Search Results (5,843)

Background: The symptoms of chronic spontaneous urticaria can be exacerbated or even induced by psychological stress. Assessing the severity of symptoms using the recommended Urticaria Control Test is an important diagnostic step before deciding on the type of pharmacological treatment to be used. Due to the possibility of urticaria symptoms affecting patient’s emotional condition, the authors attempted to analyze if the way of coping with stress has an impact on urticaria symptom control as assessed with this questionnaire. Methods: The study included 61 (37 female; 60,6%;) patients with symptoms of chronic spontaneous urticaria without other coexisting diseases. All patients were treated with antihistamines. In the analyzed group of patients, the Urticaria Control Test and the Polish version of Endler and Parker’s Coping Inventory for Stressful Situations questionnaire were conducted. Results: The average score on the Urticaria Control Test in the analyzed group was 8.5 (±3.9) points. In our group, the most common coping style was a mixed style based on emotions and avoidance—32 (53%) respondents. Next, 11 (18%) patients reported an emotion-based style. A task-oriented style of coping with stress was observed in 8 (13%) respondents. In the study group, we found no statistical significance in the correlation between the UCT results and the patient’s coping style. Conclusions: Emotions play a significant role as a stress-coping style in chronic spontaneous urticaria patients. The lack of relation found between the Urticaria Control Test result and the Coping Inventory for Stressful Situations questionnaire confirms the objective usefulness of the Urticaria Control Test in assessing the control of spontaneous urticaria. Full article

Metaphors are used throughout acceptance and commitment therapy (ACT) to minimize the inflexibility of rule-governed, rather than contingency-shaped, behavior. Within the behavior analytic literature underlying ACT, responding on operant schedules has been used to parse out these differing sources of behavioral control. We thus used this preparation to more directly link the therapeutic use of metaphors to this literature. Participants were 105 undergraduates presented one of three passages—two metaphors and one nonmetaphor—with varying relevance for schedule control on an operant task where points could be both gained and lost. Schedule control was analyzed by visual analysis of cumulative point records over the course of the task. Two measures of dispositional rule-following—tracking and pliance—were also examined as moderators. No differences in schedule control were found between passage conditions alone. However, participants high in tracking who received the task-relevant metaphor were most likely to demonstrate schedule control reflective of psychological flexibility, while those low in both tracking and pliance who received the task-relevant metaphor were least likely to do so. Findings suggest dispositional tracking heightens the impact of therapeutic metaphors on psychological flexibility. Limitations and implications for further research on the behavior analysis of therapeutic metaphors are discussed. Full article

Pectus excavatum (PE) is the most frequent chest wall deformity, representing 65–95% of all cases, with an estimated prevalence of up to 1 in 300 births. Despite its frequency, it remains underrecognized in sports cardiology. PE results from sternal depression and narrowing of the anterior chest, which may lead to cardiac compression, impaired diastolic filling, and reduced stroke volume during exercise. Consequently, athletes with PE often present with cardiovascular symptoms such as exercise-induced dyspnoea, chest pain, palpitations, presyncope, or reduced physical fitness. Electrocardiographic changes, including right bundle branch block, axis deviation, atrial enlargement, T-wave inversion, QS complexes or Brugada phenocopies, are frequent and may mimic serious cardiovascular conditions, complicating pre-participation screening. Furthermore, PE is associated with potentially high-risk conditions including mitral valve prolapse, ventricular arrhythmias, and connective tissue disorders such as Marfan syndrome, which carry implications for sports eligibility and safety. Assessment of athletes with PE requires multimodal imaging (echocardiography, computed tomography, magnetic resonance), cardiopulmonary exercise testing, and exclusion of concomitant cardiovascular disease. Treatment strategies range from conservative approaches (physiotherapy, vacuum bell therapy) to surgical correction, most commonly with the Nuss procedure, which can improve cardiac function, exercise capacity, and quality of life. Management should involve shared decision making between clinicians, athletes, and families, weighing potential risks against athletic aspirations. Awareness of PE in sports cardiology is crucial, as it not only influences differential diagnosis and screening outcomes but also impacts career decisions and the psychological well-being of athletes. Full article

