Fear Of Future Research Articles

The impact of perceived experience with ChatGPT on online consumers' information searching behavior: an empirical study of Iranian college students

PurposeThe purpose of this study is to explore the impact of perceived experience with ChatGPT on online consumers' information searching behavior. The study also examines the moderating effects of those relationships.Design/methodology/approachPrimary data were collected through an online survey. In total, 370 eligible responses were received. This study applied partial least squares structural equation modeling (PLS-SEM) for data analysis.FindingsThe findings demonstrate that both perceived personalization and perceived relevance have a direct impact on online consumers' information searching behaviors. Additionally, the results also indicate that perceived accuracy and perceived convenience lead to positive online consumers' information searching behavior. Moreover, age and gender and education level play moderating mechanisms in this relationship.Practical implicationsOverall, the conclusions of this study provide valuable insights into the potential of ChatGPT to improve online consumers behavior. However, there are still many unanswered questions about the impact of ChatGPT on consumers' experience. Future research is needed to explore these questions and to further our understanding of the potential of ChatGPT to revolutionize online information searching and digital marketing.Originality/valueTo the best of the authors’ knowledge, this paper is the first of its kind to highlight the impact of perceived experience with ChatGPT on online consumers' information searching behavior of its extensive use in scientific research and academic work. The importance of this study lies in the fact that it presents the behaviors concerns and future fears of people in academia as they cope with and deal with the inevitable reality of artificial intelligence (AI) language models such as ChatGPT.

Varieties of silence – a mixed-methods study exploring reasons and justifications for nondisclosure of the use of complementary therapies to physicians in Finland

BackgroundIn health care, two in three users of complementary therapies (CT) stay silent about their CT use. Disclosure of CT use to physicians is important for patient safety, participation, and shared decision-making. Common reasons for CT nondisclosure include patients´ expectations of physicians’ unaccepting response to disclosure, physicians not asking, and patients believing it is unnecessary. This study aimed to increase understanding of patient silence. We investigated how the reasons for nondisclosure of CT use reported by CT users were associated with the frequency of CT disclosure and how these associations and reported justifications to keep silent reflect patient silence among the study participants.MethodsThis mixed-methods study used existing data from the non-probability-based online survey (n = 6802) targeted to CT users among the general population in Finland. A qualitative structured tabular thematic analysis was conducted for the selected 342 brief texts describing the reasons and justification for not telling physicians about CT use. The associations between the frequency of CT disclosure and the reasons for CT nondisclosure were analysed by crosstabulations and binary logistic regression analysis with SPSS (v28).ResultsThree types of patient silence were revealed. Avoidant silence illustrates the respondents coping with the fear of unwanted response from a physician and avoiding the expected negative consequences of CT disclosure. Precautionary silence exemplifies respondents striving to prevent the reoccurrence of previously experienced frustration of wishes to be seen and heard as CT users. Conditional silence portrays the self-confidence of respondents who assessed their need to disclose CT use to physicians on a case-by-case basis.ConclusionsSilence, for some patients, may serve as a way of warding off past and possible future fears and frustrations related to CT disclosure. It is important to recognise different types of patient silence related to CT disclosure to enhance patient participation and shared decision-making in health care. Efforts are needed to provide health policy decision-makers with information about CT users’ lived experiences with CT communication in health care.

Uncertainty, Risk, and the Need for Trust in Our Hope for Health

Abstract Science and medicine have had great success in reducing the uncertainties surrounding sickness over the last 100 years. But current efforts to reduce the risk of future disease in healthy people depend on abstract and disembodied statistical models that are increasingly distant from individual lives with little or no likelihood of personal benefit. When couched in numerical terms and combined with the fear of an unknown future, we are easily manipulated by the authority of fact. A new form of authority is needed, rooted in relationship, informed by sound science, and embracing risk. Enabled through the support of caring relationships to make commitments in the face of uncertain outcomes, we will be better able to choose wisely in our hope for health.

Exploring the Influence of Contextual Factors and the Caregiving Process on Caregiver Burden and Quality of Life Outcomes of Heart Failure (HF) Dyads after a Hospital Discharge: A Mixed-Methods Study.

