Search Results (20,888)

Modern society faces a growing prevalence of mental disorders, with stress emerging as a critical factor affecting mental well-being. In recent years, breathwork has gained public and scientific recognition as a promising approach for enhancing psychological health. Despite the rapid growth in research, the field remains fragmented due to the diversity of breathing techniques. Moreover, recent findings have challenged several foundational concepts traditionally believed to underlie the therapeutic effects of breathwork. This review offers a comprehensive overview and comparison of the most widely practiced breathing techniques, with a focus on addressing key theoretical issues. We examine the primary psychophysiological pathways and mechanisms of breathwork, highlighting its influence on the nervous system as central to its effectiveness. We critically evaluate the role of breathing variables, including pace, ratio, breathing route, attention, and the use of biofeedback, in promoting the long-term neurobiological changes that have been associated with improved mental health. We argue that most breathwork techniques share core neurophysiological mechanisms that benefit well-being, regardless of the theoretical differences between specific techniques. Accumulating evidence suggests breathwork may serve as both a preventive and adjunctive therapy for chronic stress, anxiety, and depression, given its potential to target key risk factors and produce clinically relevant outcomes. Contemporary breathwork research, however, is limited by inconsistent study quality and methodological heterogeneity. By synthesizing current evidence and identifying critical knowledge gaps, this review aims to guide future research and advance understanding of breathwork’s therapeutic potential. Full article

The study of early intervention programs for at-risk children and their families is a continuously evolving field. As a result, researchers, policymakers, and practitioners focus on the effectiveness of these programs. The educational outcomes of the implementation of early intervention programs have been well studied. However, regarding the financial and societal benefit of the implementation of these programs, studies are limited. Studies conducted in the past have indicated that early intervention programs are cost-effective; early intervention programs reduce the need for costly public services in the future by supporting the child’s wellbeing and development, promoting family stability, providing early access to appropriate support services, enhancing families’ knowledge and skills, and providing them with the resources necessary to support their children. There is a great need for updated financial evaluations related to the implementation of early intervention programs for at-risk children and their families to broaden their social impact. Thus, it is important that policymakers consider financial evaluations, in combination with qualitative data, in their decision-making procedures. Policymakers, researchers, and practitioners should closely cooperate in the planning and implementation of programs that meet the needs of the children and families who are at risk. Full article

This study examines the relationships between spirituality, resilience, and happiness among higher education students, exploring the moderating roles of religious belief and years of study based on developmental and religious coping theoretical frameworks. Developmental theory suggests that university students’ psychological resources evolve across academic years, while religious coping theory posits that individual differences in religious commitment may buffer spirituality’s protective effects on well-being outcomes. Using a quantitative cross-sectional approach, data were collected from 459 university students from environmental science programs across public and private universities in northern Peru. Participants were predominantly female (59.04%) and aged 18–24 years (73%). Three validated instruments were administered: the Personal Spirituality Scale, Connor–Davidson Brief Resilience Scale, and Subjective Happiness Scale. Religious beliefs were measured on a 5-point scale, while years of study was categorized by academic year. Results from partial least squares structural equation modeling revealed significant direct effects of spirituality on both happiness (β = 0.256, p < 0.001) and resilience (β = 0.274, p < 0.001), with resilience also significantly influencing happiness (β = 0.162, p < 0.05). The structural model demonstrated exceptional explanatory power, with spirituality explaining 97.1% of variance in resilience, while spirituality and resilience together accounted for 86.2% of variance in happiness. Contrary to theoretical expectations, neither religious beliefs (β = 0.032, p = 0.489) nor years of study (β = −0.047, p = 0.443) showed significant moderating effects. These results suggest that spirituality and resilience serve as universal contributors to student well-being, operating independently of specific religious orientations and academic progression. The findings support integrating spiritual development and resilience-building components into inclusive university student support programs. Full article

