اضطراب

Background Multidimensional perfectionism theory distinguishes ambitious personal standards from evaluative concerns, but concern over mistakes and doubts about actions may exhibit different prospective associations with competitive functioning. This study tested whether general anxiety symptoms assessed shortly before competition carried distinct indirect associations from these two perfectionism dimensions to post-competition functioning and performance. Methods In this three-wave prospective study, 620 collegiate athletes completed item-level measures of personal standards, concern over mistakes, and doubts about actions at baseline. General anxiety symptoms were assessed with the DASS-21 Anxiety subscale 24–48 h before a target competition; flow, study-specific subjective choking, self-rated performance, coach-rated performance, and a harmonized objective performance indicator were assessed within 24 h afterward. A Bayesian ordinal latent-variable partial mediation model adjusted for personal standards, sex, age, competitive level, years in sport, and starter status. Multiple sensitivity analyses evaluated the robustness of the findings. Results Concern over mistakes strongly predicted greater anxiety symptoms (beta = 0.609, 95% highest-posterior-density interval [0.472, 0.744]), whereas doubts about actions did not (beta = 0.077, [−0.072, 0.218]). Greater anxiety symptoms predicted lower flow, greater subjective choking, and poorer performance across self-, coach-, and objectively indexed outcomes. Anxiety-related indirect associations from concern over mistakes were supported for flow (beta = −0.225), choking (beta = 0.275), self-rated performance (beta = −0.128), and objective performance (beta = −0.148), but not clearly for coach ratings. No indirect interval for doubts about actions excluded zero, although doubts retained direct associations with all five outcomes. Findings were stable across prior, complete-case, indicator-treatment, external-performance, longer-chain, and bipolar-functioning sensitivity analyses. Flow and subjective choking showed substantial overlap; bifactor results indicated that most of their common variance reflected a general competitive-functioning dimension. Conclusion Concern over mistakes demonstrated prospective indirect associations with competitive functioning through general anxiety symptoms assessed before competition and with lower flow, greater subjective choking, and poorer self-rated and objective performance. Mistake-related threat was linked to competitive functioning partly through pre-competition anxiety symptoms, whereas doubts about actions were associated mainly through processes not captured by the general anxiety measure. The findings support treating the two evaluative-concern dimensions as related but psychologically distinct.

Parental overprotection, which combines high control with low encouragement of autonomy, has been linked to anxiety in young people, but findings are mixed. This correlational, cross-sectional online survey examined whether adolescents? reports of parental overprotection were related to their anxiety. Participants were 86 school-going adolescents aged 13 to 18 years (M = 15.58, SD = 1.60; 43 girls, 40 boys, 3 who preferred not to say), recruited by convenience (snowball) sampling. They completed the brief current form of the Parental Bonding Instrument (overprotection = control minus autonomy items, averaged across mother and father) and the child version of the Screen for Child Anxiety Related Emotional Disorders (SCARED). Overprotection was not significantly related to anxiety, Spearman ρ(82) = .09, 95% CI [-.13, .30], p = .415, and results were similar for mothers, fathers, and in sensitivity analyses. The study could detect only correlations of about .30 or larger, and the overprotection scores had low reliability, so the result is inconclusive. Anxiety scores were high: 79.1% scored at or above the SCARED cut-off of 25. Larger samples and more reliable measures are needed.

Family members who provide daily care for people with chronic mental illness often carry substantial emotional, social and financial strain. This study examined caregiver burden, anxiety and depression among primary caregivers of patients with chronic mental illness, and tested whether burden was related to anxiety and depression and whether these outcomes differed by age, gender and relationship to the patient. A cross-sectional correlational design was used with a purposive sample of primary caregivers recruited through psychiatric outpatient and community rehabilitation settings in Bengaluru (planned n = 100; 105 complete records analysed). Burden was assessed with the 22-item Zarit Burden Interview (ZBI), and anxiety and depression with the Hospital Anxiety and Depression Scale (HADS). Because scores departed from normality, Spearman correlations, permutation-based Mann-Whitney and Kruskal-Wallis tests and Holm-adjusted Dunn comparisons were used. The mean ZBI score was 32.37 (SD = 15.96); 77.1% of caregivers scored in at least the mild-to-moderate burden band, 59.0% had HADS anxiety scores of 8 or higher and 60.0% had HADS depression scores of 8 or higher. Burden correlated strongly with anxiety (rs = .810) and depression (rs = .816), Holm-adjusted ps < .001. Relationship to the patient was significantly associated with burden, anxiety and depression (adjusted ps < .001), with parent caregivers scoring highest, whereas age and gender differences did not survive correction for multiple testing. Findings are provisional because of an unresolved sample-size discrepancy and the cross-sectional, self-report, non-probability design. The results support routine screening of caregivers? psychological health, with particular attention to parent caregivers, alongside caregiver-focused psychoeducation and counselling.

Traditional diagnostic systems, such as the DSM-5 and ICD-11, suffer from well-documented limitations, including high comorbidity rates, arbitrary diagnostic thresholds, and within-disorder heterogeneity. Consequently, the field is evolving towards hierarchical, transdiagnostic, dimensional models of psychopathology. This study reports on the development and initial validation of the Multidimensional Transdiagnostic Inventory of Psychopathology (MTIP). This new broadband inventory aligns traditional DSM disorders with contemporary dimensional models of psychopathology. We conducted initial development and basic psychometric analyses in a mixed sample of 301 adults. We then validated the MTIP in a second independent sample (N = 826), of which 640 who self-reported no history of past mental health treatment were used as our normative/reference sample. The final MTIP contained 13 clinical scales and seven supplemental scales. All the MTIP scales met core psychometric assumptions at the item, scale, and transdiagnostic levels. A series of exploratory and second-order factor analyses supported the MTIP hierarchical dimensional structure. Concurrent validity correlations with the DSM-5 level 1 cross-cutting symptom measure were strong, ranging from 0.89 (depression) to 0.51 (drug misuse). Regression analyses supported the construct validity of the higher-order transdiagnostic scales. Twelve of the 13 clinical scales differentiated individuals with a history of mental health care from those without past care, with effect sizes ranging from 0.20 (Alcohol Misuse) to 1.06 (Anxiety). Effect sizes for the transdiagnostic scales ranged from 0.33 (Thought Dysregulation) to 1.07 (Emotion Dysregulation). The clinical implications and potential applications of the MTIP are discussed.

