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Beyond Poor Sleep: Behavioral Correlates of Excessive Daytime Sleepiness and Academic Performance in Undergraduate Medical Students from Southern India: A Cross-sectional Study

Preethi Ashok Masali; Siddalingaiah HS Indian Journal of Sleep Medicine, 2026, Vol. 21, Issue 4, pp. 143-151 https://doi.org/10.5005/jp-journals-10069-0205

چکیده

Aim and background: Excessive daytime sleepiness (EDS) is reported far less often than poor nocturnal sleep quality in Indian medical students.We aimed to estimate EDS prevalence and its independent correlates (primary), and to compare these with poor sleep quality correlates in the same cohort and relate both to examination performance (secondary).We hypothesized that sleep hygiene behavior, not global sleep quality category, would dominate.Materials and methods: Prospective cross-sectional study of 354 of 450 eligible MBBS students (78.7%) at a Southern Indian college, sampled by stratified proportional randomization.Under supervised standardized administration, they completed the Epworth Sleepiness Scale (ESS; EDS >10), Pittsburgh Sleep Quality Index (PSQI), and Sleep Hygiene Index (SHI), with screen time, stress, mood, lifestyle, clinical covariates, and the latest university examination percentage.Excessive daytime sleepiness correlates were examined by logistic regression with a pre-specified confounder-adjusted sensitivity model.Results: Excessive daytime sleepiness affected 21.5% [95% confidence interval (CI) 17.5-26.0],more often among poor than good sleepers (27.7% vs 18.6%).Adjusted [area under the receiver operating characteristic curve (AUC) 0.773, 0.714-0.832],only poorer sleep hygiene remained independent [odds ratio (OR) 1.12 per point, 1.07-1.18],unchanged after adjustment for all measured confounders (1.12, 1.06-1.17).Examination percentage did not differ by sleep status (67.33 ± 5.16 vs 68.07 ± 5.72; p = 0.229); academic stage and sex, not sleep, predicted marks (R² = 0.152).Conclusion: In this cross-sectional sample, EDS was associated more closely with sleep hygiene behavior than with global sleep quality category, and the two had distinct correlation profiles.Screening for sleepiness alongside sleep quality, and addressing bedtime device use, merit consideration in student health services.These are associations only; no direction of effect can be inferred.Clinical significance: Measuring EDS alongside global sleep quality identifies a partly distinct at-risk group, for whom brief counselling on bedtime device use may be more specific than generic sleep hygiene advice.

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The relationships between noriuchi (stake, risk, time, outcome-sharing gambling) participation, gambling behavior, and problem gambling severity among Japanese gamblers

Goki Kohagura; Eiichi Kamimura; Kengo Yokomitsu Frontiers in Psychology, 2026, Vol. 17, pp. 1831401 https://doi.org/10.3389/fpsyg.2026.1831401

چکیده

Introduction In Japan, noriuchi refers to a collaborative gambling practice in which multiple players pool money used for betting and later split the final net profit or loss. This cross-sectional online study aimed (a) to estimate the prevalence of noriuchi among adult Japanese gamblers and (b) to examine how the frequency of noriuchi participation relates to gambling involvement and problem gambling severity. Methods In February 2022, an online survey was administered via Rakuten Insight, Inc. to adults aged 20 years or older. Participants were eligible if they reported gambling at least monthly in at least one of nine gambling activities during the past 12 months ( N = 2,000). Noriuchi participation frequency was assessed on a four-point scale (never, less than monthly, monthly or more, weekly or more). Outcomes included monthly gambling days, monthly gambling expenditure, and problem gambling severity measured with the Japanese version of the Problem Gambling Severity Index (PGSI). Results Overall, 498 participants (24.9%) reported noriuchi experience in the past 12 months; among them, 198 (39.76%) met the PGSI criterion for problem gambling. After adjustment for demographic covariates, noriuchi participation was associated with greater problem gambling severity across several gambling activities. Associations with monthly gambling days and expenditure were more limited and varied across gambling activities, with significant increases primarily observed among those engaging in noriuchi weekly for certain gambling activities. Discussion These findings suggest that noriuchi is associated with problem gambling severity, whereas its associations with gambling frequency and individual gambling expenditure are less consistent.

