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29 pages, 659 KiB  
Article
The Body as a Battleground: A Qualitative Study of the Impact of Violence, Body Shaming, and Self-Harm in Adolescents with a History of Suicide Attempts
by Marianne Rizk-Hildbrand, Tara Semple, Martina Preisig, Isabelle Haeberling, Lukasz Smigielski, Dagmar Pauli, Susanne Walitza, Birgit Kleim and Gregor E. Berger
Int. J. Environ. Res. Public Health 2025, 22(6), 859; https://doi.org/10.3390/ijerph22060859 - 30 May 2025
Viewed by 879
Abstract
Perceived experiences of violence, trauma, body dissatisfaction, and body shaming emerge as interconnected factors contributing to suicide attempts among adolescents. There is a critical need to improve the understanding and prediction of suicide attempts in this vulnerable population. In this study, a primarily [...] Read more.
Perceived experiences of violence, trauma, body dissatisfaction, and body shaming emerge as interconnected factors contributing to suicide attempts among adolescents. There is a critical need to improve the understanding and prediction of suicide attempts in this vulnerable population. In this study, a primarily qualitative design was employed, supported by descriptive quantitative elements, such as code frequencies and word clouds, to explore in-depth narrative interviews of adolescents who attempted suicide. Thematic content analysis was utilized to analyze the transcripts of these narrative interviews. The study sample consisted of 22 adolescents (Mage = 16.98 years; SD = 1.624; 77% males, 19% females, 4% non-binary or transgender). The content analysis revealed two significant body-related risk factors for suicide attempts: experiences of violence or trauma and body dissatisfaction, which were associated with maladaptive coping strategies, including self-harm, substance use, and eating disorders. Acute somatic warning signs such as dissociative states, loss of control, and disconnection from one’s body suggested pronounced psychophysiological dysregulation. The findings underscore the body as a battleground, where emotional pain related to bodily experiences and perceptions manifests significantly. Future research should integrate subjective body-related experiences in risk assessments and interventions targeting adolescent suicidal behaviors. Full article
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19 pages, 271 KiB  
Concept Paper
Dissonances in the Institutionalization of Gender in Chilean Universities: Theoretical Reflections for the Ongoing Debate1
by Sandra Vera Gajardo, Antonieta Vera, Tamara Vidaurrazaga Aránguiz, Andrea Vera-Gajardo, Claudia Montero and Lelya Troncoso
Societies 2025, 15(5), 121; https://doi.org/10.3390/soc15050121 - 28 Apr 2025
Cited by 1 | Viewed by 899
Abstract
The Chilean feminist movements challenged the state and educational authorities regarding recurring instances of gender-based violence that were perpetuated and silenced. Reports of harassment and sexual abuse led to a broader critique about the ways in which education plays a part in the [...] Read more.
The Chilean feminist movements challenged the state and educational authorities regarding recurring instances of gender-based violence that were perpetuated and silenced. Reports of harassment and sexual abuse led to a broader critique about the ways in which education plays a part in the establishment of a model that sustains gender gaps. University authorities responded with institutional policies, establishing protocols and formal spaces to address these issues. However, these measures have revealed new problems. Given that the institutional response to the feminist uprising illuminated a range of nuances, obstacles, and new tensions related to issues of punishment, reparation, and justice, we identify four critical points of these political dissonances that emerged in Chilean universities following this cycle of protests: 1. problems in the definition and naming of violence and experiences of grievance; 2. public exposure of grievances, including “funas” (public shaming) and punitive practices; 3. disputes over the meaning of the slogan “non-sexist education”; 4. challenges in integrating the feminist complaint within the university community. Based on the analysis of slogans, key protest moments, and a comprehensive literature review, we argue that these tensions may hinder feminism’s transformative potential while simultaneously enabling a valuable internal critique. Full article
20 pages, 689 KiB  
Article
“When Somebody Comes into This Country and You Are Trans on Top of That Is Like You Got… Two Strikes on You”: Intersectional Barriers to PrEP Use Among Latina Transgender Women in the Eastern and Southern United States
by Rodrigo A. Aguayo-Romero, Genesis Valera, Erin E. Cooney, Andrea L. Wirtz and Sari L. Reisner
Int. J. Environ. Res. Public Health 2025, 22(5), 659; https://doi.org/10.3390/ijerph22050659 - 22 Apr 2025
Viewed by 893
Abstract
In the United States (U.S.), Latina transgender women (LTW) are highly burdened by HIV and are prioritized for pre-exposure prophylaxis (PrEP). This study explored intersectional barriers and facilitators to PrEP uptake among LTW. Between February–November 2022, in-depth interviews were conducted with 27 LTW [...] Read more.
