Intrapersonal Factors Research Articles

Factors of prolonged-grief-disorder symptom trajectories for ICU bereaved family surrogates.

Bereaved people experience distinct trajectories of prolonged-grief-disorder (PGD) symptoms. A few studies from outside critical care investigated limited factors of PGD-symptom trajectories without a theoretical framework. We aimed to characterize factors associated with ICU bereaved surrogates' PGD-symptom trajectories, drawing from the integrative framework of predictors for bereavement outcomes, emphasizing factors modifiable by ICU care. Prospective cohort study of 291 family surrogates. Multinomial logistic regression was used to determine associations of three previously identified PGD-symptom trajectories (resilient [n = 242, 83.2%] as reference group, recovery [n = 35, 12.0%], and chronic [n = 14, 4.8%]) with risk factors. Factors included intrapersonal (demographics, personal vulnerabilities), interpersonal (perceived social support), bereavement-related (patient demographics, clinical characteristics, and patient-surrogate relationship), and death-circumstance (surrogate-perceived quality of patient dying and death [QODD] in ICUs classified as high, moderate, poor-to-uncertain, and worst QODD classes) factors. Most surrogates were female (59.1%), the patient's adult child (54.0%), and about (standard deviation) 49.63 (12.53) years old. As surrogate age increased, recovery-trajectory membership decreased (adjusted odds ratio [95% confidence interval] = 0.918 [0.849, 0.993]) and chronic-trajectory membership increased (1.230 [1.010, 1.498]). Being married decreased membership in the recovery (0.186 [0.047, 0.729]) trajectory. Higher anxiety symptoms 1month post loss increased membership in recovery (1.520 [1.256, 1.840]) and chronic (2.022 [1.444, 2.831]) trajectories. Spouses were more likely and adult-child surrogates were less likely than other relationships to be in the two more profound PGD-symptom trajectories. Membership in the chronic trajectory decreased (0.779 [0.614, 0.988]) as patient age increased. The poor-to-uncertain QODD class was associated with a nearly significant increase (4.342 [0.980, 19.248]) in membership in the recovery trajectory compared to the high QODD class. Membership in the PGD-symptom trajectories was associated with factors modifiable by high-quality ICU care, including anxiety symptoms at early bereavement and surrogate-perceived QODD in the ICU. Clinicians should be sensitive to the psychological needs of at-risk family surrogates, provide high-quality end-of-life care to facilitate QODD, and promptly refer bereaved surrogates who suffer anxiety symptoms and profound and/or persistent PGD-symptoms for psychological support.

The Relationship Between Psychological Factors and Nutritional Status in Adolescence

Abstract: Background: The aim of the research is to explore the relationship between psychological factors and nutritional status in adolescence. The issue of adolescent nutrition is related to several psychological problems, as well as to developmental changes during this period. Research on body image dissatisfaction has confirmed that most adolescents are dissatisfied with their bodies. Developmentally oriented scientists are unique in their approach to explaining the problem of body image, focusing on multiple aspects and attempting to understand the intrapersonal and interpersonal factors that are important for the formation of body image. Methods: The sample included 260 adolescents aged 15 to 19. The assessment of sociodemographic factors, emotional states, physical activity levels, and eating habits was included in the questionnaires filled out by the parents (DASS-21 and the Physical Activity & Nutrition Behaviors Monitoring Form questionnaire). Body Mass Index (BMI) was calculated based on information about the height and weight of the adolescents. Results: The results of the correlation between psychological characteristics and BMI indicate a negative low correlation with all psychological aspects: depression (r = −0.25; p < 0.05), anxiety (r = −0.30; p < 0.05), and stress (r = −0.28; p < 0.05). Over 70% of adolescents are classified in the category of normal BMI. Conclusions: The results indicate that subjects who are of normal weight experience less pronounced depression, anxiety, and stress.

