Search Results (18,713)

Social farming combines agricultural, social, and healthcare functions, and Animal-Assisted Interventions (AAIs) are increasingly being applied within this framework. Despite their potential, cattle are excluded from Italian guidelines and rarely studied. This pilot study explored the feasibility, effects, and economic sustainability of cow-assisted interventions within social farming in Umbria, Italy. It represents an original and innovative contribution, drawing attention to the therapeutic potential of the human–cow relationship. The study presents an experimental cow therapy protocol and proposes behavioral monitoring tools designed both for people with different disabilities and for the animals involved. Four Red Pied Valdostana cows were involved in structured sessions with three groups: adolescents removed from families, young adults with mental health disorders, and individuals with eating disorders. Activities included observation, feeding, grooming, problem solving, and leading. Human outcomes were assessed regarding emotional, relational, and behavioral dimensions, and animal welfare was continuously monitored. A cost analysis was also conducted for Animal-Assisted Activity (AAA), Animal-Assisted Education (AAE), and Animal-Assisted Therapy (AAT). Participants reported improved self-esteem, emotional expression, and social interaction; the eating disorder group showed greater openness toward dairy consumption. Animal welfare remained stable with high tolerance to handling. Costs were driven mainly by professional staff rather than animal care, with average hourly costs of €74.51 (AAA), €144.99 (AAE), and €172.41 (AAT). The comparative analysis demonstrates a clear trade-off: as the intervention shifts from recreational (AAA) to educational (AAE) and finally to therapeutic (AAT), the financial investment increases in parallel with the level of professionalization, personalization, and expected clinical outcomes. Cow-assisted interventions proved to be safe, feasible, and beneficial, supporting their potential inclusion in Italian guidelines on AAIs. Full article

Background: Surgery is often accompanied by fear and anxiety, which can adversely affect recovery and patient’s well-being. Understanding the relationship between surgical fear and anxiety and satisfaction with nursing care can help nurses target interventions that improve perioperative outcomes. Aim: We aimed to investigate surgical fear, preoperative anxiety, and satisfaction with nursing care among hospitalized surgical patients and identify clinical and experiential predictors of surgical fear. Methods: A descriptive cross-sectional study of 100 adult surgical patients was conducted using the Surgical Fear Questionnaire (SFQ), State–Trait Anxiety Inventory (STAI), and a validated Patient Satisfaction with Nursing Care Questionnaire. Descriptive and multivariable regression analyses were performed using IBM SPSS Statistics version 29.0 to explore the associations. Results: Patients reported high overall satisfaction with nursing care but notable preoperative anxiety and moderate surgical fear. Previous surgery, prior anesthesia exposure, longer hospital stay, and limited knowledge of the illness independently predicted greater surgical fear. Conclusions: Despite overall high satisfaction with nursing care, surgical patients experience considerable fear and anxiety. Nurses can reduce the perioperative psychological burden by delivering structured, nurse-led preoperative education, improving communication, and offering emotional support. Integrating such interventions into routine surgical pathways could reduce fear and anxiety and improve the patient experience. Full article

Large language models (LLMs) judge three pairs of architectural design proposals which have been independently surveyed by opinion polls: department store buildings, sports stadia, and viaducts. A tailored prompt instructs the LLM to use specific emotional and geometrical criteria for separate evaluations of image pairs. Those independent evaluations agree with each other. In addition, a streamlined evaluation using a single descriptor “friendliness” yields the same results while offering a rapid screening measure. In all cases, the LLM consistently selects the more human-centric design, and the results align closely with independently conducted public opinion poll surveys. This agreement is significant in improving designs based upon human-centered principles. AI helps to illustrate the correlational effect: living geometry → positive-valence emotions → public preference. The AI-based model therefore provides empirical evidence for a deep biological link between geometric structure and human emotion that warrants further investigation. The convergence of AI judgments, neuroscience, and public sentiment highlights the diagnostic power of criteria-driven evaluations. With intelligent prompt engineering, LLM technology offers objective, reproducible architectural assessments capable of supporting design approval and policy decisions. A low-cost tool for pre-occupancy evaluation unifies scientific evidence with public preference and can inform urban planning to promote a more human-centered built environment. Full article

