Search Results (3,349)

Personality traits are essential to understanding individual differences in values, attitudes, behaviours, and cognitive-emotional reactions to climate change (CC). Prosocial traits (empathy and altruism) and nature relatedness (NR), that is, the subjective sense of connection with the natural world, have been linked both to pro-environmental behaviours (PEB) and to CC-related psychological distress. As these reactions are increasingly common in the context of CC, it is crucial to distinguish their adaptive components from their maladaptive ones, namely, by identifying which psychological predictors most strongly promote PEB, in order to design targeted interventions and communication strategies that effectively foster sustainable action. This study examined whether CC-worry, CC-distress, and CC-impairment mediate the relationships between prosocial traits, NR, and PEB. A community sample of 577 adults (mean age = 32.62 ± 14.71 years; 64.6% women) completed self-report measures of the abovementioned study variables, and a multiple mediation model using structural equation modelling was tested. Prosocial traits and NR were positively associated with CC-related psychological distress and PEB, and CC-worry and CC-distress showed significant mediating roles, whereas CC-impairment did not. The model explained 40% of PEB’s variance. Overall, CC-worry and CC-distress appear to function as adaptive, motivational processes that link positive traits and nature connection to environmental action, while CC-impairment reflects a maladaptive, unconstructive response that may index the more pathological end of climate change-related psychological distress. Full article

This article introduces a theoretical framework centered on enhancing creativity through gaming, termed the Game-based Creativity Enhancement Framework (G-CEF). Rooted in experiential learning and game-based learning theories, the framework adopts an input–process–output paradigm: two inputs (personal attributes and game attributes), one process stage (learning situation), and outputs (learning improvements and acquisitions). Personal attributes take the form of conative dispositions and variables common to both creativity and games, which help explain why gaming habits and creativity are linked, particularly outside the laboratory. Six variables are identified and presented: playfulness, imagination, mind-wandering, mindfulness, psychological capital and motives. The second input corresponds to game attributes, which help explain why and how games can help improve creativity. Two forms of game attributes are presented: affordances and game mechanics. Eight types of affordances were identified: degree of flexibility, narrative, tools, environment, content creation, avatar, progression and replayability. Five types of game mechanics were also identified: originality, divergent thinking, convergent thinking, mental flexibility and creative dispositions. The learning situation within games represents a four-step cyclical experiential learning process: concrete experience, reflective observation, abstract conceptualization, and active experimentation. Lastly, the framework details enhancements in creativity due to gaming, supported by a literature review examining the impact of different game types on creativity. Full article

Endometriosis is a chronic inflammatory disorder affecting about 190 million women of reproductive age worldwide. It represents a major health challenge due to its broad impact on physical, reproductive, and psychological well-being and is clinically characterized by pelvic pain, menstrual irregularities, and infertility. This narrative review synthesized current evidence on the relationship between adiposity, metabolic and inflammatory markers, and endometriosis from a biopsychosocial and intersectional perspective. A comprehensive search was conducted in PubMed, Scopus, and Web of Science for peer-reviewed studies published in English over the past decade.: Results pointed out that endometriosis significantly affects inflammatory activity within adipose tissue, especially in visceral adipose tissue. Studies also reported reduced adipocyte size and altered adipose tissue function. The endometriosis cytokine profile exhibited a pattern of systemic and tissue-specific inflammatory activation (i.e., elevated levels of interleukin-6 and monocyte chemoattractant protein-1). Sociodemographic factors (i.e., age, race/ethnicity, socioeconomic status, and educational level) also play a significant role in differences in symptomatology, disease course, and healthcare access. To sum up, endometriosis need to be considered as a multisystem condition related to metabolic, inflammatory, and psychosocial factors. It is necessary to adopt a biopsychosocial and intersectional perspective to improve diagnosis and support more equitable and personalized therapeutic approaches. Full article