The Socioecology of Sexual Minority Stigma: Advancing Theory on Stigma-Based Mechanisms Underlying Sexual Orientation-Based Disparities in Health

Research in public health and psychology has identified sexual minority stigma-related risk factors that contribute to sexual orientation-based health disparities across settings and societies worldwide. Existing scholarship, however, has predominantly focused on these factors as independent, stand-alone risk factors, neglecting their interconnected nature across different levels. This article theoretically explores how sexual minority stigma may function as a multilevel socioecological system, by building on prevailing theories and emphasizing the interplay between structural, interpersonal, and intrapersonal stigma-related factors. Drawing on the minority stress and socioecological theories, three central tenets are proposed, namely 1) chronosystem with immediate, accumulating, or lasting effects across spatiotemporal contexts, 2) nested multilevel system with cross-level effects, and 3) mechanistic pathways linking stigma exposure to health. By providing a nuanced and comprehensive understanding of how sexual minority stigma may operate as a multilevel socioecological system, this article aims to contribute by reflecting on the novel implications of this interpretation for future research and to guide conceptualizations and studies, acknowledging the complexity of sexual minority stigma exposure across historical contexts, societies, and the individual life course in shaping physical and mental health of sexual minorities. Limitations of current research and recommendations for future research are discussed.

Intervention Development for Tailored Education for Aging and Cognitive Health (TEACH) for Dementia Prevention in Midlife Adults: Protocol for a Randomized Controlled Trial.

A total of 12 modifiable risk factors account for 40% of dementia cases globally, yet population adherence to health behaviors associated with these factors is low. Midlife is a critical window for dementia prevention, as brain pathology often begins to accumulate years or decades before the onset of symptoms. Although multidomain behavioral interventions have been efficacious in reducing the risk of cognitive decline, adherence is low. Intrapersonal factors, such as health beliefs, are known mediators of the relationship between knowledge and health behavior. In keeping with stage I of the National Institutes of Health (NIH) Stage Model for Behavioral Intervention Development, this study will use mixed methods to (1) develop an enhanced health education intervention, including an explanatory method for communicating information about dementia risk and personal health beliefs, and (2) conduct a pilot randomized controlled trial (n=20 per intervention arm) over 8 weeks to assess the feasibility of delivering the enhanced intervention versus basic health education alone. Phase 1 will involve focus groups and individual qualitative interviews. Focus groups will be analyzed using (1) a descriptive framework matrix analysis and (2) interpretive data review by the research team. Individual qualitative interviews will be coded using applied thematic analysis using a phenomenographic approach. Phase 2 will involve a pilot randomized controlled trial. Proximal outcomes (measured at baseline, 4 weeks, and 8 weeks) include the perceived threat of Alzheimer disease, dementia awareness, and self-efficacy. This project was funded in August 2022. Data collection began in 2023 and is projected to be completed in 2025. Study findings will reveal the feasibility of delivering an 8-week multidomain health education intervention for primary prevention of dementia in midlife and will provide preliminary evidence of mechanisms of change. ClinicalTrials.gov NCT05599425; https://clinicaltrials.gov/study/NCT05599425. DERR1-10.2196/60395.

The use of respiratory patient reported outcome measures (PROMs) in the management of COPD: Perceptions of Australian osteopaths

BackgroundPatient reported outcome measures (PROMs) are widely used to capture patients' perspectives of their health status and treatment outcomes and to enable practitioners to evaluate the effectiveness of interventions. The aim of this study was to explore Australian osteopaths’ perceptions of the use of respiratory PROMS in the management of chronic lung conditions. MethodsThis study drew on the social ecological model (SEM), which highlights the interdependence of contextual structures and processes. Osteopaths who were initially part of a larger mixed-methods study were invited to participate in semi-structured interviews. Transcripts were thematically analysed using the SEM. ResultsSeven of the original study osteopaths were interviewed. When presented with a patient who had a co-morbid respiratory condition, they focused on the musculoskeletal aspects of that condition (intrapersonal factors). Participants described sporadic use of musculoskeletal and quality of life PROMs in practice, and scarce use of respiratory PROMs (intrapersonal and organizational factors). Participants’ perceptions of their scope of practice strongly influenced their use of respiratory PROMs (environmental factors). ConclusionIntrapersonal and environmental factors were dominant drivers for participants’ scant use of respiratory PROMs. Further education on the scope and contribution of osteopaths to the management of chronic lung conditions and the use of respiratory PROMS is called for to promote multidisciplinary patient care.

