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Search Results (505)

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Keywords = normative belief

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37 pages, 3174 KB  
Article
Accountability-Aware Fractional Control for Embodied Intelligent Systems: Mittag-Leffler Stability and Conditional Proxemic Safety
by Slim Dhahri, Essia Ben Alaia, Sahar Almashaan, Hatem Alwardi and Omar Naifar
Symmetry 2026, 18(6), 889; https://doi.org/10.3390/sym18060889 - 24 May 2026
Viewed by 72
Abstract
This paper develops an accountability-aware fractional control framework for embodied intelligent systems in shared human environments. The approach combines a Caputo fractional-order stabilizing law, an intent-evidence realization with softmax belief reconstruction, and a conditional proxemic safety layer. Sufficient conditions are established for local [...] Read more.
This paper develops an accountability-aware fractional control framework for embodied intelligent systems in shared human environments. The approach combines a Caputo fractional-order stabilizing law, an intent-evidence realization with softmax belief reconstruction, and a conditional proxemic safety layer. Sufficient conditions are established for local Mittag-Leffler stability of the augmented error dynamics and forward invariance of the safe set. Numerical results are presented as a theorem-validation benchmark. For the base case with α=0.9, the augmented error norm decays from 1.2359 to 9.90×103 while the safety margin remains strictly positive, and the robustness condition is satisfied with a margin of 1.8641. An α-sweep and a step-size convergence study further show that the fractional order induces a systematic safety–performance trade-off and that the reported behaviors are numerically stable. Additional simulations with four intent classes, bounded observation noise, and Monte Carlo uncertainty stress tests are included to strengthen the numerical evidence beyond the two-intent theorem-validation case. The manuscript also clarifies the quantitative interpretation of the accountability index, the conditional nature of the safety theorem, and an implementable sampled safety-filter realization for concrete robotic platforms. The results support the proposed framework as a mathematically consistent tool for shaping the balance between regulation and proxemic safety. Full article
13 pages, 248 KB  
Article
Help-Seeking Behavior of Adults with Adverse Childhood Experiences in Rural China
by Weizhi Chen, Yiran Zhang and Jinyu Chen
Behav. Sci. 2026, 16(5), 818; https://doi.org/10.3390/bs16050818 - 19 May 2026
Viewed by 128
Abstract
Adverse Childhood Experiences (ACEs), which encompass a broad range of adverse events during childhood, are prevalent in rural China. However, help-seeking among adults with ACEs remains limited and underexplored. This study aims to examine the barriers to help-seeking behaviors among adults with ACEs [...] Read more.
Adverse Childhood Experiences (ACEs), which encompass a broad range of adverse events during childhood, are prevalent in rural China. However, help-seeking among adults with ACEs remains limited and underexplored. This study aims to examine the barriers to help-seeking behaviors among adults with ACEs in rural China. Qualitative interviews were conducted with 20 adults affected by ACEs in rural mainland China between October 2024 and December 2024. Data were collected through semi-structured interviews in Mandarin, and transcripts were analyzed using the Theory of Planned Behavior (TPB) framework, focusing on behavioral beliefs, normative beliefs, and perceived behavioral control. The findings reveal barriers to help-seeking among individuals with ACEs in rural China, categorized into three key dimensions: (1) Behavioral Beliefs: Beliefs that corporal punishment is the responsibility as well as love of parents, and misconceptions attributing ACEs to personal faults significantly hindered help-seeking. (2) Normative Beliefs: Respect for parental authority in China culture context hinder help-seeking for adults with ACEs. Moreover, gender differences were evident, with men avoiding help-seeking due to perceived shame, while women were more likely to confide in friends and family. Finally, stigmatization of mental health services further inhibited help-seeking behaviors. (3) Perceived Behavioral Control: The lack of formal and informal support systems in rural areas exacerbated the issue, highlighting significant gaps in resource accessibility and cultural acceptance of mental health support. Addressing these barriers through public education, destigmatization of mental health services, and improved resource allocation could facilitate help-seeking behaviors and improve outcomes for individuals affected by ACEs. Full article
24 pages, 1219 KB  
Article
Differentiating Social and Moral Norms in Perceived Internalization
by Paul Deutchman and Fiona Y. Yang
Behav. Sci. 2026, 16(5), 774; https://doi.org/10.3390/bs16050774 - 14 May 2026
Viewed by 154
Abstract
Why are some behaviors perceived as moral norms while others are perceived as social norms? In a preregistered study (N = 535), we examined how people perceive different types of moral behaviors and whether those perceptions help distinguish between moral and social norms. [...] Read more.
