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2173 Articles

Published in last 50 years

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  • Feelings Of Guilt
  • Feelings Of Guilt
  • Feelings Of Inferiority
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Articles published on Feelings Of Shame

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EVALUATION OF AN ANAL INSERT DEVICE FOR THE MANAGEMENT OF DELAYED EJACULATION OR ANEJACULATION

EVALUATION OF AN ANAL INSERT DEVICE FOR THE MANAGEMENT OF DELAYED EJACULATION OR ANEJACULATION

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  • Journal IconThe Journal of Sexual Medicine
  • Publication Date IconMay 9, 2025
  • Author Icon N Mondaini + 8
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SILENT STRUGGLES: AN ANALYSIS OF BARRIERS TO SEEKING HELP FOR SEXUAL PROBLEMS AMONG ADULTS 50+ IN CZECHIA

SILENT STRUGGLES: AN ANALYSIS OF BARRIERS TO SEEKING HELP FOR SEXUAL PROBLEMS AMONG ADULTS 50+ IN CZECHIA

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  • Journal IconThe Journal of Sexual Medicine
  • Publication Date IconMay 9, 2025
  • Author Icon G Gore-Gorszewska + 7
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SEXUAL BEHAVIOR AND PLEASURE IN RELATION TO FEELINGS OF SHAME, MINORITY STRESS AND PERSONALITY IN MEN WHO HAVE SEX WITH MEN (MSM)

SEXUAL BEHAVIOR AND PLEASURE IN RELATION TO FEELINGS OF SHAME, MINORITY STRESS AND PERSONALITY IN MEN WHO HAVE SEX WITH MEN (MSM)

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  • Journal IconThe Journal of Sexual Medicine
  • Publication Date IconMay 9, 2025
  • Author Icon M Bosma-Bleeker + 2
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Pregnancy and weight gain: a scoping review of women’s perceptions and experiences with stigma

BackgroundWeight stigma can impact any woman who considers herself as overweight, regardless of BMI. Pregnant women are at risk of experiencing stigma related to weight which harm their physical and mental health. To support and guide on healthy weight gain during pregnancy, it is important to explore women’s perceptions and experiences of weight related stigma. This can inform programs and policies to improve maternal and child health outcomes.A scoping review on this issue will provide valuable insights, identify gaps in current research, and establish a foundation for informed interventions.MethodsA search syntax was created to retrieve the relevant results from PubMed and Google Scholar. A scoping review was undertaken of published peer reviewed research indexed in these databases, which were written in English, and focused only on primary studies. The methodology for this scoping review was based on the framework proposed by Arksey and O'Malley (2005) and the subsequent recommendations provided by Levac et al. (2010).ResultsFrom a total of 3109 articles identified using search terms, 85 articles were included for review. There are four themes in this scoping review: pregnant women’s perceptions and experience with healthcare givers; pregnant women’s experience with family and friends; pregnant women’s experience with other members of society; and pregnant women’s experience with the media. Weight stigmatization can hinder the communication between healthcare providers and women leading to misunderstanding and compromising the quality of care. This can prevent women from seeking necessary care. Stigmatizing behavior of friends, family and the perpetuation of stigma in the media influences how women perceive their pregnancy weight gain, intensifies feelings of shame, isolation and negatively impacts women’s mental well-being and body image during pregnancy.ConclusionThis scoping review examines the perceptions and experiences of weight stigma among pregnant women, focusing on their interactions with healthcare providers, family and friends, other members of society and stigma perpetuated by the media. The review gives an insight into how weight stigma can heighten women’s stress and also leads to the avoidance of essential medical care, which affect the health of both the mother and the child. Addressing stigma from various sources is crucial for the general well-being and health of both women and children.

