Previous research has demonstrated changes in neural oscillations associated with varying levels of roughness during active-touch exploration of surfaces. In the present study, we aimed to investigate changes in neural oscillatory activity and softness perception during touch exploration of skin. Two experiments were conducted. Study 1 evaluated active touch of artificial skin samples mounted to a purpose-built touch sensor, whereas Study 2 investigated active stroking of one's own forearm. In both experiments, the substrates were treated with commercially available bar soaps to deliver either a soft or draggy skin feel. Oscillatory brain activity was measured using a 129-channel electroencephalography system. In 31 participants, changes in oscillatory band power were evaluated in relevant frequency bands during touch exploration periods. For the artificial skin study, the soft condition led to lower alpha-band power over bilateral somatosensory cortices, which has previously been proposed as a marker of reduced roughness, compared to the draggy condition. Similar results were obtained during the self-touch paradigm, which additionally led to reduced theta-band changes over the frontal and central-parietal electrodes indicating modulation of activity involved in affective (pleasant) touch. Using a novel and highly controlled experimental approach using a novel artificial skin paradigm and active exploration during self-touch of participants own skin, we were able to demonstrate for the first time the neural correlates associated with softness perception of skin and their impact on brain activity associated with affective touch, thereby advancing our understanding of brain oscillatory activity during active-touch exploration of skin. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Emotional deception - the intentional misrepresentation of emotions - is pervasive in negotiations and everyday interactions. In this article, we review and extend theory and research on emotional deception in negotiations. We argue that emotional deception is a distinct form of deception with important economic, relational, and psychological consequences for both deceivers and their targets. Specifically, we define emotional deception, examine how it is perceived , and review its antecedents and consequences. We conclude by identifying promising directions for future research on emotional deception.
Newly graduated doctors provide after-hours care early in clinical practice. Although on-call work is widely acknowledged as formative, its educational potential-and the ways organisational and supervisory conditions shape learning-remain underexplored. This study examined how new graduates experience learning during on-call work, how supervisors contribute and how its organisation relates to learning in early practice. We conducted a constructivist qualitative study in a large Dutch teaching hospital. Using purposive sampling, we recruited eight new graduates and eight supervisors from medical and surgical specialties. Semi-structured interviews explored learning during on-call work and the role of supervision and organisational context. Data were analysed iteratively, using Biesta's domains of educational purpose as a conceptual lens. Participants described on-call work as a context in which learning extends beyond clinical competence to include participation in professional practice and the development of independent judgement. These were closely tied to the assumption of responsibility under conditions of uncertainty. New graduates described learning to articulate plans, negotiate decisions and position themselves more actively within clinical interactions. Supervisors supported this development by calibrating autonomy, providing accessible guidance and offering feedback that helped them assess their functioning. Organisational conditions, such as team configuration and timing, influenced how responsibility was experienced and what learning opportunities became available. This study shows how early on-call work functions as a learning context in which qualification, socialisation and subjectification develop simultaneously and in interaction. Under conditions of responsibility, uncertainty and indirect supervision, new graduates are required not only to act but also to position themselves and exercise judgement in practice. By shaping supervisory and relational conditions-such as the calibration of autonomy, availability of support and the presence of trust-the organisation of on-call work acts as a pedagogical condition that influences how learning unfolds.
Prior research shows that narcissists respond to failure by aggressing outward and defensively blaming others, but less is known about their responses to success. In four studies with American adults and Canadian undergraduates (total N = 3,463), participants recalled a real-life success or failure and reported their feelings of pride in response (Studies 1, 2, and 4) or experienced success in a controlled, laboratory experiment and reported pride in the success after receiving either positive or negative social feedback (Study 3). Across studies, two key findings emerged. First, narcissists reported greater pride following failure than those low in narcissism, and this difference was stronger than in a neutral control condition, consistent with prior research on narcissistic defensiveness. Second, in response to success, narcissists' feelings of pride were contingent on their peers' respect and admiration, such that they felt less pride than nonnarcissistic individuals following successes that did not make them feel prestigious in the eyes of their peers. This pattern of emotional responding was unique to narcissism and did not emerge for self-esteem. Results from this multimethod investigation suggest that narcissists show a distinctive pattern of pride in response to success and failure. They respond defensively to failure, reporting greater pride than nonnarcissists, and this pattern cannot be attributed to baseline, trait-level differences. In contrast, following success, narcissists' emotions are contingent upon perceiving respect and admiration from their peers, consistent with recent theoretical perspectives on narcissism that position status striving as narcissists' fundamental motive. (PsycInfo Database Record (c) 2026 APA, all rights reserved).