Why are some behaviors perceived as moral norms while others are perceived as social norms? In a preregistered study (N = 535), we examined how people perceive different types of moral behaviors and whether those perceptions help distinguish between moral and social norms. To test this, we assigned participants to one of five types of commonly studied norms—conventional, fairness, harm, generosity, and purity—and presented them with eight behaviors, four prescriptive and four proscriptive. To capture differences in belief internalization, participants answered a series of measures assessing their intrinsic motivation to follow the behaviors, beliefs about the importance of adhering to (or avoiding) the behaviors, and sensitivity to reputational concerns in their intentions to engage in them. We had two main findings: First, our measures of internalization varied across behavioral domains, such that harm behaviors were generally perceived as the most internalized and conventional behaviors as the least. Second, harm perceptions partially mediated differences in intrinsic motivation between harm and several other behavioral domains, suggesting that harm perceptions may underlie differences in internalization between social and moral norms. Together, our results reveal important differences in how people perceive social and moral norms, informing our understanding of norm cognition and internalization. Full article
(This article belongs to the Special Issue Social Cognition and Cooperative Behavior)
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19 pages, 368 KB  
Article
‘Turing Animism’ and the Disenchantment of Social Cognition: Why Humans Ensoul Large Language Models
by Andrew Skinner
Religions 2026, 17(5), 577; https://doi.org/10.3390/rel17050577 - 11 May 2026
Viewed by 182
Abstract
A growing body of empirical study recognises a tendency for users to form (para)social bonds with Large Language Models, even when users know explicitly that these systems lack interiority or personhood. This contribution argues that such attachments arise from evolved human capacities to [...] Read more.
A growing body of empirical study recognises a tendency for users to form (para)social bonds with Large Language Models, even when users know explicitly that these systems lack interiority or personhood. This contribution argues that such attachments arise from evolved human capacities to attribute being, moral status and, in some ways, ‘soul’ to nonhuman others—and that this capacity now operates without the belief-systems that have historically mediated it. When users encounter helpful, patient, emotionally available behaviour in conversational agents, they project the interior states that would produce those behaviours in themselves: authentic interiority and phenomenal consciousness. Humans have been making such assessments throughout our cultural history, developing ontologies and theologies for managing our relations with nonhuman, mythic and spiritual others. By contrast, modernity has disenchanted its landscapes, dismantling these cultural models even as the ‘ensouling architecture’ of our social and semiotic cognition remained unchanged. Contemporary users thus encounter machine others through the same neurocognitive lens as their ancestors did with spirits and animals on enchanted, animate landscapes, but without the mediation of culture, norm and taboos which place a premium on appropriate conduct, reciprocity and moderation. The resulting condition—a ‘Turing Animism’—leads users to ‘feel soul’ where there is only simulacrum. Full article
15 pages, 663 KB  
Article
“Existential Vacuum” and Axiological Conflict as Correlates of Cognitive–Affective Dissociation in Medical Staff Attitudes Toward Oncofertility in the Pediatric Population—A Preliminary Report
by Piotr Pawłowski, Gabriela Orzechowska, Szymon Niedźwiedź, Jakub Dąbrowski, Otylia Kościołek, Natalia Zaj, Małgorzata Mitura-Lesiuk, Aneta Kościołek, Julia Kołodrubiec, Łukasz Młynarczyk, Adrianna Mulewska and Marzena Samardakiewicz
Healthcare 2026, 14(10), 1288; https://doi.org/10.3390/healthcare14101288 - 9 May 2026
Viewed by 215
Abstract
Background: Contemporary pediatric oncology confronts medical staff with challenges that are not only clinical but also ethical and existential in nature. The aim of this study was to identify the cognitive and affective factors associated with medical professionals’ attitudes toward fertility preservation [...] Read more.
