Search Results (24)

Adolescence is marked by a heightened need for belonging, peer acceptance, and emotional validation, with disruptions linked to loneliness and psychological distress. This perspective integrates belongingness theory with emerging research on companion artificial intelligence (AI), reconceptualizing these systems as relational substitutes that simulate, but do not provide, genuine interpersonal connection. Designed to offer continuous, emotionally responsive interactions, companion AI may be particularly appealing to socially isolated youth. However, these features can foster perceived intimacy, emotional dependence, and misinterpretations of programmed responses as authentic care. Drawing on developmental research and recent case evidence, this manuscript examines how AI-mediated interactions may reinforce social withdrawal, shape expectations of relationships, and contribute to mental health risk. These findings stress the importance of understanding the developmental implications of artificial forms of connection during adolescence and describe potential policies to mitigate the likelihood of negative outcomes. Full article

This study examines the impact of imprisonment on the families of incarcerated men in England and Wales. Drawing on mixed-methods survey data collected in collaboration with the Prison Advice and Care Trust (PACT), the research is based on responses from 42 participants. The sample comprised 21 partners/spouses, 11 parents, 5 adult children, 2 siblings, 1 other relative and 1 friend of an incarcerated individual, with 1 participant preferring not to disclose their relationship. The study explores the financial, social, emotional and relational consequences associated with imprisonment. Findings indicate that financial strain was a significant pressure for many participants, driven by loss of income alongside the costs associated with maintaining contact. Participants also described experiences of stigma, social withdrawal, emotional distress and changes to family responsibilities, highlighting the multiple challenges associated with imprisonment for family members. Consistent with emerging research highlighting the wider emotional and psychological consequences of imprisonment for family members, the findings suggest that these pressures were often experienced as interconnected aspects of participants’ experiences rather than in isolation. The study illustrates the value of the symbiotic harms framework for understanding the relational and interconnected dimensions of family members’ experiences of imprisonment in a UK context and highlights the practical and emotional labour involved in maintaining family relationships during imprisonment. The findings underscore the importance of recognising families as individuals directly affected by imprisonment and by the wider consequences of penal policy. Full article

Introduction: Advances in pediatric oncology have transformed cancer into a condition with chronic and long-term developmental consequences. While survival rates have improved significantly, the literature on psychosocial outcomes remains fragmented and inconsistent, with a notable lack of person-centered analyses that account for the heterogeneity of adaptive trajectories. Current evidence fails to explain why survivors with similar clinical profiles exhibit divergent psychological phenotypes, particularly regarding the late effects of multimodal treatments. The aim of this study was to identify heterogeneous psychosocial profiles among adolescent cancer survivors and to examine their associations with treatment complexity and quality of life. Materials and Methods: This cross-sectional study included 165 adolescents aged 12–18 years (mean age: 14.64 years) who were in clinical remission following oncological treatment. Standardized assessment tools were used: the Children’s Depression Inventory 2 (CDI-2™) to measure depressive symptoms, the KIDSCREEN-10 index to assess health-related quality of life (HRQoL), and a scale evaluating satisfaction across 14 life domains. Adaptive profiles were identified using a Two-Stage Cluster Procedure, and risk factors were examined using multinomial logistic regression. Results: Four clusters were identified in the study population: a depressive–dysphoric profile, an anhedonic-withdrawn profile, a highly adaptive profile, and a mixed (struggling) profile. Treatment complexity was identified as a significant independent predictor of membership in the high-distress (depressive) cluster. While each additional therapeutic modality beyond standard chemotherapy was associated with a markedly increased risk (OR = 8.91; p < 0.001), the relatively wide confidence interval (95% CI: 3.27–24.31) suggests that the exact magnitude of this effect should be interpreted with caution. The high lower bound of the interval (3.27), however, strongly supports the directional association of cumulative iatrogenic burden with psychological adaptation. Subjective quality of life functioned as a protective factor against depressive symptoms (OR = 0.57); however, paradoxically, higher self-reported quality of life increased the likelihood of classification into the anhedonic group (OR = 1.81). This divergence between high self-reported HRQoL and social withdrawal potentially suggests a ‘well-being paradox’. It is hypothesized that standard HRQoL instruments may primarily capture physical remission and relief from acute somatic symptoms, potentially masking underlying social–emotional deficits. This suggests that HRQoL scores in survivors should be interpreted with caution and complemented by specific affective screenings. Conclusions: The absence of a uniform pattern of psychological response to cancer among adolescent survivors supports the validity of a patient-centered approach. The burden associated with intensive multimodal treatment significantly increases the likelihood of full-syndrome depression during adolescence. Moreover, the identification of a cluster suggestive of anhedonic and socially withdrawn features highlights the limitations of standard screening tools focused solely on the detection of overt sadness. This heterogeneity underscores the need for personalized psycho-oncological care and the implementation of intensified monitoring for patients at high medical risk. Full article

