Mobile phone addiction and social anxiety among nursing students during internship: The longitudinal mediating role of physical activity and social adaptability in mental health promotion.

Introduction: Schizophrenia is a complex mental health disorder characterised by variable treatment responses. Previous research has explored factors influencing patient experiences; however, the understanding of how modifiable and non-modifiable factors relate to treatment effectiveness remains limited and, at times, inconsistent. Aim: To explore how the sociodemographic and clinical factors influence illness severity, treatment outcomes, and functional adjustment in work and social domains in patients with Schizophrenia. Materials and Methods: The present cross-sectional observational study was conducted at Sree Balaji Medical College and Hospital, Chennai, India, from July 2022 to July 2023, on 74 schizophrenia patients with at least six months of follow-up. The study assessed sociodemographic factors, treatment adherence, and illness severity in relation to therapeutic outcomes and social adaptation. Data were analysed using Epi Info software version 7, applying Mann-Whitney, Chi-square, and Wilcoxon signed-rank tests, with a significance level set at p <0.05. Results: The current study included individuals diagnosed with schizophrenia spectrum disorders (mean age: 36.1 years), with balanced gender distribution. Most participants were unemployed (71.6%) and married (59.5%). A significant reduction in illness severity was observed post-intervention (p <0.001). Demographic variables such as age, sex, and marital status showed no significant differences; however, marked and severe illness was associated with lower treatment efficacy (p<0.001) and poor resilience (p=0.001). Treatment response assessed via effectiveness index and global improvement categories. Treatment effectiveness was significantly associated with factors such as employment status (p=0.028), illness severity (p<0.001), age of illness onset (p=0.021), Higher Mental Function (HMF) (p=0.002), insight (p=0.007), resilience (p=0.019), and antipsychotic dose (p=0.041). Global improvement was significantly associated with factors such as employment status (p=0.012), illness severity (p<0.001), age of illness onset (p=0.035), HMF (p=0.003), insight (p=0.037), resilience (p<0.001), and treatment adherence (p=0.023). Individuals with milder illness, better insight, preserved HMF, higher resilience scores, and active treatment adherence showed more favourable outcomes. Functional impairment was significantly greater among those with inadequate treatment response and higher illness severity, particularly affecting work, home management, leisure, and interpersonal relationships (p<0.001). Despite overall improvement, a subset of patients continued to experience residual functional limitations, highlighting the link between treatment effectiveness and real-world functioning. Conclusion: According to the present study results, higher resilience, good insight, employment and strong family support are the key factors associated with better outcomes. The study also supports the role of early intervention, sustained treatment engagement and a recovery oriented approach for better clinical and psychosocial care.

Interpersonal ageism and its impact on older adults health and care engagement in China.

Neural sensitivity to social feedback and adaptations to changing social contexts in adolescence.

This study examines the psychological impacts of only-child status and bereavement among older adults. Utilizing 2014-2020 China Longitudinal Aging Social Survey (CLASS) data, the research assessed depression via the CESD-9 and social networks through the Lubben Social Network Scale-6. Findings reveal that while having an only child initially correlates with reduced depressive symptoms, losing that child significantly exacerbates mental health challenges and hinders social adaptation. This adverse interaction is primarily mediated by the shrinkage of family and friend networks. Heterogeneity analysis indicates that the psychological burden is more pronounced among females, urban residents, and religious individuals.