Musculoskeletal (MSK) pain is common during pregnancy but referral rates to physical therapy and the influence of MSK pain management on satisfaction with prenatal care are unknown. The objective was to obtain patient reports of pain during pregnancy, its impact on biopsychosocial wellbeing, health care management of pain (including referral to physical therapy), and the influence of pain management on satisfaction with prenatal care. The study design was an internet survey. An e-survey was distributed internationally via social media, word-of-mouth, and flyers. Six hundred seventy-one female respondents from 6 continents who had given birth <25 months before survey completion participated in the study. No interventions or exposures were included in this study. Presence and description of pain, influence of pain on daily life, pain management, birth experiences, and patient satisfaction were reported. Descriptive statistics were used to report frequencies. Comparisons between care provider types were made using non-parametric statistics (Fisher Exact Test, 2-tailed; or Fisher-Freedman-Halton Exact Test, 2-tailed). MSK pain was reported by 90% of participants, with more than 50% reporting pain in multiple body regions. Those who saw an Obstetrician-gynecologist were more likely to report pain, though both provider groups had high pain rates (92.7% vs 85%). Thermal therapy was the most common pain management recommendation (33.7%); physical therapy was recommended to only 29.4% of individuals with pregnancy-related musculoskeletal pain. Pain caused negative feelings/emotions in 77.2% of respondents and difficulty with performance of physical activity, household, and childcare tasks in approximately 50% of respondents. Care providers' response to pain influenced patient satisfaction in 49% of respondents. Pregnancy MSK pain influences physical functioning, psychosocial wellbeing, and satisfaction with prenatal care. Patients report poor pain management by perinatal care providers, highlighting needs for better education, more pain management options, and multidisciplinary care. Physical therapists need to develop working relationships with prenatal care providers to improve care during pregnancy.
Age-verification policies for online pornography aim to protect minors, yet their implications for legal-age young adults remain underexamined. This mixed-methods study examined UK young adults aged 18-25 who reported pornography use in the past year (N = 623, Mage = 21.40, SD = 2.31; 67.3% female). Participants completed measures of pornography use contexts, content preferences, and sexual shame, and answered open-ended questions about the UK age-verification requirements. Descriptive quantitative findings characterized participants' use contexts, preferences, and sexual shame. Qualitative accounts described varied psychological experiences, including shame, anxiety, confidence, calm, and minimal emotional impact. Participants often interpreted age verification as making pornography access feel less anonymous and more identity-linked, raising concerns about surveillance, moral stigma, and data vulnerability. Reported access practices included platform avoidance, alternative online spaces, reduced use, and VPN-based circumvention. The findings highlight the need to consider privacy, stigma, trust, accountability, and access displacement when evaluating age-verification requirements for legal-age users.
