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Background: Psychological birth trauma represents a significant global public health concern, with an estimated 45% of new mothers reporting such an experience. Researchers mostly focus on the impacts of postpartum mental health issues, such as postpartum post-traumatic stress disorder, minimal attention has been given to the antecedents of psychological birth trauma. This study seeks to investigate the correlation between fear of childbirth and psychological birth trauma among Chinese women who have undergone natural childbirth, as well as the mediating role of coping styles in the association between fear of childbirth and psychological birth trauma. Methods: This cross-sectional study was conducted among 420 women who underwent natural childbirth between June and December 2021 in Shandong Province, China. Data were gathered using the Wijma Delivery Experience Questionnaire, Trait Coping Style Questionnaire, and Impact of Event Scale-Revised. The structural equation model (SEM) was employed to examine the relationships between variables and to develop the final model. Results: The prevalence of psychological birth trauma among women who had experienced natural childbirth was recorded at 10.27%. The mean score and standard deviation of psychological birth trauma, fear of birth, positive coping (PC), and negative coping (NC) among these women were 19.7 ± 12.5, 76.9 ± 21.3, 35.66 ± 7.05, and 28.20 ± 7.99, respectively. Findings indicated that women's fear of childbirth was directly (B = 0.340, p = 0.001) and indirectly (B = 0.124, p = 0.001) linked to women's psychological birth trauma. Additionally, women's PC was negatively associated with psychological birth trauma (B= -0.352, p = 0.001), while NC was positively associated with psychological birth trauma (B = 0.199, p = 0.001). Conclusions: Chinese women who experienced natural childbirth encountered a moderate level of psychological birth trauma. Women's coping style plays a pivotal mediating role in the connection between fear of childbirth and psychological birth trauma. Consequently, interventions aimed at diminishing women's fear of childbirth and enhancing PC skills should be devised and implemented to alleviate women's psychological birth trauma. [ABSTRACT FROM AUTHOR]

Introduction: Non-suicidal self-injury (NSSI) is a high-risk factor for suicide, which is widespread among college students and is closely associated with psychological issues. Insomnia tends to cause mental instability, and chronic insomnia can trigger severe mood swings, including anxiety, depression, and irritability. It can also lead to memory loss and metabolic disorders. College students are in a critical period of self-development, with significant vulnerability to insomnia and NSSI. This study investigated the influence of insomnia on NSSI among college students and examined the significance of rumination as a mediating factor. Methods: Using random cluster sampling, we selected 667 college students from Jiangsu, China, and evaluated them using the Athens Insomnia Scale (AIS), Adolescent Self-Injury Scale (ASIS), and Ruminative Responses Scale (RRS). The significance of the mediating effect of rumination on the relationship between insomnia and NSSI among college students was tested using Bootstrap methods. Results: The fact that the students were only children was statistically significant for rumination scores (p < 0.05). The results showed a significant positive correlation among insomnia, NSSI, and rumination (r = 0.198, 0.737, 0.243, respectively; p < 0.001). Insomnia of college students affects NSSI directly and indirectly through rumination. Conclusion: Rumination fully mediated the relationship between insomnia and NSSI among college students, indicating an indirect influence of insomnia on NSSI. Total effect value is 0.192. Rumination plays a complete mediating role in the relationship between insomnia and NSSI among college students, with a mediating effect of 84.21%. [ABSTRACT FROM AUTHOR]

Introduction: Sports gains reflect the sports development of college students, which is a direct reflection of the quality of school sports work, while the perception of sports environment, physical activity behavior, and self-efficacy in sports learning are closely related to their sports gains, which directly affects their effectiveness and interest in sports learning. Objective: To investigate the effects of perceived sports environment on Chinese college students' sport gains, and to verify the mediating roles of physical activity behavior and self-efficacy in sport learning. Methods: A survey of 2,207 Chinese university students was conducted using the sport environment perception scale, sport gain scale, physical activity behavior scale, and sport learning self-efficacy scale. Results: (1) There were significant differences in age and gender between college students' perceptions of sport environment, sport gains, sport exercise behavior, and sport learning self-efficacy, and the mean scores of each scale were better for male students than for female students. (2) Perception of sports environment was significantly positively correlated with sports gain, and perception of sports environment had a direct positive effect on sports gain. In addition, sport environment perception positively predicted physical activity behavior and sport learning self-efficacy; physical activity behavior significantly predicted sport learning self-efficacy and sport gains; physical learning self-efficacy was a significant positive predictor of sport gains. (3) Physical activity behavior and physical learning self-efficacy played a significant chained mediating role between perceived physical environment and physical gains. These results are important for promoting physical education learning outcomes among college students and provide a theoretical basis for developing interventions. However, there are limitations to this study, such as the specificity of the sample and the self-reported data used. Future research could expand the sample and utilize multiple assessment methods to validate these results. [ABSTRACT FROM AUTHOR]

Background: In the face of a global nursing shortage, nursing interns are crucial to sustaining the healthcare workforce. However, these interns encounter significant challenges in career decision-making, often exacerbated by the impostor phenomenon, which impedes their capacity to make informed choices. Despite its importance, little research has been reported on the specific conditions and contributing factors that affect nursing interns' career decision-making processes. Objective: To understand the current status of nursing interns' impostor phenomenon, psychological resilience, and career decision-making difficulties, and to validate the mediating role of psychological resilience between impostor phenomenon and career decision-making difficulties using structural equation modeling. Methods: Five hundred eighty-two nursing interns from four tertiary hospitals in Wuhan City, Hubei Province of China were selected by stratified random sampling. Data were collected with the Clance Impostor Phenomenon Scale, Career Decision-Making Difficulties Questionnaire, and the 10-item Connor–Davidson Resilience Scale through an online survey. Mediation effect tests were conducted using SPSS 26.0 and PROCESS software. Results: (1) The score for career decision-making difficulties was 99.34 (SD = 21.78), the score for impostor phenomenon was 57.58 (SD = 12.13), and the score of psychological resilience was 32.11 (SD = 8.50); (2) Psychological resilience had a significant negative correlation with career decision-making difficulties (r = −0.724, p < 0.01), and impostor phenomenon had a significant negative correlation with psychological resilience (r = −0.608, p < 0.01), and had a significant positive correlation with career decision-making difficulties (r = 0.700, p < 0.01). Psychological resilience played a partial mediating role between impostor phenomenon and career decision-making difficulties (p < 0.01), with the mediating effect (Effect Value = 0.518, Bootstrap 95% CI: 0.430, 0.610) accounting for 41.27% of the total effect. Conclusion: Career decision-making difficulties are common among nursing interns. Effective strategies should address the impostor phenomenon and promote psychological resilience to enhance self-awareness and create a supportive environment. [ABSTRACT FROM AUTHOR]

Background: Clinical nurses play a vital role in healthcare. Their innovative behavior is crucial for improving patient care, advancing the profession, and ensuring the healthcare industry's continued success. Many studies have highlighted the importance of nurse innovative behavior, but the link between their innovative behavior, structural empowerment, and decent work perception remains unclear. Objectives: This study aimed to investigate the relationship between innovative behavior, structural empowerment, and decent work perception among the Chinese clinical nurses and identify the mediating role of decent work perception. Methods: A cross-sectional correlational design was employed, and from July 2023 to April 2024, 1,513 clinical nurses were recruited from 8 tertiary grade-A hospitals across three cities in China. Data from the Demographic Characteristics Questionnaire, the Nurse Innovation Behavior Scale, the Conditions of Work Effectiveness Questionnaire-II, and the Decent Work Perception Scale were collected through convenience sampling and analyzed using descriptive statistics, univariate correlation, and process plug-in mediation effect analyses. Results: The total scores of innovative behavior, structural empowerment, and decent work perception were 28.36 ± 6.25, 51.15 ± 12.63, and 42.97 ± 9.25, respectively. Innovative behavior was significantly, moderately and positively correlated with structural empowerment (r = 0.657, p < 0.01) and decent work perception (r = 0.618, p < 0.01); decent work perception played a partial mediating role between innovative behavior and structural empowerment (52.5%). Conclusion: The innovative behavior, structural empowerment, and decent work perception among the Chinese clinical nurses were relatively moderate, indicating a need for improvement. Structural empowerment perception can, directly and indirectly, impact innovative behavior through decent work perception among Chinese clinical nurses. Nursing managers should promote innovative behavior of clinical nurses by raising structural empowerment and decent work perception to improve the quality of clinical nursing. Thus, it can be improved by creating a positive empowerment climate for clinical nurses and providing them with the information, resources, support, and opportunities for their jobs and improving their level of structural empowerment and decent work perception. [ABSTRACT FROM AUTHOR]