Background: The COVID-19 pandemic significantly impacted adolescent development, increasing behavioral problems and emotional distress. This study aimed to examine the impact of sensation seeking, empathy, and COVID-19-related stressors on deviant behavior in adolescents. Methods: A cross-sectional study was conducted with 638 Italian adolescents and young adults (M = 18.8 years, SD = 3.51) recruited from schools, universities, and the general population in Tuscany and Emilia-Romagna. Participants completed validated measures assessing sensation seeking, empathy, COVID-19-related stress, and deviant behaviors. Multiple regression analyses examined predictors of deviant behavior, while mediation analyses tested whether empathy mediated the relationship between sensation seeking and deviant behavior. Results: Correlation analyses show a positive association between sensation seeking and deviant behavior and a weaker positive association with COVID-19 isolation. Conversely, affective empathy demonstrated negative correlations with both deviant behavior and sensation seeking. COVID-19 stress demonstrated differentiated effects: social isolation increased deviance, whereas fear of contagion was protective. Mediation analysis revealed that affective empathy partially mediated the relationship between sensation seeking and deviance. Conclusions: This study demonstrates that sensation seeking is a primary risk factor for deviant behavior in adolescents and young adults, while affective empathy acts as a protective mechanism that partially mediates this relationship. Furthermore, COVID-19-related stressors have shown complex effects, with social isolation amplifying the risk of deviance, while fear of contagion promotes more inhibited behavior. These findings underscore the importance of considering both stable personality traits and situational stressors when seeking to understand the pathways leading to adolescent behavioral problems during periods of social crisis. Full article

The mental and emotional health of an athlete is crucial for their performance and well-being. Sports-related stress can significantly impair their mental health. Further, there were minimal tools available to measure Sports resilience, specifically during COVID-19 restrictions or earlier. This study reports the preliminary validation of the Sports Mind Inventory (SMI) in athletes from different geographical areas (n = 66), with the majority of participants from Mauritius, and tests the SMI in elite athletes practicing the Yoga of Immortals (YOI). YOI is a unique combination of specific yogic postures, breathing exercises, sound therapy & meditation, which has demonstrated benefit in improving measures of mental health. The exploratory factor analysis of the 24-item SMI resulted in a six-factor inventory. The confirmatory factor analysis of these six-factor SMI showed goodness-of-fit index (0.935), and Cronbach’s alpha coefficient (α) of 0.949, showing good fit and reliability. The correlation between overall scale and individual factors showed diverse degree of positive correlations. This validated SMI was then tested to investigate whether YOI can enhance athletes’ resilience to sports-related stress. Participants were a diverse set of athletes based in Mauritius who routinely engage in a wide range of athletic activities. Participants were randomly assigned to receive four weeks of YOI or no intervention. Both groups completed the SMI questionnaire at baseline and again after four weeks. The YOI intervention significantly increased (p = 0.002) the total mean SMI scores, and underlying factors, i.e., Factor 1: Positive and Competitive sports mindset (p = 0.014), Factor 2: Social relatedness and adaptability (p = 0.008), Factor 3: Resilient mindset and self-confidence (p = 0.036), Factor 4: Sports Resilience and Emotional Responses (p = 0.001). This indicated improved sports resilience and psychological health. No improvement was observed in the control group. The correlation analysis in YOI group at week-4 showed positive correlation between overall scales and underlying construct. In conclusion, SMI showed acceptable fitness to measure sport resilience. This YOI intervention helped in improving sports-related stress and improved athletes’ resilience. Full article

Learning and understanding of art are increasingly understood as dynamic processes in which emotion and cognition unfold over time. However, classroom-based evidence on how structured temporal intervals and guided prompts reshape students’ emotional experience remains limited. This study addresses these gaps by quantitatively examining changes in emotion over time in a higher education institution. Employing a comparative experimental design, third-year undergraduate art students participated in two structured courses, where emotional responses were captured using an emotion recognition approach (facial expression and self-reported text) during two sessions: initial impression and delayed impression (three days later). The findings reveal a high consistency in dominant facial expressions and substantial agreement in self-reported emotions across both settings. However, the delayed impression elicited greater emotional diversity and intensity, reflecting deeper cognitive engagement and emotional processing over time. These results reveal a longitudinal trajectory of emotion influenced by guided reflective re-view over time. Emotional dynamics extend medium theory by embedding temporal and affective dimensions into TBMA course settings. This study proposes an ethically grounded and technically feasible framework for emotion recognition that supports reflective learning rather than mere measurement. Together, these contributions redefine TBMA education as a temporal and emotional ecosystem and provide an empirical foundation for future research on how emotion fosters understanding, interest, and appreciation in higher media art education. Full article