This article presents the results of a study conducted in Quebec (Canada), in the Montreal and Abitibi-Temiscamingue regions, with forty pregnant women interviewed between 2020 and 2021 during the COVID-19 pandemic. Based on interpretive phenomenological analysis, the study highlights pregnancy-related anxiety exacerbated by reduced medical care, the exclusion of partners, social isolation, and the disruption of pregnancy-related rituals. While pregnancy is generally a significant transition in terms of identity and social life, women experienced this period in a context marked by loneliness, uncertainty, and increased mental strain. Public health measures focused on managing biological risks have paid little attention to their psychosocial and emotional needs. The exclusion of partners from medical appointments also revealed the limited institutional recognition of their role in the perinatal journey. The article contributes to the sociological understanding of pregnancy anxiety by framing it as a socially constructed phenomenon. It emphasizes the need for interdisciplinary approaches and calls for a revision of public health policies to better support pregnant women and fully recognize what giving birth means-for them and for society. Cet article présente les résultats d'une étude menée au Québec (Canada), dans les régions de Montréal et de l'Abitibi‐Témiscamingue, auprès de quarante femmes enceintes rencontrées entre 2020 et 2021 durant la pandémie de COVID‐19. S'appuyant sur une analyse phénoménologique interprétative, cette étude met en évidence une anxiété liée à la grossesse, exacerbée par la réduction des suivis médicaux, l'exclusion des partenaires, l'isolement social et la perturbation des rituelsentourant la grossesse. Alors que la grossesse constitue généralement une transition identitaire et sociale importante, les femmes ont vécu cette période dans un contexte marqué par la solitude, l'incertitude et une tension psychologique accrue. Les mesures de santé publique centrées sur la gestion des risques biologiques ont peu pris en compte leurs besoins psychosociaux et émotionnels. L'exclusion des partenaires des suivis médicaux a également révélé la faible reconnaissance institutionnelle de leur rôle dans le parcours périnatal. Cet article contribue à la compréhension sociologique de l'anxiété liée à la grossesse en la situant comme un phénomène socialement produit. Il souligne la nécessité d'adopter des approches interdisciplinaires et appelle à une révision des politiques de santé publique afin de mieux soutenir les femmes enceintes et de reconnaître pleinement ce que représente, pour elles comme pour la société, le fait de donner naissance.
Sensory difficulties in attention deficit hyperactivity disorder (ADHD) exacerbate behavioural and emotional challenges. Despite their clinical prevalence, objective psychophysical assessments of sensory performance in ADHD patients remain scarce, leaving a critical gap in our neurobiological understanding. This study multimodally investigated sensory processing via the Adult/Adolescent Sensory Profile (AASP), Somatosensory Detection (SDT) and Temporal Discrimination Thresholds (STDT) in 26 adolescents with ADHD and 29 comparison adolescents. The link between sensory processing and ADHD-related behavioural and emotional symptoms was assessed via the Strengths and Difficulties Questionnaire (SDQ). Significant differences emerged in AASP tactile sensitivity (p = 0.016) and avoidance (p = 0.008), although objective thresholds (SDT/STDT) did not reach statistical significance between the groups. Tactile sensory seeking was correlated with externalizing symptoms (r = 0.444). Tactile low registration was correlated with externalizing (r = 0.443) and hyperactivity symptoms (r = 0.517). While subjective sensory processing behaviours differ significantly in ADHD, the accompanying statistical trends in objective detection thresholds warrant caution, as they may point to subtle psychophysical variations that require larger cohorts to evaluate conclusively.
Lung transplantation (LT) is the only definitive treatment for end-stage lung diseases; however, patients often experience psychiatric problems that can affect post-transplant recovery. Although postoperative delirium frequently occurs, its risk factors and influence on mortality are not well established. This study aimed to evaluate the incidence of LT-associated psychiatric issues and analyse the association of delirium with mortality. Retrospective cohort study. Patients who underwent LT between January 2013 and March 2023. We reviewed the incidence of psychiatric conditions before and after LT. Logistic regression analysis identified risk factors for postoperative delirium, and survival analysis was conducted. Pre-transplant psychiatric assessments revealed mild anxiety and depression among 398 patients. Notably, 45% of patients experienced delirium after LT. Patients with a higher body mass index (BMI), longer operation duration and high Beck Anxiety Inventory scores exhibited an increased risk of postoperative delirium. Furthermore, patients who developed postoperative delirium had a higher 2- and 5-year mortality rate. The findings revealed that pre-transplant anxiety, high BMI and prolonged operative duration increase the risk of postoperative delirium risk, which in turn affects long-term mortality. Comprehensive psychiatric evaluation and targeted management are essential for improving post-transplant outcomes.
