Search Results (371)

The place and people of Waiʻanae, Hawaiʻi, are rich in connection with ʻāina (natural environment) and culture. Counter to this strengths-based approach, metrics and narratives imposed by outside systems assess many communities like ours as “sick,” “poor,” or “unwell.” This paper details our community’s approach to defining “well-being” around the values specific to our place, overseen by a council of community leaders with decades of experience supporting youth. The development was a mixed methods process including formal focus groups, informal community conversations, review of existing models, and collaboration with a professional artist. Centering community was the priority through each phase, engaging youth, parents, cultural practitioners, healthcare providers, and educators. Our community built the Kaiona Framework around the moʻolelo (traditional story) of Kaiona who helps the lost find home through empathy and compassion. Well-being is grounded in connection to, in relationship with, and in service to ʻāina. The child is at the center of our work, but inseparable from the family, community, and wider nation of people. Wellness comprises four values vital to our community: mauli ola, a balanced state of physical, mental, emotional, spiritual, and environmental health; waiwai, abundance and prosperity; pilina, mutually sustaining relationships; and ea, self-determination and agency. Full article

This preliminary qualitative study explores how Cognitive Behavioural Therapy (CBT) practitioners conceptualise resilience and how these conceptualisations influence the selection of intervention strategies aimed at fostering resilience in clients. Three CBT therapists participated in extensive Free Association interviews, with professional experience ranging from three to fourteen years. Data were generated using the Grid Elaboration Method to elicit detailed accounts and were analysed using Thematic Analysis. Three overarching themes were constructed: Self-Concept as a Core Psychological Resource for Resilience; Positive Adaptation as a Contextual and Relational Process; Integrating Traditional and Third-Wave CBT Approaches in Resilience-Building. Our findings provide a nuanced account of how CBT therapists understand resilience and outline how mindfulness-based and CBT-informed interventions are employed to enhance resilience in clinical practice. The study supports existing research highlighting the definitional ambiguity of resilience and its influence on the selection of therapeutic interventions according to the skills prioritised in therapy. In addition, the findings extend current knowledge by demonstrating a relationship between therapists’ held notions of resilience and their lived experiences and underscore the significance of three psychological resources in resilience-focused work: self-esteem, self-compassion, and self-awareness. Distinct contributions of this paper include a social-psychological driven examination of resilience in CBT, foregrounding therapists’ meaning-making processes and demonstrating how theoretical understandings, rather than protocol adherence alone, shape clinical intervention. Full article

Background: Multiple sclerosis (MS) is a long-term and unpredictable condition that can cause considerable psychological distress, including perceived stress and death anxiety. Identifying psychological factors that may mitigate these effects is important for improving the psychosocial well-being of patients with MS. This study aimed to examine the mediating role of self-compassion in the relationship between perceived stress and death anxiety in patients with MS. Methods: This cross-sectional, descriptive, and correlational study included 169 Turkish patients diagnosed with MS between October 2024 and April 2025. A regression-based mediation analysis using the Hayes PROCESS macro with bootstrapping was conducted to assess the mediating role of self-compassion. Results: Death anxiety scores were positively but weakly correlated with perceived stress scores (r = 0.172, p = 0.026). Perceived stress scores were strongly and negatively correlated with self-compassion scores (r = −0.704, p < 0.001), whereas self-compassion scores showed a weak-to-moderate negative correlation with death anxiety scores (r = −0.287, p < 0.01). In the mediation model, perceived stress significantly predicted self-compassion (B = −0.087, p < 0.001), and self-compassion significantly predicted death anxiety (B = −1.758, p < 0.001). The direct effect of perceived stress on death anxiety was not statistically significant (B = −0.058; p = 0.344), whereas the indirect effect was significant (B = 0.153; 95% CI [0.079, 0.232]). The total effect was also significant (B = 0.095; p = 0.036). Conclusions: The findings indicate that self-compassion mediates the relationship between perceived stress and death anxiety in patients with MS. Higher levels of self-compassion were associated with lower levels of perceived stress and death anxiety, suggesting that self-compassion may function as an important psychological resource in coping with disease-related stress and death-related concerns. From a clinical and nursing perspective, integrating strategies that support self-compassion within holistic care may contribute to improving the psychosocial well-being of patients with MS. Full article

