Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1618451
Qiugang Ren, Yueyue Weng, Zhixiong Hu
{"title":"A study of space creation for healing landscape design in the post-epidemic era.","authors":"Qiugang Ren, Yueyue Weng, Zhixiong Hu","doi":"10.3389/fpsyg.2025.1618451","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1618451","url":null,"abstract":"<p><p>This study explores the spatial creation strategy of healing landscape design in the post epidemic era and identifies four types of key design elements: ecological environment elements, spatial organization elements, sensory experience elements, and social interaction elements through literature research and multi-case analysis. The study compares and analyzes domestic and international cases such as Jurong Lake Garden in Singapore, Cleveland Clinic Healing Garden, Shenzhen Bay Park \"Garden of the Heart\" and Liangzhu Hospital Healing Garden in Hangzhou and proposes strategies for healing landscape design at the city scale, community scale and site scale. It is found that successful healing landscapes need to integrate the principles of biophilic design, adaptive resilience, sensory calibration, social granularity, and cultural resonance, and provide solutions to promote public health and community resilience through multi-scale healing networks, micro-healing spaces, healing waterscapes, and resilient healing infrastructures.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1618451"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511072/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279625","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1653984
Zujian Zhao, Lin Chen
{"title":"Tradition meets modernity: understanding consumer psychology for TCM functional foods in Northern China using integrated structural equation and agent-based modeling.","authors":"Zujian Zhao, Lin Chen","doi":"10.3389/fpsyg.2025.1653984","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1653984","url":null,"abstract":"<p><p>The expanding market for Traditional Chinese Medicine (TCM) functional foods presents a dynamic tension between deep-seated cultural heritage and contemporary consumer cognition. This study develops and validates an integrated theoretical framework using survey data from Northern China consumers. The research introduces and empirically validates a new construct, \"Medicine-Food Separation Cognition\" (MFSC), representing a modern, categorical mindset that emerges as a key cognitive barrier to market acceptance, particularly pronounced in urban environments. The findings establish Cultural Identity as a foundational driver of consumer affinity for these products, while demonstrating how contextual factors systematically influence cognitive schemas within the digital health ecosystem. By translating psychological insights into agent-based modeling, the study explores potential market-level consequences of individual-level factors. The integrated methodology offers both a theoretical tool (MFSC) and a replicable analytical framework for understanding culturally significant wellness markets. These findings provide actionable insights for developing segmented strategies in culturally embedded health product markets and informing regionally-tailored policies for sustainable consumption in Northern China and analogous settings.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1653984"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511097/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279687","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The relationship between online learning self-efficacy and learning engagement: the mediating role of achievement motivation and flow among registered nurses.","authors":"Tong Zhou, Yinhai Chen, Xixi Li, Luyao Yang, Zhonglei Zhao","doi":"10.3389/fpsyg.2025.1629174","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1629174","url":null,"abstract":"<p><strong>Introduction: </strong>Learning engagement is a critical predictor of core professional competencies in nursing, yet its influencing factors remain unclear. This study examined the mediating roles of achievement motivation and flow in the relationship between online learning self-efficacy and learning engagement among registered nurses (RNs).</p><p><strong>Methods: </strong>A cross-sectional electronic survey was conducted among 657 RNs from two general hospitals in Sichuan Province, China, between March and May 2024. Participants completed validated instruments, including the Adult Online Learning Self-Efficacy Scale, Achievement Motives Scale (AMS), Educational Flow Scale (EduFlow-2), and Learning Engagement Scale. Descriptive statistics, Pearson correlation, and mediation analysis were conducted using SPSS v29.0. Structural equation modeling was performed using AMOS v24.0.</p><p><strong>Results: </strong>The average learning engagement score was 61.55 ± 11.07. Online learning self-efficacy (<i>r</i> = 0.498, <i>p</i> < 0.01), achievement motivation (<i>r</i> = 0.550, <i>p</i> < 0.01), and flow (<i>r</i> = 0.424, <i>p</i> < 0.01) were all positively associated with learning engagement. Achievement motivation (22.2%), flow (24.7%), and their chain effect (11.2%) partially mediated the link between self-efficacy and engagement.</p><p><strong>Discussion: </strong>Online learning self-efficacy influences RN learning engagement both directly and indirectly, with mediation effects exerted through achievement motivation and flow. These findings highlight the importance of fostering self-efficacy and motivational processes to enhance engagement in online nursing education.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1629174"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511099/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279709","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1634848
