Search Results (2,986)

This study aims to explore and evaluate the factors influencing Gen Z’s intention to choose green tourism destinations in Hanoi, Vietnam. The paper proposes a comprehensive analytical framework by integrating the Stimulus-Organism-Response (S-O-R) model and the Theory of Planned Behavior (TPB). A mixed-method approach was employed, in which quantitative data were collected from 269 Gen Z respondents in Hanoi and analyzed using the Partial Least Squares Structural Equation Modeling (PLS-SEM) technique through SmartPLS. The findings reveal that external environmental stimuli, including green destination image (GDI) and social media influence (SMI), positively affect individuals’ internal psychological states, namely environmental awareness (EA), attitude toward green tourism (ATT), and subjective norms (SM). These psychological states, in turn, exert positive effects and strongly promote Gen Z’s intention to choose green tourism destinations in Hanoi. This study not only contributes to filling the theoretical gap in sustainable tourism consumption behavior in the digital era but also provides practical managerial implications for policymakers and tourism businesses in developing communication strategies and tourism products that align with the preferences and expectations of younger generations. Full article

Artificial intelligence (AI) is increasingly embedded in marketing work, yet employees who use AI tools may not always disclose AI’s role in producing their outputs. This study examines AI disclosure silence, defined as employees’ intentional withholding of information about the use, role, or contribution of AI tools in work-related outputs after AI has already been used. Unlike AI avoidance or resistance, this construct concerns post-adoption concealment; unlike general employee silence, it focuses on the hidden technological contribution behind visible work. Drawing on Conservation of Resources Theory and Psychological Safety Theory, the study investigates how threat-based conditions, safety and governance conditions, and AI-related capability are associated with AI disclosure silence. Data were collected through a two-wave survey of 635 marketing employees who actively used AI tools at work. The analysis combined measurement validation, Necessary Condition Analysis (NCA), fuzzy-set Qualitative Comparative Analysis (fsQCA), and explainable machine learning. The findings show that no single condition operated as a strong necessary bottleneck. Instead, AI disclosure silence appeared through multiple pathways involving AI anxiety, fear of negative evaluation, perceived creativity threat, perceived job insecurity, low trust in management, weak psychological safety, and unclear AI policy. SHapley Additive exPlanations (SHAP)-based interpretation further indicated that fear of negative evaluation, AI anxiety, perceived creativity threat, and trust in management had the strongest model-based predictive relevance. The study contributes to workplace AI and employee silence research by positioning AI disclosure silence as an emerging post-adoption disclosure construct. It also highlights the need for clear AI disclosure norms, non-punitive managerial responses, AI-assisted authorship guidelines, and psychologically safe AI-governance practices. The findings should be interpreted as configurational and predictive evidence rather than causal effects, and further scale validation across sectors and cultures is encouraged. Full article

Introduction. Chronic non-cancer pain is highly prevalent and profoundly diminishes quality of life. While pharmacological and interventional treatments are central, its psychosocial and spiritual dimensions remain under-addressed. This pilot study assessed the feasibility of a therapist-led support group intervention for patients with chronic non-cancer pain and explored preliminary psychospiritual outcomes. Methods. A two-arm, non-randomized pilot feasibility study was conducted among 58 outpatients of a university pain management clinic in Poland. Feasibility was assessed through recruitment, retention, attendance, and safety, while preliminary psychological and spiritual outcomes were evaluated using validated self-report instruments. The intervention group (n = 29) participated in eight group sessions combining psychoeducation, mindfulness-based techniques, and supportive dialogue inspired by the Simonton Method. The control group (n = 29) received standard care. Participants completed the Numeric Rating Scale to measure pain intensity, the Satisfaction with Life Scale, the Positive and Negative Affect Schedule, the WHOQOL-BREF, the Spiritual Well-Being Scale, the Generalized Anxiety Disorder Scale, and the Patient Health Questionnaire-9. Results. The intervention was feasible in terms of physician workload; however, patients adherence varied significantly. At baseline, the control group showed a significantly higher positive affect and existential well-being than did the intervention group. In exploratory within-group analyses, participants in the intervention group showed improved positive affect and reduced anxiety (p < 0.05), whereas existential well-being showed a trend toward improvement (p < 0.06). However, the self-selection design limits causal inferences. Nevertheless, participants reported social connectedness, meaning-making, and enhanced vitality. Discussion. This pilot feasibility study provides preliminary evidence that a therapist-led support group intervention integrating psychoeducation, mindfulness, and supportive components is practicable within multidisciplinary pain management. Further research in a larger, randomized trial is needed to evaluate adherence and safety, as well as clinical effects, more rigorously. Full article

