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36 pages, 743 KB  
Article
Servicescape, Price Perception, and Diner Loyalty: Empirical Evidence from Full-Service Restaurants in Northern Peru
by Marco Agustín Arbulú Ballesteros, Marilú Trinidad Flores Lezama, Luis Edgardo Cruz Salinas, Ana Elizabeth Paredes Morales and Cristina Fuentes Mejía
Tour. Hosp. 2026, 7(4), 114; https://doi.org/10.3390/tourhosp7040114 - 20 Apr 2026
Abstract
Customer loyalty is a critical asset for the restaurant industry, yet the mechanisms linking the physical environment, price perception, and satisfaction remain underexplored in emerging Latin American gastronomy markets. This study examines the relationships among three servicescape dimensions—décor and artifacts, spatial layout, and [...] Read more.
Customer loyalty is a critical asset for the restaurant industry, yet the mechanisms linking the physical environment, price perception, and satisfaction remain underexplored in emerging Latin American gastronomy markets. This study examines the relationships among three servicescape dimensions—décor and artifacts, spatial layout, and ambient conditions—price perception, customer satisfaction, and loyalty in full-service restaurants in northern Peru (Chiclayo, Trujillo, and Piura). A cross-sectional survey was administered to 310 diners, and the proposed model was tested using partial least squares structural equation modeling (PLS-SEM) with 10,000 bootstrap resamples. Results supported seven of nine direct hypotheses and three of four mediation hypotheses. Décor and artifacts and ambient conditions significantly predicted both price perception and satisfaction, while spatial layout showed no significant effect on any path. Price perception partially mediated the effect of décor and ambient conditions on satisfaction, and satisfaction partially mediated the relationship between price perception and loyalty. The satisfaction–loyalty path yielded the largest effect size (β = 0.708, f2 = 0.798). Serial chain analyses revealed that the physical environment shapes diner loyalty through sequential cognitive and evaluative mechanisms. These findings offer actionable insights for hospitality managers seeking to enhance gastronomy destination competitiveness through strategic servicescape investment. Full article
(This article belongs to the Special Issue Customer Behavior in Tourism and Hospitality)
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22 pages, 504 KB  
Article
Which Ties Matter? Differential Effects of Family, Peer, and Community Support on Short-Video Engagement Among Older Adults
by Ziqing Yang, Xiaoxin Yu and Hao Gao
Behav. Sci. 2026, 16(4), 571; https://doi.org/10.3390/bs16040571 - 10 Apr 2026
Viewed by 225
Abstract
Short-form video (SFV) platforms have become a central part of older adults’ digital lives, yet their psychological implications remain theoretically contested. Drawing on social empowerment theory, Self-Determination Theory, attachment theory, and the displacement hypothesis, this study examined whether different sources of social support—family, [...] Read more.
Short-form video (SFV) platforms have become a central part of older adults’ digital lives, yet their psychological implications remain theoretically contested. Drawing on social empowerment theory, Self-Determination Theory, attachment theory, and the displacement hypothesis, this study examined whether different sources of social support—family, peer, and community—exert differential effects on life satisfaction through SFV engagement and social connectedness. Survey data were collected from 385 community-dwelling Chinese older adults (mean age = 70.6 years) and analyzed using bootstrapped serial mediation models with 5000 resamples. The results revealed clear source differentiation, as family support most strongly predicted SFV engagement and showed the largest total association with life satisfaction, consistent with a social empowerment mechanism. Community participation showed a weaker but still positive association with engagement, whereas peer support was unrelated to engagement. Across pathways, higher SFV engagement was associated with lower social connectedness, while greater social connectedness was associated with higher life satisfaction. However, none of the chained indirect effects reached significance, suggesting that social support influenced life satisfaction primarily through direct rather than serially mediated pathways. These findings demonstrate the importance of disaggregating social support by source and contribute to a more precise framework for understanding older adults’ digital well-being. Full article
(This article belongs to the Special Issue Digital Technologies, Mental Health and Well-Being)
18 pages, 385 KB  
Article
How Perceived Cultural Authenticity Shapes Sustainable Heritage Tourism Behavior: The Serial Mediating Roles of Visitor Experience Quality and Sense of Place
by Changjun Ma, Gang Liu and Xiaorong Wang
Sustainability 2026, 18(8), 3677; https://doi.org/10.3390/su18083677 - 8 Apr 2026
Viewed by 285
Abstract
While cultural authenticity is recognized as central to heritage tourism experiences, the mechanisms through which perceived authenticity influences sustainable tourism behavior remain underexplored. This study develops and empirically tests a serial mediation model examining how perceived cultural authenticity (PCA) affects intergenerational transmission willingness [...] Read more.