Background Digital systems are integral to nursing practice, but sustained digital engagement may be accompanied by fatigue. The roles of general fear of missing out (FoMO) and perceived stress in the association between digital fatigue and nurses’ job burnout remain unclear. Guided by conservation of resources theory, this study examined the separate and serial indirect associations through FoMO and perceived stress. Method A cross-sectional survey included 554 clinical nurses recruited by convenience sampling from five tertiary Grade A hospitals in Hunan, China, between January and May 2026. Self-report measures assessed the four constructs. Structural equation modeling with bootstrap confidence intervals examined the proposed associations. Results Digital fatigue remained positively associated with job burnout when FoMO and perceived stress were included in the model. Positive indirect associations were identified through each variable separately and through FoMO followed by perceived stress (effect = 0.041, 95% CI [0.021, 0.066]). Conclusion Digital fatigue was positively associated with nurses’ job burnout, both directly and indirectly through general FoMO and perceived stress. Hospital managers could assess digital fatigue, stress, and burnout when reviewing digital workflows. Clearer expectations for responding to work messages and protected recovery time warrant prospective evaluation, including effects on staff wellbeing, workflow, and patient safety.

This study aims to explore the moderated mediation mechanism of sport confidence and coaching style in the relationship between competitive state anxiety and perceived performance among Chinese elite collegiate basketball athletes. Specifically, data were collected from 315 valid participants across 15 universities in Northeast China using validated scales, and SPSS 26.0 with PROCESS Macro (Model 7) and bootstrap (5,000 samples) were employed for analysis. Results indicated that competitive state anxiety significantly negatively affected perceived performance. Further analysis revealed that sport confidence mediated this relationship. The moderated mediation test showed that coaching style dimensions differentially regulated the path: the indices of moderated mediation for Training and Instruction, Democratic Behavior, Social Support, and Positive Feedback were significant, indicating these supportive dimensions attenuated the detrimental effect of anxiety on sport confidence. In contrast, Autocratic Behavior failed to moderate the process. Collectively, competitive state anxiety is negatively associated with perceived performance in this population, with sport confidence emerging as a key mediator. Notably, the four constructive coaching style dimensions—not the overall style—buffer the first stage of mediation by weakening the negative association between anxiety and confidence. These results underscore sport confidence as a critical mediator and highlight the need to foster confidence and adopt supportive coaching to mitigate anxiety’s adverse effects on perceived performance.

Abstract According to expectancy theory, people eat food that they expect will bring positive emotions. The present research aimed to identify food and non-alcoholic beverages UK adults most expected to bring positive emotions; test influences of high fat, salt and/or sugar (HFSS) and branding on expectancies; and investigate associations of expectancies with diet quality and comfort eating (i.e. eating induced by negative emotions). A representative sample of UK adults (n 1203; M age = 47 years; 52 % women; 87 % white) viewed food and non-alcoholic beverage images and completed the Anticipated Effects of Food Scale-Brief, a food frequency questionnaire, and questions about comfort eating and sociodemographic background. We ranked means of positive expectancies, conducted multilevel modelling to test influences of HFSS and branding on expectancies and examined correlations among expectancies, diet quality and comfort eating. Participants more strongly expected eating branded HFSS (e.g. Cadbury Twirl chocolate) v. generic non-HFSS (e.g. prawn curry) would result in positive emotions [b = 0·10, se = 0·04, p = ·02, 95 % CI (0·02, 0·18)]. Greater positive expectancies for HFSS – branded and generic – were associated with worse diet quality, especially positive expectancies for ice cream sundaes, fizzy drinks and chocolate (rs = –0·14 to −0·19, ps < ·001). Greater positive expectancies for HFSS and negative expectancies for HFSS and non-HFSS were associated with more frequent comfort eating (rs = 0·08 to 0·30, ps < ·05). Targeting positive HFSS expectancies through food environment policy and behavioural programmes may be a promising strategy for improving diet quality and reducing comfort eating in the UK adult population. Adults who comfort eat may also benefit from challenging negative expectancies for all foods.

Academic Competency Test (TKA) is an assessment tool designed to measure the literacy, numeracy, and reasoning abilities of high school students as indicators of academic readiness for higher education. However, TKA results show that student achievement is still relatively low and varies between subjects. This study aims to comprehensively examine the determining factors that influence the low achievement of senior high school students in the Academic Competency Test (TKA). This study uses a qualitative descriptive approach with a literature study method, with data sources in the form of reputable national and international scientific articles and secondary data from TKA results published by the Education Assessment Center, Ministry of Primary and Secondary Education. The data were analyzed through the stages of reduction, presentation, and conclusion drawing. The results of the study show that low TKA achievement is influenced by internal factors, including weak higher-order thinking skills (HOTS), low basic literacy and numeracy, high academic anxiety, and low student motivation to learn. In addition, external factors such as the gap between learning practices and national assessment requirements, the phenomenon of learning loss after the pandemic, limitations in teachers' pedagogical competencies, and socio-economic conditions also contribute to low TKA achievement. These findings show that TKA achievement is a reflection of the overall quality of the learning ecosystem and requires the strengthening of literacy, numeracy, and reasoning-based learning on an ongoing basis.

