The rapid integration of generative artificial intelligence (GenAI) into higher education has prompted growing scholarly attention toward its pedagogical and institutional implications. However, existing research has predominantly addressed technical capabilities and academic integrity concerns, while the psychological and equity dimensions remain fragmented and underexplored. This scoping review, conducted in accordance with PRISMA-ScR guidelines, systematically maps and synthesizes 87 studies published from January 2019 to March 2026 across six major databases to examine how GenAI influences learners' cognitive and emotional processes and how its adoption intersects with educational inequalities. The findings identify five psychological themes-cognitive offloading, AI self-efficacy, emotional responses, identity threat, and trust-and six equity dimensions-digital divide, disability access, first-language inequity, socioeconomic stratification, gender and race disparities, and Global South constraints. Critically, only 7% of the reviewed studies explicitly examine the intersection of psychological and equity dimensions, revealing a significant gap in the literature. To address this fragmentation, the review introduces the Psychosocial-Equity Nexus, a novel three-layered recursive framework that integrates equity stratifiers, psychological states, and educational outcomes to conceptualize how structural inequities may be associated with psychological responses that, under certain institutional conditions, may contribute to the persistence or widening of educational disparities. The review offers actionable implications for research, institutional practice, and policy toward equitable and psychologically informed GenAI adoption in higher education.
Research suggests that the psychological benefits of natural environments are not uniformly experienced, with individual differences in nature connectedness potentially shaped by temperament traits and attachment patterns moderating their impact on psychological wellbeing. Drawing on Affective Neuroscience theory, which conceptualizes basic human motivational tendencies as primary emotional systems (CARE, SEEKING, PLAY, FEAR, ANGER, PANIC), we examined whether these systems are linked to anxiety and depression symptoms through attachment patterns and nature connectedness. A non-clinical sample of 592 Portuguese adults, aged 18 or older, completed self-report measures of primary emotional systems, attachment, nature connectedness, and psychological symptoms. A multiple step mediation was tested through Structural Equation Modeling, employing bootstrapped confidence intervals to test for indirect effects. Four association pathways emerged from the data, namely (1) a Biophilic Connection path, in which positive emotional systems were associated with lower anxiety and depression via greater connectedness to nature; (2) an Attachment to Nature path, whereby secure attachment tendencies supported wellbeing through enhanced nature connectedness; (3) an Anger-Nature Disconnection path, in which anger-related tendencies were linked to poorer outcomes through reduced connection to nature; and (4) a Fear-Nature Disconnection path, whereby fear-related emotions and attachment insecurity contributed to worse mental health via diminished nature connectedness. Our findings highlight distinct emotional and relational trajectories through which connectedness to nature may influence psychological wellbeing, offering an integrative framework for understanding individual variability in nature's psychological benefits.
Hypospadias represents one of the most frequent congenital anomalies in male neonates, and corrective surgery is generally advised within the first 6 to 18 months of life. Nevertheless, the most appropriate time to perform the repair remains debated, especially concerning its impact on patients' long-term psychological well-being. The present systematic review evaluated how the age at which surgery is performed affects subsequent psychological and psychosexual outcomes. A structured search of PubMed, ScienceDirect, Embase, and Cochrane Library was undertaken in May 2025, following the Preferred Reporting Items for Systematic Reviews and Meta-Analyses (PRISMA) 2020 reporting framework. Eligible studies were comparative investigations and cohorts that reported psychiatric, psychological, or psychosexual outcomes after primary hypospadias correction in pediatric populations. Two independent reviewers appraised risk of bias with the Newcastle-Ottawa Scale, and the Grading of Recommendations, Assessment, Development and Evaluations (GRADE) framework was applied to assess the certainty of evidence. As substantial heterogeneity precluded statistical pooling, a narrative synthesis was conducted. A total of 15 studies (more than 10,000 patients), published between 1997 and 2025 and originating from Europe, Asia, the Middle East, Australia, and North America, were ultimately included. The majority of patients who underwent hypospadias repair reached adequate psychosocial functioning in the long term, although a recurring subgroup demonstrated symptoms of anxiety, depression, obsessive-compulsive features, or dissatisfaction with body image. Large registry-based cohorts indicated heightened susceptibility to neurodevelopmental and psychiatric conditions, whereas smaller institutional series tended to highlight concerns related to genital self-perception. Whether surgical timing meaningfully alters these outcomes was not consistently supported across studies. Overall certainty of the evidence ranged from low to moderate. Taken together, psychological outcomes following hypospadias correction tend to be favorable, but the role of operative age in shaping long-term psychosocial well-being remains unclear. Well-designed prospective investigations with extended follow-up are warranted to address this question.