Background: The pivotal role of caregivers in HIV care for older people living with HIV (PLWH) stands in stark contrast to the scarcity of research on their experiences, particularly regarding affiliate stigma. Older PLWH face a unique intersection of HIV-related stigma and ageism, which may place their family caregivers at heightened risk of affiliate stigma. However, the manifestations, sources, and coping strategies related to this stigma remain poorly understood. Methods: The descriptive phenomenological study was conducted between May and June 2025 at an HIV care clinic of a tertiary hospital in Sichuan Province, China. Using purposive sampling, fifteen caregivers of elderly individuals living with HIV were recruited. Data were collected through face-to-face, semi-structured interviews. Results: Four overarching themes and eleven sub-themes were extracted: (1) sources of affiliate stigma—‘Inadequate knowledge of HIV transmission routes’, ‘Ageism’, and ‘Infidelity stigma’; (2) experiences of affiliate stigma—‘Stigma endorsement’, ‘Concealment of a family member’s HIV-positive status’ and ‘Psychological distress’; (3) consequences of affiliate stigma—‘Estrangement among family members’, ‘Substantial caregiver burden’ and ‘Social avoidance’; and (4) coping with affiliate stigma—‘Enhancing knowledge of HIV/AIDS’ and ‘Seeking social support’. Conclusion: This study investigates affiliate stigma among caregivers of older people with HIV. Healthcare providers should recognize this stigma and its negative effects. Effective interventions must be developed to alleviate this burden, thereby improving the welfare of both caregivers and patients. Full article

Background/Objectives: General practitioners (GPs) face critical workforce shortages and high turnover globally. While external factors are known to influence turnover intention (TI), the role of individual psychological traits is less well understood. This study examines the association between Type D personality (TDP) and TI among GPs and the co-occurring statistical associations of perceived occupational stress (POS) and job satisfaction (JS). Methods: A cross-sectional survey was conducted from September to October 2024 among 383 GPs in Longhua District, Shenzhen, China. Participants completed a structured questionnaire assessing socio-demographic characteristics, TDP, POS, JS, and TI. After controlling potential confounders, correlation and regression analyses were performed to assess associations between TDP, POS, JS, and TI. Structural equation modeling (SEM) was conducted to examine the specific indirect associative components within the covariance between TDP and TI. Results: After adjusting for confounding factors, TDP was significantly positively associated with TI (B = 0.71) and POS (B = 0.30), and significantly negatively associated with JS (B = −0.24). In the hypothesized structural model, the proportions of total standardized covariance attributable to the indirect associative paths involving POS alone, JS alone, and the serial combination of POS and JS were 17.28%, 9.90%, and 3.50%, respectively, summing to 30.68% of the model-implied association. Conclusions: GPs with TDP reported a higher level of turnover intention, and this association was statistically accompanied by elevated occupational stress and diminished job satisfaction. Healthcare managers may consider implementing targeted interventions aimed at reducing stress and enhancing satisfaction, particularly among GPs with TDP, although the effectiveness of such strategies requires confirmation in future longitudinal or intervention studies. Full article

This study aims to investigate the effect of organizational identification (OI) on green organizational behavior (GOB) and the mediating role of psychological well-being (PWB) in this relationship. To achieve this research goal, a quantitative study was conducted using a structured questionnaire designed to assess the relevant variables. Data was collected from 264 white-collar employees in the service sector in Istanbul. Surveys were collected from participants face-to-face, using a judgmental sampling method. Hypotheses were tested using AMOS22, SPSS 24 and PROCESS Macro. The significance of indirect effects was analyzed by employing the bootstrapping technique. The results indicate that OI has positive and significant direct effects on GOB and PWB. Furthermore, PWB was found to significantly predict GOB. The bootstrapping analysis revealed that the indirect effect was significant, supporting a partial mediation model. This research illustrates that OI increases GOB both directly and indirectly through PWB. The findings are considered to be of relevance to the literature because this is one of the few studies that addresses the concept of green organizational behavior, which is a focal point in the organizational behavior literature, and it emphasizes the importance of psychological resources in promoting environmentally friendly behaviors within organizations. Full article

