Search Results (3,378)

Background: Pregnancy represents a major identity transition, yet most perinatal assessments focus primarily on emotional symptoms rather than on how women integrate the maternal role into their broader identity and life context. Difficulties in maternal role integration may constitute an early vulnerability factor for psychological distress. This study aimed to develop and validate the Maternal Role Integration Questionnaire—pregnancy version (MRIQ-P), a brief instrument designed to assess maternal identity and role balance during pregnancy, and to examine its clinical relevance for perinatal mental health. Methods: A sequential mixed-methods design was employed. Phase 1 involved focus groups with pregnant women (n = 17) and cognitive debriefing to generate and refine items. Phase 2 included expert evaluation of content validity. In Phase 3, the MRIQ-P was psychometrically validated in a sample of pregnant women (n = 256), randomly divided into exploratory (n = 83) and confirmatory (n = 173) subsamples. Exploratory and confirmatory factor analyses were conducted, along with reliability analyses, tests of convergent, discriminant, incremental, and measurement invariance validity. Results: Analyses supported a bifactor structure comprising a general factor of maternal role integration and two specific dimensions: Maternal Identity and Balance of the Maternal Role. The final 8-item version demonstrated excellent internal consistency for the total score (α = 0.96) and subscales (α = 0.98 for Maternal Identity and α = 0.98 for Balance of the Maternal Role), as well as measurement invariance across primiparous and multiparous women. Higher maternal role integration was associated with greater self-esteem, positive affect, and life satisfaction, and with lower anxiety, depression, prenatal distress, and maternal ambivalence. Importantly, MRIQ dimensions explained additional variance in antenatal depression and dispositional guilt beyond established psychological predictors, supporting its incremental and potential clinical utility. Conclusions: The MRIQ is a brief, psychometrically robust, and clinically relevant instrument for assessing maternal role integration during pregnancy. By capturing identity- and role-related processes that are not directly addressed by symptom-based screening tools, it may contribute to early identification of vulnerability and to more comprehensive perinatal psychological assessment in healthcare settings. Full article

Teacher attrition, particularly in early career stages, undermines sustainable education. Developing teachers’ sense of agency and well-being is therefore critical, especially for second-career teachers who bring valuable prior knowledge and professional experience. This study explored how narrative pedagogy combined with agency-focused instruction supports second-career students’ professional development. Using qualitative methodology, we analyzed reflective compositions written by 12 special education students in a year-long course. Three main themes emerged: First, narrative approaches enabled students to develop their personal and professional identities. Second, participants experienced the approach as creating relational safety, a psychologically secure environment supporting authentic sharing and collaborative learning. Third, participants envisioned implementing agency processes with their future students while acknowledging systemic challenges. These insights underscore the potential contribution of incorporating narrative and agency-based approaches into teacher education. Such approaches may strengthen resilience and well-being as students transition into practice, thereby supporting reduced attrition and advancement of sustainable education goals. Full article

The article provides a comprehensive review of empirical studies on consumer attitudes, motivations, and behaviors in the functional food market. The main objective of this study is to identify groups of determinants and to update and systematize current knowledge on the influence of various factors on consumer purchasing decisions in this market. Based on an analysis of international research published between 2004 and 2025, four key groups of determinants were identified: (1) health- and trust-related factors, (2) cognitive and psychological factors, (3) perceptual and product-related factors, and (4) socio-demographic and segmentation factors. The analysis confirms that purchasing decisions in this product category are complex and multidimensional. They result from the interaction between rational factors (health-related and cognitive) and emotional-symbolic factors (psychological and sensory). The strongest predictors of functional food acceptance include perceived health benefits, trust in producers and information sources, sensory attractiveness, and product naturalness. Socio-demographic characteristics, such as age, education level, and income, further differentiate purchasing intentions and behaviors. Overall, the findings highlight the need for further comparative and cross-cultural research, as cultural and economic conditions may significantly shape consumer decisions across markets. The results obtained have both theoretical and practical implications. They contribute to a better understanding of consumer decision-making processes and emphasize the importance of promoting health awareness. Full article