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Edukasi Pencegahan Bullying melalui Pendekatan Partisipatif pada Siswa Sekolah Dasar di SDN Sindangsono, Kabupaten Subang

Siti Nur Azizah; Fitria Zulfa; Ahmad Farihin; Titania Raesha Rahma; Putri Dewi Anggraeni MAYARA Jurnal Pengabdian Masyarakat, 2026, Vol. 4, Issue 3, pp. 337-348 https://doi.org/10.71382/mayara.jurn.peng.masy..v4i3.423

چکیده

Bullying remains a concern at SDN Sindangsono because teasing and name-calling occur in student interactions, while students’ understanding of the forms of bullying is still limited. This community service activity aimed to describe bullying prevention education through a participatory approach for third- and fourth-grade students. The activity involved 64 students, consisting of 34 third-grade and 30 fourth-grade students, and included an initial question-and-answer session, presentation of learning materials, an educational video, discussion, sharing session, written reflection, oral evaluation, and a joint commitment. Evaluation was conducted through the initial question-and-answer session and oral evaluation. At the beginning of the activity, students’ responses were more focused on physical bullying. Fifteen students (23.4%) voluntarily stated that they had engaged in actions they understood as bullying, while all participants stated that they had experienced feeling bullied, mainly through teasing and name-calling. After the activity, students’ responses began to include verbal, social, and social media-related forms of bullying, accompanied by reflective responses regarding peer interactions. All participants also took part in a joint commitment to prevent bullying. The activity indicated a broader understanding of bullying, the emergence of reflection, and student participation in bullying prevention.

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Simulation-based neural dynamics of stress-related negative cognitive bias in depressive symptoms: a dynamical EEG/ERP framework

Yimin Zhang; Jianping Liu Frontiers in Human Neuroscience, 2026, Vol. 20, pp. 1972914 https://doi.org/10.3389/fnhum.2026.1972914

چکیده

Introduction This simulation-based computational study develops a non-linear state-space framework for stress-related negative cognitive bias and multivariate EEG/ERP observations. Methods A three-state model represents negative bias, cognitive control, and arousal, while symptom load and normalized model stress input reshape a quartic bias potential. N2, P3, late positive potential, frontal theta, frontal alpha asymmetry (FAA), and frontoparietal phase locking provide complementary observation channels. Additional checks distinguish the non-linear benchmark from additive and interaction-only competing generators, examine equilibria of the full coupled system, and perturb the observation model. Results We establish bounded stochastic dynamics, a conditional scalar multistability boundary, stable-branch stress sensitivity, and a sufficient local state-observability condition. A seeded benchmark with 180 simulated participants yields model-implied stress-by-symptom slopes of 66.83 ms for response time, 1.12 μV for LPP, 0.775 dB for frontal theta, 0.133 for FAA, and 0.0769 for frontoparietal PLV. Under a non-linear generating process, mean held-out RMSE was 0.060 for the pre-specified quartic candidate vs. 0.436 for the interaction-only candidate. State-reconstruction RMSE increased from 0.152 under the nominal loading matrix to 0.232 under 15% loading perturbations. Discussion These results demonstrate implementation consistency and characterize model sensitivity; they are not clinical effect estimates or evidence of empirical parameter identifiability.

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Academic motivation and basic psychological needs among university students in physical education and mountain sports: a self-determination theory study

Ştefan Alecu; Gheorghe Adrian Onea Frontiers in Psychology, 2026, Vol. 17, pp. 1983915 https://doi.org/10.3389/fpsyg.2026.1983915

