Pleasant Experience Research Articles

The role of religion in ethnic minority youth’s civic agency: theoretical considerations and a case study from Finland

ABSTRACT This article discusses the multifaceted relationship between religion and civic agency. We present a conceptual framework representing the individual foundation and social aspects of civic agency. Based on qualitative semi-structured interviews, we investigated how young people and religious communities contribute to civic agency. The findings indicate that participating in religious groups provides pleasant emotional experiences, cognitive opportunities, experimental circumstances, a sense of belonging, engagement with others, and responsibility. However, normative adult – youth hierarchies may compromise young people’s agency in everyday decision-making processes. The civic potential of religion for meaning, value, and social relations can be addressed in religious and civic education, and pupils’ experiences in their religious communities can be used to enhance civic engagement. Furthermore, education in young people’s own religious traditions would give them the tools to negotiate issues in their religious communities.

Integration of biofuel-induced electricity generators (BEGs) with wearable biosensing devices

This review article explores the potential revolutionary uses of biofuel-induced electricity generators (BEGs) integrated into portable biosensing devices. It describes the workings, and benefits of BEGs-based biosensors while highlighting the complementary nature of energy production and biosensing. The article delves into the ways BEGs transform biosensing capabilities in wearable technology, highlighting their ability to sustain themselves, compatibility with living organisms, and ongoing power production. BEGs eliminate the need for external power sources by enabling independent and uninterrupted operation through the metabolic activity of microorganisms. Their compatibility with the human body guarantees a secure and pleasant on-body experience. Wearables that incorporate BEGs allow for the continuous tracking of ambient variables, physiological data, and biomarkers. The review highlights the exciting possibilities of BEGs based-biosensors in healthcare, environmental monitoring, and other fields, paving the way for autonomous, continuous monitoring in the future to enhance health management and raise environmental consciousness.

Examining the adoption of technology-enhanced learning in universities and its effects on student performance, satisfaction, and motivation

The integration of technology in Higher Education has witnessed substantial growth in recent years. While extensive research has explored the collective educational implications of Technology-Enhanced Learning (TEL) at universities, there remains an incomplete understanding of its effects on individual students when viewed through the lens of Person-Environment misfit theory and technostress. This paper aims to fill this gap by examining the impact of student and university misfit when adopting TEL and technostress on students' performance, satisfaction, and motivation. Utilizing a quantitative survey, we gathered data from a sample of 332 Higher Education students in the UK. The results reveal the significant influence of student and university misfit in adopting TEL on academic performance, satisfaction, and motivation. Moreover, the findings highlight the mediating role of technostress in these intricate relationships. Our research indicates that technostress stems not from the use of technology itself but from the misfit between students and the university learning environment. To address this, universities should enhance students' sense of belonging by offering additional pastoral and academic support. Moreover, providing training to boost students' digital confidence and skills is crucial. Creating a psychologically healthy technology-enhanced learning environment will ensure a more pleasant learning experience, alleviating student technostress.

Understanding the attractiveness of types of historic districts in Bandung: implementing heritage conservation based on public perception

ABSTRACT Cultural heritage conceptually addresses the conservation of physical and non-physical dimensions. Heritage conservation generally intends to create pleasant spatial experiences and socio-culturally friendly living environments while accommodating contemporary needs. Conservation frameworks for protecting urban fabric driven by physical authenticity and expert judgment need to pay increased attention to public-based assessment experiences to improve people’s perspectives on the quality of urban historic areas. The notions of inclusive conservation posit that community understanding is essential for appreciating historic urban areas due to various social, cultural, historical, and political conditions. According to public narratives and perspectives, this study describes the types of urban historic districts perceived as attractive. The investigation uses the qualitative method to analyze data from 170 participants obtained through an online questionnaire and content analysis methods with open, axial, and selective coding. The findings reveal that from the public perspective of environmental quality assessment, historic districts are categorized under three types according to attractiveness. Three types of historic areas are vibrant, relaxing, and dull districts. As such, the study emphasizes the importance of human sensory experience in urban planning and design and its consequences for urban heritage conservation.