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  • Journal IconBMC Pregnancy and Childbirth
  • Publication Date IconMay 7, 2025
  • Author Icon Hima Sasidharan + 2
Open Access Icon Open AccessJust Published Icon Just Published
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PSYCHOLOGICAL FEATURES OF UKRAINIAN LANGUAGE ACQUISITION BY FOREIGN STUDENTS

The article covers the psychological features of learning the Ukrainian language by foreign students, and also considers teaching the Ukrainian language in crisis situations. It has been established that the understanding of psychological factors and aspects by all participants in the educational process has a positive effect on learning and learning the Ukrainian language, which allows developing effective learning strategies and improving the quality of education. It is noted that knowledge of psychology helps teachers create a favorable learning atmosphere. The role of psychology in learning is demonstrated, which consists in understanding and solving the challenges that students face. The ways to overcome these challenges may be different, but are always based on psychological principles and strategies that contribute to successful learning. It has been found that the successful adaptation of students to the conditions of a new culture requires special efforts from foreign students and targeted intervention from teachers. The psychological aspect of learning a language and its use in communication is substantiated. It is proven that a language barrier can arise at any stage of learning Ukrainian as a foreign language. It is found that the causes of the language barrier are mostly various psychological problems of foreign students, feelings of insecurity in their own knowledge and complexes, negative experience of mistakes and feelings of shame when trying to speak a new language being studied. The reasons for difficulties and psychological barriers in the speech of students studying a foreign language are presented. It is noted that the development of tasks and courses for learning Ukrainian as a foreign language should take into account not only the language component of learning, but also ensuring the psychological comfort of students and work on avoiding “cultural shock” and “language barrier”, ensuring rapid adaptation to new linguistic and cultural realities. It is substantiated that taking into account the psychological characteristics of foreign students helps to create effective teaching methods. Key words: adaptation, communication, language barrier, psychological characteristics, Ukrainian as a foreign language.

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  • Journal IconTheory and Practice of Teaching Ukrainian as a Foreign Language
  • Publication Date IconMay 5, 2025
  • Author Icon Iuliia Kosenko
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Self-harming behaviors among forensic psychiatric patients who committed violent offences: an exploratory study on the role of circumstances during the index offence and victim characteristics

BackgroundSelf-harming behaviors are common among forensic patients with violent index offenses. While various factors, including feelings of shame and guilt, may influence self-harming behaviors, little is known about how the circumstances surrounding the index offense and the victims’ characteristics affect self-harming tendencies among forensic patients. In this study, we examined the association of the circumstances surrounding the index offence and victim characteristics with self-harming behaviors among forensic patients who have committed violent offences.MethodsThe present study consisted of 845 forensic psychiatric patients under the Ontario Review Board who had violent offences (Mean age = 42.13 ± 13.29; 85.68% male) in the reporting year 2014/15. The study examined the association between self-harming incidents with the circumstances during the index offense and victims’ characteristics while controlling for clinical and demographic factors based on multiple hierarchical negative binominal regression.ResultsThe prevalence of self-harm was 4.14%, and more than half (61.29%) of the patients with self-harming behaviors had multiple incidents. The total number of self-harming incidences recorded in the reporting year was 113. The results showed that of the overall 24.05% explained by the models, the victim’s characteristics contributed approximately 5% points, and circumstances during the index offence contributed an additional 2% points in explaining self-harming behaviors among forensic psychiatric patients during the reporting year. In the final model, the risk of self-harm increased with having a victim who was a healthcare/support staff or a co-patient/cohabitant.ConclusionSelf-harm among forensic patients who committed violent offences is associated with various factors, including previous history of self-harm and the victim’s characteristics, especially when the victim was a healthcare/support worker or co-patient. These findings suggest that self-harm might be a maladaptive way of coping with negative emotions, such as feelings of guilt and shame triggered by harming others. Mitigating measures for self-harm among patients with violent offences need to be robust and individualized, taking into consideration vulnerability issues and the best available evidence.