چکیده

Academic motivation in physically demanding university programmes may be better understood by considering motivational quality rather than motivation quantity alone. This cross-sectional observational survey supplemented by structured content analysis examined relationships among basic psychological need satisfaction and frustration, autonomous motivation, controlled motivation, amotivation, continuation intention, and career commitment in first- and second-year students enrolled in Physical Education and Mountain Sports at Transilvania University of Brașov. Data were collected from 6 to 30 October 2025 after ethics approval, yielding a final analytical sample of 237 students. Participants completed the Academic Motivation Scale-College/University version, the Basic Psychological Need Satisfaction and Frustration Scale, contextual and sport-related items, continuation and career indicators, and two open-ended prompts. Original open-ended answers were standardized into 50 motivation and 50 demotivation formulations and independently coded by both authors. Autonomous motivation averaged 5.04 (SD = 1.05), amotivation 2.40 (SD = 0.95), overall need satisfaction 3.72 (SD = 0.73), and overall need frustration 2.21 (SD = 0.76). Need satisfaction correlated strongly with autonomous motivation (Spearman ρ = 0.704), whereas need frustration correlated strongly with amotivation (ρ = 0.661). In adjusted models, need satisfaction was positively associated with autonomous motivation (β = 0.539, p < 0.001), and need frustration was positively associated with amotivation (β = 0.569, p < 0.001). Human coding agreement was high for motivation (92.0%, κ = 0.898) and demotivation (94.0%, κ = 0.927). Teaching/prosocial impact was the most frequent motivation category (33.8%), while curriculum/teaching/assessment was the most frequent demotivation category (23.6%). Overall, self-reported need satisfaction and frustration were differentially associated with motivational quality in this cohort, but the cross-sectional, single-faculty design precludes causal or population-level conclusions.

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Withdrawing Social Reinforcement as a Distinct Bystander Response to Bullying

Yilihamu Alimu; Marilyn Anne Campbell; Chrystal Whiteford International Journal of Bullying Prevention, 2026 https://doi.org/10.1007/s42380-026-00385-x

چکیده

Abstract Importance Bullying is increasingly understood as a social process in which peers influence whether it persists. Anti-bullying policies and programs often encourage bystanders to intervene directly, yet direct defending can carry social costs for defenders, and evidence that it reduces later victimization is mixed. Some interventions already target the peer rewards that sustain bullying, but participant-role classifications tend to absorb deliberate non-reinforcement into outsider behavior or passive bystanding. Objective This paper argues that withdrawing social reinforcement, the deliberate withholding of social rewards that peers confer on bullying, such as attention, approval, amplification, or audience participation, should be conceptualized as a distinct bystander response. Methods This conceptual analysis draws on the social-ecological framework, participant role theory, social cognitive theory, and evidence that the outsider category is internally heterogeneous. Results Withdrawing social reinforcement is functionally positive when it reflects a refusal to endorse bullying and reduces the social rewards available to the student who bullies. It differs from uninvolved passivity in intent and social function, and from indirect defending in primary target, because these responses act on different points in the social process of bullying. When enacted collectively, it may also signal reduced peer endorsement of bullying and shift perceived peer norms. Conclusions Helpful bystander responding should not be defined only by direct intervention. Bystanders can also target the social rewards that sustain bullying, and responses grouped as passive bystanding differ in whether they sustain or withhold those rewards. Future research should test whether withdrawing social reinforcement can be reliably distinguished from uninvolved passivity and indirect defending, and whether it reduces reinforcement for students who bully. Implications for Practice Withdrawing social reinforcement requires less public confrontation than direct defending, offering students who cannot or will not confront the student who bullies another way to respond. Schools can teach this method as an explicit option alongside upstanding.

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Readmission and Treatment Adherence During and After Court-Ordered Treatment in Arizona: A Retrospective Cohort Study

Shabnam Sood; Srinagesh Mannekote; Jennifer Filippelli; Neil Dudeja; Alexander Ayoub; Gilbert M. Ramos; … Community Mental Health Journal, 2026 https://doi.org/10.1007/s10597-026-01741-3

