Search Results (646)

Cultured meat holds the potential to reduce environmental impacts and offer ethical advantages while replicating the nutritional, taste, and texture attributes of conventional meat. To date, most research on consumer acceptance of meat has focused on European and North American markets. In contrast, Muslim-majority countries remain underexplored, particularly regarding the compatibility of cultured meat with Islamic dietary laws. These societies are experiencing rising meat consumption, and countries such as Saudi Arabia and Malaysia rely heavily on meat imports. This narrative perspective article aims to systematically examine how specific stages of cultured meat production align with, or challenge, Islamic dietary (halal) principles. To this end, we adopt a stage-based analytical approach, mapping key technological steps in cultured meat production onto core requirements of Islamic jurisprudence. To this end, we critically and comprehensively examine the intersection between cultured meat production methods and the Islamic concept of halal, which extends beyond ingredient permissibility to encompass ethical, spiritual, and hygienic dimensions of food production. Key challenges to halal certification include the origin and status of starter cells, whether donor animals were slaughtered according to Islamic law, the permissibility of biopsied tissue, and the use of fetal bovine serum in growth media. The analysis indicates that while halal-compliant cultured meat is scientifically feasible, its adoption remains constrained by unresolved religious interpretations, regulatory fragmentation, and limited availability of halal-certified inputs. We emphasize the need for interdisciplinary collaboration among Islamic scholars, food scientists, certification bodies, and policymakers. From a policy perspective, harmonized halal standards, targeted investment in serum-free and animal-free culture media, and early regulatory engagement with Islamic authorities are essential to facilitate responsible market entry. Therefore, we suggest a multi-level governance and stage-gated halal decision framework for cultured meat. Proactive regulation and open dialogue with religious leaders are vital to ethically introduce cultured meat into Muslim markets, aligning innovation with Islamic values while supporting national sustainability and food security goals. Full article

Cancer caregiving is increasingly recognized as a major psychosocial challenge, yet the mental health needs of caregivers remain insufficiently addressed in oncology research and practice. This narrative review examines the experiences of cancer caregivers within the context of rising cancer incidence and prolonged survival, conditions frequently accompanied by sustained psychological burden and anticipatory grief, with particular attention to depressive symptoms. Relevant qualitative and quantitative studies were identified through targeted searches of major databases (PubMed, Scopus, PsycINFO, and Google Scholar), including studies published up to January 2026. Study selection was guided by conceptual relevance and applied significance to the intersection between religiosity, spirituality, caregiving, and mental health outcomes. The reviewed literature highlights substantial psychological burden among caregivers, with depression affecting approximately 20–40% of cancer caregivers and identifies religiosity and spirituality as potentially supportive resources. Across studies, recurrent themes include meaning-making, hope maintenance, emotional regulation, moral orientation, and perceived social support as mechanisms through which these dimensions are associated with lower levels of depression and improved psychological adjustment. Evidence suggests that both religiosity, understood as the lived engagement with religious values, and spirituality, defined as a broader existential orientation toward meaning and purpose, contribute to coping in caregiving contexts; however, findings remain heterogeneous and largely based on cross-sectional analyses. Notable gaps persist, including limited caregiver-specific research, conceptual imprecision, and a lack of longitudinal designs. By integrating conceptual clarification with empirical synthesis, this review outlines potential psychological pathways linking religiosity and spirituality to caregiver mental health outcomes. In summary, religiosity and spirituality are considered adjunctive, non-exclusive resources that complement conventional psychological and psychiatric care within comprehensive models of caregiver support. Full article

Spiritual care competence (SCC) is increasingly recognized as relevant in mental health, yet no validated tool exists in Slovenia. This study aimed to translate and validate the Spiritual Care Competence Questionnaire (SCCQ) in a Slovene sample of mental-health professionals. Guided by this aim, our research question was the following: to what extent does the SCCQ demonstrate a replicable seven-factor structure, acceptable reliability, construct validity, and coherent group differences in a Slovene sample of mental-health professionals? In a cross-sectional survey (n = 291) across outpatient, inpatient, private, and other settings, we administered the SCCQ together with measures of spiritual sensitivity (SSS), spiritual transcendence (STS), and the BFI-S. Following forward–backward translation and expert review, we conducted item analysis, exploratory and confirmatory factor analyses, and assessed reliability and construct validity. After removing seven psychometrically weak items, a 35-item, seven-factor structure—perception of spiritual needs, team spirit, documentation/tools, spiritual self-awareness, knowledge of other religions, conversation, and empowerment/proactive opening—showed borderline to acceptable fit (TLI = 0.917, CFI = 0.892, RMSEA = 0.068, SRMR = 0.073) and internal consistency (Cronbach’s alpha = 0.67–0.87). Convergent validity was supported by positive associations with SSS/STS, while expected correlations with Big Five traits were small but significant (negative for Emotional Instability). Older age and psychotherapist profession predicted higher SCC. The Slovene SCCQ is a confession-neutral, psychometrically adequate instrument for assessing SCC in mental-health services. Findings highlight curricular needs—especially documentation/tools and team-based engagement—and enable research, education, and quality improvement aligned with international SCCQ validations. Full article