Background/Rationale: Transnational caregiving may be influenced by religious beliefs and cultural traditions that frame elder care as both a moral and religious obligation. While migration alters caregiving dynamics, religious teachings and cultural expectations remain central in guiding transnational caregiving practices. This study examines how Christian Nigerians who have immigrated to Canada navigate caregiving responsibilities within a transnational context, integrating their religion, cultural values, and the practical realities of crossing borders. Methods: This study employed a predominantly qualitative narrative approach, drawing on in-depth interviews with Nigerian Christian immigrants (N = 10) providing transnational care. Data collection involved a pre-interview survey and semi-structured interviews, providing the opportunity for participants to share their lived experiences. Thematic analysis was used to identify recurring themes related to the role of religion and culture in caregiving, ensuring a comprehensive exploration of participants’ perspectives. Findings: Caregiving is shaped by religious duty and cultural obligation, reinforced by biblical teachings and cultural values. Participants view elder care as a moral responsibility, tied to spiritual rewards and familial duty. Despite migration demands, family-based care remains preferred over institutional care, with social stigma attached to neglecting elders. Conclusions: Religion and culture remain integral to transnational caregiving practices, sustaining caregiving responsibilities despite migration-related realities. While religious teachings provide moral guidance and emotional support, cultural expectations reinforce caregiving as a collective and intergenerational duty. Policies and resources are needed that support transnational caregivers, ensuring they can fulfill their caregiving roles while adapting to new sociocultural environments. Policymakers should prioritize the implementation of policies and programs to support transnational caregivers, including family reunification measures, caregiving-related travel provisions, culturally tailored eldercare services, diaspora–local collaborations, organized caregiver support groups, and financial mechanisms such as tax incentives for remittances dedicated to elder care. Full article

Background/Objectives: Umbilical cord blood (UCB) is a valuable source of hematopoietic stem cells used in treating blood and immune disorders. Despite its potential and the availability of public banking systems in Italy, donation rates remain low due to patient misinformation, emotional barriers, and organizational inefficiencies. This study aimed to evaluate the impact of integrating Narrative Medicine (NM) and Lean Management (LM) on UCB donation rates and operational effectiveness at the University Hospital of Alessandria. Methods: This prospective, single-center pre-post study ran from July 2022 to December 2024. Two interventions were introduced: NM training for healthcare staff to enhance empathetic communication, and LM-based reorganization of workflows to improve process efficiency. Outcomes included changes in UCB donation and adherence rates, transplant-eligible unit percentages, and patient satisfaction, assessed through institutional and project-specific surveys (PERLA–SIMeN). Results: Post-intervention, donation rates increased from 0% in early 2022 to 30.8% (2022), 25.8% (2023), and 30.6% (2024), with adherence rates near 40%, far exceeding the national average of ~3%. Patient satisfaction improved, resulting in PERLA certification in February 2025. Conclusions: The integration of NM and LM significantly improved both patient engagement and organizational efficiency. Empathetic communication fostered trust and reduced emotional barriers, while LM optimized workflows and resource use. These results suggest the model is applicable in other hospitals to enhance UCB donation outcomes and overall quality of maternal care. Full article

Positive Childhood Experiences (PCEs), including supportive peer relationships, are crucial for optimal adult health and socioeconomic outcomes. As part of a broader initiative to address trauma in youth, we conducted a quality improvement project using a Positive Deviance (PD) approach. We aimed to improve peer relationships among members of the Asbury Park Boy & Girls Club and evaluate the feasibility of using a PD approach in a community-based setting. Using PD methodology, we identified practices used by staff to improve members’ experiences. Pre-intervention focus groups with staff and youth, discovery and action dialogues and staff observations identified positive deviants (PDs) and PD practices. PD practices were further defined during staff observations and developed into staff training. Post-intervention focus groups assessed perceived changes. Qualitative data was analyzed using deductive thematic analysis through the HOPE (Healthy Outcomes from Positive Experiences) framework domains of PCEs: Relationships, Environment, Engagement and Emotional Growth. In vivo coding generated subthemes, preserving participant language. Post-intervention focus group analysis suggested improvements in peer-to-peer relationships with club members referring to their peers as “nice” and “kind”, a contrast from pre-intervention findings. Findings were supported by club staff during member checking. These results suggest that the PD approach is a promising strategy for improving peer relationships and increasing access to PCEs in a community-based setting. Full article

