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Early Childhood Care and Development (ECCD) serve as a foundational framework for the holistic growth and lifelong learning of young children. In the Philippines, its implementation is mandated by Republic Act No. 10410 and strengthened by Republic Act No. 12199, which emphasize quality early childhood education delivered by competent Child Development Workers (CDWs) and supported by strong institutional systems; however, implementation continues to face challenges related to limited resources, professional development gaps, administrative constraints, and varying levels of community and parental involvement. This study examined the level of readiness and the challenges encountered by CDWs in implementing the ECCD Curriculum in Barangay Child Development Centers in the Municipality of Mabinay, Negros Oriental. A quantitative descriptive-correlational design was employed, using a validated researcher-made Likert-scale questionnaire administered to ten (10) purposively selected CDWs during School Year 2025–2026. Data were analyzed using frequency, percentage, weighted mean, and Pearson product-moment correlation at the 0.05 level of significance. Findings revealed that the respondents were highly ready in their understanding of the ECCD curriculum (WM = 4.28) and in pedagogical skills and instructional practices (WM = 4.28), but only moderately ready in terms of resources and materials (WM = 3.80) and support, supervision, and professional development (WM = 3.84). Challenges were generally moderate, with insufficient toys and learning materials, varied learning needs of children, and heavy workload and administrative tasks emerging as the most notable concerns. ECCD-related training showed a strong, significant positive relationship with readiness (r = 0.795, p = 0.006), whereas age, educational attainment, and years of experience were not significantly related to readiness, no profile variable was significantly related to the challenges encountered, and readiness was not significantly related to challenges (r = 0.081, p = 0.824). The study concludes that while CDWs are generally prepared to implement the ECCD Curriculum, their effectiveness is constrained by largely systemic and environmental challenges. These findings imply the need for continuous professional development combined with improved resource allocation, reduced administrative workload, strengthened institutional support, and stronger collaboration among local government units, parents, and community stakeholders.

Islamic civilization is one of the major civilizations that has significantly contributed to the development of science and education worldwide. During its golden age, it established educational institutions, fostered scholarly traditions, and produced influential scholars whose ideas continue to shape modern knowledge in the digital era. This article examines the relevance of Islamic civilizational values to the development of modern education through qualitative library research using thematic content analysis. The findings show that Islamic education was distinguished by four interrelated values, namely a strong culture of literacy, the integration of religious and general knowledge, an emphasis on moral formation (akhlak), and openness to knowledge from other civilizations, which together enabled scholars to advance science while upholding ethical and social responsibility. These values are highly relevant to addressing contemporary educational challenges, including declining critical literacy, uncritical dependence on digital technology and artificial intelligence, and the ongoing crisis of learners’ character. These values can inform the development of a modern educational system that integrates critical thinking, digital literacy, character education, and lifelong learning while maintaining moral and social responsibility.

Background: Psychological stress is a common issue among faculty members due to increasing academic, administrative, and professional responsibilities. Prolonged stress negatively affect mental well-being, job satisfaction, and work performance. Therefore, assessing the level of psychological stress among faculty members is essential for identifying the need for stress-management strategies. This study aimed to evaluate the level of psychological stress among faculty members of colleges and universities. Methods: A cross-sectional survey was conducted among 101 faculty members from colleges and universities. Participants were recruited using a convenience sampling technique. Data were collected through structured online questionnaire consisting of demographic information and the Perceived Stress Scale (PSS). Descriptive statistics, including frequencies and percentages, were used for data analysis. Results: A total of 101 faculty members participated in the study. The majority of participants were above 30 years of age (46%), female (64%), worked 40-50 hours per week (41%), and possessed a master's degree (68%). Assessment of stress levels using the perceived stress scale revealed 91% of participants experienced moderate stress, 6% experienced low stress, and 3% experienced high stress. Most respondents reported experiencing stress-related feelings such as being upset unexpectedly, inability to control important things in life, nervousness, and difficulty coping "sometimes," indicating a moderate level of perceived psychological stress. Conclusions: The findings indicate that psychological stress is prevalent among faculty members of colleges and universities, with moderate stress being the most commonly reported level. These results highlight need for effective stress-management interventions and workplace wellness programs to promote psychological well-being among faculty members.

This study examined the association between intolerance of uncertainty and psychological distress among emerging adults aged 18-29 years. A quantitative, cross-sectional correlational design was used with online convenience sampling. Of 181 survey submissions, one record was excluded because age was missing and one because the respondent was aged 17 years; a further 18 respondents who reported a previous mental-health diagnosis were excluded. The final analytical sample comprised 161 participants (M age = 23.60, SD = 3.09; 67.1% women). Intolerance of uncertainty was measured with the 12-item Intolerance of Uncertainty Scale (IUS-12), and nonspecific psychological distress with the Kessler Psychological Distress Scale (K10). Mean IUS-12 and K10 scores were 32.11 (SD = 9.44) and 24.31 (SD = 8.09), respectively. Internal consistency estimates were .887 and .913. Pearson's correlation indicated a positive association between IUS-12 and K10 scores, r(159) = .632, p < .001, 95% CI [.529, .717]. Spearman's correlation was also positive and significant (rs = .595, p < .001, 95% bootstrap CI [.475, .699]). Higher intolerance of uncertainty was associated with greater self-reported psychological distress in this sample. The cross-sectional design, convenience sampling, self-report measures, and diagnosis-based screening limit causal inference and generalisability.

Background: Psychiatric disorders differ in their typical age of onset, but evidence describing onset patterns in small clinical samples from Kerala, India, is limited. This pilot study examined the association between diagnostic group and age of symptom onset and described the interval between symptom onset and first diagnosis. Methods: A cross-sectional observational study was conducted using 50 consecutively sampled patient records from psychiatric outpatient and inpatient services at VPSV Ayurveda College, Kottakkal, Kerala. Diagnoses were based on DSM-5 criteria. Data included age at symptom onset, age at first diagnosis, sex, source of onset information, family psychiatric history, comorbidity, and medical or neurological conditions. Descriptive statistics and non-parametric tests were used; inferential analyses were considered exploratory. Results: Participants included 30 males and 20 females; mean current age was 35.14 ± 15.36 years. Mean age at symptom onset was 26.02 ± 14.83 years (median 25.5; range 1-72), and 28% reported onset before age 18. Age of onset differed across ten diagnostic groups (Kruskal-Wallis H = 28.58, df = 9, p < 0.001). Median onset was earliest in neurodevelopmental disorders (3.5 years) and latest in neurocognitive disorders (66 years). Median onset-to-diagnosis interval was one year (interquartile range 0-4); 14% waited six years or longer. Earlier onset correlated with a longer interval to diagnosis (Spearman ? = -0.350, p = 0.013). No significant sex difference in onset age was observed. Conclusion: The findings suggest distinct onset patterns across diagnostic groups in this clinical sample and indicate that some patients experience prolonged diagnostic delays. Larger, multicentre studies are required to confirm these exploratory results.

Although knowledge and stigma about suicide are important factors in suicide prevention, there are no validated instruments available in Hungary. Our goal was to validate the Literacy of Suicide Scale—Short Form (LOSS-SF) and the Stigma of Suicide Scale—Short Form (SOSS-SF) in Hungarian. An anonymous online survey was administered to a self-selected online convenience sample of 954 participants of 38.0 years (SD: 14.8) of age. Our study used a descriptive, correlational, cross-sectional design. Confirmatory factor analysis results indicate a good model fit for a three-factor structure of the SOSS-SF scale. Invariance testing revealed that the scale is valid across gender, age and former suicide ideation. LOSS-SF had an acceptable unidimensional model fit as a two-parameter logistic (2PL) IRT (Item Response Theory) based survey, and results showed good infit–outfit with appropriate item discrimination and difficulty measures. The results show that the two instruments show sound psychometric properties and construct validity within this sample. While the Hungarian versions of the SOSS-SF and the LOSS-SF provide useful tools for assessing suicide stigma and suicide literacy in research settings, further validation on nationally representative samples may be required in case population-level norms are needed to inform national policy-makers.

Despite growing concerns about mental health difficulties among children and youth, limited empirical evidence exists on the extent to which adverse childhood experiences and resilience predict mental health difficulties among school-going children and youth in rural communities. This research explored the prevalence and psychosocial predictors of mental health difficulties among children and youth. The study adopted a correlational and descriptive research design. Respondents consisted of 837 children and youth, who were selected from Johannesburg West Education District. They were assessed using the Strengths and Difficulties Questionnaire (SDQ), the Adverse Childhood Experiences Questionnaire (ACE-Q), and the Child and Youth Resilience Measure (CYRM) as data-collection instruments. Frequencies and percentages, regression analysis, and moderation analysis were conducted using Hayes' PROCESS Macro. Findings revealed that about 44.4%, 18.3%, and 37.3% of the participants were within the normal, borderline, and abnormal ranges of mental health well-being, respectively. Adverse childhood experiences (ACEs) significantly predicted mental health difficulties (β = .238, t = 7.071, p < .001), contributing about 5.6% of the variation in mental health difficulties among youth and children. Resilience is also a significant predictor (β = −.121, t = −3.524, p < .001), accounting for about 1.5% of the variation in mental health problems; higher resilience was associated with lower levels of mental health difficulties. Moderation analyses showed that age and gender did not significantly moderate the relationships between ACEs, resilience, and mental health difficulties. The study concludes that ACEs constitute a significant risk factor, whereas resilience serves as a protective factor. The findings highlight the need for trauma-informed interventions, resilience-building programmes, and comprehensive mental health support services to promote positive mental health outcomes among children and youth.

Many children who experience reading challenges develop co-occurring mental health difficulties, such as reading anxiety. The current study tested the relationships between specific reading skills (decoding, fluency, and comprehension) and reading anxiety symptoms. Participants were 230 twins between 8 and 13 years old. Multi-level linear regression models were used to account for family relationships and covaried for age and sex. Age was positively associated and sex was not associated with reading anxiety. Lower decoding (β = -0.19, p < .001), reading fluency (β = -0.22, p < .001), and reading comprehension skills (β = -0.22, p < .001) were significantly associated with higher reading anxiety symptoms. When testing whether each reading skill contributed to reading anxiety after controlling for others, reading comprehension (β = -0.15, p = .010) remained significantly associated with reading anxiety symptoms, whereas decoding (β = 0.01, p = .90) and reading fluency (β = -0.13, p = .08) were no longer significant. Model comparisons followed a similar pattern indicating that reading comprehension (and to a lesser extent fluency) accounted for significant variance in reading anxiety over and above other reading skills, while decoding did not. Secondary analyses covarying for clinical anxiety and ADHD symptoms showed that the association between reading skills and reading anxiety could not be accounted for by these co-occurring symptoms. This study is among the first to examine relationships between specific reading skills and reading anxiety symptoms and highlights the need for improved identification and treatment of reading anxiety symptoms in struggling readers.

Geometry problem-solving requires learners to coordinate conceptual knowledge, spatial representation, strategy use and the regulation of cognition, motivation and effort. This systematic review examined how self-regulated learning (SRL) operates in geometry problem-solving and which learner, task, social, instructional and developmental conditions shape it. A Scopus search reported according to PRISMA 2020 identified 1,298 records; database limits left 529, and eligibility screening retained 32 empirical studies published from 2021 to 2026. Twelve studies involved undergraduates or pre-service teachers, seven involved school pupils, one involved kindergarten children and 12 did not state the educational level in the extracted records. Study quality was appraised with the Mixed Methods Appraisal Tool, and thematic synthesis identified four themes: planning and strategic regulation; monitoring, control and strategy adaptation; learner characteristics and outcomes; and instructional scaffolding and technology. Successful performance was associated with problem representation, strategy selection, monitoring, error detection, adaptation and evaluation. Diagnostic and elaborated feedback, content-focused peer feedback and supportive scaffolding were more informative than the presence of technology. Evidence on learner characteristics was mainly correlational, and evidence on young learners was thin. The review proposes a Process-Oriented Framework of Self-Regulated Geometry Problem-Solving that links input conditions, forethought, performance regulation, reflection, and outcomes and it is best supported for adolescent and adult learners. Future research should combine self-report with behavioural, longitudinal and process-tracing evidence and develop age-appropriate SRL measures for young children.

Moral education of the individual is a complex and multifaceted process that includes pedagogical and social phenomena. However, the process of moral education is to some extent autonomous. Moral education is effectively carried out only as a holistic pedagogical process that meets the norms of universal morality, the organization of all life and student life, including modern youth. As well as activities, relationships, communication, taking into account their age and individual characteristics. The result of a holistic process is the formation of a morally whole personality, in the unity of its consciousness, moral feelings, conscience, moral will, skills, habits, socially valuable behavior. Moral education includes: the formation of students’ awareness of their connection with society, dependence on it, the need to coordinate their behavior with the interests of society; familiarization with moral ideals, requirements of society, proof of their legitimacy and reasonableness; transformation of moral knowledge into moral beliefs, creation of a system of these beliefs; formation of stable moral feelings, high culture of behavior as one of the main manifestations of respect for people; formation of moral skills. The content of education is understood as a system of knowledge, beliefs, skills, qualities and personality traits, stable behavioral habits that students should possess in accordance with the set goals and objectives. In today’s rapidly changing world, the ability to be independent and self-sufficient is increasingly recognized as a vital skill for success in various areas of life, including education. This is especially true for first-year university students, as they transition from the structured environment of high school to the more autonomous and demanding world of higher education. Developing independence skills in these students is crucial for their adaptation to the university environment and overall personal and academic growth. The concept of independence encompasses various aspects, including the development of autonomy and the development of skills that enable students to navigate the complexities of university life. Autonomy refers to the ability to make decisions, take initiative, and act independently, while the development of independence skills involves acquiring the necessary competencies to function effectively in the educational environment. The state of knowledge regarding the development of independence skills in first-year students is an area of ongoing research. Understanding the factors that contribute to the development of independence in students is essential for supporting them during this transition and enriching their overall educational experience.

The article substantiates the potential and pedagogical conditions for using loose parts to develop mathematical competence in preschool and primary school children. Loose parts are defined as natural, household, manufactured, or recycled materials with which children can engage in a variety of practical activities, including those involving mathematical content. These may include stones, sand, water, branches, leaves, seeds, shells, pieces of fabric, threads, cardboard boxes, bottle caps, containers, sticks, and other materials. It has been established that, at preschool age, the use of loose parts provides a sensory basis for developing concepts of quantity, number, shape, size, space, and patterns. In primary school, in addition to deepening this knowledge, the same materials can be used to support modeling, solving problems in several ways, testing assumptions, justifying strategies, and working with data. This enables continuity between preschool and primary education in the development of children’s mathematical competence. The potential of loose parts for developing mathematical competence in preschool and primary school children lies in the fact that they enable the practical acquisition of concepts related to number, shape, size, spatial relationships, and patterns, while stimulating the development of skills in counting, comparing, classifying, measuring, modeling, and problem-solving. Their use encourages learners’ independence, investigative activity, and the development of mathematical language. The following pedagogical conditions for using loose parts to develop mathematical competence in preschool and primary school children have been identified: ensuring the purposeful selection and diversification of materials; combining support for children’s initiative with the implementation of pedagogical intentions; and organizing mathematical reflection among preschool and primary school learners.

The article examines the concept of democratic behavior skills as an integral system of personal qualities that help individuals socialize, build partnerships within society, communicate without aggression, pressure, or humiliation, resolve conflicts constructively, establish peaceful relationships, and take responsibility for their decisions. Attention is drawn to the relevance of this issue, as under the current conditions of democratic transformations in Ukrainian society, globalization processes, and information challenges, focusing on the education of young people is a strategic task of the state. Ukrainian society needs citizens who embrace democratic values, are active and responsible, respect the rule of law, think critically, hold strong civic positions, and are culturally educated. It is specified that democratic behavior skills are a component of the model of civic competencies that should be developed from primary school age. By making use of the sensitive developmental periods of younger schoolchildren, educators can lay the foundations of communication and behavioral culture, and related qualities. The educational potential of the integrated course «IEW» is analyzed, with particular emphasis on its social content strand. From Grades 1 to 4, the curriculum includes topics aimed at developing the child’s personality as an active member of society, capable of responsible behavior, partnership and cooperation, respect, tolerance, and empathy. It is emphasized that primary school students do not merely become familiar with concepts such as «citizen», «state», «rights», «responsibilities», and «accountability». Through learner-centered, activity-based approaches, they gain experience in democratic interaction across various activities. Discussions of problematic situations and collective decision-making contribute to the development of democratic behavior skills. It is emphasized that the use of practice-oriented methodologies in teaching the integrated course “I Explore the World” contributes to the development of primary education students’ conscious understanding of social processes and their ability to critically analyze information, which is particularly important for fostering democratic behavior skills. The practical significance of the study lies in the potential to apply the proposed methodological approaches to the educational activities of general secondary and higher education institutions.

This study examined the challenges and opportunities experienced by elementary teachers in the new normal education in the Third Congressional District of the Schools Division of Iloilo, Philippines, during the school year 2021–2022, as a basis for developing an instructional training program. Anchored on the Volatility, Uncertainty, Complexity, and Ambiguity (VUCA) framework, the study employed a descriptive-correlational research design involving 60 elementary teachers. Data were collected using a researcher-modified questionnaire and analyzed through descriptive statistics, the Mann–Whitney U test, and Spearman rho correlation. Findings revealed that teachers experienced a moderately challenging level of difficulties (M = 2.68), primarily involving limited internet connectivity, health safety concerns, insufficient technological devices, and financial constraints. Conversely, respondents reported a high level of opportunities (M = 3.85), particularly in professional learning, personal development, technological adaptation, and learner engagement. No significant differences were found in challenges and opportunities when respondents were classified according to age, sex, and civil status. However, a significant negative relationship was established between challenges and opportunities (rs = −0.453, p < 0.001), indicating that greater challenges were associated with fewer perceived opportunities. Based on these findings, a five-day instructional training program focusing on technological competencies and digital instructional applications was proposed. The study supports Sustainable Development Goal 4 (Quality Education) by emphasizing teacher professional development and inclusive instructional practices, and SDG 9 (Industry, Innovation and Infrastructure) through educational technology integration. Its sustainability implications highlight the importance of continuous professional development, institutional technical assistance, and adaptable instructional strategies in strengthening educational resilience and sustaining quality elementary education.

