Search Results (57)

Objectives: This study investigated the interplay between pre- and post-match physiological responses and subsequent emotional changes in male water polo players competing in the Italian Serie C league (third national level, sub-elite), focusing on differences between official championship (competitive) and non-competitive (training) settings. Methods: Sixteen male Italian Serie C water polo players participated. Salivary biomarkers (cortisol, immunoglobulin A (IgA), and uric acid) were measured, alongside psychological assessments of cognitive anxiety, somatic anxiety, and self-confidence. Measurements were taken before and after both training and competition matches. Results: A significant anticipatory rise in salivary cortisol was observed before competition matches compared to training, highlighting the psychological stress associated with competitive events. Post-match, cortisol levels remained elevated to a greater extent after competition. Salivary IgA levels decreased significantly following both training and competition, with a more pronounced reduction after official matches, and exhibited a negative correlation with cortisol. Salivary uric acid, a marker of oxidative stress, increased post-exercise and was significantly higher after competition. Players reported higher somatic and cognitive anxiety and lower self-confidence before competition compared to training, and pre-competition cortisol levels were positively correlated with both anxiety measures and negatively correlated with self-confidence. Conclusions: These findings highlight the distinct physiological and psychological responses elicited by competitive versus non-competitive settings in water polo, emphasizing the importance of considering the emotional context when monitoring athletes’ stress and recovery. The social meaning of competitive contexts may be embodied, impacting stress and immune responses. Full article

Background: In increasingly dynamic and uncertain organizational environments, employees’ proactive behavior—characterized by self-initiation, future orientation, and change orientation—is critical for organizational adaptability and long-term competitiveness. Prior research has primarily examined how externally provided job resources stimulate proactive behavior. More recent work has begun to consider employees’ personal resources, but it largely adopts a capability level-based view, conceptualizing them as self-evaluations of individuals’ ability to control and influence their environment. This focus overlooks capability malleability-based personal resources that shape more fundamental beliefs about the malleability of human capability. Objective: Drawing on the job demands–resources (JD–R) model, this study investigates how employees’ growth mindset—reflecting beliefs that human capability can be developed—promotes proactive behavior by alleviating workplace anxiety, an anticipatory emotional state rooted in concerns about future work-related threats. We further examine time pressure as a key boundary condition. Method: A three-wave, multisource survey design was employed, collecting data from 326 employee–supervisor dyads. Results: The results show that employees’ growth mindset is negatively associated with workplace anxiety, which in turn positively predicts proactive behavior. Moreover, time pressure strengthens both the anxiety-buffering effect of growth mindset and the indirect effect of growth mindset on proactive behavior via workplace anxiety. Conclusions: By incorporating capability malleability-based personal resources into the JD–R model, this study advances understanding of the antecedents of proactive behavior beyond capability level-based self-evaluations toward deeper beliefs about the malleability of human capability. Applications: This study offers practical implications for managers seeking to cultivate employee proactivity. Full article