This study aimed to investigate whether women with unilateral and bilateral OMA differ in anxiety symptoms, and secondarily in depressive symptoms and sexual dysfunction symptoms, and to evaluate the independent contribution of chronic pelvic pain to psychological outcomes. This study, a prospective, cross-sectional study, included 149 women aged 20-35 who had OMA but were not pregnant and had a desire to become pregnant. There were 79 women with unilateral OMA and 70 women with bilateral. The Zung Self-Rating Anxiety Scale, Self-Rating Depression Scale, and Female Sexual Function Index were administered at enrolment. Multivariable linear regression models were adjusted for age, BMI, chronic pelvic pain, dysmenorrhoea, primary infertility, and medication use. Post-hoc power analysis was performed. The average age of the patients was 27.45 ± 3.44, with an average BMI of 19.46 ± 2.28. 29.53%(44/149) of the patients had mild or moderate anxiety, while 38.92%(57/149) had mild or moderate depression. Among the 103 patients with a history of sexual activity, 67.96%(70/103) had sexual dysfunction. In multivariable analyses, cyst laterality was not significantly associated with anxiety symptoms (adjusted B = -2.58[-5.19, 0.03], p = 0.052), depressive symptoms (adjusted B = -1.86[-5.25, 1.53], p = 0.279), or sexual dysfunction symptoms (adjusted B = -0.91[-2.01, 0.19], p = 0.072). Chronic pelvic pain independently predicted anxiety symptoms (p = 0.01) and depressive symptoms (p = 0.025). Post-hoc power analysis indicated an achieved power of 50% for the primary SAS comparison. In this study, the prevalence of anxiety, depression and sexual dysfunction was high in OMA, but there was no significant difference between unilateral and bilateral OMA. Chronic pelvic pain, rather than cyst laterality, independently predicted psychological distress. These findings underscore the importance of comprehensive pain assessment and routine psychological screening for all women with OMA.
Hospitalized patients and their families often engage in difficult and emotionally charged conversations with clinicians about their values, goals, and care preferences when facing a serious illness. Understanding when these emotions are distressing for patients, families, and clinicians would enable opportunities for supportive care interventions. To identify how, and in what context, clinicians document aspects of emotions in clinical notes of seriously ill patients. Interpretive descriptive qualitative study of a random sample of clinical notes (n = 500) from inpatient adults with serious illness who qualify for palliative care services and were hospitalized at a multi-hospital health system between April 1, 2017 and December 31, 2019. Notes were analyzed with an inductive approach to identify any mention of emotion or emotion-adjacent words or phrases. We identified emotion documented in four categories: (i) explicit and implicit emotions, (ii) social/interpersonal interactions, (iii) existential and spiritual emotions, and (iv) prognostic-related. From the documented implicit and explicit emotions, we developed a novel lexicon of emotion and emotion-adjacent words. Clinicians commonly document emotions that emanated from conversations with patients and families in clinical notes. An emotion lexicon from a clinical context could inform large language models increasingly embedded in electronic health records to facilitate timely identification of emotional distress and appropriate supportive care needs.
Vision plays a pivotal role in development. Congenital and early acquired visual impairment (VI) may adversely impact several domains related to everyday functioning, such as social and academic inclusion, autonomies and quality of life. In recent years, the inclusion of these dimensions as key targets of the assessment and re-habilitation of paediatric VI has received increasing consensus. This cross-sectional study enrolled patients attending 5 centres specialized in paediatric VI care and aimed to draw an integrated profile of functioning, autonomies, quality of life and emotional-behavioural domains in a large cohort of children with VI. 91 caregivers of as many visually impaired children (age range 6-18, mean age 11.05 years, 47 females) - split into two age groups: 6-10 years; 11-18 years - were enrolled in an on-line survey including three validated questionnaires to assess children's: a) autonomies, via a Patient Reported Outcome Measure (PROM) tool; b) socio-emotional and behavioural problems; c) quality of life (QoL). Clinical and socio-demographic information were also collected. Both age groups showed medium-high average level of autonomy in every investigated area as well as appropriate socio-emotional, behavioral, and QoL scores. Interestingly, adolescents showed lower scores in autonomies compared to the younger age group overall. Autonomy score significantly associated with better QoL and less socio-emotional and behavioural problems, both internalizing and externalizing. Our results highlight the importance of assessing autonomy in the context of paediatric VI re-habilitation as they largely associate and potentially impact on young patients' psychological well-being.
