Search Results (362)

Background: Obesity is a major public health concern associated with adverse physical and psychological outcomes, including body shame (BS) and reduced self-esteem (SE). Lifestyle interventions incorporating dietary and exercise components, such as time-restricted eating (TRE), mindful eating, and structured physical activity, have shown promise; however, evidence on their combined effects within scalable, web-based formats remains limited. Objective: This study aimed to evaluate the effectiveness of a multi-component, web-based lifestyle intervention integrating TRE, mindful eating, and structured online exercise on body composition and psychological outcomes in young adults. Methods: In this pilot randomized controlled trial, 42 healthy young adults (age: 20.4 ± 1.6 years) were allocated to either an intervention group (n = 28) or a control group (n = 14). The intervention group followed an integrated program combining TRE, mindful eating principles, and guided online exercise sessions, while the control group received standard dietary and physical activity recommendations. Outcomes included body composition, anthropometric measures, BS (Weight- and Body-Related Shame and Guilt Scale), SE (Rosenberg Self-Esteem Scale), and eating behavior (Three-Factor Eating Questionnaire). Results: Significant group × time interactions were observed for body fat percentage (p < 0.001), fat mass (p = 0.001), and body mass (p = 0.025), with the intervention group demonstrating greater reductions compared with controls. BS scores significantly decreased in the intervention group, whereas no significant between-group differences were observed for SE (p > 0.05). Dietary adherence appeared higher than exercise adherence over the intervention period. Conclusions: A multi-component, web-based lifestyle intervention integrating TRE, mindful eating, and structured exercise may improve body composition and reduce BS in young adults. However, changes in SE were not observed over the short term. These findings support the feasibility of scalable digital lifestyle interventions, while highlighting the need for longer-term studies to clarify psychological outcomes. Full article

Transgenerationality refers to the psychological and behavioral elements transmitted across generations. It is intrinsically linked to unelaborated content—such as trauma, grief, secrets, conflicts, and shame—operating through implicit and partially unconscious pathways that manifest in individual behavior. In the context of nursing, transgenerationality explores how nursing care is influenced by these dynamics and how the concept can be utilized to achieve superior health-related outcomes, such as facilitating more effective healthcare transitions. Specifically, it examines how experiences, vulnerabilities, resilience factors, and health-related patterns transmitted across generations affect overall health. As a humanistic profession rooted in person-centered care, nursing must remain cognizant of the impact of this concept on healthcare. This is particularly relevant in clinical settings where nurses are pivotal practitioners, such as mental health, health literacy, chronic disease management, and healthcare transitions. Healthcare transitions represent critical periods in a person’s life, and nurses are present across all contexts to facilitate these shifts. A primary example is the transition from hospital to home, which illustrates the importance of understanding transgenerationality within the roles of both patients and caregivers. Understanding how this concept impacts healthcare allows for the perception of transition as a holistic process. Awareness of these transgenerational operations leads to more personalized care, fostering healthier and more seamless healthcare transitions. The general purpose of this paper is to define and operationalize the concept of transgenerationality within nursing care, emphasizing its critical role in achieving better health outcomes, particularly during hospital-to-home transitions. Full article

Equity in gifted education remains a persistent international challenge, particularly regarding the “excellence gap” in advanced achievement and long-term attainment. This study investigates the supports and barriers shaping the talent development of socio-economically disadvantaged gifted students in Taiwan. Using a retrospective narrative inquiry, we analyzed the life stories of 25 alumni from the “Bright Minds Award Program,” a long-term initiative providing financial aid, mentorship, and enrichment opportunities for high-ability learners from low-income households. Findings indicate that participants often displayed early academic promise, yet their developmental trajectories were continuously negotiated under structural constraints (limited material and cultural resources, restricted access to domain-specific cultivation, and opportunity gaps across educational transitions) and the psychosocial burden of poverty (shame, stigma management, and identity strain). Drawing on the Actiotope Model of Giftedness, we identify how exogenous educational capital (e.g., scholarships, information brokerage, mentoring networks) and endogenous learning capital (e.g., resilience, self-regulation, goal persistence) interact to stabilize—or destabilize—developmental pathways. A novel contribution is the emergence of “Acting Middle Class” as a coping mechanism through which participants navigated social stigma and the hidden curriculum of elite educational settings. We argue that effective intervention requires not only resource provision but sustained “educational scaffolding” that is psychologically safe and institutionally stigma-sensitive. Implications are discussed for talent development research, school practice, and equity-oriented policy designs aimed at preventing talent attrition and promoting developmental justice. Full article