Background: Contemporary pediatric oncology confronts medical staff with challenges that are not only clinical but also ethical and existential in nature. The aim of this study was to identify the cognitive and affective factors associated with medical professionals’ attitudes toward fertility preservation procedures (oncofertility) in pediatric patients. In particular, the association of “existential vacuum” (lack of life goals, sense of meaninglessness), value systems, and religiosity on the level of competence and emotional acceptance of these procedures was examined. Methods: A cross-sectional observational study was conducted between January and September 2024 in pediatric oncology centers in Poland (Gdańsk, Lublin, Łódź, and Poznań). The study group consisted of 62 medical professionals (62.9% physicians and 37.1% nurses) selected using purposive sampling. The research protocol included an Author-Designed Questionnaire, the Scheler Value Scale (SVS), the Life Attitude Profile—Revised (LAP-R), and the Centrality of Religiosity Scale (CRS-15). Statistical analyses comprised Pearson’s r correlations, multiple regression analysis, and cluster analysis using the k-means method. Results: Participants demonstrated a moderate level of substantive competence in oncofertility (M = 2.31 on a 5-point scale). Regression analysis revealed that “existential vacuum” was the strongest negative predictor of competence (B = −0.34; p = 0.001), which was found to be a significant negative correlate of professional development in this area. In the affective domain, a pronounced normative conflict was observed: religiosity was negatively correlated with emotional acceptance of the procedures (r = −0.42; p < 0.001), indicating tension between medical imperatives and worldview-based beliefs. At the same time, the regression model showed that internalized religiosity and moral values might theoretically function as an “axiological buffer”; however, due to the severe psychometric limitations of the emotional acceptance measure (α = 0.268), these affective associations are highly tentative and unstable. Alternative measurement strategies are required to validate this hypothesis. Exploratory cluster analysis suggested the potential existence of two professional profiles: “Axiologically Integrated” staff members and a larger group of “Existential Skeptics”, who exhibited higher “existential vacuum” and lower psychosocial resources. Conclusions: Viewed through a dual-process interpretative lens, a theoretical phenomenon of cognitive–affective dissociation was explored. The highly tentative data suggest that “existential vacuum” might represent a hypothesized barrier to competence acquisition. Furthermore, findings regarding the affective domain—limited by the low reliability of the emotional measure—suggest religiosity could act as a potential source of normative tension. These exploratory profiles serve as hypotheses for future intervention designs rather than definitive clinical mechanisms. Full article
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17 pages, 362 KB  
Article
Sexual Behavior, Substance Use, and Psychosocial Factors Among Mongolian University Students
by Bayarjargal Uuganbayar and Bettina F. F. Piko
Youth 2026, 6(2), 61; https://doi.org/10.3390/youth6020061 - 8 May 2026
Viewed by 486
Abstract
While Mongolian university students have been exposed to rapid sociocultural changes, also shifting their sexual norms and substance use behaviors, there is limited empirical evidence on them. Therefore, we examined associations between substance use (smoking, drinking, illicit drug use), sexual behaviors (sexual intercourse, [...] Read more.
