Search Results (570)

Background/Objectives: Psychological vulnerability in individuals with obesity represents a significant concern in the context of bariatric surgery. This study aimed to assess psychosocial functioning and identify the psychological, clinical, and sociodemographic predictors of impairment among patients undergoing preoperative evaluation. Methods: A retrospective observational study was conducted on patients referred for bariatric surgery at a single academic medical center. Data were collected through clinical interviews and validated psychometric tools: the Clinical Impairment Assessment (CIA), the Patient Health Questionnaire-9 (PHQ-9), and the Generalized Anxiety Disorder-7 (GAD-7). Robust multiple regression analysis determined associations between CIA scores and psychological and demographic factors. Results: A total of 688 patients were evaluated (median age: 46 years; 70.3% female). Most had a high school education (56.9%) and were employed (69%). Elevated scores on the Clinical Impairment Assessment (CIA) were significantly associated with female gender (β = 1.075, p = 0.029), moderate anxiety (GAD-7 ≥ 10; β = 3.85, p < 0.001), and severe depressive symptoms (PHQ-9 ≥ 15; β = 16.67, p < 0.001). Other significant predictors included prior psychotherapy (β = 1.18, p = 0.044), aesthetic motivation for surgery (β = 0.92, p = 0.120), and expectations that weight loss would improve self-esteem (β = 2.11, p = 0.001) or social relationships (β = 1.98, p = 0.002). Conversely, physical activity was associated with lower CIA scores (β = –1.23, p = 0.050). The regression model showed strong explanatory power (McFadden R² = 0.529). Conclusions: This study highlights key predictors of psychosocial distress in bariatric candidates, underscoring the importance of comprehensive psychological assessment before surgery. The CIA appears to be a valuable screening and monitoring tool. Future research should explore the longitudinal evolution of psychosocial functioning and support the integration of psychological care into multidisciplinary bariatric programs. Full article

Over the last two decades, the number of people who practice activities in the natural environment has increased and the demand for teachers for these activities has grown. It is necessary to analyze the impact of different psychosocial and emotional factors, such as self-concept, self-esteem, satisfaction with life and well-being, in teachers of special regime sports education, as regulated training in the Spanish educational system. The purpose of this study is to analyze the relationship between physical, emotional and social self-concept and self-esteem and to study the influence of self-esteem between self-concept and life satisfaction in teachers. The participants of the study were 788 teachers of special regime sports education, from the regulated training educational system of Spain. The instruments used were the Self-Concept-Scale-AF5, the Rosenberg Self-Esteem Questionnaire and the Satisfaction with Life Scale. To present the results of the study, a structural equation model, PLS-SEM, was developed based on the theoretical framework analyzed, with an explanatory-predictive approach. The evidence showed the coefficients of determination for self-esteem (R² = 0.395; Q² = 0.268) and life satisfaction (R² = 0.334; Q² = 0.237) as being the appropriate adjustment. The acquisition of an adequate self-concept and correct self-esteem allows practitioners of sports disciplines in the natural environment to have greater life satisfaction. Full article

Background: Suicide and self-injury are serious public health concerns, especially in young populations, owing to multiple social, cultural, and gender determinants. Qualitative evidence exploring narratives regarding the factors behind suicide among young women is rare in Pakistan. Objective: The present study aims to explore the complex dimensions of suicide or self-injury among young women of Southern Punjab. Methods: Semi-structured interviews were conducted in a marginalized district in South Punjab, with participants consenting to in-person meetings at their homes or phone interviews. We collected detailed accounts of fifteen deceased girls or self-harm survivors, with insights provided by close relatives of the victims. Results: Our findings identified several conducive factors to suicidality, including receiving insults in front of others, low self-esteem, household pressures, work burdens, unfulfilled romantic desires, feelings of worthlessness, cheating in love, marriage without choice, and engagement in risky behaviors. These causes could be categorized into personal (such as an inferiority complex), social (a lack of family support and frequent conflicts), and cultural factors (forced marriages). Conclusions: Our study advocates for empowering women through education and restricting access to suicide means, such as pesticides or Paraphenylenediamine (PPD). Moreover, the government should take strict measures to discourage the forced marriage of young females in rural contexts. This study highlights the importance of integrating suicide prevention initiatives with research efforts within Pakistan’s healthcare system. Full article