Introduction: HIV remains a public health concern despite several decades of effort. In sub-Saharan Africa, where political, environmental, and economic challenges persist, progress toward “Getting to Zero,” including zero new infections and zero HIV-related deaths, has been significantly slow. Although sub-Saharan Africa has seen the successful implementation of HIV/AIDS interventions across behavioral, biomedical, and structural approaches, there has been limited focus on housing insecurity—the inability to access safe, affordable, and stable housing—and mental health among people living with HIV, despite the critical role of housing insecurity in overall health and well-being. Therefore, this study explores how housing insecurity shapes mental health experiences among PLHIV in Kisumu. Methods: Using a qualitative approach, we purposively recruited 70 individuals from households participating in the Pamoja community-based organization’s Orphans and Vulnerable Children (OVC) project. We then conducted in-depth interviews (IDIs) with 30 participants and 4 focus group discussions (FGDs) with 40 adult participants living with HIV (ALHIV). Audio-recorded interviews were transcribed verbatim, translated from Luo into English, and uploaded to Atlas.TI v.23, a qualitative data analysis software. We then performed thematic analysis guided by grounded theory. Results: Our findings showed that housing insecurity was a significant issue for individuals living with HIV. The majority of participants experienced heightened feelings of worry, shame, fear, anxiety, stress, and depression, which negatively impacted their adherence to HIV treatment and care. While some participants showed resilience through acceptance and disclosure, limited resources and ongoing insecurity heightened vulnerability to mental health issues. Discussions: These findings underscore the importance of housing in HIV care programs and offer valuable insights for practitioners and policymakers. The findings highlight the need to incorporate housing stability and mental health support into HIV programs. Full article

Language is social, as it is used by individuals to communicate and exchange ideas in society. Language is also cognitive, as the primary function of language, even before communicating and exchanging ideas, is to think. This article connects the social representations of what bilingualism is in the United States and how transnational youth are talked about in U.S. society with how both of these social representations create cognitive representations (e.g., thoughts, ideas, and beliefs) about transnational youth that result in negative educational policies and practices and shameful psychological and behavioral experiences for these youth. We begin with an ethnosemantic analysis of the word “bilingual” in the U.S. and then use the cognitive linguistic phenomena of conceptual metaphor and conceptual metonymy to explain how bilingualism is cognitively viewed as a “shameful problem” in society for transnational youth. We link linguistic shame, brought on by the social cognitive representations of bilingualism as transnational youth metonymically being incomplete, broken, in disrepair, fractured, unsettled, displaced, lacking fully built linguistic structures, not fully in possession of any language, to the phenomenon of and conceptual metaphor of TRANSNATIONAL YOUTH’S BILINGUALISM IS LINGUISTIC HOMELESSNESS. We conclude by putting forth a new metaphor, TRANSNATIONAL YOUTH FUNDS OF KNOWLEDGE ARE MYCELIAL NETWORKS, that rejects the concept of linguistic homelessness by pointing to these youth’s expanding networks of fluid languaging practices, transnational academic skills, and ever adapting identities. Through this new discourse, we advocate for new ways of socially talking about transnational youth and their languaging practices that may lead to different cognitive representations of these students; reorienting bilingualism from a problem to a resource and a right. Full article