Background: This study explores heart failure (HF) dyadic contextual factors and caregiver burden during acute exacerbation hospitalization and discharge. Methods: It employed a mixed-methods approach, with HF dyads completing questionnaires and semi-structured interviews at a one-week post-discharge outpatient visit. Quantitative tools included the SF-12 Quality of Life, Zarit Burden Interview (ZBI), Bakas Caregiving Outcomes Scale (BCOS), and Self-Care of Heart Failure Index v. 6 (SCHFI). Thematic analysis was conducted on interview data to assess caregiver burden, disease trajectory, comorbidities, caregiving time, and employment status. Results: Twelve HF dyads participated, with caregivers (six female, six male) averaging 65.76 years. The ZBI indicated a low caregiver burden (median score of 15), but qualitative data revealed a higher perceived burden related to social isolation, future fears, and caregiver dependence. Male caregivers reported a lower burden than females. Positive goal congruence was noted in caregiving hours and HF management compliance. HF patients had a 10-year survival prediction of 22.75% per the Charlson Comorbidity Index, with 69% in NYHA class III and an average ejection fraction of 37.7%. Caregivers working full-time and caring for higher NYHA-class patients showed higher ZBI and BCOS scores. Conclusions: The study highlights the need for mixed methods and longitudinal research to understand HF disease trajectory and caregiver burden, emphasizing the importance of including caregivers in HF education and screening for perceived burden to improve outcomes and reduce re-hospitalizations.

Pharmacological stimulation of infralimbic cortex after fear conditioning facilitates subsequent fear extinction

The infralimbic (IL) division of the medial prefrontal cortex (mPFC) is a crucial site for the extinction of conditioned fear memories in rodents. Recent work suggests that neuronal plasticity in the IL that occurs during (or soon after) fear conditioning enables subsequent IL-dependent extinction learning. We therefore hypothesized that pharmacological activation of the IL after fear conditioning would promote the extinction of conditioned fear. To test this hypothesis, we characterized the effects of post-conditioning infusions of the GABAA receptor antagonist, picrotoxin, into the IL on the extinction of auditory conditioned freezing in male and female rats. In four experiments, we found that picrotoxin injections performed immediately, 24 h, or 13 days after fear conditioning reduced conditioned freezing to the auditory conditioned stimulus (CS) during both extinction training and extinction retrieval; this effect was observed up to two weeks after picrotoxin infusions. Interestingly, inhibiting protein synthesis inhibition in the IL immediately after fear conditioning prevented the inhibition of freezing by picrotoxin injected 24 h later. Our data suggest that the IL encodes an inhibitory memory during the consolidation of fear conditioning that is necessary for future fear suppression.

The Experience of Parents When they Find Out that their Child has Autism: A Phenomenological Study

Background: Mothers, as vital and important individuals in their children's lives, experience various struggles, emotions, and experiences in relation to their child's autism diagnosis. This study aims to provide an in-depth understanding of mothers' experiences in dealing with the diagnosis of autism in their child using a phenomenological approach. Methods: In this study, a qualitative phenomenological approach was used, and purposeful sampling was employed until data saturation was achieved. The participants were selected from mothers who sought their children's participation in rehabilitation classes at the Autism Spectrum Disorder Research Center in Hamedan, Iran. Unstructured interviews were conducted as the method of data collection. The descriptive method of Colaizzi was utilized for analyzing the obtained data. Results: Twelve participants took part in this study. The average age of the participants was 35.16 years. The analysis of mothers' lived experiences in dealing with their child's autism diagnosis using a descriptive phenomenological approach revealed four main themes: fear of the child's future, worry about social harassment, emergence of emotional shock, and fear of trouble. Conclusion: The results of this study demonstrated that concern for the child's future, worry about social harm, experiencing emotional shock, and fear of being trapped were the major challenges faced by mothers upon learning about their child's positive autism diagnosis. Therefore, professionals, policymakers, and regulatory organizations should pay attention to the issues raised in parents' experiences in order to provide appropriate healthcare services for children with autism and their families.

Eye Movement Desensitisation and Reprocessing (EMDR) therapy for prolonged grief: theory, research, and practice.