Condition factors are essential in fishery science. They provide insights into fish well-being according to the impact of environmental stressors. The Fulton condition factor (K) and hepatosomatic index (HSI), as well as two new indices (GILSI and GITI), were used to assess the well-being of herring and bycatch species (cod, flounder, sprat, long-spined bullhead, lumpfish) from the Baltic Sea. For Cyclopterus lumpus and Taurulus bubalis, K and HSI values were reported for the first time. Fish from different basins differed according to biometric measures (weight: 6.09–750.12 g; length: 8.6–41.8 mm) and condition indices (mean K: 1.19; HSI: 0.02; GITI: 0.04; GILSI: 0.03). Microplastics (MPs) were found in all species (21% (sprat)–79% (lumpfish)), averaging 3.1 items/fish. The organ-wise analysis revealed that 46% of the gills, 16% of the livers, and 38% of the gastrointestinal tracts were contaminated with MPs. The relationship between these indices and MPs abundance in the organs of herring was examined using PCA, revealing a negative impact of MPs on fish health. The morphometric features and the chemical composition of MPs were also detected. The dominant size ranges were 0.11–0.5 mm (30%) and 1.01–5 mm (28%). Blue fibers were the most common. Full article

Background/Objectives: Positive psychology interventions (PPIs) may enhance well-being in individuals with severe psychiatric conditions (SPCs), yet little is known about individual differences in treatment response. Methods: We conducted a secondary analysis of a single-blind, parallel-group randomized controlled trial. A total of 119 adults receiving outpatient mental health care were randomized to an 11-week multicomponent PPI plus treatment as usual (PPI + TAU) or TAU alone. A priori demographic and baseline clinical variables (e.g., age, gender, education, diagnosis, symptom severity) were tested as predictors and moderators of six well-being outcomes. Moderation analyses were conducted using the PROCESS macro (version 4.1) for SPSS version 29.0, with simple slopes explored for significant interactions. Analyses followed an intention-to-treat approach. Results: Individuals who were unemployed, had a diagnosis within the psychosis spectrum, or exhibited high interpersonal sensitivity showed improvements in well-being irrespective of the treatment modality received. Older patients, those attending more weekly therapy sessions, and individuals with less somatization, hostility, or life satisfaction levels responded particularly well to the specialized PPI + TAU treatment. While several interactions were significant at p < 0.01, none remained significant after Bonferroni–Holm correction. Nevertheless, the patterns were consistent and theoretically grounded. Conclusions: Individual characteristics may influence the effectiveness of PPIs in SPC populations. Identifying predictors and moderators can inform more personalized interventions. The findings warrant replication. Trial registration: ClinicalTrials.gov, NCT01436331. Full article

Due to rapid urbanization over the past five decades, there has been growing interest in the role of biodiversity in supporting human well-being. While previous research highlights the role of landscape biodiversity in psychological restoration, the pathway linking visual and auditory cues to perceived biodiversity—and subsequently to restorative outcomes—remains poorly understood. This study explores how visual and auditory stimuli influence human perception, including perceived biodiversity, preference, and restorative effects, within environments that maintain a consistent level of ecological biodiversity. This study constructed 16 hypothetical environments by combining three visual factors (species evenness, vegetation height, and plant color) with one auditory factor (presence or absence of natural sound), holding actual biodiversity constant. By comparing results from ANOVA and mixed-effect modeling, our analysis revealed important contrasts between the direct and indirect effects of visual and auditory features on perceived biodiversity and restoration. Plant height and natural sound consistently demonstrated direct positive effects on restorative outcomes. In contrast, plant color and species evenness influenced restoration indirectly, mediated through perceived biodiversity. The mixed-effect model indicated a partial mediation pathway between landscape features and restorative effects—an effect not observed in the ANOVA analysis. Surprisingly, species evenness was not directly associated with restorative outcomes, but was indirectly linked via perceived biodiversity. Similarly, while color enhanced biodiversity perception, it did not directly improve mental restoration and, under some conditions, may even contribute to overstimulation. These findings suggest that the restorative benefits of nature arise not only from the ecological composition of landscapes but also from how biodiversity is perceived. Designers and planners should consider not only biodiversity itself, but also how it is presented and perceived through multisensory experiences. Full article