Background Concerns over possible employment displacement among undergraduates majoring in English have been raised by the growing use of artificial intelligence in writing, translation, and language services. However, limited research has examined the association between perceived AI replacement threat (PAIRT) and employment anxiety among English-major undergraduates or the roles of career insecurity and career decision-making self-efficacy (CDMSE). Methods This cross-sectional study surveyed 711 Chinese English-major undergraduates recruited through convenience sampling. After controlling for gender and grade level, AMOS and PROCESS Model 7 with 5,000 bootstrap resamples were used to examine the indirect and conditional indirect associations. Results PAIRT was positively associated with both career insecurity and employment anxiety. A significant indirect association between PAIRT and employment anxiety through career insecurity was observed, accounting for 48.29% of the estimated total effect. CDMSE significantly moderated the association between PAIRT and career insecurity, with this positive association becoming weaker at higher levels of CDMSE. The conditional indirect association through career insecurity was smaller at higher levels of CDMSE, and the index of moderated mediation was significant. Sensitivity analyses excluding the career replaceability items from employment anxiety produced substantively consistent results. Discussion These findings extend understanding of employment anxiety among English-major undergraduates in the context of AI.

Objective Operating room nurses work long-term in high-intensity, high-risk environments and suffer from a high prevalence of occupational fatigue, which seriously affects their physical and mental health as well as patient safety. Based on the Job Demand-Control-Support (JDCS) model, this study aimed to examine the mediating role of perceived stress between the dimensions of the JDCS model and occupational fatigue—including acute fatigue, chronic fatigue, and inter-shift recovery—among operating room nurses. Methods This multi-center cross-sectional study was conducted from August to September 2026, enrolling 1,122 operating room nurses from 9 tertiary Grade-A hospitals in eastern, central, and western China. A general information questionnaire, the Occupational Fatigue Exhaustion Recovery Scale, the Perceived Stress Scale (PSS-10), and the Job Content Questionnaire (JCQ) were administered. SPSS 25.0 was used for descriptive statistics, difference analysis, correlation analysis, and hierarchical multiple regression; AMOS 21.0 was used to construct a structural equation model, and the bias-corrected Bootstrap method was employed to test mediating effects. Results The scores of acute fatigue, chronic fatigue, and inter-shift recovery among operating room nurses were 45.55 ± 18.77, 44.13 ± 17.89, and 56.27 ± 17.83, respectively, indicating an overall moderate level of occupational fatigue. The perceived stress score was 21.01 ± 5.24; job demand was 36.44 ± 4.80; job control was 71.54 ± 18.07; and social support was 24.02 ± 6.61. Hierarchical regression showed that, after controlling for demographic and work characteristics, job demand, job control, and social support remained independent correlates of all three outcomes (acute fatigue model R 2 = 0.460, chronic fatigue R 2 = 0.305, inter-shift recovery R 2 = 0.353). The structural equation model showed that job demand positively predicted perceived stress ( β = 0.182, p < 0.001), while job control ( β = −0.251, p = 0.033) and social support ( β = −0.168, p = 0.040) negatively predicted perceived stress. Perceived stress positively predicted acute fatigue ( β = 0.336, p < 0.001) and chronic fatigue ( β = 0.209, p < 0.001), and negatively predicted inter-shift recovery ( β = −0.134, p = 0.029). Bootstrap tests indicated that perceived stress played a significant partial mediating role between job demand, job control, and social support and the outcomes of acute fatigue, chronic fatigue, and inter-shift recovery, although the indirect effects were small in magnitude (proportion mediated 3.41–17.35%). Conclusion Occupational fatigue among operating room nurses in 9 tertiary Grade-A hospitals is at a moderate level, and inter-shift recovery needs improvement. Perceived stress acted as a mediating variable linking JDCS dimensions to occupational fatigue, although the mediating effects were modest in magnitude. Nursing managers can improve occupational fatigue and recovery among operating room nurses by reducing unreasonable job demands, enhancing job control, strengthening social support, and alleviating perceived stress.

Background Depression and anxiety symptoms are common among college students. Behavioral and psychosocial indicators may support preventive campus mental health work, but risk-stratification frameworks require external validation. Methods We developed a construct-level model-explanation framework using questionnaire data from a development sample. The cleaned dataset included 1,267 students; internal-validation analyses included 1,096 students for depression risk and 1,095 for anxiety risk. Risk was defined as a Patient Health Questionnaire-9 (PHQ-9) or Generalized Anxiety Disorder-7 (GAD-7) score of 10 or higher. The primary Feature set C random-forest (RF) pipelines integrated demographic, traditional, and emerging behavioral and psychosocial indicators. Fold-specific preprocessing and percentile cutoffs were used for internal validation. Locked pipelines were applied without retraining, predictor reselection, optimization, recalibration, or threshold adjustment to an independent university sample of 1,468 students. Results External area under the receiver operating characteristic curve (AUROC), area under the precision–recall curve (PR-AUC), and Brier scores were 0.813 (95% CI, 0.776–0.848), 0.402 (0.325–0.491), and 0.090 (0.083–0.098), respectively, for depression and 0.809 (0.765–0.851), 0.205 (0.144–0.300), and 0.063 (0.056–0.070), respectively, for anxiety. Ordinary participant-level bootstrap was the primary approach, with stratified bootstrap as a sensitivity analysis. Depression calibration was close to the prevalence baseline (Brier 0.091; intercept −0.668; slope 1.401), whereas anxiety showed miscalibration (Brier 0.063 vs. baseline 0.051; intercept −1.227; slope 1.102). The models supported external discrimination and risk ranking but did not validate individual absolute-risk probabilities or clinical thresholds. Conclusion Behavioral and psychosocial indicators supported externally validated risk stratification in an independent university sample. Anxiety-risk findings should be interpreted as preliminary because the number of positive cases was limited. Further evaluation is needed before wider implementation.