In the United States (U.S.), Latina transgender women (LTW) are highly burdened by HIV and are prioritized for pre-exposure prophylaxis (PrEP). This study explored intersectional barriers and facilitators to PrEP uptake among LTW. Between February–November 2022, in-depth interviews were conducted with 27 LTW in the LITE Study. Participants were purposively sampled from 196 LTW in the cohort based on PrEP uptake (PrEP-naïve n = 8, PrEP-eligible and not user n = 5, current PrEP user n = 6, previous PrEP user n = 8). We conducted content analysis guided by a Modified Social Ecological Model and Intersectionality Framework. The mean age of participants was 32.3 (SD = 12.9). Themes were: (1) Intrapersonal: Medical distrust, acceptability of PrEP modalities, and concerns about long-term health; (2) Interpersonal: Mistreatment in healthcare, discrimination-related healthcare avoidance, difficulty finding trans-competent providers, language barriers, and shame and stigma; and (3) Structural: PrEP in the context of limited access to gender-affirming care and widespread silicone use, immigration status, economic marginalization, lack of community outreach, transphobia and anti-transgender legislative contexts, and xenophobia. This study found multilevel intersectional barriers influence PrEP uptake and persistence. Culturally tailored HIV prevention efforts are needed to address LTW-specific barriers, provide information on programs subsidizing PrEP, and implement policy change to ensure equitable PrEP access. Full article
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23 pages, 1598 KiB  
Article
The Impact of AI Negative Feedback vs. Leader Negative Feedback on Employee Withdrawal Behavior: A Dual-Path Study of Emotion and Cognition
by Xinyue Li, Mingpeng Huang, Jialin Liu, Yifan Fan and Min Cui
Behav. Sci. 2025, 15(2), 152; https://doi.org/10.3390/bs15020152 - 30 Jan 2025
Cited by 1 | Viewed by 3006
Abstract
In the workplace, the application of artificial intelligence (AI) is becoming increasingly widespread, including in employee performance management where AI feedback is gaining importance. Some companies are also using AI to provide negative feedback to employees. Our research compares the impact of AI [...] Read more.
In the workplace, the application of artificial intelligence (AI) is becoming increasingly widespread, including in employee performance management where AI feedback is gaining importance. Some companies are also using AI to provide negative feedback to employees. Our research compares the impact of AI negative feedback and leader negative feedback on employees. In order to explore the impact of AI negative feedback on employees, we investigated how AI negative feedback impacts employee psychology and behavior and compared these effects to those of human leader negative feedback, within the framework of the feedback process model. To explore these differences, we conducted three experimental studies (n = 772) from two different regions (i.e., China and the United States). The results reveal that leader negative feedback induces greater feelings of shame in employees, leading to work withdrawal behaviors, compared to AI negative feedback. Conversely, AI negative feedback has a more detrimental effect on employees’ self-efficacy, leading to work withdrawal behaviors, compared to leader negative feedback. Furthermore, employees’ AI knowledge moderates the relationship between negative feedback sources and employee withdrawal behavior. Specifically, employees who perceive themselves as having limited AI knowledge are more likely to feel ashamed when receiving leader negative feedback than when receiving AI negative feedback. Conversely, employees who believe they are knowledgeable about AI are more likely to have their self-efficacy undermined by AI negative feedback than leader negative feedback. Our research contributes significantly to the literature on AI versus human feedback and the role of feedback sources, providing practical insights for organizations on optimizing AI usage in delivering negative feedback. Full article
(This article belongs to the Special Issue Employee Behavior on Digital-AI Transformation)
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25 pages, 1556 KiB  
Article
Queering Militarism in Israeli Photography
by Nissim Gal
Arts 2025, 14(1), 5; https://doi.org/10.3390/arts14010005 - 8 Jan 2025
Cited by 1 | Viewed by 1398
Abstract
This article, Queering Militarism in Israeli Photography, examines Adi Nes’s Soldiers series, a body of work that interrogates the intersections of queerness, militarism, and nationalism within Israeli society. By employing a distinctive “military circus” aesthetic, Nes challenges the rigid heteronormative and hyper-masculine [...] Read more.
