Search Results (311)

The study examines discrepancies between personally reported and declared use of generative artificial intelligence (GenAI) among university students from a public university located in the Peruvian Andes, operationalized as the AI Use Gap, an exploratory discrepancy indicator based on two self-reported measures. Drawing on a sequential explanatory mixed-methods design, the study combines survey data (N = 150), experimental vignette evaluations, and qualitative follow-up interviews to explore how students manage the visibility and disclosure of AI use in academic contexts. Findings indicate relatively high levels of AI use alongside a consistent discrepancy between personally reported and declared use, suggesting patterns of differential reporting across contexts. Quantitative analyses did not show clearly differentiated exploratory relational patterns between the AI Use Gap and the psychosocial/contextual indicators examined, including perceived stigma, concealment, normative ambiguity, and peer pressure. Given the exploratory nature and limited internal consistency of the contextual indicators, these findings were interpreted cautiously as provisional exploratory patterns rather than as evidence of stable psychosocial relationships. Qualitative findings suggest that AI disclosure practices are shaped by socially evaluative and context-dependent processes, including fear of judgment, uncertainty regarding acceptable AI use, and selective disclosure strategies. Participants frequently described AI use as widespread but not consistently disclosed across academic settings. Overall, the findings suggest that discrepancies between AI use and disclosure may be better understood as forms of visibility management shaped by institutional ambiguity and social expectations rather than by stable individual-level characteristics alone. Rather than validating stable psychosocial mechanisms, the study explores an emerging and context-sensitive phenomenon using provisional contextual indicators intended to capture heterogeneous patterns of perception and disclosure. The study contributes to ongoing discussions regarding transparency, academic integrity, and the social regulation of AI use in higher education, particularly in under-researched Global South contexts. Full article

Child and adolescent mental health (CAMH) is a global concern that is increasingly recognized and prioritized. Worldwide, mental health conditions affect a significant number of children and adolescents; however, access to CAMH services remains limited. This study sought to explore the implementation of child and adolescent mental health services in the rural Chris Hani District of the Eastern Cape province, South Africa, from the perspectives of health professionals and teachers, focusing on strengths, weaknesses, opportunities, and threats. Using a qualitative approach, a sample of 36 participants (12 health professionals and 24 teachers) was purposively recruited. Data were collected through face-to-face, semi-structured individual interviews and focus group discussions. Thematic analysis identified several strengths, including effective screening and identification of CAMH problems, training in psychiatry and psychology, teacher support, collaboration with stakeholders, and the availability of policy and guidelines. Key weaknesses included inadequate CAMH training, a limited CAMH workforce, personal barriers, guidelines primarily oriented toward physical health, and insufficient basic infrastructure. Opportunities for improvement include enhancing the skills of the existing workforce, increasing engagement in extramural activities, and empowering parents with knowledge of available CAMH services. Identified threats included the normalization of CAMH symptoms, challenges involving parents and feeder schools, stigma, poor stakeholder collaboration, and inadequate guidelines. Overall, the analysis of strengths, weaknesses, opportunities, and threats reflects the broader challenges present in low-resource settings that hinder the implementation of CAMH services. It also highlights the need for integrative approaches to implementing CAMH services in rural contexts, while identifying opportunities to improve service delivery. Full article

Background: This research explores the intersection between cultural heritage and mental health, analyzing how heritage mediation acts as a strategic asset in the personal recovery of individuals experiencing mental distress. Methods: A systematic review was conducted across PubMed, PsycINFO (via ProQuest Psychology Collection), Scopus, Web of Science, and Google Scholar for the 2015–2026 period, following PRISMA protocols. The methodological quality of 18 selected studies was evaluated using the Mixed Methods Appraisal Tool (MMAT). Results: The findings reveal that the efficacy of these practices stems from a symbiotic interaction between tangible and intangible heritage, functioning as an “identity scaffold” that facilitates the transition from a “patient identity” toward a “citizen identity” with biographical authority. Analysis under the CHIME (Conexión—Hope—Identity—Meaning—Empowerment) framework reveals convergent evidence across the Identity dimension, positioning cultural environments as “third spaces” that mitigate self-stigma. Discussion and Conclusions: Recovery is identified as a circular phenomenon requiring the convergence of clinical and cultural scaffolding. This study advocates for a humanized service architecture where therapeutic practices and affective curating coexist, ensuring the right to identity and social justice within community mental health contexts. Full article