Prolonged Grief Disorder occurs within 7-10% of the bereaved population and is a more complicated and persistent form of grief which has been associated with suicidality, mental health disorders, sleep disturbance, poor health behaviors, and work and social impairment. EMDR is a fitting treatment option for those with Prolonged Grief, focusing on processing past memories, blocks, current triggers, future fears, and preparing the person for living life beyond the loss in line with the Adaptive Information Processing Model and grief frameworks. This paper discusses the theory, research regarding the application of EMDR with prolonged grief, and gives insight and guidance to clinicians working in this area including a case example.

Piety and commercialization da’wah: the influence of Hanan Attaki's Kajian on young urban muslims in Indonesia

Urban youth's growing piety and social media's expansion are intertwined, as shown by the resurgence of influential relocated people. Modern youngsters are disinterested in religious theology and prefer digital preachers who can answer their inquiries quickly. This has changed youth religion, which the media business has exacerbated. Thus, some renowned da'i, notably in Indonesia, use the internet to spread da'wah. Hanan Attaki, a famous preacher, often addresses youth issues on social media. Mental health, loneliness, future fear, and sin remorse are common concerns. This study aims to analyze piety and commercialization of da’wah which is Hanan Attaki’s case in kajian towards young urban Muslims in Indonesia. This research uses a qualitative case study method and literature review as an additional reference. Data collection using interview and documentation techniques such as journal articles, books, and information from the internet as secondary resources. The result of this study the success in commercializing Ustadz Hanan Attaki's influence preaching can be categorized as first, branding suitable for young people's da'i, second, specialization, such as his being an expertise in da’wa from his education journey, and third, building social contacts, which is a process where media and technology can penetrate geography such as social media or internet.

Living with a Foggy Future: Experiences of Caregivers of Hemodialysis Patients

Background: Caregivers of hemodialysis patients experience several daily challenges due to the specific condition of their patients. It is necessary to study the challenges of this group to reduce the adverse effects on the caregivers and the patients. Accordingly, the present study aimed to describe the caregivers’ lived experiences of caring for hemodialysis patients. Methods: This was a qualitative study conducted using a phenomenological approach. The participants were 21 caregivers of hemodialysis patients from three hemodialysis centers in Qazvin, Iran who were selected using purposive and snowball sampling. Data were collected through in-depth semi-structured interviews and analyzed using Colaizzi’s seven-step method. Results: A total of 107 primary codes, 15 subcategories, 7 categories, and 3 main themes were extracted from the analysis of the interviews. The main themes included caregiver as the central pillar, fear of the foggy future, and the heavy burden of being judged by others. Conclusion: Caring for patients with hemodialysis constantly imposes many challenges for caregivers. The managers of hospitals and hemodialysis clinics can prevent the severe consequences experienced by caregivers and patients by planning and implementing individual development training courses and effective policies to enable caregivers.

Spiritual-Cultural Needs as the Main Causative Factor of Death Anxiety in Iranian COVID-19 Patients: A Qualitative Study.

COVID-19 patients have been reported to more than likely experience a variety of difficult physical and psychological problems. This qualitative study aims to perceive psychological experiences in COVID-19 patients in Iran. The study method is qualitative, with a conventional content analysis approach adopted.Purposivesampling was applied to 20 COVID-19 patients admitted to medical wards at hospitals in Tehran, Iran. Additionally, data were collected using semi-structured interviews. All data were analyzed based on the method proposed by Lindgren et al. (Int J Nurs Stud 108:103632, 2020). Data analysis identified the main theme to be "death fear and anxiety" with five main categories. These categories included the feelings of death panic and apprehension, uncertainty and ambiguity, fear of abandonment, fear of an unknown future for the family, and fear of unmet spiritual-cultural needs. Accordingly, the patients' experiences of COVID-19 contraction were unique. Against this backdrop, understanding COVID-19 patients' complexities, experiences, beliefs, and attitudes about anxiety and death,can lead to an improved awareness andunderstanding of thepsychological consequences of COVID-19by executive decision-makers, healthcare personnel and mental health professionals.