Few events in recent history have forced clinicians and researchers to rethink mental health quite like COVID-19. In this commentary, we reflect on something that struck us while reading the work of Cantone et al. : the pandemic, for all its devastation, created a kind of unplanned observational window, a chance to study, at population scale, what happens when stress and rhythm disruption hit at the same time. Healthcare Workers (HCWs) were at the epicentre of this. They didn't just witness the crisis; they absorbed it, shift after shift, for months. What the data show is that their depressive symptoms and rhythm instability were not random; they appear systematically linked, and at levels one would more typically associate with mood disorder research. We discuss these findings through the lens of DYMERS (Dysregulation of Mood, Energy, and Social Rhythms Syndrome), a heuristic transdiagnostic construct that, in our view, captures something that standard categorical diagnoses tend to miss: the subthreshold, fluctuating psychopathology that sits just below the threshold of formal diagnosis but causes real impairment. The pandemic may not have created these vulnerabilities, but it may well have sharpened our ability to see them.

This longitudinal study examined the trajectories of healthcare workers’ mental health from the first to the second COVID-19 wave (May 2020–December 2020) in a Swiss tertiary hospital, and their association with individual and organizational factors. For each mental health outcome (depression, anxiety, peritraumatic stress, and well-being), a separate analysis identified two trajectories: one with higher, persistent levels of symptoms and one that was resilient, with low-level symptoms. The persistent trajectory comprised about 25%–30% of participants for anxiety, depression and peritraumatic stress and 47% for well-being; because the classifications were outcome-specific, membership differed across outcomes (about 15% of participants were on a persistent trajectory for all four outcomes and 46% resilient for all four). We found that women, nurses, caregivers, non-managerial employees, and frontline COVID-19 workers were more likely to follow a persistent trajectory. Organizational risk factors were a high workload and an irregular work schedule. These results provide a basis for implementing risk-adapted prevention measures and resilience-promotion programs to protect health workers from the impact of major crises. Future research should address the needs of vulnerable health workers to provide evidence-based health promotion.

Background Due to their shorter half-lives, paroxetine and venlafaxine often induce symptoms of discontinuation. There is still a lack of a thorough macroscopic analysis of the historical development and structure of this particular area. Methods The literature on this topic was collected from Web of Science and Scopus (2000–2025) and analyzed using bibliometric analysis. Descriptive and collaboration analyses utilized the merged dataset, whereas citation networks were constructed exclusively using Web of Science data. All data synthesis and visualizations were done in R using the bibliometrix, igraph, and ggplot2 packages, applying giant component extraction and the Fruchterman-Reingold force-directed layout for network optimization. Results A total of 903 documents were included. The number of annual publications reached its maximum around 2007 and since then has remained stable. The publications were primarily concentrated in North America and Europe, with the United States and the United Kingdom being the leading contributors. The clinical manifestations reported as “anxiety” and “withdrawal” were still basic themes identified in the results of the keyword analysis and thematic analysis. Interestingly, the research emphasis is now moving away from case reports of early phenomenology to “tapering” and “pharmacokinetics” (underlying strategies). Co-citation networks revealed a persistent theoretical impact from the pioneering psychopharmacologists and early specialized studies. Conclusions Venlafaxine and paroxetine withdrawal studies have evolved from clinical understanding to mechanistic investigation and protocol creation. Embedding some of the tapering ideas within a general treatment paradigm may offer a potential pathway to support clinical outcomes.

Benang Merah Bertaut Paku is a dance choreography that addresses psychological violence within the family as one of the main causes of anxiety disorder in children. Psychological violence often leaves no visible physical wounds, yet it has long-term effects on children’s mental health, such as fear, anxiety, pressure, and social isolation. Through the medium of dance, this work seeks to give voice to emotional wounds that are often hidden and rarely discussed openly. The creative process of this work employs dance creation methods consisting of exploration, improvisation, composition, evaluation, and revision. Exploration was conducted to discover movement qualities that represent inner pressure, such as restrained, repetitive, and withdrawn movements. Guided improvisation was used to explore the emotions of children who are ignored and yelled at by their parents. Supporting elements such as tin plates as a symbol of verbal outbursts, white cloth as a symbol of emotional bondage, minimalist music, and dim lighting were used to strengthen the psychological atmosphere of the work. The result of this choreography shows that dance can function not only as entertainment and aesthetic expression, but also as a critical and empathetic language toward social realities. The dancer’s body becomes a medium to convey silence, inner tension, and a child’s fundamental need for love and acceptance from the family. It is hoped that this work will raise public awareness of the importance of children’s mental health and the harmful impact of psychological violence within the family environment

