Background Eating-related behavioural factors may contribute to the complexity of glycaemic management in type 2 diabetes mellitus (T2DM), but their relationships with treatment context remain insufficiently understood. This study examined hedonic hunger and eating-disorder symptom dimensions in relation to glycaemic control across different treatment regimens in adults with T2DM. Methods This cross-sectional study included 203 adults with T2DM attending an outpatient diet clinic in southeastern Turkey between March and September 2025. Participants were receiving oral antidiabetic medication only ( n = 108), insulin only ( n = 32), or combined oral medication plus insulin therapy ( n = 63). Hedonic hunger was assessed using the Power of Food Scale (PFS), and eating-disorder symptom dimensions using the 13-item Eating Disorder Examination Questionnaire–Short Form (EDE-Q-13). Anthropometric measurements, 24-h dietary recall data, fasting plasma glucose (FPG), and glycated haemoglobin (HbA1c) were obtained. Hierarchical linear regression was used to examine factors associated with HbA1c. Results HbA1c differed substantially across treatment groups and was highest in the insulin-only group ( p < 0.001). Several PFS subscales and EDE-Q-13 symptom dimensions also differed between groups, although their effect sizes were small. Selected PFS dimensions were weakly positively correlated with glycaemic indicators, whereas the EDE-Q-13 eating-restraint subscale and total score showed weak inverse correlations with HbA1c. In the fully adjusted model, insulin-only and combination therapy were associated with higher HbA1c compared with oral medication only, while body mass index (BMI) was inversely associated with HbA1c. Neither the PFS food available subscale nor the EDE-Q-13 total score remained independently associated with HbA1c. The final model explained 27.2% of the variance in HbA1c (adjusted r 2 = 0.230). Conclusion Treatment context was more strongly related to glycaemic status than the behavioural measures assessed, although modest differences in hedonic hunger and eating-disorder symptom dimensions were evident across treatment regimens. These findings suggest that eating-related behavioural characteristics may provide complementary information in nutritional assessment and should be interpreted alongside the broader clinical context of T2DM management.
Bullying is a problem in educational settings associated with students’ psychological conditions and learning processes. However, research on the relationship between bullying and students’ interest in learning in Islamic Religious Education (PAI) and Character Education at the junior high school level, particularly at SMPN 02 Sungai Beremas Pasaman Barat, remains limited. This study aimed to analyze the relationship between bullying and students’ interest in learning in PAI and Character Education. The study employed a quantitative approach with a correlational design involving 45 eighth-grade students at SMPN 02 Sungai Beremas Pasaman Barat. Data were collected through questionnaires and documentation and analyzed using normality tests, linearity tests, and Pearson’s product–moment correlation with IBM SPSS Statistics 27. The analysis revealed a significant relationship between bullying and students’ interest in learning (r = .531; p < .001), with a moderately strong correlation. Based on the instrument’s scoring system, this relationship was interpreted as indicating that lower levels of bullying were associated with greater interest in learning. These findings contribute to the empirical evidence on the association between bullying and interest in learning in PAI and Character Education and underscore the importance of a safe and comfortable learning environment. The practical implication is that schools need to address bullying prevention as part of their efforts to support students’ interest in learning. Future research should involve a broader sample, examine a wider range of variables, and employ more comprehensive data collection methods.
This study was motivated by low learning outcomes in Buddhist Religious Education and Character Building at SMKS Bakti Pangkalpinang: 82.35% of students had not achieved mastery in Semester 1 and 58.82% in Semester 2, presumably related to differing learning styles and low viriya (perseverance). This study analyzed the influence of learning styles and viriya on learning outcomes, partially and simultaneously, using a quantitative ex post facto approach on 58 of 68 students (Slovin formula, purposive sampling). Data were collected via a Likert questionnaire and outcome documentation, analyzed using multiple linear regression (IBM SPSS 25); instruments were valid-reliable and the model met the classical assumption tests. Results: Y = 15.479 + 0.747X1 + 0.297X2. Learning styles (t = 7.510; sig. = 0.000) and viriya (t = 2.993; sig. = 0.004) each had significant positive partial effects, and jointly significant effects (F = 74.112; sig. = 0.000) with an Adjusted R Square of 0.720 (72.0%). Learning styles were the most dominant, contributing 55.14%, underscoring the importance of appropriate learning styles and strengthened viriya.