Objectives: This explorative study aimed to evaluate athletes’ perceptions of how CrossFit^® affects physical, psychological, and social well-being, exploring gender differences. CrossFit^® is a high-intensity functional training modality aimed at enhancing overall fitness and health. Limited research has explored its perceived impact on broader aspects of well-being, particularly considering gender differences. Methods: A total of 202 participants (age 34.3 ± 10.0 years) with at least 6 months of CrossFit^® experience completed an online self-reported questionnaire not previously published but created following published guidelines. The questions explore athletes’ perceptions of their improvements in physical fitness, injury occurrence, and the effects on mental well-being. Statistical analysis included descriptive statistics and parametric and non-parametric tests to investigate gender differences. Results: In total, 81.2% of participants perceived improvements in strength, while 83.2% reported enhanced aerobic capacity. Significant body composition improvements were noted by 68.3% of the sample, and 87.6% reported changes in eating habits. Injury incidence was lower among women (30.2%) than men (45.3%) (p = 0.02). Regarding psychological outcomes, 95% of respondents indicated a reduction in stress levels, 73.3% reported better sleep quality, and over 90% perceived improvements in self-esteem and daily energy. Furthermore, 98.5% of participants formed new social connections through CrossFit^®, with 79.2% acknowledging a positive impact on social relationships. No significant gender differences were found across most psychological and social outcomes. Conclusions: CrossFit^® is perceived positively by participants, with similar views across genders, except for injury rates. It enhances physical fitness, mental health, and social well-being, with high training adherence and relatively low injury risk. Full article

Background/Objectives: There is scientific evidence showing that body- and/or body weight-related blaming, guilting, and shaming continue to be both promoted and tolerated in many societal contexts, including schools and healthcare settings. A deeply ingrained belief still prevails among many individuals that inducing these negative emotions can serve as a motivator for children and adolescents to engage in obesity treatment. Therefore, the aim of this systematic review is to examine these emotions (blame, guilt, shame) in relation to body weight and their impact on psychological functioning within the pediatric population affected by overweight and obesity. Methods: Articles were searched up using PubMed and Web of Science in June 2023 and March 2025. The search was conducted without limiting the years of publication. The inclusion criteria included the following: (1) pediatric samples, (2) full text available, and (3) original research articles. Articles were excluded if they were editorials, letters, replies from authors, review articles, and articles without a full text. Results: The initial search returned 199 results. A total of 16 articles were included in the study. Analysis of the collected records revealed associations between body- or weight-related blame, guilt, and shame and various aspects of psychological functioning in the pediatric population such as (a) interpersonal context (e.g., social stigma, bullying, teasing history, social connectedness, weight-related language used by parents in conversations with children and adolescents; (b) intrapsychic context—relationship with eating and food (e.g., binge eating, dietary restraint, emotional eating, and the risk of developing eating disorders); (c) intrapsychic context—self-perception (e.g., self-esteem, feelings of worthlessness, self-compassion, self-efficacy, perceived control); (d) intrapsychic context—emotional functioning (e.g., emotional distress, anxiety, depression, emotion regulation strategies); and (e) intrapsychic context—additional psychological factors (e.g., mindfulness, quality of life, willingness to seek help, and motivation for both help-seeking and sustaining successful lifestyle changes). Conclusions: Understanding the dynamics of body- and/or weight-related blame, guilt, and shame among children and adolescents with overweight and obesity is essential for developing effective support systems that enhance their well-being and psychological resilience in both the prevention and treatment of obesity. Further research is needed to explore the relationships between body- and weight-related blame, guilt, and shame and psychological functioning in pediatric populations with overweight and obesity, including the dynamics of child–parent–healthcare provider interactions, the context of parenting skills and attitudes that support the child during obesity treatment, the long-term consequences of body- and weight-related blame, guilt, and shame, the relationship between healthcare providers’ tendencies to engage in body- and weight-related shaming or blaming and their communication skills and mental well-being (e.g., levels of professional burnout, emotion regulation skills, and personality traits), as well as the influence of social media on body- and weight-related shame, guilt, and blame. Full article