This article, Queering Militarism in Israeli Photography, examines Adi Nes’s Soldiers series, a body of work that interrogates the intersections of queerness, militarism, and nationalism within Israeli society. By employing a distinctive “military circus” aesthetic, Nes challenges the rigid heteronormative and hyper-masculine archetypes embedded in Israeli military identity. His staged photographs depict soldiers in circus-inspired performative poses, blending military discipline with elements of the carnivalesque to subvert conventional representations of military masculinity. This approach creates spaces where queerness, vulnerability, and fluid identity defy the rigid confines of nationalist narratives. Using queer studies frameworks, performance theory, and postcolonial critique, this article analyzes Nes’s depiction of soldiers as both military subjects and circus performers, examining how these representations disrupt the “naturalness” of gender, power, and identity within the Israeli national ethos. Through a close reading of key images—such as the fire-breathing soldier, the acrobat on a tightrope, and the strongman figure—this article argues that Nes critiques homonationalism and exposes the co-optation of LGBTQ+ identities into militaristic frameworks. His images juxtapose exaggerated masculinity with homoerotic and introspective vulnerability, positioning the queer body as both a participant in and a subverter of the national narrative. Drawing on contemporary queer theory—including José Esteban Muñoz’s concept of “disidentification”, Eve Kosofsky Sedgwick’s theories of queer shame and performativity, and perspectives on temporality, failure, and counterpublics following Elizabeth Freeman, Jack Halberstam, Michael Warner, and Sara Ahmed—this article frames queerness as an active site of resistance and creative transformation within the Israeli military complex. The analysis reveals how Nes’s work disrupts Zionist masculinities and traditional militaristic structures through a hybrid aesthetic of military and circus life. By reimagining Israeli identity as an inclusive, multi-dimensional construct, Nes expands queer possibilities beyond heteronormative confines and homonationalist alignments. This merging of critical queer perspectives—from the destabilizing of discipline and shame to the public visibility of non-normative bodies—posits that queer identities can permeate and reshape state power itself, challenging not only the norms of militaristic nationalism but also the boundaries of Israeli selfhood. Full article
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18 pages, 358 KiB  
Article
Cultural and Practical Barriers to Seeking Help for Intimate Partner Violence Among Korean Immigrants: Exploring Gender and Age Differences
by Soon Cho, Y. Joon Choi, Jeong-Yeob Han, Hanyoung Kim and Stephen T. Fife
Int. J. Environ. Res. Public Health 2024, 21(11), 1508; https://doi.org/10.3390/ijerph21111508 - 13 Nov 2024
Cited by 3 | Viewed by 1896
Abstract
Immigrants in the United States, including Korean immigrants, are more vulnerable to intimate partner violence (IPV), yet they are less likely to seek help than non-immigrants. This qualitative study sought to understand barriers to seeking help for IPV among Korean immigrants and to [...] Read more.
Immigrants in the United States, including Korean immigrants, are more vulnerable to intimate partner violence (IPV), yet they are less likely to seek help than non-immigrants. This qualitative study sought to understand barriers to seeking help for IPV among Korean immigrants and to explore age and gender differences in Korean immigrants’ understanding of these barriers. We conducted four focus groups with 38 adults grouped by age and gender. Thematic analysis was employed to understand Korean immigrants’ perceptions of IPV and barriers to help-seeking. As a result, four prominent themes emerged: (1) differential understanding of IPV, (2) Confucian cultural influences on IPV, (3) cultural barriers to help-seeking, and (4) practical barriers to help-seeking. Women participants showed an in-depth understanding of IPV, recognizing various forms beyond physical violence within the immigrant social context. Younger participants highlighted the intergenerational transmission of IPV. Cultural factors, rooted in Confucianism such as strict gender roles and women’s self-sacrifice, exacerbate IPV. Cultural barriers include shame culture, treating IPV as a private matter, and the emphasis on family unity. Practical barriers are linked to the challenges immigrants face. These insights illustrate the need for targeted IPV interventions tailored to distinct gender and age demographics within the community. Full article
24 pages, 1711 KiB  
Article
“Dime con Quién Andas y te Diré Qué Piensas Sobre el Español de los US”: Language Attitudes and Motivation to Learn Spanish as a Heritage Language through the Lens of Social Networks
by Marina Cuartero Marco
Languages 2024, 9(4), 140; https://doi.org/10.3390/languages9040140 - 12 Apr 2024
Cited by 1 | Viewed by 2215
Abstract
This study explores the motivation and attitudes of heritage speakers (HSs) of Spanish, focusing on the influence of their social networks. Previous research highlighted variations in HS motivation, attributed to social, cultural, and contextual factors. The study investigates how HS communities shape motivation [...] Read more.