Abusive relationships are too often explained solely in terms of individual behaviour, as if a woman’s decision to stay were simply a matter of psychology or poor judgement. In South African communities, however, the reality is considerably more complex. The reasons women remain are situated within what can be described as a distorted process of care: a network of relational, material, and structural forces that alter the very meaning of care itself. This study aimed to explore these interconnections. Guided by an ethics of care framework, we employed multimodal qualitative methods to engage participants from four South African communities between August 2024 and July 2025. Participants (n = 262) were recruited through snowball, purposive, and convenience sampling. Data were coded using ATLAS.ti V8 and analysed thematically. Five interconnected themes shaped the framework. Distorted care described how caregiving could become coercive, shaped by fear, rigid gender roles, intergenerational abuse, and substance misuse. Care under constraint highlighted the material limitations, financial dependency, daily survival challenges, and self-sacrificing caregiving, that left women depleted. The silence of care captured emotional withdrawal, isolation, and the disabling effect of shame on help-seeking. Reclaiming care traced the tentative routes towards healing through ethical self-care, faith, forgiveness, and a conscious effort to disrupt harmful patterns. Woven throughout was structural failure, including absent family networks, the moral decline of communities, and institutional systems that consistently failed women. Remaining in an abusive relationship is not a sign of weakness. It is a negotiation, profoundly constrained, within systems of care that have been fundamentally distorted. Effective intervention should move beyond framing gender-based violence as an individual problem and address it as a collective one, restoring care as a shared social and political responsibility. Full article

Background/Objectives: The mental health of Early Childhood Care professionals is of great importance to ensuring the quality of intervention and the well-being of families. The aim of this study was to analyze the relationship between coping strategies, perceived self-efficacy and levels of depression, anxiety and stress in Early Childhood Care professionals. Methods: A study was conducted with a sample of 125 professionals (87% women; M = 33.40, SD = 9.70). Participants completed the Coping Strategies Inventory, the General Self-Efficacy Scale, and the DASS-21. The sample was predominantly female, which should be considered when interpreting the findings. Results: Cognitive restructuring, positive restructuring, and social support were negatively associated with depression, anxiety, and stress, while social withdrawal was positively related to all these variables. Self-efficacy showed high negative correlations with psychological distress and was a strong protective predictor. Emotional expression showed a positive association with depression. Conclusions: Self-efficacy and adaptive coping strategies act as protective factors against psychological distress, while social withdrawal is a significant risk. These findings highlight the need to implement training and prevention programs primarily aimed at enhancing perceived self-efficacy, with adaptive coping strategies acting as behavioral mechanisms through which this protective factor is strengthened and maladaptive responses are reduced. Full article