Background Psychedelic retreats are increasingly used to promote wellbeing outside clinical settings, yet the psychological processes associated with sustained improvements in wellbeing remain poorly understood. From a public mental health perspective, identifying mechanisms that support positive mental health beyond symptom reduction is of growing importance. Methods This naturalistic longitudinal study followed 173 participants attending guided psilocybin retreats conducted within a structured framework of preparation, dosing, and integration. Mental wellbeing was reported before the retreat and across a 12-month follow-up period. Longitudinal changes were examined using linear mixed-effects models. Mediation analyses investigated whether changes in connectedness, neuroticism (anxiety facet), spiritual transcendence, and absorption were associated with changes in wellbeing. Mystical-type experiences were examined as potential predictors of these psychological changes. Results Participants reported substantial and sustained improvements in mental wellbeing over 12 months, moving from levels below Swedish population norms at baseline toward comparable levels at follow-up. Connectedness showed the strongest statistical association with improvements in wellbeing and accounted for the largest proportion of variance in wellbeing change, followed by reductions in the anxiety facet of neuroticism and absorption. Spiritual transcendence was associated with wellbeing improvements when examined separately but did not retain unique effects in the multiple mediation model. More intense mystical-type experiences predicted greater increases in connectedness, spirituality, and absorption, as well as greater reductions in neuroticism (trait anxiety). The association between mystical experiences and wellbeing was substantially attenuated when connectedness was included in the model, suggesting that connectedness may act as a candidate mediator linking mystical-type experiences to longer-term wellbeing, though the observational design precludes causal inference. Conclusions These findings extend prior work on psychedelic-assisted therapy to naturalistic retreat settings, suggesting that connectedness may represent a key psychological process linking psychedelic retreat experiences to sustained improvements in mental wellbeing. From a public mental health perspective, the results highlight the potential importance of social and relational factors in promoting wellbeing beyond the treatment of mental illness. Future controlled studies are needed to clarify the relative contributions of psychedelic, social, and contextual components.
Background Sleep duration is an important component of healthy aging, yet gender differences in short and long sleep among older adults remain insufficiently understood. This study aimed to examine gender differences in sleep duration among Chinese older adults and quantify the contributions of socioeconomic, behavioral, functional, and health-related factors to these differences. Methods Data were obtained from 9,590 adults aged ≥65 years who participated in the 2018 wave of the Chinese Longitudinal Healthy Longevity Survey. Sleep duration was self-reported and categorized as short (<6 h), normal (6–8 h), or long (>8 h). Multinomial logistic regression was used to identify factors associated with short and long sleep, with weighted analyses and Poisson regression performed as sensitivity analyses. Separate Fairlie decomposition analyses were conducted for short and long sleep to quantify the contributions of observed characteristics to gender differences. Results Overall, 44.95% of participants had abnormal sleep duration, with a higher prevalence among women than men (46.87% vs. 42.66%, p < 0.001). Compared with men, women had a higher relative risk of short sleep (RRR = 1.399, 95% CI: 1.204–1.625) but a lower relative risk of long sleep (RRR = 0.856, 95% CI: 0.754–0.972). The association with short sleep remained significant in the weighted analysis (RRR = 1.530, 95% CI: 1.210–1.935), whereas the gender difference in long sleep was attenuated (RRR = 0.821, 95% CI: 0.661–1.021). For short sleep, observed characteristics explained 21.65% of the gender disparity. Education (22.75%), depressive symptoms (11.07%), IADL limitation (6.02%), and self-assessed health (4.82%) contributed positively to the disparity, whereas smoking status (−22.57%), drinking status (−12.45%), and exercise (−4.87%) partially offset it. The gender difference in long sleep was negligible, with substantial offsetting contributions across factors. Conclusion Gender differences in sleep duration among Chinese older adults were primarily concentrated in short sleep, with women experiencing a higher risk. Socioeconomic, behavioral, psychological, and functional characteristics contributed to this disparity, although most of the short-sleep difference remained unexplained. Gender-sensitive interventions addressing educational disadvantage, depressive symptoms, functional limitations, and health behaviors may help reduce inequalities in sleep duration among older adults.