Volunteering is a practice that has gained significant recognition, offering a range of benefits to both society as a whole and the individuals who participate in it. In the context of people with functional diversity, the practice of volunteering activities has been found to have particular benefits, such as reducing stigma and stereotypes. Despite this recognition, the level of inclusive volunteering remains low. In light of this paradox, the objective of this study is to analyse the main perceived barriers to inclusive volunteering and the extent to which these barriers may affect its practice. To that end, a mixed methodology was employed in this study. The qualitative methodology entailed the conduction of two focus groups, comprising a diverse range of stakeholders from the field of disability in Portugal. The quantitative method involved a questionnaire targeted towards two distinct groups: (i) people with functional diversity (PwFD), and (ii) organisations working with PwFD. This approach is of particular significance given the paucity of studies focusing on the perspectives of people with functional diversity. A variety of techniques were used to analyse the data. These included content analysis for qualitative data and descriptive, bivariate and multivariate analyses for quantitative data. The content analysis revealed significant barriers relating to institutional and cultural factors, as well as personal and family factors. Subsequently, the presence of these barriers was evaluated from the perspectives of PwFD and organisations, with both groups perceiving the barriers as significant. Finally, studying the relationship between perceived barriers and volunteering revealed that organisations’ intentions towards volunteering are not constrained by the level of barriers they perceive to exist. From the perspective of PwFD, it can be seen that, although it is possible to observe the influence of some specific constraints, perceived barriers do not influence current volunteering practices or future intentions. Full article

The recent redefinition of steatotic liver diseases, introducing metabolic dysfunction-associated steatotic liver disease (MASLD) and metabolic dysfunction-associated steatohepatitis (MASH), reflects a growing consensus among liver societies and marks a paradigm shift in disease classification. MASLD subsumes former categories of nonalcoholic fatty liver disease (NAFLD) and incorporates metabolic criteria alongside moderate alcohol intake, while MASH replaces nonalcoholic steatohepatitis (NASH), aligning terminology with disease mechanisms. This evolution clarifies the diagnostic criteria and minimizes stigma, facilitating more consistent epidemiological and clinical investigations. Recent advances in noninvasive diagnostics, including vibration-controlled transient elastography, magnetic resonance elastography, shear-wave elastography, and the Enhanced Liver Fibrosis test, have improved the identification and stratification of patients with advanced fibrosis. Current guidelines recommend targeted screening in populations at elevated metabolic risk, enabling earlier intervention and personalized management. Population studies indicate that MASLD affects over one-third of adults and is a major contributor to cardiovascular and metabolic morbidity. Therapeutic progress is highlighted by the approval of novel agents such as resmetirom and semaglutide for the treatment of MASH with fibrosis. Emerging dual and triple agonists, as well as sodium–glucose cotransporter inhibitors, offer additional promise, although further research is required to define their long-term efficacy and safety. As the disease prevalence escalates globally, the integration of multidisciplinary care, the ongoing refinement of diagnostic tools, and the expansion of therapeutic options will remain essential to optimizing outcomes for affected individuals. Full article

Currently, mental health diagnoses are associated with a negative connotation in society, leading to discriminatory and rejecting behaviours towards individuals with mental health conditions and their families. This hinders access to specialised resources, education and employment. This stigma is based on erroneous knowledge and discriminatory attitudes and behaviours within the population, which are closely linked to the concepts of stereotype, prejudice, and discrimination. These factors create situations that affect the quality of life and recovery processes of individuals with diagnoses. A quantitative, cross-sectional, analytical–descriptive study was conducted to identify knowledge, attitudes and behaviours relating to individuals with mental health diagnoses in a large community-based sample of the Spanish population. The S3 scale was used to identify the necessary factors associated with lower levels of stigma from a structural perspective. The sample consisted of 563 participants, with an average age of 35.81 years, predominantly women (n = 381, 65.2%). Notably, 87.0% (n = 490) of the sample had contact with at least one person diagnosed with a mental health condition during their lifetime. The most significant findings revealed that individuals without training and those with central or conservative ideologies exhibited significantly higher levels of stereotypes, stigmatising attitudes, and discriminatory behaviours than their counterparts. Based on these results obtained, it is recommended that existing personal and economic resources be expanded and focused to provide specific mental health training to the Spanish population, as well as to promoting the creation of spaces for contact and inclusive participation with individuals diagnosed with mental health conditions. Full article