This study explores the effect of music and painting dual art therapy on the cognitive and social functions of hospitalized chronic schizophrenia patients and evaluates its clinical value as an adjunctive treatment. A retrospective study design was used to collect clinical data from chronic schizophrenia patients hospitalized between January 2023 and January 2025. Based on whether they received music and painting dual art therapy, patients were divided into an intervention group and a routine care group. Propensity score matching was used for 1:1 matching to include 116 patients (58 in each group). Matching variables included age, sex, disease duration, education level, etc. The intervention group received 4 weeks of systematic music and painting dual art therapy in addition to routine care. The assessment indicators included positive and negative syndrome scale (PANSS), cognitive function (MoCA, Wisconsin card sorting test [WCST]), social function (social disability screening schedule), activities of daily living, and quality of life (schizophrenia quality of life scale). Changes before and after the intervention and group differences were compared. The baseline characteristics of the 2 groups were balanced. After matching, no significant differences were found between the 2 groups in terms of age (routine group: 42.3 ± 10.2 years vs dual group: 42.7 ± 10.4 years, P = .853), sex, disease duration, education level, or age at first hospitalization (P >.05 for all). After the intervention, the dual art therapy group showed significant improvements over the routine care group in multiple indicators, including PANSS-positive and negative symptoms, MoCA total score, WCST correct responses, perseverative errors, categories completed, social function score, quality of life, and activities of daily living (P <.01). For example, MoCA score increased from 17.5 before the intervention to 23.0, WCST categories completed increased to 4.3 ± 1.4, and PANSS-negative symptom scores decreased significantly, indicating a positive impact of dual art therapy on cognitive and social functions. Music and painting dual art therapy can serve as an effective adjunctive intervention for hospitalized chronic schizophrenia patients. It significantly improves cognitive function, mental symptoms, and social adaptability, enhancing quality of life with high feasibility and potential for widespread application.

Persistent neuromuscular deficits and physical activity limitations are common after traumatic knee injuries. While biomedical literature focuses on measurable strength, there is a lack of depth regarding how individuals navigate the long-term journey of recovery including the psychological and social adaptations required in daily life. This study explored individuals' lived experiences of rehabilitation and long-term recovery following traumatic knee injury, focusing on their perceptions of physical function, symptom management, and the evolution of their physical activity engagement. Qualitative study. We used semistructured, one-on-one interviews conducted online with 19 individuals (9 females, median age = 34 [interquartile range: 28-40], median = 7 [3-14]y postinjury) who had sustained a traumatic knee injury. Participants were purposively selected for maximum variation. Data were analyzed using reflexive thematic analysis. Three themes were identified that characterize recovery as a nonlinear journey of identity reconstruction. (1) An unreliable limb: initial neuromuscular silence and permanent limitations-participants described an early state of bodily alienation where the muscle was perceived as disconnected from control. Long-term deficits were framed by participants as a fragility of progress. (2) The pendulum of recovery: balancing progress, symptoms, and systemic friction-recovery was reported as an oscillation between progress and setbacks. Participants identified visceral barriers and a clinical void in health care guidance as primary deterrents to sustained engagement. (3) The forever knee: acceptance and stewardship-participants described a transition toward lifelong stewardship involving the psychological labor of mourning the preinjury self and accepting a new normal of good enough function and exercise routines. Neuromuscular recovery is a multifaceted psychosocial process rather than a linear biological event. Participants identified that a lack of long-term guidance often results in permanent activity reduction. To optimize outcomes, rehabilitation should focus on fostering self-efficacy and support the long-term stewardship of the "forever knee."

Internet use, social adaptation and subjective well-being in Chinese older adults: a cross-lagged study.

During early childhood, the foundation for social information processing skills is laid, enabling children to understand their social environment and interactions with peers and adapt to them. Although social interaction skills have generally been studied in young children, there are limited studies that directly address the relationship between social information processing and social interaction in gifted children. Therefore, the development of early interventions to support the social adaptation of gifted children is of critical importance. This study aims to examine the relationship between social information processing and social interaction skills in gifted children during the early developmental period. The study was designed as a cross-sectional analysis. This study relied on convenience sampling, a type of purposive sampling technique. Thirty gifted children were included in the investigation. The study employed the Social Information Processing Interview-Preschool Version and the Interaction Rating Scale between Children. The study found a significant and positive connection between the Benign Intent aspect of social information processing skills in gifted children and their cooperation and assertiveness abilities in relationships. A significant and positive correlation was found between the positive response structure of social information processing skills and the self-regulation dimension of interaction skills. Gifted children's advanced ability to interact positively in social situations plays a significant role in fostering unity within their peer groups and strengthening their confident communication abilities. Having strong self-regulation abilities affects one's capacity to create positive responses.