This study examined the relationship between teachers’ pedagogical approaches and the Kindergarten learners’ reading performance in selected schools in the Division of Cagayan de Oro. It assessed five approaches: context support, ICT integration, language experience, phonemic awareness, and the whole-word approach. It also evaluated learners’ performance in comprehension, phonics, and vocabulary. Using a descriptive-correlational research design, the study involved 115 Kindergarten teachers and 230 learners. Data were gathered through a modified questionnaire and standardized test, then analyzed using descriptive statistics and Pearson’s Correlation Coefficient. The findings revealed that teachers demonstrated a very high level of pedagogical approaches, with the whole-word approach rated highest and language experience lowest. Meanwhile, learners achieved satisfactory reading performance, with comprehension as their strongest area and vocabulary as their weakest. However, no significant relationship was found between teachers’ pedagogical approaches and learners’ reading performance. The study concluded that teachers were well-equipped to facilitate reading instruction through various strategies. It recommended providing more opportunities for learners to connect reading and writing activities with their personal experiences, interests, and real-life situations. Teachers were also encouraged to explore alternative instructional practices that address learners’ specific reading needs and improve their overall reading performance.
Background: Patients with pulmonary tuberculosis (TB) undergoing treatment may experience poor sleep quality and fatigue, potentially affecting daily activities and quality of life. Objective: This study aimed to examine the relationship between sleep quality and fatigue levels among patients with pulmonary TB undergoing treatment. Methods: This observational analytic study employed a cross-sectional design. The study was conducted in April 2026 at Primary Health Center X, Deli Serdang Regency, Indonesia, involving 21 participants selected through total sampling. Sleep quality was assessed using the Pittsburgh Sleep Quality Index (PSQI), while fatigue was measured using the Fatigue Severity Scale (FSS). Spearman's correlation test was planned with a significance level of α = 0.05. Results: According to the data presented in the manuscript, 14 participants (66.7%) had poor sleep quality, while 7 participants (33.3%) had good sleep quality. Moderate fatigue was the most frequent category, reported in 8 participants (38.1%), followed by severe fatigue in 7 participants (33.3%) and mild fatigue in 6 participants (28.6%). Cross-tabulation indicated that all participants classified as having severe fatigue belonged to the poor sleep quality group. Conclusion: The descriptive findings suggest a tendency toward greater fatigue among patients with poor sleep quality. However, the statistical significance of this relationship remains unconfirmed pending verification of the analysis using individual participant data
Introduction: During the first year of the COVID-19 pandemic, the global prevalence of anxiety and depression rose by about 25%, with women and young people most affected. Now that the emergency phase is over, it is necessary to know the mental health status of university students' families, a group that is rarely measured directly. Objective: To describe the levels of anxiety, depression and perceived stress among nursing students and their family members, and to explore their relationship with age, gender, socioeconomic stratum and religion. Methods: Quantitative, descriptive, cross-sectional study with non-probability convenience sampling. Thirty-nine people aged 17 to 79 took part: third-semester nursing students at Universidad Metropolitana de Barranquilla and their family members. The GAD-7, the PHQ-9 and the 10-item Perceived Stress Scale (PSS-10) were administered. Associations were tested with the chi-square test and, because of the small cell counts, with an exact test estimated by Monte Carlo simulation.Results: Of the participants, 67% were women, 31% were aged 17 to 25, 49% belonged to socioeconomic stratum 2 and 87% were Catholic. Absence of symptoms and mild levels predominated. Mild anxiety was the most frequent category among those aged 17 to 25 (66.7%), and 25% of those aged 44 to 52 had severe anxiety. The chi-square test suggested an association between age and anxiety (p = 0.046), but the exact test did not confirm it (p = 0.080). No other variable was significantly associated with anxiety, depression or stress. Conclusions: Participants mostly showed mild or no symptoms, with no significant differences by sociodemographic variables. The cross-sectional design and the sample size do not allow these levels to be attributed to the pandemic, but the cases of severe anxiety and moderately severe depression among middle-aged family members warrant follow-up of family mental health in the post-pandemic period.