This study aimed to examine the differences in self-compassion (SC) subcomponents between anorexia nervosa (AN) subtypes, the restricting type (ANR) and binge-eating/purging type (ANBP), with a focus on perceived isolation and self-judgment. This retrospective exploratory study included 40 patients with AN at a Japanese tertiary hospital. The participants completed the Self-Compassion Scale, Patient Health Questionnaire-9, and Eating Disorder Examination Questionnaire. Between-group comparisons were conducted using t-tests, and logistic regression was used to examine associations with the AN subtype. Compared with the ANR group, the ANBP group was older at the time of assessment, had a longer illness duration, and showed significantly more depressive symptoms, more severe eating pathologies, and lower SC scores. Specifically, patients with ANBP had significantly higher scores on the negative SCS subscales of self-judgment and isolation, indicating greater self-criticism and perceived isolation. In logistic regression analyses adjusting for the EDE-Q mean score, higher isolation scores were significantly associated with the ANBP subtype (odds ratio = 3.28, 95% confidence interval: 1.37–9.63, p = 0.01). In this exploratory sample, perceived isolation was more prominent in ANBP and may reflect affective and interpersonal difficulties related to this subtype. These findings should be interpreted as hypothesis-generating and warrant replication in larger (ideally multi-site and longitudinal) samples. If replicated, targeting these self-compassion dimensions may inform the development of subtype-sensitive interventions. Full article

Background/Objectives: Mindfulness-based interventions (MBIs) have shown promising effects across diverse areas of psychiatry, yet their specific role in bereavement remains insufficiently synthesized. Bereavement is a universal but heterogeneous process, with a minority of individuals at risk of developing prolonged grief disorder (PGD). Understanding the potential benefits of MBIs in this context is crucial for informing clinical practice. Methods: Following the methodological framework of systematized narrative reviews, a comprehensive literature search was conducted across major databases. Eligible studies included empirical investigations of MBIs applied to bereavement, without restrictions on type of loss, population, or intervention format. Data were narratively synthesized and summarized in tables; no meta-analysis was performed. Results: Seventeen studies met inclusion criteria. The strongest evidence was found for Mindfulness-Based Stress Reduction (MBSR) and Mindfulness-Based Cognitive Therapy (MBCT), which demonstrated improvements in grief-related distress, depressive symptoms, and psychological well-being. Across interventions, MBIs were associated with reductions in rumination and experiential avoidance, increased self-compassion, and enhanced emotion regulation. However, most studies were limited by small sample sizes, heterogeneous outcome measures, and a lack of long-term follow-up. Conclusions: MBIs show promise as adjunctive interventions in bereavement care, targeting mechanisms central to grief adaptation, including acceptance, decentering, and self-compassion. Nevertheless, the evidence remains preliminary and methodologically constrained. Future high-quality randomized controlled trials are needed to establish efficacy, clarify mechanisms of action, and define the role of MBIs alongside established grief therapies. Full article

Parents of children with special educational needs (SEN) experience elevated stress, anxiety, and depression, a challenge compounded by insufficient emotional support services. This study developed and evaluated a culturally adapted online counselling programme for Hong Kong Chinese parents of adolescents with SEN, integrating Solution-Focused Brief Therapy (SFBT) and Mindfulness Training. The 8-week programme aimed to reduce parental distress and improve family dynamics by emphasising strengths, fostering self-compassion, and enhancing empathetic interactions. A mixed-methods approach was used, combining standardised self-report measures such as the Parental Stress Scale (PSS), Beck Anxiety Inventory (BAI), Beck Depression Inventory (BDI), and Child Behaviour Checklist (CBCL), with qualitative interviews and behavioural observations. Quantitative analysis of pre–post data via paired samples t-tests indicated significant within-group reductions in anxiety across all groups and in depression for the active control group. However, between-group comparisons of post-test scores did not show clear superiority of the experimental intervention. Qualitative findings highlighted perceived benefits, including increased emotional regulation, a shift towards a strengths-based perspective, and enhanced self-compassion, with the programme’s cultural adaptation deemed crucial for engagement. The study addresses a significant service gap and provides preliminary evidence for the acceptability and potential mechanisms of an integrative online model, while highlighting the need for further research with larger samples. Full article