While Mongolian university students have been exposed to rapid sociocultural changes, also shifting their sexual norms and substance use behaviors, there is limited empirical evidence on them. Therefore, we examined associations between substance use (smoking, drinking, illicit drug use), sexual behaviors (sexual intercourse, casual and unprotected sex), sexual beliefs, social support, and psychological factors (self-efficacy, optimism, and general well-being). Using a cross-sectional design, we employed self-administered online questionnaires in a sample of Mongolian undergraduate students (N = 396; aged 18–24 years; 49.2% males). More than 62% reported ever drinking, 40.4% ever smoking, 23.0% illicit drug use; 64.9% was the lifetime prevalence of sexual intercourse, 41.2% reported engagement in casual sex, and 29.5% had engaged in unprotected sex. Differences by sex were significant with a higher prevalence among males, except for current illicit drug use and unprotected sex. Substance use was significantly associated with an increased likelihood of having sexual intercourse and participating in casual sex. While higher levels of well-being, self-efficacy, optimism, and social support from family and friends were significantly linked to ever being engaged in sexual intercourse, these positive constructs did not prevent them from risky sexual behaviors. Sex differences in substance use, sexual behaviors, and beliefs support the influence of the prevailing social expectations and traditional gender role perceptions in Mongolia. These findings emphasize the importance of comprehensive health education and supportive psychosocial environments. Full article
(This article belongs to the Section Youth Health and Wellbeing)
21 pages, 303 KB  
Article
Social Norms Around Diet and Body Image: Evidence from Urban and Rural Vulnerable Groups in Colombia and Mexico
by Ana Cecilia Fernández-Gaxiola, Paula Veliz, Maaike Arts, Rowena Merritt, Ana María Narvaez, Anabelle Bonvecchio Arenas and Cássia Ayres
Behav. Sci. 2026, 16(5), 675; https://doi.org/10.3390/bs16050675 - 29 Apr 2026
Viewed by 218
Abstract
In Latin America, the double burden of malnutrition is the region’s single most important public health concern for the incoming decade. Latin America’s burden of disease has distinct features in comparison to high-income countries: nearly 20 percent of NCDs are diagnosed in people [...] Read more.
In Latin America, the double burden of malnutrition is the region’s single most important public health concern for the incoming decade. Latin America’s burden of disease has distinct features in comparison to high-income countries: nearly 20 percent of NCDs are diagnosed in people under 60 years of age in Latin America, whereas only about 13 percent of people under 60 years of age in North America and Europe are diagnosed with these diseases. We aimed to better understand decision-making processes, preferences, and norms around food choices to provide input for future programming and policy suggestions at national and regional levels. We included key informant interviews and focus group discussions with parents and adolescents from urban and rural communities in three regions in Colombia and in Mexico. Results showed that food choices considered to be affordable, acceptable, accessible, and aspirational are driven by environmental and social factors that influence individual cognitive decisions. Across the study groups, cognitive biases influenced food decision-making in relation to eating out, natural, homemade, and “moderation”. At the sociological level, conversations, and social influences at home and in communities were strong indicators of dietary practices, health beliefs, and body size attitudes. Full article
16 pages, 443 KB  
Article
South African Mathematics Teachers’ Perspectives on Data-Driven Instructional Decision-Making: A Qualitative Study of Classroom Practice
by Nomthandazo Bhekiswayo, Mosia Moeketsi and Felix Egara
Educ. Sci. 2026, 16(5), 698; https://doi.org/10.3390/educsci16050698 - 29 Apr 2026
Viewed by 307
Abstract
Mathematics achievement in South African schools continues to be limited by identifiable barriers to instructional improvement, including inadequate technological infrastructure, excessive teacher workloads, and inconsistent institutional support for professional learning. Although data-driven instruction is widely promoted, little is known about how psychological constructs [...] Read more.
