Wolnei Caumo, Graziele Borges Bueno, Giordano Mayer De Freitas, Guilherme Teixeira Lopes, Mariana Lentino Coelho, Julia Gomes, Caroline Leffa Venturini, Maria Eduarda Louzada, Sara Machado Peres, Iraci L S Torres, Andrea Cristiane Janz Moreira, Felipe Fregni
{"title":"Sense of Coherence in the Trauma-Fibromyalgia Relationship: Mediation and Moderation Findings from a 2099-Participant Cohort.","authors":"Wolnei Caumo, Graziele Borges Bueno, Giordano Mayer De Freitas, Guilherme Teixeira Lopes, Mariana Lentino Coelho, Julia Gomes, Caroline Leffa Venturini, Maria Eduarda Louzada, Sara Machado Peres, Iraci L S Torres, Andrea Cristiane Janz Moreira, Felipe Fregni","doi":"10.3390/ejihpe16030045","DOIUrl":"10.3390/ejihpe16030045","url":null,"abstract":"<p><strong>Background: </strong>The biopsychosocial model positions fibromyalgia (FM) as the result of altered pain modulation shaped by trauma, psychological vulnerability, and structural stressors. The Sense of Coherence (SOC) may be a key resilience factor explaining differences in symptom severity after similar hardships.</p><p><strong>Objectives: </strong>To evaluate whether SOC mediates and/or moderates associations between trauma-related adversity and symptom burden in FM and whether comorbidities, medication use, healthcare factors, or treatment engagement modify these relationships.</p><p><strong>Methods: </strong>In this cross-sectional study, 2099 women with FM completed an online survey assessing adversity, psychosocial factors, core symptoms, healthcare support, treatment engagement, and medication use. A theory-driven SOC composite followed Antonovsky's model (comprehensibility, manageability, meaningfulness) using the proxy SOC composite derived from a theory-driven framework that underwent internal construct validation, including discriminant validity analyses and latent structure evaluation, but it was not benchmarked against a gold-standard SOC questionnaire. Linear regression evaluated adversity-symptom associations, SOC mediation, and moderation by SOC and medication classes.</p><p><strong>Results: </strong>Higher adversity predicted lower SOC (e.g., cumulative abuse: B = -0.25), and lower SOC predicted higher symptom burden (e.g., Fibromyalgia Impact Questionnaire (FIQ): B = -6.77), producing significant indirect effects (cognitive symptoms: 0.22; FIQ: 1.69). SOC also moderated the effects of adversity on fatigue and global impact, weakening associations at higher SOC. Comorbidities showed modest influence: hypertension had minor indirect effects (ab = 0.27), scheduled consultation produced small interactions (cognition β = -0.38 to -0.46; fatigue β = ~0.05-0.06), and stroke showed the only clinically meaningful moderation (β ≈ 4.9-5.2), all far smaller than SOC effects.</p><p><strong>Conclusions: </strong>SOC functions as a central psychosocial pathway and resilience-related factor in the association between trauma and FM symptoms. Targeting SOC-related processes may help reduce symptom burden and improve outcomes.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025946/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533446","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Presenteeism and Emotional Exhaustion as Mechanisms Linking Abusive Leadership to Non-Green Behavior in Hotel Enterprises: The Buffering Role of Co-Worker Support.","authors":"Ahmed Mohamed Hasanein, Hazem Ahmed Khairy","doi":"10.3390/ejihpe16030046","DOIUrl":"10.3390/ejihpe16030046","url":null,"abstract":"<p><p>This study examines how abusive leadership influences non-green behavior among employees in five-star hotels in Egypt, drawing on Conservation of Resources (COR) theory and the Job Demands-Resources (JD-R) model. Using survey data collected from 400 full-time hotel employees, the study investigates the mediating roles of emotional exhaustion and presenteeism, as well as the moderating role of perceived co-worker support. Partial Least Squares Structural Equation Modeling (PLS-SEM) was employed to test the proposed relationships. The results indicate that abusive leadership increases emotional exhaustion and presenteeism, both of which contribute to higher levels of non-green behavior. Emotional exhaustion mediates the relationship between abusive leadership and non-green behavior, while presenteeism partially mediates the link between abusive leadership and emotional exhaustion. Additionally, perceived co-worker support buffers the negative effect of presenteeism on emotional exhaustion. By integrating COR and JD-R perspectives, this study advances understanding of the psychological mechanisms through which abusive leadership undermines environmentally responsible behavior. The findings offer practical insights for hospitality managers seeking to promote employee well-being and sustainability in high-pressure service environments.