Background and Objectives: Familial Mediterranean fever (FMF) is a chronic autoinflammatory disease characterized by recurrent inflammatory attacks and a persistent psychosocial burden. Although generalized anxiety symptoms have been investigated in FMF, disease-specific anticipatory concerns related to recurrent attacks remain insufficiently understood. This study aimed to investigate the associations of attack-related anticipatory anxiety symptoms with clinical characteristics, quality of life, and composite inflammatory indices in FMF. Materials and Methods: This exploratory cross-sectional study included 38 adult patients with FMF. Attack-related anticipatory anxiety symptoms were assessed using an exploratory six-item questionnaire. Generalized anxiety and quality of life were evaluated using the Generalized Anxiety Disorder-7 (GAD-7) and Short-Form–12 (SF-12), respectively. Composite inflammatory indices including the C-reactive protein–albumin–lymphocyte (CALLY) index, log-CALLY, hemoglobin–albumin–lymphocyte–platelet (HALP) score, and systemic immune-inflammation index (SII) were calculated from routine laboratory parameters. Results: Attack-related anticipatory anxiety scores demonstrated a significant positive correlation with GAD-7 scores (r = 0.581, p < 0.001) and an inverse correlation with SF-12 mental component scores (r = −0.380, p = 0.019). Direct correlations between attack-related anticipatory anxiety scores and composite inflammatory indices were weak and not statistically significant. In subgroup analysis, a higher annual attack burden was associated with higher GAD-7 scores, higher CRP and serum amyloid A values, and lower CALLY, log-CALLY, and HALP values. Differences in attack-related anticipatory anxiety, SF-12 MCS, and SII between attack burden groups did not reach statistical significance. In multivariable linear regression analysis, GAD-7 score remained independently associated with attack-related anticipatory anxiety symptoms (β = 0.438, p = 0.010). Conclusions: Attack-related anticipatory anxiety symptoms may represent an exploratory psychosocial dimension of FMF associated mainly with generalized anxiety symptoms and impaired mental well-being. Composite inflammatory indices appeared more closely related to annual attack burden than to attack-related anticipatory anxiety. These findings should be interpreted cautiously and considered hypothesis-generating. Full article

Background/Objectives: Preoperative anxiety is common in adult patients undergoing oral and dentoalveolar surgical procedures under local anesthesia and may impair cooperation, physiological stability, and overall treatment experience. While intravenous sedation and general anesthesia provide effective anxiolysis, they increase anesthetic exposure and recovery demands. Targeted preoperative anxiolysis offers a less invasive strategy to reduce anxiety while preserving responsiveness. However, approaches vary and standardized protocols are lacking. This systematic review evaluated the efficacy and safety of preoperative anxiolytic interventions—including both pharmacological and non-pharmacological strategies—in adult patients undergoing oral surgical procedures under local anesthesia without general anesthesia or deep sedation. Methods: The review adhered to the PRISMA 2020 guidelines and was prospectively registered in PROSPERO (CRD420261281592). Randomized and quasi-randomized controlled trials published between 2016 and 2026 were identified through structured searches of PubMed/MEDLINE, ScienceDirect, and Springer Nature Link. Eligible studies included adult patients undergoing oral surgery under local anesthesia and evaluated preoperative anxiolysis using validated instruments such as the Dental Anxiety Scale (DAS), State–Trait Anxiety Inventory (STAI), and Visual Analog Scale for Anxiety (VAS-A). Risk of bias was assessed using the Cochrane RoB 2 tool. Owing to methodological heterogeneity, results were synthesized narratively. Results: Eight trials (n = 617) met the inclusion criteria. Interventions included oral benzodiazepines, melatonin, pregabalin, herbal agents, nitrous oxide, and auriculotherapy. Benzodiazepines consistently reduced anxiety scores (p < 0.05) without significant interagent differences. Pregabalin at a dose of 150 mg significantly lowered STAI-S and VAS-A scores (p < 0.001). Passiflora incarnata was comparable to midazolam and superior to placebo, whereas Erythrina mulungu showed no effect. Melatonin results were inconsistent. Hemodynamics remained stable, and adverse events were mild. Conclusions: Preoperative anxiolysis under local anesthesia effectively reduces anticipatory anxiety in oral surgery, with benzodiazepines demonstrating the most consistent efficacy. Further standardized trials are warranted. Full article