Effects of Tactile Massage in Improving Older Residents' Psychological Health in Long-Term Care Facilities: A Randomised Controlled Trial.

Loneliness, anxiety and depressive symptoms are common among older residents in long-term care facilities (LTCFs), which can negatively impact their quality of life and increase mortality rates. Addressing these psychological health issues is an important task for nursing staff. There is a need for easy and accessible interventions to improve older residents' negative emotions. Tactile massage (TM) is a form of touch therapy that induces oxytocin, which can help individuals feel relaxed, experience pleasure and reduce anxiety. TM can also provide a sense of security and care for individuals. This study aimed to evaluate the effects of TM in improving older residents' psychological health in LTCFs. In this study, we applied a two-arm randomised controlled trial research design. We used convenience sampling to enrol 55 older residents in three long-term care facilities who were randomly assigned to an intervention group and a comparison group. The intervention group received TM by research assistants on both hands for 15 min per time, twice a week for 4 weeks and the comparison group received regular care. Data were collected before and after the intervention. Generalised estimating equations (GEEs) were used to evaluate the effectiveness of the intervention. There were no significant differences in loneliness, anxiety, depressive symptoms, happiness, ear temperature, heart rate or diastolic blood pressure between the two groups after the intervention. However, the intervention group had significant improvements in comfort (B = 0.86, p < 0.001), relaxation (B = 1.00, p < 0.001), respiratory rate (B = -0.16, p = 0.021) and systolic blood pressure (B = - 4.17, p = 0.002) compared to the control group. TM can help older residents who live in LTCFs feel relaxed and comfortable. TM can be easily implemented as it requires no tools. We recommend that nursing staff and healthcare professionals incorporate TM as part of their care routines. They also can encourage family members to perform TM on residents during their visits to enhance residents' comfort and relaxation. The Consolidated Standards of Reporting Trials (CONSORT) checklist was used for this paper. ClinicalTrials.gov (NCT05052138).

The Interweaving of Pain and Perfection: A Qualitative Inquiry about the Experiences of Pregnant Women during Pregnancy and Childbirth in the COVID-19 Pandemic in Iran

Background: The prevalence of the COVID-19 pandemic has made the pleasant experiences of pregnancy and childbirth for women a source of fear and anxiety. Objective: To explore the experiences of pregnant women during pregnancy and childbirth in the COVID-19 pandemic. Methods: This qualitative conventional content analysis was conducted in Tehran, Iran, in May and June 2020. The 15 participants were selected via purposeful sampling including: 12 pregnant women, 2 relatives, and one nurse. Data were collected using in-depth and semi-structured interviews and the analysis adopted by Graneheim and Lundman (2004). MAXQDA version 12 was used for data organization. Results: According to the findings, 12 sub-categories, 6 categories, and one theme were extracted. The main theme that was derived from the analysis of the data was " the interweaving of pain and perfection". The categories include "emotional disorders", "obsessive disorders", "psychological disorders", "strengthening the dimension of spirituality" "the need for more support resources", and "inadequacy in presenting the role of motherhood. Conclusion: According to the experiences of pregnant women during pregnancy and childbirth during the outbreak of COVID-19, social, psychological, and emotional support through family and healthcare providers is recommended, as is the formation of virtual counseling groups to answer the questions of pregnant women. Health policymakers and decision-makers can use the results of this research to plan for providing services for pregnant women during future pandemics.