The digital revolution has fundamentally transformed childhood experience across the globe. In Ghana, rapid mobile internet penetration, the proliferation of low-cost smartphones, and COVID-19-induced remote learning have dramatically intensified basic school children's exposure to digital screens. Emerging evidence links digital screen addiction (DSA) to significant impairments in children's psychological well-being encompassing emotional, cognitive, social, and behavioural dimensions. Yet, school management responses in Ghanaian basic schools remain underdeveloped and largely uncoordinated. This narrative literature review synthesizes global and sub-Saharan African evidence on digital screen addiction and its psychological well-being consequences among basic school children (ages 5–15), critically examines existing school management frameworks, and proposes a School-Based Digital Wellness Management Framework (SBDWMF) for Ghanaian basic schools. A narrative synthesis approach was employed. Literature was sourced from PubMed, Google Scholar, Scopus, PsycINFO, African Journals Online (AJOL), and grey literature from the WHO, UNESCO, UNICEF, Ghana Education Service (GES), Ghana Health Service (GHS), and the Ministry of Education. Peer-reviewed empirical studies, systematic reviews, meta-analyses, and policy documents published from 2010 to 2024 were included, with a total of 72 sources forming the evidence base. DSA is prevalent among basic school-age children globally, with pooled prevalence estimates ranging from 19% to 38% depending on measurement tools and contexts. Excessive screen exposure is consistently associated with psychological distress, anxiety, depression, attentional difficulties, emotional dysregulation, impaired self-esteem, peer-relationship deficits, and poor academic well-being. In Ghana, contextual risk amplifiers, including parental digital literacy gaps, absent school mental health services, post-COVID normalization of extended screen use, and fragmented policy, compound the psychological burden. School management frameworks in Ghanaian basic schools are largely inadequate to address DSA, with critical deficits in policy, counselling capacity, teacher training, and parental engagement. DSA poses a mounting psychological well-being challenge for Ghanaian basic school children, demanding an urgent, evidence-informed school management response. The proposed six-pillar SBDWMF offers a practical governance architecture for Ghanaian basic school heads, district education officers, and national policymakers to address DSA comprehensively within the school setting.

Introduction: Suicidal behaviors among adolescents are increasing globally, yet the differences between educational levels remain unclear, which hinders the design of specific prevention strategies. Objective: To compare suicidal behaviors (ideation, risk factors, and depression) between middle school and high school students in Pachuca and San Agustín Tlaxiaca, Hidalgo, Mexico. Methodology: A quantitative, cross-sectional, comparative, non-experimental study was conducted with 38 students (20 middle school students, 18 high school students) aged 14 to 18 years. Three instruments were applied: a test to assess the risk level of suicidal ideation and behavior, a risk factor guide, and the PHQ-9 depression questionnaire. Data were analyzed using descriptive statistics and the Mann-Whitney U test. Results: Middle school students had a higher proportion of high risk for suicidal behaviors (30.00%) compared to high school students (5.56%). A high level of depression was found only in high school seniors (11.11%). Both groups showed similar proportions of high risk based on risk factors (25.00% in middle school and 22.22% in high school). A significant positive correlation (ρ = 0.52) was found between suicidal thoughts and risk factors (p < 0.05). The Mann-Whitney U test revealed no significant differences between groups. (U = 145.5; p = 0.312). Conclusions: Although no statistically significant differences were found between educational levels and the groups were confounded by institution, municipality, and age, a trend toward a higher proportion of high risk for suicidal behaviors was observed in middle school students and of high depression in high school students. These findings should be interpreted with caution and support the need for prevention programs tailored to each educational level, to be confirmed in studies with greater statistical power and adjustment for confounders.

The effectiveness of young football players’ athletic training is determined by the interaction of physical, technical, tactical, theoretical, integrated, and psychological components. In team sports, communicative and organizational inclinations are of particular importance as psychological prerequisites for effective interaction and the realization of leadership potential. Purpose. To identify and compare the age-related characteristics of communicative and organizational inclinations in young football players and to determine their role in the implementation of leadership functions in team activities. Materials and methods. To achieve the aim of the study, an analysis was conducted analysis of scientific and methodological literature, comparison, psychological assessment using the «Assessment of Communicative and Organizational Inclinations» by V. V. Sinyavskyi and B. O. Fedorishyn, and methods of mathematical statistics, including the Kruskal–Wallis test. The study involved three groups of football players (n=108): aged 9–10 (n=33), 13–14 (n=37), and 16–17 years (n=38) from Children and Youth Sports Schools in Kyiv.Results. Significant individual variability in the indicators was established. Communicative inclinations were found to be more developed than organizational inclinations. Their mean values were 3.00±1.58, 2.92±1.40, and 3.21±1.45 points, respectively, across the three age groups, while organizational inclinations were 2.03±1.33, 2.24±1.42, and 2.34±1.38 points. The oldest group demonstrated a higher proportion of athletes with high and very high levels of communicative inclinations, whereas a low level predominated in organizational inclinations across all age groups. No statistically significant age-related differences were found in communicative (H=0.75; p=0.69) or organizational inclinations (H=1.11; p=0.57). Conclusions. Communicative and organizational inclinations are important psychological prerequisites, but not direct indicators, of leadership function implementation. The communicative component creates prerequisites for information, motivational, mediating, and representative functions, while the organizational component contributes to planning, coordination, and responsibility-taking. The findings support the need for targeted development of these characteristics and the application of distributed leadership principles.

Background While the COVID-19 pandemic caused major disruptions to social connections and lifestyles, many countries continued the sale of alcohol as an essential commodity. Evidence on change in alcohol use, and its association with mental health and wellbeing during the pandemic is, however, mixed and limited to initial periods of the pandemic. This study aimed to address these research gaps. Methods Data were drawn from the COVID-19 Risks Across the Lifespan (CORAL) Study, a three-wave longitudinal study conducted between May 2020 and April 2021. The present sample included 2,369 participants (age M = 38.81 ± 16.94 years, range = 11–100; 90% females) from the United Kingdom, United States, and Australia. Measures included pre-pandemic alcohol use and changes in consumption frequency, quantity, drinking behaviours (e.g., drinking earlier in the day), and motivations (e.g., drinking for enjoyment) during the pandemic. General perceived stress, COVID-19-related stress, loneliness, and symptoms of depression and anxiety were also assessed. Findings Drinking frequency and quantity remained stable across the first year of the pandemic; however, non-linear age associations were found. Young individuals aged between 11 to 20 years, and mid-aged individuals aged between 50 to 70 years, had the highest probability of increased alcohol use frequency and quantity. Drinking behaviours and motivations also remained largely stable, although age- and country-specific differences emerged, potentially reflecting policy differences such as alcohol access restrictions and lockdown measures. Finally, loneliness unidirectionally predicted subsequent alcohol use quantity. Conclusions These findings highlight the heterogeneous alcohol use patterns across age groups and countries during the pandemic, and underscore loneliness as an important public health issue with implications for alcohol misuse.

Abstract Background Borderline personality disorder (BPD) is a severe mental illness associated with emotional and functional impairment, elevated suicide risk, and high individual and societal costs. BPD is under-researched in the general population, especially among males, and from a developmental perspective. We examined the prevalence and development of BPD symptoms in young men and explored the longitudinal associations with risk-taking behaviors. Methods Data came from the prospective-longitudinal Cohort Study on Substance Use Risk Factors (C-SURF), a population sample of young men. Participants were screened for BPD risk using the McLean Screening Instrument (MSI-BPD) at mean age 25 (2016–2018; n = 5,516) and again at mean age 28 (2019–2020; n = 5,367). Risk-taking behaviors (e.g., interpersonal violence, gambling, substance use) were self-reported at both time points. Multilevel regression models examined within-person changes in BPD symptoms, including self-harm, and risk-taking behaviors over time. Results 7.4% of participants had a high risk of BPD, defined by endorsing 7 + MSI-BPD items at least once. Among those with 7 + items endorsed at the first assessment, 29.5% still endorsed 7 + items three years later. Despite a general within-person decline in BPD symptoms with age, participants at initially high risk for BPD continued to exhibit elevated levels of risk-taking behaviors after three years. Conclusion BPD symptomatology affects a substantial proportion of young men. Despite its modest stability over time, it is associated with persistent engagement in various risk-taking behaviors. Interventions targeting BPD symptoms in male populations may offer a promising avenue towards mitigating substantial psychosocial burden associated with these behaviors.

The rapid proliferation of generative artificial intelligence in educational contexts has transformed how students encounter academic content, yet a fundamental question remains underexamined: Do English as a Foreign Language (EFL) learners possess the critical literacy competencies needed to evaluate AI-generated texts? This study investigated whether students in Morocco’s Classes Préparatoires aux Grandes Écoles (CPGE)—one of the nation’s most academically selective post-secondary programs—demonstrate readiness for AI-era literacy demands. We developed a diagnostic assessment instrument, the Critical Reading Diagnostic Assessment (CRDA), designed to mirror common characteristics of AI-generated academic content: a confident, authoritative tone, a logical structure with subtle gaps, claims requiring verification, and culturally embedded assumptions. Thirty first-year CPGE students (M age = 18.6 years) evaluated argumentative passages across five critical dimensions: argument identification, evidence evaluation, assumption recognition, multi-source synthesis, and source criticism. Metacognitive self-assessment data were also collected. Results revealed systematic evaluation failures across all dimensions, with mean accuracy rates of only 18–39% and large effect sizes confirming substantial deficits (d = 1.11–2.25). Metacognitive analysis showed that students overestimated their abilities by 11–38 percentage points across all dimensions, indicating profound self-assessment inaccuracies.

Background: Insomnia is an important public health concern and may be particularly relevant among security personnel because of irregular work schedules, occupational demands, sustained vigilance, and inadequate rest. This study was conducted to determine the prevalence of insomnia and its association with selected sociodemographic and health-related factors among security personnel in a tertiary care government hospital in south India. Methods: A cross-sectional study was conducted among 100 security personnel. Sociodemographic characteristics, including age, gender, income, education, and marital status, and health-related characteristics, including body mass index, diabetes, and hypertension, were assessed using a structured questionnaire. Insomnia was assessed using the Insomnia Severity Index (ISI). Associations between insomnia and selected variables were examined using the chi-square test. Results: Sub-threshold insomnia was present in 32% of participants, while no cases of moderate or severe insomnia were identified. Significant associations were observed between insomnia and gender (p=0.019) and income level (p=0.020). No significant associations were observed with age, education, marital status, or metabolic health status. Self-reported Diabetes and Hypertension were present in 10% and 4% of participants, respectively, while 74% were classified as obese. Conclusions: Although moderate or severe insomnia was not observed, nearly one-third of security personnel had sub-threshold insomnia. Workplace-based sleep hygiene interventions may be beneficial, particularly among women and lower-income employees. Further studies incorporating objective sleep assessments and detailed evaluation of shift schedules are warranted.

Background: Rural women in India are often confronted with situations that make it difficult for them to access formal mental health services such as inaccessibility, internalized stigma, believing that suffering is due to external causes and gender inequalities. These barriers delay receiving formal care for mental health and make these women resort to informal ways of coping such as community support and local faith healers. Methods: This study aimed to explore the informal coping strategies and beliefs around mental health among 100 rural women over the age of 18 years residing in Amroha district of Uttar Pradesh, India. Being a qualitative study, the method employed for the survey was focused group discussions and the participants were included through a convenience snowball sampling. The discussions were held in Hindi language for the ease of the participants and were recorded for analysis which was done through a thematic analysis approach. Results: The results highlighted six broad themes: (1) burden of responsibilities and emotional burnout, (2) physiological manifestations of psychological distress, (3) normalization of chronic stress, (4) psychological distress arising from marital conflict and gender-based adversity, (5) reliance on spiritual and informal coping strategies in place of formal mental healthcare, and (6) emotional suppression and silent tolerance. Conclusions: The findings suggest the urgent need to design culturally aligned psychotherapeutic interventions that focus on creating awareness through psychoeducation that could reduce stigma as well as helping rural women deal with their unmet mental health challenges.

This study examined how executive functions and cognitive-linguistic skills relate to online lexical processing during sentence reading as a function of word frequency, word length, and concreteness in 171 first- and second-grade children. Executive functions (interference, verbal working memory, and fluency) and linguistic abilities (vocabulary, Rapid Automatized Naming, and phonological awareness) were assessed and linked to two oculomotor indices of word processing, namely First Fixation Duration (FFD) and Total Fixation Duration (TFD), computed for six lexical areas of interest, using descriptive analyses and regression models. Children processed high-frequency words more efficiently than low-frequency words in both FFD and TFD. Early efficiency was associated with fluency and phonological awareness (PA), whereas later efficiency was linked to interference control. Although long words descriptively elicited longer fixations, neither age nor cognitive and linguistic skills significantly predicted differences in FFD or TFD, suggesting that word length was not a reliable predictor of lexical processing efficiency in this task. No consistent advantage was found for concrete over abstract words. Abstract words imposed greater demands during the initial stages of processing (FFD), but these differences diminished in TFD and were not explained by cognitive or linguistic skills. Taken together, these findings provide preliminary evidence that lexical processing efficiency in emergent readers may depend more strongly on word familiarity and on cognitive and linguistic skills than on word length or concreteness, highlighting the interaction between stimulus properties and individual competencies in early reading. However, the findings should be interpreted with caution, as they are task-specific and based on limited item sampling, with only one item representing each lexical category.

The rapid growth of social media has transformed communication and information sharing; however, excessive use can promote procrastination and avoidance of academic tasks, contributing to increased test anxiety among students. This study explores how social media use and procrastination contribute to test anxiety among the said population. A cross-sectional design was employed with sample of 284 university students (M = 110, F = 160) with a mean X age=20.8 years selected through convenience. Social media was measured through Social Media Use Questionnaire (Xanidis and Brignell, 2016), procrastination was assessed using the Lay Procrastination Scale (Lay, 1986) and test anxiety was evaluated by Westside Test Anxiety Scale (Driscoll, 2004). Data was analyzed using correlation and regression analysis. The results revealed significant positive correlation between social media use, procrastination, and test anxiety. Regression analysis showed that both the use of social media and procrastination significantly forecasted test anxiety, indicating that an increased occurrence of problematic digital engagement and reduced self-control leads to academic stress. These findings highlight the fact that university-level interventions encourage healthier digital habits and stronger individual control of students. Also, it emphasizes the need for parents and educators to promote effective study habits and self-regulation, as excessive social media use limits students’ available study time.

Background Over 15 million plastic surgeries and 19 million non-plastic aesthetic procedures were carried out globally between 2020 and 2023, representing a substantial growth of more than 40%, according to the International Society of Aesthetic Plastic Surgery (ISAPS). The purpose of this study was to ascertain the degree of propensity for cosmetic surgery among Khoy University of Medical Sciences students and investigate its associations with demographic features, the frequency of watching content related to beauty (per day), perceived body image, and self-esteem. Materials and methods This analytical cross-sectional study included 196 students from Khoy University of Medical Sciences, selected via convenience sampling for the 2024–2025 academic year. Valid and reliable questionnaires were used to gather data: 69 items on perceived body image, 10 items on self-esteem, and 24 items on tendency toward cosmetic surgery. Multiple linear regression, ANOVA, and independent t-tests were used to analyze the data in SPSS version 26. Results The mean age of participants was 23 years. The majority were female (86%), single (94%), enrolled in health and basic sciences (43%), at the bachelor level (75%), and reported a monthly income of more than 300 million Iranian Rials (52%). No statistically significant differences were observed between demographic features and mean tendency toward cosmetic surgery (P > 0.05). However, a high frequency of watching beauty‑related content per day (β = 10.06, P < 0.001) and low self‑esteem (β = −1.25, P < 0.001) were significantly associated with a greater tendency toward cosmetic surgery. Conclusion Students’ tendency toward cosmetic surgery is influenced by their self-esteem, and even the frequency of exposure to beauty-related content.

Early childhood education is a crucial stage in preparing children to face further levels of schooling. One important aspect to be developed is naturalistic intelligence, which refers to the ability to recognize, differentiate, and appreciate the natural environment. This study aims to explore how teachers can enhance the naturalistic intelligence of children aged 5–6 years at Al Falah Islamic Kindergarten, Limbur Tembesi, Bathin VIII District, Sarolangun Regency through the use of natural materials. Employing a qualitative case study approach, data were collected through observation, interviews, and documentation. The findings reveal that teachers play a central role in designing lesson plans semester programs, weekly lesson plans, and daily lesson plans that incorporate natural materials as learning media. Teachers also prepare items such as seeds, soil, stones, and vegetables, while instilling habits of caring for plants and maintaining cleanliness in the school environment. In conclusion, the structured and consistent use of natural materials fosters children’s naturalistic intelligence and nurtures environmental awareness from an early age.

Families raising children with special educational needs (SEN) may experience adversities. However, previous research has focused on individual children, and limited research has examined family polyvictimization (FPV) and SEN correlates from a family-centered perspective. This study analyzed data from a family-based survey conducted in Hong Kong between August 2022 and March 2023, comparing families with and without children with SEN. A total of 1,400 respondents participated (mean age = 39.75 years, SD = 6.99; 75.4% female), each representing one participating family. Of these respondents, 130 reporting children with SEN and 1,270 without. Respondents provided information on sociodemographic characteristics, family violence and FPV experiences, and health outcomes. Multivariable logistic regression identified factors associated with having children with SEN. Lifetime FPV prevalence was higher among families reporting children with SEN than among other families (23.1% vs. 8.2%). After adjustment for sociodemographic, family-context, psychosocial-attitude, and social-support variables, FPV was associated with higher odds of SEN-reporting family status (aOR = 2.630, 95% CI 1.529–4.524). Other adjusted correlates included lower family income, male dominance, violence socialization, lower perceived social support, violence against adult parents, children, and older family members, poorer respondent physical health, and lower child quality of life. These findings underscore the importance of viewing families raising children with SEN as a window for identifying family violence and call for early detection, systematic screening, and family-centered interventions. Future research should examine these associations over time and strengthen family-based support.