Adolescents and young people (AYP) experience a disproportionate burden of both mental health conditions and HIV, particularly in low- and middle-income countries (LMICs)-nations classified by the World Bank as having lower or middle economies. Mental health problems such as depression, anxiety, and substance use increase HIV (Human Immunodeficiency Virus that attacks the human immune system and leads to various illnesses when untreated) risk, and negatively affect treatment adherence and outcomes. However, mental health remains insufficiently integrated into HIV research and programming. Evidence on how mental health services are operationally integrated into HIV prevention and treatment for this population is limited and fragmented. This scoping review mapped existing evidence on the integration of mental health services into HIV treatment programs for AYP in LMICs, guided by PRISMA-ScR (a guideline used for reporting scoping reviews in research) and the Person–Concept–Context framework, a framework used to define specific research question in research. In this case, the population was adolescents and young people (10–24 years) receiving HIV prevention or treatment services, the concept referring to the integration of mental health interventions such as screening, assessment and counseling within HIV services, and the context focused on low- and middle-income countries (LMICs). PubMed, MEDLINE, Scopus and PsycINFO databases were searched for studies published between 2014 and 2024. Eligible studies reported mental health screening, assessment, treatment, or referral within HIV services for AYP in LMICs. Two reviewers independently screened studies, assessed full texts, and extracted data. Of 634 records identified, ten (10) studies met the inclusion criteria. All were conducted in Sub-Saharan Africa and primarily used qualitative or pilot designs. Four integration approaches were identified: routine mental health screening within HIV services, task-shifting to trained lay providers, peer-led and community-based psychosocial support, and culturally adapted, youth-centered psychological interventions. Common barriers included stigma, low mental health literacy, limited training and supervision, staffing constraints, and weak referral systems. Existing evidence is limited, remains exploratory, preliminary, and largely focused on feasibility and implementation experiences, suggesting that integrating mental health services within adolescent HIV care in LMICs may be feasible and acceptable when approaches are contextually adapted and participatory. Full article

Postpartum depression (PPD) affects a substantial proportion of women globally and is often underdiagnosed due to barriers in screening, stigma, and limited access to care. This study presents the design and pilot evaluation of an mHealth application (“HeartHabit”) intended to support user awareness, self-monitoring, and potential identification of symptoms of PPD among Greek-speaking mothers. An alpha version of the application was evaluated through an online survey with 30 women within the first postpartum year, using a walkthrough video. The evaluation focused on perceived usability and acceptability rather than clinical outcomes or real-world use. Usability and app quality were assessed via the System Usability Scale (SUS) and a qualitative version of the user Mobile Application Rating Scale (uMARS), respectively, adopting a mixed-methods approach. Demographics, and mood and stress screening data were also captured. Quantitative data were analysed via descriptive statistics and qualitative responses via Framework Analysis. The results indicated high perceived usability (mean SUS = 83.7/100). Qualitative findings highlighted the importance of practical usability, self-regulation tools, personalisation, and connectivity with healthcare professionals. Privacy, data transparency, and user control over personal data were perceived as critical for trust. The application was perceived as a potentially useful adjunct to formal care or as at-home support when access to services is limited. Larger, controlled trials, clinical implementation protocols and clinician training are needed to promote the app’s safe integration into formal care. This mixed-methods evaluation, incorporating usability assessment and patient involvement, may offer a useful paradigm for early-stage digital mental health intervention development. Full article

Perinatal mood disorders (PMDs) affect approximately 15% of birthing persons during the pregnancy or postpartum (up to one year after birth) time period. People who recently gave birth and are of diverse backgrounds and identities, especially those who are oppressed, are disproportionately affected by PMDs and may experience these conditions differently. One such group is low-income birthing persons living in urban areas. This article will summarize PMDs, including their prevalence rates and how they are disproportionately experienced among low-income birthing persons living in urban areas. The factors to be reviewed include racism, cultural stigma, community stressors, issues with access to services, lack of resources, socioeconomic concerns, and healthcare system problems. Additionally, how PMDs among low-income birthing persons living in urban areas can be prevented, identified, and treated will be discussed. Strategies include practicing cultural humility and promoting anti-oppressive practice, building positive relationships with birthing persons, utilizing formal and informal social supports, promoting community engagement, sharing resources and tangible supports, following universal screening recommendations, addressing barriers to care, and advocating for effective policies. Full article

