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Search Results (3,898)

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21 pages, 850 KB  
Article
The Sensory and Emotional Response to Different Tableware Materials
by Ana Pantović, Ilija Djekić, Tanja Petrović and Nikola Tomić
Foods 2025, 14(18), 3151; https://doi.org/10.3390/foods14183151 - 9 Sep 2025
Abstract
The high environmental impact caused by the accumulation of single-use plastic calls for measures to curb this problem, from a ban on single-use plastic tableware to the production of a wide range of biodegradable and reusable products. The aim of this study was [...] Read more.
The high environmental impact caused by the accumulation of single-use plastic calls for measures to curb this problem, from a ban on single-use plastic tableware to the production of a wide range of biodegradable and reusable products. The aim of this study was to investigate how tableware made of different materials affects consumers’ sensory perception and emotional and hedonic responses when eating the same meal. In this study, four types of meals of animal or plant origin were selected for the experiments, which were served warm or cold. Accordingly, four groups of university students were instructed to taste the corresponding meal while using three sets of tableware made of different materials: polypropylene, wood/cardboard, and a stainless steel/ceramic/glass control set (regular set). Overall, the results suggest that the use of regular tableware elicited a positive emotional profile, while the use of disposable, wooden, and plastic tableware elicited negative emotional responses, which is consistent with the acceptability of the meal samples—regular tableware received higher ratings, while both types of disposable tableware received lower ratings. Finally, the material of the tableware only led to changes in odor and flavor perception when warm-served meals were sampled—higher intensities were reported when students used the regular tableware sets. Wooden cutlery imparted an atypical woody flavor to the meals, regardless of the type of meal. Full article
(This article belongs to the Special Issue Food Design for Enhancing Quality and Sensory Attributes)
16 pages, 243 KB  
Article
‘What Really Goes on in My Cancer Bubble, They Cannot Understand’: Social Functioning Among Adolescent and Young Adult (AYA) Cancer Patients
by Sophia H. E. Sleeman, Milou J. P. Reuvers, Michaela H. van der Veldt, Eveliene Manten-Horst and Olga Husson
Curr. Oncol. 2025, 32(9), 501; https://doi.org/10.3390/curroncol32090501 - 9 Sep 2025
Abstract
Cancer during adolescence and young adulthood (AYA; 18–39 years) can disrupt age-related milestones and impair social functioning. Many AYA patients report unmet social support needs and relationship changes, leading to isolation. This mixed-methods study explores social challenges among AYA patients actively seeking support [...] Read more.
Cancer during adolescence and young adulthood (AYA; 18–39 years) can disrupt age-related milestones and impair social functioning. Many AYA patients report unmet social support needs and relationship changes, leading to isolation. This mixed-methods study explores social challenges among AYA patients actively seeking support through a communication tool, the ‘AYA Match app’, supporting communication with loved ones. Upon downloading the app, participants completed questionnaires on social support (MOS-SSS) and social functioning (EORTC CAT) and open-ended questions about social challenges. Eligibility included a first cancer diagnosis at AYA age and fluency in Dutch. The findings show that cancer negatively affected AYA patients’ social functioning. Physical limitations and difficulty relating to peers caused isolation and feelings of loneliness. Some preferred solitude or withheld emotions to protect loved ones. Challenges included forming new relationships, feeling left behind as peers reach milestones, and struggling with a changed life perspective. Participants with children reported less social support. This study highlights the complex social challenges AYA cancer patients face. While support from loved ones is crucial, it may not always be effective. Personalized interventions like peer support, improved family communication, and tailored digital tools are needed to improve social well-being and quality of life in AYAs with cancer. Full article
(This article belongs to the Special Issue Quality of Life and Follow-Up Care Among AYA Cancer Survivors)
26 pages, 545 KB  
Article
Psychometric Properties of the Serbian Teen Version of the Problem Areas in Diabetes Scale—A Validation Study
by Mirjana Smudja, Tatjana Milenković, Ivana Minaković, Vera Zdravković, Sandra Mitić, Ana Miljković and Dragana Milutinović
Nurs. Rep. 2025, 15(9), 326; https://doi.org/10.3390/nursrep15090326 - 8 Sep 2025
Abstract
Screening for diabetes-specific distress should be considered a standard component of diabetes management. This study aimed to evaluate the psychometric properties of the Serbian adaptation of the Problem Areas in Diabetes—Teen Version (PAID-T). Methods: A multicentre, validation, cross-sectional study was conducted with 374 [...] Read more.