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  • Journal IconBMC Psychiatry
  • Publication Date IconApr 28, 2025
  • Author Icon Mark Mohan Kaggwa + 6
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Consequences of academic disappointment inventory: confirmatory factor analysis, reliability and convergent validity

Background and aimsThe research literature on academic disappointment and its relationship to student engagement is scarce. This article aims to present the results of a confirmatory factor analysis and the reliability analysis of the Consequences of Academic Disappointment Inventory. It also aims to provide information on the relationship between academic disappointment and other constructs (i.e., academic motivation, perfectionism, self-critical rumination, and negative emotions).MethodsThe current study is a correlational study with a cross-sectional design, and the data were collected via an online platform. A total of 512 Hungarian students participated in the study. Participants were asked to recall a situation in which they received negative feedback and consequently felt disappointed in the past few months of their academic life. They were then asked to complete a series of questionnaires.DiscussionThe results show that students experience disappointment with themselves, their performance, and the authority giving the feedback in different ways. Self- and performance-related disappointments are similar in terms of their revealed factor structures (i.e., motivation, lack of motivation, behavioral investment, and lack of behavioral investment). Whereas disappointment with the authority has a different factor structure. The current results also show that academic disappointment can be either an activating or a passivating emotion in terms of its effects on student engagement. Our results revealed a set of significant factors associated with students' engagement in the context of academic disappointment, including feelings of shame and hostility, perfectionism, self-critical rumination, intrinsic motivation, extrinsic motivation for external regulation, and amotivation.

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  • Journal IconBMC Psychology
  • Publication Date IconApr 24, 2025
  • Author Icon Ayşen Senem Çopur + 1
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Love Scamming Di Era Digital Perlindungan Hukum Dan Tantangan Dalam Penanganan Kasus Love Scam Di Aplikasi Kencan Di Indonesia

This study analyzes the legal framework surrounding cybercrime related to love scams perpetrated through social media in Indonesia. Love scamming has emerged as a significant issue, particularly among young adults using dating applications. The research highlights the lack of specific legal regulations addressing love scams, despite existing laws on cybercrime. Through normative research methods, the study examines the challenges faced by victims in seeking justice and the inadequacies in legal protections available to them. The findings indicate that many victims do not report incidents due to feelings of shame and fear of stigma, leading to a lack of data on the prevalence of such crimes. The journal calls for improved legal frameworks and greater public awareness to protect individuals from falling victim to love scams.

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  • Journal IconAT-TAKLIM: Jurnal Pendidikan Multidisiplin
  • Publication Date IconApr 19, 2025
  • Author Icon Soleha Liliani Malik + 1
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Barriers to Diagnosis and Treatment for Premenstrual Dysphoric Disorder (PMDD): A Scoping Review.

Premenstrual dysphoric disorder (PMDD) is a significant public health challenge. While research has increased over the past decade, barriers to PMDD diagnosis and treatment persist. This paper explores the global barriers to diagnosis and treatment for PMDD. A scoping review of the literature was performed using the PubMed, PsycINFO, and CINAHL Plus databases to compile existing data on barriers to PMDD diagnosis and treatment. Eligibility criteria for articles included original research published within the last 10 years, written in English, and focused on PMDD with explicit assessment of at least one barrier to diagnosis and/or treatment. Findings were organized into four domains: individual, medical, cultural, and structural barriers. At the individual level, barriers include internalized norms and stigma that deter help-seeking; medical trauma and mistrust; feelings of fear, shame, self-blame, and confusion; and diminished autonomy and increased side effects from prescribed PMDD treatments. Medical barriers include limited provider knowledge, nonadherence to diagnostic and treatment guidelines, and negative patient-provider interactions. Cultural barriers include reproductive and mental health stigma; gender and cultural norms; and cultural preferences for alternative medicine that reduce access to pharmacological treatment. At the structural level, barriers include fragmented healthcare and limited access to health services. These findings highlight the many diagnostic and treatment barriers for individuals living with PMDD, underscoring the need for future research and intersectional approaches to improve health outcomes for this population.