Loneliness in sport: A systematic mixed studies review

ABSTRACT Loneliness is an established risk factor for mental and physical health problems. Individuals involved in sport face many unique stressors, some of which could exacerbate the risk of loneliness. To bring clarity to published evidence in this area, inform future research, and develop applied recommendations to prevent and reduce loneliness in the sport community, we sought to systematically review, synthesise, and appraise research on loneliness in sport. Following electronic database and manual searches to identify literature on loneliness in the sport community up to August 2024, we included and thematically synthesised data from 194 studies (N = 88,516). Social loneliness was the most common conceptualisation of loneliness within the literature. We identified socio-cultural, institutional, interpersonal, and intrapersonal risk factors associated with loneliness. There was less evidence for protective factors, but the available evidence was categorised into interpersonal and intrapersonal factors. Finally, there was substantial evidence concerning adverse consequences associated with loneliness in sport, including: impaired mental health and well-being; adverse social outcomes; negative cognitive, affective, and motivational outcomes; and maladaptive behavioural outcomes. Overall, this review advances knowledge by synthesising, for the first time, evidence on loneliness in sport and offers theoretical, methodological, and practical contributions that extend understanding of loneliness.

Prevalence and predictors of internet use among Ghanaian older adults: evidence from the Ghana 2021 Population and Housing Census

Internet use among older adults has several beneficial impacts on their health and general wellbeing. However, there are limited studies on internet use among older adults in low- and middle-income countries, including Ghana. Also, studies on internet use among older adults have used surveys rather than census data, which minimises the potential for sampling bias and improves representativeness. Therefore, this study used census data to examine the prevalence and predictors of internet use among Ghanaian older adults. This study utilised the Ghana 2021 Population and Housing Census. The data were analysed using Pearson’s chi-square test and binary logistic regression. Overall, 52.9% of older adults used the internet 3 months preceding the census. Older adults mainly use mobile phones to access the internet. The significant predictors of internet use were age, sex, educational status, marital status, religious affiliation, place of residence, sight and hearing impairment, household wealth status, and ecological zone. Internet use among Ghanaian older adults was relatively high. Policymakers should consider these intrapersonal (age, sex, educational status, and sight and hearing impairments), interpersonal (marital status and household wealth), institutional (religious affiliation), and community (place of residence and ecological zone) level factors when developing interventions to promote internet use among older adults.

Intrapersonal, Cultural, and Community Assets among Puerto Rican Hurricane Maria Survivors: A Latent Profile Analysis

In September 2017, Hurricane Maria decimated Puerto Rico and resulted in the deaths of thousands of people, the destruction of thousands of homes, and the mass migration of hundreds of thousands of Puerto Ricans to the U.S. mainland. Because of these events, Puerto Rican Hurricane Maria survivors on the U.S. mainland are at risk for depressive symptomatology. The purpose of this study was to examine sources of protection against depressive symptoms in this population, with a focus on identifying protective assets and how such assets are differentially distributed across subsets of survivors. A sample of 319 Puerto Rican Hurricane Maria survivors ( Mage = 38.5 years, 77% women) completed surveys of intrapersonal, cultural, and community assets, as well as a measure of depressive symptoms. Results showed that optimism and religiosity at the intrapersonal level, and collective efficacy and community safety at the community level, emerged as significant protective assets against depression. Results from a latent profile analysis revealed four classes of survivors based on their degree and type of protection: High Protection, Safe Community, Moderate Protection, and Low Protection. The High Protection class reported fewer depressive symptoms compared with the Moderate and Low Protection classes but reported similar levels of depressive symptoms as the Safe Community class. Findings suggest that intrapersonal cognitive factors, and community efficacy and safety factors may represent salient assets among hurricane survivors on the U.S. mainland. Findings also illustrate that subsets of Puerto Rican Hurricane Maria survivors vary in their degree and type of protective assets.