Background and objectives Health literacy in adulthood plays a major role in an individual’s ability to use health information to benefit their health. Social determinants in early childhood initiate the development of health literacy through newborn brain development and oral language acquisition. Both of these processes are promoted by stimulation from everyday interactions with parents/caregivers at home and in the community. Unequal access to language-learning opportunities during early childhood represents a modifiable developmental and social determinant of later educational and health outcomes. There are inequities in these time-sensitive interactions—specifically language-learning opportunities—across families in the population, which are social determinants of early literacy, achievement in school, and later-life education, health, and economic and social well-being across the life span. This gap is most pronounced among children who grow up in poverty in the United States and internationally. The healthcare system in the United States effectively reaches to nearly all infants; however, language-learning opportunities are not a focus during well-child visits. The term “Language Nutrition” (LN) was coined in prior research to refer to these developmentally rich interactions known to support brain and language growth in children younger than preschool age. We developed Kansas City Brain Builders (KCBB) to address this inequity by promoting LN broadly among families and children in a community so that all children have a more equitable home language environment. The purpose of this study is to report longitudinal empirical findings on families and children related to the implementation of KCBB, a public health approach to community change, over 2 years. Methods The evaluation involved two parallel longitudinal studies: the Community study and the Family study. The Community study assessed the implementation of a KCBB multisectoral community partnership to promote LN-friendly changes in local programs, practices, and policies. The Family study involved longitudinal assessments of a sample of 83 English- and Spanish-speaking families with children younger than 36 months of age, evaluating the KCBB impacts on parental behaviors and child growth in language skills. Results KCBB led to a high level of documented program implementation and substantial LN promotion throughout the community. Repeated parent assessments indicated that participants had received LN messages from multiple community sectors over time, increased their knowledge of the importance of LN, and used LN through storybook reading, verbal responsiveness, and teaching behaviors during interactions with their children. Growth in children’s early language skills was significantly associated with the amount of LN they received. Discussion/Conclusion KCBB is one of the few multisectoral interventions designed to promote community-wide change targeting LN. It is a manualized intervention that can be replicated by other communities. This study employed three levels of measurement such that change could be evaluated in a theoretical framework of influence from community engagement to parental behavior and growth in child language skills. Findings provide preliminary evidence that a multisectoral community approach can achieve broad reach and is associated with changes in caregiver practices and child language growth. Larger, controlled, and replicated studies are needed to establish causal effects and determine whether such approaches reduce disparities in language-learning opportunities.