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-23","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13024956/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533414","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Vitality and Challenging Commitment in Times of Digital Intensification: Evidence for Healthy Educational Organizations Based on Teacher Engagement in Chile.","authors":"Eduardo Sandoval-Obando, Stephanie Armstrong-Gallegos, Mauricio Véliz-Campos, Guido Salazar-Sepúlveda, Alejandro Vega-Muñoz, Miguel Salazar-Muñoz","doi":"10.3390/ejihpe16030044","DOIUrl":"10.3390/ejihpe16030044","url":null,"abstract":"<p><p>The rapid digital transformation of education systems has profoundly changed teachers' working conditions, intensified administrative demands, and highlighted territorial and organizational inequalities. In this context, understanding how these dynamics influence teacher engagement is essential for promoting healthy educational organizations. This study examined the factor structure of the UWES-17 and analyzed the relationship between engagement levels and sociodemographic variables in a sample of 314 elementary school teachers from four regions of Chile. Descriptive analyses, exploratory factor analysis with polychoric correlations and unweighted least squares, and confirmatory factor analysis using robust ULS and the Hull method were performed. The results showed a robust two-factor structure-Inspired Vitality and Challenging Commitment-with excellent fit indices. Freeman-Halton exact tests showed that Inspired Vitality was significantly associated with age, gender, region, location, administrative dependency, and professional experience, while Challenging Commitment was associated with gender, region, context, and professional experience. These findings indicate that teacher engagement is influenced by both structural inequalities and individual trajectories. The results underscore the need to strengthen organizational resources, regulate digital intensification, and reduce territorial gaps to promote teacher well-being.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13024961/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147532493","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Fostering In-Service Teachers' Motivation, Professional Competence, and Implementation of Physically Active Learning via Example-Based, Experience-Based, or Problem-Solving Professional Development Formats.","authors":"Tjari Klimpki, Tim Heemsoth","doi":"10.3390/ejihpe16030042","DOIUrl":"10.3390/ejihpe16030042","url":null,"abstract":"<p><p>Physically Active Learning (PAL) integrates physical activity into classroom teaching and has been shown to benefit students' cognitive, social, and academic outcomes. Despite these advantages, PAL is not yet sustainably implemented in everyday school practice, highlighting the need for effective professional development (PD) formats for teachers. This randomized controlled experimental study examined how different PD formats, varying in their mode of engagement with ready-to-use PAL materials, affect teachers' motivation, professional competence, and implementation of PAL. A total of 153 in-service primary teachers participated in a 2.5 h PD training and were randomly assigned to one of three formats: example-based learning, experience-based learning, or problem-solving. Data were collected at pre-test, post-test, and a six-week follow-up using standardized questionnaires. Results showed that teachers in the experience-based format reported significantly higher motivation during the PD training than those in the other formats. Across all formats, attitude and self-efficacy regarding PAL increased over time, whereas no significant gains in knowledge were observed. No significant differences between PD formats regarding overall implementation of PAL were observed. Exploratory analyses indicated a potential advantage of the experience-based format. Overall, the findings suggest that immersive, experience-based PD formats may be particularly effective in fostering teachers' motivation.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13026032/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533434","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Impact of Social Media on Public Health and Education: Mechanisms, Vulnerabilities, and Policy Implications.","authors":"Keren Dopelt","doi":"10.3390/ejihpe16030043","DOIUrl":"10.3390/ejihpe16030043","url":null,"abstract":"<p><p>In the digital era, the line between evidence-based health information and viral misinformation has become increasingly blurred (Scheufele et al [...].</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13024801/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533392","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Sofía Castro-Trigo, Alexa von Hagen, Paloma Alonso-Stuyck, Pau Miquel, Donovan Barba-Reynoso, Agustina Quintero, Julieta Zorrilla de San Martín, Augusto Ferreira-Umpiérrez