Assessment of Socio-economic, Psychological Needs and Expectations of Internally Displaced Persons in Ukraine

"The article investigates the socio-economic and psychological conditions and needs of 123 IDPs in the city of Uman, Cherkasy region, Ukraine, and identifies their qualifications and the possibility of employment in their speciality, access to useful information, the possibility of receiving state assistance and meeting basic needs, reveals violations of the psycho-emotional state and the need for rehabilitation, the state of physical and mental health, etc. It is proved that a prerequisite for successful adaptation of IDPs to new realities is to take into account their psycho-emotional state. The most common stress factors are constant anxiety about their relatives and friends, inability to meet basic needs and internal fear of an unknown future. The study identified security, economic, social and psychological reasons that prevent people from returning to their places of residence and reasons that may encourage IDPs to return home. The study identified the following types of activities that have a therapeutic effect: bibliotherapy, nature therapy, isotherapy, music therapy, dance, sound, and occupational therapy. It has been found that 82.5% of IDPs do not realise the need for meetings with a psychologist to improve their psycho-emotional state, 13.8% of IDPs are conscious of their own mental well-being, and only 2.4% of IDPs are unsure."

Post-covid 19 training: users’ perception on the effectiveness of virtual learning environments for skill acquisition

The Coronavirus Disease (COVID-19) is an infectious disease which originated from Wuhan, China in December of 2019 which quickly spread across the world rapidly through the movement of people and goods at an exponential and alarming rate infecting and killing millions. In Nigeria and across the world steps were taken to suppress and control the spread of the Covid-19 including closing of schools, universities, training institutions, event centres, markets and other places of public gatherings. While closing education institutions were important in mitigating the spread of COVID-19, prolonged closures negatively impact learners of all categories and disproportionately affected all forms of learning and trainings. This situation therefore called for creating opportunities for learner to learn and acquire skills virtually. The adoptions of Virtual Learning Environments (VLE) and platforms as became the order of the day. Virtual learning environments are web based platforms for digital solution aimed at creating interactive and an active learning environments. VLEs help create, store and disseminate course content, lessons and foster communication between learners and teachers. They play an essential role by providing users with learning flexibility and unprecedented opportunities to co-create information. VLE platforms such as Microsoft Teams, Zoom, Webinars, Google Classroom, Moodle etc. allows students to study at their own pace and automatically tracking their progress as they collaborate and learn. The use of online and virtual learning platforms is here to stay but this reality is threatened by the perception of end users which always determine the effective of such platform for skill acquisition. This can be linked to the fear of unknown future, lack of technical abilities to use this platforms, comfort in the traditional in person or face to face mode of learning, lack of adequate infrastructure such as internet facilities, smartphones and devices. The main purpose of this study is to investigate the Post-Covid 19 Training: Users Perception on the Effectiveness of Virtual Learning Environments for Skill Acquisition.

Concept Analysis of Pain Anxiety Using Rodgers’ Evolutionary Method

Background: Knowledge of the concept of pain anxiety is necessary to provide better services in the care of patients suffering from various types of pain. Therefore, the aim of this study was to precept and learn more about the concept of pain anxiety. Methods: This study was analyzed using Rogers’ evolutionary concept analysis approach for articles published from 1975 to 2023. Valid databases, including Google Scholar, CINAHL, Scopus, PubMed, Web of Science, and ProQuest, were used to search for sources. Articles or sources published in the field of nursing and medicine were included in the study, and the existing articles were sorted according to the year of publication to determine the changes in the concept over time. The text of each article was re-read, and related phrases were identified based on their appropriateness, and finally, a new definition of pain anxiety was explained. Results: Pain anxiety indicates cognitive, emotional, behavioral, and physiological reactions to the anticipation and experience of pain, which refers to future fears and concerns about pain. This type of anxiety appears with different words and phrases that represent fear, worry, discomfort, panic, and anger. The antecedents of pain anxiety include chronic pain, procedures such as dressing changes, and injuries such as fractures and burns. The consequences of this concept include physical and psychological problems, such as worsening pain. The word "pain-related fear" can be utilized as an alternative concept. To provide an example of pain anxiety, we can refer to a patient who has no history of surgery, and after performing the first debridement and dressing, avoids debridement and changing the dressing in the following days. Conclusion: This analysis provides a dynamic definition of pain anxiety that may be useful to promote interaction and enhance understanding of concepts.