چکیده

Abstract Court-Ordered Treatment (COT) is used to address treatment non-adherence and psychiatric readmission in individuals with serious mental illness (SMI), who are at risk for treatment non-adherence and recurrent psychiatric hospitalization. Evidence regarding clinical outcomes associated with COT remains mixed, partly due to differences in legal frameworks and program implementation. To compare psychiatric readmission, outpatient appointment attendance, and long-acting injectable (LAI) medication adherence during COT and during the year following COT expiration in Arizona’s public behavioral health system. This exploratory, retrospective chart review identified 94 patients placed on COT between 2020 and 2021. Paired within-subject analyses included 29 patients whose COT expired and who completed a full one-year follow-up after COT expiration. Outcomes during COT were compared with outcomes during the year after COT expiration. Among the 29 patients analyzed, psychiatric hospital admission rates rose significantly from 10.3% (3/29) during COT to 34.5% (10/29) post COT expiration ( p = .039). Missed psychiatric appointments increased from 24.1% (7/29) during COT to 37.9% (11/29) after COT expiration, but this change was not statistically significant (p =.219). Among 19 patients with complete LAI follow-up data, 1 missed at least one scheduled LAI dose during COT compared with 4 after COT expiration ( p =.250). In this exploratory cohort, psychiatric readmissions were less frequent during COT than during the year following COT expiration. Both missed outpatient appointments and LAI doses were also more frequent after COT expiration, although these differences were not statistically significant, and the small sample limited the ability to detect meaningful differences. These findings should be interpreted cautiously given the small, selected cohort and retrospective observational design. Larger prospective studies are needed to further evaluate outcomes following COT expiration.

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Efeitos de um Programa de Terapia do Esquema Afirmativa para Pessoas LGB

Ana Clara Gomes Braga; Bruno Luiz Avelino Cardoso Revista Brasileira de Terapia Comportamental e Cognitiva, 2026, Vol. 28, pp. e262237 https://doi.org/10.31505/rbtcc.v28i1.2237

چکیده

Developing effective therapeutic protocols for LGBTQIA+ individuals requires a commitment to practices that do not perpetuate suffering. Addressing negative internalizations and minority stress are two common transdiagnostic aspects within this population. Therapeutic models, such as Schema Therapy (ST), have emerged as a promising strategy; however, research in this area is scarce. This study aimed to evaluate an Affirmative ST program for LGB individuals. The program was tested in a pilot study involving nine participants. A total of 10 sessions were conducted, and the evaluation focused on: positive and negative affect, anxiety, stress (including minority stress), and depression. The effects of the intervention were analyzed using the Hageman-Arrindell approach and GEE. Significant differences were found for: reduction in depression; stress; anxiety; negative affect; and an increase in positive affect and stigma perception. This research represents a pioneering effort in the field of ST with LGBTQIA+ individuals, and further studies are encouraged.

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Applying Information Processing Theory to a Novel Instructional Design in the Spanish Classroom

Melinda White International Journal of Designs for Learning, 2026, Vol. 17, Issue 2, pp. 96-110 https://doi.org/10.14434/ijdl.v17i2.41941

چکیده

This design case describes the development and iterative refinement of an instructional method for teaching the Spanish prepositions por and para, which are a persistent challenge for learners to master, even at advanced levels. This instructional design is a visually based mnemonic system that uses color-coded images to facilitate the memorization and contextual understanding of 14 distinct usage rules. Initially created from classroom necessity and refined over multiple semesters, the design combines visual aids, student interaction, and a novel “color reveal” step that retroactively assigns color categories—black-and-white for por and color for para—to previously memorized images. This delayed categorization allows learners to chunk and sort abstract grammar rules efficiently, reducing cognitive load and improving retention. The method was implemented in second-semester Spanish courses at a large Midwestern university and later adapted for asynchronous instruction. Only after developing the design did the theoretical underpinnings—dual coding, information processing theory, and schema formation—become clear. This case illustrates to the designer the value of practice-driven innovation and the role of cognitive theory in shaping effective instructional tools.

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Emotional and behavioral asymmetries in user responses to virtual versus human influencers

Kathleen M. Jagodnik; Alon Bartal Scientific Reports, 2026 https://doi.org/10.1038/s41598-026-77485-7

چکیده

As AI virtual influencers (AIVIs) proliferate, understanding human-AI emotional engagement is vital for advancing affective computing. To examine whether AIVIs evoke comparable affective responses to human influencers (HIs), we analyzed 156,918 Instagram comments that received 12+ million likes, integratinglarge language model (LLM)-derived knowledge graphs, emotion analysis, and machine learning. HI-directed discourse shows more differentiated emotional expression and a pattern consistent with more cohesive semantic networks than AIVI-directed discourse. AIVI-directed comments are less likely to express positive affect (24.8% vs. 41.5%) and also less likely to express negative affect (5.8% vs. 9.3%), indicating reduced affective expression of either valence rather than heightened negativity. This group-level tendency is not uniform: affective engagement varies substantially across AIVIs, and that variation is more closely associated with positive than with negative expression. Our Multi-Signal Embedding Network (MSEN), incorporating behavioral metrics and OpenAI semantic embeddings, classified influencer types from behavioral, affective and semantic features (F1 = 0.89), outperforming baselines including a state-of-the-art zero-shot LLM. These findings identify a boundary condition for the Computers Are Social Actors (CASA) paradigm: human-like appearance can elicit social responses without producing affective and semantic response patterns as rich as those elicited by HIs.