{"title":"Intervention Practices for Promoting Well-Being and Cognitive Development in Hospitalized Children: A Scoping Review.","authors":"Sofía Castro-Trigo, Alexa von Hagen, Paloma Alonso-Stuyck, Pau Miquel, Donovan Barba-Reynoso, Agustina Quintero, Julieta Zorrilla de San Martín, Augusto Ferreira-Umpiérrez","doi":"10.3390/ejihpe16030041","DOIUrl":"10.3390/ejihpe16030041","url":null,"abstract":"<p><p>Psychosocial and cognitive interventions are increasingly implemented in pediatric hospital settings. However, evidence regarding their structure, delivery, and outcomes remains dispersed. This scoping review aimed to synthesize current evidence on these interventions, focusing on their design, professional delivery, reported outcomes, and existing research gaps. It was conducted using established scoping review methodology and is reported in accordance with PRISMA-ScR guidelines. Systematic searches were conducted in PubMed, Scopus, Web of Science, PsycINFO, and ProQuest Dissertations to identify peer-reviewed and grey literature published between 2009 and 2024. Following study selection based on predefined inclusion criteria, data were charted using a standardized data extraction form and analyzed to synthesize and map key characteristics of interventions and outcomes in relation to the review questions. Sixty-one studies met the inclusion criteria. Interventions primarily targeted school-aged children and adolescents and were delivered by psychologists, educators, and nurses, frequently within interdisciplinary teams. A wide range of materials and resources were used, including digital technologies, playful and artistic materials, audiovisual and informational supports, and sensory or therapeutic objects. Techniques primarily involved guided conversation, cognitive and body-based exercises, and play-based approaches. Outcomes mainly focused on emotional well-being and recovery, while fewer interventions explicitly addressed cognitive processes such as attention and executive functioning. Overall, reported effects were generally positive. These findings suggest that psychosocial and cognitive interventions in pediatric hospital settings reflect a wide range of approaches, while also revealing methodological heterogeneity, variability in reporting, and the underrepresentation of low- and middle-income countries, pointing to the need for more robust and inclusive future research.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025682/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533373","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Burnout and Safety Behaviors in Maritime Operations: A Multilevel Analysis of Engagement, Quality of Life, and Work-Family Conflict.","authors":"Claudio Maggio, Vittorio Edoardo Scuderi, Marcello Boccadamo, Silvia Platania","doi":"10.3390/ejihpe16030039","DOIUrl":"10.3390/ejihpe16030039","url":null,"abstract":"<p><p>Burnout represents a critical occupational health issue within the maritime sector, where demanding work schedules, prolonged periods at sea, and safety-critical responsibilities expose seafarers to significant psychological strain. This study investigates how burnout influences safety behaviors among maritime workers, adopting a multilevel framework that incorporates work engagement, quality of life, and work-family conflict as key factors shaping this relationship. Data was collected through a structured questionnaire administered to 216 seafarers distributed across 36 commercial vessels, representing a diverse range of onboard roles and operational contexts. The multilevel design allows for simultaneous examination of individual-level experiences and ship-level dynamics, offering a more nuanced understanding of how psychosocial risks translate into safety-relevant outcomes in maritime environments. Data were analyzed using multilevel structural equation modeling (MSEM), including multilevel confirmatory factor analysis (ML-CFA) and multilevel path analysis, implemented in Mplus version 8.10. The findings reveal that burnout undermines seafarers' safe behaviors through diminished work engagement and a worsened quality of life. Furthermore, high levels of interference between work and family life amplify the negative effect of burnout on safe behaviors. This study contributes to the limited empirical literature on maritime behavioral health and provides implications for strengthening safety culture and crew well-being in the global shipping industry.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025194/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533460","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
Jiaxuan Wang, Ziqi Wang, Fan Du, Jiaojiao Lv, Jiulong Kou, Jieting Chen, Mingxia Jing
{"title":"Trajectories of Proactive Health Behaviors Among Chinese Middle-Aged and Older Adults with Multimorbidity: A Cohort Study Using Group-Based Trajectory Modeling.","authors":"Jiaxuan Wang, Ziqi Wang, Fan Du, Jiaojiao Lv, Jiulong Kou, Jieting Chen, Mingxia Jing","doi":"10.3390/ejihpe16030038","DOIUrl":"10.3390/ejihpe16030038","url":null,"abstract":"<p><p>(1) Background: Proactive health behaviors are key to reducing their burden and supporting healthy aging. (2) Methods: We analyzed five waves (2011-2020) of CHARLS data from 1343 middle-aged and older adults (≥45 years) with multimorbidity. An entropy weight method was used to create a composite score for proactive health behaviors, and group-based trajectory modeling identified behavioral trajectories. Multivariate logistic regression and Shapley value decomposition assessed determinants and their relative contributions. Generalized structural equation modeling and latent class analysis were applied to estimate direct and indirect effects across the full sample and key multimorbidity subgroups. (3) Results: Two trajectories emerged: a \"declining group\" (91.44%) and an \"improving group\" (8.56%). The improving group was more likely to include younger, urban individuals with higher education, retired status, smaller family size, and lower depression levels. Education (40.67%) and depressive symptoms (31.22%) were the strongest determinants of trajectory. Path analysis showed that higher education and retirement indirectly supported sustained proactive health behaviors by reducing depression. The direct and indirect effects varied across subgroups. (4) Conclusion: The proactive health behaviors of middle-aged and elderly patients with multimorbidity exhibit a declining trend. Future health policies and interventions should prioritize mental health.