Yanfang Yang, Xuan Guo
{"title":"\"We find that…\" changing patterns of epistemic positioning in research writing.","authors":"Yanfang Yang, Xuan Guo","doi":"10.3389/fpsyg.2025.1634848","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1634848","url":null,"abstract":"<p><strong>Introduction: </strong>Epistemic positioning refers to the writer's commitment to the truth of a proposition and assessment of its potential impact on readers. Despite its importance, little attention has been paid to how writers make epistemic judgments across disciplines over time.</p><p><strong>Methods: </strong>Drawing on Hyland and Zou's taxonomies of hedges and boosters, we analyzed 240 research articles from education, history, mechanical engineering, and physics, covering three periods (1960, 1990, and 2020).</p><p><strong>Results: </strong>Our findings show that epistemic positioning has significantly decreased across all four disciplines over time, with writers increasingly preferring less use of epistemic markers in pursuit of an objective, data-based, and scientific style.</p><p><strong>Discussion: </strong>These results suggest a disciplinary shift in research writing practices and have important implications for raising students' and novice academic writers' awareness of evolving knowledge discourses shaped by changing societies.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1634848"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513368/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279671","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Do Chinese preschoolers follow adults' suggestions? The impact of suggestion fairness and advisor familiarity on preschoolers' sharing behavior.","authors":"Chang Chen, Zihan Zha, Ru He, Ying Zhou, Wenjie Zhang","doi":"10.3389/fpsyg.2025.1676175","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1676175","url":null,"abstract":"<p><strong>Introduction: </strong>While preschoolers' sharing behavior is an important indicator of social development, it remains unclear how adult suggestions influence their sharing decisions.</p><p><strong>Methods: </strong>This study investigated how suggestion fairness (fair/unfair) and advisor familiarity (familiar/unfamiliar) affect preschoolers' sharing behavior and its relationship with emotional experiences. Two experiments were conducted with 187 preschoolers aged 3-6 years (Experiment 1: <i>n</i> = 124, <i>M</i> = 4.54 years, <i>SD</i> = 1.02; Experiment 2: <i>n</i> = 63, <i>M</i> = 5.50 years, <i>SD</i> = 0.28) using a dictator game paradigm.</p><p><strong>Results: </strong>Results revealed that despite having a more mature understanding of fairness, 5-6-year-olds were more susceptible to adult suggestions compared to 3-4-year-olds. Older preschoolers were more likely to follow suggestions from familiar advisors while showing less compliance with unfamiliar advisors' suggestions. Additionally, 5-6-year-olds demonstrated greater consistency between fairness judgments and actual sharing behavior, whereas 3-4-year-olds showed a larger cognition-behavior gap. Notably, children who shared more than they deemed fair (\"over-sharing\") reported experiencing more positive emotions.</p><p><strong>Discussion: </strong>This study found that both suggestion fairness and advisor familiarity significantly influence preschoolers' sharing decisions, with age-specific patterns in suggestion compliance and emotional experiences.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1676175"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513206/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279817","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1665579
Heba F Zedan
{"title":"\"We have no safety at all\": insecurity and continuous traumatic stress among Palestinian adolescents in East Jerusalem.","authors":"Heba F Zedan","doi":"10.3389/fpsyg.2025.1665579","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1665579","url":null,"abstract":"<p><p>This research was completed in collaboration with the Children and Youth Advisory Group: Mays, Nada, Amro, Sajida, Kinan, Rama, and Qamar.</p><p><strong>Introduction: </strong>Children and youth in conflict zones are often exposed to persistent sociopolitical stress that undermines their rights to protection and development. This study explores how Palestinian adolescents in occupied East Jerusalem experience and respond to continuous traumatic stress amid intensified political violence during the ongoing Gaza war.</p><p><strong>Methods: </strong>Using a participatory research approach, an advisory group of youth co-researchers contributed to study design, ethics, data collection, and analysis. In-depth interviews were conducted with 24 Palestinian youth aged 12-19, alongside eight adult parents and professionals.</p><p><strong>Results: </strong>Reflexive thematic analysis revealed six interconnected themes: (1) Perpetual threat in everyday spaces; (2) Adaptive hypervigilance; (3) Collective and intergenerational transmission of stress; (4) Emotional suppression and helplessness; (5) Normalization of abnormality; and (6) Distrust in protective systems. The findings demonstrate how structural violence is internalized, embodied, and transmitted across generations, creating a persistent emotional climate of fear and insecurity.</p><p><strong>Conclusion: </strong>This study calls for trauma frameworks that move beyond episodic models to address cumulative, politically rooted stressors that violate children's rights under international law. Policies must prioritize rights-based interventions, including accessible psychosocial support and protective legal frameworks that counter systemic oppression, surveillance, and discrimination. Integrating children's lived experiences and agency into service design and delivery is highly recommended.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1665579"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12513268/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279656","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1655064