Objectives: The aims were to compare prevalence of high dental anxiety (DA) in 2000, 2011 and 2023, to compare the age- and sex-specific levels of DA, and to study if total, anticipatory, and treatment-related DA have an independent association with the non-habitual use of oral health care considering age, sex, education, current perceived treatment need, and reported barriers to use of oral health in nationally representative samples of adult Finns (n = 1950). Methods: DA was assessed with a single question (n = 1770) for prevalence and with the Modified Dental Anxiety Scale (MDAS) (n = 1739) for DA levels described as means, medians, standard errors (SE), interquartile ranges, and 95% confidence intervals (CI). Multivariable logistic regression analyses were used to assess the independent effect of total, anticipatory, and treatment-related DA on habitual use of oral health care (regular = habitual, for toothache or other problems = non-habitual) adjusted for age, sex, level of attained education, current perceived treatment need, and barriers to using oral health care (care costs and long queues). Results: Among women, the prevalence of high DA decreased from 2000 to 2011, but the decrease did not continue between 2011 and 2023. Among men, the prevalence of high DA decreased between 2000 and 2023. The mean MDAS (SE) for women was 10.1 (0.1) and for men 8.4 (0.1). Total, anticipatory, and treatment-related dental DA had an independent association with non-habitual use of oral health services. Conclusions: DA as an independent barrier to oral health care can prevent habitual care utilization, potentially leading to poor oral health. Full article

The accumulation of microplastics in aquatic ecosystems poses a significant threat to fish physiology and welfare. This study investigated the impact of exposure to virgin polystyrene microplastics (15 µm) on energy balance and welfare in goldfish (Carassius auratus). Fish were exposed for 14 days, and the effects were assessed through an integrated analysis of behavioral, metabolic, neuroendocrine, and physiological parameters. Microplastic exposure significantly reduces feed intake and feed anticipatory activity, indicating a potent anorexigenic effect. This effect was driven by neuroendocrine disruption, characterized by the downregulation of orexigenic neuropeptides (npy, agrp, hcrt) and the upregulation of anorexigenic signaling (pomca, cartpt, lepa). Simultaneously, exposed fish exhibited increased oxygen consumption, suggesting elevated metabolic demands. These factors converged to impaired growth and reduced hepatosomatic index, suggesting altered energy allocation. Furthermore, microplastic exposure induced anxiety-like responses and increased plasma cortisol levels, confirming the activation of the physiological stress response. Overall, these findings demonstrate that microplastics disrupt energy homeostasis and trigger behavioral shifts that ultimately compromise fish welfare and the biological resilience of aquatic species. Full article

Introduction: Distress during pediatric magnetic resonance imaging (MRI) neuroimaging can compromise scan quality and negatively impact children’s experiences. This review aimed to systematically synthesize biomarkers and psychological factors associated with distress in children, adolescents, and young adults undergoing neuroimaging. Methods: This systematic review was conducted according to PRISMA and AMSTAR-2 guidelines and preregistered in OSF. A systematic search was performed in six electronic databases, including observational articles published between 2000 and 2025 that assessed distress during MRI and functional MRI (fMRI). Data extraction and risk of bias assessment (QUIPS tool) were performed independently by two reviewers. Results: Ten studies (n = 558) examining distress during neuroimaging were included in this review. Distress was assessed through subjective self- and parent-reports, objective physiological measures, and qualitative interviews. Overall, distress levels were low to moderate; most participants tolerated scans well, though younger age, male sex, parental anxiety, procedure length, and chronic illness were associated with greater discomfort. Noise, immobility, and boredom emerged as the most frequent triggers, while strategies such as distraction, age-appropriate information, and reducing waiting times were perceived as helpful. Among participants with cancer, scan-related anxiety was closely linked to fear of recurrence and perceived stress. Risk of bias across studies was moderate to high, particularly in domains of attrition and statistical reporting. Conclusions: Distress during scanning is driven by anticipatory and parental anxiety, procedure length, and chronic illness. Biomarkers (e.g., cortisol, blood pressure) showed inconsistent links with subjective distress, highlighting the need for integrated measures. Full article