Screening for diabetes-specific distress should be considered a standard component of diabetes management. This study aimed to evaluate the psychometric properties of the Serbian adaptation of the Problem Areas in Diabetes—Teen Version (PAID-T). Methods: A multicentre, validation, cross-sectional study was conducted with 374 adolescents (aged 13–18 years) diagnosed with type 1 diabetes (T1D), all of whom completed the Serbian version of the PAID-T. The psychometric evaluation included assessments of construct validity through exploratory (EFA, first subsample, n = 140) and confirmatory (CFA, second subsample, n = 234) factor analyses, as well as examinations of concurrent and convergent validity. Reliability was evaluated using measures of internal consistency and test–retest stability (n = 289). Results: Factor analyses indicated some multidimensionality; however, the high correlations between factors in the three-factor model and the optimal fit of the hierarchical three-factor model with a single second-order factor supported the interpretation that the PAID-T measures a unified construct, with satisfactory fit indices (CFI = 0.95; TLI = 0.93; RMSEA = 0.08; SRMR = 0.05). Concurrent validity testing demonstrated gender-based differences in adolescents’ perceptions of the emotional burden of diabetes (W = 19.718, p = 0.03, small effect size = 0.11). Convergent validity analyses showed that adolescents who were non-adherent to treatment (W = 11.390, p = 0.01, small effect size = 0.13) or experienced difficulties managing diabetes at school (W = 16.333, p < 0.001, small effect size = 0.16) reported significantly higher levels of diabetes-specific distress. A significant negative correlation was also observed between PAID-T scores and perceived social support (ρ = −0.24, p < 0.001). Importantly, Serbian adolescents with T1D reported mean PAID-T scores close to the cutoff point of 44, indicating clinically relevant levels of distress. The Serbian version demonstrated strong internal consistency (Cronbach’s α = 0.92; McDonald’s ω = 0.93) and excellent test–retest reliability (ICC = 0.99, 95% CI), confirming stability over time. Conclusions: The Serbian adaptation of the PAID-T demonstrated strong validity and reliability, supporting its use as a robust tool for assessing self-reported diabetes-specific distress in adolescents. Notably, the mean PAID-T scores in Serbian adolescents with T1D were close to the established cutoff point of 44, underscoring the clinical relevance of routine screening in this population. The early identification of diabetes distress can enable nurses and other members of the multidisciplinary healthcare team to deliver tailored interventions, ultimately improving psychological well-being and health outcomes. Full article
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15 pages, 262 KB  
Article
Association Between Academic, Cognitive and Health-Related Variables with Academic Stress in Health Sciences University Students
by Aniel Jessica Leticia Brambila-Tapia, Edgar Ulises Velarde-Partida, Laura Arely Carrillo-Delgadillo, Fabiola Macías-Espinoza and Saúl Ramírez-De los Santos
Behav. Sci. 2025, 15(9), 1219; https://doi.org/10.3390/bs15091219 - 8 Sep 2025
Abstract
Academic stress arises from students facing academic demands and is linked to various academic and psychological factors. However, research has yet to explore its potential correlations with somatization, overall health issues, studying strategies, academic procrastination, academic performance, and intelligence scores. The objective of [...] Read more.
Academic stress arises from students facing academic demands and is linked to various academic and psychological factors. However, research has yet to explore its potential correlations with somatization, overall health issues, studying strategies, academic procrastination, academic performance, and intelligence scores. The objective of this study was to determine the potential correlations between such variables with academic stress in a sample of health sciences university students. University students of different bachelor’s programs were invited to participate; they fulfilled an electronic questionnaire with personal and psychological variables, including academic stress, and performed an intelligence test, which measures verbal and non-verbal intelligence. Finally, their academic achievement was measured with the grade point average (GPA). A total of 437 students were included, of which 296 (67.7%) were women, with a mean age of 20.36 ± 2.61 years old. Academic stress was higher in women than in men and showed moderate positive correlations with anxiety, depression, and somatization and a low positive correlation with the sum of diseases. It also showed a low negative correlation with sleep quality. In addition, academic stress correlated negatively with self-motivation, emotion perception, and emotion management as well as with active coping, positive relations with others, and the studying strategies (self-regulation, effort regulation, critical thinking, and time and study environment). We also observed a low positive correlation between academic stress and academic procrastination, which was higher in women than in men. No correlations were found with GPA or intelligence scores. In conclusion, academic stress was positively correlated with somatization, depression, anxiety, the sum of diseases, and academic procrastination; it was negatively correlated with emotional intelligence (mainly self-motivation), active coping, and specific studying strategies. Full article
16 pages, 2471 KB  
Article
Latent Profile Analysis of Depression and Its Influencing Factors Among Frail Older Adults in China
by Lingling Ye, Penghao Fan, Siyuan Zhang and Chao Rong
Behav. Sci. 2025, 15(9), 1217; https://doi.org/10.3390/bs15091217 - 8 Sep 2025
Abstract
The present investigation set out to examine potential categories regarding depressive symptoms in frail senior individuals in China and to identify the contributing variables associated with each category, with the goal of informing more targeted mental health interventions. Data were drawn from the [...] Read more.