Multiple sclerosis (MS) is a debilitating neurological condition that affects several domains of individuals’ lives, making those affected particularly vulnerable to psychological distress. The visible nature of many MS symptoms may increase self-consciousness, thereby fostering feelings of shame and perceived stigma. Previous research has shown that self-related perceptions are shaped by early interpersonal relationships, rendering emotional trauma particularly relevant in this context. The present study sought to test whether an association between emotional abuse and psychological distress (Depression, Anxiety, and Stress) in individuals with MS would be mediated by internalized shame and perceived stigma. A total of 171 individuals with a clinical diagnosis of MS (85% women; M = 30.04, SD = 10.01) were recruited and completed a set of validated questionnaires assessing the variables of interest. Structural Equation Modeling was used to test the proposed model. Significant paths emerged from emotional abuse to internalized shame and from emotional abuse to internalized shame. In addition, internalized shame was significantly associated with psychological distress, and a further significant path was observed from perceived stigma to psychological distress. Moreover, significant indirect effects were found from emotional abuse to psychological distress via internalized shame and via perceived stigma. Full article

Background/Objectives: Although many studies have examined the determinants and management of dental anxiety (DA), its broader placement as a potential bottleneck along oral–systemic health pathways, from the determinants of DA to consequences through dental avoidance, oral outcomes, psychosocial impacts, and possible systemic health outcomes, has not been mapped across the review literature. This review aimed to conceptually map how existing DA reviews are distributed across this pathway, whether this broad framing changed across 5-year periods, and how systemic health outcomes were framed. Methods: We conducted a conceptual mapping review of DA-focused review articles published between 2005 and 2025. PubMed and Scopus were searched for English-language narrative, systematic, scoping and umbrella reviews and meta-analyses addressing the determinants or consequences of DA. One reviewer screened records, extracted review characteristics, and classified each review into predefined domains using binary framed/not framed coding rules. A structured AI-assisted prompt was used only to support full-text evaluation across domains; all final coding decisions were made by the reviewer. Results: The search identified 851 records; after removing 426 duplicates, 425 unique records were screened, and 39 reviews met the inclusion criteria. Framing concentrated on environmental and psychological determinants and on the pathway from DA to avoidance and poor oral health, whereas broader consequences, including shame, OHRQoL, and systemic health outcomes, were less consistently framed. Across 5-year periods, the broad pattern of framing remained relatively stable. Systemic health outcomes were framed in only a minority of reviews. Conclusions: Future research should test hypothesized pathways from DA to broader health consequences using clearly specified bridge mechanisms and appropriate temporal designs. Full article

This article reexamines Paul’s use of athletic imagery in 1 Corinthians 9:24–27 within the broader argument of chapters 8–10. Against readings that treat the passage as a call to individual moral striving or competition for salvation, this study situates Paul’s metaphor within the honor–shame dynamics of Greco-Roman Corinth and his own defense of apostolic self-restraint. Paul’s “race” and “imperishable wreath” do not exhort believers to outperform one another but dramatize the paradox of freedom expressed through voluntary limitation. Drawing on insights from social-scientific and rhetorical criticism, the essay demonstrates that Paul’s imagery functions as the rhetorical climax of the section, translating his ethical argument into the moral grammar of the agon. By reconfiguring the contest from rivalry to service, Paul transforms the competitive ethos of Corinth into a vision of communal flourishing in which believers “compete” for the good of others. The passage thus offers a distinctly Pauline theology of self-control as the discipline of love, turning the agonistic spirit of the games into an image of the gospel itself. Full article

Background: Breast cancer poses not only a physical health threat but also significant emotional and identity challenges for women, particularly regarding femininity and body image. Understanding how patients adapt psychologically can guide effective psychosocial interventions. Objective: This study aimed to evaluate psychological adaptation, coping strategies, illness acceptance, and body image in women with breast cancer and identify factors associated with better adjustment. Methods: A cross-sectional study was conducted among 30 women aged 22–66 undergoing treatment at the Wielkopolskie Centrum Onkologii, Poland. Standardized tools included the Mini-MAC scale (coping strategies), Acceptance of Illness Scale (AIS), and Body Image Scale (BIS). Descriptive statistics and correlations were analyzed. Results: Most participants exhibited a constructive coping style, with positive redefinition and fighting spirit being predominant. Some women simultaneously showed elements of a destructive coping style, including helplessness and hopelessness, indicating complex emotional reactions. Overall, participants demonstrated high illness acceptance, despite notable body image-related discomfort, particularly shame, reduced perceived attractiveness, and appearance-related anxiety. While age did not correlate significantly with coping or body image, a significant negative association was found between age and illness acceptance, with younger women showing better adjustment. Conclusions: Psychological adaptation to breast cancer is multidimensional and individualized, dependent on personality traits, internal resources, and social support. Findings highlight the need for holistic, patient-centered psychosocial care, addressing both emotional adaptation and body image-related distress, including support for intimacy and prosthetic interventions. Individualized strategies can improve quality of life and functional outcomes during and after cancer treatment. Full article