Aromatherapy, the therapeutic use of essential oils, is increasingly recognized as a complementary approach to women’s mental health, particularly during hormonally sensitive life stages such as menstruation, pregnancy, postpartum, and menopause. Concerns about the side effects of pharmacological treatments during these periods have driven interest in non-pharmacologic interventions. This narrative review synthesizes current clinical evidence on the efficacy of aromatherapy in alleviating psychological distress in women. A comprehensive literature review between 2000 and 2025 across PubMed, Scopus, and Web of Science databases identified 47 studies focusing on essential oils for anxiety, depression, or stress in female populations. The most substantial evidence supports the use of lavender, bergamot, rose, chamomile, clary sage, and ylang-ylang, with inhalation and massage as the most frequently studied delivery methods. Outcomes include reductions in cortisol, heart rate, and subjective stress, along with improvements in mood and emotional regulation. Aromatherapy demonstrates particular promise in postpartum and perimenopausal care. However, methodological heterogeneity and variability in oil composition limit generalizability. Despite these challenges, the evidence suggests that aromatherapy may serve as a safe, low-cost adjunct for managing mood disorders and stress in women, particularly when integrated into personalized, holistic care strategies. Full article

Background: Primary school teachers are experiencing unprecedented occupational stress due to technological demands, varied student needs, and the enduring psychological effects of the COVID-19 pandemic. Although burnout research is extensive globally, evidence regarding Greek primary educators remains scarce, particularly in post-pandemic contexts where Mediterranean cultural values, economic constraints, and centralized governance may yield unique patterns. Methods: This cross-sectional study examined professional burnout among 102 primary school teachers in Achaia prefecture, Greece, during autumn 2022. The Greek-validated Maslach Burnout Inventory-Educators Survey assessed emotional exhaustion, depersonalization, and personal accomplishment. The psychological impact of COVID-19 was evaluated alongside demographic and occupational factors. Analyses included descriptive statistics, nonparametric tests, correlation analyses, hierarchical clustering, and multiple regression models. Results: The sample exhibited mixed burnout profiles, with 42.2% indicating low emotional exhaustion (while 35.3% showed high levels) and 67.6% showing minimal depersonalization. Bivariate analysis revealed that the psychological burden of COVID-19 was significantly correlated with depersonalization (r = 0.339, p < 0.001) but not with emotional exhaustion (r = 0.078, ns) or personal achievement. However, multivariate regression controlling for demographic factors revealed a suppression effect: pandemic burden emerged as the strongest predictor of emotional exhaustion (β = 0.52, p < 0.001), while its association with depersonalization became non-significant. Cluster analysis identified four distinct profiles: Emotionally Strained (49.0%), Resilient (32.4%), Detached (15.7%), and At-Risk (2.9%). Gender significantly predicted emotional exhaustion (model R² = 0.136), while rural location and years of service predicted depersonalization (model R² = 0.225). Conclusions: Greek primary school teachers demonstrated remarkable resilience after the pandemic, maintaining professional effectiveness despite emotional challenges. The suppression effect observed for COVID-19 burden—significantly associated with depersonalization bivariately but with emotional exhaustion multivariately—highlights the importance of examining both direct and demographically mediated stress pathways. The dimensional independence observed, particularly personal achievement's resilience to external stressors, contests unified burnout models and indicates that targeted interventions addressing specific burnout dimensions may be more effective than holistic approaches. Full article

Inner strength is increasingly recognized as a protective factor in mental health, but its structure and dynamics remain underexplored, particularly in individuals with borderline personality disorder (BPD) symptoms. This study applied network analysis to investigate the complex relationships among inner strengths in individuals exhibiting BPD symptoms, aiming to identify core and bridging strengths that could inform targeted interventions. The sample comprised 346 Thai university students (25.4% males, 74.6% females; mean age = 21.60 ± 2.24 years) who screened positive for BPD symptoms using the Screening Instrument for Borderline Personality Disorder. Network analysis revealed that inner strengths formed an interconnected system with both core and peripheral features. The strongest association was observed between generosity and loving-kindness. A cognitive behavioral cluster comprising perseverance, wisdom, and determination also emerged. Centrality analysis identified loving-kindness as the most influential node in terms of direct connections, while equanimity exhibited the highest bridge centrality. Generosity and determination demonstrated the greatest expected influence. A negative link between truthfulness and equanimity highlighted a potential conflict between absolute honesty and inner balance in this population. Notably, exploratory analyses by gender revealed distinct network structures. In males, determination, wisdom, and precept emerged as central strengths; however, results for males should be interpreted with caution due to sample size. In females, perseverance, loving-kindness, and meditation were the most influential. These gender-specific patterns suggest that targeting different core strengths according to gender may enhance the effectiveness of interventions for individuals with BPD symptoms. Overall, the findings suggest that fostering specific inner strengths, particularly equanimity, loving-kindness, and those identified as central for each gender, may enhance psychological resilience and inform more tailored intervention strategies for BPD. Full article