This study explores the motivation and attitudes of heritage speakers (HSs) of Spanish, focusing on the influence of their social networks. Previous research highlighted variations in HS motivation, attributed to social, cultural, and contextual factors. The study investigates how HS communities shape motivation and attitudes towards learning the heritage language (HL). Employing personal network analysis, the research surveyed 26 Spanish HSs in a Spanish heritage language program. Results revealed that HS networks primarily consisted of emotionally close family members. Positive and negative factors within these networks, such as language support, confidence, shame, and expectations, significantly influenced HS motivation and attitudes. Language attitudes within the network positively impacted individual attitudes, indicating a process of internalizing shared values. The study emphasizes the importance of considering the context surrounding HSs and suggests that addressing language expectations and fostering language support in communities may positively transform perceptions of Spanish in the United States. The findings underscore the effectiveness of a personal network approach in recreating the external environment beyond the language classroom. Full article
(This article belongs to the Special Issue Spanish in the US: A Sociolinguistic Approach)
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13 pages, 472 KiB  
Article
Internalized Sexual Stigma and Mental Health Outcomes for Gay, Lesbian, and Bisexual Asian Americans: The Moderating Role of Guilt and Shame
by Kian Jin Tan and Joel R. Anderson
Int. J. Environ. Res. Public Health 2024, 21(4), 384; https://doi.org/10.3390/ijerph21040384 - 22 Mar 2024
Cited by 8 | Viewed by 3630
Abstract
The literature unequivocally demonstrates that lesbian, gay, and bisexual (LGB) individuals experience disproportionate mental health and social wellbeing impacts. Here, we respond to recent calls for research in the field of sexual minority health to better understand why various overlapping and intersecting identities [...] Read more.
The literature unequivocally demonstrates that lesbian, gay, and bisexual (LGB) individuals experience disproportionate mental health and social wellbeing impacts. Here, we respond to recent calls for research in the field of sexual minority health to better understand why various overlapping and intersecting identities can further drive health disparities. In this paper, we focus on the specific intersections of ethnicity and sexuality for Asian LGB individuals and the role of internalized stigma in driving poorer mental health outcomes for this group. We recruited 148 LGB Asian participants residing in the United States (Mage = 22.82 years, SD = 4.88) to participate in our online cross-sectional survey in which we collected data on their internalized stigma, levels of guilt and shame about their sexuality, and measures of depression, anxiety, and distress. Contrary to our predictions, there were no bivariate relationships between internalized sexual stigma and any of the mental health outcomes. However, a parallel mediation analysis revealed that guilt, but not shame, mediates the relationship between internalized sexual stigma and all mental health outcomes (depression, anxiety, and stress) for LGB Asian American individuals. This research highlights the important of exploring additional variables that may exacerbate of protect against poor mental health for individuals with multiple intersecting identities. Full article
(This article belongs to the Special Issue Advancing Health Equity for Sexual and Gender Minority Populations)
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15 pages, 285 KiB  
Article
Development and Preliminary Validation of the Sexual Minority Identity Emotion Scale
by Jacob Goffnett, Samantha Robinson, Anna Hamaker, Mohammod Mahmudur Rahman, Sheree M. Schrager and Jeremy T. Goldbach
Adolescents 2024, 4(1), 171-184; https://doi.org/10.3390/adolescents4010012 - 15 Mar 2024
Cited by 1 | Viewed by 1801
Abstract
Emotions influence health behaviors and outcomes, yet little research has examined the emotion–health relationship among sexual minorities. The few studies in this area have used general measures of feelings without regard for identity, despite the literature positing emotions as culturally and contextually specific. [...] Read more.