Background: This study investigates how both jump-related (jump height and flight time) and ball-related parameters (release height, release angle, and velocity) influence shooting accuracy in basketball under different contextual constraints. Methods: Eighteen senior players competing in the national championship (11 females and 7 males; 22.0 ± 3.7 years) performed 90 shots each across three positions (left 45°, middle 90°, right 45°) and three shooting conditions (baseline, simulated gym audience noise, and simulated opposition). Jump variables were derived from force platforms, while ball kinematics were extracted using a high-speed Qualisys camera system. Results: A three-way ANOVA revealed no systematic effects of position or opposition, and only a small effect of noise on flight time (p = 0.019), which was not confirmed by the Linear Mixed Model. Comparisons between successful and missed shots indicated significantly higher flight time, jump height, and release height, and a tendency for higher release velocity in successful attempts, with no differences in release angle. Spearman correlation showed weak associations between biomechanical variables and shooting accuracy (R² = 0.005–0.012). Conclusions: These findings suggest that while adaptive biomechanical changes occur under contextual constraints, their isolated impact on shot success is limited. Successful performance appears to rely more strongly on release-related parameters, emphasizing the need for a holistic approach to training that integrates technical, perceptual, and psychological dimensions. Full article

Background/Objectives: Menu calorie labeling policies aim to promote healthier eating habits, yet their effectiveness remains debated. The present study aimed to evaluate the effectiveness of two alternative qualitative labeling strategies—Physical Activity Calorie Equivalent (PACE) labels and Percent Daily Intake (PDI) pie charts—compared to the standard numeric calorie count mandated in several countries, since they have been proposed to enhance consumer comprehension and decision-making. Methods: A nationwide online survey elicited responses from N = 885 individuals living in Italy. Survey participants were randomly assigned to one of three menu conditions: (1) numeric calorie labeling only, (2) numeric calories plus PACE labels, or (3) numeric calories plus a PDI pie chart. Participants selected a three-course meal from their respective menus. Data on sociodemographic factors, dietary habits, BMI, self-assessed nutritional knowledge, and psychological traits—restrained eating (DEBQ-R) and impulsivity (SUPPS-P)—were collected. Ordinal logistic regressions assessed the impact of labeling format, gender, and nutritional knowledge on total calories ordered. Results: Neither PACE labels nor PDI pie charts significantly influenced total calorie selection compared to numeric calorie labels alone. No significant interactions emerged between labeling format and gender or nutritional knowledge. However, age, BMI, and dietary habits were strongly associated with calorie choices: older adults, individuals with restrictive diets, and those with higher restrained eating scores selected lower-calorie meals, while participants with higher BMI or frequent meat intake opted for more calorie-dense options. Conclusions: Alternative calorie labeling formats alone may be insufficient to alter food choices in online settings. Future interventions should integrate motivational and educational strategies tailored to individual traits and dietary habits, rather than relying solely on calorie presentation format. Full article

Surrogacy involves a surrogate carrying a baby to transfer to the intended parents after birth. This study examines how surrogacy impacts attachment patterns compared to traditional pregnancies or assisted reproductive technologies. Using PRISMA guidelines, a systematic review of databases like Scopus and PubMed identified nine relevant studies from 806 initial records, involving 1317 participants (115 pregnant women and 118 children). Key variables included maternal–fetal attachment, depression, anxiety, and somatization in surrogates, alongside intended parents’ support and children’s exploration of their origins. Findings reveal the complexity of attachment dynamics in surrogacy, emphasizing the need for psychological support and preparation to foster secure attachments among surrogates, children, and intended parents. Full article