Background: Self-compassion is negatively associated with stress-related psychopathological symptoms in the grieving process, but the underlying mechanism remains unclear. This study examined the mediating role of perceived stigma and anger in the relationship between self-compassion and symptoms of prolonged grief disorder (PGD) and posttraumatic stress disorder (PTSD) among bereaved individuals. Methods: A total of 289 Chinese bereaved adults (70.2% women; Mage = 42.27 years) completed an online survey assessing demographics, loss-related information, self-compassion, perceived stigma, self-directed and other-directed anger, and PGD and PTSD symptoms. Correlation and mediation analyses were conducted. Results: Self-compassion was negatively associated with both PGD and PTSD symptoms. Perceived stigma and anger indirectly linked these associations, yet pathways differed regarding anger. Self-compassion was negatively associated with PGD symptoms via self-directed anger, and also indirectly via perceived stigma and self-directed anger. In contrast, self-compassion was negatively associated with PTSD symptoms via other-directed anger, and also indirectly via perceived stigma and other-directed anger. Conclusions: Self-directed and other-directed anger play distinct roles linking self-compassion to psychopathological symptoms among bereaved individuals. Cultivating self-compassion may support bereavement adjustment by reducing perceived stigma and anger, and interventions should target specific types of anger based on symptom profiles. Full article

Post-Traumatic Stress Disorder (PTSD) is a global mental health concern, with recent research focussing on the psychological mechanisms that contribute to its development and maintenance. Alexithymia, characterised by difficulty identifying and expressing emotions, has been identified as a potential risk factor for PTSD. This study was a preliminary investigation of a model of the relationship between alexithymia and PTSD symptoms, focussing on the potential mediating roles of self-compassion and difficulties in emotional regulation. Participants (N = 332), who were university students and members of the community, completed self-report measures of the key variables. As expected, alexithymia was strongly associated with higher levels of PTSD symptoms. Three mediation pathways were also significant. In one, alexithymia was associated with greater regulation difficulties for negative emotions, which was associated with higher levels of PTSD symptoms. In the second, higher alexithymia was associated with greater difficulties regulating positive emotions, which was associated with higher levels of PTSD symptoms. The final pathway involved a serial mediation in which higher alexithymia was associated with lower self-compassion, and lower self-compassion was associated with greater difficulties in regulating negative emotions, which were associated with higher PTSD symptoms. Contrary to expectation, self-compassion had no direct relationship with PTSD symptoms and did not relate to difficulties in regulating positive emotions. The general pattern of results was evident for the PTSD subtypes of negative alterations in cognitions and mood and alterations in arousal and reactivity. However, mediation by difficulties in regulating positive emotions was nonsignificant for the symptoms of re-experiencing and avoidance. The theoretical and clinical implications of the findings are discussed. Full article