Abstract Suicidal thoughts and behaviours (STB) span ideation (SI), attempt (SA), and death (SD), yet the factors distinguishing ideation from attempt remain poorly understood. Genome-wide studies suggest shared yet partially distinct genetic liabilities. However, few analyses have tested the differential contributions of SI-, SA-, and SD-related genetic liability across STB phenotypes, particularly in high-risk mood-disorder populations. We analysed up to 17,622 participants from the Australian Genetics of Depression Study and the Australian Genetics of Bipolar Disorder study, jointly modelling polygenic scores (PGS) for SI, SA, and SD across mutually exclusive STB phenotypes using multinomial regression, alongside dimensional outcomes, age of onset, and the ideation-to-attempt transition. SI-PGS and SA-PGS showed independent and distinct associations: SI-PGS showed reduced odds of SI-only but increased odds of SI + SA, and SA-PGS robustly predicted attempt-related outcomes. Transition models captured the clearest clinical signal: SA-PGS predicted a 23% higher odds of attempt among ideators, with absolute risk differences of 9–12% between the top and bottom deciles—larger than those of the onset models (5–7%). Predictive discrimination improved incrementally (ΔAUC ≈ 0.02–0.03; ΔC ≈ 0.01). SD-PGS showed no robust effects. Sex-stratified analyses yielded broadly consistent findings across sexes. These findings support ideation-to-action models at the genetic level, demonstrating partially distinct polygenic liabilities for ideation and attempt. Although absolute predictive utility remains modest, these results indicate that PGS sharpen the stratification of ideators at risk of attempt, providing incremental value for future integrative risk models that combine genetics with mood disorders and environmental predictors.

Free play is one of the few contexts in which children independently organise their social lives, providing a particularly relevant setting for examining how peer culture is produced and negotiated in everyday interaction. This study explored how preschool children shape peer culture through rules, social relationships, inclusion and exclusion, and shared meaning-making. A focused ethnography was conducted with 21 children aged 3 years 9 months to 7 years 2 months in an established mixed-age preschool group in Croatia. The observational period lasted one month and included 17 observation days. Data collected through observation, field notes, and four focus groups were analysed using reflexive thematic analysis. The findings indicate that children independently initiate and sustain play, jointly negotiate rules and roles, and create shared symbolic meanings. Group belonging is continually reaffirmed through participation, while temporary forms of exclusion were observed in different interactional contexts, including responses to disruption and restrictions on participation. Educator mediation occurred in some situations in which children did not resolve disagreements independently. The findings position children as competent social actors whose peer culture constitutes a meaningful form of social life and provide contextual insight into how these processes unfold within an established mixed-age preschool group.

This descriptive study examined the reported extent of best teaching practices among private secondary school teachers in the Apostolic Vicariate of Tabuk, Kalinga and Apayao, Philippines. The 2015 investigation involved 70 teachers from 10 private secondary schools and used a five-point survey questionnaire addressing teachers’ professional conduct, subject-matter expertise, student-centered teaching, experiential learning, moral development, critical thinking, and facilitation. Frequencies, percentages, weighted means, and reported analysis-of-variance (ANOVA) comparisons were used. Most respondents were female (74.29%), aged 20–30 years (91.43%), college graduates (65.71%), and had served for 1–10 years (95.71%). The overall reported mean for teaching practices was 4.72, classified as “Very Much Use.” Strongly rated practices included facilitating group dynamics (M = 4.97), demonstrating expertise in the field (M = 4.96), and content knowledge (M = 4.90). The original ANOVA summaries classified differences by civil status (F = 10.1274), educational attainment (F = 8.4656), and years of service (F = 7.1212) as significant, while gender (F = 0.7169) and age (F = 1.602) were not. Because some source calculations, degrees of freedom, and narrative interpretations conflict, inferential decisions require verification from the original data. Overall, teachers reported frequent implementation of professionally grounded, values-oriented, and learner-responsive practices. The findings support continued contextualized faculty development, equitable instructional resources, and careful evaluation of classroom practices.

This study examined the usability of Information and Communications Technology (ICT) tools, teacher cognition regarding ICT integration, and students’ technical proficiency in Electrical Installation and Maintenance (EIM) among junior high school students in pasig. Specifically, it investigated how teachers use simulation software, computer-aided design (CAD) tools, and instructional videos/multimedia resources, the relationship between ICT usability and teacher cognition, and the influence of teacher demographics on these variables. A descriptive-correlational research design was employed, with data collected from 33 teacher-respondents through total enumeration, representing the entire available population of EIM educators in the selected schools. Statistical analyses, including means, standard deviations, t-tests, ANOVA, and pearson correlation, were used to interpret the results. Findings revealed that teachers extensively used instructional videos and multimedia resources, while simulation software and CAD tools were underutilized. Teacher cognition regarding ICT integration was generally high in multimedia resources but low for specialized CAD tools in terms of awareness, knowledge, and operational skills. Students demonstrated proficiency in wiring diagram accuracy and installation skills and were highly proficient in safety practices. Significant differences in ICT usability and teacher cognition were influenced by age, sex, grade level taught, and years of teaching experience, whereas students’ technical proficiency was not significantly affected by these demographic factors. Correlational analysis showed that simulation software, CAD tools, and multimedia resources positively influenced teacher cognition, while only instructional videos and multimedia resources significantly impacted students’ safety practices. Based on these findings, a blended ICT-based instructional framework was proposed, integrating simulation software, CAD tools, and multimedia resources with hands-on practice, assessment, and feedback to enhance both teacher competence and student technical proficiency. This study highlights the importance of ICT integration in technical education, emphasizing that teacher competence with ICT tools enhances instructional delivery, while practical application remains essential for developing students’ technical skills in EIM.

This study assessed the socio-demographic profile and level of Technology and Livelihood Education (TLE) functional literacy among senior high school students as a basis for developing a work readiness intervention program. Specifically, it examined the respondents’ profiles in terms of age, sex, general academic performance, and availability of TLE-related tools at home, as well as their level of functional literacy in technology and engineering design, food and nutrition, financial literacy, entrepreneurial competence, and agricultural literacy and agri-tech awareness. A descriptive research design was employed involving 406 senior high school students. Data were gathered using a validated researcher-made questionnaire and analyzed using frequency, percentage, and mean. Findings showed that the majority of respondents were 17–18 years old, with male students slightly outnumbering female students. Most respondents demonstrated favorable academic performance, with the largest proportion obtaining grades of 90 and above. In terms of available TLE-related resources at home, students had greater access to common cooking and household tools than to sewing and agricultural equipment. The findings further revealed varying levels of TLE functional literacy across the identified domains. Technology and engineering design literacy, food and nutrition literacy, and financial literacy were assessed as Needs Improvement, indicating areas requiring strengthened practical knowledge and skills. Agricultural literacy and agri-tech awareness reflected a relatively higher level of performance, while entrepreneurial competence was assessed as Very Satisfactory, indicating a notable strength among the respondents. Based on these findings, a work readiness intervention program entitled “Ready for Work: A Work Readiness Intervention Program for Enhancing TLE Functional Literacy among Senior High School Students” was proposed to address identified areas for improvement through hands-on, skill-based, and experiential learning activities. The study concludes that although students demonstrate strengths in entrepreneurial competence and academic performance, targeted instructional support and practical learning opportunities are needed to strengthen TLE functional literacy relevant to employment, entrepreneurship, and lifelong learning. It is recommended that schools provide structured work readiness interventions, expand opportunities for experiential and hands-on learning, and integrate practical financial, technological, and livelihood skills into TLE instruction to better prepare students for future work environments.

Objective. The aim of this paper was to examine the association between appearance-based social comparison and eating disorder symptoms, body satisfaction, depressive symptoms, drive for muscularity, self-esteem, and physical activity in Brazilian college women. Method. The participants were 542 college women aged 18 to 30. A questionnaire was used to collect information on appearance comparisons, eating disorders symptoms, body satisfaction, depressive symptoms, drive for muscularity, self-esteem, and physical activity. A multiple linear regression was conducted adjusted by age, marital status, body mass index, and economic level. Results. The model that best explained the appearance comparisons scores variation included eating disorders symptoms (β= .385; p< .001), body satisfaction (β= -.200; p< .001), depressive symptoms (β= .169; p< .001), and drive for muscularity (β= .091; p< .05). Conclusion. Eating disorders, depressive symptoms, drive for muscularity, and body satisfaction were associated with appearance comparisons.

Background Non-suicidal self-injury (NSSI) is common during adolescence and is associated with substantial psychological burden and elevated subsequent suicide risk. Physical activity (PA) may be a modifiable correlate of NSSI, but prospective evidence on potential emotional mechanisms and social boundary conditions remains limited. This study examined whether baseline PA was associated with subsequent NSSI, whether anxiety symptoms accounted for part of that association, and whether baseline social support moderated the relevant pathways. Methods A school-based two-wave cohort of 756 Chinese adolescents and young students (mean age = 17.36 years, SD = 2.58; 51.7% female) was followed for 6 months. At Time 1 (T1), participants reported PA, social support, anxiety symptoms, NSSI, and demographic characteristics; anxiety and NSSI were reassessed at Time 2 (T2). Autoregressive regression models adjusted for baseline anxiety or NSSI as appropriate, together with age, gender, and urban/rural residence. Indirect effects were estimated with 5,000 bootstrap resamples, and interaction terms were used to examine first- and second-stage moderation. Results Higher T1 PA was associated with lower T2 NSSI after adjustment for T1 NSSI. The indirect association through T2 anxiety was −0.12 [95% CI (−0.18, −0.06)], representing 48.0% of the reported total association. T1 social support significantly moderated the T1 PA-T2 anxiety association ( p = 0.003); simple-slope estimates indicated a stronger inverse PA-anxiety association at higher social support. Social support did not significantly moderate the T2 anxiety-T2 NSSI association ( p = 0.281). Conclusion The findings are consistent with a model in which greater PA is prospectively associated with lower NSSI partly through lower subsequent anxiety, while social support may shape the PA-anxiety link. Because anxiety and NSSI were measured concurrently at follow-up, the indirect effect should not be interpreted as definitive causal mediation. Multi-wave and intervention studies are needed to establish temporal ordering and causality.

In recent years, retro-style outfits have continued to gain popularity on social media platforms. Clothing styles marked by earlier eras, such as Y2K millennium style, vintage outfits, and retro sportswear, have become widely popular among young people. This phenomenon raises a question worth exploring: why have young people developed such strong interest in “old clothes”? What role does social media play in the transformation of nostalgic emotions into consumption behavior? Taking 2018 to 2026 as the time window, this paper systematically reviews the literature on youth nostalgic consumption in social media environments and discusses it from three dimensions: conceptual definition, activation mechanism, and identity. The review preliminarily reveals the role of social media in the dissemination and diffusion of nostalgic content and also confirms that nostalgic consumption is an important path through which young people respond to identity anxiety and seek group belonging. However, existing studies still have three limitations. First, they lack a systematic explanation of how platform mechanisms promote the transformation of nostalgic emotions into consumption behavior. Second, they pay insufficient attention to how young people continuously construct identity through symbolic practices, community interaction, and consumption choices on social media. Third, the special mechanism of “non-experiential nostalgia” in the digital age has not been fully discussed. Future research may focus on constructing theoretical models that take social media as an intermediary variable and connect the logical path from emotion to behavior and then to identity.

Background Helping professionals face elevated risks of compassion fatigue and burnout, yet the daily processes through which emotional transformation occurs during therapeutic interventions remain poorly understood. This study examined how participants’ daily reflections shifted across the Emotion-Focused Training for Helping Professions (EFT-HP), analyzed through three complementary theoretical frameworks: Emotion-Focused Therapy's inner dialogue model (self-criticism, self-compassion, self-protection), Compassion-Focused Therapy's three-systems framework (threat, drive, soothing), and Ekman's basic emotion theory (primary emotions). Method Two hundred twenty-five helping professionals (88.0% female; M age = 38.7 years) from healthcare, social work, psychology, and education began the 14-day online EFT-HP intervention. Primary analyses focused on the 146 participants who completed at least 9 of the 14 days (completers), whose daily written reflections yielded 7,307 coded reflection units. Reflections were analyzed with directed content analysis and frequency quantification, applying non-exclusive, AI-assisted coding within three theoretical frameworks—EFT inner-dialogue categories, CFT emotion-regulation systems, and Ekman's discrete emotions—with a verbatim textual evidence excerpt retained for every assigned code. Results Across the intervention, participants’ reflections shifted from threat- and self-criticism-related content toward soothing and self-compassion. Within the EFT inner-dialogue framework, Self-Compassion was the most frequent category (17.9% of units) and was sustained throughout (Day-13 peak 30.8%), while Self-Criticism fell from 14.3% on Day 1 to 3.9% on Day 14 (73% relative decrease) and Self-Protection peaked on Day 6 (11.3%). Within the CFT emotion-regulation framework, the soothing system was the most frequently coded system overall (31.8% of units), followed by drive (20.4%); over the 14 days the threat system declined from 35.4% on Day 1 to 7.0% on Day 14 (80% relative decrease). Within Ekman's discrete-emotion framework, specific emotions were named less frequently: Fear declined from 2.7% to 0.8%, Anger peaked on Day 6 (15.0%), Joy rose to a Day-13 peak (14.8%), and Love was comparatively prominent (11.9% overall, Day-5 peak). Conclusions Across the 14-day intervention, participants’ daily reflections showed substantial shifts in emotional content, characterized by marked self-criticism and threat reduction alongside sustained self-compassion and soothing activation. Triangulated findings across three analytical frameworks: EFT inner dialogue, CFT emotion systems, and Ekman's primary emotions, are consistent with the emotional-transformation processes proposed by EFT-HP and with findings from previous controlled trials. Because the three frameworks were applied to the same reflection data, their convergence reflects analytic (theoretical) triangulation rather than independent confirmation.

Aim and background: Sleep is a biological necessity essential for physical and mental well-being, yet many young adults, particularly college students, experience sleep disruptions due to major life changes and poor sleep hygiene.This study aimed to identify the determinants of insomnia among undergraduate female students in a rural area of Haryana.Materials and methods: A mixed-method study was conducted between May 2024 and May 2025 involving 340 undergraduate female students.Quantitative data were collected using a semi-structured socio-demographic questionnaire and the insomnia severity index (ISI).Qualitative insights were gathered through in-depth interviews (IDI) with 15 students identified with clinically significant insomnia.Statistical analysis was performed using SPSS software version 26, with significance set at p < 0.05.Results: The prevalence of clinically significant insomnia in the cohort was 5.6% (n = 19).Quantitative analysis revealed that the participant's state of origin was the only statistically significant socio-demographic determinant (p = 0.031).Students from states other than Haryana reported a significantly higher insomnia prevalence (12.5%) compared to those from Haryana (4.2%).Factors such as age, socio-economic status, and type of occupancy showed no significant correlation.Qualitative themes highlighted academic performance, overuse of electronic devices, social environment, and psycho-social stress as primary triggers.Conclusion: While the prevalence of insomnia is relatively low, it is significantly driven by academic transitions, excessive screen time, and communal living challenges.A notable awareness-action gap exists, as students recognize the importance of sleep but prefer self-management or mindfulness over professional clinical help.

Abstract We investigated public beliefs about the extent to which mental disorders are perceived to be part of the true self, that is, the set of traits and behaviors that compose one’s core character. We conducted three quantitative vignette-based studies (total n = 601) in UK general public samples, considering seven disorders (attention deficit hyperactivity disorder (ADHD), anorexia nervosa, autism spectrum disorder (ASD), bipolar disorder, major depressive disorder, schizophrenia, and obsessive-compulsive disorder (OCD)). For each disorder, participants rated how much the disorder reflects the vignette character’s true self, along with perceived causes of the disorders (studies 1 and 2), perceived severity, age of onset, duration, probability of recovery (study 2), and stigmatization (study 3). Disorders differed sharply in the extent to which they were judged to be part of the true self: ADHD, ASD, and OCD received higher true self ratings than major depressive disorder, anorexia nervosa, and schizophrenia, with bipolar disorder intermediate. A disorder was rated more ‘true self’ when it was: perceived as more “biologically” caused; less “psychologically” caused; less severe; and recovery was perceived as less likely. Although the extent of stigmatization also varied across disorders, true self ratings did not predict stigmatization. Our results show that the public thinks about different mental disorders in quite different ways, suggesting that different disorders should not be lumped together when considering attitudes and their consequences.

Background: Brief psychological treatment programmes in primary care are increasingly used to address common mental disorders (CMDs), yet patient outcomes remain heterogeneous. Routine symptom measures may help identify patients who are more or less likely to achieve clinically meaningful change and may support treatment planning within stepped-care systems. This study examined associations between baseline depressive and anxiety symptom severity predicted reliable improvement and reliable recovery following brief psychological treatment in a real-world primary care programme. Methods: This secondary analysis used routinely collected data from 512 adults treated in a real-world primary care psychological intervention programme. Participants were assessed with the Patient Health Questionnaire-9 (PHQ-9) and Generalized Anxiety Disorder-7 (GAD-7) before and after brief psychological treatment. Baseline demographic and clinical variables, including age, sex, number of sessions, and PHQ-9 and GAD-7 scores, were examined according to reliable improvement and reliable recovery status. Logistic regression analyses examined associations between baseline variables and treatment outcomes. Results: Reliable improvement was observed in 73.6% of participants, whereas 53.3% achieved reliable recovery. Higher baseline anxiety severity was associated with reliable improvement (odds ratio [OR] = 1.16, 95% confidence interval [CI]: 1.08–1.23), whereas lower depressive severity predicted reliable recovery (OR = 0.92, 95% CI: 0.88–0.96). Fewer treatment sessions were associated with both reliable improvement and reliable recovery. Age and sex were not significantly associated with outcomes. Conclusions: Baseline anxiety and depressive symptom severity may be relevant for understanding variability in clinically meaningful outcomes following brief psychological interventions in primary care. Patients presenting with greater depressive symptom burden may benefit from closer monitoring and more intensive or extended treatment pathways within stepped-care models.

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.

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.

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.

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.