Analgesia, or reduced pain sensitivity, can result from pharmacological or stress-induced mechanisms, but human studies are limited by complex physiological and psychological variables. This study aimed to evaluate the impact of ethanol consumption on key metabolic markers in two genetically distinct mouse lines selectively bred for pain sensitivity: high analgesia (HA) and low analgesia (LA). Forty-eight male Swiss-Webster mice were randomly assigned to four groups: HA and LA with or without heavy alcohol (ethanol) exposure. Blood serum was analyzed for its lipid profile, enzymatic activity, electrolyte levels and regulatory/energetic compounds. In HA mice, ALAT and AspAT activities and, albumin, creatinine, iron, and potassium levels were elevated, whereas glucose and sodium levels were decreased. LA mice presented increased bilirubin, cholesterol, LDL, HDL, and lipase activity. ChE, LDH, and CK activities differed significantly between the HA and LA groups. Ethanol intake influenced potassium, magnesium, and sodium serum concentrations. Discriminant analysis highlighted distinct biochemical profiles depending on the LA and HA groups. HA mice predominantly exhibit cytolytic liver damage, altered muscle metabolism, and increased iron levels, indicating oxidative stress. HA and LA display distinct adaptive metabolic strategies: protein/muscle and lipid/electrolyte metabolism, respectively. Genetic differences between HA and LA mice determine different metabolic responses to ethanol. Full article

In recent years, information propagation on social networks has attracted extensive attention, with psychological characteristics of individuals exerting a significant influence on the diffusion process. Our study investigates the role of regret psychology and its impact on information spreading and behavioral adoption. We categorize individuals into regretful and non-regretful groups and introduce regret intensity together with the proportion of regretful individuals as dynamic variables. Based on this, we construct a two-layer interactive model consisting of a psychological layer and a behavioral layer. Then we establish the behavioral adoption model for the heterogeneous population and study the propagation characteristics of the regretful individuals on social networks. Furthermore, we derive the propagation dynamics using edge-based compartmental theory to examine the transmission mechanism. Numerical simulations, which coincide nicely with our theoretical analyses, reveal the crossover phenomena in phase transitions: as the regret threshold increases, adoption dynamics shift from second-order continuous to first-order discontinuous transitions. More importantly, for a given propagation probability, there exists an optimal regret threshold that maximizes the final adoption size. These findings highlight the crucial role of regret psychology in reshaping the propagation mechanism and provide a new theoretical perspective for understanding symmetry transformations and group heterogeneity in social contagion dynamics. Full article

Background/Objective: Kidney transplantation is the most successful treatment for patients with end-stage kidney disease. However, there are positive and negative impacts on physical and mental health. This study aimed to explore the life experiences of the effects of physical, psychological, and sociocultural aspects, and managing for resilience among people with KT. Methods: A descriptive phenomenological study was employed. Data were collected through in-depth interviews with 25 participants from the Bhumirajanagarindra Kidney Institute Hospital in Thailand. Thematic analysis was applied by using Braun and Clarke’s method. Results: The five themes, including (1) having new life and life satisfaction, (2) fear of kidney rejection and complications, (3) gratitude and spiritual practices, (4) concerns for the high cost of healthcare expenses, and (5) patience with self-management and resilience. Conclusions: We suggest that holistic, financial, and culturally congruent care should be implemented among people undergoing kidney transplantation to promote resilience and a longer life. Full article

This study centers on retirement planning achievement, examining its impact mechanism on older adults’ mental health and its boundary conditions. Drawing on self-determination theory (SDT) and conservation of resources (COR) theory, we tested a parallel mediation and a moderated mediation model using data from an online survey with 900 Chinese retirees aged 55–74. Structural equation modelling revealed that retirement planning achievement directly and positively predicted mental health, and indirectly through three pathways: greater active social participation, higher retirement enjoyment, and reduced retirement loss. Furthermore, retirement adjustment exhibited dual, and opposing, moderating effects on the direct path: low retirement loss, as a psychological resource, significantly amplified the positive impact of planning achievement (a resource gain spiral), whereas high retirement enjoyment attenuated its effect (a ceiling effect). Income-group analysis revealed that both the parallel mediation and moderated mediation models were fully supported in the average-income group, but effects were non-significant for the insufficient-income group and weakened in the sufficient-income group. These findings suggest that retirement planning achievement represents a key pathway to promoting mental health in later life, but its benefits are constrained by psychological resources and socioeconomic status. The “achievement dividend” is greatest among well-adjusted retirees in the average-income group, highlighting the heterogeneity in retirement adjustment and providing evidence for targeted, equitable ageing-support policies. Full article