Purpose: Constructing a multiple mediation model based on two mediating variables, social support and self-efficacy, to explore the mechanism of health literacy's effect on decisional conflict in patients with stable schizophrenia. Patients and Methods: A total of 205 patients with stable schizophrenia who were hospitalized in a psychiatric hospital in Guangdong Province, China, were selected for the study. The All Aspects of Health Literacy Scale (AAHLS), Decisional Conflict Scale (DCS), Social Support Rating Scale (SSRS) and General Self-Efficacy Scale (GSES) were used to evaluate health literacy, decisional conflict, social support and self-efficacy. Path analysis was performed by constructing a structural equation model, and the mediating effect between variables was validated by the bias-corrected nonparametric percentile bootstrap method. Results: Health literacy, social support, and self-efficacy together explained 20.4% of the variance in decisional conflict. (1) Severe decisional conflict group accounted for 82% of overall patients with stable schizophrenia. (2) there were strong and significant negative relationships between decisional conflict and health literacy, social support, self-efficacy and each of their dimensions (r=− 0.14– 0.27, P< 0.01 or P< 0.05). (3) The path analysis showed that health literacy directly affects decisional conflict (β=− 0.282); additionally, health literacy indirectly affects decisional conflict through social support (β=− 0.319), self-efficacy (β=− 0.010) and through the chain mediating effect of social support and self-efficacy (β=− 0.008). Conclusion: Patients with stable schizophrenia have serious decisional conflict in China, and necessary interventions have to be made. This study found that social support and self-efficacy mediate the relationship between health literacy and decisional conflict in patients with stable schizophrenia in China. Healthcare professionals should emphasize health literacy education for patients, and implement pathway-based targeted interventions to improve health literacy, reduce decisional conflict, and promote the recovery of patients with stable schizophrenia. [ABSTRACT FROM AUTHOR]

The purpose of this study is to explore the mediating role of organizational trust in the impact of social sustainability on organizational resilience. Using a sample of 441 employees in the energy sector in Istanbul, a structured questionnaire was applied to measure employees' organizational resilience, organizational trust and perceived social sustainability activities. Data analysis was carried out with SPSS and AMOS 24 programs. Factor analysis and structural equation modeling were used in the study. The data analysis based on path modelling confirms the mediating role of organizational trust in the effect of social sustainability on organizational resilience. The findings show that all social sustainability variables significantly affect all organizational trust dimensions, and organizational trust dimensions significantly affect organizational resilience dimensions. Accordingly, organizational trust dimensions and all social sustainability dimensions have a full mediating variable role in the effect of organizational trust dimensions on organizational resilience dimensions. Future research is important to gain a deeper understanding of the relationships between social sustainability, organizational resilience and organizational trust. In particular, studies in specific sectors or cultural contexts can help us better understand how these relationships may vary and how they may shape organizations' strategies. [ABSTRACT FROM AUTHOR]

Aim: This study aimed to assess the potential mediating roles of nurses' job satisfaction and burnout in the association between decent work and turnover intention. Background: There is a global challenge of nursing shortages in healthcare systems worldwide. Decent work is crucial for safeguarding the rights and professional development outcomes of nurses. However, there is currently limited research on decent work among nurses, and there is a lack of studies exploring the relationships between nurses' decent work, job satisfaction, burnout, and turnover intention. Methods: A cross‐sectional survey design was employed with a sample of 460 nurses from three hospitals: The Affiliated Hospital of Hangzhou Normal University, Hangzhou Third People's Hospital, and Hangzhou Red Cross Hospital. The STROBE checklist was used. Mediation analysis using the PROCESS Macro was used to examine the relationships between decent work, job satisfaction, burnout, and turnover intention. Results: The results showed that nurses' perception of decent work directly influences their turnover intention. Additionally, these findings strongly support the role of job satisfaction and burnout as mediating factors in the relationship between decent work and turnover intention. Conclusions: Decent work reduces nurse burnout and turnover intention of enhancing their job satisfaction. Implications for nursing and health policy: This study's findings have important implications for healthcare organizations and policymakers. Recognizing the pivotal role of decent work in nurses' job satisfaction and well‐being can guide the development of strategies to improve working conditions and reduce turnover rates. It is imperative for healthcare institutions to prioritize creating safe, supportive, and equitable work conditions for nurses, as this can contribute to higher job satisfaction and, subsequently, lower turnover rates. [ABSTRACT FROM AUTHOR]

Aim: This study aims to explore the relationship between collaborative leadership and nurses' productive work performance as well as the mediating role of nurses' innovative behavior in this relationship. Background: Collaborative leadership is an imperative necessity in the contemporary turbulent healthcare environment as it provides a collaborative atmosphere where innovative behavior and productive performance of nurses are fostered, hence moving healthcare organizations toward competitiveness and sustainability. Method: A cross‐sectional descriptive correlational exploratory research design was used to conduct the study. Data were collected from 550 nurses recruited from three large university hospitals in Alexandria, Egypt, using three instruments, namely, interprofessional collaborative leadership in healthcare teams scale, productive work performance questionnaire, and innovative behavior inventory. The instruments of the study are Likert‐type questionnaires through which nurses' perspectives regarding study variables were investigated. We used descriptive statistics, inferential statistics as well as structured equation modeling (SEM). Results: SEM revealed that collaborative leadership accounted for 83% of the variance of individual productive work performance and 77% of the variance of nurses' innovative behavior. Moreover, nurses' innovative behavior partially mediates the relationship between collaborative leadership and their productive work performance. Conclusion: Collaborative leadership practices are powerful strategies to enhance the innovative behavior of nurses and sustain their productive work performance. Implications for nursing and health policy: Fostering a collaborative atmosphere in workplace is mandatory for nurses' innovativeness. Replacing hierarchal leadership styles with collaborative ones is a promising strategy to enhance the productive performance of nurses. Healthcare managers and leaders could cultivate an interprofessional collaborative culture in the workplace in order to sustain productivity and eradicate counterproductive work behaviors among healthcare providers. [ABSTRACT FROM AUTHOR]

Background: Executive Function and the Approximate Number System are well-established as critical components in developing the Cardinality Principle in young children. However, most existing studies explore the relationship between these variables in isolation without examining whether Approximate Number System mediates the relationship between Executive Function and the Cardinality Principle and the role of age in this. This study aimed to address this gap by investigating the mediating role of the Approximate Number System in the relationship between Executive Function and the Cardinality Principle and the moderating role of age in young children. Methods: This cross-sectional study was conducted in China from February to June 2024. A total of 203 young children (97 boys and 106 girls, Mean age = 68.93 ± 7.076 months) participated. Participants were assessed using a range of tests: the Day-Night Stroop Task, Digit Recall Task, Dimensional Change Card Sort Task, Panamath Test Software, How Many Task, and Give-N Task to measure Executive Function, Approximate Number System, and Cardinality Principle. Data were analyzed using SPSS 26.0 and PROCESS v4.1 (Model 4) to explore the relationships among Executive Function, the Approximate Number System, and the Cardinality Principle through Pearson correlations, multivariate regression, and mediation analysis with 5000 bootstrap samples. Results: Correlation analysis revealed that the Cardinality Principle was significantly and positively correlated with Inhibitory Control, Working Memory, Cognitive Flexibility, Executive Function, and the Approximate Number System. Regression analyses indicated that Executive Function positively predicted young children's Cardinality Principle. Specifically, Working Memory and Cognitive Flexibility were positive predictors of the Cardinality Principle, while Inhibitory Control was not. Mediation analysis results demonstrated that the Approximate Number System mediated the relationships between Inhibitory Control and the Cardinality Principle, Working Memory and the Cardinality Principle, and Cognitive Flexibility and the Cardinality Principle, respectively. In addition, the study found that young children's age negatively moderated the relationship between the Approximate Number System and the Cardinality Principle. Conclusions: The study emphasizes that in developing young children's Cardinality Principle, emphasis should be placed on improving their Executive Function and Approximate Number System while considering the age differences of young children and developing appropriate educational methods for different age groups. [ABSTRACT FROM AUTHOR]

