{"title":"Perceived Stigma and Quality of Life in Binary and Nonbinary/Queer Transgender Individuals in Italy: The Mediating Roles of Patient-Provider Relationship Quality and Barriers to Care.","authors":"Selene Mezzalira, Gianluca Cruciani, Maria Quintigliano, Vincenzo Bochicchio, Nicola Carone, Cristiano Scandurra","doi":"10.3390/ejihpe15060113","DOIUrl":"10.3390/ejihpe15060113","url":null,"abstract":"<p><p>Among transgender binary and nonbinary/queer (TNBQ) individuals, perceived stigma has been documented to be significantly associated with health disparities that diminish overall quality of life. The present study examined the serial mediating roles of patient-provider relationship quality and perceived barriers to care in the association between perceived stigma and quality of life among TNBQ individuals residing in Italy. Data were collected from 132 TNBQ participants aged 18-60 years (<i>M</i> = 28.52, <i>SD</i> = 8.57) through an online survey assessing perceived stigma, patient-provider relationship quality, perceived barriers to care, and quality of life. A serial mediation model was analyzed using Model 6 of the SPSS Macro Process, version 29, and separately applied to two subgroups of TNBQ participants (i.e., binary and nonbinary) to detect potential differences. Findings indicated that in both groups (i.e., binary and nonbinary populations), when considered independently, only perceived barriers to care-but not patient-provider relationship quality-mediated the relationship between perceived stigma and quality of life. A serial mediation effect was also observed, wherein the relationship between perceived stigma and quality of life was mediated sequentially through patient-provider relationship quality and barriers to care, but only for the binary group. These findings hold significant clinical relevance, as improving the perceived quality of patient-provider relationships may help reduce perceived barriers to healthcare access. In turn, this may attenuate the detrimental effects of perceived stigma on the quality of life among TNBQ individuals.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-17","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192477/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486306","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":"Cumulative Violence and Post-Traumatic Stress: An Integrative Model of Coping and Resilience Among Women Exposed to Sexual and Conflict-Related Violence.","authors":"Naama Bar, Stav Shapira, Orna Braun-Lewensohn","doi":"10.3390/ejihpe15060110","DOIUrl":"10.3390/ejihpe15060110","url":null,"abstract":"<p><p>This study explored how exposure to sexual and conflict-related violence relates to the severity of post-traumatic symptoms and how personal and community resilience factors and coping strategies mediate that relationship. Self-report questionnaires were completed by 568 Israeli women, who were classified into four exposure groups: (a) high sexual violence, (b) high conflict-related violence, (c) dual high exposure, and (d) low exposure. Significant differences were found between the group exposed solely to conflict-related violence and the groups exposed to sexual or both kinds of violence. Those who had been exposed to both types of violence reported lower levels of a personal sense of coherence, greater use of non-adaptive coping strategies, and more severe post-traumatic symptoms, as compared to the high conflict-related violence group and the low-exposure group. The dual-high-exposure group also reported lower levels of community resilience than the high-conflict-related-violence group and less use of adaptive coping strategies than the high-sexual-violence group. The severity of post-traumatic symptoms was explained by combined exposure to both sexual and conflict-related violence, personal resilience, and the use of non-adaptive coping strategies. These findings emphasize the unique psychological burden associated with intersecting exposures.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191987/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486276","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}
Ana Huertes-Del Arco, Eva Izquierdo-Sotorrío, Isabel Ramírez-Uclés, Miguel A Carrasco, Francisco Pablo Holgado-Tello