While cultural authenticity is recognized as central to heritage tourism experiences, the mechanisms through which perceived authenticity influences sustainable tourism behavior remain underexplored. This study develops and empirically tests a serial mediation model examining how perceived cultural authenticity (PCA) affects intergenerational transmission willingness (ITW) and long-term participation intention (LPI) through visitor experience quality (VEQ) and sense of place (SOP). Using survey data from 400 visitors to revolutionary heritage sites in Hainan, China, we employed hierarchical regression and PROCESS Model 6 bootstrap analysis to test seven hypotheses. Results reveal that: (1) PCA significantly influences both VEQ and SOP; (2) VEQ and SOP significantly predict ITW and LPI; and (3) VEQ and SOP serially mediate the PCA–behavioral intention relationship. These findings advance understanding of how authenticity perceptions translate into sustainable heritage tourism outcomes through experiential and affective pathways. Practical implications for heritage site management, focusing on authenticity preservation and experience design, are discussed. Full article
(This article belongs to the Special Issue Cultural Heritage and Sustainable Urban Tourism)
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20 pages, 376 KB  
Article
What Makes Employees Innovate Green? A Multi-Source Examination of HRM, Leadership, and Psychological Mechanisms
by Vera Lazanaki, Evdokia Tsoni and Kleanthis Katsaros
World 2026, 7(4), 61; https://doi.org/10.3390/world7040061 - 3 Apr 2026
Viewed by 314
Abstract
Organizations increasingly invest in sustainability, yet limited knowledge exists regarding the psychological and leadership mechanisms through which Green Human Resource Management (GHRM) fosters employees’ green innovative behavior. This study addresses this scientific problem by examining how GHRM relates to green innovation through sequential [...] Read more.
Organizations increasingly invest in sustainability, yet limited knowledge exists regarding the psychological and leadership mechanisms through which Green Human Resource Management (GHRM) fosters employees’ green innovative behavior. This study addresses this scientific problem by examining how GHRM relates to green innovation through sequential psychological processes and under which leadership conditions these relationships become stronger. Using multi-source data from 300 employee–supervisor dyads across three industries in the Greek private sector, the study tests a serial mediation model linking GHRM to green innovative behavior through psychological safety and work engagement, as well as the moderating role of Green Transformational Leadership (GTL). Structural equation modelling supports all hypothesized associations: GHRM is positively related to psychological safety, which predicts work engagement, which in turn strongly predicts green innovative behavior. GTL strengthens the relationship between GHRM and psychological safety, resulting in a stronger indirect effect on green innovation. The findings provide an integrative understanding of how HR systems, psychological conditions, and leadership jointly support employee-driven environmental innovation. Full article
(This article belongs to the Special Issue Green Human Resources Management and Innovation)
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21 pages, 373 KB  
Article
Coaching Leadership and Employees’ Bootlegging Innovation Behavior in Chinese High-Tech Enterprises
by Yueying Wang, Myeong Cheol Choi, Won Gyu Lee and Hann Earl Kim
Behav. Sci. 2026, 16(4), 484; https://doi.org/10.3390/bs16040484 - 25 Mar 2026
Viewed by 495
Abstract
This study investigates the psychological mechanisms through which coaching leadership influences employees’ bootlegging innovation behavior. Drawing on leadership and organizational behavior theories, we propose a serial mediation model in which work meaning and organizational psychological ownership jointly transmit the effects of coaching leadership [...] Read more.