Background: Ethiopian migrants to the Middle East and South Africa are exposed to dangerous traveling and working conditions and their experiences are mostly tragic. They are unwelcomed not only by the situation in the destination but also by the community at home which is an important indicator of stigma and discrimination. However, there is lack of evidence on how psychological distress is associated with migration experiences, stigma and coping strategies. Therefore, it was aimed to determine the mediating effect of psychological distress in the association between migration experiences and stigma and discrimination and coping strategies. Methods: A total of 739 Ethiopian migrant returnees from the Middle East and South Africa were included in the study. A cross-sectional study was conducted in five migration hotspot areas in Ethiopia, namely Addis Ababa, Dessie, Shashemene, Hossana, and Gondar. Data related to socio-demographic, economic, migration experiences, psychological distress, coping strategies, and stigma and discrimination were collected. Psychological distress was measured using the 21- item version of the Depression, Anxiety and Stress Scale and coping strategies were measured with the Brief-COPE. Structural equation modeling was employed to estimate the relationship among variables. Results: About 395 (57.33%) of the participants reported symptoms of depression, 428 (59.86%) anxiety symptoms, and 313 (45.21%) stress symptoms. The mediated association between physical violence and coping strategy through psychological distress was 0.29 (adjusted β = 0.29, 95%CI: 0.15, 0.44). Denial of salary had positive direct (adjusted β = 1.00, 95%CI: 0.50, 1.50) and mediated (adjusted β = 1.20, 95%CI: 0.71, 1.68) associations with stigma and discrimination through psychological distress. Restricted freedom had positive mediated (adjusted β = 0.39, 95%CI: 0.13, 0.65) and total (adjusted β = 0.94, 95%CI: 0.59, 1.29) associations with stigma and discrimination through psychological distress. Conclusion: Depression, anxiety, and stress symptoms are common among migrant returnees. Religious practice is the most commonly used coping mechanism. Psychological distress has positive mediating association with the relationships between denial of salary by employers and stigma and discrimination, physical violence and coping strategy, and restricted freedom and stigma and discrimination. Psychological interventions to deal with the psychological distress and stigma and discrimination of migrant returnees and to encourage the practice of positive coping strategies are warranted. [ABSTRACT FROM AUTHOR]

Objective: Physical exercise is an important way for college students to keep healthy, and social adaptation is an important part of college students' mental health. Therefore, this study explores strategies to enhance college students' social adaptation from the perspective of physical exercise, examining the correlation between physical exercise and college students' social adaptation, and delving into the roles of self-esteem and peer attachment in this relationship. Methods: A stratified cluster sampling method was used to collect data from 809 college students at Zhaoqing University (average age 19.88 ± 1.22, of whom 399 were male and 410 were female) using the physical exercise scale, college students' social adaptation scale, self-esteem scale, and peer attachment scale. For data analysis, Pearson correlation analysis, structural equation modeling, and bias-corrected percentile bootstrap methods were sequentially performed. Results: (1) Physical exercise was positively correlated with college students' social adaptation (r = 0.58, p < 0.01), and the direct path between physical exercise and college students' social adaptation was significant (β = 0.28, p < 0.01, CI[0.22, 0.33]); (2) Physical exercise was positively correlated with self-esteem (β = 0.56, p < 0.01, CI[0.50, 0.62]) and peer attachment (β = 0.18, p < 0.01, CI[0.11, 0.26]); self-esteem was positively correlated with peer attachment (β = 0.36, p < 0.01, CI[0.28, 0.43]) and college students' social adaptation (β = 0.43, p < 0.01, CI[0.37, 0.49]); peer attachment was positively correlated with college students' social adaptation (β = 0.18, p < 0.01, CI[0.12, 0.23]); (3) The relationship between physical exercise and social adaptation was not only mediated independently by self-esteem and peer attachment, but also indirectly by the same two factors in a chain reaction. Conclusion: Physical exercise can not only directly predict college students' social adaptation, but also indirectly predict college students' social adaptation through the independent mediation and chain mediation of self-esteem and peer attachment. It reveals that we should combine more important physical exercise with mental health education for students. [ABSTRACT FROM AUTHOR]

Purpose: To explore the relationship between parenting styles and self-concept, emotional intelligence, and subjective well-being among primary school students. Methods: In total, 1,683 students from 10 primary schools in Hangzhou, China, were surveyed using a simple random sampling method. Participants completed the Parenting Style Scale, the Self-Concept Scale, the Emotional Intelligence Scale, and the Subjective Well-Being Scale. Results: (1) Father's and mother's emotional warmth was significantly positively correlated with students' subjective well-being (r = 0.513, p < 0.01 and r = 0.478, p < 0.01, respectively). Father's and mother's rejection was significantly negatively correlated with students' subjective well-being (r = −0.257, p < 0.01 and r = −0.285, p < 0.01, respectively). Father's overprotection was significantly negatively correlated with students' subjective well-being (r = −0.178, p < 0.01; r = −0.227, p < 0.01). (2) Self-concept and emotional intelligence acted as chain mediators between father's and mother's emotional warmth and students' subjective well-being (0.337, 0.477 and 0.366, 0.520, respectively). Self-concept and emotional intelligence acted as chain mediators between father's and mother's rejection and students' subjective well-being (−0.590, −0.377 and −0.693, −0.460, respectively). Self-concept chain-mediated between father's and mother's overprotection and students' subjective well-being (−0.380, −0.224 and −0.413, −0.264 respectively). Conclusion: Parenting styles can affect primary school student's subjective well-being both directly and through mediating effects. Self-concept and emotional intelligence partially mediate the impact of emotional warmth and rejection parenting styles, and fully mediate the impact of father's overprotective parenting on subjective well-being. [ABSTRACT FROM AUTHOR]

The aim was to investigate the mediating role of emotional regulation and emotional expression in the relationship between autistic traits and empathy in Saudi students. Participants were undergraduate students at Umm Al-Qura University. A total of 398 questionnaires were sent out, and 260 valid questionnaires were received. Descriptive statistics and correlation analysis were conducted on the variables hypothesized in the study; on this basis, the structural process model modeling method was used to examine the impact of autistic trait empathy after controlling for factors unrelated to age and gender. This study investigated the relationship between empathy, emotional expression, cognitive reappraisal, and autistic traits in Saudi students. A statistical analysis to test the posited hypotheses was undertaken using IBM SPSS Statistics, version 26. Key descriptive statistics were undertaken using the software, making it possible to study the distributions of successive measured variables. The results found that autistic traits can directly and negatively predict empathy, and also through negative emotional expression and cognitive reappraisal can indirectly predict empathy, and can even predict empathy through the chain mediation of negative emotional expression and positive emotional expression to cognitive reappraisal. However, autistic traits did not predict empathy through positive emotional expression. [ABSTRACT FROM AUTHOR]

Abstract Background Psychological birth trauma represents a significant global public health concern, with an estimated 45% of new mothers reporting such an experience. Researchers mostly focus on the impacts of postpartum mental health issues, such as postpartum post-traumatic stress disorder, minimal attention has been given to the antecedents of psychological birth trauma. This study seeks to investigate the correlation between fear of childbirth and psychological birth trauma among Chinese women who have undergone natural childbirth, as well as the mediating role of coping styles in the association between fear of childbirth and psychological birth trauma. Methods This cross-sectional study was conducted among 420 women who underwent natural childbirth between June and December 2021 in Shandong Province, China. Data were gathered using the Wijma Delivery Experience Questionnaire, Trait Coping Style Questionnaire, and Impact of Event Scale-Revised. The structural equation model (SEM) was employed to examine the relationships between variables and to develop the final model. Results The prevalence of psychological birth trauma among women who had experienced natural childbirth was recorded at 10.27%. The mean score and standard deviation of psychological birth trauma, fear of birth, positive coping (PC), and negative coping (NC) among these women were 19.7 ± 12.5, 76.9 ± 21.3, 35.66 ± 7.05, and 28.20 ± 7.99, respectively. Findings indicated that women’s fear of childbirth was directly (B = 0.340, p = 0.001) and indirectly (B = 0.124, p = 0.001) linked to women’s psychological birth trauma. Additionally, women’s PC was negatively associated with psychological birth trauma (B= -0.352, p = 0.001), while NC was positively associated with psychological birth trauma (B = 0.199, p = 0.001). Conclusions Chinese women who experienced natural childbirth encountered a moderate level of psychological birth trauma. Women’s coping style plays a pivotal mediating role in the connection between fear of childbirth and psychological birth trauma. Consequently, interventions aimed at diminishing women’s fear of childbirth and enhancing PC skills should be devised and implemented to alleviate women’s psychological birth trauma.