Background/Objectives: Patients with heart failure (HF) experience increased morbidity, limited daily activities, and diminished quality of life (QoL), thus relying on a family member, widely known as informal caregiver, for support. The objective of this study was to explore (a) QoL, anxiety, and depression; (b) factors associated with QoL; and (c) the impact of associated factors on QoL among HF caregivers. Materials and methods: Data collection was performed using the 36-Item Short Form Survey (SF-36), the Hospital Anxiety and Depression Scale (HADs), and the European Heart Failure Self-care Behavior Scale (EHFScBS). Also recorded were characteristics of caregivers and patients. Results: In the present study, 110 HF caregivers and the family members they provided care to were enrolled. The majority of caregivers were patients’ spouses (60%) and were female (71.8%). Within a QoL score range of 0–100, caregivers showed moderate to high levels in role-physical, role-emotional, emotional well-being, and pain (median: 75, 66.7, 64, and 67.5, respectively); moderate QoL levels in energy/fatigue, social functioning, and general health (median: 55, 56.3, and 62, respectively); and poor QoL levels in physical functioning (median: 18). Moreover, 64.5% of caregivers had anxiety and 41.8% had depression. Caregivers with HADs scores that indicate anxiety and depression had worse QoL (p = 0.001). No association was detected between caregivers’ QoL and patients’ HADs and self-care. Conclusions: QoL and anxiety/depression merit further research by clinicians, health systems, and policymakers so that evidence-based policies and interventional programs tailored to their needs can be implemented. Full article

Climate change is the biggest global health threat of the 21st century. However, this challenge presents an opportunity to do things differently. This paper sets out how, using a design-led and collaborative approach, one can re-imagine the delivery of healthcare itself in a way that will deliver environmental sustainability. The paper presents a series of eight projects at the intersections of design, health and wellbeing, and complex net zero challenges, with an emphasis on inclusive, equitable, and sustainable design-led interventions. This encompasses diverse interventions across and beyond conventional design boundaries such as architecture, product design, and textile design providing insights that demonstrate the impact of design thinking, making, and acting on real-world net zero issues. Addressing such a broad and complex topic requires engagement across a wide range of stakeholders. The work undertaken has been conducted as part of a UK Government-funded Green Transition Ecosystem (GTE) Hub that has allowed multiple academic disciplines, research organisations, regional and local industry, and other public sector stakeholders, to connect with policy makers. Across seven themes, the paper describes how Design HOPES (Healthy Organisations in a Place-based Ecosystem, Scotland), as a design-led GTE Hub, brings in multiple and marginalised perspectives and how its design-led projects as one part of a wider movement for transformational change can re-use, nurture and develop these interventions sustainably. The overarching ambition being, through our collaborative design-led thinking, making, and acting, to build a more equitable and sustainable health and social care system across Scotland. Full article

Objective: To evaluate patient perceptions regarding ultrasound-guided embryo transfer, visualisation of embryos prior to transfer, and continuity of care with the same physician during in vitro fertilisation (IVF) treatments. Setting: Between January and September 2023, this study was conducted at the IVF MOMO’ FertiLIFE centre in Bisceglie, Italy. Design: Descriptive and observational study based on an anonymous survey administered to IVF patients at the time of embryo transfer. The goal was to assess the subjective emotional and psychological response to selected procedural elements of the embryo transfer process. Participants: Out of 284 distributed questionnaires, 200 were included in the final analysis. Inclusion required fully completed responses. Questionnaires with incomplete, unclear answers or patient refusal were excluded. The study group was compared with the general IVF patient population treated at the centre over the past 5 years to ensure representativeness. Methods: Patients completed a structured questionnaire using a five-point Likert scale. Statistical analysis included descriptive statistics, Spearman’s rank correlation, Friedman test, and exploratory factor analysis. Ethical approval was obtained (CELFer no. 07/2021), and all participants provided written informed consent. Results: The majority of patients reported a heightened sense of calm and reassurance during ultrasound-guided embryo transfer. Viewing embryos on a monitor before transfer was also positively perceived. A strong preference emerged for continuity of care with the same physician throughout the IVF process. While this study did not assess objective stress levels or clinical outcomes, the findings highlight the psychological comfort associated with these patient-centred practices. Limitations: This single-centre study is based on self-reported data and lacks objective assessments of psychological well-being. Therefore, results reflect personal perceptions rather than measurable clinical outcomes. Broader, multicentre research using validated psychological tools is needed to confirm and expand these findings. Furthermore, the questionnaire used in this study was developed internally and not validated externally with standardised psychometric instruments. Conclusions: This study provides insight into IVF patients’ subjective experiences, emphasising the perceived emotional benefits of specific procedural and relational aspects of care. These findings support the integration of patient-centred strategies—such as visual engagement and physician continuity—into routine IVF practice to enhance overall patient well-being. Full article