This study investigates the psychological mechanisms through which coaching leadership influences employees’ bootlegging innovation behavior. Drawing on leadership and organizational behavior theories, we propose a serial mediation model in which work meaning and organizational psychological ownership jointly transmit the effects of coaching leadership on employees’ informal innovative behavior. Using survey data collected from 427 employees, the results demonstrate that coaching leadership positively predicts bootlegging innovation behavior. Moreover, both work meaning and organizational psychological ownership independently mediate this relationship. Importantly, the findings further support a sequential mediation pathway, indicating that coaching leadership enhances employees’ perceptions of work meaning, which subsequently fosters stronger organizational psychological ownership and, in turn, stimulates bootlegging innovation behavior. By elucidating the intertwined motivational and ownership-based psychological processes underlying informal innovation, this study advances the literature on coaching leadership and employee-driven innovation. The findings also offer practical insights for managers seeking to cultivate grassroots innovation by fostering meaningful work experiences and a sense of psychological ownership among employees. Full article
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14 pages, 474 KB  
Article
Chronotype and Subjective Memory Complaints: The Sequential Mediating Roles of Sleep Quality and Psychological Distress
by Pedro F. S. Rodrigues, Marco Lopes, Inês B. Oliveira, Sara M. Fernandes, Ana Bártolo, Ana Paula Caetano, Ramón López-Higes, Susana Rubio-Valdehita and Pedro B. Albuquerque
Behav. Sci. 2026, 16(3), 457; https://doi.org/10.3390/bs16030457 - 19 Mar 2026
Viewed by 613
Abstract
Individual differences in circadian preference have been shown to influence cognitive functioning, yet their relationship with subjective memory complaints remains unclear. The present study examined the association between chronotype and everyday memory complaints in a sample of Portuguese adults, exploring the sequential mediating [...] Read more.
Individual differences in circadian preference have been shown to influence cognitive functioning, yet their relationship with subjective memory complaints remains unclear. The present study examined the association between chronotype and everyday memory complaints in a sample of Portuguese adults, exploring the sequential mediating roles of sleep quality and psychological distress. A total of 382 participants completed self-report measures of chronotype, sleep quality, psychological distress (anxiety, depression, and stress), and subjective memory complaints. In a cross-sectional self-report design, a path analysis approach was used to test a theoretically driven serial mediation model. Results indicated that greater morningness predicted better perceived sleep quality, which in turn was associated with lower levels of psychological distress. No significant direct effects of chronotype or sleep quality on subjective memory complaints were observed; however, a significant indirect effect was identified through the sequential pathway linking chronotype, sleep quality, and psychological distress. These findings suggest that circadian preferences are associated with self-perceived memory functioning primarily through sleep-related and emotional mechanisms; however, the sequential mediation identified reflects associational rather than causal relationships. The model highlights the central role of sleep quality and emotional state in shaping subjective memory complaints and supports integrative approaches that consider both circadian and emotional factors. Full article
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15 pages, 906 KB  
Article
From Self-Esteem to Symptoms: A Potential Role for Difficulties Accessing Internal States and Body-Checking Behavior in Disordered Eating Patterns
by Diana Arbich, Daniela Kaplan and Reuven Dar
Behav. Sci. 2026, 16(3), 434; https://doi.org/10.3390/bs16030434 - 17 Mar 2026
Viewed by 284
Abstract
Drawing on the Seeking Proxies for Internal States (SPIS) model and the concept of Difficulties in Accessing Internal States (DAIS), the present study examined the statistical associations among self-esteem, DAIS, body-checking, and disordered eating patterns (DEP). Within the SPIS framework, self-esteem is conceptualized [...] Read more.