Traditional lie detection technologies, such as the polygraph and event-related potential (ERP)-based approaches, often face limitations in real-world applicability due to their sensitivity to psychological states and the complex, nonlinear nature of electroencephalogram (EEG) signals. In this study, we propose SparseMambaNet, a novel neural architecture that integrates the recently developed Bi-Mamba model with a Sparsely Activated Mixture of Experts (MoE) structure to effectively model the intricate spatio-temporal dynamics of EEG data. By leveraging the near-linear computational complexity of Mamba and the bidirectional contextual modeling of Bi-Mamba, the proposed framework efficiently processes long EEG sequences while maximizing representational power through the selective activation of expert networks tailored to diverse input characteristics. Experiments were conducted with 46 healthy subjects using a simulated criminal scenario based on the Comparison Question Technique (CQT) with monetary incentives to induce realistic psychological tension. We extracted nine statistical and neural complexity features, including Hjorth parameters, Sample Entropy, and Spectral Entropy. The results demonstrated that Sample entropy and Hjorth parameters achieved exceptional classification performance, recording F1 scores of 0.9963 and 0.9935, respectively. Statistical analyses further revealed that the post-response “answer” interval provided significantly higher discriminative power compared to the “question” interval. Furthermore, channel-level analysis identified core neural loci for deception in the frontal and fronto-central regions, specifically at channels E54 and E63. These findings suggest that SparseMambaNet offers a highly efficient and precise solution for EEG-based lie detection, providing a robust foundation for the development of personalized brain–computer interface (BCI) systems in forensic and clinical settings. Full article

Background/Objectives: In patients with spinal cord injury (SCI), quality of life (QoL) is increasingly recognized as an important indicator of their ability to sustain both the rehabilitation process and post-rehabilitation community reintegration, and it plays a crucial role in prognosis. The primary purpose of this study was to identify the demographic and clinical correlates of different QoL domains as perceived by patients hospitalized after SCI. Methods: We conducted a cross-sectional study on a single day in the units of the Montecatone Rehabilitation Institute (MRI), the largest Italian center for intensive rehabilitation of individuals with SCI. We administered the World Health Organization Quality of Life–Short Version (WHOQOL-BREF), which consists of 26 items rated on a five-point Likert scale. Study participants included 88 adults with SCI; a total of 74% were male, with a mean age of 53.3 years (SD = 15.05). The lesion was traumatic in 74% of cases and complete in 59%. Physical health showed a weak negative association with age (r = −0.213, p = 0.05), whereas social QoL demonstrated a significant positive association with age (r = 0.215, p = 0.046). Psychological QoL was significantly lower in females compared with males (46.9 vs. 55.1, p < 0.05) and in patients living alone compared with those not living alone (46.1 vs. 54.6, p < 0.05). Conclusions: Clinicians should consider routine assessment of QoL to personalize post-discharge therapeutic plans and to implement targeted interventions aimed at improving outcomes in patients with SCI. Full article

Despite the increasing emphasis on residents’ prosperity aspirations in rural development initiatives, the lack of a psychometrically sound measure limits comparability and rigor, as existing studies primarily focus on structural and policy factors influencing community prosperity, with insufficient attention to residents’ psychological processes and subjective experiences. Drawing on community psychology, this study develops and validates a measure of rural residents’ aspirations for common prosperity, integrating personal fulfillment with collective advancement across material and spiritual domains. Employing a three-phase mixed-methods design, Study 1 used in-depth interviews and grounded theory procedures (N = 28) to develop a theoretical model comprising four dimensions: material–individual, material–collective, spiritual–individual, and spiritual–collective. Study 2 generated a 19-item, four-factor scale via exploratory factor analysis and exploratory graph analysis (N = 581). Study 3 confirmed the scale’s second-order factor structure and psychometric properties with confirmatory factor analysis (N = 659). The Common Prosperity Aspiration Scale (CPAS) demonstrated strong reliability and validity across its four dimensions and the overarching second-order factor. This pioneering study elucidates the psychological structure of common prosperity aspirations and provides a psychometrically reliable measure for rural contexts. It serves as a valuable tool to explore their influence on behaviors and promote sustainable community development. Full article

