{"title":"Elite athlete initiatives in school mental health: crafting an art-based educational methodology for promoting mental health help-seeking.","authors":"Yasutaka Ojio, Shin Kawamura","doi":"10.1007/s44192-025-00162-0","DOIUrl":"10.1007/s44192-025-00162-0","url":null,"abstract":"<p><p>Art-based practices have been expected and incorporated into adolescent mental health education, enhanced by their potential to promote positive psychosocial development and foster resilience. Elite athletes, while encountering similar challenges as adolescents-such as reluctance to seek psychological support-occupy a distinctive position due to their capacity to exert substantial influence on youth. This paper presents the development and conceptualization of a novel, elite athlete-led mental health education framework that employs artistic expression as a core modality. We showed and explained the 'Yowai-wa-Tsuyoi Project' ('Weakness is Strength'), an initiative undertaken in Japan that seeks to harness the personal narratives of elite athletes to effect positive change in adolescents' mental health literacy. By collaborating with the Japan Rugby Players Association and mental health experts, the project integrates art-based interventions to stimulate dialogue on mental health, stress, and overall well-being. By sharing their lived experiences, athletes facilitate art-driven activities wherein students are encouraged to express and reflect upon their mental health experiences. This interdisciplinary initiative aspires to enhance adolescents' understanding of mental health through relatable athlete role models, foster emotional articulation via artistic media, and nurture empathy and collective support for mental well-being. The integration of sports, education, and art in this approach illustrates a potentially transformative model for engaging adolescents in critical discourse surrounding mental health and well-being. Furthermore, it underscores the importance of creating educational environments that embrace vulnerability, expression, and dialogue, thus providing students with the tools and space to address their mental health in a supportive context.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"30"},"PeriodicalIF":0.0,"publicationDate":"2025-03-09","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11891109/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143588526","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}
Kathy Chen, Swetha Sundaram, David F Lo, Ahmed Gawash, Charalampos Papachristou, Altamash E Raja
{"title":"Scaling new heights: a prospective survey of rock climbing's impact on mental health.","authors":"Kathy Chen, Swetha Sundaram, David F Lo, Ahmed Gawash, Charalampos Papachristou, Altamash E Raja","doi":"10.1007/s44192-025-00154-0","DOIUrl":"10.1007/s44192-025-00154-0","url":null,"abstract":"<p><strong>Background: </strong>Sport climbing, officially added to the 2020 Summer Olympics, has grown rapidly, with U.S. climbing gyms increasing from 310 in 2013 to 591 in 2021. Over the past decade, European research has identified bouldering as a potential psychotherapeutic treatment for anxiety and depression. Randomized controlled trials have compared bouldering psychotherapy (BPT) to cognitive behavioral therapy (CBT), showing that BPT produces comparable results and positively impacts mental health.</p><p><strong>Purpose: </strong>There have been very few studies dedicated to the use of rock climbing as a therapy in the United States; further, there are few surveys that investigate whether American climbers would even consider climbing as beneficial towards mental health or not. With the ever-growing prevalence of mental health disorders and as climbing gains more traction, it is important to explore the potential of climbing as a therapeutic modality. It is hypothesized that rock climbing will be viewed as beneficial towards mental health amongst the population surveyed.</p><p><strong>Methods: </strong>A prospective survey was conducted to assess rock climbing's impact on mental health, focusing on participants' climbing habits and perceptions of its therapeutic benefits. The protocol was approved by the Rowan-Virtua IRB (Reference #: PRO-2022-353) in accordance with the latest guidelines of the International Committee of Medical Journal Editors. Participants were recruited using flyers and posters at climbing gyms, an online climbing forum, and social media. The survey included individuals aged 18 years and older who engage in rock climbing at least once per week. No specific exclusion criteria was set in place, though participants were given the option to omit the mental health portion. The survey included questions on climbing frequency, mental health impact, and demographics. The survey was distributed online via Qualtrics Forms between February 2023 to June 2023, with informed consent obtained from participants, explaining both risks and data safeguards in place. Univariate graphs and bivariate analyses via chi square analysis were done using R Studio.