The role of family conflict and cohesion in adolescents' social responsibility: Emotion regulation ability as a mediator.

The social context is crucial for the adolescent development of self-regulatory skills and social responsibility. To understand the role of social context in adolescent development, the present study examined family predictors (i.e., family cohesion and conflict) of social responsibility, with emotion regulation ability as a mediating process. A total of 828 Chinese adolescents (35.6% female; mean age = 13.92 years, SD = 1.34) were recruited from major Chinese cities, including Hong Kong and Macau. Path analysis revealed that emotion regulation ability mediated the relation between family factors (i.e., family cohesion and family conflict) and social responsibility. That is, the ability to regulate emotions serves as a process between family factors and social responsibility. More specifically, family cohesion was positively associated with emotion regulation ability, whereas family conflict was negatively associated with emotion regulation ability. In turn, emotion regulation ability was positively associated with social responsibility. The results suggested that the family environment and adolescent's emotion regulation ability are important contextual and intrapersonal factors contributing to their development of social responsibility. As an implication, policymakers and practitioners might allocate resources to enrich positive family interactions and cultivate emotional competency to support adolescents' development of social responsibility.

Mentoring communication in higher education: a qualitative exploration

ABSTRACT Mentoring programs focus on providing effective mentoring to mentees for a successful career in academia. However, the effectiveness of mentoring relationships cannot be guaranteed despite the best intentions and efforts of the mentoring program management. Literature suggests that the effectiveness of mentoring relationships depends on multiple factors. The present study explores the factors that affect communication in mentoring between mentors (professors) and mentees (postdocs) in higher education. A qualitative study was conducted in universities offering mentoring programs for postdocs in Germany. Twenty-five in-depth semi-structured interviews were conducted with fifteen postdocs and ten professors in mentoring programs. Charmaz’s Constructive Grounded Theory was used to collect and analyse the data. The findings show a complex interaction of mentors’ and mentees’ intrapersonal factors, interpersonal factors, and external factors affecting communication in mentoring, hence affecting mentoring relationships. These findings may help improve the mentoring experience for mentors, mentees, and organizers of mentoring programs. The study recommends a longitudinal investigation of mentoring relationships to understand the long-term impact of factors affecting mentoring relations in higher education.

Moving beyond vulnerability and focusing on resilience: An intersectional posttraumatic growth model for LGBTQ+ people of color.

In the context of the legacy of deficit-focused research and application of theoretical models in research on minoritized groups that are underrepresented in the literature, we explored the strengths-based literature among lesbian, gay, bisexual, transgender, and queer (LGBTQ+) people of color to develop a more inclusive and relevant understanding of how posttraumatic growth (PTG) occurs in this population. Our intersectional PTG model is tailored to the experiences of LGBTQ+ people of color that builds upon previous models of PTG, intersectionality theory, and empirical findings of trauma and PTG among LGBTQ+ people of color. Our intersectional PTG model incorporates the unique intrapersonal, interpersonal, institutional, and cultural factors that are unique to this population and contribute to PTG. We challenge the limited scope of Criterion A traumatic events and emphasize empirical findings that support that LGBTQ+ people of color often experience posttraumatic stress after oppression and discrimination. Our model also recognizes the impact of intersecting risk factors, such as gendered racism, that may occur on various levels. Our model acknowledges that LGBTQ+ people of color have often demonstrated PTG in the face of adversity. Intrapersonal factors such as cognitive flexibility, interpersonal factors such as social support, and institutional and cultural factors such as identity-related activism are identified as key contributors to resilience. We discuss practice implications, highlighting that clinicians should recognize limitations of traditional trauma frameworks and adopt culturally sensitive approaches when working with LGBTQ+ people of color. Overall, our model provides a foundation for strengths-based interventions and research, emphasizing resiliency and potential for PTG in this population.