«بنـگ مـرح بـرتـاوت پاکـو» یک رقص‌آرایی است که به خشونت روانی در خانواده به‌عنوان یکی از علل اصلی اختلال اضطراب در کودکان می‌پردازد. خشونت روانی اغلب هیچ زخم فیزیکی قابل مشاهده‌ای بر جای نمی‌گذارد، اما تأثیرات بلندمدتی بر سلامت روان کودکان دارد، از جمله ترس، اضطراب، فشار و انزوای اجتماعی. این اثر از طریق زبان رقص تلاش می‌کند به زخم‌های عاطفی‌ای که اغلب پنهان مانده و به‌ندرت به‌صورت آشکار مورد بحث قرار می‌گیرند، صدا ببخشد. فرآیند خلاقانه این اثر با بهره‌گیری از روش‌های خلق رقص شامل اکتشاف، بداهه‌پردازی، ترکیب، ارزیابی و بازنگری انجام شده است. اکتشاف به‌منظور یافتن کیفیت‌های حرکتی که فشار درونی را نمایان می‌کند، مانند حرکات مهار شده، تکراری و کناره‌گیرانه، صورت گرفته است. بداهه‌پردازی هدایت‌شده برای واکاوی احساسات کودکانی که توسط والدین نادیده گرفته شده و مورد فریاد قرار می‌گیرند، به کار رفته است. عناصری همچون بشقاب‌های حلبی به‌عنوان نماد فوران‌های کلامی، پارچه سفید به‌عنوان نماد اسارت عاطفی، موسیقی مینیمال و نورپردازی کم‌سو برای تقویت فضای روان‌شناختی اثر مورد استفاده قرار گرفته‌اند. نتیجه این رقص‌آرایی نشان می‌دهد که رقص می‌تواند نه‌تنها به‌عنوان سرگرمی و بیان زیبایی‌شناختی، بلکه به‌عنوان زبانی انتقادی و همدلانه نسبت به واقعیت‌های اجتماعی ایفای نقش کند. بدن رقصنده به رسانه‌ای برای انتقال سکوت، تنش درونی و نیاز اساسی کودک به عشق و پذیرش از سوی خانواده تبدیل می‌شود. امید است این اثر آگاهی عمومی نسبت به اهمیت سلامت روان کودکان و پیامدهای زیان‌بار خشونت روانی در محیط خانواده را افزایش دهد.

Despite the growing literature on first-generation students, limited research has examined how intersecting socioeconomic, cultural, linguistic, and institutional barriers shape the higher education experiences of first-generation Sama Indigenous students in Tawi-Tawi, Philippines. Thus, this study investigated the socioeconomic challenges encountered by first-generation Indigenous Sama students pursuing higher education in Tawi-Tawi and examined how these challenges affect their academic performance and overall well-being. A qualitative case study design was employed. Seven fourth-year first-generation Sama undergraduate students enrolled in higher education institution in Tawi-Tawi were selected through purposive sampling based on ethnicity, first-generation status, final-year enrollment, and residency. Data were gathered through semi-structured interviews lasting 45–58 minutes, audio-recorded with consent, transcribed, cleaned, and analyzed using a four-stage thematic coding process: initial coding, frequency count, categorization, and theme development. Addressing this gap, the study found four major challenges : financial and economic struggles, including poverty, job anxiety, and lack of scholarship support; academic and institutional challenges, such as heavy workloads, teacher-centered instruction, and literacy gaps; social and cultural factors, including language barriers, discrimination, and social comparison; and family and socioeconomic conditions, such as parental loss, limited income, and unstable housing. Impacts included spiritual and emotional strength as the primary coping mechanism, time-management struggles, career aspirations, health decline, and mental health strain. The findings underscore the need for targeted financial assistance, culturally responsive academic support, inclusive teacher training, and stronger collaboration among educational institutions, government agencies, and community leaders to improve retention, academic success, and well-being among first-generation Indigenous students in marginalized island communities.

با وجود افزایش پژوهش‌ها درباره دانشجویان نسل اول، تحقیقات محدودی به بررسی چگونگی تأثیر تلاقی موانع اقتصادی، فرهنگی، زبانی و نهادی بر تجارب آموزش عالی دانشجویان بومی ساما نسل اول در تاوی-تاوی، فیلیپین پرداخته‌اند. بنابراین، این مطالعه به بررسی چالش‌های اقتصادی-اجتماعی پیش‌روی دانشجویان بومی ساما نسل اول که در تاوی-تاوی به تحصیلات عالی می‌پردازند، و تأثیر این چالش‌ها بر عملکرد تحصیلی و بهزیستی کلی آنان پرداخت. این پژوهش با رویکرد کیفی و طرح مطالعه موردی انجام شد. هفت دانشجوی کارشناسی سال چهارم نسل اول ساما که در یک مؤسسه آموزش عالی در تاوی-تاوی ثبت‌نام کرده بودند، با نمونه‌گیری هدفمند بر اساس قومیت، وضعیت نسل اول، ثبت‌نام در سال پایانی و محل سکونت انتخاب شدند. داده‌ها از طریق مصاحبه‌های نیمه‌ساختاریافته به مدت ۴۵ تا ۵۸ دقیقه جمع‌آوری شد که با رضایت شرکت‌کنندگان ضبط صوتی، رونویسی، پاک‌سازی و با استفاده از فرایند کدگذاری چهار مرحله‌ای شامل کدگذاری اولیه، شمارش فراوانی، دسته‌بندی و توسعه تم‌ها تحلیل گردید. این مطالعه با پرداختن به این خلأ، چهار چالش عمده را شناسایی کرد: مشکلات مالی و اقتصادی از جمله فقر، اضطراب شغلی و فقدان حمایت بورسیه؛ چالش‌های تحصیلی و نهادی مانند حجم بالای کار، آموزش معلم‌محور و شکاف‌های سواد؛ عوامل اجتماعی و فرهنگی شامل موانع زبانی، تبعیض و مقایسه اجتماعی؛ و شرایط خانوادگی و اقتصادی-اجتماعی مانند فقدان والدین، درآمد محدود و مسکن ناپایدار. پیامدها شامل قدرت معنوی و عاطفی به عنوان راهبرد اصلی مقابله، مشکلات مدیریت زمان، آرزوهای شغلی، افت سلامت و فشار روانی بود. یافته‌ها بر ضرورت حمایت مالی هدفمند، پشتیبانی تحصیلی متناسب با فرهنگ، آموزش فراگیر معلمان و همکاری قوی‌تر میان مؤسسات آموزشی، نهادهای دولتی و رهبران جامعه برای بهبود ماندگاری، موفقیت تحصیلی و بهزیستی دانشجویان بومی نسل اول در جوامع جزیره‌ای محروم تأکید دارد.