The interplay of ADHD, social media usage, and dopamine receptors in adolescents: A literature review

ADHD is a neurodevelopmental disorder marked by symptoms such as inattentiveness, hyperactivity, and impulsivity, with a prevalence rate exceeding 5%. The pathophysiology of ADHD includes cognitive and functional brain abnormalities, particularly in the anterior cingulate gyrus and dorsolateral prefrontal cortex, as well as decreased activity in the frontostriatal region. Diagnosis involves comprehensive assessments based on behavioral criteria outlined in the DSM-5. Treatment primarily includes stimulant medications, which are effective in about 70% of patients, and non-stimulant options such as atomoxetine and antidepressants. The review explores the effects of social media on adolescents, highlighting both negative impacts, such as social isolation, depression, and cyberbullying, and positive aspects, such as enhanced communication and knowledge sharing. Adolescents with ADHD are particularly vulnerable to behavioral addictions due to their poor impulse control, making them susceptible to excessive social media use. Additionally, the role of D2-dopamine receptors in ADHD is discussed, noting that genetic components like the DRD2 gene can affect dopamine neurotransmission, impacting attention and pleasure experiences. The pleasure principle, as proposed by Freud, is also analyzed in the context of ADHD, suggesting that individuals with ADHD may engage in behaviors that provide immediate gratification to avoid discomfort. Therefore, this review underscores the correlation between ADHD symptoms, social media usage, dopamine receptor function, and the underlying psychological drives in adolescents, providing a comprehensive understanding of these interrelated factors.

E-commerce on Hardware sales: A case study of Computer technologies Union in Owerri, Nigeria.

The incorporation of computers into contemporary company operations has significantly altered productivity and communication, essentially making paper-based file systems outdated. The advancement of technology has made it possible to manage data more accurately, streamline procedures, and obtain information more quickly. Better managerial skills are now a trademark of the digital age, allowing companies to accurately and quickly respond to information requests. Innovative business models have also been made possible by the transition to digital technology, especially in the areas of customer engagement and operational management. A more dynamic and responsive business environment has been made possible by the automation of repetitive processes, real-time data analysis, and enhanced communication channels. This has allowed organisations to respond to shifting market conditions with accuracy and agility. A significant advancement in this digital shift is the emergence of e-commerce platforms. These platforms have facilitated a smooth and mutually beneficial relationship between businesses and customers. Online shopping provides customers with an unparalleled level of ease, enabling them to peruse, evaluate, and buy things from the comfort of their own homes. These websites give businesses access to a wider market, an extra source of income, and insightful data analytics on consumer behaviour. By providing easy navigation, safe payment choices, and personalised experiences, the e-commerce model improves client engagement. The transition to e-commerce has increased revenues as well as customer happiness and brand loyalty by offering a convenient and effective purchasing experience. For Computer Technologies Union (CTU) in Owerri, the project's goal was to create an e-commerce website that would improve customer interaction and business operations in response to current trends. To enable simple online purchases, the website was built with a feature-rich catalogue of store merchandise and an intuitive shopping cart. The system was designed to be reliable, scalable, and effective by utilising a three-tier design. Although the middle layer, which used PHP, handled business logic with ease, the backend MySQL database ensured dependable data management. Shopping was simple and easy with the client interface, which could be accessed via a web browser. The speed and precision of service delivery at CTU Owerri were greatly enhanced by the new system after it was fully implemented. While the firm benefited from increased operational efficiency and the ability to better meet customer expectations, customers had a convenient and pleasurable shopping experience. In addition to modernising CTU Owerri's operations, this calculated decision gave it a competitive edge in the online market.

A review of carsickness mitigation: Navigating challenges and exploiting opportunities in the era of intelligent vehicles

Motion sickness (MS) has long been a common complaint in road transportation. However, in the era of driving automation, MS has become an increasingly significant issue. The future intelligent vehicle is envisioned as a mobile space for work or entertainment, but unfortunately passengers’ engagement in non-driving tasks may exacerbate MS. Finding effective MS countermeasures is crucial to ensure a pleasant passenger experience. Nevertheless, due to the complex mechanism of MS, there are numerous challenges in mitigating it, hindering the development of practical countermeasures. To address this, we first review two prevalent theories explaining the mechanism of MS. Subsequently, this paper provides a summary of current subjective and objective approaches for quantifying motion sickness levels. Then, it surveys existing methods for alleviating MS, including passenger adjustment, intelligent vehicle solutions, and motion cues of various modalities. Furthermore, we outline the limitations and remaining challenges of current research and highlight novel opportunities in the context of intelligent vehicles. Finally, we propose an integrated framework for alleviating MS. The findings of this review will enhance our understanding of carsickness and offer valuable insights for future research and practice in MS mitigation within modern vehicles.