White Coat Hypertension (WCH), or elevated blood pressure in response to stress, is common in childhood. While studies showed that hypertension (HTN) can be associated with psychological and neurocognitive impairments, the prevalence of such concerns in children with WCH is not well studied. This study aimed to evaluate prevalence of metabolic and positive mental health screening in patients with WCH and hypothesized that those concerns are higher in patients with WCH compared to HTN, while they have less frequency of metabolic risk factors. This is a single-center cross- sectional study of patients referred to the pediatric nephrology outpatient clinics to assess hypertension. All patients completed a 24-hour ambulatory blood pressure monitor and classified as HTN vs WCH. Various patient and parent-reported psychosocial screening surveys were self-administered. Results of kidney function, lipid panel, and echocardiogram were collected (if available). Descriptive analyses were used to assess psychological and metabolic factors across patients, with specific focus on assessing the differences between patients with HTN versus WCH. The study enrolled 552 patients (56.3% had HTN; 43.7% had WCH), and of the included patients: 472 completed the screening surveys (54.2% with HTN; 43.8% with WCH). There were no significant differences between groups across metabolic risk factors of primary HTN. Furthermore, there were no significant differences in prevalence of psychological markers between the groups; however, the general prevalence across all patients with screening positive for at least one mental health concern was high at 50.1%. Metabolic and mental health concerns, including inattention, anxiety, and depression are common in patients with WCH at a similar rate to HTN. This highlights the importance of considering psychosocial functioning testing when treating pediatric patients with hypertension disorders.
While dance is linked to enhanced psychological wellbeing (PWB), the specific longitudinal mechanisms underlying this relationship remain inadequately understood. Grounded in Self-Determination Theory and Embodied Cognition, this study tested a dual-pathway model proposing that dance experience is prospectively associated with PWB by concurrently improving emotion regulation and body appreciation. A three-wave longitudinal panel design was employed with 401 adults. Dance Experience (DEQ) at Time 1 (T1) was hypothesized to predict Emotion Regulation (ERQ) and Body Appreciation (BAS) at Time 2 (T2), which in turn were hypothesized to predict PWB at Time 3 (T3). A parallel mediation model was tested using structural equation modeling, controlling for autoregressive effects and covariates (age, gender, BMI). Bias-corrected bootstrapping (10,000 resamples) was used to test indirect effects. The model demonstrated excellent fit. As hypothesized, T1 DEQ positively predicted both T2 ERQ (β = 0.176, p < 0.001) and T2 BAS (β = 0.235, p < 0.001). Both T2 ERQ and T2 BAS subsequently predicted T3 PWB (β = 0.192 and β = 0.254, respectively, both p < 0.001). The specific indirect effects via ERQ and BAS were both significant, confirming parallel mediation. The direct effect from DEQ to PWB remained significant. Dance experience contributes to psychological wellbeing over time through two distinct yet complementary pathways: by enhancing cognitive emotion regulation capacity and by fostering a more appreciative relationship with one's body. These findings elucidate the psychological mechanisms of dance and provide a theoretical foundation for designing mechanism-targeted dance interventions to promote mental health.
The COVID-19 pandemic has had a profound impact on the daily lives of people worldwide, with social distancing measures influencing both physical activity and psychological health. In the Arab region, few data exist on the changes in lifestyle and psychological health status during COVID-19. The aim of this study was to assess physical daily life activities and psychological health impacts among the general public in Arab countries during the COVID-19 pandemic. A cross-sectional comparative correlational design was used. A convenience sample with online data collection was used to collect data from adults from seven countries. Adults completed a demographic questionnaire, Perceived Stress Scale and Hamilton Anxiety Rating Scale. The study included 1396 participants. A total of 28.7% of them reported decreased physical activity, 17.2% started exercising at home and 40% reported weight gain. Participants showed moderate stress (mean 19.42 [standard deviation 5.94]) and mild anxiety (mean 14.01 [standard deviation 13.05]), with significant differences between countries (p<0.01). There was a positive correlation between stress and anxiety (r=0.590, p<0.01), while age showed a negative correlation with both stress (r=-0.300, p<0.01) and anxiety (r=-0.229, p<0.01). Anxiety was differentiated with eating behaviour, but neither stress nor anxiety were significantly different with changes in exercise activity. Regression analyses indicated that anxiety and age strongly predicted stress, while stress and age predicted anxiety. The changes in lifestyle and the factors associated with increased stress and anxiety during the COVID-19 pandemic must be considered in future pandemics to develop appropriate care plans for the general public.
