Search Results (7,983)

Teacher coaching is a widely used approach to support teacher professional development, yet the relational and psychological factors that influence coaching outcomes remain underexplored. Guided by the Expectancy-Value Theory and prior literature, this study examined the role of coaching relationships, teacher self-efficacy, and teachers’ motivation for coaching in the coaching process, with two key outcomes: teachers’ acceptability of coaching and perceived stress. A sample of 308 K-12 teachers from the United States completed relevant measures. Structural equation modeling revealed that high-quality coaching relationships were significantly associated with greater acceptability, self-efficacy, and motivation, particularly increased perceived benefits and reduced reservations. Coaching relationships and coaching acceptability were indirectly associated via self-efficacy and perceived benefits. The indirect association between coaching relationships and stress was fully explained through self-efficacy. These findings underscore the importance of fostering strong relationships with teachers and addressing motivational components to enhance the effectiveness of coaching interventions. Full article

Background/Objectives: Celiac disease is a chronic autoimmune disorder triggered by gluten ingestion in genetically predisposed individuals. In children and adolescents, it presents heterogeneously and may negatively affect physical, psychological, and social well-being. Although a strict gluten-free diet is the only effective treatment, it may also impose important dietary, social, and economic burdens. This systematic review aimed to evaluate the impact of celiac disease on the quality of life of affected children and adolescents and their families. Methods: This systematic review was conducted according to PRISMA, AMSTAR 2, and Cochrane Handbook recommendations. Searches were performed in PubMed, Scopus, CINAHL, Web of Science, and PsycINFO for studies published between 2019 and 2026 in English or Spanish. Quantitative, qualitative, and mixed-methods studies on pediatric celiac disease and quality of life were included. Two reviewers independently conducted study selection, data extraction, and risk-of-bias assessment. Due to study heterogeneity, a narrative synthesis was performed. Results: Thirteen studies were included. Children and adolescents with celiac disease generally reported lower quality of life, particularly in emotional, social, and school-related domains. Adherence to a gluten-free diet was an important factor associated with quality of life. Although it improved symptoms, it was also linked to social restrictions, nutritional imbalances, and financial burden. Families also reported stress, lifestyle changes, and reduced well-being. Findings should be interpreted cautiously due to heterogeneity and variability in methodological quality across studies. Conclusions: Current evidence suggests that celiac disease may have a multidimensional impact on the quality of life of pediatric patients and their families. These findings support the need for a comprehensive multidisciplinary approach addressing dietary, psychosocial, and family-related factors. Full article

Background/Objectives: Parenting stress and life satisfaction are important indicators of family well-being and parent mental health in families of children with disabilities. However, limited empirical attention has been given to how these outcomes differ among parents whose children receive adapted physical activity (APA) services within South Korea’s Developmental Rehabilitation Service system. This cross-sectional study examined subgroup differences in parenting stress and life satisfaction according to sociodemographic, disability-related, and service-utilization characteristics among parents of children receiving APA services. Methods: Data were collected from 295 parents of school-aged children with disabilities enrolled in APA services at child development centers. Welch-type tests, Welch’s ANOVA or one-way ANOVA, Pearson correlation analyses, Benjamini–Hochberg FDR adjustment, and supplementary analyses of covariance (ANCOVA) were used to examine group differences and the stability of selected associations after adjustment for prespecified covariates. Confirmatory factor analysis and gender-based measurement invariance testing were also conducted for the adapted parenting stress scale. Results: Parenting stress subdomains were positively correlated with one another (r = 0.19–0.53) and negatively correlated with life satisfaction (r = −0.28 to −0.40). Female parents reported higher social and psychological stress than male parents. Household income showed the largest association with economic stress, and significant differences were also observed according to parental age, education level, disability severity, and selected service-utilization characteristics. Some associations remained after ANCOVA adjustment, whereas others were attenuated or emerged only after adjustment. Conclusions: The findings indicate subgroup differences in parenting stress and life satisfaction among parents of children receiving APA services. Because the study used a cross-sectional, self-reported design with convenience sampling and an adapted instrument, the results should be interpreted as preliminary associative evidence rather than evidence of causal or service-specific effects. Future longitudinal, comparative, and service-level research is needed to clarify how APA service contexts relate to caregiver well-being over time. Full article