Background/Objectives: This study aimed to describe and quantify facial soft tissue changes in two patients who underwent radiotherapy (RT) for head and neck cancers, using three-dimensional (3D) stereophotogrammetry and surface deviation analysis. The aims were (i) to assess the progression of morphological alterations over time (ii) and to evaluate the clinical potential of 3D surface mapping in documenting RT-related aesthetic changes. Methods: Two patients with head and neck cancer undergoing RT were analyzed using three-dimensional stereophotogrammetry (3dMD Trio-system, Atlanta, GA, USA) at three timepoints: before RT (T0), 45 days after the start of RT (T1), and 6 months after the start of RT (T2). Facial 3D scans were processed using Geomagic Control 2014 software (v.3D Systems, Morrisville, NC, USA) to perform standardized alignments and calculate volumetric deviations, create colorimetric deviation maps, and conduct Root Mean Square (RMS) analysis. Results: Between T0 and T1, both patients showed soft tissue volume reduction, primarily in the mandibular and submental regions, likely reflecting acute treatment effects and weight loss. Between T0 and T2, an increase in soft tissue volume was observed, especially in the lower face and neck, consistent with late radiation effects such as lymphedema and post-treatment weight gain. RMS values ranged from 5.53 mm to 6.87 mm across patients and time points, indicating measurable morphological changes. The upper third of the face remained stable and served as a reliable reference region for alignment. Conclusions: RT may be associated with significant, region-specific changes in facial and cervical soft tissues in HNC patients, but these preliminary observations must always be correlated with weight loss and confirmed by further studies. 3D stereophotogrammetry is a reliable, non-invasive method for detecting and quantifying these alterations over time. This technique can offer valuable insights for clinical monitoring and could promote better patient counseling and potentially mitigate the psychological burden associated with facial changes. Full article

As generative artificial intelligence (AI) becomes increasingly involved in creative processes, designers encounter a fundamental tension regarding creative control—the degree to which they dominate design direction and iterative decision-making when collaborating with AI. Existing theories offer contradictory predictions: self-determination and psychological ownership theories emphasize the benefits of control, whereas cognitive load theory highlights its cognitive costs. This tension remains empirically unresolved, particularly regarding how designer characteristics shape these competing effects. This study examines the dual-pathway mechanism linking creative control to design creativity and investigates the moderating role of design experience. A scenario-based between-subjects experiment was conducted with 226 designers and design students. Creative control exerted a positive indirect effect on design creativity through psychological ownership (effect = 0.16, 95% CI [0.09, 0.24]) and a negative indirect effect through cognitive load (effect = −0.07, 95% CI [−0.14, −0.02]), confirming the double-edged sword effect. Design experience strengthened the positive pathway while buffering the negative pathway. Creative control thus functions as a double-edged sword in designer-AI co-creation, with its net effect contingent on designer expertise. The results extend Conservation of Resources theory to human-AI collaboration contexts and inform the design of experience-adaptive AI-assisted systems. Full article

The rapid adoption of immersive and adaptive digital technologies is redefining sustainability education, but the mechanisms by which these technologies support perceived sustainability outcomes remain unclear. This paper models the Digital Experiential Learning Ecosystem (DELE), including simulation, AR/VR, gamification, AI personalization, and collaborative digital platforms, as a higher-order construct. It discusses its role in Perceived Sustainability Outcomes through learning engagement. Basing the study on the Stimulus-Organism-Response framework, the study hypothesizes that the digital ecosystem design can be viewed as an environmental stimulus, engagement as the organismic processing state, and Perceived Sustainability Outcomes as the developmental response. The results, obtained using Partial Least Squares Structural Equation Modeling (PLS-SEM), indicate that DELE is positively associated with learning engagement and Perceived Sustainability Outcomes. Learning engagement is found to be the leading mechanism through which digital experiential environments are converted into perceived sustainability outcomes, but a smaller yet significant direct structural relationship also remains. These findings indicate that digital transformation within the education sector creates sustainable value not only through technological sophistication but also through carefully planned engagement-based learning environments that support systems thinking, applied problem-solving, and adaptive readiness to work in multifaceted environments. The research also advances the body of research on sustainability education by developing a model of digital learning as an integrated ecosystem and by explaining the psychological and structural processes of perceived sustainability outcomes. Full article