Background: Post-Traumatic Stress Disorder (PTSD) is among the most prevalent and disabling mental health conditions affecting military veterans in Western countries. In recent decades, PTSD has increasingly been conceptualized as a systemic neuropsychological injury shaped not only by individual psychopathology, but also by institutional, cultural, and political contexts, particularly in settings of prolonged conflict and political violence. This shift has given rise to diverse national rehabilitation models that extend beyond symptom-focused care. This narrative comparative review aims to examine national models of PTSD rehabilitation among military veterans and to derive policy-relevant insights for Israel. Methods: We conducted a narrative comparative review of peer-reviewed literature and national policy documents published between 2014 and 2023, examining military and veteran PTSD rehabilitation frameworks in six Western countries: the United States, Canada, the United Kingdom, Germany, Australia, and the Netherlands. Sources were identified through PubMed, PsycINFO, Google Scholar, and governmental repositories. The review focused on system-level rehabilitation structures, including clinical services, peer-based programs, occupational integration, community and cultural components, and national monitoring practices. Results: Across countries, recurring challenges included persistent stigma limiting help-seeking, fragmented service delivery, inconsistent access to evidence-based care and a lack of standardized outcome indicators capturing functional and social recovery. Innovative approaches included biopsychosocial-spiritual rehabilitation models, peer-led interventions, intra-systemic employment pathways, and symbolic forms of social recognition. In this context, the biopsychosocial-spiritual approach refers to integrative rehabilitation models that extend beyond traditional frameworks by incorporating meaning-making, identity reconstruction, and value-based recovery processes. Conclusions: The findings highlight the need to reconceptualize PTSD rehabilitation as a multidimensional, system-level process. In light of the 2023 “Iron Swords” war and the scale of trauma exposure in Israel, the review informs actionable recommendations for developing a coordinated national rehabilitation strategy that integrates clinical care with occupational, community and cultural recovery. Full article

Titus Brandsma (1881–1942), Dutch Carmelite and martyr, canonized in 2022, has been widely studied as a journalist, mystic and writer on spirituality. His poetry, however, still remains a relatively understudied part of his work. The purpose of this article is to provide a new evaluative survey of Brandsma’s poetic oeuvre, and to trace the reception of his poetry during his lifetime, and through the post-war period until the present day. One of the effects of this research, presented in this article, is a bio-bibliographic analysis, which for the first time offers a comprehensive overview of Brandsma’s poetry. As regards critical reception, this article focuses on the reasons why Brandsma’s verse was initially neglected and he himself was not considered a poet by his biographers. It examines the factors responsible for a recent revival of interest in several, though not all, of Brandsma’s poems, and their representation in recent biographies. The findings suggest that the post-war popular appeal of Brandsma’s poetry, especially his prison poem “Before the picture of Jesus”, and its growing international circulation, combined with an increased literary awareness and new methods of analysis, as well as changes to the understanding of literature itself, led to a much-needed reassessment of Brandsma as a poet in the first decades of the 21st century. However, the bibliography of Brandsma’s poetry indicates that the majority of his poems require further in-depth research using modern literary-critical methods. Full article