Academic satisfaction is positioned as a fundamental psychological construct with regard to academic success, linked to well-being and cognitive engagement. The aim of the study was to evaluate the satisfaction of secondary school students with high intellectual abilities (HIA) participating in the university mentoring program in the Basque Country Autonomous Community. A quantitative methodology was used with a sample of 90 students. A purpose-developed 17-item questionnaire with 17 items used to measure the different areas that make up the multidimensionality of satisfaction. The results indicate very high levels of overall satisfaction, with particular emphasis on the quality of the bond and the mentor’s expertise. Likewise, through confirmatory factor analysis (CFA), the validity of the instrument was tested under the ‘Big Four’ model (improvement-oriented learning, individualization, feedback and practical tasks with minimal transfer). It is concluded that the mentoring program used constitutes a suitable educational response that harmonizes intellectual challenge with the psychosocial support necessary to transform potential into talent. Full article

Autonomous mobility is reshaping how travel time is perceived, experienced, and monetised. Most existing studies have examined the value of time (VOT), willingness to pay (WTP), comfort and safety perception, digital services, and user perception as isolated phenomena, with limited efforts to integrate these dimensions into unified analytical frameworks. This study aims to address the fragmented nature of existing research by developing an integrated understanding of user behaviour in autonomous mobility, linking VOT, WTP, psychological constructs, and service-related factors within a unified analytical perspective. A systematic review methodology following PRISMA 2020 guidelines was applied. A total of 81 peer-reviewed studies published between 2015 and 2026 were included and analysed, focusing on Private Autonomous Vehicles (PAVs) and Shared Autonomous Vehicles (SAVs). The results reveal three main trends. First, autonomous travel introduces greater flexibility in time use and enables productive or leisure activities during travel. Second, behavioural aspects of VOT and WTP are strongly influenced by psychological constructs such as trust, safety, and risk perception. Third, notable differences emerge between PAV and SAV contexts, particularly in terms of comfort, control, and safety perception. The literature predominantly employs stated preference surveys, discrete choice models, and hybrid models incorporating psychological factors. However, fragmentation persists in modelling behavioural aspects of time perception and shared mobility services. This study provides a structured synthesis of existing evidence and highlights key research gaps by integrating economic, psychological, and service-related dimensions. The findings emphasise the importance of context-specific and psychologically informed modelling approaches to better understand user acceptance and behavioural adaptation in autonomous mobility systems. Full article

Background/Objectives: Mental health problems are common among university students and are more consistently associated with dissatisfaction with academic performance than with low grades alone. This study examined the prevalence and determinants of perceived stress, depressive symptoms, and low psychological well-being among university students in Punjab, Pakistan, and assessed their association with academic performance. Methods: A cross-sectional survey was conducted among students aged 15 to 29 years at three public universities in Punjab, Pakistan. A total of 1308 questionnaires were completed, yielding a response rate of 91.4%. This study uses data collected in 2015 as a pre-COVID historical baseline, providing valuable insights into student mental health before the global pandemic. This temporal context offers a benchmark for future comparative studies, especially when assessing the mental health impact of COVID-19 on university students. Data were analyzed using SPSS with descriptive statistics, chi-square tests, binary logistic regression, and multinomial logistic regression. Results: The findings revealed that perceived stress and depressive symptoms were prevalent, with 54.9% of students reporting high levels of stress (mean PSS score = 27.6, SD = 8.3), and 44.2% experiencing depressive symptoms (mean M-BDI score = 33.8, SD = 16.2). Female students exhibited higher stress and depressive symptoms compared to male students. Year of study was also a factor, with second- and third-year students experiencing more stress than their final-year counterparts (p < 0.05). Financial strain was associated with poorer mental health outcomes; 62% of students who reported inadequate financial support also reported higher stress levels (p < 0.05). In contrast, students with sufficient financial resources had lower odds of experiencing stress and depressive symptoms (AOR = 0.55, p < 0.05). Additionally, students living in university or private hostels reported better psychological well-being than those living at home (AOR = 0.47, p < 0.01). Mental health issues, particularly high stress and depression, were more strongly linked with academic dissatisfaction than low grades alone, with students in the “low grades and unsatisfied” group exhibiting higher odds of mental health problems (AOR = 2.30, p < 0.05). Conclusions: Mental health problems were common among university students and were associated with poorer academic experiences, particularly dissatisfaction with academic performance. Universities should strengthen accessible mental health support through counseling services, stress-management programs, and stigma-reduction initiatives. Full article