Self-identity construction and social adaptation are critical issues for emerging adults. In recent years, the COVID-19 pandemic has introduced significant uncertainties and posed additional challenges for young people navigating the process of identity formation. This study, grounded in the Identity Process Model, examines how emerging adults’ identity styles influence social adaptation, as well as the mediating roles of coping styles and Tolerance of uncertainty. A sample of 439 college students (Mage = 21.72, SDage = 2.20) completed self-report questionnaires. The moderated mediation analyses showed that the mediating effects of coping styles on the relationship between identity style and social adaptation were influenced by emerging adults’ Tolerance of uncertainty. These findings may contribute to a better understanding of psychological development in emerging adults and provide valuable guidance for fostering their social adaptation, especially in the context of sudden adverse experiences.

Given the significant impact of sleep quality on patient outcomes, integrating evidence-based sleep promotion into routine care practices is essential. This study aims to explore sleep nursing champions' (SNCs) experiences of an evidence-based sleep-promoting project in the context of inpatient hospital care. An explorative qualitative descriptive design with an abductive approach, using the Capability, Opportunity and Motivation - Behaviour (COM-B) model as a theoretical framework, was applied. Data were collected through five semi-structured individual interviews and analysed inductively using a reflexive thematic analysis. Five themes were theoretically interconnected with the determinants of the COM-B model. The findings describe barriers and facilitators in the implementation of evidence-based sleep promotion in hospital care. Motivational and hindering factors included the empowering role of the SNC, organisational structures, time and the interprofessional team, all of which influenced changes to current practice. Establishing SNCs requires organisational, practical, social and cultural adaptations. When these conditions are met, SNCs can contribute to person-centred, conducive sleep-promoting environments. The results contribute to nursing practice by advancing theoretical understanding of contextual factors shaping sleep-promoting care and by informing future development of evidence-based strategies for improving patients' sleep in hospital settings.

Introduction. The article highlights the issues of optimizing the educational process in the classroom in a modern school. The purpose of the article is to present a model for optimizing the educational process in the classroom using elements of motivational program-oriented management (MPCC). Methodology and research methods: The methodological basis is the theory of pedagogical systems by N. V. Kuzmina, the axiological approach by V. A. Slastenin, the motivational program-target approach to education management by I. K. Shalaeva, etc. The research used theoretical methods: analysis of scientific literature, study and generalization of advanced pedagogical experience, modeling; empirical methods: the method of expert assessments, statistical data processing. The results of the study. The model we have developed for optimizing the educational process in the lesson is built “from the bottom up” in stages and is structured by levels in the logic: “I want – I can – I do – I receive”. At the “I want” level, the personal foundations of motivation are actualized, the desire for self-development and self-management is manifested, individual components of time management and components of motivational readiness for learning activities begin to form. At the “can” level, the ability to independently apply planning, prioritization, organization, control, regulation, and responsibility skills is being developed. The “doing” level presupposes the practical application of these skills in real learning activities, where they manifest themselves: focus, self-control, stability of learning behavior. The “I get” level integrates the results of achievements in cognitive, emotional-volitional, reflexive, behavioral and social sub-goals, which lead to the achievement of optimizing the educational process in the classroom in a modern school based on a motivational program-oriented approach in management. Conclusion. In our study, the optimization of the educational process is not limited to mechanical time saving and load reduction, it is a balanced management of learning resources, where each element is considered in terms of its relationship with other components of the model, forming the competencies of students. The structure of the model contributes to the successful educational and social adaptation of students.