Against the background of artificial intelligence (AI) reshaping the labor market, employment anxiety among higher vocational college students is becoming increasingly prominent. Grounded in Career Construction Theory, this study aims to explore the relationship between AI literacy and employment anxiety among Chinese higher vocational college students, with a specific focus on the chain mediating roles of career planning and future time perspective. A total of 1,234 students from five industry-featured higher vocational colleges in Jiangxi Province, China, were surveyed using self-report scales measuring AI literacy, employment anxiety, career planning, and future time perspective. The relationships among these variables were tested using the PROCESS macro (Model 6) for SPSS. The results indicated that (1) all variables were significantly correlated with one another; (2) AI literacy exhibited a significant positive total association with employment anxiety, which decomposed into a substantial positive direct association and a negative total indirect association; (3) AI literacy exerted a significant negative indirect association on employment anxiety through three pathways, namely, the independent mediating roles of career planning and future time perspective, and their chain mediating role, while the total association remained positive. These findings suggest that while higher AI literacy may heighten students’ awareness of labor-market disruptions, its negative indirect associations with employment anxiety operate through enhanced career planning and future orientation. It is recommended that higher vocational colleges consider integrating AI literacy education into career guidance programs, strengthening students’ career planning competencies, and cultivating a long-term future orientation, so as to potentially strengthen the anxiety-buffering pathway associated with AI literacy.

در بستر تحول بازار کار توسط هوش مصنوعی (AI)، اضطراب شغلی در میان دانشجویان آموزش عالی فنی و حرفه‌ای به طور فزاینده‌ای برجسته می‌شود. این مطالعه که مبتنی بر نظریه ساخت شغلی است، با هدف بررسی رابطه بین سواد هوش مصنوعی و اضطراب شغلی در میان دانشجویان آموزش عالی فنی و حرفه‌ای چینی انجام شده است و به طور خاص بر نقش‌های میانجی زنجیره‌ای برنامه‌ریزی شغلی و چشم‌انداز زمانی آینده تمرکز دارد. در این پژوهش، مجموعاً ۱۲۳۴ دانشجو از پنج کالج آموزش عالی فنی و حرفه‌ای با ویژگی‌های صنعتی در استان جیانگشی چین با استفاده از مقیاس‌های خودگزارشی سنجش سواد هوش مصنوعی، اضطراب شغلی، برنامه‌ریزی شغلی و چشم‌انداز زمانی آینده مورد بررسی قرار گرفتند. روابط میان این متغیرها با استفاده از ماکروی PROCESS (مدل ۶) در نرم‌افزار SPSS آزمون شد. نتایج نشان داد که (۱) تمامی متغیرها با یکدیگر همبستگی معناداری داشتند؛ (۲) سواد هوش مصنوعی ارتباط کلی مثبت معناداری با اضطراب شغلی نشان داد که به یک ارتباط مستقیم مثبت قابل توجه و یک ارتباط غیرمستقیم کلی منفی تجزیه شد؛ (۳) سواد هوش مصنوعی از طریق سه مسیر، یعنی نقش‌های میانجی مستقل برنامه‌ریزی شغلی و چشم‌انداز زمانی آینده و نقش میانجی زنجیره‌ای آن‌ها، تأثیر غیرمستقیم منفی معناداری بر اضطراب شغلی داشت، در حالی که ارتباط کلی همچنان مثبت باقی ماند. این یافته‌ها نشان می‌دهد که اگرچه سواد بالاتر هوش مصنوعی ممکن است آگاهی دانشجویان از اختلالات بازار کار را افزایش دهد، اما ارتباطات غیرمستقیم منفی آن با اضطراب شغلی از طریق تقویت برنامه‌ریزی شغلی و جهت‌گیری به آینده عمل می‌کند. توصیه می‌شود که کالج‌های آموزش عالی فنی و حرفه‌ای، آموزش سواد هوش مصنوعی را در برنامه‌های راهنمایی شغلی ادغام کرده، شایستگی‌های برنامه‌ریزی شغلی دانشجویان را تقویت نموده و جهت‌گیری بلندمدت به آینده را پرورش دهند تا بتوانند مسیر کاهش اضطراب مرتبط با سواد هوش مصنوعی را تقویت نمایند.

Orthorexia nervosa (ON) is a newly described mental disorder characterized by an extreme obsession with the consumption of healthy foods, resulting in anxiety and impaired functionality. This systematic review and meta-analysis aims to synthesize the association between social media use and orthorexic tendencies among adolescents and adults. PubMed, Web of Science, Embase, Scopus, and PsycINFO were searched through January 2026. Original studies assessing the association between social media use and ON were included. Zero-order correlations between social media and orthorexia measures were pooled using Fisher’s z under a random-effects (REML) model; heterogeneity, subgroup and meta-regression, sensitivity and publication-bias analyses were performed; certainty was rated with GRADE. Of 33 included studies, 22 contributed to meta-analysis of the correlation between social media use and ON symptoms, yielding a small positive pooled correlation (r = 0.20, 95% CI 0.15–0.25; I² = 84.3%; very low certainty by GRADE). This association remained stable across leave-one-out, subgroup, and sensitivity analyses (r = 0.18–0.20), and after adjustment for potential publication bias (bias-adjusted r = 0.17). A secondary analysis of two studies with reconstructable 2 × 2 data suggested greater odds of ON among heavier users (OR = 1.57, 95% CI 1.25–1.97). Pooled ON prevalence differed sharply with the diagnostic threshold (39.9% at the ORTO-15 cutoff below 35 versus 65.5% below 40), reflecting extreme heterogeneity (I² > 90%) across studies. Narrative synthesis indicated that the type of content consumed was more consistently associated with ON than platform or duration of use alone Social media use is associated with greater orthorexic tendencies. However, because all included studies were cross-sectional and overall certainty of evidence was very low, causality and directionality cannot be established and reverse causality remains plausible. Longitudinal and experimental research is needed to clarify the direction of this relationship.