Accurate recognition of basic facial emotions is well documented, yet the mechanisms of misclassification and their relation to gaze allocation remain under-reported. The present study utilized a within-subjects eye-tracking design to examine both accurate and inaccurate recognition of five basic emotions (anger, disgust, fear, happiness, and sadness) in healthy young adults. Fifty participants (twenty-four women) completed a forced-choice categorization task with 10 stimuli (female/male poser × emotion). A remote eye tracker (60 Hz) recorded fixations mapped to eyes, nose, and mouth areas of interest (AOIs). The analyses combined accuracy and decision-time statistics with heatmap comparisons of misclassified versus accurate trials within the same image. Overall accuracy was 87.8% (439/500). Misclassification patterns depended on the target emotion, but not on participant gender. Fear male was most often misclassified (typically as disgust), and sadness female was frequently labeled as fear or disgust; disgust was the most incorrectly attributed response. For accurate trials, decision time showed main effects of emotion (p < 0.001) and participant gender (p = 0.033): happiness was categorized fastest and anger slowest, and women responded faster overall, with particularly fast response times for sadness. The AOI results revealed strong main effects and an AOI × emotion interaction (p < 0.001): eyes received the most fixations, but fear drew relatively more mouth sampling and sadness more nose sampling. Crucially, heatmaps showed an upper-face bias (eye AOI) in inaccurate trials, whereas accurate trials retained eye sampling and added nose and mouth AOI coverage, which aligned with diagnostic cues. These findings indicate that the scanpath strategy, in addition to information availability, underpins success and failure in basic-emotion recognition, with implications for theory, targeted training, and affective technologies. Full article

Background: The study of psychophysiological responses to disgust-evoking stimuli has long been neglected in favour of other emotional stimuli, especially those evoking fear. While the basic cascade of responses to a frightening stimulus is relatively well-understood, psychophysiological responses to disgust-related threats, such as parasites or rotten food, are scarcely studied. Methods: Here, we aimed to assess skin resistance (SR) change as a measure of electrodermal response to visual cues that signal the presence of disgust-relevant threats. To this aim, we recruited 123 participants and presented them with one of the following varieties of disgust-relevant threats: disgust-evoking animals (e.g., parasites, worms), spoiled food, threat of pandemic, or pollution and toxicity. The latter two represented modern threats to test whether also these modern stimuli can initiate immediate automatic reaction. Results: We found significant differences between the categories: Participants responded with the highest probability to disgust-evoking animals (38%) and sneezing (52%), suggesting that only ancestral cues of pathogen disgust trigger automatic physiological response. Moreover, we found significant inter-sexual differences: women exhibited more SR change responses than men, and the amplitude of these responses was overall larger. Finally, we report a weak effect of subjectively perceived disgust intensity on reactivity to threat stimuli. Conclusions: We discuss heterogeneity of disgust-relevant threats, their adequate behavioural responses, and subsequent heterogeneity of respective SR responses. We conclude that large interindividual variability might eclipse systematic differences between participants with high or low sensitivity to disgust, and that subjectively perceived intensity of disgust is only a weak predictor of electrodermal response to its elicitor. Full article

Background: Peritoneal dialysis (PD) depends on patients’ self-management abilities, supported by nursing interventions that extend beyond technical skills to include psychosocial and educational domains. Evidence from Saudi Arabia on how these behaviors relate to clinical and quality-of-life outcomes remains limited. Aim: To assess self-management behaviors among adult PD patients, examine their associations with clinical and quality-of-life outcomes, and explore the mediating role of emotional well-being, with implications for nursing practice. Methods: A descriptive cross-sectional study was conducted among 158 adult PD patients at King Saud University-affiliated centers in Riyadh. Validated Arabic versions of the Chronic Illness Self-Management Scale and KDQOL-SF were administered. Clinical indicators were extracted from medical records. Data were analyzed using descriptive statistics, t-tests, multivariate linear regression, and mediation analysis. Results: Technical skills achieved the highest self-management scores (mean 3.78 ± 0.62), while emotional coping was lowest (mean 2.71 ± 0.69). Participants with higher self-management had fewer hospitalizations (0.9 ± 0.5 vs. 1.6 ± 0.8, p = 0.01), higher serum albumin (3.60 ± 0.56 vs. 3.44 ± 0.61 g/dL, p = 0.04), and better emotional well-being (60.1 ± 14.9 vs. 55.3 ± 12.4, p = 0.03) than their counterparts. Educational level (β = 0.208, p = 0.001) and emotional well-being (β = 0.197, p = 0.001) were independent predictors of self-management, with partial mediation by emotional well-being (indirect β = 0.062, p = 0.004). Conclusions/Clinical Implications: Optimizing nursing support for PD patients requires moving beyond technical instruction to address health literacy, emotional resilience, and culturally sensitive education. Nurse-led interventions integrating psychosocial support with skill-building may enhance self-management, reduce hospitalizations, and improve quality of life in PD populations. Full article