The COVID-19 pandemic highlighted a critical need for effective population mental health approaches to target the most prevalent disorders (eg, depression) during periods of elevated community distress. The effectiveness of remotely delivered and web-based interventions should be investigated to identify and innovate high-quality models for population mental health service delivery. The primary objective investigated the effectiveness of adding Mindfulness-Based Cognitive Therapy for Resilience (MBCT-R)-a live, online, synchronous, remotely delivered, group-based intervention-to Cambridge Health Alliance MindWell (CHA-MW), a web-based population health screening and stratified support program, compared with CHA-MW alone, on depression symptom severity. The secondary objective evaluated adding internet Cognitive Behavioral Therapy (iCBT)-an asynchronous, web-based, individual, digital intervention-to CHA-MW, compared with CHA-MW alone. Participants (N=97) were randomized in a 2:2:1 ratio to receive MBCT-R+CHA-MW (n=37), iCBT+CHA-MW (n=41), or CHA-MW alone (n=19) in a 3-arm randomized clinical trial, from May 2021 to September 2022 in an urban public safety net hospital outpatient setting. CHA-MW served as a low-intensity control condition. For the MBCT-R+CHA-MW arm, MBCT-R was an 8-session program mildly adapted from MBCT to address COVID-19-related risks for depression. For the iCBT+CHA-MW arm, iCBT was a 6-session curriculum added to CHA-MW. All study procedures, including regular mental health symptom screenings, were conducted remotely or via a web-based platform. The primary outcome was change in depression symptom severity during the 24-week study period using an intention-to-treat approach that used generalized linear mixed-effects models to evaluate the comparative effectiveness of MBCT-R+CHA-MW vs CHA-MW over time. A secondary analysis compared iCBT+CHA-MW vs CHA-MW on depression severity. Completer analyses were conducted (per-protocol 6+ sessions). The secondary outcome was mental health visit utilization frequency during the study period. Both MBCT-R+CHA-MW (mean difference -14.1, 95% CI -21.0 to -7.2) and CHA-MW (mean difference -15.2, 95% CI -21.8 to -8.6) had significant reductions in depression symptom severity, with no statistically significant between-group differences. iCBT+CHA-MW (mean difference -12.7, 95% CI -17.4 to -8.1) also reduced depression symptoms but without between-group differences when compared with CHA-MW. Intervention completion rates were low (MBCT-R: 30% and iCBT: 24%), and completers demonstrated significantly greater reductions in depression severity than noncompleters (mean difference -8.5, 95% CI -16.2 to -0.8). Overall mental health clinician visits by group had no statistically significant differences. CHA-MW had the largest increase in participants with new psychopharmacology treatment visits during the 24-week study (CHA-MW +21%, MBCT-R +10%, and iCBT -5%). MBCT-R+CHA-MW, iCBT+CHA-MW, and CHA-MW were each effective in treating depression, without any intervention demonstrating superiority in intention-to-treat analyses. CHA-MW was as efficacious during the COVID-19 pandemic as more resource-intensive interventions that demanded greater time and effort from participants. Low completion rates for MBCT-R and iCBT during the COVID-19 pandemic may have contributed to these results.
Return migration, whether voluntary or forced, can disrupt individuals' lives as they navigate life in a country that may feel unfamiliar. This disruption often extends to healthcare, including reproductive care. The migration experience, combined with differences between healthcare systems-in terms of availability, accessibility, and affordability-may create barriers to contraceptive access. This study utilizes data from the 2014, 2018, and 2023 National Survey of Demographic Dynamics (ENADID) surveys to analyze contraceptive use and access among female Mexican returnees. Findings indicate that returnees are more likely to use contraception than nonmigrants, particularly short-acting hormonal methods (SACs), while being less likely to rely on permanent methods. These patterns suggest that both migrant selectivity and adaptation shape contraceptive behavior. However, important differences emerge by time since return. Women who recently returned are less likely to use SACs and long-acting contraceptives and are more likely to obtain contraception from private clinics and pharmacies, compared to those with longer residence in Mexico. At the same time, there is little evidence that these patterns reflect shifts in fertility preferences. Instead, findings point more strongly to disruption and barriers to public healthcare following return. Overall, results highlight the need for reproductive healthcare interventions that better support return migrants during reintegration.