</p><p><strong>Results: </strong>A total of 748 survey responses were received, with 50.4% of participants aged 26-40 years. Most were White Non-Hispanic (59.7%) and resided in the Mid-Atlantic/Tri-State Area. Climbing preferences showed indoor bouldering (24.9%) as the most popular, followed by indoor top rope (16.4%) and indoor lead climbing (12.4%). Outdoor climbing activities were less common, with traditional climbing at 10.1% and speed climbing at 0.2%. Significant associations were found between climbing frequency and age (p = 0.0045), session length and age (p = 8.2e-10), and climbing frequency by gender (p = 0.0024). Regarding social behavior, 46.8% identified as introverts and 37.1% as ambiverts. Mental health data revealed that 73.1% of climbers felt rock climbing positivel","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"29"},"PeriodicalIF":0.0,"publicationDate":"2025-03-05","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11883046/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143560289","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":"A scoping review of school-based expressive writing implementation reporting practices: missed opportunities and new research directions.","authors":"Janet Amos, Justin Moase, Ingrid E Sladeczek","doi":"10.1007/s44192-025-00151-3","DOIUrl":"10.1007/s44192-025-00151-3","url":null,"abstract":"<p><strong>Background: </strong>Expressive writing (EW) interventions are an effective, flexible, and cost-efficient option for mental health promotion, making them ideally suited for resource-limited school settings. However, the effectiveness of EW interventions varies greatly across studies, which may be partly explained by how EW interventions are implemented. As school-based EW interventions become increasingly popular and more widely used, rigorous reporting of implementation can help advance this emerging field by informing how variation in implementation across studies influences intervention outcomes.</p><p><strong>Purpose: </strong>The purpose of this scoping review was to evaluate the implementation reporting practices of EW interventions in school settings as they can profoundly impact EW effectiveness.</p><p><strong>Methods: </strong>The present scoping review assessed the current state of fidelity of implementation (implementation) reporting in the school-based EW literature and identified areas where more rigorous reporting is needed. Out of an initial sample of 367 studies, 19 were eligible for inclusion in the review. Data were analyzed for critical issues and themes derived from Cargo et al.'s (2015) Checklist for Implementation (Ch-IMP).</p><p><strong>Results: </strong>Overall, the results of this scoping review indicate that researchers who implement EW in school settings have not consistently assessed key implementation domains such as dose received and fidelity.</p><p><strong>Conclusions: </strong>To address this problem, the present review adds a unique contribution to the literature by identifying how rigorous reporting of implementation can strengthen the evidence base for school-based EW interventions. Specifically, researchers can support the use of EW interventions in schools through increased implementation reporting to better understand how variability in fidelity of implementation affects treatment outcomes.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"27"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880461/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544804","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}
Parthasarathy Arpitha, Laura Bolorin-Vargas, Glorisel Gonzalez-Viera, Marta Rodriguez-Garcia, Gerardo Jovet-Toledo, Irma L Molina-Vicenty, Luis Collazo-Rodriguez, Maria Leticia Reyes-Rabanillo
{"title":"Natural disasters and SARS-CoV-2: potential risk factors for exacerbating mental health conditions among veterans.","authors":"Parthasarathy Arpitha, Laura Bolorin-Vargas, Glorisel Gonzalez-Viera, Marta Rodriguez-Garcia, Gerardo Jovet-Toledo, Irma L Molina-Vicenty, Luis Collazo-Rodriguez, Maria Leticia Reyes-Rabanillo","doi":"10.1007/s44192-025-00147-z","DOIUrl":"10.1007/s44192-025-00147-z","url":null,"abstract":"<p><strong>Background: </strong>Puerto Rico and U.S. Virgin Islands Veterans (PRVs) have faced recurring challenges from hurricanes, earthquakes, and the COVID-19 pandemic. These events combined with prior traumas and social determinants of health (SDoH), may contribute to neuropsychiatric mental health conditions (MHCs) like post-traumatic stress disorder (PTSD) and substance use disorder (SUD) in PRVs affected by SARS-CoV-2.</p><p><strong>Methods: </strong>To clinically characterize the risk factors for MHCs among SARS-CoV-2 infected PRVs, we examined 839 records (2016-2020) to study SARS-CoV-2 infections and MHCs. Records were assessed for (i) PTSD and SUD using health data at diagnosis; (ii) clinical details pre-hurricanes (control; group 1), during hurricanes (group 2), and pandemic (group 3). Groups 1 and 2 were reviewed in 2020 to gauge exacerbation. Patient Health Questionnaire (PHQ-2/PHQ-9), PTSD checklist (PCL-5), Alcohol Use Disorders Identification Test (AUDIT), SDoH, and other tools were used for clinical evaluation, with the data analyzed using logistic regression.</p><p><strong>Results: </strong>Health data indicated SARS-CoV-2 infection in 21 PRVs. Earthquakes did not affect the infected PRVs nor did SDoH have any significant impact. Clinical analysis revealed that SUD worsened during hurricanes and exacerbation of all MHCs occurred during the pandemic among SARS-CoV-2 infected PRVs.</p><p><strong>Conclusions: </strong>These results underscore the fact that the combination of natural disasters like hurricanes and SARS-CoV-2 had synergistically contributed to the deterioration of neuropsychiatric MHCs, therefore warranting equitable MH support.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"28"},"PeriodicalIF":0.0,"publicationDate":"2025-03-04","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11880468/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143544808","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}