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The Protective Role of Teachers’ Psychological Resilience Against Burnout: A Systematic Review

Musa Eroğlu Kuramsal Eğitimbilim, 2026, Vol. 19, Issue 4, pp. 833-852 https://doi.org/10.30831/akukeg.1886221

چکیده

The aim of this systematic review is to comprehensively evaluate recent research examining the relationships between teachers’ psychological resilience, burnout, and related variables from a holistic perspective. In this context, empirical and review studies published between 2020 and 2025 and conducted with teacher samples were analyzed using a systematic review methodology. The literature search was carried out in the Social Sciences Citation Index (SSCI), Emerging Sources Citation Index (ESCI), and Scopus databases, and studies were selected based on predetermined inclusion and exclusion criteria. As a result of this process, 23 empirical studies and 4 review studies were included in the systematic review.The findings indicate that teachers’ psychological resilience is negatively associated with the emotional exhaustion and depersonalization dimensions of burnout, while it is positively related to favorable outcomes such as professional efficacy, well-being, and work engagement. Teachers with higher levels of psychological resilience appear to be more resistant to occupational demands and experience lower levels of burnout symptoms. While some of the reviewed studies identified psychological resilience as a direct predictor of burnout, others revealed indirect effects through variables such as job stress, teacher self-efficacy, motivation, and organizational conditions. The findings of the review studies further support these results and emphasize the importance of conceptualizing teachers’ psychological resilience within a framework of individual and organizational resources.In conclusion, this systematic review demonstrates that teachers’ psychological resilience functions as a significant protective factor against burnout. The findings suggest that interventions aimed at strengthening teachers’ psychological resilience at both individual and organizational levels may play a critical role in promoting sustainable teacher well-being.

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The effects of growth and fixed mindsets on academic procrastination among sports science students: the mediating role of locus of control

Burak Öner; Aykut ŞAHİN Frontiers in Psychology, 2026, Vol. 17, pp. 1932410 https://doi.org/10.3389/fpsyg.2026.1932410

چکیده

Purpose Academic procrastination (AP) is a pervasive self-regulatory problem that undermines students’ academic functioning and psychological well-being. This study examined the direct and indirect relationships between growth and fixed mindsets, internal and external locus of control, and AP in sports science students. Method Internal and external locus of control were tested as parallel mediators in separate growth and fixed mindset models. A cross-sectional predictive design was employed with 544 undergraduate sports science students in Eastern Anatolia, Türkiye. Participants completed measures of mindset, locus of control, and AP. Parallel mediation analyses were conducted using PROCESS Macro (Model 4) with 5,000 bootstrap samples, controlling for age and gender. Results The direct effects indicated that a growth mindset was negatively associated with AP, whereas a fixed mindset was positively associated with AP. A growth mindset was positively associated with an internal locus of control and negatively associated with an external locus of control, whereas a fixed mindset was negatively associated with an internal locus of control and positively associated with an external locus of control. An external locus of control was positively associated with AP and significantly mediated the relationships between both mindset dimensions and AP. In contrast, the internal locus of control did not significantly mediate either relationship. Male students reported higher AP levels than female students, and age was negatively associated with AP. Conclusion These findings suggest that an external locus of control is a key behavioral mechanism linking mindset beliefs to AP. Interventions targeting maladaptive external control beliefs may help reduce AP among sports science students.