Introduction Information and communication technologies, including wearable sensors, offer accessible and ecological ways to support psychological processes underpinning technical practice in sport, such as the regulation of attention, arousal and mental load. The aim of this exploratory study is to examine whether heart rate (HR) and physical activity (PA), recorded with a chest-worn wearable, can serve as a potential, indirect correlate of the mental load experienced during golf putting training. Two research questions were of interest: (i) Do pre-shot HR and PA differ between made and missed putts? (ii) Do pre-shot HR and PA differ following a made compared with a missed putt? Methods Seven youth golfing athletes (13–16 years old; handicap (hcp) index < 12) performed a putting training exercise in which the goal was to score five consecutive putts from 3-metre distance to the hole. HR and PA were recorded continuously and matched with putting performance using video footage. Pre-shot HR and PA were taken as the mean over the 5 s before ball contact. Because the putts are nested within sessions and athletes, the analyses combine within-athlete non-parametric tests, corrected for multiple comparisons and reported with effect sizes, with linear mixed-effects models treating athlete and session as random effects. Results Pre-shot HR and PA do not differ significantly between made and missed putts (mixed-model estimate for HR: +0.09 bpm, 95% CI [−0.46, 0.64]; p = 0.76). However, pre-shot HR is higher following a made putt and lower following a missed one (+5.08 bpm, 95% CI [4.54, 5.62]; p < 0.001), an association that persists after adjusting for the pre-shot HR of the preceding putt. PA shows the opposite trend. Discussion Because no subjective ratings of mental load, arousal or affect were collected, mental load remains one plausible interpretation of this pattern rather than an established one. Pending validation against such measures, the approach could offer coaches and athletes an exploratory starting point for conversations about how training situations are experienced, and illustrates how continuous monitoring of HR may provide a potential indirect correlate of mental load in youth golfers.
Introduction Level-2 visual perspective taking (VPT-2) reflects children’s ability to understand others’ visual experiences. However, the effects of viewing angle and task materials on 4-year-olds’ performance remain unclear. Methods Using a picture-taking (“photographer”) task, this study examined the effects of test tool and rotation angle, as well as egocentric error patterns, among 163 four-year-old children from Hainan, China. A 2 (test tool: Lego figurines vs. geometric solids) × 3 (rotation angle: 0°, 90°, 180°) within-subjects design was used. The formal test comprised 18 four-alternative trials, with three trials in each Tool × Angle condition; each correct response scored 1 and each incorrect response scored 0. Performance was assessed using raw correct scores and the proportions of egocentric errors. Results Rotation angle significantly affected performance in a nonmonotonic pattern: raw correct scores were highest at 0°, followed by 180°, and lowest at 90°. The main effect of test tool was significant, with higher raw correct scores in the Lego figurine condition than in the geometric solids condition. The Tool × Angle interaction for raw correct scores was not significant. The proportions of egocentric errors showed significant main effects of test tool and rotation angle, as well as a significant Tool × Angle interaction. Egocentric errors were most pronounced in the geometric solids condition at 180°. Supplementary analyses revealed no significant sex main effect or sex-related interactions. Discussion These findings indicate that 4-year-olds’ VPT-2 performance varies across rotation angles and test materials. Performance differences between material conditions may be associated with differences in task structure, stimulus discriminability, social cues, and spatial-relational judgment demands, whose independent contributions could not be isolated in this study. Because the analyses relied on raw correct scores and error-type data, the findings should be interpreted as differences in behavioral performance rather than direct evidence about processing strategies or cognitive mechanisms.
Introduction Transgender and gender diverse (TGD) older adults in the United States (U.S.) face barriers to accessing health information and resources they need to make informed healthcare decisions. More resources are needed to promote their agency and preparedness to navigate an increasingly complex healthcare system and sociopolitical landscape. The purpose of this study was to develop a testable web-based resource to support informed healthcare decision-making for TGD older adults. Methods This multimethod co-design study integrated a human-centered design approach that centered the perspectives of TGD older adults in the research process. In the prototyping and testing phases of the study, TGD adults and multidisciplinary professionals from across the U.S. were enrolled to co-develop a web-based resource with the research team during individual and paired interviews. Participants also completed a demographic questionnaire and a website usability survey. Thematic analysis of qualitative data was used to identify design themes, which guided iterative prototyping of the web-based resource. Quantitative data were analyzed descriptively. Complementary data from the usability survey and participant interviews were integrated in a joint display. Results A total of 27 participants, of whom 14 (52%) were TGD older adults, enrolled in the prototyping and testing phases. Analysis of qualitative data across both phases yielded five design themes that structured the development of a functional web-based resource: (1) Facilitating healthcare decisions through information and resources; (2) Organizing complex content with clarity and inclusivity; (3) Maintaining security, accessibility, and navigability; (4) Phasing rollout to communities and organizations; and (5) Planning for leadership, stewardship, and partnership. In the prototyping phase, three low- and mid-fidelity prototypes of a health information and resources website for TGD older adults were developed. In the testing phase, participants trialed a mid-fidelity prototype of the website, and their recommendations for improvements were integrated into a high-fidelity prototype for dissemination. Conclusion This study is one of few studies using participatory methods to engage TGD older adults in public health research. Through the development of a health information and resources website, this study demonstrates an innovative and feasible community-based co-design approach to addressing barriers affecting healthcare decision-making for TGD older adults.