Emotional labor, particularly in frontline service roles, has traditionally been examined through the lens of performance strategies, such as surface or deep acting. However, emerging research suggests that employees’ subjective interpretations of emotionally demanding situations—especially attributions of responsibility and perceived fairness—play a critical role in shaping their well-being. This study adopts a qualitative phenomenological approach to explore how frontline employees engage in meaning-making regarding the emotional labor demands during customer interaction. Drawing on six group semi-structured interviews, we conducted a thematic analysis to investigate ho<w workers attribute responsibility for emotion regulation demands and how these attributions relate to perceptions of distributive justice and emotional exhaustion. Results indicate that employees differentiate between emotional labor demands based on who they perceive as responsible for the triggering event—whether the client or themselves. Attributions of responsibility for these demands, especially when placed on clients, were associated with a stronger sense of distributive injustice and heightened emotional exhaustion. The evidence extend current emotional labor models by highlighting the centrality of meaning-making processes in employee experience and suggest that responsibility attribution and fairness appraisals are critical mechanisms through which emotional labor impacts occupational well-being. Implications for theory and workplace practices in service contexts are discussed. Full article

Background: Dental professionals face high levels of occupational stress, which intensified during the COVID-19 pandemic, contributing to increased burnout, diminished well-being, and signs of accelerated biological aging. This systematic review explores the role of physical activity as a protective factor for mental and physical health, with a focus on promoting resilience and long-term occupational sustainability in a post-pandemic volatile, uncertain, complex, and ambiguous (VUCA) environment. Methods: A systematic review was conducted in accordance with PRISMA 2020 guidelines. Studies published between 2000 and 2024 were identified through PubMed, Scopus, and the Cochrane Library using MeSH terms related to dentistry, physical activity, stress management, and occupational health. Of 850 records screened, 28 studies were included: 24 cross-sectional, 2 systematic reviews, 1 retrospective, and 1 case–control study. Inclusion and quality appraisal followed standardized criteria. Results: The included studies consistently showed that physical activity was associated with reduced burnout, improved psychological well-being, enhanced postural function, and potential markers of slowed biological aging in dental professionals. Several studies reported moderate-to-strong associations, with effect sizes ranging from small improvements in perceived stress scores to substantial reductions in MSD prevalence. Interventions combining exercise with ergonomic education, stress management, and institutional support demonstrated the stronger and more consistent benefits for professional sustainability. Conclusions: Physical activity, when integrated into comprehensive workplace wellness frameworks, significantly enhances the mental and physical resilience of dental professionals. Embedding movement, ergonomics, and psychosocial support into practice environments offers a promising strategy for safeguarding long-term workforce sustainability and improving public health outcomes. Full article

Given the importance of plants for ecosystem functioning, sustainability, and human well-being, children should be introduced to local species as early as possible. This study investigated whether kindergarten children (n = 24) can acquire knowledge of trees through a motion-based educational game and a subsequent half-day excursion. During the game, illustrations of trees were shown, their names were called out, and the children were asked to perform certain movements relating to features/names of the trees they had practiced. In semi-structured interviews directly after the activities and three months later, the children were asked to identify the trees by their leaves and to provide reasons why they had remembered their names. Already, after playing the game for four weeks, species with large and iconic leaves such as Norway maple (Acer platanoides) were correctly identified in nature by about 80% of the children. The interviews showed that even after three months, children correctly identified more than half of the species presented. They recognized the trees by their shape and the texture of their leaves but also by remembering the corresponding movements. The combination of motion-based play and hands-on, sensory investigations can be recommended to promote plant knowledge right from kindergarten age. Full article