Emotions influence health behaviors and outcomes, yet little research has examined the emotion–health relationship among sexual minorities. The few studies in this area have used general measures of feelings without regard for identity, despite the literature positing emotions as culturally and contextually specific. This critical limitation obscures inferences made in studies that have found emotions to predict mental health outcomes for sexual minorities. This study begins to address this gap by developing and examining the preliminary validation of the Sexual Minority Identity Emotion Scale, a measure of shame and pride specific to the identity experiences of sexual minority adolescents. The initial pool of items emerged from a qualitative study and was refined through a multistep review. The measurement’s factor structure and criterion validity were examined using a nationwide sample of 273 sexual minority adolescents from the United States. The scale has four factors with strong internal reliability, adequate criterion validity, and utility in health research. Full article
(This article belongs to the Section Adolescent Health and Mental Health)
19 pages, 1945 KiB  
Article
Investigating the Impacts of Shame-Proneness on Students’ State Shame, Self-Regulation, and Learning
by Jeremiah Sullins, Jeannine Turner, Juhee Kim and Steven Barber
Educ. Sci. 2024, 14(2), 138; https://doi.org/10.3390/educsci14020138 - 29 Jan 2024
Cited by 2 | Viewed by 7085
Abstract
We explored relationships between students’ shame-proneness and their experiences of state shame, self-regulation, and learning in a laboratory. We conducted two studies with different content: physics (Study 1, n = 179) and the circulatory system (Study 2, n = 85). We first evaluated [...] Read more.
We explored relationships between students’ shame-proneness and their experiences of state shame, self-regulation, and learning in a laboratory. We conducted two studies with different content: physics (Study 1, n = 179) and the circulatory system (Study 2, n = 85). We first evaluated students’ shame-proneness, self-regulation, and content knowledge (pretest). Then, half of the students participated in the experimental condition where state shame was induced. Subsequently, we evaluated students’ state shame and learning gains. In both studies, t-tests demonstrated that the experimental manipulation effectively induced higher levels of state shame. Follow-up 2 (experimental/control condition) by 2 (high/low shame-proneness) ANOVAs revealed that, in the experimental shame-induced condition, participants who had high shame-proneness had significantly higher state shame levels than those with low shame-proneness. Regarding students’ self-regulation, in both studies, high-shame-prone students had lower self-regulation skills. Interestingly, the outcomes of students’ learning gains differed in Studies 1 and 2. The results of a 2 (condition) by 2 (shame-proneness) ANOVA for Study 1 indicated no significant differences in students’ learning gains. In Study 2, participants in the experimental condition who reported high shame-proneness had significantly lower learning gains than those with low shame-proneness. We discuss several educational implications and provide directions for future research. Full article
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14 pages, 317 KiB  
Article
Intimate Lovers, Legal Strangers—The Politics of Dissident Relationality in Portugal
by Ana Cristina Santos and Ana Lúcia Santos
Soc. Sci. 2023, 12(3), 144; https://doi.org/10.3390/socsci12030144 - 1 Mar 2023
Cited by 2 | Viewed by 2509
Abstract
Dominant cultural frameworks, laws, and social policy in Southern Europe often stem from and replicate a collective imaginary based on a reproductive, cohabiting, monogamous, and cis-heterosexual couple. Concomitantly, despite significant advances in legislation in recent years, LGBTQ+ intimacies continue to be subject to [...] Read more.