Purpose: The COVID-19 pandemic has increased the workload of medical personnel providing patient care, particularly inpatient nurses. Field interviews with nurses at hospitals in Bandung City indicated increased fatigue and sleepiness during the new normal adaptation period. This study aimed to measure mental workload and sleepiness among inpatient nurses in Bandung City. Methodology: A total of 275 inpatient nurses participated by completing the National Aeronautics and Space Administration Task Load Index (NASA-TLX) questionnaire to assess mental workload and the Karolinska Sleepiness Scale (KSS) to measure sleepiness. Results: Mental workload among inpatient nurses ranged from high to very high, with scores between 76.93 ± 13.18 and 81.36 ± 13.53. Hospital characteristics, gender, age, and marital status were identified as factors associated with excessive mental workload. KSS scores indicated that nurses were in the very alert to alert range after completing their duties. Furthermore, 60.73% of nurses experienced very high mental workload, while 68.73% were classified as very alert. Conclusion: The findings indicate the need for hospital management to improve working conditions through better shift scheduling, resource allocation, and equitable distribution of staff support facilities to address the needs of inpatient nurses. Originality: This study examines mental workload and sleepiness simultaneously among inpatient nurses in Bandung City and identifies factors associated with excessive mental workload, providing a basis for improving hospital workforce management during the new normal adaptation period.

Background Achieving early glycemic control in adolescents with diabetes is associated with improved short- and long-term health outcomes. The aim of this study was to examine the relationship between eating attitudes and glycemic control, as well as the factors associated with eating attitudes and glycemic control, in adolescents with diabetes. Methods This descriptive cross-sectional study included 143 adolescents with diabetes, aged 10–19 years, who attended a research hospital between February and April 2024. The data were collected using a Descriptive Information Form, Eating Attitudes Test (EAT) and an information form questioning the values of some metabolic variables. Results The mean age of the participants was 14 ± 2.3 years and 49.7% had diabetes between 1–5 years. The mean total score of the EAT scale was 16.62 ± 8.30. The mean score of the “Dieting” subscale of the EAT scale was 10.39 ± 5.58, the mean score of the “Bulimia food preoccupation” subscale was 2.33 ± 3.03 and the mean score of the “Oral Control” subscale was 3.79 ± 3.08. There was no significant difference between the mean EAT total score and glycemic control. Conclusions The mean EAT-26 total score was below the commonly used cutoff score, and no significant association was found between EAT-26 scores and HbA1c. Differences in EAT-26 total and subscale scores were observed according to selected demographic and clinical characteristics, including BMI, treatment modality, and treatment adherence. These findings describe self-reported eating attitudes in the study sample and support the inclusion of eating-related assessment within the holistic care of adolescents with Type 1 DM.

Executive function (EF) is foundational for school readiness, mental health, and social adaptation. Although cross-national studies document cultural variation in EF, less is known about whether EF differs across ethnic groups within the same national and educational context. In China, Yi, Bai, and Naxi children may differ in home language, childrearing practices, and educational beliefs, making them informative for examining universal and context-specific patterns of EF development. This study examined Executive Function (EF) development in a sample of 190 Chinese ethnic children (Yi, Bai, Naxi; 115 boys, 75 girls) aged 4–6 years. These findings revealed that, (1) Overall EF scores were highest for Bai children, followed by Naxi children, and than Yi children. (2) For inhibition control (IC), at ages 4 and 5, Bai and Naxi children performed significantly better than Yi children, whereas no significant differences were observed among the three ethnic groups at age 6. (3) For cognitive flexibility (CF), Bai and Naxi children are significantly better than Yi children. On the size, color, and shape sub-dimensions, pass rates were highest for Bai children, followed by Naxi and then Yi children; on the quantity sub-dimension, pass rates were highest for Naxi children, followed by Bai and then Yi children. (4) For working memory (WM), at ages 4 and 6, the ranking of scores across the three ethnic groups showed that Bai children obtained the highest scores, followed by Naxi children and than Yi children; at age 5, Bai children scored significantly higher than Naxi and Yi children. These findings contribute to theories of EF development by revealing both age-related convergence and cross-ethnic variation, and they inform culturally responsive early childhood education and intervention.

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Introduction This study examined the moderating role of positive emotion in the relationship between trait-like stress reactivity and negative emotion, and whether this moderating effect varies by cognitive performance and cognitive decline across nine years. Methods Using data from 2,041 participants in the Midlife in the United States (MIDUS) study (mean age = 65.52 years), hierarchical regression models were conducted to predict negative emotion from trait-like stress reactivity, positive emotion, and their interaction, controlling for age, gender, years of education, depressed mood, and neuroticism. Simple slope analyses were conducted to test the direction of significant interactions. Analyses were repeated within subgroups of cognitive performance and cognitive decline across 9 years. Results The interaction between positive emotion and trait-like stress reactivity was significant, with higher positive emotion associated with a weaker relationship between stress reactivity and negative emotion. This moderating effect was observed across low, moderate, and high cognitive performance groups; a three-way interaction further indicated that the moderating effect becomes stronger as cognitive performance increases. For cognitive decline, the moderating effect was significant only among individuals with relatively greater cognitive decline, although the three-way interaction was not significant. Conclusion Positive emotion may buffer the relationship between trait-level stress reactivity and negative emotion across the cognitive performance range, although this moderating effect appears weaker at lower cognitive performance. Findings for cognitive decline were less conclusive, as a subgroup-specific association among participants with greater decline was not confirmed when cognitive decline was analyzed as a continuous moderator.

Introduction Adolescents’ subjective well-being has been widely studied across different family structures. However, little is known about the role of basic psychological needs in the subjective well-being of adolescents living in different family structures or in residential care. The present study addresses this gap. Methods The sample comprised 5,295 adolescents aged 10 -16 years ( M age =13.20, SD=1.50) living in intact families (65%), single-parent families (21%), stepparent families (12%), or residential care (2%). Participants completed self-report measures of basic psychological need satisfaction at home, subjective well-being (affective and cognitive components), and perceived family affluence. Results Structural equation modeling showed significant indirect associations between family structure and adolescents’ subjective well-being through basic psychological need satisfaction at home, including a sequential indirect association through perceived family affluence and basic psychological need satisfaction. Living in residential care was also indirectly associated with adolescents’ subjective well-being through basic psychological need satisfaction at home, whereas the direct association was not statistically significant. The results show that adolescents living in intact families reported the highest level of basic psychological need satisfaction at home, followed by those in single-parent and stepparent families, while adolescents in residential care reported the lowest level. Discussion The findings provide evidence that the association between family and care contexts and adolescents’ subjective well-being is statistically mediated by basic psychological need satisfaction at home. The results are discussed in light of the value of parental and caregiver support for adolescents’ basic psychological needs in different family types and care.

Background: Emerging adulthood is a vulnerable developmental period for suicidal ideation. Psychological pain is often associated to its occurrence, however, the factors related to the transition from psychological pain to suicidal ideation remain unclear. This study aimed to analyze the mediating capacity of entrapment and the moderating capacity of meaning in life in the relationship between psychological pain and suicidal ideation during emerging adulthood. Methods: Participants were Spanish emerging adults who completed a battery of questionnaires through LimeSurvey platform. A moderated mediation was conducted. Results: The model explained 63.8% of the variance in suicidal ideation. Entrapment mediated the relationship between psychological pain and suicidal ideation. Furthermore, at low levels of meaning in life, psychological pain was positively associated with suicidal ideation, while at high levels, the association was no longer significant. Conclusions: These findings highlight the importance of assessing psychological pain and entrapment as potential risk factors of suicidal ideation during emerging adulthood, and support the development of interventions aimed at fostering their meaning in life.

The purpose of this study is to determine pre-service early childhood teachers’ views and perceived competency levels regarding neurolinguistic-based science, technology, engineering, arts, and mathematics (STEAM) applications in phonemic skills instruction, and to examine whether these perceptions differ significantly according to demographic (gender, age, and grade level) and professional/experiential (having received phonemic awareness training, STEAM experience, and familiarity with the concept of neurolinguistic programming [NLP]) variables. Adopting a descriptive survey design, one of the quantitative research methods, the study group consisted of 179 pre-service teachers enrolled in an early childhood education undergraduate program at one university in Kazakhstan. The research data were collected through a demographic information form, a structured views questionnaire, and a data collection tool measuring pre-service teachers’ perceived competency. The findings show that participants’ overall perceived competency was high. However, 36.9% of participants regarded phonemic awareness as a naturally developing process and 31.3% viewed STEAM as unrelated to language skills, which may indicate conceptual gaps; and although 41.9% stated that the art component made phoneme discrimination more concrete, 53.6% considered art either unrelated to phonemic awareness or merely entertaining. Perceived competency did not differ significantly by gender or age, whereas third-year pre-service teachers reported lower perceived competency than first- and second-year students; a “reality shock” after practicum is a possible but untested explanation, as practicum was not measured. In addition, pre-service teachers who had previously received phonemic awareness training, who had STEAM experience, and who were familiar with the concept of NLP reported significantly higher perceived competency. The findings suggest that teacher educators may consider adding applied, STEAM-integrated phonemic awareness modules supported by microteaching, including a critical examination of the evidence on NLP and learning-styles claims. The findings are limited by self-report data and a single-university convenience sample.

Access to functional digital infrastructure is a prerequisite for teachers to convert information and communication Technology (ICT) competence into classroom practice, yet the quality and distribution of infrastructure remain uneven in many developing education systems. This paper examined the effect of the status of institutional ICT infrastructure and digital tools on teacher use of digital technologies in public junior schools (JS) in Kakamega County, Kenya. Relying on the Theory of Organizational Information Processing, the study used a convergent parallel mixed-methods design involving 332 responding JSS teachers, 11 Sub-County Directors of Education and observations from 78 schools. Factor analysis of 12 infrastructure indicators produced a factor-based index of 3.500, interpreted as good, although important differences were evident across infrastructure components. Electricity, computer rooms, broadband connectivity, and technical support were relatively strong, whereas specialized digital tools, suitable educational software and security mechanisms were weaker. Teachers most frequently identified inadequate computers/devices (26.8%) and unstable or absent internet connectivity (22.9%) as the leading infrastructure challenges. Pearson correlation showed a significant positive moderate relationship between infrastructure status and technology use (r = .417, p < .001). In Model 1, infrastructure significantly predicted technology use (B = .525, β approximately .417, p < .001; R² = .174). After adjustment for gender, age, education, teaching experience, subject and JSS enrolment, the detailed regression table reported B = .579, β = .465, t = 7.94, p < .001, R² = .473 and adjusted R² = .451. The null hypothesis was rejected. The paper concludes that functional infrastructure and appropriate digital tools are essential enabling conditions, but infrastructure development should address advanced tools, software, connectivity, maintenance and security rather than focusing only on basic provision. This study also recommends that the infrastructure budgets should move beyond hardware acquisition to include suitable educational software, specialized digital tools, maintenance, backups, antivirus protection and user-safety measures.

This study assessed the employability skill readiness of Alternative Learning System (ALS) graduates in Liloan District, Cebu, during School Year 2025–2026 as a basis for developing a skill enhancement plan. Anchored on Human Capital Theory, Career Construction Theory, and Social Cognitive Career Theory, the study employed a quantitative correlational research design involving 70 ALS graduates. Data were collected using an adapted and modified questionnaire and analyzed through percentages, weighted means, standard deviations, Pearson product-moment correlation, and chi-square tests. Findings revealed high employability skill readiness in communication (M = 4.08), teamwork (M = 3.82), problem-solving (M = 3.81), self-management (M = 3.48), and technical or job-specific skills (M = 3.52). Employability readiness was significantly associated with age, parents’ educational attainment, parents’ occupation, and combined monthly family income, while gender showed no significant relationship. Furthermore, challenges encountered exhibited a significant negative relationship with employability readiness (r = −0.46), indicating that greater challenges were associated with lower readiness. Prominent challenges included limited access to training and upskilling opportunities, insufficient career preparation, inadequate hands-on experience, and limited confidence in applying acquired skills. The study recommends implementing the proposed Skill Enhancement Plan through accessible training, career guidance, workplace exposure, and strengthened stakeholder partnerships. The research aligns with Sustainable Development Goal (SDG) 4 (Quality Education) and SDG 8 (Decent Work and Economic Growth) by promoting inclusive skills development and employment readiness. Its potential contribution to educational, socioeconomic, and community sustainability lies in supporting lifelong learning, equitable employment preparation, and improved workforce participation among ALS graduates.

Recent advances in artificial intelligence (AI) call for a renewed examination of the ontological meaning of the human being and the nature of psychoanalytic treatment.AI-based mental health interventions show potential for improving the accessibility and efficiency of care; however, current AI systems generate verbal responses on the basis of statistical patterns, and it remains difficult to regard them as capable of performing, in the same manner as human therapists, the embodied emotional experience and relational internal transformation that psychoanalytic treatment entails.This paper conceptualizes the persistent delegation of psychological functions to external systems as the "outsourced ego" and examines the possibility that this phenomenon may, over time, lead to a weakening of ego functions and a delay in the formation of subjectivity.It also discusses the structural problems of AI-based treatment, including the lack of explainability, the reinforcement of self-deceptive narratives through hallucination, and the absence of ethical responsibility.In addition, this paper considers the difficulty of implementing, in an AI-mediated environment, core mechanisms of psychoanalytic interaction such as containment, transference and countertransference, and the analytic third.In response, it proposes four practical virtues for preserving humanity in the age of AI: reflexivity, negative capability, relational courage, and responsible subjectivity.In conclusion, the development of AI technology should not remain confined to the question of whether human therapists can be replaced; rather, it should serve as an opportunity to reflect more clearly on the distinctiveness of human existence, which lies in the capacity to endure imperfection and live with others.

Socially complex peer play may provide opportunities for children to coordinate perspectives, negotiate roles, and respond to others' needs, but its association with prosocial judgment may differ according to children's social-cognitive resources. This small-scale longitudinal study examined whether mental state knowledge assessed at age 4–5 conditioned the concurrent association between socially complex peer play and prosocial judgment assessed at age 5–6. Participants were 35 children from a private nursery school in Japan. Mental state knowledge was assessed using a false-belief task. At age 5–6, children completed helping and sharing judgment tasks, and their free play was observed naturalistically across repeated focal-child observations. Socially complex peer play was indexed by the combined proportion of associative and cooperative play. Hierarchical regression analyses showed that the interaction between earlier mental state knowledge and socially complex peer play significantly predicted sharing judgment. The corresponding interaction for helping was positive but did not reach the conventional significance threshold. Sensitivity analyses using heteroskedasticity-consistent standard errors supported the sharing result. Given the modest sample size, the findings should be interpreted as preliminary. They suggest that the association between socially complex peer play and prosocial judgment may differ according to children's earlier social-cognitive resources.

Objective: To investigate the relationship between orthorexia dimensions, specifically healthy orthorexia (HeOr) and orthorexia nervosa (OrNe), and hematological inflammatory markers.Methods: This cross-sectional, analytical study included 218 healthy volunteers (73.9% male, median age: 25.0 years) who were evaluated between February 2026 and April 2026.Sociodemographic profiles and the Teruel Orthorexia Scale scores were obtained.Complete blood count parameters and inflammatory indices, including the monocyte-to-lymphocyte ratio (MLR) and systemic inflammation response index (SIRI), were analyzed.Results: HeOr scores demonstrated significant negative correlations with white blood cell count (r = -0.163,P = 0.016), neutrophil count (r = -0.160,P = 0.019), monocyte count (r = -0.244,P < 0.001), platelet count (r = -0.168,P = 0.013), MLR (r = -0.134,P = 0.049), and SIRI (r = -0.185,P = 0.006).Conversely, OrNe scores exhibited a significant negative correlation only with monocyte count (r = -0.171,P = 0.012) and showed no significant associations with other hematological parameters or systemic inflammatory indices.Conclusion: Individuals with higher HeOr tendencies display a healthier systemic inflammatory profile, likely reflecting beneficial dietary choices.Despite being characterized by more rigid cognitions and behaviors toward healthy eating, OrNe tendencies do not manifest a healthier inflammatory profile.

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.

Sleep quality is fundamental to college students’ physical and psychological health and academic functioning. Amid increasing digitalization and stress, sleep problems remain prevalent among college students. Previous research has shown that physical activity, cognitive processing styles, and behavioral regulation patterns are associated with sleep outcomes, but these variables have often been examined separately, with limited attention to their integrated association structure. Based on cross-sectional survey data, this study used latent-variable structural equation modeling to examine the sequential indirect association pattern among physical activity, negative attentional bias, bedtime procrastination, and sleep quality. Using cluster sampling, data were collected from 921 college students from four universities in East China (439 males, 482 females; M_age = 20.34, SD = 1.59). Measures included the Physical Activity Rating Scale (PARS-3), Negative Attentional Bias Scale, Bedtime Procrastination Scale, and Pittsburgh Sleep Quality Index (PSQI). Structural equation modeling and bootstrap methods examined indirect associations. Results indicated that physical activity was significantly associated with lower PSQI scores, indicating better sleep quality (B_total = −0.072, β _total = −0.440, p < 0.001). Negative attentional bias and bedtime procrastination both showed significant partial indirect associations. The simple indirect associations through negative attentional bias and bedtime procrastination accounted for 20.8 and 15.3% of the total association, respectively. The sequential indirect association “physical activity → negative attentional bias → bedtime procrastination → sleep quality” was also significant, although its proportion was relatively small (4.2%). Overall, the total indirect association accounted for 40.3% of the total association. Multi-group structural analysis indicated that the association structure was broadly comparable across gender groups, although associations involving bedtime procrastination appeared stronger among female students. By integrating cognitive processing and behavioral regulation perspectives, this study provides a more integrative view of the association between physical activity and sleep quality. The findings suggest that college students’ sleep problems may be embedded within a broader system of health behaviors and psychological processes. Given the cross-sectional design, future longitudinal or experimental studies should examine the dynamic associations among these variables.

The relationship between parenting behaviour and children's socio-emotional functioning is well documented in Western samples, yet evidence from primary-school-age children in Andhra Pradesh, India, is limited. This cross-sectional correlational study examined whether parent-reported authoritative, authoritarian, and permissive parenting were related to children's total difficulties and prosocial behaviour. Fifty parents of children aged 6-12 years completed an online 25-item researcher-developed questionnaire. Most parents (86%) reported predominantly authoritative behaviour. Authoritative parenting was unrelated to prosocial behaviour (r = .06) and difficulties (r = -.03), and authoritarian parenting was unrelated to difficulties (r = .13), so the main hypotheses were not supported. Authoritarian parenting was negatively correlated with prosocial behaviour (r = -.37, p = .009), and children from joint families scored higher on prosocial behaviour than children from nuclear families (d = 0.70). Scale reliability was low (α = -.21 to .28), so the findings are tentative. Validated tools and larger samples are needed.