Dementia caregiving represents a major public health challenge, with spousal caregivers assuming the greatest burden. Spouses, themselves typically older adults, provide high intensity, long-term, and largely unpaid care across all stages of cognitive decline. Despite their central role in dementia care, the health consequences experienced by spousal caregivers remain insufficiently characterized in the literature and inadequately addressed in clinical and public health practice. This structured narrative review synthesizes current evidence on the multidimensional impact of dementia caregiving on the physical, psychological, cognitive, social, and financial health of spousal caregivers. It further contextualizes these consequences within the trajectory of dementia progression, and identifies interventions, support systems, and policy considerations necessary to mitigate caregiver burden. Spousal caregivers experience disproportionate burden due to continuous, escalating responsibilities that often mirror the progressive deterioration of their partners. Emotional burdens, including uncertainty during pre-diagnostic stages, role strain, conflict, loss of intimacy, and anticipatory grief. Physically, spouses endure musculoskeletal strain, sleep disruption, poor nutrition, and heightened frailty risk. Psychologically, spousal caregivers exhibit elevated rates of depression, anxiety, loneliness, and stress-related disorders. Socially, caregivers experience substantial isolation, stigma, and erosion of social networks. Financial hardship, including early retirement, reduced employment, and uncompensated care hours, further exacerbate stress. Evidence suggests that chronic caregiving stress contributes to biological changes such as immune dysregulation, inflammation, acceleration, aging, and potential cognitive decline in caregivers themselves. Caregiver burden influences patient outcomes as evidenced by increased emergency department use, falls, and earlier institutionalization in persons with dementia whose caregiver is subjected to a high burden. Current care models rarely include routine, caregiver assessment or structured guidance following diagnosis, resulting in substantial unmet needs. Effective mitigation requires integrated, stage-sensitive interventions, including psychosocial support, caregiver education, respite services, culturally tailored programs, and digital health tools, alongside broader policy reforms to reduce financial and structural barriers. Full article

Background/Objectives: This qualitative study investigated the perspectives and lived experiences of individuals with obesity, with a specific focus on psychological needs, beliefs, attitudes, and experiences related to psychological support. The study aimed to identify perceived barriers and facilitators to adherence in weight management and to examine participants’ views on digital psychological interventions designed to promote mental health and well-being. These findings represent the preliminary phase of a broader research project aimed at developing and implementing personalized digital psychological interventions to enhance engagement, treatment effectiveness, and equity of care in obesity management. Methods: Five focus groups were conducted with a purposive sample of 35 patients (48.6% female) diagnosed with obesity and enrolled in a four-week multidisciplinary weight-reduction program at the IRCCS Istituto Auxologico Italiano, San Giuseppe Hospital, Piancavallo (VB), Italy. Sessions were audio-recorded, supplemented with field notes, transcribed verbatim, and analyzed using reflexive thematic analysis to identify recurrent patterns of meaning across participants’ narratives. Results: Six overarching themes were identified: (1) obesity as an embodied and pervasive experience; (2) the interplay between emotions, weight stigma, and identity construction; (3) family and social relationships as both supportive and ambivalent; (4) personal agency and self-regulation processes in weight management; (5) access to healthcare services and experiences with healthcare professionals; and (6) the perceived role of psychological support within multidisciplinary care. Participants described obesity as a complex, multidimensional condition encompassing physical, emotional, relational, and contextual challenges that directly influence treatment engagement and adherence. Conclusions: Psychological support emerged as a central component of comprehensive obesity care. Findings underscore the need for personalized, flexible, and digitally supported psychological interventions to enhance long-term adherence, acceptability, and overall well-being. Full article

Background/Objectives: Cancer-related terminology is not merely descriptive and plays a critical role in shaping emotional responses, personal identity, and communication across clinical, social, and public spheres. Despite growing interest in the psychosocial dimensions of illness language, few studies have centered the lived experiences of individuals navigating cancer through the lens of terminology. This study explores how people living with and beyond cancer perceive, interpret, and emotionally respond to cancer-related language, focusing on the way terminology influences identity, stigma, and communicative interaction. Methods: A sequential mixed-methods design was employed. The quantitative phase involved 146 participants with a cancer diagnosis completing a structured questionnaire on preferred terminology and emotional impact. The qualitative phase followed, using open-ended questionnaires with 11 participants to deepen understanding of linguistic experiences. Thematic content analysis was used to identify patterns across narratives. Results: These findings reveal that labels such as “cancer patient” evoke strong negative emotional reactions, associated with stigma, fear, and identity reduction. Person-first and context-sensitive language was perceived as more respectful and empowering. Emotional responses to language varied widely, from fear to neutrality, shaped by speaker role, context, and time since diagnosis. Media representations were often seen as dramatizing or moralizing, reinforcing the need for communicative clarity, empathy, and education in both clinical and public discourse. Conclusions: Cancer-related language is a powerful psychosocial force. It shapes how individuals are seen and see themselves and can either reinforce stigma or foster dignity and resilience. This study highlights the urgent need for person-centered, context-aware communication practices across healthcare, media, and society. Full article