Dominant cultural frameworks, laws, and social policy in Southern Europe often stem from and replicate a collective imaginary based on a reproductive, cohabiting, monogamous, and cis-heterosexual couple. Concomitantly, despite significant advances in legislation in recent years, LGBTQ+ intimacies continue to be subject to daily prejudice, violence, and shame. The purpose of this article is to understand how state recognition contributes to the un/doing of the abject culturally attached to LGBTQ+ intimacies; and to examine personal, sociocultural, and legal traits that shape biographies turning intimate citizens into intimate lovers and/or legal strangers. The first part of this chapter involves an outlining of developments regarding law and relational diversity in Portugal. The second part deals with the visibility of non-normative sexuality that is often a target of abject gaze, rejection, and other cultural practices of discrimination. It is suggested that legally recognized marital status can become a way to overcome the abject or the invisible, both in relation to the state and the cultural milieu. We offer the notion of relational performativity and suggest that non-monogamy (even when consensual) is a major cultural source of the relational abject, encapsulating moral panic around the promiscuous, unhealthy, and uncommitted sexual monster. The article finishes with reflections that move beyond the examples provided to dialogue with dissident relationality as a concept that describes the intimate experiences of aging LGBTQ+ people. Full article
(This article belongs to the Special Issue New Directions in Gender Research)
17 pages, 985 KiB  
Article
A Mediation Moderation Model between Self-Evaluative Emotions and Relapse Rate among Polysubstance Users: A Comparative Cross-Sectional Study
by Mujahid Iqbal, Yu Yan, Na Zhao, Sumaira Mubarik, Silu Shrestha, Muzzamel Hussain Imran, Samrah Jamshaid and Najam ul Hasan Abbasi
Int. J. Environ. Res. Public Health 2023, 20(4), 3164; https://doi.org/10.3390/ijerph20043164 - 10 Feb 2023
Cited by 3 | Viewed by 2618
Abstract
A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the [...] Read more.
A substantial portion of drug abuse research has concentrated on people with a single-substance-use disorder (SSUD), but many people abuse more than one drug. Studies have yet to examine how those with polysubstance-use disorder (PSUD) differ from those with an SSUD on the risk of relapse, self-evaluative emotions (e.g., shame and guilt), and personality factors (e.g., self-efficacy). Eleven rehab facilities in Lahore city, Pakistan were randomly chosen to provide a sample of 402 males with PSUD. For comparison, 410 age-matched males with SSUD were enlisted using a demographic form with eight questions, the State Shame and Guilt Scale, and the General Self-Efficacy Scale. Mediated moderation analysis was performed using Hayes’ process macro. The results demonstrate that shame-proneness is positively associated with relapse rate. Guilt-proneness mediates the relationship between shame-proneness and relapse rate. Self-efficacy buffers the influence of shame-proneness on relapse rate. Although the mediation and moderation effects were found in both study groups, these effects were significantly stronger among people with PSUD than those with SSUD. To be more specific, people with PSUD reported a higher overall score on shame, guilt, and relapse rate. Additionally, people with SSUD indicated a higher score on self-efficacy than those with PSUD. The findings of this study suggest that drug rehab facilities should implement a variety of strategies to raise drug users’ levels of self-efficacy, which will help to reduce their risk of relapse. Full article
(This article belongs to the Special Issue Substance Use, Addiction and Public Health)
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13 pages, 632 KiB  
Systematic Review
Systematic Review of Psychological Interventions for Quality of Life, Mental Health, and Hair Growth in Alopecia Areata and Scarring Alopecia
by Jessica Maloh, Tess Engel, Nicole Natarelli, Yvonne Nong, Alina Zufall and Raja K. Sivamani
J. Clin. Med. 2023, 12(3), 964; https://doi.org/10.3390/jcm12030964 - 26 Jan 2023
Cited by 18 | Viewed by 5934
Abstract
Alopecia is associated with significant psychological burden. There is limited evidence on the use of psychological interventions in conditions of hair loss. This manuscript systematically reviews the current state of literature on psychological treatments for quality of life, mental health, and hair growth [...] Read more.
Alopecia is associated with significant psychological burden. There is limited evidence on the use of psychological interventions in conditions of hair loss. This manuscript systematically reviews the current state of literature on psychological treatments for quality of life, mental health, and hair growth in various forms of alopecia. PubMed and Embase were searched with predefined inclusion and exclusion criteria. Reference lists were also examined for relevant studies. Nine articles met our criteria and are included in this review. Eight of the articles related to alopecia areata and one related to scarring alopecia. Mindfulness-based stress reduction (MBSR) was found to improve quality of life-related subjective symptoms, relationship impacts, anxiety, phobia, distress, and psychological symptom intensity. Alopecia-specific collocated behavioral health (CLBH) treatment showed a trend for psychosocial improvement in areas such as appearance shame, activity avoidance, negative emotions, and coping. Hypnotherapy was found to improve anxiety and depression, quality of life measures, and alexithymia. There was also some evidence for significant hair growth with hypnosis, but the data are mixed. Psychotherapy combined with immunotherapy led to more hair growth, and supported self-confidence. Finally, coping strategies modulated the subjective burden of alopecia, and were associated with disease improvement. Further research will be necessary to better establish the efficacy and optimal administration of these interventions in alopecia. Full article
(This article belongs to the Section Dermatology)
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24 pages, 2475 KiB  
Article
Mental Health Intent Recognition for Arabic-Speaking Patients Using the Mini International Neuropsychiatric Interview (MINI) and BERT Model
by Ridha Mezzi, Aymen Yahyaoui, Mohamed Wassim Krir, Wadii Boulila and Anis Koubaa
Sensors 2022, 22(3), 846; https://doi.org/10.3390/s22030846 - 23 Jan 2022
Cited by 22 | Viewed by 6097
Abstract
For many years, mental health has been hidden behind a veil of shame and prejudice. In 2017, studies claimed that 10.7% of the global population suffered from mental health disorders. Recently, people started seeking relaxing treatment through technology, which enhanced and expanded mental [...] Read more.