Background: The COVID-19 pandemic has generated widespread concerns regarding its long-term effects on children’s mental health. While numerous studies documented increased psychological distress among children during the pandemic, less is known about how children’s emotional and behavioral functioning have evolved in the post-pandemic period. Objective: This study examines patterns of children’s mental health using survey data collected in 2023 and 2025. Guided by the dual-factor model of mental health, the analysis considers both psychological difficulties and positive social functioning in order to provide a multidimensional understanding of children’s well-being. Method: Data were collected using the Strengths and Difficulties Questionnaire (SDQ-25), a widely used behavioral screening instrument assessing emotional symptoms, conduct problems, hyperactivity/inattention, peer relationship problems, and prosocial behavior. These domains were analyzed across two time points to explore patterns of change in internalizing difficulties, externalizing difficulties, and social strengths among school-age children in the post-pandemic context (N = 1262 students in 2023 and N = 575 students in 2025). Results: The findings suggest that children’s mental health after the pandemic reflects both persistent vulnerability and adaptive capacity. Emotional symptoms and behavioral challenges remain present among a proportion of children, indicating that the psychological effects of pandemic-related disruptions may extend beyond the immediate crisis period. At the same time, many children demonstrate relatively stable levels of prosocial behavior, highlighting the continued importance of positive social functioning as a protective factor for psychological adjustment. Contributions: These results underscore the importance of adopting a comprehensive perspective on children’s mental health that recognizes both difficulties and strengths. The study highlights the role of schools and families in supporting children’s post-pandemic recovery through early mental health screening, social–emotional learning initiatives, and programs that promote empathy and peer support. Such approaches may contribute to strengthening children’s resilience and long-term well-being in the aftermath of large-scale social disruptions. Full article

Background/Objectives: Intermittent fasting (IF) has been widely investigated for its metabolic effects, including improvements in insulin sensitivity, lipid metabolism, and inflammatory markers. However, its psychological and experiential dimensions remain comparatively underexplored. The present narrative review examines IF within a psychobiological framework, integrating evidence from metabolic science, neuroendocrinology, and affective neuroscience to explore its potential impact on emotional regulation and interoceptive processes. Methods: A structured narrative literature search was conducted across PubMed, Scopus, and Google Scholar, focusing on studies published between 2010 and 2025. Eligible studies included human and relevant animal research addressing metabolic, hormonal, interoceptive, and psychological responses to IF. Evidence was synthesized thematically to identify convergent mechanisms linking metabolic adaptations to emotional and regulatory outcomes. Results: Available literature suggests that IF is associated with a metabolic shift toward lipid utilization, characterized by increased ketone body production, particularly β-hydroxybutyrate. These adaptations appear to be accompanied by modulation of neuroendocrine pathways and may influence central nervous system functioning through mechanisms potentially related to neuroinflammation, mitochondrial efficiency, and synaptic plasticity. Emerging evidence further suggests that IF may modulate BDNF signaling and gut–brain axis activity, although direct causal pathways in humans remain to be established. At the psychological level, IF is associated with heterogeneous emotional outcomes: structured fasting protocols have been linked to modest improvements in perceived stress and mood in metabolically healthy individuals, whereas irritability, anxiety, or behavioral rigidity may emerge in those with pre-existing psychological vulnerabilities. Individual differences in interoceptive sensitivity, emotion regulation strategies, and moderating biological factors—including sex, circadian timing, and habitual physical activity—appear to influence these responses. Conclusions: Overall, IF may be conceptualized as a context-dependent psychobiological stressor whose effects extend beyond metabolic regulation to include interoceptive and emotional processes. These effects appear bidirectional, potentially promoting psychological resilience in some individuals while increasing the risk of affective destabilization or maladaptive behaviors in others. Current evidence remains limited by a lack of integrative and longitudinal studies combining metabolic and psychological measures. Future research adopting multidisciplinary approaches is needed to clarify the mechanisms underlying individual variability and to better define the potential benefits and risks of IF in both clinical and non-clinical populations. Full article

Background: Sjögren’s disease (SjD) is a chronic systemic autoimmune disorder primarily characterized by lymphocytic infiltration of exocrine glands, leading to xerostomia and xerophthalmia. Beyond glandular involvement, the disease frequently presents with a broad spectrum of systemic and neuropsychiatric manifestations that significantly affect patients’ quality of life. Methods: A review of the literature was conducted to identify studies addressing neuropsychological symptoms in patients with SjD. Relevant publications describing cognitive dysfunction, mood disorders, sleep disturbances, fatigue, and sexual dysfunction, as well as potential underlying mechanisms and therapeutic approaches, were included and analyzed. Results: Available evidence indicates that neuropsychological symptoms are common among patients with SjD. Cognitive impairment, often described as “brain fog”, may involve deficits in memory, attention, and executive functioning. Depression and anxiety appear to occur more frequently than in the general population and may interact with chronic fatigue and sleep disturbances, contributing to functional impairment. While somatic causes of sexual dysfunctions such as vaginal dryness are well recognized, psychological and psychosexual aspects, including reduced sexual desire, have received comparatively little attention. The pathogenesis of these manifestations is likely multifactorial and may involve immune-mediated processes, cytokine dysregulation, neuroendocrine alterations, microvascular changes, and psychosocial factors. Conclusions: Neuropsychological manifestations represent a significant component of the overall disease burden in SjD. Increased awareness and multidisciplinary management strategies may help improve symptom recognition, patient care, and quality of life. Full article