There is a close relationship between self-esteem and emotions. However, most studies have relied on self-report measures, which primarily capture retrospective and generalized emotional tendencies, rather than spontaneous, momentary emotional expressions in real-time social interactions. Given that self-esteem also shapes how individuals regulate and express emotions in social contexts, it is crucial to examine whether and how self-esteem manifests in dynamic emotional expressions during self-presentation. In this study, we recorded the performances of 211 participants during a public self-presentation task using a digital video camera and measured their self-esteem scores with the Rosenberg Self-Esteem Scale. Facial Action Units (AUs) scores were extracted from each video frame using OpenFace, and four basic emotions—happiness, sadness, disgust, and fear—were quantified based on the basic emotion theory. Time-series analysis was then employed to capture the multidimensional dynamic features of these emotions. Finally, we applied machine learning and explainable AI to identify which dynamic emotional features were closely associated with self-esteem. The results indicate that all four basic emotions are closely associated with self-esteem. Therefore, this study introduces a new perspective on self-esteem assessment, highlighting the potential of nonverbal behavioral indicators as alternatives to traditional self-report measures. Full article

Background: research shows that university students’ academic engagement and performance can be usefully predicted by academic behavioural confidence (ABC), a set of self-beliefs in study-focused behaviours. While demographic and institutional variations in ABC are often reported, less is known about its psychosocial or behavioural correlates. Methods: A total of 328 students in 16 English universities completed an online survey with measures of ABC, self-esteem, ethnic identity, peer pressure, social support, and substance dependence and theirs and their tutor’s demographics. Results: Aspects of ABC differed by student gender (ps < 0.01), university (modern/traditional; ps < 0.01), and degree (nonvocational/vocational; p < 0.01) types and correlated with self-esteem, social support, peer pressure, drug dependence, and, for ethnic minority students, ethnic identity. Hierarchical regression analyses identified gender (β = 0.14–0.25), age (β = −0.16–0.12), self-esteem (β = 0.22–0.46), peer pressure (β = −0.15–−0.17), and drug dependence (β = −0.15–−0.21) as consistent predictors across ABC components. Conclusions: The findings highlight the importance of individual factors and social networks for academic self-efficacy. Recommendations for monitoring ABC and its contributors for targeted study and pastoral support are made. Full article

Background and Objectives: Halitosis is a persistent oral health issue that can undermine self-esteem and social interactions, particularly in younger populations who may be more vulnerable to peer judgment. Orthodontic retainers—both removable and fixed—can alter oral microbiota and salivary parameters, potentially influencing malodor development. This study aimed to compare halitosis severity and oral-health-related quality of life (OHRQoL) in adolescents and young adults (aged 12–25) wearing removable retainers, fixed retainers, or no orthodontic appliances, with an additional focus on salivary pH as a possible modifying factor. Methods: A total of 88 participants were allocated into three groups: removable retainer (n = 28), fixed retainer (n = 30), and no orthodontic treatment (n = 30). Halitosis severity was measured via organoleptic evaluation (0–5 scale) and the Halitosis Associated Life-Quality Test (HALT, 0–100). Salivary pH was determined using a digital pH meter. OHRQoL was assessed through the Oral Health Impact Profile–14 (OHIP-14, 0–56). One-way ANOVA with Tukey’s post hoc test and chi-square analyses were employed to compare outcomes among groups. Spearman’s correlation explored relationships among HALT, organoleptic scores, OHIP-14, and salivary pH. Results: Fixed retainer wearers exhibited higher mean organoleptic scores (2.2 ± 0.6) compared to removable retainer users (1.7 ± 0.5, p = 0.003). HALT results similarly showed that the fixed retainer group (35.6 ± 6.4) reported more halitosis-related burdens than the removable group (31.4 ± 5.9, p = 0.015). Low salivary pH (<6.8) was linked to greater malodor indices in all cohorts (p < 0.05). Correlations revealed moderate positive associations between HALT and OHIP-14 (r = +0.52, p < 0.001). Conclusions: Adolescents and young adults wearing fixed orthodontic retainers reported more severe halitosis and a correspondingly lower oral-health-related quality of life than those with removable retainers or no orthodontic appliances. Salivary pH emerged as an influential factor, indicating that maintaining a neutral oral environment could mitigate malodor. Targeted interventions emphasizing hygiene and saliva management may improve overall well-being in this vulnerable age group. Full article