The association between electronic screen use and psychosocial development in children remains unclear. Few studies account for longitudinal associations or fully adjust for key covariates such as family functioning. To evaluate the cross-sectional association between screen use and psychosocial development at 5, 10, and 15 years of age and the longitudinal association between screen use at 5 years of age and psychosocial development at 10 and 15 years of age. This secondary analysis of a cohort study used data from a large Scottish birth cohort, with follow-up at 5, 10, and 15 years of age between January 1, 2010, and December 31, 2020. Data were obtained and analyzed between April 2025 and March 2026. Screen use during nonschool hours was reported by parents or participants for children at 5, 10, and 15 years of age. Psychosocial development was measured using a parent-completed Strengths and Difficulties Questionnaire (SDQ) at each time point. SDQ scores were analyzed continuously and dichotomized at established cutoffs for above-average total difficulties scores (TDSs; score ≥14) and below-average prosocial scores (<8). Multivariable linear and logistic regression models assessed cross-sectional associations at each age and longitudinal associations between screen use at 5 years of age and SDQ scores at 10 and 15 years of age. A total of 3786 children were included at 5 years of age (median [IQR] age, 58 [58-58] months; 1929 [51.0%] male and 1857 [49.0%] female), 3126 at 10 years of age (median [IQR] age, 122 [120-125] months; 1578 [50.5%] male and 1548 [49.5%] female), and 2598 at 15 years of age (median [IQR] age, 175 [172-179] months; 1289 [49.6%] male and 1308 [50.3%] female). Daily screen use increased with age, with patterns varying by screen type. Cross-sectional analyses showed no significant associations between screen use and TDS at 5 or 10 years of age. At 15 years of age, more than 5 h/d of gaming was significantly associated with higher odds of above-average TDS than less than 1 h/d (odds ratio [OR], 2.61; 95% CI, 1.49-4.57). Conversely, more than 1 h/d of social media and messaging was associated with lower odds of above-average TDS than less than 1 h/d (ranging from OR, 0.57 [95% CI, 0.39-0.84] to 0.61 [95% CI, 0.38-1.00] for 1-2 h/d of screen use). Longitudinally, more than 5 h/d of screen use at 5 years of age was associated with increased odds of above-average TDSs at 10 years of age (OR, 2.68, 95% CI, 1.25-5.76), but this association was lost at 15 years of age and in sensitivity analyses. No associations were seen for the prosocial score. In this cohort study, screen use was not consistently associated with poorer outcomes for children. These findings suggest that guidelines focusing solely on screen time may have limited impact on psychosocial outcomes.
Online cancer forums are often assumed to promote misinformation and unsupported treatment claims, including some non-evidence-based complementary and alternative medicine (CAM) approaches. This study examined the relationship between online cancer forum use, attitudes toward complementary and alternative medicine (CAM), and the use of non-evidence-based therapies, with a specific focus on CAM approaches prevalent in German-speaking countries. A cross-sectional anonymous online survey was conducted in June-July 2025 among adult users of the largest German cancer forum, assessing forum use, CAM-related attitudes (defined according to the German S3 guideline checklist, version 1.2), eHealth literacy, psychological distress, and sociodemographic and disease-related variables. Forum use was dichotomized by median split, and data were analyzed using non-parametric tests and multivariable regression models. Among 458 participants, high versus low forum use differed by sociodemographic and disease-related factors but was not associated with eHealth literacy or psychological distress. Among CAM users (44.3%, n = 203), CAM use intensity was moderate (median = 2, IQR 1-3) and showed no association with forum use, eHealth literacy, psychological distress, or sociodemographic variables; no independent predictors were identified. CAM-related forum discussions were rated as significantly less trustworthy than discussions on conventional cancer treatments (t(383) = 16.88, p < 0.001), independent of eHealth literacy, psychological distress, or participant role. The use of CAM approaches, including both evidence-based supportive interventions and non-evidence-based methods, was not associated with forum exposure, eHealth literacy, or psychological distress. Forum users demonstrated differentiated trust patterns, with consistently lower perceived credibility attributed to CAM-related discussions compared with discussions on conventional cancer treatments. For cancer survivors, online cancer forums appear to function primarily as contextual support resources rather than drivers of non-evidence-based treatment decisions. Clinicians should therefore address forum use openly and early, focusing on guidance and shared decision-making instead of discouragement.