Bouchra Oneib, Atif Mansour, Mohammed Amine Bouazzaoui
{"title":"The effect of psychoeducation on clinical symptoms, adherence, insight and autonomy in patients with schizophrenia.","authors":"Bouchra Oneib, Atif Mansour, Mohammed Amine Bouazzaoui","doi":"10.1007/s44192-025-00152-2","DOIUrl":"10.1007/s44192-025-00152-2","url":null,"abstract":"<p><strong>Objective: </strong>The aim of this study is to assess the impact of psychoeducation on patients with schizophrenia, focusing on clinical symptoms, insight, self-esteem, treatment adherence, and social autonomy.</p><p><strong>Methods: </strong>This prospective study evaluates the effects of a 6-month psychoeducation program, the P.A.C.T. (Psychosis Aider Comprendre Traiter) program, on stabilized outpatients with schizophrenia, without the use of a control group. The program is designed to help patients understand their illness and treatment, improving adherence to care. Topics covered include the symptoms of schizophrenia, available treatment options, and coping strategies. The program also emphasizes peer support and individualized care, addressing challenges such as cognitive deficits and low motivation. Data were collected both prior to and following the psychoeducation program using a standardized questionnaire and assessment scales to evaluate the following: clinical symptoms (Positive and Negative Syndrome Scale, PANSS), therapeutic adherence (Medication Adherence Report Scale, MARS), insight (Birchwood Insight Scale), self-esteem (Rosenberg Self-Esteem Scale), and social autonomy (Social Autonomy Scale, SAS).</p><p><strong>Results: </strong>A total of 100 patients participated in the psychoeducational sessions, with a mean age of 37.73 ± 10.51 years and a male predominance. Following the psychoeducation program, significant improvements were observed across all assessment scales: - PANSS: Clinical symptoms improved markedly, with the mean score decreasing from 83.17 ± 23.09 before psychoeducation to 43.67 ± 16.11 after psychoeducation (p < 0.0001). - MARS-5: The rate of good adherence to treatment increased from 9% to 63.7%, with a significant change (p < 0.0001). - Birchwood Insight Scale and Rosenberg Self-Esteem Scale: Insight and self-esteem scores improved significantly (p < 0.0001).</p><p><strong>- sas: </strong>Social autonomy showed substantial improvement, with the mean SAS score decreasing from 58.81 to 20.21 (p < 0.0001).</p><p><strong>Conclusion: </strong>The P.A.C.T. psychoeducation program has been shown to significantly improve clinical outcomes, treatment adherence, insight, self-esteem, and social autonomy in patients with schizophrenia. However, the absence of a control group prevents the generalization of these data. Subsequent comparative studies would be desirable to demonstrate the positive effect of psychoeducation in the early stages of the disease within the framework of a comprehensive approach to recovery.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"26"},"PeriodicalIF":0.0,"publicationDate":"2025-02-28","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11871247/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143525329","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":"An assessment of the association between therapeutic relationships and insight among those with acquired brain injury and intellectual disability.","authors":"Andrea Sica, Corinne McCabe, Kevin Tierney","doi":"10.1007/s44192-025-00150-4","DOIUrl":"10.1007/s44192-025-00150-4","url":null,"abstract":"<p><p>The association between therapeutic relationships (TR) and Insight into overall deficit and skill among clinical populations is supported by a very limited number of studies. Even fewer of these have explored the association in brain injury or disability populations, and none have explored the association outside of therapeutic settings with qualified professionals such as psychologists. In fact, the impact of TR on Insight when interventions are delivered by frontline, non-clinically trained staff is virtually unexplored. This explorative, correlational study of 24 adults with acquired brain injury (ABI) (N = 11) and intellectual disability (ID; N = 13) and their 24 keyworkers aimed to address this gap. The Scale To Assess Therapeutic Relationships (STAR) provided the measure of TR while the Patient Competency Rating Scale (PCRS) provided the measure of Insight. Participants were recruited from a residential community service. Spearman's rho correlations between the STAR and PCRS and each of their subscales revealed no significant correlations in the overall sample. However, several post-hoc correlations reached statistical significance within the ABI group. These findings support the hypothesis of an interplay between TR and Insight following ABI. Reasons why this interplay was not found in the overall sample or the ID group are discussed.