Gary Snyder’s vision of the ‘great earth sangha’ articulates a philosophy of ecological awakening in which spiritual, ethical, and affective relationships connect all forms of life into a cohesive and sacred web of interbeing. The concept of the ‘great earth sangha’ embodies a profound sense of ‘oneness,’ in which the dichotomy between the self and the other dissolves, leading to a realisation of the Earth as a sentient, experiential, and pulsating entity. Inspired by the holistic perspectives of Buddhism and the resonances of Indigenous cosmologies, Snyder’s idea of the ‘great earth sangha’ represents a heightened consciousness and an “emotional intelligence” that fosters compassion, love, care and empathy for all beings in the world. For Snyder, the great earth sangha is a practice—a way of living in mindful ecological engagement. It is embedded with the principles of sila (morality), which foregrounds visions of harmonious coexistence and ecological kinship. This article argues that Snyder’s idea of the ‘great earth sangha’ offers a counter-anthropocentric perspective that subverts entrenched human-centred hierarchies by situating human identity within a communal web of existence. The article discusses how Snyder redefines the notion of ‘community’ as an inclusive, interdependent network that transcends human boundaries and embraces all planetary beings. Finally, the article explores how Snyder’s holistic vision propounds a restorative path that centres on ideas of ethics, affect, justice, responsibility and stewardship. Full article

Professionalism is central to veterinary practice, shaping not only the quality of care provided to animals but also the wellbeing of practitioners, the satisfaction of clients, and the sustainability of the profession. Prior research has catalogued various attributes of professionalism that are important for career success, but few studies have integrated these multiple perspectives into a cohesive framework. This study synthesizes insights from three key veterinary stakeholder groups—students, clinical practitioners, and clients—using a multi-methods approach including surveys, focus groups, critical incident interviews, and client complaint analyses. Across the datasets, ranking of Likert-scale responses and thematic analysis revealed four recurring themes that were identified as essential for career success: ‘Effective communication’; ‘Accountability, integrity, trustworthiness, and honesty’; ‘Personal wellbeing’; and ‘Quality of service’. These themes were organized into a unifying theoretical model of veterinary professionalism, conceptualized as a ‘navigational compass’, comprising three domains of care: patient-centered care, relationship-centered care, and self-care. By conceptualizing professionalism in terms of a compass, the model illustrates how veterinarians can draw on key professionalism attributes, coupled with consideration of the three domains of veterinary care, to navigate the challenges of practice and sustain long-term career success. The compass provides a reflective framework to guide veterinarians and educators, to support the integration of professionalism into curricula and to guide careers toward excellence in care and lasting personal fulfilment. Full article

Background: Trauma-informed education (TIE) has become commonplace in nursing education; however, little is known about students’ experience of this and its impact on their practice. Aim: This study aimed to evaluate and explore mental health nursing students’ perspectives on TIE, and its impact on their practice, to contribute to the knowledge and evidence base that informs nursing and broader healthcare education. Methods: This qualitative, phenomenological study used a conversation café approach to focus group interviews (n = 3) with final year mental health nursing students (n = 11), reported using the Consolidated Criteria for Reporting Qualitative Research (COREQ) checklist. Analysis: The data generated was analysed using reflective thematic analysis. Findings: Three themes were identified: 1. a compass for practice; 2. mental health nursing: between paradigms; and 3. supporting personal development and wellbeing. Integrating TIE within nursing education can support students to adopt the principles of trauma-informed care (TIC) both personally and in their practice. Improved self-awareness, recognition of trauma and adopting self-care strategies were valuable in supporting personal resilience and wellbeing and in managing the challenges of mental health practice. Conclusions/Recommendations: TIE has the potential to have a positive impact on wellbeing; therefore, its integration should be considered for all healthcare programmes. Further interprofessional research is needed to establish the longer-term impact of TIE as students progress into their nursing careers. Full article