Background/Objectives: Metabolic dysfunction-associated steatotic liver disease (MASLD) is the most prevalent liver disease globally, closely associated with obesity and metabolic syndrome. Despite its clinical significance, patients frequently experience stigmatization from society, healthcare professionals, and family, which may exacerbate psychological distress and hinder effective care. This study aims to explore how patients living with MASLD experience and interpret different dimensions of stigma. By examining stigma across healthcare, social, and personal contexts, the study offers insights into the hidden psychosocial burden of MASLD and may inform approaches to reduce stigmatization and promote more patient-centered and equitable care. Methods: Between 19 November 2024 and 6 February 2025, 23 adults diagnosed with MASLD (21 women, aged 35–70+ years) completed an anonymous online questionnaire comprising 4 demographic questions and 11 open-ended questions regarding their experiences of stigma, its emotional and social impact, and strategies for managing these experiences. Responses were analyzed thematically using Braun and Clarke’s six-phase framework to identify key domains. Results: Three overarching themes emerged: (1) Diagnosis, Symptoms, and Medical Experiences; (2) Emotional and Social Impact; and (3) Coping Strategies and Advocacy. Most participants reported incidental diagnosis, limited or conflicting medical guidance, and feeling blamed for lifestyle choices. Several participants described anxiety and depressive symptoms, while many reported social withdrawal and self-blame, illustrating the interplay of structural, public, and self-stigma. Coping strategies included peer support, self-education, and advocacy, yet participants emphasized that lifestyle changes remained challenging without professional guidance. Many expressed a need for holistic care addressing both medical and psychosocial needs. Conclusions: Stigma profoundly affects patients with MASLD, influencing healthcare experiences, emotional well-being, and social interactions. Interventions should target multiple levels of stigma, incorporating education for healthcare professionals, holistic care models, and accessible support systems. Further research is needed to identify effective strategies for reducing stigmatization and improving equity of care. Full article

The concept of neuroception of psychological safety, rooted in Polyvagal Theory, offers a framework for understanding how individuals perceive safety at a physiological and psychological level. Illness may disrupt this perception and affect bodily regulation, emotional resilience, social connection, and self-compassion. This study aims to explore how experiences of being unwell, across both acute and chronic contexts, affect individuals’ neuroception of psychological safety. Semi-structured interviews were conducted with eleven adult participants aged 20–79, including individuals with both acute and chronic illness experiences. Interview questions were informed by the Neuroception of Psychological Safety and Polyvagal Theory. Data were analysed using reflexive thematic analysis, following Braun and Clarke’s six-step process. Four key themes were identified: dysregulation and the narrowing window of tolerance (reduced emotional resilience and heightened bodily sensitivity); distrust and disappointment (a rupture in bodily and self-trust); responsibility and internalised guilt (moral and emotional burdens around illness and recovery); and illness demands attention and disrupts social connection (withdrawal, emotional depletion, and compromised compassion). Across these themes, participants described a diminished sense of psychological safety when unwell, shaped by both internal physiological changes and altered social dynamics. Illness can profoundly undermine psychological safety by disrupting neurobiological regulation, altering relational engagement, and eroding trust in one’s body and self. These findings highlight the importance of integrating psychological safety principles into models of care, particularly in how individuals experience and recover from illness. Full article

Adult learner dropout is adults’ withdrawal or stop-out from formal or non-formal educational programs before successful completion. For adult learners, withdrawal often manifests as stop-out or temporary disengagement rather than permanent attrition, reflecting the episodic nature of their participation. Unlike traditional students, adult learners must often balance multiple life responsibilities—employment, caregiving, financial obligations, and community roles—while also pursuing education or training. Their vulnerability to attrition is further exacerbated by these overlapping demands, particularly when educational programs do not accommodate their situational and motivational needs. Adult learner dropout therefore requires a more dynamic understanding of persistence as a continuous negotiation between internal and external demands. Participation in online education has significantly expanded over the past two decades, particularly during and after the COVID-19 pandemic, as adult learners increasingly engage with digital platforms for work and communication. This exposure has enhanced their digital fluency, transforming their expectations and experiences of online learning. Thus, the underlying factors that influence adult learner dropout have also shifted—moving beyond technological and access-related barriers to instructional quality, engagement design, and relevance issues. In this evolving landscape, adult learner dropout can no longer be regarded as isolated or individual events. It is a systemic phenomenon emerging from dynamic interactions among psychological, pedagogical, contextual, and institutional factors. Full article