Blended Learning Instruction at Tertiary Level: Experiences of Students in One Tertiary Institution in Eswatini

This study explores the experiences of university students on the use of Blended Learning instruction at tertiary level in one tertiary institution in Eswatini. The study adopted the qualitative research approach where the case study research design was used. The study targeted students in one campus of the tertiary institution. Data were collected from a total of 15 (fifteen) students of this campus who were selected using the Simple Random Sampling technique. The data were collected using one on one interviews and were analysed using Content Analysis. The findings of the study revealed that students have varied experiences about Blended Learning. While some have pleasant experiences of this mode of learning others have unpleasant experiences. The study found that some students view Blended Learning as a good mode of instruction that offers them the opportunity to access education anywhere anytime. The findings also revealed that the Blended mode of instruction benefits students in terms of its flexibility in learning times, vast sources of information and covering a lot of content in a short period of time. This mode, however, has numerous challenges which inhibit its successful implementation. These are limited data bundles and poor internet connection which inhibit learners from accessing lessons on line. The study therefore recommends that institutions must work with the relevant network providers (Eswatini MTN and Eswatini Mobile) to provide unrestricted data and network services to students.

Health and Well-Being Among College Students in the United States During the COVID-19 Pandemic: Daily Diary Study.

There is evidence that anxiety and stress increased among college students during the COVID-19 pandemic. However, less is known about daily experiences of affect, worry, substance use behaviors, experiences of pleasure, concern over food security, experiences of bias or discrimination, feelings of belongingness, and other indicators of well-being and how they vary across days in this population. This study surveyed a wide range of indicators of health and well-being in daily life over 21 days with a sample of college students in a large university system in the United States during the pandemic. The overall variance in each daily measure was partitioned to reflect the proportion due to (1) between-person differences versus (2) within-person, day-to-day variability. This is important because measures that vary primarily due to between-person differences may be more amenable to interventions that target particular students, whereas measures that vary more due to day-to-day variability may be more amenable to interventions that target day-level contextual factors. A sample of 2068 young adult college students (aged 18-24, mean 19.8, SD 1.3 years; 66.6% women) completed a baseline survey; 97.3% (n=2012) then completed up to 21 consecutive daily surveys that assessed a comprehensive set of daily markers of health, behavior, and well-being. The daily diary study produced a total of 33,722 person-days. Among all person-days, a minority were substance use days (eg, 14.5% of days involved alcohol use, 5.6% vaping, and 5.5% cannabis). Experiences of pleasure were reported on most (73.5%) days. Between-person differences explained more than 50% of the variance in numerous indicators of health and well-being, including daily vaping, cannabis use, other illicit substance use, experiences of bias or discrimination, positive affect, negative affect, worry, food insecurity, and feelings of belonging at the university. In contrast, within-person differences explained more than 50% of the variance in daily alcohol use, cigarette use, stress, experiences of pleasure, where the student slept last night, and physical activity. College student health and well-being are multifaceted, with some aspects likely driven by person-level characteristics and experiences and other aspects by more dynamic, contextual risk factors that occur in daily life. These findings implicate services and interventions that should target individual students versus those that should target days on which students are at high risk for poor experiences or behaviors.

Chronic Itch Affects Patients' Ability to Experience Pleasure: Anhedonia in Itchy Disorders.