Bullying victimization is an important public health concern that has been linked to adverse psychological outcomes among adolescents. The study used mental health well-being data collected in the most recent Bangladesh Adolescent Health and Wellbeing Survey (2019–2020) (BAHWS). A total of 9,116 adolescents aged 15–19 years with complete depression data were included in the analysis. A three-level linear mixed-effects model was employed to account for the hierarchical structure of the survey, with adolescents nested within primary sampling units and districts. Additional analyses examined gender and marital status interactions, subgroup differences, and the cumulative association between multiple forms of bullying and depressive symptoms using a composite bullying measure. The findings revealed that verbal bullying (β = 1.39, p < 0.001) and cyberbullying (β = 1.15, p = 0.012) were independently associated with higher depressive symptom scores. The association between physical bullying and depressive symptoms differed significantly by gender, whereas interactions of gender with verbal and cyberbullying were not statistically significant. Exploratory subgroup analyses showed variation in the magnitude of estimated associations across ever-married females, unmarried females, and unmarried males. A graded association was observed for cumulative bullying exposure: compared with adolescents reporting no bullying exposure, those exposed to on (β = 1.25), two (β = 2.61), and three (β = 4.99) bullying types had progressively higher depressive symptom scores (all p < 0.001). Adolescent Age, Current school or college attendance and higher household wealth were associated with lower depressive symptom scores. Bullying victimization, particularly verbal bullying, cyberbullying, and exposure to multiple forms of bullying, was associated with higher depressive symptoms among Bangladeshi adolescents. These findings highlight the need for comprehensive bullying prevention strategies and accessible psychosocial support services, with particular attention to adolescents experiencing multiple forms of bullying and other vulnerable groups.

Background As global aging accelerates, age-related psychophysiological conditions have emerged as major public health concerns. Promoting and sustaining vitality, an inherent human capacity, is essential for healthy aging and long-term well-being. The Mindfulness-based Vitality Promotion (MVP) program is a mindfulness-based behavioral intervention designed to enhance physical and psychological vitality and support sustainable well-being. This study evaluated the feasibility and acceptability of the MVP program and explored preliminary pre–post changes in health-related outcomes among community-dwelling individuals in a lifelong learning setting. Methods This study employed a single-arm mixed-methods design. A total of 35 participants were recruited for this study. The MVP program was delivered over 8 weeks, with each session lasting 90 min. Quantitative data were collected through self-report questionnaires, and qualitative data were obtained via semi-structured interviews. Feasibility and acceptability were assessed based on program retention, session attendance, and participant satisfaction. Results Quantitative analysis revealed significant pre–post increases in integrative vitality and well-being, along with significant reductions in depression, fatigue, and anxiety. No statistically significant changes were observed in pain, sleep disturbance, digestive symptoms, anger, or mindfulness. Of the 35 enrolled participants, 31 completed the program (88.6%), with a mean attendance of 6.37 of eight sessions. Among the 30 satisfaction survey respondents, 28 (93.3%) indicated willingness to participate again and 30 (100%) indicated willingness to recommend the program to others. The qualitative analysis identified four major themes: (i) diverse life challenges and self-care needs, (ii) learning through experience, connection, and application, (iii) regaining balance and agency in life, and (iv) sustaining practice requires continued support. Conclusion Mixed-methods findings provide preliminary information regarding the feasibility and acceptability of the MVP program and indicate favorable pre–post changes in several self-reported health-related outcomes. The MVP program may represent a practical lifelong learning intervention with potential relevance for public health promotion. Further controlled studies are warranted to establish its efficacy. Trial registration The trial was first submitted to the Clinical Research Information Service, Republic of Korea (KCT0009961, https://cris.nih.go.kr/cris/search/detailSearch.do?seq=28524&search_page=L ), on October 8, 2024, before participant enrollment began, and registration was finalized on November 28, 2024.

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.

This article aims to establish the possibility of a phenomenological-hermeneutic psychopathology of anorexia nervosa based on Martin Heidegger's thought. To this end, it uses a narrative review methodology to articulate an understanding of the Phenomenological Psychopathology of this pathology, the problem of corporeality in Phenomenology and the Heideggerian perspective on corporeality, and the interrelationships between the technology age, anorexia nervosa and the body lived in the first person. It should be emphasized that the current model of descriptive psychopathology of signs and symptoms, as well as the cognitivist views that explain anorexia as an alteration of beliefs and body image, are insufficient to highlight the profound transformations that occur in the lived body (Leib) of the anorexic experience. This corporeality is experienced as a source of concern, constant measurement, the search to acquire a new identity, closure to otherness and alienation. A panorama of possible articulations of the temporality, spatiality and corporeality of such suffering is then established. In addition, based on the Heideggerian approach, which emphasizes the mundanity of the experience of the body, it is possible to establish a link between corporeality as an intermediary phenomenon and the world of technology, which emphasizes modes of relationship focused on control, manipulation, representation and objectification.

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.

Mental healthcare needs are growing, yet awareness of available services remains limited, even in Houston, Texas. This study examined relationships between having experienced or been diagnosed with mental illness and awareness of community-based mental health or crisis services. Approximately 1,000 Houston-area adults were surveyed in 2024 and 2026. Chi-square and multivariable regression analyses showed that experience with mental illness was associated with SGM populations, race/ethnicity, and age after adjustment for sociodemographic characteristics. SGM participants had greater odds of reporting mental illness, whereas Black/African American, Hispanic/Latinx, Asian, and older adults had lower adjusted odds relative to their reference groups. Awareness of community-based services was independently associated with gender, SGM populations, race/ethnicity, age, and annual household income; females had greater odds of awareness, whereas Hispanic/Latinx, Asian, and older adults had lower odds. Findings highlight sociodemographic differences in reported experience with mental illness and awareness of community-based services. Longitudinal research is needed to further examine these relationships.

Emotional intelligence (EI) has emerged as a relevant professional competency in nursing, yet its relationship with career growth remains underexplored in Saudi Arabia. This study examined the association between total emotional intelligence and perceived career growth among nurses in the Jazan Health Cluster. A cross-sectional correlational design was employed with 295 registered nurses in the Jazan Health Cluster recruited via convenience sampling. EI was measured using the Schutte Self-Report Emotional Intelligence Test, and career growth was measured using the Career Growth Scale. Pearson correlation and multiple linear regression served as the primary analytical strategies. The sample was predominantly female (78.0%), Saudi (67.1%), and BSN-qualified (74.9%), with a mean age of 36.28 years (SD = 7.94). Mean total EI was 127.98 (SD = 9.96), and mean total career growth was 53.73 (SD = 6.66). EI was positively correlated with career growth ( r = .351, 95% CI [0.246, 0.447], p < .001). Exploratory analysis showed that total EI was most strongly correlated with Career Capacity ( r = .438). Social Skills and Emotion Utilization showed broad positive patterns across the non-salary career-growth domains, whereas total EI was not associated with Salary Increase ( r = − .008, 95% CI [-0.122, 0.106]). The association between the total scores remained after covariate adjustment (B = 0.213, standardized β = 0.319, HC3 p < .001; adjusted R² = 0.220). Total emotional intelligence was positively associated with perceived career growth among nurses in Saudi Arabia after covariate adjustment but was not associated with perceived salary growth. Exploratory findings suggest that emotional competencies may be more relevant to developmental and relational aspects of career growth than to financial advancement. The findings may inform broader professional-development strategies aligned with Saudi Arabia’s Vision 2030 healthcare workforce priorities.

Objective This cross-sectional study (1) compared social support, psychological-capital dimensions, and both C-MLQ dimensions between students with and without visual impairments; and (2) among students with visual impairments, examined the association between social support and presence of meaning (C-MLQ-P) and tested the a priori hypothesized cross-sectional indirect association through hope. Self-efficacy, resilience, and optimism were examined exploratorily in descriptive/correlational and hierarchical-regression analyses. Methods Participants were 170 students with visual impairments and 294 students without visual impairments from a vocational college in China. They completed measures of social support, psychological capital, and meaning in life. Group differences were examined using MANCOVA with follow-up ANCOVAs. Among students with visual impairments, Pearson correlations and an exploratory hierarchical regression were conducted, and H3 was tested using a single cross-sectional indirect-effect model with social support (ASSS-Total) as the predictor, hope (PPQ-Hop) as the indirect variable, presence of meaning (C-MLQ-P) as the outcome, and age and sex as covariates. Results After adjustment for age and sex, students with visual impairments scored significantly lower on objective support, support utilization, self-efficacy, optimism, presence of meaning, and search for meaning than students without visual impairments, whereas no significant group differences were observed for subjective support, resilience, or hope. Among students with visual impairments, social support was positively associated with the presence of meaning (r = 0.56, p < 0.01). In the H3 model, the total association between social support and presence of meaning was 0.8912 (95% CI [0.6988, 1.0835]), the direct association was 0.3560 (95% CI [0.1655, 0.5465]), and the indirect association through hope was 0.5352 (BootSE = 0.0923, 95% bootstrap CI [0.3680, 0.7239]). Conclusions In this sample from a single Chinese vocational college, social support was positively associated with the presence of meaning, and a significant cross-sectional statistical indirect association was observed through hope. Because the data were cross-sectional, the observed indirect association does not establish temporal ordering or a causal mechanism. Longitudinal and experimental studies are needed to determine whether changes in social support precede changes in hope and presence of meaning.

The present study examined the relationship among emotional flexibility, behavioral problem and coping strategies among late adolescents and investigated the mediating role of emotional flexibility in the relationship between internalizing and externalizing behavioral problem and Adaptive and maladaptive copying strategies. A correlational research design was used with a sample of N=200 late adolescent’s age 17 to 19 years, including 97 males and 103 females, selected through convenience sampling from different educational institute. Data were collected using a demographic information sheet, Emotional flexibility scale (EFS), Behavioral problem scale (BPS) and brief COPE inventory. Data analyzed using descriptive statistics, reliability analysis, Independence sample test, pearson correlation and mediation analysis through process model 4 with 5,000 bootstrap samples. Finding indicate the males reported significantly higher behavioral problem than females. Significant difference was also found according to the institutional type, with private institute student reporting higher behavioral problem scores, whereas government institute student reported higher coping strategies score. Emotional flexibility significantly predict adaptive copying strategies was significantly negative associated with externalizing behavioral problem. However, emotional flexibility did not significantly mediate with relationship between internalizing or externalizing behavioral problem and adaptive or maladaptive copy as the booster confidence interval for the indirect effect included zero. Overall, the finding suggests the emotional flexibility associate with adolescent coping and behavioral functioning but does not significantly explain the relationship between behavioral problem and copying strategies in the present sample.

Aim The aim of the study was to assess the level of life satisfaction of forensic psychiatry patients and to identify selected demographic and clinical factors related to life satisfaction, with particular emphasis on illness acceptance. Material and methods The study included 121 patients hospitalized in four forensic psychiatry departments. Life satisfaction was assessed using the Satisfaction with Life Scale (SWLS), and illness acceptance using the Acceptance of Illness Scale (AIS). The relationship between SWLS scores and age and AIS scores was analyzed, as well as differences in SWLS scores based on gender, duration of hospitalization, psychiatric diagnosis, and pharmacotherapy regimen. Spearman’s rank correlation, Student’s t-test, one-way ANOVA, and the Mann-Whitney U test were used depending on the type of variables. A nominal significance level of α = 0.05 was adopted. No p-value correction was applied due to multiple testing. Results The mean SWLS score was 19.82 ± 7.50 points. The study group showed varied levels of life satisfaction. After converting the results to the sten scale, 39.7% of participants achieved results corresponding to a low level of life satisfaction, 26.4% - an average level, and 33.9% - a high level. The mean AIS score was 28.06 ± 7.70 points; low level of illness acceptance was found in 10.7% of participants, average in 47.1%, and high in 42.1%. There were no statistically significant differences in SWLS scores depending on gender (p = 0.412), psychiatric diagnosis (p = 0.951), pharmacotherapy regimen (p = 0.930), or duration of hospitalization (p = 0.211). There was no statistically significant correlation between the SWLS score and age (rho Spearman’s ratio = -0.166; p = 0.068). However, a weak positive correlation was observed between the AIS score and the SWLS score (rho Spearman’s α = 0.215; p = 0.018), statistically significant at the nominal level of α = 0.05. Conclusions of life satisfaction were found among the patients included in the study. The largest group consisted of participants classified as low (39.7%), but the differences in numbers between categories did not indicate a clear dominance of one category over the other. In the study group, the most common levels of illness acceptance were medium (47.1%) or high (42.1%). There was no statistically significant correlation between SWLS scores and age, nor were there any statistically significant differences in SWLS scores based on gender, psychiatric diagnosis, pharmacotherapy regimen, or length of hospitalization. However, a weak positive correlation was observed between illness acceptance and life satisfaction, significant at the nominal level of α = 0.05. The cross-sectional nature of the study does not allow for conclusions about a causal relationship between these variables. The results suggest the validity of considering illness acceptance in further studies on life satisfaction in forensic psychiatric patients.

Background The first period of life shapes later life chances, but the economic consequences accumulate across later childhood, adolescence and adulthood and fall across several policy sectors. Existing reviews typically address one risk factor at a time, or focus on a restricted outcome domain, leaving the relevant evidence scattered. This umbrella review collates review-level evidence on how early childhood exposures affect later economic outcomes. Methods The review was registered on Open Science Framework (https://osf.io/szpx5/overview). Medline, APA PsycArticles, APA PsycINFO, CINAHL Plus with Full Text, Education Research Complete & Psychology and Behavioural Sciences Collection databases were searched in November 2025. Systematic, rapid, scoping, narrative and umbrella reviews were eligible if they examined early childhood exposures and later outcomes with measurable consequences for education, employment, income, criminal justice involvement, quality of life, wellbeing or service costs. Reviews reporting only health status outcomes, and those focused on low- and middle-income countries, were excluded. Two authors screened and extracted independently, and quality was appraised. Findings were synthesised narratively. Results Seventy-two reviews were included, published between 2001 and 2025 and increasingly since 2021. Adverse childhood experiences and related adversity were the most frequently examined exposures, followed by childhood physical health conditions, birth and perinatal factors, and neurodevelopmental and behavioural difficulties. Early years risk factors were consistently associated with poorer later education and employment, lower income and greater criminal justice involvement. Evidence on quality of life was mixed, and service use and costs were seldom reported. Few reviews addressed publication bias. Conclusion Difficulties experienced in the early years have consequences across several later life domains and public sectors. The evidence is most consistent for education and criminal justice involvement, and thinner for quality of life, service use and costs. Reviews rarely address correlations between risk factors or the pathways connecting them to later outcomes. Modelling these pathways and evaluating interventions to address early years risks are priorities. Limitations of the review were the inclusion of studies that covered a wide range of age groups and the exclusion of health outcomes.

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.

The widespread availability of smartphones and internet access has made TikTok part of children’s everyday entertainment. This situation requires parents to guide children not only by limiting screen time but also through communication that helps children understand appropriate content and use. This study aims to describe and analyse parents’ interpersonal communication patterns in controlling TikTok use among children aged 7–12 years in Villa Gading Harapan 5 Housing Estate, Tambun Utara, Bekasi. The study used a descriptive qualitative design. Data were collected from April to June 2026 through semi-structured interviews, non-participant observation, and documentation. Five parents were selected as key informants using purposive sampling, while two children participated as supporting informants. The data were analysed through data reduction, presentation, conclusion drawing, and technique triangulation. The findings show that parents apply the five elements of effective interpersonal communication proposed by Joseph A. DeVito: openness, empathy, supportiveness, positiveness, and equality. Supportiveness is the most visible element, expressed through advice about age-appropriate content, direct supervision, time limits, and diversion to other activities. Openness remains the most vulnerable element because one child tended to restrict parental access to digital activities. The study indicates that controlling TikTok use is more effective when rules are accompanied by warm dialogue, emotional understanding, and opportunities for children to express their views. Parents should therefore maintain consistent, non-judgmental conversations and make digital supervision part of daily family interaction.

The study aimed to find whether differences exist in the perspective of teachers towards online learning when grouped according to profile. Specifically, the study endeavored to describe the profile of the respondents in terms of age, gender, civil status, and educational attainment; determine the extent of teachers’ perspective towards online learning in the areas of access, interaction, response, and results; ascertain the level of teachers’ preparedness towards online learning in teaching social studies; and find out whether a significant difference exists in the preparedness of teachers towards online learning when grouped according to age, gender, civil status, and educational attainment. The study was conducted among the national high schools in the Division of Malaybalay City, Bukidnon for the School Year 2020-2021. A total of 96 Social Studies teachers were drawn from (6) national schools through purposive sampling. To gather relevant information needed for the study, the researcher adopted the questionnaire developed by Larsen (2012) and Lichoro (2015). Descriptive statistics such as frequency, percentage, mean, standard deviation, t-test, and analysis of variance were used to treat the data. The majority of the teachers were in middle adulthood and were predominantly female. It is further revealed that most of them were single and bachelor’s degree holders. Access and interaction were observed in great extent, while responses and results were demonstrated in moderate extent, suggesting that the teachers’ perspective towards online learning showed certainty in the way they take online learning as a learning platform in this pandemic period. Similarly, teachers’ preparedness towards online learning yielded positive results in all indicators, implying that teachers consider online learning as a powerful tool for them to teach and support the learning of the students in response to the COVID-19 pandemic. There was a significant difference in the preparedness of teachers when they were grouped according to age, where younger teachers are construed to be ready for this kind of learning delivery, while sex, civil status, and educational attainment did not show significant differences. This means that regardless of their characteristics in these three variables, their preparedness for online learning is the same. Thus, school administrators have to consider teachers to acquire new skills, sharpen existing ones, perform better, increase productivity and be better teachers in this new way of approaching learning.

Abstract Education, and mandatory schooling in particular, is a central mechanism for governments to improve life outcomes and prevent the accumulation of disadvantage across generations. Yet educational sociology research suggests that education can also entrench patterns of inequality, with children from immigrant backgrounds facing barriers to equal opportunity. Policy reforms to reverse such disadvantage include delaying the tracking age and offering free or subsidised daycare places to immigrant children. However, we know little about public support for such policies. In this article, we argue that one’s own experience of educational equality impacts micro-level preferences for equality-enhancing policies (EEPs). Using a survey experiment fielded in 2024 in Switzerland, our findings suggest that support for EEPs is a function of the one’s satisfaction with equal opportunities at school: Those who did not perceive their schooling to be fair and who attended school in less egalitarian cantons show the strongest support for reforming the system to become more egalitarian. We conclude that negative experience of schooling may have an, albeit indirect, effect on support for policies that reduce educational inequality. .

