Search Results (424)

This study examined Saudi adolescents’ digital use, experiences of cyberbullying, and willingness to seek help when facing online risks. Furthermore, the study examined how perceived online safety, preferred reporting sources, exposure to online safety education, and demographic characteristics are associated with resistance to help-seeking. A cross-sectional online survey was completed by 302 adolescents aged 11–17 years across Saudi Arabia. Descriptive statistics, one-way ANOVAs, and hierarchical multiple regression were used to explore patterns and predictors of resistance to help-seeking. Descriptively, the results showed near-universal smartphone access, high daily screen time, and that a substantial minority had experienced recent cyberbullying, including repeated victimization. Although most participants reported feeling safe online, many expressed uncertainty and endorsed self-reliant or avoidant responses, with over half agreeing they would “just ignore” cyberbullying. Parents were the most frequently identified reporting source, yet around one-fifth of adolescents said that they would not seek help from anyone. Regression analyses indicated that female gender, higher socioeconomic status, feeling less safe online, and receiving online safety education from multiple sources were associated with lower resistance to help-seeking, whereas greater cyberbullying exposure predicted higher resistance. Overall, the results highlight the need for multi-source, culturally grounded online safety education and strengthened reporting pathways across families, schools, and digital platforms to support Saudi adolescents who experience cyberbullying and related online harms. Full article

Background: Puberty is a period of visible bodily change, heightened self-consciousness, and increased sensitivity to social evaluation. While prior studies have linked pubertal development to broad psychological outcomes, less attention has been given to adolescents’ social evaluative distress, defined here as discomfort when feeling looked at or talked about by others. Parenting style may also be relevant to this outcome. Methods: Using secondary survey data from 3591 secondary-school students in Shenzhen, China, this study employed Bayesian analysis to examine whether puberty stress, authoritarian parenting, and permissive parenting were associated with adolescents’ social evaluative distress, and whether authoritarian and permissive parenting moderated the association between puberty stress and social evaluative distress. Results: Puberty stress was positively associated with social evaluative distress, and authoritarian parenting was also positively associated with this outcome. Permissive parenting did not show a clear direct association. Neither authoritarian nor permissive parenting showed clear evidence of moderating the association between puberty stress and social evaluative distress. Conclusions: Social evaluative distress during adolescence appears to be associated more clearly with puberty stress and authoritarian parenting as direct correlates than with interaction effects between puberty stress and parenting style. The study extends existing literature by focusing on a narrower, socially focused form of adolescent distress in the Chinese context. Full article

Background: Poor mental health is prevalent among veterans who suffer from post-traumatic stress disorder (PTSD) and other psychiatric conditions. Canine-assisted interventions may improve psychological and social health in veterans. The parent study, a randomized controlled trial, revealed improvements in PTSD following both a service dog training program and an active control condition consisting of virtual dog training lessons. Thus, in the present post hoc secondary analysis, we analyzed both groups together (pooled arms) to examine gender-based differences in the effects of the altruistic service dog training programs on psychosocial outcomes. Methods: Veterans (N = 59) participated either in hands-on (with a dog and trainer) or virtual (no dog present) dog training programs over eight weeks and completed self-reported psychosocial measures before and after the program. Mixed-effect linear models were used to assess the interaction between time and gender on a series of psychosocial outcomes in the pooled sample. Results: The findings supported greater psychosocial improvements for female participants compared to male participants, including significant improvements in PTSD, perceived stress, and perceived physical health, and feeling greater closeness and lower avoidance in close relationships (ps < 0.05). The results revealed moderate to large effect sizes among female participants, suggesting meaningful clinical effects of the interventions (ds = 0.47–0.70). Conclusions: While the secondary analysis and small sample size limit causal inferences, the exploratory evidence suggests greater improvements in psychosocial health in female veterans after participating in the service dog training programs. Future research should tailor interventions to optimize the therapeutic effects for male and female veterans and identify other individual characteristics involved, such as combat exposure or post-traumatic stress symptom severity. Full article