Drawing on the Seeking Proxies for Internal States (SPIS) model and the concept of Difficulties in Accessing Internal States (DAIS), the present study examined the statistical associations among self-esteem, DAIS, body-checking, and disordered eating patterns (DEP). Within the SPIS framework, self-esteem is conceptualized as an evaluative internal state that may be appraised through externally observable proxies, such as body appearance. Cross-sectional data were collected from 200 adults recruited through Prolific Academic. Hayes’ PROCESS macro was used to test simple and serial mediation models examining whether DAIS and body-checking statistically account for associations between state self-esteem and DEP. Lower self-esteem was associated with higher DEP. Both DAIS and body-checking statistically accounted for portions of this association in simple mediation models. In a serial mediation model, the fully sequential pathway (self-esteem → DAIS → body-checking → DEP) remained statistically significant after accounting for shared variance among mediators. Given the cross-sectional design, these findings cannot establish temporal or causal relationships, but the observed pattern of associations is compatible with the proposed conceptual process. Additionally, our findings are based on a nonclinical sample and reflect variability in subclinical eating pathology. Implications for extending the SPIS framework to dimensional eating-related phenomena are discussed. Full article
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32 pages, 1189 KB  
Article
From Sustainability Awareness to Sustainable Consumption Behavior Among Sports Science Students: The Serial Mediating Roles of Attitudes and Perceived Global Social Responsibility
by Uğur Caba, Sevim Kır, Mehmet Behzat Turan, Osman Pepe, Tekmil Sezen Soyal, Burcu Sanin, İbrahim Dalbudak and Mert Armut
Sustainability 2026, 18(6), 2827; https://doi.org/10.3390/su18062827 - 13 Mar 2026
Viewed by 373
Abstract
Background: This study aims to examine the relationship between sustainability consciousness and sustainable consumption behavior among sports science students and to reveal the serial mediating roles of attitudes toward sustainable development and perceived global social responsibility in this relationship. Methods: The sample consisted [...] Read more.
Background: This study aims to examine the relationship between sustainability consciousness and sustainable consumption behavior among sports science students and to reveal the serial mediating roles of attitudes toward sustainable development and perceived global social responsibility in this relationship. Methods: The sample consisted of 758 university students from different sports science departments who voluntarily participated in the study and were recruited through convenience sampling. Data were collected using a personal information form, the Sustainability Consciousness Scale, the Attitudes of Sustainable Development Scale, the Global Social Responsibility Scale, and the Sustainable Consumption Behavior Scale. Data were analyzed using SPSS software, including descriptive statistics, tests of normality, Pearson correlation, and regression analyses. Serial mediation effects were tested using the PROCESS Macro Model 6 developed by Hayes with the bootstrap method, and sample adequacy was confirmed through Monte Carlo simulation-based power analysis. Results: The findings demonstrated significant relationships between sustainability consciousness and sustainable consumption behavior. Attitudes toward sustainable development and global social responsibility were found to play significant mediating roles in this relationship, both independently and sequentially. Conclusions: The results indicate that sustainable consumption behaviors are shaped not only by cognitive awareness but also through attitudinal and moral social processes, providing a strong scientific basis for sustainability-oriented educational policies in sports science education. Full article
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22 pages, 1874 KB  
Article
How Does Rural Tourscape Influence Tourists’ Environmentally Responsible Behavior? The Mediating Role of Nature Relatedness and Place Attachment
by Kexin Cai, Yuqin Cheng, Joanna Fountain, Ling Guo, Biyang Fu and Hanyue Ni
Agriculture 2026, 16(6), 639; https://doi.org/10.3390/agriculture16060639 - 11 Mar 2026
Viewed by 416
Abstract
Tourists’ environmentally responsible behavior (ERB) is a key requirement in the promotion of the sustainable development of tourism destinations. Although extensive studies have explored the antecedents of tourists’ ERB, research within the context of rural tourism remains limited. Addressing this gap and guided [...] Read more.