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  • Journal IconReproductive sciences (Thousand Oaks, Calif.)
  • Publication Date IconApr 18, 2025
  • Author Icon Adishree Nayak + 2
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The Relationship Between Stigma-Induced Social Identity Threat and Loneliness: An Investigation Among Unemployed People in Germany.

Experiences of stigma-induced social identity threat can frustrate one's need for belonging. No research to date has examined whether stigmatized people experience loneliness as a result. Therefore, we conducted two studies with unemployed people in Germany to test the hypothesis that social identity threat increases feelings of loneliness. In Study 1 (N = 445), we employed a two-wave longitudinal study and found that Time 1 social identity threat positively predicted Time 2 loneliness. Study 2 (N = 329) provided experimental evidence of this link by manipulating exposure to social identity threat cues through mental imagery. Mediation analysis indicated that this is due to amplified feelings of anger and shame as well as a reduced sense of social belonging. These research findings suggest the importance of interventions to foster a sense of social belonging in marginalized groups.

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  • Journal IconPersonality & social psychology bulletin
  • Publication Date IconApr 18, 2025
  • Author Icon Lukas Loreth + 1
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Psychometric properties of the Czech moral injury symptom scale

Moral injury is defined as a deep sense of transgression, including feelings of shame, grief, meaninglessness, and remorse from having violated core moral beliefs. This study aimed to adapt the Moral Injury Symptom Scale-Healthcare Professionals (MISS-HP) for measure this concept in the Czech Republic and explore its psychometric properties. Sample of healthcare providers (N = 694) completed the MISS-HP questionnaires, the Shirom Melamed Burnout Measure (SMBM) and the Professional Quality of Life scale (PROQoL). Cronbach´s alpha of MISS-HP was found to be 0.62; exploratory factor analysis returned 4 factors. Correlations with SMBM and PROQoL were moderate (from 0.31–0.46), which confirmed the construct validity of MISS-HP. ROC curve analysis identified the optimal cut-off score at 42 points with 75% sensitivity and 69% specificity. Female gender, younger age and atheism were related to higher symptoms of moral injury. Czech MISS-HP was found to be a valid and reliable measure of moral injury.

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  • Journal IconScientific Reports
  • Publication Date IconApr 15, 2025
  • Author Icon Karolina Vlckova + 2
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The role of stigma in older adults’ beliefs about and attitudes towards eating disorders and help seeking

Eating disorders (ED) are commonly believed to be a young person’s problem, and neglect of older people in the literature has perpetuated this belief. In younger people, there can be a reluctance to seek help due to feelings of shame and stigma. In this study, we asked adults in later life about their beliefs and attitudes about ED to explore whether these same mechanisms might account for older people not presenting to services. Twenty-one women and men gave us their thoughts through semi-structured interviews which were analysed using Reflexive Thematic Analysis. From the data, four themes were identified: us and them; shame, stigma and embarrassment; control; and help-seeking.Our participants described several factors impacting on help-seeking including shame and stigma, lack of faith in health care professionals, and societal and self-determined ageism. Recommendations for practice are considered.

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  • Journal IconFPOP Bulletin: Psychology of Older People
  • Publication Date IconApr 15, 2025
  • Author Icon Niamh Chalmers + 2
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Exploring stigma in people living with Parkinson's disease and their caregivers: A review of qualitative studies.

Background: Stigma deeply affects individuals living with Parkinson's disease (PD), increasing the challenges of this frequent progressive neurodegenerative disorder. Objective: This systematic review synthesized qualitative studies to explore how stigma is experienced by people living with PD and their caregivers. Methods: A systematic search from four databases identified international qualitative literature on different dimensions and impact of stigma in PD. Results: Following abstracts and full papers screening, 22 studies published between 2004 and 2024 were included. Using thematic synthesis approach, the review revealed three primary themes: (1) living with self-stigma, characterized by feelings of vulnerability, shame and efforts to conceal symptoms, (2) living with public stigma, marked by societal exclusion, misconceptions, and stereotyping, particularly regarding visible symptoms and age, and (3) living with structural stigma, involving discrimination in workplaces and inadequate institutional support. Conclusions: These findings provide a comprehensive understanding of stigma's multifaceted impact, offering insights to design effective strategies that foster awareness, challenge misconceptions, and create a more supportive and inclusive environments for individuals living with PD.