The present investigation set out to examine potential categories regarding depressive symptoms in frail senior individuals in China and to identify the contributing variables associated with each category, with the goal of informing more targeted mental health interventions. Data were drawn from the 2018 China Health and Retirement Longitudinal Survey, commonly called CHARLS, which comprised an overall cohort of 1083 qualifying respondents. A latent profile analysis (LPA) revealed the following four distinct depression profiles: a Low Depression–High Loneliness Group (38.4%), a Moderately Low Depression–High Suicidal Ideation Group (7.5%), a Moderately High Depression–High Negative Emotion Group (33.4%), and a High Depression–High Suicidal Ideation Group (20.7%). Ordered multi-categorical logistic regression and restricted cubic spline analyses revealed that age, gender, body pain, pension insurance, sleep duration, and frailty index were significant predictors of depression classification. These findings suggest that depressive symptoms among frail older individuals in China are markedly heterogeneous, highlighting the need to develop differentiated intervention strategies for distinct depression risk groups to promote their mental health. Full article
(This article belongs to the Section Health Psychology)
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21 pages, 1029 KB  
Review
Loneliness by Design: The Structural Logic of Isolation in Engagement-Driven Systems
by Lauren Dwyer
Int. J. Environ. Res. Public Health 2025, 22(9), 1394; https://doi.org/10.3390/ijerph22091394 - 6 Sep 2025
Viewed by 201
Abstract
As the prevalence of public discourse pertaining to loneliness increases, digital interventions, such as artificial intelligence companions, are being introduced as methods for fostering connection and mitigating individual negative experiences of loneliness. These tools, while increasing in volume and popularity, operate within and [...] Read more.
As the prevalence of public discourse pertaining to loneliness increases, digital interventions, such as artificial intelligence companions, are being introduced as methods for fostering connection and mitigating individual negative experiences of loneliness. These tools, while increasing in volume and popularity, operate within and are shaped by the same engagement-driven systems that have been found to contribute to loneliness. This meta-narrative review examines how algorithmic infrastructures, which are optimized for retention, emotional predictability, and behavioural nudging, not only mediate responses to loneliness but participate in its ongoing production. Flattening complex social dynamics into curated, low-friction interactions, these systems gradually displace relational agency and erode users’ capacity for autonomous social decision making. Drawing on frameworks from communication studies and behavioural information design, this review finds that loneliness is understood both as an emotional or interpersonal state and as a logical consequence of hegemonic digital and technological design paradigms. Without addressing the structural logics of platform capitalism and algorithmic control, digital public health interventions risk treating loneliness as an individual deficit rather than a systemic outcome. Finally, a model is proposed for evaluating and designing digital public health interventions that resist behavioural enclosure and support autonomy, relational depth, systemic accountability, and structural transparency. Full article
(This article belongs to the Special Issue Public Health Consequences of Social Isolation and Loneliness)
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16 pages, 768 KB  
Article
Beyond the Experience: How Lifestyle, Motivation, and Physical Condition Shape Forest Traveler Satisfaction
by Xi Wang, Jie Zheng, Zihao Han and Chenyu Zhao
Forests 2025, 16(9), 1426; https://doi.org/10.3390/f16091426 - 5 Sep 2025
Viewed by 252
Abstract
Forest tourism visitation in U.S. national forests has grown by approximately 8 percent over the past decade (from 2014 to 2022) from 147 million to 158.7 million visits per year, indicating a clear upward trajectory in demand for nature-based leisure experiences, yet the [...] Read more.