Anhedonia, the reduced ability to experience pleasure, is a prevalent symptom in various psychiatric disorders, but has not been investigated in dermatological conditions, particularly those characterized by chronic itch. This study aimed to examine the prevalence and clinical correlates of anhedonia in patients with chronic itch. A cross-sectional study was conducted in 137 patients with chronic itch, classified according to the International Forum for the Study of Itch (IFSI) classification. Anhedonia was assessed using the Snaith-Hamilton Pleasure Scale (SHAPS) and Anticipatory and Consummatory Interpersonal Pleasure Scale (ACIPS). Itch severity, quality of life, and psychological distress were assessed using the Visual Analogue Scale (VAS), Verbal Rating Scale (VRS), ItchyQoL, and Hospital Anxiety and Depression Scale (HADS), respectively. The mean SHAPS score was 1.0 ± 1.7 points, and the mean ACIPS total score was 76.9 ± 16.2 points. In the study sample, 13.1% of patients were identified as anhedonic, with a higher prevalence observed in those with severe and very severe itch. Anhedonia was significantly correlated with itch severity (R = 0.2, p=0.02 for 24 h VASmean and SHAPS; R = 0.2, p = 0.01 for 24 h VASmax and SHAPS), anxiety symptoms (R = 0.3, p < 0.001 for SHAPS and HADS-anxiety), depression symptoms (R = 0.4, p < 0.001 for SHAPS and HADS-depression), and impairment in quality of life (R = 0.2, p = 0.014 for SHAPS and ItchyQoL). Anhedonia is a significant and prevalent aspect of psychological distress in patients with chronic itch. Addressing this symptom may not only improve patients' overall mental health but also enhance the effectiveness of treatments for chronic itch. Future research is needed to elucidate further the mechanisms underlying the relationship between anhedonia and chronic itch and to develop targeted interventions for this population.

Alcohol and cannabis use in daily lives of college-attending young adults: Does co-use correspond to greater reported pleasure?

Co-use of alcohol and cannabis is prevalent and linked with heightened risk for substance-related harms. The current study investigated the role of substance-related pleasure as a reinforcing factor for co-use relative to alcohol or cannabis use. Specifically, we used data from a 21-day diary study of college students to examine day-level associations between co-use and self-reported substance-related pleasure (any, level of pleasure). Participants were 237 college students (65 % female sex at birth, ages 18–24) who reported 1+ alcohol and cannabis co-use occasion. Participants completed daily surveys across 21 consecutive days about yesterday’s substance use and experiences of pleasure, yielding 2,086 daily surveys involving alcohol and/or cannabis use. Multilevel models indicated that odds of substance-related pleasure were higher on days with co-use relative to days with single-substance use, and level of pleasure was higher on co-use days relative to cannabis but not alcohol use days. Pleasure may serve as a reinforcing property of co-use that may be related to continued use despite experience of negative consequences. Intensity of pleasure related to co-use appears to be largely driven by use of alcohol. However, given mixed findings concerning level of pleasure, individuals may report co-use increases feelings of pleasure but do not actually experience more pleasure. Pleasure may serve as a viable target in future prevention and intervention programming targeting co-use.

State-dependent connectivity in auditory-reward networks predicts peak pleasure experiences to music.

Music can evoke pleasurable and rewarding experiences. Past studies that examined task-related brain activity revealed individual differences in musical reward sensitivity traits and linked them to interactions between the auditory and reward systems. However, state-dependent fluctuations in spontaneous neural activity in relation to music-driven rewarding experiences have not been studied. Here, we used functional MRI to examine whether the coupling of auditory-reward networks during a silent period immediately before music listening can predict the degree of musical rewarding experience of human participants (N = 49). We used machine learning models and showed that the functional connectivity between auditory and reward networks, but not others, could robustly predict subjective, physiological, and neurobiological aspects of the strong musical reward of chills. Specifically, the right auditory cortex-striatum/orbitofrontal connections predicted the reported duration of chills and the activation level of nucleus accumbens and insula, whereas the auditory-amygdala connection was associated with psychophysiological arousal. Furthermore, the predictive model derived from the first sample of individuals was generalized in an independent dataset using different music samples. The generalization was successful only for state-like, pre-listening functional connectivity but not for stable, intrinsic functional connectivity. The current study reveals the critical role of sensory-reward connectivity in pre-task brain state in modulating subsequent rewarding experience.

Design of a Gaze-Controlled Interactive Art System for the Elderly to Enjoy Life.