Academic expectations can be an important part of adolescent development, but students may experience these expectations as pressure. This study examined perceived parental pressure and academic stress among school students aged 16-18 years in Thanjavur, Tamil Nadu, and assessed the association between the two variables. A quantitative, descriptive-correlational, cross-sectional design was used. Convenience sampling yielded 61 consenting students. Data were collected through an online structured questionnaire containing a 20-item perceived parental-pressure measure and a 30-item academic-stress measure. Descriptive statistics, Cronbach's alpha, and Pearson's product-moment correlation were used. The mean perceived parental-pressure score was 52.31 (SD = 17.07), and the mean academic-stress score was 85.62 (SD = 22.59). Internal consistency was high in this sample (α = .95 and .96, respectively). Perceived parental pressure was positively associated with academic stress, r = .38, p = .003, 95% CI [.14, .57]. Students reporting greater perceived parental pressure tended to report greater academic stress. Because the study was cross-sectional and used a convenience sample, the findings do not establish causation and should not be generalised to all adolescents. The results highlight the value of realistic academic expectations, supportive family communication, and accessible school-based student support.
Creative competence, defined as the knowledge, skills, and dispositions required both to act creatively and to cultivate creativity in learners, is increasingly framed as a core professional capability for teachers, yet initial teacher education rarely addresses it systematically. This brief research report examines whether a game-based instructional module embedded in a standard pedagogy course can strengthen pre-service teachers' creative competence. Using a quasi-experimental, nonequivalent-groups pre-test/post-test design, two intact cohorts of undergraduate pre-service teachers ( N = 118) completed either a 12-week game-based module (“Creative Pedagogy Lab”; n = 61) or a conventional seminar covering the same syllabus ( n = 57). Outcomes included creative self-efficacy and creative personal identity (Short Scale of Creative Self), teaching-for-creativity competence, divergent thinking (Alternative Uses Task), and blind consensual ratings of an authentic lesson-design product; reflective journals and focus groups captured participants’ experiences. Covariate-adjusted analyses showed significant advantages for the game-based condition in creative self-efficacy ( η p² = .10), teaching-for-creativity competence ( η p² = .12), originality of ideas ( η p² = .06), and rated creativity of lesson designs (d = 0.82). No significant effect emerged for ideational fluency, and the effect on creative personal identity was small and did not survive correction for multiple comparisons. Qualitative findings offer contextual insight into these patterns rather than independent evidence of causal mechanism: participants described the games as low-stakes “safe-fail” spaces that granted permission to experiment, while time pressure and coverage anxiety constrained engagement. The results provide preliminary evidence that game-based approaches can be integrated into professional preparation without displacing core content, and they point to organizational conditions—curricular space, facilitator development, and assessment alignment—needed to sustain such approaches in teacher-education organizations. As a single-institution study with a predominantly female, elementary-track sample, these findings are preliminary and may not generalize to other subject areas, institutions, or more gender-balanced cohorts.