To explore the association of sensory processing sensitivity (SPS) and stigma as well as the mediating role of fear of progression (FoP) in lung cancer patients.

Abstract Background Clinical nurses play a vital role in healthcare. Their innovative behavior is crucial for improving patient care, advancing the profession, and ensuring the healthcare industry’s continued success. Many studies have highlighted the importance of nurse innovative behavior, but the link between their innovative behavior, structural empowerment, and decent work perception remains unclear. Objectives This study aimed to investigate the relationship between innovative behavior, structural empowerment, and decent work perception among the Chinese clinical nurses and identify the mediating role of decent work perception. Methods A cross-sectional correlational design was employed, and from July 2023 to April 2024, 1,513 clinical nurses were recruited from 8 tertiary grade-A hospitals across three cities in China. Data from the Demographic Characteristics Questionnaire, the Nurse Innovation Behavior Scale, the Conditions of Work Effectiveness Questionnaire-II, and the Decent Work Perception Scale were collected through convenience sampling and analyzed using descriptive statistics, univariate correlation, and process plug-in mediation effect analyses. Results The total scores of innovative behavior, structural empowerment, and decent work perception were 28.36 ± 6.25, 51.15 ± 12.63, and 42.97 ± 9.25, respectively. Innovative behavior was significantly, moderately and positively correlated with structural empowerment (r = 0.657, p

Abstract Background Ethiopian migrants to the Middle East and South Africa are exposed to dangerous traveling and working conditions and their experiences are mostly tragic. They are unwelcomed not only by the situation in the destination but also by the community at home which is an important indicator of stigma and discrimination. However, there is lack of evidence on how psychological distress is associated with migration experiences, stigma and coping strategies. Therefore, it was aimed to determine the mediating effect of psychological distress in the association between migration experiences and stigma and discrimination and coping strategies. Methods A total of 739 Ethiopian migrant returnees from the Middle East and South Africa were included in the study. A cross-sectional study was conducted in five migration hotspot areas in Ethiopia, namely Addis Ababa, Dessie, Shashemene, Hossana, and Gondar. Data related to socio-demographic, economic, migration experiences, psychological distress, coping strategies, and stigma and discrimination were collected. Psychological distress was measured using the 21- item version of the Depression, Anxiety and Stress Scale and coping strategies were measured with the Brief-COPE. Structural equation modeling was employed to estimate the relationship among variables. Results About 395 (57.33%) of the participants reported symptoms of depression, 428 (59.86%) anxiety symptoms, and 313 (45.21%) stress symptoms. The mediated association between physical violence and coping strategy through psychological distress was 0.29 (adjusted β = 0.29, 95%CI: 0.15, 0.44). Denial of salary had positive direct (adjusted β = 1.00, 95%CI: 0.50, 1.50) and mediated (adjusted β = 1.20, 95%CI: 0.71, 1.68) associations with stigma and discrimination through psychological distress. Restricted freedom had positive mediated (adjusted β = 0.39, 95%CI: 0.13, 0.65) and total (adjusted β = 0.94, 95%CI: 0.59, 1.29) associations with stigma and discrimination through psychological distress. Conclusion Depression, anxiety, and stress symptoms are common among migrant returnees. Religious practice is the most commonly used coping mechanism. Psychological distress has positive mediating association with the relationships between denial of salary by employers and stigma and discrimination, physical violence and coping strategy, and restricted freedom and stigma and discrimination. Psychological interventions to deal with the psychological distress and stigma and discrimination of migrant returnees and to encourage the practice of positive coping strategies are warranted.

Purpose – The study is interested in knowing “the role of the organizational structure as a mediating variable of the relationship between the information technology and organizational communication”. Design/methodology/approach – The study was conducted in several service companies, and the study adopted the questionnaire as a basic tool for the data collection on the practical side, as 267 opinions were surveyed, in addition to conducting personal interviews, and the normal distribution of data was tested, analyzing, describing and diagnosing study variables, testing correlations and determining direct effects. Findings – Findings show that there is no direct and significant statistical impact of information technology on organizational communications. Whereas there was a positive, direct and statistically significant impact of information technology on the organizational structure. There was also a positive, direct and statistically significant effect of the organizational structure on organizational communication. Research limitations/implications – This paper is restricted to the role of the organizational structure as a mediating variable of the relationship between the influence of information technology on organizational communication. Practical implications – As part of the practical implication, the paper suggests the need to increase support and attention to the importance of information technology in service organizations in order to increase coordination and organizational communication and achieve a high ability to explore and exploit ideas. Originality/value – Apart from the fact that several companies were engaged, the organizational structures of these companies were engaged too to examine the impacts of Information technology (ICT) on organizational communication.

Abstract Background Loneliness is a risk factor for numerous negative life outcomes and diseases among older adults. Physical exercise can reduce social isolation among older adults and improve their health status. This study focused on the relationships among physical exercise, perceived social support, resilience and loneliness to provide theoretical support for physical exercise interventions to address loneliness in older adults. Methods This study used a structural equation model and bootstrap method to test a serial mediation model of physical exercise and loneliness and the role of perceived social support and resilience. In this descriptive and cross-sectional study, a questionnaire survey was conducted on 516 older adults from 5 January 2024 to 20 January 2024. The data were collected using the physical activity rating scale (PARS-3), UCLA loneliness Scale-8 (ULS-8), perceived social support scale (PSSS) and Connor-Davidson Resilience Scale (CD-RISC). Results The results showed that physical exercise among older adults had a direct negative relationship with loneliness (Effect = -0.049, 95% CI: -0.072 to -0.027). In addition, perceived social support and resilience mediated the relationship between physical exercise and loneliness both independent and serially, with the independent mediation effect of perceived social support being − 0.041 (95% CI: -0.056 to -0.028), the independent mediation effect of resilience being − 0.018 (95% CI: -0.026 to -0.011), and the serial mediation effect of perceived social support and resilience being − 0.009 (95% CI: -0.015 to -0.005). The total indirect effect of the three mediation paths was 58.47%. Conclusions (1) In this study, physical exercise and loneliness in older adults were negatively correlated. Perceived social support and resilience play mediating roles in the relationship between physical exercise and loneliness. (2) This study suggests that participation in group events or team sports is valuable for alleviating loneliness caused by a lack of social interaction.