The impact of global population aging on older adults' health and emotional well-being is examined in this study, emphasizing innovative technological solutions to address their diverse needs. Changes in physical and mental functions due to aging, along with emotional challenges that necessitate attention, are highlighted. Gaze estimation and interactive art are utilized to develop an interactive system tailored for elderly users, where interaction is simplified through eye movements to reduce technological barriers and provide a soothing art experience. By employing multi-sensory stimulation, the system aims to evoke positive emotions and facilitate meaningful activities, promoting active aging. Named "Natural Rhythm through Eyes", it allows for users to interact with nature-themed environments via eye movements. User feedback via questionnaires and expert interviews was collected during public demonstrations in elderly settings to validate the system's effectiveness in providing usability, pleasure, and interactive experience for the elderly. Key findings include the following: (1) Enhanced usability of the gaze estimation interface for elderly users. (2) Increased enjoyment and engagement through nature-themed interactive art. (3) Positive influence on active aging through the integration of gaze estimation and interactive art. These findings underscore technology's potential to enhance well-being and quality of life for older adults navigating aging challenges.

O LÚDICO NA EDUCAÇÃO INFANTIL COMO INSTRUMENTO FACILITADOR DA APRENDIZAGEM

This article aims to highlight some benefits that can be observed with the use of playful activities in the early grades, with early childhood education being an ideal setting for this. As the first stage of basic education, early childhood education seeks the complete development of the child up to the age of 5, in their physical, psychological, intellectual, and social aspects, complementing the role of the family and society. (Art. 29, LDB) The main advantages of using playful activities in lessons as a pedagogical resource include promoting transformations in practice, making it more meaningful and engaging. Children become more motivated to learn, as games and play contribute to the development of various human skills. In this sense, using playful methods in the classroom can be a powerful mediation tool in the teaching and learning process in the early grades, where preschoolers can learn and have fun at the same time, making learning a pleasurable and enjoyable experience.

Poder de la expectativa en la fórmula armónica del placer musical

Why does music move us? What harmonic resources manage to cause a greater pleasant experience in listeners? The aestheticity of music lies in the repetition of forms, in the recognition of patterns. Composers take advantage of that predictability to play with listeners' expectations. Mastering the technique to cause sweating and piloerection in response to a musical stimulus is of great interest to creatives. Based on the publications of the musical theorist Frank Lehman, specialized in the harmony of the soundtracks of epic millennial cinema, this article analyzes some harmonic cadences present in different audiovisual formats to agree that it is in the violation of expectations through chromatisms and after their subsequent diatonic realignment where the astonishment of the spectators occurs. This research connects classical aesthetics with the psychology of music.

Affirming the arctic outdoors: reading norrland ranger memoirs of becoming through outdoor training

ABSTRACT This article contributes to literature in IR and critical military studies on embodied experiences, military geographies, and research on rangers. Despite being a common feature of military training, little research exists on how the military uses outdoor training to shape soldiers’ identities, emotions, and embodied dispositions. In contrast to existing scholarship’s emphasis on using and constructing outdoor environments in military training to transmit values and skills to make soldiers tough, I argue that outdoor training should be examined from its wealth of embodied experiences and the becoming it gives rise to. Exploring written memoirs by Swedish Norrland Rangers in annual ranger journals on their embodied experiences of extensive outdoor training in north Sweden, the article traces how these rangers represent outdoor training as an assemblage of challenging and pleasurable experiences of being entangled with the northern geographies. The findings indicate that Norrland rangers actively nurture an affirmative orientation to the outdoors and Arctic geographies through their representations of outdoor training, making the challenging ranger formation a rewarding becoming. By developing how rangers constitute and foster this affirmative orientation through their writings, the article provides a better understanding of how pleasurable feelings and experiences of the outdoors are nurtured and drawn upon to socialize rangers.

Empowering Expecting Mothers: The Impact of Antenatal Classes on Child Birth Experience.