ارتورکسیا نروزا (ON) یک اختلال روانی تازه توصیف‌شده است که با اشتغال ذهنی افراطی نسبت به مصرف غذاهای سالم مشخص می‌شود و منجر به اضطراب و اختلال در عملکرد می‌گردد. این مرور نظام‌مند و فراتحلیل با هدف ترکیب شواهد مربوط به ارتباط بین استفاده از شبکه‌های اجتماعی و گرایش‌های ارتورکسیک در نوجوانان و بزرگسالان انجام شده است. پایگاه‌های PubMed، Web of Science، Embase، Scopus و PsycINFO تا ژانویه ۲۰۲۶ جست‌وجو شدند. مطالعات اصیلی که ارتباط بین استفاده از شبکه‌های اجتماعی و ON را ارزیابی کرده بودند، وارد شدند. همبستگی‌های مرتبه صفر بین استفاده از شبکه‌های اجتماعی و سنجه‌های ارتورکسیا با استفاده از Fisher’s z و تحت مدل اثرات تصادفی (REML) تجمیع شدند؛ ناهمگنی، تحلیل‌های زیرگروه و فراتحلیل رگرسیون، حساسیت و سوگیری انتشار بررسی شدند؛ قطعیت شواهد با GRADE ارزیابی شد. از میان ۳۳ مطالعه واردشده، ۲۲ مطالعه در فراتحلیل همبستگی بین استفاده از شبکه‌های اجتماعی و علائم ON مشارکت داشتند که همبستگی مثبت کوچک تجمیع‌شده‌ای را نشان دادند (r = 0.20، ۹۵٪ CI: 0.15–0.25؛ I² = ۸۴.۳٪؛ قطعیت بسیار پایین طبق GRADE). این ارتباط در تحلیل‌های leave-one-out، زیرگروه و حساسیت (r = 0.18–0.20) و پس از تعدیل برای سوگیری انتشار احتمالی (r تعدیل‌شده = 0.17) پایدار باقی ماند. تحلیل ثانویه دو مطالعه با داده‌های ۲ × ۲ قابل بازسازی، شانس بیشتر ابتلا به ON را در میان کاربران سنگین‌تر نشان داد (OR = 1.57، ۹۵٪ CI: 1.25–1.97). شیوع تجمیعی ON با آستانه تشخیصی تفاوت چشمگیری داشت (۳۹.۹٪ در نقطه برش ORTO-15 زیر ۳۵ در مقابل ۶۵.۵٪ زیر ۴۰)، که نشان‌دهنده ناهمگنی شدید (I² > ۹۰٪) میان مطالعات بود. سنتز روایتی نشان داد که نوع محتوای مصرف‌شده نسبت به پلتفرم یا مدت زمان استفاده به طور مداوم‌تری با ON مرتبط است. استفاده از شبکه‌های اجتماعی با گرایش‌های ارتورکسیک بیشتر همراه است. با این حال، با توجه به اینکه تمام مطالعات واردشده مقطعی بودند و قطعیت کلی شواهد بسیار پایین بود، علیت و جهت‌گیری قابل اثبات نیست و علیت معکوس همچنان محتمل است. پژوهش‌های طولی و تجربی برای روشن شدن جهت این رابطه مورد نیاز است.

It is widely believed that children are more creative than adults, yet direct empirical tests of this assumption are scarce. A qualitative pre-study indicated that creativity is commonly attributed to preschoolers and associated with intrinsically motivated engagement, informing the design of the main study. 92 preschool children and 70 adults completed a divergent thinking task and two drawing tasks varying in structure (free vs. goal-directed). Independent raters evaluated all products for novelty, effectiveness, and overall creativity; participants reported motivation, enjoyment, confidence, and anxiety. Adults outperformed children on externally rated creativity, particularly in structured tasks. In contrast, children reported higher confidence and motivation, lower anxiety, and—except in the structured drawing task—greater enjoyment. Together, these findings challenge the view that children are generally more creative than adults by showing that their apparent advantage lies in confident and intrinsically motivated engagement, whereas creative thinking performance increases with age.

به طور گسترده‌ای باور بر این است که کودکان نسبت به بزرگسالان خلاق‌تر هستند، اما آزمون‌های تجربی مستقیم این فرضیه نادر هستند. یک پیش‌مطالعه کیفی نشان داد که خلاقیت معمولاً به کودکان پیش‌دبستانی نسبت داده می‌شود و با درگیری انگیزشی درونی مرتبط است که طراحی مطالعه اصلی را اطلاع‌رسانی کرد. ۹۲ کودک پیش‌دبستانی و ۷۰ بزرگسال یک تکلیف تفکر واگرا و دو تکلیف نقاشی با میزان ساختار متفاوت (آزاد در برابر هدف‌محور) را انجام دادند. ارزیابان مستقل تمامی محصولات را از نظر نوآوری، اثربخشی و خلاقیت کلی ارزیابی کردند؛ شرکت‌کنندگان نیز انگیزش، لذت، اعتماد به نفس و اضطراب خود را گزارش دادند. بزرگسالان در خلاقیت ارزیابی‌شده توسط ارزیابان خارجی، به ویژه در تکالیف ساختاریافته، عملکرد بهتری نسبت به کودکان داشتند. در مقابل، کودکان اعتماد به نفس و انگیزش بالاتر، اضطراب کمتر و—به جز در تکلیف نقاشی ساختاریافته—لذت بیشتری را گزارش کردند. این یافته‌ها در مجموع دیدگاه رایج مبنی بر اینکه کودکان به طور کلی خلاق‌تر از بزرگسالان هستند را به چالش می‌کشد و نشان می‌دهد که برتری ظاهری آن‌ها در درگیری با اعتماد به نفس و انگیزش درونی نهفته است، در حالی که عملکرد تفکر خلاق با افزایش سن بهبود می‌یابد.