Abstract Objective This study aims to assess the levels of social support, fear of disease progression (FOP) and health promotion behaviors in patients with obstructive sleep apnea-hypopnea syndrome (OSAHS), and to examine the associations between FOP, social support, and health promotion behaviors in OSAHS patients, with a focus on exploring the mediating role of social support. The findings aim to provide insights for enhancing health promotion behaviors among OSAHS patients in China and to offer a theoretical foundation for healthcare professionals in devising intervention strategies to promote health behaviors in individuals with OSAHS. Methods This cross-sectional study included 307 patients diagnosed with OSAHS in Jinzhou City, Liaoning province. The survey instruments utilized included the Demographic Characteristics Questionnaire, Social Support Rating Scale (SSRS), Fear of Disease Progression Scale (Fop-Q-SF), and Health-Promoting Lifestyle Scale (HPLP II). Pearson correlation analysis was employed to assess correlations, while multiple linear regression and structural equation modeling were utilized to explore potential mediation effects. Results In the OSAHS patient population, FOP (r=-0.55, p

Background: Frailty has become a common health issue among older adults, imposing a burden on both society and individuals. The relationship between social participation and frailty has received widespread attention, but the mechanism remains to be explored. The aim of this study is to explore the impact of social participation on frailty among older adults and to analyze the mediating role of loneliness and sleep quality, providing suggestions to alleviate frailty. Methods: Data related to social participation, loneliness, sleep quality, and frailty from 7779 older adults were collected from the Chinese Longitudinal Healthy Longevity Survey (CLHLS 2018). The chain mediation model was conducted to explore the relationship between variables, and the Bootstrap method was used to examine the path coefficients. Results: Social participation negatively affected frailty (β = −0.00391049, 95% CI = [−0.042296, −0.035465]); the indirect effect of social participation on frailty mediated by loneliness was −0.0019505 (95% CI = [−0.002551, −0.001371]); the indirect effect of social participation on frailty mediated by sleep quality was −0.0011104 (95%CI = [−0.001692, −0.000557]); the effect mediated by both loneliness and sleep quality was −0.0004263 (95% CI = [−0.000593, −0.000304]). Conclusions: Social participation negatively affected frailty. Loneliness and sleep quality not only mediated independently, but also played a chain mediating role. This suggested that encouraging older adults to engage in more social participation, reducing loneliness, and improving sleep quality are feasible measures to improve frailty. [ABSTRACT FROM AUTHOR]

Background: Loneliness is a risk factor for numerous negative life outcomes and diseases among older adults. Physical exercise can reduce social isolation among older adults and improve their health status. This study focused on the relationships among physical exercise, perceived social support, resilience and loneliness to provide theoretical support for physical exercise interventions to address loneliness in older adults. Methods: This study used a structural equation model and bootstrap method to test a serial mediation model of physical exercise and loneliness and the role of perceived social support and resilience. In this descriptive and cross-sectional study, a questionnaire survey was conducted on 516 older adults from 5 January 2024 to 20 January 2024. The data were collected using the physical activity rating scale (PARS-3), UCLA loneliness Scale-8 (ULS-8), perceived social support scale (PSSS) and Connor-Davidson Resilience Scale (CD-RISC). Results: The results showed that physical exercise among older adults had a direct negative relationship with loneliness (Effect = -0.049, 95% CI: -0.072 to -0.027). In addition, perceived social support and resilience mediated the relationship between physical exercise and loneliness both independent and serially, with the independent mediation effect of perceived social support being − 0.041 (95% CI: -0.056 to -0.028), the independent mediation effect of resilience being − 0.018 (95% CI: -0.026 to -0.011), and the serial mediation effect of perceived social support and resilience being − 0.009 (95% CI: -0.015 to -0.005). The total indirect effect of the three mediation paths was 58.47%. Conclusions: (1) In this study, physical exercise and loneliness in older adults were negatively correlated. Perceived social support and resilience play mediating roles in the relationship between physical exercise and loneliness. (2) This study suggests that participation in group events or team sports is valuable for alleviating loneliness caused by a lack of social interaction. [ABSTRACT FROM AUTHOR]

Background: Improving job performance has a significant effect on the quality of medical services and ensuring people's health. Purpose: This study explores the influence and mechanism of the character strengths and career callings of medical staff as well as the intermediary role of such career calling. Methodology: A cross-sectional survey was conducted of 414 healthcare staff members in public hospitals in Hangzhou. Descriptive statistics and hierarchical linear regressions were used to analyze the medical staff's job performance and related factors, and structural equation modeling path analysis was used to explore and validate the influence and mechanism of character advantage and career calling on job performance. Results: The results show that medical staff character strengths have a positive impact on job performance. Path analysis shows that character strengths indirectly affect job performance, and career calling plays a partial mediating role in character strengths and job performance. Conclusion: The results show that good personalities promote job performance, and the association is more significant under a high sense of career calling. [ABSTRACT FROM AUTHOR]

To explore the mediating effect of sleep duration on the relationship between qi stagnation constitution and anxiety/depression in junior high school students. Methods From March 20 to March 31, 2020, a total of 10, 325 students from 6 junior high schools in Henan, Liaoning, Shaanxi, Shandong, and Fujian provinces were sampled by cluster sampling. Firstly, the general conditions ( age, gender, grade, hometown, whether they are an only child) and sleep duration were collected, and their qi stagnation constitution, depression and anxiety status were evaluated by using the Qi Stagnation Subscale in the "' TCM Constitution Classification and Judgment Scale", the Patient Health Questionnaire (PHQ-9) and the Generalized Anxiety Disorder ( GAD-7). Secondly, Spearman correlation analysis was used to explore the correlation between qi stagnation constitution, sleep duration, and anxiety/ depression. Then, linear regression analysis and mediating effect test were used to explore the relationship between qi stagnation constitution and anxiety/depression in junior high school students, and the mediating effect of sleep duration was analyzed, and the results were verified. Results (i) The detection rate of anxiety in non-only children was higher than that of only children (X1 = 11. 198, P = 0. 001) ； The detection rate of anxiety (f = 106. 967, P<0. 001) or depression (f = 84. 692, P<0. 001) was higher among senior students than those in lower grades, while those of girls with anxiety = 100.441, P<0.001) or depression (太2 = 71.418, P <0.001) were higher than those of boys. The detection rates of anxiety (太2 = 1 092. 298, P<0. 001) and depression (X1 = 866. 740, P<0. 001) in qi stagnation constitution students were higher than those of non-qi stagnation constitution students, and the detection rates of anxiety (χ2 = 1 076. 716, P<0. 001) and depression (太2 = 1 099. 725, P<0. 001) in students whose sleep duration less than 8 h were higher than those of whose sleep duration more than 8 h, and the shorter the sleep duration, the higher the detection rate. (ii) Qi stagnation constitution positively predicted anxiety/depression (β = 0.679, P<0.001;β = 0.718, P<0.001), and sleep duration had a negative predictive effect on anxiety/depression (β = -0.403, P<0. 001 ；β = -0. 439, P<0.001). ( iii) Sleep duration played a partial mediating role in the relationship between qi stagnation constitution and anxiety/depression in junior high school students, and the mediating effect accounted for 13. 40% and 13. 79% of the total effect, respectively. Conclusion Although qi stagnation constitution mainly affects anxiety/depression through direct effect, it can still be partially indirectly realized through the mediating variable of sleep duration, that is, the shorter the sleep duration, the higher the risk of anxiety/depression in junior high school students. Therefore, the mental health problems of junior high school students can be prevented and improved by regulating qi stagnation constitution and ensuring adequate sleep duration. [ABSTRACT FROM AUTHOR]

Competency‐based teasing has been identified as a risk factor for children's depressive symptoms. However, the specific psychological mechanisms mediating this relationship are not well understood, especially in the context of Chinese culture. This study examined the relationship between competency‐based teasing, subsequent depressive symptoms, and the possible mediating role of positivity in Chinese children by using parallel process latent growth curve modelling. Gender differences were also explored. A sample of 4376 Chinese children (55.1% boys; age: M = 9.98 years, SD = 0.88) completed measurements of the relevant constructs on five occasions across 2 years, using half‐year intervals. The findings revealed that competency‐based teasing was significantly positively associated with subsequent depressive symptoms in Chinese children. Furthermore, positivity mediated this relationship in girls, but not in boys. The results suggest that positivity‐cultivating and gender‐specific interventions may be effective to reduce the risk of depressive symptoms in Chinese children. [ABSTRACT FROM AUTHOR]