Since 2011, the Syrian conflict has generated one of the largest displacement crises globally, with most Syrian refugees hosted in neighboring Middle Eastern countries. These host settings differ substantially in legal, social, settlement, and service conditions, which shapes both refugee experiences and the interpretation of mental health evidence. Protracted displacement, cumulative trauma, and post- migration adversity have contributed to a substantial burden of psychological distress, yet distress may be expressed not only through post-traumatic stress, depression, and anxiety symptoms, but also through culturally embedded experiences such as somatic complaints, grief, family disruption, role loss, stigma, uncertainty, and reduced dignity. This scoping review mapped prevalence patterns of psychological distress and associated risk and protective factors among Syrian refugees residing in Middle Eastern host countries, including Jordan, Lebanon, Turkey, Iraq, and Egypt. Following the Arksey and O'Malley framework and reported in accordance with PRISMA ScR, we searched PubMed, Web of Science Core Collection, and Scopus for peer-reviewed English language studies published between 2011 and 2025, with searches last updated in December 2025. Records were screened at title and abstract and full text stages using predefined criteria. Screening and data extraction were conducted by a single reviewer using standardized forms, with decisions and extracted data reviewed and discussed with a second author to enhance consistency. Eighteen studies met inclusion criteria, most conducted in Jordan, Lebanon, and Turkey, with fewer in Iraq and Egypt. Psychological distress was consistently substantial, most commonly reflected in elevated post-traumatic stress, depressive, and anxiety symptoms, while reported prevalence patterns varied widely by host country context, living setting, subgroup, sampling frame, and instruments or cut offs. Distress was repeatedly associated with trauma exposure and post-migration living difficulties, including economic hardship, legal insecurity, and daily stressors, whereas social connectedness and perceived support emerged as protective correlates. Findings highlight the need for scalable, culturally responsive psychosocial interventions and service models that reduce structural barriers to access, address stigma, and account for culturally embedded expressions of distress in protracted displacement settings. https://osf.io/vmju8/overview.
BackgroundDespite approximately half of the global population experiencing this life transition, little research has considered the psychological impacts of perimenopause and menopause. Even less consideration has been given to the experiences of neurodivergent women and the complexities that may accompany hormonal transition periods for this cohort. Given the neurological and psychological complexities of perimenopause, menopause, and neurodivergence alike, research is needed to understand the perspectives and experiences of neurodivergent and neurotypical women, individually and in context to one another.ObjectivesThe aim of the study was to explore how neurodivergent and neurotypical women navigate the psychological and cognitive changes associated with perimenopause and menopause, with attention to how experiences of hormonal change are constructed and understood.DesignThis research adopted a qualitative social constructionist methodology that prioritised understanding how women construct their experiences of perimenopause and menopause, alongside constructions of neurodivergence.MethodsIndividual semi-structured interviews were conducted with twelve female-identifying participants. Data was analysed using reflexive thematic analysis.ResultsSix themes were constructed including: (i) intersecting contexts and dual marginalities; (ii) evolving expressions of neurodivergence; (iii) unmasking and self-reclamation; (iv) physiological experiences of menopausal transition and positions on treatment; (v) positive experiences with healthcare professionals, and (vi) frustration over medical ambiguity.ConclusionFindings indicate that more education, greater emphasis on spousal support, earlier interventions, and a biopsychosocial approach to treatment and management is needed to encompass the complex needs of neurodivergent and neurotypical women alike during menopausal transitions. Further exploration is needed to understand the intersections between menopause and neurodivergence, as well as the process of identity disruption and reconstruction for women in menopausal transition.