Ageism refers to prejudice on the basis of a person’s age, often directed toward older adults. Arab culture represents a pertinent case, as this culture is historically known for its appreciation of older people, but recent studies have indicated high levels of ageism. This systematic integrative review aims to synthesize the attitudes toward older adults in Arab culture and their determining factors. Research was screened using the PRISMA guidelines, and 23 articles were included for synthesis. Thematic and content analyses were performed, from which five themes emerged: “demographic factors”, “psychological factors”, “knowledge of ageing”, “sociocultural factors and aspects” and “self-ageism and ageing experiences”. Knowledge of aging and close interpersonal relationships with older adults were associated with lower levels of ageism and more positive attitudes. Sociocultural aspects, including the low socioeconomic status in most Arab countries, seem to be associated with ageism. Moreover, individual factors like low self-esteem, low empathy, and high death anxiety were related to negative attitudes toward older adults. The review also underlines the experiences and self-ageism among older people. The article provides insights into ageism directed towards older adults in Arab culture and ties knowledge with practice by highlighting the social and policy implications of the findings. Full article

Background/Objectives: The treatment of dual disorders (DDs) must be comprehensive and multidisciplinary. Evidence supports the effectiveness of psychotherapy in treating DDs. The second part of this consensus synthesizes the available evidence on psychological treatment for specific DDs. Methods: Two consensus methods were sequentially implemented: the nominal group technique and the Delphi method. Results: This consensus review encompassed a compilation of recommendations for the psychological treatment of neurodevelopmental, anxiety, post-traumatic stress, somatic symptom, eating, and personality disorders. Finally, recommendations for the future research agenda on the psychological treatment of DD were included. Conclusions: (1) Psychological treatment, particularly integrated treatment, is effective. (2) In the case of dual autism, interventions for substance use disorders should be adapted to this population’s characteristics. (3) More research is needed on dual social anxiety, panic, generalized anxiety, somatic symptom, and eating disorders, for which Cognitive Behavioral Therapy (CBT) is the most commonly used treatment. (4) For dual attention deficit hyperactivity disorder, multicomponent treatment is recommended (psychoeducation, CBT, and peer or family support). (5) For dual anxiety disorders, CBT is the first-line treatment. (6) For dual post-traumatic stress disorder, CBT (cognitive processing therapy and prolonged exposure therapy), acceptance and commitment therapy, stress inoculation training, and Eye Movement Desensitization and Reprocessing (EMDR) are effective. (7) For dual personality disorders, evidence is scarce. (8) For borderline personality disorder, dialectical behavior therapy, dynamic deconstructive psychotherapy, and dual-focus schema therapy show promise. (9) For antisocial personality disorder, CBT, contingency management, and counseling on impulsive lifestyles may be useful. (10) Much more evidence is needed from studies that overcome the methodological limitations of existing ones. Full article

With the rapid development of the sharing economy and the progress of social ecological civilization, social media influencers (SMIs) have garnered significant from academia and practitioners for their pivotal role in fostering pro-environmental behavioral intentions within the tourism consumption context. Drawing on the two-step flow theory, social influence theory, and social learning theory, this study establishes an integrated analytical framework to elucidate how SMIs facilitate the balance between tourism development and ecosystem preservation by activating pro-environmental behavioral behavior. This study conceptualizes the SMIs’ multi-traits as a higher-order construct (a third-order reflective structure), which integrates content-determined and personality-determined attributes, viewing SMIs’ effectiveness as a coherent system of influence rather than a series of fragmented traits. Based on survey data collected from 598 Chinese social media users, the study utilized Covariance-Based Structural Equation Modeling (CB-SEM) to test the proposed model. The results demonstrate that SMIs’ multi-traits exert significant positive effects on parasocial relationships and wishful identification, which in turn enhance individuals’ willingness to mimic. This willingness to mimic serves as a core behavioral conversion mechanism, bridging digital influence on three pro-environmental behavioral intentions: general, specific and online advocacy intentions. Furthermore, robustness analyses reveal marked heterogeneity across education- and income-based groups, indicating that the efficacy of SMI traits and the psychological-to-behavioral conversion efficiency are contingent upon the recipients’ socioeconomic resources and cognitive capital. Overall, this study characterizes social media influencer marketing as a scalable, socially driven phenomenon that can effectively activate and promote pro-environmental behavioral intentions, providing valuable insights for environmental education and sustainable tourism development in the digital age. Full article