Tourists’ environmentally responsible behavior (ERB) is a key requirement in the promotion of the sustainable development of tourism destinations. Although extensive studies have explored the antecedents of tourists’ ERB, research within the context of rural tourism remains limited. Addressing this gap and guided by the Stimulus–Organism–Response theory, this study develops an integrated model in which nature relatedness and place attachment serially mediate the effect of the rural tourscape on tourists’ ERB. Based on 398 valid questionnaires collected from Huangling Village in Wuyuan, China—a UNWTO Best Tourism Village—data were analyzed using structural equation modeling. The findings reveal that (1) the ambience and agricultural products dimensions of the rural tourscape have a direct positive impact on tourists’ ERB, and (2) both nature relatedness and place attachment serve as independent mediators between the rural tourscape and tourists’ ERB. Furthermore, there exists a serial mediating pathway of “nature relatedness → place attachment” between them. This study uncovers the complex mechanisms underlying the formation of tourists’ ERB in rural tourism settings. By introducing nature relatedness as a mediator, it offers new insights for both theoretical advancement and the practical management of tourists’ ERB. Full article
(This article belongs to the Special Issue Agritourism: Sustainability, Management, and Socio-Economic Impact)
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18 pages, 587 KB  
Article
Parental Educational Involvement and Academic Delay of Gratification Among Chinese Adolescents: The Chain-Mediating Role of Self-Control and Consideration of Future Consequences
by Ming Zhang, Yifei Li and Hui Zhao
Behav. Sci. 2026, 16(3), 407; https://doi.org/10.3390/bs16030407 - 11 Mar 2026
Viewed by 891
Abstract
Parental educational involvement is a pivotal factor associated with an individual’s academic development; however, its specific association with academic delay of gratification and the underlying mechanisms remain not fully understood. Drawing upon ecosystem theory, this study examined a serial mediation model to explore [...] Read more.
Parental educational involvement is a pivotal factor associated with an individual’s academic development; however, its specific association with academic delay of gratification and the underlying mechanisms remain not fully understood. Drawing upon ecosystem theory, this study examined a serial mediation model to explore the links between parental educational involvement and academic delay of gratification, focusing on the mediating roles of self-control and consideration of future consequences. A cross-sectional design was employed, involving 726 junior high school students. Data were collected using the Parental Educational Involvement Scale, Academic Delay of Gratification Scale, Self-Control Scale, and Consideration of Future Consequences Scale, with statistical analyses performed via SPSS 26.0 and the PROCESS macro. The results indicated that: (1) parental educational involvement, academic delay of gratification, self-control, and consideration of future consequences were positively correlated with each other in a pairwise manner; (2) academic delay of gratification was significantly predicted by parental educational involvement (β = 0.117, p < 0.001); (3) self-control and consideration of future consequences play a mediating role in the relationship between parental education involvement and academic delay of gratification. There are three mediating pathways involved in this process: the individual mediating role of self-control (β = 0.092, 95% CI [0.054, 0.133]), the individual mediating role of consideration of future consequences (β = 0.030, 95% CI [0.015, 0.050]) and the chain mediating role of self-control and consideration of future consequences (β = 0.015, 95% CI [0.008, 0.024]). This study examined the internal mechanism between parental educational involvement and academic delay of gratification, which is helpful in improving junior middle school students’ ability to engage in academic delay of gratification. Full article
(This article belongs to the Special Issue Influence of Parenting in Adolescent and Young Adult Development)
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22 pages, 816 KB  
Article
Factors Associated with Sleep Problems in Children with ADHD: Focusing on Emotional Regulation, Emotional Intensity and Internalizing Symptoms
by Doga Sevincok, Hasan Can Ozbay, Mutlu Muhammed Ozbek and Doruk Gul
Behav. Sci. 2026, 16(3), 404; https://doi.org/10.3390/bs16030404 - 10 Mar 2026
Viewed by 403
Abstract
The current study aimed to investigate sleep problems in children with Attention Deficit Hyperactivity Disorder (ADHD) within a framework highlighting emotion regulation (ER), emotional intensity (EI), oppositional defiant symptoms, and internalizing symptoms. A total of 100 children with ADHD and 50 controls aged [...] Read more.