The emotional responses to bullying victimization are central to its impact on subsequent psychological consequences, but the role of specific emotions is insufficiently defined within a comprehensive framework. In order to enhance the understanding of the emotional experiences of bullying victims, the present review examines the role of self-conscious emotions (i.e., humiliation, shame, and guilt), the role of basic emotions (i.e., anger and fear), and various psychological consequences (e.g., anxiety, depression, suicidal ideation). A non-systematic, narrative approach was employed to synthesize the findings, with a total of 343 articles included in the review. Self-conscious emotions appear to be central to bullying victimization, with humiliation being particularly pivotal due to its link to internalized self-devaluation, perceived injustice, and attribution of cruelty to the perpetrator. In turn, anger and fear seem to constitute crucial basic emotions in response to bullying dynamics. Although anger may escalate aggression, it may also facilitate positive confrontational behaviors when properly channeled, whereas fear may contribute to avoidance and increased victimization if sustained. Adverse psychological consequences such as anxiety, depression, stress, low self-esteem, and suicidal ideation are prevalent among victims of bullying, potentially exacerbated in vulnerable groups. Future research should further explore the role of emotions in the context of bullying victimization, examining their impact on both mental health outcomes and behavioral patterns over time. Exploring how different emotional responses interact and influence each other within bullying dynamics could provide insights into effective intervention strategies, and a more comprehensive understanding of the sociocultural factors influencing emotional responses to bullying might help in customizing prevention and support measures across diverse contexts. Full article

Background: Contemporary models of parental burnout conceptualize it as an interplay between parental demands and insufficient resources. However, research and current models remain sparse in their understanding of these demands and dynamics within the context of managing a child’s sleep wellness and related problems, which constitute a fundamental aspect in early parenting. The present work addresses this gap by examining this issue comprehensively. Methods: 2291 mother–child dyads were recruited from two sources: a random population sample (n = 1409) and a clinical sample (n = 882) of mothers seeking consultation for their child’s sleep issues (0–5 years old). Mothers completed an extensive panel of validated instruments and survey questions covering burnout and psychopathologies, sleep parameters, psychosocial, organizational, and demographic variables. Inferential analyses, regression modeling, cluster analysis, and mediation models were applied. Results: Two distinct profiles of parental burnout emerged: one associated with child sleep disturbances and the other with general parenting stress. The strongest-weighted risk factors pertained to maladaptive beliefs and perceptions (e.g., shame, “I am a bad parent”, “My child cries because I do not meet his needs”), as well as additive stressors such as interparental tension and daytime child behavioral problems. The strongest protective factors involved resources that reduced parental demands or facilitated recovery, including couple satisfaction, a consistent bedtime routine, greater capacity to take breaks (e.g., additional caregivers, father nighttime involvement, parental cohabitation, and child screen time). Conclusion: The identification of two distinct burnout profiles highlights the importance of incorporating, or placing more centrally, the management of young children’s insomnia in contemporary theoretical models of parental burnout. This research highlights the need for interventions on healthy self-beliefs and perceptions, effective daytime parenting strategies, positive couple dynamics, consistency in bedtime routines, and equitable distribution of caregiving responsibilities between parents to reduce the risk of parental burnout. Full article

In Côte d’Ivoire, parent–child communication (PCC) about sexual and reproductive health (SRH) is often hindered by cultural and social norms. We aimed to explore parental communication on sexual and reproductive health in the Haut-Sassandra region, Côte d’Ivoire. We used an interpretive description approach. Participants were parents (mothers and fathers), recruited through purposive sampling. Data were collected through individual interviews. We performed a thematic analysis. Overall, 63 parents participated in the study. The mean age of parents was 41.2. Sexuality remains a taboo subject. Sociocultural factors that hinder PCC are tradition, the need for intergenerational respect, and the fear of incitement. Reasons that explain the gap between intention and actual practice are the young age of the child, low parental self-efficacy, child gender, shame and intergenerational respect. Parents who communicate address the following topics: relationships (e.g., stay away from boys); values, rights, culture and sexuality (e.g., don’t date someone else’s husband); skills for health and well-being (e.g., sex has advantages and disadvantages); the human body and development (e.g., menstruation management); sexuality and sexual behaviour (e.g., practice abstinence); and sexual and reproductive health (e.g., protect oneself against disease). This study highlights the need to support parents in their educational role. Full article