Patients with end-stage liver disease (ESLD) and their caregivers experience extensive physical, psychological, and social burdens and needs for resources. However, empirical evidence on patients’ and caregivers’ specific reported use of resources to help manage ESLD is lacking. Understanding the type and helpfulness of resources used could strengthen clinical care to address individual needs for resources. Aim: To examine and compare resources patients and caregivers identified as being most helpful in managing ESLD in relation to resources they felt would be helpful. Methods: Patients with ESLD and their caregivers responded in writing to two open-ended questions as part of a survey: (1) What resources have you found most helpful in dealing with patient’s liver disease? and (2) What resources would be helpful in dealing with patient’s liver disease? Conventional content analysis was used to identify resource categories. Results: A total of 192 patients and 198 caregivers completed surveys. We identified two major resource domains—medical and non-medical—and five categories within each. Analysis revealed participant group- and disease severity-based differences in helpful resources. Conclusions: Proactively engaging patients and caregivers early in the course of illness to identify relevant resources that might facilitate ability to manage ESLD. An interprofessional care approach would facilitate efforts supporting financial, social, spiritual, emotional, and mental health needs. Future longitudinal research of unique resource needs along the disease trajectory may help to develop effective interventions. Full article

Background: Family and friend caregivers provide essential support across health and social care systems but remain inconsistently identified, assessed, and supported in routine practice. Although numerous caregiver needs’ assessment instruments exist, many focus on burden, distress, or preparedness rather than explicitly eliciting caregiver-defined support needs, limiting their utility for care planning, care transitions, and system integration. Methods: We conducted a rapid scoping review to identify and characterize caregiver needs’ assessment tools developed for family and friend caregivers. Searches were conducted in MEDLINE, PsycINFO, CINAHL, Web of Science, Health and Psychosocial Instruments, and the Cochrane Library. Eligible studies described the development, validation, or implementation of instruments designed to assess caregiver needs. Data were extracted on tool characteristics, domains assessed, administration methods, and implementation-relevant features. Item-level content analysis distinguished caregiver-defined support needs from related constructs, including burden, strain, preparedness, and care-recipient monitoring. Results: Forty-three studies describing caregiver needs’ assessment instruments were included (19 instruments; 17 instrument families). Tools varied widely in length, administration, and conceptual framing. Seven domains of caregiver-defined support needs were identified: caregiver health and self-care; emotional and psychological support; information, communication, and navigation; practical and instrumental support; social and relational support; autonomy and life participation; and spiritual, cultural, and existential support. Information and navigation needs were most frequently assessed, while autonomy and spiritual domains were least consistently represented. Many instruments demonstrated construct drift, assessing stressors or impacts rather than explicitly eliciting caregiver-defined support needs. Few tools were designed for longitudinal reassessment, workflow integration, or documentation within electronic medical records. Conclusions: Existing caregiver needs’ assessment tools inadequately support routine, system-integrated caregiver-centered care. Advancing caregiver-centered practice requires tools that explicitly elicit caregiver-defined support needs and are designed for workflow integration, longitudinal use, and interdisciplinary care pathways. Full article

Introduction: End-of-life (EOL) HIV cure-related research offers a unique opportunity to advance scientific discovery while honoring the values, dignity, and legacy of people with HIV. However, participation remains demographically skewed, mirroring long-standing inequities in who is informed, invited, and supported to take part. Synthesizing eight years of experience, published literature reviews, and community engagement from the University of California San Diego’s Last Gift program, we propose strategies to embed justice, equity, diversity, inclusion, and accessibility (JEDIA) throughout the design and implementation of EOL HIV cure-related studies. Discussion: Using intersectionality as a structural analytic framework, we examine how interlocking systems and social determinants shape access, consent, and participant experience, and we translate ethics into action across three themes and eight domains. As examples, we facilitate equitable access by implementing solutions that address gaps limiting awareness and feasibility of participation. We establish ongoing consent through multi-session consent processes with teach-back methods, clear healthcare proxy pathways, and explicit separation of research activities from clinical care. We center lived experiences by partnering with people with HIV and community groups, customizing participation, and honoring cultural and spiritual needs. We enable real-time course correction by using a dashboard that monitors enrollment patterns and representation. Conclusions: An intersectionality-informed, participant-centered approach is both feasible and essential to ensure HIV cure-related research advances with fairness, trust, and global relevance. Programs such as the Last Gift show that scientific rigor, integrity, and participant dignity can coexist, establishing a model for equitable HIV cure discovery. Full article