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Anxiety and stress among spouses of persons with psychosis and their association with coping and family functioning: A cross-sectional study from Goa, India

E G Nandulal; Sudesh Nanda Gaude Indian Journal of Psychiatric Social Work, 2026, Vol. 17, Issue 1 https://doi.org/10.29120/ijpsw.v17i1.738

چکیده

Background: Spouses of persons with psychosis carry a distinct caregiving burden, but Indian studies often group them with other relatives. The study aims to assess anxiety and stress among spouses of persons with psychosis, examine their association with coping and family functioning, and explore differences by gender and marriage duration. Materials and Methods: In this cross-sectional analytical study, 80 spouses (32 men, 48 women) were recruited by purposive sampling at a tertiary psychiatric hospital in Goa. Anxiety and stress were measured with DASS-21 subscales, family functioning with the General Functioning subscale of the McMaster Family Assessment Device (FAD-GF), and coping with a 10-item researcher-constructed questionnaire. Results: Severe or extremely severe anxiety was reported by 95.0% of spouses, while 86.3% had moderate stress. Anxiety (ρ = 0.31, p = 0.005) and stress (ρ = 0.42, p < 0.001) were positively correlated with FAD-GF scores, indicating poorer family functioning with greater psychological distress. Coping scores were negatively correlated with anxiety (ρ = −0.27, p = 0.015) and FAD-GF scores (ρ = −0.30, p = 0.007), indicating that lower coping scores, defined as more frequent and effective coping, were unexpectedly associated with greater anxiety and poorer family functioning. The correlation between coping and stress was not statistically significant (ρ = −0.21, p = 0.062). Women reported higher anxiety than men (p = 0.047). Family functioning differed across marriage-duration groups (p = 0.036), although no pairwise differences remained significant after Bonferroni correction. Conclusion: Severe anxiety was very common among spouses and was associated with poorer family functioning. Because the design is cross-sectional, the sample is small and from one centre, and the coping scale is not validated, the findings show association only. Routine assessment of spouses and family-focused support are indicated. Keywords: Spouses; psychosis; anxiety; stress; coping; family functioning

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The Effectiveness of Storytelling with Urban Legends in Teaching Vocabulary to Young English Learners

Leonardo Antonio Bernal Cadena; Cristopher Sebastian Santo Henk; Sonia Jimena Castro Bungacho Revista Científica de Innovación Educativa y Sociedad Actual "ALCON", 2026, Vol. 6, Issue 5, pp. 30-42 https://doi.org/10.62305/alcon.v6i5.1301

چکیده

Vocabulary acquisition constitutes a fundamental component in learning English as a foreign language; however, traditional teaching methods do not always promote motivation or long-term lexical retention. In this context, the present study aimed to analyze the effectiveness of storytelling with urban legends in teaching vocabulary to young English learners. The re-search was developed under a quantitative approach and a quasi-experimental pretest and posttest design with a single group. The sample consisted of 48 students from the National and Foreign Languages Pedagogy major at the Technical University of Cotopaxi, and for data collection, a 30-item multiple-choice vocabulary test was used, which was applied before and after a pedagogical intervention based on four storytelling sessions using urban legends, de-signed for this research and validated through the judgment of three expert professors from the National and Foreign Languages Pedagogy major. The data were analyzed using descrip-tive statistics in Microsoft Excel, and the results showed an increase in the mean scores, which went from 20.27 in the pretest to 24.94 in the posttest; likewise, the minimum score increased from 5 to 11 points and the standard deviation decreased from 5.79 to 5.03, evi-dencing a more homogeneous performance after the intervention. In conclusion, the findings suggest that storytelling with urban legends constitutes a pertinent pedagogical strategy to strengthen English vocabulary learning by providing meaningful narrative contexts that favor the comprehension, retention, and use of new words.

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From concept to practice: an analysis of the implementation of the biopsychosocial model in public policies for suicide prevention in Spain

José Antonio Llosa; Isabel Montes-Pintos; Cristina Rea-Rodríguez; Beatriz Oliveros; Sara Menéndez‐Espina; Esteban Agulló Tomás Frontiers in Public Health, 2026, Vol. 14, pp. 1987569 https://doi.org/10.3389/fpubh.2026.1987569