We investigate the impact of a country’s population happiness level and happiness inequality on the level of entrepreneurship engagement pursued by individual entrepreneurs in that country. Entrepreneurship engagement broadly captures ambitions of entrepreneurs. It is measured along two dimensions: vertical-scaling entrepreneurship (newness-focused scale-up entrepreneurship) and horizontal-scaling entrepreneurship (expansion-focused scale-out entrepreneurship). Adopting the lens of supply and demand theory and occupational choice theory, we argue that a country’s happiness and happiness inequality levels are differently related to these two dimensions. We employ a sample of 71,964 early-stage (nascent or new) entrepreneurs from 79 countries, using the Global Entrepreneurship Monitor dataset. We construct new ordinal scales to measure individuals’ engagement levels in vertical-scaling and horizontal-scaling entrepreneurship. Country-level happiness and happiness inequality data are drawn from the Gallup World Poll (GWP) database. We estimate a pooled ordered logit model to explain individual engagement levels in vertical- and horizontal-scaling entrepreneurship. Explanatory variables include the two country-level happiness indicators plus a set of control variables. We find that country-level happiness significantly increases the likelihood of entrepreneurs within that country to pursue high-end entrepreneurship on the vertical-scaling dimension. At the same time, it decreases the likelihood that they will pursue high-end entrepreneurship on the horizontal-scaling dimension. On the contrary, country happiness inequality increases the likelihood of entrepreneurs’ pursuit of high-end entrepreneurship on the horizontal-scaling dimension while decreasing the likelihood of their pursuit of high-end entrepreneurship on the vertical-scaling dimension. In short, population happiness pushes entrepreneurs toward innovativeness but away from expansion, while happiness inequality does the opposite. This study contributes to the literature on psychological entrepreneurship by bringing the contextual influence of happiness into the dialog of entrepreneurship engagement. Our study also contributes to the high-quality entrepreneurship dialog by decoupling the growth perspective into two dimensions of entrepreneurship: vertical scaling and horizontal scaling. Full article

This study examines how parental leadership, entrepreneurial self-efficacy, and entrepreneurial resilience—viewed through social capital theory—shape intentions around family business succession in Saudi Arabia. It also investigates the moderating role of the presence of older siblings, exploring how family dynamics affect the transfer of social capital and the likelihood of succession. This research employs structural equation modeling to analyze data from 522 respondents in Saudi Arabia. Entrepreneurial self-efficacy emerges as a key factor in shaping intentions around family business succession, highlighting the importance of psychological resources in this process. The moderating analysis shows that the presence of older siblings weakens the impact of parental guidance and entrepreneurial traits on intentions around family business succession, possibly due to competition among siblings for leadership roles in the family firm. These findings underscore the need for family businesses to strategically manage the distribution of social capital, especially in households with multiple siblings. Initiatives that enhance entrepreneurial self-efficacy and resilience can improve preparedness for succession. Moreover, addressing sibling rivalry through structured succession planning and conflict resolution mechanisms is essential for maintaining business continuity in the Saudi context. Based on social capital theory, this research offers a new perspective on how a family’s resources, networks, and relationships influence intentions around family business succession. Emphasizing the moderating role of sibling dynamics provides useful insights into managing family business transitions in Saudi Arabia, where family ties and social capital are vital. Full article