Background: Premature hair graying (PHG) is one of the most prevalent conditions affecting individuals worldwide. It has been recognized as an important cause of low self-esteem, with a significant physical and social impact. This study investigated the factors associated with PHG by comparing medical students and resident physicians to other non-medical majors at Imam Abdulrahman Bin Faisal University (IAU). Methods: This is a comparative cross-sectional study conducted on resident physicians and students from 10 different colleges of IAU, Eastern Province, Saudi Arabia. This study evaluated the characteristics of PHG and its associated risk factors using an online distributed questionnaire. Results: A total of 2644 students and resident physicians were included in this study, with 45.6% coming from medical colleges. The findings show that the premature graying of hair was higher among obese and overweight individuals and those with a combined deficiency of vitamins B12 and vitamin D. Other factors associated with PHG included a family history of PHG, a lack of exercise, smoking, and allergic rhinitis. Gray hair onset before 25 years old was higher among those with high stress levels (95%) than those with moderate (90%) and or mild (86%) stress levels (p = 0.029). Conclusions: In our study, higher stress levels were related to an earlier age of PHG onset, and there was no difference between medical and non-medical students in PHG. Recommendations for future research include randomized clinical trials and larger cohort studies regarding the characteristics of PHG in the Middle East and those with Arabic ethnicity and assessing the medications that induce possible hair repigmentation. Full article

Background: Social exclusion in children and adolescents can lead to negative effects such as anxiety, low self-esteem, and academic difficulties. Physical activity and good physical condition could act as protective factors by promoting social integration and emotional well-being. Methods: The aim of this study was to analyse whether participation in physical activity and good physical fitness test protect against social exclusion in adolescents aged 12 to 19. A cross-sectional descriptive study was conducted with 876 adolescents, assessing physical activity, physical fitness test (EUROFIT), BMI, and social exclusion (both subtle and manifest) through questionnaires and physical tests. Spearman correlations, ANOVA, and stepwise regression analysis were applied. Results: Adolescents who participated in organised physical activities, such as team sports, opposition, or contact sports, showed lower levels of both manifest and subtle exclusion. Aerobic endurance, age, abdominal strength, and gender were predictors of manifest exclusion, while aerobic endurance, age, and participation in organised physical activities predicted subtle exclusion. Conclusions: Physical condition and participation in physical activity protect against social exclusion. Taking part in competitive team activities involving contact and opposition is associated with lower levels of exclusion. It is essential to promote strategies that enhance inclusion and well-being among young people. Full article

This study examines how bonding social capital (BSC) is related to depression symptoms (Dsym) in university students, focusing on the mediating roles of socio-emotional support, instrumental support, self-efficacy, self-esteem, and academic stress. A cross-sectional design was employed, with data collected from 217 undergraduate students (from an initial sample of 250) using validated questionnaires. Data were analyzed using partial least squares structural equation modeling (PLS-SEM) to evaluate direct and indirect relationships. The key findings indicate that BSC has an indirect, relevant, and significant negative effect on Dsym (H5) (β = −0.201, 95% CI [−0.266, −0.216]) through six routes, involving enhanced self-esteem and reduced academic stress. The model highlights self-esteem as a critical mediator between social capital and mental health outcomes. With strong predictive validity (R² ≥ 0.1, Q² > 0, PLS-SEM RMSE < LM), the study provides a framework for potential interventions. The theoretical contributions include distinguishing social capital from support and prioritizing self-esteem over self-efficacy in depressive pathways. Although the cross-sectional design limits causal inferences, the model advances systemic approaches to student mental health, highlighting the need for longitudinal validation in diverse contexts. Full article