Bipolar disorder (BD) is a complex mood disorder among the leading causes of disability worldwide. Internalized stigma refers to the awareness of negative stereotypes adopted by society and the agreement with these judgments, often associated with impaired functionality and social adaptation. Studies examining internalized stigma and related factors in BD are limited. Our study aimed to evaluate the associations between internalized stigma and sociodemographic, marital, and clinical characteristics of individuals with BD. One hundred and eighteen individuals with BD followed up at a specialized affective disorders unit were included. Participants' data were collected via follow-up documents and clinical interviews. The Internalized Stigma of Mental Illness Scale (ISMIS) was administered to assess internalized stigma. The mean ISMIS total score was 56.50. Being unemployed (p = .012, B = 0.208), shorter BD duration (p < .001, B = -0.302), presence of inter-episode residual symptoms (p = .004, B = 0.248), and higher depressive scores (p = .001, B = 0.275) predicted increased internalized stigma. Younger age (p = .002, B = -0.264), being female (p = .007, B = 0.226), absence of mania dominance (p = .019, B = 0.190), and higher depressive scores (p = .002, B = 0.260) predicted alienation scores. The presence of inter-episode residual symptoms predicted both stereotype endorsement (p < .001, B = 0.320) and perceived discrimination (p < .001, B= 0.358). Younger age (p = .001, B= -0.281) and a total number of depressive episodes (p = .015, B = 0.212) also predicted perceived discrimination. Shorter BD duration (p = .005, B = -0.238), absence of seasonality (p = .047, B = 0.169), and higher depressive scores (p < .001, B = 0.320) predicted social withdrawal, while a history of hospitalization (p = .033, B = 0.203) predicted stigma resistance. Considering that internalized stigma is increased in earlier stages of BD, as well as in individuals with inter-episode residual symptoms, it might be important to implement effective psychosocial practices for internalized stigma, which might be modifiable through targeted interventions in the earlier periods. Therefore, a multidimensional and holistic approach toward internalized stigma may positively contribute to the functionality and quality of life of patients with BD.

Yoga as a Tool for Reducing Anxiety and Enhancing Mindful Attention in Chess Olympiad Players: A Mixed-Method Study.

This qualitative phenomenological study explored the lived experiences of former Filipino public-school teachers from Monkayo, Davao de Oro who migrated abroad to pursue teaching careers. Guided by Everett Lee’s Push and Pull Migration Framework, the study examined the conditions that drove teachers to leave the Philippine public-school system and the opportunities that attracted them overseas. Through in-depth, semi-structured interviews with seven participants teaching across four U.S. states, the research uncovered their motivations, challenges, coping mechanisms, insights, and recommendations. Findings revealed that inadequate compensation, heavy workloads, and limited professional growth served as major push factors, while higher pay, supportive work environments, and career advancement abroad functioned as strong pull factors. Participants coped with social support networks, adaptability, and professional commitment, gaining new perspectives on education, resilience, and identity. Their recommendations highlighted the need for improved teacher welfare, recognition, and systemic reforms to reduce migration. The study provided a humanized understanding of teacher migration, offering insights valuable to policymakers and educational leaders in addressing teacher retention in the Philippines.

Autismspectrumdisorder(ASD)isaneurodevelopmental conditionthataffectsthewayindividualsunderstandandinteract with the world, oftenresultingin challenges related to social communication, behavioral adaptation, and sensory processing. Embrace Autism is an innovative web-based platform developed tosupport individuals on the autism spectrum by integrating learning, community engagement and early screening support through artificial intelligence.The project addressesacriticalgapinexistingdigitalresources,wheremostplatformseither focus only on medical diagnostics or provide fragmented support. Embrace Autism provides a holistic solution combining interactive learning modules, mentorship programs and AI-powered visual screening within a single inclusive system.The platformusesa responsive frontendbuiltwith React.jsandTailwindCSS,con- nectedtoanAI-poweredbackendusingTensorFlowandFastAPI.Itsdetection modelanalyzesuploaded facialimagesusingaCNN-baseddeeplearningmodel (.h5) deployed using FastAPI. The image is resized, normalized and classified togenerate probability-based screening insights that may indicate potential autism symptoms.Key contributions of the system include AI-based early screening, gam-ified tools that enhance cognitive and social development, and real-time interaction features that promote inclusivity.Through its thoughtful design and empathetic approach,Embrace Autismempowersindividual swithautismwhilecontributing to a more supportive and inclusive digital environment while promoting greater awareness, acceptance and early intervention