Introduction Antenatal education is one of the ways to increase a woman's knowledge about pregnancy and childbirth, which could improve self-efficacy during labor, making the expecting mothers well-prepared for labor and nursing. One of the ways for its delivery could be via well-structured antenatal classes. Such classes are part of many countries' healthcare systems and have proven to decline maternal anxiety, shorten labor, increase partner involvement, and overall improve labor experience. However, at the same time, such classes can augment more interventions in labor, induction of labor, and epidural usage. Despite the heterogeneous results of their effect, the high demands of antenatal education amongpregnant women can justify its incorporation into antenatal care. By allowing the women to identify labor correctly and preventing admission in false labor, shortening the labor, and teaching women non-pharmacologic ways to manage labor pains, it can reduce the patient and fiscal burden on the already overwhelmed maternity units of Pakistan, hence proving to be an inexpensive health promotion tool. Methods This cross-sectional study was conducted in the Department of Obstetrics and Gynecologyof Aga Khan University Hospital Karachi, Pakistan, between December 2020 and June 2021. All pregnant women, aged 18 to 45 years, between gestational ages of 37 to 42 weeks, with singleton, cephalic pregnancy, booked during the first or second trimester, and who attended at least one antenatal class, were invited to participate. Women who had any contraindication to vaginal delivery, whose labor was induced, or who suffered from medical, psychological, or obstetric comorbidities were excused. The participants were observed for labor outcomes in terms of stage of labor on arrival, use of epidural analgesia, mode of delivery, and childbirth experience, using a validated research tool, known as the Questionnaire for Assessing the Childbirth Experience (QACE)to identify women with a positive or negative childbirth experience. A higher score representing on the questionnaire represented a more negative birth experience. A score of less than 19 was considereda positive birth experience. Data was analyzed using IBMStatistical Package for Social Sciences (SPSS) Statistics for Windows, Version 19. Results The mean QACE score was reported as 18.2±3.00, reflecting that on average the mothers had a positive childbirth experience. Modes of delivery revealed 57.6% of the women delivering spontaneously, with 60.4% of them arriving in the labor room in active labor. Demand for labor analgesia in the form of epidural was 64%. Majorly the participants attended only one antenatal class, with 66.91% of women reporting a positive childbirth experience. Conclusion Antenatal education classes are a low-input, high-yielding resourcethat can be used to empower mothers with pertinent information and support for a pleasant childbirth experience while simultaneously taking the edge off the overburdened maternity wards of low resources, in densely populated countries like Pakistan. Hence it is the need of the hour to devise plans to invest in these classes to make them available to the masses.

Dynamic processes in behavioral activation therapy for anhedonic adolescents: Modeling common and patient-specific relations.

Behavioral activation (BA) is a brief intervention for depression encouraging gradual and systematic re-engagement with rewarding activities and behaviors. Given this treatment focus, BA may be particularly beneficial for adolescents with prominent anhedonia, a predictor of poor treatment response and common residual symptom. We applied group iterative multiple model estimation (GIMME) to ecological momentary assessment (EMA) treatment data to investigate common and person-specific processes during BA for anhedonic adolescents. Thirty-nine adolescents (Mage = 15.7 years old, 67% female, 81% White) with elevated anhedonia (Snaith-Hamilton Pleasure Scale) were enrolled in a 12-week BA trial, with weekly anhedonia assessments. EMA surveys were triggered every other week (2-3 surveys per day) throughout treatment assessing current positive affect (PA) and negative affect (NA), engagement in pleasurable activities and social interactions, anticipatory pleasure, rumination, and recent pleasurable and stressful experiences. A multilevel model revealed significant decreases in anhedonia, t(25.5) = -4.76, p < .001, over the 12-week trial. GIMME results indicated substantial heterogeneity in variable networks across patients. PA was the variable with the greatest number (22% of all paths vs. 11% for NA) of predictive paths to other symptoms (i.e., highest out-degree). Higher PA (but not NA) out-degree was associated with greater anhedonia improvement, t(25.8) = -2.22, p = .035. Results revealed substantial heterogeneity in variable relations across patients, which may obscure the search for common processes of change in BA. PA may be a particularly important treatment target for anhedonic adolescents in BA. (PsycInfo Database Record (c) 2024 APA, all rights reserved).