چکیده

With the World Health Organization (WHO) estimating 720,000 deaths from suicide each year, the phenomenon of suicide is a priority in public health policy. International policy frameworks highlight the need to adopt biopsychosocial perspectives in order to understand the phenomenon of suicide; however, in practice, it is noted that social components play a minor role in policy design, with a preference for a biopsychological and clinical approach. This paper seeks to answer the question: Does Spanish public policy on suicide prevention operationalize the biopsychosocial model of suicide in its strategic implementation? To answer this question, a documentary analysis of public policies is carried out using the READ method. Current suicide policies in force in Spain are examined at three levels: transnational framework documents, national policies, and regional public policies. In the 15 policies analyzed, a lexicometric analysis is combined with a thematic qualitative policy analysis. The results show that, as one moves down to policies closer to the population, a gap emerges between the discursive use of the biopsychosocial model and its practical application. It is concluded that at the transnational and national policy levels, the biopsychosocial model predominates in the understanding of suicide, while in Spain’s autonomous communities, the psychobiological approach tends to be prioritized over social causes. This has an impact on the types of measures proposed, which have limited intersectional scope, a narrow view of the community-based approach, and prioritize healthcare resources to address the phenomenon of suicide.

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The effect of individual factors on the attitude of age discrimination with the empathy levels of family physicians: Samsun example

Mustafa Ünal; Muhammed Emin GÖKTEPE; Mustafa Bağlar BMC Geriatrics, 2026 https://doi.org/10.1186/s12877-026-08429-z

چکیده

Ageism is a widespread but often overlooked form of discrimination that can manifest both positively and negatively in healthcare. In clinical practice, discriminatory attitudes towards older adult can impact the quality and equality of medical care. Empathy plays a crucial role in mitigating such biases among physicians. This study aimed to evaluate the attitudes of family physicians toward age discrimination and to assess the relationship between these attitudes and physicians’ empathy levels, along with the influence of various sociodemographic factors. A descriptive, cross-sectional survey was conducted between May and August 2021 among family physicians, residents, and specialists working in Samsun, Turkey. Data were collected via online, phone, or face-to-face surveys using the Attitude Scale of Age Discrimination (ASAD) and the Jefferson Scale of Physician Empathy – Health Professional version (JSPE-HP). A total of 299 physicians participated. Participants exhibited high levels of empathy (mean JSPE: 81.6±9.49) and generally positive attitudes toward older adults (mean ASAD: 88.19±8.65). Age, gender, and professional experience significantly influenced both empathy and ageism scores. Older, female, and more experienced physicians showed more empathetic and less ageist attitudes. A statistically significant, low-level positive correlation was found between empathy and positive attitudes toward older adults.

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The longitudinal relationship between subjective exercise experience and physical exercise among university students: the moderating role of motivational beliefs

Delu Meng; Wenlong Guo; Ting Zhang; Xinqi He; Peng Jia; Jing Li; … Frontiers in Public Health, 2026, Vol. 14, pp. 1972061 https://doi.org/10.3389/fpubh.2026.1972061

چکیده

Purpose To investigate the longitudinal relationship between university students’ subjective exercise experiences and their physical exercise behavior using a cross-lagged research design, and to analyze the moderating role of motivational beliefs in this relationship. Methods A one-year, two-stage longitudinal questionnaire survey was conducted among 422 university students in Jiangxi Province (52.6% male, mean age = 18.29 ± 0.632 years) using the Subjective Exercise Experience Scale, the Adolescent Physical Activity Scale, the Exercise Self-Efficacy Scale and the Perceived Value of Exercise Scale. Results (1) Gender differences were observed in both subjective exercise experience and physical exercise behavior across the two phases; male participants scored higher on average than female participants across all measures. (2) There was a significant positive correlation between subjective exercise experience and physical exercise behavior among university students. (3) Results from a cross-lagged model controlling for gender indicated that subjective exercise experience at T1 significantly and positively predicted physical exercise behavior at T2 ( β = 0.385, p < 0.001), and physical exercise behavior at T1 significantly and positively predicted subjective exercise experience at T2 ( β = 0.336, p < 0.001). (4) Motivational beliefs exerted a significant positive moderating effect on both cross-lagged pathways. Conclusion Gender differences exist in both subjective exercise experience and physical exercise behavior among university students; there is a longitudinal relationship across time between subjective exercise experience and physical exercise behavior; and motivational beliefs exert a significant moderating effect on the prospective predictive pathways between subjective exercise experience and physical exercise behavior.