Forest tourism visitation in U.S. national forests has grown by approximately 8 percent over the past decade (from 2014 to 2022) from 147 million to 158.7 million visits per year, indicating a clear upward trajectory in demand for nature-based leisure experiences, yet the determinants of traveler satisfaction in this context remain insufficiently understood. Existing studies have primarily emphasized destination attributes, overlooking the interplay between psychological motivations, lifestyle orientations, and physical conditions. This omission is critical because it limits a holistic understanding of forest traveler’s experiences, which prevents us from fully capturing how internal dispositions, everyday life contexts, and well-being concerns interact with destination attributes to shape satisfaction. Therefore, the purpose of this study is to explore how motivation, lifestyle, and physical condition jointly shape satisfaction in forest tourism, drawing on Push–Pull Theory and environmental psychology. A dataset of 10,792 TripAdvisor reviews of U.S. national forests was analyzed using LIWC 2022 for psycholinguistic feature extraction and Ordered Logit Regression for hypothesis testing. Results show that positive emotional tone, leisure-oriented language, health references, and reward motivation significantly enhance satisfaction, while negative tone, illness, and work-related language reduce it. Curiosity and risk motivations were non-significant, and allure exerted only a marginal effect. These findings extend the Push–Pull framework by incorporating lifestyle and physical condition as moderating variables and validate emotional tone in user-generated content as a proxy for subjective evaluations. The study refines motivation theory by revealing context-specific effects of motivational dimensions. The results offer actionable insights for destination managers, service providers, marketers, and policymakers aiming to enhance forest travel experiences and promote sustainable tourism development. Full article
(This article belongs to the Special Issue The Sustainable Use of Forests in Tourism and Recreation)
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18 pages, 416 KB  
Article
How Perceived Career Advising Initiates Career Orientation of UAS Undergraduates in China: Career Exploration as a Mediator
by Tingting Gao, Guoxing Xu, Tingzhi Han and Jiangshan Sun
Behav. Sci. 2025, 15(9), 1208; https://doi.org/10.3390/bs15091208 - 5 Sep 2025
Viewed by 210
Abstract
In the context of universal higher education and labor market polarization, undergraduates in universities of applied sciences (UAS) face growing challenges in forming career orientation. Drawing on data from a UAS in China (N = 3138), this study examines how perceived career advising [...] Read more.
In the context of universal higher education and labor market polarization, undergraduates in universities of applied sciences (UAS) face growing challenges in forming career orientation. Drawing on data from a UAS in China (N = 3138), this study examines how perceived career advising influences students’ career orientation. Three key findings emerge: (1) Only perceived perspective advising (PPA) exhibits significant and direct effects on career orientation, underscoring the developmental value of structured guidance. In contrast, perceived emotional advising (PEA) and perceived growth advising (PGA) show no direct effect. (2) Both PPA and PGA are positively associated with career exploration, whereas PEA exhibits a negative association. This suggests that when advising interactions are overly affective, they inadvertently reduce students’ initiative to explore. (3) Career exploration fully mediates the effects of PEA and PGA, while it partially mediates the effect of PPA. This reflects that different types of career advising influence career orientation through distinct mechanisms, with PEA and PGA relying more heavily on exploratory engagement. The cultural and educational context in China shapes how students respond to different types of career advising. This study offers theoretical and practical insights for building career advising systems to actively foster students’ autonomous, cognitively engaged exploration processes. Full article
(This article belongs to the Special Issue External Influences in Adolescents’ Career Development: 2nd Edition)
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18 pages, 721 KB  
Article
Animal Video Lovers Always Have Company: The Role of Cyber-Mediated Animal Attachment in Loneliness
by Junzi Zhang, Su Tao and Wenchong Du
Animals 2025, 15(17), 2593; https://doi.org/10.3390/ani15172593 - 4 Sep 2025
Viewed by 227
Abstract
Growing engagement with online animal videos has raised questions about their potential psychological benefits. While prior research links pet attachment to reduced loneliness, little is known about whether similar effects arise from online animal interactions. This study introduces the concept of cyber-mediated animal [...] Read more.