Executive functions (EF) predict school readiness and later adjustment. The cultural-historical tradition gives play a central place in preschool education, yet it remains unclear which types of play, under what conditions, and through which pathways support EF between the ages of 3 and 6. This article aims to critically analyze the evidence on play and EF in this age range, distinguishing between efficacy, association, and mechanism. The method was a systematic review with narrative synthesis, reported according to PRISMA 2020. Of 88 records (2000–2026), 21 primary studies provided direct evidence and 26 works provided complementary evidence. Rule-based games and pretend play showed favorable effects in studies with active control conditions, particularly on inhibitory control. However, the largest-scale curricular study found no effects, and block play showed no main effects. Benefits tend to be concentrated among children with initial disadvantages, and evidence on working memory, cognitive flexibility, and transfer to the classroom is scarce. In conclusion, play appears to be a promising context rather than an effective intervention in itself; its effects depend on executive demand, adult mediation, progression, and implementation fidelity.

Digital media has evolved from passive screen viewing into an algorithmically curated ecosystem of social platforms, short form video, games, generative artificial intelligence (AI), conversational agents, connected toys and educational technologies. These systems can support learning, creativity, communication, disability access and healthcare; however, engagement optimized design, commercial surveillance and synthetic content create risks that are not adequately captured by screen-time measures alone. This narrative review examines the effects of contemporary digital ecosystems on child and adolescent health and outlines implications for pediatric practice. PubMed/MEDLINE, Google Scholar and guidance from the World Health Organization, United Nations Children's Fund, UNESCO and the American Academy of Pediatrics were reviewed, with emphasis on evidence published from 2019 to June 2026. Associations have been reported between problematic digital media use and sleep disruption, reduced physical activity, visual and musculoskeletal symptoms, obesity related behaviours, anxiety, depressive symptoms, cyberbullying, disordered eating and impaired attention. Causal interpretation remains difficult because effects are heterogeneous, often small, bidirectional and strongly modified by age, content, context, displacement, family relationships and pre-existing vulnerability. AI adds distinct concerns: persuasive personalization, inaccurate health information, anthropomorphic dependency, deepfakes, sexual exploitation, biased outputs, privacy loss and erosion of learning through uncritical outsourcing. Benefits are also substantial when technologies are developmentally appropriate, evidence-based, inclusive and used with adult support. Pediatric counselling should shift from counting hours alone toward assessing the child's digital ecosystem, sleep, function, content, compulsivity, safety and relationships. Effective protection requires shared family practices, school digital literacy, safety by design, age-appropriate assurance, transparent algorithms, data minimization and independent research. The goal is not a screen free childhood but a child centred digital environment that supports health, agency and development.

Higher education has historically operated under a paradigm of information scarcity, positioning universities as premier institutions for curating and transmitting knowledge. The convergence of digital hyper-abundance, algorithmic curation, and generative artificial intelligence (GenAI) has disrupted this model, producing what educators increasingly describe as a crisis of critical thinking in higher education. The purpose of this review is to examine how information abundance, algorithmic curation, and GenAI use may influence university students’ critical thinking, and to synthesise what this evidence implies for what universities teach and how they assess. Using a critical narrative review design with thematic synthesis, the review analyses 45 verified sources (empirical studies, systematic reviews and meta-analyses, conceptual works, and policy guidance) identified through citation chaining and targeted searches; empirical GenAI studies date from November 2022 to 2026, and foundational theoretical works from 1976 onward. The synthesis is anchored in an integrative framework that combines cognitive load and dual-process theory, cognitive offloading, scaffolding theory, self-regulated learning, and epistemic cognition, with critical thinking as the principal outcome. Five themes emerged: (1) information abundance appears to shift the central cognitive challenge from retrieval to evaluation; (2) unguided GenAI use is associated with reduced cognitive engagement and, in several experiments, with weaker independent performance once AI support is removed, although guardrailed designs appear to mitigate this; (3) fluent AI output can be mistaken for validated knowledge, and AI-detection tools are unreliable and biased; (4) lateral reading, guided AI use, and process-visible assessment have promising but uneven support; and (5) workload, equity, and policy constraints limit adoption. From these themes, the review derives the Fade–Visibility Matrix, which crosses AI support structure (persistent versus fading) with assessment design (product-only versus process-visible) to yield four diagnostic states. The evidence is early and methodologically uneven, but it is most consistent with a structural rather than individual explanation. Universities should therefore teach evaluation, verification, and metacognitive regulation explicitly, design AI support to fade, and redesign assessment so that the learning process, not only the finished product, can be observed.

Introduction Research on the practicum has focused on student teachers, mentors and partnerships between universities and schools, while the pupils in whose classrooms student teachers are placed have rarely been asked about this experience. This study examined how pupils in Ecuadorian host schools perceive the presence, support and influence of student teachers, and to what extent these perceptions can be trusted as evidence. Methods Two age-differentiated questionnaires, with pictographic scales from early childhood education to third grade and verbal scales from fourth grade onward, were administered through a mobile application by the student teachers or by members of the research team hired for data collection (project staff). The dataset comprised 2,453 valid evaluations from 1,140 pupils in 123 classrooms of 38 schools. Analyses included descriptive statistics for the first evaluation of each pupil, agreement between consecutive weekly evaluations, generalized estimating equations that accounted for the nesting of evaluations within pupils, classrooms and schools, a within-pupil comparison of evaluations collected by student teachers and by project staff, and latent class analysis. Results Between 91.5% and 98.5% of pupils gave favorable ratings on seven of eight items, while 69.6% of older pupils always felt comfortable asking student teachers for help. Ratings collected by project staff were lower than those collected by student teachers, especially for comfort in asking for help and perceived influence on learning. Responses of the youngest pupils concentrated in the highest category and did not discriminate reliably between individual pupils, whereas older pupils showed fair to moderate stability on most items and formed highly enthusiastic and moderately favorable profiles. Discussion Pupils perceive student teachers favorably, although part of this favorability reflects social desirability and the developmental limits of young respondents. Pupil voice can inform practicum evaluation when questionnaires are administered by someone other than the student teacher being evaluated and are interpreted according to the age of the pupils.

Objectives: The coronavirus disease-2019 (COVID-19) infection has affected the lives of all strata of society since its beginning. To control the spread of the disease, a lockdown was imposed. During this time, there was a substantial increase in the usage of gadgets and reduction in outdoor activities because of online studies that resulted in serious the mental health issues, especially in the paediatric population. Material and Methods: To study the effect of the COVID-19 pandemic on screen time, playtime and behaviour of the students, the study was conducted on 153 subjects of 4–18 years age group attending the outpatient department, over a period of 3 months. A questionnaire format of ten questions was framed that was asked from the children or from their parents/guardians. This study included questions such as time spent on online classes, self-study or study with parents and gadgets used for the online classes. Results: Most of the children were students of classes upper kinder garden and I, comprising 19.0% and 18.3%, respectively. Females outnumbered males in the study. Weight gain was observed in 43.8%, and signs of irritability were observed in 68.0% of the children. Weight gain showed a statistically significant correlation with the duration of online classes, indoor and outdoor playtime with p-values of 0.044, <0.005 and 0.005, respectively. There was also a statistically significant correlation between change in behaviour with outdoor playtime and sleep timings with p < 0.005 and 0.019, respectively. Conclusion: This study concluded that there was a significant increase in screen time and a decrease in outdoor play activities during the time of COVID-19 pandemic with a statistically significant correlation with the weight gain and change in behaviour of the children.

Background Digital mental health platforms routinely deliver self-administered symptom scales on the assumption that users with more severe symptoms are more likely to enter professional care. That assumption is rarely tested with linked participant-level data, and almost never in the Arabic-speaking Gulf. Objective To examine whether symptom severity at a user’s first self-assessment predicts booking a professional session within 90 days, across four symptom domains, on a Saudi commercial digital mental health platform. Methods Retrospective cohort analysis of 10,100 first assessments — depression, generalized anxiety, panic, and obsessive-compulsive scales — contributed by 5,524 unique users of the Talbinah platform and linked to demographic and session-booking records through a pseudonymous (SHA-256 hashed) user identifier. The primary outcome was any session booked within 90 days after the assessment. Severity was banded by the established cut-offs for the PHQ-9 and GAD-7, and by percentage of scale maximum for the panic and obsessive-compulsive measures, for which no severity thresholds are established. Per-scale multivariable logistic regression estimated adjusted odds ratios (aOR) for severity band (reference None/Minimal), adjusting for age, sex, and device type. Pre-specified sensitivity analyses used 30- and 180-day windows, an attended-session outcome, percentage-of-maximum banding applied to all four scales, and a subset with no prior booking (incident help-seeking). Reporting followed STROBE. Results Users were young (mean age 26.7 years, SD 8.1) and predominantly female (78.1%); 16.6% of first assessments were followed by a booking within 90 days. No severity band on any of the four scales was associated with higher odds of booking (severe vs None/Minimal: depression aOR 0.71, 95% CI 0.51–1.01; generalized anxiety 0.76, 0.49–1.16; panic 0.83, 0.52–1.31; obsessive-compulsive 1.01, 0.59–1.74). One severity contrast was statistically significant, in the opposite direction: moderate depression was associated with lower odds of booking (0.66, 95% CI 0.45–0.97). Older age (aOR ~1.2 per decade) and iOS device use (1.4–2.0) were associated with booking across scales. This absence of a positive severity–booking association was consistent across 30-, 90-, and 180-day windows, the attended-session outcome, and percentage-of-maximum banding; a nominal association for moderate anxiety seen under percentage banding did not persist with validated GAD-7 cut-offs. Estimates for the panic and obsessive-compulsive scales, which lack established severity thresholds, are exploratory. Conclusions On a Saudi digital mental health platform, greater self-reported symptom severity at first assessment was not followed by higher subsequent booking of professional care, consistently across specifications, and for moderate depression was associated with lower odds of booking; demographic and access-related attributes showed stronger associations with booking than symptom load did. Self-screening on its own appears insufficient as a pathway into care.

Abstract : This systematic review examined evaluative studies on reading interventions affecting schoolchildren’s comprehension outcomes, published from 2020 to 2026. Per PRISMA 2020 guidelines, 265 records were reviewed overall, out of which 166 unique records were screened, 52 full-text articles were reviewed, and 18 satisfactory records matched the inclusion criteria. The records included studies from 11 countries and comprised more than 2900 learners across 17 studies, with sample sizes ranging from preschool to high school. Due to heterogeneity among interventions, designs, and measures taken, a synthesis without meta-analysis was conducted, classifying 5 different intervention types and summarizing the overall findings. The results showed that 12 of 18 studies were positive, 2 had mixed results, 2 showed no effect on the outcome, and 2 were ambiguous in their reporting. The four studies that used explicit comprehension strategies yielded the most reliable results; among them, a tier one intervention had an effect size of +0.79, and a two-stage instructional approach had an effect size of +0.26. Code-based instruction was effective in three of four studies that used this method. Technology was effective in four of six studies, but the largest evaluated experiment did not show convincing results. Out of seven total experiments made by random sampling, five had positive outcomes, and it should be mentioned that no research was conducted in the Philippines. The studies’ outcomes emphasize the importance of supporting word recognition alongside explicit comprehension instruction.

Purpose: The present study aimed to examine the associations between anthropometric indexes derived from body measurements and body satisfaction.Methods: The study included voluntary female aged 19–64 years. The face-to-face questionnaire included questions on participants’ sociodemographic characteristics (age, sex, educational level, marital status, employment status, and socioeconomic status), the Body Image Scale (BIS), and the Body Appreciation Scale (BAS). Anthropometric measurements were obtained by trained researchers in accordance with standardized procedures. Using measurements, anthropometric ratios and indices—waist-to-hip ratio (WHR), waist-to-height ratio (WHtR), body mass index (BMI), conicity index (CI), body shape index (BSI), abdominal volume index (AVI), and body adiposity index (BAI)—were calculated. Data were analyzed using SPSS 23.0.Results: A total of 1.291 female participated in the study, with a mean age of 36.8 ± 12.7 years. Scale scores varied significantly across participants’ sociodemographic characteristics (p

Background Cognitive differences across badminton performance levels may be task-specific rather than reflect broad executive-function advantages. Methods Ninety-six participants (33 high-level players, 31 recreational players and 32 non-badminton participants) completed word-color matching, task switching, 1-back and Raven testing. Analyses adjusted for sex, age and Raven score. Task-level MANCOVAs used Pillai’s trace, with HC3-adjusted RT models and binomial mixed models for follow-up comparisons. Additional models distinguished 1-back timeouts from accuracy among answered trials. Results Overall group effects were significant for word-color matching ( p < 0.001) and 1-back ( p = 0.011), but not task switching ( p = 0.592). High-level players responded faster in both word-color conditions than both comparison groups. Condition, response hand and response frequency were confounded, preventing an isolated interpretation of the condition RT contrast. In 1-back, timeout rates were 40.45%, 36.92% and 48.21% in the high-level, recreational and non-badminton groups; both badminton groups had lower adjusted timeout rates than the non-badminton group in both conditions. Accuracy among answered trials showed no clear group differences, and correct-response RT did not differ significantly ( p = 0.572). All-trial accuracy findings were sensitive to model specification. Conclusion High-level players showed faster word-color matching, and both badminton groups had fewer timeouts in the deadline-constrained 1-back task. The findings indicate task-specific performance differences rather than a broad executive-function advantage.

Gifted and talented students need well-trained teachers who will challenge and support them in developing their abilities. However, teachers receive no formal professional learning or development focused on teaching academically advanced students, especially those with disabilities. Consequently, gifted and talented students with disabilities are often not given sufficient opportunity to thrive in the classroom. The study assessed the teaching of gifted and talented learners with disabilities. The respondents were 30 parents of Manggahan Elementary School. The researcher utilized a descriptive correlational design. Statistical treatments used were utilized frequency and percentage, weighted mean, t-test and Pearson correlation coefficient. The findings revealed that parent-respondents were mostly in the 50–54 age bracket, predominantly female, and largely composed of parents rather than grandparents or guardians. The results showed that parent-respondents generally viewed the teaching of gifted learners with disabilities positively. The highest rating was given to teachers providing opportunities for enrichment activities, showing that parents particularly noticed efforts that extend the learners’ abilities and interests. The findings also revealed that parent-respondents also assessed the teaching of talented learners with disabilities positively. The highest-rated indicator was teachers’ creativity in addressing both giftedness and disability, which suggests that parents value innovative and flexible teaching approaches. There is a significant difference in the assessment of the parent-respondents on the teaching of gifted and talented learners with disabilities when grouped according to age, sex, and role in the family. Furthermore, there is no significant relationship in the teaching of gifted and talented learners with disabilities based on the computed correlation coefficient and significance value.

Introduction Research on associations between pornography viewing and sexual violence has been limited by the absence of validated instruments that differentiate exposure along a violence continuum within pornographic practices, with existing measures focused on consumption frequency or problematic patterns rather than on the specific content consumed. The Pornography Violence Exposure Scale (PVES) was developed to assess exposure to pornographic content graded across three violence levels: non-violent material and domination-without-pain (Level 1), coercive content (Level 2), and explicit physical aggression (Level 3). Methods A cross-sectional study with 2,181 Spanish young adults aged 18–35 years who reported viewing pornography examined factor structure, measurement invariance across sex and age, convergent, nomological, and incremental validity, and discriminative capacity for sexual violence outcomes via Receiver Operating Characteristic (ROC) analysis. Results A bifactor model demonstrated good fit (CFI = 0.978, TLI = 0.957, RMSEA = 0.076), with a dominant general factor (ωH = 0.84, ECV = 0.81) capturing graded exposure to violent content. Strict measurement invariance was supported across sex and age groups. Convergent correlations with sexual violence outcomes (mean | r | = 0.24) substantially exceeded near-zero nomological associations with sexual function and partner-evaluation indicators (mean |r| = 0.03), and the general factor produced significant incremental validity for both victimization (Δ R 2 = 0.088) and perpetration (Δ R 2 = 0.200), with acceptable discrimination for perpetration (AUC = 0.753). Discussion The PVES is the first psychometrically validated instrument for measuring differentiated exposure to violent pornographic content, enabling more precise investigation of content-specific associations with sexual violence outcomes.

Introduction/Objective Depression is a disabling mental health disorder affecting over 300 million people worldwide. In Tunisia, population-level data on its prevalence and determinants remain limited. Our study aimed to estimate the prevalence of depression in the Tunisian population and identify associated socio-demographic and clinical factors. Methods Data were drawn from the mental health component of the Tunisian Health Examination Survey (2016), a nationally representative study conducted among 9,209 individuals aged ≥15 years. Self-reported, physician-diagnosed lifetime depression was the main outcome. Associations with socio-demographic characteristics and clinical conditions, including rheumatoid arthritis, diabetes, and menopause, were examined. Results The study population comprised 4360 men (49.2%) and 4849 women (51.8%), with a mean age of 41.4±17.4 years. The prevalence of self-reported lifetime depression was 4.7%. Multivariate analysis identified female sex (OR=1.53, 95% CI [1.11–2.10]) and age groups 30–64 years (OR=1.81, 95% CI [1.20–2.73]) and ≥65 years (OR=1.82, 95% CI [1.06–3.14]) as factors significantly associated with higher prevalence. Conversely, marriage (OR=0.59, 95% CI [0.42–0.84]) and the absence of rheumatoid arthritis (OR=0.48, 95% CI [0.38–0.60]) were associated with a lower prevalence of the disorder. Discussion The findings indicate that self-reported depression in Tunisia is significantly influenced by gender and aging, consistent with global epidemiological trends. The strong association with physical comorbidities, particularly rheumatoid arthritis, underscores the necessity of integrated mental health screening for patients with chronic illnesses. Furthermore, the protective association of marriage suggests that social and family cohesion remain vital factors in the Tunisian sociocultural context. Conclusion Depression in Tunisia is shaped by gender, aging, and physical comorbidities. Targeted prevention and integrated screening strategies are needed, especially for vulnerable demographic and clinical groups.