Most U.S. residents are concerned about and support action on climate change. They also overwhelmingly underestimate the extent to which others are likewise concerned, a phenomenon known as pluralistic ignorance. This is a problem because when individuals perceive that others don’t care, they are less likely to take action themselves. We assessed whether brief exposure to positive thoughts and actions of others might make climate action more normative and increase support for climate policy. Specifically, we exposed people to “Community Voices” (CV), a form of social media designed to promote pro-environmental and pro-social norms. We hypothesized that exposure to CV content (related and unrelated to climate change) would enhance positive climate-related norms and increase climate policy support. We further hypothesized that this shift would be stronger when the content was directly related to climate change and when the content came from participants’ geographic region. Online recruits (N = 969) from national and regional (Northeast Ohio) samples were exposed to either no CV content (control), pro-social CV content (unrelated to climate) or CV content depicting climate action in NE Ohio. Brief exposure to both pro-social and climate action-focused CV content increased both descriptive and prescriptive climate action norms and significantly decreased participants’ psychological distance from climate change. As expected, exposure to climate-focused content increased descriptive norms more than exposure to pro-social content. Pro-social CV content increased policy support. That increase was explained by increased norms and decreased psychological distance. Pro-social CV content significantly increased positive emotions, while climate-focused CV content did not. NE Ohio participants who viewed regional climate-focused content exhibited lower positive emotions and had more difficulty imagining a positive future than those in the national sample. Results suggest that exposure to positive thoughts and actions of others can achieve the critical goals of elevating descriptive norms (thereby reducing pluralistic ignorance) and elevating support for climate policy. However, the psychological impact of exposing people to positive climate-action content is nuanced and complex. Full article

Cryptocurrency investment in India has quickly become a mainstream financial activity, but it is still highly prone to psychological factors that impact the decision-making of retail investors. This study examines the effect of personality traits on cryptocurrency investment behavior using the mediating variable of behavioral biases. Based on the Big Five Personality Model and the theory of Behavioral Finance, data were gathered from 716 Indian retail investors using a structured questionnaire. Partial Least Squares Structural Equation Modeling (PLS-SEM) was conducted to analyze the relationships among the variables. Results show that Openness to experience and Agreeableness significantly predict Availability Bias, whereas Extraversion and Agreeableness affect the Disposition Effect. The theoretical framework shows how bias-driven investment behavior in volatile markets such as cryptocurrency is triggered by personality-based predispositions. The study adds to the behavioral finance literature by taking psychological profiling outside the realms of traditional investment contexts into digital asset investing and provides practical insights for regulators, fintech platforms, and investment advisors to design interventions to mitigate bias and enhance investor education. Full article

Background/Objectives: Alopecia areata is an autoimmune condition characterized by rapid hair loss in the scalp, eyebrows, and eyelashes, for which treatments are limited. Baricitinib, an oral inhibitor of Janus kinases 1 and 2, has been recently approved to treat alopecia areata. Methods: A total of 23 patients affected by severe alopecia areata (SALT > 50) for more than 6 months were enrolled, including 14 with AU, 3 with AT, and 6 with ophiasis, and all of whom were treated with baricitinib for a minimum of 52 weeks. Clinical and trichoscopic assessments were performed at each visit, and the impact on quality of life, anxiety, and depression was evaluated using the Skindex-16 and the Hospital Anxiety and Depression Scale (HADS), respectively. Results: A total of 23 patients were enrolled, with a mean age of 44.62 years and a mean SALT of 83.66. The mean value of the SALT score decreased to 51.23 at 6 months and 42.41 after one year. Psychological well-being and quality of life also improved, as demonstrated by the decrease in Skindex-16 and HADS scores. Trichoscopic signs showed a decrease in yellow dots and black dots and an increase in vellus hairs and hair regrowth. Adverse events during the treatment period were reported in 18.75% patients. No drop-outs were registered. Conclusions: Data on the effectiveness and safety of baricitinib are promising and support the use of this drug in severe forms of AA, also in the early stages. We also suggest performing trichoscopy in response to therapy. Full article