Background/Objectives: Missed nursing care (MNC), defined as any omitted or delayed aspect of required patient care, is a global concern affecting both patient outcomes and nurse well-being. In Saudi Arabia, few studies have examined its relationship with job satisfaction. This study assessed the prevalence of MNC, job satisfaction, and their association among nurses in government hospitals. Methods: A correlational, cross-sectional study was conducted between February and May 2025 in government hospitals across Albahah, Hail, and Almadina. A total of 366 registered nurses participated. Data were collected via a structured online questionnaire including demographic information, the Missed Nursing Care Scale, and the Minnesota Satisfaction Questionnaire (MSQ). Data were analyzed using descriptive statistics, Spearman’s correlation, and regression analysis. Results: Basic care activities such as mouth care, bathing, and meal assistance were the most frequently missed tasks, mainly due to staffing shortages and high patient loads. The median MSQ score was 60 (44–71 Interquartile Range), reflecting moderate job satisfaction. A significant negative correlation was observed between MNC and job satisfaction (r = −0.267, p < 0.001), indicating that increased missed care was associated with lower satisfaction levels. Conclusions: The findings highlight the urgent need for healthcare administrators and policymakers to implement strategies to improve staffing levels and work environments. Addressing these organizational factors is essential to reducing missed nursing care, enhancing nurse job satisfaction, and ultimately improving patient safety and care quality in Saudi government hospitals. Full article

The burden of depression is a public health concern, and traditional treatment approaches to mental health alone may be insufficient. The effects of contact with nature on wellbeing have been shown to reduce stress and improve mood, emotional wellbeing and mental health difficulties. Thus, self-guided nature-based interventions (NBIs) present a promising approach to improving mental health and wellbeing. However, there is limited evidence on the development of such interventions. This two-armed pilot randomised controlled trial aimed at determining the feasibility, acceptability and preliminary efficacy of a novel, 4-week, self-help NBI (Roots and Shoots©). Forty-seven participants were randomised (1:1) to either receive the Roots and Shoots intervention or a waitlist control. Participants in both conditions completed measures including wellbeing (primary outcome) and depressive symptoms, rumination, sleep and nature relatedness (secondary outcomes) at three timepoints: baseline (T0), 2 weeks (T1) and 4 weeks (T2). Those who completed the intervention period reported high acceptability and satisfaction with the intervention. The findings from this pilot study indicate potential for improvements in wellbeing following the intervention, which appears reasonably feasible and acceptable. Future research is warranted to further investigate the efficacy of this novel NBI in a larger, powered clinical trial. Full article

Background and Objectives: Gait is a fundamental human behavior essential for individual autonomy and well-being; it reflects a complex inter-joint coordination that can change with aging. Materials and Methods: This study applied a network-based fingerprinting approach to evaluate the stability and individuality of gait coordination in adults (mean age: 41.6) and older adults (mean age: 73.5). Each participant completed two gait recordings, from which we constructed kinematic networks (i.e., kinectome) representing joint–velocity correlations. Then, borrowing from network fingerprinting techniques, we computed measures of intra-subject similarity (Iself), inter-subject similarity within the same group (Iothers), cross-group similarity (Iextra), and individual discriminability (Differentiation rate, DR). Results: While Iself was comparable across groups, older adults showed higher Iothers and lower DR, indicating more homogeneous and less distinctive coordination patterns. Furthermore, Iothers was significantly higher than Iextra in the older group only, suggesting age-specific convergence in motor behavior. Conclusions: These findings support the hypothesis that aging reduces the individuality of gait coordination, possibly due to adaptive or degenerative changes in motor control. Kinectome-based fingerprinting thus offers a promising tool for capturing subtle shifts in neuromotor organizations linked to aging. Full article