Whether breadth of leisure activity engagement (LAE) is associated with cognitive resilience (CR) in older Chinese adults, and whether this association differs by gender, remain unclear. Using five waves of the China Health and Retirement Longitudinal Study (2011–2020), we estimated CR as the residual of global cognition after accounting for age, education, gender, residence, and chronic disease burden, and examined activity × gender interactions in generalized estimating equations ( n = 7130 observations from 3293 adults aged ≥60). Cognitive and social activity breadth were each independently associated with higher CR, but with contrasting domain patterns. Cognitive activities showed a linear dose-response with comparable associations in both genders (males β = 0.164, females β = 0.171, both p < 0.001; Activity × Gender interaction p = 0.435). Social activities followed a quadratic dose-response peaking at approximately three activity types. In gender-stratified models, the social-activity association was concentrated in males ( β = 0.164, p < 0.001) and was not significant among females ( β = 0.032, p = 0.323; activity × gender interaction β = −0.111, p = 0.020), despite higher social participation rates among women. Lagged analyses supported temporal precedence. These findings indicate that the resilience associations of LAE breadth in older Chinese adults are domain- and gender-dependent: cognitive activity breadth was positively associated with CR in both genders, whereas this association was concentrated in men for social activities. These findings warrant further investigation of whether the content, context, or measurement of social engagement contributes to the observed gender difference.

The increasing accessibility of online pornography has led to earlier exposure among children and adolescents, raising concerns about its potential long-term effects on sexual development, behaviour and mental health. This systematic literature review synthesises current evidence on the relationship between early exposure to pornography and later pornography consumption. A comprehensive search of six electronic databases (MEDLINE, PsycINFO, Sociological Abstracts, Embase, ASSIA, Web of Science) identified 17 studies that met the inclusion criteria, which required individuals to have experienced early exposure to pornography and reported subsequent pornography consumption. Eligible quantitative studies (longitudinal, cohort, case-control, cross-sectional), published in English from 1993 onwards, were identified and screened against inclusion and exclusion criteria. Across studies, earlier age of first exposure was consistently associated with higher frequency of use, greater risk of compulsive or problematic consumption and progression towards more extreme or deviant content in adolescence and adulthood. Developmental and gender differences emerged, with males generally exposed earlier and exhibiting stronger associations between early exposure and problematic use, although similar attitudinal effects were noted among females. Mediating mechanisms included internalisation of sexual scripts, perceived realism, shame and emotional distress, while moderating factors encompassed impulsivity, sensation-seeking, family stability, religiosity and cultural context. Overall, findings indicate that early exposure to pornography may shape enduring behavioural and cognitive trajectories, with outcomes influenced by individual, developmental and social factors. Findings and future directions are discussed in relation to implications for practice, policy and future research.

This study aimed to investigate the longitudinal relationship between everyday discrimination experienced among 707 lesbian, gay, and bisexual individuals and their substance use over two years, considering age group as a moderator. The findings revealed that higher levels of everyday discrimination and younger age group were linked to increased substance use after two years. The interaction term between everyday discrimination and age group was also significant, demonstrating that the relationship between everyday discrimination and substance use after two years was more pronounced among younger individuals compared to those of the average age group. Implications for counseling professionals are discussed.

هدف این مطالعه بررسی رابطهٔ طولی بین تبعیض روزمره تجربه‌شده در میان ۷۰۷ فرد همجنس‌گرا، دوجنس‌گرا و مصرف مواد آن‌ها طی دو سال، با در نظر گرفتن گروه سنی به عنوان تعدیل‌گر بود. یافته‌ها نشان داد که سطوح بالاتر تبعیض روزمره و گروه سنی جوان‌تر با افزایش مصرف مواد پس از دو سال مرتبط بودند. همچنین، عبارت تعاملی بین تبعیض روزمره و گروه سنی معنادار بود و نشان داد که رابطهٔ بین تبعیض روزمره و مصرف مواد پس از دو سال در میان افراد جوان‌تر نسبت به افراد با میانگین سنی، برجسته‌تر است. پیامدهای این یافته‌ها برای متخصصان مشاوره مورد بحث قرار گرفته 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.

Smartphone use during face-to-face interaction may be experienced as a disruption of relational presence. This cross-sectional study examined whether perceived partner phubbing (PPP) was associated with relationship satisfaction directly and indirectly through an overall attachment-related behavior score. Participants were 396 unmarried and noncohabiting adults in Türkiye who owned a smartphone and had been in a romantic relationship for at least six months (331 women, 64 men, and one other; mean age = 23.20 years). Participants completed the Partner Phubbing Scale, the Couples Satisfaction Index, and the Brief Accessibility, Responsiveness, and Engagement Scale. Correlational and bootstrapped indirect-effect analyses were conducted. PPP was negatively associated with relationship satisfaction and attachment-related behaviors, whereas attachment-related behaviors were strongly and positively associated with relationship satisfaction. A significant indirect association emerged through the overall attachment-related behavior score, while the direct association remained significant. The findings suggest that perceived phone-related inattention may be linked to relationship evaluations partly through a broader pattern of attachment-related behaviors involving perceptions of both self and partner behavior. Longitudinal, dyadic research is needed to establish temporal and causal ordering.

استفاده از تلفن هوشمند در طول تعاملات رو‌در‌رو ممکن است به عنوان اختلالی در حضور رابطه‌ای تجربه شود. این مطالعه مقطعی بررسی کرد که آیا ادراک فابینگ شریک (PPP) به طور مستقیم و غیرمستقیم از طریق نمره کلی رفتارهای مرتبط با دلبستگی با رضایت از رابطه مرتبط است یا خیر. شرکت‌کنندگان شامل ۳۹۶ فرد مجرد و غیرهم‌خانه در ترکیه بودند که صاحب تلفن هوشمند بوده و حداقل شش ماه در یک رابطه عاشقانه قرار داشتند (۳۳۱ زن، ۶۴ مرد و یک نفر دیگر؛ میانگین سنی = ۲۳٫۲۰ سال). شرکت‌کنندگان مقیاس فابینگ شریک، شاخص رضایت زوجین و مقیاس کوتاه دسترسی‌پذیری، پاسخگویی و درگیری را تکمیل کردند. تحلیل‌های همبستگی و اثر غیرمستقیم بوت‌استرپ انجام شد. PPP با رضایت از رابطه و رفتارهای مرتبط با دلبستگی رابطه منفی داشت، در حالی که رفتارهای مرتبط با دلبستگی با رضایت از رابطه رابطه‌ای قوی و مثبت نشان دادند. یک رابطه غیرمستقیم معنادار از طریق نمره کلی رفتارهای مرتبط با دلبستگی مشاهده شد، در حالی که رابطه مستقیم همچنان معنادار باقی ماند. یافته‌ها نشان می‌دهد که بی‌توجهی ادراک‌شده مرتبط با تلفن ممکن است تا حدی از طریق الگوی گسترده‌تری از رفتارهای مرتبط با دلبستگی که شامل ادراک رفتار خود و شریک است، با ارزیابی‌های رابطه مرتبط باشد. پژوهش‌های طولی و زوجی برای تعیین ترتیب زمانی و علی مورد نیاز است.

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.

Background: Parent–child separations have been associated with adverse health and well-being, with most research focusing on prolonged separations driven by war, famine or disease. Verschickungskinder (‘sent-away children’) – the eight to twelve million German children who, in the decades following World War II, were separated from their families for several weeks to stay in so-called children’s health resorts – represent a largely overlooked case of short-term separation. Despite growing recognition of adverse experiences and abuse in these settings, little is known about the long-term mental health of this population or which characteristics of the sent-away experience are associated with these outcomes.Objective: To examine whether sent-away children show more depressive symptoms, anxiety symptoms, and stress overload compared with peers, and to identify which characteristics of the sent-away experience are associated with these outcomes.Method: An anonymous online survey was conducted with 334 sent-away children and 77 participants in a convenience comparison group (M = 61.1 yrs.; 72.7% female). Linear regression models, adjusting for ACEs and sociodemographics, examined group differences and associations between characteristics of the sent-away experience (age at separation, sex, number of separations, emotional memory) and these outcomes.Results: Sent-away children reported more depressive symptoms, anxiety symptoms, and stress overload than comparison participants (all p < .001). Bivariate comparisons among the sent-away children indicated that younger age at separation was associated with more depressive symptoms, repeated separations with higher stress overload, and very negative memories with all three outcomes; no sex differences were observed. When entered simultaneously in regression models, emotional memory of the event was the only sent-away characteristic associated with depressive (p = .02) and anxiety symptoms (p = .009).Conclusions: Findings highlight the potential long-term mental health relevance of the sent-away experience, particularly among those with very negative memories of their experiences.

زمینه: جدایی والد–کودک با پیامدهای نامطلوب سلامت و بهزیستی همراه بوده است و بیشتر پژوهش‌ها بر جدایی‌های طولانی‌مدت ناشی از جنگ، قحطی یا بیماری تمرکز داشته‌اند. کودکان Verschickungskinder («کودکان فرستاده‌شده») – هشت تا دوازده میلیون کودک آلمانی که در دهه‌های پس از جنگ جهانی دوم برای چندین هفته از خانواده‌های خود جدا شده و در به‌اصطلاح آسایشگاه‌های سلامت کودکان اقامت داشتند – نمونه‌ای عمدتاً نادیده‌گرفته‌شده از جدایی کوتاه‌مدت هستند. با وجود افزایش شناخت نسبت به تجارب نامطلوب و سوءاستفاده در این محیط‌ها، اطلاعات اندکی درباره سلامت روانی بلندمدت این جمعیت یا ویژگی‌های تجربه جدایی که با این پیامدها مرتبط است، وجود دارد. هدف: بررسی اینکه آیا کودکان فرستاده‌شده علائم افسردگی، علائم اضطراب و اضافه‌بار استرس بیشتری نسبت به همتایان خود نشان می‌دهند و شناسایی ویژگی‌های تجربه جدایی که با این پیامدها مرتبط است. روش: یک پیمایش آنلاین ناشناس با ۳۳۴ کودک فرستاده‌شده و ۷۷ شرکت‌کننده در گروه مقایسه‌ای در دسترس (میانگین سنی = ۶۱/۱ سال؛ ۷۲/۷٪ زن) انجام شد. مدل‌های رگرسیون خطی با کنترل ACEs و متغیرهای جمعیت‌شناختی، تفاوت‌های گروهی و ارتباط بین ویژگی‌های تجربه جدایی (سن در زمان جدایی، جنسیت، تعداد دفعات جدایی، حافظه هیجانی) و این پیامدها را بررسی کردند. یافته‌ها: کودکان فرستاده‌شده علائم افسردگی، علائم اضطراب و اضافه‌بار استرس بیشتری نسبت به شرکت‌کنندگان گروه مقایسه گزارش کردند (همه p < ۰/۰۰۱). مقایسه‌های دو متغیره در میان کودکان فرستاده‌شده نشان داد که سن پایین‌تر در زمان جدایی با علائم افسردگی بیشتر، جدایی‌های مکرر با اضافه‌بار استرس بالاتر و خاطرات بسیار منفی با هر سه پیامد مرتبط بود؛ تفاوتی از نظر جنسیت مشاهده نشد. زمانی که این متغیرها به طور همزمان در مدل‌های رگرسیون وارد شدند، حافظه هیجانی رویداد تنها ویژگی تجربه جدایی بود که با علائم افسردگی (p = ۰/۰۲) و علائم اضطراب (p = ۰/۰۰۹) ارتباط داشت. نتیجه‌گیری: یافته‌ها بر اهمیت بالقوه بلندمدت سلامت روانی تجربه جدایی، به‌ویژه در میان افرادی که خاطرات بسیار منفی از این تجربه دارند، تأکید می‌کند.

This study aims to analyze the history of education during the Islamic Golden Age and examine its relevance in supporting the achievement of the 2030 Sustainable Development Goals (SDGs), Quality Education. This study uses a literature review method through the analysis of various relevant scientific sources. The results of the study indicate that the educational system during the Islamic Golden Age was not only oriented toward intellectual development but also emphasized the integration of knowledge, spiritual values, and character building. The scholarly tradition that flourished through educational institutions, translation activities, and cross-cultural interactions established Islamic civilization as a global hub for scientific advancement. Majid 'Irsan al-Kilani’s perspective underscores that this progress was rooted in an education system grounded in the principle of tauhid, the integration of knowledge, and social responsibility within society. The findings of this study indicate that the educational values of Islam during the Golden Age have strong relevance to the concept of quality education that emphasizes inclusivity, justice, and sustainability. Therefore, the history of Islamic education can serve as a strategic source of inspiration in designing a modern educational system that is humanistic, adaptive, and responsive to contemporary global challenges.

این پژوهش با هدف تحلیل تاریخ آموزش در دوران طلایی اسلام و بررسی ارتباط آن با حمایت از تحقق اهداف توسعه پایدار ۲۰۳۰ (SDGs)، به‌ویژه آموزش با کیفیت انجام شده است. این پژوهش با استفاده از روش مرور ادبیات و تحلیل منابع علمی مرتبط صورت گرفته است. نتایج پژوهش نشان می‌دهد که نظام آموزشی در دوران طلایی اسلام نه تنها بر رشد عقلانی تأکید داشت، بلکه بر ادغام دانش، ارزش‌های معنوی و پرورش شخصیت نیز تأکید می‌کرد. سنت علمی که از طریق نهادهای آموزشی، فعالیت‌های ترجمه و تعاملات بین‌فرهنگی شکوفا شد، تمدن اسلامی را به عنوان مرکز جهانی پیشرفت علمی تثبیت کرد. دیدگاه Majid 'Irsan al-Kilani تأکید می‌کند که این پیشرفت ریشه در نظام آموزشی مبتنی بر اصل توحید، ادغام دانش و مسئولیت اجتماعی در جامعه داشته است. یافته‌های این پژوهش نشان می‌دهد که ارزش‌های آموزشی اسلام در دوران طلایی ارتباط قوی با مفهوم آموزش با کیفیت دارد که بر شمولیت، عدالت و پایداری تأکید می‌کند. بنابراین، تاریخ آموزش اسلامی می‌تواند به عنوان منبع راهبردی الهام‌بخش در طراحی نظام آموزشی مدرن که انسانی، سازگار و پاسخگو به چالش‌های جهانی معاصر است، مورد استفاده قرار گیرد.

Educational leadership is increasingly recognised as a critical determinant of the quality, relevance and sustainability of education systems. The rapid development of digital technologies, changing learner expectations, increasing demands for accountability, teacher shortages, resource constraints and the emergence of artificial intelligence have expanded the responsibilities of educational leaders beyond traditional administration. This paper discusses the changing educational leadership in the digital age. The paper posits that educational leaders should not merely introduce technology into schools but should create an institutional culture where technology supports teaching, learning, and professional development. The paper notes that digital transformation cannot succeed through technology acquisition alone. Inadequate infrastructure, electricity challenges, digital inequality, limited professional development, resistance to change, weak institutional support, and insufficient leadership preparation may constrain implementation. The paper therefore advocates a context-sensitive model of educational leadership that integrates vision, instructional leadership, digital competence, distributed leadership, ethical practice, teacher development and community engagement. It was suggested that systematic preparation and continuous professional development of educational leaders, investment in digital infrastructure, stronger leadership standards, participatory governance, digital citizenship education, and context-sensitive monitoring of school leadership is important in Nigerian schools. The paper concludes that Nigeria's educational transformation requires leaders who can combine human-centred leadership with technological competence to create schools that are innovative, inclusive, collaborative and focused on meaningful learning

رهبری آموزشی به طور فزاینده‌ای به عنوان یکی از عوامل تعیین‌کننده کیفیت، ارتباط و پایداری نظام‌های آموزشی شناخته می‌شود. توسعه سریع فناوری‌های دیجیتال، تغییر انتظارات یادگیرندگان، افزایش تقاضا برای پاسخگویی، کمبود معلم، محدودیت منابع و ظهور هوش مصنوعی، مسئولیت‌های رهبران آموزشی را فراتر از مدیریت سنتی گسترش داده است. این مقاله به بررسی تحول رهبری آموزشی در عصر دیجیتال می‌پردازد. مقاله مطرح می‌کند که رهبران آموزشی نباید صرفاً فناوری را وارد مدارس کنند، بلکه باید فرهنگی نهادی ایجاد نمایند که در آن فناوری از آموزش، یادگیری و توسعه حرفه‌ای حمایت کند. مقاله تأکید می‌کند که تحول دیجیتال تنها از طریق تهیه فناوری محقق نمی‌شود. زیرساخت ناکافی، مشکلات برق، نابرابری دیجیتال، محدودیت در توسعه حرفه‌ای، مقاومت در برابر تغییر، حمایت نهادی ضعیف و آمادگی ناکافی رهبران می‌تواند اجرای این تحول را محدود کند. بنابراین، مقاله مدل حساس به زمینه‌ای از رهبری آموزشی را پیشنهاد می‌کند که چشم‌انداز، رهبری آموزشی، شایستگی دیجیتال، رهبری توزیعی، رفتار اخلاقی، توسعه معلمان و مشارکت جامعه را ادغام می‌کند. همچنین پیشنهاد شده است که آمادگی نظام‌مند و توسعه حرفه‌ای مستمر رهبران آموزشی، سرمایه‌گذاری در زیرساخت دیجیتال، استانداردهای قوی‌تر رهبری، حکمرانی مشارکتی، آموزش شهروندی دیجیتال و پایش حساس به زمینه رهبری مدارس در مدارس نیجریه اهمیت دارد. مقاله نتیجه می‌گیرد که تحول آموزشی نیجریه نیازمند رهبرانی است که بتوانند رهبری انسان‌محور را با شایستگی فناورانه ترکیب کنند تا مدارسی نوآور، فراگیر، مشارکتی و متمرکز بر یادگیری معنادار ایجاد نمایند.