Background/Objectives: The Parenting Sense of Competence (PSOC) scale is one of the most widely used instruments to assess perceived parental competence, understood as the degree to which parents feel capable of adequately fulfilling their parental role. Despite its widespread use, studies seeking to determine PSOC normative scores are scarce, especially in specific populations such as mothers with infants younger than 9 months, which limits the interpretation of its scores in applied contexts. This study establishes PSOC normative scores in a nonclinical sample of 522 Spanish mothers with infants aged between 3 and 37 weeks who attended a public early intervention program. Methods: Regression and ANOVA analyses were performed to examine the effect of infant and maternal age, as well as educational level and occupation, on the dimensions of Efficacy, Satisfaction, and Total score of the PSOC. Results: The results show a significant decline in parental competence starting when their infants reach 9 months of age, and lower levels of self-efficacy in mothers over 35 years of age. No significant differences were found according to the educational level or occupation of the mothers. Normative scores are presented by percentiles, offering specific criteria for this stage of child development. Z- and T-scores are included, useful for standardized comparisons between subscale and studies. Conclusions: These findings provide useful information for early detection and psychoeducational interventions within the framework of early intervention. Full article

The purpose of this study was to examine relationships between infant feeding and parenting self-efficacy. Mothers (N = 121) receiving home visiting reported on PSE and infant feeding at two times (e.g., longitudinally). Mothers were exclusively formula feeding (46.7%), exclusively breastfeeding (19.8%) or combining breastfeeding and formula (33.1%). Infant feeding was regressed on parenting self-efficacy and relevant demographics using logistic regression. Mothers with higher parenting self-efficacy were more likely to be exclusively formula feeding or combination feeding at Time 1. Continued breastfeeding was not predicted by self-efficacy but rather by working status and earlier supplementation. Results suggest higher parenting self-efficacy associated with formula feeding suggests social reinforcement or feelings of success around the enactment of or choice in infant feeding method. Lower parenting self-efficacy associated with initial breastfeeding suggests unsuccessful enactment (i.e., breastfeeding challenges) or negative social reinforcement. More research is needed to understand infant feeding norms and practices in relationship to parenting self-efficacy to best promote breastfeeding intervention and support maternal mental health. Practitioners should work to extend exclusive breastfeeding through supportive positive reinforcement, while limiting formula supplementation. The importance of parental leave for longer breastfeeding duration should be considered when establishing leave policies. Full article

Background/Objectives: Research examining the emotional and psychological challenges experienced by couples undergoing in vitro fertilisation (IVF) remains limited. Existing evidence suggests that women undergoing IVF often report elevated levels of depression, anxiety, and emotional distress, whereas men may experience feelings of anger, inadequacy, and self-doubt, especially following unsuccessful treatment cycles. Successful IVF outcomes are commonly associated with intense joy, relief, and fulfilment as couples realise their aspiration to become parents. In light of the limited qualitative research conducted in Greece to date, in the present study, we aimed to explore the lived experiences of couples undergoing IVF treatment, with particular attention to emotional, relational, and systemic dimensions. Methods: A qualitative research design was employed. Semi-structured, in-depth interviews were conducted with six heterosexual couples (aged 18–49 years) residing in Athens and Karditsa, Greece, all of whom had undergone IVF treatment. Interviews were audio-recorded, transcribed verbatim, and analysed using Interpretative Phenomenological Analysis. Results: Our analysis revealed five interrelated superordinate themes with associated subordinate themes: (1) making sense of infertility and IVF, (2) negotiating relationships under the strain of IVF, (3) IVF as an emotionally demanding journey, (4) navigating institutional and systemic barriers, and (5) projecting the future through IVF experience. Lived experiences of infertile couples undergoing IVF treatment highlighted a range of emotions, social pressure, and attitudes towards IVF and related policies. Conclusions: In Greece, where demographic decline has been widely discussed in policy debates, IVF has gained societal and policy attention. For many participants, IVF represented a hopeful pathway towards achieving parenthood despite the emotional and practical challenges involved. Full article