Marked by a highly diverse workforce, the Indian construction industry faces ongoing challenges in fostering employee engagement and minimizing organizational withdrawal. This study examines the role of diversity climate in influencing psychological and physical withdrawal behaviors among construction professionals, assessing job satisfaction as a mediating variable. Grounded in Social Exchange Theory, the research employed a quantitative survey approach, gathering responses from 318 professionals across the sector. Partial least squares structural equation modeling (PLS-SEM) was used to test the hypothesized relationships. Results indicate that reduced psychological (β = –0.462, f² = 0.465, p < 0.01) and physical withdrawal (β = –0.311, f² = 0.194, p < 0.05) are associated with more positive perceptions of the diversity climate. Furthermore, this relationship is partially mediated by job satisfaction, with diversity climate positively influencing job satisfaction (β = 0.618, p < 0.001), which in turn reduces withdrawal tendencies (indirect effect on psychological withdrawal β = −0.094, p < 0.01 and physical withdrawal β = −0.068, p < 0.01). These results show that encouraging a supportive diversity climate not only helps but is also absolutely necessary for enhancing job satisfaction, lowering withdrawal behavior, and retaining trained talent. The findings offer concrete evidence that construction firms and policymakers should prioritize inclusive human resource strategies that directly improve project outcomes, reduce attrition, and enhance workforce engagement in the Indian construction sector. Full article

Amid AI-driven organizational transformation, employees’ subjective evaluations of AI technologies—referred to as AI awareness—have become a critical psychological factor influencing innovation behavior. This study aims to uncover how AI awareness affects employee innovation performance through behavioral pathways and examines the moderating role of individual achievement motivation in this process. Grounded in Cognitive Appraisal Theory and the Dual Pathway Model, we construct a dual-path mediation model, in which proactive and withdrawal behaviors act as mediators, and achievement motivation serves as a boundary condition. Based on a two-wave survey of 413 knowledge workers in China’s high-tech sector, the proposed model was empirically tested using moderated mediation analysis (PROCESS macro). The results reveal that AI awareness has a significant dual-path effect on innovation behavior: on the one hand, it promotes innovation by stimulating proactive behavior; on the other hand, it may suppress innovation by inducing withdrawal behavior. Moreover, achievement motivation plays a crucial moderating role in this mechanism by strengthening the positive mediating effect of proactive behavior and weakening the negative mediating effect of withdrawal behavior. This study conceptualizes AI awareness as a psychological input encompassing both perceived opportunity and perceived threat, clarifies the behavioral response mechanisms of employees facing AI, and highlights the boundary-regulating role of individual motivation in organizational adaptability. Practically, the study suggests designing differentiated HR interventions based on employees’ cognitive appraisals and motivational profiles to enhance human–AI collaboration, foster innovation resilience, and improve organizational adaptability amid digital transformation. Full article

Cyberbullying can be prevalent across different life stages, with lasting traces on mental health across the lifespan. This study aims to (a) explore how cyberbullying is emotionally experienced across three distinct age groups and (b) analyze the influence of cyberbullying on mental health across the lifespan. This study included 883 participants divided into three age groups: 18–39, 40–59, and 60+. In-depth semi-structured interviews were conducted to gather participants’ experiences and perspectives. The data were then subjected to content analysis, which revealed a number of themes. The first objective revealed the following themes: For ages 18–39: (a) feeling ashamed or humiliated (92.4%), (b) withdrawing from friends and family, and (c) experiencing harassment as positive and difficulties with rules. For ages 40–59: (a) losing interest in hobbies (89.5%), (b) questioning about things they did or did not do, and (c) experiencing a sense of missing out. For ages 60+: (a) negative thoughts and self-talk (91.3%), (b) feeling judged negatively, and (c) feeling financially vulnerable. The second objective showed: For 18–39: (a) depressive symptoms (79.7%), (b) easy anger, and (c) suicidal behavior. For 40–59: (a) anxiety (93.2%), (b) low self-esteem, and (c) the use of substances. For 60+: (a) frustration (78.1%), (b) isolation, and (c) disturbances in sleep and eating patterns. This study highlights the significant psychological and emotional impact of cyberbullying across age groups, emphasizing the need for targeted interventions that address the unique challenges faced by individuals at different life stages. The findings underscore the importance of developing age-specific strategies to mitigate the effects of cyberbullying and to have perpetrators take responsibility for their reckless disregard for others, and ultimately, themselves. Full article