Background/Objectives: Food insecurity (FI) is significant and increasing in the UK’s general population. Previous research has linked FI to disordered eating and obesity, yet most of this research is conducted in non-clinical populations in the USA. As such, little is known about the perspectives of people with current or past eating disorders (PwEDs) on the effects of FI on their eating disorder symptoms and treatment in the UK. The current study explores these effects, as well as PwEDs’ experiences of help-seeking for food insecurity and their suggestions for clinical guidance. Methods: Data were collected via an online survey (n = 337) which included both open-ended and fixed response questions. A mixed methods approach was used for analysis, with a thematic analysis being used for qualitative data. Results: Recent FI was related to higher frequency of food restriction and less comfort discussing FI in clinical contexts. Additionally, participants reported that FI exacerbated symptoms and worsened recovery efforts. Help-seeking was generally low among participants. Shame was a barrier for help-seeking, and suggestions for guidance included adaptations to screening and treatment, improving clinician knowledge, and providing practical solutions to alleviate FI. Conclusions: FI is a serious public health issue in the UK that has large ramifications for eating disorder maintenance and recovery. Guidance is needed to address FI in clinical practice and reduce shame around FI. Ultimately, however, FI is a systemic issue that will require policy change to be eliminated. Full article

The Preliminary Exploration into Adoption Reunions (PEAR) survey examined the mental health issues faced by adoptees and first mothers. Data were collected from 1313 adoptees, first mothers, and first fathers. Study results indicate that adoption has lasting adverse effects on both adoptees and first mothers. Adoptees and first mothers are significantly more likely to attempt suicide (35 times and 37.7 times, respectively), abuse alcohol, display hypersexual behaviors, and restrict their eating compared to their peers: While first mothers have a lower life expectancy and are more likely to die by suicide than women who did not lose their children to adoption, adoptees frequently struggle with their identity and sense of belonging. They expressed experiencing trauma from their separation from their first mothers, regardless of the quality of their adoptive parents. The findings also highlight the negative impact of the secrecy surrounding adoption. Themes of secrecy and shame were prevalent in the responses from both adoptees and first mothers. The findings highlight the importance of listening to and validating the experiences of adoptees and first mothers and that there needs to be transparency in adoption practices, which may reduce the stigma associated with adoption, and facilitate healing. Full article

Objective: Although recognition of fibromyalgia (FMS) in men is growing, the mechanisms that contribute to their psychological distress remain poorly understood. This study aims to clarify how FMS alters men’s psychological distress and to identify potential protective and risk factors involved in this process in this often-underrepresented population. Methods: This study comprised a total of 225 men aged 18–75; of these, 102 were men with FMS (based on self-report) and 123 were healthy peers (HPs), all of whom completed questionnaires on demographics, anxiety (GAD-7), depression (PHQ-9), body appreciation (BAS-2), masculine self-esteem (MSES), illness-related shame (CISS), and pain intensity (SF-MPQ). Results: Men with FMS reported significantly higher depression and anxiety, lower body appreciation, and compromised masculine identity. Between-group analysis showed body appreciation mediated the fibromyalgia–distress relationship. However, within the FMS group, compromised masculine identity and illness-related shame were the strongest pathways to distress, while body appreciation showed no effect. Moderation analysis confirmed body appreciation buffered distress in controls but not in men with FMS. Conclusion: Masculine identity threats and illness-related shame constitute central mechanisms of psychological distress in men with FMS. Body appreciation operates differently in this population than in healthy men. Findings underscore the need for gender-sensitive interventions addressing identity disruption and emphasizing functionality over appearance-based acceptance. Full article