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13026065/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147532310","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"The Arabic Lubben Social Network Scale-6: Psychometric Validation, Measurement Invariance, and Social Support Profiles in Arabic-Speaking Older Adults.","authors":"Khaled Trabelsi, Waqar Husain, Hadeel Ghazzawi, Zahra Saif, Achraf Ammar, Haitham Jahrami","doi":"10.3390/ejihpe16030040","DOIUrl":"10.3390/ejihpe16030040","url":null,"abstract":"<p><p>This study aimed to translate, culturally adapt, and validate the Arabic version of the 6-Item Lubben Social Network Scale (LSNS-6). The LSNS-6 was translated, culturally adapted, and administered, alongside the Medical Outcomes Study Social Support Survey (MOS-SSS), to 327 Arabic-speaking adults aged 60 years and older. Internal consistency was examined using Cronbach's alpha and McDonald's omega. Confirmatory factor analysis (CFA) tested the hypothesized two-factor structure (Family and Friends), and measurement invariance was evaluated across key sociodemographic and lifestyle variables. Convergent validity was assessed through correlations with MOS-SSS domains. Item response theory (IRT) analyses examined item discrimination and threshold parameters. Latent class analysis (LCA) explored whether the LSNS-6 could identify subgroups with distinct patterns of social connectedness and perceived support. The Arabic LSNS-6 demonstrated good internal consistency (α = 0.83; ω = 0.84) and supported the expected two-factor structure with satisfactory model fit (CFI = 0.963; TLI = 0.931; SRMR = 0.03). Convergent validity was evidenced by moderate correlations with overall perceived social support (r = 0.51). IRT analyses indicated strong discrimination for most items, and LCA identified four distinct latent classes. Overall, the Arabic LSNS-6 is a reliable and valid tool for assessing social isolation among older Arabic-speaking adults.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-06","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025865/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533403","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}
{"title":"Factor Structure and Measurement Invariance Across Gender of the Eating Disorder Examination Questionnaire-Short Form in Italian Workers.","authors":"Nicola Magnavita, Carlo Chiorri","doi":"10.3390/ejihpe16030037","DOIUrl":"10.3390/ejihpe16030037","url":null,"abstract":"<p><p>Eating disorders (EDs) are complex conditions that can significantly affect health and productivity, yet their assessment in occupational settings remains underexplored. This study aimed to evaluate the psychometric properties of the Italian version of the Eating Disorder Examination Questionnaire-Short Form (EDE-QS) among 1912 workers undergoing health surveillance. Using an Item Response Theory framework, we tested dimensionality, reliability, and measurement invariance across gender, applying a graded response model to assess item discrimination and threshold parameters. Results supported an approximate unidimensional structure with excellent internal consistency (ω ≈ 0.95) and strong indices of factor score determinacy and construct replicability. Measurement invariance analyses indicated configural and metric invariance but not full scalar invariance, due to differential item functioning in a subset of items. Latent mean differences were small, with women scoring slightly higher than men, and associations with psychological, occupational, and health-related variables did not differ by gender. These findings indicate that the Italian EDE-QS shows promising structural validity as a brief measure of ED symptomatology in occupational samples in workplace contexts. However, gender-related item bias warrants cautious interpretation of specific behaviors, suggesting the need for tailored assessments to enhance diagnostic accuracy and inform preventive interventions.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"16 3","pages":""},"PeriodicalIF":2.6,"publicationDate":"2026-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC13025737/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"147533424","PeriodicalName":null,"FirstCategoryId":null,"ListUrlMain":null,"RegionNum":0,"RegionCategory":"","ArticlePicture":[],"TitleCN":null,"AbstractTextCN":null,"PMCID":"OA","EPubDate":null,"PubModel":null,"JCR":null,"JCRName":null,"Score":null,"Total":0}