Verbal aggression toward healthcare professionals, primarily from patients and visitors, is widespread and negatively affects employee well-being and patient care quality. This study, comprising two samples, investigates the relationship between user-initiated verbal aggression and job satisfaction, with a focus on psychological processes (i.e., cynicism and mental distance) and personal boundary conditions (i.e., self-efficacy). Study 1 (pandemic period) explored cynicism and work-related self-efficacy, while Study 2 (post-pandemic) replicated and expanded these findings, incorporating mental distance, self-efficacy in managing negative emotions, and workload. Participants included 201 (Study 1) and 1442 (Study 2) healthcare professionals from one and eight Italian healthcare facilities, respectively, who completed online questionnaires. In both cross-sectional studies, verbal aggression was positively associated with psychological withdrawal responses, which, in turn, was negatively related to job satisfaction. However, high self-efficacy in managing negative emotions (rather than work-related self-efficacy) buffered these effects. In Study 2, the negative impact of verbal aggression on job satisfaction, mediated by mental distance, was most pronounced among those with low self-efficacy in managing negative emotions and a high workload. Conversely, individuals with high self-efficacy maintained their job satisfaction and did not exhibit psychological withdrawal, even under high workload conditions. Full article

Background: Schizophrenia is a complex disorder characterized by positive symptoms (e.g., hallucinations), negative symptoms (e.g., social withdrawal), and disorganized symptoms (e.g., thought disorder). Alongside these, cognitive and depressive symptoms often emerge, with depressive symptoms sometimes dominating the clinical picture. Understanding the factors that influence the development of depressive symptoms in schizophrenia could clarify the dynamics between depressive and psychotic symptoms and guide clinical interventions. Methods: A total of 105 patients with schizophrenia (66 women, 39 men) were assessed using several clinical scales: PANSS, BPRS, DOCS, DES, HAM-D, and the Luria-Nebraska Neuropsychological Battery for cognitive evaluation. Statistical analyses, including correlation and regression, were conducted using SPSS to determine the significance of associations. Results: Disorganized and obsessive-compulsive symptoms were identified as primary factors associated with depressive symptoms in patients with schizophrenia. Conversely, a longer duration of untreated psychosis was linked to a lower severity of depressive symptoms, suggesting that early intervention may alter the depressive symptom trajectory. Conclusions: Here, we suggest a complex interaction between psychotic and depressive symptoms, possibly indicating a biological antagonism. The association of depressive symptoms with disorganized and obsessive-compulsive features may reflect an adaptive psychological response, attempting to stabilize amidst the disintegration of schizophrenia. These insights support a more integrated approach to treatment, addressing both psychotic and depressive symptoms to improve patient outcomes. Full article

This study examines the impact of “quiet quitting” during digital transformation on job satisfaction, affective commitment, and turnover intention. A time-lagged survey was conducted over six months with two waves of data collection from full-time employees in South Korea, resulting in 258 valid responses. Using the PROCESS macro for analysis, the findings reveal that quiet quitting significantly reduces job satisfaction and affective commitment, which, in turn, increases turnover intention. Furthermore, psychological safety serves as a critical moderator, buffering the negative effects of quiet quitting on these outcomes. The study confirms that the influence of quiet quitting on turnover intention operates through the mediating roles of job satisfaction and affective commitment, and organizations with higher psychological safety are better equipped to mitigate these adverse effects. Grounded in Withdrawal Progression Theory, this study empirically demonstrates the progression of quiet quitting into turnover intention and provides strategic insights for organizations to prevent employee turnover and maintain employee engagement during digital transformation. Full article

Transport conditions have the potential to alter the physiological responses of animals to the psychological or physical stress of transport. Transportation may introduce multiple physical and psychological stressors to unweaned calves and adult cattle, including noise, overcrowding, food and water deprivation, extreme temperatures, commingling with unfamiliar animals, handling by unfamiliar humans, and being placed in a novel environment upon arrival. Apart from these factors, the type of road and even driving skill may affect the welfare of animals. One of the concerns regarding cattle transport is that the handling and marketing of animals prior to a journey may lengthen the period of feed withdrawal. Furthermore, feed withdrawal can impact animal welfare through hunger and metabolic stress. Transportation is also associated with a decrease in animal performance as well as an increase in the incidence of bovine respiratory disease. It is well established that the transportation of cattle is a stressor that causes a quantifiable response; however, excessive stress during transport resulting in physiological or pathological changes can be reduced with best management practices. The objective of this review was to analyse the available scientific literature pertaining to the transport by road of cattle, including unweaned calves. Full article