This study aimed to explore the relationship between parental autonomy support and adolescents' academic performance in mathematics and to examine the mediating roles of the need for cognition and mathematical metacognition in this relationship. A total of 1,268 secondary school students from Grades 7 to 10 completed the survey questionnaires. The findings revealed two key points: (1) there was a small but significant positive correlation between parental autonomy support and mathematics academic achievement across the entire sample (r = 0.09, p < 0.01), with the correlation being highest in Grade 9 (r = 0.19, p < 0.01); and (2) parental autonomy support influenced academic achievement in mathematics through the mediation of the need for cognition and mathematical metacognition, with a total effect size of 0.13. [ABSTRACT FROM AUTHOR]

Background: Athletes with maladaptive perfectionism are vulnerable to experiencing a variety of psychological issues, such as burnout. Burnout in athletes can have detrimental effects on their performance and careers. The potential mechanisms by which fear of failure and self-handicapping explain the association between maladaptive perfectionism and athlete burnout remain understudied. This study examined their mediating role in the relationship between maladaptive perfectionism and athlete burnout. Methods: A total of 221 athletes were chosen to participate in a cross-sectional survey study. Data analysis was carried out using SPSS and AMOS structural equation modeling. The participants filled out self-report assessments on maladaptive perfectionism, fear of failure, self-handicapping, and athlete burnout. Results: Analyses indicated that maladaptive perfectionism positively predicts fear of failure, self-handicapping, and athlete burnout. Fear of failure positively predicts self-handicapping and athlete burnout, while self-handicapping also predicts athlete burnout. In addition to the direct pathway, we identified three mediating pathways through mediation analyses: (a) an independent mediation of fear of failure (b) an independent mediation of self-handicapping (c) a chained mediation of both. Discussion: The results of this study provide a better understanding of the underlying mechanisms between maladaptive perfectionism and athletes burnout by considering fear of failure and self-handicapping as mediating variable factors. It is shown that the relationship between maladaptive perfectionism and athlete burnout can be partially explained through the mediating role of individuals' fear of failure as well as self-handicapping behaviors. These insights offer a valuable foundation for the design of psychological interventions to address athlete burnout, enabling coaches and sport psychologists to develop more effective coping strategies for enhancing athletes' psychological well-being and performance. [ABSTRACT FROM AUTHOR]

This study investigated the relationship between parental psychological wellbeing, parenting, children's psychological difficulties, and prosocial behavior in Kahramanmaraş earthquake‐affected families living in Türkiye in 2023. To this end, a mediation model was proposed for parental psychological distress that was hypothesized to exert an indirect effect on a child's psychological difficulties and prosocial behavior through parenting. Participants were 358 preschoolers between 4 and 6 years old and their one parent (father or mother) who completed a set of validated self‐report surveys in a cross‐sectional design study. Results showed positive associations between parental psychological distress and child's psychological difficulties but negative association with child's prosocial behavior. Furthermore, quality of parenting mediated the association between parental psychological distress and child's psychological difficulties and prosocial behavior. Our findings suggest that positive parenting may serve as a protective mechanism that mediates the association between parental psychological distress and a child's psychological difficulties and prosocial behaviors among families displaced by a natural disaster like an earthquake. These findings point to the need for supporting positive parent–child relationships in addition to decreasing the psychological distress of parents when exposed to potentially traumatizing events like this. [ABSTRACT FROM AUTHOR]

Although studies have confirmed that future self-continuity impacts the presence of meaning, evidence of cross-cultural consistency remains scarce, and the underlying mechanisms between the two are unclear. To fill this research gap, we conducted two studies using a sample of Chinese college students (N = 631). Study 1 verified the positive predictive effect of future self-continuity on the presence of meaning in the context of Eastern culture through two sub-experiments (n = 325), thereby confirming its cross-cultural consistency. Study 2, a three-wave longitudinal study, revealed the mediating mechanisms through which future self-continuity affects the presence of meaning (n = 306). The results suggest that future self-continuity at Time 1 can directly predict the presence of meaning at Time 3 and indirectly predict the presence of meaning at Time 3 through self-concept clarity at Time 2. Thus, self-concept clarity partially mediates the relationship between future self-continuity and the presence of meaning. These findings enrich cross-cultural research on the presence of meaning and provide new ideas and methods for enhancing the presence of meaning in individual lives. [ABSTRACT FROM AUTHOR]

Objective: To investigate the relationship between post-traumatic growth, morbidity stigma and readiness for discharge in post-operative thyroid cancer patients. Methods: 422 post-operative thyroid cancer patients from three tertiary care hospitals in Hunan and Tianjin were surveyed using the General Information Questionnaire, the Post-traumatic Growth Scale, the Readiness for Discharge Scale, and the Social Influence Scale. Results: Discharge readiness positively predicted the level of post-traumatic growth in thyroid cancer patients (P < 0.01), and morbidity stigma negatively predicted post-traumatic growth (P < 0.01), with morbidity stigma playing a mediated role between discharge readiness and post-traumatic growth. Conclusions: Readiness for discharge can positively predict post-traumatic growth, and morbidity stigma plays a mediating role between readiness for discharge and post-traumatic growth. It is suggested that clinical and nursing staff should strengthen patients’ discharge readiness guidance and education, help patients and their families establish an effective feedback mechanism for disease condition and psychological cognitive condition, focus on reducing patients’ sense of shame, and improve patients’ physical and mental health. [ABSTRACT FROM AUTHOR]

Objectives: Previous observational epidemiological studies have identified a potential association between inflammatory bowel disease (IBD) and sarcoidosis. Nonetheless, the precise biological mechanisms underlying this association remain unclear. Therefore, we adopted a Mendelian randomization (MR) approach to investigate the causal relationship between IBD with genetic susceptibility to sarcoidosis, as well as to explore the potential mediating role. Methods: The genetic associations were obtained from publicly available genome-wide association studies (GWASs) of European ancestry. The IBD dataset has 31,665 cases and 33,977 controls, consisting of 13,768 individuals with ulcerative colitis (UC) and 17,897 individuals with Crohn's disease (CD). The genetic associations of sarcoidosis with 4,854 cases and 446,523 controls. A bidirectional causality between IBD and sarcoidosis was implemented to be determined by a two-sample MR approach. The inverse variance weighted (IVW) method was utilized as the main statistical method, and a series of sensitivity analyses were performed to detect heterogeneity and horizontal pleiotropy. A two-step MR approach was used to investigate whether the mediating pathway from IBD to sarcoidosis was mediated by PBC. Results: The forward MR analysis indicated that genetic predisposition to IBD was significantly linked to an increased risk of sarcoidosis (OR = 1.088, 95% CI: 1.023-1.158, pIBD-sar = 7.498e-03). Similar causal associations were observed in CD (OR = 1.082, 95% CI: 1.028-1.138, pCD-sar = 2.397e-03) and UC (OR = 1.079, 95% CI: 1.006-1.158, pUC-sar = 0.034). Reverse MR analysis revealed that genetic susceptibility to sarcoidosis was correlated with an augmented risk of CD (OR = 1.306, 95% CI: 1.110-1.537, psar-CD = 1.290e-03) but not IBD or UC. The mediation analysis via two-step MR showed that the causal influence of IBD and CD on sarcoidosis effects was partly mediated by PBC, and the mediating effect was 0.018 (95% CI: 0.005-0.031, p = 7.596e-03) with a mediated proportion of 21.397% in IBD, and 0.014 (95% CI: 0.004-0.024, p = 7.800e-03) with a mediated proportion of 17.737% in CD. Conclusions: The MR analysis provided evidence substantiating the causal effect of IBD (CD and UC) on an increased risk of sarcoidosis, with PBC playing a mediating role in IBD and CD. However, sarcoidosis only enhances the risk of developing CD, but not IBD or UC. These findings illuminate the etiology of sarcoidosis and contribute to the management of IBD patients. [ABSTRACT FROM AUTHOR]