Controlling intrusive thoughts of future fears under stress

Negative outlooks of our future may foster unwanted and intrusive thoughts. To some extent, individuals have control over their ability to suppress intrusions and downregulate their frequency. Acute stress impairs intentional suppression, leading to an increased frequency of intrusions. The aim of this study was to gain insight into the mechanism underlying stress-induced impairments in intentional suppression of intrusions by investigating the combined and independent roles of the two major stress hormones, noradrenaline and cortisol. Healthy participants (N = 181) were administered propranolol (to block the noradrenergic response), metyrapone (to block the cortisol response), or a placebo before being exposed to the Maastricht Acute Stress Test. Intrusive thoughts of autobiographical future fears were then measured via the Imagine/No-Imagine task. Results demonstrated that the stress response was successfully altered because of the drug and stress manipulations. In all groups, repeated suppression of future fears reduced intrusions. Across the sample, an enhanced decrease over time was associated with greater attenuation of anxiety towards the related fears. The groups did not differ in the total frequency of intrusions. Though, trait anxiety increased the total number of intrusions. Our findings show that stress hormones did not influence the ability to suppress intrusions. However, our results do add support to previous research linking anxiety to memory control deficits. When using autobiographical content, future research should focus on the quality and characteristics of the individual memories to explain more of the variation observed in intentional memory control.

Systemic Racism Affecting Latinx Population Health During the COVID-19 Pandemic and Beyond: Perspectives of Latinx Community Health Workers and Community-Based Organization Leaders.

The purpose of this study is to identify forms of systemic racism experienced by Latinx communities in North Carolina during the COVID-19 pandemic as identified by Latinx community health workers (CHWs) and community-based organization (CBO) leaders. We conducted three focus groups in July 2022 (N=16). We performed qualitative analysis of data using an iterative inductive approach of the original language in Dedoose. Four central themes emerged: (1) Access to resources for Latinx individuals; (2) Immediate, transitional, and future fears; (3) Benefits of CHWs; and (4) Lessons learned. Institutional and state policies often do not involve community members, such as CHWs and CBO leaders, at the start of the development process, leading to ineffective interventions that perpetuate health disparities and systemic racism. Community-informed policy recommendations can improve alignment of community and policy priorities to create more effective interventions to address systemic racism and promote health equity.

Decision-Making on Contraceptive Use among Women Living with Human Immunodeficiency Virus in Malaysia: A Qualitative Inquiry.

Malaysia is the first country in the Western Pacific Region to receive the validation certificate for the elimination of mother-to-child transmission of human immunodeficiency virus (HIV). The validation report recommends making sexual and reproductive health and rights of women living with HIV a priority. This article explores and assesses the sexual and reproductive health, rights, and access to healthcare services of Malaysia's women living with HIV (WLHIV). A qualitative secondary analysis conducted on 73 WLHIV from all over Malaysia comprised 11 in-depth interviews and 16 focus group discussions. Data were extracted from the original interview transcripts that emerged from the following questions: (1) "What are your experiences as a woman living with HIV in relation to your sexual and reproductive health and rights?" (2) "What are your experiences in accessing contraception?" (3) "What are your day-to-day experiences as a woman living with HIV?" Data were analyzed using thematic analysis. Four themes emerged from the study findings: "lack of negotiation," "idealism in pregnancy," "coping with restrictions," and "past and future fears." The four themes are grounded in religion, a patriarchal culture, meaning and expectations of motherhood, taking risks and going against medical advice to pursue fertility desires, fear of HIV transmission, and the side effects of contraceptive use. The complexities involved in decision-making regarding contraceptive use revealed how WLHIV may have unresolved reproductive health needs inconsistent with healthcare providers' focus on HIV management and prevention. Suggestions are made for improving the sexual and reproductive health and rights of WLHIV in Malaysia, which include establishing a reproductive health counseling program.

Agents of Socialization, Anxiety, College Women, and Fear of Rape.

This paper examines the impact of messages about sexual danger women receive from parents, peers, media, school officials, and past victimization on fear of stranger and acquaintance rape. Analyzing survey data for 630 undergraduate women, we find that parental warnings, internalized mean world view, university crime alerts, and being more prone to anxiety are significant predictors of fear of rape across models, while effects of media and victimization are limited. When high and low proneness to anxiety subgroups are considered separately, numerous differences emerge. Results suggest the need to include formal measures of anxiety in future fear of crime research.