Against the backdrop of global ecological governance and the advancing dual carbon goals, the sustainable development of green consumption hinges on consumers’ continuous repurchase. Although corporate environmental goal progress information serves as a critical external signal, its underlying mechanisms affecting green repurchase remain inadequately explored. Accordingly, this study integrates the S-O-R framework, signaling theory, and psychological reactance theory, and deconstructs such information into five dimensions: quantification, visualization, level, velocity, and stakeholder contribution. It constructs a chained mediation model, testing hypothesized relationships via structural equation modeling (SEM) with data from 594 valid questionnaires. Results show that all five dimensions exert a significant negative effect on psychological reactance, with the visualization dimension showing the strongest effect. In addition, the visualization dimension has no significant effect on green perceived value, whereas the other four dimensions have significantly positive effects, with the quantification dimension exerting the most prominent effect. Moreover, psychological reactance, green perceived value, and green brand trust constitute a full chained mediation, fully transmitting the effect of environmental information on repurchase intention. This study explains how environmental information drives sustainable green consumption and provides theoretical and managerial implications for enterprises to optimize environmental information disclosure and promote green repurchase. Full article

Background: The nationally advertised mass media campaign Act-FAST UK, delivered in multiple waves since its launch in 2009, has increased public awareness of stroke symptoms. However, many stroke patients still delay in calling for help and reach the hospital too late to receive emergency treatments. The reasons for this cognitive dissonance between recognition of symptoms and urgent seeking of emergency medical services (EMS) are unclear. Aims: This study aimed to quantify cognitive, psychological, and knowledge-based barriers to help-seeking in patients with acute stroke or transient ischaemic attack (TIA), as well as in intervening witnesses, and to examine their association with the use of EMS as the initial point of contact. Methods: We interviewed patients admitted to a hyperacute stroke unit with a stroke or transient ischaemic attack (TIA) from 2013 to 2016. People who contacted emergency services on the patient’s behalf (intervening witnesses (IWs)) were also interviewed when available. Reasons given for delays in calling for help were related to correct symptom recognition, and whether/at what time, emergency services were contacted after symptoms onset. Results: A total of 602 patients (429 with stroke, 173 with TIA) along with 128 witnesses who intervened in calling for help in those cases (IWs) were interviewed. In the subset of patients with both measures available, there was a strong positive correlation between NIHSS score and number of FAST symptoms (Spearman’s rho = 0.645, p < 0.001), providing supportive evidence for the use of FAST symptom count as a proxy measure of stroke severity. A total of 469 (77.9%) of the patients were aware of a media education campaign about stroke, but only 145 (24.1%) had attributed their own symptoms to stroke at onset. However, correct self-diagnosis of stroke was not associated with direct calls to the EMS (OR 1.43, 95% CI 0.84–2.45). Cognitive, psychological or emotional barriers to help-seeking, as reported by prior published studies, were reported by 463 (81.2%) of the patients we interviewed but in only 63 (53.3%) of the IWs (p < 0.001). Amongst the patient cohort, “not thinking symptoms were serious” (275, 45.7%) and “waiting to see if symptoms would go away” (285, 47.3%) were most strongly negatively associated with EMS use (OR 0.52, 95% CI 0.32–0.84 and OR 0.34, 95% CI 0.21–0.55, respectively). Only 55 (9.1%) of the patients interviewed had been aware of any time-critical stroke treatment prior to their stroke. Eighteen stroke patients (4.2%) reached hospital in time to receive thrombolysis, but an additional 170 (39%) could have been considered for this treatment (i.e., had no apparent other contraindications from a notes review) had they arrived within 4 h of symptom onset. Conclusions: Future public education campaigns may be more effective if they specifically address factors associated with delays in calling for help after stroke symptoms and emphasise the existence of emergency treatments, which are also time-critical. More effective public education may have the potential to increase the proportion of patients arriving in time to benefit from such treatments. Full article

Background/Objectives: Adolescence is a crucial stage of development, in which life skills are essential for promoting psychological well-being. Social and Emotional Learning (SEL) interventions aim to develop social–emotional and relational skills that foster resilience and adaptation. Short-term effects may be nonlinear and influenced by gender differences, with possible fluctuations in self-assessments due to increased social–emotional awareness (response shift). Methods: This action research study involved 179 preteens (ages 11–17) from educational settings in Aosta Valley. The SEL program consisted of three experiential sessions on key life skills, led by psychologists and psychiatrists and including group activities and role-playing. Quality of life was assessed before and after the intervention using the Q-LES-Q, which measures satisfaction and well-being in the areas of social relationships, physical health, academic performance, leisure activities, and subjective feelings. Subscale scores were calculated as the mean of the corresponding items. Results: The results revealed nonlinear patterns: a decline in satisfaction with social relationships, which may reflect a response shift. Males reported higher initial levels and greater perceived positive effects, while females reported lower post-intervention scores, likely due to greater self-reflection and self-criticism. Conclusions: The data highlight the complexity of the short-term effects of SEL interventions and the importance of considering developmental trajectories and gender differences when evaluating their effectiveness. Full article