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  • Journal IconJournal of Parkinson's disease
  • Publication Date IconApr 13, 2025
  • Author Icon Dia Soilemezi + 2
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The impact of adolescent dating violence and abuse on victims’ mental health and social isolation: a thematic empirical evidence review

Purpose Adolescent dating violence and abuse (ADVA) can have severe and long-lasting implications for the mental health, cognitive development, and overall wellbeing of young people at a complex developmental stage. The purpose of this paper is to scrutinise current literature and consider the impact of early intimate dating abuse, exploring how factors such as the quality and influence of peer relationships can be critical foundations to young people’s vulnerability or resilience. The significance of certain childhood adversities as predictors of increased risk of future ADVA perpetration and victimisation will be considered. Design/methodology/approach In this article, the authors examine the impact of ADVA on victim-survivors focusing on mental distress, including self-harm, depression and anxiety, continuous traumatic stress, post-traumatic stress disorder and suicidal ideation. The authors also examine the pervasive influence of ADVA on victims’ social isolation and exclusion from networks of social support. ADVA often causes victims to be fearful, entrapped, isolated and controlled. Findings Societal normalisation of dating abuse and rape myths can exacerbate a victim’s feelings of self-blame and shame, severely impairing young people’s ability to disclose and seek external support, perpetuating feelings of helplessness. In integrating recent research, legislation and government reports, the authors demonstrate the necessity of addressing ADVA through a whole school approach, trauma-informed interventions and authentic educational programmes. Originality/value This article contributes to the growing body of literature, emphasising both the mental health impact and urgent need to change attitudes and behaviours underlying ADVA. The authors offer recommendations for policy and practice such that the needs of victims can be better met whilst perpetrators are offered support and held to account.

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  • Journal IconMental Health and Social Inclusion
  • Publication Date IconApr 11, 2025
  • Author Icon Gillian Kirkman + 2
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Lessons learned from the lived experiences of people living with obesity during the first COVID-19 lockdown in the United Kingdom.

Quantitative studies have shown that people living with obesity experienced deteriorations in mental health and health-related behaviours during the first UK's Coronavirus Disease-2019 (COVID-19) lockdown. However, there is a lack of qualitative research exploring their lived experiences during this period. Thematic analysis of large-scale free-text survey data was conducted to understand the challenges faced by adults with obesity during the first UK's COVID-19 lockdown. Among 543 participants, 467 (86%) responded to the free text questions. The majority were female (87.8%), with a mean age of 51.6 (SD 9.9) years. Of these, 65.3% has a body mass index ≥40 kg/m2, and 57.7% were not enroled in weight management services. Five overarching themes and 10 sub-themes were identified with the five key themes being (1) increased fear and anxiety, (2) the impact of obesity being classified as 'high risk', (3) disruption in weight management services, (4) the impact on health-related behaviours, and (5) the adverse impact on mental health. Participants expressed fear of contracting COVID-19 and concerns about weight gain. UK Government messages linking obesity with severe COVID-19 complications exacerbated feelings of shame and stigma. The reduced provision of weight management services caused further health concerns, highlighting the need for digital health technologies for continued support. Participants reported changes in shopping, diet, physical activity, and sleep patterns, leading to deteriorated mental health. People living with obesity experienced distinct challenges during the first COVID-19 lockdown, affecting their ability to practice and maintain health-related behaviours.

