Search Results (637)

This study highlights the role of forensic psychology in supporting juvenile offenders within the Portuguese Justice System. Forensic psychologists ensure that legal proceedings are developmentally appropriate and psychologically informed, helping minors to understand and participate in the process. Data from the Victims Information and Assistance Office (GIAV) show that, between 2020 and 2025, 87 juvenile offenders (54 boys and 33 girls) were supported, with theft and drug trafficking being the most common crimes. Girls were more often involved in theft, and boys were more often involved in drug trafficking. Forensic psychology adds critical value by promoting rehabilitation, safeguarding rights, and contributing to fair, proportionate, and context-sensitive decisions. Full article

Background/Objectives: Dementia is a leading cause of cognitive decline, with significant challenges for early detection and timely intervention. The lack of effective, user-centred technologies further limits clinical response, particularly in underserved areas. This study aimed to develop and describe a co-design process for creating a Diagnostic and Statistical Manual of Mental Disorders (DSM-5)-compliant, AI-powered Smart Assistant (SmartApp) to monitor neurocognitive decline, while ensuring accessibility, clinical relevance, and responsible AI integration. Methods: A co-design framework was applied using a novel combination of Agile principles and the Double Diamond Model (DDM). More than twenty iterative Scrum sprints were conducted, involving key stakeholders such as clinicians (psychiatrist, psychologist, physician), designers, students, and academic researchers. Prototype testing and design workshops were organised to gather structured feedback. Feedback was systematically incorporated into subsequent iterations to refine functionality, usability, and clinical applicability. Results: The iterative process resulted in a SmartApp that integrates a DSM-5-based screening tool with 24 items across key cognitive domains. Key features include longitudinal tracking of cognitive performance, comparative visual graphs, predictive analytics using a regression-based machine learning module, and adaptive user interfaces. Workshop participants reported high satisfaction with features such as simplified navigation, notification reminders, and clinician-focused reporting modules. Conclusions: The findings suggest that combining co-design methods with Agile/DDM frameworks provides an effective pathway for developing AI-powered clinical tools as per responsible AI standards. The SmartApp offers a clinically relevant, user-friendly platform for dementia screening and monitoring, with potential to support vulnerable populations through scalable, responsible digital health solutions. Full article

Comprehensive healthcare seeks to uphold the right to health by providing patient-centred care in both personal and work environments. However, the unequal distribution of healthcare services significantly restricts access in remote or underserved areas—a challenge that is particularly critical in mental health care within low-income countries. On average, there is only one psychiatrist for every 200,000 people, which severely limits early diagnosis and continuous monitoring in patients’ daily environments. In response to these challenges, this research explores the feasibility of implementing an information system that integrates cloud computing with an intelligent Facial Expression Recognition (FER) module to enable psychologists to remotely and periodically monitor patients’ emotional states. This approach enhances comprehensive clinical assessments, supporting early detection, ongoing management, and personalised treatment in mental health care. This applied research follows a descriptive and developmental approach, aiming to design, implement, and evaluate an intelligent cloud-based solution that enables remote monitoring of patients’ emotional states through Facial Expression Recognition (FER). The methodology integrates principles of user-centred design, software engineering best practices, and machine learning model development, ensuring a robust and scalable solution aligned with clinical and technological requirements. The development process followed the Software Development Life Cycle (SDLC) and included functional, performance, and integration testing. To assess overall system quality, we defined an evaluation framework based on ISO/IEC 25010 quality characteristics: functional suitability, performance efficiency, usability, and security. The intelligent FER model achieved strong validation results, with a loss of 0.1378 and an accuracy of 96%, as confirmed by the confusion matrix and associated performance metrics. Full article

The purpose of this scoping review is to identify major social determinants of health and barriers affecting access to mental health services in pregnant and postpartum women in the United States. It will also examine the scope of existing evidence-based interventions and dissemination and implementation strategies that were developed and implemented to increase accessibility to mental health treatment in high-risk pregnant and postpartum women. The Arksey and O’Malley Framework guided the review process, along with the Joanna Briggs Institute (JBI) recommendations for the extraction, analysis, and presentation of results in scoping reviews. Additionally, the Preferred Reporting Items for Systematic Reviews and Meta-Analyses extension for Scoping Reviews (PRISMA-SCR) was used as a reference checklist. A total of 21 studies were used for analysis that were published between 2015 and 2025. An examination of social determinants of health (SDOH) influencing factors of mental health determined that those related to neighborhood and built environment had the highest rates. Using the socioecological model, individual barriers exhibited the highest frequency, with the most common themes to these barriers across all studies being language barriers, cultural barriers, and stigma-related challenges, followed by financial and childcare challenges and transportation challenges. Major findings included important evidence that therapeutic relationships with pregnant women who are depressed can be developed and that telehealth interventions improved access for women living in rural areas. Recommendations from this review will inform evidence-based interventions to address the gap in accessibility and affordability of mental health services in US pregnant and postpartum women residing in underserved communities. Full article