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Assessment of Sleep Characteristics in Healthy Infants and Toddlers Using Hindi Version of Revised Brief Infant Sleep Questionnaire: A Cross-sectional Study

Akash Kumar; Kalyana Prabhakaran; Kuldeep Singh; Jagdish Prasad Goyal; Prawin Kumar Indian Journal of Sleep Medicine, 2026, Vol. 21, Issue 4, pp. 152-157 https://doi.org/10.5005/jp-journals-10069-0201

چکیده

Aims and background: The sleep-wake cycle and sleep consolidation are essential to children's growth and development.There is a paucity of studies on the sleep characteristics and the effect of electronic media on them in healthy Indian infants and toddlers.The objectives were to assess the sleep characteristics of healthy Indian infants and toddlers and to examine the impact of electronic media on them.Materials and methods: This was a cross-sectional study at a tertiary center in India, among healthy children aged 3-36 months.Those with concurrent illness (e.g., gastroenteritis, respiratory illness) were excluded.A Hindi version of the Revised Brief Infant Sleep Questionnaire (BISQ-R) was used to assess sleep patterns.Results: A total of 100 children were enrolled during the study period; their median (IQR) age was 12.1 (3.5, 18) months, with most of them being males (74%).The median (IQR) total sleep duration was 11 (10.0,13.3) hours.Electronic media exposure was noted in 83 (83%) children.Of them, 27 (32.5%)children were exposed to ≥1 hour/day.There was no significant difference in sleep duration, night awakenings, or wakefulness between media-exposed and media-unexposed groups in children.Similarly, there was no significant effect of media exposure on sleep characteristics.Conclusion: Sleep duration in infants and toddlers was below the international recommendation.A majority of children had exposure to electronic media, and one-third had exposure of at least 1 hour.Approximately three-fourths of parents didn't perceive the child's sleep problems.Clinical significance: There is an urgent need to routinely evaluate sleep characteristics in infants and toddlers and to increase awareness of sleep hygiene and media exposure among parents.

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Research Trends in Outdoor Learning in Science Education: A PRISMA-Based Systematic Literature Review (2021–2025)

Aida Safitri; Novi Ratna Dewi Journal of General Education and Humanities, 2026, Vol. 5, Issue 5 https://doi.org/10.58421/gehu.v5i5.1520

چکیده

This study aims to examine research trends and synthesize key findings related to the implementation of outdoor learning in science education through a Systematic Literature Review (SLR) approach. The literature search was conducted using the Scopus database and focused on publications published between 2021 and 2025. The initial search retrieved 197 records, which were subsequently screened in accordance with the PRISMA guidelines using predefined inclusion and exclusion criteria, resulting in 12 studies being selected for further analysis. Based on the descriptive mapping and synthesis of the selected studies, the findings suggest that outdoor learning may enhance students' conceptual understanding, engagement, learning motivation, and several aspects of thinking skills, although direct evidence regarding critical thinking remains limited. The reviewed studies suggest that outdoor learning may support conceptual understanding, engagement, motivation, and some aspects of thinking skills, although direct evidence on critical thinking remains relatively limited. Mixed methods emerged as the most frequently used research approach, followed by qualitative and quantitative methods. The review further identifies underexplored areas, particularly technology integration and the implementation of outdoor learning across diverse educational contexts, highlighting important opportunities for future research.

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Learning Strategies For Gifted And Talented Children In Elementary School

Yulianti; Syafrimen; Muhammad Muchsin Afriyadi Assoeltan Indonesian Journal of Community Research and Engagement, 2026, Vol. 4, Issue 02, pp. 2285-2291 https://doi.org/10.70610/edujavare.2188

چکیده

This study aims to explore and analyze effective learning strategies for gifted and talented students in elementary schools. Using a systematic literature review, it identifies the distinctive needs of gifted students and examines appropriate strategies, including curriculum enrichment, curriculum compacting, and acceleration. The findings indicate that gifted students need more challenging and targeted approaches to help them reach their full potential. Dynamic and relevant curriculum development, together with professional teacher training, is essential to creating a supportive and inspiring learning environment. Educational policies should therefore be more responsive to the needs of gifted students.

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