In the contemporary world, technology is advancing at a rate never seen before and is become an essential part of human existence. As a result of ongoing technology advancements, traditional working practices and organizational frameworks are gradually changing in almost every professional sector. In addition to increasing production and efficiency, this change brings with it difficult problems that need careful thought. The standard and rapidity of work processes have been greatly improved by the widespread use of computer programs, artificial intelligence, automated systems, and online environments. This has made it possible for people to accomplish jobs more accurately and with less physical effort. Furthermore, as technology advances, new occupations have emerged and the content and skill specifications for those that already exist have been redefined. Because of this, digital literacy, flexibility, and ongoing education are becoming crucial skills in today's job market. But the quick adoption of technology also brings up serious issues, such as the loss of conventional jobs, a greater prevalence of unemployment and growing socioeconomic disparities. Furthermore, an over-reliance on digital devices may have a detrimental effect on interpersonal communication, social relationships, and psychological problems including stress and dependence. That's why, integrating technology into professional life requires a thorough and well-rounded strategy. This entails assessing its benefits and drawbacks objectively, encouraging ethical and responsible usage, and putting in place laws that promote social welfare and worker adaption. Technological advances can only result in inclusive, long-lasting, and advantageous effects for society at large through such a planned strategy.

The article addresses the issue of psychological rehabilitation of combat veterans in the context of prolonged armed conflict and the growing number of individuals who have experienced war-related psychological trauma. Special attention is given to the use of weapon-based training as a supportive rehabilitative tool within a comprehensive system of psychological assistance. The main psychological consequences of combat experience are analyzed, including post-traumatic stress disorder, chronic anxiety, emotional instability, aggression, impaired self-regulation, and difficulties in veterans’ social adaptation to civilian life. The relevance of implementing controlled weapon-based training in the rehabilitation process is substantiated as a means of restoring a sense of personal control, inner balance, and confidence in one’s actions. The psychological mechanisms underlying the positive impact of such training are identified, including somatic regulation, reduction of psycho-emotional tension, transformation of destructive aggression into socially acceptable forms, and restoration of professional and personal identity of veterans. Emphasis is placed on the importance of adhering to safety principles, voluntary participation, an individual approach, and mandatory professional supervision by psychologists and certified instructors. It is concluded that weapon-based training can serve as an effective supplementary component of psychological rehabilitation for veterans when integrated with traditional psychotherapeutic methods.

Social Adaptation to Change in Peer Behavior Before and After a Pilot Randomized Clinical Trial of a Theatre-Based Intervention for Adults With Autism.

ABSTRACT This study investigates the role of Peer-Assisted Learning (PAL) in fostering intercultural competence (IC) among Burmese students enrolled in Communication Arts and Hospitality programs at a Thai private university. Drawing on Byram’s IC framework, the research explores how structured peer interactions enhance students’ attitudes, knowledge, skills, and critical cultural awareness. Employing a mixed-methods approach, the study integrates quantitative survey analysis with qualitative thematic interpretation to examine the impact of PAL on academic performance, social adaptation, and professional readiness. Findings indicate that PAL facilitates cultural exchange, strengthens language proficiency, and fosters a supportive learning environment, contributing to students’ academic and social integration. Additionally, the study highlights PAL’s effectiveness in mitigating linguistic and cultural barriers while preparing students for globalized industries. These insights underscore the necessity of embedding intercultural learning into university curricula, ensuring that students develop essential cross-cultural communication skills for professional success.