The Anatomy of Entrepreneurial Failure: Antecedents of the Performance Failure Appraisal Inventory and the Role of Social Support

The purpose of this study is to investigate the impact of stress factors on entrepreneurial failure and to examine the relationship between prior entrepreneurial failure and future fear of failure. This study takes a novel approach by considering the moderating role of social support on this relationship. We employed the least squares–structural equation modeling (PLS-SEM) technique to analyze the responses of 162 failed entrepreneurs in Oman. Our findings demonstrate that stress factors in all four dimensions (managerial and planning elements, working capital, competitive environment, and growth and overexpansion) have a significant impact on entrepreneurial failure. Moreover, the results reveal that prior entrepreneurial failure is positively related to fear of failure. However, social support has a crucial moderating effect on the relationship between prior failure and present and future failure-related anxiety, reducing the influence of prior entrepreneurial failure on entrepreneurs’ fear of failure. This study contributes to the theoretical understanding of the antecedents and outcomes of entrepreneurial failure and offers practical implications for policymakers and practitioners seeking to promote entrepreneurship and reduce failure rates.

ChatGPT in scientific and academic research: future fears and reassurances

PurposeThis purpose of this study is to examine future fears and reassurances about the nature of the recent artificial intelligence (AI) language model-based application, ChatGPT, use in the fields of scientific research and academic works and assignments. This study aims at exploring the positive and negative aspects of the use of ChatGPT by researchers and students. This paper recommends some practical academic steps and suggestions that help the researchers and publishers curtail the percentage of spread of unethical works such as plagiarism.Design/methodology/approachThe emergence of OpenAI’s Generative Pre-Trained Transformer 3 (GPT-3) has recently sparked controversy and heated debate among academics worldwide about its use and application. The concern of experts and researchers about the GPT-3 platform entails how it would be of much support to the researchers and academic staff and how it might be used and misused to negatively affect academic and scholarly works. This research explored future fears and reassurances about the nature of Chat GPT-3 use at academic and scientific levels. The data for this research was obtained through the qualitative interviews of seven experts in AI, scientific research and academic works. The findings of the study showed that ChatGPT-3 has significant potential and is helpful if used wisely and ethically at scientific and academic levels. On the other hand, the results reported the experts' fears of the frequent use of ChatGPT including the misuse of ChatGPT as a tool to plagiarize and make the researchers dependent, not self-reliant and lazy. The widespread concern of many scholars is that ChatGPT would lead to an increase in the possibility of plagiarism and provide less control over research and writing ethics. This study proposed some stages and suggested that AI language model programs, including ChatGPT, should be integrated with widespread publishers and academic platforms to curtail the percentage of plagiarism and organize the process of publishing and writing scientific research and academic works to save the rights of researchers and writers.FindingsThe findings of the research presented that ChatGPT can act as a potential and useful tool if used wisely and ethically at scientific and academic fields. On contrast, the results also reported the negative aspects of the extensive ChatGPT's that leads to the spread of plagiarism and making the researchers and the students machine-dependent, not self-reliant and lazy. This study proposed some stages and suggested that AI language model programs, including ChatGPT, should be integrated with widespread publishers and academic platforms to curtail the percentage of plagiarism and organize the process of publishing and writing scientific research and academic works to save rights of researchers and writers.Originality/valueTo the best of the authors’ knowledge, this paper is the first of its kind to highlight the relationship between using ChatGPT and the spread of both positive and negative aspects of its extensive use in scientific research and academic work. The importance of this study lies in the fact that it presents the concerns and future fears of people in academia as they cope with and deal with the inevitable reality of AI language models such as ChatGPT.

Questioning the value of present life: The lived experience of older people who see no future for themselves

Objectives To describe the lived experience of older people who see no future for oneself in the context of aging and the possible development of a wish to die. Methods Data were collected from 34 interviews with people of 55-92 years. A phenomenological hermeneutical analysis was performed using crafted stories as an analytical device. Results Four intertwined constituents together with the essence of the phenomenon provide a layered description of what it means to see no future for oneself. In all constituents: 1) not sharing everyday life, 2) looking for new commitments, 3) facing present losses and future fears and 4) imagining not waking up in the morning, the essence losing zest for life seeped through their daily experiences. Conclusions As their horizon of future possibilities is shrinking, older people in our study experience a loss of zest for life and start to questioning the value of their present lives. And although a certain languishing mood can be discovered, the phenomenon ‘seeing no future for oneself’ does not entail a wish to die.