Growing engagement with online animal videos has raised questions about their potential psychological benefits. While prior research links pet attachment to reduced loneliness, little is known about whether similar effects arise from online animal interactions. This study introduces the concept of cyber-mediated animal attachment—emotional bonds formed with animals in digital media—and investigates its role in mediating the relationship between video engagement and loneliness. The model’s incremental validity was further assessed beyond the explanatory power of personality traits and emotional states. Two sub-studies were conducted, comprising a questionnaire survey and an experimental study. The findings revealed that (1) engagement with online animal videos was significantly negatively associated with levels of loneliness, and this relationship was linear rather than nonlinear; (2) cyber-mediated animal attachment mediated the relationship between video engagement and loneliness; and (3) compared to humorous human videos that elicit similar positive emotions, animal videos were more likely to evoke attachment toward the video character, which in turn contributed to reduced loneliness. These results provide empirical support for the role of online animal videos in alleviating loneliness, help clarify the psychological mechanisms of virtual attachment, and offer new perspectives and intervention strategies for addressing loneliness through digital means. Full article
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22 pages, 2572 KB  
Article
How the Internet Celebrity Economy Influences the Gentrification Trend of Historic Conservation Districts: Taking Tanhualin District in China as an Example
by Yibing Yao, Jiaming Xu, Hong Geng, Yuanzhi Zhang and Jing Qiao
Land 2025, 14(9), 1806; https://doi.org/10.3390/land14091806 - 4 Sep 2025
Viewed by 347
Abstract
Urban renewal has driven historic conservation districts to experience a series of changes characterized by gentrification. In the 21st century, internet traffic can be fully monetized. The intervention of the internet has made the gentrification process more diversified. Using color and item detection, [...] Read more.
Urban renewal has driven historic conservation districts to experience a series of changes characterized by gentrification. In the 21st century, internet traffic can be fully monetized. The intervention of the internet has made the gentrification process more diversified. Using color and item detection, points of interests (POIs), and word cloud analysis, this study takes a typical historic conservation district as an example to explore how it changed spatially, economically, and socially during the gentrification process. The results show that the internet celebrity economy possesses both promoting and dissolving effects. The promoting effects include the following: (1) the internet celebrity economy breaks the elites’ monopoly on spatial aesthetic discourse; (2) emotional value has promoted the integration of different groups’ consumption; and (3) gentrification occurs locally so spatial exclusion is not significant. The dissolving effects include the following: (1) the low-cost and rapid renovation of space reduces spatial quality; and (2) the fast-moving consumer model may possibly lead to unsustainable development. This study proposes that the intervention of the internet celebrity economy can alleviate the isolation drawbacks of traditional gentrification and promote social equity, and the promoting effects outweigh the negative effects. Full article
(This article belongs to the Special Issue Advances in Urban Planning and Sustainable Mobility)
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17 pages, 2671 KB  
Article
Evaluating Emotional Response and Effort in Nautical Simulation Training Using Noninvasive Methods
by Dejan Žagar
Sensors 2025, 25(17), 5508; https://doi.org/10.3390/s25175508 - 4 Sep 2025
Viewed by 525
Abstract
The purpose of the study is to research emotional labor and cognitive effort in radar-based collision avoidance tasks within a nautical simulator. By assessing participants’ emotional responses and mental strain, the research aimed to identify negative emotional states associated with a lack of [...] Read more.
The purpose of the study is to research emotional labor and cognitive effort in radar-based collision avoidance tasks within a nautical simulator. By assessing participants’ emotional responses and mental strain, the research aimed to identify negative emotional states associated with a lack of experience, which, in the worst-case scenario, could contribute to navigational incidents. Fifteen participants engaged in multiple sessions simulating typical maritime conditions and navigation challenges. Emotional and cognitive effort were evaluated using three primary methods: heart rate monitoring, a Likert-scale questionnaire, and real-time facial expression recognition software. Heart rate data provided physiological indicators of stress, while the questionnaire and facial expressions captured subjective perceptions of difficulty and emotional strain. By correlating the measurements, the study aimed to uncover emotional patterns linked to task difficulty with insight into engagement, attention, and blink rate levels during the simulation, revealing how a lack of experience contributes to negative emotions and human factor errors. The understanding of the emotional labor and effort in maritime navigation training contributes to strategies for reducing incident risk through improved simulation training practices. Full article
(This article belongs to the Special Issue Non-Intrusive Sensors for Human Activity Detection and Recognition)
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17 pages, 723 KB  
Article
The Transfer of In-Game Behaviors and Emotions to Real-World Experiences in Game World
by Zhuoyue Diao, Pu Meng, Xin Meng and Liqun Zhang
Behav. Sci. 2025, 15(9), 1203; https://doi.org/10.3390/bs15091203 - 4 Sep 2025
Viewed by 262
Abstract
This study investigates the complex interaction between in-game behaviors, post-game emotional expressions, and Game Transfer Phenomena (GTP) among MOBA players. A multidimensional framework is adopted to examine how gaming experiences shape real-world cognition, perception, and behavior through the integration of objective behavioral metrics [...] Read more.