Internalizing and somatic symptoms influence the discrepancy between subjective and objective cognitive difficulties in adults with ADHD who have valid and invalid test scores.

This study investigated the relationship between various intrapersonal factors and the discrepancy between subjective and objective cognitive difficulties in adults with attention-deficit hyperactivity disorder (ADHD). The first aim was to examine these associations in patients with valid cognitive symptom reporting. The next aim was to investigate the same associations in patients with invalid scores on tests of cognitive symptom overreporting. The sample comprised 154 adults who underwent a neuropsychological evaluation for ADHD. Patients were divided into groups based on whether they had valid cognitive symptom reporting and valid test performance (n = 117) or invalid cognitive symptom overreporting but valid test performance (n = 37). Scores from multiple symptom and performance validity tests were used to group patients. Using patients' scores from a cognitive concerns self-report measure and composite index of objective performance tests, we created a subjective-objective discrepancy index to quantify the extent of cognitive concerns that exceeded difficulties on objective testing. Various measures were used to assess intrapersonal factors thought to influence the subjective-objective cognitive discrepancy, including demographics, estimated premorbid intellectual ability, internalizing symptoms, somatic symptoms, and perceived social support. Patients reported greater cognitive difficulties on subjective measures than observed on objective testing. The discrepancy between subjective and objective scores was most strongly associated with internalizing and somatic symptoms. These associations were observed in both validity groups. Subjective cognitive concerns may be more indicative of the extent of internalizing and somatic symptoms than actual cognitive impairment in adults with ADHD, regardless if they have valid scores on cognitive symptom overreporting tests.

Exploring How Values of Colorectal Cancer Patients and their Caregivers Influence Treatment Decision-Making.

As we adopt value models to inform drug reimbursement, coverage, clinical trials, and treatment choices, aligning these models to reflect patient values and preferences becomes increasingly relevant. In this study, we focus on colorectal cancer (CRC), which is highly prevalent and a leading cause of death in Canada, and new drug treatment options are costly. The aim of this study was to understand how the values and experiences of people with CRC and their caregivers inform their perspectives about new and emerging colorectal cancer drug treatments. We applied qualitative methods to identify key personal, social, and system factors about how the values of people with CRC and their caregivers' values influence their treatment decision-making in a more holistic manner. Canadian adults (>18 years) living with non-metastatic or metastatic CRC and caregivers were recruited from oncology clinics and Colorectal Cancer Canada (CCC) using purposive sampling. Participants engaged in structured interviews by telephone. Interviews were transcribed verbatim and analyzed thematically guided by a qualitative phenomenological approach and Sherwin's ethical theory of relational autonomy using NVivo software. We conducted structured interviews with 12 people with CRC and six of their caregivers, and elicited patient and caregiver values and their influence on treatment decision-making context of key personal, social, and system factors. Thematic analysis of transcripts led to the development of four overarching and intersecting themes that were identified as influencing people with CRC and their caregivers' treatment decision-making: treatment outcomes and effectiveness, intrapersonal and interpersonal factors, quality of life, and survivorship and prognosis. Our findings suggest intersecting influences of patient-, community-, and social network-, and systemic-level factors that influence patients' decisions on treatment. Perceived clinical benefit, requirements of treatment, available information, the impact of treatment on social relationships and daily life, and the impact of social support were key factors described by participants. To our knowledge, this is the first study to utilize the theory of relational autonomy to understand patient and caregiver values in the context of treatment decisions in CRC. Using these findings, a continued exploration of people with CRC's values in treatment decision-making and how much patients value or weight the different aspects of treatment would help further advance patient care and guide healthcare system decision-making.