With the continuous deepening of green building concepts and the sustained advancement of research on health-oriented design, increasing attention has been paid to the impact of architectural space on users’ psychological perception and behavioral outcomes. In China, the rapid development of urban cultural facilities and the growing emphasis on high-quality public cultural spaces have made concert halls an important context for examining how architectural environments shape user experience. In recent years, relevant studies have gradually expanded from energy conservation, function, and technical performance evaluation to discussion of the subjective experience of the architectural environment and its psychological effects. As a typical type of cultural building, the concert hall is an important place for music communication and artistic experience, and its spatial environment may also influence users’ state of immersion and emotional resonance. However, existing studies mostly focus on the acoustic quality, visual characteristics, and functional organization of concert halls, and still lack a systematic empirical explanation of how restorative design influences user satisfaction through psychological mechanisms. Using survey data from 972 users of six representative concert halls in six Chinese cities, this study constructs a theoretical model with perceived restorative design as the independent variable, flow experience and musical resonance as mediating variables, and user satisfaction as the dependent variable, aiming to broaden the understanding of the internal mechanism through which restorative design affects user satisfaction. The results show that: (1) perceived restorative design is positively associated with user satisfaction; (2) flow experience and musical resonance respectively play mediating roles between perceived restorative design and user satisfaction; and (3) flow experience and musical resonance respectively play a chain mediating role between perceived restorative design and user satisfaction. This study enriches the applied research on restorative design in the field of cultural architecture, reveals the psychological path through which restorative design in concert halls affects user satisfaction, and expands the theoretical boundaries of research on architectural environment experience. The conclusions provide a theoretical basis for optimizing the design of concert hall buildings and improving user experience, and also offer practical insights for the human-centered and high-quality development of cultural buildings in the context of green building. Full article

Against the backdrop of the growing prevalence of social anxiety among college students, it is of great significance to explore the internal and external protective resources of college students to prevent and buffer social anxiety. Resilience, as an important protective psychological trait, is closely associated with social anxiety. However, how resilience functions through internal and external resources of psychological flexibility and perceived parental emotional support remains to be systematically explored. Based on the stress and coping theory and related research, this study constructed a moderated mediation model. It aimed to examine the relationship between resilience and social anxiety among college students, as well as the mediating role of psychological flexibility and the moderating role of perceived parental emotional support. A cross-sectional survey was conducted among 1713 college students using a questionnaire survey method. The results showed that resilience negatively and significantly predicted college students’ social anxiety, with psychological flexibility playing a mediating role. Perceived parental emotional support moderated the relationship between resilience and psychological flexibility, as well as the relationship between resilience and social anxiety. Specifically, perceived parental emotional support strengthened the positive predictive effect of resilience on psychological flexibility, while also enhancing the direct negative predictive effect of resilience on social anxiety. This study reveals the internal mechanism through which resilience is associated with college students’ social anxiety, providing empirical evidence and practical implications for mental health education and intervention. Full article

Background/Objectives: Climate change worry is an emerging concern in youth mental health, but little is known about how it is associated with positive psychological functioning among university students. This study examined whether climate change worry was associated with flourishing and whether this association showed a cross-sectional statistical indirect effect through anxiety and depressive symptoms, with physical activity specified as a first-stage boundary condition. Methods: A cross-sectional anonymous survey was conducted in 2026 using convenience sampling among students from four universities located in three provincial-level regions of China, covering southern, western, and central areas. After predefined quality control procedures, 2826 valid responses were included. Climate change worry, anxiety and depressive symptoms, flourishing, and physical activity were assessed using the Climate Change Worry Scale (CCWS), the Patient Health Questionnaire-4 (PHQ-4), the Flourishing Scale (FS), and the Physical Activity Rating Scale-3 (PARS-3), respectively. Pearson correlations and conditional process analyses were conducted using the PROCESS macro, with 5000 bootstrap samples. Results: Climate change worry was positively associated with anxiety and depressive symptoms (r = 0.331, p < 0.001) and negatively associated with flourishing (r = −0.193, p < 0.001). Anxiety and depressive symptoms were negatively associated with flourishing (r = −0.486, p < 0.001). The cross-sectional statistical indirect effect through anxiety and depressive symptoms was significant (indirect effect = −0.1277, 95% bootstrap CI: [−0.1441, −0.1123]). Physical activity was statistically associated with a weaker first-stage association between climate change worry and anxiety/depressive symptoms (B = −0.0014, p < 0.001; ΔR² = 0.0064). The index of moderated mediation was significant (0.0014, 95% bootstrap CI: [0.0008, 0.0020]). Conclusions: Climate change worry was statistically associated with lower flourishing, primarily through higher anxiety and depressive symptoms. Physical activity was associated with a weaker first-stage association, but the moderation effect was small in practical magnitude. Given the cross-sectional and self-report design, these findings should be interpreted as conditional statistical associations rather than causal or protective effects. Full article