Background: Athletic performance is a multifactorial construct influenced by physiological, biomechanical, and psychological determinants. In recent years, genetic factors have been increasingly recognized as contributors to inter-individual variability in performance. In particular, polymorphisms in genes involved in neurobiological pathways have been associated with cognitive processes relevant to sport performance. However, the distribution of cognition-related genetic variants in elite athletes has not been systematically synthesized. Methods: This meta-analysis aimed to examine the distribution of selected candidate gene polymorphisms previously associated with cognition-related traits in elite athletes compared to control populations. A systematic literature search identified 17 eligible case–control studies investigating allele distributions of COMT rs4680, BDNF rs6265, DRD2 rs1800497, OPRM1 rs1799971, and HTR1A rs6295. Pooled analyses were performed using a fixed-effect model, and odds ratios (ORs) with 95% confidence intervals (CIs) were calculated. Results: Elite athletes demonstrated a significantly higher frequency of the G allele of COMT rs4680 (OR = 1.11; 95% CI: 1.02–1.21; p = 0.013) and the G allele of BDNF rs6265 (OR = 1.40; 95% CI: 1.10–1.77; p = 0.005) compared to controls. No significant differences were observed for HTR1A rs6295, DRD2 rs1800497, or OPRM1 rs1799971 polymorphisms (p > 0.05). Conclusions: This meta-analysis indicates that certain genetic variants previously associated with cognition-related traits, particularly COMT rs4680 and BDNF rs6265, are more frequently observed in elite athletes. These findings suggest a potential association between cognition-related genetic pathways and elite athletic status. However, as the present analysis is based on genetic distribution rather than direct cognitive assessments, the results should be interpreted within the context of association rather than causation. Full article

Background: Problematic Internet use (PIU) among adolescents has emerged as a significant public health concern, associated with the types of online activities and underlying psychological processes rather than screen time alone. Methods: This cross-sectional study included 750 adolescents (46.4% female) with a mean age of 15.39 years (SD = 1.76; range = 13–19) recruited from 7th and 8th grade primary school students and secondary school students in Split-Dalmatia County (Croatia). The study investigated the associations between specific online activities, psychological variables, and PIU using hierarchical regression and multiple mediation analyses. Results: Results revealed that time spent online remains the most strongly associated with PIU. While streaming and online shopping showed significant associations with problematic use, reading and browsing for information did not. Stress and loneliness were identified as variables associated with higher that significantly statistically mediate the relationships between online engagement and PIU, whereas emotional competence functioned as a protective factor, particularly in relation to social media use. These findings support theoretical models that conceptualize PIU as a maladaptive coping strategy for psychological distress. Conclusions: Based on these findings, prevention efforts should move beyond simple screen-time reduction and focus on strengthening adolescents’ emotional competence, stress management, and self-regulatory skills to promote healthier and more adaptive patterns of digital engagement. Full article

As public demand for health and well-being continues to rise, rural landscapes are increasingly valued as settings for stress reduction and psycho-physiological restoration. Drawing on five “Beautiful Villages” in Jiangning District, Nanjing (China), this study categorizes rural landscapes into three types—farmland production landscapes, rural settlement landscapes, and rural mountain–water landscapes—based on the proportional dominance of key landscape elements. Audio-visual stimuli were developed from on-site photography and field recordings to construct controlled rural audio-visual environments. Using a combination of physiological indicators and self-reported psychological assessments, we systematically compare restorative responses across modalities (visual, auditory, and audio-visual) and across landscape types, and examine how specific landscape elements relate to restorative outcomes. Results show that (1) auditory stimuli generally produce stronger restorative responses than visual stimuli, and audio-visual interactions are evident; (2) restorative benefits vary significantly across the three rural landscape types; and (3) visually natural and structurally rich elements are associated with greater restoration, while auditory cues can direct visual attention and natural sounds are positively linked to restorative outcomes. These findings advance understanding of multi-sensory restorative processes in rural landscapes and provide evidence for sustainable rural landscape planning and design by supporting healthier, more restorative, and more human-centered rural environments. Full article