Climate change is associated with an increase in the frequency of extreme weather that threatens emotional well-being, with some research pointing to increased vulnerability among older adults. We investigated how age relates to depression and anxiety following adversities due to extreme weather or natural disaster. Socioemotional selectivity theory (SST) posits that older age buffers against emotional distress. The strength and vulnerability integration model (SAVI) posits that this age-related advantage is attenuated during periods of acute stress. Members (n = 9761, M age = 52.22, SD = 16.36 yrs) of a nationally representative, probability-based US internet panel, the Understanding America Study (UAS), reported their experience with extreme weather or natural disaster (e.g., severe storms, tornado, flood), associated adversities (e.g., property loss), and depression and anxiety over the past month. Of the 1075 respondents experiencing extreme weather or natural disaster, 216 reported related adversity. Those experiencing adversity reported more anxiety and depression than those with no events, while extreme weather or disaster alone made no significant difference. Consistent with SST, older age was associated with less depression and anxiety. This age-related benefit was most apparent among those experiencing weather- or disaster-related adversity, even when controlling for socio-demographic correlates. Findings highlight age-related emotional resilience with implications for climate change policy and practice. Full article

During the COVID-19 pandemic, migrant workers in Singapore endured one of the longest and most stringent periods of confinement globally. Segregationist policies were intensified as the state imposed strict disciplinary regimes over workers’ mobility and everyday lives, framed as public health interventions but functioning also as labor discipline and social control. This study asks: how did migrant workers experience, narrate, and endure life under such conditions of confinement? Drawing on sixteen in-depth interviews with South Asian male construction workers, conducted in dormitories and makeshift worksites, we adopt a grounded theory approach to elicit contextually grounded accounts of life under lockdown. The analysis highlights three interrelated themes: emotional regulation, migrant masculinity and the gendered politics of endurance, and digital connectivity as an affective infrastructure. These practices enabled workers to carve out agentic spaces within structures designed to render them passive. Our findings reveal that even amid fear, surveillance, overcrowding, and economic precarity, workers combined stoicism, transnational kinship ties, religious routines, and solidarity to sustain resilience. While initially guided by Foucauldian notions of surveillance and biopower, the study advances a counter-Foucauldian insight: that institutional control is never total, and migrant narratives of resilience offer nuanced understandings of agency under constrain. Full article

Collaborative Online International Learning (COIL) has become an innovative pedagogical strategy that promotes the internationalization of curricula and the development of transversal competencies. In architecture, its implementation is particularly relevant because there is a growing need to train professionals capable of leading and collaborating in global and interdisciplinary contexts. However, evidence of COIL’s impact during the early stages of higher education in Latin America remains limited. This study analyzed the experience of 39 architecture students from the Universidad Nacional de San Agustín de Arequipa (Peru), who collaborated with peers from Mexico in a five-week COIL project focused on design methodologies for vulnerable populations. Using a mixed-methods approach, the study assessed students’ competencies in leadership, self-regulation in virtual learning, and emotional intelligence and teamwork through pre- and post-experience questionnaires complemented with open-ended questions. Findings indicate that although students’ self-perceptions of their competencies remained at medium-to-high levels overall, changes occurred differently among groups: students with initially low self-assessment scores showed improvements, whereas those with initially high scores tended to moderate their self-assessment. Qualitative analysis highlighted barriers such as limited communication, time zone differences, and unequal participation. Overall, the results suggest that the COIL experience not only supported the development of competencies but also fostered critical reflection and a more realistic self-assessment of students’ competencies in virtual and intercultural contexts. Full article