This study aimed to investigate the relationship between hearing impairment and the longitudinal changes in behavioral and psychological symptoms of dementia (BPSD) in patients with Alzheimer's disease (AD). This case-control study enrolled 387 participants newly diagnosed with AD. Participants' hearing status was initially assessed based on their need for hearing assistance during neuropsychological tests. BPSD was evaluated using the Neuropsychiatric Inventory (NPI) at baseline and a 1-year follow-up visit. Multivariable logistic regression models were used to examine the association between hearing status and the presence of BPSD. A higher percentage of participants in the hearing-impaired group exhibited moderate to severe apathy (26% vs. 14%, p=0.01) and sleep disturbance (24% vs. 14%, p=0.042) after 1 year. Hearing impairment was found to be an associated factor for the presence of sleep disturbance (odds ratio [OR] = 1.88; 95% confidence interval [CI] = 1.09-3.21) and moderate-to-severe apathy (OR=1.97; 95% CI=1.03-3.72) after 1 year. After adjusting for age, sex, education, baseline Clinical Dementia Rating (CDR) and baseline Neuropsychiatric Inventory (NPI) scores, hearing impairment remained an independent associated factor for the risk of worsening symptoms in apathy and sleep disturbance symptoms, with ORs of 2.06 (95% CI=1.13-3.70, p=0.016) and 2.13 (95% CI=1.18-3.80, p=0.012), respectively. This study demonstrated that hearing impairment is associated with the longitudinal worsening of sleep and apathy symptoms in patients with AD over a 1-year follow-up period. Dementia care teams should place greater emphasis on these non-cognitive symptoms and provide appropriate management strategies.
Economic downturns before and during the coronavirus disease 2019 (COVID-19) pandemic have been accompanied by adverse psychosocial outcomes. In Thailand, evidence on how individual-level socioeconomic position (SEP) relates to key psychosocial issues remains limited, and a standardized, simple SEP index is unavailable. We examined the associations between an individual SEP index and adverse psychosocial outcomes among working-aged adults. We recruited working-age adults aged 18-60 years using an online public mental health survey conducted in Thailand. The individual SEP index is based on a composite of educational level, personal income, occupational position, and housing overcrowding. The SEP index was classified as very low, low, moderate, and high. Psychosocial issues, including perceived stress, psychological resilience, and wellbeing, were measured using validated instruments. Associations between the SEP index and psychosocial outcomes were analyzed using weighted multivariable Tobit and ordinal logistic hierarchical regression models to account for potential confounders and the ordinal nature of the outcome variables. Based on 1,992 participants, the sex- and age-adjusted prevalence estimates were 9.8% for the very low, 31.6% for the low, 48.0% for the moderate, and 10.6% for the high SEP index groups, weighted by the national population and Internet use rate. We found a significant association between the SEP index category, particularly among those in the very low group, and the degrees of higher perceived stress (β coefficients ranged from 1.96 to 2.94), lower resilience coping (β coefficients ranged from -0.74 to -1.64), and wellbeing scores (β coefficients ranged from -5.40 to -11.52). Individuals with a lower SEP index category revealed a significantly higher risk of moderate/high perceived stress [common odds ratio (OR), 3.02; 95% confidence interval (CI), 1.45-6.33; p = 0.003], low resilient copers (common OR, 0.44; 95% CI, 0.23-0.86; p = 0.016), and very poor wellbeing (common OR, 0.30; 95% CI, 0.16-0.58; p < 0.001) compared with the high SEP index group. A simple individual-level SEP index was associated with perceived stress, psychological resilience, and wellbeing among working-age adults in Thailand during the early COVID-19 period. This index may help identify socioeconomically vulnerable groups for targeted mental health interventions; however, external validation is required before routine use in surveillance.
[This corrects the article DOI: 10.7759/cureus.109964.].
Examine how perceived school climate influences adolescent aggressive behavior, focusing on the mediating role of friendship quality and the moderating role of psychological resilience using a moderated mediation model grounded in ecological systems theory, interpersonal perspectives, and resilience frameworks. A cross-sectional survey was conducted among 4991 students (aged 8-20 years) from 36 primary (Grades 4 and 5), middle school (Grades 1 and 2), and high schools (Grades 10 and 11) in the Inner Mongolia Autonomous Region, China. Schools were selected using purposive sampling, and classes within schools were randomly sampled. Data were collected via self-report questionnaires, including the Perceived School Climate Scale, Aggressive Behavior Scale, Friendship Quality Scale, and Psychological Resilience Scale. Perceived school climate, friendship quality, and psychological resilience were all significantly and positively correlated. Aggressive behavior was significantly negatively correlated with perceived school climate, friendship quality, and psychological resilience. Friendship quality significantly mediated the relationship between perceived school climate and aggressive behavior. Additionally, psychological resilience significantly moderated the effects of both perceived school climate and friendship quality on aggressive behavior. Perceived school climate is associated with adolescent aggressive behavior both directly and indirectly through friendship quality, although the mediating effect is modest. This study contributes to the literature by integrating environmental, interpersonal, and individual factors within a single framework and by providing empirical evidence from an understudied regional context in China. Additionally, psychological resilience emerges as a protective factor that mitigates the negative associations between school climate, friendship quality, and aggressive behavior.