Given the increasing relevance of sustainability certification in food supply chains and, at the same time, rising confusion among consumers about the multitude of labels on food products, concerns about the value of sustainability certification occur frequently. This paper aims to investigate consumers’ evaluation and purchase intentions, and willingness-to-pay (WtP) for blockchain-enabled sustainability certification in coffee. Utilizing a questionnaire guided by an extended model of Ajzen’s theory of planned behavior (TPB), an online survey was conducted with n = 400 German consumers. Data were analyzed using structural equation modeling and cluster analysis. The results revealed perceived behavioral control (PBC) and subjective norms (SN) as the most influential factors on WtP, whereas intention to buy is shaped by PBC and environmental concerns. Notably, trust in blockchain technology did not emerge as a significant direct predictor, suggesting it operates as a background condition rather than a behavioral driver. Three distinct clusters were identified with concise preference, intention, and WtP profiles, highlighting heterogeneous consumer motivations. The study contributes to the literature in three ways: it provides the first consumer-behavioral evidence from the German market; it demonstrates that blockchain-specific trust constructs do not constitute independent behavioral drivers, suggesting that adoption follows generic TPB mechanisms; and it empirically differentiates intention and WtP as distinct psychological outcomes driven by different construct sets. Full article

(1) Background: Problematic social media use has increasingly been conceptualized as a non-clinical addictive-like behavior characterized by impaired control and negative functional consequences. Despite the rapid growth of TikTok and its algorithm-driven content delivery, the contribution of individual psychological factors and users’ awareness of algorithmic processes to addictive symptoms remains insufficiently understood, particularly in Latin American contexts. This study examined the associations between personality traits, algorithmic awareness, and addictive symptoms of TikTok use among university students. (2) Methods: A quantitative, cross-sectional design was conducted with a convenience sample of 238 university students from Ecuador. Participants completed self-report measures of social media addiction, algorithmic media content awareness, and Big Five personality traits. Spearman correlations and hierarchical multiple regression analyses were performed, controlling for age and sex. (3) Results: Algorithmic awareness dimensions were not significant predictors of addictive symptoms. Demographic variables explained minimal variance, whereas personality traits accounted for the largest increase in explained variance in the final model. Neuroticism and Extraversion were positively associated with addictive symptoms, while Conscientiousness and Openness to Experience were negatively associated. (4) Conclusions: Personality traits were more informative than algorithmic awareness in explaining addictive-like TikTok use among university students, underscoring the relevance of self-regulatory and affective dispositions for prevention and intervention strategies. Full article

Background and Objectives: Temporomandibular disorders (TMDs) are heterogeneous conditions whose clinical expression cannot be fully explained by local or structural findings alone. DC/TMD Axis II provides a psychobehavioral framework for assessing pain, disability, jaw functional limitation, psychological symptoms, and oral behaviors. This conceptual narrative review aimed to clarify how oral behaviors, anxiety, and depressive symptoms can be clinically interpreted together within the DC/TMD Axis II framework. Materials and Methods: A structured search was conducted in PubMed/MEDLINE and Scopus, with records exported in March 2026. Eligible English-language publications were limited to January 2001–March 2026. Google Scholar was used as a supplementary verification source. After deduplication, 2756 records were screened, 87 full-text reports were assessed, and 36 publications were included in the final narrative synthesis. Evidence was synthesized thematically and appraised according to study design, population, diagnostic framework, Axis II instruments, self-report reliance, confounding, and inferential strength. Results: Current literature supports associations between oral behaviors, anxiety, depressive symptoms, pain intensity, and mandibular functional limitation in TMD, especially in painful and functionally impaired profiles. These associations are not uniform across all TMD subtypes and are influenced by factors such as sex, pain burden, comorbidities, and psychosocial context. The Oral Behaviors Checklist is useful for standardizing self-reported oral behaviors, but its interpretation is limited by recall, awareness, and reporting bias. Conclusions: The reviewed evidence supports an interactional interpretation of oral behaviors, psychological symptoms, pain, and jaw function within the DC/TMD Axis II framework. However, because most available studies are cross-sectional and self-reported, this model should be understood as a clinically informed hypothesis supported by convergent associations, not as a confirmed causal pathway. Longitudinal and intervention-based studies are needed to clarify directionality, prognosis, and treatment-response relevance. Full article