Eva Glombitza, Piers L Cornelissen, Martin J Tovée, Tanja Legenbauer
{"title":"Effect of cognitive bias modification training on body image dissatisfaction in adolescents with anorexia nervosa or depression-a pilot feasibility randomized controlled crossover study.","authors":"Eva Glombitza, Piers L Cornelissen, Martin J Tovée, Tanja Legenbauer","doi":"10.3389/fpsyg.2025.1655064","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1655064","url":null,"abstract":"<p><strong>Introduction: </strong>Body image disturbance presents transdiagnostically with an impact on the development and maintenance of psychiatric disorders. Addressing body image disturbance, a cognitive bias modification training (CBM) was developed using a two-alternative forced choice task (2-AFC) to alter patients' individual perceptual boundary between what they classify as a fat versus a thin body. This pilot study aimed to evaluate, for the first time, the paradigm's feasibility and efficacy in adolescents in a clinical context.</p><p><strong>Methods: </strong>This pilot study included adolescent inpatients aged 13-17 years diagnosed with (atypical) anorexia nervosa (<i>n</i> = 12) or depression (<i>n</i> = 17), representing two prevalent disorders in adolescence. The 2-AFC task was tested in this population for the first time. Designed as a randomized crossover trial, patients underwent a 4-day intervention with corrective feedback and a 4-day control with confirmatory feedback. Psychometric measures assessing body image disturbance, depressive symptoms, and general psychopathology were collected at the beginning of the training and 10 days afterward (day 1, 15, 29).</p><p><strong>Results: </strong>Mixed ANOVAs showed that the 2-AFC CBM paradigm significantly shifted the categorical boundary over 10 days, altering patients' individual perceptual boundary but did not improve the body image specific psychometric measures. Linear regression indicated training effects on diagnosis-specific characteristics, and <i>t</i>-test comparisons revealed improved depression-specific symptoms for the depression group. The control condition had a non-neutral effect and shifted the individual boundary to a lower body mass index (BMI), particularly in patients with anorexia.</p><p><strong>Discussion: </strong>These findings confirm the feasibility and effectiveness of the 2-AFC CBM paradigm in adolescent inpatients transdiagnostically with further larger randomized controlled effectiveness trials required. The study suggests including normal-weight patients with anorexia nervosa only and not using confirmatory feedback as a control condition, but as an orientation and confirmation of a healthy weight limit.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1655064"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12510976/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279743","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1668518
Gustavo Marcos-Escobar, Marcos E Gómez, Wenceslao Unanue
{"title":"Understanding the transition from stress to depression: a longitudinal mediational analysis of anxiety in adults from the Metropolitan Region of Chile.","authors":"Gustavo Marcos-Escobar, Marcos E Gómez, Wenceslao Unanue","doi":"10.3389/fpsyg.2025.1668518","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1668518","url":null,"abstract":"<p><p>Drawing on recent advances in Beck's cognitive model-which traditionally conceptualizes anxiety and depression as correlated but does not explicitly address their temporal ordering-this study tests whether anxiety operates as a sequential mediator linking sustained stress to depressive symptoms in a non-clinical adult population. Prior longitudinal and mediation studies have examined associations among stress, anxiety, and depression, but differences in design, population, and analytical focus limit their applicability to non-clinical adult contexts. We extend this literature with data obtained from 805 adults in the Metropolitan Region of Santiago, Chile, followed across three waves at two-month intervals during the COVID-19 pandemic, although no pre-pandemic baseline was available. Accordingly, findings should be interpreted as evidence of the stress-anxiety- depression sequence within pandemic conditions. A cross-lagged panel model (CLPM) was used to estimate the temporal relations among stress, anxiety, and depression. This statistical method accounts for the stability of each construct across repeated measurements while estimating directional relationships over time. Results confirmed a significant partial mediation: perceived stress at T1 predicted higher anxiety at T2, which in turn predicted increased depressive symptoms at T3 (standardized indirect effect <i>β</i> = 0.049, 95% CI [0.016, 0.091], <i>p</i> = 0.009). To the best of our knowledge, this is the first longitudinal study conducted with a non-clinical adult sample from the Metropolitan Region of Chile that validates this mediation sequence. The findings advance Beck's model by demonstrating anxiety's role as a sequential mediator, contribute methodologically through the use of a three-wave CLPM to test temporal precedence, and support preventive interventions targeting early detection of subclinical anxiety to disrupt trajectories toward depression. Together, the results update the cognitive model and inform both clinical practice and public health strategies in emotionally demanding contexts.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1668518"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511094/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279777","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1635740