Conventional Heating, Ventilation, and Air Conditioning (HVAC) control systems primarily rely on environmental and physiological parameters, largely ignoring the critical influence of psychological states on thermal comfort. Overlooking this factor often leads to suboptimal occupant satisfaction, energy inefficiency and thus carbon dioxide (CO₂) emissions. To this aim, this study introduces a novel mood-adaptive HVAC control system integrating psychological feedback to decrease CO₂ emissions in office buildings by reducing energy consumption and optimizing comfort. A total of 7000 thermal facial measurement records and high-resolution camera images were collected across seven mood state conditions using video stimuli and the Profile of Mood States (POMS) questionnaire to evaluate mood variations. A dual artificial intelligence system was developed: a Convolutional Neural Network (CNN) for analyzing facial expressions and an Artificial Neural Network (ANN) for processing facial temperatures via thermal imaging. These models collectively predict occupant mood in real-time, and a custom-designed wearable necklace interface transmits this data to dynamically adjust HVAC setpoints. To evaluate system performance, energy consumption was directly measured in real-life operations using an energy analyzer, without relying on simulations. Results indicate that this prototype personalized mood-driven system has the potential to enhance perceived thermal comfort while achieving up to a 20% reduction in carbon emissions compared to conventional systems. This human-centered approach significantly advances intelligent building management and climate change mitigation. Full article

Interactive digital commerce environments increasingly rely on influencers as algorithmically amplified intermediaries between brands and consumers. However, the process through which influencer attributes translate into brand trust remains theoretically underdeveloped. Drawing on Social Influence Theory and Source Credibility Theory, this study develops a process-based model in which consumer engagement operates as a psychological mechanism linking influencer characteristics, namely credibility, brand alignment, interactivity, and authenticity, to brand trust. Using survey data from 400 active social media users in Lebanon and partial least squares structural equation modeling (PLS-SEM), the findings reveal that all four influencer attributes significantly enhance consumer engagement, which in turn strongly predicts brand trust. Influencer–brand alignment emerges as the strongest driver of engagement, suggesting that value congruence functions as a heuristic cue in interactive digital commerce contexts. By conceptualizing engagement as a trust-internalization mechanism within platform-mediated environments, this study advances electronic commerce theory and provides context-sensitive insight into digital trust formation in emerging markets. Full article

Background/Objectives: Patients with breast cancer show substantial heterogeneity in terms of psychological adjustment following diagnosis. We aimed to characterize longitudinal trajectories of quality of life (QoL) and depressive symptoms during the first 18 months post-diagnosis and to identify robust clinical, psychosocial, and behavioral predictors associated with distinct adjustment pathways. Methods: Women (N = 538; mean age 55.4 years; range 40–70) with operable breast cancer (stages I–III) were drawn from the multicenter BOUNCE cohort. QoL (Global Health Status/QoL scale of the European Organisation for Research and Treatment of Cancer Quality of Life Questionnaire Core 30) and depressive symptoms (depression subscale of the Hospital Anxiety and Depression Scale) were assessed at baseline and months 3, 6, 9, 12, 15 and 18. Latent class growth analysis and growth mixture modeling identified distinct trajectory classes. Associations between early predictors and trajectory membership were examined using logistic regression combined with elastic net regularization. Results: Depression trajectories demonstrated heterogeneity, with groups characterized by persistent resilience (59.7%), stable moderate/high (25.3%), delayed onset (5.0%), and recovery (10.0%). QoL trajectories ranged from stable excellent (13.2%) and stable high (40.7%) to moderate (31.4%) and persistent low/deteriorating (6.9%), as well as a distinct recovering trajectory (7.8%). Trajectory differentiation was primarily driven by psychological resources, symptom burden, functional status, and coping processes, alongside specific contributions from clinical factors. Conclusions: Distinct subgroups of women with breast cancer follow divergent adjustment pathways. These findings highlight the multidimensional nature of resilience and support the need for tailored interventions that promote long-term well-being beyond simple risk reduction. Full article