This article argues that the da’wa movements initiated by Islamic mass organizations such as Muhammadiyah and Nahdlatul Ulama (NU) through the concept of Islamic locality constitute one of the key factors contributing to the failure of the caliphate idea in Indonesia. This locality is characterized by the synthesis of Islamic theology, law, and practice with the sociocultural, political, and historical realities of the Archipelago. Employing a historical–sociological method and document analysis, this article traces how these da’wa movements have embedded a distinctly Indonesian notion of Islamic locality. The findings reveal that through the establishment of socio-educational institutions (schools, hospitals, pesantren), cultural adaptation, and participation in the nation-building project, these Islamic da’wa movements have addressed the social and spiritual needs of Indonesian Muslims within the framework of the nation state. Therefore, the failure of the caliphate idea is not due to a lack of religiosity of Indonesian Muslims, but rather because localized Islamic understanding has rendered the caliphate not only irrelevant but also theologically incongruent with the perspectives of the majority of Indonesian Muslims. Full article

Fear of cancer recurrence (FCR) is a significant but understudied concern among parents of childhood cancer survivors. This study quantitatively characterized parental FCR and explored potential demographic and clinical correlates among parents of children treated for cancer. Parents (N = 192) completed the Fear of Cancer Recurrence Inventory-Parent Short Form (FCRI-Parent) and provided demographic information. Clinical variables were obtained from medical chart review. Associations between FCR and demographic or clinical variables were analyzed using t-tests, ANOVAs, and Pearson’s correlations. Parents reported a mean FCR score of 18.64 (SD = 8.73), with 42.2% of parents endorsing FCR above a score of 22. Parental FCR significantly varied by parent race, education, and spirituality. Higher FCR was also significantly negatively correlated with child age, time since diagnosis, and time since treatment completion. Parents of children with central nervous system tumors or hematological malignancies endorsed significantly higher FCR compared to parents of children with solid tumors. Findings build on previously identified psychosocial needs for parents of children treated for cancer by quantitatively describing parental FCR and exploring subgroups that may be at increased risk for FCR. Tailored interventions, including strategies that support spiritual coping, may help mitigate FCR among at-risk parents. Full article

Amid a deepening global socio-ecological crisis, Indigenous eco-spiritual practices are gaining renewed relevance for environmental governance. This article examines the water-caring practices of the Papallaqta, an Indigenous community in the Colombian Macizo—one of South America’s most vital hydrological systems. Drawing on relational methodologies, as well as extensive fieldwork conducted between 2024 and 2025, the study shows how Papallaqta spiritual relationships with water constitute a sophisticated form of governance grounded in reciprocity, reverence, and more-than-human relationality. The article situates these practices within global debates on environmental governance, where recent COP16 (Cali) and COP30 (Belém) summits have revealed the limits of technocratic, market-driven approaches to biodiversity loss, energy transition, and climate justice. Against these constraints, Papallaqta eco-spiritual governance offers an alternative paradigm based on spiritual animacy, legal cosmologies, and embodied ecological stewardship. Empirically, the article documents four interrelated dimensions of Papallaqta water-care: offerings to the water, ecological stewardship, territorial governance, and memory and cultural revitalization. Conceptually, it proposes eco-spiritual governance as an analytic for understanding how spiritual world-making informs environmental ethics, justice, and peacebuilding. The study concludes that Papallaqta practices illuminate viable pathways toward relational and regenerative environmental governance urgently needed in the current planetary crisis. Full article

The growing complexity of school leadership, intensified by increasing accountability and administrative demands, has heightened the need to understand principals’ wellbeing. This study examines the wellbeing of 161 public primary school principals in Greece, focusing on the factors that shape their professional experience and overall functioning. Survey findings indicate generally high levels of emotional, cognitive, social, psychological, and spiritual wellbeing, although physical wellbeing was noticeably lower. A significant gender difference emerged, with male principals reporting higher overall wellbeing than female principals, highlighting the relevance of gendered experiences in leadership roles. Job satisfaction also proved central, showing a strong positive association with all six dimensions of wellbeing and underscoring its importance for sustaining principals’ resilience and effectiveness. Beyond individual characteristics, several organizational factors—including relationships with staff, working conditions, school climate, and administrative workload—were identified as key contributors to principals’ wellbeing and daily practice. These conditions illustrate how organizational environments can enhance or strain leaders’ capacity to navigate evolving role expectations. Qualitative insights further clarified how personal attributes and school-level circumstances interact with these broader dynamics. Overall, the study illuminates the interplay between gender, job satisfaction, and contextual factors in shaping principals’ wellbeing, offering evidence to inform targeted support within contemporary educational settings. Full article