Objective To investigate the mediating role of professional psychological help-seeking attitudes between family parenting styles and non-suicidal self-injury (NSSI) among secondary school students. Methods A multistage stratified whole cluster sampling method was used to select 4 393 secondary school students from 12 secondary schools in 2 districts of Guiyang City, Guizhou Province, from October to December 2023, and a self-administered general information questionnaire, a Chinese version of the short-form parenting style questionnaire, a short-form scale of attitudes toward professional psychological support for help, and a Chinese adolescent NSSI rating questionnaire were used to conduct a survey of secondary school students. The survey was conducted. SPSS 27.0 was used for descriptive and correlation analyses, PROCESS 4.1 for mediation effect analysis, and Bootstrap method for validation. Results The detection rate of NSSI among secondary school students was 34.9%. Positive family upbringing style was positively correlated with professional psychological help-seeking attitude and negatively correlated with NSSI (r = 0.308, -0.191, P < 0.001); negative family upbringing style was negatively correlated with professional psychological help-seeking attitude and positively correlated with NSSI (r = -0.213, 0.310, P < 0.001); and professional psychological help-seeking attitude was negatively correlated with NSSI (r = -0.190, P < 0.001). Professional psychological help-seeking attitude played a partial mediating role between positive family parenting style, negative family parenting style and NSSI, and the mediating effect accounted for 28.76% and 8.87% of the total effect, respectively. Conclusion Professional psychological help-seeking attitude plays a mediating role between family parenting style and NSSI of secondary school students. Parents should adopt positive parenting styles and increase the motivation of secondary school students to seek professional psychological help, which can prevent and reduce the occurrence of NSSI. [ABSTRACT FROM AUTHOR]

Objective To investigate the influence pathway of the level of discrimination experienced by diabetic patients on psychological insulin resistance. Methods A multi-stage stratified random sampling method was used to select diabetic patients from 27 villages in Shandong Province for a questionnaire survey, with 660 valid responses received. The survey employed a general information questionnaire, the World Health Organization-5 Well-Being Index (WHO-5), and a scale assessing attitudes towards insulin. Results The score for psychological insulin resistance among diabetic patients was (72.97±11.38), and the WHO-5 score was (17.93±4.68). There were correlations among the level of discrimination experienced by patients, their physical and mental health, and psychological insulin resistance. The direct effect value of discrimination on psychological insulin resistance was 2.245 (bias-corrected 95%CI: 1.023-3.403), and the indirect effect value was 0.368 (bias-corrected 95%CI: 0.065-0.758). Conclusion Diabetic patients exhibit moderate to high levels of physical and mental health, with significant psychological insulin resistance. Physical and mental health plays a mediating role between the level of discrimination experienced by patients and psychological insulin resistance. [ABSTRACT FROM AUTHOR]

Aim: The purpose of this study was to explore the relationships among perceptions of decent work, psychological empowerment, and work immersion among nurses, hypothesizing that psychological empowerment mediates the relationship between perceptions of decent work and work immersion. Background: At present, there are many studies on nurses' perceptions of decent labor and work immersion in China, but the relationship between them has not been discussed from a psychological perspective. Methods: The sample consisted of clinical nurses in Jiangxi, Zhejiang, Hubei, and Guangdong provinces, China, and the nurses' general information, decent labor perception, psychological empowerment, and work immersion scores were assessed using the General Information Scale, Decent Labor Perception Scale, Psychological Empowerment Scale, and Work Immersion Scale, respectively. Pearson correlation analysis and structural equation modeling were used to analyze the data. Results: The total scores of nurses' perceptions of decent work, psychological empowerment, and work immersion were at a moderate level. The total nurse work immersion score and each dimension score were positively correlated with the total nurse decent work perception score and the total psychological empowerment score. Decent work perception and psychological empowerment directly and positively predicted work immersion; decent work perception also indirectly acted on work immersion through psychological empowerment. Conclusions and implications for nursing and health policy: Nurses' work immersion was moderate, and this study explored the mechanisms by which perceptions of decent work affect nurses' work immersion from a psychological perspective, validating the mediating role of psychological empowerment. This study emphasizes that nursing managers should fully understand the importance of nurses' work immersion, continuously improve nurses' decent labor perceptions, enhance their psychological empowerment level, improve their work immersion, and enhance the quality of nursing services. [ABSTRACT FROM AUTHOR]

Objectives: To explore the effects of physical activity on anxiety levels in college students, as well as to examine the mediating role of emotion regulation. Methods: A convenience sample of 1,721 college students from Shanghai, Jiangsu, Shandong, Guangxi, and Hunan was used to conduct an evaluation and a survey through the Physical Activity Rating Scale (PARS-3), the Anxiety Self-Rating Scale (SAS), and the Emotion Regulation Scale (ERQ). Results: College students' anxiety level, cognitive reappraisal, and expression inhibition scores were (44.72 ± 10.37), (30.16 ± 6.51), and (16.96 ± 4.99), respectively. There were significant grade and physical activity level differences in anxiety levels and cognitive reappraisal, and significant gender and physical activity level differences in expression inhibition among college students. Process model 4 mediated effect regression analysis showed that physical activity had a significant positive effect on cognitive reappraisal (R2 = 0.14, β = 0.04, P < 0.001), and physical activity did not have a significant expression inhibition effect (R2 = 0.17, β = 0.01, P = 0.27). Physical activity (β = −0.03, P = 0.012), cognitive reappraisal (β = −0.59, P < 0.001), and expression inhibition had a significant effect on (β = 0.57, P < 0.001) anxiety levels (R2 = 0.37). In the model effect relationship, the direct and indirect effects of physical activity on anxiety levels were −0.028 and −0.019, respectively. Conclusion: Physical activity has a significant negative effect on college students' anxiety levels. Cognitive reappraisal is a mediating variable for the effect of physical activity on anxiety levels. The higher the level of physical activity and the higher the intensity of the activity, the lower the level of anxiety. [ABSTRACT FROM AUTHOR]

While numerous studies have revealed the impact of different bullying behaviors, such as victimization and perpetration, on the psychological development of adolescents, the exploration of the correlates of positive/negative bystander behaviors and their potential underlying mechanisms remains scarce in China. The present study aims to compare the relationships between mental health and positive versus negative bystander behavior and to clarify whether self-efficacy and coping styles mediate the relationships between mental health and bullying dynamics. The current study was conducted on 11,734 students from 18 secondary schools in Suzhou, China (Meanage = 15.00, SDage = 1.47; 53.8% boys). The information on bullying victimization, perpetration, positive/negative bystander behaviors, as well as self-efficacy, coping styles and mental health variables (including depression, anxiety, sleep disturbance, suicide risk), were collected. Negative bystander behavior was positively associated with mental health problems, while positive bystander behavior was negatively associated with these factors. Also, further analysis showed that coping styles and self-efficacy mediated the relationship between different bullying behaviors and mental health outcomes. The results highlighted the comparison of the correlates of positive and negative bystander behaviors, which were comparably crucial to those of victims and perpetrators for prevention and intervention efforts. Promoting adaptive coping styles and self-efficacy to buffer the deleterious psychological consequences of bullying behavior in adolescents was also important. [ABSTRACT FROM AUTHOR]

Aims: It is extremely important to determine the relationship between COPD and self‐management (SM) in the disease process. However, the impact of symptom management (SpM) on this relationship is still unclear. The study aimed to examine the mediating role of SpM in the effect of the COPD stage on SM. Design: A predictive correlational study was reported following the Strengthening the Reporting of Observational Studies in Epidemiology (STROBE) guidelines. Methods: This study was conducted between 15 February 2023 and 15 June 15 2023, with 306 patients. Data were collected using the Symptom Management Scale for Self‐Efficacy and the Chronic Disease Self‐Management Scale. Descriptive statistics and Process Macro Model 4 in the SPSS program were used for data analysis. Results: Most of the patients were in the moderate stage of COPD; their SM scores were at low levels; SpM scores were at moderate levels. The model was significant, and the variables explained 65% of the model. The COPD stage was significantly positively correlated with SpM and negatively correlated with SM. There was a significant positive impact between SpM and SM. The positive and significant standardised indirect effect of SpM on SM evidenced a full mediating effect. Conclusions: Symptom management has a full mediating role in the effect of the COPD stage on SM. It was revealed that the level of SM can be increased by achieving SpM. Implications for the Profession and/or Patient Care: Symptoms are vital in COPD. Progression of COPD increases symptom severity. Being successful in SpM greatly contributes to the achievement of self‐management. Therefore, nurses should definitely consider symptom control in strengthening self‐management in the care of patients with COPD. Patient or Public Contribution: Patients' COPD stage was determined by a pulmonologist involved in the study. Voluntary patients with COPD hospitalised in the pulmonology clinic were included in the study. [ABSTRACT FROM AUTHOR]

IntroductionAs we all know, learning engagement is a key indicator for measuring the quality of students’ learning outcome and assessing their learning effectiveness. However, the relationship among personality traits, emotion regulation, and learning engagement has not been thoroughly studied.MethodsThis study aims to investigate the relationship among personality traits, emotion regulation and learning engagement. A questionnaire survey was conducted on some college students in Shandong Province, China.ResultsThe results show that: (1) there are no significant differences in Big Five Personality Traits, learning engagement, and emotion regulation by gender, grade level, and subject category to which the major belongs. (2) The personality traits of college students can directly affect learning engagement. (3) Emotion regulation partially mediates the relationship between personality traits and learning engagement.DiscussionThe study reveals the importance of personality traits and emotion regulation on students’ learning. It has a significant meaning in enhancing students’ learning engagement level.