This study investigates the complex interaction between in-game behaviors, post-game emotional expressions, and Game Transfer Phenomena (GTP) among MOBA players. A multidimensional framework is adopted to examine how gaming experiences shape real-world cognition, perception, and behavior through the integration of objective behavioral metrics and affective computing-based emotion recognition. The results indicate that in-game Deaths are negatively associated with altered sensory perceptions—specifically Altered Visual and Auditory Perceptions (AVP and AAP)—suggesting that performance failures may disrupt immersive engagement. In contrast, Assists, as indicators of team-based collaboration, are positively associated with Automatic Mental Processes (AMP), highlighting the cognitive impact of cooperative gameplay. Although no significant mediating effects were observed, emotional dimensions, such as Social Discomfort and Cognitive Focus, offered additional insights into the transfer between in-game and post-game experiences. These findings bridge the gap between virtual and real-world experiences, offering theoretical advancements in GTP research and practical implications for game design, emotional regulation, and psychological interventions. Full article
(This article belongs to the Section Social Psychology)
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16 pages, 271 KB  
Article
The Relationship Between Sense of Coherence and Occupational Burnout Among Psychiatric Nurses: A Cross-Sectional Study in Inpatient Psychiatric Wards in Poland
by Kinga Kołodziej, Ewa Wilczek-Rużyczka and Anna Majda
Nurs. Rep. 2025, 15(9), 320; https://doi.org/10.3390/nursrep15090320 - 4 Sep 2025
Viewed by 224
Abstract
Background: Sense of coherence constitutes a significant personal resource that underpins the harmonious professional functioning of nurses employed in psychiatric inpatient wards. It serves as a protective factor, enabling effective coping with the psychophysical burden arising from a demanding and stress-inducing work [...] Read more.
Background: Sense of coherence constitutes a significant personal resource that underpins the harmonious professional functioning of nurses employed in psychiatric inpatient wards. It serves as a protective factor, enabling effective coping with the psychophysical burden arising from a demanding and stress-inducing work environment, while also supporting the maintenance of a high level of job satisfaction. Regular assessment of the sense of coherence among psychiatric nursing staff is essential for the early identification of individuals at risk of developing occupational burnout. The aim of the present study was to determine the relationship between the level of sense of coherence and the degree of occupational burnout among nurses working in inpatient psychiatric units. Methods: The study employed a cross-sectional design and utilized standardized psychometric instruments, including The Sense of Coherence Questionnaire (SOC-29) to assess the level of coherence, and the Maslach Burnout Inventory (MBI) to measure occupational burnout. Additionally, a self-developed questionnaire was used to collect sociodemographic data. The research was conducted in five psychiatric hospitals in Poland between January and June 2023. The sample consisted of 555 nurses (449 women and 106 men) employed in inpatient psychiatric wards. Statistical analyses included descriptive statistics, Pearson’s correlation coefficients to examine relationships between variables, and multiple linear regression to identify predictors of burnout dimensions. Significance level set at p < 0.05. Results: The mean global sense of coherence score among psychiatric nurses was 124.68 (SD = 45.81), with manageability scoring highest among subscales (43.83, SD = 16.28). Average occupational burnout scores were emotional exhaustion 28.75 (SD = 16.39), depersonalization 13.55 (SD = 9.71), and reduced personal accomplishment 23.61 (SD = 11.11). Significant negative correlations were found between sense of coherence (and its components) and all burnout dimensions (p < 0.001). Manageability was the strongest predictor of lower emotional exhaustion (β = −0.73), depersonalization (β = −0.65), and reduced personal accomplishment (β = −0.65), while meaningfulness predicted depersonalization (β = 0.37, p = 0.012). These results indicate that higher sense of coherence, especially manageability, is linked to reduced burnout among psychiatric nurses. Conclusions: The study revealed significant negative associations between sense of coherence and all dimensions of occupational burnout, with manageability emerging as the strongest protective factor. Nurses with higher levels of sense of coherence reported lower emotional exhaustion, depersonalization, and reduced personal accomplishment. These findings highlight the importance of incorporating sense of coherence assessment into strategies for identifying individuals at increased risk of burnout. Full article
(This article belongs to the Section Mental Health Nursing)
22 pages, 351 KB  
Article
Supporting Early Childhood During the COVID-19 Pandemic Between Crisis and Care: Emotional and Educational Challenges for Immigrant Mothers and ECEC Services in Italy
by Angelica Arace, Donatella Scarzello, Laura Elvira Prino and Paola Zonca
Educ. Sci. 2025, 15(9), 1149; https://doi.org/10.3390/educsci15091149 - 4 Sep 2025
Viewed by 300
Abstract
The socio-emotional impact and educational inequalities caused by the COVID-19 pandemic in vulnerable children, particularly those from disadvantaged immigrant families, require further investigation, especially in preschool-aged children. This study, based on a sample of 110 foreign-born mothers living in a northern Italian region [...] Read more.