A latent profile analysis on adolescents' Non-Suicidal Self-Injury related to intrapersonal and interpersonal factors

Non-suicidal self-injury (NSSI) among adolescents continues to be a significant public health concern worldwide. A recent systematic review and meta-analysis found that the global prevalence of NSSI in adolescents aged 12–18 years was 17.2%, with higher rates reported among females (19.7%) than males (14.8%). This behavior has been linked to several negative outcomes, such as depression, anxiety, substance abuse, and suicidal ideation. The present study aimed to classify adolescents based on intrapersonal and interpersonal factors associated with NSSI proposed in Nock’s (2009) integrated model of NSSI, to identify distinct clusters targeting specific risk factors. This encompassed negative cognition, emotional vulnerability, poor coping skill, peer-victimization, family adaptability, and perceived stress. A total of 881 adolescents aged 11–16 years in South Korea completed self-reported questionnaires on automatic thoughts, depression, emotional regulation, peer victimization, family adaptability and perceived stress. Latent profile analysis (LPA) revealed three distinct classes: “the severe group”, “the moderate group”, “the mild group”. Class 3 (“severe group”: N = 127) exhibited greater severity related to NSSI, including negative cognition, emotional vulnerability, poor coping skills, peer victimization, and perceived stress, with weaker levels of factors that can prevent NSSI compared to class 1 (“mild group”: N = 416) and class 2 (“moderated group”: N = 338). The present study emphasizes the importance of considering both intrapersonal (e.g., negative automatic thoughts & emotional dysregulation) and interpersonal factors (i.e., peer victimization) when understanding NSSI - among adolescents. These findings can be utilized to develop interventions aimed at reducing the prevalence and severity of NSSI among adolescents.

Predictors of ICU Surrogates' States of Concurrent Prolonged Grief, Post-Traumatic Stress, and Depression Symptoms.

Scarce research explores factors of concurrent psychologic distress (prolonged grief disorder [PGD], post-traumatic stress disorder [PTSD], and depression). This study models surrogates' longitudinal, heterogenous grief-related reactions and multidimensional risk factors drawing from the integrative framework of predictors for bereavement outcomes (intrapersonal, interpersonal, bereavement-related, and death-circumstance factors), emphasizing clinical modifiability. Prospective cohort study. Medical ICUs of two Taiwanese medical centers. Two hundred eighty-eight family surrogates. None. Factors associated with four previously identified PGD-PTSD-depressive-symptom states (resilient, subthreshold depression-dominant, PGD-dominant, and PGD-PTSD-depression concurrent) were examined by multinomial logistic regression modeling (resilient state as reference). Intrapersonal: Prior use of mood medications correlated with the subthreshold depression-dominant state. Financial hardship and emergency department visits correlated with the PGD-PTSD-depression concurrent state. Higher anxiety symptoms correlated with the three more profound psychologic-distress states (adjusted odds ratio [95% CI] = 1.781 [1.562-2.031] to 2.768 [2.288-3.347]). Interpersonal: Better perceived social support was associated with the subthreshold depression-dominant state. Bereavement-related: Spousal loss correlated with the PGD-dominant state. Death circumstances: Provision of palliative care (8.750 [1.603-47.768]) was associated with the PGD-PTSD-depression concurrent state. Surrogate-perceived quality of patient dying and death as poor-to-uncertain (4.063 [1.531-10.784]) correlated with the subthreshold depression-dominant state, poor-to-uncertain (12.833 [1.231-133.775]), and worst (12.820 [1.806-91.013]) correlated with the PGD-PTSD-depression concurrent state. Modifiable social-worker involvement (0.004 [0.001-0.097]) and a do-not-resuscitate order issued before death (0.177 [0.032-0.978]) were negatively associated with the PGD-PTSD-depression concurrent and the subthreshold depression-dominant state, respectively. Apparent unmodifiable buffering factors included surrogates' higher educational attainment, married status, and longer time since loss. Surrogates' concurrent bereavement distress was positively associated with clinically modifiable factors: poor quality dying and death, higher surrogate anxiety, and palliative care-commonly provided late in the terminal-illness trajectory worldwide. Social-worker involvement and a do-not-resuscitate order appeared to mitigate risk.