Background The Depression, Anxiety and Stress Scale for Youth (DASS-Y) has been validated in several countries, but its measurement equivalence between Middle Eastern and East Asian adolescents remains untested, and prior validations primarily relied on single analytic approaches without examining complex factor structures or brief screening forms. This study evaluated the DASS-Y in Lebanese adolescents enduring sociopolitical strain and Chinese adolescents under comparatively stable conditions. Methods The sample comprised 758 Lebanese ( M age = 15.95, SD = 1.78; 63.2% female) and 1,062 Chinese adolescents ( M age = 16.83, SD = 0.59; 47.5% female). Psychometric properties were examined using confirmatory factor analysis, exploratory structural equation modeling (ESEM), and bifactor variants of both. Differential item functioning was assessed using Rasch analysis. Reliability was indexed by composite reliability (CR), average variance extracted (AVE), and person separation reliability. Results Lebanese adolescents showed a largely unidimensional pattern, whereas an ESEM solution better represented the Chinese data. Reliability was strong in both samples (subscale CR = 0.91 to 0.95, AVE = 0.58 to 0.71, person separation reliability = 0.79 to 0.85; total CR = 0.97 in both samples; total AVE = 0.63 for the Lebanese and 0.61 for the Chinese sample). Several items, mainly in the stress subscale, functioned non-equivalently across samples. The 12-item short form performed comparably (subscale CR = 0.88 to 0.92, AVE = 0.65 to 0.73; total CR = 0.96 and 0.94; total AVE = 0.64 and 0.57, respectively). Conclusions Lebanese adolescents’ responses reflected a unitary distress construct, whereas Chinese adolescents’ responses showed greater differentiation among depression, anxiety, and stress, though a general distress factor remained dominant in both samples. Reliability was high throughout, so this divergence is structural rather than a matter of measurement precision. The 12-item form offers a practical screening option pending further cross-national confirmation.

زمینه: مقیاس افسردگی، اضطراب و استرس برای نوجوانان (DASS-Y) در چندین کشور اعتبارسنجی شده است، اما معادل‌سازی سنجشی آن بین نوجوانان خاورمیانه‌ای و شرق آسیایی تاکنون بررسی نشده است و اعتبارسنجی‌های پیشین عمدتاً بر رویکردهای تحلیلی منفرد تکیه داشته‌اند، بدون آنکه ساختارهای عاملی پیچیده یا فرم‌های غربالگری کوتاه را بررسی کنند. این مطالعه به ارزیابی DASS-Y در نوجوانان لبنانی که تحت فشارهای اجتماعی-سیاسی قرار دارند و نوجوانان چینی در شرایط نسبتاً باثبات پرداخت. روش‌ها: نمونه شامل ۷۵۸ نوجوان لبنانی (میانگین سن = ۱۵٫۹۵، انحراف معیار = ۱٫۷۸؛ ۶۳٫۲٪ دختر) و ۱۰۶۲ نوجوان چینی (میانگین سن = ۱۶٫۸۳، انحراف معیار = ۰٫۵۹؛ ۴۷٫۵٪ دختر) بود. ویژگی‌های روان‌سنجی با استفاده از تحلیل عاملی تأییدی، مدل‌یابی معادلات ساختاری اکتشافی (ESEM) و گونه‌های بای‌فاکتور هر دو روش بررسی شد. عملکرد افتراقی گویه‌ها با تحلیل Rasch ارزیابی گردید. پایایی با شاخص‌های پایایی ترکیبی (CR)، واریانس استخراج‌شده متوسط (AVE) و پایایی جداسازی فردی سنجیده شد. نتایج: نوجوانان لبنانی عمدتاً الگوی تک‌بعدی نشان دادند، در حالی که راه‌حل ESEM نمایانگر بهتری برای داده‌های چینی بود. پایایی در هر دو نمونه قوی بود (پایایی ترکیبی زیرمقیاس‌ها = ۰٫۹۱ تا ۰٫۹۵، AVE = ۰٫۵۸ تا ۰٫۷۱، پایایی جداسازی فردی = ۰٫۷۹ تا ۰٫۸۵؛ پایایی ترکیبی کل = ۰٫۹۷ در هر دو نمونه؛ AVE کل = ۰٫۶۳ برای نمونه لبنانی و ۰٫۶۱ برای نمونه چینی). چندین گویه، عمدتاً در زیرمقیاس استرس، عملکرد غیرمعادل در بین نمونه‌ها داشتند. فرم کوتاه ۱۲ گویه‌ای عملکردی مشابه داشت (پایایی ترکیبی زیرمقیاس‌ها = ۰٫۸۸ تا ۰٫۹۲، AVE = ۰٫۶۵ تا ۰٫۷۳؛ پایایی ترکیبی کل = ۰٫۹۶ و ۰٫۹۴؛ AVE کل = ۰٫۶۴ و ۰٫۵۷ به ترتیب). نتیجه‌گیری: پاسخ‌های نوجوانان لبنانی بازتاب‌دهنده یک سازه واحد پریشانی بود، در حالی که پاسخ‌های نوجوانان چینی تمایز بیشتری میان افسردگی، اضطراب و استرس نشان داد، هرچند عامل کلی پریشانی در هر دو نمونه غالب باقی ماند. پایایی در سراسر مطالعه بالا بود، بنابراین این تفاوت ساختاری است نه مربوط به دقت اندازه‌گیری. فرم ۱۲ گویه‌ای، گزینه‌ای عملی برای غربالگری ارائه می‌دهد تا زمانی که تأیید بین‌کشوری بیشتری صورت گیرد.