The development of digital-based work systems has increased job demands and technology use, which may lead to burnout among workers, particularly in the telecommunications sector. This study aimed to determine the relationship between job demands and technostress with burnout levels among employees of PT Telkom Infrastruktur Indonesia in Medan. This study employed a quantitative cross-sectional design. The population consisted of 55 employees, and all members of the population were selected as samples using a total sampling technique. Data were collected using the Job Demands-Resources Questionnaire (JD-RQ), Technostress Creators Scale, and Oldenburg Burnout Inventory (OLBI). Data analysis was conducted using the Spearman Rank Correlation test with a significance level of 0.05. The results showed a significant and strong positive relationship between job demands and burnout, with a p-value = 0.001 and a correlation coefficient of r = 0.750. In addition, a significant and strong positive relationship was also found between technostress and burnout, with a p-value = 0.001 and a correlation coefficient of r = 0.687. High job demands and technostress were associated with increased burnout. The company is advised to strengthen burnout prevention efforts by optimizing workload evaluations that take actual working conditions into account, providing regular training on the use of digital systems, and enhancing employee recovery initiatives through the optimal utilization of annual leave and better management of work-related communication outside working hours.
Self-harm represents a serious mental health concern in which emotional experiences play a significant role in both its onset and maintenance. This exploratory study examined which emotions were most frequently reported before and after self-harm, how selected emotions changed following self-harm, and how emotional experiences were associated with specific forms of self-harm and demographic factors (gender, religious identification). The sample comprised of 158 university students, of whom 130 reported a history of self-harming behavior and were included in analyses of emotional experiences. Data were collected using a modified Self-Harm Inventory questionnaire and measures assessing the occurrence of emotions before and after self-harm. Anger, feelings of failure, and sadness were the most frequently reported emotions preceding self-harm, whereas sadness, relief, disappointment, guilt, and shame were the most frequently reported emotions following self-harm. The reported frequency of anger, guilt, and sadness decreased following self-harm, whereas negative emotions remained prominent after the behavior. After Benjamini–Hochberg correction for multiple comparisons, religious identification remained negatively associated with self-harm frequency and with the reported frequency of several emotions. Gender was not significantly associated with the examined variables, although this finding should be interpreted cautiously given the gender imbalance and limited sample size. After correction, selected associations between emotions and specific forms of self-harm remained significant, including associations of anger with hitting oneself, disgust with starving oneself, hatred with self-defeating thoughts, guilt following laxative misuse, and changes in anger with hitting oneself and intentionally worsening medical situations. Overall, the findings indicate selective associations between emotional experiences and self-harming behavior while underscoring the need for longitudinal and event-level research to clarify their temporal and causal dynamics.
The present study examined the relationship between imposter phenomenon and career anxiety among final-year students in India. A quantitative correlational design was adopted with a sample of 36 final-year students (10 males, 26 females) selected through convenience sampling. Standardized measures included the Clance Imposter Phenomenon Scale and a self-constructed Career Anxiety Scale. Data were analyzed using descriptive statistics, Pearson?s correlation, and independent-samples t-tests. Results revealed a significant moderate positive correlation between imposter phenomenon and career anxiety (r = .45, p = .006). Female students reported slightly higher scores on both constructs, but gender differences were not statistically significant (p > .05). Findings suggest that imposter feelings contribute to career anxiety and may inform career counselling interventions in college settings.