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"24"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861831/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494971","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":"Digital detox: exploring the impact of cybersecurity fatigue on employee productivity and mental health.","authors":"Filiz Mizrak, Hatice Gökçe Demirel, Okan Yaşar, Turhan Karakaya","doi":"10.1007/s44192-025-00149-x","DOIUrl":"10.1007/s44192-025-00149-x","url":null,"abstract":"<p><p>This study investigates the growing phenomenon of cybersecurity fatigue and its implications for employee productivity and mental health in the high-demand sectors of information technology (IT), finance, healthcare and education. Utilizing a quantitative research methodology, the study surveyed 351 employees from these industries to analyze the relationships between cybersecurity fatigue, work efficiency, and mental health indicators, including stress and anxiety. The findings highlight cybersecurity fatigue as a significant factor contributing to burnout, reduced productivity, and increased psychological strain. Structural Equation Modeling (SEM) demonstrates the moderating effects of digital detox initiatives and mental health support strategies in mitigating fatigue and improving employee well-being and organizational performance. This research addresses a critical gap by focusing on the human dimensions of cybersecurity management and offers practical recommendations for simplifying protocols and fostering resilience. The study provides actionable insights for organizations operating under stringent cybersecurity requirements, enabling them to enhance employee satisfaction and performance.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"25"},"PeriodicalIF":0.0,"publicationDate":"2025-02-25","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11861440/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494973","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}
Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Ikponmwosa Jude Ogieuhi, Abdulrahmon Moradeyo, Nathnael Abera Woldehana, Zainab Doyinsola Lawal, Busayo Adetunji, Grace Assi, Muhammad Wajeeh Nazar, Yewande Abigail Adebayo
{"title":"A narrative review on the psychosocial domains of the impact of organ transplantation.","authors":"Nicholas Aderinto, Gbolahan Olatunji, Emmanuel Kokori, Ikponmwosa Jude Ogieuhi, Abdulrahmon Moradeyo, Nathnael Abera Woldehana, Zainab Doyinsola Lawal, Busayo Adetunji, Grace Assi, Muhammad Wajeeh Nazar, Yewande Abigail Adebayo","doi":"10.1007/s44192-025-00148-y","DOIUrl":"10.1007/s44192-025-00148-y","url":null,"abstract":"<p><p>This review explores organ transplantation, spanning historical developments, psychosocial impacts, and future directions. In the pre-transplantation phase, evaluations of psychosocial factors, including substance use, mental health, and social support, are essential for successful outcomes. However, linking total psychosocial risk scores to post-transplant outcomes remains challenging despite available tools and assessments. Patient selection criteria and psychological assessments are pivotal in achieving successful transplantation outcomes. The age of donors significantly impacts transplant outcomes across various organs, highlighting the urgency of addressing organ shortages. Meticulous patient selection, including thorough psychosocial evaluations, ensures recipients possess the necessary emotional resilience and support systems for successful transplantation. Both pre- and post-transplantation psychological evaluation processes are crucial for assessing and supporting individuals throughout the transplant journey. Posttransplant evaluations continue to monitor adjustment difficulties, medication adherence, and complex emotions, enabling timely intervention and personalized support. The waiting period before transplantation presents significant challenges, including uncertainty, anxiety, and social isolation. Robust emotional support and coping mechanisms are crucial during this transitional phase, fostering resilience and hope among waitlist candidates. Psychological challenges during and after transplantation, including anxiety, depression, and sleep disturbances, are common among recipients. Coping mechanisms, such as religious/spiritual approaches, social support, and participation in support groups, play pivotal roles in patient adjustment and recovery. Ethical considerations are paramount in ensuring fair and effective transplantation practices, including organ allocation, adherence to post-transplant care, financial burdens, and the interplay between medical and psychosocial factors.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"20"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850674/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143484861","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}
Parisa Janjani, Parisa Nosrati, Arash Ziapour, Mehdi Khezeli, Sahand Geravand, Reza Heidari Moghadam, Murat Yıldırım