The current study aimed to investigate sleep problems in children with Attention Deficit Hyperactivity Disorder (ADHD) within a framework highlighting emotion regulation (ER), emotional intensity (EI), oppositional defiant symptoms, and internalizing symptoms. A total of 100 children with ADHD and 50 controls aged 6–14 were recruited from University Hospital, and were assessed with semi-structured interviews. Parents completed the Children’s Sleep Habits Questionnaire, Conners’ Parent Rating Scale–Revised-Short, Emotion Regulation Scale for Children–Adult Form, and the Revised Children Anxiety and Depression Scale-Parent. Group comparisons, correlations, multiple regressions, and serial mediation models were conducted, adjusting for age, gender, and other covariates. After correction for multiple comparisons, sleep parameters and internalizing symptoms did not differ between groups. In the ADHD group, total sleep problems were correlated with ADHD and oppositional symptoms, EI, ER, and internalizing symptoms. Regression models indicated that internalizing symptoms predicted total sleep problems, while EI predicted night wakings. Across mediation models, internalizing symptoms consistently mediated associations between ADHD/oppositional symptoms and total sleep problems, with EI/ER contributing indirectly via internalization. Findings suggest that sleep problems related to ADHD are related to pathways of emotional distress, emphasizing the importance of assessing internalizing symptoms concurrently with behavioral/emotional processes during the evaluation of sleep problems. Full article
(This article belongs to the Section Child and Adolescent Psychiatry)
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40 pages, 779 KB  
Article
Streamer Characteristics and Brand Identification in Livestream Commerce: Evidence from Time-Honored Brands
by Tingting Zhu and Yu Zhang
J. Theor. Appl. Electron. Commer. Res. 2026, 21(3), 85; https://doi.org/10.3390/jtaer21030085 - 4 Mar 2026
Viewed by 956
Abstract
The revitalization of time-honored brands has been identified as a strategic priority in China’s national development agenda, yet many long-established brands continue to face declining market share and limited engagement with younger consumers. E-commerce livestreaming, characterized by real-time interaction and broad digital reach, [...] Read more.
The revitalization of time-honored brands has been identified as a strategic priority in China’s national development agenda, yet many long-established brands continue to face declining market share and limited engagement with younger consumers. E-commerce livestreaming, characterized by real-time interaction and broad digital reach, has emerged as a potentially powerful channel for reversing this trend. However, the mechanisms through which livestreaming strengthens brand identification with time-honored brands among young consumers remain poorly understood. Drawing on the stimulus–organism–response (SOR) framework, social presence theory (SPT) and parasocial interaction theory (PSI), this study investigates how streamer characteristics—popularity, professionalism, and interactivity—shape brand identification with time-honored brands in livestreaming environments. Survey data were collected from 434 young consumers aged 18–40 who had viewed time-honored-brand livestreams within the previous six months. Structural equation modelling was used to test a model incorporating social presence, perceived authenticity of time-honored brands, and trust in time-honored brands as sequential mediators and consumer–streamer relationship strength as a moderator. The results show that streamer popularity and professionalism significantly enhance both social presence and perceived brand authenticity, whereas streamer interactivity primarily strengthens social presence. Social presence and perceived authenticity both increase trust in time-honored brands, which in turn predicts brand identification with time-honored brands. Streamer popularity and professionalism influence brand identification through two serial mediation pathways—via social presence and trust, and via authenticity and trust—while streamer interactivity operates mainly through the social presence–trust pathway. In addition, consumer–streamer relationship strength amplifies the effect of social presence on trust but attenuates the effect of authenticity on trust. By integrating SOR with SPT and PSI in a moderated serial mediation framework, this study provides new insight into how livestreaming transforms external cues into durable brand identification with time-honored brands among young consumers. The findings extend time-honored branding theory into digitally mediated commerce and offer evidence-based guidance for the strategic renewal of time-honored brands in the platform economy. Full article
(This article belongs to the Topic Livestreaming and Influencer Marketing)
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13 pages, 349 KB  
Article
From Media Attention to Corrective Action: Extending the IPMI Model with a Multigroup Comparison by Media Literacy
by Zhiqi Wang and Luis Fernando Morales Morante
Behav. Sci. 2026, 16(3), 361; https://doi.org/10.3390/bs16030361 - 4 Mar 2026
Viewed by 365
Abstract
Food health misinformation poses risks to public well-being, often spreading through social media and interpersonal contexts. This study extends the Influence of Presumed Media Influence (IPMI) model to explain how individuals move from attention to misinformation toward corrective behavioral intentions, while examining the [...] Read more.