Despite the positive impact of culturally responsive social emotional learning (CR-SEL) in enhancing students’ academic achievement and emotional resilience, less is known about how it is employed in rural school settings. We employed a case study design to explore how rural transitional kindergarten (TK) teachers in California practice CR-SEL in their classrooms. Ten TK teachers from seven California rural schools were individually interviewed online. Results of the thematic analysis showed three major themes of CR-SEL practices: multicultural and critical perspective development, inclusive environment, and family engagement. Participants identified different strategies to teach CR-SEL practices in their classrooms. Findings extend our understanding of CR-SEL in practice, and provide practical and research implications for school psychologists, educators, and policymakers. Full article

Introduction: The organization of mental health care is undergoing a transformation from an institutionalized model to a community-centered model. Due to the critical specialist workforce shortage, insufficient funding, and the large number of children in crisis, its implementation presents a challenge. The aim of this study is to analyze the current situation regarding access to system-based care under contracts with the National Health Fund in various provinces in Poland. Materials and Methods: Based on an analysis of data, resources available to patients were assessed—specifically, information was obtained from the National Health Fund website entitled “NFZ Treatment Waiting Times.” From this, the waiting times for appointments in child and adolescent mental health care facilities, the availability of mental health care facilities under contracts with the National Health Fund in Poland, legal acts, and data from the Central Statistical Office were extracted. Then, an analysis of the current accessibility to child and adolescent mental health services was conducted. The inclusion criteria for data sources were as follows: accessibility—the data had to be openly available to researchers without restrictions; credibility—the data had to be verified by individual health care facilities; usefulness—the data had to accurately reflect the actual availability of services and the needs within the child and adolescent psychiatric care system. Results: There are significant differences and deviations from the average number of facilities and waiting times when comparing the 16 provinces. Notably, some of the analyzed facilities are already operating within the framework of Child and Adolescent Mental Health Centers, where the mean waiting period for inpatient care is 105 days, the mean waiting period for day-care units is 61 days, and the mean waiting period for outpatient clinics is 257 days. The number of facilities is increasing under the reform, with new level I reference centers being opened, which ensures prevention and early support is provided by a pedagogue, psychologist, and non-medical staff, providing enhanced accessibility to care without the need for a visit to a child and adolescent psychiatrist, of whom there are only 579 for the entire child population in Poland. This metric primarily refers to first-time appointments in public institutions, with notable disparities between urban and rural areas. Conclusions: The development of the reform offers hope for quicker access to mental health support for children and adolescents. With the consistent implementation of the reform and further support from non-governmental organizations, there is a high chance of building an effective community-based model with a short waiting time for help and reducing ineffective hospitalizations, among other things, in terms of costs. Full article

Numerous individuals suffer from mental health issues including depression and anxiety, resulting in substantial societal burden. Data suggests individuals are choosing to self-medicate with Novel Psychoactive Substances (NPS); however, this phenomenon is poorly understood. We aimed to investigate which NPS are being used to self-medicate, evaluate their perceived effectiveness and examine influencing factors. Data from respondents (n = 274) (Mean Age [SD] = 29.8 ± 9.1, Male = 71%, Female = 18%, non-binary 5%) were collected via an online survey, with five participants (male = 2; nonbinary = 3) undertaking further semi-structured interviews and the data examined using a Framework analysis. NPS used included bromazolam, etizolam, clonazolam, 1P-LSD and 2-FDCK. Individuals perceived self-medication to be more effective than conventional treatment (p < 0.001). A Framework analysis identified the following themes surrounding mood and anxiety disorder self-medication: (1) depression being chronic, treatment resistant and often comorbid; (2) individuals attempting to mimic existing treatments; (3) individuals having high levels of pharmacological knowledge; (4) difficulties in controlling benzodiazepine self-medication. This study brings important insight into self-medication practices with NPSs, adding to data demonstrating an increase in bromazolam use. Data suggests self-medication follows conventional treatment and, therefore, we outline the importance of affordable emerging treatment options for depression and anxiety. Full article