Dementia caregiving represents a major public health challenge, with spousal caregivers assuming the greatest burden. Spouses, themselves typically older adults, provide high intensity, long-term, and largely unpaid care across all stages of cognitive decline. Despite their central role in dementia care, the health consequences experienced by spousal caregivers remain insufficiently characterized in the literature and inadequately addressed in clinical and public health practice. This structured narrative review synthesizes current evidence on the multidimensional impact of dementia caregiving on the physical, psychological, cognitive, social, and financial health of spousal caregivers. It further contextualizes these consequences within the trajectory of dementia progression, and identifies interventions, support systems, and policy considerations necessary to mitigate caregiver burden. Spousal caregivers experience disproportionate burden due to continuous, escalating responsibilities that often mirror the progressive deterioration of their partners. Emotional burdens, including uncertainty during pre-diagnostic stages, role strain, conflict, loss of intimacy, and anticipatory grief. Physically, spouses endure musculoskeletal strain, sleep disruption, poor nutrition, and heightened frailty risk. Psychologically, spousal caregivers exhibit elevated rates of depression, anxiety, loneliness, and stress-related disorders. Socially, caregivers experience substantial isolation, stigma, and erosion of social networks. Financial hardship, including early retirement, reduced employment, and uncompensated care hours, further exacerbate stress. Evidence suggests that chronic caregiving stress contributes to biological changes such as immune dysregulation, inflammation, acceleration, aging, and potential cognitive decline in caregivers themselves. Caregiver burden influences patient outcomes as evidenced by increased emergency department use, falls, and earlier institutionalization in persons with dementia whose caregiver is subjected to a high burden. Current care models rarely include routine, caregiver assessment or structured guidance following diagnosis, resulting in substantial unmet needs. Effective mitigation requires integrated, stage-sensitive interventions, including psychosocial support, caregiver education, respite services, culturally tailored programs, and digital health tools, alongside broader policy reforms to reduce financial and structural barriers. Full article

This study examines how integrating Creative Problem Solving (CPS) and generative artificial intelligence (GenAI) within animation storytelling education can foster sustainability-related competencies in higher education. A twelve-week mixed-methods action research design was implemented in a “Storytelling and Scriptwriting” course at a university of technology in northern Taiwan (N = 60). The intervention design combined a CPS-aligned instructional sequence, six scaffolded assignments (including a text-to-image resemiotization task), pre–post CPS cognition and affect scales, CPS-dimensioned assignment self-assessments, reflective journals, and expert evaluations of final story prototypes using the Consensual Assessment Technique. Quantitative results showed significant gains in students’ CPS-related narrative cognition and affective resilience (p < 0.001), as well as consistently high self-reported engagement across CPS dimensions for all assignments, particularly for the text-to-image and personal narrative tasks. Expert ratings indicated high levels of originality, narrative coherence, emotional impact, and social relevance in final prototypes, while qualitative data highlighted reduced “blank page” anxiety, greater willingness to revise, and more collaborative, systems-oriented narrative reasoning. The findings suggest that a CPS- and GenAI-supported teaching model can function as a cognitive bridge for heterogeneous cohorts, positioning GenAI as a conditional amplifier embedded within a reflective CPS framework and helping to translate abstract sustainability-related competencies—such as anticipatory, normative, strategic, and interpersonal competencies—into concrete creative media practices. Full article

Contemporary European societies face overlapping societal challenges—ecological degradation, immigration pressures, and widening economic inequality—which generate a pervasive climate of uncertainty affecting citizens’ perceptions of their own life conditions. This study investigates how social pessimism, conceptualised as a multidimensional orientation reflecting perceived threats across environmental, migratory, and distributive domains, relates to subjective financial insecurity at the individual level. Drawing on harmonised cross-national data from the CRONOS-II panel (N = 8993), covering eleven European countries, we construct a composite pessimism index and analyse its association with perceived financial strain using multivariate and multilevel regression models. Results demonstrate that individuals who express greater societal pessimism report significantly higher levels of financial insecurity, even after controlling for income, education, employment status, and country-level heterogeneity. This relationship is moderated by socioeconomic position; specifically, the pessimism–insecurity link is strongest among lower-income and less-educated groups, suggesting that material precarity and anticipatory anxiety compound one another. Cross-national analysis reveals substantial variation in effect magnitude, with the strongest associations observed in Hungary, Portugal, and the Czech Republic, and the weakest in Slovenia and Iceland. These findings contribute to the interdisciplinary understanding of how macro-level societal concerns permeate individual wellbeing, demonstrating that subjective economic vulnerability is shaped not only by objective circumstances but also by the broader socio-political climate in which citizens interpret their life situations. The results underscore the need for policies that address both material conditions and the affective dimensions of societal uncertainty in order to strengthen social cohesion and reduce perceived economic risk. Theoretically, we frame social pessimism as a formative composite capturing perceived threat to societal stability, offering an integrative perspective on how structurally distinct societal concerns converge to shape economic subjectivities. Full article