Mathematics achievement in South African schools continues to be limited by identifiable barriers to instructional improvement, including inadequate technological infrastructure, excessive teacher workloads, and inconsistent institutional support for professional learning. Although data-driven instruction is widely promoted, little is known about how psychological constructs such as instrumental attitudes, perceived control, social norms, and self-efficacy influence teachers’ use of data. This study, therefore, explored mathematics teachers’ perspectives on data use, guided by the Theory of Planned Behaviour (TPB). TPB was selected because, unlike purely cognitive or socio-cultural models, it integrates individual psychological factors, attitudes, perceived control, and self-efficacy with social and contextual influences on behaviour, making it particularly well suited to examining data use within complex, resource-constrained school environments. A qualitative design was employed, involving focus-group discussions with senior-phase mathematics teachers. Data were thematically analysed using NVivo 14, with iterative coding aligned with TPB constructs. Findings revealed that while teachers valued data for diagnosing learning gaps, they perceived data tasks as administratively demanding. Collegial collaboration fostered authentic engagement, whereas hierarchical accountability and limited technological capacity reduced motivation and autonomy. The interaction among attitudes, social norms, and perceived control showed that both belief systems and institutional conditions shape teachers’ behavioural intentions. The study concludes that professional development should strengthen teachers’ data literacy, encourage collaborative learning cultures, and improve infrastructural support to promote effective data-driven mathematics instruction in resource-constrained contexts. Full article
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26 pages, 1112 KB  
Article
Autism Information Progression and the Impact of Misinformation on Autism Knowledge, Awareness and Stigmatization
by Nayana Pampapura Madali and Suliman Hawamdeh
Behav. Sci. 2026, 16(5), 660; https://doi.org/10.3390/bs16050660 - 27 Apr 2026
Viewed by 468
Abstract
Recent studies have shown a growing prevalence of autism spectrum disorders, accompanied by heightened concerns about the impact of misinformation on autism stigmatization, shaping public perceptions of autism. With the increase in autism cases worldwide, it is critical to have sufficient understanding, knowledge, [...] Read more.
Recent studies have shown a growing prevalence of autism spectrum disorders, accompanied by heightened concerns about the impact of misinformation on autism stigmatization, shaping public perceptions of autism. With the increase in autism cases worldwide, it is critical to have sufficient understanding, knowledge, and awareness about autism, especially among the autism information seekers. This study focused on the progression of autism information over time and investigated the relationships among various factors such as autism knowledge, awareness, stigma, misinformation, cultural beliefs, and social norms. Employing a two-phase research design approach comprising systematic literature review and survey, the study indicated an overall increase in autism knowledge and awareness, although it revealed disparities in certain ethnicities and areas such as genetic testing. Despite advancements, stigma was found to persist. Survey findings validated these observations, emphasizing the necessity for heightened autism awareness and the continued presence of stigma. Furthermore, the survey demonstrated that knowledge influences awareness, whereas cultural beliefs and social norms directly affect autism misinformation. Importantly, the study highlighted how cultural beliefs, and misinformation can hinder accurate understanding and knowledge of autism, potentially exacerbating stigma. By employing evidence-based approaches, this study offers comprehensive insights into autism, enriching the broader literature on the subject. Full article
(This article belongs to the Special Issue Language and Cognitive Development in Autism Spectrum Disorders)
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20 pages, 285 KB  
Article
Exploring Psychological, Economic, and Cultural Factors Affecting Obesity by Sex: A Qualitative Analysis of Low-Income Participants in Southern Puerto Rico
by Andrés A. López-Cancel, Jennifer Navas-Rosado, David A. Vélez-Maldonado, Jeannie Aguirre-Hernández, Dorimar Rodríguez-Torruella, Jorge L. Motta-Pagán, Juan Derieux-Cruz, Fernando J. Rosario-Maldonado, Will Torres-Ruiz, Delyris Rodríguez-Rodríguez, Alannys García-Muriel, Elizabeth Rivera-Mateo, Luisa Morales-Torres, Axel Ramos-Lucca, Eida Castro-Figueroa, Melissa Marzán-Rodríguez and Julio Jiménez-Chávez
Obesities 2026, 6(3), 26; https://doi.org/10.3390/obesities6030026 - 24 Apr 2026
Viewed by 608
Abstract
Background: Overweight and obesity remain major public health challenges in Puerto Rico, affecting over 70% of adults and contributing to cardiovascular, metabolic, and mental health disorders. This study explores the psychosocial and behavioral factors influencing obesity within low-income Puerto Rican communities, emphasizing both [...] Read more.