Brief Research Report: The Relationship Between College Instructor Affect and Autonomy-Supportive Teaching

Autonomy supportive teaching practices are associated with a variety of positive student outcomes. Past research has identified various intrapersonal, interpersonal, and environmental factors that contribute to instructors’ use of autonomy support. However, the extent to which instructor affect predicts changes in their use of autonomy support, as well as the reverse, has yet to be examined. In the current study, we surveyed 405 college instructors across two timepoints during the Spring 2022 semester to examine the reciprocal relationships between instructors’ positive and negative affect during class and their use of autonomy support. Cross-lagged panel models suggested that instructors’ use of autonomy support predicted an increase in overall positive affect during class over time, while instructors’ overall positive affect in class did not predict an increase in autonomy support in class over time. Reciprocal relationships emerged for the specific affective states of feeling content and determined in class. No relationships between instructor negative affect and their use of autonomy support emerged in either direction. Results highlight the importance of examining the ways in which instructors’ positive affect shape instructional behaviors and the benefits that instructors may experience when implementing autonomy support in the classroom.

Self-ratings and peer-ratings of bullying perpetrators: Intrapersonal and interpersonal factors that differentiate bully subgroups

Using a large sample of students (N = 1373; 40% girls; Mage = 14 years) from 54 classrooms in South Korea, this study identified subtypes of bullies based on specific combinations of self-reports and peer-reports and examined the intrapersonal and interpersonal factors that explain the differences in characteristics between these identified groups. Latent profile analysis identified four subgroups of bullies: (a) non-bullies (59.5%), (b) peer-identified bullies (21%), (c) self-identified bullies (9.8%), and (d) self/peer-identified bullies (9.7%). Multinomial logistic hierarchical analysis revealed significant differences between the bully subgroups on the four intrapersonal factors (i.e., anti-bullying attitudes, perception of teachers' reaction to bullying, delinquent behavior, and depression; odds ratios [OR] ranged from 0.24 to 3.13) and three of the four interpersonal factors (i.e., overestimated popularity, rejection, and victimization; ORs ranged from 0.39 to 2.26). More specifically, compared to the peer-identified bully group, the non-bully and self/peer-identified bully groups showed opposite patterns of anti-bullying attitudes, delinquent behavior, and peer status (ORs ranged from 0.46 to 3.13). Relative to the peer-identified bully group, the self-identified bully group was more likely to exhibit depressive symptoms and perceive themselves as being victimized, was less likely to endorse anti-bullying attitudes, and had a less positive perception of teacher's reaction to bullying (ORs ranged from 0.24 to 1.40). Gender differences emerged as well. Implications for optimizing the screening of bullying perpetrators and anti-bullying interventions are discussed.

Predictors of Delayed Antenatal Care Initiation in a Rural District of Ghana: Insights from a Cross-Sectional Study

Aim: Pregnancy complications significantly affect health, making timely antenatal care (ANC) essential for early detection and skilled delivery. Despite WHO guidelines, some pregnant women in Ghana's Offinso North District delay their first ANC visit. This study explored intrapersonal and interpersonal factors contributing to this delay. Methods: Conducted from October 2021 to March 2022, this institutional cross-sectional study collected data from 397 pregnant women through a structured questionnaire. Descriptive and inferential statistical analyses were conducted with SPSS version 20. Results: Approximately 47% of pregnant women booked their antenatal care late. Key personal reasons hindering early ANC initiation included financial constraints, busy schedules, and insufficient knowledge about early ANC. Interpersonal barriers included pregnant women’s difficulty in initiating antenatal care (ANC) on their own, inadequate support from partners and family, and a lack of information about the importance of ANC in the media. Lower educational attainment (AOR = 1.86, 95% CI [1.13, 3.08], p = 0.016), lower income levels (AOR = 2.42, 95% CI [1.00, 5.85], p = 0.049), lack of knowledge about early ANC (AOR = 0.59, 95% CI [0.36, 0.99], p = 0.045) and busy schedules (AOR = 0.09, 95% CI [0.05, 0.17], p < 0.001) were significant predictors of late ANC initiation. Conclusion: The study identifies a high prevalence of delayed antenatal care (ANC), primarily linked to educational and income levels, with financial constraints, demanding schedules, and insufficient knowledge as major contributing factors. Recommendations: To improve early antenatal care (ANC) uptake and health outcomes, targeted interventions such as financial support and ongoing health education through outreach are crucial. Future research should evaluate the long-term effects of these interventions and explore additional support mechanisms.