The article is based on On the Move a holistic, playful movement intervention with children in Red Cross asylum centers in Denmark. Children in asylum centers in Denmark have diverse backgrounds, challenges, and resources. Common challenges due to their life situations can include potential trauma stemming from flight, migration, and/or war experienced by the children and their parents. Furthermore, they live with uncertainty regarding future relocation. These conditions may induce a state of alert, as the children’s foundations feel insecure. These circumstances can also affect the children’s emotional, cognitive, motor, and relational developmental processes. On the Move is a practice-based research project focused on examining how participation in a long-term holistic, playful movement intervention can support children in asylum centers regarding connectedness. The research project is inspired by a phenomenological understanding of body and movement, hermeneutic–phenomenological research, practitioner research, and Arts-Based Research. The data presented here is derived from scenic descriptions and interviews collected during the research project. The theoretical framework is based on the concepts of ontological security, movement philosophy and movement psychology. The article illuminates one of the main practice-based thematic findings from the research project: “Children sway—movement processes”. The article highlights challenges faced by the children due to their life situations and shows how teachers can support the children’s participation in the intervention. The article focuses both on the children’s life situations viewed by professionals and on the children’s movement processes during the intervention. In the movement processes, the children can enter a state in which they are described as being in harmony with the movements, with themselves, and with others. In this way, participating in a holistic, playful movement intervention can support the connectedness of children in asylum centers. Full article

Background: Youth with disabilities remain among the most overlooked groups in global sexual and reproductive health and rights (SRHR) discourses, including in sub-Saharan Africa. Yet, their SRHR needs are often ignored. This reflexive article aims to illuminate and recenter the experiences and perspectives of youth with disabilities living in Gulu City and Gulu District, Northern Uganda, exploring what matters to them regarding SRHR and their broader life aspirations. Methods: We adopted a qualitative, reflexive and participatory approach. Data were collected among six Ugandan young co-researchers with different disabilities (physical, visual, hearing, and albinism), who interacted with two Ugandan research assistants and a Canadian researcher involved in a larger SRHR research project. They engaged in in-person and virtual WhatsApp and Microsoft Teams exchanges over weeks, with the support of three Ugandan Sign Language interpreters. We thematically analyzed data, informed by the Intersectionality-based Policy Analysis and Structural Health Vulnerabilities and Agency frameworks. Results: Our analysis revealed four main findings: (1) the persistent feeling of social discrimination, stigma, and exclusion, including from parents, (2) inaccessible SRHR information and services, and knowledge gaps, (3) gender- and disability-based violence, and (4) youth with disabilities’ aspirations for SRHR and in life. Conclusions: The voices of youth with disabilities in Gulu underscore the value of disability equity-focused research. They reminded us that they are intelligent, capable, and thoughtful citizens with agency whose SRHR and broader well-being must be acknowledged and respected. Their perspectives carry critical implications for SRHR programming, policy, and research. Full article

Background: Preoperative fasting is one of the most difficult stages of hospitalization for children and their caregivers. The popularization of preoperative oral polycarbohydrate preparations is an important element influencing the comfort of hospitalized children. The aim of the study was to assess the effect of carbohydrate administration on perioperative blood glucose (PBG), the occurrence of complications in the pre- and postoperative periods, and satisfaction in children and adolescents. Material and methods: The study was a comparative-observational one, and the following research methods were used: an author’s diagnostic questionnaire, observation, and analysis of medical documentation. The research group consisted of 50 patients from the Pediatric Orthopedic Department who received an oral polycarbohydrate solution up to 2 h before anesthesia. The control group consisted of 50 patients who fasted for more than 6 h before anesthesia. The study was conducted between February and May 2024. Results: The patients were assessed using a measurement of venous blood glucose taken immediately before the administration of premedication. Parents completed a questionnaire regarding their child’s perioperative period. Conclusions: The glucose level in patients who received a polycarbohydrate preparation is higher than in children who did not. The administration of polycarbohydrate preparations influences the feeling of thirst and hunger in the postoperative period in children and adolescents. Oral administration of a polycarbohydrate preparation up to 2 h before anesthesia does not cause regurgitation in children and adolescents. Patients who received an oral polycarbohydrate preparation tolerated the waiting period before anesthesia better. Preoperative fasting is, apart from the insertion of venous access, the most stressful situation for children and adolescents during hospitalization. The supply of oral polycarbohydrate preparations has a positive effect on pediatric patients in the perioperative period. Full article