Background: Overweight and obesity remain major public health challenges in Puerto Rico, affecting over 70% of adults and contributing to cardiovascular, metabolic, and mental health disorders. This study explores the psychosocial and behavioral factors influencing obesity within low-income Puerto Rican communities, emphasizing both biological sex differences and socially defined sex-role influences, along with their respective mental health dimensions. Method: Using a qualitative approach, Community-Based Participatory Research (CBPR), ten focus groups were conducted with 71 participants (37 women and 34 men) from two municipalities in southern Puerto Rico. Discussions were analyzed thematically with the Socioecological and Health Belief Models to identify key determinants. Results: The data collected revealed that women expressed greater emotional vulnerability, frequently citing anxiety, depression, body image concerns, and stress-related eating as contributors to obesity. Men, meanwhile, reported frustration with diet adherence, economic limitations, and healthcare inaccessibility. Across participants, economic hardship, cultural norms, and limited health education emerged as major obstacles. Conclusions: Findings underscore the need for holistic, sex-informed and socially responsive interventions that integrate mental health support with nutritional and physical health strategies. Addressing self-esteem, emotional regulation, and stress management alongside behavioral modification can promote sustainable, culturally tailored obesity prevention in Puerto Rico. Full article
23 pages, 466 KB  
Article
Entrepreneurship Education and Entrepreneurial Intention Among University Students: The Mediating Roles of Entrepreneurial Self-Efficacy and Motivation
by Juan Maradiaga-López, Olman Álvarez and Henry Osorto
Sustainability 2026, 18(8), 3985; https://doi.org/10.3390/su18083985 - 17 Apr 2026
Viewed by 470
Abstract
Entrepreneurship education has been promoted as a pathway for strengthening entrepreneurial orientation among university students; however, uncertainty remains regarding the mechanisms through which it influences entrepreneurial intention, particularly in emerging economies. This study examines whether entrepreneurship education influences the entrepreneurial intention of university [...] Read more.
Entrepreneurship education has been promoted as a pathway for strengthening entrepreneurial orientation among university students; however, uncertainty remains regarding the mechanisms through which it influences entrepreneurial intention, particularly in emerging economies. This study examines whether entrepreneurship education influences the entrepreneurial intention of university students in Honduras indirectly through entrepreneurial self-efficacy and entrepreneurial motivation. A quantitative, cross-sectional, and explanatory study was conducted with a sample of 431 university students. Data were collected using a structured 56-item questionnaire with a seven-point Likert scale. The analysis was carried out through confirmatory factor analysis and structural equation modeling using the WLSMV estimator. The results show that entrepreneurship education positively influences all dimensions of entrepreneurial self-efficacy and entrepreneurial motivation included in the model. Personal attitude emerged as the strongest predictor of entrepreneurial intention, followed by subjective norms and specific dimensions of self-efficacy related to business planning and management and entrepreneurial leadership. In contrast, the innovation and problem-solving dimension did not show a significant direct effect on entrepreneurial intention, while perceived behavioral control showed a marginal effect. The parsimonious model explained 75.9% of the variance in entrepreneurial intention. Overall, the findings suggest that entrepreneurship education exerts its influence primarily through indirect pathways by strengthening capability beliefs and motivational appraisals that are proximal to action. Full article
(This article belongs to the Section Economic and Business Aspects of Sustainability)
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13 pages, 208 KB  
Article
When Policy Meets Practice: Medical Residents and the Governance of Smartphone Use for Communication in Clinical Settings
by Neil G. Barr and Glen E. Randall
Healthcare 2026, 14(8), 1061; https://doi.org/10.3390/healthcare14081061 - 16 Apr 2026
Viewed by 245
Abstract
Background/Objectives: The use of personal smartphones by healthcare professionals in clinical settings has become a growing area of concern as practice may not consistently align with policy guidance. This study enhances our understanding of how and why medical residents are using smartphones to [...] Read more.