Architectural heritage plays a central role in shaping visitors’ emotional experiences within cultural tourism contexts. However, empirical research examining how specific architectural styles evoke emotional responses remains limited, particularly when using objective measurement techniques. This study investigates emotional reactions to architectural heritage by applying the Stimulus–Organism–Response (SOR) theoretical framework. In this model, architectural styles act as environmental stimuli, emotional processing represents the organismic state, and the resulting emotional activation constitutes the response. An experimental protocol was conducted with a sample of 645 participants exposed to a series of standardized architectural heritage images representing different architectural styles and infrastructure types. Emotional reactions were captured in real time through facial emotion recognition technology, enabling the objective measurement of eight basic emotions: neutral, happiness, sadness, surprise, fear, disgust, anger, and contempt. The collected emotional data were statistically analyzed using Analysis of Variance (ANOVA) to identify significant differences in emotional responses across architectural styles, heritage typologies, and gender. When significant differences were detected, Tukey’s HSD post hoc tests were applied to determine specific group contrasts. The findings reveal that different architectural styles generate distinct emotional patterns, highlighting the role of architectural aesthetics as a powerful mediator of affective engagement with heritage environments. From a theoretical perspective, this research contributes to heritage tourism and environmental psychology by integrating the SOR framework with real-time emotion detection technologies, providing a novel methodological approach for analyzing emotional responses to architectural heritage. Full article

Amidst global urbanization and rising psychological stress, urban green spaces are increasingly recognized as critical infrastructure for sustainable urban development and public health. However, the mechanisms by which summer vegetation structure mediates both physiological and psychological restoration, and the interplay between these two dimensions, remain poorly understood. Understanding these mechanisms is essential for designing sustainable, health-promoting urban environments that can support growing urban populations in a warming climate. This study employed a controlled field experiment in Xi’an during summer to examine the effects of five vegetation structure types (Single-Layer Grassland, single-layer woodland, tree–shrub–grass composite woodland, tree–grass composite woodland, and a non-vegetated square) on university students’ physiological (heart rate variability) and psychological (perceived restorativeness and affective states) restoration. Following stress induction, 300 participants engaged with the green spaces through both quiet sitting and walking. The results revealed three key findings: (1) the tree–shrub–grass composite woodland consistently showed the most favorable trends other vegetation types across all psychological restoration dimensions, while also showing favorable trends in physiological recovery, underscoring the importance of structural complexity for restorative quality; (2) walking significantly enhanced physiological recovery compared to seated observation across all settings, confirming the role of physical activity as a critical activator of green space benefits; (3) correlation analysis identified a specific cross-system association: the R-R interval recovery value showed a weak but significant correlation with positive affect (PA) scores, suggesting that physiological calmness and positive emotional experience are linked, yet their weak coupling under short-term exposure indicates they may operate as parallel processes with distinct temporal dynamics. These findings indicate that the restorative potential of summer green spaces emerges from an integrated framework combining vegetation complexity and activity support. We propose that future sustainable landscape design should prioritize multi-layered vegetation structures as nature-based solutions that simultaneously enhance human well-being and urban resilience. These findings provide empirical evidence for integrating health-promoting green infrastructure into sustainable urban planning frameworks, supporting multiple Sustainable Development Goals (SDGs), including SDG 3 (Good Health and Well-being), SDG 11 (Sustainable Cities and Communities), and SDG 13 (Climate Action). Full article

The expansion of digital connectivity has reshaped contemporary work environments, increasing flexibility while simultaneously blurring the boundaries between work and personal life. In such contexts, employees may experience difficulties in psychologically detaching from work during off-job time. Drawing on the Effort–Recovery model and Conservation of Resources theory, this study examined whether affective work-related rumination indirectly explained the association between Fear of Missing Out (FoMO) and psychological detachment. A cross-sectional survey was conducted with 228 employees from diverse occupational sectors who completed validated measures of FoMO, affective rumination, and psychological detachment. Indirect effect analyses using bootstrapping procedures indicated that FoMO was positively associated with affective rumination, and affective rumination was negatively associated with psychological detachment. The indirect effect was significant, whereas the direct association between FoMO and detachment was not. These findings are consistent with an indirect association pattern whereby FoMO is related to lower psychological detachment through higher levels of affective rumination. However, given the cross-sectional design, the results should be interpreted as correlational evidence rather than as demonstrating a causal mediation process. The model accounted for approximately 10% of the variance in psychological detachment. Overall, the findings suggest that FoMO may be indirectly related to reduced recovery experiences via emotionally charged repetitive thinking that sustains cognitive activation beyond working hours. Addressing rumination and supporting healthier digital boundary management may therefore represent promising avenues for supporting occupational mental health in increasingly connected work environments. Full article