(1) Background: While anticipatory anxiety is well-established in the psychological literature, the specific phenomenon of distress experienced during waiting for positive, rationally certain outcomes remains under-theorized and clinically under-recognized. (2) Methods: This paper presents a conceptual analysis and theoretical proposal introducing ‘Waiting Anxiety,’ defined as a hypothesized pattern of anticipatory distress characterized by heightened cognitive rumination, physiological arousal, and emotion regulation failure during periods of delayed resolution, specifically when the awaited outcome is positive and rationally certain (e.g., an approaching wedding, confirmed promotion, or approved visa). (3) Results: Distinct from traditional anticipatory anxiety tied to threat perception, waiting anxiety is proposed as a paradoxical form of distress that emerges despite primary outcome certainty. The construct is theoretically grounded in emotion regulation failures, temporal perception distortions, and impatience mechanisms, and is illustrated through five clinical cases. (4) Conclusions: This paper argues for waiting anxiety as a hypothesized psychological pattern warranting empirical investigation. Future psychometric, epidemiological, and neurobiological research is needed to establish its validity, prevalence, and clinical utility. If validated, integration into clinical frameworks could improve understanding of affective experience during positive life transitions. Full article

Background/Objectives: Pelvic floor disorders (PFDs), which include pelvic organ prolapse and urinary incontinence, are common conditions that often affect sexual health, but remain under-assessed within routine care. The following cases are presented to demonstrate the potential of a brief sexual health questionnaire in pelvic floor clinics and to explore how sexual function varies across common PFD phenotypes. Methods: A pilot case series was conducted with a group of five sexually active women diagnosed with PFDs at the Materno-Infantil University Hospital in Gran Canaria, Spain, between January and December 2025. Patients completed the Female Sexual Function Index (FSFI) at the index visit. Results: Mean age was 40.6 years (range 35–46), mean parity was 1.6 births and 60% were active smokers. Mean FSFI total score was 26.9 (range 21.4–32.2) and 60% scored below 26.55. Desire and arousal were relatively preserved (means 5.0 and 4.9), whereas lubrication (3.4) and satisfaction (3.9) showed greater variability. Pain scores were low overall (mean 5.2). Self-rated sexual satisfaction was low in 40%, moderate in 40% and high in 20%. Moderate-to-high anticipatory sexual anxiety was present in 80%. Conclusions: Integrating a concise questionnaire based on the FSFI into the pelvic floor consultation appears to be a reasonable approach, with the potential to address secondary sexual dysfunction in patients with PFD, thereby facilitating personalised counselling and treatment. Full article