Pan Zhang
{"title":"On the socio-cognitive coercion mechanism of the formation of mandarin construction \"V+ta(he)+XP\".","authors":"Pan Zhang","doi":"10.3389/fpsyg.2025.1635740","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1635740","url":null,"abstract":"<p><p>This study employs a cognitive-sociolinguistic framework to investigate the formation mechanism of the Mandarin single-object construction \"V+Ta+XP\" and the grammaticalization of the non-referential pronoun \"Ta.\" Building on the hypothesis that \"Ta\" originates from the abbreviation of the expletive phrase \"Ta x de,\" we conduct a comparative analysis of the syntactic, pragmatic, and socio-cognitive features of the \"V+Ta+XP\" construction and its precursor \"V+Ta x de+XP\" structure. Drawing on 402 \"V+Ta x de+XP\" and 607 \"V+Ta+XP\" instances extracted from the CCL and BCC corpora, our findings reveal systematic parallels in syntactic configurations and pragmatic functions, alongside critical socio-cognitive divergences. Specifically, the \"V+Ta+XP\" construction emerges as a de-vulgarized variant of \"V+Ta x de+XP,\" driven by socio-cognitive coercion-a process that suppresses vulgar components \"x de\" to mitigate face-threatening effects while preserving syntactic integrity and emotional salience. By integrating construction grammar, politeness theory, and sociolinguistic variation, this study demonstrates how social norms (e.g., register formality, gender dynamics) and cognitive-emotional needs jointly shape grammaticalization. The proposed framework advances coercion theory by highlighting the interplay of linguistic structure, pragmatic adaptation, and socio-cultural constraints, offering novel insights into the evolution of non-referential elements in Mandarin and their role in balancing expressive force with social acceptability.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1635740"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12512045/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279769","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Frontiers in PsychologyPub Date : 2025-09-26eCollection Date: 2025-01-01DOI: 10.3389/fpsyg.2025.1661414
Hung-Chang Liao, Ya-Huei Wang
{"title":"Psychometric development of a moral distress scale for healthcare education and practice.","authors":"Hung-Chang Liao, Ya-Huei Wang","doi":"10.3389/fpsyg.2025.1661414","DOIUrl":"https://doi.org/10.3389/fpsyg.2025.1661414","url":null,"abstract":"<p><strong>Objective: </strong>Unaddressed moral distress may result in psychological, emotional, and physical consequences. The study was to develop and validate a Moral Distress Scale for Healthcare Students and Providers (MDS-HSP) within the Taiwanese healthcare education and clinical contexts, providing a framework for administrators and policymakers to recognize and respond to moral distress in training and practice settings.</p><p><strong>Methods: </strong>Following an extensive literature review and expert discussions, the study performed an exploratory factor analysis (EFA) using SPSS with a sample of 332 participants to determine the hidden structure of the MDS-HSP and evaluate its initial psychometric properties. A subsequent confirmatory factor analysis (CFA) using AMOS with a separate sample of 240 participants was performed to verify the identified factor structure. The testing process included the assessments of validity, reliability, and goodness-of-fit analysis.</p><p><strong>Results: </strong>Following the EFA, the initial 72 items were refined to 42 items across six factors: \"acquiescence to patients' rights violations\" (8 items), \"lack of professional competence\" (9 items), \"disrespect for patients' autonomy\" (10 items), \"futile treatment\" (5 items), \"organizational and social climate\" (6 items), and \"not in patients' best interest\" (4 items). The CFA confirmed the same six scale factors and 42 items. Both EFA and CFA supported the proposed factor structure and demonstrated adequate validity and reliability.</p><p><strong>Conclusion: </strong>The study provided empirical evidence supporting the MDS-HSP as a reliable tool for assessing moral distress experienced by healthcare students and providers. Its use may inform educational strategies, institutional policies, and ethical support mechanisms within healthcare and academic settings.</p>","PeriodicalId":12525,"journal":{"name":"Frontiers in Psychology","volume":"16 ","pages":"1661414"},"PeriodicalIF":2.9,"publicationDate":"2025-09-26","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12511084/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"145279872","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":3,"RegionCategory":"心理学","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}