Online psychotherapy for patients with suicidal behavior was considered inappropriate by the Brazilian Federal Psychology Council prior to the COVID-19 pandemic. Due to the need for physical distancing, this restriction was temporarily suspended. This study aims to analyze the perceptions of Brazilian clinical psychologists regarding online psychotherapy for patients with suicidal behavior in the context of the COVID-19 pandemic, to generate a theoretical understanding of this experience. It is a qualitative, exploratory, longitudinal study based on the Constructivist Grounded Theory framework. Ten clinical psychologists who conducted online psychotherapy for patients with suicidal behavior during the pandemic were interviewed at two moments, with an interval of approximately two years: the first round was conducted from December 2020 to March 2021, followed by a second round between November and December 2022. Data analysis led to four categories: (1) Reflecting on suicidal behavior; (2) Addressing specificities of online interventions; (3) Managing suicidal behavior in online psychotherapy; (4) Evaluating online psychotherapy for patients with suicidal behavior. The theoretical model “Pathways of care: main roads and access routes in online psychotherapy for suicidal behavior” was constructed. It was concluded that online psychotherapy for patients with suicidal behavior is complex and requires caution but is feasible and can be important in specific circumstances. This makes it an additional resource for suicide prevention and mental health promotion. Full article

The purpose of this study is to explore the extent to which self-esteem, depression, anxiety, and stress experienced during childhood may contribute to the development of disordered eating behaviors in adulthood. The existing literature indicates that disordered eating habits are positively associated with symptoms of anxiety, stress, depression, and low self-esteem. However, most research focuses on the concurrent relationships among these variables rather than examining whether low self-esteem and poor mental health in childhood can influence the emergence of disordered eating behaviors later in life. An online quantitative survey was conducted using questionnaires completed by 135 participants aged between 30 and 70 years. The results revealed that low self-esteem and high levels of depression, anxiety, and stress during childhood were associated with increased disordered eating behaviors in adulthood. These findings suggest that negative self-perceptions and poor mental health in childhood have lasting effects that extend into adulthood. This knowledge can be valuable for psychologists, mental health professionals, parents, and schools in designing intervention programs aimed at enhancing children’s and adolescents’ self-esteem, promoting good mental health, and fostering healthy eating habits. Full article

This study aimed to analyze the perception of women who were victims of rape about the care provided at a teaching hospital located in the northeast of Brazil. A qualitative study was conducted with seven women. The interviews took place in a trustworthy and confidential environment in the presence of a psychologist. The data were analyzed through content analysis, evidencing the women’s perceptions. The sample was achieved by convenience sampling and was homogeneous, with a profile of women who were young, white/black, and single, with low education and a history of sexual violence. Positive views about the care provided at the hospital included its status as a reference center, motivating women to seek health services. The legitimization of women’s rights, effective care, and the possibility of having a legal abortion were also mentioned. The challenges reported included the need for a prepared health team and more humanized and multidisciplinary care. Women who had suffered rape sought medical assistance for support, guidance, and a humane approach to understanding their rights, often finding a compassionate response from the teaching hospital staff. Despite advances in care, challenges remain, such as perceived judgment regarding legal abortion, highlighting the need for policies that better meet the needs of victims. Full article

Introduction: Prior research underscores self-esteem as a core determinant of life satisfaction and overall well-being. However, few studies have examined this relationship within the unique sociocultural context of Saudi Arabia. This study assesses the relationship between self-esteem and life satisfaction in adolescents, as well as the potential moderating effects of demographic factors. Methods: A cross-sectional study was conducted involving 502 adolescents aged 13–18, selected from urban and rural regions of Saudi Arabia. Participants completed the Rosenberg Self-Esteem Scale and the Satisfaction with Life Scale. Data were collected via online survey platforms. Descriptive statistics, correlation analyses, chi-square tests, and multivariate logistic regressions were performed using SPSS version 26. Ethical approval was obtained, and informed consent was secured from all participants. Results: A significant positive correlation was found between life satisfaction and self-esteem scores (r = 0.37, p < 0.001). Adolescents reporting dissatisfaction with life had over seven times greater odds of low self-esteem (OR = 7.2; 95% CI: 3.75–13.83). Higher life satisfaction was associated with being in secondary education, having a family income of 10,000 Saudi Riyal (SR) or more, and living with both parents. Additionally, prior contact with a psychologist was linked to lower self-esteem and reduced life satisfaction. Conclusions: Findings confirm self-esteem as a strong predictor of life satisfaction among Saudi adolescents. Socioeconomic status, family structure, and previous psychological consultation also influenced outcomes. These results emphasize the critical need for culturally sensitive mental health interventions tailored to the Saudi context. Furthermore, they highlight the importance of implementing early mental health screening and support programs within schools to provide accessible and preventive care for youth. Full article