Given the inevitable rise in global urban size, it has become pertinent to prioritize sustainable urban development which supports economic growth. Hence, the surge in sustainable urban-economic growth literature. Moreover, there is a growing argument that the growth effect of urbanization is contingent on the mediating roles of certain macroeconomic factors. However, despite being one of the fastest urbanizing countries in the world, extant studies on urbanization-economic growth nexus in Nigeria are few and the possible modulating roles of macroeconomic factors in the nexus has not been studied. Therefore, using annual data spanning between 1991 and 2022, this study examines the modulating effect of human capital development (HCD) in the relationship between urbanization and economic growth in Nigeria. For the empirical analysis, the study adopts the autoregressive distributed lag error correction model (ARDL-ECM). Robustness of the findings is tested using the dynamic ordinary least square (DOLS) estimator. The regression outcomes s show that while urbanization independently does not promote economic growth, its interaction with the measure of HCD produces a positive coefficient suggesting that HCD mitigates the adverse effect of urbanization on economic growth. Based on the findings, the study recommends that urban development policies should be compatible with achieving well-managed cities in order to harness the agglomeration economies benefits of increasing urbanization process. In addition, due to the favourable role of HCD in the urbanization-economic growth relationship, strategic plans focused on promoting human capital in the form of education and health should be focalized in urban development policies.

IntroductionNon-suicidal self-injury (NSSI) is a high-risk factor for suicide, which is widespread among college students and is closely associated with psychological issues. Insomnia tends to cause mental instability, and chronic insomnia can trigger severe mood swings, including anxiety, depression, and irritability. It can also lead to memory loss and metabolic disorders. College students are in a critical period of self-development, with significant vulnerability to insomnia and NSSI. This study investigated the influence of insomnia on NSSI among college students and examined the significance of rumination as a mediating factor.MethodsUsing random cluster sampling, we selected 667 college students from Jiangsu, China, and evaluated them using the Athens Insomnia Scale (AIS), Adolescent Self-Injury Scale (ASIS), and Ruminative Responses Scale (RRS). The significance of the mediating effect of rumination on the relationship between insomnia and NSSI among college students was tested using Bootstrap methods.ResultsThe fact that the students were only children was statistically significant for rumination scores (p

This study employed the resource-based view theory to investigate the relationships between technological innovation, knowledge management, and sustainable competitive advantage in the hospitality sector, focusing explicitly on hotels in the Yaounde and Douala regions of Cameroon. Cluster sampling was employed to identify 370 respondents from of 35 hotels. Structural equation modelling (SEM) was utilized to analyze the data. The study found that technological innovation had a positive and significant influence on sustainable competitive advantage and knowledge management. It was observed that knowledge management had a positive and significant influence on sustainable competitive advantage. The investigation discovered that knowledge management partially mediates the relationship between technological innovation and sustainable competitive advantage. Cameroonian hotels can improve their competitive advantage by innovating technology and promoting efficient knowledge management techniques. Adopting cutting-edge technologies and fostering a culture of knowledge exchange can result in increased operational efficiency, enhanced service delivery, and differentiation from rivals, ultimately bolstering long-term competitiveness in the hospitality sector.

IntroductionSports gains reflect the sports development of college students, which is a direct reflection of the quality of school sports work, while the perception of sports environment, physical activity behavior, and self-efficacy in sports learning are closely related to their sports gains, which directly affects their effectiveness and interest in sports learning.ObjectiveTo investigate the effects of perceived sports environment on Chinese college students’ sport gains, and to verify the mediating roles of physical activity behavior and self-efficacy in sport learning.MethodsA survey of 2,207 Chinese university students was conducted using the sport environment perception scale, sport gain scale, physical activity behavior scale, and sport learning self-efficacy scale.Results(1) There were significant differences in age and gender between college students’ perceptions of sport environment, sport gains, sport exercise behavior, and sport learning self-efficacy, and the mean scores of each scale were better for male students than for female students. (2) Perception of sports environment was significantly positively correlated with sports gain, and perception of sports environment had a direct positive effect on sports gain. In addition, sport environment perception positively predicted physical activity behavior and sport learning self-efficacy; physical activity behavior significantly predicted sport learning self-efficacy and sport gains; physical learning self-efficacy was a significant positive predictor of sport gains. (3) Physical activity behavior and physical learning self-efficacy played a significant chained mediating role between perceived physical environment and physical gains. These results are important for promoting physical education learning outcomes among college students and provide a theoretical basis for developing interventions. However, there are limitations to this study, such as the specificity of the sample and the self-reported data used. Future research could expand the sample and utilize multiple assessment methods to validate these results.

ObjectiveMental health has become a widely concerned topic worldwide. However, the impact and mechanism of positive activities on mental health still needed to be explored. This study aimed to apply the positive-activity model to investigate the effect of participation in positive activities on mental health and the mediating role of positive emotion.MethodsThis study used data from the 2021 China Comprehensive Social Survey (CGSS) and included 2,581 individuals. Ordinary Least Squares (OLS) and a three-step method was used for analysis.ResultsThe average of positive activities was 15.83. The positive activities affected positively mental health (β = 0.0132, p < 0.001). The positive emotion played a mediating role (β =0.2281, p < 0.001). The effect of positive activities on mental health was significant in older adults group (β = 0.024, p < 0.001), female (β = 0.015, p < 0.01) and male group (β = 0.01, p < 0.01), unmarried/divorced/widowed group (β = 0.024, p < 0.01), cohabitation/first marriage with spouse/remarriage with spouse/separation without divorce group (β = 0.010, p < 0.001), middle(β = 0.013, p < 0.05), and upper-middle-level SES group (β = 0.054, p < 0.001).ConclusionsWe concluded that the participation level of positive activities still needs to be improved and positive activities improve mental health through positive emotion, which implied that positive activities, as an easily implementable measure, should be greatly encouraged in mental health policies. And older adults, female, people without spouse, middle and upper-middle-income individuals need to be paid more attention.

AbstractPrevious research has examined the relationship between ESG disclosure and firm value, but it has yet to fully explain how the former can increase the latter. Thus, the current study aims to fill the research gap by analyzing the relationship between ESG disclosure and firm value with competitive advantage as a mediating variable. This research was conducted in Indonesia on the ground that Indonesia is a developing country with a great potential for an increased economy even though its ESG implementation is still less optimal. This study employed the purposive sampling method with the criteria that the companies to be included as the sample were non-financial companies listed on the IDX and were consistent in disclosing ESG and publishing their financial reports. The sample of this study comprised 42 non-financial companies in Indonesia within the 2015–2021 period, with a total of 252 observations were conducted. The data were analysed using PLS-SEM with WarpPLS 7.0 to test hypotheses and draw conclusions. The findings showed that ESG disclosure did not affect firm value. However, when competitive advantage was included as a mediating variable in the relationship between the two variables, the results showed a significant positive direction toward firm value. This research contributes to the practical implications and development of signal theory and resource theory, especially in accounting and sustainability disciplines in the context of non-financial companies.