Alternation of psychological resilience may moderate mentalization toward mental health conditions from macro- and microstructure aspects

ObjectiveWe aim to investigate the interplay between mentalization, brain microstructure, and psychological resilience as potential protective factors against mental illness. MethodFour hundred and twenty-six participants (mean age 40.12±16.95; 202 males, 224 females), without psychiatric or neurological history, completed assessments: Dissociative Process Scale (DPS), Peace of Mind (PoM), Beck Depression Inventory (BDI), Beck Anxiety Inventory (BAI), Resilience Scale for Adults (RSA), and Magnetic Resonance Imaging (MRI) structures with selected regions of interest, and Diffusion Tensor Imaging (DTI) maps from various tracts in the right hemisphere and connection to the frontal areas, including anterior thalamic radiation (ATR), Cingulum (hippocampus) (CH), Corticospinal tract (CST), Superior longitudinal fasciculus (SLF), Inferior fronto-occipital fasciculus (IFOF), and Uncinate fasciculus (UF) were analyzed. ResultsTwo clusters, representing hypomentalization (HypoM) and hypermentalization (HyperM), were identified based on DPS, CPSS, and RFQ responses. One-way ANOVA showed no significant age or gender differences between clusters. The HypoM group exhibited lower PoM scores, higher BDI and BAI scores, and lower RSA scores (ps< 0.05). Structural brain metric comparison showed significant differences in GMV in the right caudal middle frontal gyrus (rcMFG), right superior frontal gyrus (rsFG), and right frontal pole (rFP) between groups. In addition, the HyperM individuals with a higher risk of depression and a higher ratio of intrapersonal to interpersonal factors of resilience were found with reduced GMV on the rcMFG. Additionally, analyses of DTI metrics revealed significant differences between two groups in rATR and rSLF in terms of fractional anisotropy (FA) values; rATR, rCST, rUF, rSLF, rCH and rIFOF in terms of mean diffusivity (MD) values, and radial diffusivity (RD) (corrected p = 0.05). Moreover, the positive correlation between different domains of resilience and white matter (WM) integrity implied further enhancement of intrapersonal or interpersonal resilience factors that are different for people with different mentalization. ConclusionsThe findings underscore the importance of considering both intrapersonal and interpersonal factors in understanding the interactions between psychological resilience and mental health conditions relevant to brain mechanisms.

“What’s in it for me?” – uncovering the individual benefits of inclusive behavior in the Norwegian workplace

PurposeThis article examines how the practice of work inclusion towards vulnerable groups can positively affect individual leaders and co-workers. We specifically examine intrapersonal factors like motivation and commitment.Design/methodology/approachUsing a multiple case design, data is gathered through semi-structured interviews in three private Norwegian organizations. Fifteen interviews were conducted and included leaders and co-workers from each organization. Secondary data, such as internal documents regarding the work inclusion policies, sustainability reports and news articles, were also used to describe different organizational approaches toward work inclusion.FindingsWork inclusion activities can positively affect leaders’ and co-workers’ commitment and intrinsic motivation.Originality/valueThis article focuses on the individuals who conduct inclusive behavior and how they benefit from practicing inclusion. Exploring the three companies’ different inclusion policies provides insights into how these are associated with different outcomes. The findings indicate that the policy structure and the practice of inclusion can have positive motivational and commitment effects.