The problem associated with the manifestation of burnout syndrome is the subject of ongoing interest. In recent years, occupational burnout has been actively studied among professionals in the helping professions (teachers, physicians, social workers, psychologists, prison officers, etc.). However, the phenomenon has been poorly studied among freelancers. Therefore, the aim of this study is to fill this gap by determining the level of burnout syndrome among Bulgarian freelancers and investigate the influence of some work environment factors on professional burnout in the sample. A survey of 1138 freelancers was carried out using the Burnout Self-Assessment Questionnaire developed by Maslach and a questionnaire developed in-house to explore the factors of the occupational environment and ask questions related to socio-demographic factors. Hypotheses are tested using correlation analysis and structural equation modelling. The study reveals high levels of emotional exhaustion (40.91%, n = 484). High values on the scale of depersonalization were reported for 26,3% of the respondents (n = 311). Only 3.1% of the respondents (n = 37) had high values on the reduced personal accomplishment scale. The high levels of burnout among freelancers could be influenced by the specific characteristics of their work environment and the nature of their tasks. Full article

In the context of typhlo music therapy, personalized interventions can significantly enhance the therapeutic experience for visually impaired children. Leveraging a data-driven approach, we incorporate action-rule discovery to provide insights into the factors of music that may benefit individual children. The system utilizes a comprehensive dataset developed in collaboration with an experienced music therapist, special educator, and clinical psychologist, encompassing meta-decision attributes, decision attributes, and musical features such as tempo, rhythm, and pitch. By extracting and analyzing these features, our methodology identifies key factors that influence therapeutic outcomes. Some themes discovered through action-rule discovery include the effect of harmonic richness and loudness on expression and communication. The main findings demonstrate the system’s ability to offer personalized, impactful, and actionable insights, leading to improved therapeutic experiences for children undergoing typhlo music therapy. Our conclusions highlight the system’s potential to transform music therapy by providing therapists with precise and effective tools to support their patients’ developmental progress. This work shows the significance of integrating advanced data analysis techniques in therapeutic settings, paving the way for future enhancements in personalized music therapy interventions. Full article

New theologies developed in tandem with evolutionary biology during the nineteenth century, which have been called metaphysical evolutionisms and evolutionary theologies. A subset of these theologies analyzed here were developed by thinkers who accepted biological science but rejected both biblical creationism and materialist science. Tools from the cognitive science of religion, including conceptual metaphor theory (CMT) and blending theory, also known as conceptual integration theory (CIT), can help to explain the development of these systems and their transformation between the nineteenth and the twentieth centuries. The analysis focuses on several stable and popular blends of ideas, which have continued with some alteration into the twenty-first century. The three blends evaluated here are Progressive Soul Evolution, Salvation is Evolution, and Evolution is Therapy. Major contributors to these blends are the Theosophist and theologian Helena P. Blavatsky and psychologist Frederic W. H. Myers, both influenced by the spiritualist movement, particularly the ideas of the spiritualist and biologist Alfred Russel Wallace. The influence of these blends can be seen in the twentieth-century “Aquarian Frontier,” a group of 145 thinkers and organizations identified in 1975 by counterculture historian Theodore Roszak. Part of the appeal of these blends may be seen in their use of metaphors, including the Great Chain of Being and A Purposeful Life is a Journey. The application of the polysemic term evolution in a sense that does much of the theological work of salvation in Christianity can in part be explained by applying the principles of blending theory, including the vital relation “achieve a human scale,” as well as compressions of time and identity. These blends have been successful because they meet the needs of a population who are friendly towards science but disenchanted with traditional religions. The blends provide a satisfying new theology that extends beyond death for a subset of adherents, particularly in the New Age and spiritual but not religious (SBNR) movements, who combine the agency of self-directed “evolution” with the religious concepts of grace and transcendence. Full article

Background/Objectives: Suicide is among the biggest causes of death in the world. In recent years, suicide rates have increased remarkably in developing countries such as Türkiye. Therefore, there is a need to understand the psychological mechanisms underlying suicidal ideation and behaviors. Within this context, this study aimed to examine the complex relationships between psychological strain and suicide rumination. Methods: The study was conducted on 470 university students because young adults constitute the largest suicide risk group in Türkiye. Results: The findings showed that psychological strain was a significant predictor of suicide rumination. Additionally, depression was found to play a mediating role between psychological strain and suicide rumination. Furthermore, both resilient coping and perceived social support were shown to play a moderating role in the relationships among psychological strain, depression, and suicide rumination. The results confirmed the Strain Theory of Suicide in a sample from Türkiye. Conclusions: These findings are expected to contribute to psychologists, psychiatrists and public health specialists’ development of suicide prevention and intervention programs for university students. These suicide prevention and intervention efforts may focus on enhancing resilient coping and perceived social support in combating psychological strain and depression. Full article