Background/Objectives: Term and preterm premature ruptures of membranes (PROM and PPROM) are serious pregnancy complications associated with adverse maternal and neonatal outcomes. Although widely studied in the global literature, data on the risk factors and outcomes of PROM and PPROM in the Middle East and North Africa (MENA) region remain limited. This mapping review aimed to identify and assess existing evidence and highlight gaps in knowledge regarding risk factors for PROM, including preterm PROM, and related maternal and neonatal outcomes among women in the region. Methods: We conducted a comprehensive and systematic search of articles published in English and Arabic between January 2000 and June 2025 across Scopus, Embase, Web of Science, and PubMed/Medline. Eligible studies included observational and interventional studies conducted in MENA countries. Data were extracted and synthesised using thematic mapping. Results: Out of 5359 retrieved records, 136 met the inclusion criteria. The main study design was cross-sectional (51 studies), followed by case–control (41), cohort (26), and 15 randomised controlled trials. The geographic distribution of the evidence varied significantly. Research has mainly focused on PROM and its biological risk factors, such as infections and chronic medical conditions. Psychological and environmental factors have been the least reported. Neonatal and gestational outcomes have frequently been addressed, whereas maternal outcomes have received less attention. Conclusions: The findings reveal significant geographic, thematic, and methodological disparities in research throughout the MENA region. The results underscore the need for further studies on the prevention and identification of women at higher risk of PROM. Full article

Artificial intelligence (AI) and digital technology provide extensive possibilities for education. But focusing only on their implementation does not address the challenges associated with them and they may even have a negative impact on learners. So far, the disciplines of psychology and computer science have not provided a theoretical framework for the competence needed to develop and use AI and digital technology in education in order to prepare learners for successful participation in modern societies. The main aim of this paper is to theoretically specify competent use of AI and digital technology in education and to provide a standardized instrument to evaluate courses that teach this competence. Therefore, we (a) combine theoretical contributions from both scientific disciplines to formulate a theoretical framework with four levels for the “Competence to Use Artificial Intelligence and Digital Technology in Educational Processes” (AIEDTEC competence), (b) introduce a questionnaire to evaluate courses that teach AIEDTEC competence, and (c) present results regarding its psychometric properties ($N=240$). The questionnaire showed good to very good psychometric properties and the assumed factor structure was supported by confirmatory factor analyses. The paper connects research on systems thinking and learning and instruction with recent developments regarding AI and digital technology and thereby provides an essential base for creating effective, modern, and safe learning environments in the future as well as a psychometric evaluation instrument. Full article

Background: Long-term survivors (LTS) after gynecological cancer may be cured but still face physical and psychological challenges. This multicenter study aimed to assess the long-term side effects, the received follow-up care, and the personal perspectives of survivors. Methods: Between 2019 and 2025, LTS from four European countries within the ENGOT (European Network of Gynecological Oncological Trial Groups) and GCIG (Gynecologic Cancer InterGroup) networks were recruited. Long-term survival was defined as surviving at least five years after the first diagnosis. LTS completed a questionnaire with 81 questions (patient’s characteristics, oncological history, current health status, lifestyle factors). Analyses were mainly descriptive. Results: A total of 677 LTS were enrolled, with a median age of 64.0 years (range: 26–92) and a median survival time of 7 years (range: 5–38). A total of 46.6% were diagnosed with cervical cancer, 32.9% with endometrial cancer, 4.4% with ovarian cancer, and 16.1% with other types of gynecological cancer. Moreover, 36.9% still suffer from physical and psychological symptoms, most frequently being lymphedema (36.2%), hot flashes (22.4%), difficulties with concentration (21.1%), fatigue (20.9%), vaginal dryness (20.1%), and urinary incontinence (18.9%). Median overall health status was ranked (scale 1–5; 1 = very good, 5 = very poor) as 2, while 13.5% rated their health as poor/very poor. Current symptoms were associated with poorer health status (p < 0.001) and a history of recurrent disease (p = 0.001). In addition, 13.6% reported not receiving follow-up care. CA-125 was determined in 80.8% of ovarian LTS, as well as in 30.7% of cervical and 28.9% of endometrial LTS. Pap smear follow-up was reported by 50.5% of endometrial LTS. A total of 33.7% did not exercise at all or exercised less than an hour per week, 13.4% smoke tobacco, and 51.2% drink alcohol more often than once a month. Conclusions: Our findings highlight the need for patient-centered follow-up care, addressing both long-term side effects and education on lifestyle and prevention. Follow-up procedures that do not follow guidelines should be avoided. Full article