This study examines how corporate social responsibility (CSR) promotes employees' energy-related pro-environmental behavior in China's hospitality industry. Drawing on the theory of planned behavior as an organizing framework, the model treats CSR as an organizational cue that shapes perceived behavioral expectations and control-related beliefs while activating cognitive and affective mechanisms. Environmental self-efficacy represents the cognitive pathway through which employees develop confidence in their capacity to conserve energy, whereas admiration represents an affective pathway through which employees respond to the organization's perceived moral and environmental conduct. Environmental concern is modeled as a personal-value boundary condition on these first-stage mechanisms. Data were collected from employees of six upscale hotels in Beijing, Shanghai, and Guangzhou through a three-wave survey with two-week intervals. The final matched sample comprised 347 employees, and the hypothesized relationships were tested using partial least squares structural equation modeling in SmartPLS. CSR positively predicted energy-related pro-environmental behavior, environmental self-efficacy, and admiration. Both environmental self-efficacy and admiration transmitted the effect of CSR to energy-related pro-environmental behavior. Environmental concern strengthened the indirect pathway through environmental self-efficacy but did not significantly condition the parallel pathway through admiration. These findings advance micro-level CSR research by integrating cognitive and affective mechanisms in an energy-specific workplace model and demonstrate that environmental concern is more consequential for employees' confidence-based responses than for their admiration-based responses.
We present a 69-year-old female patient who initially manifested with depression and anhedonia, initially misdiagnosed as primary psychiatric illness. She subsequently developed progressive gait instability and cognitive decline. After comprehensive clinical and laboratory evaluation, she was finally diagnosed with multiple sclerosis (MS) complicated by neuropsychiatric systemic lupus erythematosus (NPSLE). Brain magnetic resonance imaging (MRI) revealed multifocal white matter lesions consistent with demyelination. Serologic testing demonstrated positivity for antinuclear antibody (ANA), anti-double-stranded DNA (dsDNA), anti-SS-A/Ro, anti-histone, anti-nucleosome, and anti-centromere antibodies. Cerebrospinal fluid (CSF) examination confirmed intrathecal synthesis of immunoglobulin G (IgG), as evidenced by CSF-restricted oligoclonal bands (OCBs). Serum myelin oligodendrocyte glycoprotein immunoglobulin G (MOG-IgG) was positive at a titer of 1:32, whereas aquaporin-4 (AQP4) antibodies were negative. Based on the clinical manifestations, laboratory results and disease progression, the final diagnosis was established as coexisting MS and NPSLE. The patient achieved clinical improvement after treatment with glucocorticoids and hydroxychloroquine. This case highlights the diagnostic challenges posed by overlapping autoimmune central nervous system (CNS) disorders and underscores the importance of longitudinal assessment in differentiating MS from MOG-IgG-associated disorder (MOGAD) and NPSLE.
There is growing interest in the role of sleep-related factors, particularly perceived sleep quality, in the relationship between occupational stress and depression. Work engagement has been proposed as a potential protective factor against depression. This study aimed to examine the relationships among occupational stress, perceived sleep quality, and depression, as well as the role of work engagement in these relationships. A total of 2,425 Korean employees participated in this study. The participants completed a series of questionnaires, including the Korean Occupational Stress Scale, the Center for Epidemiologic Studies Depression Scale, a single-item measure of perceived sleep quality, and the Utrecht Work Engagement Scale-9. The mediating and moderating effects were analysed using the PROCESS macro in the Statistical Package for the Social Sciences. Perceived sleep quality mediated the association between occupational stress and depressive symptoms (b = 0.051; 95% confidence interval [CI], 0.040-0.062). Work engagement moderated the effects of both occupational stress and perceived sleep quality on depressive symptoms. This study highlights the role of perceived sleep quality and work engagement as mediators and moderators of occupational stress and depressive symptoms, respectively. Improving perceived sleep quality and promoting work engagement may help reduce the risk of depression among employees experiencing occupational stress.