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  • Journal IconInternational journal of obesity (2005)
  • Publication Date IconApr 10, 2025
  • Author Icon Friedrich C Jassil + 2
Open Access Icon Open Access
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CPD focus: Enhancing the care of patients attending the emergency department following suicidal behaviour.

Nurses and other clinical staff working in emergency departments (EDs) are frequently required to care for patients who attend following suicidal behaviour, but ED staff often feel unequipped to do so. Many of these patients also report negative experiences of care. This article reviews and discusses patients' lived experiences under four themes: conflicting feelings around death and dying; feelings of shame and stigma; feelings of hopelessness; and the impact of person-centred moments. The authors also provide suggestions that nurses can consider to enhance their professional practice and the care they provide to this patient group.

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  • Journal IconEmergency nurse : the journal of the RCN Accident and Emergency Nursing Association
  • Publication Date IconApr 8, 2025
  • Author Icon David Lee Anderson + 1
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Choosing the Best Digital Health Literacy Measure for Research: Mixed Methods Study.

The global demographic shift towards longer life expectancy and complex health needs is increasing the number of people with chronic diseases, placing pressure on health and care systems. With the digitalization of healthcare, digital Health Literacy (dHL), or the use of digital skills in health, is gaining importance. It involves navigating digital health information, using digital tools effectively, and making informed health decisions. Measuring dHL can help identify gaps and develop strategies to improve dHL and health, ensuring citizens equal opportunity to participate in a digital healthcare system. The European project "The Improving Digital Empowerment for Active and Healthy Living (IDEAHL)" with the objective to empower European Union citizens to use digital instruments to take a more active role in managing their health and well-being creates the base for this overview. This paper aims to conduct an overview of existing assessment tools for measuring dHL and recommend strategies for choosing relevant assessment tools. This study was carried out as a mixed method study initiated by a scoping review (10 scientific databases, 14 databases with grey literature and 14 predefined reports) in addition to three papers published after finalisations the literature search in IDEAHL, followed by a qualitative workshop study and a final analysis combining results. The literature search resulted in 33 papers on dHL instruments, that was analyzed together with three recently published reviews and findings from a workshop with 13 champions (understood as professionals with expertise in HL and dHL) from five countries (Spain, Denmark, Sweden, Australia, and Germany) representing the health sector or health literacy research. Future tools should adapt to the latest trends and technologies, considering attitudes towards digital health and trust in its services. They should identify beneficiaries of digital health services, measure the impact of dHL interventions, and objectively evaluate functional skills. These tools should be evidence-based, validate instruments, interpret dHL results, and capture diverse experiences to reveal health behaviour changes. The eHealth Literacy Scale (eHEALS), despite being the most frequently utilized tool, has limitations in scope and adaptability. Future tools need to reflect digital trends, encompassing individual skills. However, it is important to note that the 'adequacy' of dHL is context-specific and relies on healthcare systems and the technology provided, particularly the user interface. The focus should be on health improvement, not just elevating dHL levels. A comprehensive approach to dHL assessments addressing diversity and relevance is crucial. Ethical considerations in dHL, including privacy and data security, are important due to potential feelings of shame among those with low literacy levels.

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  • Journal IconJournal of medical Internet research
  • Publication Date IconApr 8, 2025
  • Author Icon Charlotte Brun Thorup + 9
Open Access Icon Open Access
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Acceptability and cultural appropriateness of a parenting programme to reduce violence against adolescents in Tanzania delivered at scale: Implications for scale-up