Mental health conditions are a major public health challenge for young people globally. Although adverse childhood experiences (ACEs) are established risk factors for poor mental health, population burden of ACEs and their association with modifiable psychosocial factors and mental health outcomes among young people remain limited in South Asian countries, including Nepal, thereby constraining the development of evidence-informed prevention strategies. To address this gap, this study examines the associations of ACEs and protective psychosocial factors with mental health outcomes, including depression, anxiety, psychological distress, and suicide attempts among young people in Nepal. A cross-sectional survey of Nepali residents aged 16-29 years was conducted using a multi-stage cluster sampling design across three randomly selected provinces, with survey estimates applied to generate population-level estimates. An interviewer administered questionnaire was used to collect data on socio-demographic factors, ACEs, psychosocial characteristics, health behaviours, and mental health outcomes. ACEs were examined as a cumulatively and by domain, along with resilience and perceived social support assessed as potential protective factors. Weighted multilevel logistic regression models were used to estimate the odds ratios (ORs) for associations with mental health outcomes. The study included a weighted sample of 6055 individuals, with mean age of 21.1 (±4.1) years and 54.3% were female. A total of 62.4% reported exposure to at least one ACE, with 10.4% experiencing four or more. The overall prevalence of anxiety was 24.3% (95% CI: 23.2-25.4), depression was 6.0% (95% CI: 5.4-6.6), psychological distress was 9.8% (95% CI: 9.0-10.6) and suicide attempt was 1.9% (95% CI: 1.6-2.3), with the rates higher among female participants. Those with four or more ACEs had significantly higher prevalence of anxiety (44.9%), depression (15.4%), psychological distress (26.4%), and suicide attempts (9.48%). Individuals with four or more ACEs were associated with increased odds of anxiety (OR = 2.72; 95% CI: 2.05-3.62), depression (OR = 2.61; 95% CI: 1.74-3.91), psychological distress (OR = 4.67; 95% CI: 3.22-6.77), and suicide attempts (OR = 9.60; 95% CI: 4.44-20.75). Those with lower household wealth, current smokers and belonging to the female sex were associated with higher odds of anxiety, depression, and psychological distress. Perceived social support accounted for 14.2%, 26.1%, 13.8%, and 21.6% of the associations between ACEs and anxiety, depression, psychological distress, and suicide attempts. The findings suggest that addressing childhood adversity is important and may contribute to reduction of the burden of mental health conditions among young people in Nepal. ACEs screening and prevention, alongside interventions that strengthen resilience and promote social support, are urgently needed, particularly for young women and economically disadvantaged young populations. This work was funded by a grant from the Charles Sturt University, Australia.
This qualitative study aimed to explore experiences related to learned helplessness and support needs among patients with recurrent implantation failure undergoing in vitro fertilization and embryo transfer, and to provide evidence for targeted psychological support and nursing interventions in clinical practice. A descriptive phenomenological study was conducted. Using purposive sampling, 17 patients with recurrent implantation failure undergoing in vitro fertilization and embryo transfer were recruited from the Reproductive Medicine Center of a tertiary Grade A hospital in Guangzhou between December 2025 and March 2026. Data were collected through semi-structured interviews and analyzed using Colaizzi's seven-step phenomenological method, supported by NVivo 15.0 software. The analysis identified four themes and 13 subthemes, covering perceived sources of learned helplessness, manifestations in daily life and psychological well-being, participants' coping responses, and external support needs. These themes reflected how repeated treatment failure, invasive procedures, uncertainty about pregnancy outcomes, and medical and family-related pressures shaped participants' helplessness experiences, influenced daily life and psychological well-being, and generated needs for information, emotional support, continuity of care, and supportive family and peer communication. Patients with recurrent implantation failure undergoing in vitro fertilization and embryo transfer described learned helplessness as a multifaceted experience related to repeated treatment failure, invasive procedures, uncertainty about pregnancy outcomes, and medical and family-related pressures. This experience was closely associated with disruptions in daily life, persistent psychological distress, differentiated coping patterns, and multidimensional support needs. Healthcare professionals are encouraged to identify feelings of helplessness early and provide continuous, individualized nursing support based on patients' coping patterns and support needs.