{"title":"Analysis of the Internal Structure and Psychometric Properties of the Entrapment Scale in Spanish Adolescents and Emerging Adults.","authors":"Ana Huertes-Del Arco, Eva Izquierdo-Sotorrío, Isabel Ramírez-Uclés, Miguel A Carrasco, Francisco Pablo Holgado-Tello","doi":"10.3390/ejihpe15060111","DOIUrl":"10.3390/ejihpe15060111","url":null,"abstract":"<p><p>The Entrapment Scale was developed to measure the feeling of being trapped by external situations or internal experiences (such as thoughts and emotions) without the possibility of escape. This perception, especially when combined with feelings of defeat, is central to integrated motivational-volitional (IMV) model of suicidal behavior. This study adapts the Entrapment Scale for Spanish adolescents and emerging adults, focusing on its internal structure, reliability, and criterion validity. We assessed 849 participants (48.1% male) aged 12 to 22 and compared three models: a correlated two-factor model, a second-order factor model, and a bifactor model. The bifactor model showed the best fit, indicating that a general entrapment factor influenced all items, while specific internal and external factors captured unique aspects. Importantly, distinguishing between internal and external entrapment can guide the development of more personalized and effective therapeutic strategies, as the relevance of each dimension may vary depending on the behaviors or symptoms present. This approach allows clinicians to target interventions more precisely to the individual's needs. Theoretical and practical implications for understanding and addressing suicidal behavior are discussed.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191471/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486270","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}
Cecilia Ruiz-Esteban, Inmaculada Méndez, Juan Pedro Martínez-Ramón, Nuria Antón-Ros, Nelly Gromiria Lagos San Martín
{"title":"Profiles of Aggressiveness and Stress in Spanish Adolescents.","authors":"Cecilia Ruiz-Esteban, Inmaculada Méndez, Juan Pedro Martínez-Ramón, Nuria Antón-Ros, Nelly Gromiria Lagos San Martín","doi":"10.3390/ejihpe15060112","DOIUrl":"10.3390/ejihpe15060112","url":null,"abstract":"<p><p>Aggressiveness among schoolchildren can be shaped by specific school-related situations that elicit stress. Accordingly, this study aimed to identify differentiated profiles of secondary school students based on the levels of aggressive behavior they exhibit. A further objective was to examine whether various stress-related factors differ significantly across these behavioral profiles. The sample consisted of 386 secondary school students (<i>M</i> = 13.73; <i>SD</i> = 1.14), of whom 52.6% were female. Data were collected using the Aggression Questionnaire (AQ) by Buss and Perry and the School Situation Survey (SSS) developed by Helms and Gable. Latent profile analysis revealed three distinct profiles: (a) students exhibiting high levels of aggressive behavior (Cluster 1), (b) students showing moderate levels of aggressive behavior (Cluster 2), and (c) students displaying low levels of aggressive behavior (Cluster 3). Students in the high-aggression profile reported significantly higher scores on most sources of stress compared to their peers in the moderate and low aggression profiles. From an educational standpoint, these findings underscore the importance of addressing school-related stressors, as they appear to play a critical role in influencing student behavior.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-13","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192317/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486308","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}
José Enrique Moral-García, Alba Rusillo-Magdaleno, Fredy Alonso Patiño-Villada, Emilio J Martínez-López
{"title":"Correction: Moral-García et al. (2025). Bullying and Cyberbullying Are Associated with Inappropriate Use of the Internet, Cell Phones, and Video Games in Children and Adolescents. <i>European Journal of Investigation in Health, Psychology and Education</i>, <i>15</i>(5), 82.","authors":"José Enrique Moral-García, Alba Rusillo-Magdaleno, Fredy Alonso Patiño-Villada, Emilio J Martínez-López","doi":"10.3390/ejihpe15060108","DOIUrl":"10.3390/ejihpe15060108","url":null,"abstract":"<p><p>In the original publication (Moral-García et al [...].</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192238/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486275","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":"Mechanics of Mindfulness: Investigating Metacognitive Beliefs as a Pathway of Effect on Anxiety and Depression.","authors":"Corey Jackson, Christian M Jones","doi":"10.3390/ejihpe15060109","DOIUrl":"10.3390/ejihpe15060109","url":null,"abstract":"<p><p>This study aimed to address the dearth of literature on mechanisms of effect of mindfulness-based interventions by investigating metacognitive beliefs as a potential mechanism of symptomology-reduction effects. The Cognitive Attentional Syndrome (CAS) component of the Self-Regulatory Executive Function (S-REF) model was augmented to include subtypes of mind wandering and rumination. One hundred and seventy-eight participants sourced from professional networks (<i>M<sub>age</sub></i> = 53.13; <i>SD</i> = 11.80) completed an online questionnaire measuring dispositional mindfulness, metacognitive beliefs, rumination, mind wandering, worry, anxiety and depression. Effects of meditation frequency on these variables were examined, as were the relationships between them. Dispositional mindfulness was significantly negatively correlated