Introduction Gambling problems (GP) remain underexplored among forensic psychiatric patients (FPPs). Given the associations between GP, mental distress, and criminal behavior, it is imperative to investigate GP in this population. Aims This study aimed to estimate the prevalence of gambling and GP among FPPs in Denmark and explore associations between GP and sociodemographic, behavioral, and clinical variables. Methods A cross-sectional survey was conducted, including 214 FPPs across 19 hospital units in two major Danish Health Regions. The primary measures were past-year gambling and GP assessed via the Problem Gambling Severity Index (PGSI). Secondary measures included gambling behavior (e.g., expenditure, frequency, self-exclusion), sociodemographic (e.g., age, gender, educational attainment), financial (e.g., consumer loans, monetary savings), and clinical variables (e.g., length of stay, psychiatric diagnoses). Gambling FPPs were asked if they had felt compelled to commit crime due to gambling during the past 12 months. Correlates of GP were identified by comparing higher-risk (PGSI ≥ 3) to lower-risk (PGSI ≤2) gambling FPPs. Prevalence was compared to a gender- and age-matched normative sample from a recent Danish national gambling survey. Results The prevalence of past-year gambling among FPPs was 46% (95% CI = 39-53%), while the prevalence of severe GP (PGSI ≥ 8, indicative of gambling disorder) was 12% (95% CI: 8.1-17%). Relative to lower-risk gambling FPPs (PGSI ≤2), higher-risk FPPs (PGSI ≥ 3) were more likely to be male, to express poorer financial conditions, and to have felt compelled to engage in criminal behavior due to gambling. GP prevalence was markedly higher among FPPs than in the normative sample, where 1.8% reported severe GP (PGSI ≥ 8) (95% CI: 1.3-2.5%). Discussion and Conclusion To our knowledge, this is the first study to examine the prevalence of gambling and GP among FPPs, and the rates were considerable. Given the consequences that GP may have on FPP health and economy, and thus recovery, our findings underscore the potential benefits of screening for and addressing GP in forensic psychiatric care. There is a strong need for further research to inform tailored interventions, improve treatment, and mitigate the potential impact of gambling on recidivism risk.

مقدمه مشکلات قمار (GP) در میان بیماران روان‌پزشکی قانونی (FPPs) همچنان کمتر مورد بررسی قرار گرفته‌اند. با توجه به ارتباط میان GP، پریشانی روانی و رفتار مجرمانه، بررسی GP در این جمعیت ضروری است. اهداف این مطالعه با هدف برآورد شیوع قمار و GP در میان FPPs در دانمارک و بررسی ارتباط میان GP و متغیرهای جمعیت‌شناختی، رفتاری و بالینی انجام شد. روش‌ها یک پیمایش مقطعی با مشارکت ۲۱۴ نفر از FPPs در ۱۹ بخش بیمارستانی در دو منطقه بزرگ سلامت دانمارک انجام شد. شاخص‌های اصلی، قمار و GP در سال گذشته بودند که با استفاده از شاخص شدت مشکلات قمار (PGSI) ارزیابی شدند. شاخص‌های ثانویه شامل رفتار قمار (مانند میزان هزینه، فراوانی، خودمحروم‌سازی)، متغیرهای جمعیت‌شناختی (مانند سن، جنسیت، میزان تحصیلات)، مالی (مانند وام‌های مصرفی، پس‌انداز مالی) و بالینی (مانند مدت اقامت، تشخیص‌های روان‌پزشکی) بودند. از FPPs قمارکننده پرسیده شد که آیا در ۱۲ ماه گذشته به دلیل قمار احساس اجبار به ارتکاب جرم داشته‌اند یا خیر. عوامل مرتبط با GP با مقایسه FPPs با ریسک بالاتر (PGSI ≥ ۳) و ریسک پایین‌تر (PGSI ≤۲) شناسایی شد. شیوع با نمونه هنجاری همسان‌سازی‌شده بر اساس جنس و سن از یک پیمایش ملی اخیر قمار در دانمارک مقایسه شد. نتایج شیوع قمار در سال گذشته در میان FPPs برابر با ۴۶٪ (۹۵٪ CI = ۳۹-۵۳٪) و شیوع GP شدید (PGSI ≥ ۸، نشان‌دهنده اختلال قمار) برابر با ۱۲٪ (۹۵٪ CI: ۸.۱-۱۷٪) بود. در مقایسه با FPPs با ریسک پایین‌تر قمار (PGSI ≤۲)، افراد با ریسک بالاتر (PGSI ≥ ۳) بیشتر مرد بودند، شرایط مالی ضعیف‌تری داشتند و بیشتر احساس اجبار به ارتکاب رفتار مجرمانه به دلیل قمار را گزارش کردند. شیوع GP در میان FPPs به طور قابل توجهی بالاتر از نمونه هنجاری بود که در آن ۱.۸٪ GP شدید (PGSI ≥ ۸) را گزارش کردند (۹۵٪ CI: ۱.۳-۲.۵٪). بحث و نتیجه‌گیری تا جایی که اطلاع داریم، این نخستین مطالعه‌ای است که شیوع قمار و GP را در میان FPPs بررسی می‌کند و نرخ‌ها قابل توجه بودند. با توجه به پیامدهایی که GP می‌تواند بر سلامت و اقتصاد FPPs و در نتیجه بهبودی آنان داشته باشد، یافته‌های ما بر مزایای بالقوه غربالگری و پرداختن به GP در مراقبت روان‌پزشکی قانونی تأکید می‌کند. نیاز جدی به پژوهش‌های بیشتر برای اطلاع‌رسانی مداخلات هدفمند، بهبود درمان و کاهش تأثیر احتمالی قمار بر ریسک عود جرم وجود دارد.

INTRODUCTION: The PEACE Pack, originally devised to address bullying in secondary (high) schools, has demonstrated efficacy in several countries. The 4th edition now includes social-emotional learning and has been adapted (co-designed with teachers and students) for primary (elementary) schools, but not previously evaluated with this younger age group. As many young people now acquire personal phones at this age, it covers cyberbullying as well as 'traditional' bullying. METHODS: This effectiveness study evaluated the program with 826 students (mean age 9.7 years) in Australia. Wellbeing (level of happiness and number of good friends), frequency of being bullied, and self-efficacy for coping with bullying were measured before and after the program and at 3-month follow-up. RESULTS: A large effect was found for reduction in bullying frequency for the most severely affected students (bullied once a week or more often before the program, being a quarter of the sample). The percentage of this subsample still being bullied this frequently at 3-month follow-up was 33.4%, a reduction of 66.6%. Most other effects of the program were statistically significant but very small, although there was a general pattern of significant linear trends towards 'improvement'. No evidence was found for a suggested 'healthy context paradox'. CONCLUSIONS: The PEACE Pack, as modified for primary school students, strongly reduced bullying frequency for the most severely affected students, indicating that the program was fulfilling its core function. In general, other measures improved slightly after the program and were sustained or still improving at the 3-month follow-up. SO WHAT?: The PEACE Pack shows promise as a primary-school anti-bullying program that has sustained effects. It includes cyberbullying and social-emotional learning and is designed to be engaging for all students. Being curriculum-based, it stands to benefit from students' relationships with their regular teachers within the broader school context.

مقدمه: بسته PEACE که در ابتدا برای مقابله با قلدری در مدارس متوسطه طراحی شده بود، اثربخشی خود را در چندین کشور نشان داده است. ویرایش چهارم این بسته اکنون شامل یادگیری اجتماعی-هیجانی است و با همکاری معلمان و دانش‌آموزان برای مدارس ابتدایی سازگار شده است، اما پیش‌تر در این گروه سنی ارزیابی نشده بود. با توجه به اینکه بسیاری از کودکان در این سن تلفن همراه شخصی دارند، این بسته علاوه بر قلدری «سنتی»، قلدری سایبری را نیز پوشش می‌دهد. روش‌ها: این مطالعه اثربخشی، برنامه را بر روی ۸۲۶ دانش‌آموز (میانگین سنی ۹.۷ سال) در استرالیا ارزیابی کرد. بهزیستی (سطح شادی و تعداد دوستان خوب)، فراوانی تجربه قلدری و خودکارآمدی در مقابله با قلدری، پیش و پس از برنامه و همچنین در پیگیری سه‌ماهه اندازه‌گیری شد. نتایج: کاهش قابل توجهی در فراوانی قلدری برای دانش‌آموزانی که بیشترین آسیب را دیده بودند (افرادی که پیش از برنامه حداقل هفته‌ای یک بار مورد قلدری قرار می‌گرفتند و یک‌چهارم نمونه را تشکیل می‌دادند) مشاهده شد. درصد این زیرنمونه که در پیگیری سه‌ماهه همچنان با این فراوانی مورد قلدری قرار می‌گرفتند، ۳۳.۴٪ بود که کاهش ۶۶.۶٪ را نشان می‌دهد. سایر اثرات برنامه از نظر آماری معنادار اما بسیار کوچک بودند، هرچند الگوی کلی روند خطی معنادار به سوی «بهبود» مشاهده شد. هیچ شواهدی برای «پارادوکس زمینه سالم» پیشنهادی یافت نشد. نتیجه‌گیری: بسته PEACE که برای دانش‌آموزان دبستانی اصلاح شده است، فراوانی قلدری را برای دانش‌آموزانی که بیشترین آسیب را دیده‌اند به طور قابل توجهی کاهش داد و نشان داد که برنامه در انجام وظیفه اصلی خود موفق بوده است. به طور کلی، سایر شاخص‌ها پس از برنامه اندکی بهبود یافتند و این بهبودها در پیگیری سه‌ماهه حفظ یا همچنان در حال افزایش بودند. اهمیت: بسته PEACE به عنوان یک برنامه ضد قلدری در مدارس ابتدایی که اثرات پایداری دارد، امیدبخش است. این بسته قلدری سایبری و یادگیری اجتماعی-هیجانی را نیز در بر می‌گیرد و به گونه‌ای طراحی شده است که برای همه دانش‌آموزان جذاب باشد. با توجه به اینکه مبتنی بر برنامه درسی است، می‌تواند از روابط دانش‌آموزان با معلمان معمول خود در بستر کلی مدرسه بهره‌مند شود.

Abstract Gestures are a fundamental component of primate communication. Here, we used social network analyses to assess how similarities in socio-demographic and contextual profiles (proximity, kinship, age similarity, sex combination, contextual similarity) related to patterns of gestural communication (repertoire similarity, gestural frequency and responsiveness), at the individual, dyadic and group levels. We recorded gestures in two captive groups of Sumatran orangutans ( Pongo abelii ) ( N = 16). Principal component analyses revealed two main dimensions explaining variance in gestural profiles, reflecting spatial proximity, contextual similarity and partially kinship and sex combination. At the dyadic level, spatial proximity predicted higher gestural frequency, whereas communities were mainly described by kinship, age and contextual similarity. These findings suggest that while spatial proximity and contextual similarity consistently shaped gestural communication at the individual level, demographic variables became more influential at the community level, where gestural communities may rather reflect enduring demographic and contextual characteristics.

ژست‌ها بخش اساسی ارتباط در نخستی‌ها هستند. در این پژوهش، از تحلیل شبکه‌های اجتماعی برای ارزیابی اینکه چگونه شباهت‌های پروفایل‌های اجتماعی-جمعیتی و زمینه‌ای (نزدیکی مکانی، خویشاوندی، شباهت سنی، ترکیب جنسی، شباهت زمینه‌ای) با الگوهای ارتباط حرکتی (شباهت در مجموعه حرکات، فراوانی حرکات و پاسخ‌دهی) در سطح فردی، دوتایی و گروهی مرتبط است، استفاده شد. حرکات در دو گروه اسیر اورانگوتان‌های سوماترایی (Pongo abelii) (N = 16) ثبت گردید. تحلیل‌های مؤلفه اصلی دو بعد اصلی را نشان داد که واریانس پروفایل‌های حرکتی را توضیح می‌دهند و منعکس‌کننده نزدیکی مکانی، شباهت زمینه‌ای و تا حدی خویشاوندی و ترکیب جنسی هستند. در سطح دوتایی، نزدیکی مکانی پیش‌بینی‌کننده فراوانی بیشتر حرکات بود، در حالی که جوامع عمدتاً با خویشاوندی، سن و شباهت زمینه‌ای توصیف می‌شوند. این یافته‌ها نشان می‌دهد که در حالی که نزدیکی مکانی و شباهت زمینه‌ای به طور پیوسته ارتباط حرکتی را در سطح فردی شکل می‌دهند، متغیرهای جمعیتی در سطح جامعه تأثیرگذارتر می‌شوند، جایی که جوامع حرکتی ممکن است بیشتر منعکس‌کننده ویژگی‌های پایدار جمعیتی و زمینه‌ای باشند.

Aim: We examined the relationship between athlete identification and effective decision-making in basketball players, testing whether age and gender moderate this relationship.Method: The study employed the Athlete Identification Level Scale (AILS) and the Scale of Effective Decision-Making in Sport (SEDMS) within a quantitative framework. Data were analyzed via correlation, multiple linear regression, and moderation tests.Results: Athletic identity significantly and positively predicted internal decision-making. For external decision-making, image and career maturity was a significant negative predictor, whereas athletic identity was a significant positive predictor. Age and gender significantly moderated the relationship between athlete identification and effective decision-making. Specifically, higher athlete identification was associated with lower effective decision-making among older and female basketball players.Conclusion: The findings indicate that the relationship between athlete identification and effective decision-making varies according to age and gender. These results highlight the importance of considering demographic differences when addressing decision-making processes in basketball players.

هدف: این پژوهش به بررسی رابطه بین شناسایی ورزشکار و تصمیم‌گیری مؤثر در بازیکنان بسکتبال پرداخته و نقش تعدیل‌گری سن و جنسیت را در این رابطه آزمون کرده است. روش: در این مطالعه، از مقیاس سطح شناسایی ورزشکار (AILS) و مقیاس تصمیم‌گیری مؤثر در ورزش (SEDMS) در چارچوبی کمی استفاده شد. داده‌ها با استفاده از همبستگی، رگرسیون خطی چندگانه و آزمون‌های تعدیل‌گری تحلیل شدند. یافته‌ها: هویت ورزشی به طور معنادار و مثبت پیش‌بین تصمیم‌گیری درونی بود. برای تصمیم‌گیری بیرونی، تصویر و بلوغ شغلی پیش‌بین منفی معنادار و هویت ورزشی پیش‌بین مثبت معنادار بود. سن و جنسیت رابطه بین شناسایی ورزشکار و تصمیم‌گیری مؤثر را به طور معناداری تعدیل کردند. به طور خاص، شناسایی بالاتر ورزشکار با تصمیم‌گیری مؤثر پایین‌تر در میان بازیکنان بسکتبال مسن‌تر و زن همراه بود. نتیجه‌گیری: یافته‌ها نشان می‌دهند که رابطه بین شناسایی ورزشکار و تصمیم‌گیری مؤثر بر اساس سن و جنسیت متفاوت است. این نتایج بر اهمیت توجه به تفاوت‌های جمعیت‌شناختی در بررسی فرایندهای تصمیم‌گیری در بازیکنان بسکتبال تأکید می‌کند.

As artificial intelligence (AI) and digital technologies continue to transform online communication and social interactions, cyberbullying and cyber-violence have emerged as growing concerns that require a deeper understanding of the individual and contextual factors underlying these behaviors. This study aims to provide a comprehensive understanding of the factors influencing cyberbullying and cyber-violence in Jordan. Specifically, it examines the effects of individual characteristics and contextual factors, including the legal and policy environment and aggressive social environment, on both cyberbullying and cyber-violence. A total of 472 participants from different demographic groups were included in the study sample. The data were analyzed using Smart PLS software. The results indicate that individual factors such as age, gender, and educational level have varying effects on cyberbullying and cyber-violence. Both age and gender have a significant negative and positive relationship, respectively, with both cyberbullying and cyber-violence. There is no significant relationship between these outcomes and educational level. Contextual factors, on the other hand, have differential effects. The aggressive social environment is positively associated with cyberbullying and cyber-violence, while the legal and policy environment is negatively associated with cyber-violence but not with cyberbullying. This study examines both contextual and individual factors, contributing to a better understanding of factors influencing cyberbullying and cyber-violence. It provides evidence on the impact of age, gender, social context, and legal and regulatory influences, and offers insights that can guide policy, education, and community engagement and inform best prevention practices.

با تداوم تحول ارتباطات آنلاین و تعاملات اجتماعی توسط هوش مصنوعی (AI) و فناوری‌های دیجیتال، قلدری سایبری و خشونت سایبری به عنوان نگرانی‌های فزاینده‌ای مطرح شده‌اند که نیازمند درک عمیق‌تری از عوامل فردی و زمینه‌ای زیربنای این رفتارها هستند. هدف این پژوهش، ارائه درک جامعی از عوامل مؤثر بر قلدری سایبری و خشونت سایبری در اردن است. به طور خاص، این مطالعه به بررسی تأثیر ویژگی‌های فردی و عوامل زمینه‌ای، از جمله محیط حقوقی و سیاست‌گذاری و محیط اجتماعی پرخاشگرانه، بر هر دو پدیده قلدری سایبری و خشونت سایبری می‌پردازد. در مجموع ۴۷۲ نفر از گروه‌های جمعیتی مختلف در نمونه پژوهش شرکت داشتند. داده‌ها با استفاده از نرم‌افزار Smart PLS تحلیل شدند. نتایج نشان می‌دهد که عوامل فردی مانند سن، جنسیت و سطح تحصیلات تأثیرات متفاوتی بر قلدری سایبری و خشونت سایبری دارند. سن و جنسیت به ترتیب دارای رابطه منفی و مثبت معنادار با هر دو متغیر قلدری سایبری و خشونت سایبری هستند. بین این پیامدها و سطح تحصیلات رابطه معناداری مشاهده نشد. از سوی دیگر، عوامل زمینه‌ای تأثیرات متفاوتی دارند. محیط اجتماعی پرخاشگرانه با قلدری سایبری و خشونت سایبری رابطه مثبت دارد، در حالی که محیط حقوقی و سیاست‌گذاری با خشونت سایبری رابطه منفی و معنادار و با قلدری سایبری رابطه معناداری ندارد. این پژوهش با بررسی همزمان عوامل زمینه‌ای و فردی، به درک بهتر عوامل مؤثر بر قلدری سایبری و خشونت سایبری کمک می‌کند. همچنین شواهدی درباره تأثیر سن، جنسیت، زمینه اجتماعی و تأثیرات حقوقی و مقرراتی ارائه می‌دهد و بینش‌هایی را برای هدایت سیاست‌گذاری، آموزش، مشارکت اجتماعی و اطلاع‌رسانی درباره بهترین شیوه‌های پیشگیری فراهم می‌آورد.