Food health misinformation poses risks to public well-being, often spreading through social media and interpersonal contexts. This study extends the Influence of Presumed Media Influence (IPMI) model to explain how individuals move from attention to misinformation toward corrective behavioral intentions, while examining the moderating role of media literacy. Data were collected from a national online survey of 1021 Chinese adults, measuring media attention, presumed exposure of others, perceived negative influence, personal norms, media literacy, and correction intentions. Structural equation modeling supported a positive serial mediation chain, in which media attention was positively associated with presumed exposure of others, which in turn positively predicted presumed negative influence on others, leading to stronger personal norms and, ultimately, greater corrective behavioral intentions. Multi-group analysis showed that media literacy moderated this process: lower literacy amplified the link from perceived influence to norms, while higher literacy strengthened the link from norms to behavior. These findings advance the IPMI framework by highlighting media literacy as a critical boundary condition and suggest that interventions should not only correct misinformation but also foster responsibility for others and enhance media literacy to encourage user-driven corrections. Full article
(This article belongs to the Section Health Psychology)
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21 pages, 499 KB  
Article
“Fear Has Big Eyes”: Illness Perception, Fear of Recurrence, and Generalized Anxiety in Post-Treatment Thoracic Cancer Patients: A Serial Multiple Analysis
by Dariusz Krok, Ewa Telka and Sebastian Binyamin Skalski-Bednarz
J. Clin. Med. 2026, 15(5), 1797; https://doi.org/10.3390/jcm15051797 - 27 Feb 2026
Viewed by 304
Abstract
Background/Objectives: Although illness perception has been examined in oncology populations, there is a lack of empirical studies focusing specifically on post-treatment thoracic cancer patients and on the mechanisms through which illness perception relates to fear of cancer recurrence and generalized anxiety. In [...] Read more.
Background/Objectives: Although illness perception has been examined in oncology populations, there is a lack of empirical studies focusing specifically on post-treatment thoracic cancer patients and on the mechanisms through which illness perception relates to fear of cancer recurrence and generalized anxiety. In particular, prior research has rarely tested meaning-making and changes in beliefs and goals as mediating factors. This study aimed to examine the mediating roles of meaning-making and changes in beliefs and goals within a serial multiple mediation model between illness perception, fear of recurrence, and generalized anxiety. Method: A cross-sectional study was conducted with 284 thoracic cancer patients (149 men and 135 women) who had completed treatment. Participants completed validated self-report measures assessing illness perception, meaning-making, changes in beliefs and goals, fear of cancer recurrence, and generalized anxiety. Hierarchical regression analyses and serial multiple-mediation models based on path analysis were employed to examine direct and indirect associations among variables. Results: Negative illness perception was positively associated with fear of recurrence and generalized anxiety, while positive illness perception predicted lower levels of both outcomes. Path analyses revealed that meaning-making and changes in beliefs and goals jointly mediated the relationships between illness perceptions and psychological distress. Specifically, adaptive meaning-making and belief–goal restructuring were associated with lower fear of recurrence and generalized anxiety, whereas maladaptive forms were associated with higher levels of both outcomes. Conclusions: Findings indicate that both negative and positive illness perceptions influence post-treatment emotional adjustment in thoracic cancer patients through mediation effects. Based on the meaning-making model, interventions targeting maladaptive illness perceptions, promoting meaning-making, and supporting adaptive changes in personal beliefs and goals may reduce fear of recurrence and anxiety. These results support the incorporation of meaning-centered strategies into psychosocial oncology care, emphasizing cognitive–motivational cognitive-motivational factors as critical targets for improving emotional well-being in cancer survivorship. Full article
(This article belongs to the Special Issue Treatment Personalization in Clinical Psychology and Psychotherapy)
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23 pages, 934 KB  
Article
Alexithymia and Symptoms of Post-Traumatic Stress Disorder: The Mediation Roles of Self-Compassion and Deficits in Emotion Regulation
by George Fedorov and Glen Bates
Eur. J. Investig. Health Psychol. Educ. 2026, 16(2), 30; https://doi.org/10.3390/ejihpe16020030 - 18 Feb 2026
Viewed by 674
Abstract
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. [...] Read more.
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
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