This study examined how configurations of family, school, and peer risks were associated with problematic Internet use among Chinese boarding high school students. A total of 736 students (54.21% male; M age = 16.78, SD = 0.99) from two public boarding high schools in Yingkou, Liaoning Province, China, were recruited through cluster convenience sampling during the spring semester of 2025. Latent profile analysis was used to identify patterns of family-school-peer risks, and subsequent analyses examined differences in problematic Internet use across profiles, the mediating role of maladaptive cognition, and the moderating role of psychological resilience. Four profiles were identified: the Low Combined Risk Group (43.89%), the Balanced Risk Group (20.11%), the High School-Peer Risk Group (17.93%), and the High Combined Risk Group (18.07%). Problematic Internet use differed significantly across these profiles, with the High Combined Risk Group reporting the highest level. Maladaptive cognition partially mediated the association between high-risk profiles and problematic Internet use, and psychological resilience attenuated the direct association between risk profiles and problematic Internet use. These findings provide a person-centered perspective on family-school-peer risk configurations among boarding high school students and highlight the psychological processes associated with problematic Internet use.
Promoting post-traumatic growth in patients with liver cancer is of great significance for improving their quality of life and psychosocial adaptation. Previous studies have demonstrated that fear of cancer recurrence (FCR) is a risk factor that hinders post-traumatic growth (PTG). However, existing research often overlooks the heterogeneity of fear of cancer recurrence, and the pathway differences between distinct latent classes and post-traumatic growth remain unclear. Therefore, this study aims to identify the latent classes of fear of cancer recurrence in patients with primary liver cancer and to examine the mediating roles of perceived social support and self-efficacy between different classes and post-traumatic growth. The cross-sectional survey was organized between February and December 2025. Patients with primary liver cancer from a tertiary hospital in Guangzhou city were recruited through convenience sampling method. The levels of FCR, perceived social support, self-efficacy, and PTG were measured using paper-based questionnaires, and the relationships among variables were analyzed using Pearson correlation analysis, latent profile analysis, and multicategorical independent variable mediation analysis. Three latent profiles of FCR were identified: low fear-psychologically well-adapted group (29.32%), high fear-social functioning concerns group (35.50%), and moderate-to-high fear-treatment concerns group (35.18%). Analysis of influencing factors showed that type of medical insurance, presence of comorbidities, and occupational status were predictors of different latent classes of fear of cancer recurrence in patients with primary liver cancer (P < 0.05). The differences were found in the total scores and subscales of perceived social support, self-efficacy, and PTG among patients with different latent FCR profiles. Mediation analysis showed that, with the low fear-psychologically well-adapted group as the reference, the relative mediation effects were significant for both the high fear-social functioning concerns group and the moderate-to-high fear-treatment concerns group. Fear of cancer recurrence demonstrates marked heterogeneity across individuals diagnosed with primary liver cancer. Clinicians should implement targeted interventions for patients with different FCR profiles to mitigate its negative impact and promote psychological growth by activating their social support systems and enhancing self-efficacy.
Older migrants from Sub-Saharan Africa (SSA) living in high-income countries often face cumulative life-course disadvantages that increase their risk of frailty and related adverse health outcomes. Despite this elevated risk, little is known about the specific health deficits contributing to frailty in this population or how these deficits interact to shape frailty severity. This study aimed to validate the factor structure of the Frailty Instrument for Sub-Saharan Africa (FiSSA) among older SSA migrants in Australia and assess the relative contribution of key health domains to frailty severity. We conducted a cross-sectional survey among 205 SSA migrants aged ≥ 50 years living in Australia. Frailty was assessed using 15 deficits grouped into four domains: Physical, Psychological, Vision, and Socio-emotional. We used confirmatory factor analysis (CFA) to evaluate the latent structure of FiSSA, item response analysis to examine deficit performance across the frailty continuum, and relative weight analysis (RWA) with 10 000 bootstrap replications to estimate domain contributions to frailty severity. The CFA supported the four-factor model with acceptable fit (CFI = 0.94, TLI = 0.92, CMIN/DF = 2.91) and significant item loadings. Expected item scores demonstrated monotonic performance across the frailty continuum, with physical items showing the highest sensitivity. RWA indicated that the Physical domain contributed most to frailty variance (32.7%), followed by Socio-emotional (25.5%), Psychological (21.8%), and Vision (20.1%). FiSSA demonstrated strong construct validity among older SSA migrants in Australia, supporting its use as a culturally grounded multidimensional screening tool for early detection and targeted interventions in primary care and community screening contexts.