Background: Parental burnout is a form of psychological exhaustion resulting from prolonged parental stress. It is characterized by emotional distancing from one’s children, emotional fatigue, a sense of being overwhelmed, and feelings of failure in the parental role. The aim of our study was to explore the relationships between coping styles, sociodemographic variables, and parental burnout in a Hungarian sample. Methods: A cross-sectional online survey was conducted with 221 parents raising children up to the age of ten. The instruments included the Parental Burnout Assessment (PBA) and the Ways of Coping Questionnaire (WCQ). Results: Our findings indicate that support-seeking coping was associated with lower levels of burnout, whereas emotion-focused coping and poorer self-rated health were related to higher burnout scores (p < 0.05). Postpartum depressive symptoms showed a strong association with emotional exhaustion and parental contrast, suggesting shared psychological mechanisms underlying these phenomena (p < 0.05). Sociodemographic factors were not found to be significant predictors (p > 0.05). Conclusions: Based on our results, parental burnout appears to be primarily psychological in nature, and the development of emotional resilience—particularly through mindfulness-based and cognitive-behavioral interventions—may play a key role in its prevention and treatment. Full article

Background/Objectives: Obesity has a high prevalence and is associated with many health risks. Minimal effects from behavioral obesity treatments might be linked to their atheoretical dependence on simply educating participants on healthy eating and increased physical activity/exercise, rather than evolving behavior-change methods through theory-based research. The use of pharmacologic interventions has recently overtaken bariatric surgery in medically based efforts to obtain greater weight losses than through behavioral means. Methods: The present longitudinal observational study aimed to extend earlier treatment-associated findings concerned with the order of emphasizing 3-, 6-, and 9-month changes in the theory-driven psychosocial constructs of self-regulation, self-efficacy, and mood associated with 12-month improvements in weight-loss behaviors. The “parent study” of women with obesity (N = 106) found significant paths through changes in self-regulation → mood → self-efficacy and mood → self-regulation → self-efficacy. In the present extension of that investigation, only those participants who did not already complete recommended physical activity amounts and consume recommended portions of fruits/vegetables at baseline were included (N = 73). Results: Only paths from changes in mood → self-regulation → self-efficacy were significantly associated with 12-month improvements in both physical activity and dietary behaviors. A mean weight change of −5.2 kg, or −5.5% from baseline weight, was found. Baseline scores in emotional eating and anxiety significantly moderated the mood–self-regulation change relationships within the significant paths. Conclusions: Findings suggested that future treatment contents focus on early physical activity-associated improvement in mood because of its association with increased usage of treatment-developed self-regulatory skills. Those skills should then be leveraged because of their association with feelings of ability (i.e., self-efficacy) to overcome lifestyle barriers to weight-loss behavior changes. Further improvements in behavioral obesity treatments should be reconsidered as either stand-alone modalities or, after appropriate testing, as an adjunct to medical means. Full article

Objectives: The Impostor Phenomenon (IP), defined as persistent self-doubt despite objective success, has been extensively researched in adults. In contrast, empirical research on children and adolescents remains limited. Methods: The present study examines the prevalence, correlates, and potential risk as well as protective factors of the IP in a sample of 286 participants (56.6% female, 42.7% male, and 0.7% diverse) aged 8–18 years (M = 11.75, SD = 2.50). Participants were recruited from four distinct German subsamples between 2022 and 2024, including a clinically vulnerable group. The study employed a cross-sectional survey design administered to children and adolescents. Results: The results of the study indicate the presence of the IP as early as primary school age, with increasing intensity during adolescence. The study identified robust correlations between the IP and neuroticism, extraversion, conscientiousness, and self-esteem. In the present study, children and adolescents exhibiting depressive–anxious symptomatology demonstrated significantly elevated impostor scores in comparison to those manifesting other disorders. Furthermore, the study yielded negative associations between impostorism and various personal resources (e.g., optimism, self-efficacy) and family resources (e.g., parental support, authoritative parenting style). Conclusions: The present findings underline the importance of early intervention in addressing impostor feelings among younger age groups. In conclusion, the present findings contribute to our understanding of the IP etiology and underscore the importance of understanding the IP during formative years to inform prevention and intervention strategies. Full article