Background/Objectives: This study examined how personality traits, compassion, and love are associated with the three dimensions of burnout among nurses, while accounting for demographic factors such as gender, age, and work shift. Methods: A total of 403 nurses participated in this cross-sectional study and completed validated self-report measures of personality, compassionate love, and burnout, as well as an in-house, exploratory Love Instrument. Path analysis was used to examine patterns of direct and indirect associations among the study variables while controlling demographic covariates. Results: Men reported higher psychoticism and depersonalization, whereas women scored higher in compassion. Neuroticism was associated with greater emotional exhaustion and depersonalization and with lower personal accomplishment. Compassion showed indirect association patterns linking extraversion and the Lie scale with personal accomplishment and linking psychoticism with depersonalization. Extraversion was positively associated with accomplishment both directly and indirectly, while psychoticism was associated with higher depersonalization. Love-related variables showed mixed findings. Specifically, love experience was not associated with burnout, whereas love intensity was positively associated with both depersonalization and accomplishment. Older nurses reported more exhaustion but also greater accomplishment; male gender and rotating shifts were associated with higher depersonalization and exhaustion. Conclusions: The findings support neuroticism as a key dispositional vulnerability correlated with burnout and suggest that compassion and extraversion are linked to more favorable burnout-related profiles, particularly higher accomplishment and lower depersonalization. Love-related emotion intensity showed small, mixed associations and should be interpreted cautiously given the exploratory measurement approach. These results highlight the emotional complexity of nursing and may inform future research and workplace initiatives aimed at supporting occupational well-being. Full article

This cross-sectional study explores the connections between resilience, work engagement, proactive strategies and personal resources among Italian kindergarten and primary school teachers. It specifically seeks to determine if and how personal resources can foster teachers’ work engagement, resilience, and proactive strategies at work. The study was conducted using a sample of 183 full-time, in-service kindergarten and primary teachers at public schools in Italy. Data were collected through self-report questionnaires, including the Brief Resilience Scale, the Ultra-Short Measure for Work Engagement, the Proactive Strategy scale, the Self-Compassion Scale, the Life Orientation Test-Revised, the Experienced compassion at work scale. Data were analyzed using a path analysis model. Results indicated that teachers’ self-compassion was positively associated with the use of proactive strategies and perceived received compassion was strongly related to work engagement. Moreover, higher levels of self-compassion were linked to greater work engagement. Teachers’ optimism and self-compassion were both positively associated with resilience, whereas self-criticism showed a significant negative association. Our research supports the need for educational policymakers and school leaders to focus on personal resources and work-related well-being. Full article

This study aimed to investigate whether a multimodal cognitive behavioural intervention could enhance academy athletes’ stress mindset, self-compassion, and performance, as well as reduce irrational beliefs and symptoms of anxiety and depression. We delivered 6 × 1 h group workshops at five different football (n = 4) and rugby (n = 1) academies in the United Kingdom. We hypothesised that there would be increases in stress mindset, self-compassion, and perceived performance coupled with decreases in irrational beliefs, anxiety, and depressive symptoms as a result of the intervention, and that such changes would remain evident one month later. Sixty-seven participants (n = 59 males, n = 8 females, Mage = 17.03 years, SD = 2.55) completed assessment at baseline, post-intervention, and at a follow-up. Through paired-sample t-tests, our results demonstrated support for the hypotheses with principally small effect sizes. Findings offer support for the use of a multimodal cognitive behavioural programme in academy athletes. Full article

As social media becomes increasingly embedded in daily life, understanding the psychological mechanisms that shape users’ digital experiences is essential for promoting healthy, sustainable digital behavior. This study examines two motivational life-orientation strategies—prioritizing meaning and prioritizing positivity—and investigates how they are differentially associated with patterns of social media use, digital flourishing, and psychological well-being. A sample of 414 adults completed validated measures of digital and psychological outcomes, including a Hebrew adaptation of the Digital Flourishing Scale (DFS), and measures of prioritizing meaning and prioritizing positivity. Across seven regression models, prioritizing meaning was consistently associated with more adaptive digital outcomes, including lower screen time, reduced FoMO, higher digital flourishing, greater self-compassion, and lower psychopathology. In contrast, prioritizing positivity was associated with greater social media engagement and elevated social comparison but showed no associations with digital flourishing or psychological well-being. These findings support a dual-pathway framework, suggesting that meaning-oriented individuals tend to interact with digital platforms more intentionally and resiliently, whereas positivity-oriented individuals engage in more affect-driven and evaluative patterns that do not translate into well-being benefits. The study advances current understanding of digital behavior by identifying motivational factors that shape how users navigate online environments and highlights implications for designing digital well-being interventions and platform features. Full article