The socio-emotional impact and educational inequalities caused by the COVID-19 pandemic in vulnerable children, particularly those from disadvantaged immigrant families, require further investigation, especially in preschool-aged children. This study, based on a sample of 110 foreign-born mothers living in a northern Italian region who completed an online questionnaire, explores emotional and behavioral problems in children and parenting quality across three time points: before, during, and after the COVID-19 lockdown. It also examines mothers’ perceptions of their remote relationship with early childhood education centers during the lockdown. Findings show that children’s behavioral problems increased after the onset of the pandemic, particularly in contexts characterized by negative family climates and dysfunctional parenting. The study highlights the protective role of early childhood education services in supporting parental practices and offering children a sense of normalcy during a time of crisis. These findings offer valuable insights to guide professionals in designing parenting support initiatives that take into account the long-term psychological and educational impact of the pandemic on preschool children and immigrant families. Full article
20 pages, 944 KB  
Review
Long-Term Prognosis, Risk Assessment, and Management of Patients Diagnosed with Takotsubo Syndrome: A Narrative Review
by Małgorzata Kosek-Nikołajczuk, Ewa Borowiak, Radoslaw Piatkowski, Marcin Grabowski and Monika Budnik
J. Pers. Med. 2025, 15(9), 425; https://doi.org/10.3390/jpm15090425 - 4 Sep 2025
Viewed by 626
Abstract
Takotsubo syndrome (TTS) is a condition marked by sudden and temporary dysfunction of the left ventricle, occurring without significant coronary artery disease. It was previously thought to be a benign and self-limiting condition, associated with a favorable long-term prognosis and minimal impact on [...] Read more.
Takotsubo syndrome (TTS) is a condition marked by sudden and temporary dysfunction of the left ventricle, occurring without significant coronary artery disease. It was previously thought to be a benign and self-limiting condition, associated with a favorable long-term prognosis and minimal impact on survival. However, the most recent findings provide evidence that TTS is a heterogeneous condition with various presentation patterns. Using the most recent evidence regarding long-term prognosis in TTS, this review article aims to provide an overview of the long-term survival of patients with TTS, highlighting potential risk factors and comorbidities that may worsen prognosis. It also explores the risk of recurrence and the utility of advanced imaging modalities for prognosis assessment. Risk factors negatively impacting long-term outcomes include male sex, older age, reduced left ventricular ejection fraction (LVEF), physical triggers (especially pulmonary and neurological diseases), and comorbidities such as atrial fibrillation, chronic obstructive pulmonary disease, and active cancer. Recurrence, though relatively uncommon, can affect up to 11% of patients, with “super recurrence” linked to higher peak troponin levels, lower LVEF, and emotional triggers. Advanced imaging modalities—such as coronary angiography and ventriculography, which are considered the gold standard, along with serial echocardiographic assessment—combined with cardiac biomarkers, including relatively low peak troponin levels and markedly elevated N-terminal pro-B-type natriuretic peptide (NT-proBNP), as well as diagnostic ratios like copeptin/NT-proBNP, provide a robust framework for differentiating TTS from acute coronary syndromes. Key findings suggest that chronic therapeutic strategies in the long-term management of TTS patients should focus on improving long-term outcomes and reducing the risk of mortality and TTS recurrence. Methods: A comprehensive review was conducted using PubMed (U.S. National Library of Medicine and National Institutes of Health) and Google Scholar to identify relevant English-language publications addressing the long-term prognosis, biomarkers, imaging, risk of recurrence, and long-term management of TTS. Full article
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