ABSTRACT Although parenting programmes may be effective at reducing violence against children (VAC), there is a limited understanding on how acceptable and appropriate such programmes are among parents/caregivers (‘caregivers’) when delivered at scale. This paper explores the acceptability and cultural appropriateness of a parenting programme for caregivers and their adolescent girls, Parenting for Lifelong Health for Teens (PLH-Teens), which was delivered at scale in rural and semi-urban Tanzania. This paper employed a qualitative research design involving 18 focus group discussions (FGDs) with caregivers (N = 120) and adolescent girls (N = 60). Participants reported that the programme was acceptable, culturally appropriate, and beneficial. The use of participatory approaches and in-person group sessions was appealing to caregivers. However, several challenges hindered consistent engagement. These factors ranged from initial community mistrust about the programme, social norms on parenting, and group interactions to individual-level participant factors, stigma, and feeling of shame for being selected to join a programme. Overall, PLH-Teens programme was perceived as addressing the real parenting needs of caregivers and their adolescents. There is a need to address the challenges families experienced as these could hinder the acceptability, sustainability, and continued scale up of PLH-Teens in future programme delivery.

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  • Journal IconGlobal Public Health
  • Publication Date IconApr 5, 2025
  • Author Icon Joyce Wamoyi + 6
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Guilt and shame and its relation to oxytocin in patients with depression and alcohol addiction

BackroundGuilt and shame are important and universal social emotions that fundamentally shape the way people interact with each other. Mental illness such as depressive disorder (DD) or alcohol addiction (AA) is therefore often related to pronounced dysfunctional feelings of shame and guilt. Oxytocin has been suggested to play an important role in socially and morally associated emotions such as shame and guilt.MethodsA total of 85 participants (41 women and 44 men) were clinically investigated, including shame and guilty proneness. To assess the proneness for guilt and shame, the IGQ, the SCV scale, TOSCA, and SHAME were used.ResultsPatients with DD showed a maladaptive guilt and shame profile, characterized by increased interpersonal feelings of guilt and increased proneness of shame. Patients with AA were characterized by the lowest reserve and antidelophilic attitude. Oxytocin values were lowest in the patients with AA compared to the two other groups, but not related to guilt and shame.ConclusionThe proneness to maladaptive guilt and shame of mental disorders appears to be less dependent on specific disease aspects than on individual characteristics. Dimensions such as guilt and shame should be more implemented in psychotherapy.

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  • Journal IconBMC Psychiatry
  • Publication Date IconApr 2, 2025
  • Author Icon Paraskevi Mavrogiorgou + 2
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The Prevalence and Correlates of Cannabis-Related Harms in a Nationally Representative Sample of Norwegian High School Students.

Although adolescents are at increased risk for a wide spectrum of cannabis-related harms, comprehensive harm measures are seldom employed in studies of young people who use cannabis. This study examined the type and prevalence of cannabis-related harms and their associations with various cannabis use indicators in a sample of adolescent who use cannabis. A nationally representative sample of Norwegian high school students (N= 3,490, age 17-19 years, 48% male) reported whether they used cannabis, and if so, age of first initiation, use frequency, simultaneous use with alcohol, and whether they experienced any of the 18 possible cannabis-related harms. Associations between these harms and cannabis use indicators were analyzed using regression models while accounting for other known sociodemographic, temperamental, and substance use risks. Among respondents who reported lifetime cannabis use (20%), 65% reported having experienced at least one cannabis-related harm (M= 4.7 ± 4.8). Although "Feelings of shame" (44%) and "Adverse psychoactive effects" (42%) were most frequently reported, harmed relationships (21%), unprotected/unwanted sex (17%), and school troubles (17%) were also prevalent. Early cannabis use initiation (Incidence rate ratio= 1.564, p < .01) and simultaneous use with alcohol (Incidence rate ratio= 1.385, p < .01), but not frequency of use, were associated with greater number of experienced harms. By examining a wide range of diverse harms, our results underscore the need for a more nuanced understanding of negative consequences of cannabis use during sensitive periods of adolescent development. Prevention efforts targeting early initiation and simultaneous use of cannabis and alcohol may prove particularly useful in preventing cannabis-related harm among adolescents.

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  • Journal IconThe Journal of adolescent health : official publication of the Society for Adolescent Medicine
  • Publication Date IconApr 1, 2025
  • Author Icon Anne Line Bretteville-Jensen + 1
Open Access Icon Open Access
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