognitive elements. Therefore, policymakers should take a holistic perspective in enhancing farmers’ revitalization intentions, focusing on the rational allocation between farmer differentiation and farmers’ cognition. Full article

Background: Physician burnout is a growing issue that affects both the quality of healthcare and the mental well-being of medical professionals. However, research on this phenomenon in Ecuador is limited and methodologically deficient. The objective of this study was to examine the national prevalence of burnout among Ecuadorian physicians, its associated factors, and its impact on mental health. Methods: A cross-sectional study was conducted on 1976 physicians from all provincial capitals of Ecuador (51.8% women; mean age: 37.1 years). Results: It was found that 25.3% of physicians had high levels of emotional exhaustion and 23.8% had high levels of depersonalization. Factors associated with the higher levels of emotional exhaustion among physicians included part-time jobs, long working hours, work–family conflicts, psychological inflexibility, and perceived loneliness. Higher levels of depersonalization were associated with working shifts, having work–family conflicts, exhibiting psychological inflexibility, and perceived loneliness, while lower levels of depersonalization were associated with being female. Experiencing higher levels of depersonalization were associated with suffering from higher levels of depression, while having higher levels of emotional exhaustion were associated with suffering from higher levels of stress. Conclusions: A considerable proportion of Ecuadorian physicians suffer from burnout. Preventive programs and psychological interventions tailored to their specific needs should be developed. Full article

Background: With the increasingly severe trend of population aging, the well-being of the elderly is receiving growing attention. This study aimed to investigate the association between cognitive social capital in the community (familiarity with community members, trust in community members, and sense of security in the community where they live) and the mental health among older individuals in China and to examine how age, education, and income moderate this relationship. Methods: To achieve this, we utilized nationally representative data (n = 2301) from the China Labor-Force Dynamics Survey (CLDS) 2018, and we assessed whether older adults’ mental health was associated with cognitive social capital in the community. Cognitive social capital includes familiarity with and trust in other members living in the same community together with the sense of security within the community where the older individuals reside. The marginal effect was applied to analyze how age, education, and income moderate the impact of community-based cognitive social capital on the mental health of older individuals. Results: Our findings indicate that the cognitive social capital within communities is significantly linked to the mental health of older adults. Additionally, age, education, and income serve as crucial moderators in this relationship. Conclusions: Strategies to enhance the cognitive social capital of older adults in the community are beneficial for their mental health, which deserves policymakers’ further attention. Full article

This article offers a unique interdisciplinary theoretical examination of the stigmatisation of ‘drug addicts’ and its impacts on health and wellbeing. In the present conjuncture, drug addiction has become a metaphor for a ‘wasted’ life. The stigmatisation of addicts creates artificial monsters. They constitute matter out of place—addiction is dirt and the addict a form of symbolic pollution—as their excessive consumption means they are ostracised and branded as failures. Providing a tripartite framework—of failure, feast, and phoenix—this article will suggest that addiction occupies a contradictory social and conceptual space, at once cause, effect, and solution. It is in this context that the stigmatisation of addiction operates, despite the fact addicts constitute a consumer par excellence, solicited by the very system that seeks to punish, control, and cure them. Drawing on Girard’s generative scapegoat alongside the philosophical concept of the Muselmann, which parallels it, this paper will examine the hypocritical and contradictory portrayal, consumption and treatment of addiction; the social harm and stigmatisation arising from this portrayal; the systems of power and privilege that reproduce this; and how these systematically affect not only the health and wellbeing of addicts, but also their medical care and treatment. The health impacts arising from this framework will illustrate how scapegoating can lead to worsening mental and physical health, social isolation, and create barriers to treatment, which ultimately perpetuate the cycle of addiction that create public health challenges (e.g., drug-related deaths). The ensuing discussion will show how the addict is a symptom of capitalism and colonialism before it, sustaining it as well as serving as a convenient distraction from the systematic problems and illustrating the brutal realities of biopolitical power and its inherent contradictions. Only by understanding the broader socio-cultural and political implications of addiction within the context of late capitalism can we start to reduce stigma and scapegoating and focus on addiction as a medical issue rather than a moral and/or criminal one; a key to improving health outcomes. Full article

The COVID-19 pandemic scenario has witnessed a rise in remote working arrangements, moving away from traditional office settings, which increasingly calls into question employees’ sense of belongingness as a top human capital issue in order to favor both workers’ productivity and well-being. Organizational belongingness refers to employees’ sense of personal connectedness with the organization, which makes them feel they are an integral part of the organizational system. This study examines the effects of organizational belongingness on workplace stressors (i.e., organizational constraints, interpersonal conflict, work–family conflict) and subsequent employee productivity (i.e., cognitive failures, performance) and well-being (i.e., mental health, exhaustion). Using a multilevel multigroup design with anonymous survey data collected from a sample of 1449 in-person and 514 flexible (i.e., remote and hybrid) workers from 205 organizations, the structural invariance analyses performed in this study suggested a similar pattern of results for in-person and flexible workers. Specifically, belongingness negatively predicted employees’ perception of organizational constraints, interpersonal conflict, and work–family conflict. Moreover, while belongingness positively predicted performance and mental health, it negatively predicted cognitive failures and exhaustion, both directly and indirectly through work stressors. Finally, organizational constraints, interpersonal conflict, and work–family conflict positively predicted cognitive failures and exhaustion, whereas organizational constraints and work–family conflict did not predict performance. Additionally, work–family conflict and interpersonal conflict negatively predicted mental health, whereas organizational constraints negatively predicted mental health. The theoretical and practical implications of these findings are discussed in light of the globally widespread use of flexible work options and costs related to workers’ productivity and well-being. Full article

Positive mental health in individuals’ lives and happiness at work have been growing concerns for organizations. This web-based cross-sectional study aimed to understand these two factors and their interrelationship in a population of workers. Data were collected with an e-questionnaire from 1768 individuals currently employed in various public and private organizations. The variables studied included: social and occupational data, happiness at work, and positive mental health. Study participants showed good levels of positive mental health and happiness at work. Positive mental health was positively associated with both organizational happiness domains and function and with perceived productivity (p < 0.001). Using a multiple linear regression model, we found four predictors of overall happiness at work: age, perception of productivity, seniority, and positive mental health factors (personal satisfaction, autonomy and problem-solving and self-actualization) (R² = 0.249). Organizations wishing to make employees happier and more productive should promote mental health in the workplace. Interventions that focus on the adoption of positive coping techniques in the workplace, such as training focused on increasing intrapreneurial self-capital, should also be explored. Full article