Background/Objectives: The use of personal smartphones by healthcare professionals in clinical settings has become a growing area of concern as practice may not consistently align with policy guidance. This study enhances our understanding of how and why medical residents are using smartphones to communicate patient healthcare information with other physicians in daily practice and provides insights into the role that institutional governance, policies, and structures play in the use of smartphones. Methods: This study used qualitative techniques to examine medical residents’ use of smartphones to communicate healthcare-related information with colleagues. Additionally, a neo-institutional theory lens was applied to assess the role that regulative (guidelines/policies), normative (what peers/staff are doing), and cultural-cognitive (beliefs/perceptions) factors play in smartphone use by medical residents. Results: The results suggest that behaviour related to smartphone use is based primarily on normative and cultural-cognitive factors rather than regulative factors. Regulative elements around smartphone use play a smaller role in shaping behaviour, particularly when they: (1) lack clarity; (2) are not seen as credible/legitimate; or (3) are viewed as cumbersome and do not align with workflow needs. Conclusions: The implementation of future guidelines/policies should consider the use of mentorships throughout postgraduate medical training whereby staff physicians educate, model, and promote behaviour in accordance with the associated policies/guidelines. Full article
(This article belongs to the Section Digital Health Technologies)
18 pages, 1676 KB  
Article
Community Mental Health Services in Andean Peru: Mapping Supply and Demand
by Milagros Alvarado, Daniel Mäusezahl, Stella Hartinger, Andrea Fernandez-Rodriguez, Maria Melero-Dominguez, Francisco Diez-Canseco, Günther Fink, Ricardo Peña-Sánchez and Irene Falgas-Bague
Int. J. Environ. Res. Public Health 2026, 23(4), 512; https://doi.org/10.3390/ijerph23040512 - 16 Apr 2026
Viewed by 714
Abstract
Peru’s recent national mental health (MH) reforms aim to decentralise care and expand access to MH services for rural populations by integrating services into primary healthcare through the expansion of Community Mental Health Centres (CMHCs). Evidence on the implementation of these reforms at [...] Read more.
Peru’s recent national mental health (MH) reforms aim to decentralise care and expand access to MH services for rural populations by integrating services into primary healthcare through the expansion of Community Mental Health Centres (CMHCs). Evidence on the implementation of these reforms at the local level remains limited. This qualitative study aimed to (i) describe the structure and implementation framework of MH services, (ii) analyse local understandings of MH; and (iii) examine pathways to care and identify barriers and facilitators to MH service implementation from both the supply (service providers) and demand (users and community members) perspectives. MH services were mapped across three provinces of northern Peru using a review of national MH policies, 2 focus group discussions, and 31 semi-structured interviews. Data were analysed thematically to explore local understandings of MH, pathways to care, and health system barriers. Local understandings of MH are shaped by cultural beliefs, social norms, and economic conditions, with many individuals experiencing distress initially relying on family networks or traditional healers. Stigma and expectations of a quick recovery hinder engagement with formal services. While the expansion of CMHCs has improved geographical access to specialised care in rural areas through proximity and being patient-centred, the implementation of respectful provider interactions remains uneven. Weak referral pathways and limited coordination between primary care centres and CMHCs frequently shift the responsibility for navigating care onto users and their families. Family involvement and culturally sensitive practices foster trust and support continued engagement. Persistent challenges include the limited capacity of service providers, high staff turnover, and the follow-up mechanisms, stigma, and tensions between cultural and biomedical understandings of MH. Peru’s expansion of CMHCs represents a significant health system reform to improve equitable access for rural populations. To sustain these gains, it will be necessary to strengthen workforce stability, clarify referral processes, and integrate culturally responsive approaches within primary care systems, offering lessons for similar resource-constrained contexts. Full article
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17 pages, 607 KB  
Article
Collective Efficacy and Workplace Pro-Environmental Behaviors: A Moderated Mediation Model of Personal and Injunctive Norms
by Alice Garofalo, Alessandro Lorenzo Mura and Fabrizio Scrima
Sustainability 2026, 18(8), 3951; https://doi.org/10.3390/su18083951 - 16 Apr 2026
Viewed by 608
Abstract
Organizations are increasingly required to promote a culture of sustainability among their employees. Accordingly, a growing number of organizations have implemented work practices centered on pro-environmental behaviors. However, the psychological mechanisms underlying these behaviors in the workplace remain insufficiently explored. Grounded in Social [...] Read more.