with metacognitive beliefs, which were positively correlated with worry, mind wandering and rumination, all of which were positively correlated with symptomology. Significant correlations were stronger for spontaneous mind wandering and brooding rumination than their counterparts. Those reporting a daily meditation practice scored significantly higher on three of the five facets of mindfulness and significantly lower on anxiety and depression symptomology and several CAS elements than those who rarely meditated. Changes in metacognitive beliefs are a potential pathway for MBI-driven reductions in anxiety and depression symptomology. Increases in dispositional mindfulness through MBIs are likely to reduce metacognitive beliefs, which reduce maladaptive processes of the CAS, flowing on to reductions in symptomology. A daily meditation practice appears to increase the efficacy of this mechanism. Subtypes of mind wandering and rumination differ in their contribution to this pathway, perhaps more accurately represented as extremes on their respective continua rather than the current categorical model of typologies measured independently.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-12","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192271/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486303","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}
Yi Chen, Junfei Lu, David I Walker, Wenchao Ma, Andrea L Glenn, Hyemin Han
{"title":"Perceived Stress and Society-Wide Moral Judgment.","authors":"Yi Chen, Junfei Lu, David I Walker, Wenchao Ma, Andrea L Glenn, Hyemin Han","doi":"10.3390/ejihpe15060106","DOIUrl":"10.3390/ejihpe15060106","url":null,"abstract":"<p><p>This study examines the relationship between perceived stress and society-wide moral judgment by integrating two influential frameworks: the neo-Kohlbergian approach and the CNI model of utilitarian-deontological decision-making. The neo-Kohlbergian approach to moral judgment proposes three moral schemas: (1) Personal Interest (PI), where decisions are self-focused; (2) Maintaining Norms (MN), which emphasizes adherence to social rules and norms; and (3) Postconventional (PC), where universal ethical principles are prioritized. The CNI model for Utilitarian-Deontological judgment features three psychological processes in decision-making: Sensitivity to Consequence, Sensitivity to Norm, and Inaction Preference. A survey study was conducted to measure perceived stress, neo-Kohlbergian moral judgment (using the behavioral Defining Issues Test [DIT]), and the psychological processes underlying utilitarian-deontological decision-making (CNI). The results indicate that higher perceived stress is linked to greater PI schema endorsement, reduced Norm Sensitivity, and increased Consequence Sensitivity. Furthermore, the PI schema mediated the relationship between perceived stress and Norm Sensitivity. These findings provide insights into how stress shapes moral reasoning and decision-making, with implications for psychological and ethical studies.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191677/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486307","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":"Cyberpsychopathy: A Multidimensional Framework for Understanding Psychopathic Traits in Digital Environments.","authors":"Alexandre Hudon, Emmy Harvey, Sandrine Nicolas, Mathieu Dufour, Caroline Guérin-Thériault, Julie Bérubé-Fortin, Isabelle Combey, Yu Chen Yue, Antoine Perreault, Stéphanie Borduas Pagé, Véronique MacDermott","doi":"10.3390/ejihpe15060107","DOIUrl":"10.3390/ejihpe15060107","url":null,"abstract":"<p><p>The rapid expansion of digital communication platforms has created new spaces for antisocial, manipulative, and emotionally detached behaviors. While psychopathy has been extensively studied in clinical and forensic settings, its digital manifestation, referred to as cyberpsychopathy, remains conceptually underdefined. This integrative review aimed to synthesize empirical research exploring psychopathy and aversive personality traits in online contexts to identify key conceptual domains and propose a preliminary definition. A systematic search across five databases yielded 35 peer-reviewed studies meeting the inclusion criteria. Using a biopsychosocial framework and thematic synthesis, six interrelated domains were identified: online behaviors (e.g., trolling and deception), online environments (e.g., anonymity and reward mechanisms), sociodemographic factors (e.g., age and gender), personality traits (e.g., psychopathy and narcissism), psychological factors (e.g., emotion dysregulation and low self-esteem), and motivations (e.g., dominance and emotional compensation). These domains interact to shape how psychopathic tendencies manifest online. Most studies were of moderate-to-high methodological quality, though variability limited direct comparisons. We propose cyberpsychopathy as a multidimensional construct representing the expression of aversive traits facilitated by digital affordances and psychological vulnerabilities. This review provides a foundational framework for understanding cyberpsychopathy and underscores the need for empirical validation and the development of assessment tools suited to digital behavior in both clinical and forensic settings.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-10","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192149/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486277","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}