(1) Background: The families of military personnel preparing for deployment are exposed to anticipatory stressors that may adversely affect their psychological well-being. This study aimed to examine the associations between anxiety, psychological resilience, and trait hope among the family members of military personnel during the pre-deployment period. (2) Methods: A cross-sectional online survey was conducted between 20 September and 20 December 2025 and included 73 Romanian adult participants. From a psychiatric perspective, anxiety during the pre-deployment phase represents a clinically relevant form of anticipatory distress that may benefit from early identification and preventive intervention. Anxiety was assessed using the Generalized Anxiety Disorder 7-item scale (GAD-7), psychological resilience with the Brief Resilience Scale (BRS), and trait hope with the Adult Hope Scale (Agency and Pathways subscales). Pearson correlation analyses, multivariable linear regression, and hierarchical regression models were applied. (3) Results: Participants reported moderate anxiety levels (GAD-7 mean 7.52 ± 4.98). Anxiety was strongly negatively correlated with psychological resilience (r = −0.75, p < 0.001) and moderately negatively correlated with total hope (r = −0.67, p < 0.001), Agency (r = −0.61, p < 0.001), and Pathways (r = −0.64, p < 0.001). Psychological resilience emerged as a significant negative predictor of anxiety (β = −0.64, p < 0.001). Hierarchical regression showed that trait hope explained additional variance in anxiety severity beyond resilience and sociodemographic variables (ΔR² = 0.07, p < 0.001). (4) Conclusions: Psychological resilience and trait hope were independently and jointly associated with lower pre-deployment anxiety in military families, underscoring their relevance to preventive and community psychiatry as modifiable resources for early screening and non-pharmacological intervention. Full article

Background: Anxiety symptoms among medical students often emerge at the intersection of sustained academic pressure, anticipatory uncertainty and early professional socialisation, complicating their distinction from transient stress responses. Instruments employed in this context are therefore expected to operate consistently across subgroups while preserving conceptual clarity under non-clinical conditions. The Generalized Anxiety Disorder scale (GAD-7), widely adopted as a brief screening measure, has shown variable factorial behaviour across populations, particularly when applied to student cohorts. Materials and methods: Using confirmatory factor analysis with robust weighted least squares estimation, the latent structure of a culturally adapted Spanish version of the GAD-7 was examined in a sample of medical students enrolled across all academic years at a public university. Model performance was evaluated through multiple fit indices suited for ordinal data, alongside estimates of convergent validity based on average variance extracted and reliability assessed via both Cronbach’s α and McDonald’s ω. Measurement invariance across sex was explored through a sequence of increasingly constrained multi-group models. Results: The unidimensional configuration originally proposed for the scale remained statistically coherent, despite minor tensions between absolute and incremental fit indicators commonly reported in comparable university-based samples. Convergent validity estimates suggested that the latent construct accounted for a substantial proportion of item variance, while reliability coefficients fell within the upper range observed internationally. Invariance testing supported comparability at the configurational and scalar levels, although full metric equivalence was less stable. Conclusions: Rather than resolving ongoing debates regarding the internal structure of the GAD-7, these findings situate its psychometric behaviour within the specific demands of medical education, where anxiety-related symptoms may fluctuate between normative adaptation and clinically relevant distress. This positioning invites further examination of how screening instruments perform when anxiety is shaped as much by institutional context as by individual psychopathology. Full article

The relationship between hormonal reactivity to acute stress and memory is well established, but the role of anticipatory cortisol and dehydroepiandrosterone (DHEA) levels remains underexplored. This study aimed to assess the psychobiological responses (anxiety, affect, cortisol and DHEA) to an academic examination, subsequent memory performance and associations between anticipatory hormonal response and memory retrieval. Seventy-nine undergraduates (10 males) completed an acquisition session involving picture encoding and immediate free recall. Forty-eight hours later, during the recall session, they sat a written examination followed by delayed free recall and recognition tasks. Results showed higher anticipatory anxiety, negative affect and cortisol levels in the recall session than in the acquisition session. Participants showed poorer delayed recall performance and reduced recognition of neutral pictures. In addition, after correction for multiple comparisons, exploratory hierarchical regression analyses indicated that anticipatory cortisol levels and the cortisol/DHEA ratio assessed prior to the recall session were negatively associated with total delayed free recall performance, with the cortisol/DHEA ratio also being negatively associated with delayed free recall of negative pictures. In the absence of a control group, these findings cannot be used to make causal inferences. However, they are consistent with theoretical accounts of DHEA’s anti-glucocorticoid role and highlight associations between cortisol/DHEA balance and delayed free recall performance, particularly for negative emotional material. Full article