Self-rated health is a comprehensive indicator reflecting an individual’s subjective assessment of their overall health status. The health condition of students in elite universities is directly related to the quality of talent reserves and the long-term development of the country. However, the multiple challenges they face make them prone to subhealth issues. To understand and effectively intervene in the health dilemmas of this group from a psychological perspective, this study constructed a cross-lagged model to examine the potential bidirectional relationship between anxiety and self-rated health. We utilized two-wave longitudinal data from a sample of 896 undergraduate students (mean age 21.37 years, 60.27% male, 92.08% Han nationality) from five elite universities in Beijing, China. Anxiety was measured using the Depression Anxiety Stress Scales, while self-rated health was assessed via a single-item score. The study revealed that during the two survey periods, the anxiety levels of elite university students decreased (7.682/7.462), whereas their self-rated health scores increased (81.781/83.255). Higher levels of anxiety were significantly associated with lower levels of self-rated health in both the concurrent and cross-lagged analyses (r = −0.299~−0.173, p < 0.01). Prior anxiety could predict later self-rated health (β = −0.081, p < 0.05), but the reverse path from self-rated health to anxiety was not confirmed. Our findings indicate that anxiety among elite university students has a unidirectional prospective effect on self-rated health. On the basis of these findings, universities should integrate mental health services into their routine work systems, and students should also increase their sense of personal responsibility for their own health, actively seeking effective pathways to improve their physical and mental well-being. Full article

Background: Evidence on the long-term impact of sapropterin in phenylketonuria (PKU) is limited. Understanding its effects on dietary restrictions, growth in children, and caregiver burden is essential to optimize PKU management. Methods: This prospective, two-year longitudinal study with a comparison group followed 33 children with PKU after sapropterin responsiveness assessment (21 responsive, 12 non-responsive). Outcomes included metabolic control, prescribed protein intake, dietary patterns, growth, psychological measures, and caregiver burden. Results: Sapropterin-responsive children increased natural protein intake from 10 g to 28 g/day at 2 years (p < 0.001), with reduced protein substitute intake (60 g [56–63] to 45 g [40–60], p < 0.05); no changes occurred in non-responsive children (p > 0.05). Animal-based foods (cheese, eggs, meat, fish) were introduced in 52% (11/21) of responsive children once tolerance exceeded approximately 25 g/day. The caregivers of responsive children reported reduced financial, familial-social, and personal burden (all p ≤ 0.05), alongside decreased food neophobia (p = 0.005) and caregiver depression (p = 0.013). In sapropterin-responsive children, weight and BMI z-scores remained stable, while height z-score increased over 24 months (p = 0.03); non-responsive children had higher weight and BMI z-scores than responsive children at 24 months (p = 0.037 and p = 0.026). Blood phenylalanine concentrations remained within recommended target ranges overall, with lower median values in responsive children at several time points. Conclusions: Sapropterin enabled more flexible, sustainable dietary management in responsive children with PKU, supporting metabolic control, growth, and improved family well-being and social participation. Equitable access to therapies and long-term dietetic support remain essential to optimize outcomes. Full article

Background/Objectives: Asthma is one of the most prevalent chronic diseases in adolescence, a stage in which its management may be affected by developmental changes. The aim of the present study was to examine the core areas of psychological interventions in adolescents with asthma. Methods: A scientific search of the literature was conducted, identifying 26 articles that described intervention programs targeting this population. Results: The findings show heterogeneity both in the characteristics of these interventions and in the variables assessed. Moreover, numerous studies do not clearly specify the theoretical framework employed, nor do they consider relevant factors such as comorbidity or the differing levels of disease severity. These limitations hinder the replicability and generalization of the results, as well as the understanding of psychological and behavioral impact. Conclusions: Therefore, the need to advance research that develops personalized programs integrating relevant aspects and improving quality of life and clinical outcomes is highlighted. Nevertheless, the interpretation of these findings is limited by the heterogeneity of the available evidence, including variability in intervention formats, theoretical frameworks, and outcome measures. Full article