Excessive social media use has become a growing concern due to its potential to affect self-perception, particularly through lowered self-esteem and a heightened fear of negative evaluation. With the increasing tendency for individuals to curate idealised online personas, understanding the psychological factors that drive this behaviour is critical. This study applies Self-Discrepancy Theory, Social Comparison Theory, and Gender Schema Theory to explain how self-perception, constant comparisons, and internalised gender norms drive online behaviours. A survey of 400 active social media users in Pakistan was conducted, and the data were analysed using Partial Least Squares Structural Equation Modelling (PLS-SEM). This study revealed that false self-presentation significantly heightened the fear of negative evaluation, which mediated its influence on excessive social media use. Social comparison, contrary to expectations, boosted self-esteem while also fuelling excessive use, as individuals sought validation online. Gender also appeared to play a moderating role, with women experiencing a stronger link between social comparison and self-esteem. However, gender did not moderate the relationship between false self-presentation and the fear of negative evaluation, suggesting similar psychological effects across genders. This study highlights that the fear of negative evaluation and social comparison-driven self-esteem are key psychological mechanisms behind excessive social media use, while gender plays a role in shaping the impact of social comparison but not false self-presentation. This study provides empirical evidence that excessive social media use is shaped by psychological factors, such as fear of negative evaluation and validation-seeking, driven by social comparison. Interventions aimed at reducing the emotional distress associated with excessive social media use should prioritise digital literacy programs that help users identify how false self-presentation and social comparison shape their fear of negative evaluation and validation-seeking behaviours, especially in appearance-driven online environments. Full article

Human trafficking for forced labour or sexual exploitation often takes the form of forced migration. It is the third-largest crime industry in the world and has severe consequences on the women survivors. Trafficking violates the safety, welfare, and human rights of the victims and forces physical and psychological imprisonment on them. Despite the significant number of women being trafficked, little is known about the best ways to address their needs. This article highlights the understanding developed by social service providers in South Africa regarding the consequences of human trafficking on women survivors. Being aware of the complex challenges faced by women survivors of human trafficking enables social service providers to respond to their needs effectively through appropriate interventions and services. Data for this qualitative study were collected through one-on-one interviews and analysed using thematic analysis. Social service providers understand the following to be related to women survivors of trafficking: involvement in drugs and sex work, dependency on the perpetrator, lack of self-esteem, self-blame and shame, being disoriented, psychological challenges, lack of financial support, health issues, isolation, and loneliness. To be relevant and effective, services should be packaged in a manner that addresses all the challenges faced by women survivors of human trafficking. Full article

Self-esteem significantly influences and shapes an individual’s social behavior and indicates his or her psychological and mental health. In this study, the following two premises are examined: (1) whether the self-esteem of adolescents and adults with intellectual disabilities undergoes changes over time and (2) the demographic variables that influence this change. For this study, a longitudinal analysis spanning 2 years was conducted using response data from 398 participants—as sourced from the Korea Employment Agency for the Disabled—which comprised gender, age, education, and severity of disability as input variables. A potential growth model analysis confirmed the appropriateness of the second measurement change model (significant increase in self-esteem between the first and second measurements, no changes between second and third measurements) that presented the main premises of his study. The findings indicated that the level of self-esteem and its rate of change varied significantly among adolescents and adults with intellectual disabilities, and the variations were primarily associated with gender and severity of disabilities. Full article

This study addresses a research gap in the organization-based self-esteem (OBSE) literature: the limited integration of sustainability concepts, particularly across environmental, social, and economic dimensions. As the first bibliometric analysis on OBSE, this research systematically reviews 333 publications contained in the Web of Science Core Collection, dated from 1989 to 2024, using VosViewer software version 1.6.20 (0). Citation analysis identifies the most influential authors, institutions, and countries, and assesses the extent to which their work engages with corporate sustainability or sustainable human resource management—encompassing practices that promote social equity, environmental responsibility, and long-term organizational viability. Keyword co-occurrence analysis reveals that sustainability-related concepts are embedded within the OBSE domain to a limited extent. The findings indicate that while the OBSE literature is evolving to incorporate these topics, this integration remains limited and fragmented. Opportunities for further research, particularly on the intersection of OBSE and sustainability practices, are highlighted, as are practical implications for human resource professionals. Full article