For many years, mental health has been hidden behind a veil of shame and prejudice. In 2017, studies claimed that 10.7% of the global population suffered from mental health disorders. Recently, people started seeking relaxing treatment through technology, which enhanced and expanded mental health care, especially during the COVID-19 pandemic, where the use of mental health forums, websites, and applications has increased by 95%. However, these solutions still have many limits, as existing mental health technologies are not meant for everyone. In this work, an up-to-date literature review on state-of-the-art of mental health and healthcare solutions is provided. Then, we focus on Arab-speaking patients and propose an intelligent tool for mental health intent recognition. The proposed system uses the concepts of intent recognition to make mental health diagnoses based on a bidirectional encoder representations from transformers (BERT) model and the International Neuropsychiatric Interview (MINI). Experiments are conducted using a dataset collected at the Military Hospital of Tunis in Tunisia. Results show excellent performance of the proposed system (the accuracy is over 92%, the precision, recall, and F1 scores are over 94%) in mental health patient diagnosis for five aspects (depression, suicidality, panic disorder, social phobia, and adjustment disorder). In addition, the tool was tested and evaluated by medical staff at the Military Hospital of Tunis, who found it very interesting to help decision-making and prioritizing patient appointment scheduling, especially with a high number of treated patients every day. Full article
(This article belongs to the Special Issue Intelligent Systems for Clinical Care and Remote Patient Monitoring)
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23 pages, 996 KiB  
Article
Can Post-Vaccine ‘Vaxication’ Rejuvenate Global Tourism? Nexus between COVID-19 Branded Destination Safety, Travel Shaming, Incentives and the Rise of Vaxication Travel
by Umer Zaman, Murat Aktan, Mahwish Anjam, Jerome Agrusa, Muddasar Ghani Khwaja and Pablo Farías
Sustainability 2021, 13(24), 14043; https://doi.org/10.3390/su132414043 - 20 Dec 2021
Cited by 23 | Viewed by 4845
Abstract
Vaxication (i.e., post-vaccination travel) and branding destinations for COVID-19 safety have emerged as the cornerstones to fully rebound global tourism. Numerous destination brands are now stimulating tourism demand through realigned travel incentives specifically for fully vaccinated travelers. However, there is growing fear and [...] Read more.
Vaxication (i.e., post-vaccination travel) and branding destinations for COVID-19 safety have emerged as the cornerstones to fully rebound global tourism. Numerous destination brands are now stimulating tourism demand through realigned travel incentives specifically for fully vaccinated travelers. However, there is growing fear and incidents of travel shaming across destinations, especially due to the recent outbreaks of the highly contagious COVID-19 ‘delta and omicron’ variants. Addressing this critical research gap, the present study makes pioneering efforts to empirically examine the effects of COVID-19 branded destination safety (CBDS) on vaxication intentions, under the moderating influence of travel shaming and travel incentives. Drawing on study data from 560 fully-vaccinated residents from Hawaii, United States and structural equation modeling (SEM) with Mplus, the evidence suggests that the positive impact of CBDS on vaxication intention can be further strengthened by travel incentives, or weakened when travel shaming picks up more momentum. Besides the validation of newly developed scales, the study offers strategic insights based on dominant theories (e.g., theory of planned behavior and protection motivation theory) to interpret the changing tourism demand, and to transform the emerging challenges into opportunities through and beyond the pandemic. Full article
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