Background Diabetes frequently co-occurs with depression, anxiety, and diabetes-related distress, and psychological status directly influences glycaemic control and the risk of complications. Traditional mental health assessment relies on subjective scales. With the growth of digital health, digital phenotyping offers a new paradigm for real-time, objective mental health monitoring and prediction. However, the pathways through which these technologies perform monitoring and prediction remain unclear. Objective This scoping review aimed to systematically map the application pathways of digital phenotyping for mental health monitoring and prediction in people with diabetes, and to use machine learning-assisted text mining to analyse the main research themes and hotspots, thereby informing the future development of individualised risk prediction models and monitoring systems. Methods A scoping review search was conducted in six English databases (PubMed, Embase, CINAHL, Web of Science, Scopus, and the Cochrane Library) and four Chinese databases (CNKI, Wanfang, VIP, and China Biomedical Literature Database[CBM]), covering studies published from database inception to 10 September 2026. The search strategy was built around terms related to diabetes, digital phenotyping, and mental health. Machine learning-assisted literature mining was used to identify thematic patterns in the included studies. The study selection process and overall workflow followed the PRISMA extension for scoping reviews (PRISMA-ScR). Results A total of 2,968 records were retrieved. After screening, 10 studies were included. The evidence indicated that digital phenotyping mainly enables real-time monitoring of mental health in people with diabetes through signals such as continuous glucose monitoring (CGM), passive smartphone sensing, voice, and ecological momentary assessment (EMA). Machine learning methods were widely used for risk prediction modelling, but most studies built models at the group level, with only a few adopting n -of-1 analysis or subgroup prediction to achieve individualised risk prediction. External validation of models was generally lacking, and no intervention studies were identified. Conclusions Preliminary evidence suggests that digital phenotyping has exploratory potential for mental health monitoring and prediction in people with diabetes, but research that genuinely achieves individualised risk prediction remains limited. Closed-loop monitoring-intervention design and multicentre external validation are the main directions for future research. Systematic Review Registration https://osf. io/6wsaj/ .
Introduction Event nominalizations are a central feature of academic language: they compress complex events into nominal structures, increasing informational density while reducing the transparency of thematic-role assignment. The present eye-tracking study examined whether nominalizations impose greater processing demands than corresponding active and passive constructions in developing readers, and whether these effects vary across readers with different linguistic and literacy profiles. Methods Seventy-nine fifth- and sixth-grade children participated in the study: 28 typically developing monolingual Italian children, 21 monolingual Italian children with developmental dyslexia, and 30 typically developing bilingual children with migrant background and Italian as the societal language. Participants silently read short passages in which the same target event was expressed either as a nominalization, a passive construction, or an active construction, and then answered comprehension questions while their eye movements were recorded. Accuracy, standard eye-movement measures, and scanpaths were analyzed to capture comprehension outcomes and online reading strategies. Results Nominalizations did not significantly reduce comprehension accuracy, but they affected online processing during both initial reading and the question-answering phase. Scanpath dissimilarity was higher for nominalizations than for both verbal constructions during initial reading, and than for passives during question-answering in correctly answered trials. In these trials, nominalizations were also associated with a higher probability of partial rescanning and a lower probability of minimal rescanning relative to active texts, indicating greater reliance on rereading when answering questions correctly. Moreover, children with dyslexia showed a generalized increase in processing effort, whereas bilingual children displayed an intermediate profile, with increased reliance on rereading during question-answering. Discussion These findings indicate that nominalizations significantly influence online reading processes even when questions are answered correctly, suggesting additional demands in retrieving information about event participants. Overall processing patterns differed across reader groups, and children with dyslexia showed the greatest effort in both online reading and question-answering.
Psychoanalysis occupies a unique position in psychiatry, simultaneously a body of knowledge, a method of clinical investigation, and a form of treatment. Despite its relevance to clinical practice, postgraduate psychiatry residents often encounter the subject with limited structured exposure, resulting in either fascination or dismissal. This primer aims to bridge that gap by providing an accessible, theoretically grounded introduction to psychoanalysis and its derivatives psychoanalytic psychotherapy and psychodynamic psychotherapy for postgraduate psychiatry residents. It outlines the core principles of psychoanalytic theory, the evolution of the field since Freud, key underlying neurobiological concepts, and the common factors shared across various dynamic therapies. The paper does not serve as a training manual, nor does it provide detailed accounts of individual defense mechanisms, models of mind, dream analysis, drive theory, or the historical development of analytic schools. It is intended to sensitize residents to the field and provide a foundation for further independent study.