Background/Objectives: To analyze the parent-perceived quality of life (QoL) in children with cerebral palsy (CP) and to study the relationship between sociodemographic and clinical factors and this perception, under the perspective of the International Classification of Functioning, Disability and Health (ICF). Methods: A cross-sectional study was conducted with 95 participants (ages 5–19 years) with CP. Participants’ parents were asked about sociodemographic and clinical characteristics and compiled Cerebral Palsy Quality of Life (CP-QoL) and Pediatric Disability Inventory-Computer Adaptive Test (PEDI-CAT). Participants were assessed and classified into the following functional domains: gross motor function (GMFM-88, GMFCS), manual ability (MACS), eating and drinking abilities (EDACS), and communication function (CFCS). Correlations between CP-QoL domains and variables were investigated using Spearman’s correlation coefficient and multivariate predictive models were used to investigate the variables predicting CP-QoL scores for each domain. Results: A total of 95 children with a mean age of 12.4 ± 3.5 years (range 5–19 years) were included. Participants demonstrated moderate-high GMFM-88 level (228.8 ± 44.7) and high functional performance across PEDI-CAT domains: Activity (57.2 ± 5.1), Mobility (63.1 ± 5.6), and Social/Cognitive (70.2 ± 4.3). Parent-perceived QoL was significantly higher when children did not require AFOs, botulinum toxin, or recent hospitalizations, and lower among children who attended physical therapy >2 h/week. Moderate correlations were consistently found between the ‘Feelings about Functioning’ domain and functional variables, being positive for GMFM-88 and all PEDI-CAT domains, and negative for GMFCS, MACS, EDACS and CFCS. That domain of CP-QoL was best explained by the regression model (R² = 0.619, p < 0.001), with the combination of three variables: GMFM-88, PEDI-CAT Activity and PEDI-CAT Social/Cognitive. Among them, PEDI-CAT Activity was the strongest predictor (β = 0.1436). Conclusions: In children with CP, to enhance family well-being, interventions should prioritize social participation and carefully balance the intensity and frequency of therapy against family burden and daily life demands, as QoL is primarily driven by manual ability and functional performance. Full article

Background: Parents caring for preterm infants during hospital admission have unique needs. How these are addressed plays an important role in parents’ ability to cope with caregiving responsibilities. Educational programmes have proven beneficial to parents during their infant’s stay in the neonatal intensive care unit (NICU), for both parental and neonatal outcomes. Key components of parenting education during the NICU stay have been described; however, less is known about our understanding of parents’ educational needs, specifically in the South African context. Objectives: To explore parental needs and perceptions regarding a parenting education intervention provided to them while in the NICU, with a focus on programme content, structure, and mode of delivery. Methods: Three focus group discussions were conducted with mothers of preterm infants admitted to the NICU of a referral hospital in the North West province, South Africa. Inclusion criteria comprised parents of infants born in the hospital, singletons or multiples, with a gestational age below 37 weeks, and expected to stay in the NICU for at least 7 days. Discussions centred on mothers’ perceived needs regarding parenting education based on their experiences during their baby’s NICU admission. Results: Twenty-five mothers of singletons or multiples born before 37 weeks of gestation participated in the study. Three main themes were identified: (1) preference for content topics to include basic infant care, infant health and behaviours, and post-discharge related information; (2) education programme structure, which included instructional approaches and training logistics; and (3) support needs, including intrapersonal motivators, communication, and psychosocial and physical support. Conclusions: Participants recognised educational content needs that align with existing literature. However, they also emphasised the importance of addressing basic physical and emotional needs while receiving educational content, ensuring that parents feel empowered and capable of engaging with the information. Full article