Organizations are increasingly required to promote a culture of sustainability among their employees. Accordingly, a growing number of organizations have implemented work practices centered on pro-environmental behaviors. However, the psychological mechanisms underlying these behaviors in the workplace remain insufficiently explored. Grounded in Social Cognitive Theory and normative frameworks, the present study proposes a moderated mediation model examining the relationship between collective efficacy and employees’ pro-environmental behaviors, the mediating role of personal norm, and the moderating role of injunctive norm. Data were collected from 906 Italian employees who completed an online questionnaire, and the hypothesized model was tested using moderated mediation analyses. The results showed that collective efficacy was positively associated with personal norm, which in turn was positively related to pro-environmental behaviors, indicating an indirect association pattern consistent with the hypothesized mediating role of personal norm. Moreover, injunctive norm strengthened the relationship between collective efficacy and pro-environmental behaviors. These findings highlight the central role of moral obligation in translating collective beliefs into sustainable action and underscore the importance of normative organizational climates. This study contributes to the organizational sustainability literature by integrating collective efficacy and normative processes as key drivers of everyday pro-environmental behavior at work. Full article
(This article belongs to the Section Psychology of Sustainability and Sustainable Development)
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16 pages, 303 KB  
Article
Religious Affiliation and Military Service in the United States
by Ori Swed, G. Doug Davis, Michael O. Slobodchikoff, Nehemia Stern and Uzi Ben Shalom
Religions 2026, 17(4), 484; https://doi.org/10.3390/rel17040484 - 15 Apr 2026
Viewed by 1077
Abstract
Those who serve in the armed forces are shaped not only by incentives and opportunity structures but also by institutions that cultivate norms of duty, authority, and collective obligation. This study argues that religious institutions function as such socializing agents and play a [...] Read more.
Those who serve in the armed forces are shaped not only by incentives and opportunity structures but also by institutions that cultivate norms of duty, authority, and collective obligation. This study argues that religious institutions function as such socializing agents and play a measurable role in military enlistment in the United States. Complementing existing research that focuses on denomination or belief as key indicators, we introduce an institutional framework that emphasizes participation in religious communities. The focus is not on the affiliation but instead on the socialization offered and conducted in those institutions. Religious communities cultivate behavioral dispositions, such as discipline, hierarchy, and collective orientation, that align with the demands of military service. As such, they are associated with an increased likelihood of enlistment. Using data from the 2024 Cooperative Election Study (CES), we employ logistic regression models to distinguish between religious identity, institutional engagement, and individual religiosity. The results show that, per our sample, religious identity and evangelical affiliation are not significant predictors of enlistment. Instead, regular participation in religious institutions is strongly and consistently associated with a higher likelihood of military service. These findings suggest that institutional socialization can be an important factor in explaining the relationship between religion and military service. Full article
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