Sleep deprivation (DS) is a reduction in sleep duration due to voluntary or external factors. The mechanisms underlying the psychological and cognitive consequences of DS are complex and incompletely understood; one proposed pathway involves alterations in the serotonin (5-HT) and melatonin (MLT) systems. This study aimed to assess the effects of a single night of DS on the tryptophan (TP)-5-HT-MLT system and to examine their associations with mood and cognitive performance. Eighty healthy adults underwent polysomnography (PSG) and actigraphy-monitored DS. Blood samples, mood assessments, and cognitive tests (BEHCT, TMT, Stroop) were performed before and after PSG and DS. Levels of serotonin transporter (SERT) mRNA, TP, 5-HT, and MLT were measured. Participants were classified as Responders (RE) or Non-Responders (NR) based on post-DS mood change. DS significantly decreased TP and MLT overall. In NR, 5-HT increased and MLT decreased, unlike in RE. ΔBEHCT correlated positively with ΔTP (RE), Δ5-HT (overall), and ΔMLT (overall and RE), and negatively with ΔSERT mRNA (NR). In RE, ΔSERT mRNA negatively correlated with ΔStroop performance and positively with ΔTMT. Acute DS disrupts the TP–5-HT–MLT axis, with effects differing by mood response. These changes may influence cognitive outcomes after sleep loss. Full article

Graduate students face increasing academic and psychological pressures, making it important to identify educational practices associated with their mental health. This study examined the association between labor education and graduate students’ mental health by constructing a moderated mediation model. A cross-sectional survey was conducted among 1283 full-time graduate students in Chinese universities. Structural equation modeling and PROCESS analyses were used to test the hypothesized relationships. The results showed that labor education was positively associated with graduate students’ mental health. Bootstrap analyses further supported three sequential mediation pathways: self-efficacy and psychological resilience, meaning in life and time management ability, and problem-solving ability and emotion regulation ability. These indirect pathways collectively account for approximately 40% of the total effect. In addition, supervisor support was found to strengthen the positive association between labor education and self-efficacy, while peer support strengthened the positive association between labor education and problem-solving ability. These findings suggest that labor education may function as a resource-building educational practice in graduate training and that academic social support may condition its association with students’ psychological and behavioral resources. This study contributes to research on graduate student well-being by linking labor education with psychological resources, cognitive appraisal, behavioral adaptation, and academic social support. Full article

Background/Objectives: Mental health challenges among university students represent a growing public health concern, underscoring the need to understand how psychological resources shape students’ responses to academic stress. Grounded in the Job Demands–Resources (JD-R) framework, this study examined how academic demands (time pressure, college life stress, and social comparison) and a key resource (social support) relate to academic burnout and whether these relationships are moderated by self-compassion. Methods: Participants were 323 Korean undergraduates, including 187 traditional students and 136 adult learners. A moderated moderation analysis was conducted using PROCESS Model 3 to examine the interactive effects of learner type, self-compassion, and academic demands/resources on academic burnout. Results: College life stress and social comparison showed robust positive associations with academic burnout, whereas time pressure showed a weaker association. Social support was not directly associated with lower burnout; instead, its protective role emerged only at moderate to high levels of self-compassion. Self-compassion also demonstrated a differentiated moderating effect across learner groups. Among traditional students, higher self-compassion weakened the association between social comparison and burnout. Among adult learners, the relationship between social support and burnout varied according to levels of self-compassion. Conclusions: Self-compassion emerged as a developmentally relevant personal resource associated with differences in how academic demands and resources relate to burnout. These findings suggest that the effectiveness of external resources may depend on individuals’ capacity to interpret and utilize them, highlighting the importance of self-compassion in both theoretical models of academic burnout and targeted mental health interventions in higher education. Full article