Andrea Gracia-Zomeño, Eduardo García-Toledano, Ramón García-Perales, Ascensión Palomares-Ruiz
{"title":"Teachers' Practices in Developing Entrepreneurial Competence for Innovative Quality Education.","authors":"Andrea Gracia-Zomeño, Eduardo García-Toledano, Ramón García-Perales, Ascensión Palomares-Ruiz","doi":"10.3390/ejihpe15060104","DOIUrl":"10.3390/ejihpe15060104","url":null,"abstract":"<p><p>Entrepreneurial Competence (EC) is increasingly recognized as essential to foster innovation and enhance educational quality. This study explores how education professionals perceive and develop the EC within educational centres, using a qualitative approach through structured interviews with education professionals. The findings highlight the need for a more explicit and systematic development of the EC, emphasizing continuous teacher training in entrepreneurial approaches. While digital and paper-based resources support the EC, educators stress the importance of active and practical methodologies such as Project-Based Learning and Learning by Doing. Limited collaboration among educators is identified as a barrier to effectively foster EC. Moreover, the lack of strategic planning within educational institutions remains an obstacle. This study underscores the importance of introducing structured and innovative pedagogical approaches to ensure that students cultivate the skills necessary to navigate an evolving and uncertain future.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12192342/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486311","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}
Jessica Dagani, Chiara Buizza, Clarissa Ferrari, Giuseppe Rainieri, Alberto Ghilardi
{"title":"Exploring the Links Among Risky Substance Use, Problematic Internet Use, and Academic Outcomes in University Freshmen: The Role of Mediating Factors.","authors":"Jessica Dagani, Chiara Buizza, Clarissa Ferrari, Giuseppe Rainieri, Alberto Ghilardi","doi":"10.3390/ejihpe15060105","DOIUrl":"10.3390/ejihpe15060105","url":null,"abstract":"<p><p><b>Background:</b> Alcohol and substance use among young people is a well-documented public health concern, and is particularly prevalent in college populations. Problematic internet use is also an emerging issue, with potential negative effects on academic achievement. University dropout remains a critical challenge, especially among freshmen, with research highlighting the role of academic engagement factors such as motivation, self-efficacy, and university connectedness in students' academic trajectories. <b>Methods:</b> This study explored the relationships among risky substance use, problematic internet use, academic engagement factors, and academic outcomes, identifying potential mediators. Freshmen from an Italian university were invited to complete an online survey assessing these variables. The study defined two academic outcomes: (i) academic performance (Grade Point Average, GPA) and (ii) dropout intentions. Spearman's rho coefficients and multiple linear regression models examined the associations among risky substance/internet use, academic engagement factors, and academic outcomes. Mediation analyses assessed whether academic engagement variables mediated the relationship between risky substance/internet use and academic outcomes. <b>Results:</b> The results showed that only problematic internet use was significantly associated with GPA, with self-efficacy and lack of motivation fully mediating this relationship. Regarding dropout intentions, problematic internet use and the risky use of alcohol, cannabis, and sedatives were directly and positively associated with dropout intentions. Several motivation subscales, self-efficacy, and university connectedness mediated these relationships. <b>Conclusions:</b> These findings highlight the role of academic engagement factors in mitigating the impact of risky behaviors on students' academic trajectories, emphasizing the need for targeted prevention and intervention strategies.</p>","PeriodicalId":30631,"journal":{"name":"European Journal of Investigation in Health Psychology and Education","volume":"15 6","pages":""},"PeriodicalIF":3.0,"publicationDate":"2025-06-07","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC12191502/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"144486280","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}