Background: Mental health problems are highly prevalent among university students in Saudi Arabia; however, help-seeking behaviors remain low despite the availability of mental health services. There is limited evidence regarding students’ intentions to seek help and preferred sources of support, especially formal or informal sources. This study examined help-seeking intentions for mental health problems among university students. Methods: This cross-sectional descriptive study was conducted using an online self-administered questionnaire. Participants were 248 undergraduate students from various Riyadh universities. Help-seeking intentions were assessed using the General Help-Seeking Questionnaire. SPSS software was used to perform independent t-tests to assess differences in preferred sources across demographic groups, and Pearson’s correlation analyses were conducted to examine relationships between preferred sources and demographic variables. Multiple linear regression analyses were conducted to examine demographic and academic predictors of intentions to seek help from formal and informal sources. Results: Students demonstrated a low overall propensity to seek help. Online sources were the most preferred help-seeking option, followed by mothers, friends, and general physicians, whereas faculty, relatives, and religious persons were the least preferred. Preferred help-seeking sources differed by gender. Seeking help from mental health specialists was positively correlated with age and grade point average. Additionally, the regression analysis for formal help-seeking was significant, explaining 8.4% of the variance, with gender as the only significant predictor. Conclusions: These findings suggest the need for targeted interventions to improve students’ help-seeking behaviors. Universities should prioritize mental health literacy initiatives, stigma reduction strategies, and accessible support pathways, particularly by integrating digital and hybrid services and enhancing the role of faculty and institutional support systems in promoting timely and appropriate help-seeking. Full article

Background/Objectives: This study aimed to assess public stigma toward people with mental health problems and to examine the association between stigma and socioeconomic characteristics, personal mental health history, and contact with individuals with mental health problems. Methods: This observational, descriptive, and cross-sectional study was conducted among the general population in Spain using a sample of 404 participants, the majority of whom were women (71%), with a median age of 38 years (IQR = 26–49); most participants (86.4%) lived in urban areas. The participants completed a self-administered online questionnaire that explored socioeconomic variables and the Community Attitudes towards Mental Illness Scale (CAMI-S, Spanish version). Non-parametric tests (Mann–Whitney U, Kruskal–Wallis, and Spearman correlation), multiple linear regression, and statistical power analyses were performed. Results: The mean CAMI-S total score was 84.89 (SD = 11.122) out of 100, indicating relatively favourable attitudes toward people with mental health problems. Statistically significant associations (p-value ≤ 0.05) were found between CAMI-S scores and variables such as gender, age, place of residence, educational level, mental health disorder, and close contact with someone with mental health disorders. The regression model revealed four significant predictors of lower stigma: identifying as female (β = 2.523; p = 0.037), having a medium or higher educational level (β = 5.061; p = 0.002), experiencing a mental health diagnosis (β = 4.535; p = 0.014), and close contact (β = 4.183; p < 0.001). Conclusions: Social stigma toward people with mental health problems in Spain appears to be generally low, reflecting positive attitudes toward community integration. Being female, having higher education, and personal or close contact with mental health problems are associated with lower stigma. Full article

Background/Objectives: Stuttering is a neurodevelopmental disorder of speech fluency. It emerges most commonly between 2 and 5 years old, often causing social exclusion and stigma. In Latin America, cultural misconceptions regarding its causes exacerbate these psychosocial challenges. This study validated a culturally adapted instrument for Chile to measure public attitudes toward stuttering. The instrument provides a psychometrically sound method to assess and address stigma within educational and community settings. Methods: A total of 756 Chilean adults (mean age = 36.7 years, SD = 15.8; 64% women, 36% men) were recruited using stratified probability sampling to reflect the national demographics. Ethical approval and informed consent were obtained. The subsection underwent rigorous cross-cultural adaptation (translation, expert review, cognitive debriefing n = 30, pre-testing n = 50). Analysis employed polychoric matrices, EFA, CFA with WLSMV, and multiple reliability/validity indices. Results: Joint analysis showed poor fit (CFI = 0.72, RMSEA = 0.12), confirming independence. Beliefs (14 items): three-factor CFA fit excellent (CFI = 0.993, RMSEA = 0.034); factors: competence/normality (α = 0.85), psychological causes (α = 0.78), and help/support (α = 0.72). Reactions (11 items): four-factor fit adequate (CFI = 0.97, RMSEA = 0.043); factors: distant concern (α = 0.82), personal concern (α = 0.79), media sources (α = 0.75), and formal sources (α = 0.77). Validity was supported; bifactor models favored multidimensionality. Conclusions: The adapted subsection is psychometrically robust and effectively captures Chilean-specific attitudes toward childhood stuttering. It provides a reliable tool for quantifying public stigma and misconceptions, particularly in educational and school contexts, thereby supporting the design of targeted school-based policies and interventions to reduce bullying, promote inclusion, and safeguard the psychosocial well-being of children and adolescents who stutter. Full article