{"title":"Mediating role of coping strategies in the relationship between disease management self-efficacy, mental toughness, and quality of life in cardiovascular patients.","authors":"Parisa Janjani, Parisa Nosrati, Arash Ziapour, Mehdi Khezeli, Sahand Geravand, Reza Heidari Moghadam, Murat Yıldırım","doi":"10.1007/s44192-025-00133-5","DOIUrl":"10.1007/s44192-025-00133-5","url":null,"abstract":"<p><strong>Background: </strong>Cardiovascular diseases are among the leading causes of morbidity and mortality worldwide, significantly impacting the quality of life of affected individuals. Understanding the psychological factors that influence the well-being of cardiovascular patients is crucial for developing effective interventions. This study investigates the mediating role of coping strategies in the relationship between self-efficacy for disease management, mental toughness, and quality of life in cardiovascular patients.</p><p><strong>Method: </strong>This descriptive-analytical cross-sectional study was conducted in a specialized cardiology hospital in western Iran in 2022. The research employed correlation structure analyses and structural equation modeling. A total of 313 eligible patients with coronary artery disease participated in the study. Data were collected using questionnaires on coping strategies, self-efficacy in disease management, mental toughness, and quality of life. Of these, 303 valid responses were and analyzed using SPSS version 26 and PLS_3 software.</p><p><strong>Results: </strong>The results indicated that self-efficacy and mental toughness are directly and indirectly related to quality of life through the mediation of problem-oriented coping style. Self-efficacy positively influenced problem-oriented coping styles (β = 0.226), which in turn enhanced quality of life (β = 0.192). Mental toughness showed a direct positive effect on quality of life (β = 0.276) and an indirect effect through problem-oriented coping (β = 0.032). However, Structural Equation Modeling did not confirm the mediation of emotion-oriented coping style, indicating no significant influence from self-efficacy or mental toughness on quality of life through this path. Additionally, patients with higher self-efficacy in managing their disease reported higher quality of life (β = 0.352).</p><p><strong>Conclusion: </strong>These results highlight the importance of boosting self-efficacy and mental toughness in patients to improve their coping strategies and overall quality of life. Healthcare providers should consider incorporating these psychological factors into their treatment plans to achieve better patient outcomes.</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"22"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850667/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494975","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":"Direct observation systems for child behavior assessment in early childhood education: a systematic literature review.","authors":"Maha Al-Hendawi, Esraa Hussein, Sughra Darwish","doi":"10.1007/s44192-025-00139-z","DOIUrl":"10.1007/s44192-025-00139-z","url":null,"abstract":"<p><p>This systematic literature review critically assessed the use of direct observation systems (DOSs) in early childhood educational research, highlighting their role in the objective and systematic evaluation of child behavior and classroom dynamics. Our comprehensive analysis distinguishes between standardized and non-standardized observation systems regarding their applications, target groups, and capabilities for assessing diverse behavioral constructs in early childhood education settings. We synthesized data from 88 empirical studies, including standardized (47 studies) and non-standardized (41 studies) approaches. While the standardized DOS was defined as that which was consistently replicated across multiple research projects, the non-standardized DOS was tailored to the unique requirements of individual studies. Our findings suggest that while the standardized DOS offers a reliable method for generalized behavioral assessment, the non-standardized DOS is also widely and effectively used because it provides the flexibility required for more targeted behavioral evaluations. The Classroom Assessment Scoring System (CLASS) and the Individualized Classroom Assessment Scoring System (inCLASS) represent commonly used standardized tools, while non-standardized systems demonstrate particular strength in context-specific applications. The majority of the research was situated within pre-elementary contexts, with standardized studies having a median sample size of 158 compared to 136 non-standardized studies. Gender representation across the studies was notably equitable. A significant portion of related research has focused on populations at-risk of or diagnosed with emotional/behavioral disorders (EBDs) and attention-deficit/hyperactivity disorder (ADHD), accounting for 59.6% of standardized studies and 80.5% of non-standardized studies. DOS predominantly addressed emotional regulation (42%) and externalizing behaviors (21%).</p>","PeriodicalId":72827,"journal":{"name":"Discover mental health","volume":"5 1","pages":"21"},"PeriodicalIF":0.0,"publicationDate":"2025-02-24","publicationTypes":"Journal Article","fieldsOfStudy":null,"isOpenAccess":false,"openAccessPdf":"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC11850679/pdf/","citationCount":null,"resultStr":null,"platform":"Semanticscholar","paperid":"143494974","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}