Emerging literature links life dissatisfaction with maladaptive coping mechanisms, including compulsive eating, particularly in environments with limited health-promoting resources. This study explores how life satisfaction interacts with psychological and sociostructural factors to influence obesity risk, with a focus on the role of weight perception across the lifespan. A thorough search was conducted, and data were uploaded in Covidence, a validated website-based screening and data extraction tool. After an extensive review process, 83 studies remained for extraction. A qualitative approach was then used to synthesize the articles, primarily effects of age. Our analysis also considered effects of gender, geographical/racio-ethnic, and cultural differences. Across the lifespan, life satisfaction was more strongly predicted by weight perception rather than BMI or objective weight status. This effect was particularly pronounced in females, who showed greater vulnerability to negative weight perception compared to their male counterparts. The findings emphasize the psychological burden of perceived body image and its role in driving dissatisfaction, irrespective of clinical weight categories. The findings highlight the influence of gender, geography, and cultural factors in the interplay between life satisfaction and obesity. This research supports a biopsychosocial framework of obesity, highlighting effects of weight perception on life satisfaction and health behaviors. Interventions aimed at psychosocial well-being and reframing weight perception, especially among young females, may serve as protective factors against maladaptive eating behaviors and long-term obesity. Future obesity interventions should consider life meaning, personality traits, and perceived body image to better target at-risk populations.
Social phobia is a mental health condition often misunderstood as shyness and mostly undiagnosed. This condition significantly affects the academic performance, practical skills, and psychological well-being of individuals, resulting in reduced contribution to society and the nation's economy. The aim of this lived experience narrative is to present the experience of social phobia within nursing education and emphasize the implications for mental health nursing practice. This is a first-person narrative to describe the personal experience with social phobia and its impact on personal, professional, and social life. This reflects the presentation of signs and symptoms, delayed diagnosis, therapeutic experience, pharmacological management, and adaptation related to the nursing education context. Social phobia is not a barrier to achievements, but it increases the psychological cost of performance. Early recognition and treatment can significantly improve the lives of individuals. Mental health nurses have an important role in providing compassionate care and support to individuals with social phobia to help them recover.
Farmers decision-making processes are critical to the implementation of technologies and climate-resilient sustainable practices. These decisions are subject to complex thinking processes, which include risk perception and belief systems. This systematic review explains the decision-making process of farmers, through cognitive mapping. Moreover, it examines mental models, perception, belief system and cause-effect relationship of farmers with particular attention given to their behavior and practices. The research adopted the Preferred Reporting Items for Systematic Reviews and Meta-Analysis (PRISMA) framework. It utilized Scopus and Web of Science databases to retrieve 80 articles. The main aim was to identify research trends and gaps through bibliometric analysis and the TCCM framework by focusing on major theories, contexts, characteristics, and methodologies of agricultural cognitive-mapping research. The major trends identified in this study are risk perception in agricultural economics, climatic change, technology adoption, conservative agricultural and sustainability. The major stakeholders considered included farmers (cattle, pig, rice, and date farmers), extension agents, policymakers, NGOs, rural households, agro-industries, technology providers, and the holders of indigenous knowledge. There are still major gaps in understanding the psychological and cognitive processes underlying the decisions of farmers: longitudinal studies are limited, the role of gender is not studied thoroughly, particularly in the conditions of climate-change effects and policy shifts. Though, the mental model, perceptions, and belief systems have a significant impact on agricultural decision-making, there are still gaps in the comprehension of psychological and cognitive mechanisms involved since it is a persistent problem in the agricultural decision-making process. Future studies must incorporate the behavioral psychology, mixed-methods and cross-cultural research designs to develop integrated models that support agricultural sustainability and resilience.