Background/objectives: Emotional intelligence (EI) plays an important role in nursing education by supporting competencies such as communication, leadership, resilience, and clinical performance. In contemporary nursing education, students face increasing academic, clinical, and emotional demands, highlighting the need to identify modifiable factors that may be associated with EI and can inform student support strategies. Despite extensive EI research, evidence remains limited and inconsistent regarding how specific health-promoting lifestyle domains and sleep quality relate to EI among prelicensure nursing students. This study aimed to examine factors associated with EI and its relationship with health behaviors among prelicensure nursing students. Methods: A cross-sectional quantitative design was used. A convenience sample of 287 prelicensure nursing students from a local nursing school completed self-report questionnaires: the Schutte Self-report Emotional Intelligence Scale (SSEIS), the Health-Promoting Lifestyle Profile II (HPLP-II), and the Pittsburgh Sleep Quality Index (PSQI). Results: In structured multiphase regression, HPLP-II interpersonal relations (B = 4.42, 95% CI = 1.44 to 7.50, p = 0.004) and spiritual growth (B = 6.59, 95% CI = 3.81 to 9.37, p < 0.001) were positively associated with EI. Poor sleep quality (PSQI > 5) was negatively associated with EI (B = −1.95, 95% CI = −3.88 to −0.01, p = 0.049). Conclusions: Interpersonal relations, spiritual growth, and sleep quality were associated with EI among prelicensure nursing students. These factors may be relevant to consider when designing student support and EI-related educational initiatives; however, longitudinal and intervention studies are needed to clarify directionality and causality. Full article

Background/Objectives: Palliative care (PC) has traditionally focused on patients with cancer and their families. However, individuals living with advanced non-malignant chronic diseases and their caregivers face comparable challenges that significantly affect their quality of life. This study aimed to explore the PC needs of patients with advanced non-malignant chronic conditions through the lived experiences of both patients and their informal caregivers. Methods: Semi-structured interviews were conducted with eight patients and nine caregivers recruited via the Municipality of Katerini “Help at Home” program (Jan–Mar 2025). Interviews were audio-recorded, transcribed verbatim (in Greek), and analyzed inductively using reflexive thematic analysis. Ethical approval was obtained from the International Hellenic University (Ref. No. 18/22.12.2022), and official consent was gained from the Municipality of Katerini (Approval Ref. No. 7803-/30/01/2025). Results: Five themes emerged: (1) basic daily care and physical support; (2) psychosomatic and emotional impact; (3) social withdrawal and role change; (4) support systems and coping resources; and (5) experience with the healthcare system and organized care. Participants highlighted urgent needs for home-based physiotherapy/nursing, caregiver respite, and psychological support. Coping and resilience-related resources—expressed through family support, familiarity of the home environment, and spirituality—were described as essential mechanisms that helped dyads sustain home care and shaped how needs were experienced across multiple domains, particularly amid service gaps. Conclusions: These findings document complex, interlinked needs among patients with advanced non-malignant chronic conditions and their caregivers and support the development of community-based, integrated PC services. Larger, multicenter studies and the development/validation of a needs-assessment tool are recommended. Full article

(1) Background: Menstruation is subject to stigma worldwide, which has led to restrictive cultural norms and taboos rooted in religion, customs, and patriarchal systems. The resulting ‘cultural stigma’ associated with menstruation exacerbates health inequities, restricts access to sexual and reproductive health rights (SRHRs), and undermines girls’ and women’s participation in educational, economic, social, and spiritual activities. This scoping review examines interventions to address menstrual stigma experienced by girls and women in India (2) Methods: We used the Joanna Briggs Institute (JBI) methodology for scoping reviews. After systematic searches on 14 March 2024 across six databases (Academic Search complete, APA PsycInfo, Womens Studies International, Web of Science Core collection, MEDLINE, and Index Medicus-SEAR), we screened 1323 records. (3) Results: Findings from 13 unique study reports reveal diverse approaches to addressing menstrual stigma, including income generation initiatives, sexual education, peer training, technological tools, and arts-based approaches. While the interventions initiated dialogue among girls and women in India, they often lacked broader community engagement, leaving structurally embedded patriarchal norms unchallenged. Additionally, most programs targeted adolescent schoolgirls, with limited attention to waged girls and adult women. (4) Conclusions: Addressing menstrual stigma is critical to advancing gender equality and health equity in India. More research is needed to understand effective ways to galvanize community-wide support in dismantling the deeply rooted patriarchal structures that shape interconnected stigma processes leading to health inequities among girls and women in India. Full article